WASHINGTON — States are facing a "big squeeze" of slow economic growth, the need for increased spending on Medicaid and other programs, the loss of federal funds and requests for help from cash-strapped local governments, two groups said in a report released Tuesday.

"There's a squeeze from virtually every side that states are facing," Dan Crippen, executive director of the National Governors Association, told reporters in a telephone briefing on the results of the Fall 2011 Fiscal Survey of States that the NGA released along with the National Association of State Budget Officers.

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