"I think in a day when people were voting for change they didn't decide they wanted to change the Republican senate which I am proud of", Kentucky's senior Senator Mitch McConnell (R-KY) said.

Republicans will command the House for two more years as Donald Trump's astounding White House triumph helped them keep their record-sized majority almost intact. Ryan told reporters that he expects to work with Trump scale back regulations for coal mining, ranching and other industries.

But as president, what to put in their place - how to assure greater accessibility to health care, how to grow markets for US products, how to enhance USA security - will be his responsibility.

Three weeks ago US Democrats were talking not only of a Hillary Clinton White House, but also a Democrat-led Senate and possibly even taking control of the House of Representatives.

Earnest says the president is concerned about the prospect of protections being stripped from millions of Americans who benefit because health insurers are not allowed to discriminate based on pre-existing health conditions or impose a lifetime cap on expenses. Most voters have sorted themselves into two camps: liberal Democrats and conservative Republicans. "The election is over and we're going to work together to move New Mexico forward". The closely watched swing state of New Hampshire voted in the Democratic nominee, Maggie Hassan, in an incredibly close race in which the two candidates were separated by only 700 votes. Among their various points of disagreement, Ryan criticized Trump's proposal to ban Muslim immigration into the US, called Trump's criticism of a federal judge of Mexican descent "racist" and denounced Trump's feud with the parents of a Muslim-American soldier who was killed in Iraq. The Republicans have 51 seats in the Senate, the Democrats won only 45.

Trump's political ascent encountered fierce opposition from some in the party's establishment wing that includes former Florida Governor Jeb Bush and Ohio Governor John Kasich and from others in its social-conservative faction, such as U.S. Senator Ted Cruz of Texas.

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It could be the new president will demand new leadership in Congress and both Ryan and McConnell will be replaced as House and Senate leaders.

Today, Speaker Ryan was quick to embrace Mr Trump and his emphatic victory.

Third Congressional District Republican Party Chair Brian Westrate said the region's silent majority has spoken. I think what they thought was somebody actually hears me. Donald Trump is going to be our president.

Ryan called Trump's surprise win and "updraft" on the Republican ticket "one of the most impressive political feats I have seen in my lifetime".

High atop their lists - and one of Trump's main refrains on the campaign trail - was the repeal and replacement of the Affordable Care Act.

"We want to make sure Iowa children are competing for jobs nationally and (that) they have the opportunity to succeed in school", Schneider said.