House Republicans on Tuesday pressed the country’s top health official to cut through the government red tape in order to let a dying child have a chance at getting a lung transplant, as Health and Human Services Secretary Kathleen Sebelius continued to argue that the situation is “difficult.”

Sebelius, ultimately, did not say what the government would do in the high-profile case of 10-year-old Sarah Murnaghan, who is dying from cystic fibrosis but cannot get an adult lung until they are offered first to adult patients. According to federal policy, the minimum age for her to be on the adult list is 12.

Georgia Republican Rep. Tom Price, a doctor, told Sebelius that he understands the federal policy and appreciates her sympathy about the situation. But, he said, she can save the child’s life by “signing a paper.”