{"id":2868,"date":"2025-02-27T09:05:24","date_gmt":"2025-02-27T17:05:24","guid":{"rendered":"https:\/\/www.cdcr.ca.gov\/hcdom\/?post_type=dom&#038;p=2868"},"modified":"2026-03-02T13:06:16","modified_gmt":"2026-03-02T21:06:16","slug":"3-1-22-compassionate-release","status":"publish","type":"dom","link":"https:\/\/www.cdcr.ca.gov\/hcdom\/dom\/chapter-3-health-care-operations\/article-1-complete-care-model\/3-1-22-compassionate-release\/","title":{"rendered":"3.1.22 Compassionate Release"},"content":{"rendered":"\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Policy<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>California Department of Corrections and Rehabilitation (CDCR) and California Correctional Health Care Services (CCHCS) shall refer to the court a patient who meets the medical and statutory criteria for Compassionate Release and follow the processes set forth in Penal Code (PC) 1172.2.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Purpose<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>To outline the process for CDCR and CCHCS to refer a patient to the court for compassionate release consideration.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Responsibility<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Statewide<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>CDCR and CCHCS departmental leadership at all levels of the organization, within the scope of their authority, are responsible for ensuring that administrative, custodial, and clinical systems are in place, along with appropriate tools and training to ensure that patient referrals for compassionate release are initiated and processed for all patients who meet eligibility criteria.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Regional<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Regional Health Care Executives and the Division of Adult Institutions Regional Associate Directors are responsible to maintain this policy at the subset of institutions within an assigned region.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Institution<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>The Chief Executive Officer and Warden, or their designees, are responsible for the implementation, monitoring, and evaluation of this policy and procedure at their assigned institution.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Procedure<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Primary Care Provider Referral<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The Primary Care Provider (PCP) shall identify patients who meet the medical criteria for compassionate release set forth in PC 1172.2(b), which is either the patient:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Has a serious and advanced illness with end-of-life trajectory (examples include, but are not limited to, metastatic solid-tumor cancer, amyotrophic lateral sclerosis, end-stage organ disease, and advanced end-stage dementia); or<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Is permanently medically incapacitated with a medical condition or functional impairment that renders them permanently unable to complete basic activities of daily living including, but not limited to, bathing, eating, dressing, toileting, transferring, and ambulation, or has progressive end-stage dementia and that incapacitation did not exist at the time of the original sentencing.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A patient, family member, or designee, may independently request consideration of a patient for compassionate release by providing a written request to the Chief Medical Executive (CME) at the patient\u2019s institution.\u00a0 Upon receipt of a request, the CME, or designee, shall consider whether the patient meets the criteria set forth in (d)(1)(A) above and document the consideration in the patient\u2019s health record.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>If the PCP determines a patient meets the medical criteria for compassionate release, the PCP shall initiate the compassionate release process:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The PCP shall complete the CDCR 128-C, Medical-Psychiatric-Dental Chrono;<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Nursing Services shall facilitate the patient in completing the CDCR 7385-CR, Authorization of Release of Protected Health Information &#8211; Compassionate Release; and<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The PCP shall submit the CDCR 128-C and CDCR 7385-CR to the CME for consultation and notify the Headquarters (HQ) Complex Care Team of submission to the CME by emailing the CDCR 128-C to <a href=\"mailto:CCHCSComplexCare@cdcr.ca.gov\">CCHCSComplexCare@cdcr.ca.gov<\/a>.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Within two calendar days of the PCP\u2019s request for consult, the CME, or designee, shall consult on the referral and either:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Deem the referral incomplete, document the reason(s) on the CDCR 128-C and notify the PCP, HQ Complex Care Team, and patient; or<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Concur with the referral, submit the CDCR 128-C and CDCR 7385-CR to the Classification and Parole Representative (C&amp;PR), and notify the PCP and <a>the<\/a> HQ Complex Care Team. This referral initiates the 45-calendar day window permitted by law within which a patient who meets the requirements of the law shall be referred to the court.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Within two business days of receipt of a referral, the C&amp;PR shall determine whether the patient\u2019s current commitment offense disqualifies the patient from compassionate release consideration under PC sections 1170.02 and 1172.2(o) and notify the Classification Services Unit (CSU) of the eligibility determination.<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>If the patient is eligible for compassionate release, the CSU shall submit the CDCR 128-C to the Director.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>If the patient is ineligible for compassionate release, the C&amp;PR, or designee, shall document on a CDCR 128-B, General Chrono, and notify the CME, patient, CSU, and the HQ Complex Care Team. A copy of the CDCR 128-B shall be saved in the central file.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Director of Health Care Services Review<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Within 14 calendar days of receipt of a referral, the Director of Health Care Services (Director) shall review the referral.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>If the Director concurs that the patient meets the medical criteria for compassionate release, the Director, or designee, shall notify the Warden, CSU, and C&amp;PR to continue processing the referral.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>If the Director does not concur that the patient meets the medical criteria for compassionate release, the Director, or designee, shall document the reason(s) for the decision and notify the PCP, C&amp;PR, CME, CSU, HQ Complex Care Team, and patient via a denial letter.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Classification and Parole Representative Patient Notification and Preparation of Referral of Packet<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Within 48 hours of receipt of the Director&#8217;s notification, the C&amp;PR, or designee, shall do the following:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Meet with the patient and explain the compassionate release referral process.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Offer the patient the opportunity to complete a CDCR 3038, Notification and Authorization to Incarcerated Person Regarding Compassionate Release, whereby they may designate a family member or other outside agent to be notified of their medical condition and prognosis and to inform that person regarding the compassionate release process. If the patient does not appear to understand, the patient\u2019s emergency contact shall be notified.