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Vote Smart provides easy access to congressional and state voting records and maintains a collection of key votes grouped by issue. Vote Smart uses the following criteria to select key votes:

  1. The vote should be helpful in portraying how a member stands on a particular issue
  2. The vote should be clear for any person to understand
  3. The vote has received media attention
  4. The vote was passed or defeated by a very close margin
  5. Occasionally, if a specific bill is consistently inquired about on the Voter's Research Hotline, the vote will be added

Vote Smart provides a summary of the version of the bill text associated with each selected key vote. Our summaries are written by Vote Smart's staff and interns, who adhere to our strict policies and procedures in order to guarantee absolute impartiality and accuracy. They do not necessarily reflect the content of the final version of the bill, but rather the version voted on in that stage. While many procedural votes take place before a full chamber vote, our voting stages reflect the final reading of each chamber vote. Each key vote selection is reviewed by the project's community of advisors, who are political scientists and journalists from all fifty states.

For more information about the legislative process, see here.

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Date State Bill No. Title Outcome
Aug. 19, 2026 NH HB 232 Requires Health Care Institutions to Accommodate Employees Who are Against Abortion Veto Override Failed - House (166 - 154)
Aug. 19, 2026 NH HB 232 Requires Health Care Institutions to Accommodate Employees Who are Against Abortion Veto Override Failed - House (166 - 154)
Aug. 5, 2026 National PN 932 Nomination of Erica Schwartz, of Florida, to be Director of the Centers for Disease Control and Prevention, vice Susan Monarez Nomination Confirmed - Senate (51 - 44)
Aug. 5, 2026 National S J Res 187 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Modification to the Start of the Submission Period for Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS) Reporting and Recordkeeping Under TSCA 8(a)(7)" Motion Rejected - Senate (48 - 50)
Aug. 4, 2026 NC SB 445 Amends Various Municipal and Residential Development Regulations Conference Report Adopted - House (84 - 26)
July 30, 2026 National S J Res 199 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Health and Human Services relating to "Restoring Flexibility in the Child Care and Development Fund (CCDF)" Motion Rejected - Senate (47 - 52)
July 29, 2026 NC SB 445 Amends Various Municipal and Residential Development Regulations Conference Report Adopted - Senate (37 - 0)
July 29, 2026 NC HB 562 Appropriates Certain Funds to the Department of Health and Human Services Conference Report Adopted - Senate (34 - 3)
July 23, 2026 National HR 8884 Removing Barriers to Work for Disabled Americans Act Bill Passed - House (232 - 188)
July 22, 2026 MA H 5595 Expands Patient Access to Late Term Abortion Bill Passed - House (119 - 33)
July 20, 2026 National HR 4541 Young Women's Breast Health Education and Awareness Requires Learning Young (EARLY) Act Reathorization of 2025 Bill Passed - House (394 - 6)
July 20, 2026 National HR 8823 Putting Patients First by Strengthening Provider Accountability in Federal Employees' Compensation Act (FECA) Act Bill Passed - House (396 - 0)
July 16, 2026 National S J Res 198 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services relating to "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model" Motion Rejected - Senate (46 - 50)
