With states confronting a weakening economy, enrollment in managed care began to rise last year with states problem even larger increases for fiscal year 2009, by the numbers to a new 50-state survey released today by the Kaiser Family Foundation's Kaiser entitle on major medical and the Uninsured (KCMU). With the increased enrollment, group medical provision petty cash is also rising more rapidly than in the recent past, raising the abeyant for program cutbacks as states confront the combined impact of more enrollees and fewer in hand resources.

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