Sebelius:  ‘Hold Me Accountable For The Debacle’

"You deserve better. ... I apologize. ... I'm accountable to you." That's what Health and Human Services Secretary Kathleen Sebelius told Americans on Wednesday morning during a Congressional hearing.

But while conceding "the initial consumer experience at HealthCare.gov has not been adequate" and that she should be held accountable for "the debacle," Sebelius also made the case that "the Affordable Care Act delivered on its product: quality, affordable health insurance."

Sebelius made the comments while summarizing the prepared statement she submitted to the House Energy & Commerce Committee at the start of a much-anticipated hearing at which she faced tough questions from Republicans.

She came under fire for a program that Republicans say restricts Americans' health care choices, and for a website that has been problematic, at best, since it launched Oct. 1. Even as Sebelius spoke, and repeatedly said that the site had never "crashed" but had at various times been barely moving, for many users a visit to HealthCare.gov on Wednesday brought only a message that "the system is down at the moment."

The hearing began just after 9 a.m. ET. We updated several times as you'll see below. For much more about the health care act and its launch, see NPR's Shots blog.

Update at 12:40 p.m. ET. Adjourned:

The hearing just concluded.

Update at 11:45 a.m. ET. Fact-Checkers Take Aim At President's Promise.

We've added a related post: Obama's 'Keep Your Health Care Plan' Fails Fact Checks.

Update at 10:45 a.m. ET. "Hold Me Accountable For The Debacle":

One of the more dramatic moments of the morning so far has been an exchange between Rep. Marsha Blackburn, R-Tenn., and Sebelius.

Blackburn pushed Sebelius to name "who's repsonsible" for the crashing and other problems with the HealthCare.gov website. After some back-and-forth, Sebelius answered that Michelle Snyder, chief operating officer at the Centers for Medicare & Medicaid Services, runs a key unit.

So, "Michelle Snyder is the one responsible for this debacle?" Blackburn asked.

After a moment, Sebelius responded with some edge to her voice, saying:

"Excuse me, congresswoman, Michelle Snyder is not responsible for the debacle. Hold me accountable for the debacle. I'm responsible."

Update at 9:55 a.m. ET. Don't "Take Our Word For It":

Asked if she is confident the website will be running smoothly by Nov. 30, Sebelius says she is. "But I know it isn't fair to ask the American public to take our word for it," she acknowledges.

Our original post, from 6:30 a.m. ET:

The big story in Washington today is the appearance of Health and Human Services Secretary Kathleen Sebelius before the House Energy & Commerce Committee.

As NPR's Julie Rover writes on the Shots blog, Sebelius follows Tuesday's testimony from Marilyn Tavenner — administrator of the Centers for Medicare & Medicaid Services.

Sebelius follows Tuesday's testimony from Marilyn Tavenner — administrator of the Centers for Medicare & Medicaid Services.

Tavenner first apologized for the botched rollout of the HealthCare.gov website, and then spent several hours being peppered with questions from Ways and Means Committee Republicans. Many of the queries were about cancellation notices being received by people who buy their own insurance.

Julie writes that:

"Many members of the committee, including [Rep. Peter] Roskam, R-Ill., read letters from constituents who say they'll have to pay more for new coverage. 'Can you understand the level of frustration and concern about what many Americans perceive to be a false claim from the administration?' he asked.

"Tavenner said it's not that simple, and it's not all bad. Many people who say they like their current plans don't realize how little they cover.

" 'Sometimes they were in plans that they thought were fine until they actually needed hospitalization,' she said. 'Then they found out it didn't cover hospitalization, or it didn't cover cancer.' "

There been calls from some Republicans for Sebelius to step down or be fired because of the problems with HealthCare.gov.

The Shots blog will continue to follow the story closely.