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« The Week Ahead: Health Care Summit | Blog Home Page | TX Gov: Perry, Hutchison Attack With One Week Left »

White House Won't Rule Out Reconciliation On Health Care

The White House has now posted its revised health care reform bill online, which officials describe as an "opening bid" to be discussed at this Thursday's bipartisan health care summit. While the administration said it is hopeful Republicans will come to the table and offer their ideas, the White House isn't ruling out passing the bill through the reconciliation process if necessary.

"The president expects and believes the American people deserve an up or down vote on health reform," said Dan Pfeiffer, the White House communication director. "Our proposal is designed to give us some flexibility to ensure that we get an up or down vote if the opposition decides to take the extraordinary step of filibustering."

Speaking with reporters this morning, Nancy-Ann DeParle, director of the White House Office of Health Reform, described the proposal as essentially the Senate bill, "with some targeted, important changes." One of those is ditching the so-called "Cornhusker Kickback," while providing additional aid to state governments aimed to offset increases in their Medicaid payments. It's also raised the threshold for an excise tax and so-called "Cadillac" taxes. It retains the Senate's language on abortion. Not included is a version of the public option, something a group of Democratic senators are now mounting a campaign to resurrect.

"We are coming to this meeting with an open mind," Pfeiffer said. "We hope the Republicans will do the same."

He specifically called on Republicans to consolidate their ideas into one plan they would also post online, saying both parties should come with their best set of ideas. Republicans have repeatedly demanded that the meeting start with a blank sheet of paper. Among its own caucus, the White House said they are confident they can retain their margins and even win over House Democrats who initially voted against it.

"There are a variety of things here that can address concerns that many different members on our side of the aisle had," he said. "And I think in general, having the meeting with both sides of the aisle, on TV for everyone to see, after having had several days to review the proposal will help take away a little of the concern people have about this seeming to be something that was hatched behind closed doors."