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But he acknowledged there are other factors to consider factors he said are based on the fact that, since the original bill was passed, he became a parent and came to understand many of the burdens placed on parents

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In addition, several other studies have been performed to assess the validity of birth certificate data for effect estimation [22, 37] and the results suggest that birth certificate data may be useful for exploratory studies assessing the association between birth congenital anomalies and some risk factors

[368] In March 2023, Springsteen was awarded the 2021 National Medal of Arts from President Joe Biden at the White House