The movement is still looking for a “replace” proposal, or set of proposals, to elevate into the public arena. Without that, Republicans will continually face criticism that their agenda is more anti-Obama than anything else.

Jacobs wouldn’t say what those new ideas are, in part because many are yet to be formulated, but he has an idea of where they’ll come from.

Jacobs sees the states as the primary incubators of conservative ideals. “Washington has been dysfunctional for years,” he said. “In many cases, the solutions will come from the statehouses and the good conservative ideas that are being put forward and enacted in states across the country.”

Some of the conservative thought leaders he looks to for health care solutions include Jindal, Rep. Paul Ryan of Wisconsin, Sen. Tom Coburn of Oklahoma, and Rep. Tom Price of Georgia.

As Jacobs puts it, he’s “spent the last four or five years articulating the case against Obamacare,” and now it’s time to highlight existing alternatives—in addition to formulating new ones—to push back against the president’s agenda.