Health industry groups are pressing to roll back key provisions in the Obama administration's health care overhaul if Republicans recapture the House after Tuesday's midterms, but they are also worried that the party could go too far.
If they win the House, Republicans have promised that one of their first votes will be to repeal the health care law passed in March.
That would ultimately be stopped by the White House, or first by the Senate if Democrats retain control of it.
But Republicans will have the power to block appropriations funding for the least popular parts of the overhaul. And health industry groups, which aligned themselves with Democrats to pass the overhaul, are now reaching out to Republicans to help shape the GOP's health care agenda.
Insurers want to reverse tax increases and loosen restrictions on insurance premiums, and several groups hope to tack on medical malpractice protections.
At the same time, the health care industry is concerned that Republicans want to remove the requirement that most Americans carry health insurance -- a provision that rewards health care providers with millions of new customers.
"Obviously you need good relations with the people who are crafting policy, because when they're crafting policy, they're shooting with real bullets," said Chip Kahn, president of the Federation of American Hospitals, which represents for-profit hospitals.