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In a letter to the federal Health and Human Services department, the hospital group said the compromise initially seemed to be “a good first step” but that examination of the details proved disappointing.

WISCONSIN

State GOP lawmaker asks for recount in recall race

MILWAUKEE — A Republican state senator in Wisconsin has asked for a recount in the election that could hand Democrats their only victory in this month’s six recalls, and at least a temporary majority in the state Senate.

An official canvass this week showed incumbent Racine Republican Van Wanggaard trailing Democratic challenger John Lehman by 834 votes, or 1.2 percent of the nearly 72,000 votes cast.

Democrats had called on Mr. Wanggaard to concede, but Mr. Wanggaard’s campaign said Friday it was concerned about reports of voting irregularities and wanted to ensure the outcome was accurate.

The state Senate currently has 16 Democrats and 16 Republicans, meaning the winner of the Wanggaard-Lehman race will give his party majority control.

MASSACHUSETTS

TV attacks mostly absent in hard-fought Senate race

BOSTON — In the tight Senate race in Massachusetts, GOP incumbent Scott P. Brown has spent weeks questioning Democratic rival Elizabeth Warren’s claim of Native American heritage, while Mrs. Warren portrays Mr. Brown as a darling of Wall Street.

The rhetoric is constant, sometimes caustic and all but invisible from the ad campaign waged on television.

That’s because Mr. Brown and Mrs. Warren signed a deal to discourage third party groups from running television, radio and online ads in Massachusetts. At this point, at least, their pleas seem to have been heard.

Mr. Brown and Mrs. Warren can’t stop outside groups from getting involved. But less than five months before the election, it seems those groups are taking the candidates’ wishes to heart. If the groups stay on the sidelines, the candidates would have to use their own ads to attack each other, should they decide to go that route.

• From wire dispatches and staff reports