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The most realistic (but so far, undiscussed) solution to this issue would be for the FDA to restrict all Juul purchases to those younger than 21

In the CY 2024 PFS final rule (88 FR 78914), we finalized the assignment of a payable status for caregiver training services (CTS) for therapy and behavior management/modification services (without the patient present) and finalized the RUC-recommended valuations for these services to better recognize the role that caregivers play in reasonable and necessary care for Medicare beneficiaries

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As indicated in the previous section, due to various methodological challenges, existing estimates of illicit cigarette trafficking might not reflect the actual scope of this problem

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