New York regulations

Title 19 Part 208

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19 NYCRR 208.1 - Medical fitness required

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(a)No one shall participate in a professional boxing or professional mixed martial arts match or exhibition, or engage in sparring unless medically fit to the satisfaction of the commission. The commission shall have the authority to examine licensees or require them to be examined for this purpose from time to time in its discretion. Licensees shall submit to any such examinations.
(b)No person who is subject to a medical suspension issued by the commission or any other member of the Association of Boxing Commissions (ABC) in relation to any combative sport shall be authorized to participate as a combatant in any amateur or professional combative sports match or exhibition or as a wrestler in any professional wrestling exhibition in this State, except as otherwise authorized by Federal law.

19 NYCRR 208.2 - Medical examination required for license

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(a)To obtain a license or the renewal of a license as a professional boxer or professional mixed martial artist, all such persons shall submit to a thorough medical examination by a physician approved by the commission, in such form as approved by the commission, and shall submit to such other medical tests and examinations as may be required by such physician and/or the commission.
(b)All boxers and mixed martial artists applying for a license must complete and submit a physical examination in a form as required by the commission, and submit a completed electrocardiographic examination, MRI, dilated eye examination by a licensed ophthalmologist and laboratory and other tests and examinations as may be required by the reviewing commission physician and/or the commission.

19 NYCRR 208.3 - Medical examination before contests and exhibitions

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Before participating in contests or exhibitions, all boxers and mixed martial artists shall submit to medical examinations performed by a physician designated by the commission within 36 hours before the contest or exhibition and also within three hours before the contest or exhibition, unless such times are modified by the commission. Such examinations may include any such testing the examining physician finds necessary.

19 NYCRR 208.4 - Reporting of injury or illness

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Any injury or illness to a professional boxing or professional mixed martial arts participant before a contest or exhibition scheduled to be held in the State of New York, or while in training for any such contest or exhibition, shall be fully reported in writing to the commission within 24 hours of its onset by the participant or the participant's manager.

19 NYCRR 208.5 - Ringside physicians

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The number of commission-designated ringside physicians required to be in attendance at each professional boxing and professional mixed martial arts contest or exhibition, and the type and quantity of medical and emergency equipment and instruments which shall be available at ringside or elsewhere on the premises, shall be as the commission may prescribe. Ringside physicians designated by the commission to work at authorized professional boxing and professional mixed martial arts events within the State shall be employed by the commission and shall be physicians licensed in New York State pursuant to article 131 of the Education Law. Ringside physicians in attendance at all other authorized combative sports events and professional wrestling exhibitions within the State shall be physicians licensed in New York State pursuant to article 131 of the Education Law, shall be provided by the event promoter, and shall not be considered employees or agents of the commission while on duty at such events.

19 NYCRR 208.6 - Duties of ringside physician

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(a)The ringside physician shall perform pre-bout and post-bout medical evaluations of each professional combative sport participant in such manner and form as may be required by the commission, the licensed authorized sanctioning entity, and as the physician deems necessary and appropriate in his or her professional medical judgment. Professional participants shall fully cooperate with the physician during such examinations and evaluations, shall truthfully respond to all questions posed by such physician, and shall act in good faith.
(b)The ringside physician may terminate any professional combative sport contest or exhibition at any time if, in the opinion of such physician, the health or well-being of any participant would be significantly jeopardized by continuation of the contest or exhibition.
(c)As determined in the professional medical opinion of the ringside physician, such physician shall immediately render any emergency treatment deemed necessary in his or her professional medical opinion to an injured participant, and shall recommend further treatment or hospitalization as deemed necessary in his or her professional medical opinion, and shall fully report the entire matter to the commission, in such manner and form as may be required by the commission. Such physician may also require that the injured participant and his or her manager remain in the ring or on the premises or report to a hospital after the contest for such period of time as such physician deems advisable.
(d)Prior to the commencement of any professional boxing or professional mixed martial arts card, the commission shall designate a lead physician or physician coordinator and a treating hospital for that card. Prior to the commencement of the first match on the card, the lead physician or physician coordinator shall contact the designated treating hospital, review the location of the designated commission area(s) at the venue, review and walk the evacuation route for transportation of an injured combatant from the ring to the onsite ambulance. The lead physician or physician coordinator shall provide a briefing on the foregoing to all ringside physicians present and designated to work on the card, prior to commencement of the first match.