July 16, 2026 National HR 5362 To name the Department of Veterans Affairs multispecialty clinic in Marietta, Georgia, as the "Colonel Michael H. Boyce Department of Veterans Affairs Multispecialty Clinic" Bill Passed - House (418 - 0)
July 12, 2026 PA HB 1851 Authorizes Midwives to Certify Deaths and Fetal Deaths Bill Passed - Senate (49 - 1)
July 12, 2026 PA HB 1851 Authorizes Midwives to Certify Deaths and Fetal Deaths Bill Passed - Senate (49 - 1)
July 2, 2026 NC HB 328 Prohibits the Sale of Intoxicating Hemp-Derived Products Conference Report Adopted - Senate (37 - 6)
June 30, 2026 NC HB 437 Prohibits Public Camping and Expands Drug Offenses Near Homeless Services Concurrence Vote Passed - House (73 - 40)
June 29, 2026 CA SB 177 Requires Big Corporations to Pay the Taxpayer Costs of Their Employees Enrolled in the Medi-Cal Program Concurrence Vote Passed - Senate (29 - 9)
June 29, 2026 CA SB 177 Requires Big Corporations to Pay the Taxpayer Costs of Their Employees Enrolled in the Medi-Cal Program Bill Passed - House (57 - 18)
June 25, 2026 CA AB 35 Appropriates $10 Billion for Projects for Safe Drinking Water, Wildfire Prevention, and the Clean Air Bond Act Bill Passed - Senate (36 - 0)
June 24, 2026 NC HB 437 Prohibits Public Camping and Expands Drug Offenses Near Homeless Services Bill Passed - Senate (26 - 16)
June 15, 2026 PA HB 377 Prohibits the Manufacture, Delivery, or Possession of Tianeptine Bill Passed - House (200 - 2)
June 11, 2026 RI H 7538 Requires Healthcare Providers to Notify Patients of Artificial Intelligence Use Concurrence Vote Passed - House (54 - 14)
June 11, 2026 RI H 7538 Requires Healthcare Providers to Notify Patients of Artificial Intelligence Use Bill Passed - Senate (38 - 0)
June 9, 2026 National S 2 Secure America Act Bill Passed - House (214 - 212)
June 8, 2026 RI S 2795 Prohibits the Sale of Rat Poison Bill Passed - House (53 - 9)
June 8, 2026 RI H 7349 Restricts Use of Artificial Intelligence in Mental Health Therapy Services Bill Passed - House (69 - 2)
June 5, 2026 National S 2 Secure America Act Bill Passed - Senate (52 - 47)
June 3, 2026 National S J Res 188 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "National Emission Standards for Hazardous Air Pollutants: Coal- and Oil-Fired Electric Utility Steam Generating Units: Final Repeal" Motion Rejected - Senate (46 - 53)
June 3, 2026 National S 2 Secure America Act Motion Agreed - Senate (53 - 46)
June 3, 2026 National HR 2860 Northwest Straits Marine Conservation Initiative Reauthorization Act of 2025 Bill Passed - House (374 - 49)
June 1, 2026 LA HB 414 Prohibits Those With Criminal Convictions In Another State From Being Hired As Non-licensed Health Professionals Conference Report Adopted - Senate (27 - 8)
June 1, 2026 LA HB 414 Prohibits Those With Criminal Convictions In Another State From Being Hired As Non-licensed Health Professionals Conference Report Adopted - House (70 - 20)
May 29, 2026 LA HB 1249 Requires Public Schools to Adopt Policies to Provide School-Based Health Center Services Concurrence Vote Passed - House (90 - 6)
May 28, 2026 NJ S 2260 Establishes Protections for Reproductive and Gender-Affirming Healthcare Bill Passed - Senate (23 - 12)
May 28, 2026 NJ S 2260 Establishes Protections for Reproductive and Gender-Affirming Healthcare Bill Passed - Senate (23 - 12)
May 27, 2026 CA AB 2575 Requires Health Facilities to Disclose AI Clinical Decision Support Systems to Health Care Workers and Prohibits Retaliation for Overriding AI Outputs Bill Passed - House (48 - 15)
