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UNITED STATES - DECEMBER 13: Joshua Sharfstein, secretary of the State of Maryland Department of Health and Mental Hygiene; testifies at a House Energy and Commerce Health Subcommittee hearing on "State of Uncertainty: Implementation of PPACA's (Patient Protection and Affordable Care Act) Exchanges and Medicaid Expansion." (Photo By Chris Maddaloni/CQ Roll Call)

UNITED STATES - DECEMBER 13: Joshua Sharfstein, secretary of the State of Maryland Department of Health and Mental Hygiene; testifies at a House Energy and Commerce Health Subcommittee hearing on "State of Uncertainty: Implementation of PPACA's (Patient Protection and Affordable Care Act) Exchanges and Medicaid Expansion." (Photo By Chris Maddaloni/CQ Roll Call)

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