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Sylvia Mathews Burwell

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President Barack Obama, flanked by outgoing Health and Human Services Secretary Kathleen Sebelius, left, and his nominee to replace Sebelius, current Budget director Sylvia Mathews Burwell, right, shares a laugh in the Rose Garden of the White House in Washington, Friday, April 11, 2014, where he made the announcement. (AP Photo/Susan Walsh)

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President Barack Obama shares a laugh with outgoing Health and Human Services Secretary Kathleen Sebelius, Friday, April 11, 2014, in the Rose Garden of the White House in Washington to announce he would nominate current Budget director Sylvia Mathews Burwell to replace Sebelius. (AP Photo/Susan Walsh)

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FILE - In this Monday, March 4, 2013, file photo, Wal-Mart Foundation President Sylvia Mathews Burwell stands on stage in the East Room of the White House in Washington, as President Barack Obama announced he would nominate Burwell to head the Budget Office. In a sign that the White House is seeking to avoid a nomination fight, an official said Obama was tapping Burwell, the director of the Office of Management and Budget, to replace Kathleen Sebelius, who has resigned as Health and Human Services Secretary. Burwell was unanimously confirmed by the Senate for her current post. (AP Photo/Carolyn Kaster, File)

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**FILE** Walmart Foundation President Sylvia Mathews Burwell stands on stage in the East Room of the White House in Washington, Monday, March 4, 2013, as President Barack Obama announced he would nomination Burwell to head the Budget Office. (AP Photo/Carolyn Kaster)

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President Obama announces in the East Room of the White House in Washington March 4, 2013, he will nominate, Gina McCarthy to head the EPA; MIT physics professor Ernest Moniz for Energy Secretary; and Walmart Foundation President Sylvia Mathews Burwell to head the Budget Office. (Associated Press)

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President Obama announces his choices (from left) of MIT physics professor Ernest Moniz for energy secretary, Gina McCarthy to head the Environmental Protection Agency, and Wal-Mart Foundation President Sylvia Mathews Burwell to head the Office of Management and Budget during a ceremony Monday in the East Room of the White House. (Associated Press)