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  "path": "/2026/06/18/repub/trump-administration-tightens-oversight-of-state-medicaid-demonstration-programs/",
  "publishedAt": "2026-06-18T17:51:21.000Z",
  "site": "https://missouriindependent.com",
  "tags": [
    "Health Care"
  ],
  "textContent": "The Trump administration told states last week it will exercise more stringent financial oversight of waivers that states use to design pilot programs under Medicaid, the state-federal program for low-income people and those with disabilities. In letters sent to state Medicaid directors, the administration announced the changes to Section 1115 “demonstration waivers,” which states apply […]",
  "title": "Trump administration tightens oversight of state Medicaid demonstration programs"
}