02327oam 2200481 a 450 991069873330332120090421123954.0(CKB)5470000002396524(OCoLC)289315939(EXLCZ)99547000000239652420081222d2008 ua 0engurmn|||||||||txtrdacontentcrdamediacrrdacarrierState and local fiscal challenges[electronic resource] rising health care costs drive long-term and immediate pressures : statement for the record for the Committee on Finance, U.S. Senate /statement of Stanley J. Czerwinski[Washington, D.C.] :U.S. Govt. Accountability Office,[2008]12 pages digital, PDF fileTestimony ;GAO-09-210TTitle from title screen (viewed Dec. 22, 2008)"For release ... November 19, 2008."Includes bibliographical references.GAO was asked to provide its views on projected trends in health care costs and their effect on the long-term outlook for state and local governments in the context of the current economic environment. This statement addresses three key points: (1) the state and local government sector's long-term fiscal challenges; (2) rapidly rising health care costs which drive the sector's long-term fiscal difficulties, and (3) the considerations involved in targeting supplemental funds to states through the Medicaid program during economic downturns.State and local fiscal challenges Medical care, Cost ofUnited StatesStatisticsState governmentsUnited StatesFinanceLocal governmentUnited StatesFinanceStatistics.lcgftMedical care, Cost ofState governmentsFinance.Local governmentFinance.Czerwinski Stanley J1381439United States.Congress.Senate.Committee on Finance.United States.Government Accountability Office.ESRESRESRGPOBOOK9910698733303321State and local fiscal challenges3457647UNINA