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Through the Disaster Relief Fund, FEMA funds, directs, coordinates, and manages preparedness, response, and recovery efforts associated with home major disasters and emergencies declared under the Robert T. Stafford Disaster Relief and Emergency Assistance Act . For instance, for the COVID-associated declarations, states can use FEMA’s Public Assistance program grant funding for actions that reduce the immediate threat to public well being and safety, like standing up emergency medical amenities. In addition, FEMA’s Individual Assistance program can even reinforce state and native services supplied to help people cope with the pandemic, corresponding to for disaster counseling.
In addition, Commissioned Corps Officers have deployed to provide assistance in community-primarily based testing sites throughout the nation, in accordance with company officers. To reply to these crises, the CARES Act and different legal guidelines enacted in response to the pandemic offered important further funding for health care providers, including increased Medicare payments to eligible suppliers.
We plan to watch and report spreads on aggregations of dollar-denominated funding grade company bonds out there via Bloomberg, including variations in spreads throughout varied industries. Changes in these spreads over time present a common indication of modifications in credit circumstances going through companies in these varied industries.
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The scale of the nationwide COVID-19 pandemic requires a complete-of-government approach to respond, including a number of federal companies to support the public well being and medical response. HHS is designated because the lead agency for responding to a public well being emergency, including a pandemic. The COVID-19 pandemic has severely strained health care assets in some areas and severely lowered revenue that hospitals and different health care suppliers generate from the availability of nonessential well being companies. For example, the employment-inhabitants ratio rose by 1.5 share factors to 52.eight % in May, remaining near its lowest degree ever recorded in April (see fig. 12), credit card defaults are at their highest stage since 2012, and banks are tightening requirements on loans to small businesses. In addition, investor perceptions of risk elevated substantially in corporate and municipal credit markets in February and March, but have fallen considerably since the Federal Reserve introduced programs to supply help to those markets. If federal responses are effective, then over time these data could turn into more reflective of federal efforts. For instance, monthly hospital margins might mirror whether federal efforts to extend reimbursement and funding to providers is positively affecting their backside line and monetary well being.
Careful monitoring and oversight are required to forestall potential fraud, waste, and abuse that may come up from these new waivers. Indian Health Service Indian Health Service received over $1 billion in supplemental funds to forestall, prepare, and respond. Veterans Health Care The Veterans Health Administration has increased its capacity to ship COVID-19 care for veterans, through efforts such as hiring medical staff and rising telehealth providers, utilizing current and supplemental funds.
DOD has particular roles, resources and authorities to bring to bear on pandemic response. Under the authority, course, and control of the Under Secretary of Defense , the Assistant Secretary of Defense provides general coordination for DOD help to civil authorities.
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The act does not define particular oversight responsibilities or contain reporting requirements for servicers and landlords, so detection of any noncompliance with the act’s protections will depend on monitoring packages developed or directed by each company. Agency officers described steps they are taking to update their oversight instruments in light of the CARES Act housing protections, including modifications to information techniques and servicer quality assurance and compliance reviews. However, monitoring and implementing protections for millions of households in the course of the COVID-19 pandemic could pressure the capability of the companies to offer well timed and comprehensive oversight, particularly if compliance monitoring is often carried out on-website or only once a year. Additionally, enterprise officers said that whereas they’ll reply to any reported violations of CARES Act protections, their compliance monitoring is focused on their own policies. Further, agencies might not have data needed to watch protections for all renters. For example, company officers mentioned they do not have info on rental agreements for or tenants in single-family properties with federally backed mortgages.
In a health disaster, the Assistant Secretary serves because the DOD point of interest for federal departments and businesses and different entities on public well being and medical assist, preparedness, and coverage issues for the protection help of civil authorities. The National Guard Bureau coordinates the deployment of National Guard resources residing in the U.S. Army Corps of Engineers is the federal authorities’s lead public works and engineering help agency. The Defense Logistics Agency works with other U.S. authorities departments and businesses to facilitate medical logistics help, together with the transportation of non-public protecting gear, to and between crucial areas. We focused our review of potential well being care indicators on response, restoration, and preparedness, which we selected as a well-established framework that is usually used to monitor large-scale, unanticipated antagonistic occasions.
