A new survey says financially strapped states have cut Medicaid benefits and increased co-payments this year.
That's caused spending growth to slow in the low-income health insurance program for the first time in seven years.
Average Medicaid spending growth in the 50 states and Washington D.C. was 9.3 percent, down from nearly 13 percent a year ago. The Kaiser Commission on Medicaid and the Uninsured says enrollment in the program over the same period increased 7.8 percent.
Commission head Diane Rowland says the trend for uninsured parents and children, as well as the elderly and disabled, may be less care or none at all.
All 50 states and the District of Columbia took some cost-containment actions.
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