By Peter Sullivan - 06/10/15 10:48 AM EDT
House Ways and Means Chairman Paul RyanPaul RyanHouse passes resurrected LGBT measure Ryan seeks to put stamp on GOP in Trump era Overnight Finance: Puerto Rico bill clears panel | IRS chief vows to finish term | Bill would require nominees to release tax returns MORE (R-Wis.) clashed with President Obama's healthcare chief at a hearing Wednesday over preparations for a looming Supreme Court decision on ObamaCare.
"The question is what will the administration do: will they stand up with one piece of paper and say 'my way or the highway' or will he work with Congress?" Ryan said.
Obama had pointed to the one-sentence fix to the law's text at a press conference this week.
Burwell countered that there is not much the Obama administration can do at the moment, though she did refer to some planning efforts where previously the White House had given none.
"We’ll do everything we can, we’re working to make sure we are ready to communicate to the states and do everything we can," Burwell said.
Burwell raised the prospect last week, at a Wall Street Journal breakfast, that states could receive help from HHS in setting up their own exchanges, allowing subsidies to continue.
But that solution would require state leaders to agree to work with HHS, which many Republican governors are reluctant to do.
"The critical decisions will sit with the Congress and states and governors to determine if those subsidies are available," Burwell said.
Burwell also rejected a leading Republican plan from Sen. Ron JohnsonRon JohnsonPressure builds from GOP to delay internet domain transition Juan Williams: Electoral map looks grim for Trump The Trail 2016: Sanders who? MORE (R-Wis.) that would extend ObamaCare subsidies until 2017, but would also repeal the law's individual and employer mandates.
“This bill in its current form is repeal,” Burwell said of the bill. “And the president has said he will not sign something that repeals the act.”
The hearing was supposed to be about the HHS budget, but Ryan nixed that topic, citing Obama's speech on Tuesday strongly defending ObamaCare.
"It shouldn’t surprise you that we’re more interested in talking about ObamaCare, especially given the president’s remarks this week," Ryan said. "Whatever the Supreme Court decides later this month, I think the lesson is absolutely clear: ObamaCare is flat busted."
The top Democrat, Rep. Sandy Levin (Mich.), hit back at Ryan.
"What's busted is not the ACA, but your attacks," he said. "Endless attacks, never coming up with a single comprehensive alternative all these years, so you are armchair critics while millions have insurance who never had it before."
He also pointed out that Republicans are backing the King v. Burwell lawsuit.
"It’s your allies who brought the suit that will deprive them of insurance," Levin said.
Ryan pressed Burwell on whether the administration would work on an overhaul of ObamaCare to promote “freedom.” Burwell responded that under ObamaCare already, “the marketplace is a market. It uses private insurers.”
Rep. Kevin BradyKevin BradyIRS doubted legality of ObamaCare payments, former official says Report: Pacific trade pact would boost growth, jobs and incomes Puerto Rico debt becomes constitutional fight on the right MORE (R-Texas) also pressed Burwell on what kind of fix Obama would sign if the Supreme Court rules for the plaintiffs.
He repeatedly asked if a one-sentence fix restoring the subsidies is the only bill Obama would sign.
Burwell repeatedly declined to give a straight answer, eventually saying she could not give a reply on “hypothetical” legislation.
“We will review any legislation we get,” she said.
Burwell also told Ryan, “we believe there are improvements that can be made” to the law, but indicated that drastic changes that repeal major elements of the law would be rejected.
Senate Majority Leader Mitch McConnellMitch McConnellRyan seeks to put stamp on GOP in Trump era Trump and Ryan to speak by phone Bill would require nominees to release tax returns MORE (R-Ky.) told "The Hugh Hewitt Show" last week that he thinks Obama will veto any Republican plan in response to the court case anyway.
“What I think he’ll probably do is veto anything we send him and put the pressure on the states to cave and turn established state exchanges in place of federal exchanges, thereby making them eligible for subsidies,” McConnell said.