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Gene activity also remains altered. Altogether, its not great news for light smokers, ex-smokers, or vapers who have recently switched back to cigarettes amid the vaping crisis

For the reasons stated above, we are proposing to add 414.1380(b)(1)(iv)(C) to state that beginning with the CY 2025 performance period/2027 MIPS payment year, measures impacted by limited measure choice as specified in paragraph (b)(1)(ii)(E) are not subject to the 7 measure achievement point cap specified in paragraph (b)(1)(iv)(B)