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"States are also feeling substantial state budget pressure and we are doing our part to make sure patients, Medicaid enrollees all across the country can get access," Dan Tsai, the agency's top Medicaid official under the Biden administration, had told reporters

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Duration of RA : Those with early-stage RA may experience changes sooner than those with long-standing or severe RA, as the latter can involve more entrenched inflammation that is harder to address