Please answer the questions below for relating to health care policy:

You are the state health commissioner of State Nowhere. State Nowhere has a diverse economic portfolio, with much of its economy dependent on manufacturing (auto assembly is a major industry), agriculture, and tourism. The state is not particularly wealthy, with a median household income of $54,000 ($13,000 below the national average). Fifteen percent of the population is below the poverty line. 22% of the population is on Medicaid, and 50% of Medicaid dollars are spent on the elderly and people with disabilities ("dual eligible"). In 2019, 18% of the state budget was spent on Medicaid. Your colleague in the budget office has just told you that they are expecting that a coming recession will increase unemployment and that another 1.5% of the population is likely to enroll in Medicaid. At the same time, that recession is expected to reduce the revenue that the state has by 4%. Your colleague asks you to be ready to present the Governor with some ideas for addressing the problem. What options would you present at the meeting?