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FILE- In this Jan 10, 2012, file photo, South Dakota Gov. Dennis Daugaard delivers his State of the State address in the House Chamber at the State Capitol in Pierre, S.D. Now that President Barack Obama’s re-election has cleared the way for his health reform plan to begin, doctors and hospitals in South Dakota are urging the state to expand its Medicaid program so that thousands of additional low-income residents can receive coverage under the new system. Daugaard said he would consider expanding Medicaid in South Dakota but not until the state knows more about the potential cost and how much flexibility states will have on program details. (AP Photo/Doug Dreyer)