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Budget director Sylvia Mathews Burwell, President Barack Obama's nominee to replace Health and Human Services Secretary Kathleen Sebelius, smiles in the Rose Garden of the White House in Washington, Friday, April 11, 2014, where the president made the announcment. 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)
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Current Budget Director Sylvia Mathews Burwell, President Barack Obama's nominee to become Health and Human Services Secretary, smiles in the Rose Garden of the White House in Washington, Friday, April 11, 2014, where President Barack Obama made the announcement. (AP Photo/Susan Walsh)
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President Barack Obama watches as outgoing Health and Human Services Secretary Kathleen Sebelius, center, goes to hug the president's nominee to replace Sebelius, Budget Director Sylvia Mathews, Friday, April 11, 2014, in the Rose Garden of the White House in Washington, where the president made the announcement. (AP Photo/Susan Walsh)
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President Barack Obama hugs his nominee to become Health and Human Services Secretary, current Budget Director Sylvia Mathews Burwell as outgoing HHS Secretary Kathleen Sebelius watches at right, Friday, April 11, 2014, in the Rose Garden of the White House in Washington, where the president made the announcement. (AP Photo/Susan Walsh)
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President Barack Obama walks with outgoing Health and Human Services Secretary Kathleen Sebelius, right, and his nominee to replace her, Budget Director Sylvia Mathews Burwell, as they leave the Rose Garden of the White House in Washington, Friday, April 11, 2014, where the president made the announcment. 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)
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President Barack Obama and his nominee to become Health and Human Services secretary, Budget Director Sylvia Mathews Burwell, right, listen as outgoing HHS Secretary Kathleen Sebelius speaks in the Rose Garden of the White House in Washington, Friday, April 11, 2014, where the president made the announcment. (AP Photo/Susan Walsh)
