Julie Rovner

Update 2:30 p.m. 'Hoping For Unity':

With the ceremony at the Capitol complete, spectators looked ahead to their hopes for the next four years. Speaking to NPR's Tom Dreisbach, here's what some in the crowd had to say:

"I'm looking for Washington to start getting along. I mean nobody's working together. And both sides have got to give a little bit and they've got to come to some agreement on some things."

-- Alan Dillon, 50, elementary school principal, Western Slope, Colo.

When Congress passed the Affordable Care Act in 2010, few would have predicted that one of the most contentious provisions would have to do with contraception.

But today federal officials are grappling with more than 40 lawsuits claiming that the requirement for most health plans to provide contraceptive coverage to women violates their religious freedom.

And religious groups aren't the only ones going to court.

For the third straight year, spending on health care in 2011 grew at a historically slow rate, government researchers report.

According to a study published in the January issue of the policy journal Health Affairs, U.S. health spending rose 3.9 percent in 2011. That's statistically almost identical to the rate of increase in each of the two previous years.

The bill that prevented the nation from plunging over the fiscal cliff did more than just stop income tax increases and delay across-the-board spending cuts. It also included several provisions that tweaked Medicare and brought bigger changes to other health care programs.

The 113th Congress will be the first one in 40 years to convene without California Rep. Pete Stark as a member.

Stark was defeated in November by a fellow Democrat under new California voting rules. Stark may not be a household name, but he leaves a long-lasting mark on the nation's health care system.

Most of the really big changes made by the 2010 health law don't start for another year. That includes things like a ban on restricting pre-existing conditions, and required insurance coverage for most Americans. But Jan. 1, 2013, will nevertheless mark some major changes.

When it comes to reducing Medicare spending, asking wealthier seniors to pay more is one of the few areas where Democrats have shown a willingness to even consider the subject.

"I do believe there should be means testing. And those of us with higher income in retirement should pay more," said Sen. Dick Durbin, D-Ill., on last Sunday's Meet the Press. "That could be part of the solution."

At least in public, Republicans have been clear that they see the current budget negotiations as a chance to address what they see as the source of Washington's deficit problem: major entitlement programs.

The Affordable Care Act, as passed by Congress in 2010, assumed that every low-income person would have access to health insurance starting in 2014.

That's when about 17 million Americans — mostly unmarried healthy adults with incomes up to 133 percent of poverty, or about $15,000 a year — would gain access to Medicaid.

Dozens of medical, women's health and reproductive health groups marked the first anniversary of Health and Human Services Secretary Kathleen Sebelius' decision to maintain age restrictions on the sale of the morning-after birth control pill without a prescription by urging her to reconsider that decision.