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An essay on the Federal Black Lung Program suggests potential pitfalls in federalization.
Spending provisions were not supposed to be considered in the committee debate, but the panel did pass a non-binding "Sense of the Senate" resolution that included compensation to states for Medicare and Medicaid costs, the Federal Black Lung Program, tobacco farmers and their communities, the Tobacco and Asbestos Trust Fund, child care and child care development, clinical trials for cancer research at the National Institutes of Health, and Medicaid health insurance for children.
Every year the Federal Black Lung Program provides almost $460 million in monetary and medical benefits to former coal workers and their survivors, according to the Department of Labor.