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**FILE** Sen. Lamar Alexander, Tennessee Republican, speaks to reporters on Jan. 9, 2013, in Nashville. (Associated Press)

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** FILE ** Health and Human Services Secretary Kathleen Sebelius greets Mary and Willie Williams as they meet with a navigator about their health care options under the Affordable Care Act, at the North Shore Medical Center in Miami, on Tuesday, Nov 19, 2013. (Associated Press)