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& Salzberg, S

This specific fragment contains the region responsible for growth hormones lipolytic (fat-breaking) activity without the receptor-binding domain responsible for growth, glucose metabolism, and IGF-1 stimulation effects

Specifically, we are removing the phrase through that year's rulemaking and for an applicable calendar year from 42 CFR 419.43(k)(1), 419.43(k)(2), 416.174(a), and 416.174(b)

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A commenter expressed concern that implementation of the measure beginning with the CY 2026 reporting period would be a challenge for Tribal REHs

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