has a serious medical condition and whether the medical use of marijuana is appropriate. MEDICAL BOARD OF CALIFORNIA 1424 Howe Avenue, Suite 35, Sacramento, CA 95825-3217 Telephone: (916) 561-8780 (800) 555-8038 FAX: (916) 263-2671 CALIFORNIA RELAY SERVICE BY TDD: 1-800-735-2929 E-mail: pacommittee@mbc.ca.gov Website: www.physicianassistant.ca.gov DELEGATION OF SERVICES AGREEMENT BETWEEN %PDF-1.6 % A Nurse Practitioner (NP) is a Registered Nurse who has additional . Here are a few practical tips nurse practitioners should implement in making day to day delegation decisions. The physician must have a current medical Therefore, NPs who wish to progress to a 103 or 104 can only do so in whichever of the six NP categories outlined in 16 CCR 1481(a) in which they received their national certification in. A Physician Assistant may not perform any of the following medical services pursuant to BPC section 3502 (d): A Physician Assistant may not perform any of the following medical services pursuant to Business and Professions Code (BPC) section 3502 (d): A PA may perform a routine visual screening pursuant to BPC section 3501(h) as a noninvasive, nonpharmacological simple UCSFs innovative, collaborative approach to patient care, research and education spans disciplines across the life sciences, making it a world leader in scientific discovery and its translation to improving health. BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY GAVIN NEWSOM, GOVERNOR . endstream endobj 2373 0 obj <>/Metadata 98 0 R/Pages 2370 0 R/StructTreeRoot 120 0 R/Type/Catalog>> endobj 2374 0 obj <>/MediaBox[0 0 1008 612]/Parent 2370 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 2375 0 obj <>stream Current California Regulations can be found on the Physician Assistant Board website: . The two new categories established under AB 890 are commonly referred to as 103 NPs and 104 NPs. The role of the Nurse Practitioner is to integrate health maintenance, disease prevention, physical diagnosis, and treatment of common episodic and chronic problems in primary care with equal emphasis on health teaching and management. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 11 0 R/Rect[422.04 666.6 528.72 678.96]/StructParent 4/Subtype/Widget/T(Approved date)/TU(Approved date)/Type/Annot>> <>/Subtype/Form/Type/XObject>>stream A PA may evaluate a patient for the medical use of marijuana consistent with their practice agreement. or a nurse practitioner, California acting within the scope of his or her license or certification who . The law limits a physician to supervise no more than four PAs, except as provided in. endstream endobj 15 0 obj <> endobj 16 0 obj <> endobj 17 0 obj <>stream of the California Code of Regulations as those provisions read on June 7, 2019, shall complete, as part of their continuing education requirements, a course that . endobj This includes, but is not limited to, managing a panel of patients, working in a complex health care setting, interpersonal communication, interpersonal collaboration and team-based care, professionalism, and business management of a practice. %%EOF hSn0>n.%@ I.:ZVGJvt+ dR:$}hp8/ Oa@XhlVUTiTn. P~N16~VX QAs}?d`7 VT2~W endstream endobj 144 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream California Code Of Regulations Title 16 Section 1443.5 California Code of Regulations Title 22 Section 70215. (emphasis added). Each section, in increments, provides greater detail from a legal standpoint and describes what resources and options are available to the nurse practitioner upon graduation and beyond. California (e.g., Physician Assistant National Certifying Examination or a specialty examination given by the State of California) on _____. Completed after certification by the Board of Registered Nursing as an NP. or by calling the Physician Assistant Board at (916) 561-8780. 2 0 obj A PA may perform an examination and give an evaluation of the patient. After 2026, when approved by the Board to become a 104NP, a 104 NP can practice without standardized procedures outside of a group setting. Possession of a valid license to practice as a professional registered nurse in the State of California. Exploring the practice of certified nurse midwives, certified registered nurse anesthetists, nurse practitioners and physician assistants at UCSF, 2023 The Regents of the University of California, UCSF Benioff Childrens Hospital San Francisco, Langley Porter Psychiatric Hospital and Clinics, Stipend Applications (UCSF Employees Only), Center for Nursing Excellence and Innovation (Formerly INEx), https://www.pac.ca.gov/forms_pubs/delegation_changes.shtml, Certified Registered Nurse Anesthetist (CRNA). According to Business and Professions Code Section 2837.103(a)(1)(B) and Section 2837.104(b), a 103 or 104 NP must hold a certification from a national certifying body accredited by the National Commission for Certifying Agencies or the American Board of Nursing Specialties and recognized by the Board. Delegation of Services Agreement: Defines specific procedures identified hbbd```b``"A$M&He``lz_X\,.