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CS/HB 7011: Health Care Access

GENERAL BILL by Health and Human Services Committee ; Health Quality Subcommittee ; Pigman

Health Care Access; Allows independent advanced practice registered nurses who meet certain criteria to practice advanced or specialized nursing without physician supervision or protocol by registering with Board of Nursing; authorizes Florida-licensed health care professionals to use telehealth; provides standards of care; creates tax credit for health insurers & HMOs that cover telehealth services; provides appropriation. APPROPRIATION: $276,917

Effective Date: 7/1/2017
 Last Action: 5/5/2017 House - Died on Calendar, companion bill(s) passed, see CS/CS/HB 229 (Ch. 2017-41), CS/CS/HB 543 (Ch. 2017-134)
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    2/21/2017 House • Filed
    2/28/2017 House • Referred to Ways and Means Committee; Health and Human Services Committee -HJ 251
    3/7/2017 House • Introduced -HJ 251
    4/3/2017 House • On Committee agenda-- Ways and Means Committee, 04/05/17, 9:00 am, Morris Hall
    4/5/2017 House • Favorable by Ways and Means Committee; YEAS 11 NAYS 4 -HJ 604
    4/7/2017 House • Now in Health and Human Services Committee -HJ 604
    4/18/2017 House • On Committee agenda-- Health and Human Services Committee, 04/20/17, 9:00 am, Morris Hall
    4/20/2017 House • CS by- Health and Human Services Committee; YEAS 10 NAYS 8 -HJ 806
    4/22/2017 House • Pending review of CS -under Rule 7.18(c)
    4/24/2017 House • CS by Health and Human Services Committee read 1st time -HJ 802, 804
    4/28/2017 House • Placed on Calendar -HJ 1017
    5/5/2017 House • Indefinitely postponed and withdrawn from consideration
    • Died on Calendar, companion bill(s) passed, see CS/CS/HB 229 (Ch. 2017-41), CS/CS/HB 543 (Ch. 2017-134)

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  • CS/HB 7011, Committee Substitute 1 (Current Bill Version) Posted 4/22/2017 at 7:43 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (8)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 229 (er) Health Care Practitioner Licensure Byrd Compare Last Action: 5/31/2017 Chapter No. 2017-41 Track This Bill
    H 543 (er) Regulation of Health Care Practitioners Health Innovation Subcommittee Compare Last Action: 6/26/2017 Chapter No. 2017-134 Track This Bill
    H 645 Involuntary Examinations Under the Baker Act Lee Compare Last Action: 5/5/2017 S Died in Health Policy Track This Bill
    S 328 (c1) Regulation of Nursing Grimsley Compare Last Action: 5/3/2017 S Laid on Table, companion bill(s) passed, see CS/CS/HB 543 (Ch. 2017-134) -SJ 745 Track This Bill
    S 634 Involuntary Examinations Under the Baker Act Campbell Compare Last Action: 5/5/2017 S Died in Rules Track This Bill
    S 876 (c2) Health Care Practitioners Young Compare Last Action: 5/2/2017 S Laid on Table, companion bill(s) passed, see CS/CS/HB 229 (Ch. 2017-41) -SJ 648 Track This Bill
    S 1180 Pharmacists Rodriguez Compare Last Action: 5/5/2017 S Died in Health Policy Track This Bill
    S 1756 (c1) Examination and Treatment of Individuals with Mental Illness Garcia Compare Last Action: 5/5/2017 S Died in Appropriations Track This Bill

    Floor Amendments (2)

    Amendment Sponsor Filed Last Floor Action Format
    034877 - Amendment
    Remove line 1128 and insert:     		Massullo 4/25/2017
    12:55 PM     		PDF
    264005 - Amendment
    Remove line 3267 and insert:     		Massullo 4/25/2017
    3:37 PM     		PDF

    Citations - Statutes (119)

