In this July 12, 2012 photo, Rosario Perez, left, and sister, Andrea Gallegos, stand inside a family home, in Brownsville, Texas. Both are without health insurance and have battled cancer. Texas already has one of the nation’s most restrictive Medicaid programs, offering coverage only to the disabled, children and parents who earn less than $2,256 a year for a family of three. Without a Medicaid expansion, the state’s working poor will continue relying on emergency rooms _ the most costly treatment option _ instead of primary care doctors. The Texas Hospital Association estimates that care for uninsured patients cost hospitals in the state $4.5 billion in 2010. (AP Photo/Eric Gay)

Associated Press
In this July 12, 2012 photo, Rosario Perez, left, and sister, Andrea Gallegos, stand inside a family home, in Brownsville, Texas. Both are without health insurance and have battled cancer. Texas already has one of the nation’s most restrictive Medicaid programs, offering coverage only to the disabled, children and parents who earn less than $2,256 a year for a family of three. Without a Medicaid expansion, the state’s working poor will continue relying on emergency rooms _ the most costly treatment option _ instead of primary care doctors. The Texas Hospital Association estimates that care for uninsured patients cost hospitals in the state $4.5 billion in 2010. (AP Photo/Eric Gay)
In this July 12, 2012 photo, Rosario Perez, left, and sister, Andrea Gallegos, stand inside a family home, in Brownsville, Texas. Both are without health insurance and have battled cancer. Texas already has one of the nation’s most restrictive Medicaid programs, offering coverage only to the disabled, children and parents who earn less than $2,256 a year for a family of three. Without a Medicaid expansion, the state’s working poor will continue relying on emergency rooms _ the most costly treatment option _ instead of primary care doctors. The Texas Hospital Association estimates that care for uninsured patients cost hospitals in the state $4.5 billion in 2010. (AP Photo/Eric Gay)
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