The most controversial part of the bid proposal is how much money "X" dollars would represent. Fiscal conservatives might want to use a comparatively low number such as the amount designated in the federal government Health and Human Services 2004 budget. Others may be concerned that the level of care would be diminished by too low of a number and may want to freeze the 2010 budget number for five years.
The budget number chosen will necessarily be the result of negotiation, meaning a middle ground number, which is a good thing. What is important is the fact that this model will work regardless of the budget amount that is used. Likewise, this model will work in the existing environment, but will also work if the country continues down the healthcare reform path articulated in the Affordable Care Act.