Further, FEMA can also problem mission assignments directing one other federal agency to utilize its authorities and the assets granted to it beneath federal law to supply direct assistance to state, native, tribal, and territorial governments. For example, FEMA issued a mission order to the Department of Defense to offer 10 million N95 respirators to FEMA to support crucial tools shortfalls during the COVID-19 response. COVID-19 funds are available by way of a number of companies inside the Department of Health and Human Services , in addition to companies outside of HHS, such as the Small Business Administration. Absent proper communication and monitoring of payments throughout these completely different entities, there is a threat for duplicate or overlapping payments. For instance, CMS has licensed no less than 35 states to make retainer funds to support house- and community-based mostly service providers (corresponding to grownup day-care facilities) to assist guarantee their availability once the public health emergency ends. If retainer funds are made to the facilities, as well as to the individuals offering the providers , these funds could duplicate monetary help provided through unemployment benefits or small business loans. We have work underway looking at efforts to watch use of funding activities, including addressing dangers and challenges—such because the potential for duplication—associated with these actions.
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Temporary Financial Regulatory Changes Federal companies have issued guidelines or statements on financial regulatory adjustments and have not exercised certain emergency authorities under the CARES Act. Department of Commerce Support for Industries and the Economy The CARES Act supplied additional appropriations for four Department of Commerce bureaus to help the financial system and industries affected by the COVID-19 pandemic.
Emergency Financial Aid for College Students The Department of Education awarded schools nearly all of the preliminary $6.three billion designated for school students’ emergency monetary assist, however the division’s evolving communications might have delayed faculties’ distribution of funds to college students. Leave Benefits and Tax Relief for Employers Employers have begun claiming refundable tax credits to mitigate the cost of paid go away for workers; agreements between the Internal Revenue Service and the Small Business Administration to assist ensure compliance haven’t been finalized. Department of Housing and Urban Development Programs The CARES Act appropriated roughly $12.4 billion to the Department of Housing and Urban Development, and the company had obligated roughly 18 % of program funds as of May 31, 2020.
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However, since 2012, SNAP participation has declined, which suggests a rise in meals safety in recent years. To conduct this work, we reviewed FEMA documentation on its disaster assistance packages and related federal law, including the March 2020 CARES Act and the Stafford Act. We additionally analyzed the latest information on congressional appropriations and FEMA obligations for federal actions in response to the COVID-19 pandemic. We interviewed FEMA officials regarding federal disaster help efforts and challenges the agency confronted in successfully serving to affected state and local governments to respond and get well from disasters.
Two key elements of the federal pandemic response may affect preliminary unemployment insurance claims. One provision enhances unemployment insurance coverage advantages by increasing eligibility for unemployment compensation benefits, increasing weekly profit amounts by $600, and lengthening the number of weeks of benefit eligibility. Both of those programs goal to financially assist employees and the financial system, but companies may have varied reactions when weighing the choice to put off their workers.
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To the extent that enhanced unemployment insurance, restoration rebates, and other programs present monetary help to households, developments over time in SNAP participation could to some degree replicate the effect of these packages. Available data on the variety of households taking part in SNAP don’t but cover a time period that would include the impact of Coronavirus Disease 2019 (COVID-19) or federal responses to the pandemic, in particular actions taken underneath the four COVID-19 aid legal guidelines enacted on the time of our review.
Eligible prices must be for actions taken to reply to the pandemic, together with each direct effects—such as addressing public health needs—and secondary results—corresponding to providing economic help to individuals or businesses harm by COVID-19-related enterprise closures. According to Treasury, CRF funds can be utilized to fulfill payroll expenses for public security, public well being, health care, human providers, and staff whose providers are substantially dedicated to mitigating or responding to the COVID-19 pandemic, amongst different things. Treasury defined that states may switch CRF funds to a local government, as long as the locality uses the funds for eligible expenses. DOT and FEMA agreed with our suggestion and famous that both agencies plan to have improved controls in place by the autumn of 2020. During this public well being emergency, FEMA disaster help could also be out there to transit agencies to buy personal protecting gear for operations personnel, to sanitize public and certain non-public non-revenue facilities, and to assist with grocery and meal delivery. Given that COVID-19 may continue to affect the transit business after CARES Act funds have been exhausted, it is possible that transit agencies may apply for extra funding from a number of FTA and agency applications in the future. Overseeing servicer and landlord implementation of CARES Act provisions also will current challenges.
