Ivan

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In this May 21, 2014 photo, Amanda Lewis, left, gives her son Fletcher, 1, a kiss as her husband Ivan looks on while being photographed in Mukilteo, Wash. The family has long used a naturopathic doctor, covered by their private insurance plan, as their primary care provider. But up until this year, Lewis had to pay $95 a visit for her young son because naturopaths in Washington state weren't authorized to be part of the Medicaid plan that he was covered under. (AP Photo/Elaine Thompson)