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President Barack Obama, flanked by outgoing Health and Human Services Secretary Kathleen Sebelius, left, and his nominee to replace Sebelius, current Budget director Sylvia Mathews Burwell, right, shares a laugh in the Rose Garden of the White House in Washington, Friday, April 11, 2014, where he made the announcement. (AP Photo/Susan Walsh)

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President Barack Obama shares a laugh with outgoing Health and Human Services Secretary Kathleen Sebelius, Friday, April 11, 2014, in the Rose Garden of the White House in Washington to announce he would nominate current Budget director Sylvia Mathews Burwell to replace Sebelius. (AP Photo/Susan Walsh)

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President Barack Obama stands with outgoing Health and Human Services Secretary Kathleen Sebelius, left, and his nominee to be her replacement, Budget Director Sylvia Mathews Burwell in the Rose Garden of the White House in Washington, Friday, April 11, 2014. The moves come just over a week after sign-ups closed for the first year of insurance coverage under the so-called Obamacare law.(AP Photo/Charles Dharapak)