On President Trump's 'day one,' GOP Congress eyes Medicaid block grants in Obamacare replacement

On what President Trump has deemed his first day in office, a GOP-led Congress moves to act on the 45th commander in chief's "day one" priority of repealing the Affordable Care Act -- commonly known as Obamacare.

Hours after taking his oath of office, Trump took his first step in dismantling Obamacare as he signed an executive order instructing federal agencies to grant relief to constituencies affected by the Affordable Care Act.

President Obama's signature health care law has been a point of contention between Republican and Democratic lawmakers since it was signed into law in 2010. Congressional leaders are now planning to use a budget vehicle to overhaul the nation-wide law, in hopes of replacing the Affordable Care Act with legislation that includes what conservative think tank The Heritage Foundation calls "free market principles."

Rachel Bovard, Director of policy services for The Heritage Foundation, says congressional leadership must prioritize repeal, at least at first, before they debate different stances on a sound replacement plan.

RELATED: Protests for and against Obamacare

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Tea Party Patriots supporters hold signs protesting the Affordable Care Act in front of the Supreme Court as the court hears arguments on the health care reform bill on Tuesday, March 27, 2012.

(Photo By Bill Clark/CQ Roll Call)

Affordable Care Act supporters wave signs outside the Supreme Court after the court upheld court's Obamacare on Thursday, June 25, 2015.

(Photo By Bill Clark/CQ Roll Call)

A man holds signs during a protest on the second day of oral arguments for the Patient Protection and Affordable Care Act in front of the U.S. Supreme Court building on March 27, 2012 in Washington, DC. Today is the second of three days the high court has set aside to hear six hours of arguments over the constitutionality President Barack Obama's Patient Protection and Affordable Care Act.

(Photo by Mark Wilson/Getty Images)

Sister Caroline attends a rally with other supporters of religious freedom to praise the Supreme Court's decision in the Hobby Lobby, contraception coverage requirement case on June 30, 2014 in Chicago, Illinois. Oklahoma-based Hobby Lobby, which operates a chain of arts-and-craft stores, challenged the provision and the high court ruled 5-4 that requiring family-owned corporations to pay for insurance coverage for contraception under the Affordable Care Act violated a federal law protecting religious freedom.

(Photo by Scott Olson/Getty Images)

An Obamacare supporter counter protests a Tea Party rally in front of the U.S. Supreme Court in the morning hours of March 27, 2012 in Washington, DC. The Supreme Court continued to hear oral arguments on the Patient Protection and Affordable Care Act.

(Photo by Alex Wong/Getty Images)

Affordable Care Act supporters hold up signs outside the Supreme Court as they wait for the court's decision on Obamacare on Thursday, June 25, 2015.

(Photo By Bill Clark/CQ Roll Call)

Ron Kirby holds a sign while marching in protest of the Patient Protection and Affordable Care Act in front of the U.S. Supreme Court on March 26, 2012 in Washington, DC. Today the high court, which has set aside six hours over three days, will hear arguments over the constitutionality President Barack Obama's Patient Protection and Affordable Care Act.

(Photo by Mark Wilson/Getty Images)

A protester waves his bible in the air as he overpowered by cheers from supporters of the Affordable Care Act as they celebrate the opinion for health care outside of the Supreme Court in Washington,Thursday June 25, 2015. The Supreme Court on Thursday upheld the nationwide tax subsidies under President Barack Obama's health care overhaul, in a ruling that preserves health insurance for millions of Americans.

(Photo By Al Drago/CQ Roll Call)

Nuns, who are opposed to the Affordable Care Act's contraception mandate, and other supporters rally outside of the Supreme Court in Washington, D.C., U.S., on Wednesday, March 23, 2016. On Wednesday morning, the Supreme Court is scheduled to hear oral arguments in Zubik v. Burwell, a consolidated case brought by religious groups challenging a process for opting out of the Affordable Care Act's contraception mandate.

(Drew Angerer/Bloomberg via Getty Images)

Supporters of contraception rally before Zubik v. Burwell, an appeal brought by Christian groups demanding full exemption from the requirement to provide insurance covering contraception under the Affordable Care Act, is heard by the U.S. Supreme Court in Washington March 23, 2016.

