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��������� Legislative Hotline

2009 SESSION OF THE
MARYLAND GENERAL ASSEMBLY

 

 

 

Volume 16, Number 5����������������������������������������������������������������������������������������������� February 25, 2009

Here are some of the hot issues as the 2009 Legislative Session develops:

MICUA HIGHER EDUCATION DAY

NONECONOMIC DAMAGES BILL

SELF-REFERRAL BILLS

GENETIC PRIVACY BILLS



BILLS INTRODUCED
STAFF CONTACT INFORMATION

 

MICUA Higher Education Day

February 12th was Maryland Independent Higher Education Day in Annapolis.  Johns Hopkins was fortunate to host students representing the Krieger School of Arts & Science, the Bloomberg School of Public Health, the School of Medicine, and the Carey Business School, as well as the biomedical engineering program.  The tone of the day was an overwhelmingly positive one as students met with committee chairs and other influential legislative leaders to thank them for their past support of independent higher education and ask them to continue that support in the future.  The students’ day ended with a talk delivered by Senate President Mike Miller.

 

 

Noneconomic Damages Bill

The Maryland Trial Lawyers initiated efforts again this year to increase the Maryland caps on economic damages in medical malpractice cases.  The bill in the House has 11 sponsors, all of whom are in the committee with purview over the bill.  It only needs 12 votes to make it out of that committee for consideration by the entire House.  Tom Lewis testified against that measure on behalf of Johns Hopkins Medicine as a part of a panel organized by the Maryland Hospital Association (MHA).  In addition to MHA and Johns Hopkins, the panel included Medstar and Anne Arundel Medical Center representatives.  The hearing went well for the hospital’s positions but will require continued strong lobbying efforts to prevent its passage.

 

Self-referral Bills

Three bills regarding patient referrals for imaging and radiation therapy services have been introduced, two in the House and one in the Senate.  Last session Johns Hopkins opposed similar bills that would have changed the definition of “in-office ancillary services” and authorized health care practitioners to make self referrals for magnetic resonance imaging services, radiation therapy services, and computer tomography scan services.  In an attempt to address some of the concerns that were raised last session, the bills this year will again attempt to change the definition of “in-office ancillary services” and additionally require health care entities that provide radiation therapy services to be accredited by the American College of Radiology.  The bills will also require that health practitioners providing radiation therapy services be supervised, but do not specify that the supervisor must be trained in radiology services.  Johns Hopkins will continue to oppose legislation that will alter the restrictions on self-referral.

 

Genetic Privacy Bills

There have been a number of bills introduced this session that deal with genetic information rights.  To date, all bills relating to insurance discrimination based on genetic information have been withdrawn.   However, bills which seek to define an individual’s genetic information as their personal property (and therefore requiring informed consent for its use) are still in committee.  With advice from Johns Hopkins’ legal staff, amendments have been drafted to exclude research activities from the purview of this bill.  The sponsor of the Senate version has accepted these amendments; we are working with the House sponsor for his endorsement as well.

 

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BILLS INTRODUCED


Economic Development

Employment/Labor/Worker’s Compensation

Geriatrics

Health Care Administration

Health Care Facilities

Health Care Occupations

Health Insurance/Health Care Access

Health, General/Public/Environmental

Higher Education/Financial Aid

Medical Liability/Tort Reform

Miscellaneous

Prescription Drugs

Tax Policy

 


BILLS INTRODUCED

Economic Development

HB0493 Biotechnology Investment Incentive Tax Credit

HB 493 alters the definitition of a "qualified investor" under the Biotechnology Investment Incentive Tax Credit to include "an individual."It also clarifies that the tax credit must be claimed for the taxable year in which the investent was made, and clarifies under what circumstances the credit can be reclaimed by the State.

