Alaska is deciding whether to adopt the idea as states that already have see how many more people it brings to the polls.
One of the goals of President Obama's signature health reform is to focus more on population health, but the programs are off to a slow start.
Judges are starting to strike down the laws, calling them racist. But their survival depends on the outcome of the November election.
Several states will weigh in on the Citizens United ruling, campaign contribution limits and publicly-financed elections in November.
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