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President Barack Obama, flanked by outgoing Health and Human Services Secretary Kathleen Sebelius, left, and his nominee to replace Sebelius, current Budget director Sylvia Mathews Burwell, right, shares a laugh in the Rose Garden of the White House in Washington, Friday, April 11, 2014, where he made the announcement. (AP Photo/Susan Walsh)
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President Barack Obama shares a laugh with outgoing Health and Human Services Secretary Kathleen Sebelius, Friday, April 11, 2014, in the Rose Garden of the White House in Washington to announce he would nominate current Budget director Sylvia Mathews Burwell to replace Sebelius. (AP Photo/Susan Walsh)
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President Barack Obama drops by Chief of Staff Denis McDonough's meeting with Cabinet Members in the Chief of Staff's West Wing Office at the White House, May 31, 2013. Seated, clockwise from the President, are: Homeland Security Secretary Janet Napolitano; Chief of Staff Denis McDonough; Danielle Gray, Cabinet Secretary; Agriculture Secretary Tom Vilsack; and Sylvia Mathews Burwell, Director Office of Management and Budget. (Official White House Photo by Pete Souza)
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President Barack Obama listens to comments while meeting with healthcare stakeholders in the Roosevelt Room at White House May 11, 2009. At right is Health and Human Services Secretary Kathleen Sebelius. (Official White House Photo by Pete Souza)
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FILE - In this Monday, March 4, 2013, file photo, Wal-Mart Foundation President Sylvia Mathews Burwell stands on stage in the East Room of the White House in Washington, as President Barack Obama announced he would nominate Burwell to head the Budget Office. In a sign that the White House is seeking to avoid a nomination fight, an official said Obama was tapping Burwell, the director of the Office of Management and Budget, to replace Kathleen Sebelius, who has resigned as Health and Human Services Secretary. Burwell was unanimously confirmed by the Senate for her current post. (AP Photo/Carolyn Kaster, File)
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**FILE** Walmart Foundation President Sylvia Mathews Burwell stands on stage in the East Room of the White House in Washington, Monday, March 4, 2013, as President Barack Obama announced he would nomination Burwell to head the Budget Office. (AP Photo/Carolyn Kaster)
