The polls may suggest that the White House will remain occupied by an Affordable Care Act proponent next year, but that hardly means that the health law will get the fixes its supporters say it needs to survive or improve in the long-term.

While Democrats are projected (but by no means assured) to win control of the Senate, Republicans will most likely maintain control of the House, meaning they will still be able to block the expansions of the ACA Hillary Clinton has promised if she takes the election on Nov. 8.  

Short-term measures to provide additional funds to insurers that are struggling to stay afloat on the marketplace will likely be tough to get through Congress. Long-term policies that Clinton has proposed, including allowing those over 50 to buy into Medicare early or establishing a "public option" insurance program, are even less likely to go forward.