President Barack Obama hugs outgoing Health and Human Services Secretary Kathleen Sebelius as he stands with Vice President Joe Biden and his nominee to be her replacement, Budget Director Sylvia Mathews Burwell, Friday, April 11, 2014, in the Rose Garden f the White House in Washington. The moves come just over a week after sign-ups closed for the first year of insurance coverage under the so-called Obamacare law.(AP Photo/Charles Dharapak), APTOPIX