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State and Local Governments' Fiscal Outlook: 2019 Update

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Report Type Reports and Testimonies
Report Date Dec. 19, 2019
Release Date Dec. 19, 2019
Report No. GAO-20-269SP
Summary:

What's the latest thinking regarding the fiscal health of state and local governments across the nation?

The 2019 update to our annual outlook on the fiscal condition of states and localities suggests that the sector will have an increasingly tough time covering its bills over the next 50 years. Although our model shows revenue will increase, spending will likely rise faster—driven largely by health care costs, including Medicaid spending. Revenues may be insufficient to sustain the amount of government service currently provided.

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