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We found that the TCP does have policies and procedures that address best practices and requirements, which include screening potential awardees to ensure that they are eligible to receive Proposition 56 funding, reviewing the applicants ability to complete the necessary work and their proposed budgets for completing the work, and reviewing contractors progress reports to monitor progress on the scope of work outlined in the agreement

doi:10.1056/NEJM200007133430201

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It's associated with getting older and can get worse over time if not addressed with treatment, medication or lifestyle changes