NEW YORK--(BUSINESS WIRE)--A rebound in healthcare spending and a shift in federal support will put more pressure on U.S. states' long-term budgets, Fitch Ratings says. We expect most states to manage this increase by accelerating their efforts to slow Medicaid spending and taking other budgetary actions. If they do not, they will face long-term budget imbalances. Last week, the Centers for Medicare and Medicaid Services (CMS) forecast that state and local Medicaid spending growth will average