The gavel had barely dropped on the House vote for a bill to repeal the Obama health reform law when Republicans in the Senate started turning up the heat on Democrats for the next phase of this battle.

"The Democratic leadership in the Senate doesn't want to vote on this bill. But I assure you, we will," said Senate GOP Leader Mitch McConnell, who has served notice that Democrats can expect some parliamentary guerilla warfare in coming months over this issue.

"We should repeal this law and focus on common sense steps that actually lower costs and encourage private sector job creation," added McConnell.

It was two weeks ago today that Senate Majority Leader Harry Reid was asked if he would schedule a debate and vote on the health repeal bill - if the House approved it.

Reid's very straightforward answer was, "No."

While that might work in the House, where the rules limit the ability of the minority to bring issues to the floor, that's not the case in the Senate, where almost any bill can become a magnet for a much different debate.

While most analysts and politicians are absolutely ruling out the possibility of action in the Senate on health reform, maybe we should stand back and take another look at what might happen, instead of Just Saying No.

While Republicans certainly don't have the votes for repeal, they do have enough votes to completely gum up the works on almost any bill by filibustering or offering amendments dealing with changes to the health reform law.

For example, at some point this year, lawmakers will have to re-write the provisions dealing with the 1099 tax forms and small business, a tax compliance change in the health reform law which has drawn very strong opposition.

You just never know what kind of other ideas and possible changes that might spark debate on in the Senate.

Democrats will do all they can to prevent Republicans from offering amendments on health reform subjects, but there is only so long you can do that before you get to a point where almost nothing gets done - just look at most of 2010.

No, the Senate won't be voting in favor of health reform repeal in coming weeks or months.  But it doesn't mean that Senators will automatically rule out any tinkering at all.

Stay tuned on this one.