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Probiotics are defined as live microorganisms that, when administered in adequate amounts, confer a health benefit on the host (17) and usually used as an additive in functional foods to improve gut microbiota and promote human health

(We note that section 1886(b)(3)(B)(viii) of the Act, which specifies the adjustment to the applicable percentage increase for subsection (d) hospitals that do not submit quality data under the rules established by the Secretary, is not applicable to hospitals located in Puerto Rico.) The regulations at 42 CFR 412.64(d)(3)(ii) reflect the current law for the update for subsection (d) Puerto Rico hospitals for FY 2022 and subsequent fiscal years