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Expanded obesity drug coverage can increase Medicaid spending and put pressure on overall state budgets, and states are now facing tighter budget conditions and longer-term fiscal uncertainty, due in part to the federal Medicaid cuts in the 2025 reconciliation law, causing state Medicaid programs to re-evaluate their obesity drug coverage
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Zvenyach said the CMS Innovation Center, which studies health care payment models, also may be looking at whether it can create a pilot program to test the idea of having Medicare cover GLP-1 medications
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