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In 2024, nearly half of US teenagers aged 1317 reported being online almost constantly, with TikTok being one of the most popular platforms.4 5 Despite TikToks community guidelines restricting access to alcohol, tobacco and drug content for users under 18 years,6 minors can still access content promoting nicotine products.7 With algorithmic features and retention techniques, for example, the For You page and infinite scrolling, platforms like TikTok offer powerful marketing tools for targeting specific audiences.8 Further, the international nature of social media enables content uploaded in countries with looser advertising regulations to reach young users in countries with stricter advertising laws, thereby undermining national regulations.911 This regulatory gap arises from TikToks failure to adequately self-enforce and conflicting cross-border advertising regulations

Implementing a similar policy for allowing multiple data submissions in the Promoting Interoperability performance category may provide flexibility for individual MIPS eligible clinicians, groups, virtual groups, subgroups, and APM Entities to fix errors in a prior data submission

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Fourth, we finalized how the refund amount will be calculated, which is specified in regulation at 414.940 (87 FR 69731)