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Sen. Tom Harkin, chairman of the Senate Health, Education, Labor and Pensions Committee, greets Medicare chief Marilyn Tavenner on Capitol Hill in Washington on Tuesday, Nov. 5, 2013, prior to her testimony before the committee on problems with the debut of the Affordable Care Act. (AP Photo/J. Scott Applewhite)

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Health Overhaul Problems.JPEG-08eec.jpg

Sen. Tom Harkin, chairman of the Senate Health, Education, Labor and Pensions Committee, greets Medicare chief Marilyn Tavenner on Capitol Hill in Washington on Tuesday, Nov. 5, 2013, prior to her testimony before the committee on problems with the debut of the Affordable Care Act. (AP Photo/J. Scott Applewhite)

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Marilyn Tavenner, the administrator of the Centers for Medicare and Medicaid Services, testifies on Capitol Hill in Washington, Tuesday, Oct. 29, 2013, before the House Ways and Means Committee hearing on the implementation of the Affordable Care Act. (AP Photo/J. Scott Applewhite)

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**FILE** A Yazoo City, Miss., resident holds copies of a Medicare-approved drug card application on July 27, 2004, in Yazoo City. (Associated Press)

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APTOPIX Health Overhaul Problems.JPEG-0397e.jpg

** FILE ** Marilyn Tavenner, the administrator of the Centers for Medicare and Medicaid Services, testifies on Capitol Hill in Washington, Tuesday, Oct. 29, 2013, before the House Ways and Means Committee hearing on the implementation of the Affordable Care Act. (AP Photo/J. Scott Applewhite)

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health-overhaul-problemsjpeg-0de57_mugshot_four_by_three.jpg

Marilyn Tavenner, administrator of the Centers for Medicare and Medicaid Services, pauses while testifying on Capitol Hill in Washington on Tuesday, Oct. 29, 2013, before the House Ways and Means Committee on the implementation of the Affordable Care Act. (AP Photo/J. Scott Applewhite)

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Health Overhaul Problems.JPEG-0de57.jpg

Marilyn Tavenner, administrator of the Centers for Medicare and Medicaid Services, pauses while testifying on Capitol Hill in Washington on Tuesday, Oct. 29, 2013, before the House Ways and Means Committee on the implementation of the Affordable Care Act. (AP Photo/J. Scott Applewhite)

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Marilyn Tavenner is administrator of the Centers for Medicare and Medicaid Services. (AP Photo/Manuel Balce Ceneta)

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Health Overhaul Probl_Lea.jpg

Marilyn Tavenner is administrator of the Centers for Medicare and Medicaid Services. (AP Photo/Manuel Balce Ceneta)

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**FILE** A Yazoo City, Miss., resident holds copies of a Medicare-approved drug card application on July 27, 2004, in Yazoo City. (Associated Press)

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AP040727018695.jpg

**FILE** A Yazoo City, Miss., resident holds copies of a Medicare-approved drug card application on July 27, 2004, in Yazoo City. (Associated Press)

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** FILE ** House Speaker Nancy Pelosi of Calif., accompanied by Rep. Jan Schakowsky, D-Ill., left, gestures during a news conference on saving Medicare as part of the Health Care Overhaul, Tuesday, March 16, 2010, on Capitol Hill in Washington. (AP Photo/Harry Hamburg)