{_hϣ@dH@jX3.:mu!KL/T6,u{i3UA68߼v,ϱFbkM};w:5{z#~lU*vg*~VUsl[Vujnu-;hl[s6IkξLEs[L?;83ʶexCNP{;.5GZz- 𿴽uN~.+S-{lrݽ<:]'ҽ\?N-dRoL&-k%Nw sOGFlo#y|2:|aOQ-ld<Ŋh)G7[|y䍔)xck;xgyݛ7RcP7$ɿS~k䭞ZѰe?DRQ.>OOƒ$#m^lm^iA$羯w2 Z~0P/nYw(*W3l3g%ݳ-Lߎ 4_^rzB/\oo Igd0{!G?銢^ڧg+Z JOӤqi/:YN ^]Nn+­~|xuk_:_wl_^pcm?iZ'#o7,_]߻?$FF:p`O)37w]özA>9cI7c?W2HXl_GΥ<)XGr,KP;#*^|RY+@TnN9.l?rá<5>D)Osʡ߼iOwOs ߔ-iFWǧc#0}S_`ɽA<|,|͏ɄP ofiq/4᭾8%׏U:=+3}P-pj-m4oӷ s'N#)'z?rM3Z7 ދJ~q'gmQ|ar髜?se[]{JpQ{w|yo+kIEQ E.8P/{|Tvn'd𥞬x?G"r"fɵ/ z~)ɋ+-?R]W~Pm'D"N]:/5۹>OGc{qGað{苛󟰟gDkg{c[Xm"9>'u{{'guF֚]gؿL[cAU+*r<|g9ʩGJ2:uo 3~vwvU83P5\_ޫkG'k|q;Q {t|.`oϓG`dWWHgܶ}x./:{в/o_xxܡe_wvu/:]>po(ןsW{ 6`J'G~AbOQœ0v >W?tG{_Op;8Keݿq|'mHԓߋ'#UMOdA?\;WGsMVzO=ZgO^_WN tp:.mw] y[msL}{=׹'kOtKzTՉb:щ_F_ ըkWѺ8? n}?͘^Xۅ^z6)9tdXF?ipxعZaWOViLks߇๵ǛS\N&OEl\>e ~ziK؞Fl$ǧ~,GM83Et0{;->iﾑK [oÇw.ڻwvghk9o6?fܚ]?\u'0~Ӗ_OO asBWr&4j$8Γנ?O_o?t6&?]5Nju^*ןW{u<`9gG ezqZ48@ xpNt_m?{LݚGPߤKnP[W b?O:4󉿯\O?1L;9_x(;ǻȓo?zGrzv[KZ帆jX-1Cd>yɓ&?eoB'>Tly84N00n0B.LCgMh/,?WOɾ>[L[E#cxl|P7٠yJX98==_=xf$;Vԙ GĿuٓGP[N[_>ߴc򿉥׉}ipmqݩ~O'WJ8|z|Ӥ:8e3metfc{! 9m G=p۽odro7~N&`G??L<4v^cW Г]? ӳYOʕ{Fet:˂<󢳏 :i14>)޿ܕ]yLӃqb29Y6?l+?͵x9>W3Òv1>^ϬI+=̾\_Ǖg{z[phxz~/Ó7.GOSiʸ)(`M>nvxhQغ|z8tLÃxO?f+s!fO=ο^)ExIp6LԨ2/&GƸV籓&mdgf>xUqcQl9I9yē§>ǥaƍIX\щuzh vIlc˸br\*t7&zbxb\h?v/z^~)Ę{ܚ6<9ܶz2`x:-[5%d_|)?D3t>:Ҷb"fkyK[OQ+I2aY&/5~u%ic.~x?VP|3YWANVތ[16ͻ㸎ӛo闯>l-p|]uRɻ>l?m|yw%o\Y|Ƶoݼo OA_4_<4ۯO?iF3w?ɉt7_ˠ[2wi$~{W? $ZnwNvɩduj?yaTpyGQɶ"{,4qM3KNFNjv;G Z+gq`~}ef54_}%iPæ-=զ!}ί=T$]V/>Dzw5Mۇg̾wzq_v;-wm[a^bzcę~;;On-،k}*7otjrߓ uӓ9jKMOg *AF~dz縕d\oƒ&m(/2''u:{q|+ʤ汽rx@ihv5~_b.U~ٴ 8 &W˷y:wir?9t=45,<xh^lCm_;ǴcZ9nf2=J/0g龎W=:U~Jt[H$'i{|8øO>m7\OxB̰gmZg:xkҟ/O.ε=a=;3_Eml4n6j4h{`LՇ9qn:s L ^x}uzobƗ'ǃ/0?iO9mMN^/U4N&,"?_qbpѿ1Y|\Gwq⿅dw?R?X2<$x_(\<۽ȏGe.&5IIvi:)N 7́E_ 6/{npwpv7o62qIn?b 9~<.WgZX>3emq|Oneg{C;(Dmxv#yx|1J]]o%ro J|1\ϴ.