19 NYCRR 208.7 - When ringside physician may enter ring

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Any contrary provisions of these rules notwithstanding, the ringside physician may enter the ring during the progress of a match or exhibition at any time to fulfill his or her official duties. A ringside physician desiring to enter the ring for this purpose shall first signal the referee of his or her intention, upon which the referee shall stop the progress of the bout by signaling the timekeeper. At any time during the progress of a bout, the referee may stop the bout by signaling the timekeeper, and require the ringside physician to enter the ring to examine a participant. Nothing herein shall be deemed to prohibit the ringside physician from entering the ring to examine any contestant during rest periods, with or without invitation from the referee, nor shall anything herein be deemed to restrict the ringside physician's authority pursuant to any other section of this Part.

19 NYCRR 208.8 - Examination of combatant after injury

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All professional boxers and professional mixed martial artists shall receive a post-bout medical evaluation conducted by a physician designated by the commission immediately following their participation in any match or exhibition. Any professional boxer or mixed martial artist who has sustained any injury or actual knockout in a match or exhibition, shall receive appropriate medical examination and, where deemed necessary in the opinion of the physician, emergency treatment from the evaluating physician. Such physician may direct the professional boxer or mixed martial artist to a hospital or to another treating physician for additional medical treatment, as deemed appropriate in the professional medical opinion of the evaluating physician. Such examination and treatment may include, but shall not be limited to, any or all of the procedures as provided in section 208.2 of this Part or as is directed by the medical advisory board, the commission physician, the ringside physician and/or the commission. The commission may suspend such boxer or mixed martial artist until he or she is fully recovered and, similarly, may extend any such suspension already imposed.

19 NYCRR 208.9 - Reporting of combatant's injury

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In the event that a professional boxer or mixed martial artist who has suffered a knockout or any severe injury has on such account been treated by his or her personal physician or has been hospitalized, or in the event a boxer or mixed martial artist sustains any knockout, injury, accident or illness which may affect the boxer's health and/or safety whether or not such knockout, injury or accident occurs in a gymnasium, said boxer or his or her manager shall promptly submit to the commission a full report regarding same including but not limited to any report from such a physician or hospital.

19 NYCRR 208.10 - Examination required due to consecutive losses

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Any professional boxing or professional mixed martial arts participant who has lost three consecutive contests by knockout or technical knockout, or who has lost six consecutive contests in any manner, may, upon recommendation of the commission physician, be automatically suspended and may be reinstated in the discretion of the commission only after submitting to a medical examination of the type prescribed by the commission. A suspension under this rule shall not be considered a suspension for any other purpose.

19 NYCRR 208.11 - Medical suspensions in case of knockouts, submissions and technical knockouts

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(a)If a licensed combatant is rendered unconscious during a contest or exhibition, his or her seconds shall not minister to such participant until the ringside physician shall have examined such participant and given instructions for his or her care.
(b)Any licensed combatant who suffered a knockout, submission or technical knockout, or who endured significant punishment or physical trauma in a combative sport may, based upon the professional medical opinion and recommendation of the attending or reviewing commission physician, be suspended for a fixed period of time or until proof of medical fitness is provided to the commission and shall forfeit his or her license to the commission during such period. Such license shall not be returned to the licensee until he or she has met all requirements, medical and otherwise, for reinstatement of such license. All such suspensions shall be recorded by a commission official.
(c)A licensed combatant losing by way of a technical knockout where there is evidence of head trauma, upon recommendation of the commission physician, shall receive a medical suspension and shall not participate in any combative sports contact sparring, contests or exhibitions for a minimum period of 30 days and until proof of neurological clearance by a physician is provided to and approved by the commission. A licensed combatant losing by way of a knockout where there is evidence of head trauma shall, upon recommendation of the commission physician, receive a medical suspension and shall not participate in any combative sports contact sparring, contests or exhibitions for a minimum period of 30 days and until proof of neurological clearance by a physician is provided to and approved by the commission. At the discretion of the commission physician, longer suspension periods may be issued.
(d)This section shall in no manner restrict the authority of a commission physician to issue a medical suspension any time he or she believes it necessary, in his or her professional medical opinion, in the interest of the health and safety of the licensed combatant.
(e)A licensed combatant suspended pursuant to this section may petition the commission in writing for the reduction or removal of any such suspension by furnishing proof satisfactory to the commission physician demonstrating a sufficiently improved medical or physical condition and overall fitness to engage in professional combative sports activity. Upon the furnishing of such proof by the suspended combatant, the commission may reduce or remove any such suspension in accordance with the professional medical opinion of the commission physician.

