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Unbridled liberty is chaotic and threatens to veer into license, as there exist no external standards that can claim inherent legitimacy based on higher moral authority or the moral force conveyed by tradition

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The undertaking of any punitive action allowed under this Code section shall not prohibit criminal prosecution for sale to underage persons.

While Traditional MIPS has long offered flexibility in measure selection, MVPs were designed to simplify reporting by aligning specialty-specific quality measures, cost measures, and improvement activities into more meaningful clinical pathways