(REUTERS/Joshua Roberts)

Protestors hold placards challenging 'Obamacare' outside of the US Supreme Court on March 4, 2015 in Washington, DC. The US Supreme Court heard a second challenge to US President Barack Obama's Affordable Care Act. The US Supreme Court faces a momentous case Wednesday on the sweeping health insurance reform law that President Barack Obama wants to leave as part of his legacy. The question before the court is whether the seven million people or more who subscribed via the government's website can obtain tax subsidies that make the coverage affordable. A ruling is expected in June.

(MANDEL NGAN/AFP/Getty Images)

 Linda Door (L) protests against President Obama's health care plan in front of the U.S. Supreme Court Building on March 26, 2012 in Washington, DC. Today the high court, which has set aside six hours over three days, will hear arguments over the constitutionality President Barack Obama's Patient Protection and Affordable Care Act.

(Photo by Mark Wilson/Getty Images)

Supporters of the Affordable Care Act celebrate after the Supreme Court up held the law in the 6-3 vote at the Supreme Court in Washington June 25, 2015. The U.S. Supreme Court on Thursday upheld the nationwide availability of tax subsidies that are crucial to the implementation of President Barack Obama's signature healthcare law, handing a major victory to the president.

(REUTERS/Joshua Roberts)

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"Republicans have a lot of ideas, they've been sitting there for eight years trying to figure out how to repeal Obamacare," said Bovard in an interview with AOL News. "They can't make the same mistake the Democrats did in 2009, which was to jam through a huge bill that no one knew what was in it.

In an interview with CNN, Sen. Rand Paul said there are "about 50 replacement bills" for Obamacare that have been out there for years.

President Trump recently claimed "insurance for everybody" relative to his idea of replacing Obamacare, but later walked back that statement saying, "Well, we want people taken care of ... There will be nobody dying on the streets in a Trump administration."

SEE ALSO: Ethics lawyers to sue Trump over foreign payments

In a Sunday interview with NBC News's Willie Geist, senior Trump adviser Kellyanne Conway announced that an Obamacare replacement will transition Medicaid to a block grant program -- meaning federal government would give money to states to implement and disperse Medicaid funding as they see fit.

"President Trump has said that people will not go without coverage. And he means that," Conway said to NBC News. "That is certainly part of the official plans that are being worked on."

The Medicaid program grew during Barack Obama's presidency -- when he gave states the option to expand eligibility for the program to millions of people living above the poverty line. Since that move, a reported thirty-one states the District of Columbia have expanded their coverage programs.

While many Republican lawmakers have been integral in crafting a game plan for the next wave of health care reform, Tennessee Congresswoman Marsha Blackburn has been exceptionally vocal in her advocacy around rebuilding insurance legislation, saying Obamacare is "a broken system."

"A lot of it will be done through reconciliation — and the rest will be more of a cleaning up and restoring people's access to health care — increasing their options," said Blackburn, commenting on the repeal process. "We are well served by having a speaker who is an orderly process person, and we will move through this in a diligent manner."

The reconciliation process -- the replacement vehicle Congress is hoping to use in repealing the ACA -- is one known to those familiar with the legislative history of the health care law.

SEE ALSO: White House says media delegitimizing Trump, won't 'take it'

Reconciliation came out of the Congressional Budget Act of 1974, and it expedites Senate consideration of bills relative to the budget. Reconciliation requires 50 votes to pass, as opposed to most Senate processes which require 60, and constrains debate on these bills to 20 hours -- eliminating the chance of a lengthy Senate filibuster.

RELATED: Rachel Bovard of The Heritage Foundation explains fragile nature of reconciliation

"They have worked on this and wanted this for the past four decades," said Rep. Blackburn in responding to Democratic resistance to Obamacare repeal. "Make our hospitals and our providers whole. Let's make Medicare whole. Let's get a product where everyone can afford it."

As Bovard of The Heritage Foundation says the repeal process is not a "one and done" process, she believes the debate portion of replacement needs to be debated "transparently" so the American people know what their options.

"Obamacare dictated to the states a lot of policies that didn't work," said Bovard, quoting that 70 percent of counties across the U.s. having one or two options in the market because insurance companies are pulling out of Obamacare.

"Health care is a critical element of policy in america, it needs time for people to understand what's being debated," said Bovard. "

Bovard also says that Tom Price -- Trump's cabinet pick for the Department of Health and Human Services -- will likely play a strategic role in dealing with some of the federal regulations at HHS that have come out of Obamacare.

