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Iowa Auditor Rob Sand explains results of an audit his agency conducted of the Iowa Medicaid Home Health Services program during a news conference at the Iowa Capitol, Thursday, Jan. 9, 2020. Standing behind him are Deputy Auditor Annette Campbell, left, and Senior Auditor Melissa Finestead. Sand criticized the Iowa Department of Human Services for providing data he claimed was so flawed he couldn't test it. (AP Photo/David Pitt)

Iowa Auditor Rob Sand explains results of an audit his agency conducted of the Iowa Medicaid Home Health Services program during a news conference at the Iowa Capitol, Thursday, Jan. 9, 2020. Standing behind him are Deputy Auditor Annette Campbell, left, and Senior Auditor Melissa Finestead. Sand criticized the Iowa Department of Human Services for providing data he claimed was so flawed he couldn't test it. (AP Photo/David Pitt)

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