May 27, 2026 CA SB 869 Requires Chain Restaurants to Display Sugar Content on Certain Beverages Bill Passed - Senate (29 - 4)
May 27, 2026 CA AB 1556 Establishes Rules for Recovery Residences Bill Passed - House (78 - 0)
May 26, 2026 LA HB 475 Requires Health Care Professionals to Disclose Use of AI Transcription Software to Patients Concurrence Vote Passed - House (99 - 0)
May 26, 2026 LA HB 1249 Requires Public Schools to Adopt Policies to Provide School-Based Health Center Services Bill Passed - Senate (35 - 3)
May 26, 2026 RI S 2795 Prohibits the Sale of Rat Poison Bill Passed - Senate (38 - 0)
May 21, 2026 National HR 6047 Sharri Briley and Eric Edmundson Veterans Benefits Expansion Act of 2026 Bill Passed - House (235 - 179)
May 20, 2026 LA HB 782 Expands Regulations and Increases Fees for Nicotine Sales Conference Report Adopted - Senate (34 - 0)
May 20, 2026 AK HB 110 Requires the State to Join the Interstate Medical Licensure Compact Concurrence Vote Passed - House (39 - 0)
May 20, 2026 AK HB 110 Requires the State to Join the Interstate Medical Licensure Compact Bill Passed - Senate (13 - 7)
May 20, 2026 National S 2393 Fiscal Year 2025 Veterans Affairs Major Medical Facility Authorization Act Bill Passed - House (405 - 5)
May 20, 2026 IL SB 3211 Establishes Regulations on Teledentistry and Dental Hygienist Services Bill Passed - Senate (58 - 0)
May 19, 2026 AK HB 25 Prohibits Restaurants from Using Styrofoam Disposable Food Service Ware Concurrence Vote Passed - House (26 - 14)
May 18, 2026 AK HB 25 Prohibits Restaurants from Using Styrofoam Disposable Food Service Ware Bill Passed - Senate (13 - 7)
May 18, 2026 LA HB 475 Requires Health Care Professionals to Disclose Use of AI Transcription Software to Patients Bill Passed - Senate (35 - 0)
May 18, 2026 LA HB 568 Increases Penalties for Smoking in School Zones Bill Passed - Senate (23 - 10)
May 13, 2026 National S J Res 141 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by Bureau of Consumer Financial Protection relating to the withdrawal of the rule relating to "Debt Collection Practices (Regulation F); Deceptive and Unfair Collection of Medical Debt" Motion Rejected - Senate (50 - 50)
May 13, 2026 National HR 1346 Nationwide Consumer and Fuel Retailer Choice Act of 2025 Bill Passed - House (218 - 203)
May 11, 2026 CO HB 26-1195 Limits the Use of Artificial Intelligence for Psychotherapy Services Bill Passed - Senate (33 - 2)
May 11, 2026 CO HB 26-1139 Prohibits Insurers from Denying Health Care Coverage Based Solely on AI Output and Bans Insurance Payment for AI-Delivered Psychotherapy Bill Passed - Senate (32 - 3)
May 11, 2026 CO HB 26-1328 Establishes Regulations for Non-Emergency Medical Transportation Bill Passed - Senate (32 - 3)
May 11, 2026 CO HB 26-1139 Prohibits Insurers from Denying Health Care Coverage Based Solely on AI Output and Bans Insurance Payment for AI-Delivered Psychotherapy Bill Passed - Senate (32 - 3)
May 6, 2026 OK HB 3834 Authorizes Clinical Trials for Ibogaine Concurrence Vote Passed - House (69 - 21)
May 6, 2026 OK HB 3834 Authorizes Clinical Trials for Ibogaine Concurrence Vote Passed - House (69 - 21)
May 6, 2026 OK HB 4095 Amends Membership and Oversight of the Oklahoma 2-1-1 Collaborative Concurrence Vote Passed - House (85 - 2)
May 6, 2026 OK SB 1191 Repeals the Oklahoma Low Carbon Energy Initiative Board Bill Passed - House (86 - 0)
May 6, 2026 OK SB 1423 Repeals the Oklahoma Hospital Advisory Council Bill Passed - House (82 - 9)
May 6, 2026 OK SB 1553 Specifies Qualifications for Psychologists To Review Medicaid Appeals Bill Passed - House (90 - 2)
