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It is not illegal to be in possession of snus tobacco, nor is it illegal to use it

It is the best interest of the Medicare Trust Funds and the Shared Savings Program to allow continued program participation by ACOs that terminate receipt of advance investment payments, especially among ACOs and ACO participants in, or that serve, underserved communities

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We understand that OTPs have been involved in collaborative agreements with organizations who address HRSN sand offer various recovery support services (84 FR 62648), and we believe that for OTPs to appropriately identify ( these types of organizations that target a specific need, identifying these HRSNs as part of SDOH risk assessments is likely needed prior to engaging in activities to coordinate service delivery