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11 Document(s) [ Subject: State supported living centers ]
Committee: | House Human Services | |
Title: | Interim Report | |
Subjects: | Adoption | Assisted living facilities | Child abuse | Child abuse prevention | Child Protective Services | Early childhood intervention | Emergency management | Family preservation | Foster care | Hurricane Harvey | Long-term care | Managed care | Medicaid | Medicaid program management | Mentally ill persons | Natural disasters | Nursing homes | Pharmaceutical industry | Prescription drugs | State supported living centers | Substance abuse | Tropical storms | | |
Library Call Number: | L1836.85 H88 | |
Session: | 85th R.S. (2017) | |
Online version: | View report [50 pages] | |
Charges: | This report should address the charges below. | |
1. | Study the impact of Hurricane Harvey and the response to the storm on individuals living in long-term care facilities, assisted living facilities, state supported living centers, licensed community group homes, and children in the foster care system. Identify and recommend necessary solutions to ensure appropriate disaster-related protocols are in place to keep vulnerable Texans protected. Also, identify any challenges state agencies experienced in responding to the storm or during recovery efforts. | |
2. | Review the history and any future roll-out of Medicaid Managed Care in Texas. Determine the impact managed care has had on the quality and cost of care. In the review, determine: initiatives that managed care organizations (MCOs) have implemented to improve quality of care; whether access to care and network adequacy contractual requirements are sufficient; and whether MCOs have improved the coordination of care. Also determine provider and Medicaid participants’ satisfaction within STAR, STAR Health, Star Kids, and STAR+Plus managed care programs. In addition, review the Health and Human Services Commission's (HHSC) oversight of managed care organizations, and make recommendations for any needed improvement. | |
3. | Examine the survey process for nursing facilities to determine any duplication of government regulations. Consider recommendations to reduce duplication while ensuring patient safety is preserved. | |
4. | Review the availability of prevention and early intervention programs and determine their effectiveness in reducing maltreatment of children. In addition, review services available to children emancipating out of foster care, as well as services available to families post-adoption. Determine if current services are adequately providing for children's needs and meeting the objectives of the programs. While reviewing possible system improvements for children, follow the work of the Supreme Court of Texas Children's Commissions' Statewide Collaborative of Trauma-Informed Care to determine how trauma-informed care impacts outcomes for children. | |
5. | Analyze the prevalence of children involved with Child Protective Services (CPS) who have a mental illness and/or a substance use disorder. In addition, analyze the prevalence of children involved with CPS due to their guardian's substance abuse or because of an untreated mental illness. Identify methods to strengthen CPS processes and services, including efforts for family preservation; increasing the number of appropriate placements designed for children with high needs; and ensuring Texas Medicaid is providing access to appropriate and effective behavioral health services. (Joint charge with the House Committee on Public Health) | |
6. | Monitor the HHSC's implementation of Rider 219 in Article II of the General Appropriations Act related to prescription drug benefit administration in Medicaid. Analyze the role of pharmacy benefit managers in Texas Medicaid. | |
7. | Monitor the agencies and programs under the Committee’s jurisdiction and oversee the implementation of relevant legislation passed by the 85th Legislature. In conducting this oversight, the committee will also closely monitor the implementation of H.B. 4 (85R), H.B. 5 (85R), H.B. 7 (85R), and S.B. 11 (85R). | |
Committee: | Senate Health and Human Services | |
Title: | Interim Report | |
Subjects: | Cancer Prevention and Research Institute of Texas | Caseworkers | Child Protective Services | Children's Health Insurance Program | Dental care | Foster care | Health care | Health care costs | Health insurance | Immunizations | Long-term care | Managed care | Medicaid | Medicaid eligibility | Medical research | Mental health services | Nursing homes | Patient Protection and Affordable Care Act | Public health | State Health Services, Texas Department of | State supported living centers | | |
Library Call Number: | L1836.82 H349 | |
Session: | 82nd R.S. (2011) | |
Online version: | View report [186 pages] | |
Charges: | This report should address the charges below. | |
1. | Monitor the potential impact of the Patient Protection and Affordable Care Act (PPACA) on insurance regulations, Medicaid and CHIP, health care outcomes and overall health of all Texans, and the state budget in Texas. Additionally, monitor the current constitutional challenges to PPACA and other court cases associated with PPACA, and ensure that the state does not expend any resources until judicial direction is clear. (Joint charge with Senate State Affairs Committee) | |
