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Democrats in Congress and the states are devising strategies to expand health coverage — through the Affordable Care Act, Medicare, Medicaid and a “public option.” But progress remains halting, at best. Meanwhile, lawmakers in Washington may have to agree on how to control prescription drug prices if they wish to finance their coverage initiatives. Alice Miranda Ollstein of Politico, Tami Luhby of CNN and Shefali Luthra of The 19th join KHN’s Julie Rovner to discuss these issues and more. Also, Rovner interviews Michelle Andrews, who reported and wrote last month’s KHN-NPR “Bill of the Month” episode about a very expensive sleep study.

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JEFFERSON CITY, Mo. (AP) — A Missouri judge on Wednesday ruled that a ballot measure to expand Medicaid is unconstitutional, meaning hundreds of thousands of newly eligible adults won't be able to access the health insurance program July 1 as promised.

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SIOUX FALLS, S.D. (AP) — A campaign group backed by South Dakota's major health care systems announced Wednesday that it will begin gathering petition signatures for a ballot measure to expand Medicaid to provide health coverage for low-income people.

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RALEIGH, N.C. (AP) — North Carolina Senate Republicans unveiled a two-year state budget proposal Monday that sticks to earlier spending limits even with recent news of a massive revenue windfall. They instead earmark billions more now for savings, with plans for deeper tax cuts and more construction projects to follow the rest of the decade.

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JEFFERSON CITY, Mo. (AP) — If Missouri conservatives don't want to fund a voter-approved expansion of the state's Medicaid program, they can either propose another constitutional amendment that would gut it or cut funding to the existing program completely, a lawyer for three would-be new recipients told a judge on Monday.


BOISE, Idaho — The dream world for Idaho’s ascendant far right is one where state lawmakers run a sovereign nation-state free of federal oversight. It would be a place where they can outlaw all abortions, dictate what is taught in schools, have complete say over public health rules and gun laws, and take control of federal public lands, which make up more than 60% of the state.

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