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Third, we are proposing that the proposed revised measure excludes episodes with cardiac arrest and risk adjusts for patients with a history of tobacco use to further address heterogeneity in the patient cohort, as these cases can result in more complex treatment and higher observed costs for reasons outside of the control of the attributed clinician

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It also highlights the continued push by some leaders in the Trump administration to gouge the bureau of experienced investigators who had worked on past cases tied to Trump

11 however, some cities and communities within southern states have had success with enacting local smoke-free laws