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Department of Health and Hospitals Secretary Kathy Kliebert, left, speaks to Rep. Bubba Chaney, R-Rayville, before her budget presentation on Tuesday, April 1, 2014, in Baton Rouge, La. The House Appropriations Committee raised concerns about Gov. Bobby Jindal's budget proposal for the health department next year. (AP Photo/Melinda Deslatte)

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Lawmakers hear a Department of Health and Hospitals budget presentation on Tuesday, April 1, 2014, in Baton Rouge, La. The House Appropriations Committee raised concerns about Gov. Bobby Jindal's budget proposal for the health department next year. (AP Photo/Melinda Deslatte)

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Rep. Rogers Pope, R-Denham Springs, left, and Rep. Ted James, D-Baton Rouge, review Department of Health and Hospitals budget documents on Tuesday, April 1, 2014, in Baton Rouge, La. The House Appropriations Committee raised concerns about Gov. Bobby Jindal's budget proposal for the health department next year. (AP Photo/Melinda Deslatte)

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House Minority Leader Nancy Pelosi of Calif. speaks to reporters outside the West Wing of the White House in Washington, Tuesday, April 1, 2014, following her lunch with President Barack Obama. Pelosi was asked several questions about the Affordable Care Act. (AP Photo/Susan Walsh)

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** FILE ** House Minority Leader Nancy Pelosi of California speaks to reporters outside the West Wing of the White House in Washington, Tuesday, April 1, 2014, following her lunch with President Barack Obama. Pelosi was asked several questions about the Affordable Care Act. (AP Photo/Susan Walsh)

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House Minority Leader Nancy Pelosi of Calif. speaks to reporters outside the West Wing of the White House in Washington, Tuesday, April 1, 2014, following her lunch with President Barack Obama. Pelosi was asked several questions about the Affordable Care Act. (AP Photo/Susan Walsh)

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Staffer Thomas Sundoval, left, assists Jaime Sanchez, center, 50, and his wife Carmen Castro, right, 50, during a health care enrollment event at AltaMed Health Insurance Resource Center, Monday, March 31, 2014, in Los Angeles. (AP Photo/Ringo H.W. Chiu)