    Citation Catchline Location in Bill Location In Bill Help
    39.303 Child protection teams; services; eligible cases. Page 58 (pdf)
    39.304 Photographs, medical examinations, X rays, and medical treatment of abused, abandoned, or neglected child. Page 59 (pdf)
    90.503 Psychotherapist-patient privilege. Page 60 (pdf)
    110.12315 Prescription drug program. Page 62 (pdf)
    112.0455 Drug-Free Workplace Act. Page 63 (pdf)
    121.0515 Special Risk Class. Page 63 (pdf)
    220.197 Page 18 (pdf)
    252.515 Postdisaster Relief Assistance Act; immunity from civil liability. Page 65 (pdf)
    310.071 Deputy pilot certification. Page 66 (pdf)
    310.073 State pilot licensing. Page 67 (pdf)
    310.081 Department to examine and license state pilots and certificate deputy pilots; vacancies. Page 68 (pdf)
    320.0848 Persons who have disabilities; issuance of disabled parking permits; temporary permits; permits for certain providers of transportation services to persons who have disabilities. Page 70 (pdf)
    381.00315 Public health advisories; public health emergencies; isolation and quarantines. Page 72 (pdf)
    381.00593 Public school volunteer health care practitioner program. Page 75 (pdf)
    381.026 Florida Patient’s Bill of Rights and Responsibilities. Page 76 (pdf)
    382.008 Death and fetal death registration. Page 76 (pdf)
    383.14 Screening for metabolic disorders, other hereditary and congenital disorders, and environmental risk factors. Page 79 (pdf)
    383.141 Prenatally diagnosed conditions; patient to be provided information; definitions; information clearinghouse; advisory council. Page 81 (pdf)
    384.27 Physical examination and treatment. Page 81 (pdf)
    390.0111 Termination of pregnancies. Page 82 (pdf)
    390.012 Powers of agency; rules; disposal of fetal remains. Page 86 (pdf)
    394.455 Definitions. Page 89 (pdf)
    394.463 Involuntary examination. Page 90 (pdf)
    395.0191 Staff membership and clinical privileges. Page 93 (pdf)
    395.602 Rural hospitals. Page 95 (pdf)
    395.605 Emergency care hospitals. Page 97 (pdf)
    397.311 Definitions. Page 97 (pdf)
    397.405 Exemptions from licensure. Page 98 (pdf)
    397.427 Medication-assisted treatment service providers; rehabilitation program; needs assessment and provision of services; persons authorized to issue takeout medication; unlawful operation; penalty. Page 100 (pdf)
    397.501 Rights of individuals. Page 103 (pdf)
    397.679 Emergency admission; circumstances justifying. Page 104 (pdf)
    397.6793 Professional’s certificate for emergency admission. Page 105 (pdf)
    400.021 Definitions. Page 106 (pdf)
    400.0255 Resident transfer or discharge; requirements and procedures; hearings. Page 107 (pdf)
    400.172 Respite care provided in nursing home facilities. Page 108 (pdf)
    400.462 Definitions. Page 108 (pdf)
    400.487 Home health service agreements; physician’s, physician assistant’s, and advanced registered nurse practitioner’s treatment orders; patient assessment; establishment and review of plan of care; provision of services; orders not to resuscitate. Page 109 (pdf)
    400.506 Licensure of nurse registries; requirements; penalties. Page 110 (pdf)
    400.9905 Definitions. Page 111 (pdf)
    400.9973 Client admission, transfer, and discharge. Page 113 (pdf)
    400.9974 Client comprehensive treatment plans; client services. Page 113 (pdf)
    400.9976 Administration of medication. Page 114 (pdf)
    400.9979 Restraint and seclusion; client safety. Page 116 (pdf)
    401.445 Emergency examination and treatment of incapacitated persons. Page 118 (pdf)
    409.905 Mandatory Medicaid services. Page 120 (pdf)
    409.908 Reimbursement of Medicaid providers. Page 121 (pdf)
    409.9081 Copayments. Page 123 (pdf)
    409.973 Benefits. Page 124 (pdf)
    429.26 Appropriateness of placements; examinations of residents. Page 124 (pdf)
    429.918 Licensure designation as a specialized Alzheimer’s services adult day care center. Page 126 (pdf)
    440.102 Drug-free workplace program requirements. Page 127 (pdf)
    456.0391 Advanced registered nurse practitioners; information required for certification. Page 128 (pdf)
    456.0392 Prescription labeling. Page 129 (pdf)
    456.041 Practitioner profile; creation. Page 130 (pdf)
    456.048 Financial responsibility requirements for certain health care practitioners. Page 130 (pdf)
    456.053 Financial arrangements between referring health care providers and providers of health care services. Page 132 (pdf)
