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In-home nurse Jane Kern, left, helps steady her patient Lexi Gerkin, center, with help from Lexi's mother Audrey Gerkin, right, at the family home in Brentwood, N.H., Friday, March 17, 2017. Pressed by parents of severely sick children, New Hampshire increased Medicaid reimbursement rates for skilled in-home nurses a year ago. But while some families report improvements, the number of shifts being filled has barely budged. (AP Photo/Charles Krupa)

In-home nurse Jane Kern, left, helps steady her patient Lexi Gerkin, center, with help from Lexi's mother Audrey Gerkin, right, at the family home in Brentwood, N.H., Friday, March 17, 2017. Pressed by parents of severely sick children, New Hampshire increased Medicaid reimbursement rates for skilled in-home nurses a year ago. But while some families report improvements, the number of shifts being filled has barely budged. (AP Photo/Charles Krupa)

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