2. | Monitor the potential impact of the Patient Protection and Affordable Care Act (PPACA) on insurance regulations, Medicaid and Children's Health Insurance Program (CHIP), health care outcomes, health care workforce, overall health of all Texans, and the state budget in Texas. Additionally, monitor the current constitutional challenges to PPACA, and other court cases associated with PPACA, and ensure that the state does not expend any resources until judicial direction is clear. (Joint charge with Senate State Affairs Committee) | |
3. | Evaluate the implementation of cost-containment strategies across the Health and Human Services Enterprise to determine if and how each strategy can be expanded upon to achieve additional savings next biennium. The evaluation should include but is not limited to: the expansion of managed care, co-pays in Medicaid, electronic visit verification, and independent assessments for long-? term care services. The evaluation should also consider new cost-containment strategies that will increase efficiencies and reduce costs. This evaluation should include but not be limited to: Medicaid, Early Childhood Intervention Services, and immunizations. | |
4. | Review the state's current investment in health care innovation, including translational research and the Cancer Prevention Research Institute, which focuses on rapid transfer of new technology experimentation directly into the clinical environment. Make recommendations to improve the health of Texans and encourage continued medical research in the most cost-effective manner possible. | |
5. | Review existing policies for prior authorization and medical necessity review across the Medicaid Program, including nursing homes and orthodontic services. Make recommendations on how these policies could be improved to save money by reducing unnecessary utilization and fraud. | |
6. | Review the Medicaid Home and Community Based Services Waivers to identify strategies to lower costs, improve quality, and increase access to services. Areas of the review should include, but are not limited to:
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7. | Evaluate the management structure and supervision of CPS caseworkers with an emphasis on rural areas. Identify any legislative changes that could assist DFPS in maximizing efficiency, improving quality casework and supervision, and increasing caseworker retention. Identify any legislative changes that could improve the quality of care children receive while in Child Protective Services custody, including improving permanency outcomes. | |
8. | Examine the delivery and financing of public health services in our state, including how federal funds are distributed by the state to local health departments and whether the work done by Regional Health Departments operated by the Department of State Health Services overlap unnecessarily with local health departments. | |
9. | Review the state's public mental health system and make recommendations to improve access, service utilization, patient outcomes and system efficiencies. Study current service delivery models for outpatient and inpatient care, funding levels, financing methodologies, services provided, and available community-based alternatives to hospitalization. The review should look to other states for best practices or models that may be successful in Texas. The study shall also review and recommend "best value" practices that the state's public mental health system may implement to maximize the use of federal, state, and local funds. | |
10. | Monitor the implementation of legislation addressed by the Senate Committee on Health and Human Services and make recommendations for any legislation needed to improve, enhance, and/or complete implementation, including but not limited to:
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Committee: | Senate Finance | |
Title: | Interim Report | |
Library Catalog Title: | Interim report | |
Subjects: | Aging and Disability Services, Texas Department of | Criminal Justice, Texas Department of | Employees Retirement System of Texas | Employers | Financial investments | Frew lawsuits | Health and Human Services Commission, Texas | Health insurance | Health insurance premium subsidies | Higher Education Coordinating Board, Texas | Highway finance | Investment of public funds | Iran | Medicaid | Medical reimbursements | Parks and Wildlife, Texas Department of | Permanent School Fund | Permanent University Fund | State agency budgets | State government debt | State Health Services, Texas Department of | State supported living centers | Sudan | Tax incentives | Teacher Retirement System of Texas | Texas Southern University | Transportation, Texas Department of | Youth Commission, Texas | | |
Library Call Number: | L1836.80 F49 | |
Session: | 80th R.S. (2007) | |
Online version: | View report [46 pages File size: 698 kb] | |
Charges: | This report should address the charges below. | |
