Rep. Allen West (R-Fla.), who has emerged as an outspoken conservative voice among GOP freshmen, cast a surprising vote last week against a bill to scrap part of the 2010 healthcare overhaul. The legislation would repeal $100 million in funding for the construction of school-based health centers. West was one of just four Republicans to vote against the measure, which passed 235-191.

West spokeswoman Angela Sachitano said in an email that the congressman "believes there are bigger funding issues to be focusing on right now including the numerous developments in the Middle East, concerning Pakistan and whether there is a link to [Osama bin Laden] and the recent unity agreement with the [Palestinian Authority] and Fatah and Hamas."

He also questioned the House's continued efforts to dismantle the healthcare law on a piecemeal basis, she said.