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Similarly, the normalization of hair pulling in popular culture and social media, such as ASMR videos or pimple popping channels, may desensitize some people to the consequences of hair pulling and make it seem like a harmless or even pleasurable activity

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Factors that CMS will consider in deciding whether to approve or deny a hospital's request for an exception from the prohibition on facility expansion include but are not limited to the following: (i) The specialty (for example, maternity, psychiatric, or substance use disorder care) of the hospital or the services furnished by or to be furnished by the hospital if CMS approves the request