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Associated Press
FILE - This March 7, 2013, file photo, shows Utah Gov. Gary Herbert making remarks during a news conference at the Utah State Capitol, in Salt Lake City. The federal government has approved Utah to become the first state to have a dual-model health insurance exchange in which the state and the federal government divide responsibilities. The plan allows Utah to continue to run its existing health insurance marketplace for small businesses. The federal government will run the state's individual exchange.  Once the rule becomes official, other states will have the option to consider this plan too. Herbert first requested this arrangement in February, and the two sides had been negotiating since. Herbert said in a conference call with media Friday, May 10, 2013 that the state got everything it wanted and didn't back down.  (AP Photo/Rick Bowmer, File)

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