Sebelius to Atlanta crowd: Implementing health law not up for debate
by Bill Barrow, Associated Press Writer
August 13, 2013 12:10 AM | 1477 views | 5 5 comments | 6 6 recommendations | email to a friend | print
Health and Human Services Secretary Kathleen Sebelius discusses the Affordable Care Act with officials in Austin, Texas, on Thursday. Sebelius told legislators and state health officers in Atlanta on Monday that resistance to the 2010 health care overhaul should end, and that they can play a role in implementing the still hotly debated act.<br>The Associated Press
Health and Human Services Secretary Kathleen Sebelius discusses the Affordable Care Act with officials in Austin, Texas, on Thursday. Sebelius told legislators and state health officers in Atlanta on Monday that resistance to the 2010 health care overhaul should end, and that they can play a role in implementing the still hotly debated act.
The Associated Press
ATLANTA — Two of President Barack Obama’s top lieutenants offered the nation’s state legislators reserved-but-clear denunciations of Republican opposition they say hurts the middle class.

Health and Human Services Secretary Kathleen Sebelius told several hundred legislators and state health officers Monday that resistance to the 2010 health care overhaul should end, and that they can play a role in implementing the still hotly debated act.

“This is no longer a political debate; this is what we call the law,” Sebelius told a group that includes Democrats and Republicans, elected officials, political appointees and bureaucrats. “It was passed and signed three years ago. It was upheld by the Supreme Court a year ago. The president was re-elected. This is the law of the land.”

Transportation Secretary Anthony Foxx told a separate session of the National Conference of State Legislatures that sustained criticism of government spending makes it more difficult to improve U.S. infrastructure, from roads and bridges to aviation technology.

“I spend money to take my kids to a movie, but I invest in their education,” Foxx said, arguing that infrastructure builds the economy and offers greater access to opportunity.

Neither Cabinet officer explicitly mentioned party politics, but their remarks come as the Democratic administration and Republican congressional leadership ramp up their political rhetoric with multiple battles looming.

Sebelius oversees the 2014 launch of the health law’s two main provisions: anchor provisions to expand the Medicaid insurance program for low-income Americans and to set up insurance exchanges where the uninsured could buy private individual policies. Many Republican-run states have refused both.

Foxx, the former Charlotte mayor who was confirmed last month, is in the early stages of developing a new transportation program. Obama recently proposed $50 billion in new spending, financed by corporate income taxes. The current U.S. infrastructure spending program expires Oct. 1, 2014.

Both Cabinet officers tied the administration’s agenda in their policy areas to expanding economic opportunity for all Americans; the White House announced Monday that Obama will take a campaign-style bus tour through the northeast next week to talk about the economy and building the middle class.

Republican members of Congress are in their second week of constituent meetings during the summer recess, and many of them have doubled-down on their opposition to “Obamacare” and have assured their most vocal conservative constituents — some calling for a government shut-down to start the new budget year — that they will continue to battle the administration on budget debates. Meanwhile, some top GOP figures, including Obama’s vanquished election rival Mitt Romney, have been left to warn against such drastic moves.

In Atlanta, Sebelius reminded lawmakers that the health care law doesn’t hold states to their initial decisions on the anchor provisions. States have the final say on Medicaid. Sebelius’ agency, meanwhile, will run exchanges in states where governors and legislatures refuse.

“There is an offer on the table,” she said. “We are open to working with states.”

A former Kansas legislator, insurance commissioner and governor, Sebelius noted the fear among states that Congress will not hold to its original promises on Medicaid financing. The law proposes that federal taxpayers will cover expansion costs in fiscal 2014, 2015 and 2016, with the federal share eventually dropping to 90 percent, leaving 10 percent to each participating state. The expansion is intended to supplant existing federal and state payments to hospitals that treat the uninsured.

Sebelius assured lawmakers that “this is not a bait-and-switch,” and she noted that several states that plan to accept Medicaid expansion have required in law that they withdraw from the program if a future Congress ever reneges on the 90-10 cost split.

In his session with lawmakers and state transportation chiefs, Foxx emphasized Obama’s proposal for new infrastructure spending. He promised rural state lawmakers that the White House appreciates their needs for roads and small airports. He told officials from mostly urban states that Obama also appreciates the need for mass transit. And he said his agency is watching pilot programs and exploring ideas for using something other than traditional gasoline taxes to finance transportation projects.

Whatever the White House pushes, Foxx said, nothing happens without Congress: “Our constitution requires that there’s a dance involved here, and it’s hard to dance by yourself.”

Comments-icon Post a Comment
August 14, 2013
The nation is bankrupt as you gleefully RUN down to your exchange to see how quickly you can steal what you did not earn. Let me repeat that: STEAL what you DID NOT EARN.
August 13, 2013
Finally this nation is getting free health care with single payer on the horizon! If people are worried about this they need to check with their exchange.

I qualified for 100% subsidy (as will most people) and was delighted with the result. It is totally affordable. I will be at the exchange opening first thing in the morning on October 1st to support this new law.

The Republicans want to see everyone die early, starve or live on the street, last month they voted to take my SNAP away. They never stop trying to make life difficult for people in this country.

Anyway, nay say all you want, this is now the law of the land and Obama will never sign a veto bill, so you all better get down to your exchange and signup for the PPACA. Better to do it with happiness than with the IRS on your tail which will happen eventually!
Lib in Cobb
August 13, 2013
The "wingers" have two items on their agenda these days: Benghazi and repeal Obamacare. The repealing of The Affordable Care Act, will not happen, it is the law of the land.

The GOP also has their panties in a twist over the attacks on our consulate in Benghazi. No one is denying that this event was horrible and Americans died.

The GOP never mentions the THIRTEEN attacks on our embassies during the Bush years. That's right folks THIRTEEN.

If there are any Repubs out there who would like to comment on this information, please do. Where was the condemnation of Bush? Where were the demands for impeachment? Oh wait, there wasn't any.

Just saying.
wingsin kenn
August 14, 2013
And each time Bush and his mouth pieces said it was over a youtube video and locked up the director. ... oh wait.
Lib in Cobb
August 13, 2013
No matter how many times the GOP has failed, no matter how much moaning the GOP faithful does, the Affordable Care Act IS the law of the land. The House has voted 40 times to repeal this law and that effort has failed 40 times.

Health care for all has been discussed by the federal government for 50 years, even King Ronnie was in favor of healthcare for all. President Obama got it done. Is it perfect? No. Will changes be made? Yes. The "wing nuts" can't stand it that it took a liberal to get it done. Some day you will all thank President Obama for his persistence.
*We welcome your comments on the stories and issues of the day and seek to provide a forum for the community to voice opinions. All comments are subject to moderator approval before being made visible on the website but are not edited. The use of profanity, obscene and vulgar language, hate speech, and racial slurs is strictly prohibited. Advertisements, promotions, and spam will also be rejected. Please read our terms of service for full guides