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5 | 5 | | 2023 -- S 0573 |
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6 | 6 | | ======== |
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7 | 7 | | LC001818 |
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8 | 8 | | ======== |
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9 | 9 | | S TATE OF RHODE IS LAND |
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10 | 10 | | IN GENERAL ASSEMBLY |
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11 | 11 | | JANUARY SESSION, A.D. 2023 |
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12 | 12 | | ____________ |
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13 | 13 | | |
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14 | 14 | | A N A C T |
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15 | 15 | | RELATING TO BUSINESSES AND PROFESSIONS -- THE PRESCRIPTION DRUG SALES |
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16 | 16 | | REPRESENTATIVE DISCLOSURE ACT |
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17 | 17 | | Introduced By: Senators Valverde, Miller, Lawson, Lauria, DiMario, DiPalma, Murray, |
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18 | 18 | | and Kallman |
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19 | 19 | | Date Introduced: March 07, 2023 |
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20 | 20 | | Referred To: Senate Health & Human Services |
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21 | 21 | | |
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22 | 22 | | |
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23 | 23 | | It is enacted by the General Assembly as follows: |
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24 | 24 | | SECTION 1. Legislative findings and declaration of purpose. The general assembly hereby 1 |
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25 | 25 | | finds and declares that: 2 |
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26 | 26 | | (1) Containing health care costs requires containing prescription drug costs. The costs of 3 |
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27 | 27 | | prescription drugs have been increasing dramatically. To contain prescription drug costs, it is 4 |
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28 | 28 | | essential to understand the drivers of those costs, including increases in prescriptions and changes 5 |
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29 | 29 | | in prescription patterns from low-cost to high-cost drugs. 6 |
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30 | 30 | | (2) Drug companies employ pharmaceutical sales representatives to increase sales by 7 |
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31 | 31 | | persuading prescribers to prescribe certain drugs. Sales representatives may provide education to 8 |
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32 | 32 | | the prescriber, but often also include inducements in the form of gifts and drug samples. 9 |
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33 | 33 | | (3) Drug sales representatives often have access to physician prescription tracking data. 10 |
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34 | 34 | | (4) The state has an interest in requiring disclosures and regulating the practice of drug 11 |
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35 | 35 | | sales representatives. 12 |
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36 | 36 | | SECTION 2. Title 5 of the General Laws entitled “Businesses and Professions” is hereby 13 |
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37 | 37 | | amended by adding thereto the following chapter: 14 |
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38 | 38 | | CHAPTER 19.3 15 |
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39 | 39 | | THE PRESCRIPTION DRUG SALES REPRESENTATIVE DISCLOSURE ACT 16 |
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40 | 40 | | 5-19.3-1. Short title. 17 |
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41 | 41 | | This chapter shall be known and may be cited as “The Prescription Drug Sales 18 |
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42 | 42 | | |
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43 | 43 | | |
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44 | 44 | | LC001818 - Page 2 of 5 |
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45 | 45 | | Representative Disclosure Act”. 1 |
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46 | 46 | | 5-19.3-2. Definitions. 2 |
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47 | 47 | | As used in this chapter, the following words and terms shall have the following meanings: 3 |
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48 | 48 | | (1) “Department” means the department of business regulation. 4 |
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49 | 49 | | (2) “Director” means the director of the department of business regulation, or designee. 5 |
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50 | 50 | | (3) “Manufacturer” means a pharmaceutical, biological product, or medical device 6 |
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51 | 51 | | manufacturer or any other person who is engaged in the production, preparation, propagation, 7 |
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52 | 52 | | compounding, processing, marketing, packaging, repacking, distributing, or labeling of prescribed 8 |
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53 | 53 | | products. The term does not include a wholesale distributor of biological products, a retailer, or a 9 |
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54 | 54 | | pharmacist. The term also does not include a manufacturer whose only prescribed products are 10 |
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55 | 55 | | classified as Class I by the U.S. Food and Drug Administration, are exempt from pre-market 11 |
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56 | 56 | | notification under Section 510(k) of the federal Food, Drug and Cosmetic Act, and are sold over-12 |
