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In rugged, rural areas, patients often have little choice about how they'll get to the hospital in an emergency. "The presence of private equity in the air ambulance industry indicates that investors see profit opportunities," a 2017 report from the federal Government Accountability Office notes. pidjoe/Getty Images hide caption

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John Poynter of Clarksville, Tenn., uses a wall calendar to keep track of all his appointments for both behavioral health and physical ailments. His mental health case manager, Valerie Klein, appears regularly on the calendar — and helps make sure he gets to his diabetes appointments. Blake Farmer/WPLN hide caption

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Blake Farmer/WPLN

Coordinating Care Of Mind And Body Might Help Medicaid Save Money And Lives

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Demonstrators rallied in Sacramento in May for Medi-Cal expansion to undocumented Californians. When the state's budget was finalized, only young adults up to age 26 were authorized to be included in the expansion. Gov. Gavin Newsom says that's an important first step. Rich Pedroncelli/AP hide caption

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Rich Pedroncelli/AP

Young Undocumented Californians Cheer Promise Of Health Benefits

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Dr. Rebekah Gee, secretary of the Louisiana Department of Health, negotiated a deal with a drugmaker to get the state a better price for expensive hepatitis C medications for its Medicaid and prison populations. Tom Williams/CQ-Roll Call Inc. hide caption

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Tom Williams/CQ-Roll Call Inc.

Kentucky Gov. Matt Bevin, a Republican, speaks to state legislators in 2018. Bevin, who is running for re-election this fall, asked the federal government to impose work requirements on many people who receive Medicaid. Bevin's predecessor, a Democrat, did not seek these requirements when he expanded the program under the Affordable Care Act. Timothy D. Easley/AP hide caption

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Timothy D. Easley/AP

Leah Steimel (center) says she would consider buying insurance through a Medicaid-style plan that the New Mexico Legislature is considering. Her family includes (from left) her husband, Wellington Guzman; their daughter, Amelia; and sons Daniel and Jonathan. Courtesy of Leah Steimel hide caption

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Courtesy of Leah Steimel

Dr. Michelle Salvaggio, medical director of the Infectious Diseases Institute at the University of Oklahoma Health Sciences Center in Oklahoma City, points to drugs used to treat HIV/AIDS. Medical advancements since the epidemic surfaced in the 1980s have helped many of her HIV-positive patients lead healthy lives. Jackie Fortier/StateImpact Oklahoma hide caption

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Jackie Fortier/StateImpact Oklahoma

White House Plan To Stop HIV Faces A Tough Road In Oklahoma

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Arkansas Gov. Asa Hutchinson announces changes to the state Medicaid program called Arkansas Works, including the addition of a work requirement for certain beneficiaries, on March 6, 2017. Michael Hibblen/KUAR hide caption

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Michael Hibblen/KUAR

In Arkansas, Thousands Of People Have Lost Medicaid Coverage Over New Work Rule

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Rep. John Dingell was seated next to President Barack Obama when he signed the Affordable Care Act into law at the White House on March 23, 2010. Chip Somodevilla/Getty Images hide caption

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Chip Somodevilla/Getty Images

A migrant worker in a Connecticut apple orchard gets a medical checkup in 2017. A proposed rule by the Trump administration that would prohibit some immigrants who get Medicaid from working legally has already led to a lot of fear and reluctance to sign up for medical care, doctors say. Spencer Platt/Getty Images hide caption

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Spencer Platt/Getty Images

Terry Mote (right) visits the home of Stanley and Lorit Jamor in Enid, Okla. Stanley was born on Bikini atoll, and is a descendant of Chief Juda, who was told in 1946 by Commodore Ben H. Wyatt, of the U.S. Navy, to give up the island homeland "for the good of all mankind." Bikini was a main site for U.S. nuclear testing and is uninhabitable to this day because of radioactive contamination. Sarah Craig for NPR hide caption

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Sarah Craig for NPR

A Policy Knot Leaves Oklahomans From Marshall Islands Struggling To Get Health Care

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Philadelphia demonstrators protested earlier moves by Republicans to repeal the Affordable Care Act last February. If the ACA is indeed axed as unconstitutional, health policy analysts say, millions of people could lose health coverage, and many aspects of Medicare and Medicaid would change dramatically. Bastiaan Slabbers/NurPhoto via Getty Images hide caption

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Bastiaan Slabbers/NurPhoto via Getty Images

The "Medicaid Drug Decisions Transparency Act" would require pharmaceutical companies to disclose their payments to pharmacists and others who serve on state Medicaid drug boards — the advisory groups that decide which drugs Medicaid will and won't cover. Gary Waters/Ikon Images/Getty Images hide caption

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Gary Waters/Ikon Images/Getty Images

Planned Parenthood opened its new headquarters in Washington, D.C., in September. The Supreme Court declined to take up a key case, a big win for the organization. Nikki Kahn/The Washington Post/Getty Images hide caption

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Nikki Kahn/The Washington Post/Getty Images