Democratic Rep. Mary Caferro, left, and Republican Rep. Ed Buttrey, right, look on as Democratic Gov. Steve Bullock signs a bill to continue Montana's Medicaid expansion program, Thursday, May 9, 2019 in Helena, Mont. Buttrey sponsored the bill that includes a work requirement, an improved asset test and increased premiums for people who remain on the program for more than a year. Caferro sponsored a Medicaid expansion bill that did not pass. The program provides health insurance to about 95,000 low-income residents. (AP Photo/Amy Beth Hanson)
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