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Effective beginning October 1, 2021 (FY 2022), section 1886(d)(3)(E)(iv) of the Act reinstates the imputed floor wage index policy for all-urban States, with no expiration date, using the methodology described in 42 CFR 412.64(h)(4)(vi) as in effect for FY 2018

Journal of the International Society of Sports Nutrition 2 , 3844, doi:10.1186/1550-2783-2-2-38 (2005)

So its an invader, its a foreign invader that needs to be treated directly