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Therefore, we are proposing to reinstate, with respect to high Medicaid facilities, the program integrity restrictions on the frequency of expansion exception requests, maximum aggregate expansion of a hospital, and location of expansion facility capacity that were removed in the CY 2021 OPPS/ASC final rule

The advent of recombinant human GH (rHGH) has led to a marked increase in the use of growth hormone (GH) as replacement therapy [2]

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