Article Photos: Obama: Budget not 'ideal' but has 'tough reforms' 1/3

FILE - In this Feb. 20, 2013 file photo, Human Services Secretary Kathleen Sebelius speaks in Philadelphia. President Barack Obamaâs budget next week will steer clear of major cuts to Medicaid, including tens of billions the administration proposed only last year. The White House is holding harmless the federal-state health care program for low-income people while wooing financially skittish states to expand Medicaid coverage to millions now uninsured. (AP Photo/Matt Rourke, File)