In this photo taken March 1, 2017, New York Gov. Andrew Cuomo speaks in New York. House Republican leaders want to shift more than $2 billion in Medicaid costs from upstate counties to the New York State government. The provision would help mostly Republican-controlled counties that have struggled to subsidize Medicaid payments for the poor. New York City wouldn’t get the same relief. (AP Photo/Kathy Willens)
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