MIAMI, FL - JANUARY 16:  U.S. Labor Secretary Thomas E. Perez speaks while attending a forum on the Affordable Care Act held at the Jackson Memorial Hospital Ira C. Clark Diagnostic Treatment Center on January 16, 2014 in Miami, Florida.  The forum featured presentations on: how to sign up for coverage and where to get help choosing a health plan, as well as an overview  the health benefits available to young adults.  (Photo by Joe Raedle/Getty Images)