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While federal legislation in 1991 initially allowed states to use federally approved provider taxes to help fund their Medicaid programs, recent federal legislation enacted in 2025 freezes existing provider taxes and will gradually lower the maximum allowable provider tax rate for states that adopted Medicaid Expansion, reducing the federal cap from 6.0 percent to 3.5 percent by 2031

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Or on the other end of the spectrum, when is dark skin, “ dark “