1. | Provide effective budget oversight of state agencies to ensure that monies appropriated are spent wisely. Particular areas of focus will include the Texas Department of Transportation, Department of State Health Services coordination of Mental Health Services, Texas Parks and Wildlife Department revitalization of State Parks, Health and Human Services Commission management of Frew settlement agreement and waiting list slots, Department of Aging and Disability Services improvement of State Schools, Texas Department of Criminal Justice roll out of treatment programs and review of the salary career ladder for employees for retention purposes, Texas Youth Commission achievement of reform, Texas Southern University rehabilitation, Higher Education Coordinating Board implementation of incentive programs and the creation of the Texas Cancer Research and Prevention Institute. | |
2. | Evaluate the effectiveness of existing state tax incentives that encourage employers to provide health coverage to their employees, including tax incentives under the revised state business tax, and make recommendations for additional deductions or credits that increase the number of employees covered by health care insurance. | |
3. | Study the feasibility and the advisability of establishing an investment policy that is consistent across all state trust funds, including the trust funds of the Employees Retirement System, the Teachers Retirement System, the Permanent University Fund, and the Permanent School Fund. Identify best investment policies for state trust funds. Examine recent portfolio diversification strategies and the effect they have on long-term fund performance. The recommendations should consider what is an acceptable rate of return, an acceptable degree of risk, the appropriateness of certain investments. (Joint charge with Senate State Affairs Committee) | |
4. | Review Medicaid provider reimbursement rate methodologies, including the impact of factors such as infrastructure concerns, federal minimum wage changes, and cost reports. Study the impact on access to care, quality of care, and value, and make recommendations for legislative changes, taking into account rate increases contained in the current budget. (Joint charge with Senate Health and Human Services Committee) | |
5. | Study and review state and local options for expanding transportation funding and explore options to reduce diversions of Fund 6 revenue. (Joint charge with Senate Committee on Transportation and Homeland Security) | |
6. | Study and make recommendations relating to whether the Texas Department of Transportation is in compliance with Transportation Code §201.109, Revenue Enhancement, and whether the Texas Department of Transportation is using the funding sources provided by the Legislature, including, but not limited to, General Obligation, Fund 6 and Mobility Fund bonds, to build new roads. (Joint charge with Senate Committee on Transportation and Homeland Security) | |
7. | Monitor and provide a brief update on the implementation of legislation addressed by the Finance Committee, 80th R.S., and make recommendations for any legislation needed to improve or enhance and complete implementation.
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Committee: | Senate Health and Human Services | |
Title: | Interim Report | |
Library Catalog Title: | Interim report to the 81st Legislature | |
Subjects: | Adoption | Aging and Disability Services, Texas Department of | Asthma | Caseworkers | Child abuse prevention | Child Protective Services | Disease management | Disease preparedness | Disease prevention | Family and Protective Services, Texas Department of | Family Based Safety Services | Family preservation | Foster care | Health care providers | Health Enterprise Zones | Health insurance premium subsidies | Home health care services | Immunizations | Influenza | Medicaid | Medical errors | Medical reimbursements | Medically uninsured | Mental health services | Mentally disabled persons | Nursing homes | Obesity | Persons with disabilities | Preparation for Adult Living | Rural health care | Services for persons with disabilities | Smoking bans | State supported living centers | Stem cell research | Umbilical cord blood | | |
Library Call Number: | L1836.80 H349 | |
Session: | 80th R.S. (2007) | |
Online version: | View report [379 pages File size: 16,580 kb] | |
Charges: | This report should address the charges below. | |
1. | Monitor the Department of Aging and Disability Services' improvement plan for the system of care for individuals with developmental disabilities, focusing on efforts to improve state schools and provide more community care options. Evaluate the process for preventing, reporting, and investigating abuse and neglect in state schools, ICF/MRs and the Home and Community-Based Services (HCS) program. Determine the short-term and long-term financial impact of increasing the number of individuals served in home or community locations and the financial impact this shift has on state schools. Monitor the department's efforts to convert institutions to community care providers through the money-follows-the-person program designed to improve access to community care services. Specifically make recommendations on:
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2. | Study and make recommendations related to creating an outcome-based reimbursement model in Texas' Medicaid program as a way to improve quality of care, reduce medical errors, and create cost savings. Develop a pilot health care program that pays for best practices, rather than only paying for actual procedures performed. Examine the Centers for Medicare and Medicaid's (CMS) efforts to create an outcome-based system in the Medicare payment system that sanctions serious, preventable medical errors. Examine Pennsylvania's efforts to implement a similar outcome-based reimbursement model to make providers more vigilant about patient care, encourage best practices, and reduce costs in their Medicaid program. If necessary, examine other health care coverage models that have successfully incorporated an outcome-based reimbursement system. Consider pay-for-performance, options that reward good outcomes and the use of best practices, and changes to the reimbursement system that will reduce serious preventable medical errors and hospital acquired infections. | |
3. | Study the effectiveness of the Resiliency and Disease Management (RDM) program in the mental health service delivery system, implementation of changes to the crisis care program, and recommendations for appropriate use of the mental health transformation grant. Identify strategies to increase access to services and meet future demand for services. Examine resource allocation and opportunities to maximize funding. Policy recommendations should maximize the number of inpatient psychiatric acute care beds, enhance access to outpatient services, promote the use of recovery-based services, and enhance access to community-based services. | |
4. | Monitor the implementation of the Department of Family and Protective Services’ improvement plan to reduce caseloads for Child Protective Service caseworkers, and to provide family-based safety services and ongoing substitute care services. Evaluate the efficiency of Child Protective Services "functional units," and determine if other organizational models would allow for a reduction in caseworkers' caseloads, without increasing other administrative costs. Develop recommendations aimed at lowering individual caseloads, making casework more efficient, and improving the retention of caseworkers. Assess the viability of caseworker reimbursement as a manner to lower caseworker turnover. | |
5. | Monitor the implementation of the Department of Family and Protective Services' plan to stabilize the foster care system and increase permanency options for children. Study placement capacity to determine how Child Protective Services can better develop the necessary adoptions or foster homes to meet the needs of children and families by increasing foster care capacity, recruiting and retaining more foster and adoptive parents, increasing the use of relative care, and developing best practices for reducing foster care placement breakdowns. This includes studying innovative ways to promote adoption and kinship care in Texas and best practices for foster/adoptive parents to improve their ability to care for abused and neglected children. Explore potential improvements and enhancements in the Preparation for Adult Living (PAL) program to increase successful transitioning from foster care to adult living. Study current death review processes for children who die while in state care. | |
6. | Examine Texas' current strategies for preventing child abuse. Specifically study the effectiveness of current programs and how these programs compare to other state efforts. Identify national research-based solutions, including best practices and programs addressing sexual abuse. Explore promising existing and emerging approaches to child abuse and neglect prevention, especially those with a strong evidence base. Identify additional funding sources for increased child abuse prevention activities by the state. | |
7. | Study the changes in statute contained in SB 10, 80th R.S., as well as the state's current prevention and wellness efforts and chronic care management efforts, and identify opportunities for improvement in state policies and programs. Examine options for expanding and optimizing the state's current investment in wellness programs and management tools for individuals with chronic care conditions, including options that address childhood asthma. Review partnerships with the private sector that specifically address the following:
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8. | Study the effectiveness and efficiency of nursing homes and home-based solutions/home care in Texas, and make recommendations to improve nursing homes and their funding. Identify and study successful nursing home funding models established by other states. Consider ways to fund infrastructure for nursing and therapists and home care. Examine the possibility of an incentive-based “pay for performance” rate plan for nursing facilities and consider factors that it could be based on, taking into account similar plans implemented in other states. Make recommendations on how best to use Medicaid to fund skilled nursing and home health care in Texas. Explore options for improving graduation rates for nurses in Texas. | |
9. | Study and address ethical issues surrounding the impact of a pandemic influenza in this state, particularly focusing on the following:
