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Associated Press
FILE - In this Dec. 23, 2009 file photo, Michael Hash of HHS, left, and White House health reform director Nancy-Ann DeParle, are seen on Capitol Hill in Washington. Republican governors who’ve balked at creating new consumer health insurance markets under President Barack Obama’s health care law may end up getting stuck .  Instead of their state officials retaining some control over insurance issues that states traditionally manage, Washington could be calling the shots. (AP Photo/Harry Hamburg, File)

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