washington u.s. senate take first step toward repeal president barack obama signature healthcare reform act end week republican senate majority leader mitch mcconnell say sunday speak cbs face nation mcconnell say ought great gap repeal act replace republicans would replace rapidly repeal it mcconnell define mean rapidly another top republican house majority whip steve scalise tell fox news could take two years fully replace affordable care act popularly know obamacare think everybody recognize transition period scalise say president-elect trump leaders say nobody go get rug pull underneath them scalise cite previously propose republican bill repeal healthcare law lay two-year transition period put place alternative benchmark look add since election nov. trump swear obama successor jan. 20 make clear want move swiftly campaign pledge repeal replace 2010 law republicans chance make good republican president-elect promise since control chamber congress house republicans take step last week clear deck obamacare repeal approve procedural rule would make hard democrats impede progress legislation repeal act without immediate replacement raise question happen insurance obamacare abc week obama say law could theoretically repeal suddenly 20 million people health insurance think republicans recognize may american people include even trump voters look say healthcare law extend insurance coverage millions americans expansion medicaid program poor creation online exchange consumers shop private health insurance coverage law also provide subsidies help individuals families afford coverage purchase exchange reince priebus trump incoming white house chief staff tell face nation repeal replace obamacare would ideal may take time get elements new plan ready obamacare come renew criticism recently government disclose benchmark 2017 healthcare.gov premiums would rise 25 percent compare 2016. several large health insurers withdraw market say lose money obama say expect law survive albeit modify form fact republicans make modifications say re-label trumpcare fine that senate act week obamacare repeal mcconnell say