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Centers for Disease Control and Prevention and state health departments to see how more than 600,000 people between the ages of 18 to 64 with at least one chronic medical condition fared in the two years before. Sherin was not reported missing until after sunrise, according to police affidavits seen by the Washington Post. With approximately half of American adults having at least one chronic illness, researchers wanted to examine if the main provisions of the ACA, including Medicaid expansion, insurance mandates and the creation of health care marketplaces, impacted this population's access to health insurance and health care. It reported that approximately 25 percent of internists felt age-based vaccination recommendations for adults were difficult to follow. 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