&eIFn@6y"w,2H{H~y` ,x Recredentialing Application Packet - University of California, Davis A new 103 NP BreEZe application is scheduled for release in January. Medical Board of Nurse Practitioner (NP): Nurse practitioners may provide primary care and perform advanced procedures. Successful completion of a program . BOARD OF REGISTERED NURSING . hb```,{@( These providers must be competent in the same specialty area or category listed in 16 CCR Section 1481(a) in which the applicant seeks as a 103 NP. According to Business and Professions Code 2837.101, the transition to practice refers to additional clinical experience and mentorship provided to prepare a nurse practitioner to practice independently. hb```I,B cb 30 ux[Kjw,i ip*6l ^sib3= w45e$K7Z&%xR"B>)B~>)'T&38 Ory-JNf<9(bV `@Z\P`LLiLJ@\$+X*T@ The new automated application uses a streamlined approach to ensure quick processing times. Active California Registered Nurse/Physician Assistant license. endobj supervision: No, the supervising physician is not required to be on site when the PA is practicing; however, the supervising physician but must be available by telephone or other electronic communication at the time the PA examines a patient. If the PA is performing a surgical procedure that requires general anesthesia, the supervising physician must be immediately available during the procedure, as defined in section 1399.541 of Title 16 of the California Code of Regulations . 224 0 obj <>stream Job Requisition ID: 8163 Position Summary/Position Under the direction of the department leaderhship, the Delegation Oversight Nurse, RN is responsible for oversight of clinical operations for the . No, a PA cannot practice independently. %PDF-1.4 % Fellow. Have a different question? Delegation Services Agreement (DSA) | Advanced Practice at UCSF Health Home > Licensing & Certification > Delegation Services Agreement (DSA) Delegation Services Agreement (DSA) Delegation Services Agreement (DSA) California Physician Assistant Board Resources Find up to date resources on the new resources page. You may be trying to access this site from a secured browser on the server. xSPpurb Certified nurse practitioners must be licensed and certified to practice as : nurse practitioners by the California Board of Registered Nursing (CCR, Title 22, Section 51170.3) . You can verify a PA's license on-line at: 2. endstream endobj startxref Adherence to adequate supervision as agreed to in a practice agreement that PAs may also administer or provide medication to a patient as authorized by a supervising physician to the PA in the practice agreement. The physician must be available by telephone or other electronic communication Click the Get form key to open the document and move to editing. <> Successful completion of a program, which conforms to the Board of We apologize for the inconvenience and appreciate your patience as we continually work to improve this new process. A PA may act as first, or second, assistant in surgery under the supervision of the supervising physician. Arkansas (1995) "Practice of advanced nurse practitioner nursing" means the performance for compensation of nursing skills by a RN who, as demonstrated by national certification, has advanced knowledge and practice skills in the delivery Yes, a PA may perform surgery if the supervising physician has authorized it and it is included in the PAs practice agreement. You are now leaving this website and being directed to the specific California government resource or website that you have requested. !,esLAVQK>MCV"erva|>KS_ZG[ %7 meets the requirements of Business and Professions Code section 3502.3. Every PA must be supervised by a licensed physician (either M.D. 625, Unlawful Appointment Investigation Delegation, Unlawful Appointment Investigation Delegation Agreement Template, Unlawful Appointment Process for Non- Delegated Departments, Delegation Project Frequently Asked Questions, Personnel Functions ("Who Does What - SPB/DPA"), Introduction to Key Performance Indicators, Part 1 - Identify and Prioritize Key Positions, Workers' Compensation and Reasonable Accommodation for HR Professionals, CalPERS Retirement Options for CEA and Exempt Appointments, Coverage and Costs for Certain Procedures - Indemnity and Paid Provider Option (PPO), Coverage and Costs for Certain Procedures - Prepaid Plans, Retiree Group Legal Services Insurance Plan. For additional information about the Medical Marijuana Program, please visit the endstream Know your coworkers. and Completion of the requirements for Nurse Practitioner as specified in the regulations of the Board of Registered Nurses, California Administrative Code, Title 16, Chapter 14, Article 8, Section 1482. 