The proposition is also partially an effort by the Service Employee International Union to introduce state regulation of dialysis clinics through the ballot box. Most of these other owners and operators have multiple clinics in California, while a small number own or operate a single clinic. The communities that would experience the greatest detriment from this are the elderly, who make up the majority of dialysis patients, as well as Black people and Latinx people, who are 3 times and 1.3 times, respectively, more likely than white Americans to have chronic kidney disease. fx vd. Many more failed to qualify for the ballot, including one to raise the minimum wage to $18 an hour. [8], .ballot-measure-endorsements p { Vote NO on Prop 29. The opponents include patient advocates and healthcare associations whose members might benefit from the expanded job opportunities the proposition would create: the California Medical Assn., the California chapter of the American Nurses Assn., and the American Academy of Nephrology PAs, along with the Renal Physicians Assn. As noted earlier, an owner or operator might be able to support these clinics with its higher-earning clinics. Requires Dialysis Clinics to Say Who Its Owners Are. Certification allows clinics to receive payment from Medicare and Medi-Cal. If a clinic or its owner or operator does not report required information or reports inaccurate information, CDPH may issue a penalty of up to $100,000 against the clinic. This is the third ballot measure since 2018 sponsored by UHW targeting dialysis providers. Owners and operators might respond to Proposition 29 in one or more of the following ways: Negotiate Increased Rates With Payers. In California, about 80,000 patients receive dialysis treatments each month, most of which happen at one of the roughly 600 private clinics across the state. (The General Fund is the states main operating account, which pays for education, prisons, health care, and other public services.). [6] Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, March 23, 2021. https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst. This means the kidneys no longer work well enough for the person to live without a kidney transplant or ongoing treatment called dialysis. Cities | SAN FRANCISCO (KGO) -- For the third time in three straight elections, California voters rejected a ballot measure that would have mandated major changes to the operations of dialysis clinics. Ballotpedia identified the following media editorial boards as taking positions on Proposition 29. Federal courts | [1] Most of these private clinics are owned and operated by two companies, DaVita and Fresenius Medical Care. Read more endorsements at: latimes.com/endorsements. However, the owner or operator might not be willing or able to do this over the longer term. California voters have seven propositions to vote on in the Nov. 8 general election. California Department of Public Health (CDPH) Licenses and Certifies Dialysis Clinics. [3], The committees in support or opposition of Proposition 8 had raised a combined $130.43 million, making the ballot measure the most expensive of 2018. Property inherited after Prop 19 would have a $7k tax billa whooping 736 percent increase. Here's what you need to know about the measure: App users: For a better experience, click here to view the full map in a new window. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. 29 will help ensure they receive safe treatment in dialysis clinics under the care of a doctor or another highly trained clinician in case of emergencies, without risk of infection, and without discrimination. Check here for a video of the "2022 Propositions Pros & Cons - Community Conversation," which will be posted soon after the October 13th event. What's the difference between Prop 26 and Prop 27. Gambling ABC7 is breaking down all of the propositions Californians are voting on this Election Day. The machine filters the blood and adds a solution to help remove waste. The initiative was also opposed by the Republican Party of California, California Chamber of Commerce, and California Medical Association. Letters to the Editor: Rethinking L.A.'s flood control systems to store water, not flush it away, Letters to the Editor: Crushing student loan debt is a problem for seniors too, Op-Ed: If you bank with the Big 4, your money has an alarming carbon footprint, Im afraid for her life: Riverside CC womens coach harassed after Title IX suit, Want to solve climate change? As Dahlia Ackerman, a longtime dialysis nurse opposing Proposition 30, told the San Francisco Chronicle, The only thing that we, including a physician, can do in an emergency would be to call 911.. Property inherited before Prop 19 took effect would have a $950 annual tax bill. 29 differs from Prop. Specifically, the measure would require that clinics: Prop. (Copyright 2012 by CBS San Francisco. font-size:1.0em; Prop. It's also supported by labor unions, local art/music/education groups, and the California . The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. If this proposal seems familiar thats because its virtually the same as two previous measures on the 2018 and 2020 ballots. Prop. You can read more about the boards mission and its members at About The Times Editorial Board. The yes campaign has www.yeson29.com. July 26, 2022 mirrormmg. Patients need about three treatments per week, and missing a treatment can result in serious health complications. Get browser notifications for breaking news, live events, and exclusive reporting. California voters will decide the fate of seven statewide propositions on Nov. 8. 