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https://www.usatoday.com/gcdn/authoring/authoring-images/2024/11/19/USAT/76434871007-usatsi-24800490.jpg?crop=2999,1688,x0,y178&width=1600&height=800&format=pjpg&auto=webpCMS oversees Medicare, Medicaid, the Affordable Care Act and federal payments to hospitals and doctors.