Paycheck Protection Program The Paycheck Protection Program was designed to provide assistance to small businesses and different organizations that were affected by COVID-19. The services are to help provide credit to eligible companies, states, tribes, and municipalities. Tax Relief for Businesses It is too early to know the extent businesses are profiting from sure tax relief choices—corresponding to carrying extra losses again to prior tax years—however refunds may be delayed if companies who must submit amended returns achieve this on paper. Aviation Sector Financial Assistance The Department of the Treasury and the Federal Aviation Administration have begun to offer funding to help the nation’s aviation trade and airports reply to and get well from the financial effects of the COVID-19 pandemic. Agriculture Spending and Food Safety Inspections The U.S. Department of Agriculture is providing $16 billion in direct payments to agricultural producers, as well as $3 billion in meals purchases for redistribution to meals banks, nonprofits, and other entities. Department of Agriculture Support for Rural America CARES Act funding provides help for U.S. Department of Agriculture applications to help tackle the COVID-19 pandemic in rural America.
- Relief for Health Care Providers The Department of Health and Human Services is distributing greater than $177 billion to financially support well being care suppliers, finance take care of COVID-19 sufferers and underserved populations, and finance existing Health Resources and Services Administration packages.
- Federal Efforts to Provide Medical Supplies States’ requests for medical gear and provides, such as private protecting gear, rapidly exceeded the capability of the Strategic National Stockpile, resulting in a multiagency response to accumulate and distribute material.
- Medicaid Financing, Waivers, and Flexibilities Federal help associated to COVID-19 offered elevated federal Medicaid funding for states and territories to support the costs of their Medicaid applications, together with COVID-19 testing and remedy costs.
- Nursing Homes The Department of Health and Human Services required state survey businesses to concentrate on an infection control inspections as many nursing homes confronted outbreaks of COVID-19, and past inspections show that infection management deficiencies had been widespread and protracted prior to the pandemic.
Relief for Health Care Providers The Department of Health and Human Services is distributing more than $177 billion to financially support health care providers, finance take care of COVID-19 sufferers and underserved populations, and finance present Health Resources and Services Administration packages. Nursing Homes The Department of Health and Human Services required state survey companies to concentrate on an infection control inspections as many nursing homes confronted outbreaks of COVID-19, and previous inspections show that infection management deficiencies had been widespread and chronic previous to the pandemic.
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Examples of initial actions identified by USAID and State for the allocation embody distance and different training while colleges are closed, money assistance to weak families, job skills coaching, and youngster safety services. In April, Treasury revealed guidance on its interpretation of the permissible use of CRF payments.
Retirement Accounts Expanded choices for withdrawals and loans from retirement accounts can present financial assistance in the course of the pandemic, but may affect future retirement safety. Tax Deduction for Charitable Contributions The CARES Act increases tax advantages for people and firms that donate to nonprofits, but the effect on charitable giving is unsure. Unemployment Insurance Programs The unprecedented volume of latest unemployment insurance coverage claims within the wake of the COVID-19 pandemic poses main challenges for federal and state officers to provide benefits, assist with reemployment, and establish and stop improper payments. Federal Student Loans The Department of Education quickly suspended curiosity massive usa b2b database of all industries 1 accrual and student loan payments but some kinds of involuntary collections and communications to borrowers were more difficult to address shortly. Economic Impact Payments As of May 31, the Department of the Treasury and Internal Revenue Service despatched over 160 million funds to recipients for whom IRS has the necessary info. Treasury and IRS nonetheless face challenges to ensure that eligible people obtain their payments, to stop improper funds, and to combat fraud. Housing Protections Agencies have issued steering on CARES Act housing protections, however challenges remain in making certain that householders and renters benefit.
