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The CMS press release said that DSHPs and DSIPs have grown from approximately $886 million in 2019 to nearly $2.7 billion in eligible expenditures in 2025, representing increasing costs to the federal government without a sustainable state contribution. Phasing out DSHP authority may limit states ability to finance new 1115 initiatives

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Full text: Shimizu, M., Miyazaki, T., Takagi, A., Sugita, Y., Yatsu, S., Murata, A., Kato, T., Suda, S., Ouchi, S., Aikawa, T., Hiki, M., Takahashi, S., Hiki, M., Hayashi, H., Kasai, T., Shimada, K., Miyauchi, K., & Daida, H

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