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House Speaker Paul Ryan of Wis. holds his copy of insurance premium statistics during a news conference on Capitol Hill in Washington, Thursday, Jan. 5, 2017. (AP Photo/Manuel Balce Ceneta)

House Speaker Paul Ryan of Wis. holds his copy of insurance premium statistics during a news conference on Capitol Hill in Washington, Thursday, Jan. 5, 2017. (AP Photo/Manuel Balce Ceneta)

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