"Congressman Boccieri might vote against it and healthcare may still pass," Renacci said. "It's a concern of the people in this district. I'm looking to represent the people in the 16th district and any healthcare bill which becomes a government takeover of healthcare will be a problem if you represent the people of the 16th district."

How much of a problem it will turn out to be remains to be seen. Boccieri, who captured the GOP-leaning seat with a 10-point victory in 2008, was one of 39 Democrats that opposed the bill in November. President Obama is in Strongsville, Ohio Monday making a pitch for healthcare reform. The event is in Rep. Betty Sutton's (D-Ohio) district -- she voted "yes" to the House healthcare bill.