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FILE - In this Feb. 16, 2017 file photo, President Donald Trump, accompanied by Rep. Chris Collins, R-N.Y., speaks in the Roosevelt Room of the White House in Washington. House Republican leaders want to shift more than $2 billion in Medicaid costs from upstate counties to the New York State government. The provision would help mostly Republican-controlled counties that have struggled to subsidize Medicaid payments for the poor. New York City wouldnt get the same relief.  (AP Photo/Evan Vucci, File)
Photo by: Evan Vucci
FILE - In this Feb. 16, 2017 file photo, President Donald Trump, accompanied by Rep. Chris Collins, R-N.Y., speaks in the Roosevelt Room of the White House in Washington. House Republican leaders want to shift more than $2 billion in Medicaid costs from upstate counties to the New York State government. The provision would help mostly Republican-controlled counties that have struggled to subsidize Medicaid payments for the poor. New York City wouldnt get the same relief. (AP Photo/Evan Vucci, File)

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