House Speaker Nancy Pelosi on Wednesday floated the idea of a two-track plan for health care reform — with Congress pursuing easier-to-pass incremental changes now and comprehensive reform later.

“We believe that it’s possible to have comprehensive health care reform as we go forward, but at the same time, it can be on another track where some things can just be passed outside of that legislation, and we’ll be doing both,” Pelosi said in an interview with POLITICO. (emphasis mine)

Though the Democrats’ loss of Ted Kennedy’s old Senate seat has complicated efforts to get the 60 votes they need for a sweeping health care bill, Pelosi insisted that comprehensive reform is still on the agenda.

“We have to get it done,” the speaker said. “What the process is doesn’t matter. The outcome is what is important, and what it means to working families in America.”

Asked whether piecemeal changes could come before comprehensive reform, Pelosi said: “Some may. It just depends on how long it takes for the comprehensive to go. But it doesn’t mean that the comprehensive isn’t moving. It is essential. If everyone loved their health insurance in the country — and you know they don’t — we would still have to do this for financial reasons.”

Pelosi reiterated that ramming the existing Senate bill through the House is not an option.

“There is no support in my caucus in the present form, at this time, for the Senate bill,” she said. “I don’t see that as an option. But I do think that we’re in range to make some improvements in it that will make it more affordable for the middle class, which is essential. Hold the insurance companies more accountable. Those two things are essential to us.”

Pelosi spoke with POLITICO as part of POLITICO’s “Inside Obama’s Washington” video series. The full interview will be available Thursday morning at www.politico.com.

Anybody know the House Rules off the top of their head on how we impeach Nancy?