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• WASHINGTON (AP) -- Its place assured alongside Medicare and Medicaid, President Barack Obama's health care law is now in a sprint to the finish line, with just 11 months to go before millions of uninsured people can start signing up for coverage.
• But there are hurdles in the way.
• Republican governors, opposed to what they deride as "Obamacare," will have to decide whether they somehow can join the team. And the administration could stumble under the sheer strain of carrying out the complex legislation, or get tripped up in budget talks with Congress.
• "The clarity brought about by the election is critical," said Andrew Hyman of the nonpartisan Robert Wood Johnson Foundation. "We are still going to be struggling through the politics, and there are important policy hurdles and logistical challenges. But we are on a very positive trajectory." Hyman oversees efforts to help states carry out the law.
• In the two years since passage of the Affordable Care Act, the Obama administration has been consumed with planning and playing political defense. Now it has to quickly turn to execution.
• ___

• SAN MARCOS, Guatemala (AP) -- Guatemalans fearing aftershocks huddled in the dark and frigid streets of this mountain town wrapped in blankets early Thursday, while others crowded inside its hospital, the only building left with electricity after a powerful earthquake killed at least 48 people and left dozens more missing.
• Crews worked through the night in San Marcos, searching rubble for survivors and more dead following the magnitude 7.4 quake that struck Wednesday near Guatemala's border with Mexico.
• In the town of San Cristobal Cochu, firefighters picked at a collapsed house trying to dig out 10 members of one family, including a 4-year-old child, who were buried, fire department spokesman Ovidio Perez told the radio station Emisoras Unidas.
• Volunteers carrying boxes of medical supplies began arriving in the area in west

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