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Enzi, ranked as one of the most conservative Republicans in the Senate based on his voting record, has been known to work with Democrats on occasion, having helped craft the No Child Left Behind education policy during the George W. Bush administration alongside Sen. Ted Kennedy, D-Mass. He also worked in a bipartisan group of senators attempting to craft health care policy, but this was ultimately abandoned by the Democratic Senate leadership. Along with every other Republican, he opposed the Affordable Care Act, the controversial comprehensive health care law also known as Obamacare.