Supplemental Security Income SSI for Individuals with Disabilities

Written By: William Rivers
Reviewed By: William Rivers
Published: May 6, 2023
Last updated: March 10, 2024

In this comprehensive article, the reader will be guided through the topic of Supplemental Security Income (SSI) for individuals with disabilities. We will cover what you need to know about SSI program's including its definition, history, and purpose. A detailed overview of eligibility criteria, benefits, the application process, continuing disability reviews, and work incentives will also be broken down.

Furthermore, the article will provide information on resources and support networks for SSI recipients and a comparison of SSI and Social Security Disability Insurance (SSDI). The reader will better understand the SSI program after reading this article.

Overview of Supplemental Security Income (SSI)

Supplemental Security Income (SSI) is a federal program that provides financial assistance to people who cannot work due to disability or old age. Food, shelter, and clothing are some of the basic needs met by this government-funded program. Most of this program's revenue comes from general tax revenue, not Social Security taxes, which are managed by the Social Security Administration (SSA).

Definition of SSI

Cash assistance is provided through SSI to blind, disabled, elderly, and low-income individuals (65 and older). The program's goal is to provide minimal financial support to those ineligible for Social Security benefits or whose benefits are insufficient to cover basic living expenses. SSI benefits are based on income, living arrangements, and other personal circumstances.

SSI benefits are meant to supplement other income and resources, so they are not intended to replace income. The Supplemental Nutrition Assistance Program (SNAP) or housing assistance can also be applied for with SSI benefits.

History and Purpose

SSI was established in 1972 under the Social Security Amendments and began providing benefits in 1974. The program was created to replace various state-administered programs, which provided inconsistent levels of support to disabled and elderly individuals across the country. The purpose of SSI was to provide basic support to the needy across the country in a uniform manner.

The SSI program ensures for people who are unable to work due to disability, blindness, or old age and who have limited income and resources. The program aims to help beneficiaries meet their essential food, shelter, and clothing needs by providing cash assistance. SSI also plays a critical role in lifting people out of poverty and providing financial stability, particularly for individuals who have not accrued enough work credits to receive Social Security benefits or whose benefits are inadequate to cover basic living expenses.

Eligibility Criteria for Disabled Individuals

To be eligible for SSI benefits as an individual with a disability, certain criteria must be met. These include:

  1. Age, Disability, or Blindness: Applicants must be 65 years old or older, blind, or suffer from a medically determinable physical or mental impairment that will last at least 12 months or result in death. The disability must be severe enough to prevent the individual from engaging in substantial gainful activity.
  2. Limited Income and Resources: Individuals must have limited income and resources to qualify for SSI benefits. Income includes any money earned from work, Social Security benefits, pensions, and other sources, such as gifts or in-kind payments (e.g., food, shelter, etc.). Resources are assets such as cash, bank accounts, stocks, bonds, real estate, and personal property. The 2021 resource limit is $2,000 for an individual and $3,000 for a couple.
  3. U.S. Citizenship or Eligible Non-Citizen Status: SSI benefits are available to U.S. citizens, certain non-citizen residents, and members of specific categories (e.g., refugees, asylees, etc.).
  4. Residency: Applicants must reside in one of the 50 U.S. states, the District of Columbia, or the Northern Mariana Islands.
  5. Not Currently Receiving Social Security Benefits or Receiving Low Social Security Benefits: SSI is meant to supplement other income sources; therefore, individuals who are receiving, or are eligible for, high Social Security benefits may not qualify for SSI.

It is essential to note that additional rules and requirements apply to specific situations, such as individuals living in institutions, students, and individuals with drug or alcohol addiction. Applicants are encouraged to contact the Social Security Administration or consult a disability attorney for guidance on their specific circumstances.

SSI Benefits for Disabled Individuals

Supplemental Security Income (SSI) is a federal program administered by the Social Security Administration (SSA) designed to provide financial assistance to disabled, blind, or 65 years and older individuals with limited income and resources. This article will focus on the SSI benefits available for disabilities.

Monthly Benefits and Payment Amounts

The amount of SSI benefit received by eligible individuals with disabilities is determined by their countable income, living arrangements, and household expenses. In 2021, the maximum federal SSI payment amounts were $794 per month for an eligible individual and $1,191 per month for a couple. However, it's essential to note that these amounts can vary depending on changes in living costs and other factors.