RELATED: The history of Obamacare

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UNITED STATES - MARCH 23: Pro-choice demonstrators including Stephanie Castro, right, and Sandra Sanchez of the National Latina Institute for Reproductive Health, appear outside of the Supreme Court as arguments were heard in a case which religious organizations are challenging the Affordable Care Act's provision that requires employers to cover birth control in health care plans, March 23, 2016. (Photo By Tom Williams/CQ Roll Call)
US President Barack Obama greets attendees after speakin on the Affordable Care Act at the United Community Center in Milwaukee, Wisconsin on March 3, 2016. / AFP / MANDEL NGAN (Photo credit should read MANDEL NGAN/AFP/Getty Images)
Demonstrators opposed to U.S. President Barack Obama's health-care law, Obamacare, hold signs in front of the U.S. Supreme Court in Washington, D.C., U.S., on Wednesday, March 4, 2015. A U.S. Supreme Court argument over Obamacare's tax subsidies divided the justices along ideological lines, potentially leaving two pivotal justices to decide the law's fate. Photographer: Andrew Harrer/Bloomberg via Getty Images
Demonstrators opposed to U.S. President Barack Obama's health-care law, Obamacare, hold signs in front of the U.S. Supreme Court in Washington, D.C., U.S., on Wednesday, March 4, 2015. A U.S. Supreme Court argument over Obamacare's tax subsidies divided the justices along ideological lines, potentially leaving two pivotal justices to decide the law's fate. Photographer: Andrew Harrer/Bloomberg via Getty Images
Representative Steve King, a Republican from Iowa, speaks at the Tea Party Patriots podium in front of the U.S. Supreme Court in Washington, D.C., U.S., on Wednesday, March 4, 2015. A U.S. Supreme Court argument over Obamacare's tax subsidies divided the justices along ideological lines, potentially leaving two pivotal justices to decide the law's fate. Photographer: Andrew Harrer/Bloomberg via Getty Images
Pamela Hurst, center, speaks to the media as her husband Douglas Hurst, a plaintiff in King v. Burwell, right, looks on in front of the U.S. Supreme Court with Michael Carvin, lead attorney for the petitioners and partner at Jones Day, left, in Washington, D.C., U.S., on Wednesday, March 4, 2015. A U.S. Supreme Court argument over Obamacare's tax subsidies divided the justices along ideological lines, potentially leaving two pivotal justices to decide the law's fate. Photographer: Andrew Harrer/Bloomberg via Getty Images
Kathleen Sebelius, former secretary of Health and Human Services (HHS), center, speaks to members of the media in front of the U.S. Supreme Court in Washington, D.C., U.S., on Wednesday, March 4, 2015. A U.S. Supreme Court argument over Obamacare's tax subsidies divided the justices along ideological lines, potentially leaving two pivotal justices to decide the law's fate. Photographer: Andrew Harrer/Bloomberg via Getty Images
Demonstrator Donna Hurlock, a medical doctor from Virginia opposed to U.S. President Barack Obama's health-care law, Obamacare, holds a 'No Obamacare' umbrella in front of the U.S. Supreme Court in Washington, D.C., U.S., on Wednesday, March 4, 2015. A U.S. Supreme Court argument over Obamacare's tax subsidies divided the justices along ideological lines, potentially leaving two pivotal justices to decide the law's fate. Photographer: Andrew Harrer/Bloomberg via Getty Images
UNITED STATES - MARCH 04: Rep. Louie Gohmert, R-Texas, speaks at a rally outside of the Supreme Court during arguments in the King v. Burwell case which deals with tax credits in the Affordable Care Act, March 4, 2015. (Photo By Tom Williams/CQ Roll Call)
UNITED STATES - MARCH 04: Rep. Louie Gohmert, R-Texas, speaks at a rally outside of the Supreme Court during arguments in the King v. Burwell case which deals with tax credits in the Affordable Care Act, March 4, 2015. (Photo By Tom Williams/CQ Roll Call)
Demonstrator Nell Robinson, a medical student from George Washington University, holds a sign in favor of to U.S. President Barack Obama's health-care law, Obamacare, in front of the U.S. Supreme Court in Washington, D.C., U.S., on Wednesday, March 4, 2015. A U.S. Supreme Court argument over Obamacare's tax subsidies divided the justices along ideological lines, potentially leaving two pivotal justices to decide the law's fate. Photographer: Andrew Harrer/Bloomberg via Getty Images