>ϝo/;kGvB]*N^yCYe.'Me2wݩuKqs+q|<w˃^y^κ{ڷs<\i] q]\U6ڕA{|[hlOלT`zֵfPR睂{pN Þ}u+V* o/蓪#y*p/*Ƨ-R]QOgKZYVbEԗsk> ydl9vQl=LΕ:?定_>fݳQ?_쯽?-\M|~v)fޱWR)6.<;.ivjױZ"Q<Ȩgno6ow6n RUϲW[qwŋo/?,|vKljv{`][ji^Jcpd/γJOoۍ7۞جfWV}qh(oOvrԹݻ,UFp^i o_85 sԽQr7 ^dI,ծLk 󋻍o/S‹XP^X9;(ۧ}\+XM/r޶r]沅ԮsQ+A=uVxj%}'1iPǸ=U:ڠ2Jެ]߷]˶rq/2w_o/7rz)wgkʗ]+wÞnK7ǥ~AQbxQ:7ߊ_>jW_r| uvlnwGJmSmЬ`?9n;.f7ٗĶv}>흺6^)oX=.8T[+]֙}vֶ_t޻^Ώ_2-s evq[?`3'mΏܜ-&3#м(tFFa)JNXw.-SZj_gVu5;qoZq|nz{|>kۻ0ں;{QΝFe9/ϜW2k盩OwǾ2χ{ȸM~:# H2Ķ]KϾg~aAVՎO/ ~J\ovmsB<ߟxslSmxw{V_(M"Wv]Uɦ[W.sy}˫~joPfKZp$uJo[GG_\>e[m9>s~Taso;̦NRi'?=vt63J<7Zhb4RsgwݩP.j66/Jg[gS|{_.݃QNou(K_>oTp+k7wZK]SԚtӧұ޽8[>jUK`k?~xv>^*_ޜ)W•rzzsM4ʵ\ihvt?R;+ǟ^>m}LE\p=|xY~t}v_ToXt޼IlG )RacV|sv{{-9\Yi^ܛй\ﾼh[o/ًy\Y+]fNny˿7Ӿmڣ㏟snn ݹr߻LZƵѴ`QˌrVMFl?r}HY6\/vM{ł|hgӖ8es{ّׅ5t{v;r&];{~at۽}Vz;>n6M6:ko.sVvQ۾ΞR;+?;bRWtYwNjg/5J{֕SK%?RZiͩ Wg⦺g^m?MÖɥ>mׅAxƱ;nQdK/Υ]`P;s٭doA}q.s۝̛/c_,}=>5oհpZ*_Fh]KS]̼xq6:IZa\\A'[cq:~NѼ{ocGJu&υF~]VQJ(]5m4]nO??_:OsvM-t͖*lv/~ܦT1j~ّt}Tlגd,_},_r~~ 9wgo&_J_W4%є>*ͽVSlk~R<ԷGp=znޝ=}^Լ:pIƛGѩvpռN^lo,|VӲ6QMčఘ*wgOË~ŕwV8-$p !bRžA(]M]w>Ķt6JE`(ފ㳭 C&+Zl=+GoپH׏{c˵Vrg@((/;Ծ7ūAy~v\s뷛ʛg/AcΆqWP!^$LIfb8=ԧUvaͿAWǓB7.ǽ1=+`#&@KFAa: 13`0!Гf]O2O Iiø|}_ߍ &m:`\|r<.66uvǏgtm0 F0fDMO?dݏ{?X[\qLJϵ| j>?s?twp:~PAX,̤2<}tj(\0Ό뜉g scKM xiCם׉_hG||2 fVLnDM|Bs3LnY_$ZA2sy6;^A kS[ڇ1Ҥ&k3aXq;dcW< Í9]q_#}Q0$[zpUټa%wW3= 8o+#5?i"^xK}*hgrz'ؙD܇3aö8?8=9m;6H-}i[?|ubg_~~/u&N_?~!sm86\ȵg$ǡ)#q?y¿>3/+LNgT{XsϚMiKU{{4E/ǷO[o'W<\ ]|ɕkz*rg^n7  {쟁Iǭr:~P2>0xSvHw–Ĩ%3}xh2 L{~?Afʝ:?)s)?vZEM& O2Z6f{fMŹ Lh\<8֦Q>?$Hn[ӂ$5A<7$qMt6Wayf")Xgs'~Ny4r||taϋ2?GdO{;x8\V;ǯ艙O̩Oh[y-{r6w57clHΓQatz{x m&y8x|xʊSƧ|f|0]\gPʺ}6̇c!Ӎ֧ibSJzxy 3xAm7t/׉?-93f}s箙BCDϦ1YMwdÑ,J'vVS|l䟚+r_̠aRx?E?7;? ;otz?!M?ךj}a?$-d& Ǔ'X|_=`wU[9&AU]n9~799yC1hR Ň7n3oWk?(Xst yY{H=vw6<0v^Sǟf^RiǗOoMݨ/ͫ?Kon?GJ<n[_j!K2xzsstH?