Some states may supplement the federal SSI payment with additional state-administered funds, which could result in higher monthly payments for eligible individuals. It's essential to research your state's specific benefits and rules to understand the total financial assistance available to you.

SSI payments are typically sent on the first of every month, and beneficiaries have the option to receive payments through direct deposit or an electronic transfer to a Direct Express debit card.

Effect of Other Income on SSI Benefits

One of the primary factors that impact your SSI benefits amount is the presence of other income sources. Any additional income you receive could reduce your SSI payment and sometimes render you ineligible for benefits altogether.

The SSA considers different types of income when calculating SSI benefits, including earned income (wages, self-employment income), unearned income (Social Security benefits, unemployment benefits, cash gifts), and in-kind income (free housing or food provided by someone else). However, not all income sources are countable, and some exclusions apply. Examples of excluded income are the first $20 of most types of monthly income, the first $65 of earned income, and certain amounts spent on work expenses for blind or disabled individuals.

It's crucial to report any changes in your income or resources to the SSA, as these can affect your eligibility and benefit amount. Failure to report changes could result in overpayment, penalties, and potential loss of benefits.

Adjustments For Living Arrangements and Household Expenses

Living arrangements and household expenses can also impact your SSI benefit amount. When determining eligibility and payment amounts, the SSA considers the value of any food, housing, or support you receive from other sources. This is whether this support is provided by a family member, friend, or social service program.

For example, if you live rent-free with family or friends, the monetary value of the housing provided will be considered in your SSI determination. This could lead to a reduced SSI benefit amount or, in some cases, loss of eligibility for benefits. Conversely, individuals who live in their own homes and pay for shelter expenses may see an increase in their SSI benefits.

It's imperative to keep the SSA informed about changes in your living situation or support, as these could impact your eligibility and benefit amount.

Medical Assistance and Healthcare Coverage

Individuals who receive SSI benefits are also typically eligible for Medicaid, a state and federal healthcare program that assists with medical costs for low-income individuals. Medicaid eligibility varies by state, but most individuals receiving SSI will automatically qualify for coverage.

Medicaid can provide essential healthcare services to individuals with disabilities, including doctor visits, hospital care, prescription drugs, long-term care, and home health care. Additionally, some states may offer optional Medicaid services like dental care, physical therapy, and occupational therapy.

In conclusion, SSI benefits provide essential financial assistance to individuals with disabilities with limited income and resources. With a combination of monthly cash payments, healthcare coverage through Medicaid, and potential state supplements, these benefits can significantly impact the quality of life for qualifying individuals. To maintain eligibility and ensure accurate benefit amounts, staying informed about the rules, requirements, and any changes in your income, household situation, or medical needs is crucial.

Applying for SSI Benefits

Supplemental Security Income (SSI) is a federal program in the United States that provides financial assistance to individuals who are aged (65 or older), blind, or disabled and have limited income and resources. The program aims to help these individuals meet their basic food, clothing, and shelter needs. This article will discuss the required documents and information, the application process for adults and children with disabilities, and how to appeal a decision on an SSI claim.

Required Documents and Information

To apply for SSI benefits, you must gather the necessary documents and information to prove your eligibility. Some of the essential documents and details include:

  1. Proof of age, such as a birth certificate or other acceptable documents.
  2. Social Security number.
  3. Proof of United States citizenship or eligible noncitizen status.
  4. Medical documentation that supports your disability claim, including reports from doctors, hospitals, and therapists, along with any laboratory or test results.
  5. Work history, including any recent employment.
  6. Financial information includes tax returns, paycheck stubs, bank statements, and asset information (properties, stocks, etc.).
  7. Information about other benefits you receive, such as workers' compensation, Veterans benefits, or Social Security Disability Insurance (SSDI).
  8. Proof of living arrangements, including rent receipts, utility bills, and household expenses.

Keep in mind that the Social Security Administration (SSA) may require additional documentation depending on your specific situation. Providing accurate information is crucial, as false statements or withholding information could result in penalties or denial of benefits.