 

Effective Date:July 1, 2009

For more information, please contact:Mat Palmer

 

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Employment/Labor/Worker's Compensation

 

 

HB0502 State Procurement - Employment of Unauthorized Aliens and the Federal E-Verify Program

HB 502 requires employers under State procurement contracts or other grants to verify employees’ employment eligibility using the federal E-Verify Program.Employers that hold State procurement contracts or grants may not intentionally or knowingly hire unauthorized aliens.A person may file a complaint alleging that an employer intentionally or knowingly employs an unauthorized alien.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

 

HB0633 Labor and Employment - Employee Leave - Parent-Teacher Conferences

HB 633 authorizes employees to use leave with pay to attend a parent-teacher conference.The amount of leave used may not exceed a cumulative total of 4 hours per year and may only be used for a parent-teacher conference that cannot be scheduled outside of the employee’s normal working hours.Employees that use leave with pay to attend a parent-teacher conference must comply with the employment policy of the employer.An employer may not discharge, demote, suspend, discipline, or otherwise discriminate against an employee who exercises rights granted under this section or files or assists in the filling of an action against the employer.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

 

HB0649 Labor and Employment - Independent Contractor - Definition

HB 649 defines “independent contractor” as an individual who is not an employee for purposes of the Federal Insurance Contributions Act and the Federal Unemployment Tax Act based on application of the 20 factors set forth in the IRS Revenue ruling 87-41.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

 

HB0651 Labor and Employment - Shift Breaks

HB 651 (an administration bill) requires employers to provide a 15 minute nonworking or working shift break to an employee that works 4 to 6 consecutive hours or a 30 minute shift break to an employee that works more than 6 consecutive hours.The break may be considered a working shift break if the type of work prevents an employee from being relived of work during the break or the employee is allowed to have lunch while working and the break is counted towards the employee’s work hours, and the employer and employee agree in writing to the working shift break.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

 

SB0520 Workers' Compensation - Temporary Total Disability - Incarcerated Employees

SB 520 provides that an employer or insurer is not liable for temporary total disability payments to a covered employee while the employee is incarcerated unless the employee participates in a work release program.�� The employer will resume payment on the date that the covered employee is discharged by pardon, parole, or expiration of sentence.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez


 

SB 562 Labor and Employment – Flexible Leave


SB 562 alters the current flexible leave law to clarify the definitions of “child “and “leave with pay” for the purposes of an employee taking leave to care for a member of the employee’s immediate family.Alters provision to prohibit an employer from discharging, demoting, suspending, disciplining or otherwise discriminating or threatening to take any of these actions against an employee solely because he or she has taken leave under this section.

 

Effective Date:October 1, 2009

For more information, please contact: Delora Sanchez

 

 

SB0642 Workers' Compensation - Temporary Total Disability Benefits - Credit

SB 642 provides a credit to an employer or insurer for payments to a covered employee for temporary total disablility due to an accidental personal injury or an occupational disease under certain circumstances.The credit is only allowed for compensation paid during the period that medical treatment for an accidental personal injury or an occupational disease was delayed or suspended.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

 

SJ0006 "Card Check" and Forced, Compulsory Arbitration

SJ 6 declares the State’s opposition to federal proposal that seek to eliminate the private election phase of union recognition campaigns and implement compensatory binding arbitration on employers.�� Declaring the State’s support for democracy in the workplace by maintaining every worker’s right to privately decide whether or not to allow a particular union to represent their interests.Urging the President of the United States and the United States Congress to oppose legislation that is detrimental to the rights of workers and is an offense against democratic principles by opposing the Employee Free Choice Act and any of its components in 2009 and in future years.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

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Geriatrics

 

 

HB0113 Interagency Committee on Aging Services - Modifications

HB 113 alters the membership of the Interagency Committee on Aging Services by adding the Secretaries of Business and Economic Development, Higher Education, and Budget and Management.It also requires the Committee to report to the General Assembly on consensus recommendations to reform the provision of Medical Assistance Program long-term care services, including health services, designed as necessary to meet the differing needs of seniors and adults with disabilities.In developing the recommendations, the Committee shall create stakeholder subcommittees consisting of providers, consumers, advocates, and local interagency committees to assist in the development of the recommendations; review long-term care plans and consensus reports in Maryland and other states related to long-term care including long-term care managed care; and, identify areas in which the services needs of seniors and adults with disabilities in the State need to be addressed.

