House Minority Leader Nancy Pelosi, D-Calif. reflects on the Supreme Court decision upholding the Affordable Care Act, during a news conference on Capitol Hill in Washington, Thursday, June 28, 2012. Pelosi, the former speaker of the House, was instrumental in helping to pass health care reform in Congress and was at President Obama's side when he signed it into law. (AP Photo/J. Scott Applewhite)

Associated Press
House Minority Leader Nancy Pelosi, D-Calif. reflects on the Supreme Court decision upholding the Affordable Care Act, during a news conference on Capitol Hill in Washington, Thursday, June 28, 2012. Pelosi, the former speaker of the House, was instrumental in helping to pass health care reform in Congress and was at President Obama's side when he signed it into law.  (AP Photo/J. Scott Applewhite)
House Minority Leader Nancy Pelosi, D-Calif. reflects on the Supreme Court decision upholding the Affordable Care Act, during a news conference on Capitol Hill in Washington, Thursday, June 28, 2012. Pelosi, the former speaker of the House, was instrumental in helping to pass health care reform in Congress and was at President Obama's side when he signed it into law. (AP Photo/J. Scott Applewhite)
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