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10. | Study the potential for development of Health Enterprise Zones, which could offer tax incentives to medical providers who locate within the boundaries of designated medically underserved areas. Analyze similar legislation enacted in other states, specifically New Jersey, and estimate costs and benefits. Consider expanding incentives to medically related industries such as medical research facilities, laboratories and equipment manufacturers in order to spur economic development. | |
11. | Monitor the collection and availability of cord blood stem cells for treatments and research in Texas. Review the current state of basic and clinical research using these and other types of adult stem cells. Assess the potential for clinical and economic benefits from current and increased adult stem cell research. | |
12. | Review Medicaid provider reimbursement rate methodologies, including the impact of factors such as infrastructure concerns, federal minimum wage changes, and cost reports. Study the impact on access to care, quality of care, and value, and make recommendations for legislative changes, taking into account rate increases contained in the current budget. (Joint charge with Senate Finance Committee) | |
13. | Study the state's current and long-range need for physicians, dentists, nurses, and other allied health and long-term care professionals. Make recommendations on how the state can help recruit high-need professions, especially for primary care providers and long-term care professionals in the underserved regions of Texas. (Joint charge with the Senate Committee on International Relations and Trade) | |
14. | Monitor the implementation of legislation addressed by the Health and Human Services Committee, 80th R.S., and make recommendations for any legislation needed to improve, enhance, and/or complete implementation. Specifically, report on the implementation of SB 10, 80th R.S., to ensure meaningful improvement in access to quality care in the Texas Medicaid program, focusing on how to cover more uninsured in Texas with market-based plans or premium assistance for employer health plans, and monitor the creation of the Texas Cancer Research and Prevention Institute. | |
Committee: | House Services for Individuals Eligible for Intermediate Care Facility Services, Select | |
Title: | Interim Report | |
Library Catalog Title: | House Select Committee on Services for Individuals Eligible for Intermediate Care Facility Services, Texas House of Representatives interim report, 2008 : a report to the House of Representatives, 81st Texas Legislature | |
Subjects: | Long-term care | Mentally disabled persons | Services for persons with disabilities | State supported living centers | | |
Library Call Number: | L1836.80 In8 | |
Session: | 80th R.S. (2007) | |
Online version: | View report [100 pages File size: 2,570 kb] | |
Charge: | This report should address the charge below. | |
1. | The Select Committee on Services for Individuals Eligible for Intermediate Care Facility Services has jurisdiction over all matters pertinent to systems in this state for the care of persons with cognitive and developmental disabilities who are eligible for the services of intermediate care facilities. The select committee's jurisdiction includes: (1)investigating and recommending strategies to improve the quality of and availability of appropriate services for persons with cognitive and developmental disabilities who are eligible for the services of intermediate care facilities, while ensuring the safety and well-being of individuals being served in community settings and institutional settings; (2)reviewing functional assessment tools used to assess persons with cognitive and developmental disabilities who are eligible for the services of intermediate care facilities; (3)evaluating this state's ability to comply with federal regulations and directives regarding services for persons with cognitive and developmental disabilities who are eligible for the services of intermediate care facilities and this state's ability to implement generally accepted practices for those services; (4)assessing the adequacy of the "community safety net" in this state's mental retardation authority system after considering the increased longevity of persons with cognitive and developmental disabilities and their aging parents and other caregivers; (5)reviewing the waiting lists for Medicaid home and community waiver services; and (6)assessing the risks to the health and well-being of persons with cognitive and developmental disabilities who are eligible for intermediate care facility services that are not currently being addressed by this state's current system of supports. | |
Committee: | House General Investigating | |
Title: | Interim report | |
Library Catalog Title: | Committee on General Investigating, interim report to the 73rd Texas Legislature. | |
Subjects: | Bingo | Mental Health and Mental Retardation, Texas Department of | Parole | State supported living centers | Telemarketers | | |
Library Call Number: | L1836.72 In9 | |
Session: | 72nd R.S. (1991) | |
Online version: | View report [115 pages File size: 5,632 kb] | |
Charges: | This report should address the charges below. | |
1. | Review the status of bingo operations in Texas, and investigate problems in the effective regulation and control of charitable bingo. * | |
