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Clinical data indicate that smoking adversely affects multiple aspects of liver disease, including the incidence and severity of hepatic steatosis, progression of fibrosis, development of HCC, and outcomes among alcohol-related liver transplant recipients [78, 79]

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As far ( as we are aware, these are the only policies that our reinterpretation of section 1886(d)(8)(E) of the Act requires us to change, but we solicit comments on whether there are any remaining policies that CMS should reexamine in light of our proposed reinterpretation of section 1886(d)(8)(E) of the Act