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These strategies, which tend to depend on long-term lease contracts, generally focus on single-tenant properties, where the tenant bears more of the property-related costs, including taxes, insurance, and operating expenses, thus insulating the lender from fluctuations in these costs

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CMS cited the following examples: $11M in grants to a labor union in New York to reduce costs of health insurance for certain childcare providers $241M for a program in New York for non-medical in-home services, such as housekeeping $17M for a California student loan repayment program $20M in grants to high-speed internet for rural health care providers in North Carolina $3.8M for a diversity in medicine initiative in New York Synder said in the letter that CMS is open to consulting with states if they believe services currently supported in DSHPs and DSIPs qualify for federal matching funds under their state plans.