To some, the California Nurses Association’s political tactics in pushing for a single-payer health system seemed a bit, well, extreme.

Sen. Dianne Feinstein issued a stinging rebuke Friday to the push by congressional Republicans to repeal and replace Obamacare, condemning her GOP colleagues for advancing a health care bill she said was written in private “by 13 white men.”

A lot can change in just one year. Last summer, benefits professionals anticipated the likely election of Hillary Clinton and the continuation and possible expansion of the Affordable Care Act. Now they are adjusting to the brave new world of a Donald Trump administration and an uncertain future for national health policy.

An appropriations bill approved last week by the Subcommittee on Financial Services and General Government includes language that no funding should be used by the IRS to "implement or enforce" ObamaCare's individual mandate.

Many consumers collected unexpected rebates after the Affordable Care Act became law, possibly with a note explaining why: Their insurer spent more of their revenue from premiums on administration and profits than the law allowed, so it was payback time.

One of the key aims of the House and Senate bills is reversing the Affordable Care Act’s expansion of Medicaid. But the legislation also would institute changes to the federal-state health program for low-income residents that could devastate states such as Georgia that didn’t expand Medicaid. Georgia already ranks 45th in the nation in per capita Medicaid spending, according to the Georgia Budget and Policy Institute.