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State and Local Governments' Fiscal Outlook: 2016 Update
GAO-17-213SP: Published: Dec 8, 2016. Publicly Released: Dec 8, 2016.
GAO’s State and Local Fiscal SimulationsFiscal sustainability presents a national challenge shared by all levels of government. GAO’s simulations of long-term fiscal trends in the state and local government sector—published since 2007—have consistently shown that state and local governments face long-term fiscal pressures driven largely by the rising health-related costs of Medicaid and th...