AUGUSTA, Maine (AP) - Maine has not embraced all of the components of the federal health care overhaul, but a study shows the state is still ahead of most others in preparing for changes coming next year.

The Commonwealth Fund is a private research group that promotes improved health care. It finds that Maine is one of 11 states to approve at least some of the changes.

But the state did not accept one of the biggest proposals, expansion of Medicaid. Gov. Paul LePage says Maine simply cannot afford it.

Maine also will not set up its own health insurance marketplace, known as an exchange. Maine can either join the federal exchange or partner with the federal government on one.

Commonwealth finds that Maine laws conform with five of seven so-called market reforms coming under the law.

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