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Participants allocated less funding beyond benefit coverage, such as spending on healthy communities. Participants perceived the deliberative process as fair and informative, and they supported using it in the policy-making process. CONCLUSION The choices of participants from low-income, medically underserved communities reflect a unique set of priorities and suggest that the engagement of low-income communities more deeply in Medicaid policy making might result in different prioritization decisions. Copyright © 2020 by Duke University