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Historically, states have funded their portion of Medicaid through their individual general funds and other sources, namely provider taxes. OBBBA has imposed a gradual decrease in provider tax allowance, a move that will save the federal government an estimated $326 billion over the next decade. States now face the challenge of identifying alternative and sustainable funding strategies or limiting their states Medicaid eligibility

The medical certificate should simply state something like: The medical certificate is not an expression that the patient needs or ought to use nicotine, but only a confirmation that the patient is currently using nicotine products as part of smoking cessation

If you answered yes these thoughts are harmful to you and moreover, completely unfounded

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