Rep. Paul Ryan

Marti Mikkelson

The 2018 elections are more than a year away but already, several candidates are talking about challenging Republican House Speaker Paul Ryan. He’s held his seat in his hometown of Janesville for nearly 20 years. Many voters are upset with Ryan’s shepherding of a replacement to the Affordable Care Act through the House, and that he hasn’t held any open town hall meetings in his district since the presidential election.

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Although the 2018 elections are more than a year away, a couple people are thinking of challenging Republican House Speaker Paul Ryan of Janesville. One national poll has his approval rating as low as 14 percent. Yet closer to home, the latest Marquette poll shows 45 percent of Wisconsinites think Ryan is doing a good job.

Among the issues likely to surface in the race – accessibility.

Just before House Republicans re-elected Paul Ryan as their speaker, the Wisconsin Republican made a bold proclamation.

"Welcome to the dawn of a new unified Republican government," Ryan told reporters one week after Election Day. "This will be a government focused on turning President-elect Trump's victory into real progress for the American people."

Ryan continued: "If we are going to put our country back on the right track, we have got to be bold, and we have to go big."

President-elect Donald Trump and House Speaker Paul Ryan agree that repealing the Affordable Care Act and replacing it with some other health insurance system is a top priority.

But they disagree on whether overhauling Medicare should be part of that plan. Medicare is the government-run health system for people age 65 and older and the disabled.

Trump said little about Medicare during his campaign, other than to promise that he wouldn't cut it.

Ryan, on the other hand, has Medicare in his sights.

Donald Trump and Republicans in Congress are vowing to repeal and replace the Affordable Care Act, the signature health care overhaul of President Obama.

Trump has offered a few ideas of where he'd like to see a health care overhaul go, such as a greater reliance on health savings accounts, but he hasn't provided a detailed proposal.

House Speaker Paul Ryan has been unanimously re-nominated by his party to continue to serve as speaker in the 115th Congress.

According to Ryan spokeswoman AshLee Strong, Ryan was nominated by Rep. Mick Mulvaney, R-S.C., a founding member of the conservative Freedom Caucus that helped to push out former House Speaker John Boehner.

Updated at 6:30 p.m.

The Republican National Committee is sticking with embattled GOP nominee Donald Trump even as House Speaker Paul Ryan said Monday he would no longer defend his party's presidential nominee.

House Speaker Paul Ryan of Janesville has been spending the summer fending off a challenge from a political newcomer in Tuesday’s primary election. Ryan has held Wisconsin’s 1st district congressional seat since 1999 and has never had a problem getting re-elected. But this year, outside money is pouring in for Ryan’s opponent Paul Nehlen, a business executive from Delavan. While Nehlen is viewed as a long shot, Ryan isn’t taking anything for granted.

House Speaker Paul Ryan spoke with NPR's Steve Inskeep.

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Why has the selection process for speaker of the House as well as the Republican Presidential race been so heated when so many Republicans agree on so many issues? 

"I see this as sort of a division over purity. And also a kind of emphasis on using the primary process to kind circumvent party elite," says Marquette University political science professor Julia Azari.

This post was updated at 11:20 a.m. ET

Paul Ryan has been elected speaker of the House of Representatives, receiving 236 votes.

Ryan faced the full House vote Thursday after getting approval Wednesday from the House Republican conference. He faced token opposition from fellow conservative Daniel Webster and Democrat Nancy Pelosi.

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Wisconsin Congressman Paul Ryan is now the third most powerful man in Washington politics after a vote by House of Representative members on Thursday. 

Longtime Wisconsin lawmakers, Democrat David Obey and Republican Tom Petri, say Ryan faces a tough road ahead. Milwaukee was just one stop on Obey and Petri’s Civic Participation Series tour, where they touch on how to best fix Washington.

This post was updated at 3:10 p.m. ET

House Republicans have voted to elect Wisconsin Republican Paul Ryan as the party's nominee to serve as the next speaker of the House.

"This begins a new day in the House of Representatives," Ryan said, speaking briefly to reporters after Wednesday's vote. "Tomorrow, we are turning the page. We are not going to have a House that looked like it looked the last few years. ... Our party has lost its vision and we're going to replace it with a vision."

Wisconsin Republican Paul Ryan has officially entered the House speaker race, saying in a letter to colleagues, "After talking with so many of you, and hearing your words of encouragement, I believe we are ready to move forward as a one, united team." His announcement came after securing the support of three disparate House Republican groups.

Susan Bence

Gov. Walker on Thursday threw his support behind Wisconsin Congressman Paul Ryan to succeed John Boehner as Speaker of the House. Walker says Ryan is the best person for the job.

“He’s someone who has incredible respect not only within his conference, but he has respect across the aisle (be)cause he’s a doer. He gets things done,” Walker says.