** FILE ** President Obama signs the health care reform bill in the East Room of the White House in Washington on March 23, 2010, as Marcelas Owens (left), 11, of Seattle and Rep. John D. Dingell (right), Michigan Democrat, look on. (AP Photo/Charles Dharapak)

Photo by: Charles Dharapak

** FILE ** President Obama signs the health care reform bill in the East Room of the White House in Washington on March 23, 2010, as Marcelas Owens (left), 11, of Seattle and Rep. John D. Dingell (right), Michigan Democrat, look on. (AP Photo/Charles Dharapak)