Kathleen Sebelius

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Health and Human Services Secretary Kathleen Sebelius says administrative costs "have gotten out of hand." (Associated Press)

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ASSOCIATED PRESS FILE - In this Sept. 22, 2010, file photo President Barack Obama, accompanied by Health and Human Services Secretary Kathleen Sebelius, center, speaks at a private residence in Falls Church, Va.

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President Barack Obama, accompanied by Health and Human Services Secretary Kathleen Sebelius, center, talks in the backyard of a private residence to discuss the Patient's Bill of Rights and health care reform, Wednesday, Sept. 22, 2010, in Falls Church, VA. (AP Photo/Pablo Martinez Monsivais)

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** FILE ** President Barack Obama, accompanied by Health and Human Services Secretary Kathleen Sebelius, arrives in the backyard of a private residence in Falls Church, Va., Wednesday, Sept. 22, 2010, to discuss the Patient's Bill of Rights and health care reform. (AP Photo/Pablo Martinez Monsivais)

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Health and Human Services Secretary Kathleen Sebelius looks on at left as President Barack Obama speaks in the backyard of a private residence in Falls Church, Va., Wednesday, Sept. 22, 2010, to discuss the Patient's Bill of Rights and health care reform. (AP Photo/Pablo Martinez Monsivais)

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Health and Human Services Secretary Kathleen Sebelius speaks during the summer meeting of the Democratic National Committee, Friday, Aug. 20, 2010, in St. Louis. (AP Photo/Jeff Roberson)

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**FILE** Health and Human Services Secretary Kathleen Sebelius testifies on Capitol Hill on June 2, 2009, before the House Health subcommittee hearing on health care reform. (Associated Press)