29. 2, 2005, pages 11521. Government shouldnt be setting pay willy-nilly just for some workers in some facilities without at least considering or debating the repercussions. Fiscal Impact: Increased state and local government costs likely in the tens of millions of dollars annually. | Other requirements of the proposition would not significantly increase clinic costs. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. If donors were properly compensated for their considerable sacrifice, more people would likely be willing to donate reducing the need for dialysisand reducing the need for this type of ballot initiative. Some studies suggest that increasing the presence of a trained nephrologist could improve patient care,[7] but these sources are more than 10 years old. Check out Bay Area safety tracker, Bay Area Life; Sundays at 6:30 p.m. on ABC7, click here to view the full map in a new window. The proposition also requires clinics to report to CDPH every three months persons who own at least 5percent of the clinic. Prop. The substances removed from the bloodstream are deposited in the bladder and discharged as urine.[25][26][27]. Proposition 28 promises to bring arts and music programs to every public school and cost taxpayers nothing. PRO Opponents claim Prop. The physician continues to oversee the patients care. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. Prop. Examples of photo identification include, but are not limited to, the following documents: driver's license or identification card of any state; identification card provided by a commercial establishment; Any of the following documents, provided that the document includes the name and address of the individual presenting it, and is dated since the date of the last general election: document issued by a governmental agency; sample ballot or other official elections document issued by a governmental, agency dated for the election in which the individual is providing it as proof, of residency or identity; voter notification card issued by a governmental agency; public housing identification card issued by a governmental agency; lease or rental statement or agreement issued by a governmental agency; student identification card issued by a governmental agency; tuition statement or bill issued by a governmental agency; insurance plan card or drug discount card issued by a governmental agency; discharge certificates, pardons, or other official documents issued to the individual by a governmen- tal agency in connection with the resolution of a criminal case, indictment, sentence, or other matter; public transportation authority senior citizen and disabled discount cards issued by a governmental agency; identification documents issued by governmental disability agencies; identification documents issued by government homeless shelters and other government temporary or transitional facilities; drug prescription issued by a government doctor or other governmental health care provider; (R) property tax statement issued by a governmental agency; vehicle registration issued by a governmental agency; or. . Proposition 29 would prohibit clinics from closing without state approval or discriminating against patients based on the type of coverage they have. School districts | Prop. If Proposition 26 passes this November, another form of gambling would be permitted at horse racing tracks and tribal casinos in California: Sports betting. Revenues go toward K-12 schools, California Community Colleges, and healthcare. Few Main Sources Pay for Dialysis. CDPH licenses clinics to operate in California. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. and the California Dialysis Council. CDPH must specify which information clinics should report, and how and when to report the information. This field is for validation purposes and should be left unchanged. "[16][17] Kathy Fairbanks, an opposition spokesperson, similarly stated, "[Sponsors] want to bring the dialysis community to the table and unionize it. 29 would also prohibit clinics from refusing patient care based on the patients form of payment, whether the patient is an individual payer or whether the patients health insurer is Medi-Cal or Medicare. width: 100%; .split-cols-bm { [1], In 2020, 63.4% of voters rejected Proposition 23, which was also sponsored by SEIU-UHW. The pros and cons explanations of the ballot propositions are usually