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House Amendment 1886

Amendment Text

PAG LIN
  1  1    Amend the amendment, H-1866, to Senate File 549, as
  1  2 amended, passed, and reprinted by the Senate, as
  1  3 follows:
  1  4    #1.  Page 5, line 27, by striking the figure
  1  5 "256A.3."" and inserting the following:  "256A.3.
  1  6    Sec. ___.  Section 255.1, Code 1997, is amended by
  1  7 adding the following new unnumbered paragraph:
  1  8    NEW UNNUMBERED PARAGRAPH.  It is the policy of this
  1  9 state to provide medical and surgical treatment and
  1 10 hospital care to medically indigent individuals in
  1 11 this state, at the appropriate and necessary level, at
  1 12 a licensed hospital or health care facility closest
  1 13 and most available to the residence of the indigent
  1 14 individual.  In accordance with this policy, there is
  1 15 created a statewide medical and surgical indigent
  1 16 patient treatment and care program, which shall be
  1 17 administered by the Iowa department of public health.
  1 18 The department shall adopt administrative rules to
  1 19 implement the program pursuant to chapter 17A.
  1 20 Administrative costs of the department shall not
  1 21 exceed three percent of the annual funds appropriated
  1 22 for the program.
  1 23    Sec.    .  Section 255.8, Code 1997, is amended to
  1 24 read as follows:
  1 25    255.8  HEARING – ORDER – EMERGENCY CASES –
  1 26 CANCELLATION OF COMMITMENTS.
  1 27    The county attorney and the general assistance
  1 28 director, or other agent of the board of supervisors
  1 29 of the county, shall appear at the hearing.  The
  1 30 complainant, the county attorney, the general
  1 31 assistance director or other agent of the board of
  1 32 supervisors, and the patient, or any person
  1 33 representing the patient, may introduce evidence and
  1 34 be heard.  If the court finds that the patient is a
  1 35 legal resident of Iowa and is pregnant or is suffering
  1 36 from a malady or deformity which can probably be
  1 37 improved or cured or advantageously treated by medical
  1 38 or surgical treatment or hospital care, and that
  1 39 neither the patient nor any person legally chargeable
  1 40 with the patient's support is able to pay the
  1 41 expenses, then the clerk of court, except in
  1 42 obstetrical cases and orthopedic cases, shall
  1 43 immediately ascertain from the admitting physician at
  1 44 the university hospital whether the person can be
  1 45 received as a patient within a period of thirty days,
  1 46 and if the patient can be received, the court, or in
  1 47 the event of no actual contest, the clerk of the
  1 48 court, shall enter an order directing that the patient
  1 49 be sent to the university hospital for proper medical
  1 50 and surgical treatment and hospital care.  If the
  2  1 court ascertain, except in obstetrical cases and
  2  2 orthopedic cases, that a person of the age or sex of
  2  3 the patient, or afflicted by the complaint, disease,
  2  4 or deformity with which the person is afflicted,
  2  5 cannot be received as a patient at the university
  2  6 hospital within the period of thirty days, then the
  2  7 court or the clerk shall enter an order directing the
  2  8 board of supervisors of the county to provide adequate
  2  9 treatment at county expense for the patient at home or
  2 10 in a the nearest hospital capable of providing
  2 11 appropriate treatment.  Obstetrical cases and
  2 12 orthopedic cases may be committed to the university
  2 13 hospital without regard to the limiting period of
  2 14 thirty days.
  2 15    In any case of emergency the court or the clerk
  2 16 without previous inquiry may at its discretion order
  2 17 the patient to be immediately taken to and accepted by
  2 18 the university hospital nearest hospital capable of
  2 19 providing appropriate treatment for the necessary care
  2 20 as provided in section 255.11, but if such a patient
  2 21 cannot be immediately accepted at the university
  2 22 hospital as ascertained by telephone if necessary, the
  2 23 court or the clerk may enter an order as in certain
  2 24 cases above set forth directing the board of
  2 25 supervisors to provide adequate treatment at county
  2 26 expense for the said patient at home or in a hospital.
  2 27    Sec. ___.  Section 255.13, Code 1997, is amended to
  2 28 read as follows:
  2 29    255.13  ATTENDANT – PHYSICIAN – COMPENSATION.