15 0 obj A PA may perform surgical procedures requiring other forms of anesthesia if authorized by the practice agreement and only when the supervising physician is immediately available as defined by Title 16 of the California Code of Regulations section 1399.541. Nurse Practitioners, Nurse Midwives, Physician Assistants, Pharmacists, Registered Nurses, Physicians, and . An NP is trained to provide primary health care services. No, a PA may not use the supervising physicians Drug Enforcement Administration (DEA) number. (A.R.S. endobj Download Ebook Delegation Of Services Agreements Physician Assistant Board contract to establishing an independently owned nurse practitioner practice. standardized procedures and Delegation of Services Agreement (documents supervising agreement between supervising physician . All NPs who wish to practice without standardized procedures, must apply to the BRN for a special certification before they can do so. 10 0 obj The bill also defined education, training, national certification, regulatory, and medical staff governance requirements for these two NP categories. =jBFmYSOl91V1/XwG B The practice of dentistry or dental hygiene or the work of a dental auxiliary. <>stream hbbd```b``z"I~|Kjl{0`80 As part of the 103 NP application process, completion of the transition to practice requirement must be attested to by a physician and surgeon that practices in the same specialty area or category in which the NP is seeking certification as a 103 NP. The Nurse Practitioner works in collaboration with a physician. In September 2020, Governor Gavin Newsom signed Assembly Bill (AB) 890 (Wood, Chapter 265, Statutes of 2020) into law which created two new categories of Nurse Practitioners (NPs) that could function within a defined scope of practice without standardized procedures. POLICIES AND PROCEDURES Policy #: 401-1523 Lead Department: Quality Improvement Title: Non-Physician Medical Practitioner Guidelines Original Date: 09/18/2012 Last Revision Date: 03/18/2013 Approved by: Clinical Quality Improvement Work Group (CQIW) Effective Date: 03/18/2013 Page 6 of 9 3.a. 18 0 obj Faculty. 7 0 obj xSPpurb Pursuant to the Business and Professions Code section 3502.3, a practice agreement shall include the following provisions: The agreement must be completed before the PA starts practicing. 8 0 obj It has been brought to the Boards attention that the 103 NP application does not currently allow an Osteopathic physician and surgeon to provide that attestation. 0 Possession of a valid license to practice as a professional registered nurse in the State of California. endobj Department of Public Health website. discretion, in consultation with the nurse practitioner, nurse midwife, or PA provide written instructions to be followed by a medical assistant in the performance of tasks or 32-1601 (15)). H1 function for the medical assistant in performing these tasks or supportive services may be delegated to the nurse practitioner, nurse midwife, or PA and that those tasks may In September 2020, Governor Gavin Newsom signed Assembly Bill (AB) 890 (Wood, Chapter 265, Statutes of 2020) into law which created two new categories of Nurse Practitioners (NPs) that can function within a defined scope of practice without standardized procedures.. For additional information for physicians who wish to recommend medical marijuana Completed within five years prior to the date the applicant applies for certification as a 103 NP. If you still haven't found your answer, of lenses or frames; The prescribing or directing the use of, or using any optical device in connection The determination of the refractive states of the human eye, or the fitting or adaptation m 3Q/($Pc54RHl+?iu?|K-+!Rom%p|m ++,Kx2C1l8[Y3kmqE|QQ;3b?!@.rjUQWj Once certified by the Board, an individuals authority to practice as a 103 NP or 104 NP will be displayed along with their RN license status through DCAs License Search. Has completed a transition to practice within the category of your National Certification in California of a minimum of three full-time equivalent years of practice or 4600 hours within 5 years of the date of your application. 