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Posted: 1/28/2013 11:08:27 AM EST
This photo taken Jan. 18, 2013 shows part-time home health care provider Debra Walker in her home in Houston. President Barack Obama thinks his health care law makes states an offer they can't refuse. Whether to expand Medicaid _the federal-state program for the poor and disabled_ could be the most important decision facing governors and legislatures this year. The repercussions go beyond their budgets, directly affecting the well-being of residents and the finances of critical hospitals. Awaiting decisions are people like Walker, a part-time home health care provider. She had a good job with health insurance until she got laid off in 2007. (AP Photo/Pat Sullivan)
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Posted: 1/28/2013 11:08:27 AM EST
This photo taken Jan. 18, 2013 shows part-time home health care provider Debra Walker in her home in Houston. President Barack Obama thinks his health care law makes states an offer they can't refuse. Whether to expand Medicaid _the federal-state program for the poor and disabled_ could be the most important decision facing governors and legislatures this year. The repercussions go beyond their budgets, directly affecting the well-being of residents and the finances of critical hospitals. Awaiting decisions are people like Walker, a part-time home health care provider. She had a good job with health insurance until she got laid off in 2007. (AP Photo/Pat Sullivan)
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Posted: 1/28/2013 11:08:27 AM EST
This photo taken Jan. 18, 2013 shows part-time home health care provider Debra Walker in her home in Houston. President Barack Obama thinks his health care law makes states an offer they can't refuse. Whether to expand Medicaid _the federal-state program for the poor and disabled_ could be the most important decision facing governors and legislatures this year. The repercussions go beyond their budgets, directly affecting the well-being of residents and the finances of critical hospitals. Awaiting decisions are people like Walker, a part-time home health care provider. She had a good job with health insurance until she got laid off in 2007. (AP Photo/Pat Sullivan)
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Posted: 1/28/2013 10:48:28 AM EST
ADVANCE FOR TUESDAY, JAN. 29 AND THEREAFTER - This photo taken Jan. 18, 2013 shows part-time home health care provider Debra Walker in her home in Houston. President Barack Obama thinks his health care law makes states an offer they can't refuse. Whether to expand Medicaid _the federal-state program for the poor and disabled_ could be the most important decision facing governors and legislatures this year. The repercussions go beyond their budgets, directly affecting the well-being of residents and the finances of critical hospitals. Awaiting decisions are people like Walker, a part-time home health care provider. She had a good job with health insurance until she got laid off in 2007. (AP Photo/Pat Sullivan)
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Posted: 1/28/2013 10:48:28 AM EST
ADVANCE FOR TUESDAY, JAN. 29 AND THEREAFTER - This photo taken Jan. 18, 2013 shows part-time home health care provider Debra Walker in her home in Houston. President Barack Obama thinks his health care law makes states an offer they can't refuse. Whether to expand Medicaid _the federal-state program for the poor and disabled_ could be the most important decision facing governors and legislatures this year. The repercussions go beyond their budgets, directly affecting the well-being of residents and the finances of critical hospitals. Awaiting decisions are people like Walker, a part-time home health care provider. She had a good job with health insurance until she got laid off in 2007. (AP Photo/Pat Sullivan)
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Posted: 1/28/2013 10:48:28 AM EST
ADVANCE FOR TUESDAY, JAN. 29 AND THEREAFTER - This photo taken Jan. 18, 2013 shows part-time home health care provider Debra Walker in her home in Houston. President Barack Obama thinks his health care law makes states an offer they can't refuse. Whether to expand Medicaid _the federal-state program for the poor and disabled_ could be the most important decision facing governors and legislatures this year. The repercussions go beyond their budgets, directly affecting the well-being of residents and the finances of critical hospitals. Awaiting decisions are people like Walker, a part-time home health care provider. She had a good job with health insurance until she got laid off in 2007. (AP Photo/Pat Sullivan)
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Posted: 1/28/2013 10:33:24 AM EST
