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105-33) amended section 1886(d)(5)(B) of the Act by adding a clause (vi) to provide that, effective for cost reporting periods beginning on or after October 1, 1997, the resident-to-bed ratio may not exceed the ratio calculated during the prior cost reporting period (after accounting for the cap on the hospital's number of full-time equivalent (FTE) residents)

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Canadian suppliers who ship domestically can control temperature and transit times far better than international shipments that may sit in customs warehouses or cross climate zones during transit