This week, the Senate Health, Education, Labor and Pensions Committee will hold the first hearing on the nomination of Sylvia Mathews Burwell to be Secretary of the Department of Health and Human Services (HHS). If confirmed by the Senate she would replace the current Secretary, Kathleen Sebelius. Last April, Burwell was confirmed 96-0 as the Director of the Office of Management and Budget. It is likely that questions about the Affordable Care Act will dominate the hearings. The Senate Finance Committee will also hold a hearing before a Senate confirmation vote is scheduled.