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States Face Double-Digit Increases in Medicaid Expenses

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Medicaid expenses are climbing at double-digit rates even as state tax revenues decline in an underperforming economy. It adds up to the fact that state officials are facing some very difficult decisions in the new year. NPR's Julie Rovner reports.

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Julie Rovner is a health policy correspondent for NPR specializing in the politics of health care.Reporting on all aspects of health policy and politics, Rovner covers the White House, Capitol Hill, the Department of Health and Human Services in addition to issues around the country. She served as NPR's lead correspondent covering the passage and implementation of the 2010 health overhaul bill, the Patient Protection and Affordable Care Act.