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Modification to the MRF Affirmation Statement We proposed to supplant the existing affirmation requirement by, instead, specifying at new 180.50(a)(3)(iii) that, beginning January 1, 2026, hospitals will be required to attest in their MRFs to the following statement: The hospital has included all applicable standard charge information in accordance with the requirements of 180.50, and the information encoded is true, accurate, and complete as of the date in the file