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CS/HB 1195: Health Care Facility Regulation

GENERAL BILL by Health and Human Services Committee ; Miller, A. ; White ; (CO-INTRODUCERS) Grant, M.

Health Care Facility Regulation; Revises licensing requirements for health care facilities; eliminates licensure requirements for clinical laboratories; requires clinical laboratories to be federally certified; authorizes AHCA to adopt rules for alternate-site laboratory testing; requires internal risk program managers to demonstrate competence in certain administrative & health care service areas; repeals Health Care Risk Manager Advisory Council, Subscriber Assistance Program, & Statewide Managed Care Ombudsman Committee; authorizes law enforcement personnel to conduct drug tests on certain inmates & releasees.

Effective Date: 7/1/2017
 Last Action: 5/5/2017 Senate - Died in Health Policy
Bill Text: PDF
Senate Committee References:
  1. Health Policy (HP)
  2. Appropriations Subcommittee on Health and Human Services (AHS)
  3. Appropriations (AP)
  4. Rules (RC)

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  • Bill History

    Date Chamber Action
    3/2/2017 House • Filed
    3/6/2017 House • Referred to Health Innovation Subcommittee; Health Care Appropriations Subcommittee; Health and Human Services Committee -HJ 125
    3/7/2017 House • Introduced -HJ 125
    3/10/2017 House • On Committee agenda-- Health Innovation Subcommittee, 03/14/17, 2:00 pm, Mashburn Hall
    3/14/2017 House • Favorable by Health Innovation Subcommittee; YEAS 12 NAYS 0 -HJ 391
    3/17/2017 House • Now in Health Care Appropriations Subcommittee -HJ 391
    3/24/2017 House • On Committee agenda-- Health Care Appropriations Subcommittee, 03/28/17, 8:00 am, Sumner Hall
    3/28/2017 House • Favorable by Health Care Appropriations Subcommittee; YEAS 13 NAYS 0 -HJ 466
    • Now in Health and Human Services Committee -HJ 466
    4/4/2017 House • On Committee agenda-- Health and Human Services Committee, 04/06/17, 8:00 am, Morris Hall
    4/6/2017 House • CS by- Health and Human Services Committee; YEAS 17 NAYS 0 -HJ 616
    4/11/2017 House • Pending review of CS -under Rule 7.18(c)
    • CS by Health and Human Services Committee read 1st time -HJ 614
    4/12/2017 House • Placed on Calendar -HJ 632
    4/13/2017 House • Placed on Special Order Calendar, 04/18/17
    4/18/2017 House • Placed on Special Order Calendar, 04/19/17
    4/19/2017 House • Read 2nd time -HJ 733, 734
    • Placed on 3rd reading
    4/20/2017 House • Read 3rd time -HJ 759, 761
    • CS passed; YEAS 119 NAYS 0 -HJ 761
    4/25/2017 Senate • In Messages
    • Referred to Health Policy; Appropriations Subcommittee on Health and Human Services; Appropriations; Rules -SJ 460
    • Received -SJ 460
    5/5/2017 Senate • Indefinitely postponed and withdrawn from consideration
    • Died in Health Policy

    Top of SectionTop of Page

  • CS/HB 1195, Committee Substitute 1 (Current Bill Version) Posted 4/11/2017 at 2:23 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1760 Health Care Facility Regulation Grimsley Similar Last Action: 5/5/2017 S Died in Appropriations Track This Bill
    H 7 (c2) Certificates of Need for Hospitals Health Innovation Subcommittee Compare Last Action: 5/5/2017 S Died in Health Policy Track This Bill
    S 676 Availability of Health Care Services Bradley Compare Last Action: 5/5/2017 S Died in Health Policy Track This Bill

    Floor Votes (1)

    Date Chamber Result
    4/20/2017 1:30 PM House 119 Yeas - 0 Nays

    Citations - Statutes (139)

