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actions activity administrative aging amount analysis aspects assistance basis budget California capacity changes characteristics contributed correlations costs dependent variable direct drug early elderly emerge emphasis example expanded expenditures extensive factor fairly federal Finally findings fiscal funds governors greater higher impact important included income maintenance increase independent indicators individuals industry influence initial innovative interest group involved issues larger least legislative legislature less liberalism limited lobbying major measures Medicaid nursing home occurred older organizations overall particularly patterns payment percent percentage period persons points policy areas policy efforts political population position potential produced programs questions ranking recent recipients regression regulation regulatory regulatory policies relationship relatively requirements responses role scope senior significant social services socioeconomic Source specific state's status strong substantial suggest tax effort tax relief tend Title XX various
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