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** FILE ** In this Nov. 6, 2013, file photo, Health and Human Services Secretary Kathleen Sebelius testifies on Capitol Hill in Washington on the difficulties plaguing the implementation of the Affordable Care Act. (AP Photo/J. Scott Applewhite, File)
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President Barack Obama speaks at the 2013 Tribal Nations Conference, Wednesday, Nov. 13, 2013, at the Interior Department in Washington. (AP Photo/ Evan Vucci)
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President Barack Obama speaks at the 2013 Tribal Nations Conference, Wednesday, Nov. 13, 2013, at the Interior Department in Washington. (AP Photo/ Evan Vucci)
