WASHINGTON – President Barack Obama’s new nominee for health secretary drew some early political fire from Republicans on Sunday in what could foreshadow a stormy election-year confirmation debate in the U.S. Senate over the future of the law known derisively as “Obamacare.”
Two days after Obama nominated his budget director, Sylvia Mathews Burwell, to head the Department of Health and Human Services (HHS), Republican lawmakers alleged the new nominee could help the White House exert political control over health care enrollment numbers and other data indicating how well the reforms are working.
After a disastrous launch last year, the administration’s enrollment drive has surpassed the most optimistic independent forecasts by signing up 7.5 million people in private health plans through new online insurance marketplaces.
That number is expected to grow and could approach the 8 million mark as applicants who were unable to complete the process by the March 31 deadline continue to sign up through federal and state-run marketplaces.
The results present a challenge for Republicans, who claim Obama’s health care law is a failure that Americans should reject. They maintain that the actual number of enrollees could be much smaller than the administration’s total and that many have signed up for new plans because their original coverage was canceled as a result of the law.
“Burwell is an interesting choice. They know they’ve got a math problem with Obamacare and the numbers are not going to work out so that the program is actuarially sound,” Rep. Marsha Blackburn said on the CBS TV program “Face the Nation.”
“They’re going to have to have somebody to kind of spin the numbers, and this is something . . . I think they’re expecting her to be able to do for them,” added Blackburn, a senior Republican on the House Energy and Commerce Committee, which oversees health care issues.
Burwell, who would succeed outgoing Health and Human Services Secretary Kathleen Sebelius as the public face of health care, needs to be confirmed by the Senate before she can start the job. She sailed through the Senate last year for her current job as director of the White House Office of Management and Budget (OMB) with a 96-0 confirmation vote.
But Republicans say things may not be so easy this time.
“There is no doubt she was a good choice for OMB. That does not necessarily make her a good choice for HHS,” Republican Sen. Tim Scott told “Fox News Sunday.”
“Will the next secretary have Americans’ (interests) first, or will they have the administration’s policies and try to carry the water for the president?” he said.
“We are going to have an opportunity to discuss with director Burwell her approach to making sure that the American people are the primary objective and not politics,” Scott added.
Republicans hope to wrest control of the Senate from Democrats in November’s midterm elections and see the health care law’s unpopularity as a key lever for attracting independent swing voters and turning out their own base.
But the strong enrollment results have revived Obama’s fellow Democrats, who now hope the impending change in leadership at HHS will begin a new chapter for the law and help stave off blistering Republican attacks.
“It probably is a good thing to have a new face going forward,” Democratic Sen. Sheldon Whitehouse said on “Fox News Sunday.”
Sebelius, whose tumultuous five-year term became overshadowed by last year’s botched rollout, told NBC’s “Meet the Press” that she made the decision to step down and told Obama in March, after the enrollment effort had bounced back and was meeting its targets.