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Offer the patient the opportunity to complete a CDCR 3039, Waiver of Defendant\u2019s Physical or Remote Presence at Compassionate Release Hearing. If the patient does not appear to understand, the patient\u2019s emergency contact shall be notified. The C&amp;PR, or designee, shall indicate such on the CDCR 3039.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>If the patient would be released on parole, the C&amp;PR shall notify the Division of Adult Parole Operations (DAPO) of the patient\u2019s referral and release plan. DAPO shall confirm the plan complies with parole residency restrictions.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Within 15 calendar days of receipt of Director\u2019s notification, the C&amp;PR shall prepare a referral packet and submit it to the CSU.\u00a0 The packet shall include, at a minimum, the following:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A Case Factor Summary in which the Correctional Counselor summarizes relevant information from documents in the patient\u2019s central file including, without limitation, information regarding the current commitment offense, prior criminal history, institutional behavior, work and education assignments, participation in self-help activities, victim notifications, registration requirements, and known parole residency restrictions.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A CDCR 3038.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A CDCR 3039.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A CDCR 128-C.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>A CDCR 7385-CR.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The C&amp;PR shall obtain the Warden\u2019s signature and submit the compassionate release referral packet to the CSU.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>CSU Submission<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Within 11 calendar days of receipt from C&amp;PR, the CSU shall coordinate with the Director\u2019s office to submit the referral letter and packet to the appropriate court, the District Attorney\u2019s office and the Public Defender\u2019s office.\u00a0 The CSU shall notify CDCR parties including the C&amp;PR, the CME, the HQ Complex Care Team, the Transitional Case Management Program (TCMP) Program Management Unit (to request care coordination for the patient, including Medi-Cal preapproval), the Statewide Mental Health Program Pre-Release Coordinator and the Office of Victim and Survivor Rights and Services.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Sentencing Court Review and Notification of Court Decision<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Within ten calendar days of receiving a referral for compassionate release, the sentencing court is expected to hold a hearing. CDCR shall facilitate a patient\u2019s or the legal representative\u2019s timely request to attend the hearing remotely. The PCP, CME, or designee, shall be available as necessary throughout the recall and resentencing proceedings.<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Case Records staff shall follow up with the sentencing court within 15 calendar days of submitting the referral for compassionate release if a response is not received from the sentencing court.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Additional follow up with the sentencing court shall occur the day after any court hearings until the court\u2019s decision is complete.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Upon reaching a decision, the court notifies CSU and the Case Records Manager at the institution.\u00a0 The C&amp;PR, or designee, shall notify the patient of the decision.\u00a0 The court mails the original court order to the attention of the Case Records office at the institution.\u00a0 Case Records staff shall scan the order into the Electronic Records Management System.\u00a0 If the court has approved the release, CDCR and CCHCS shall initiate processing the release.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Patient Release<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Pursuant to PC section 1172.2(l), if the sentencing court grants the recall and resentencing application, the patient shall be released by the CDCR within 48 hours of receipt of the court&#8217;s order, unless a longer time period is agreed to by the patient. If the patient has agreed to waive the 48-hour release requirement, the CDCR shall request the sentencing court include in its order that the patient shall be released within 30 calendar days to allow for the coordination of their housing and medical needs in the community to a location where access to care is available.<br><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>Upon release:<\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The Warden, or designee, shall ensure the patient has in their possession a state identification card or a photo prison identification card and all of their property.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p>The CEO, or designee, shall ensure the patient has in their possession a discharge medical summary, pertinent health records, appropriate medication, durable medical equipment, and has been provided TCMP services.<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block\">\n\t\t\t\t\t<p><strong>Tracking and Reporting<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>CCHCS shall maintain a compassionate release tracking log to ensure all referrals are reviewed and processed in a timely manner. This tracking log shall include the data required for reporting to the California Judicial Council set forth in the PC section 1172.2(p).<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>References<\/strong><\/p>\n\t\t\t\t\n\t<ul class=\"cdcr-dom-group-block\">\n\t\t\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Constitution, Article 1, Section 28(b)<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Penal Code, Part 1, Title 15, Chapter 2, Section 646.92<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Penal Code, Part 1, Title 16, Section 667(e)(2)(C)(iv)<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Penal Code, Part 2, Title 7, Chapter 4.5, Article 1, Section 1170<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Penal Code, Part 2, Title 7, Chapter 4.5, Article 1.5, Section 1172<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Penal Code, Part 2, Title 7, Chapter 4.5, Article 1, Section 1170.18 (c)<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Penal Code, Part 3, Title 1, Chapter 8, Article 1, Section 3007.05<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p>California Penal Code, Part 3, Title 1, Chapter 8, Article 3, Section 3058.8<\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-bullet\">\n\t\t\t\t\t<p><a href=\"https:\/\/cdcr.sharepoint.com\/sites\/cchcs_ms\/SiteAssets\/Forms\/AllItems.aspx?id=%2Fsites%2Fcchcs%5Fms%2FSiteAssets%2FSitePages%2FPalliativeCare%2FCompassionate%2DRelease%2DBasic%2DWorkflow%2Epdf&amp;parent=%2Fsites%2Fcchcs%5Fms%2FSiteAssets%2FSitePages%2FPalliativeCare\">CDCR Compassionate Release Basic Workflow<\/a><br><\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t\n\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p><strong>Revision History<\/strong><\/p>\n\t\t\t\t\t<\/li>\n\t\n\n\t<li class=\"cdcr-dom-item-block is-style-no-marker\">\n\t\t\t\t\t<p>Effective: 08\/20\/2025<\/p>\n\t\t\t\t\t<\/li>\n\t\n\t<\/ul>\n\t","protected":false},"parent":179,"template":"","class_list":["post-2868","dom","type-dom","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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