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Specifically, before applying this cost measure exclusion policy, we are proposing that CMS would empirically assess the affected cost measure to determine the extent to which the changes or errors impact the calculation of a cost measure score such that calculating the cost measure score would lead to misleading or inaccurate results that negatively impact the measure's ability to reliably assess performance

The caps on discretionary nondefense spending do not expire until September 30, 2025, which means they will continue to put downward pressure on investments in NIH and other discretionary nondefense priorities that support medical research and health