 

Effective Date:July 1, 2009

For more information, please contact:Sheila Higdon

 

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Health Care Administration

 

 

SB0649 Transportation - Maryland Emergency Medical System Operations Fund - Transport by Privately Owned Helicopter

SB 649 authorizes the use of the Maryland Emergency Medical System Operations Fund (MEMSOF) to reimburse of private helicopter companies for the transport of patients from the scene of an out-of-hospital medical emergency to a health care facility under specified conditions.The Emergency Medical Services Board must adopt regulations and protocols for the dispatch and reimbursement of private helicopter companies to support the medically oriented functions of the State Police Aviation Command.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

 

SB0650 Medevac Helicopter Improvement Act of 2009

SB 650 requires the Department of Emergency Services or the Department of General Services to issue a request for proposals under the State procurement law to select an entity to operate the State’s helicopter fleet for emergency medical services.Requires two fleets of helicopters to operate in the State, one for emergency medical services and one for law enforcement, homeland security, and search and rescue.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

 

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Health Care Facilities

 

 

HB0715 Home Health - Certificate of Need

HB 715 repeals the certificate of need process for home health agancies.

 

Effective Date:

For more information, please contact:Mat Palmer

 

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Health Care Occupations

 

 

HB0510 Health Occupations - Licensure of Social Workers

HB 510 requires the State Board of Social Work Examiners to notify applicants for licensure within 30 days of application if they have been approved to take the pertinent licensure examination.Applicants who are licensed or registered to practice social work in other states may be granted a waiver if they have been licensed for at least 2 years before the date of application.Applicants that have taken another state’s examination may receive a waiver from the board.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

 

HB0576 Dental Hygienists - Expanded Functions

HB 576 authorizes dental hygienists to administer local anesthesia; perform a manual curettage; and monitor a patient to whom nitrous oxide is administered.Dental hygienists may administer local anesthesia under the supervision of a dentist and not as a medical specialty.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

 

HB0654 Health Occupations - License to Practice Psychology - Doctoral Degree in Psychology

HB 654 alters the definition of “doctorial degree in psychology” to include degrees received from a program accredited by the Canadian Psychological Association.A doctorial degree in psychology includes a doctorial degree that the Council for the National Register of Health Service Providers in Psychology determines meets its criteria with certain requirements.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

 

HB0673 Patient Referrals - Imaging and Radiation Therapy Services - Accreditation

HB 673 alters existing statute related to the definition of “in-office ancillary services" by requiring the health care entity furnishing the services to meet specific accreditation requirements; stipulating that the health care entity furnishing the services is a radiologist group practice or an office consisting solely of one or more radiologists, or provided in compliance with current statute; and, defines “personally supervise” as the exercise of on-site supervision or immediately available direction by a health care practitioner for employees performing in-office ancillary services or tests as a result of a referral by the health care practitioner.

 

The health care entity that furnishes magneticresonance imaging (MRI), computed tomography (CT) scan or radiation therapy (RT) services shall be required to be accredited to provide the services by the American College of Radiology, The American College of Radiation Oncology, the Intersocietal Accreditation Commission, or another nationally recognized accreditation organization, as appropriate, whose accreditation standards have been reviewed and considered adequate by the Department of Health and Mental Hygiene (DHMH).

 

Any health care entity that begins furnishing these in-office ancillary services after July 1, 2009 shall file an application for accreditation with one of the accrediting agencies by January 1, 2011 or within 12 months of the date on which they began providing the services.A health care entity that furnished these in-office ancillary services on or before July 1, 2009 that is not accredited by one of the accrediting organizations shall file an application for accreditation to provide the services by January 1, 2011.