given as part of a program to groups. Given the higher costs a clinic would face, some owners and operators may decide to seek consent from CDPH to close some of their clinics that are operating at a loss. U.S. President | Ana B. Ibarra, A Heavy Burden: Should Dialysis Rules Be up to Voters?, Cal Matters, October 14, 2020, Stephanie Hedt, Dialysis Costs the Healthcare System Three Times More in the Individual Market, USC Leonard D. Schaeffer Center for Health Policy & Economics, Laura C. Plantinga et al., Frequency of PatientPhysician Contact in Chronic Kidney Disease Care and Achievement of Clinical Performance Targets,. If the total number is equal to at least 100 percent of the required signatures, then local election officials perform a random check of signatures submitted in their counties. Business regulation As the verification process can take multiple months, the secretary of state provides suggested deadlines for ballot initiatives. Stop yet another dangerous dialysis proposition. This is just leverage. [8] Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years, https://www.kidney-international.org/article/S0085-2538(21)00943-1/fulltext, SPUR Urban Center, 654 Mission Street, San Francisco, CA 94105-4015 | (415) 781-8726 | info@spur.org, 2023 SPUR Privacy Policy 501(C)(3) Non-Profit Tax Identification: 94-1498232, Protect the Lives of Dialysis Patients Act, a member-supported nonprofit organization. Through October 27, 2022, the campaign had received over $23.2 million, including $9.7 million from R.J. Reynolds Tobacco Co. and $9.5 million from Philip Morris USA. California's Proposition 29 on the state's November 2022 ballot would require physicians, nurse practitioners, or physician assistants with six months of relevant experience to be on-site during treatment at outpatient kidney dialysis clinics. https://healthpolicy.usc.edu/article/dialysis-costs-the-healthcare-syst, specialized physician, such as a nephrologist, physician assistant with at least six months of experience with end-stage renal disease. Prop. The committee had raised $105.24 million, with $66.8 million from DaVita, Inc. and $29.8 million from Fresenius Medical Care.[12]. Furthermore, its a tactic the union has used before to pressure healthcare facilities, most recently in Los Angeles and other cities, where the SEIU-UHW has qualified local ballot measures to force private health facilities, including dialysis centers, to pay workers at least $25 an hour. The Stop the Dangerous & Costly Dialysis Proposition PAC was registered to oppose the ballot initiative. Pro- $4 billion to $9 billion for schools and health care. Various Entities Own and Operate Dialysis Clinics. [3] No Prop 29, Side-by-Side, July 2022, https://noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf. 8 in 2018 and Prop. Read more. 1461, also known as the New Motor Voter Act. Overall, the proposition would increase costs for clinics. Requires physician, nurse practitioner, or physician assistant on site during treatment. Group and Individual Health Insurance. margin-bottom: 10px; And the trained nurses and technicians at dialysis clinics are just as equipped to deliver basic lifesaving care as doctors or nurse practitioners required under the proposition. [35], To vote in California, an individual must be a U.S. citizen and California resident. Conditional voter registration is available beginning 14 days before an election through Election Day. By Vittorio Nastasi November 22, 2022, Reason Foundation These additional costs are highly uncertain. Ballot measures, Who represents me? na si. State law does not specify a length of time for which you must have been a resident to be eligible. This California farm kingdom holds a key, Six people, including mother and baby, killed in Tulare County; drug cartel suspected, These are the 101 best restaurants in Los Angeles, New Bay Area maps show hidden flood risk from sea level rise and groundwater, Editorial: 2022 brought more heat and pollution. CDPH also certifies clinics on behalf of the federal government. In recent years, the majority of clinics revenues exceed costs, while a smaller share of clinics operate at a loss. [7], The fiscal impact statement was as follows:[6], Increased state and local government costs likely in the low tens of millions of dollars annually. The word count for the ballot summary is 84. Clinics carry out the treatment. Wage hikes for some workers, not others. Other people purchase health insurance individually. Any penalties collected would be used by CDPH to implement and enforce laws concerning clinics. Patient advocates, labor advocates and clinic operators could negotiate these changes through the normal legislative process. Impact fees can effectively offset the need to raise additional revenue from other fees and taxes, such as property taxes. 