During a Pennsylvania campaign event, House Speaker Mike Johnson indicated significant reforms to the Affordable Care Act (ACA) if the GOP wins. Johnson's comments about repealing the ACA, which remains popular with many Americans, drew backlash. Although he asserted a commitment to overhaul the law, he later attempted to clarify his stance amid criticisms. Republicans have previously faced hurdles in repealing the ACA, and it remains unclear how a potential reform plan would affect coverage for millions.