It’s only the second week of the 116th Congress, but Democrats are already trying to put Republicans on record on protecting people with pre-existing health conditions.

Democrats made health care a major issue in the 2018 midterms on their way to picking up a net of 40 seats and taking control of the House. A vote Wednesday to defend the 2010 health care law — designed in part to illustrate Republicans’ opposition to it — is a sign Democrats see the issue as one that can help them hold their majority in 2020.

“In November, the American people delivered a new Democratic House Majority with a stern message for Washington: Republicans’ attacks on health care must end,” Speaker Nancy Pelosi said in a statement last week announcing a standalone vote to defend the 2010 law, which will complete consideration of the broader House rules package.

Also watch: Pelosi, Lewis and House Democrats unveil legislative agenda for 116th