House Speaker Paul Ryan will leave office in January likely without having achieved two of his top health policy priorities: repealing the Affordable Care Act and tackling entitlement reform.
The Wisconsin Republican confirmed Wednesday that he won't seek re-election in November. He is now one of 38 sitting Republican House lawmakers who won't seek re-election in a cycle that retiring Rep. Charlie Dent (R-Pa.) described as a referendum on President Donald Trump "and his conduct in office." Ryan leaves an uncertain legacy when it comes to healthcare policy.