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From Audrey Hepburn at Tiffanys to Bob Dylan going electric to Tyler Durden in the basement of Fight Club, a cig between two lips or two fingers changes everything

As they promote the development and adoption of automated electronic reporting systems, federal policymakers at the CDC, CMS, and ASTP and state policymakers should continue to examine the extent to which under-resourced and low-volume reporting providers can comply with reporting requirements and consider how blanket reporting requirements can exacerbate health inequities