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However, federal fiscal conservatives flagged these payment mechanisms as expensive workarounds. Under the new framework, the federal government establishes hard boundaries on federal matching and reins in the commercial-rate equivalencies that states previously utilized. 📊 Core Mechanics of the Legislation
Acknowledging tighter baseline budgets, states that did not adopt the ACA expansion are granted a slight buffer, capping payments at 110% of the published Medicare rate . sdpt bill