1 | 1 | | 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2880 Introduced , by Rep. Lamont J. Robinson, Jr. SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-4 from Ch. 23, par. 5-4 Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning the amount and nature of medical assistance. LRB103 27376 AMC 53748 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2880 Introduced , by Rep. Lamont J. Robinson, Jr. SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-4 from Ch. 23, par. 5-4 305 ILCS 5/5-4 from Ch. 23, par. 5-4 Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning the amount and nature of medical assistance. LRB103 27376 AMC 53748 b LRB103 27376 AMC 53748 b A BILL FOR |
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2 | 2 | | 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2880 Introduced , by Rep. Lamont J. Robinson, Jr. SYNOPSIS AS INTRODUCED: |
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3 | 3 | | 305 ILCS 5/5-4 from Ch. 23, par. 5-4 305 ILCS 5/5-4 from Ch. 23, par. 5-4 |
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4 | 4 | | 305 ILCS 5/5-4 from Ch. 23, par. 5-4 |
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5 | 5 | | Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning the amount and nature of medical assistance. |
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6 | 6 | | LRB103 27376 AMC 53748 b LRB103 27376 AMC 53748 b |
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7 | 7 | | LRB103 27376 AMC 53748 b |
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8 | 8 | | A BILL FOR |
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9 | 9 | | HB2880LRB103 27376 AMC 53748 b HB2880 LRB103 27376 AMC 53748 b |
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10 | 10 | | HB2880 LRB103 27376 AMC 53748 b |
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11 | 11 | | 1 AN ACT concerning public aid. |
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12 | 12 | | 2 Be it enacted by the People of the State of Illinois, |
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13 | 13 | | 3 represented in the General Assembly: |
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14 | 14 | | 4 Section 5. The Illinois Public Aid Code is amended by |
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15 | 15 | | 5 changing Section 5-4 as follows: |
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16 | 16 | | 6 (305 ILCS 5/5-4) (from Ch. 23, par. 5-4) |
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17 | 17 | | 7 Sec. 5-4. Amount and nature of medical assistance. |
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18 | 18 | | 8 (a) The The amount and nature of medical assistance shall |
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19 | 19 | | 9 be determined in accordance with the standards, rules, and |
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20 | 20 | | 10 regulations of the Department of Healthcare and Family |
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21 | 21 | | 11 Services, with due regard to the requirements and conditions |
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22 | 22 | | 12 in each case, including contributions available from legally |
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23 | 23 | | 13 responsible relatives. However, the amount and nature of such |
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24 | 24 | | 14 medical assistance shall not be affected by the payment of any |
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25 | 25 | | 15 grant under the Senior Citizens and Persons with Disabilities |
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26 | 26 | | 16 Property Tax Relief Act or any distributions or items of |
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27 | 27 | | 17 income described under subparagraph (X) of paragraph (2) of |
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28 | 28 | | 18 subsection (a) of Section 203 of the Illinois Income Tax Act. |
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29 | 29 | | 19 The amount and nature of medical assistance shall not be |
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30 | 30 | | 20 affected by the receipt of donations or benefits from |
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31 | 31 | | 21 fundraisers in cases of serious illness, as long as neither |
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32 | 32 | | 22 the person nor members of the person's family have actual |
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33 | 33 | | 23 control over the donations or benefits or the disbursement of |
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36 | 36 | | |
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37 | 37 | | 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2880 Introduced , by Rep. Lamont J. Robinson, Jr. SYNOPSIS AS INTRODUCED: |
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38 | 38 | | 305 ILCS 5/5-4 from Ch. 23, par. 5-4 305 ILCS 5/5-4 from Ch. 23, par. 5-4 |
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39 | 39 | | 305 ILCS 5/5-4 from Ch. 23, par. 5-4 |
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40 | 40 | | Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning the amount and nature of medical assistance. |
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41 | 41 | | LRB103 27376 AMC 53748 b LRB103 27376 AMC 53748 b |
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42 | 42 | | LRB103 27376 AMC 53748 b |
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43 | 43 | | A BILL FOR |
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44 | 44 | | |
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47 | 47 | | |
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48 | 48 | | |
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49 | 49 | | 305 ILCS 5/5-4 from Ch. 23, par. 5-4 |
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51 | 51 | | |
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52 | 52 | | |
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53 | 53 | | LRB103 27376 AMC 53748 b |
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62 | 62 | | |
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63 | 63 | | HB2880 LRB103 27376 AMC 53748 b |
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65 | 65 | | |
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66 | 66 | | HB2880- 2 -LRB103 27376 AMC 53748 b HB2880 - 2 - LRB103 27376 AMC 53748 b |
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67 | 67 | | HB2880 - 2 - LRB103 27376 AMC 53748 b |
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68 | 68 | | 1 the donations or benefits. |
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69 | 69 | | 2 In determining the income and resources available to the |
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70 | 70 | | 3 institutionalized spouse and to the community spouse, the |
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71 | 71 | | 4 Department of Healthcare and Family Services shall follow the |
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72 | 72 | | 5 procedures established by federal law. If an institutionalized |
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73 | 73 | | 6 spouse or community spouse refuses to comply with the |
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74 | 74 | | 7 requirements of Title XIX of the federal Social Security Act |
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75 | 75 | | 8 and the regulations duly promulgated thereunder by failing to |
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76 | 76 | | 9 provide the total value of assets, including income and |
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77 | 77 | | 10 resources, to the extent either the institutionalized spouse |
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78 | 78 | | 11 or community spouse has an ownership interest in them pursuant |
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79 | 79 | | 12 to 42 U.S.C. 1396r-5, such refusal may result in the |
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80 | 80 | | 13 institutionalized spouse being denied eligibility and |
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81 | 81 | | 14 continuing to remain ineligible for the medical assistance |
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82 | 82 | | 15 program based on failure to cooperate. |
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83 | 83 | | 16 Subject to federal approval, beginning January 1, 2023, |
