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Ultimately , though , say the authors , support for dual eligibles will require a change in federal policy — including increased spending and greater uniformity across states — to better meet these critical long-term care needs.Facts and Figures : In a 1995 study of four states , 78 percent of Medicaid spending for elderly dual eligibles was for long-term care while 8 percent was for prescription drugs.Of the community-based dual eligibles who need assistance with ADLs , 28 percent said they frequently need more help , 24 percent occasionally need more help , and 5 percent seldom need more help.Among the six states in the study , Georgia has the lowest percentage of dual eligibles who need help with ADLs receiving paid assistance at home ( 31 % ) and the highest proportion with unmet need ( 65 % ) . In 2000 , " dual eligibles " accounted for 24 percent of total Medicare spending , and , in 2002 , 42 percent of Medicaid spending . Then the MUSES-C managed a heavy test schedule including the tests on the pyrotechnics of solar cell paddles , alignment of Light Detection and Ranging and Near-Infrared Spectrometer , discharge of pseudo propellant , performance of Laser Range Finder and range sensor that triggers sampler , and irradiation of solar batteries . The New Jersey Disability Determination Services ( DDS ) is a division of the department of Labor fully funded by the Federal Government , and is responsible for developing medical evidence and making the determination on whether residents of New Jersey are or are not disabled under Social Security disability law . Included in Madison ’ s papers are materials documenting his activities as a member of the Continental Congress , his role in the Constitutional Convention of 1787 , his tenure as Secretary of State during the presidency of Thomas Jefferson and his two terms as President including materials on the War of 1812 . Scrapbooks are a rich source of Club history featuring programs , yearbooks , and new clippings with occasional photographs , club newsletters , or related materials .