Not necessarily. You know that communist was willing to take as much time as was necessary to apply as much pressure as was necessary to get enough legislators to cave in to his demand for the health control law. I think you also know the scenario. A terrible compromise is floated and then one by one the critters flip, slide, and surrender to the will of the communist in chief.
He must primarily work with the larger margin in the House that is now Repub. A few Dems will then help him to pass the bill in the Senate (red state Dems).