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December 21, 2014

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President Barack Obama, flanked by outgoing Health and Human Services Secretary Kathleen Sebelius, left, and his nominee to be her replacement, Budget Director Sylvia Mathews Burwell, speaks in the Rose Garden of the White House in Washington, Friday, April 11, 2014.

Charles Dharapak / AP

President Barack Obama, flanked by outgoing Health and Human Services Secretary Kathleen Sebelius, left, and his nominee to be her replacement, Budget Director Sylvia Mathews Burwell, speaks in the Rose Garden of the White House in Washington, Friday, April 11, 2014.