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The British and Canadians emphasized [the] necessity of safeguarding General Alexanders position to protect both Alexander and the flow of highly classified information he provided to them.Footnote 42 It was imperative that other Ghanaian leaders not suspect that Alexander was duplicitous and engaged in espionage and treason

In the FY 2020 IPPS/LTCH PPS final rule, in response to similar comments, we adopted a temporary one-time measure for FY 2020 for an MS-DRG where the FY 2018 relative weight declined by 20 percent from the FY 2017 relative weight and the FY 2020 relative weight would have declined by 20 percent or more from the FY 2019 relative weight, which was maintained at the FY 2018 relative weight (84 FR 42167)