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As described in the Regulatory Impact Analysis of the CY 2025 PFS proposed rule (89 FR 62183 through 62184), excluding payment amounts for the selected codes from the specified calculations are not expected to result in an increase in spending beyond the expenditures that would otherwise occur under the statutory payment methodology in section 1899(d) of the Act

All told, weve spent more than 200 hours on the subject, and the research hours grow by the week

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Rooke put it, that (bolding is mine): In order to maintain meat a source of B12 the meat industry now adds it to animal feed, 90% of B12 supplements produced in the world are fed to livestock

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