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WASHINGTON -- The historic midterm election victory by Republicans does not signal the end of the Affordable Care Act. But now the law will probably undergo the scrutiny that many in the GOP say it did not get as it made its way through Congress.

The GOP now holds a majority in the House. Republican members of the Senate are still in the minority, but the current Democratic margin is much slimmer than before the election.

Earlier this year, House Republican leaders and Senate Minority Leader Mitch McConnell (R-Ky.) vowed to "repeal and replace" the Affordable Care Act if they regained the majority. A Republican-led House will not be able to make that happen alone, and the Democratic-led Senate is unlikely to pass repeal legislation.

Meanwhile, President Obama would likely veto …