The Worst Threat to the ACA Yet: Help Stop Ryan and the GOP Paul Ryan is going to hold a vote to repeal the ACA as soon as tonight. And this time, it could actually pass. Two GOP House members already switched their vote to ‘yay’. We need as many voice as possible to help stop this – RIGHT NOW. We’ve come too far to see the ACA repealed and protections for people with pre-existing conditions gutted. Add your name to protect the ACA.