LOUISVILLE, KY - OCTOBER 31: Supporter James Hughes of Louisville, Ky. holds a sign calling for the repeal of the Affordable Care Act during a rally for Senate Minority Leader Mitch McConnell (R-KY) at Brandeis Machinery & Supply Company on October 31, 2014 in Louisville, Kentucky. With less than a week remaining until election day McConnell maintains a slight edge over Democratic challenger Kentucky Secretary of State Alison Lundergan Grimes in recent polls. (Photo by Luke Sharrett/Getty Images)