    456.0635 Health care fraud; disqualification for license, certificate, or registration. Page 30 (pdf)
    456.072 Grounds for discipline; penalties; enforcement. Page 137 (pdf)
    456.44 Controlled substance prescribing. Page 137 (pdf)
    456.47 Page 23 (pdf)
    458.3265 Pain-management clinics. Page 138 (pdf)
    458.331 Grounds for disciplinary action; action by the board and department. Page 139 (pdf)
    458.348 Formal supervisory relationships, standing orders, and established protocols; notice; standards. Page 139 (pdf)
    459.0137 Pain-management clinics. Page 144 (pdf)
    459.015 Grounds for disciplinary action; action by the board and department. Page 145 (pdf)
    459.025 Formal supervisory relationships, standing orders, and established protocols; notice; standards. Page 145 (pdf)
    464.003 Definitions. Page 34 (pdf)
    464.004 Board of Nursing; membership; appointment; terms. Page 150 (pdf)
    464.012 Certification of advanced registered nurse practitioners; fees; controlled substance prescribing. Page 37 (pdf)
    464.0125 Page 44 (pdf)
    464.015 Titles and abbreviations; restrictions; penalty. Page 47 (pdf)
    464.0155 Page 48 (pdf)
    464.016 Violations and penalties. Page 49 (pdf)
    464.018 Disciplinary actions. Page 50 (pdf)
    464.0205 Retired volunteer nurse certificate. Page 151 (pdf)
    465.003 Definitions. Page 55 (pdf)
    465.189 Administration of vaccines and epinephrine autoinjection. Page 56 (pdf)
    467.003 Definitions. Page 152 (pdf)
    480.0475 Massage establishments; prohibited practices. Page 152 (pdf)
    483.041 Definitions. Page 153 (pdf)
    483.181 Acceptance, collection, identification, and examination of specimens. Page 153 (pdf)
    483.801 Exemptions. Page 154 (pdf)
    486.021 Definitions. Page 154 (pdf)
    490.012 Violations; penalties; injunction. Page 156 (pdf)
    491.0057 Dual licensure as a marriage and family therapist. Page 156 (pdf)
    491.012 Violations; penalty; injunction. Page 157 (pdf)
    493.6108 Investigation of applicants by Department of Agriculture and Consumer Services. Page 158 (pdf)
    624.509 Premium tax; rate and computation. Page 20 (pdf)
    626.9707 Disability insurance; discrimination on basis of sickle-cell trait prohibited. Page 159 (pdf)
    627.357 Medical malpractice self-insurance. Page 160 (pdf)
    627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles. Page 161 (pdf)
    627.6472 Exclusive provider organizations. Page 161 (pdf)
    627.736 Required personal injury protection benefits; exclusions; priority; claims. Page 163 (pdf)
    633.412 Firefighters; qualifications for certification. Page 168 (pdf)
    641.3923 Discrimination against providers prohibited. Page 169 (pdf)
    641.495 Requirements for issuance and maintenance of certificate. Page 169 (pdf)
    744.2006 Office of Public and Professional Guardians; appointment, notification. Page 170 (pdf)
    744.331 Procedures to determine incapacity. Page 171 (pdf)
    766.102 Medical negligence; standards of recovery; expert witness. Page 172 (pdf)
    766.103 Florida Medical Consent Law. Page 173 (pdf)
    766.1115 Health care providers; creation of agency relationship with governmental contractors. Page 175 (pdf)
    766.1116 Health care practitioner; waiver of license renewal fees and continuing education requirements. Page 177 (pdf)
    766.118 Determination of noneconomic damages. Page 177 (pdf)
    768.135 Volunteer team physicians; immunity. Page 178 (pdf)
    782.071 Vehicular homicide. Page 178 (pdf)
    794.08 Female genital mutilation. Page 179 (pdf)
    893.02 Definitions. Page 180 (pdf)
    893.05 Practitioners and persons administering controlled substances in their absence. Page 180 (pdf)
    943.13 Officers’ minimum qualifications for employment or appointment. Page 181 (pdf)
    945.603 Powers and duties of authority. Page 182 (pdf)
    948.03 Terms and conditions of probation. Page 183 (pdf)
    960.28 Payment for victims’ initial forensic physical examinations. Page 184 (pdf)
    1002.20 K-12 student and parent rights. Page 185 (pdf)
    1002.42 Private schools. Page 187 (pdf)
    1006.062 Administration of medication and provision of medical services by district school board personnel. Page 188 (pdf)
    1006.20 Athletics in public K-12 schools. Page 189 (pdf)
    1009.65 Medical Education Reimbursement and Loan Repayment Program. Page 191 (pdf)
    1009.66 Nursing Student Loan Forgiveness Program. Page 192 (pdf)
    1009.67 Nursing scholarship program. Page 193 (pdf)

