The November 2 midterm congressional elections resulted in a change in leadership in the House of Representatives, where Republicans are poised to take control of the chamber when the 112th Congress convenes in early January 2011.

In the days immediately following the election, Speaker-in-waiting John Boehner (R-OH) has made clear that House Republicans intend to pursue a strategy to roll back key pieces of the new healthcare law – the Patient Protection and Affordable Care Act (PPACA).

While an exact timeline and legislative strategy remains unclear, the new leadership could focus on an appropriations strategy that aims to de-fund the portions of the law it opposes, such as the individual insurance mandate, the employer mandate, and the new health advisory councils. In addition, the House could attempt to pass legislation that repeals all or portions of the law – though such efforts would face an uncertain fate in the Senate (where Democrats remain in control), and would almost surely be met by the President’s veto pen.

As new Congress organizes itself and convenes in January, we will closely monitor any efforts to amend the PPACA.