  2 30    If the physician appointed to examine the patient
  2 31 shall certify certifies that an attendant to accompany
  2 32 the patient to the said hospital is necessary, and the
  2 33 university a hospital attendant and ambulance service
  2 34 is not available, then the court or judge or clerk of
  2 35 the court may appoint an attendant who shall receive
  2 36 not exceeding more than two dollars per day for the
  2 37 time thus necessarily employed and actual necessary
  2 38 traveling expenses by the most feasible route to said
  2 39 the hospital whether by ambulance, train or
  2 40 automobile; but if such the appointee is a relative of
  2 41 the patient or a member of the patient's immediate
  2 42 family, or receives a salary or other compensation
  2 43 from the public for the appointee's services, no such
  2 44 per diem compensation shall be paid for attendant
  2 45 services.  The physician appointed by the court or
  2 46 clerk to make the examination and report shall receive
  2 47 therefor three dollars for each examination and report
  2 48 so made and the physician's actual necessary expenses
  2 49 incurred in making such examination, but if said the
  2 50 physician receives a salary or other compensation from
  3  1 the public for the physician's full-time services,
  3  2 then no such examination fee shall be paid.  The
  3  3 actual, necessary expenses of transporting and caring
  3  4 for the patient shall be paid as hereinafter provided
  3  5 in this chapter.
  3  6    Sec. ___.  Section 255.14, Code 1997, is amended to
  3  7 read as follows:
  3  8    255.14  EXPENSES – HOW PAID.
  3  9    An itemized, verified statement of all charges
  3 10 provided for in sections 255.8 and 255.13, in cases
  3 11 where the patient is admitted or accepted for
  3 12 treatment at the university a hospital shall be filed
  3 13 with the superintendent director or administrator of
  3 14 the university hospital, and upon the superintendent's
  3 15 director's or administrator's recommendation when
  3 16 approved by the judge or clerk of the court under
  3 17 whose order the same were incurred who issued the
  3 18 order for medical or surgical treatment or hospital
  3 19 care, they shall be charged on the regular bill for
  3 20 the maintenance, transportation and treatment of the
  3 21 patient, and be audited and paid in the manner as
  3 22 hereinafter provided in this chapter.
  3 23    Sec. ___.  Section 255.15, Code 1997, is amended to
  3 24 read as follows:
  3 25    255.15  DUTY OF ADMITTING PHYSICIAN AT HOSPITAL.
  3 26    The authorities in control of the medical college
  3 27 shall designate some physician to pass upon the
  3 28 admission of the patient, and it shall be the
  3 29 physician's duty to receive the patient into the
  3 30 hospital and to provide for the patient, if available,
  3 31 a cot, bed, or room in the hospital, and to assign the
  3 32 patient to the appropriate clinic and for treatment by
  3 33 the proper physician, unless, in the physician's
  3 34 judgment, the presence of the patient in the hospital
  3 35 would be dangerous to other patients, or there is no
  3 36 reasonable probability that the patient may be
  3 37 benefited by the proposed treatment or hospital care.
  3 38 If the an admitting physician denies admission to the
  3 39 hospital to which the patient has been assigned by a
  3 40 county for medical or surgical treatment or hospital
  3 41 care in accordance with this chapter, or if a clinic
  3 42 physician or surgeon declines to treat the patient,
  3 43 the physician or surgeon shall make a report of the
  3 44 reasons for the denial of admission or treatment.  The
  3 45 director or administrator shall submit the report to
  3 46 the Iowa department of public health within ten days
  3 47 of the denial.  The hospital shall also preserve a
  3 48 copy in the records of the hospital.
  3 49    Sec. ___.  Section 255.16, Code 1997, is amended to
  3 50 read as follows:
  4  1    255.16  COUNTY QUOTAS.
  4  2    Subject to subsequent qualifications in this
  4  3 section, there shall be treated at the university
  4  4 hospital during each fiscal year a number of committed
  4  5 indigent patients from each county which bears the
  4  6 same relation to the total number of committed
  4  7 indigent patients admitted during the year as the
  4  8 population of the county bears to the total population
  4  9 of the state according to the last preceding official
  4 10 census.  This standard applies to indigent patients,
  4 11 the expenses of whose commitment, transportation,
  4 12 care, and treatment are borne by appropriated funds,
  4 13 and does not govern the admission of obstetrical
  4 14 patients under chapter 255A or obstetrical or
  4 15 orthopedic patients under this chapter in accordance
  4 16 with eligibility standards pursuant to section 255A.5.
