WASHINGTON — Republicans have always been harsh critics of Obamacare.
Now President Barack Obamas signature health care law is taking heat from Democrats, too. More than three weeks after the problem-plagued rollout of the federal marketplace where consumers can sign up for health insurance, support for major provisions of the Affordable Care Act is weakening among some Democrats, who want to see someone fired over the botched debut.
I absolutely believe that somebody should be held accountable, said Rep. Xavier Becerra, D-Calif., chairman of the House Democratic Caucus.
Meanwhile, the White House said late Wednesday that it would ease the tax penalty deadline for people who buy insurance through the online marketplace. Instead of having to purchase coverage by Feb. 15, 2014, to avoid paying a penalty, they will have until March 31.
But as lawmakers prepare to grill federal contractors Thursday about the performance of the Healthcare.gov website at a House Energy and Commerce Committee hearing, the marketplace has grown from a public relations black eye into the most immediate threat to the laws early success.
Wednesday was the first full day the House of Representatives had met since controversy erupted over the insurance marketplaces, and the political fallout was everywhere. Republicans paraded one by one onto the House floor offering one-minute speeches blasting the law. House Democrats met and expressed frustration.
Sen. Jeanne Shaheen of New Hampshire broke with fellow Democrats and called on Obama to extend the open enrollment period beyond March 31, 2014. In a letter to Obama, Shaheen said the website problems were incredibly frustrating and disappointing.
Even the chairwoman of the Democratic Party, Rep. Debbie Wasserman Schultz of Florida, embraced Shaheens idea, telling MSNBC, There should absolutely be an openness to extending the open enrollment period. I dont think theres anything wrong with that.
But House Minority Leader Nancy Pelosi, D-Calif., shot down Shaheens proposal at her weekly news conference.
I dont support that, Pelosi said, adding that the state-run California insurance marketplace is working just fine. So I think we should try to fix what we have, move forward with the deadline we have, respectful of what her experience may be and her suggestion, but not (be) supportive of it.
White House Press Secretary Jay Carney said Wednesday that it was too soon to extend the enrollment period, saying the six-month signup period was still in the early stages. He said that consumer struggles with the website were extremely unfortunate and that the Obama administration takes responsibility for the problems.
But he said those problems pale in comparison to the uncertainty facing sick people who would be unable to get health insurance without the law.
While support for Obamacare among Democrats has never been unanimous, Wednesdays developments show a growing unease among the presidents supporters with the laws implementation.
Since the launch of the 2014 open enrollment period on Oct. 1, the federal marketplace, which serves 36 states, has frustrated millions of consumers, drawn the ire of Obama and triggered calls for Health and Human Services Secretary Kathleen Sebelius to be fired.
Even a longtime family friend from across the aisle, Sen. Pat Roberts, R-Kan., has abandoned her. Roberts, who got his start on Capitol Hill working for her father-in-law, the late Republican Rep. Keith Sebelius, was an early voice in the calls for Sebelius to resign.
Her decision to travel to Arizona rather than testify about the websites problems at Thursdays House commerce committee hearing has angered congressional Republicans, who were also peeved that they werent invited to Wednesdays Democrats-only meeting with federal health officials to discuss the law.
Republicans are scheduled to meet with Department of Health and Human Services officials later this week, and Sebelius is set to testify before the commerce committee Wednesday.
Federal health officials and staff have conducted numerous in-person briefings on the Hill, and we are happy to hold additional ones as requests come in, said HHS spokeswoman Joanne Peters.
There have been no calls on the Democratic side for Sebelius to step down. But Sen. Bill Nelson, D-Fla., told a reporter in Tampa on Wednesday that the website problems were inexcusable and somebody ought to get fired after theyre resolved.
They should wait and get the thing up and running and then determine and let somebody be held accountable, Nelson said in an interview with a Miami television station.
The House hearing Thursday offers the first chance to do so. It will feature representatives from four software contractors, including CGI Federal, the company that designed and developed the federal marketplace. Lawmakers have plenty of questions for the contractors, who worked more than three years on the marketplace technology only to see problems arise almost immediately.
As a former computer programmer, I have a lot of serious questions about how the program could be such a dismal failure, said Rep. Steve Scalise, R-La., a member of the House Energy and Commerce Committee. This is a national embarrassment.
Many now question whether contractors were pressured by HHS officials to move ahead with the Oct. 1 launch, even though the system had not performed well and government reports showed that site testing was months behind schedule.
Theres no question that testing was done and testing should have been more thorough, and therefore we would have been more prepared for this this kind of challenge, Carney said.
At first, the Obama administration blamed the websites delays, malfunctions and crashes on an unexpected deluge of users. Recent reports suggest the problems are much deeper and could take months to resolve. Experts now say much of the systems software coding must be rewritten and that interfaces with various government databases arent working properly.
Insurers report getting duplicate enrollments and misinformation about new enrollees. They also have received faulty determinations on the ability of applicants to get government subsidies to help pay for marketplace coverage.
Sebelius and White House Chief of Staff Denis McDonough met Wednesday with executives from several insurers to discuss the problems. The companies included Aetna, CareFirst, Blue Cross and Blue Shield of Florida, Tufts Health Plan, Health Net Inc., Americas Health Insurance Plans, WellPoint and Kaiser Permanente.
Carney reiterated that the administration was working 24-7 to fix the computer problems. Beginning Thursday, he said the administration would begin holding daily briefings for reporters to update them on the progress of the web fixes.
Many of the websites problems are par for the course for a project this large and complex, said Jim Johnson, president of The Standish Group, a research company that studies information technology project failures.
Its not shocking that this didnt work, Johnson said. To me it would be very shocking if it did work.
An analysis by Standish of more than 3,500 large IT projects of $10 million or more between 2003 and 2012 found only 6.4 percent were successful, Johnson said. Fifty-two percent of the projects were categorized as challenged, meaning they either exceeded their budget, failed to satisfy user expectations or were completed behind schedule. More than 41 percent were failures that were either terminated or completely redone.
He said the marketplaces big bang theory rollout with a well-publicized launch date that was guaranteed to draw large numbers of users only increased the likelihood of failure. He said the rollout should have occurred incrementally, in stages, possibly in several states at a time instead of all at once.
They needed to take baby steps, Johnson said. Test it out. See that it works. Go to the next step. Do a little more testing, Go to the next step. Thats the way successful projects work.
Johnson said he told HHS officials the same thing at a presentation at the National Academy of Sciences two years ago. But even with the problems, he said, the marketplace isnt a failure. He said he was able to log in and navigate the system with no problem. He estimated that fixing the problems could take up to three months.
I dont think this thing is fatally flawed, he said. I think there are problems, but these are normal problems you have with the big bang theory.
Carney wouldnt comment on estimates by Johnson and other computer experts who suggest the problems could take even up to six months to fix.
Our approach is to look head-on at the problems and try to fix the everyday, knowing that this is going to be a constant effort and that each day were going to make some progress, he said, and that each day therell be an improvement to the user experience.
Correction: A previous version of this story misspelled the name of Sen. Jeanne Shaheen.
Lesley Clark of the Washington Bureau contributed.
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