Health and Human Services Secretary (HHS) Kathleen Sebelius on Monday downplayed a federal judge's decision allowing Virginia's challenge to healthcare reform to continue, arguing it was merely a procedural move that has no bearing on the underlying issues. "We remain confident that the case is solid," Sebelius told reporters during a phone call on the reform law's effects on Medicare spending. Ron Pollack, executive director of Families USA, a liberal consumer group, echoed that message Monday, saying the ruling "has no effect on the validity of the health reform law."