  4 17 If the number of patients admitted to the hospital
  4 18 from any county in accordance with this chapter
  4 19 exceeds by more than ten percent the county quota as
  4 20 fixed under the first sentence of this section, the
  4 21 charges and expenses of the care and treatment of the
  4 22 patients in excess of ten percent of the quota shall
  4 23 be paid from the funds of the county at actual cost;
  4 24 but if the number of excess patients from any county
  4 25 does not exceed ten percent, all costs, expenses, and
  4 26 charges incurred in their behalf shall be paid from
  4 27 the appropriation to the county for the support of the
  4 28 county public hospital or merged area hospital that
  4 29 serves the county.  Notwithstanding the quota
  4 30 established for a county under this section, the
  4 31 governor, upon a finding of necessity due to a
  4 32 regional or statewide economic emergency, may increase
  4 33 a county's quota of the number of committed indigent
  4 34 patients admitted to the university a hospital as
  4 35 provided in this chapter.
  4 36    Sec. ___.  Section 255.19, Code 1997, is amended to
  4 37 read as follows:
  4 38    255.19  TREATMENT OF OTHER PATIENTS –USE OF
  4 39 EARNINGS FOR NEW FACILITIES.
  4 40    The university hospital Hospital authorities may at
  4 41 their discretion receive into the hospital for
  4 42 medical, obstetrical or surgical treatment or hospital
  4 43 care, patients not committed thereto under the
  4 44 provisions of this chapter; but the treatment or care
  4 45 of such patients shall not in any way interfere with
  4 46 the proper medical or surgical treatment or hospital
  4 47 care of committed patients.  The university hospital
  4 48 Hospital ambulances and ambulance personnel may be
  4 49 used for the transportation of such the patients at a
  4 50 reasonable charge if specialized equipment is required
  5  1 and is not otherwise available and if such use does
  5  2 not interfere with the ambulance transportation of
  5  3 patients committed to the hospital.
  5  4    All of the provisions of this chapter except as to
  5  5 commitment of patients shall apply to such patients.
  5  6 The university hospital Hospital authorities shall
  5  7 collect from the person or persons liable for the
  5  8 support of such the patients reasonable charges for
  5  9 hospital care and service and deposit the same with
  5 10 the treasurer of the university hospital for the use
  5 11 and benefit of the university hospital except as
  5 12 specified for obstetrical patients pursuant to section
  5 13 255A.9.  Earnings of the hospital whether from private
  5 14 patients, cost patients, or indigents shall be
  5 15 administered so as to increase as much as possible,
  5 16 the service available for indigents, including the
  5 17 acquisition, construction, reconstruction, completion,
  5 18 equipment, improvement, repair, and remodeling of
  5 19 medical buildings and facilities and additions thereto
  5 20 and the payment of principal and interest on bonds
  5 21 issued to finance the cost thereof as authorized by
  5 22 the provisions of chapter 263A.  The physicians and
  5 23 surgeons on the hospital staff who care for patients
  5 24 provided for in this section may charge the home
  5 25 county of the patient for their medical services under
  5 26 such rules, regulations and plan therefor as approved
  5 27 by the state board of regents.
  5 28    Sec. ___.  Section 255.21, Code 1997, is amended to
  5 29 read as follows:
  5 30    255.21  TREATMENT OUTSIDE HOSPITAL – ATTENDANT.
  5 31    If, in the judgment of the physician or surgeon to
  5 32 whom the patient has been assigned for treatment,
  5 33 continuous residence of the patient in the hospital is
  5 34 unnecessary, such patient may, by the hospital
  5 35 authorities, be sent to the patient's home or other
  5 36 appropriate place, and be required to return to the
  5 37 hospital when and for such length of time as may be
  5 38 for the patient's benefit.  The hospital authorities
  5 39 may, if necessary, appoint an attendant to accompany
  5 40 such patient and discharged patients, and the
  5 41 compensation of such attendant shall be fixed by the
  5 42 state board of regents Iowa department of public
  5 43 health and charged by the hospital as part of the
  5 44 costs of transporting patients.  The compensation paid
  5 45 to and the expenses of the attendant shall be audited
  5 46 and paid in the same manner as is provided by law for
  5 47 the compensation of an attendant appointed by the
  5 48 court.
