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Today, the number of federal aid programs for the states is more than triple the number just 25 years ago. Federal aid spending is expected to be $561 billion in fiscal 2013, of which $286 billion are health grants and $275 billion are non-health grants. Aid programs range from the giant $267 billion Medicaid to hundreds of more obscure programs, such as a $15 million grant for “Nursing Workforce Diversity,” a $116 million grant for “Boating Safety Financial Assistance,” and a $125 million grant for “Healthy Marriages.”