May 6, 2026 OK SB 65 Authorizes Any Individual to Use or Administer Emergency Opioid Antagonists Bill Passed - House (86 - 2)
May 6, 2026 OK SB 65 Authorizes Any Individual to Use or Administer Emergency Opioid Antagonists Bill Passed - House (86 - 2)
May 6, 2026 OK SB 540 Establishes Participation in the Dentist and Dental Hygienist Compact for Interstate Practice Bill Passed - House (75 - 13)
May 4, 2026 CO HB 26-1328 Establishes Regulations for Non-Emergency Medical Transportation Bill Passed - House (56 - 9)
May 3, 2026 IA HF 2694 Restricts the Powers of the Governor During Emergency Situations (31 - 14)
May 3, 2026 IA HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - Senate (30 - 11)
May 3, 2026 IA HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - Senate (30 - 11)
May 2, 2026 IA SF 2480 Establishes an Additional Tax on Alternative Nicotine Products Bill Passed - House (67 - 18)
May 1, 2026 IA HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - House (58 - 29)
May 1, 2026 IA HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - House (58 - 29)
Date No. Title Outcome
8/19 HB 232 Requires Health Care Institutions to Accommodate Employees Who are Against Abortion Veto Override Failed - House (166 - 154)
8/19 HB 232 Requires Health Care Institutions to Accommodate Employees Who are Against Abortion Veto Override Failed - House (166 - 154)
8/05 PN 932 Nomination of Erica Schwartz, of Florida, to be Director of the Centers for Disease Control and Prevention, vice Susan Monarez Nomination Confirmed - Senate (51 - 44)
8/05 S J Res 187 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "Modification to the Start of the Submission Period for Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS) Reporting and Recordkeeping Under TSCA 8(a)(7)" Motion Rejected - Senate (48 - 50)
8/04 SB 445 Amends Various Municipal and Residential Development Regulations Conference Report Adopted - House (84 - 26)
7/30 S J Res 199 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Health and Human Services relating to "Restoring Flexibility in the Child Care and Development Fund (CCDF)" Motion Rejected - Senate (47 - 52)
7/29 SB 445 Amends Various Municipal and Residential Development Regulations Conference Report Adopted - Senate (37 - 0)
7/29 HB 562 Appropriates Certain Funds to the Department of Health and Human Services Conference Report Adopted - Senate (34 - 3)
7/23 HR 8884 Removing Barriers to Work for Disabled Americans Act Bill Passed - House (232 - 188)
7/22 H 5595 Expands Patient Access to Late Term Abortion Bill Passed - House (119 - 33)
7/20 HR 4541 Young Women's Breast Health Education and Awareness Requires Learning Young (EARLY) Act Reathorization of 2025 Bill Passed - House (394 - 6)
7/20 HR 8823 Putting Patients First by Strengthening Provider Accountability in Federal Employees' Compensation Act (FECA) Act Bill Passed - House (396 - 0)
7/16 S J Res 198 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services relating to "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model" Motion Rejected - Senate (46 - 50)
7/16 HR 5362 To name the Department of Veterans Affairs multispecialty clinic in Marietta, Georgia, as the "Colonel Michael H. Boyce Department of Veterans Affairs Multispecialty Clinic" Bill Passed - House (418 - 0)
7/12 HB 1851 Authorizes Midwives to Certify Deaths and Fetal Deaths Bill Passed - Senate (49 - 1)
7/12 HB 1851 Authorizes Midwives to Certify Deaths and Fetal Deaths Bill Passed - Senate (49 - 1)