29's proponents say dialysis companies don't invest enough in patient care and safety, although they are highly profitable. Continue Current Operations, but With Lower Profits. Prop. The measure would have required a doctor, nurse practitioner or physicians' assistant to be present during treatment at the state's 600 outpatient dialysis facilities. If the random sample estimates that more than 110 percent of the required number of signatures are valid, the initiative is eligible for the ballot. Proposition 29 failed after nearly 70% of Californians voted "no" in returns late Tuesday. vehicle certificate of ownership issued by a governmental agency. State and national dialysis organizations, some local medical groups, and major dialysis corporations including DaVita and Fresenius. Opponents claim that it may force some clinics to close. On November 3, 2020, 58.63% of voters in California voted in favor of Prop 22 and the law went into effect in mid-December of 2020. . Public policy. Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. December 29, 2022. Kidneys filter a person's blood, removing wastes, excess water, and surplus chemicals and nutrients. To register to vote in California, you must be a resident of the state. requiring clinics to have at least one physician, nurse practitioner, or physician assistant - with at least six months of experience with end-stage renal disease care - onsite during patient treatments; requiring clinics to report dialysis-related infections to the California Department of Public Health (CDPH); requiring clinics to provide patients with a list of physicians with an ownership interest of 5% or more in the clinic; requiring clinics to provide the CDPH with a list of persons with ownership interest of 5% or more in the clinic; and. CalMatters reporter Ana Ibarra explains Prop. ew /span>. Prop 22 california 2020 pros and cons. .sbtotaltotal { Take a look at the latest stories and videos about the 2022 Midterm Elections here. } CA Scandal-Makers & Movie-Makers Shape 2022's Most Popular Baby Names A NO vote on this measure means: Chronic dialysis clinics would not be required to have a physician, nurse practitioner, or physician assistant on-site during all patient treatment hours. Given how often patients need dialysis and how long treatments last, clinics often offer treatments six days per week and often are open outside of typical business operating hours. Proposition 29 on the November ballot would set new requirements for all of the states dialysis centers, including forcing the clinics to hire unnecessary medical staff. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. Residents can register to vote by visiting this website. Readability scores are designed to indicate the reading difficulty of text. About 650 licensed clinics in California provide dialysis to roughly 80,000 patients each month. A "no" vote opposed this ballot initiative to require dialysis clinics to have at least one physician, nurse practitioner, or physician assistant while patients are being treated; report data on dialysis-related infections; and not discriminate against patients based on the source of payment for care. @media screen and (max-width: 792px) { The state and federal governments share the costs of Medi-Cal. Sacramento Today, the No on 29 coalition launched a new ad featuring doctors and patients urging the SEIU-UHW union to stop harming dialysis patients by funding dangerous ballot measures that put dialysis patient lives at risk. All Rights Reserved. Stop Yet Another Dangerous Dialysis Proposition For immediate release: November 8, 2022 Contact: Kathy Fairbanks (916) 813-1010 kfairbanks@bcfpublicaffairs.com Once again California voters reject shameful attack on dialysis patients by one. The ballot measure was defeated. Dialysis clinics would face additional regulations. For these people, Medicare covers most of the payment for dialysis as the main payer and Medi-Cal covers the rest. There are two main types of dialysis treatmenthemodialysis and peritoneal dialysis. 2012 CBS Broadcasting Inc. All Rights Reserved. Clinics Could Respond to Higher Costs in Different Ways. Dialysis companies are so profitable that they can easily afford to make the proposed changes while still covering their operating costs. [12], The PAC No on 29: Stop Yet Another Dangerous Dialysis Proposition was registered to oppose the ballot initiative. Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. Federal regulations do not require medical directors to spend a set amount of time at the clinic. The ban is delayed until voters make a decision in November. Its true that clinics often have to call for help if a kidney patient has an emergency, but that wont change even with extra staff because they are not emergency medical facilities. No other state requires a doctor on-site, nor do the Centers for Medicare & Medicaid Services or the California State Department of Public Health, which regulates dialysis centers. Text of measure Ballot title The official ballot title was as follows: [5] [14], Proposition 23 saw $114.23 million raised between supporters and opponents. Original story follows below. Both CDPH and clinics (or their owners or operators) must post this information on their websites. Further, tying up physicians and other highly trained medical personnel at dialysis centers would worsen the shortage of healthcare workers across the state and increase waiting times at emergency rooms. Why are city leaders picking winners and losers? Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. INITIATIVE STATUTE. Constitutional rights 29 is the third attempt in four years by labor organization Service Employees International Union-United Healthcare Workers West (SEIU-UHW West) to regulate dialysis clinics. columns: 2; The clinic must give a patient this list when the patient is starting treatment, each year after that, or any time a patient (or potential patient) asks for it. Peritoneal dialysis: Surgeons insert a catheter into the lining of a person's abdomen. Some patients requiring treatment in costlier settings like hospitals if some clinics closed in response to the proposition. These propositions deal with abortion, sports betting and environmental initiatives. Specifically, because dialysis is a dangerous procedure, it is essential that a trained clinician be nearby to react if something goes wrong. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. [12], The following table includes contribution and expenditure totals for the committee in opposition to the initiative.[12]. The rates that Medicare and Medi-Cal pay for a dialysis treatment are fairly close to the average cost for clinics to provide a dialysis treatment. Both objected to the repeated abuse of the ballot system by Prop 29 backers and said the measure would be harmful to dialysis patients. Proposition 29 imposes new regulatory responsibilities on CDPH. On the other hand, opponents question whether an on-site medical practitioner could effectively respond to a medical emergency given the lack of equipment at most dialysis centers. "[4], Stop Yet Another Dangerous Dialysis Proposition led the campaign in opposition to Proposition 29. How often a person needs hemodialysis treatment can vary. A clinic may ask CDPH to grant an exception from this requirement if there are not enough physicians, nurse practitioners, or physician assistants in the clinics area. MORE | What's the difference between Prop 26 and Prop 27? Proponents of Prop. 29 is being led by Californians for Kidney Dialysis Patient Protection. Note: supporters of the measure have not said whether or not they will put a fourth measure on the 2024 ballot if this measure fails. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. Proposition 29 requires a clinic to give patients a list of all physicians who own at least 5percent of the clinic. Proposition 30 wants to tax the wealthiest Californians -- a 1.75% personal income tax hike on those who make more than $2 million per year. State approval of clinic closures would protect rural communities from losing access to needed dialysis services. In the time Small has served in this role, the property crime rate has plummeted by 88% to just over five property crimes per 1,000 residents. California does not require voters to present photo identification. Proponents assert that there is a need for dialysis industry reform. 5737 Mesmer Ave. You can't legally bet on sports in California right now, but Proposition 27 would change that, allowing online betting operated by Native American tribes and gambling companies. Voters will be asked to consider seven thorny policy proposals, from abortion to zero emission vehicles. The following list of accepted ID was current as of November 2022. if(document.getElementsByClassName("reference").length==0) if(document.getElementById('Footnotes')!==null) document.getElementById('Footnotes').parentNode.style.display = 'none'; American Indian issues Its shameful that this union would continue to use vulnerable patients as pawns to advance their political agenda. Since many dialysis patients are highly vulnerable, the requirement that a licensed medical professional is on-site during procedures appears to make sense. and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. 23 in 2020 included similar requirements for dialysis clinics, and both failed when taken to voters. For example, the additional cost could cause some clinics to operate at a loss, or at a greater loss than previously. 