19 NYCRR 208.12 - Mandatory resting period for combatants between matches

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No licensed professional combative sports participant shall be allowed to participate in any combative sport match or exhibition in this State until at least seven days have elapsed since his or her last match or exhibition, and no licensed combative sports participant shall compete in any combative sport match or exhibition within seven days of competing in such a match or exhibition in this State.

19 NYCRR 208.13 - Required seminars

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All commission-designated ringside physicians and licensed referees of professional boxing and professional mixed martial arts matches and exhibitions shall attend such neurological training seminars as specified and approved by the commission after consultation with the medical advisory board.

19 NYCRR 208.14 - Weight loss

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No professional boxer or professional mixed martial artist shall participate in any contest or exhibition following weight loss of one percent or more of body weight within 24 hours prior to such contest or exhibition, unless otherwise authorized by the commission. A combatant may be disapproved for participation in a match or exhibition if, in the professional medical opinion of the reviewing physician, it would be unsafe for the combatant to compete in the match or exhibition due to a finding of dehydration or extreme weight loss.

19 NYCRR 208.15 - Insurance to be provided by licensed promoters

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(a)All licensed promoters of authorized combative sports and professional wrestling shall continuously provide accident insurance or such other form of financial guarantee deemed acceptable by the commission, for the protection of licensed professionals and wrestlers appearing in authorized professional combative sports matches or professional wrestling exhibitions.
(b)Pursuant to subdivision (a) of this section, the following accident insurance coverage must be provided by a licensed promoter of authorized combative sports to all licensed professionals participating in any match, exhibition, or bout in this State promoted by or held under the control of such promoter:
(1)coverage for medical, surgical and hospital care, with a minimum limit of $50,000 for injuries sustained while participating in any program operated under the promotion or control of such licensed promoter;
(2)coverage for payment of a death benefit of $50,000 payable to the estate of the licensed professional for death occasioned by injuries received during the course of a program in this State in which such licensed professional participated under the promotion or control of the licensed promoter; and
(3)coverage for medical, surgical and hospital care with a minimum limit of $1,000,000 for the treatment of any life-threatening brain injury sustained in a program operated under the control of such licensed promoter, where an identifiable, causal link exists between the professional licensee's participation in such program and the life-threatening brain injury.
(c)Pursuant to subdivision (a) of this section, a licensed promoter of professional wrestling shall provide the following accident insurance coverage to all wrestlers participating in any professional wrestling exhibition in this State promoted by or held under the control of such promoter:
(1)coverage for medical, surgical and hospital care, with a minimum limit of $10,000 for injuries sustained by the wrestler while participating in a professional wrestling program operated under the promotion or control of such licensed promoter; and
(2)coverage for payment of a death benefit of $50,000 payable to the estate of the wrestler for death occasioned by injuries received during the course of a professional wrestling program in this State in which such wrestler participated under the promotion or control of the licensed promoter.
(d)All such accident insurance as required in subdivisions (a), (b) and (c) of this section shall, up to the maximum limits of the policy:
(1)provide coverage for all medically necessary care and treatment for covered injuries; and
(2)provide benefits on an expense incurred basis. Such coverage may be primary or secondary to any other applicable insurance coverage held by the licensed professional or wrestler participant.
(e)Pursuant to subdivision (a) of this section, in the event a licensed promoter provides the commission with proof that a professional licensee has health insurance coverage that meets or exceeds the terms of the applicable minimum coverage required by paragraph (b)(3) of this section, proof of such insurance may be accepted by the commission in advance of an authorized covered combative sport event as constituting an acceptable alternative in lieu of the accident insurance otherwise required by paragraph (b)(3) of this section.
(f)For purposes of this section, the following definitions apply:
(1)continuously shall mean at all times during a licensed professional’s or wrestler’s participation in an authorized covered combative sports or professional wrestling match or exhibition held in this State under the promotion or control of the licensed promoter;
(2)identifiable, causal link shall mean that the injuries sustained by the licensed professional during his or her participation in the authorized covered combative sports program were the direct and proximate cause of the life-threatening brain injury;
(3)life-threatening brain injury shall mean an acute brain injury that, in the opinion of the professional licensee’s treating physician, would result in the death of the professional licensee if left untreated;
(4)physician shall mean a practitioner of medicine licensed to practice medicine under the laws of the State, country or territory where his or her medical services are performed and who is acting within the scope of such medical license at the time and place medical services are rendered. In the event medical services are performed in New York State, physician shall mean a practitioner of medicine licensed to practice medicine pursuant to article 131 of the Education Law;
(5)program shall mean any authorized covered professional combative sports or professional wrestling match or exhibition; and
(6)sustained in a program operated under the control of such licensed promoter shall mean that the symptoms of the life-threatening brain injury must first manifest themselves during, or within 24 hours after the end of, the licensed professional’s participation in the covered program, and the injury must be diagnosed by a physician during, or within 48 hours after the end of, the licensed professional’s participation in the covered program.