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  • HB 7011, Original Filed Version Posted 2/21/2017 at 11:06 AM

    Bill Text:   PDF
    Analyses:   Ways and Means Committee (Post-Meeting) 4/7/2017 (pdf)
    Health and Human Services Committee (Post-Meeting) 4/22/2017 (pdf)

    Related Bills (5)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 543 (c2) Regulation of Health Care Practitioners Health Innovation Subcommittee Compare Last Action: 6/26/2017 Chapter No. 2017-134 Track This Bill
    H 645 Involuntary Examinations Under the Baker Act Lee Compare Last Action: 5/5/2017 S Died in Health Policy Track This Bill
    S 328 (c1) Regulation of Nursing Grimsley Compare Last Action: 5/3/2017 S Laid on Table, companion bill(s) passed, see CS/CS/HB 543 (Ch. 2017-134) -SJ 745 Track This Bill
    S 634 Involuntary Examinations Under the Baker Act Campbell Compare Last Action: 5/5/2017 S Died in Rules Track This Bill
    S 1756 (c1) Examination and Treatment of Individuals with Mental Illness Garcia Compare Last Action: 5/5/2017 S Died in Appropriations Track This Bill

    Committee Amendments (5)

    Amendment Sponsor Filed Last Committee Action Format
    031867 - Amendment
    Remove lines 632-1012 and insert:     		Pigman 4/19/2017
    6:54 PM     		Adopted without Objection
    4/20/2017     		PDF
    440713 - Amendment
    Between lines 708 and 709, insert:     		Brodeur 4/19/2017
    6:55 PM     		Adopted without Objection
    4/20/2017     		PDF
    490511 - Amendment
    Between lines 1242 and 1243, insert:     		Pigman 4/19/2017
    7:05 PM     		Adopted
    4/20/2017     		PDF
    611323 - Amendment
    Between lines 1772 and 1773, insert:     		Miller, M. 4/4/2017
    8:18 PM     		Withdrawn
    4/5/2017     		PDF
    142269 - Amendment
    Remove line 2481 and insert:     		Pigman 4/19/2017
    7:07 PM     		Adopted without Objection
    4/20/2017     		PDF

    Citations - Statutes (116)