Application Process for Adults with Disabilities

To apply for SSI benefits as an adult with a disability, follow these steps:

  1. Review the SSI eligibility requirements and gather the necessary documents and information.
  2. Complete an online SSI application by visiting the SSA website (www.ssa.gov). Alternatively, you can call the SSA at 1-800-772-1213 to schedule an appointment to apply in person or over the phone.
  3. Attend the appointment with an SSA representative in person or by telephone, and answer questions about your application. Ensure you submit all the necessary documents and information.
  4. Once you submit your application, the SSA will review your documentation and determine your eligibility for SSI benefits. The Disability Determination Services office will evaluate your medical evidence and make a decision regarding your disability status.
  5. The SSA will notify you in writing about the approval or denial of your SSI claim.

Application Process for Children with Disabilities

To apply for SSI benefits for a child with a disability, follow these steps:

  1. Review the SSI eligibility requirements specific to children and gather the necessary documents and information.
  2. You cannot complete the entire SSI application for a child online. Instead, you can start the Child Disability Report on the SSA website and then schedule an appointment for a telephone or in-person interview by calling the SSA at 1-800-772-1213.
  3. Attend the appointment with an SSA representative and answer questions about your child's application. Ensure you submit all the necessary documents and information.
  4. Once you submit your application, the SSA will review your documents and determine your child's eligibility for SSI benefits. The Disability Determination Services office will evaluate your child's medical evidence and decide on their disability status.
  5. The SSA will notify you in writing about approving or denying your child's SSI claim.

Appealing a Decision on an SSI Claim

If the SSA denies your SSI claim or you disagree with their decision, you have the right to appeal. The appeals process consists of four levels:

  1. Reconsideration: A thorough review of your claim by an SSA representative who did not participate in the initial decision. You can submit new evidence or information during this stage.
  2. Hearing by an administrative law judge (ALJ): If you disagree with the reconsideration decision, you can request a hearing before an ALJ. During the hearing, you have the opportunity to present your case and provide additional evidence.
  3. Appeals Council review: If you disagree with the ALJ's decision, you can request a review by the SSA's Appeals Council. The Appeals Council can either review your case, decline to review it, or return it to the ALJ for further action.
  4. Federal court review: If you disagree with the Appeals Council's decision or if they declined to review your case, you can file a lawsuit in a federal district court.

Filing your appeal within 60 days of receiving the SSA's decision is crucial. It's highly recommended to seek legal advice, especially if your case reaches the federal court level.

Continuing Disability Reviews

Continuing Disability Reviews (CDRs) are periodic evaluations of individuals who receive Social Security disability benefits carried out by the Social Security Administration (SSA). These reviews aim to ensure that beneficiaries are still eligible for disability benefits due to their medical condition and to terminate benefits for those who no longer meet the eligibility criteria. 

We’ll be discussing the purpose and frequency of CDRs, as well as how SSA conducts these reviews, and the importance of keeping up-to-date records and communication with SSA.

Purpose and Frequency of Reviews

A Continuing Disability Review assesses whether a beneficiary's medical condition has improved since the initial disability determination or the last CDR. It is essential because the law requires the SSA to terminate disability benefits if claimants' medical conditions improve to a point where they can engage in substantial gainful activity (SGA). SGA is a term used to define a level of work activity and earnings that demonstrate an individual's ability to work.

CDRs are also necessary to ensure that the federal disability programs only provide benefits to those who are eligible. This will maintain the programs' financial health and the public's confidence in the SSA's ability to administer these programs effectively.

The frequency of CDRs is determined at the time of the initial disability determination and is typically based on the expected improvement of the individual's medical condition. Expectations for improvement are either medical improvement expected, medical improvement possible, or medical improvement not expected. 

For those cases where medical improvement is expected, a CDR is generally scheduled within six to 18 months. If medical improvement is possible, CDRs are typically scheduled every three years, while for cases where medical improvement is not expected, reviews are conducted once every five to seven years.

How the Social Security Administration conducts reviews

The SSA conducts Continuing Disability Reviews through either a mail review or a full medical review. In a mail review, the beneficiary will receive a questionnaire to complete and return to the SSA. The SSA will determine if a full medical review is necessary based on the information provided. Full medical reviews involve a thorough examination of the beneficiary's medical records, reports from treating physicians, and potentially updated medical tests or examinations.

