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Unrefined stuff, back home we've extracted something a little more potent from it, much more potent indeed

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One commenter stated that they were unable to conclusively determine whether risk adjustment should be reflected in the MLR numerator or denominator, while two commenters stated they consider payments or receipts related to the HHS-operated risk adjustment program to be more appropriate as an adjustment to premium rather than claims, as this would be consistent with both generally accepted accounting practices and State statutory accounting

The risks concern the long-term health effects of vaping and the possible onset of nicotine dependence by youth

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