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Lionel: In tens, please (ten pound notes) ebiza l capsule The plan to use Medicaid funds to purchase private insurance is modeled on similar proposals in Iowa and Arkansas, where Republican officials have also resisted efforts to expand Medicaid eligibility under Obama's Affordable Care Act - better known as Obamacare. Pennsylvania's plan, like those of the other two states, would require approval by the U.S. Department of Health and Human Services.