A symbolic step to repeal health law

WASHINGTON (AP) - House Republicans cleared a hurdle Friday in their first attempt to scrap President Barack Obama's landmark health care overhaul, yet it was little more than a symbolic swipe at the law.

The real action is in states, where Republicans are using federal courts and governors' offices to lead the assault against Obama's signature domestic achievement, a law aimed at covering nearly all Americans.

In a post-election bow to tea partiers by the new GOP House majority, Republican lawmakers are undertaking an effort to repeal the health care law in full knowledge that the Democratic Senate will stop them from doing so.

Republicans prevailed Friday in a 236-181 procedural vote, largely along party lines, that sets the stage for the House to vote next week on the repeal.

Shortly before the House vote, Republican governors representing 30 states opened up a new line of attack, potentially more successful.

In a letter to Obama and congressional leaders, the governors complained that provisions of the health care law are restricting their ability to control Medicaid spending, raising the threat of devastating cuts to other critical programs, from education to law enforcement in a weak economy. It's ammunition for critics trying to dismantle the overhaul piece by piece.

Moreover, a federal judge in Florida is expected to rule shortly in a lawsuit brought by 20 states that challenges the law's central requirement that most Americans carry health insurance. A judge in Virginia ruled it unconstitutional last month, while courts in two other cases have upheld it. It's expected that the Supreme Court will ultimately have to resolve the issue.

Obama made history last year when Congress finally passed the law after months of contentious debate, closing in on a goal that Democrats had pursued for generations. Republicans say they changed history by taking back the House in the midterm elections, partly on the strength of their pledge to tea party supporters and other conservatives to undo the divisive law, whose final costs and consequences remain largely unknown.

Some Republicans hope to get enough momentum going to force Obama and the Democrats into an early capitulation. "If you have to do an amputation, get it over with," Rep. Steve King, R-Iowa, a repeal leader, said after the House vote. "We need to get this showdown over so we can go on to other issues."