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and thus overall Medicaid costs jumped ~11%
document employer-sponsored health insurance in the recession House Oversight Committee — Epstein Estate Records (Nov 2025)

and thus overall Medicaid costs jumped ~11%

one-time items totaled $377B in 2009 and
document Note: *One-time items could not be shown in chart because % change from 1965 is not available. For context House Oversight Committee — Epstein Estate Records (Nov 2025)

one-time items totaled $377B in 2009 and