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EMS Revenue, Budgeted versus Actual Source: Office of the New York City Comptroller Given that the State Plan Amendment for CPE was not approved under the Biden Administration and remains pending after four yearsnow with a more antagonistic CMSthe Comptrollers Office expects at least $128 million will again have to be made up with City-tax levy funding

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This strains the heart, increases blood pressure, and can result in sudden cardiac arrest