  5 49    Sec. ___.  Section 255.24, Code 1997, is amended to
  5 50 read as follows:
  6  1    255.24  RECORD AND REPORT OF EXPENSES – PURCHASES.
  6  2    The superintendent director or administrator of
  6  3 said the hospital shall keep a correct account of all
  6  4 medicine, care, and maintenance furnished to said
  6  5 patients that receive treatment as provided under this
  6  6 chapter, and shall make and file with the director of
  6  7 revenue and finance an itemized, sworn statement of
  6  8 all expenses thereof incurred in said the hospital as
  6  9 provided in this chapter.  But the superintendent The
  6 10 director or administrator shall render separate bills
  6 11 showing the actual cost of all appliances,
  6 12 instruments, X-ray and other special services used in
  6 13 connection with such treatment, commitments, and
  6 14 transportation to and from the said university
  6 15 hospital, including the expenses of attendants and
  6 16 escorts.
  6 17    All purchases of materials, appliances, instruments
  6 18 and supplies by the university hospital, in cases
  6 19 where more than one hundred dollars is to be expended,
  6 20 and where the prices of the commodity or commodities
  6 21 to be purchased are subject to competition, shall be
  6 22 upon open competitive quotations, and all contracts
  6 23 therefor shall be subject to the provisions of chapter
  6 24 72.  However, purchases may be made through a hospital
  6 25 group purchasing organization provided that university
  6 26 hospitals the hospital is a member of the organization
  6 27 and the group purchasing organization selects the
  6 28 items to be offered to members through a competitive
  6 29 bidding process.
  6 30    Sec. ___.  Section 255.24A, Code 1997, is amended
  6 31 to read as follows:
  6 32    255.24A  INDIGENT PATIENT PROGRAM REPORT.
  6 33    Funds shall not be allocated to the university a
  6 34 hospital fund until the superintendent director or
  6 35 administrator of the university of Iowa hospitals and
  6 36 clinics has filed hospital files with the Iowa
  6 37 department of revenue and finance public health and
  6 38 the legislative fiscal bureau a quarterly report
  6 39 containing the account required in section 255.24.
  6 40 The report shall include information required in
  6 41 section 255.24 for patients by the type of service
  6 42 provided.
  6 43    Sec. ___.  Section 255.25, Code 1997, is amended to
  6 44 read as follows:
  6 45    255.25  AUDIT OF ACCOUNTS OF HOSPITAL.
  6 46    To arrive at a proper basis for the payment of said
  6 47 bills for treatment, care, and maintenance provided in
  6 48 accordance with this chapter, the state board of
  6 49 regents shall Iowa department of public health may
  6 50 cause to be made annually an audit of the accounts of
  7  1 the university a hospital that has submitted to the
  7  2 department bills for treatment, care, and maintenance
  7  3 provided in accordance with this chapter, and shall
  7  4 determine the average cost per day for the care and
  7  5 maintenance of each patient therein, exclusive of the
  7  6 salaries of the members of the faculty of said
  7  7 university college of medicine that receives
  7  8 treatment, care, and maintenance under the provisions
  7  9 of this chapter, and said the bills shall be allowed
  7 10 at such the average cost as determined by the
  7 11 department.  All accounts shall be so adjusted and
  7 12 paid as to reimburse the funds of the hospital used
  7 13 for the purposes of this chapter.
  7 14    Sec. ___.  Section 255.26, Code 1997, is amended to
  7 15 read as follows:
  7 16    255.26  EXPENSES – HOW PAID – ACTION TO REIMBURSE
  7 17 COUNTY.
  7 18    Warrants issued under section 255.25 shall be
  7 19 promptly drawn on the treasurer of state and forwarded
  7 20 by the director of revenue and finance public health
  7 21 to the treasurer of the state university, and the same
  7 22 shall be by the treasurer of the state university
  7 23 placed to the credit of the funds which are set aside
  7 24 for the support of said hospital.  However, warrants
  7 25 shall not be paid unless the UB-82 claim required
  7 26 pursuant to section 255A.13 has been filed with the
  7 27 Iowa health data commission.  The superintendent
  7 28 director or administrator of the said university
  7 29 hospital shall certify to the auditor of state on the
  7 30 first day of January, April, July, and October of each
  7 31 year, the amount as herein provided in this section
  7 32 not previously certified by the superintendent
  7 33 director or administrator of the hospital due the
  7 34 state from the several counties having patients
  7 35 chargeable thereto, and the auditor of state shall
  7 36 thereupon charge the same to the county so owing.  A
  7 37 duplicate certificate shall also be mailed to the
  7 38 auditor of each county having patients chargeable
  7 39 thereto.  Expenses for obstetrical patients served
  7 40 under section 255A.9 shall be reimbursed as specified
  7 41 in section 255A.9.
