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Vapes have nicotine (which is addictive) as well as other harmful chemicals.

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To provide CMS with greater flexibilities to be responsive to any errors or significant changes outside of the control of MIPS eligible clinicians that negatively impact the ability of specific cost measure(s) to assess clinician performance, we are proposing to add a new cost measure exclusion policy at 414.1380(b)(2)(v)(B) similar to the quality measure exclusion policy

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