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FILE - In a June 13, 2011 file photo, President Barack Obama speaks to a group of supporters at a Miami fundraiser, where he launched his bid for reelection in Florida. (AP Photo/J Pat Carter, File)

CINCINNATI (AP) — In the first ruling by a federal appeals court on President Barack Obama’s health care overhaul, a panel in Cincinnati affirmed Wednesday that Congress can require Americans to have minimum insurance coverage.

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