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With the Trump administration again taking aim at the Affordable Care Act, Centene will spend more than $15 billion on rival WellCare Health Plans, both big players in the ACA market.

It's not just candidates and parties slinging mud in Nevada's race for Attorney General, but Political Action Committees and political groups are in on it as well. Case in point, an ad financed by the Republican Attorneys General Association based in Washington, D.C.