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Burwell nominated to succeed Sebelius as HHS secretary
Friday - 4/11/2014, 1:00pm EDT
AP White House Correspondent
WASHINGTON (AP) -- President Barack Obama nominated Office of Management and Budget Director Sylvia Mathews Burwell to succeed Kathleen Sebelius as Health and Human Services secretary Friday.
The Cabinet shuffle lets Obama put a new face on his health care law.
The move comes more than a week after the close of sign-ups for insurance coverage on the law.
After a rocky start that Sebelius was blamed for, the administration rebounded strongly to exceed expectations by enrolling 7.1 million people by the March 31 deadline.
"Under Kathleen's leadership, her team at HHS turned the corner, got it fixed, got the job done," Obama said in a Rose Garden ceremony Friday morning. "And the final score speaks for itself."
The nomination of Burwell, who was unanimously confirmed by the Senate for her current post last year, appeared aimed at avoiding an election-year confirmation fight.
"Last time, she was confirmed unanimously," Obama said. "I'm assuming not much has changed since that time."
Obama remained publicly supportive of Sebelius throughout the rough rollout, deflecting Republican calls for her resignation. But she was conspicuously not standing by his side last week when he heralded the sign-up surge during an event in the White House Rose Garden.
A White House official said the 65-year-old Sebelius approached Obama last month about stepping down, telling him that the sign-up deadline was a good opportunity for a transition and suggesting he would be better served by someone who was less of a political target.
A spokeswoman for Sen. Pat Roberts, a Republican from Sebelius' home state of Kansas, called the resignation "a prudent decision" given what she called the total failure of Obamacare implementation.
Sebelius dropped no hints about her resignation Thursday when she testified at a budget hearing. Instead, she received congratulations from Democratic senators on the sign-up surge.
A popular former governor of Kansas, Sebelius has been one of Obama's longest- serving Cabinet officials and his only HHS secretary. She was instrumental in shepherding the health care law through Congress in 2010 and implementing its initial components, including a popular provision that allows young people to stay on their parents' insurance plans until age 26.
But Sebelius' relationship with the White House frayed during the fall rollout of the insurance exchanges that are at the center of the sweeping overhaul. The president and his top advisers appeared caught off guard by the extent of the website woes, with warnings from those working on the technology never making it to the West Wing.
After technical problems crippled online sign-ups after the Oct. 1 launch, the White House sent management expert and longtime Obama adviser Jeffrey Zients to oversee a rescue operation that turned things around by the end of November. After taking helm of the project, Zients said management issues were partly to blame but did not point the finger at any individuals.
Sebelius took personal responsibility for the chaotic launch of the website and asked the HHS inspector general to conduct an investigation. That report is not expected for months.
House Minority Leader Nancy Pelosi, a staunch supporter of the health care law, praised Sebelius as a "forceful, effective and essential" secretary.
"Secretary Sebelius was a leader in the long effort to make history for our country with passage of the Affordable Care Act," the California Democrat said in a statement.
In nominating the 48-year-old Burwell, Obama is tapping a Washington veteran with a low-profile and the respect of some Republicans on Capitol Hill. Though she only joined the Obama administration last year, Burwell held several White House and Treasury posts during President Bill Clinton's administration.
Between her stints in the executive branch, Burwell served as president of Wal-Mart's charitable arm and head of the global development program at the Bill and Melinda Gates Foundation.
If confirmed, Burwell will have to contend with huge challenges related to the continued implementation of the health overhaul, as well as the divisive politics surrounding the law that show no sign of abating.
On the practical side, the administration has to improve customer service for millions of Americans trying to navigate the new system. There's also a concern that premiums may rise for 2015, since many younger, healthier people appear to have sat out open enrollment season.
On the political front, congressional Republicans remain implacably opposed to Obamacare, even as several GOP governors have accepted the law's expansion of safety-net coverage under Medicaid. GOP opposition means Republicans can be expected to continue to deny additional funds for implementation.
Senate Minority Leader Mitch McConnell., R-Ky., welcomed Sebelius' resignation but appeared to indicate an openness to a dialogue with Burwell, the new HHS nominee -- even as he declared that "Obamacare has to go."
"I hope this is the start of a candid conversation about Obamacare's shortcomings and the need to protect Medicare," McConnell said.
Associated Press writer Ricardo Alonso-Zaldivar and Erica Werner in Washington, and John Hanna in Topeka, Kan., contributed to this report.
Follow Julie Pace at http://twitter.com/jpaceDC
Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.