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Valerie Sullivan, chair of the Group Insurance Commission board, voted in favor of the change with a heavy heart. This is a very challenging budget year for our state, and our responsibility as commissioners is to focus both on the taxpayers and our fiduciary responsibility to budget, along with our members and our constituents, Sullivan said Thursday morning

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On the other hand, the risks of HHF (HR 0.93, 95% CI 0.831.04 with GLP-1RAs and HR 0.69, 95% CI 0.610.79 with SGLT2is) and composite kidney outcomes excluding macroalbuminuria (HR 0.92, 95% CI 0.801.06 with GLP-1RAs and HR 0.55, 95% CI 0.480.64 with SGLT2is) significantly reduced with SGLT2is only