2391 0 obj <>/Filter/FlateDecode/ID[<65ECF9608CAC0E469263573F6E04424A><844B11A6E2E9E741859C574038E41F34>]/Index[2372 53]/Info 2371 0 R/Length 100/Prev 629091/Root 2373 0 R/Size 2425/Type/XRef/W[1 3 1]>>stream endobj 14 0 obj <> endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 11 0 R/Rect[414 625.2 527.4 637.56]/StructParent 7/Subtype/Widget/T(Revised date)/TU(Revised date)/Type/Annot>> medical examination, the attending physician must record in the patient's medical record their assessment of whether the patient be performed when the supervising physician and surgeon is not on site. 0 (a)(3).) No. and Completion of the requirements for Nurse Practitioner as specified in the regulations of the Board of Registered Nurses, California Administrative Code, Title 16, Chapter 14, Article 8, Section 1482. CalHR accepts no responsibility for the content or accessibility of external websites or external documents linked to on this website. endstream (B&P Code, Section 3502; CCR . hb```f``c`a`0fc@ >&(@R b- Can I open an independent practice as a 104 NP? A PA that is authorized through a practice agreement to issue drug orders for Schedule II controlled substances must register with the United States Drug Enforcement Administration (DEA) obtain a DEA number, and complete a one-time course in compliance with sections 1399.610 and 1399.612 of Title 16 of the California Code of Regulations. It states that the attending physician shall complete a medical examination before providing a recommendation for medical marijuana Furthermore, the law requires a licensee to first work as a 103 NP in good standing for at least 3 years prior to becoming a 104 NP. Please note, the law requires an NP to first work as a 103 NP in good standing for at least 3 years prior to becoming a 104 NP. These services are outlined in the Scope of Services, Paragraph III. Physician Assistants (PA): Every PA is required to have the following documents: 1. An electronic notification will be sent out to all NPs in California once the application is live, so we strongly encourage licensees to check their email routinely over the next few weeks. Active California Registered Nurse/Physician Assistant license. California's website. According to Business and Profession Code Section 2837.103, the following criteria must be met to become a 103 NP: No. %%EOF endobj endobj DELEGATION OF SERVICES AGREEMENT BETWEEN SUPERVISING PHYSICIAN AND PHYSICIAN ASSISTANT (Title 16, CCR, Section 1399.540) . The supervising physician is required to adhere to the following mechanisms to provide Both parties agree to the conditions and qualifications imposed on their contractual relationship by the Practice Agreement. <>/Subtype/Form/Type/XObject>>stream Will the Board certify 103 NPs and 104 NPs in categories other than those outlined in 16 CCR 1481(a)? D kXL@@@q~ l+ Any delegation of services agreement in effect prior to January 1, 2020 shall be deemed to meet the requirements of BPC Section 3502.3. Yes. While there are other certifications, such as an Emergency NP or a Dermatology NP, they are recognized by the Board as a specialty practice area and not a population focus. 2. Adult-gerontology, primary care or acute care; Psychiatric-Mental Health across the lifespan. 5 0 obj the qualifications, training, and experience, to perform the medical services, procedures, and drug and device ordering and furnishing authorized under this Practice Agreement. Ksh\}bO V_ The agreement does not need to be submitted to the Board. endstream The transition to practice eligibility requirement is defined as 4600 hours or three full-time equivalent years of clinical practice experience and mentorship that are: When the new application is released to become a 103 NP, the 103 NP applicant will provide proof of completion of a transition to practice by submitting to the Board information of the provider(s) who oversaw and provided the mentorship during the transition to practice period. 1 0 obj The practice agreement is between the Collaborating physician and the nurse practitioner and lists the services to be performed by the nurse practitioner. v*x0o9 X$ dG0r9%_`9yY(!A%g27_;b7'K.g`hf Please enable scripts and reload this page. Completed in direct patient care in the role of an NP in the category listed in 16 CCR Section 1481(a) in which the applicant seeks certification as a 103 NP. endobj @D)&2JB!((haj) ,L}PXF\l. California's website. endstream endobj 146 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream These out-of-state personnel are authorized only to administer Covid-19 vaccines in California and are not subject to the requirements of EMSA's approval process for out-of-state providers seeking authorization to provide health services in California. or D.O.). <> medical services rendered by the PA. 13 0 obj How were the AB 890 regulations developed? endstream endobj startxref 1. Additional requirements related to this topic are discussed in BPC section 3502.1. These new categories of NPs are: 103 NP - Works under the provisions outlined in Business and Profession Code Section 2837.103. However, only a physician is authorized to recommend medical use of marijuana, pursuant to Health and Safety code section 11362.5. . The PA must also have the competency to perform the medical services, and the PAs education, training, and experience must have prepared the PA to render the services, as provided in BPC section 3502(a). Yes, PAs are authorized to order or furnish a drug, pursuant to Business and Professions Code section 3502.1. 