House Speaker Nancy Pelosi of Calif. signs the Senate Health Reform bill, Monday, March 22, 2010, on Capitol Hill in Washington. Looking on, from left are, House Majority Whip James Clyburn of S.C., House Majority Leader Steny Hoyer of Md., Rep, George Miller, D-Calif., Rep. Louise Slaughter, D-N.Y., Rep. Rosa DeLauro, D-Conn., and Rep. John Dingell, D-Mich.

Haraz Ghanbari / Associated Press

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