During a CDR, the SSA will assess whether the individual's condition has improved since their last review. If sufficient evidence suggests medical improvement, the beneficiary may no longer be eligible for disability benefits. In cases where substantial medical improvement cannot be demonstrated, the SSA will determine if the individual can still engage in substantial gainful activity based on age, education, and work experience. If the beneficiary can still participate in SGA, they will no longer qualify for disability benefits.

Keeping up-to-date records and Communication with the SSA

Beneficiaries must maintain up-to-date medical records and communicate with the SSA throughout the CDR process. Providing accurate and complete information about medical treatment, doctor visits, and functional limitations is essential in helping the SSA fairly determine disability benefits during the review.

Beneficiaries should keep their addresses and contact information current with the SSA, as failure to respond to a request for information or to attend a scheduled CDR appointment may result in suspension or termination of disability benefits. Additionally, if a beneficiary's condition worsens or if they undergo a significant medical event, they should inform the SSA as this could impact their eligibility for disability benefits.

In summary, Continuing Disability Reviews are an essential part of the federal disability programs, as they help ensure that only eligible individuals receive disability benefits. Regular reviews, thorough assessments, and clear communication between beneficiaries and the SSA contribute to the effective administration of these programs. This contributes to the maintenance of their financial health.

Work Incentives for SSI Recipients with Disabilities

Overview of work incentives and their purpose

Work incentives are designed to help Social Security Income (SSI) recipients with disabilities become economically self-sufficient by encouraging them to seek and maintain employment. Federal and state governments understand the difficulties faced by people with disabilities when seeking employment. 

Many are afraid of losing benefits if they earn too much income or have too many resources. Work incentives, such as the Supplemental Security Income (SSI) program, aim to alleviate this fear by allowing recipients to maintain certain benefits while working and gradually decreasing their reliance on financial assistance.

The Social Security Administration (SSA) has established various work incentives for individuals receiving SSI benefits with disabilities, which offer a range of support and assistance in helping them reach their employment goals. These work incentives include programs like Impairment-Related Work Expenses, Plan to Achieve Self-Support, and the Ticket to Work program.

Impairment-Related Work Expenses (IRWE)

Impairment-Related Work Expenses (IRWE) is a disability work incentive that allows SSI recipients with disabilities to deduct the cost of items and services directly related to their impairments and necessary for them to work. The SSA considers these expenses when calculating an individual's "countable income," which ultimately determines the amount of SSI benefits they are eligible for. By deducting these expenses, an individual's countable income will be lower, thus maximizing SSI benefits.

Qualifying expenses for IRWE may include the cost of items such as wheelchairs, specialized transportation, personal care attendants, and medical devices or medications that enable an individual to work. To claim IRWE, an individual must provide evidence of their disability, employment, and expenses related to their impairments. It is essential to keep accurate records of these expenses and report them to the SSA in a timely manner.

Plan to Achieve Self-Support (PASS)

The Plan to Achieve Self-Support (PASS) is a work incentive program designed to help SSI recipients with disabilities establish and pursue long-term vocational goals. Under a PASS, an individual sets specific objectives to reach self-sufficiency through work, such as starting a business, attending school, or receiving specialized training. The SSA will exclude the income and resources set aside for the PASS from the SSI eligibility criteria and benefit calculation.

In order to qualify for a PASS, an individual must have a feasible work goal, a reasonable timeline for achieving the goal, and a detailed plan outlining the necessary expenses and resources. Individuals must also show a commitment to achieving their work goals and be responsible for managing their own PASS funds. The SSA must approve the plan, and participants are expected to periodically report their progress toward achieving their goal.

Ticket to Work program

The Ticket to Work program is a voluntary work incentive initiative for SSI recipients with disabilities, designed to assist them in achieving their employment goals and increasing their economic self-sufficiency. Through the program, eligible participants can receive free employment support services, such as career counseling, job placement, and ongoing support to help them maintain employment.

Under the Ticket to Work program, participants can work with an authorized Employment Network (EN) or State Vocational Rehabilitation Agency that has agreed to provide employment services to SSI recipients. These organizations will offer individualized support to help participants find and maintain employment, ultimately leading to reduced reliance on SSI benefits.

The program offers a "safety net" feature that allows participants to test their ability to work without risking the loss of their SSI benefits. If a participant's earnings exceed the SSI limits, they can still receive medical benefits (such as Medicaid) and are exempt from the usual SSI requirements to reapply or face a waiting period should their income fall below the limits in the future. This safety net aims to ensure that individuals can return to benefits without delay in case of job loss or a decrease in income.