217 0 obj <>/Filter/FlateDecode/ID[<89C7B48459930547A3CDDDD11E7BFD56>]/Index[199 26]/Info 198 0 R/Length 92/Prev 153515/Root 200 0 R/Size 225/Type/XRef/W[1 3 1]>>stream The written instructions may provide that the supervisory In addition, the physician should verify that the PA has a current California license issued by the Physician Assistant Board. Previous bills for full practice authority, in 2013 and 2015, had failed. y gZl_JQ@/ <2(%04c/rrxb:d #-gN7O:"T0rI%0,E;.+;9t" w`c'vkY.DYkFF aO> I[g`i&&, STATE OF CALIFORNIA STATE AND CONSUMER SERVICES AGENCY. UCSFs innovative, collaborative approach to patient care, research and education spans disciplines across the life sciences, making it a world leader in scientific discovery and its translation to improving health. endobj 1. Physician or another qualified health care practitioner regarding any task, procedure or diagnostic # 8 DLMR_278157.1 023.132639.4 To view this search tool, please visit: DCA License Search. Staff. For questions about the 103 NP application, please contact the Boards Licensing Division at: brn.licensing@dca.ca.gov. To access the 103 NP application and view step by step instructions, please visit the following website: https://rn.ca.gov/applicants/ad-pract.shtml and scroll down to the heading titled, Nurse Practitioner Practicing Without Standardized Procedures in a Group Setting (103 NP).. f&v Business and Professions Code (BPC) section 3502.5. The undersigned PA/ANP and physician(s) agree that this Delegation Protocol will govern the PA/ANP's provision of care and that it shall be reviewed at least annually and revised as appropriate. pab.ca.gov, as part of their regular practice of medicine please visit the The Nurse Practitioner is a registered nurse with additional skills in and responsibility for physical diagnosis, psycho-social assessment, and management of health-illness needs in primary care. H1 Pursuant to Business and Professions Code section 2069 (a)(1), a supervising physician and surgeon at a "community clinic" licensed under Health and Safety Code section 1204(a) may, at their 17 0 obj 1 In addition, Business and Professions Code 2837.104(c) requires a 104 NP to conduct a certain level of consultation, collaboration, and referral to other healing arts providers based on the clinical condition of the patient receiving care. PO BOX 944210, Sacramento, CA 942442100- . A PA that is authorized through a practice agreement to issue drug orders for Schedule II controlled substances must register with the United States Drug Enforcement Administration (DEA) obtain a DEA number, and complete a one-time course in compliance with sections 1399.610 and 1399.612 of Title 16 of the California Code of Regulations. 2424 0 obj <>stream Health and Safety Code section 11362.7 (a) sets forth the definition of "attending physician" for purposes of the Compassionate Use Act. standardized procedures and Delegation of Services Agreement (documents supervising agreement between supervising physician . (See BPC, 3502.3, subd. 6 0 obj the FAQs by keyword or filter by topic. The Board will then send an email to the provider(s) listed asking for an attestation. Scope of Practice i. The DCA License Search is an online search tool that is available to the public and is used to verify a professional license issued by the various Boards and Bureaus under DCA. The regulatory language to implement AB 890 has been approved by the Office of Administrative Law and will go into effect January 1, 2023. xZ[o&E@7Eq! endstream endobj startxref The Board is working to fix this system glitch and is anticipating it will be remedied by the first part of March. Consequently, the Board cannot grant a 103 or 104 NP status in additional specialty areas. In accordance with established protocols and in collaboration with a physician, provides clinical assessment and case management services to individuals including constructing and interpreting a medical history, performing a physical assessment, evaluating patient behavior, performing and interpreting selected laboratory tests, identifying problems, and developing and implementing treatment plans for patients; seeks expert opinion or advice of a physician when case falls outside of protocol of agency; refers patients to physician for consultation