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There is no scientific research that supports withdrawing the rule, yet unfortunately, the FDA has done so, said Laurent Huber, executive director for Action on Smoking and Health in an email

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Additionally, we have applied the phase-in of payment reductions for the first 3 years of PAMA implementation, CY 2018 through CY 2020, whereby reduction of payment rates could not be more than 10 percent per year as compared to the amount established the prior year