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FIGURE 4 Discussion This study assessed the individual and combined effects of ibuprofen and microplastic exposure on Physella acuta growth, movement, and reproduction

To provide clarity for purposes of completing the necessary calculations to demonstrate that a hospital meets the criteria for an applicable hospital or high Medicaid facility, we are proposing at 411.363(c)(6) and (d)(4), respectively, to consider the location of a hospital to be the county or State, as applicable, in which the main campus of the hospital is located