    Citation Catchline Location in Bill Location In Bill Help
    39.303 Child protection teams; services; eligible cases. Page 50 (pdf)
    39.304 Photographs, medical examinations, X rays, and medical treatment of abused, abandoned, or neglected child. Page 52 (pdf)
    90.503 Psychotherapist-patient privilege. Page 53 (pdf)
    110.12315 Prescription drug program. Page 54 (pdf)
    112.0455 Drug-Free Workplace Act. Page 55 (pdf)
    121.0515 Special Risk Class. Page 55 (pdf)
    220.197 Page 17 (pdf)
    252.515 Postdisaster Relief Assistance Act; immunity from civil liability. Page 57 (pdf)
    310.071 Deputy pilot certification. Page 58 (pdf)
    310.073 State pilot licensing. Page 59 (pdf)
    310.081 Department to examine and license state pilots and certificate deputy pilots; vacancies. Page 61 (pdf)
    320.0848 Persons who have disabilities; issuance of disabled parking permits; temporary permits; permits for certain providers of transportation services to persons who have disabilities. Page 62 (pdf)
    381.00315 Public health advisories; public health emergencies; isolation and quarantines. Page 64 (pdf)
    381.00593 Public school volunteer health care practitioner program. Page 67 (pdf)
    381.026 Florida Patient’s Bill of Rights and Responsibilities. Page 68 (pdf)
    382.008 Death and fetal death registration. Page 69 (pdf)
    383.14 Screening for metabolic disorders, other hereditary and congenital disorders, and environmental risk factors. Page 72 (pdf)
    383.141 Prenatally diagnosed conditions; patient to be provided information; definitions; information clearinghouse; advisory council. Page 73 (pdf)
    384.27 Physical examination and treatment. Page 74 (pdf)
    390.0111 Termination of pregnancies. Page 74 (pdf)
    390.012 Powers of agency; rules; disposal of fetal remains. Page 78 (pdf)
    394.455 Definitions. Page 82 (pdf)
    394.463 Involuntary examination. Page 82 (pdf)
    395.0191 Staff membership and clinical privileges. Page 86 (pdf)
    395.602 Rural hospitals. Page 87 (pdf)
    395.605 Emergency care hospitals. Page 89 (pdf)
    397.311 Definitions. Page 90 (pdf)
    397.405 Exemptions from licensure. Page 90 (pdf)
    397.427 Medication-assisted treatment service providers; rehabilitation program; needs assessment and provision of services; persons authorized to issue takeout medication; unlawful operation; penalty. Page 93 (pdf)
    397.501 Rights of individuals. Page 96 (pdf)
    397.679 Emergency admission; circumstances justifying. Page 96 (pdf)
    397.6793 Professional’s certificate for emergency admission. Page 97 (pdf)
    400.021 Definitions. Page 99 (pdf)
    400.0255 Resident transfer or discharge; requirements and procedures; hearings. Page 99 (pdf)
    400.172 Respite care provided in nursing home facilities. Page 100 (pdf)
    400.462 Definitions. Page 101 (pdf)
    400.487 Home health service agreements; physician’s, physician assistant’s, and advanced registered nurse practitioner’s treatment orders; patient assessment; establishment and review of plan of care; provision of services; orders not to resuscitate. Page 101 (pdf)
    400.506 Licensure of nurse registries; requirements; penalties. Page 102 (pdf)
    400.9905 Definitions. Page 103 (pdf)
    400.9973 Client admission, transfer, and discharge. Page 105 (pdf)
    400.9974 Client comprehensive treatment plans; client services. Page 106 (pdf)
    400.9976 Administration of medication. Page 107 (pdf)
    400.9979 Restraint and seclusion; client safety. Page 108 (pdf)
    401.445 Emergency examination and treatment of incapacitated persons. Page 110 (pdf)
    409.905 Mandatory Medicaid services. Page 112 (pdf)
    409.908 Reimbursement of Medicaid providers. Page 114 (pdf)
    409.9081 Copayments. Page 116 (pdf)
    409.973 Benefits. Page 116 (pdf)
    429.26 Appropriateness of placements; examinations of residents. Page 116 (pdf)
    429.918 Licensure designation as a specialized Alzheimer’s services adult day care center. Page 118 (pdf)
    440.102 Drug-free workplace program requirements. Page 119 (pdf)
    456.0391 Advanced registered nurse practitioners; information required for certification. Page 120 (pdf)
    456.0392 Prescription labeling. Page 121 (pdf)
    456.041 Practitioner profile; creation. Page 122 (pdf)
    456.048 Financial responsibility requirements for certain health care practitioners. Page 123 (pdf)