    Citation Catchline Location in Bill Location In Bill Help
    20.43 Department of Health. Page 9 (pdf)
    154.13 Page 11 (pdf)
    220.1845 Contaminated site rehabilitation tax credit. Page 12 (pdf)
    376.30781 Tax credits for rehabilitation of drycleaning-solvent-contaminated sites and brownfield sites in designated brownfield areas; application process; rulemaking authority; revocation authority. Page 12 (pdf)
    376.86 Brownfield Areas Loan Guarantee Program. Page 13 (pdf)
    381.0031 Epidemiological research; report of diseases of public health significance to department. Page 15 (pdf)
    381.0034 Requirement for instruction on HIV and AIDS. Page 15 (pdf)
    381.004 HIV testing. Page 16 (pdf)
    381.0405 Office of Rural Health. Page 16 (pdf)
    383.30 Birth Center Licensure Act; short title. Page 17 (pdf)
    383.301 Licensure and regulation of birth centers; legislative intent. Page 17 (pdf)
    383.302 Definitions of terms used in ss. 383.30-383.335. Page 17 (pdf)
    383.305 Licensure; fees. Page 19 (pdf)
    383.309 Minimum standards for birth centers; rules and enforcement. Page 19 (pdf)
    383.313 Performance of laboratory and surgical services; use of anesthetic and chemical agents. Page 20 (pdf)
    383.33 Administrative penalties; moratorium on admissions. Page 21 (pdf)
    383.335 Partial exemptions. Page 21 (pdf)
    384.31 Testing of pregnant women; duty of the attendant. Page 22 (pdf)
    385.211 Refractory and intractable epilepsy treatment and research at recognized medical centers. Page 22 (pdf)
    394.4787 Definitions; ss. 394.4786, 394.4787, 394.4788, and 394.4789. Page 23 (pdf)
    395.001 Legislative intent. Page 23 (pdf)
    395.002 Definitions. Page 24 (pdf)
    395.003 Licensure; denial, suspension, and revocation. Page 26 (pdf)
    395.009 Minimum standards for clinical laboratory test results and diagnostic X-ray results; prerequisite for issuance or renewal of license. Page 27 (pdf)
    395.0091 Page 28 (pdf)
    395.0161 Licensure inspection. Page 29 (pdf)
    395.0163 Construction inspections; plan submission and approval; fees. Page 29 (pdf)
    395.01911
    395.0197 Internal risk management program. Page 30 (pdf)
    395.1046 Complaint investigation procedures. Page 32 (pdf)
    395.1055 Rules and enforcement. Page 32 (pdf)
    395.10971 Purpose. Page 34 (pdf)
    395.10972 Health Care Risk Manager Advisory Council. Page 34 (pdf)
    395.10973 Powers and duties of the agency. Page 34 (pdf)
    395.10974 Health care risk managers; qualifications, licensure, fees. Page 35 (pdf)
    395.10975 Grounds for denial, suspension, or revocation of a health care risk manager’s license; administrative fine. Page 35 (pdf)
    395.602 Rural hospitals. Page 35 (pdf)
    395.603 Deactivation of general hospital beds; rural hospital impact statement. Page 39 (pdf)
    395.604 Other rural hospital programs. Page 41 (pdf)
    395.605 Emergency care hospitals. Page 42 (pdf)
    395.701 Annual assessments on net operating revenues for inpatient and outpatient services to fund public medical assistance; administrative fines for failure to pay assessments when due; exemption. Page 42 (pdf)
    395.7015 Annual assessment on health care entities. Page 42 (pdf)
    400.0625 Minimum standards for clinical laboratory test results and diagnostic X-ray results. Page 44 (pdf)
    400.464 Home health agencies to be licensed; expiration of license; exemptions; unlawful acts; penalties. Page 45 (pdf)
    400.471 Application for license; fee. Page 47 (pdf)
    400.474 Administrative penalties. Page 50 (pdf)
    400.476 Staffing requirements; notifications; limitations on staffing services. Page 51 (pdf)
    400.484 Right of inspection; deficiencies; fines. Page 52 (pdf)
    400.497 Rules establishing minimum standards. Page 53 (pdf)
    400.506 Licensure of nurse registries; requirements; penalties. Page 54 (pdf)
    400.606 License; application; renewal; conditional license or permit; certificate of need. Page 56 (pdf)
    400.925 Definitions. Page 57 (pdf)
    400.931 Application for license; fee. Page 58 (pdf)
    400.933 Licensure inspections and investigations. Page 58 (pdf)
    400.980 Health care services pools. Page 59 (pdf)
    400.9905 Definitions. Page 59 (pdf)
    400.9935 Clinic responsibilities. Page 62 (pdf)
    408.033 Local and state health planning. Page 63 (pdf)
    408.036 Projects subject to review; exemptions. Page 64 (pdf)
    408.061 Data collection; uniform systems of financial reporting; information relating to physician charges; confidential information; immunity. Page 65 (pdf)
    408.07 Definitions. Page 66 (pdf)
    408.20 Assessments; Health Care Trust Fund. Page 66 (pdf)
    408.7056 Subscriber Assistance Program. Page 67 (pdf)
    408.802 Applicability. Page 67 (pdf)
    408.803 Definitions. Page 67 (pdf)
    408.806 License application process. Page 68 (pdf)
    408.809 Background screening; prohibited offenses. Page 68 (pdf)
    408.810 Minimum licensure requirements. Page 69 (pdf)
