If you are in a liberal district, elect a liberal Republican; if you are in a conservative district, elect a conservative Republican.
Once you have the votes, you get the committee chairmanships and leadership positions (it is important that these be right of center folks with firm Constitutional principles, so that they are not just tax collectors for the welfare state).
Secondly, don't wait until November! Talk to your neighbors calmly about what a fundamental change this is to the nature and destiny of our country; remember to mention that state taxes will rise significantly as they are forced to pay the Medicaid fallout from the Cornhusker kickback, that discretionary spending, such as defense (I know, only in the DC fantasyland is defense considered discretionary) will be crowded out, then eliminated, to pay for entitlements, that 12,000 new IRS agents are being hired to dig into their private affairs, and that they will have to work extra hard to pay the fat pensions of all those new federal "workers".
Lastly, this will be tied up in court for a number of months/years; there is still time to continue to build support for repeal of this monster and implement real HC reform...YMMV
This day is the exact right day to start this fight! Sheer stupidity is advocating rino's and moderates lead the party. Tell me, where has the moderate and rino agenda ever advance conservative principles? You go talk "calmly to your neighbors and then wake up the next morning to see you country gone.
If you do not want the republican party to be led by conservatives and driven by a conservative agenda then get out of my party. Your namby rino crap talk as has been proven to be FOS!
McCain, Graham is that you?