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Antibiotics should be used with caution as they may eradicate certain bacterial species linked to good health and result in the emergence of some antibiotic-resistant bacteria (197)

Nevertheless, because the statute does not expressly apply to high Medicaid facilities the program integrity restrictions related to the frequency of permitted requests for exceptions to the prohibition on expansion of facility capacity, the total amount of permitted expansion of facility capacity, or the location of permitted expansion facility capacity, citing the former Patients over Paperwork initiative, we removed these restrictions from our regulations as they applied to high Medicaid facilities ( Id

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