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House Republican Leadership in consultation with the Trump Administration decided to pull the American Health Care Act (AHCA), minutes before the House of Representatives was set to vote on the legislation to repeal and replace the Affordable Care Act (ACA). Unable to bridge the divide between the more conservative and moderate wings of the party, Republicans must now make decisions as to whether to proceed with comprehensive health care reform or take a piecemeal approach, while also attending to other key health care legislative priorities.