    408.812 Unlicensed activity. Page 72 (pdf)
    408.820 Exemptions. Page 74 (pdf)
    409.905 Mandatory Medicaid services. Page 74 (pdf)
    409.907 Medicaid provider agreements. Page 75 (pdf)
    409.9116 Disproportionate share/financial assistance program for rural hospitals. Page 77 (pdf)
    409.975 Managed care plan accountability. Page 79 (pdf)
    429.02 Definitions. Page 82 (pdf)
    429.04 Facilities to be licensed; exemptions. Page 83 (pdf)
    429.08 Unlicensed facilities; referral of person for residency to unlicensed facility; penalties. Page 84 (pdf)
    429.176 Notice of change of administrator. Page 85 (pdf)
    429.19 Violations; imposition of administrative fines; grounds. Page 86 (pdf)
    429.24 Contracts. Page 86 (pdf)
    429.256 Assistance with self-administration of medication. Page 87 (pdf)
    429.28 Resident bill of rights. Page 88 (pdf)
    429.294 Availability of facility records for investigation of resident’s rights violations and defenses; penalty. Page 89 (pdf)
    429.34 Right of entry and inspection. Page 89 (pdf)
    429.52 Staff training and educational programs; core educational requirement. Page 90 (pdf)
    435.04 Level 2 screening standards. Page 91 (pdf)
    435.12 Care Provider Background Screening Clearinghouse. Page 93 (pdf)
    456.001 Definitions. Page 95 (pdf)
    456.057 Ownership and control of patient records; report or copies of records to be furnished; disclosure of information. Page 95 (pdf)
    458.307 Board of Medicine. Page 96 (pdf)
    458.345 Registration of resident physicians, interns, and fellows; list of hospital employees; prescribing of medicinal drugs; penalty. Page 96 (pdf)
    483.011 Short title. Page 97 (pdf)
    483.021 Declaration of policy and statement of purpose. Page 97 (pdf)
    483.031 Application of part; exemptions. Page 97 (pdf)
    483.035 Clinical laboratories operated by practitioners for exclusive use; licensure and regulation. Page 97 (pdf)
    483.041 Definitions. Page 97 (pdf)
    483.051 Powers and duties of the agency. Page 97 (pdf)
    483.061 Inspection of clinical laboratories. Page 97 (pdf)
    483.091 Clinical laboratory license. Page 97 (pdf)
    483.101 Clinical laboratory license. Page 97 (pdf)
    483.111 Limitations on licensure. Page 97 (pdf)
    483.172 License fees. Page 97 (pdf)
    483.181 Acceptance, collection, identification, and examination of specimens. Page 97 (pdf)
    483.191 Branch offices, representation of other laboratories. Page 97 (pdf)
    483.201 Grounds for disciplinary action against clinical laboratories. Page 97 (pdf)
    483.221 Administrative fines. Page 97 (pdf)
    483.23 Offenses; criminal penalties. Page 97 (pdf)
    483.245 Rebates prohibited; penalties. Page 97 (pdf)
    483.26 Technical advisory panel. Page 97 (pdf)
    483.294 Inspection of centers. Page 97 (pdf)
    483.801 Exemptions. Page 98 (pdf)
    483.803 Definitions. Page 98 (pdf)
    483.813 Clinical laboratory personnel license. Page 100 (pdf)
    483.823 Qualifications of clinical laboratory personnel. Page 100 (pdf)
    491.003 Definitions. Page 100 (pdf)
    627.351 Insurance risk apportionment plans. Page 106 (pdf)
    627.602 Scope, format of policy. Page 107 (pdf)
    627.6406 Maternity care. Page 108 (pdf)
    627.64194 Coverage requirements for services provided by nonparticipating providers; payment collection limitations. Page 108 (pdf)
    627.6513 Scope. Page 109 (pdf)
    627.6574 Maternity care. Page 111 (pdf)
    641.185 Health maintenance organization subscriber protections. Page 111 (pdf)
    641.31 Health maintenance contracts. Page 112 (pdf)
    641.312 Scope. Page 112 (pdf)
    641.3154 Organization liability; provider billing prohibited. Page 113 (pdf)
    641.51 Quality assurance program; second medical opinion requirement. Page 114 (pdf)
    641.511 Subscriber grievance reporting and resolution requirements. Page 115 (pdf)
    641.515 Investigation by the agency. Page 119 (pdf)
    641.55 Internal risk management program. Page 119 (pdf)
    641.60 Statewide Managed Care Ombudsman Committee. Page 120 (pdf)
    641.65 District managed care ombudsman committees. Page 120 (pdf)
    641.67 District managed care ombudsman committee; exemption from public records requirements; exceptions. Page 120 (pdf)
    641.68 District managed care ombudsman committee; exemption from public meeting requirements. Page 121 (pdf)
    641.70 Agency duties relating to the Statewide Managed Care Ombudsman Committee and the district managed care ombudsman committees. Page 121 (pdf)
    641.75 Immunity from liability; limitation on testimony. Page 121 (pdf)
    766.118 Determination of noneconomic damages. Page 121 (pdf)
    766.202 Definitions; ss. 766.201-766.212. Page 122 (pdf)
    945.36 Exemption from health testing regulations for law enforcement personnel conducting drug tests on inmates and releasees. Page 123 (pdf)
    1009.65 Medical Education Reimbursement and Loan Repayment Program. Page 124 (pdf)