A health care entity that furnishes these in-office ancillary services shall be deemed provisionally accredited until January 1, 2011 or for a period of 12 months from the date on which they began providing services, whichever period expires later.

 

After a health care entity becomes accredited they shall at all times maintain the accreditation and conform the manner in which it furnishes the services to the standards set by the appropriate accrediting body.Evidence of the accreditation shall be maintained at every location in which the in-office ancillary services are provided and shall be made available for inspection on request of DHMH.

 

Effective Date:July 1, 2009

For more information, please contact:Sheila Higdon

 

 

SB0627 Loan Assistance Repayment and Practice Assistance for Physicians

SB 627 removes physicians from the existing loan assistance repayment program and establishes the Maryland Loan Assistance Repayment Program for Physicians (Program). Funding for the Program is through the Board of Physicians Fund.

 

The Office of Student Financial Assistance (Office), in collaboration with the Department of Health and Mental Hygiene (DHMH), will adopt regulations that establish the maximum number of participants in the Program each year in each priority area, and the minimum and maximum amount of a loan awarded in each priority area.Funding priority will be as follows:

1)�������� Primary care physicians who are employed in geographic areas of the state that have been federally designated

2)�������� Medical residents specializing in primary care who agree to practice for at least 2 years in geographic areas of the state that have been federally designated

3)�������� Physicians practicing primary care in a geographic area of the state t where DHMH has identified a shortage of primary care physicians

4)�������� Physicians practicing a medical specialty other than primary care in a geographic area where DHMH has identified a shortage of that specialty

 

The Maryland Health Care Commission and the Department of Business and Economic Development must report to the General Assembly by December 1, 2009 on the feasibility of expanding the eligibility criteria of State development programs to include providing assistance to physician practices in medically underserved areas in the State, and the feasibility of making economic development funding available for physician practices evolving to medical homes.

 

Effective Date:July 1, 2009

For more information, please contact:Sheila Higdon

 

 

SB0700 Pharmacists - Administration of Vaccinations - Expanded Authority

SB 700 expands the authority of pharmacists to include the administration of pneumococcal pneumonia or herpes zoster vaccine, or any other vaccination that has been determined by the Board of Pharmacy, with the Board of Physicians and the Board of Nursing, to be in the best health interests of the community.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

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Health Insurance/Health Care Access

 

 

HB0440 Health Insurance - Prompt Pay - Modifications and Clarifications

HB 440 requires that, in reprocessing a claim, an insurer, nonprofit health service plan, or health maintenance organization (carrier) must pay the claim or send a notice of receipt with the status of the claim within 30 days of receipt. If a carrier fails to pay a clean claim or otherwise violates clean claims requirements, the carrier must pay interest on the amount of the claim that remains unpaid 30 days after the receipt of the initial claim for reimbursement.

 

Effective Date:October 1, 2009

For more information, please contact:Mat Palmer

 

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Health, General/Public/Environmental

 

 

HB0507 Inmates - Hepatitis C - Counseling and Referral to Medical Assistance Program

HB 507 requires the Department of Public Safety and Correctional Services (DPSCS) to work in collaboration with the Departments of Human Resources and Health and Mental Hygiene (DHMH) to provide counseling to inmates with hepatitis C.It also instructs DPSCS to develop a standardized process for the referral of inmates diagnosed with hepatitis C to DHMH for enrollment in Maryland Medicaid or Maryland's Primary Adult Care Program upon release from jail or prison.

 

Effective Date:October 1, 2009

For more information, please contact:Helen Bellete

 

 

HB0567 Food Service Facilities - Artificial Trans Fats - Prohibition

HB 567 prohibits the storage, distribution, use, or sale of foods that contain trans fats by food service facilities within the state.Two notable exceptions are: (1) any food with less than 0.5 grams of trans fat per serving; and (2) any food that is served to patrons in the original sealed package of the manufacturer.Food service facilities are required to retain a copy of all labels from the manufacturer of food preparation items.Violation of this law would not incur any financial penalties or impact relicensure.However, the health department is authorized to list the name of any food service facility that is in violation of this law on its website.