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57 | 57 | | the-counter without a prescription. 13 |
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58 | 58 | | (4) “Medical facility” means any freestanding emergency care facility, healthcare facility, 14 |
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59 | 59 | | physician or podiatry ambulatory-surgery center, or other similar entity licensed by the state. 15 |
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60 | 60 | | (5) “Pharmaceutical sales representative” means a person who markets prescription drugs 16 |
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61 | 61 | | to providers of health care licensed, certified or registered in this state, pharmacies or employees 17 |
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62 | 62 | | thereof, operators or employees of medical facilities or persons licensed or certified by the state. 18 |
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63 | 63 | | (6) “Prescription drug” means a drug as defined in 21 U.S.C. § 321. 19 |
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64 | 64 | | (7) “Provider of health care” means any person licensed in this state to administer or 20 |
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65 | 65 | | prescribe a prescription drug. 21 |
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66 | 66 | | 5-19.3-3. Pharmaceutical manufacturer and sales representative registration, 22 |
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67 | 67 | | disclosure, and transparency report. 23 |
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68 | 68 | | (a) A manufacturer of a prescription drug shall provide to the department a list of each 24 |
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69 | 69 | | pharmaceutical sales representative who markets prescription drugs on behalf of the manufacturer 25 |
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70 | 70 | | to providers of health care in this state, pharmacies or employees thereof, or operators or employees 26 |
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71 | 71 | | of medical facilities or persons licensed in this state. 27 |
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72 | 72 | | (1) The manufacturer shall inform the department by any means acceptable to the 28 |
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73 | 73 | | department of a change in the manufacturer’s list within sixty (60) days of the change. Failure to 29 |
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74 | 74 | | timely inform the department of a change may result in a penalty to be determined by the 30 |
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75 | 75 | | department. 31 |
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76 | 76 | | (2) The manufacturer shall refile or update the list annually. 32 |
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77 | 77 | | (b) The department shall provide electronic access to the most recent list provided by each 33 |
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78 | 78 | | manufacturer pursuant to subsection (a) of this section, to each provider of health care licensed, 34 |
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79 | 79 | | |
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80 | 80 | | |
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81 | 81 | | LC001818 - Page 3 of 5 |
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82 | 82 | | certified or registered in this state, operator of a pharmacy, and operator of a medical facility, or 1 |
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83 | 83 | | person licensed or certified under the provisions of title 5 for the purposes of ensuring compliance 2 |
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84 | 84 | | with the requirements of subsection (c) of this section. The department shall also provide electronic 3 |
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85 | 85 | | access to the information to the department of health and public access via the department’s 4 |
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86 | 86 | | website. This subsection must not be construed to impose any duty on a provider of health care, 5 |
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87 | 87 | | operator of a pharmacy, or operator of a medical facility or person licensed or certified under the 6 |
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88 | 88 | | provisions of title 5 to ensure such compliance. 7 |
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89 | 89 | | (c) A person who is not included on a current list submitted pursuant to subsection (a) of 8 |
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90 | 90 | | this section, shall not market prescription drugs on behalf of a manufacturer to any provider of 9 |
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91 | 91 | | health care licensed, certified or registered in this state, pharmacy or employee thereof, operator or 10 |
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92 | 92 | | employee of a medical facility or person licensed or certified under the provisions of title 5. 11 |
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93 | 93 | | (d) On or before March 1 of each year, each person who was included on a list of 12 |
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94 | 94 | | pharmaceutical sales representatives submitted pursuant to subsection (a) of this section, at any 13 |
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95 | 95 | | time during the immediately preceding calendar year shall submit to the department a report, which 14 |
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96 | 96 | | shall include, for the immediately preceding calendar year: 15 |
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97 | 97 | | (1) A list of providers of health care, pharmacies and employees thereof, and operators and 16 |
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98 | 98 | | employees of medical facilities and persons licensed or certified under the provisions of title 5 to 17 |
