**FILE** Nancy-Ann DeParle (right), director of the White House Office of Health Reform, accompanied by Health and Human Services Secretary Kathleen Sebelius (left) and various state legislators, speaks outside the West Wing of the White House in Washington on June 17, 2009. (Associated Press)

Photo by: Pablo Martinez Monsivais

**FILE** Nancy-Ann DeParle (right), director of the White House Office of Health Reform, accompanied by Health and Human Services Secretary Kathleen Sebelius (left) and various state legislators, speaks outside the West Wing of the White House in Washington on June 17, 2009. (Associated Press)