Sebelius: Exchanges will be ready on time, no need for backup plan

By Sam Baker | 04/12/13 01:26 PM ET

The Health and Human Services Department will meet its central
ObamaCare deadline and does not need a backup plan for delays, HHS
Secretary Kathleen Sebelius said Friday.

Sebelius told the House Ways and Means Committee that a federally run insurance exchange will be up and running by Oct. 1.

“No,” Sebelius said when asked whether there’s a backup plan in case that
deadline slips. “We are determined and on track to meet the Oct. 1
deadline.”

The federal government is operating all or part of the exchanges in 33
states — a massive logistical undertaking on a tight timeline.

The healthcare law envisioned most states setting up their own exchanges
and authorized a federal fallback in states that didn’t. But Republican
governors have largely resisted setting up their exchanges, forcing the
federal government to step in.

Although many states have refused
to set up their own exchanges, several states are willing to take over
the marketplaces after the federal government builds them, Sebelius
said.

“We are actually in conversations with lots of states” that
could see themselves taking over their exchanges down the road, she
said.

Although the healthcare law directed HHS to set up fallback
exchanges, it did not provide any funding for the federal exchange. The
department has scraped together funds from other areas and drawn from a
$1 billion account set aside for general implementation of the
healthcare law.

Sebelius noted that the Congressional Budget
Office estimated the total cost of implementation at $10 billion. The
HHS has done “an extraordinary job” stretching its resources, she said.

“I think the good news is we’re well under what the budget estimates were,” Sebelius said.

The HHS budget request sought $1.5 billion for the federal exchange, but Congress is unlikely to provide that money.

Department officials have been vague about the consequences of not receiving the additional funding.

Sebelius said Friday that the $1.5 billion would help her department with
information technology projects, including the data hub that exchanges
will use to retrieve information from other state and federal agencies

“That’s really to get the IT hub, the call center, the IT up and running,” she said.

But later in the same series of questions, Sebelius said the data hub is nearly finished.

“The hub is basically built and paid for,” she said.