  7 42    The county auditor, upon receipt of the
  7 43 certificate, shall enter it to the credit of the state
  7 44 in the ledger of state accounts, and at once issue a
  7 45 notice to the county treasurer authorizing the county
  7 46 treasurer to transfer the amount to the general state
  7 47 revenue, which notice shall be filed by the treasurer
  7 48 as authority for making the transfer.  The county
  7 49 treasurer shall include the amount transferred in the
  7 50 next remittance of state taxes to the treasurer of
  8  1 state, to accrue to the credit of the university
  8  2 hospital fund.
  8  3    The state auditor shall certify the total cost of
  8  4 commitment and caring for each indigent patient under
  8  5 the terms of this statute to the county auditor of
  8  6 such the patient's legal residence, and such the
  8  7 certificate shall be preserved by the county auditor
  8  8 and shall be a debt due from the patient or the
  8  9 persons legally responsible for the patient's care,
  8 10 maintenance, or support; and whenever in the judgment
  8 11 of the board of supervisors the same or any part
  8 12 thereof shall be collectible, the said board may in
  8 13 its own name collect the same and is hereby authorized
  8 14 to institute suits for such purpose; and after
  8 15 deducting the county's share of such the cost shall
  8 16 cause the balance to be paid into the state treasury
  8 17 to reimburse the university hospital fund.
  8 18 Transportation shall be provided at no charge to a
  8 19 patient who is certified for medical assistance under
  8 20 chapter 249A, and shall be reimbursed from the
  8 21 university hospital fund by the Iowa department of
  8 22 public health.
  8 23    Should any county fail to pay these bills within
  8 24 sixty days from the date of certificate from the
  8 25 superintendent director or administrator of the
  8 26 hospital, the director of revenue and finance public
  8 27 health shall charge the delinquent county the penalty
  8 28 of one percent per month on and after sixty days from
  8 29 date of certificate until paid.  Such penalties shall
  8 30 be credited to the general fund of the state.
  8 31    Sec. ___.  Section 255.28, Code 1997, is amended to
  8 32 read as follows:
  8 33    255.28  TRANSFER OF PATIENTS FROM STATE
  8 34 INSTITUTIONS.
  8 35    The director of the department of human services,
  8 36 in respect to institutions under the director's
  8 37 control, the administrator of any of the divisions of
  8 38 the department, in respect to the institutions under
  8 39 the administrator's control, the director of the Iowa
  8 40 department of corrections, in respect to the
  8 41 institutions under the department's control, and the
  8 42 state board of regents in respect to the Iowa braille
  8 43 and sight saving school and the Iowa school for the
  8 44 deaf, may send any inmate, student, or patient of an
  8 45 institution, or any person committed or applying for
  8 46 admission to an institution, to the any hospital of
  8 47 the medical college of the state university located
  8 48 within the state which is willing and able, for
  8 49 treatment and care as provided in this chapter,
  8 50 without securing the order of court required in other
  9  1 cases.  The department of human services, the Iowa
  9  2 department of corrections and the state board of
  9  3 regents, shall respectively pay the traveling expenses
  9  4 of a patient thus committed, and when necessary the
  9  5 traveling expenses of an attendant for the patient,
  9  6 out of funds appropriated for the use of the
  9  7 institution from which the patient is sent.
  9  8    Sec. ___.  Section 255.29, Code 1997, is amended to
  9  9 read as follows:
  9 10    255.29  MEDICAL CARE FOR PAROLEES AND PERSONS ON
  9 11 WORK RELEASE.
