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of this proposed rule for changes to the regulation text at 42 CFR part 414

In an effort to represent an ongoing shift to non-stigmatizing language, we are proposing to make a technical change to remove the term grandfathered from the regulation text in 405.2462, 405.2463, 405.2464, and 405.2469 and replace it with historically excepted to describe a level of protection provided to certain tribal FQHCs that predates applicable restrictions

Now you are older and know that it is unhealthy and causing you harm but you feel like you have no control over it

In the interim final rule with comment period (IFC) entitled Medicare and Medicaid Programs