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While we included an RFI on the topic in CY 2024 PFS rulemaking, we are concerned that ACOs did not have enough detailed information to appropriately weigh the ( tradeoffs associated with a higher risk/reward option than the current ENHANCED track, and that the additional information we have generated since then will allow ACOs and other interested parties to provide more forthright and helpful feedback

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In the U.S., an estimated 3.8% of adults are current smokeless tobacco users

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The 2019 Norwegian public health report warns that the use of Swedish moist oral snuff (snus) may be associated with an increased risk of: various cancers and increased mortality after cancer high blood pressure cardiovascular diseases metabolic syndrome (with high use) psychosis harm to the child during pregnancy type 2 diabetes (with high use) Because it has a high risk of addiction, snuff can be challenging to quit