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Fatty acids in the cytosol are converted to acyl-CoA, which is shuttled into the mitochondria via the enzyme, carnitine/palmitoyl-transferase 1 (CPT1)

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Then, in 2021, House Bill 4 built on that foundation, ensuring that telemedicine services would remain permanently covered under Texas Medicaid and other public health plans, even after the COVID-19 emergency period ended