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More recently, the prevalence of youth use of smokeless tobacco products has risen (0.9% in 2021 to 1.3% in 2022) as has youth use of oral nicotine pouches (0.8% in 2021 to 1.1% in 2022) according to annual NYTS data

For RHCs, this means that costs associated with these vaccines and their administration are not included in determining the AIR or subject to the payment limit, and for FQHCs, these costs are not included under the FQHC PPS

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However, certain high-risk populations, including recent immigrants, individuals with HIV, and vulnerable urban populations, still experience a notable risk of TB (TB Incidence, 2024)