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The cycle length was 1 year, with a maximum time horizon of 40 years to ensure that long-term effects were captured

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While most states indicated no concrete plans to delay or cancel Medicaid initiatives or projects at the time of the survey, other states mentioned delays in federal approvals due to policy changes or federal staffing shortages, noted concerns about existing program renewals or absence of additional federal waiver guidance, or indicated they are actively evaluating impact on policies in the early development stage

Ledford, D

Specifically, the results showed a statistically significant decrease in the domains of desire and arousal