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Application for Health Coverage and Help Paying Costs

This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title II of the Americans with Disabilities Act of 1990, the Age Discrimination Act of 1975, and the Regulations of the U.S. Department of Health and Human Services

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  American, With, Title, Regulations, Disabilities, Americans with disabilities act, Title ii

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