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After a number of years of robust revenue growth right after the pandemic, states are starting to see slowing revenues, increasing spending demands and a lot of fiscal uncertainty due in part to recent federal actions. In April, the Trump administration scrapped a Biden-era proposal that would have required state Medicaid programs to pay for some GLP-1s for obesity treatment

But could this class of drugs, known as GLP-1 receptor agonists, also help treat heart failure, liver disease and even addiction

GLP-1-type drugs currently in the late phases of development can help people lose more than 25% of their starting body weight, rivaling the amount of weight loss achieved after most bariatric surgeries

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