[613] MVPs were not a reporting option for the CY 2022 performance period/2024 MIPS payment year

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Santa Fe Natural Tobacco already is subject to a Federal Trade Commission (FTC) consent order, entered in 2000, that requires the companys advertising to include a disclosure that No additives in our tobacco does not mean a safer cigarette. Its ads also include a statement that Organic tobacco does NOT mean a safer cigarette. The FDA, in an August 27 letter to the company, asserted that it has authority under a 2009 law to regulate modified-risk tobacco products. The agency directed the company to submit plans for corrective actions. The Winston-Salem Journal noted that the FDA warning came about a month after the company began a national advertising campaign with full-page ads in magazines such as Sports Illustrated, Time, Field & Stream, Southern Living, Architectural Digest, Vanity Fair and US Weekly

The relatively stable co-use trends may reflect substitution dynamics whereby some individuals replace cigarettes with cannabis, preventing co-use from rising in tandem with cannabis-only use. Other researchers have also separately observed a similar trend where cannabis is increasingly used as an alcohol substitute
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Therefore, in the CY 2023 PFS final rule (87 FR 69737), we revised the regulations under 405.2463 and 405.2469 again to reflect these provisions