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We proposed the following revisions to the Shared Savings Program quality EUC regulation at § 425.512(c): We proposed to revise paragraph (c)(1) introductory text to read as follows, “CMS determines the ACO was affected by an extreme and uncontrollable circumstance based on any of the following:” We proposed to add a new paragraph (c)(1)(iii) to establish that for performance year 2025 and subsequent performance years, the ACO, as defined at § 425.20, is affected by an extreme and uncontrollable circumstance due to a cyberattack, including ransomware/malware, as determined by the Quality Payment Program