    Top of SectionTop of Page

  • HB 1195, Original Filed Version Posted 3/2/2017 at 3:54 PM

    Bill Text:   PDF
    Analyses:   Health Innovation Subcommittee (Post-Meeting) 3/17/2017 (pdf)
    Health Care Appropriations Subcommittee (Post-Meeting) 3/28/2017 (pdf)
    Health and Human Services Committee (Post-Meeting) 4/11/2017 (pdf)

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1760 Health Care Facility Regulation Grimsley Similar Last Action: 5/5/2017 S Died in Appropriations Track This Bill
    H 7 (c2) Certificates of Need for Hospitals Health Innovation Subcommittee Compare Last Action: 5/5/2017 S Died in Health Policy Track This Bill
    S 676 Availability of Health Care Services Bradley Compare Last Action: 5/5/2017 S Died in Health Policy Track This Bill

    Committee Amendments (3)

    Amendment Sponsor Filed Last Committee Action Format
    706975 - Strike All Amendment
    Remove everything after the enacting clause and insert:     		Miller, A. 4/5/2017
    6:47 PM     		Adopted as Amended
    4/6/2017     		PDF
    hierarchy 740547 - Amendment to Amendment (706975)
    Remove lines 1775-1778 of the amendment and insert:     		Baez 4/5/2017
    6:55 PM     		Adopted without Objection
    4/6/2017     		PDF
    hierarchy 231261 - Amendment to Amendment (706975)
    Remove lines 1949-1989 of the amendment     		Baez 4/5/2017
    6:56 PM     		Adopted without Objection
    4/6/2017     		PDF

    Citations - Statutes (112)

