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Michigan budget director Al Pscholka, left, defends the state's Medicaid expansion program, Monday, June 5, 2017, during a briefing with reporters at the Care Free Medical and Dental Clinic in Lansing, Mich. Next to Pscholka are the clinic's CEO and medical director, Dr. Farhan Bhatti and Michigan Health and Human Services Director Nick Lyon, right. The Medicaid program would undergo significant changes if a U.S.-House passed bill is enacted. (AP Photo/David Eggert)

Michigan budget director Al Pscholka, left, defends the state's Medicaid expansion program, Monday, June 5, 2017, during a briefing with reporters at the Care Free Medical and Dental Clinic in Lansing, Mich. Next to Pscholka are the clinic's CEO and medical director, Dr. Farhan Bhatti and Michigan Health and Human Services Director Nick Lyon, right. The Medicaid program would undergo significant changes if a U.S.-House passed bill is enacted. (AP Photo/David Eggert)

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