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Scott Semo receives care from his PCA (personal care attendant) Nora Clark at his home in Roseville.Medicaid pays for 24 hour PCA care for Semo, who cannot walk, control his bladder or bowels, has ataxia and whose oxygen runs low as a result of a brain hemorrhage 16 years ago. Thousands of Minnesotans with disabilities would lose home and health services that allow them to lead independent lives, under the GOP health bill that heads to crucial vote in the U.S. House Thursday.