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Specifically, we are adding the word ( subsequent before the word civil monetary penalties in the second sentence so that this sentence now reads, A hospital that receives a 35 percent reduction in a civil monetary penalty under this paragraph is not eligible to receive a 35 percent reduction for any subsequent civil monetary penalties imposed pursuant to continuing violations according to 180.90(f) and also waives its right to appeal under 180.100 any subsequent civil monetary penalties imposed for such continuing violations. In addition, we are revising the introductory language of the third sentence to clarify that the reduction in the amount of a civil monetary penalty referred to this sentence means the 35 percent reduction in accordance with 180.90(c)(4)

Support was also received via Japan Agency for Medical Research and Development (AMED) Brain Mapping by Integrated Neurotechnologies for Disease Studies (Brain/MINDS) Grant Number JP18dm0207001 (TCS) and a research grant from the RIKEN Center for Brain Science

An expert on Parkinsons disease and related movement disorders including dystonia, Perlmutter is co-leader of an international study on the natural history of dystonia and the changes in the brain related to dystonia manifestations

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