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Section 1848(q)(2)(D)(i)(II) of the Act requires that the Secretary annually update the list by removing measures from the list, as appropriate

Therefore, since more than 1 year has passed since the previous GPCI update was implemented in CY 2023 and 2024, we proposed to phase in one-half of the proposed GPCI adjustment in CY 2026 and the remaining one-half of the adjustment for CY 2027

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This makes it ideal for use in medical settings where contamination could be an issue