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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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[DOI] [PMC free article] [PubMed] [Google Scholar] 141.Gupta E., Olopade O.I., Ratain M.J., Mick R., Baker T.M., Berezin F.K., Benson A.B., Dolan M.E