House Republican Study Committee Chairman Rep. Steve Scalise, R-La., center, speaks at a news conference to introduce the American Health Care Reform Act, the group's legislation to replace the Affordable Care Act, popularly known as Obamacare, on Capitol Hill in Washington, Wednesday, Sept. 18, 2013. From left are Rep. Paul Gosar, R-Ariz., Rep. Phil Roe, R-Tenn., Rep. Steve Scalise, R-La., and Rep. Renee Ellmers, R-NC. The Republican Study Committee works to advance a conservative social and economic agenda in the House of Representatives. (AP Photo/J. Scott Applewhite)