and to specialized health resources for treatment but retains responsibility for the clinical management as well as subsequent modification. [7 0 R 13 0 R 15 0 R 17 0 R] endobj The PA is required to register with the United States DEA and obtain their own DEA number if they will issue drug orders We will send out a notice to all NP licensees once the system update is complete. Delegation of Services Agreements - Change in Regulations Title 16, Division 13.8, Article 4, section 1399.540 was amended to include several . Currently, nurse practitioners in the state are required to enter into an agreement with a supervising medical practitioner for which they are billed between $5,000-$15,000 per year. The Board of Registered Nursing (Board) is proud to announce that a new 103 Nurse Practitioner (NP) application is now available in BreEZe. endstream endobj !-68k-/Fa|b%a=e_VIX;5>[nJFUXxXnSDI(X?(ZmXqU% ._fZq 2 5'(IJ=oqV1:``h```Rl@,@3l/ A'-x!Q,r 1ujC0w (1) Direct and indirect patient care services that ensure the safety, comfort, personal hygiene, and protection of patients; and the performance of disease prevention and restorative measures. endobj 2) The delegation of services agreement is the name of the document, which delegates the medical services. kU beX V"nwbLa`Mg A certification as a nurse practitioner who has never been qualified or certified as a nurse practitioner in California or in any other state to meet specified requirements, including The Board's newsletter, Medical Board of California News, is published quarterly in the winter, spring, summer, and fall. 14 0 obj Execute Delegation Of Services Agreement in just a few minutes by following the instructions listed below: Choose the document template you will need in the library of legal form samples. xSPpurb The extent of required supervision must be specified in the standardized procedures. In addition to personally completing the The 103 NP applicant is asked to enter information about the attestor and an email is then sent to the physician and surgeon requesting their attestation of the information that was entered. endstream endobj 200 0 obj <. 16 0 obj Further, a PAs drug order that is authorized to be issued under the Physician Assistant Practice Act (the Act) must be treated in the same manner as a prescription of a supervising physician, and the signature of a PA on a drug order issued in accordance with the Act is deemed to be the signature of a prescriber for purposes of the Business and Professions Code and the Health and Safety Code. OPES Occupational Analysis for Nurse Practitioners (AB 890), BRNs Proposed Regulations to Implement AB 890, Regular Rulemaking Process - DCA Boards/Bureaus, Military Personnel & Spouses/Domestic Partners, National Council of State Boards of Nursing, 103 NP Works under the provisions outlined in, 104 NP Works under the provisions outlined in, A 103 NP will work under the provisions outlined in, A 104 NP will work under the provisions outlined in. supportive services. <> A 104 NP can only practice within the limits of their knowledge and experience and national certification. The supervising physician oversees the activities of and accepts responsibility for the Are they finished? [Signature page follows.] method at the time the PA examines the patient. Search However, they cannot practice beyond the scope of their clinical and professional education and training, including specific areas of concentration. Find up to date resources on the new resources page. 11 0 obj <> Graduating from a specific type of program or . 4 0 obj L'=KlU[.O& c"01 p2d>p(A73vsax rB0GUpJOt5aI;` ll5)iFG/A3Q0qJ;Z)sK>g0o*eFa HMO0>$qv4iWH.+E]`iT,. Find up to date resources on the new resources page. I # t* Ability to: Work effectively with individuals and families to assist them in solving physical, mental and social health problems; work effectively as a member of a health team; speak and write effectively including the preparation of clear and concise reports; recognize social problems which affect health; instruct in the prevention of disease, good health practices, and the health care of an ill or injured person; participate in the development of standardized procedures, and in accordance with established protocol, construct and interpret a medical history, perform a physical assessment, evaluate patient behavior, perform and interpret selected laboratory tests, and identify problems and develop and implement treatment plans for patients; maintain effective working relationships with other departments and agencies and the community; consult effectively with physicians and allied health personnel. Section 2837.103, the following criteria must be met to become a or... 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