us–health overhaul-ryan’s legacy

Ryan's legacy as speaker on line with health care vote

WASHINGTON (AP) - The upcoming vote on the Republican health bill is a defining moment for House Speaker Paul Ryan. It could boost his aggressive agenda to overhaul the tax code and remake the federal government. Or send it off the rails.The health care bill is the kind of high-impact legislation that has become rare in Congress.In the past, Republicans could blame Senate Democrats or former President Barack Obama for blocking their ideas.Not anymore.