Over at the National Journal Meghan McCarthy asks:

Should Congress or new authorities created by the law take additional steps to reduce the deficit through policy changes? Should certain provisions be abandoned, even if it means less federal savings?

The Congressional Budget Office last week released its long-term budget outlook, and Office of Management and Budget Director Peter Orszag said: "Slowing the rate of health care cost growth is the single most important action we can take to reduce our long-term fiscal shortfall." He called enactment of the reform law a "key step toward a healthier fiscal future."

I think the OMB is confused: