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End use examples that may require higher than 30,000 double rubs include: 24 hours transportation terminals, 24 hour telemarketing, 24 hour healthcare emergency rooms, 24 hour casino gambling areas, and such public gathering places as theatres, stadiums, lecture halls and fast food restaurants

How Actuaries Can Support Effective Regulation Given the technical complexity of these issues, actuaries have an important role to play in helping legislators and regulators craft rules that achieve their intended goals without disruptive consequences

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Screening and treatment for tobacco use have been widely adopted as core clinical quality measures for primary care CMS 2013, but alcohol and drug use screening is not as widely performed, and use is substantially under-recognized Hallgren, et al