 

Effective Date:October 1, 2009

For more information, please contact:Helen Bellete

 

 

SB0361 Environment - Reducing Lead Risk in Housing - Lead Paint Dust Testing

SB 361 makes minor wording but substantial regulatory changes in order to certify that a rental dwelling is lead hazard free prior to tenant turnover.The new wording requires lead dust testing as well as the implementation of lead hazard reduction treatments, rather than requiring one or the other.

 

Effective Date:October 1, 2009

For more information, please contact:Helen Bellete

 

 

SB0547 All-Terrain Vehicles - Protective Equipment

SB 547 requires that any individual operating or riding as a passenger on an All Terrain Vehicle (ATV) must wear protective headgear and eyegear that meets the standards established by law for motorcycle helmets and eye protective devices.

 

Effective Date:October 1, 2009

For more information, please contact:Helen Bellete

 

 

SB0548 Vehicle Laws - All-Terrain Vehicles - Safety Standards and Training

SB 548 delineates new requirements under which an individual is allowed to operate an All Terrain Vehicle (ATV) in Maryland.A new education requirement has been added whereby the Emergency Medical Services (EMS) Board is tasked with developing an ATV safety training program for most operators.Operators will have to show certification of completion of this program in order to use an ATV.In addition, minimum age limits are set for the operation of several types of ATVs.

 

Effective Date:October 1, 2009

For more information, please contact:Helen Bellete

 

 

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Higher Education/Financial Aid

 

 

SB0551 Weapon-Free Higher Education Zones

SB 551 prohibits a person from carrying or possessing any firearm, knife, or deadly weapon on the property of a public institution of higher education in the State. A violator is guilty of a misdemeanor and subject to maximum penalties of three years imprisonment and/or a $1,000 fine. A person who is convicted of carrying or possessing a handgun in violation of this prohibition must be sentenced under the penalty provisions applicable to handgun violations.

 

The prohibition does not apply to an on-duty law enforcement officer, a guard hired by the institution, a person engaged in organized shooting activity for educational purposes, or other specified historical activities with an educational purpose with a written invitation from the president of the institution.

 

Effective Date:October 1, 2009

For more information, please contact:Mat Palmer

 

 

SB0728 Higher Education - System and Funding

SB 728 proposes an amendment to the Maryland State Constitution requiring the funding "in any amount necessary for the support and maintenance of" the public institutions of higher education.This would send the amendment to the voters for a referendum.

 

Effective Date:Constitutional Amendment

For more information, please contact:Mat Palmer

 

 

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Medical Liability/Tort Reform

 

 

SB0054 Genetic Privacy - Individual's Genetic Information - Personal Property Rights

SB 54 prohibits the knowing collection, analysis, and retention of a DNA sample from an individual for the puposes of genetic testing.An individual's genetic information may not be shared with other individuals or organizatons without the expressed written consent of the individual to whom the genetic information belongs.If an individual is denied their genetic privacy rights, he or she may bring a civil action against such persons or organizations.

 

This bill received an unfavorable report and was withdrawn.

 

Effective Date:

For more information, please contact:Helen Bellete

 

 

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Miscellaneous

 

 

SB0556 State Funding Accountability Act

SB 556 requires any grantee that receives state aid to submit a report to the Department of Budget and Management on or before September 1 after the close of each fiscal year in which the grantee receives state age.State aid is defined as a contribution, grant, or subsidy through the state operating or capital budget or by action of a unit of state government from state funds appropriated to that unit.The report must contain a summary of the purpose for which the state aid was provided, the number of jobs created or retained as a result of the state aid, the amount and source of any funds other than state aid the grantee was able to secure for the purpose for which the state aid was provided or as a result of the state aid, a description of how the state aid served the citizens of the state, and the number of citizens served as a result of the state aid.The report must be in the form and format that the Department requires, and the Department must develop and operate a searchable website accessible to the public at no cost.A grantee is subject to audit by the state legislative auditor.Each year, the Office of Legislative Audits shall specify a percentage of grantees required to file a report and audit those reports.

