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Its inaction in authorizing less harmful nicotine products, sitting on many alternative tobacco product applications for several years without making a decision, has made it harder for smokers to transition to less harmful products

Instead it uses a hybrid process for e-cigarettes, so it would be wise to take its conclusions with a pinch of salt, especially as their findings have not yet been published in any scientific journal

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Traditional use of tobacco for ceremonial or spiritual purposes also plays a role

If DHCS believes that it should pay claims for services rendered by providers that are ineligible under existing law to avoid affecting access to care or other downstream effects, and that these impacts outweigh the risks of allowing these providers to continue serving Medi-Cal beneficiaries, it should raise these concerns to the Legislature and ask it to consider revising the law pertaining to suspending providers