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Historically, states have funded their portion of Medicaid through their individual general funds and other sources, namely provider taxes. OBBBA has imposed a gradual decrease in provider tax allowance, a move that will save the federal government an estimated $326 billion over the next decade. States now face the challenge of identifying alternative and sustainable funding strategies or limiting their states Medicaid eligibility

So while relighting changes the chemical make-up of the smoke, the smokers own altered taste perception may also make those differences feel more extreme or unpleasant