ADVANCE FOR TUESDAY, JAN. 29 AND THEREAFTER - This photo taken Jan. 18, 2013 shows part-time home health care provider Debra Walker in her home in Houston. President Barack Obama thinks his health care law makes states an offer they can't refuse. Whether to expand Medicaid _the federal-state program for the poor and disabled_ could be the most important decision facing governors and legislatures this year. The repercussions go beyond their budgets, directly affecting the well-being of residents and the finances of critical hospitals. Awaiting decisions are people like Walker, a part-time home health care provider. She had a good job with health insurance until she got laid off in 2007. (AP Photo/Pat Sullivan)
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Posted: 1/28/2013 10:33:24 AM EST
ADVANCE FOR TUESDAY, JAN. 29 AND THEREAFTER - This photo taken Jan. 18, 2013 shows part-time home health care provider Debra Walker in her home in Houston. President Barack Obama thinks his health care law makes states an offer they can't refuse. Whether to expand Medicaid _the federal-state program for the poor and disabled_ could be the most important decision facing governors and legislatures this year. The repercussions go beyond their budgets, directly affecting the well-being of residents and the finances of critical hospitals. Awaiting decisions are people like Walker, a part-time home health care provider. She had a good job with health insurance until she got laid off in 2007. (AP Photo/Pat Sullivan)
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Posted: 1/28/2013 10:33:24 AM EST
ADVANCE FOR TUESDAY, JAN. 29 AND THEREAFTER - This photo taken Jan. 18, 2013 shows part-time home health care provider Debra Walker in her home in Houston. President Barack Obama thinks his health care law makes states an offer they can't refuse. Whether to expand Medicaid _the federal-state program for the poor and disabled_ could be the most important decision facing governors and legislatures this year. The repercussions go beyond their budgets, directly affecting the well-being of residents and the finances of critical hospitals. Awaiting decisions are people like Walker, a part-time home health care provider. She had a good job with health insurance until she got laid off in 2007. (AP Photo/Pat Sullivan)
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Posted: 1/27/2013 1:13:44 PM EST
In this Jan. 8, 2013 photo, business developer Robert Schultz poses for a photo just outside his home office in Newton, Mass. Buying your own health insurance will never be the same. This fall, new insurance markets called exchanges will open in each state, the long-awaited and much-debated debut of President Barack Obama's health care overhaul. Schultz is a Boston-area startup business consultant who got his MBA in 2008, when the economy was tanking. Yet he was able to find coverage when he graduated and hang on to his insurance through job changes since. (AP Photo/Charles Krupa)
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Posted: 1/27/2013 1:13:44 PM EST
In this Jan. 8, 2013 photo, business developer Robert Schultz poses for a photo outside his home office in Newton, Mass. Buying your own health insurance will never be the same. This fall, new insurance markets called exchanges will open in each state, the long-awaited and much-debated debut of President Barack Obama's health care overhaul. Schultz is a Boston-area startup business consultant who got his MBA in 2008, when the economy was tanking. Yet he was able to find coverage when he graduated and hang on to his insurance through job changes since. (AP Photo/Charles Krupa)
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Posted: 1/27/2013 1:13:44 PM EST
In this Jan. 8, 2013 photo, business developer Robert Schultz poses for a photo outside his home office in Newton, Mass. Buying your own health insurance will never be the same. This fall, new insurance markets called exchanges will open in each state, the long-awaited and much-debated debut of President Barack Obama's health care overhaul. Schultz is a Boston-area startup business consultant who got his MBA in 2008, when the economy was tanking. Yet he was able to find coverage when he graduated and hang on to his insurance through job changes since. (AP Photo/Charles Krupa)
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Posted: 1/24/2013 4:18:30 PM EST
FILE - In a June 11, 2007 file photo, Helen Heinlo smokes outside of a coffee shop in Belmont, Calif. Millions of smokers could be priced out of health insurance because of tobacco penalties in President Barack Obama’s health care law, say experts. The Affordable Care Act allows health insurers to charge smokers buying an individual policy up to 50 percent higher premiums starting next Jan. 1. For a 55-year-old smoker, the penalty could reach nearly $4,250 a year. A 60-year-old could wind up paying nearly $5,100 on top of premiums. (AP Photo/Paul Sakuma, File)
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Posted: 1/24/2013 4:18:30 PM EST
