(CNN) - Health and Human Services Secretary Kathleen Sebelius was already having a rough week when she was presented with an unwelcome gift at an event in Memphis on Friday.
After being grilled on Capitol Hill and receiving subpoenas from one congressional committee, Sebelius was wrapping up her week at an outreach event when Tennessee state Sen. Brian Kelsey approached her with a copy of the book "Web Sites for Dummies," according to Memphis' The Daily News, which captured the moment on camera.
In the picture posted on The Daily News' website, Sebelius holds the book out with what seems to be an irritated expression.
Kelsey, a Republican, later tweeted, "Just presented Sec Sebelius with 'Websites for Dummies,'" and then, "The book is simply a reminder to Sec. #Sebelius of my message to her that Tennessee does NOT want Medicaid expansion."
The secretary's office did not immediately respond to a request for comment.
Sebelius was in Tennessee to promote the Affordable Care Act and explain how her department is working to fix the botched insurance exchange website, HealthCare.gov.
"Clearly we did not do enough end-to-end testing," admitted Sebelius, though she defended the market itself, saying, "The market is ready. We have competitive plans in every market in this country."
"We have brought in a lot of technology experts to help make sure that we have all the eyes and ears on the problems and the puzzle, “Sebelius added.
On Wednesday, Sebelius apologized for the flawed website when she testified before the House Energy and Commerce Committee. President Obama has thus far resisted calls from congressional Republicans to fire Sebelius.