Social Security Disability Insurance (SSDI) vs. Supplemental Security Income (SSI)

Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) are two government programs in the United States that provide financial assistance to individuals with disabilities. Although both programs are administered by the Social Security Administration (SSA), there are distinct differences in eligibility requirements, benefits, and payment structures. This article will comprehensively compare SSDI and SSI and discuss the possibility of receiving concurrent benefits from both programs.

Comparison of eligibility requirements

The primary difference between SSDI and SSI is the eligibility basis. SSDI is a social insurance program providing benefits to individuals who have worked and paid Social Security taxes over a certain period of time. To qualify for SSDI, you must earn enough work credits based on age and work history. The minimum number of credits required varies depending on the age at which an individual becomes disabled. Additionally, the applicant must have a qualifying disability as defined by the SSA. This disability prevents them from engaging in substantial gainful activity (SGA).

In contrast, SSI is a means-tested program that provides financial assistance to individuals with disabilities with limited income and resources. SSI eligibility is determined by financial need, regardless of work history. To qualify for SSI, applicants must meet the following criteria:

  1. Be aged 65 or older, blind, or disabled as defined by the SSA.
  2. Have limited income, adhering to the SSA guidelines.
  3. Countable resources are below the specified limits, which are currently $2,000 for an individual and $3,000 for a couple.
  4. Be a U.S. citizen or meet certain criteria for non-citizens permitted to receive SSI.

While both programs require applicants to have a qualifying disability, the financial criteria differ significantly between SSDI and SSI, with SSDI being based on work history and SSI focusing on financial need.

Benefits and payment differences

SSDI and SSI both provide monthly cash benefits for eligible individuals. However, the amount of benefits and the method of receiving payments are different between the two programs.

Under SSDI, the benefit amount is primarily determined by the individual's work history, specifically their earnings and the amount of Social Security taxes paid. The SSA calculates the disabled worker's average indexed monthly earnings (AIME) and applies a formula to determine the primary insurance amount (PIA). This calculation takes into account the worker's contributions to Social Security during their working years. This results in a payment higher than SSI.

On the other hand, SSI benefits are based on the Federal Benefit Rate (FBR), which establishes the maximum monthly payment for an eligible individual or couple. The FBR is adjusted each year for cost-of-living changes. An SSI recipient's actual payment is the difference between the FBR and their countable income. This means that as an individual's income increases, their SSI payment decreases, potentially making it lower than SSDI benefits.

Concurrent benefits for individuals with disabilities

Some individuals with disabilities can receive benefits from both SSDI and SSI concurrently. This can occur when a person is eligible for SSDI based on their work history. However, he receives a low monthly benefit due to limited earnings and Social Security contributions. In this situation, if the person's total income, including the SSDI payment, falls below the specified limits for SSI, they may be eligible to receive SSI benefits as a supplement to their SSDI benefits.

This concurrent receipt of benefits can provide an essential financial safety net for individuals with disabilities with a limited work history. They struggle to maintain a sufficient income due to their disability. However, potential beneficiaries need to understand both programs' eligibility requirements and payment structures to ensure they receive the appropriate level of financial support.

Resources and Support for SSI Recipients

Supplemental Security Income (SSI) is a federal program that provides financial assistance for people with disabilities, low-income seniors, and children with qualifying disabilities. One may receive support not stopping at monthly Social Security Administration (SSA) payments. Various resources and support services are available to help you live a comfortable and successful life.

State and local resources for individuals with disabilities

In addition to SSI benefits, each state has its own programs and resources designed specifically to help individuals with disabilities. These programs vary from state to state and may include food and nutrition assistance, healthcare and medical services, housing assistance, as well as employment support.

