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(vii) For CY 2027 and subsequent years, the Consumer Price Index for All Urban Consumers update determined under paragraph (a)(2)(iv) of this section is reduced by 2.0 percentage points for an ASC that fails to meet the standards for reporting of ASC quality measures as established by the Secretary for the corresponding calendar year

This "bubble" protects the nutrient as it passes through the harsh environment of the stomach and allows it to be absorbed directly into the cells of the small intestine