Demonstrator Elodie Huttner holds a sign in support of U.S. President Barack Obama's health-care law, Obamacare, in front of the U.S. Supreme Court in Washington, D.C., U.S., on Wednesday, March 4, 2015. A U.S. Supreme Court argument over Obamacare's tax subsidies divided the justices along ideological lines, potentially leaving two pivotal justices to decide the law's fate. Photographer: Andrew Harrer/Bloomberg via Getty Images
This image taken March 31, 2014 in Washington, DC shows the home page for the HealthCare.gov internet site. Today is the deadline day for uninsured Americans to sign up for coverage through US President Barack Obama's signature healthcare law, the Affordable Care Act. (KAREN BLEIER/AFP/Getty Images)
UNITED STATES - JULY 16: Nicholas Diebel, 14, son of Chairman Pete Sessions, R-Texas, sits at the dais before a House Rules Committee hearing in the Capitol, July 16, 2014, on the constitutionality of a House Republican led lawsuit against President Obama for allegedly overstepping his authority with certain provisions in his health care law. (Photo By Tom Williams/CQ Roll Call)
UNITED STATES - JULY 10: From left, Sen. Mark Udall, D-Colo., Charles Schumer, D-N.Y., Senate Majority Leader Harry Reid, D-Nev., Senate Majority Whip Richard Durbin, D-Ill., and Sen. Patty Murray, D-Wash., conduct a news conference in the Capitol's Senate studio, July 10, 2014, on legislation regarding the Supreme Court decision to allow employers to opt out of the contraception mandate in the Affordable Care Act. (Photo By Tom Williams/CQ Roll Call)
UNITED STATES - JULY 10: Sen. Mark Udall, D-Colo., conducts a news conference in the Capitol's Senate studio, July 10, 2014, on legislation regarding the Supreme Court decision to allow employers to opt out of the contraception mandate in the Affordable Care Act. (Photo By Tom Williams/CQ Roll Call)
Activists opposed the Affordable Care Act's employer contraceptive mandate celebrate outside of the U.S. Supreme Court in Washington, D.C., U.S., on Monday, June 30, 2014. The Supreme Court dealt a blow to President Barack Obama's health-care law, ruling that closely held companies can claim a religious exemption from the requirement that they offer birth-control coverage in their worker health plans. (Pete Marovich/Bloomberg via Getty Images)
Activists who support the Affordable Care Act's employer contraceptive mandate hold signs outside of the U.S. Supreme Court in Washington, D.C., U.S., on Monday, June 30, 2014. The Supreme Court dealt a blow to President Barack Obama's health-care law, ruling that closely held companies can claim a religious exemption from the requirement that they offer birth-control coverage in their worker health plans. (Pete Marovich/Bloomberg via Getty Images)
Activists who support the Affordable Care Act's employer contraceptive mandate demonstrate outside of the U.S. Supreme Court in Washington, D.C., U.S., on Monday, June 30, 2014. The Supreme Court dealt a blow to President Barack Obama's health-care law, ruling that closely held companies can claim a religious exemption from the requirement that they offer birth-control coverage in their worker health plans. (Pete Marovich/Bloomberg via Getty Images)
Anti-abortion demonstrators hold signs during a Priests for Life protest outside the US Court of Appeals for the DC Circuit Court as the Court hears the oral arguments in the 'Priests for Life v. US Department of Health and Human Services (HHS)' case in Washington, DC, on May 8, 2014. The case centers around the HHS mandate in the Affordable Care Act, known as Obamacare, that religious organizations must cover contraceptions and abortion as part of their health insurance benefits, even if that goes against the organization's religious beliefs. (SAUL LOEB/AFP/Getty Images)
Anti-abortion demonstrators hold signs during a Priests for Life protest outside the US Court of Appeals for the DC Circuit Court as the Court hears the oral arguments in the 'Priests for Life v. US Department of Health and Human Services (HHS)' case in Washington, DC, on May 8, 2014. The case centers around the HHS mandate in the Affordable Care Act, known as Obamacare, that religious organizations must cover contraceptions and abortion as part of their health insurance benefits, even if that goes against the organization's religious beliefs. (SAUL LOEB/AFP/Getty Images)
HOLLYWOOD, FL - APRIL 15: Felue Chang who is newly insured under an insurance plan through the Affordable Care Act receives a checkup from Dr. Peria Del Pino-White at the South Broward Community Health Services clinic on April 15, 2014 in Hollywood, Florida. A report released by the Congressional Budget Office indicates that the Affordable Care Act will cost $5 billion less than originally projected for 2014. (Photo by Joe Raedle/Getty Images)
