During the campaign, President-elect Trump promised to repeal health care reform on his first day in office. Full repeal on inauguration day is almost certainly impossible; however, repeal of substantial provisions is quite possible.
Full repeal of health care reform would require 60 votes in the Senate and Republicans barely have a majority. Budget-related items only require a simple majority and that means that the budget-related parts of health care reform could be repealed shortly after the new Congress convenes in early January. It would therefore be possible for President Trump to sign a bill repealing major portions of health care reform on inauguration day.
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