Budget director Sylvia Mathews Burwell, President Barack Obama's nominee to replace Health and Human Services Secretary Kathleen Sebelius, smiles in the Rose Garden of the White House in Washington, Friday, April 11, 2014, where the president made the announcment. The moves come just over a week after sign-ups closed for the first year of insurance coverage under the so-called Obamacare law.(AP Photo/Charles Dharapak)
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