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To the extent any proposed provisions in this section III.I of this proposed rule are considered to apply retroactively, CMS has determined that such retroactive application would be both necessary to establish policies to implement the statutory requirements that CMS perform various calculations that involve pricing activities from prior periods and also consistent with the statutory provisions expressly allowing the agency to delay the issuance of rebate reports for initial applicable periods until 2025

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House Speaker Pat Grassley said House Republicans want to ensure money raised from the tax would only be used for Medicaid funding