 

Effective Date:June 1, 2009

For more information, please contact:Sheila Higdon

 

 

SB0632 Procurement - Maryland Business Access List

SB 632 requires the Board of Public Works to compile and maintain a comprehensive list of all persons that have been awarded a state procurement contract.The list will include the person's name, address, and telephone number and an award description (to include the amount of award).The list will be available on the internet.

 

Effective Date:October 1, 2009

For more information, please contact:Sheila Higdon

 

 

SB0693 Election Law - Maryland Student Voting Rights Act of 2009

SB 693 requires each public higher education institution in the State to develop a plan to promote student involvement in the electoral process, including a voter registration drive at the start of the school year and designation of an individual at the institution to coordinate voter registration and voter education activities. An institution must provide an individual with an opportunity to request a voter registration application at the same time that a student identification card is obtained. The bill specifies procedures to be followed by the institutions in registering students to vote.The implementation of said procedures is contingent on the appropriation of sufficient funds in the State budget for that purpose and adoption of regulations by the State Board of Elections (SBE).A local election board must send an absentee ballot to qualified applicants no later than the fifth day before an election, unless the ballots have not been received from the printer.

 

No later than five days before an election SBE must post on its web site the number of voting units each local board intends to allocate for each precinct and SBE’s corresponding determination, in accordance with its regulations and guidelines, of the number of voting units the local board should allocate for each precinct. An electioneering line established at a polling place at a higher education institution must be as near as practicable to 100 feet from the actual polling place within a building, rather than 100 feet from the entrance and exit of the building that are closest to the actual polling place.

 

SBE must submit to the General Assembly, on or before December 31, 2008, specified reports on the implementation of the requirements under the bill relating to the student voter registration procedures of public higher education institutions and the sending of absentee ballots by local boards.

 

Effective Date:July 1, 2009

For more information, please contact:Mat Palmer

 

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Prescription Drugs

 

 

HB0574Prescription Drugs - Evidence-Based Prescriber Education and Outreach Program

HB 574 establishes an Evidence-Based Prescriber Education and Outreach Program in the Department of Health and Mental Hygiene to improve health outcomes and reduce unnecessary cost by providing health professionals with unbiased evidence-based information.The program will provide health care professionals with the comparative efficacy, safety, and cost-effectiveness of prescription drugs through in-person outreach and education sessions in the workplace of health care professionals.

 

Effective Date:October 1, 2009

For more information, please contact:Delora Sanchez

 

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Tax Policy

 

 

HB0300 Tax Increment Financing and Special Taxing Districts - Transit-Oriented Development

HB 300 authorizes specified political subdivisions to finance the costs of public improvements in or supporting specified transit-oriented developments with municipal or other bonds.The bill also provides for the establishment and termination of specified special taxing districts and provides for the uses of special funds established for the improvement and maintenance of transit-oriented developments through tax increment financing and other mechanisms.

 

Effective Date:June 1, 2009

For more information, please contact:Mat Palmer

 


STAFF CONTACT INFORMATION
Please contact Government Relations if you have concerns or would like additional information. Your input assists us greatly in evaluating and formulating the position of Johns Hopkins on all legislation.

Legislative Session Office
47 State Circle, Suite 203
Annapolis, MD 21401

410-269-0057
fax 410-269-1574

 



STATE

 

 

�� Helen Bellete

[email protected]

 

�� Mickey Geisler

[email protected]

 

�� Matt Greenwood

[email protected]

 

�� Sheila Higdon

[email protected]

 

�� Tom Lewis

[email protected]

 

�� Mat Palmer

[email protected]

 

�� Delora Sanchez

[email protected]

 

 

 

��

 

 

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