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Assesses the trends since 1984 in total Medicaid spending, access to services, and types of services covered, to document the current state of Medicaid in light of recent federal and state legislative and regulatory changes. Also reviews those policy changes to better understand the changing patterns of different covered services and groups. The study is based on detailed state-level Health Care Financing Administration records on Medicaid recipients and expenditures, by service and eligibility group.

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