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(b) Quality Performance Category We refer readers to 414.1325 and 414.1330 through 414.1340 and the CY 2017 Quality Payment program final rule (81 FR 77097 through 77162) and CY 2018 Quality Payment Program final rule (82 FR 53626 through 53641), the CY 2019 PFS final rule (83 FR 59754 through 59765), CY 2020 PFS final rule (84 FR 63949 through 62959), CY 2021 PFS final rule (85 FR 84866 through 84877), CY 2022 PFS final rule (86 FR 65431 through 65445), CY 2023 PFS final rule (87 FR 70047 through 70057), and CY 2024 PFS final rule (88 FR 79329 through 79338) for a description of previously established policies related to the quality performance category

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Finally traffic congestion arose in both cities as reliance on individual automobiles for commuting and personal travel across the urbanized area brought both cities near gridlock