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WASHINGTON — Amazon is bulking up its efforts to influence health care policy at the federal and state levels.

The tech giant recently hired Claire Winiarek, a top policy official from the trade association for pharmacy benefit managers, as its director of health policy. And Amazon has started a search for three additional health care policy advocates who will focus on federal health care policy, health devices and services, and state-level health policy, according to postings on LinkedIn this month.

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