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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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**FILE** After speaking, Rep. Cory Gardner, Colorado Republican, hands the microphone to Rep. Diana DeGette, Colorado Democrat, during a congressional luncheon and panel discussion sponsored by the Colorado Association of Commerce and Industry in Denver on Aug. 28, 2013. (Associated Press)

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