WASHINGTON — The lingering effects of the recession, increased health care costs and uncertainty from the federal government hang over states even as many expect to see revenue collections and spending levels increase in the coming year.

One of the greatest concerns for states is the “significant uncertainty surrounding federal tax and spending decisions, which could negatively impact the economy and federal funding for states,” the National Governors Association and the National Association of State Budget Officers wrote in their fall fiscal survey of states released on Friday.

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