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Like the Nature Restoration Act before it, it was mainly during the Parliamentary and Council phases that opposing viewpoints became heard and mobilized

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Response: We note that in the CY 2026 OPPS/ASC proposed rule (90 FR 33775), we proposed to utilize the same file format requirementsthe QRDA standardapplied in the Hospital IQR, OQR, and Medicare Promoting Interoperability Programs (85 FR 58940, 86 FR 42262, and 80 FR 49706, respectively)