WASHINGTON, DC - OCTOBER 29: House Budget Committee Chairman Paul Ryan (R-WI) listens to testimony from Centers for Medicare and Medicaid Services Administrator Marilyn Tavenner during a hearing of the House Ways and Means Committee in the Longworth House Office Building October 29, 2013 in Washington, DC. In the wake of the troubled launch of the Healthcare.gov website, Tavenner testified about the implementation of the Affordable Care Act, also known as Obamacare.
