Obamacare Missteps Force Sibelius Resignation

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Sebelius took personal responsibility for the chaotic launch of the website and asked the HHS inspector general to conduct an investigation. That report is not expected for months.

House Minority Leader Nancy Pelosi, a staunch supporter of the health care law, praised Sebelius as a “forceful, effective and essential” secretary.

“Secretary Sebelius was a leader in the long effort to make history for our country with passage of the Affordable Care Act,” the California Democrat said in a statement.

In nominating the 48-year-old Burwell, Obama is tapping a Washington veteran with a low-profile and the respect of some Republicans on Capitol Hill. Though she only joined the Obama administration last year, Burwell held several White House and Treasury posts during President Bill Clinton’s administration.

Between her stints in the executive branch, Burwell served as president of Wal-Mart’s charitable arm and head of the global development program at the Bill and Melinda Gates Foundation.

If confirmed, Burwell will have to contend with huge challenges related to the continued implementation of the health overhaul, as well as the divisive politics surrounding the law that show no sign of abating.

On the practical side, the administration has to improve customer service for millions of Americans trying to navigate the new system. There’s also a concern that premiums may rise for 2015, since many younger, healthier people appear to have sat out open enrollment season.

On the political front, congressional Republicans remain implacably opposed to Obamacare, even as several GOP governors have accepted the law’s expansion of safety-net coverage under Medicaid. GOP opposition means Republicans can be expected to continue to deny additional funds for implementation.

Senate Minority Leader Mitch McConnell., R-Ky., welcomed Sebelius’ resignation but appeared to indicate an openness to a dialogue with Burwell, the new HHS nominee — even as he declared that “Obamacare has to go.”

“I hope this is the start of a candid conversation about Obamacare’s shortcomings and the need to protect Medicare,” McConnell said.

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