Even though health care reform still hovers just below the radar, White House personnel are fully engaged in laying the groundwork for an expected summertime debate over some version of the overhaul President Barack Obama promoted during his campaign.
Much of the White House effort so far, according to sources on both ends of Pennsylvania Avenue, has been confined to a consultative role while Senators on the Finance and Health, Education, Labor and Pensions committees drive policy initiatives. White House officials generally do not attend Senator-level meetings held by members of the two panels.
The White House has been responding to specific ideas coming off Capitol Hill including providing technical assistance using the administrations vast research and number-crunching resources with its proactive efforts primarily in the form of overarching principles, such as those laid down by Obama during the campaign.
While numerous mid-level and senior staffers have been drawn into the effort, White House and Congressional sources say the embodiment of the effort is Nancy-Ann DeParle, Obamas health care czar who runs the Office of Health Reform. Under former President Bill Clinton, she supervised health issues in the Office of Management and Budget and from 1997 to 2000 ran the Health Care Financing Administration (now known as the Centers for Medicare & Medicaid Services).
She and her staff work out of a room in the Eisenhower Executive Office Building. Theyll operate in tandem with a Department of Health and Human Services office covering health reform that, with Secretary Kathleen Sebelius now confirmed, will be announced by the administration any day. The HHS office will be headed by Jeanne Lambrew, another veteran of the Clinton administration who served as deputy to the chief White House health care adviser. Lambrew, who co-authored a book on health reform with former Sen. Tom Daschle (D-S.D.), had been slated to serve as Daschles deputy at the White House before his candidacy to serve dually as HHS secretary and health czar collapsed earlier this year.
Others are also playing key roles, included White House Legislative Affairs Director Phil Schiliro. As legislative liaison, he would likely serve as a critical conduit to Capitol Hill no matter the issue, but Schiliros years as a top aide to House Energy and Commerce Chairman Henry Waxman (D-Calif.) give him a deep background in the intricacies of various health initiatives.
White House Chief of Staff Rahm Emanuel is also involved and is likely to take an increasing interest as the issue reaches an expected fever pitch this summer. National Economic Council Director Larry Summers is playing a role though he is also heavily involved in the Obama effort to rescue the economy and Sebelius is becoming a big player as she gets up to speed, having just been confirmed late last month.
Terri Henderson, 6, center, whose mother is El Salvador, attends a rally with members of Congress at Union Station's Columbus Circle to announce the Restore Opportunity, Strengthen, and Improve the Economy (ROSIE) Act on July 29, 2014. The legislation provides incentives for government contractors to pay a living wage and other benefits that would help low-income workers.