“You will not repeal the act in its entirety, but you will see major changes, particularly if there is a Republican president,” Coleman told BioCentury This Week television in an interview that aired on Sunday. “You can’t whole-cloth throw it out. But you can substantially change what’s been done.”…

“If there’s a Republican president, what you’ll see is states getting waivers … granted and then starting again, making sure that we lower costs, which this act hasn’t done, while we provide better access,” Coleman said.

Still, he said, the law “may collapse” on its own if the Supreme Court strikes down the requirement that everyone have insurance.