OLYMPIA, Wash. (AP) — One million residents in Washington state don’t have health insurance and unpaid costs have risen to $1 billion a year, insurance commissioner Mike Kreidler said Tuesday.

The number of uninsured has grown by at least 180,000 since 2008, and 31 of the state’s 39 counties saw an increase in the number of uninsured, according to a report issued by Kreidler’s office.

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