FILE - In this July 1, 2013 file photo, Michigan Gov. Rick Snyder, center, joins Beaumont Health System President and CEO Gene Michalski, left, and Dr. Jeffrey Ditkoff at Beaumont Hospital in Royal Oak, Mich., to discuss the Healthy Michigan plan. Two months after putting off a decision on whether to expand Medicaid to more low-income adults, leaders of the Michigan Senate are looking to hold their much-anticipated vote. The showdown in the Republican-dominated chamber on Aug. 27 or 28, 2013 could determine whether hundreds of thousands of state residents will qualify for government-provided health care starting in January. (AP Photo/Carlos Osorio)
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