FILE - In this Jan. 14, 2019 file photo, Democratic state Auditor Nicole Galloway speaks in Jefferson City, Mo. Missouri voters are set to decide whether to expand Medicaid health care coverage to thousands more low-income adults. A proposal to amend the state Constitution to expand eligibility for Medicaid is on Tuesday, Aug. 4, 2020s' ballot. Galloway's office estimated that expanding Medicaid could cost the state at least $200 million or save as much as $1 billion annually by 2026. Republican opponents cite the potential costs as a reason to oppose the ballot initiative. (Julie Smith/The Jefferson City News-Tribune via AP, File)
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