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UNITED STATES - OCTOBER 29: Rep. Lloyd Doggett, D-Texas, takes his seat to hear Marilyn Tavenner, administrator of the Centers for Medicare & Medicaid Services, testify during the House Ways and Means Committee hearing on "Affordable Care Act Implementation" on Tuesday, Oct. 29, 2013. (Photo By Bill Clark/CQ Roll Call)

UNITED STATES - OCTOBER 29: Rep. Lloyd Doggett, D-Texas, takes his seat to hear Marilyn Tavenner, administrator of the Centers for Medicare & Medicaid Services, testify during the House Ways and Means Committee hearing on "Affordable Care Act Implementation" on Tuesday, Oct. 29, 2013. (Photo By Bill Clark/CQ Roll Call)

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