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If we determine that the payment model no longer satisfies the requirements of section 1899(i)(3) of the Act (for example if the payment model results in net program costs), we would undertake additional notice and comment rulemaking to adjust our payment methodology to assure continued compliance with the statutory requirements

( (2) Additional Impacts to Clinicians (a) Impact on Third Party Intermediaries In section IV.A.4.j.(1)(b)

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Youre still dealing with nicotine, youre still introducing it to your body in concentrated doses, and youre often doing it more frequently because theres no smoke break required

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