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North Carolina Democratic Gov. Roy Cooper speaks March 27, 2023, outside the Executive Mansion in Raleigh, N.C., before signing a Medicaid expansion law that was a decade in the making. Cooper announced Friday, Sept. 22, 2023, that he would let the state budget bill that's reached his desk become law without his signature, opening the way for Medicaid coverage for 600,000 low-income adults, with some receiving the government health insurance soon. (AP Photo/Hannah Schoenbaum, File)

North Carolina Democratic Gov. Roy Cooper speaks March 27, 2023, outside the Executive Mansion in Raleigh, N.C., before signing a Medicaid expansion law that was a decade in the making. Cooper announced Friday, Sept. 22, 2023, that he would let the state budget bill that's reached his desk become law without his signature, opening the way for Medicaid coverage for 600,000 low-income adults, with some receiving the government health insurance soon. (AP Photo/Hannah Schoenbaum, File)

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