FILE - In a June 11, 2007 file photo, Helen Heinlo smokes outside of a coffee shop in Belmont, Calif. Millions of smokers could be priced out of health insurance because of tobacco penalties in President Barack Obama’s health care law, say experts. The Affordable Care Act allows health insurers to charge smokers buying an individual policy up to 50 percent higher premiums starting next Jan. 1. For a 55-year-old smoker, the penalty could reach nearly $4,250 a year. A 60-year-old could wind up paying nearly $5,100 on top of premiums. (AP Photo/Paul Sakuma, File)
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Posted: 1/24/2013 4:03:30 PM EST
California State Assemblyman Richard Pan, D-Sacramento, right, is seen after Gov. Jerry Brown, delivered his State of the State address at the Capitol in Sacramento, Calif., Thursday, Jan. 23, 2013. Millions of smokers could be priced out of health insurance because of tobacco penalties in President Barack Obama’s health care law, say experts who are just now teasing out the potential impact of an overlooked provision in the massive legislation. “We don’t want to create barriers for people to get health care coverage,” said California state Assemblyman Richard Pan, who is working on a law in his state that would limit insurers’ ability to charge smokers more.” The federal law allows states to limit or change the smoking penalty. “We want people who are smoking to get smoking cessation treatment,” added Pan, a pediatrician who represents the Sacramento area. (AP Photo/Rich Pedroncelli)
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Posted: 1/24/2013 4:03:30 PM EST
Californian State Assemblyman Richard Pan, D-Sacramento, right, talks with schools chief Tom Torlakson, after Gov. Jerry Brown, delivered his State of the State address at the Capitol in Sacramento, Calif., Thursday, Jan. 23, 2013. Millions of smokers could be priced out of health insurance because of tobacco penalties in President Barack Obama’s health care law, say experts who are just now teasing out the potential impact of an overlooked provision in the massive legislation. “We don’t want to create barriers for people to get health care coverage,” said California state Assemblyman Richard Pan, who is working on a law in his state that would limit insurers’ ability to charge smokers more.” The federal law allows states to limit or change the smoking penalty. “We want people who are smoking to get smoking cessation treatment,” added Pan, a pediatrician who represents the Sacramento area. (AP Photo/Rich Pedroncelli)
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Posted: 1/23/2013 4:43:33 PM EST
FILE - In this April 12, 2006 file photo, Massachusetts Gov. Mitt Romney, right, shakes hands with Massachusetts Health and Human Services Secretary Timothy Murphy after signing into law a landmark bill designed to guarantee that virtually all Massachusetts residents have health insurance at Faneuil Hall in Boston. Sen. Edward Kennedy, D-Mass., is center, and Massachusetts House Speaker Salvatore DiMasi, is at right. The Massachusetts law provides a model for the rest of the nation as states work to establish their own health exchanges in 2013. (AP Photo/Elise Amendola, File)
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Posted: 1/23/2013 2:48:22 PM EST
FILE - This Jan. 10, 2013 file photo show Arizona Gov. Jan Brewer in her office at the Capitol in Phoenix. Governors who reject health insurance for the poor under the federal health care overhaul could wind up in a politically awkward position on immigration: A quirk in the law means some U.S. citizens would be forced to go without coverage, while legal immigrants residing in the same state could still get it. Arizona officials called attention to the problem last week, when Brewer announced she would accept the expansion of Medicaid offered under Obama’s law. Brewer had been a leading opponent of the overhaul, and her decision got widespread attention. Budget documents cited the immigration glitch as one of her reasons. (AP Photo/Matt York, File)
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Posted: 1/16/2013 9:18:38 PM EST
FILE - In this June 5, 2012 file photo, Gary Loveman, chairman, CEO and president of Caesar's Entertainment, speaks in Boston. An influential group of business CEOs chaired by Loveman is pushing a plan to gradually increase the full retirement age to 70 for both Social Security and Medicare and to partially privatize the health insurance program for older Americans. (AP Photo/Stephan Savoia, File)
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Posted: 1/6/2013 10:58:20 AM EST
In this Tuesday, Dec. 11, 2012 photo, Zendi Solano, second from left, trains with her running club in Pasadena, Calif. Kaiser Permanente, one of the nation's largest nonprofit health insurance plans, made a big push a few years ago to get its southern California doctors to ask patients about exercise. Since then, Kaiser has expanded the program across California and to several other states. Now almost 9 million patients are asked at every visit, and some other medical systems are doing it, too. (AP Photo/Mark J. Terrill)