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84 | 84 | | 17 the community spouse resource allowance shall be established |
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85 | 85 | | 18 and maintained as follows: a base amount of $109,560 plus an |
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86 | 86 | | 19 additional amount of $2,784 added to the base amount each year |
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87 | 87 | | 20 for a period of 10 years commencing with calendar year 2024 |
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88 | 88 | | 21 through calendar year 2034. In addition to the base amount and |
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89 | 89 | | 22 the additional amount shall be any increase each year from the |
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90 | 90 | | 23 prior year to the maximum resource allowance permitted under |
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91 | 91 | | 24 Section 1924(f)(2)(A)(ii)(II) of the Social Security Act. |
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92 | 92 | | 25 Subject to federal approval, beginning January 1, 2034 the |
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93 | 93 | | 26 community spouse resource allowance shall be established and |
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98 | 98 | | |
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99 | 99 | | HB2880 - 2 - LRB103 27376 AMC 53748 b |
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102 | 102 | | HB2880- 3 -LRB103 27376 AMC 53748 b HB2880 - 3 - LRB103 27376 AMC 53748 b |
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103 | 103 | | HB2880 - 3 - LRB103 27376 AMC 53748 b |
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104 | 104 | | 1 maintained at the maximum amount permitted under Section |
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105 | 105 | | 2 1924(f)(2)(A)(ii)(II) of the Social Security Act, as now or |
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106 | 106 | | 3 hereafter amended, or an amount set after a fair hearing. |
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107 | 107 | | 4 Subject to federal approval, beginning January 1, 2023 the |
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108 | 108 | | 5 monthly maintenance allowance for the community spouse shall |
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109 | 109 | | 6 be established and maintained at the maximum amount permitted |
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110 | 110 | | 7 pursuant to Section 1924(d)(3)(C) of the Social Security Act, |
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111 | 111 | | 8 as now or hereafter amended, or an amount set after a fair |
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112 | 112 | | 9 hearing, whichever is greater. Subject to the approval of the |
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113 | 113 | | 10 Secretary of the United States Department of Health and Human |
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114 | 114 | | 11 Services, the provisions of this Section shall be extended to |
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115 | 115 | | 12 persons who but for the provision of home or community-based |
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116 | 116 | | 13 services under Section 4.02 of the Illinois Act on the Aging, |
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117 | 117 | | 14 would require the level of care provided in an institution, as |
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118 | 118 | | 15 is provided for in federal law. |
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119 | 119 | | 16 (b) Spousal support for institutionalized spouses |
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120 | 120 | | 17 receiving medical assistance. |
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121 | 121 | | 18 (i) The Department may seek support for an |
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122 | 122 | | 19 institutionalized spouse, who has assigned his or her |
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123 | 123 | | 20 right of support from his or her spouse to the State, from |
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124 | 124 | | 21 the resources and income available to the community |
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125 | 125 | | 22 spouse. |
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126 | 126 | | 23 (ii) The Department may bring an action in the circuit |
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127 | 127 | | 24 court to establish support orders or itself establish |
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128 | 128 | | 25 administrative support orders by any means and procedures |
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129 | 129 | | 26 authorized in this Code, as applicable, except that the |
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134 | 134 | | |
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135 | 135 | | HB2880 - 3 - LRB103 27376 AMC 53748 b |
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137 | 137 | | |
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138 | 138 | | HB2880- 4 -LRB103 27376 AMC 53748 b HB2880 - 4 - LRB103 27376 AMC 53748 b |
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139 | 139 | | HB2880 - 4 - LRB103 27376 AMC 53748 b |
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140 | 140 | | 1 standard and regulations for determining ability to |
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141 | 141 | | 2 support in Section 10-3 shall not limit the amount of |
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142 | 142 | | 3 support that may be ordered. |
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143 | 143 | | 4 (iii) Proceedings may be initiated to obtain support, |
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144 | 144 | | 5 or for the recovery of aid granted during the period such |
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145 | 145 | | 6 support was not provided, or both, for the obtainment of |
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146 | 146 | | 7 support and the recovery of the aid provided. Proceedings |
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147 | 147 | | 8 for the recovery of aid may be taken separately or they may |
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148 | 148 | | 9 be consolidated with actions to obtain support. Such |
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149 | 149 | | 10 proceedings may be brought in the name of the person or |
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150 | 150 | | 11 persons requiring support or may be brought in the name of |
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151 | 151 | | 12 the Department, as the case requires. |
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152 | 152 | | 13 (iv) The orders for the payment of moneys for the |
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153 | 153 | | 14 support of the person shall be just and equitable and may |
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154 | 154 | | 15 direct payment thereof for such period or periods of time |
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155 | 155 | | 16 as the circumstances require, including support for a |
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156 | 156 | | 17 period before the date the order for support is entered. |
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157 | 157 | | 18 In no event shall the orders reduce the community spouse |
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158 | 158 | | 19 resource allowance below the level established in |
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159 | 159 | | 20 subsection (a) of this Section or an amount set after a |
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160 | 160 | | 21 fair hearing, whichever is greater, or reduce the monthly |
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161 | 161 | | 22 maintenance allowance for the community spouse below the |
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162 | 162 | | 23 level permitted pursuant to subsection (a) of this |
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163 | 163 | | 24 Section. |
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164 | 164 | | 25 (Source: P.A. 102-1037, eff. 6-2-22.) |
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170 | 170 | | HB2880 - 4 - LRB103 27376 AMC 53748 b |
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