    Citation Catchline Location in Bill Location In Bill Help
    20.43 Department of Health. Page 7 (pdf)
    220.1845 Contaminated site rehabilitation tax credit. Page 10 (pdf)
    376.30781 Tax credits for rehabilitation of drycleaning-solvent-contaminated sites and brownfield sites in designated brownfield areas; application process; rulemaking authority; revocation authority. Page 11 (pdf)
    376.86 Brownfield Areas Loan Guarantee Program. Page 11 (pdf)
    381.0031 Epidemiological research; report of diseases of public health significance to department. Page 13 (pdf)
    381.0034 Requirement for instruction on HIV and AIDS. Page 13 (pdf)
    381.004 HIV testing. Page 14 (pdf)
    383.313 Performance of laboratory and surgical services; use of anesthetic and chemical agents. Page 14 (pdf)
    383.335 Partial exemptions. Page 15 (pdf)
    384.31 Testing of pregnant women; duty of the attendant. Page 15 (pdf)
    385.211 Refractory and intractable epilepsy treatment and research at recognized medical centers. Page 15 (pdf)
    394.4787 Definitions; ss. 394.4786, 394.4787, 394.4788, and 394.4789. Page 16 (pdf)
    395.001 Legislative intent. Page 16 (pdf)
    395.002 Definitions. Page 17 (pdf)
    395.003 Licensure; denial, suspension, and revocation. Page 19 (pdf)
    395.009 Minimum standards for clinical laboratory test results and diagnostic X-ray results; prerequisite for issuance or renewal of license. Page 20 (pdf)
    395.0091 Page 21 (pdf)
    395.0161 Licensure inspection. Page 22 (pdf)
    395.0163 Construction inspections; plan submission and approval; fees. Page 22 (pdf)
    395.0197 Internal risk management program. Page 23 (pdf)
    395.1046 Complaint investigation procedures. Page 25 (pdf)
    395.1055 Rules and enforcement. Page 25 (pdf)
    395.10971 Purpose. Page 26 (pdf)
    395.10972 Health Care Risk Manager Advisory Council. Page 26 (pdf)
    395.10973 Powers and duties of the agency. Page 26 (pdf)
    395.10974 Health care risk managers; qualifications, licensure, fees. Page 28 (pdf)
    395.10975 Grounds for denial, suspension, or revocation of a health care risk manager’s license; administrative fine. Page 28 (pdf)
    395.602 Rural hospitals. Page 28 (pdf)
    395.603 Deactivation of general hospital beds; rural hospital impact statement. Page 31 (pdf)
    395.604 Other rural hospital programs. Page 34 (pdf)
    395.605 Emergency care hospitals. Page 34 (pdf)
    395.701 Annual assessments on net operating revenues for inpatient and outpatient services to fund public medical assistance; administrative fines for failure to pay assessments when due; exemption. Page 34 (pdf)
    395.7015 Annual assessment on health care entities. Page 34 (pdf)
    400.0625 Minimum standards for clinical laboratory test results and diagnostic X-ray results. Page 36 (pdf)
    400.464 Home health agencies to be licensed; expiration of license; exemptions; unlawful acts; penalties. Page 37 (pdf)
    400.471 Application for license; fee. Page 39 (pdf)
    400.474 Administrative penalties. Page 42 (pdf)
    400.476 Staffing requirements; notifications; limitations on staffing services. Page 43 (pdf)
    400.484 Right of inspection; deficiencies; fines. Page 44 (pdf)
    400.497 Rules establishing minimum standards. Page 45 (pdf)
    400.506 Licensure of nurse registries; requirements; penalties. Page 46 (pdf)
    400.606 License; application; renewal; conditional license or permit; certificate of need. Page 49 (pdf)
    400.925 Definitions. Page 50 (pdf)
    400.931 Application for license; fee. Page 51 (pdf)
    400.933 Licensure inspections and investigations. Page 51 (pdf)
    400.980 Health care services pools. Page 52 (pdf)
    400.9905 Definitions. Page 53 (pdf)
    408.033 Local and state health planning. Page 56 (pdf)
    408.036 Projects subject to review; exemptions. Page 56 (pdf)
    408.061 Data collection; uniform systems of financial reporting; information relating to physician charges; confidential information; immunity. Page 57 (pdf)
    408.07 Definitions. Page 58 (pdf)
    408.20 Assessments; Health Care Trust Fund. Page 58 (pdf)