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99 | 99 | | whom the pharmaceutical sales representative provided: 18 |
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100 | 100 | | (i) Any type of compensation, gift, or thing of value, with a value that exceeds one hundred 19 |
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101 | 101 | | dollars ($100); or 20 |
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102 | 102 | | (ii) Total compensation, gift, or thing of value, with a value that exceeds two hundred fifty 21 |
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103 | 103 | | dollars ($250) in the aggregate; and 22 |
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104 | 104 | | (2) The name and manufacturer of each prescription drug for which the pharmaceutical 23 |
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105 | 105 | | sales representative provided a free sample to a provider of health care licensed, certified or 24 |
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106 | 106 | | registered in this state, pharmacy or employee thereof, or operator or employee of a medical facility 25 |
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107 | 107 | | or person licensed or certified under the provisions of title 5. 26 |
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108 | 108 | | (e) The department shall analyze annually the information submitted pursuant to subsection 27 |
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109 | 109 | | (d) of this section, and compile a report on the activities of pharmaceutical sales representatives in 28 |
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110 | 110 | | this state. On or before June 1 of each year, the department shall: 29 |
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111 | 111 | | (1) Post the report on the website maintained by the department; and 30 |
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112 | 112 | | (2) Submit the report to the governor, the director of the department of health, the 31 |
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113 | 113 | | commissioner of the office of health insurance, and to the speaker of the house and the senate 32 |
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114 | 114 | | president. 33 |
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115 | 115 | | 5-19.3-4. Fees and penalties. 34 |
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117 | 117 | | |
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118 | 118 | | LC001818 - Page 4 of 5 |
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119 | 119 | | (a) A fee in the amount of fifty-five dollars ($55.00) annually shall be charged by the 1 |
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120 | 120 | | director from each manufacturer, per each pharmaceutical sales representative listed by the 2 |
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121 | 121 | | manufacturer. All revenue collected pursuant to this chapter shall be deposited as restricted receipts 3 |
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122 | 122 | | available to the department as described in § 42-14-9. 4 |
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123 | 123 | | (b) The attorney general may bring an action in the civil division of the superior court, 5 |
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124 | 124 | | Providence county for injunctive relief, costs, and attorneys’ fees, and to impose on a manufacturer 6 |
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125 | 125 | | that fails to provide the information required by this chapter a civil penalty of no more than ten 7 |
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126 | 126 | | thousand dollars ($10,000) per violation. Each unlawful failure to provide information shall 8 |
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127 | 127 | | constitute a separate violation. In any action brought pursuant to this section, the attorney general 9 |
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128 | 128 | | shall have the same authority to investigate and to obtain remedies as if the action were brought 10 |
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129 | 129 | | under chapter 13.1 of title 6 ("deceptive trade practices"). 11 |
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130 | 130 | | SECTION 3. This act shall take effect on January 1, 2024. 12 |
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132 | 132 | | LC001818 |
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135 | 135 | | |
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136 | 136 | | LC001818 - Page 5 of 5 |
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137 | 137 | | EXPLANATION |
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138 | 138 | | BY THE LEGISLATIVE COUNCIL |
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139 | 139 | | OF |
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140 | 140 | | A N A C T |
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141 | 141 | | RELATING TO BUSINESSES AND PROFESSIONS -- THE PRESCRIPTION DRUG SALES |
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142 | 142 | | REPRESENTATIVE DISCLOSURE ACT |
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143 | 143 | | *** |
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144 | 144 | | This act would require prescription drug manufacturers to file a detailed, updated list of 1 |
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145 | 145 | | each pharmaceutical sales representative engaged by the manufacturer and to pay an annual fee for 2 |
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146 | 146 | | each name listed with the department of business regulation. Failure to comply would result in civil 3 |
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147 | 147 | | penalties. 4 |
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148 | 148 | | This act would take effect on January 1, 2024. 5 |
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150 | 150 | | LC001818 |
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