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Texas Tobacco 21 In September 2019, the Texas Tobacco 21 law went into effect, raising the legal age to purchase or possess tobacco from 18 to 21

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