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U.S. Secretary of Health and Human Services Kathleen Sebelius in St. Louis
U.S. Secretary of Health and Human Services Kathleen Sebelius decsribes the implementation of the new federal healthcare law, as St. Louis Mayor Francis Slay and other local officials listen in during a meeting in St. Louis on September 19, 2013. Many of the Affordable Care Act mandates kick in at the start of 2014. UPI/Bill Greenblatt

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U.S. Secretary of Health and Human Services Kathleen Sebelius in St. Louis
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