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No, the language of the bill was constructed by city council members and was signed into law by Mayor Mike Johnston on Dec

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(c) * * * (3) * * * (iv) For performance year 2025 and subsequent performance years, if the ACO reports the APP Plus quality measure set and meets the data completeness requirement at 414.1340 of this subchapter and receives a MIPS Quality performance category score under 414.1380(b)(1) of this subchapter, CMS will use the higher of the ACO's health equity adjusted quality performance score or the equivalent of the 40th percentile MIPS Quality performance category score across all MIPS Quality performance category scores, excluding entities/providers eligible for facility-based scoring, for the relevant performance year

The bowl of this pipe is made from the hollowed-out cob of an ear of Indian corn