Nancy-Ann DeParle, of the White House office of Health Reform, center, speaks during a meeting on health care during the 2009 Southern Governors Association meeting in Williamsburg, Va. , Monday, Aug. 24, 2009. West Virginia Gov. Joe Manchin III, left, and Virginia Gov. Timothy M. Kaine, right, listen. AP Photo logo AP Photo 3 months ago

Nancy-Ann DeParle, of the White House office of Health Reform, center, speaks during a meeting on health care during the 2009 Southern Governors Association meeting in Williamsburg, Va. , Monday, Aug. 24, 2009. West Virginia Gov. Joe Manchin III, left, and Virginia Gov. Timothy M. Kaine, right, listen.