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Sen. Jason Small, R-Busby, who is carrying the Medicaid expansion bill in the Senate watches as the Senate gives its initial endorsement of the bill in Helena, Mont., Monday, April 15, 2019. The Montana Senate on Monday narrowly endorsed a bill to continue the state's Medicaid expansion program. The vote came a day before a deadline to send the bill to the state House.(Thom Bridge/Independent Record via AP)

Sen. Jason Small, R-Busby, who is carrying the Medicaid expansion bill in the Senate watches as the Senate gives its initial endorsement of the bill in Helena, Mont., Monday, April 15, 2019. The Montana Senate on Monday narrowly endorsed a bill to continue the state's Medicaid expansion program. The vote came a day before a deadline to send the bill to the state House.(Thom Bridge/Independent Record via AP)

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