GAO Warns: Tough Times Ahead for State and Local Governments Mon, 01/07/2019 - 07:34 By Brittany M. "Our annual outlook suggests the sector will have an increasingly tough time covering their bills over the next 50 years,” the GAO writes. Tags Featured news local government Revenue expenses medicaid health care Government Office of Accountability GAO finance budgets Read more about GAO Warns: Tough Times Ahead for State and Local Governments