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The preclinical literature supports this framing

In addition, we are codifying at 495.24(f)(3) that, beginning with the EHR reporting period in CY 2026, if certain circumstances occur that impact CMS' assessment of the performance of eligible hospitals and CAHs on a measure selected for the Medicare Promoting Interoperability Program, CMS may, in its sole discretion, suppress the affected measure by excluding it from CMS' assessment of performance while allocating the maximum points available or providing full credit for the affected measure as long as the affected measure is reported, resulting in the suppressed measure contributing to the Medicare Promoting Interoperability Program objective score at 495.24(f)(1)(i)(D)

The two primary optionsbacteriostatic water and sterile waterserve different research needs based on usage timeline and application requirements