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and (v) If the comparative analysis relies upon an evaluation by a reviewer or consultant considered by the plan or issuer to be an expert, an assessment of each expert's qualifications and the extent to which the plan or issuer ultimately relied upon each expert's evaluation in performing and documenting the comparative analysis of the design and application of the nonquantitative treatment limitation applicable to both mental health or substance use disorder benefits and medical/surgical benefits

While the risks of tobacco and smoking cigarettes are well-known (per the CDC, these include cancer, heart disease, stroke, lung diseases, diabetes and chronic obstructive pulmonary disease), the long-term risks of nicotine use alone are not fully understood

Nonprofit health groups such as the American Heart Association, the American Cancer Society and the Campaign for Tobacco-Free Kids have backed Tobacco 21 bills because experts said most young smokers get their nicotine fix from social sources such as 18-year-old friends

The Florida Supreme Court went on to allow individual plaintiffs to file lawsuits using the findings from the Engle case