US President Barack Obama speaks about the Affordable Care Act, also known as Obamacare, with Vice President Joe Biden (R) in the Rose Garden at the White House in Washington on April 1, 2014. Hundreds of thousands of Americans rushed to buy Obama's new health insurance plans on March 31, prompting a victory lap from a White House that paid a steep political price for its greatest achievement. The scramble to sign up under Obama's health care law at the end of a six-month enrollment window caused website glitches and long lines at on-the-spot enrollment centers. AFP PHOTO/Nicholas KAMM (Photo credit should read NICHOLAS KAMM/AFP/Getty Images)
MIAMI, FL - MARCH 31: Norma Licciardello sits with an agent from Sunshine Life and Health Advisors as they wait for the Affordable Care Act website to come back on line as she tries to purchases a health insurance plan at a store setup in the Mall of Americas on March 31, 2014 in Miami, Florida. Today is the last day for the first yearly sign-up period and Sunshine Life and Health saw a wait of four hours or more for people to see a health insurance advisor. (Photo by Joe Raedle/Getty Images)
MIAMI, FL - MARCH 31: Norma Licciardello sits with an agent from Sunshine Life and Health Advisors as they wait for the Affordable Care Act website to come back on line as she tries to purchases a health insurance plan at a store setup in the Mall of Americas on March 31, 2014 in Miami, Florida. Today is the last day for the first yearly sign-up period and Sunshine Life and Health saw a wait of four hours or more for people to see a health insurance advisor. (Photo by Joe Raedle/Getty Images)
MIAMI, FL - MARCH 31: Jose Villanueva (L) and Doraisy Avila sit with an agent from Sunshine Life and Health Advisors as they look at a pricing plan available from the Affordable Care Act at a store setup in the Mall of Americas on March 31, 2014 in Miami, Florida. Today is the last day for the first yearly sign-up period and Sunshine Life and Health saw a wait of four hours or more for people to see a health insurance advisor. (Photo by Joe Raedle/Getty Images)
MIAMI, FL - MARCH 31: People stand in the line to register to meet with Sunshine Life and Health Advisors that are selling insurance under the Affordable Care Act at a store setup in the Mall of Americas on March 31, 2014 in Miami, Florida. Today is the last day for the first yearly sign-up period and Sunshine Life and Health saw a wait of four hours or more for people to see a health insurance advisor. (Photo by Joe Raedle/Getty Images)
MIAMI, FL - MARCH 31: Andres Cuartas (L) sits with Mercedes Mujica an agent with Sunshine Life and Health Advisors as he purchases a health insurance plan under the Affordable Care Act at a store setup in the Mall of Americas on March 31, 2014 in Miami, Florida. Today is the last day for the first yearly sign-up period and Sunshine Life and Health saw a wait of four hours or more for people to see a health insurance advisor. (Photo by Joe Raedle/Getty Images)
This image taken March 31, 2014 in Washington, DC shows the home page for the White House site indicating the amount of time remaining before open enrollment for the Affordable Care Act closes. Today is the deadline day for uninsured Americans to sign up for coverage through US President Barack Obama's signature healthcare law, the Affordable Care Act. AFP PHOTO / Karen BLEIER (Photo credit should read KAREN BLEIER/AFP/Getty Images)
A Choose Health Delaware sign stands outside an Affordable Care Act enrollment event in Milford, Delaware, U.S., on Thursday, March 27, 2014. Six million Americans have signed up for private health plans under Obamacare, President Barack Obama said, a symbolic milestone for a government that has struggled to get the law off the ground. Photographer: Andrew Harrer/Bloomberg via Getty Images
Marketplace guide Jim Prim works on the Healthcare.gov federal enrollment website as he helps a resident sign up for a health insurance plan under the Affordable Care Act at an enrollment event in Milford, Delaware, U.S., on Thursday, March 27, 2014. Six million Americans have signed up for private health plans under Obamacare, President Barack Obama said, a symbolic milestone for a government that has struggled to get the law off the ground. Photographer: Andrew Harrer/Bloomberg via Getty Images
A Health Insurance Marketplace application checklist hangs at a Westside Family Healthcare center during an Affordable Care Act enrollment event in Bear, Delaware, U.S., on Thursday, March 27, 2014. Six million Americans have signed up for private health plans under Obamacare, President Barack Obama said, a symbolic milestone for a government that has struggled to get the law off the ground. Photographer: Andrew Harrer/Bloomberg via Getty Images
