In this Jan. 20, 2015 photo, Sen. Shelley Moore Capito, R-W.Va., accompanied by Senate Majority Leader Mitch McConnell of Ky., speaks during a news conference on Capitol Hill in Washington. West Virginia likes to say it's "Almost Heaven." Less idyllic is the spot its Republican senator, Shelley Moore Capito, is in as she decides whether to back her party's effort to repeal and replace Democrat Barack Obama's health care law. (AP Photo/J. Scott Applewhite, File)