In this April 1, 2014, photo, President Barack Obama, waves to the audience as he leaves the Rose Garden of the White House in Washington, Tuesday, April 1, 2014, after speaking about the Affordable Care Act. At the behest of business groups, congressional Republicans quietly sought and won a recent change in Obama's health care overhaul that expands coverage options under the law, a striking departure from their customary high-decibel attempts to repeal or dismember the law. (AP Photo/Carolyn Kaster)

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