19 NYCRR 208.16 - Minimum safety standards for all combative sports matches and exhibitions held within the State

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No person may arrange, promote, organize, produce, or hold a combative sports match or exhibition within the State of New York without meeting each of the following minimum requirements for the health and safety of participants:

(a)prior to any match or exhibition, each combatant must have and submit an annual physical examination performed by a physician, including laboratory bloodwork demonstrating negative test results for Human Immunodeficiency Virus (HIV), Hepatitis B (HBsAg) and Hepatitis C. In addition, a pre-match physical examination of each combatant must be conducted prior to the start of each match and within 36 hours of each match by a physician, and the physician must certify upon the conclusion of the examination that it is the professional medical opinion of the examining physician that the combatant is medically fit to safely compete in the combative sport match or exhibition;
(b)at least one ambulance with medical personnel consisting of at least one paramedic with appropriate resuscitation equipment must be continuously present, and no match or exhibition may proceed unless such ambulance and paramedic are available and on site;
(c)at least one physician must be continuously present at ringside during any match or exhibition, and a post-match medical evaluation of each combatant shall be conducted by an on-site physician immediately following the match; and
(d)
(1)for authorized amateur combative sports matches and exhibitions, the promoter must provide accident insurance coverage for each amateur combatant covering medical, surgical and hospital care, with a minimum limit of $10,000 for injuries sustained in the match or exhibition, and coverage for payment of a death benefit of $10,000 payable to the estate of the amateur combatant for death occasioned by injuries sustained in the match or exhibition;
(2)for authorized professional combative sports matches and exhibitions, except as otherwise provided in section 208.15 of this Part, the promoter or organizer of an authorized professional combative sports match or exhibition conducted under the oversight of an authorized sanctioning entity provided for pursuant to Part 214 of this Title must provide the following accident insurance coverage to all professional combatants participating in any match, exhibition, or bout in this State promoted by or held under the control of such promoter or organizer:
(i)coverage for medical, surgical and hospital care, with a minimum limit of $50,000 for injuries sustained while participating in any program operated under the promotion or control of such promoter or organizer; and
(ii)coverage for payment of a death benefit of $50,000 payable to the estate of the professional combatant for death occasioned by injuries received during the course of a program in this State in which such professional participated under the promotion or control of the promoter or organizer;
(3)all such accident insurance as required herein shall, up to the maximum limits of the policy:
(i)provide coverage for all medically necessary care and treatment for covered injuries; and
(ii)provide benefits on an expense incurred basis.

Such coverage may be primary or secondary to any other applicable insurance coverage held by the covered professional.

(e)As used in this section,

physician shall mean a practitioner of medicine licensed in New York State to practice medicine pursuant to article 131 of the Education Law.

19 NYCRR 208.17 - Honest competition

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Licensees and permit holders shall perform to the best of their abilities and in good faith in all contests or exhibitions in which they participate.

19 NYCRR 208.18 - Managers' records

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Licensed managers shall keep accurate records of the receipts and expenses of the professional boxer or professional mixed martial artist under their management and control. Such records shall be available to such professional combatants and the commission, upon request.

19 NYCRR 208.19 - Manager forbidden to act as matchmaker

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Licensed managers and assignees are prohibited from acting in any direct or indirect way as a matchmaker of professional boxing or professional mixed martial arts bouts, except as otherwise directed or authorized by the commission.

19 NYCRR 208.20 - Manager's interest in combatants

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No licensed manager of a professional boxer or professional mixed martial artist shall sell, assign, transfer, or in any way encumber or attempt to sell, assign, transfer, or in any way encumber any interest, in whole or in part, which he shall hold in any contract for the services of such boxer or mixed martial artist without notice to and written consent of such boxer or mixed martial artist and approval by the commission.

19 NYCRR 208.21 - Promoter not to act as manager

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No principal, director, officer, agent or owner of a licensed promoter shall, directly or indirectly, serve or act as the manager, assignee or second of any boxer or mixed martial artist, or be employed by or be in any way commercially connected with the manager, assignee or second of any boxer or mixed martial artist, unless otherwise directed or authorized by the commission.

19 NYCRR 208.22 - Matchmakers not to employ boxers

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No licensed matchmaker shall employ or be in any way commercially connected with any boxer, mixed martial artist, manager or second except as otherwise directed or authorized by the commission.