    456.053 Financial arrangements between referring health care providers and providers of health care services. Page 125 (pdf)
    456.072 Grounds for discipline; penalties; enforcement. Page 129 (pdf)
    456.44 Controlled substance prescribing. Page 130 (pdf)
    456.47 Page 23 (pdf)
    458.3265 Pain-management clinics. Page 130 (pdf)
    458.331 Grounds for disciplinary action; action by the board and department. Page 131 (pdf)
    458.348 Formal supervisory relationships, standing orders, and established protocols; notice; standards. Page 131 (pdf)
    459.0137 Pain-management clinics. Page 137 (pdf)
    459.015 Grounds for disciplinary action; action by the board and department. Page 137 (pdf)
    459.025 Formal supervisory relationships, standing orders, and established protocols; notice; standards. Page 138 (pdf)
    464.003 Definitions. Page 29 (pdf)
    464.004 Board of Nursing; membership; appointment; terms. Page 142 (pdf)
    464.012 Certification of advanced registered nurse practitioners; fees; controlled substance prescribing. Page 32 (pdf)
    464.0125 Page 39 (pdf)
    464.015 Titles and abbreviations; restrictions; penalty. Page 42 (pdf)
    464.0155 Page 43 (pdf)
    464.016 Violations and penalties. Page 44 (pdf)
    464.018 Disciplinary actions. Page 45 (pdf)
    464.0205 Retired volunteer nurse certificate. Page 143 (pdf)
    467.003 Definitions. Page 144 (pdf)
    480.0475 Massage establishments; prohibited practices. Page 144 (pdf)
    483.041 Definitions. Page 145 (pdf)
    483.181 Acceptance, collection, identification, and examination of specimens. Page 145 (pdf)
    483.801 Exemptions. Page 146 (pdf)
    486.021 Definitions. Page 146 (pdf)
    490.012 Violations; penalties; injunction. Page 148 (pdf)
    491.0057 Dual licensure as a marriage and family therapist. Page 149 (pdf)
    491.012 Violations; penalty; injunction. Page 149 (pdf)
    493.6108 Investigation of applicants by Department of Agriculture and Consumer Services. Page 150 (pdf)
    624.509 Premium tax; rate and computation. Page 20 (pdf)
    626.9707 Disability insurance; discrimination on basis of sickle-cell trait prohibited. Page 151 (pdf)
    627.357 Medical malpractice self-insurance. Page 152 (pdf)
    627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles. Page 153 (pdf)
    627.6472 Exclusive provider organizations. Page 154 (pdf)
    627.736 Required personal injury protection benefits; exclusions; priority; claims. Page 155 (pdf)
    633.412 Firefighters; qualifications for certification. Page 160 (pdf)
    641.3923 Discrimination against providers prohibited. Page 161 (pdf)
    641.495 Requirements for issuance and maintenance of certificate. Page 161 (pdf)
    744.2006 Office of Public and Professional Guardians; appointment, notification. Page 162 (pdf)
    744.331 Procedures to determine incapacity. Page 163 (pdf)
    766.102 Medical negligence; standards of recovery; expert witness. Page 164 (pdf)
    766.103 Florida Medical Consent Law. Page 165 (pdf)
    766.1115 Health care providers; creation of agency relationship with governmental contractors. Page 167 (pdf)
    766.1116 Health care practitioner; waiver of license renewal fees and continuing education requirements. Page 169 (pdf)
    766.118 Determination of noneconomic damages. Page 169 (pdf)
    768.135 Volunteer team physicians; immunity. Page 170 (pdf)
    782.071 Vehicular homicide. Page 171 (pdf)
    794.08 Female genital mutilation. Page 171 (pdf)
    893.02 Definitions. Page 172 (pdf)
    893.05 Practitioners and persons administering controlled substances in their absence. Page 173 (pdf)
    943.13 Officers’ minimum qualifications for employment or appointment. Page 173 (pdf)
    945.603 Powers and duties of authority. Page 174 (pdf)
    948.03 Terms and conditions of probation. Page 175 (pdf)
    960.28 Payment for victims’ initial forensic physical examinations. Page 176 (pdf)
    1002.20 K-12 student and parent rights. Page 177 (pdf)
    1002.42 Private schools. Page 179 (pdf)
    1006.062 Administration of medication and provision of medical services by district school board personnel. Page 180 (pdf)
    1006.20 Athletics in public K-12 schools. Page 181 (pdf)
    1009.65 Medical Education Reimbursement and Loan Repayment Program. Page 183 (pdf)
    1009.66 Nursing Student Loan Forgiveness Program. Page 185 (pdf)
    1009.67 Nursing scholarship program. Page 185 (pdf)

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