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North Carolina Health and Human Services Secretary Kody Kinsley, right, speaks while Gov. Roy Cooper listens at an Executive Mansion news conference in Raleigh, N.C., on Monday, Sept. 25, 2023. Kinsley and Cooper announced that North Carolina would launch Medicaid expansion coverage on Dec. 1. Expansion will be able to start because Cooper said he'll let a state budget bill sent by the General Assembly last week to his desk become law without his signature. (AP Photo/Gary D. Robertson)

North Carolina Health and Human Services Secretary Kody Kinsley, right, speaks while Gov. Roy Cooper listens at an Executive Mansion news conference in Raleigh, N.C., on Monday, Sept. 25, 2023. Kinsley and Cooper announced that North Carolina would launch Medicaid expansion coverage on Dec. 1. Expansion will be able to start because Cooper said he'll let a state budget bill sent by the General Assembly last week to his desk become law without his signature. (AP Photo/Gary D. Robertson)

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