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Many of those affected are young people, probably because they are more likely to vape than other age groups

If the amount of shared savings earned by the ACO is revised downward by CMS for any reason, we propose that the ACO would not receive a refund of any portion of the prepaid shared savings previously recouped or otherwise repaid, and any prepaid shared savings that are now outstanding due to the revision in earned shared savings must be repaid to CMS upon request

Strengthening legal authorities over nicotine pouches by defining them clearly in federal law, empowering CBSA, and imposing escalating penalties

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