"The longer your pay-fors sit out there exposed, the more you are like a sitting duck," he says. "You are going to give the opposition time to marshal and rally the troops."
Manetto says the chances of passing a permanent SGR repeal grow slimmer with each passing day, as members of Congress look to wrap up business and head home to run for reelection.
"The more time that goes on absent progress in that direction, the more likely you are going to need another temporary patch and then the question is going to be what will that look like," he says. "Will it be short term, or do they try to do something longer, and really how do you get anything done this year on the longer term?"
Hoven is not entertaining thoughts about potential contingency plans if this latest SGR permanent repeal attempt fails.
"Right now all we are going to talk about is SGR repeal," she says. "Clearly the opportunity exists to get this done. I believe strongly it can be done. Our job right now is to make sure that members of Congress understand the importance of getting this repealed."