Finance & Revenue
The State: Alabama
The legislative mechanism: A special session of the Legislature for the “specific task of approving a lottery to fund “essential services.”
The revenue shortfall source: Medicaid. Medicaid has doubled in size in the last decade.
The beneficiaries: Rural hospitals whose major patient pool is from Medicaid
Does Alabama have a lottery currently? No, Alabama is 1 of 6 states without a lottery.
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