Recoupment of the advance and accelerated payments, through the offsetting of new Medicare claims, begins no more than a hundred and twenty days after the funds are disbursed and continues for three or eight months, relying on the type of supplier or provider. Any remaining balances not recovered via withholding of Medicare claims payments shall be demanded for fee. Provider applications for the Advanced Payment Program have been discontinued starting on April 26, 2020, in gentle of grant funds made available by way of the Provider Relief Fund. Congress appropriated practically $2.three billion in funding for a variety of current HRSA applications as part of the response to the COVID-19 pandemic. The majority of the funds appropriated for HRSA packages—$2.02 billion—are for the Health Center Program.
This program makes grants to health facilities that present a comprehensive set of main and preventative health care providers to people no matter their ability to pay. As of May 31, HHS obligated $2.00 billion and expended almost $215 million of the funds appropriated for the Health Center Program. Also as of May 31, roughly one-third of well being facilities had accessed supplemental funding under the CARES Act . According to HRSA officers, health centers might wait to access the supplemental funding till they’ve created a finances that aligns with the funding necessities, and a few may wait until the finances is permitted by HRSA. The effect of public health measures in opposition to the pandemic and the choices of state government officials to relax insurance policies that limit sure financial and social exercise may even have a big influence on the financial system and the indicators we have identified. We proceed to think about a wide range of further indicators and qualitative sources of information, and will include them in future reviews as more data turn into obtainable or as circumstances related to the pandemic and the economy evolve.
As mentioned earlier in this report, all three agencies additionally undertook COVID-19 response actions prior to receiving supplemental funds, including State efforts to repatriate U.S. citizens and USAID and CDC efforts to assist different nations reply to the pandemic. U.S. Public Health Service, within HHS, deployed more than four,a hundred Commissioned Corps Officers to help the COVID-19 response, based on U.S. Surgeon General, the Commissioned Corps is a staff of public well being officers whose responsibility stations are sometimes inside federal agencies, together with the Centers for Disease Control and Prevention , Food and Drug Administration, Indian Health Service, and National Institutes of Health. However, these officers may bags shoes and accessories b2b database with email addresses be quickly assigned to assist with a federal response. Many of these officers include physicians, nurses, pharmacists, and others who can provide public well being and medical care. For the COVID-19 response, these officers have been deployed to offer surge capability to support area hospitals and different public health and medical missions. For example, company officers reported that Commissioned Corps Officers were deployed to help American residents coming back from China and Japan and to offer scientific care at a protracted-term care nursing facility in Kirkland, Washington, and at various care sites in New York City and Detroit.
In addition, the Paycheck Protection Program and Health Care Enhancement Act, enacted in April 2020, offers additional appropriations for small business loans, grants to health care suppliers, and COVID-19 testing. U.S. Department of Agriculture’s Food and Nutrition Service reports the variety of low-income households who take part in SNAP , the most important meals help program and one of the largest safety web programs in the United States. The program serves a variety of low-income households, including households with kids, the aged, and people with disabilities. While the SNAP program is intended to cut back food insecurity, the variety of households collaborating in SNAP may be interpreted as a measure of the demand for food help. Historically, the number of households that participate in SNAP has tended to lower as family financial conditions enhance. We plan to observe and report the number of households participating in SNAP based mostly on month-to-month information, together with differences across states. Changes in the number of households collaborating in SNAP over time ought to provide a general indication of changes in the financial situation of households.
Education decided to award the $12.6 billion to varsities in two stages, beginning with $6.3 billion designated for emergency student help. In the two weeks after the CARES Act was enacted, Education received the new grant program up and working, which included determining tips on how to apply the funding method, calculating the amounts allocated to each school, and growing procedures wanted to operationalize this system. Education officers told us that applying the funding method was time consuming because it required data the division doesn’t acquire, including student enrollments calculated in full time equivalents and the number of students enrolled in on-line programs. They also mentioned that Education immediately coordinated with the Department of the Treasury to find out whether the grants could be disbursed to students as “emergency assistance,” and subsequently be exempt from taxation and consideration in future monetary assist determinations. Education’s utility of the funding formula resulted in additional than two-thirds of the $6.three billion designated for emergency pupil help being allocated to public 2-yr and 4-year colleges . compliance statement deployed more than 1,000 of its employees for the COVID-19 response, based on the company. For instance, CDC officials said that the agency deployed personnel to employees domestic quarantine stations established to prevent, delay, and mitigate the introduction of extra cases and transmission to the United States.