7/02 HB 328 Prohibits the Sale of Intoxicating Hemp-Derived Products Conference Report Adopted - Senate (37 - 6)
6/30 HB 437 Prohibits Public Camping and Expands Drug Offenses Near Homeless Services Concurrence Vote Passed - House (73 - 40)
6/29 SB 177 Requires Big Corporations to Pay the Taxpayer Costs of Their Employees Enrolled in the Medi-Cal Program Concurrence Vote Passed - Senate (29 - 9)
6/29 SB 177 Requires Big Corporations to Pay the Taxpayer Costs of Their Employees Enrolled in the Medi-Cal Program Bill Passed - House (57 - 18)
6/25 AB 35 Appropriates $10 Billion for Projects for Safe Drinking Water, Wildfire Prevention, and the Clean Air Bond Act Bill Passed - Senate (36 - 0)
6/24 HB 437 Prohibits Public Camping and Expands Drug Offenses Near Homeless Services Bill Passed - Senate (26 - 16)
6/15 HB 377 Prohibits the Manufacture, Delivery, or Possession of Tianeptine Bill Passed - House (200 - 2)
6/11 H 7538 Requires Healthcare Providers to Notify Patients of Artificial Intelligence Use Concurrence Vote Passed - House (54 - 14)
6/11 H 7538 Requires Healthcare Providers to Notify Patients of Artificial Intelligence Use Bill Passed - Senate (38 - 0)
6/09 S 2 Secure America Act Bill Passed - House (214 - 212)
6/08 S 2795 Prohibits the Sale of Rat Poison Bill Passed - House (53 - 9)
6/08 H 7349 Restricts Use of Artificial Intelligence in Mental Health Therapy Services Bill Passed - House (69 - 2)
6/05 S 2 Secure America Act Bill Passed - Senate (52 - 47)
6/03 S J Res 188 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to "National Emission Standards for Hazardous Air Pollutants: Coal- and Oil-Fired Electric Utility Steam Generating Units: Final Repeal" Motion Rejected - Senate (46 - 53)
6/03 S 2 Secure America Act Motion Agreed - Senate (53 - 46)
6/03 HR 2860 Northwest Straits Marine Conservation Initiative Reauthorization Act of 2025 Bill Passed - House (374 - 49)
6/01 HB 414 Prohibits Those With Criminal Convictions In Another State From Being Hired As Non-licensed Health Professionals Conference Report Adopted - Senate (27 - 8)
6/01 HB 414 Prohibits Those With Criminal Convictions In Another State From Being Hired As Non-licensed Health Professionals Conference Report Adopted - House (70 - 20)
5/29 HB 1249 Requires Public Schools to Adopt Policies to Provide School-Based Health Center Services Concurrence Vote Passed - House (90 - 6)
5/28 S 2260 Establishes Protections for Reproductive and Gender-Affirming Healthcare Bill Passed - Senate (23 - 12)
5/28 S 2260 Establishes Protections for Reproductive and Gender-Affirming Healthcare Bill Passed - Senate (23 - 12)
5/27 AB 2575 Requires Health Facilities to Disclose AI Clinical Decision Support Systems to Health Care Workers and Prohibits Retaliation for Overriding AI Outputs Bill Passed - House (48 - 15)
5/27 SB 869 Requires Chain Restaurants to Display Sugar Content on Certain Beverages Bill Passed - Senate (29 - 4)
5/27 AB 1556 Establishes Rules for Recovery Residences Bill Passed - House (78 - 0)
5/26 HB 475 Requires Health Care Professionals to Disclose Use of AI Transcription Software to Patients Concurrence Vote Passed - House (99 - 0)
5/26 HB 1249 Requires Public Schools to Adopt Policies to Provide School-Based Health Center Services Bill Passed - Senate (35 - 3)
5/26 S 2795 Prohibits the Sale of Rat Poison Bill Passed - Senate (38 - 0)
5/21 HR 6047 Sharri Briley and Eric Edmundson Veterans Benefits Expansion Act of 2026 Bill Passed - House (235 - 179)
5/20 HB 782 Expands Regulations and Increases Fees for Nicotine Sales Conference Report Adopted - Senate (34 - 0)
