Ohio Governor John R. Kasich and Lieutenant Governor Mary Taylor have submitted a letter to Republican Congressional leaders, which strongly supports a thoughtful strategy to repeal and replace Obamacare. The letter outlines anticipated serious consequences of repealing the law without a replacement, including insurance market destabilization and wide consumer uncertainty. With these concerns in mind, Gov. Kasich and Lt. Gov. Taylor support a single repeal-and-replace package that quickly repairs damage caused by Obamacare, protects those who have gained coverage since 2010 and retains key state-requested reforms that support Medicaid program performance improvements.