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As discussed in section III.G.1 of this proposed rule, this column also reflects the proposed change to include hospitals with 412.103 reclassification along with geographically rural hospitals in all rural wage index calculations, and to only exclude dual reclass hospitals (hospitals with simultaneous 412.103 and MGCRB reclassifications) when implicated by the hold harmless provision at section 1886(d)(8)(C)(ii) of the Act

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Research often points toward a 2:1 ratio of L-theanine to caffeine as providing the most benefits to users, specifically an alertness from caffeine without the jitters