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Beginning with FY 2024, we are proposing to include hospitals with 412.103 reclassification along with geographically rural hospitals in all rural wage index calculations, and to exclude dual reclass hospitals (hospitals with simultaneous 412.103 and MGCRB reclassifications) implicated by the hold harmless provision at section 1886(d)(8)(C)(ii) of the Act

A functional diet containing both elemental SeNPs and probiotic bacteria might be used to eliminate liver damage caused by cadmium and improve the nutritional potential and health benefits

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