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President Obama’s health care law is “here to stay,” but cannot fulfill its promise if states do not expand Medicaid and the uninsured do not take advantage of the benefits designed to put coverage within reach of millions more Americans, Health and Human Services Secretary Kathleen Sebelius said Monday.

Addressing the National Health Policy Conference in downtown Washington, Mrs. Sebelius said the Patient Protection and Affordable Care Act of 2010 remains the “law of the land” after the Supreme Court upheld its key provisions in June and Mr. Obama won re-election in November, but several moving parts must sync up before the reforms can be fully effective.

“So my challenge to all of you today, and actually my plea to all of you … is help us speed up the rate of change,” she said.

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