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The Menlo Park, Calif.-based nonprofit, which studies health care trends, examined state Medicaid budgets from 2006 and 2007 and found slow spending growth because of largely flat enrollment, a shift in some prescription drug costs from Medicaid to Medicare and efforts to slash costs.
The 0.5 percent nationwide decline in fiscal year 2007 was the first in a decade. Oklahoma's enrollment remained mainly unchanged from the previous year. Nationally and in Oklahoma, experts forecast Medicare spending will grow about 2 percent this year.
During the past two years, more than half of the states simplified or lowered eligibility barriers and expanded services, the Kaiser study found. Forty-two states expect to expand coverage in the coming year.