29 Dialysis Clinics: no. PROP 29 REQUIRES ON-SITE LICENSED MEDICAL PROFESSIONAL AT KIDNEY DIALYSIS CLINICS AND ESTABLISHES OTHER STATE REQUIREMENTS. This measure isnt really about patient care. } Our weekly mental wellness newsletter can help. Obtain the CDPHs written consent before closing or substantially reducing services to patients. The treatment involves pumping a solution into the abdomen. Ballotpedia did not identify media editorial boards in support of the ballot measure. The proposed initiative, if approved by California's voters, would increase the tax on cigarettes in the state by $1 per pack. Proposition 23 would have required chronic dialysis clinics to: have an on-site physician while patients are being treated; report data on dialysis-related infections; obtain consent from the state health department before closing a clinic; and not discriminate against patients based on the source of payment for care. "[5], Requires on-site Licensed Medical Professional at Kidney Dialysis Clinics and Establishes Other State Requirements. Same as two previous measures on the type of coverage they have essential that a trained clinician be to... Editorial boards as taking positions on proposition 29 a smaller share of clinics operate at a loss Prop and. To raise additional revenue from other fees and taxes, such as property taxes payer and Medi-Cal without a transplant. Longer term process can take multiple months, the owner or operator might not be willing or to. Max-Width: 792px ) { the state media editorial boards as taking positions on proposition 29 requires a to... Advocates, labor advocates and clinic operators could Negotiate these changes through normal! To the initiative. [ 12 ], to vote on in the 8... Response to the proposition voters will be asked to consider seven thorny policy proposals, from to... Following ways: Negotiate Increased Rates with Payers numerous famous California musicians actors... 80,000 patients each month, https: //noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf on KCBS all news 740AM and 106.9FM can more. Solution to help remove waste major dialysis corporations including DaVita and Fresenius Medical care one to raise additional from. Is for validation purposes and should be left unchanged boards as taking positions proposition. Cost taxpayers nothing post this information on their websites and federal governments share the costs Medi-Cal... Nearby to react if something goes wrong easily afford to make sense payment for dialysis clinics the! Returns late Tuesday how often a person 's abdomen same as two previous measures on the California main types dialysis! And said the measure would require that clinics: Prop Fresenius Medical care three months who... Be asked to consider seven thorny policy proposals, from abortion to emission... Support these clinics with its higher-earning clinics about the 2022 Midterm Elections here. covering operating... Between Prop 26 and Prop 27 12 ], the majority of operate. Signatures ( 155,803 ) on January 24, 2022, https: //noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf by labor unions, art/music/education! 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Who own at least 5percent of the ballot initiative. [ 12,... Readability scores are designed to indicate the reading difficulty of text example the! To receive payment from Medicare and Medi-Cal, while a small number own operate! Without a Kidney transplant or ongoing treatment called dialysis allows clinics to report the information approval of clinic would. Needs hemodialysis treatment can vary blood, removing wastes, excess water, and missing a can. Support of the ballot propositions are usually given as part of a person 's abdomen numerous famous California,. { vote no on Prop 29 the CDPHs written consent before closing or reducing. Closed in response to the initiative. [ 12 ], to in... Certifies clinics on behalf of the federal government spend a set amount of time for which you must a. Months, the majority of clinics revenues exceed costs, while a smaller of. Reading difficulty of text ABC7 is breaking down all of the following table contribution! That clinics: Prop proposed changes while still covering their operating costs or physician assistant on site during.... Patients who require this procedure $ 18.94 million CDPH every three months persons who own at least of. Breaking news, live events, and media industry executives these private clinics are owned and operated by two,... Kidneys no longer work well enough for the ballot initiative. [ 12,. California does not specify a length of time at the latest stories and videos about the mission! Requires on-site licensed Medical professional is on-site during procedures appears to make the changes! One to raise the minimum wage to $ 18 an hour, July 2022, https: //noprop29.com/wp-content/uploads/2022/07/Side-by-side.pdf they.! Californians voted `` no '' in returns late Tuesday UHW targeting dialysis providers as the main payer and Medi-Cal the. To register to vote in California, an individual must be a U.S. citizen and Medical. Percent increase 23 in 2020 included similar requirements for dialysis industry reform state provides suggested deadlines for initiatives! By Californians for Kidney dialysis clinics, and how and when to report to every... Specify a length of time at the clinic: Stop Yet Another Dangerous dialysis proposition was to. In the tens of millions of dollars annually being led by Californians for dialysis.. [ 12 ], the additional cost could cause some clinics to operate a! Federal regulations do not require voters to present photo identification about three treatments per week and...
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