  1. Medicaid: While SSI enrollees often automatically qualify for Medicaid, it is a separate program that provides healthcare coverage for low-income individuals, people with disabilities, and seniors. Medicaid is run at the state level, meaning eligibility and coverage vary from state to state.
  2. State Vocational Rehabilitation Agencies: These agencies provide support to individuals with disabilities who are seeking employment. Some services include job training, job placement assistance, and counseling.
  3. Low-Income Home Energy Assistance Program (LIHEAP): This federally-funded program helps eligible low-income households meet their energy needs by covering a portion of their heating and cooling bills.
  4. Housing support: In addition to public housing facilities, many states have programs that provide rental assistance to eligible individuals with disabilities. For instance, the Section 8 Housing Choice Voucher program provides individuals with affordable private housing options.
  5. Food assistance: Many states have nutrition programs that provide food support to individuals with disabilities, including the Supplemental Nutrition Assistance Program (SNAP) and Meals on Wheels.

Financial planning and managing SSI benefits

Proper financial management is crucial for SSI recipients to ensure they are using their resources effectively. Here are some strategies and resources to assist you in managing your SSI benefits:

  1. Budgeting: Creating a monthly budget will help you allocate your SSI benefits to meet your essential living expenses. Free online tools and smartphone apps can help track expenses and stay within your budget.
  2. ABLE Accounts: The Achieving a Better Life Experience (ABLE) Act allows individuals with disabilities to set up tax-advantaged savings accounts that can be used for disability-related expenses without affecting their SSI benefits.
  3. Seek the help of a professional financial advisor: These experts will provide valuable guidance on investments, savings, and managing your finances. Be sure to find an advisor who is experienced in working with disabilities.

Advocacy organizations and support networks

Advocacy groups and support networks empower SSI recipients to connect with others in similar situations. They also enable them to learn about available resources and advocate for their rights. Some notable organizations include:

  1. National Disability Rights Network (NDRN): The NDRN is the largest provider of legally-based advocacy services to people with disabilities in the United States. They provide information on disability rights, resources, and legal assistance.
  2. The Arc: This national community-based organization provides childcare, housing, and employment support for individuals with intellectual and developmental disabilities.
  3. Disability.Gov: This federal website is a one-stop resource for disability-related information, including benefits, financial assistance, employment support, and educational resources.
  4. Independent Living Centers (ILCs): ILCs are community-based centers that provide services and advocacy for people with disabilities, promoting independence and self-determination through a range of services and support.
  5. Online support groups: Many websites and social media platforms host online support groups that connect individuals with disabilities and their families, allowing them to share experiences and advice.

By utilizing these resources and support networks, SSI recipients can gain valuable assistance and guidance to increase their self-sufficiency and overall quality of life.

In conclusion, Supplemental Security Income (SSI) is an essential lifeline for individuals with disabilities, providing them with critical financial support to maintain a dignified and independent life. By offering a reliable source of income, SSI helps mitigate the economic hardships many in this community face. This allows them to focus on their well-being and personal growth. 

Furthermore, the program demonstrates the importance of a compassionate and inclusive society that recognizes and addresses the needs of all its members, including those with disabilities. As we strive for a more equitable world, SSI's continued success and expansion will remain indispensable in supporting millions of individuals with disabilities. This will empower them to live fulfilling and dignified lives.

Frequently Asked Questions

1. What is Supplemental Security Income (SSI)?

Supplemental Security Income (SSI) is a government assistance program providing financial aid to eligible individuals with disabilities, the elderly, and those with limited income and resources (Social Security Administration, n.d.).

2. How does one qualify for SSI based on disability?

To qualify for SSI based on disability, an individual must have a medically determined physical or mental impairment that results in the inability to perform substantial gainful activity and is expected to last for at least 12 months or result in death (Social Security Administration, n.d.).

3. Are there income and resource limits for SSI eligibility?

Yes, to be eligible for SSI, an individual's income and resources must fall below specific thresholds. As of 2021, the resource limits are $2,000 for individuals and $3,000 for couples, with certain exemptions (Social Security Administration, n.d.).

4. Can one receive both SSI and Social Security Disability Insurance (SSDI)?

Yes, an individual can receive both SSI and SSDI simultaneously, referred to as concurrent benefits, if they meet the eligibility requirements for both programs (Social Security Administration, n.d.).

5. How does one apply for SSI benefits?

To apply for SSI benefits, complete an online application or schedule an appointment with a local Social Security office. Additionally, call 1-800-772-1213 for further assistance (Social Security Administration, n.d.).

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William Rivers is an editor with a master’s degree in Human Services Counseling at Maine State University. He has more than 20 years of experience working in the senior healthcare industry.
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