Adam Holmes, a legislative affairs staff member in the House Clerk's Office, delivers the Senate Health Reform bill on Capitol Hill in Washington, Monday, March 22, 2010, prior to House Speaker Nancy Pelosi of Calif. signing the bill. (AP Photo/Haraz N. Ghanbari)

Adam Holmes, a legislative affairs staff member in the House Clerk's Office, delivers the Senate Health Reform bill on Capitol Hill in Washington, Monday, March 22, 2010, prior to House Speaker Nancy Pelosi of Calif. signing the bill. (AP Photo/Haraz N. Ghanbari)

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