Certified application counselor Tina Gaffney helps a resident create an account for a health insurance plan under the Affordable Care Act at a Westside Family Healthcare center enrollment event in Bear, Delaware, U.S., on Thursday, March 27, 2014. Six million Americans have signed up for private health plans under Obamacare, President Barack Obama said, a symbolic milestone for a government that has struggled to get the law off the ground. Photographer: Andrew Harrer/Bloomberg via Getty Images
Marketplace guide Stephanie Cantres helps a resident sign up for a health insurance plan under the Affordable Care Act at a Westside Family Healthcare center enrollment event in Bear, Delaware, U.S., on Thursday, March 27, 2014. Six million Americans have signed up for private health plans under Obamacare, President Barack Obama said, a symbolic milestone for a government that has struggled to get the law off the ground. Photographer: Andrew Harrer/Bloomberg via Getty Images
MIAMI, FL - MARCH 20: Raquel Martinez, Maria Celia Escalona, Flora Motell and Armando Mesa (L-R) wait for their names to be called to speak with an insurance agent from Sunshine Life and Health Advisors as they and others try to purchase health insurance under the Affordable Care Act at a store setup in the Mall of Americas on March 20, 2014 in Miami, Florida. The owner of Sunshine Life and Health Advisors, Odalys Arevalo, said she has seen a surge in people, some waiting up to 3 hours or more in line, trying to sign up for the Affordable Care Act before the open enrollment period for individual insurance ends on March 31. (Photo by Joe Raedle/Getty Images)
MIAMI, FL - FEBRUARY 13: Hisham Uadadeh walks out of Leading Insurance Agency after enrolling in a health insurance plan under the Affordable Care Act on February 13, 2014 in Miami, Florida. Numbers released by the government showed that about 3.3 million people signed up for health insurance plans under the Affordable Care Act through the end of January. (Photo by Joe Raedle/Getty Images)
MIAMI, FL - FEBRUARY 13: Hisham Uadadeh enrolls in a health insurance plan under the Affordable Care Act with the help of A. Michael Khoury at Leading Insurance Agency on February 13, 2014 in Miami, Florida. Numbers released by the government showed that about 3.3 million people signed up for health insurance plans under the Affordable Care Act through the end of January. (Photo by Joe Raedle/Getty Images)
US Representative Greg Walden, Republican of Oregon and chairman of the National Republican Congressional Committee, speaks during a press conference about healthcare and the Affordable Care Act, known as Obamacare, at the Republican National Committee in Washington, DC, January 28, 2014. AFP PHOTO / Saul LOEB (Photo credit should read SAUL LOEB/AFP/Getty Images)
JACKSON, KY - JANUARY, 22: Dr. Derrick Hamilton listens to Breathitt County resident Mary Blair's heartbeat during her appointment at the Breathitt County Family Health Center on Tuesday, January 21, 2014 in Jackson, Ky. Despite suffering from a past heart attack and diabetes Blair was able to receive medical coverage through Medicaid expansion under the Affordable Care Act. (Photo by Luke Sharrett/For The Washington Post via Getty Images) Obamacare Affordable Care Act Healthcare Breathitt County
LOS ANGELES, CA - JANUARY 20: Supporters of the Affordable Care Act (ACA) march in the 29th annual Kingdom Day Parade on January 20, 2014 in Los Angeles, California. The Kingdom Day Parade honors the memory of African-American civil rights leader Martin Luther King Jr. and coincides with Martin Luther King Day. (Photo by David McNew/Getty Images)
MIAMI, FL - JANUARY 15: As people stand in line to speak with an insurance agent Dailem Delombard sits with an agent from Sunshine Life and Health Advisors as she tries to purchase health insurance under the Affordable Care Act at the kiosk setup at the Mall of Americas on January 15, 2014 in Miami, Florida. Today is deadline day for those that want insurance to start on February the 1st. According to the owner of Sunshine Life and Health Advisors, Odalys Arevalo, their business selling insurance under the Affordable Care Act has exploded so much so that by the end of the week they will be moving to a 24,000 square foot space at the mall because they have outgrown the kiosk. They have over 25 agents and are seeing hundreds of people daily, last Saturday they saw about 1,000 people with wait times of over 5 hours. (Photo by Joe Raedle/Getty Images)