The indicators and recent developments are discussed in more element in appendix IV. Small Business Programs The Small Business Administration accredited more how to configure the speed of your website scraper and data extractor than 1 million financial harm disaster loans, but data technology challenges and processing delays hampered implementation.
While some companies may receive a PPP mortgage and keep staff on their payrolls, others may be inclined to put off employees, making them probably eligible for enhanced unemployment benefits. According to USAID, State and USAID have allotted about $one hundred fifty million in supplemental funding beneath Pillar four for 18 countries, as of May 20, 2020. While the Pillar four objective consists of addressing second-order economic, civilian-security, stabilization, and governance results of COVID-19, State officers informed us that the preliminary focus is on emergency and quick-term wants.
Military Health The Department of Defense has taken steps to check and observe COVID-19 cases among servicemembers, present care via the military well being system, and protect the health of U.S. army forces. Medical Surge Multiple federal companies have deployed personnel, different care sites, and tools to help surge medical and public health capabilities in the course of the COVID-19 response. DOD Support to Civil Authorities The Department of Defense is offering folks, equipment, and provides to help civil authorities through the COVID-19 pandemic.
Education Stabilization Fund The Education Stabilization Fund offers emergency funding to deal with the results of the COVID-19 pandemic on education. It is just too early to know how states and faculty districts will spend these funds and the effect they could have, but the comprehensible need to spend the money quickly could improve the risks of noncompliance with spending and accountability necessities. Transit Industry The Federal Transit Administration has begun to distribute CARES Act funding, with most grants going to operating expenses. Coronavirus Relief Fund Almost the complete $a hundred and fifty billion fund has been disbursed to states, localities, tribal governments, the District of Columbia, and U.S. territories to assist cover the costs of responding to the COVID-19 pandemic.
However, SBA has not made knowledge on particular person loans out there on its website as it has carried out for different mortgage guarantee programs, though SBA has said on its website that it plans to take action at an unspecified future date. In an interview on June 1, 2020, SBA officials declined to comment on whether or not they planned to launch loan-degree knowledge. The officers later noted considerations about private privateness and commercially delicate enterprise info that they stated were not offered by conventional SBA enterprise mortgage applications.
Administered by the Department of Education, this fund provides formulation and discretionary grants to states for assist of academic services. U.S. territories and Bureau of Indian Education programs receive funds underneath the Education Stabilization Fund as well. We reviewed testing information and limitations reported by the Centers for Disease Control and Prevention over time, including the newest data from CDC’s COVID Data Tracker web site as of May 31, 2020. We additionally interviewed CDC officers to obtain information on steps taken to report testing knowledge, and we reviewed federal legal guidelines, other requirements, and CDC steerage associated to states’ and laboratories’ submission of testing data. We chosen these amenities based on the type and dimension of the facility and geographic range.
In its feedback, reproduced in appendix XII, DHS outlined the numerous challenges facing the nation in responding to the COVID-19 pandemic and FEMA’s lead position in addressing them. DHS also provided technical feedback on this enclosure, which we included as applicable. HHS is designated the lead agency for responding to a public well being emergency, including a pandemic. As part of this position, HHS provides assets corresponding to surge personnel and gear to support the public health and medical needs of the response. Additionally, HHS may yahoo website scraping software and email extractor go with its federal partners, together with DOD, DHS, and VA, which may also deploy associated helps to assist surge medical and public well being capabilities during a response to a public well being emergency. Under the expanded applications, lively Medicare providers can apply for loans of up to a hundred or one hundred twenty five percent of the payments they acquired for a prior 3-month or 6-month period, depending on the kind of supplier or provider.
In response to COVID-19, VHA officers told us that they elevated capability, tested both veterans and workers, and expanded telehealth services to care for veterans, amongst different actions. In addition, VHA helps the civilian public health response as part of VA’s statutory mission to satisfy its obligations during times of nationwide public well being emergency, including offering support to the Department of Defense and the Public Health Service. DOD made materials from its own stockpile, meant to assist the navy, out there for the public health response. For instance, in accordance with FEMA, DOD has distributed almost 14 million N95 respirator masks from its inventory to cities, states, and the Department of Veterans Affairs . In addition, federal businesses report any extra personal property, including supplies, to a centralized database maintained by the General Services Administration , which supplies reports of accessible material to FEMA day by day, in accordance with GSA officers.
