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Pennsylvania was one of the last states to adopt this standard in 2003

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The amendment was crucial for Phoenix-area farmers

After consideration of public comments, we are finalizing our proposal, without modification, to amend 425.110(b)(2) to sunset the requirement after January 1, 2025, that CMS must terminate the participation agreement and the ACO is not eligible to share in savings for that performance year if the ACO's assigned population is not at least 5,000 by the end of the ( performance year specified by CMS in its request for a CAP

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