House Speaker Nancy Pelosi of Calif. acknowledges applause from House members after signing the Senate Health Reform Bill, Monday, March 22, 2010, on Capitol Hill in Washington. From left are, House Majority Leader Steny Hoyer of Md., Rep. George Miller, D-Calif., Rep. Louise Slaughter, D-N.Y., Rep. Chris Van Hollen, D-Md., Rep. Henry Waxman, D-Calif., Pelosi, Rep. John Dingell, D-Mich., Rep. Sander Levin, D-Mich.,, and Rep. John Larson, D-Conn. (AP Photo/Manuel Balce Ceneta)

House Speaker Nancy Pelosi of Calif. acknowledges applause from House members after signing the Senate Health Reform Bill, Monday, March 22, 2010, on Capitol Hill in Washington. From left are, House Majority Leader Steny Hoyer of Md., Rep. George Miller, D-Calif., Rep. Louise Slaughter, D-N.Y., Rep. Chris Van Hollen, D-Md., Rep. Henry Waxman, D-Calif., Pelosi, Rep. John Dingell, D-Mich., Rep. Sander Levin, D-Mich.,, and Rep. John Larson, D-Conn. (AP Photo/Manuel Balce Ceneta)

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