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(2) An issuer that denies group health insurance coverage to any small employer in a State under paragraph (d)(1) of this section may not offer coverage in connection with group health plans in the small group market in the State before the later of the following dates: (i) The 181st day after the date the issuer denies coverage

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Hypoxia inducible factor 1, alpha subunit ( Hif1a ) was downregulated in compiled placentas in only the VAPE group (SHAM vs VAPE p = 0.0358) (Fig