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Zyn may increase cardiovascular disease risk in people, especially those not already using nicotine products

Further, because of the impact of SDOH on key CMS quality metrics, organizations that disproportionately serve disadvantaged populations may be penalized for participating in value-based payment programs

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Strong coordinated monitoring and enforcement of the legislation should be ensured, involving civil society, dissuasive penalties for widely defined responsible entities and new technical solutions for monitoring.