A woman holding a sign in support of the Affordable Care Act is seen as US President Barack Obama's motorcade returns to his vacation compound from the gym at Marine Corps Base Hawaii on December 29, 2013 in Kaneohe Bay, Hawaii. The first family is in Hawaii for their annual holiday vacation. AFP PHOTO / Kent NISHIMURA (Photo credit should read Kent Nishimura/AFP/Getty Images)
Fliers promoting the Get Covered Illinois health insurance marketplace sit in a box at the Bureau County Health Department offices in Princeton, Illinois, U.S., on Wednesday, Dec. 18, 2013. Todays deadline for Americans to sign up for Obamacare health coverage effective Jan. 1 was extended until midnight tomorrow as heavy traffic to the online enrollment system caused a queuing system to be activated Photographer: Daniel Acker/Bloomberg via Getty Images
Samantha Guzman, an Affordable Care Act navigator with the Bureau and Putnam County Health Department, center, assists Jackie Karns as she shops for health insurance at the Bureau County Health Department offices in Princeton, Illinois, U.S., on Wednesday, Dec. 18, 2013. Todays deadline for Americans to sign up for Obamacare health coverage effective Jan. 1 was extended until midnight tomorrow as heavy traffic to the online enrollment system caused a queuing system to be activated Photographer: Daniel Acker/Bloomberg via Getty Images
MIAMI, FL - DECEMBER 11: Susana Hernandez (L) speaks with Rosaly Hernandez, an insurance agent with Sunshine Life and Health Advisors, about purchasing insurance under the Affordable Care Act at a kiosk setup at the Mall of Americas on December 11, 2013 in Miami, Florida. As Health and Human Services Secretary Kathleen Sebelius tesified in Washington, DC before a congressional panel that the Affordable Care Act website was improving, the Sunshine Life and Health Advisors said, that they are starting to see a steady increase in the numbers of people coming to them to purchase and understand the policies offered under the Affordable Care Act. (Photo by Joe Raedle/Getty Images)
Enrollee Douglas Sparks waits to speak to a health navigator at a health insurance education and enrollment event in Silver Spring, Maryland, U.S., on Saturday, Dec. 7, 2013. Government-run health insurance exchanges are at the core of the Patient Protection and Affordable Care Act of 2010 known as Obamacare that seeks to provide access to health coverage for many of the country's estimated 48 million uninsured. Photographer: Andrew Harrer/Bloomberg via Getty Images
Copies of the application for the Health Insurance Marketplace from the Department of Health and Human Services (HHS) are arranged for a in Washington, D.C., U.S., on Friday, Dec. 6, 2013. The health-care website's improved performance has both U.S. political parties shifting strategies, with President Barack Obama's team preparing a January advertising blitz and a wave of celebrity promotions to boost enrollment, allies said. Photographer: Andrew Harrer/Bloomberg via Getty Images
An affordable health coverage sign stands a health insurance education and enrollment event in Silver Spring, Maryland, U.S., on Saturday, Dec. 7, 2013. Government-run health insurance exchanges are at the core of the Patient Protection and Affordable Care Act of 2010 known as Obamacare that seeks to provide access to health coverage for many of the country's estimated 48 million uninsured. Photographer: Andrew Harrer/Bloomberg via Getty Images
HIALEAH, FL - NOVEMBER 14: Venita Mendez works with Gisselle Rubio, an insurance agent with Sunshine Life and Health Advisors, as she looks to purchase an insurance policy under the Affordable Care Act at the store setup in the Westland Mall on November 14, 2013 in Hialeah, Florida. As the insurance agents continue to help people purchase and understand the policies offered under the Affordable Care Act, U.S. President Barack Obama announced that Americans who have had their health insurance plans canceled because of the Affordable Care Act can keep those plans for another year if they wish to. (Photo by Joe Raedle/Getty Images)
The Healthcare.gov website is displayed on a laptop computer arranged for a photograph in Washington, D.C., U.S., on Monday, Nov. 4, 2013. The race to construct an online insurance exchange by Oct. 1 spurred the Obama administration to use an expedited bidding system that limited its choice of a builder to just four companies, including CGI Group Inc. Photographer: Andrew Harrer/Bloomberg via Getty Images
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