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FILE - This Jan. 23, 2013 file photo shows California State Assemblyman Richard Pan, D-Sacramento, center, at the Capitol in Sacramento, Calif. From California to Rhode Island, many states are finding that their health care costs for low-income residents will rise as an unintended consequence of the new federal health care law. That's because people previously eligible for Medicaid _ even before President Barack Obama expanded the safety-net program _ are signing up in unexpectedly high numbers. For states red or blue, the problem is that they have to use more of their own money to cover this particular group.(AP Photo/Rich Pedroncelli, File)

FILE - This Jan. 23, 2013 file photo shows California State Assemblyman Richard Pan, D-Sacramento, center, at the Capitol in Sacramento, Calif. From California to Rhode Island, many states are finding that their health care costs for low-income residents will rise as an unintended consequence of the new federal health care law. That's because people previously eligible for Medicaid _ even before President Barack Obama expanded the safety-net program _ are signing up in unexpectedly high numbers. For states red or blue, the problem is that they have to use more of their own money to cover this particular group.(AP Photo/Rich Pedroncelli, File)

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