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SEC vote on shifting to global standards may not occur until next year.
States that keep Medicaid the same size may not be able to create viable exchanges, KPMG analysts say.
Libor rigging occurs as Europe sets up bank regulator, which could disadvantage U.K.
Biggest decline in 19 months led by plunge in non-financial company issuance.
Even lower growth projection will depend on right policy actions, IMF head says.
80,000 jobs are added, with unemployment rate steady at 8.2%.