5/20 HB 110 Requires the State to Join the Interstate Medical Licensure Compact Concurrence Vote Passed - House (39 - 0)
5/20 HB 110 Requires the State to Join the Interstate Medical Licensure Compact Bill Passed - Senate (13 - 7)
5/20 S 2393 Fiscal Year 2025 Veterans Affairs Major Medical Facility Authorization Act Bill Passed - House (405 - 5)
5/20 SB 3211 Establishes Regulations on Teledentistry and Dental Hygienist Services Bill Passed - Senate (58 - 0)
5/19 HB 25 Prohibits Restaurants from Using Styrofoam Disposable Food Service Ware Concurrence Vote Passed - House (26 - 14)
5/18 HB 25 Prohibits Restaurants from Using Styrofoam Disposable Food Service Ware Bill Passed - Senate (13 - 7)
5/18 HB 475 Requires Health Care Professionals to Disclose Use of AI Transcription Software to Patients Bill Passed - Senate (35 - 0)
5/18 HB 568 Increases Penalties for Smoking in School Zones Bill Passed - Senate (23 - 10)
5/13 S J Res 141 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by Bureau of Consumer Financial Protection relating to the withdrawal of the rule relating to "Debt Collection Practices (Regulation F); Deceptive and Unfair Collection of Medical Debt" Motion Rejected - Senate (50 - 50)
5/13 HR 1346 Nationwide Consumer and Fuel Retailer Choice Act of 2025 Bill Passed - House (218 - 203)
5/11 HB 26-1195 Limits the Use of Artificial Intelligence for Psychotherapy Services Bill Passed - Senate (33 - 2)
5/11 HB 26-1139 Prohibits Insurers from Denying Health Care Coverage Based Solely on AI Output and Bans Insurance Payment for AI-Delivered Psychotherapy Bill Passed - Senate (32 - 3)
5/11 HB 26-1328 Establishes Regulations for Non-Emergency Medical Transportation Bill Passed - Senate (32 - 3)
5/11 HB 26-1139 Prohibits Insurers from Denying Health Care Coverage Based Solely on AI Output and Bans Insurance Payment for AI-Delivered Psychotherapy Bill Passed - Senate (32 - 3)
5/06 HB 3834 Authorizes Clinical Trials for Ibogaine Concurrence Vote Passed - House (69 - 21)
5/06 HB 3834 Authorizes Clinical Trials for Ibogaine Concurrence Vote Passed - House (69 - 21)
5/06 HB 4095 Amends Membership and Oversight of the Oklahoma 2-1-1 Collaborative Concurrence Vote Passed - House (85 - 2)
5/06 SB 1191 Repeals the Oklahoma Low Carbon Energy Initiative Board Bill Passed - House (86 - 0)
5/06 SB 1423 Repeals the Oklahoma Hospital Advisory Council Bill Passed - House (82 - 9)
5/06 SB 1553 Specifies Qualifications for Psychologists To Review Medicaid Appeals Bill Passed - House (90 - 2)
5/06 SB 65 Authorizes Any Individual to Use or Administer Emergency Opioid Antagonists Bill Passed - House (86 - 2)
5/06 SB 65 Authorizes Any Individual to Use or Administer Emergency Opioid Antagonists Bill Passed - House (86 - 2)
5/06 SB 540 Establishes Participation in the Dentist and Dental Hygienist Compact for Interstate Practice Bill Passed - House (75 - 13)
5/04 HB 26-1328 Establishes Regulations for Non-Emergency Medical Transportation Bill Passed - House (56 - 9)
5/03 HF 2694 Restricts the Powers of the Governor During Emergency Situations (31 - 14)
5/03 HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - Senate (30 - 11)
5/03 HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - Senate (30 - 11)
5/02 SF 2480 Establishes an Additional Tax on Alternative Nicotine Products Bill Passed - House (67 - 18)
5/01 HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - House (58 - 29)
5/01 HF 2788 Requires an In-Person Examination Prior to any Abortion Procedure Bill Passed - House (58 - 29)
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