19 NYCRR 208.23 - Matchmaker not to act as manager

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No principal, director, officer, agent or owner of a licensed matchmaker shall, directly or indirectly, serve as or act as the manager, assignee or second of any boxer or mixed martial artist, or be employed by or be in any way connected with the manager, assignee or second of any boxer or mixed martial artist unless otherwise directed or authorized by the commission.

19 NYCRR 208.24 - Restrictions on officials

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(a)No licensed referee, judge or timekeeper shall officiate at any combative sports program within the State of New York, which is not conducted under the authority or supervision of the commission or a licensed sanctioning entity, unless otherwise directed or authorized by the commission.
(b)A judge or referee shall not be entitled to receive any compensation, directly or indirectly, in connection with a professional boxing or professional mixed martial arts match until he or she provides the commission with a statement of all consideration, including reimbursement for expenses, which he or she will receive from any sources for participation in the match.

19 NYCRR 208.25 - Duty of licensee to report offer to conduct sham or collusive contest

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Whenever any licensee is approached with a request or a suggestion that any person participate in, contribute to, aid or abet a sham or collusive contest or a contest that is not to be conducted honestly and fairly, such licensee shall immediately report the entire matter and full circumstances to the commission. Any licensee who learns of any such attempt to effect a sham or collusive contest shall immediately report the entire matter and full circumstances to the commission.

19 NYCRR 208.26 - Required disclosures for boxing promoters

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(a)A licensed boxing promoter shall not be entitled to receive any compensation directly or indirectly in connection with a boxing match held in this State until it provides to the commission:
(1)a copy of any agreement in writing to which the promoter is a party with any boxer participating in the match;
(2)a statement made under penalty of perjury setting forth:
(i)that there are no other agreements, written or oral, between the promoter and the boxer with respect to that match;
(ii)all fees, charges, and expenses that will be assessed by or through the promoter on the boxer pertaining to the event, including any portion of the boxer's purse that the promoter will receive, and training expenses;
(iii)all payments, gifts, or benefits the promoter is providing to any sanctioning organization affiliated with the event; and
(iv)any reduction in a boxer's purse contrary to a previous agreement between the promoter and the boxer or a purse bid held for the event.
(b)A licensed boxing promoter shall not be entitled to receive any compensation directly or indirectly in connection with a boxing match, until it provides to the boxer it promotes:
(1)the amounts of any compensation or consideration that a promoter has contracted to receive from such match;
(2)all fees, charges, and expenses that will be assessed by or through the promoter on the boxer pertaining to the event, including any portion of the boxer's purse that the promoter will receive, and training expenses; and
(3)any reduction in a boxer's purse contrary to a previous agreement between the promoter and the boxer or a purse bid held for the event.
(c)A licensed boxing promoter shall make information required to be disclosed under subdivision (b) of this section available to the commission upon request.

19 NYCRR 208.27 - Required disclosures for boxing sanctioning organizations

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A professional boxing sanctioning organization shall not be entitled to receive any compensation directly or indirectly in connection with a boxing match held in the State until it provides to the commission a statement of:

(a)all charges, fees, and costs the organization will assess any boxer participating in that match;
(b)all payments, benefits, complimentary benefits, and fees the organization will receive for its affiliation with the event, from the promoter, host of the event, and all other sources; and
(c)such additional information as the commission may require.

19 NYCRR 208.28 - Authority of commission to inspect before entry into dressing rooms

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Representatives of the commission may inspect any persons, parcels, bags or items prior to entry into a licensed combatant’s dressing room or once inside a licensed combatant’s dressing room. Any prohibited substances or items found may subject the licensed combatant to disqualification or other disciplinary action, and may result in the possessor of the prohibited item or substance being immediately removed from the venue and, if licensed, disciplined in accordance with the rules of the commission.

19 NYCRR 208.29 - Prohibited substances and the authority of commission to require drug testing of licensed athletes

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The commission may, in its discretion, at any time require a licensed professional boxer or licensed professional mixed martial artist to submit to drug and/or prohibited substance testing at a date and time and in such manner as directed by the commission. Any finding of prohibited substances, masking methods, or drugs may subject the combatant to disqualification or other disciplinary action. A schedule of prohibited substances and/or impermissible drugs shall be posted and maintained by the commission on its official website. The use of any prohibited performance enhancing drug (PED) during training or competition shall be considered unsportsmanlike conduct, a failure to engage in good faith in honest competition and an act detrimental to the interests of combative sports, and shall subject any licensee found to be in violation of this prohibition to potential purse forfeiture, fine, change of bout result and license revocation.

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