Due to the very nature of the government’s need to rapidly provide funds and other assistance to these affected by COVID-19 and its financial effects, federal reduction programs are vulnerable to important threat of fraudulent activities. The schemes used to defraud authorities, in addition to non-public companies and people, are infinite, and plenty of have already emerged in the course of the COVID-19 pandemic. However, whether or not in occasions of emergency or in the course of the steady state, fraud risks and schemes generally originate from, and target, sure teams. Illustrative examples of fraud risks and schemes applicable to an emergency surroundings are proven in determine 22. Spreads on company bonds relative to benchmark interest rates (e.g., Treasury interest rates) measure the premium company debtors must pay to compensate lenders for taking on the danger of loss due to default and for foregoing investments in additional liquid assets . These spreads are a key measure of the cost and availability of credit score and have a tendency to fluctuate over time primarily based on financial conditions. That is, spreads tend to extend as perceived economic risk will increase—lenders demand higher returns to compensate for increased risk—and spreads are inclined to shrink as perceived financial threat falls.
Federal Efforts to Provide Medical Supplies States’ requests for medical gear and provides, such as private protective tools, shortly exceeded the capability of the Strategic National Stockpile, leading to a multiagency response to acquire and distribute material. COVID-19 Testing The Department of Health and Human Services plays a key function in coordinating check development and implementation, however faces challenges in facilitating testing and reporting outcomes. Vaccine and Therapeutics Development Multiple federal agencies are taking actions to develop vaccines and therapeutics to stop and treat COVID-19, including funding analysis and medical trials, however it’s not identified when or if a secure and effective vaccine and therapeutics might be widely obtainable. Medicaid Financing, Waivers, and Flexibilities Federal assistance related to COVID-19 offered elevated federal Medicaid funding for states and territories to support the costs of their Medicaid programs, including COVID-19 testing and treatment prices. The Centers for Medicare & Medicaid Services has additionally accredited waivers and different flexibilities to help state Medicaid programs respond to the COVID-19 pandemic. Medicare Waivers In response to COVID-19, the Centers for Medicare & Medicaid Services expanded availability of Medicare services by way of widespread use of program waivers, together with for telehealth services.
Department of Defense Working Capital Funds COVID-19 could further impact the Department of Defense’s working capital fund balances, even with further appropriated amounts offered by the CARES Act. The Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, and the CARES Act provided about $2.2 billion in supplemental funding to accounts for diplomatic and foreign assistance applications, administered by State and USAID, to reply to COVID-19 abroad. Through the identical two acts, Congress additionally designated no less than $800 million of the Centers for Disease Control and Prevention’s COVID-19 supplemental appropriations for CDC’s world disease detection and emergency response. State and USAID developed a strategy for the use of the $2.2 billion, which is organized under four pillars . Similarly, CDC developed a method for its global response to COVID-19 that may concentrate on supporting precedence countries, multilateral establishments, and weak populations to mitigate the global impact of the pandemic.
In response to this unprecedented global disaster, Congress and the administration have taken a series of actions to protect the health and properly-being of Americans. Notably, in March 2020, Congress handed, and the President signed into law, the CARES Act, which supplies over $2 trillion in emergency assistance and health care response for people, households, and companies affected by COVID-19.
The Centers for Medicare & Medicaid Services , inside HHS, administers Medicare. To date, the transparency of the use and distribution of CARES Act funding has been mixed. According to Treasury, spending info ought to quickly be out there and we are going to study the level of transparency of the reported data. In addition, in some cases, companies have already released details about where COVID-19 funds are flowing. For example, HHS launched knowledge on all providers that obtained Provider Relief Fund funds, and authorized they meet the phrases and situations for those payments. SBA has regularly published abstract information, including on the quantity and greenback amount of loans permitted, variety of lenders and loans by lender type, and loans by state and trade.
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