  9 12    The director of the Iowa department of corrections
  9 13 may send former inmates of the institutions provided
  9 14 for in section 904.102, while on parole or work
  9 15 release, to the nearest hospital of the college of
  9 16 medicine of the state University of Iowa willing and
  9 17 able to provide appropriate service for treatment and
  9 18 care as provided in this chapter, without securing the
  9 19 order of the court required in other cases.  The
  9 20 director may pay the traveling expenses of any patient
  9 21 thus committed, and when necessary the traveling
  9 22 expenses of an attendant of the patient out of funds
  9 23 appropriated for the use of the department.
  9 24    Sec. ___.  Section 255.30, Code 1997, is amended to
  9 25 read as follows:
  9 26    255.30  COLLECTING AND SETTLING CLAIMS FOR CARE.
  9 27    Whenever a patient or person legally liable for the
  9 28 patient's care at the hospital has insurance, an
  9 29 estate, rights of action against others, or other
  9 30 assets, any of which can be subjected thereto, the
  9 31 university hospital, by its superintendent or the
  9 32 superintendent's assistants through the facilities of
  9 33 the attorney general's office, is hereby shall be
  9 34 authorized to file claims, institute or defend suits
  9 35 in courts, and use such other legal means as may be
  9 36 available to collect accounts incurred for the care of
  9 37 indigent or private patients, and may compromise,
  9 38 settle and release the same, all under such rules and
  9 39 procedures therefor as may be prescribed by the
  9 40 president of the university and the attorney general.
  9 41 If a county has paid any part of such the patient's
  9 42 care, a pro rata part of the amount collected, after
  9 43 deduction for cost of collection, shall be remitted to
  9 44 said the county and the balance shall go into the
  9 45 hospital fund.
  9 46    Sec. ___.  Section 255A.2, Code 1997, is amended to
  9 47 read as follows:
  9 48    255A.2  OBSTETRICAL AND NEWBORN INDIGENT PATIENT
  9 49 CARE PROGRAM.
  9 50    A statewide obstetrical and newborn indigent
 10  1 patient care program is established for the purpose of
 10  2 providing obstetrical and newborn care to medically
 10  3 indigent residents of this state.  Appropriations by
 10  4 the general assembly for this chapter shall be
 10  5 allocated for the obstetrical and newborn patient care
 10  6 fund within the Iowa department of public health and
 10  7 shall be utilized for the obstetrical and newborn
 10  8 indigent patient care program as specified in this
 10  9 chapter.  Indigent patients in need of such care
 10 10 residing in the counties of Cedar, Clinton, Iowa,
 10 11 Johnson, Keokuk, Louisa, Muscatine, Scott, and
 10 12 Washington shall be provided the care at the
 10 13 university hospitals under the nonquota obstetrical
 10 14 program under chapter 255.
 10 15    Sec. ___.  Section 255A.4, unnumbered paragraph 2,
 10 16 Code 1997, is amended to read as follows:
 10 17    A woman who resides in a county which exceeds the
 10 18 patient quota allocated for the county, and who has
 10 19 been deemed eligible under section 255A.5, shall be
 10 20 served at the University of Iowa hospitals and clinics
 10 21 pursuant to section 255.16.
 10 22    Sec. ___.  Section 255A.8, Code 1997, is amended to
 10 23 read as follows:
 10 24    255A.8  REIMBURSABLE COSTS OF CARE.
 10 25    The obstetrical and newborn care costs of a person
 10 26 certified for such care under this chapter at a
 10 27 licensed hospital or health care facility or from
 10 28 licensed physicians shall be paid by the Iowa
 10 29 department of public health from the obstetrical and
 10 30 newborn patient care fund.  However, a physician who
 10 31 is in the employ of the university of Iowa hospitals
 10 32 and clinics and who provides obstetrical or newborn
 10 33 care at the University university of Iowa hospitals
 10 34 and clinics to a person certified for care under this
 10 35 chapter is not entitled to receive any compensation
 10 36 for the provision of such care in accordance with
 10 37 section 255.23.""
 10 38    #2.  Page 8, line 8, by striking the word
 10 39 "repealed." and inserting the following:  "repealed.
 10 40    Sec. ___.  Sections 255.17, 255.18, 255.23, 255.27,
 10 41 and 255A.13, Code 1997, are repealed.""
 10 42    #3.  By renumbering as necessary.  
 10 43 
 10 44 
 10 45                               
 10 46 LARSON of Linn 
 10 47 SF 549.210 77
 10 48 kh/jj/28
     

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