Julie Koenig, left, a health care application counselor for the Shawnee County, Kan., Health Agency, works with Tecia Ramos, center, and her son, Andrew, right, during an appointment, Monday, March 31, 2014, at the public library in Topeka, Kan. The appointment was ahead of the deadline for Americans to enroll in coverage under the federal health care overhaul. (AP Photo/John Hanna)