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President Barack Obama receives an update on Affordable Care Act in the Oval Office, April 1, 2014. With the President, from left, are: Phil Schiliro, Assistant to the President and Special Advisor; Tara McGuinness, Senior Communications Advisor; Marlon Marshall, Principal Deputy Director of Public Engagement; Jeanne Lambrew, Deputy Assistant to the President for Health Policy; Kristie Canegallo, Advisor to Chief of Staff; and Senior Advisor Valerie Jarrett.