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Traditional and alternative tobacco products (ATPs), from e-cigarettes and vapes to smokeless tobacco like snus, carry significant health risks

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It indicates a patient's history of nicotine dependence

These commenters expressed appreciation for measures taken by CMS in April 2021 to make lump-sum payments for COVID-19 vaccine administration available to RHCs and FQHCs in advance of cost report settlement, but commenters emphasized that those payments were only a temporary solution

Cardiovascular risks are a major concern, with studies linking smokeless tobacco to elevated heart rates and increased blood pressure