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** FILE ** President Obama speaks about the Affordable Care Act, Tuesday, April 1, 2014, in the Rose Garden of the White House in Washington. (Associated Press)

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**FILE** Health and Human Services Secretary Kathleen Sebelius sits in the audience as she waits for President Barack Obama to make a statement on the Affordable Care Act on April 1, 2014, in the Rose Garden of the White House. (Associated Press)