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Further , CPCBA reiterated that the Medicaid Waiver Program provided federal reimbursement for only one-half the fair market value of services rendered . Farmers embraced federal aid for farm-to-market roads and considered national roads to be " joy rider " roads for the wealthy . As a final inducement to revive the mordant construction industry by encouraging new house purchases , the newly created Federal Housing Administration provided federal insurance for liberal home mortgage loans . Here , in short , was the basic split that would have to be resolved before federal aid could become a reality : The automobile industry and touring motorists embraced federal aid for hard-surfaced interstate or transcontinental roads . The Clean Water Act established goals for eliminating water pollution , required all municipal and industrial wastewater to be treated before being discharged into waterways , increased federal assistance for building municipal treatment plants , strengthened and streamlined enforcement policies , and expanded the federal role while retaining the responsibility of states for day-to-day implementing of the law .