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In this Dec. 10, 2009 file photo, self-employed consultant Glenn Nishimura works at his computer in Little Rock, Ark. Nishimura has been without health coverage for almost two years. (AP Photo/Danny Johnston, File)

JEFFERSON CITY, Mo. (AP) — One of the first prongs of President Barack Obama’s health care law has been in effect now for a year, and the result in Missouri is that about 500 additional people with chronic health problems now have insurance.

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