    408.7056 Subscriber Assistance Program. Page 59 (pdf)
    408.802 Applicability. Page 59 (pdf)
    408.803 Definitions. Page 59 (pdf)
    408.806 License application process. Page 60 (pdf)
    408.810 Minimum licensure requirements. Page 61 (pdf)
    408.812 Unlicensed activity. Page 63 (pdf)
    408.820 Exemptions. Page 65 (pdf)
    409.905 Mandatory Medicaid services. Page 66 (pdf)
    409.9116 Disproportionate share/financial assistance program for rural hospitals. Page 67 (pdf)
    409.975 Managed care plan accountability. Page 68 (pdf)
    429.02 Definitions. Page 72 (pdf)
    429.04 Facilities to be licensed; exemptions. Page 73 (pdf)
    429.08 Unlicensed facilities; referral of person for residency to unlicensed facility; penalties. Page 74 (pdf)
    429.176 Notice of change of administrator. Page 75 (pdf)
    429.41 Rules establishing standards. Page 75 (pdf)
    456.001 Definitions. Page 77 (pdf)
    456.057 Ownership and control of patient records; report or copies of records to be furnished; disclosure of information. Page 77 (pdf)
    458.307 Board of Medicine. Page 78 (pdf)
    458.345 Registration of resident physicians, interns, and fellows; list of hospital employees; prescribing of medicinal drugs; penalty. Page 79 (pdf)
    483.011 Short title. Page 79 (pdf)
    483.021 Declaration of policy and statement of purpose. Page 79 (pdf)
    483.031 Application of part; exemptions. Page 79 (pdf)
    483.035 Clinical laboratories operated by practitioners for exclusive use; licensure and regulation. Page 79 (pdf)
    483.041 Definitions. Page 80 (pdf)
    483.051 Powers and duties of the agency. Page 80 (pdf)
    483.061 Inspection of clinical laboratories. Page 80 (pdf)
    483.091 Clinical laboratory license. Page 80 (pdf)
    483.101 Clinical laboratory license. Page 80 (pdf)
    483.111 Limitations on licensure. Page 80 (pdf)
    483.172 License fees. Page 80 (pdf)
    483.181 Acceptance, collection, identification, and examination of specimens. Page 80 (pdf)
    483.191 Branch offices, representation of other laboratories. Page 80 (pdf)
    483.201 Grounds for disciplinary action against clinical laboratories. Page 80 (pdf)
    483.221 Administrative fines. Page 80 (pdf)
    483.23 Offenses; criminal penalties. Page 80 (pdf)
    483.245 Rebates prohibited; penalties. Page 80 (pdf)
    483.26 Technical advisory panel. Page 80 (pdf)
    483.294 Inspection of centers. Page 80 (pdf)
    483.801 Exemptions. Page 80 (pdf)
    483.803 Definitions. Page 81 (pdf)
    483.813 Clinical laboratory personnel license. Page 81 (pdf)
    491.003 Definitions. Page 82 (pdf)
    627.351 Insurance risk apportionment plans. Page 87 (pdf)
    627.602 Scope, format of policy. Page 89 (pdf)
    627.64194 Coverage requirements for services provided by nonparticipating providers; payment collection limitations. Page 89 (pdf)
    627.6513 Scope. Page 90 (pdf)
    641.185 Health maintenance organization subscriber protections. Page 92 (pdf)
    641.312 Scope. Page 92 (pdf)
    641.3154 Organization liability; provider billing prohibited. Page 93 (pdf)
    641.51 Quality assurance program; second medical opinion requirement. Page 94 (pdf)
    641.511 Subscriber grievance reporting and resolution requirements. Page 95 (pdf)
    641.515 Investigation by the agency. Page 103 (pdf)
    641.55 Internal risk management program. Page 104 (pdf)
    641.60 Statewide Managed Care Ombudsman Committee. Page 105 (pdf)
    641.70 Agency duties relating to the Statewide Managed Care Ombudsman Committee and the district managed care ombudsman committees. Page 105 (pdf)
    641.75 Immunity from liability; limitation on testimony. Page 106 (pdf)
    766.118 Determination of noneconomic damages. Page 106 (pdf)
    766.202 Definitions; ss. 766.201-766.212. Page 107 (pdf)
    945.36 Exemption from health testing regulations for law enforcement personnel conducting drug tests on inmates and releasees. Page 108 (pdf)
    1009.65 Medical Education Reimbursement and Loan Repayment Program. Page 109 (pdf)

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