2. | Study whether unauthorized telephone solicitations are being made in the name of veterans organizations; review the extent of abuses associated with telephone solicitations in Texas and determine whether legislative action is needed. * | |
3. | Study the role of parole advocates in the parole process. * | |
4. | Review the decision by the Texas Department of Mental Health and Mental Retardation to close the Fort Worth State School and the Travis State School. * | |
Committee: | House Human Services | |
Title: | Interim report | |
Library Catalog Title: | Interim report of the Committee on Human Services, Texas House of Representatives to the Seventy-first Legislative Session. | |
Subjects: | Attorney General Child Support Division | Blind, Texas Commission for the | Children with disabilities | Education Agency, Texas | Health, Texas Department of | Human Services, Texas Department of | Job training programs | Medicaid | Medicaid Vendor Drug Program | Mental Health and Mental Retardation, Texas Department of | Prescription drugs | Rehabilitation Commission, Texas | Residential treatment centers | State agencies | State supported living centers | Welfare | Welfare reform | Welfare-to-work | Youth Commission, Texas | | |
Library Call Number: | L1836.70 h88 | |
Session: | 70th R.S. (1987) | |
Online version: | View report [42 pages File size: 1,707 kb] | |
Charges: | This report should address the charges below. | |
1. | To study the efficiency and economy of the regional boundaries of human service agencies. (Joint study with House Committee on Public Health). | |
2. | To study the feasibility of establishing a co-payment support assistance system based on ability to pay by parents of children in state supported residential care programs. | |
3. | To study and monitor federal welfare reforms and evaluate the impact of such programs on the state AFDC program and state finances. | |
4. | To study the Vendor Drug Program in the Department of Human Services. | |
Committee: | House General Investigating | |
Title: | Interim Report | |
Library Catalog Title: | Report to the House of Representatives of the State of Texas / House General Investigating Committee. | |
Subjects: | Insurance, Texas State Board of | Mental Health and Mental Retardation, Texas Department of | Mexia State Supported Living Center | State supported living centers | | |
Library Call Number: | L1836.65 in9 | |
Session: | 65th R.S. (1977) | |
Online version: | View report [40 pages File size: 1,156 kb] | |
Charges: | This report should address the charges below. | |
1. | Conduct an investigation of complaints regarding the treatment of the residents of state schools operated by the Texas Department of Mental Health and Mental Retardation, including the Mexia State School, the Richmond State School and the Corpus Christi State School. * | |
2. | Investigate alleged improprieties in the State Board of Insurance's dealings with Nation-Wide Trust and the Great Commonwealth Life Insurance Company. * | |
Committee: | House Health and Welfare | |
Title: | Interim Report | |
Library Catalog Title: | Report of the Committee on Health and Welfare, Texas House of Representatives, 64th Legislature, to the Speaker and members of the Texas House of Representatives, 65th Legislature. | |
Subjects: | Medicaid | Mental Health and Mental Retardation, Texas Department of | Mental health services | Public Welfare, Texas Department of | San Antonio State Hospital | State supported living centers | | |
Library Call Number: | L1936.64 h349 | |
Session: | 64th R.S. (1975) | |
Online version: | View report [37 pages File size: 1,070 kb] | |
Charges: | This report should address the charges below. | |
1. | Review the operations at the San Antonio State Hospital and the Lubbock State School, * | |
2. | Review the procedures used by the Department of Mental Health and Mental Retardation when placing patients in nursing homes. * | |
3. | Review the operations of the Bexar County Mental Health and Mental Retardation Center. * | |
4. | Review the operations of the Department of Public Welfare. * | |
5. | Review the Medicaid contract between the Texas Department of Public Welfare and Blue Cross. * | |
Supporting documents | ||
Committee: | House Health and Welfare | |
Title: | Report | |
Library Catalog Title: | Texas Department of Mental Health Mental Retardation background : need for planning | |
Library Call Number: | M1000.1 B126 | |
Session: | 64th R.S. (1975) | |
Online version: | View document [43 pages] | |
Committee: | House Investigate State Eleemosynary and Reformatory Institutions Investigation, Special | |
Title: | Report | |
Library Catalog Title: | Report of the Legislative Investigating Committee on Eleemosynary and Reformatory Institutions. | |
Subjects: | Juvenile detention facilities | State hospitals | State supported living centers | | |
Library Call Number: | L1836.50 EL25 | |
Session: | 50th R.S. (1947) | |
Online version: | View report [14 pages File size: 677 kb] | |
Charge: | This report should address the charge below. | |
1. | Investigate the needs and operations of the State's elemosynary and reformatory institutions. * |
* This represents an abstract of the report contents. Charge text is incomplete or unavailable.
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