Paul Ryan: No health plan from GOP this year, but they have a 'vision'

Beware Rep. Paul Ryan's "vision." (Kevin Lamarque/Reuters) Republican wonder boy Rep. Paul Ryan, the guy who has a detailed plan to end Medicare, says there won't be any other health plan from the Republicans this year if the Supreme Court strikes down the Affordable Care Act.

In their 2010 'Pledge to America,' Republicans vowed to 'repeal and replace' Obamacare if they gained power. Though the GOP-controlled House has voted to repeal the law since taking power in January 2011, it has not yet offered replacement legislation. If the U.S. Supreme Court were to strike down the law next month, Republicans would receive increased scrutiny about their lack of a plan to replace it.

'We do feel obligated to articulate our vision for replace,' Ryan said when asked about the matter during an editorial meeting with the Washington Examiner. 'Now, we've got nine weeks of session left. Do we want to cram through our own 2,700 page vision? No, that's what the country hated. But do we believe in patient-centered health care and market-based medicine? A lot of us have put time and effort into this, yeah.'

Wow, I sure hope vision pays medical bills. Particularly since his budget cuts Medicaid to the bone. And nice that Ryan at least feels an obligation to sort of make a nod to a campaign promise.

Ryan's position might be news to leadership, though, because POLITICO is reporting otherwise.

House Republican leaders are quietly hatching a plan of attack as they await a historic Supreme Court ruling on President Barack Obama's health care law.

If the law is upheld, Republicans will take to the floor to tear out its most controversial pieces, such as the individual mandate and requirements that employers provide insurance or face fines.

If the law is partially or fully overturned they'll draw up bills to keep the popular, consumer-friendly portions in place'like allowing adult children to remain on parents' health care plans until age 26, and forcing insurance companies to provide coverage for people with pre-existing conditions. Ripping these provisions from law is too politically risky, Republicans say.

Is anybody actually in control of the House?