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In the case of very severe uptake disorders, a lifelong maintenance therapy with injections may be necessary if absorption through the intestine is no longer possible

Therefore, we are proposing to require that, in addition to the documentation supporting the hospital's calculations of its baseline facility capacity, the hospital's current facility capacity, and the number of operating rooms, procedure rooms, and beds by which the hospital is requesting to expand that is currently required at existing 411.362(c)(4)(ii)(E), the expansion exception request must include information regarding whether and how the hospital has used any previously-approved expansion facility capacity and whether it plans to use expansion facility capacity to provide specialty services if the request is approved