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This Monday, Nov. 5, 2018, photo shows supporters of a Montana ballot initiative to extend the state's Medicaid expansion program and raise tobacco taxes rally in Helena, Mont. (AP Photo/Matt Volz)

This Monday, Nov. 5, 2018, photo shows supporters of a Montana ballot initiative to extend the state's Medicaid expansion program and raise tobacco taxes rally in Helena, Mont. (AP Photo/Matt Volz)

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