^%],$o//_/\WhO.7®IW{zL/u_G >(xGs?x+goU*?nF.?T"3x{Z?nzw[W7GzԿbO쬯 T!Q{zNCo jWhٖy_ڥzG1&wl'6lNѵf5kfQI郗8lYL.f'2"5b̖'%,R?yr,z*u\(ic4+jZU-u%q#t%eJ1ӳ\*H/^CJRZQu^^wfğg`% le0[zYXnD1n9G^"XM,г iFV7ҍ[.='cɪjܰN&gkNq-;>(A~30{SWt* *Rwbq, K' DT)UJX<reVh!Ѯ-?Ur ,FV1w-QvJ7{tiQxH\77W)#w/'ǟ>{q3 DsdXD'Z閗d--'C/Ņ@;Diąb*F@9'BV"L>J)Q$@X"i9?.! X +bx_/SsJVOS .zad3rb2jB,I&?V,H-XXhJi! L7-/VAj ,|t6/Kj^,Q!(WfZ7rrMO+:%2;$%33dsi[V6TJwZi~4@tUEWUH [6 =ZI3TQdEjrR)-"+ctei s2 (ɴѰLLrc7B4 )r7`X00ok-WUn d3r(,\ʊb!H1"a:7DhD -45;;Mxf"A~IT?8N1TvI.$l^s܎0{۔n T^K݇LrbqamA'B/ѰVdXVҽ" k_!ɒF?D ҖV-j!P @ 憾Eaj*^jiϩy̾ Xjš$Rm(H+SB@%݁Х|ƫ2bb[[qG%/0[ljZyѰG4(cZ (o@V3-J\Aْrn[lmŭT՞kHyFca4KG4'װJk7L/My:M`Eu5DOko 1 `%ZM;9'Aʋ¸D!Grjz'IU JY KH^ &|4\l5w5*A Aͷ+v4GdEjrRY㯉DclZ\FJ|UkSQ,(Ѷo~1Es)D[\ geh W _1I#@:GRzY b1vb@,eeRZ\짺kCJMu2"hFs!fqa~)/ ;YY2I zEꃚ\TAN ^ bWK{NMͫfYE1>֛ooۺJY +s!{Mp:vFךT9-.%J=[=6H G׺J(6?켷QjnM1 {!c>:DifK/Eω̯~d|_R7x_>S M!ڐSUjsڊzoiMלJ[EIkU@8eɜdŦ0f@1 nmXۡc٠ߵn;F=)TTqRhEpaʺa80%Śr@+_ s)q@F#bV6?j8+E%uDž|JApBW t麺MxKm`il-\Sŷta#c"}ى/@Ť>ֵF^-Ujh'#?nу 0$xaɩŘ` lHV3"dzҺ~9=UvaGp1.Dh_+if^zi8 'U$.ϋ Ah}A,0h@^OlIT*-x d QX5 @>-e{F(_uDЍd;ߛ| %|I%Ůtcuz Vt?p6\|l!k!vD#j紃G KWRR?yV3Ufs^VzztCcC@4 z A xɜG0 \kHAMXHr"ma,^ibw1rtT%*=bWK{NMͫfE/OiY&\k-1ITnGӊ\Υ:h@HI QĔP ldt0p.DeNI@+@L(20;ng=.7ӺٚS"5!6&?z0-`V[/ӏcL&.eM3yO²(̯ua=PLU ҆$':7jūRJX zhy.uݷzY覤 Hd l" Ridxs:cлrQ,"g}6'VzT*RDyaVzwg`$U^73Hfgh+F8(d+ى{N3W7Runu 1p:Sh5:iE{*DkBVr/9L/՘1+Eꃚ\TAʉBsV)5, _a.D5\]$=XWVt!kB,SA:cW겐(kWUbsi,f.^+9)檙'me&@$+,C@+Me$tGp W' =CE kHcvYqjs X ٱj6am4An.k^lϴZBbPHf*1NvF*LNJ(b {mĂ1 V$&ى'VzT*RLxfC偐x MIlM4ṕ3Xh B0H@jj;kj*jnb̦xns')%%IݶkY@ѭ"k< 2FZoT:m\A~R@oltSQ1z @PB63k4 pf9SJ bd&ulezY *"q/Xdc'xzo;# @\ V̸{͉qABv˟ߎ~m+30"猸:,ʥJ+W+ɇQ8$/ ܈XTnڍn NT2Xx Ck:aI&X ݆io2lj# LI8-grf=]'@vX #`%5YL.f&Zf ,1l{2KȪ+yQJH"  ]=||HlZIm1 "cZTnڍn ?[O ! !meӋVKH }cr_ č1p:ShWfe't~8vZ],eEmny fݒGQ<һ SjFCXFgXͤ3M8i@"Vc-uCKj|tTV+l/vN@"4X0ij^:ռ(ƇEmb 5G/_S2fYnT,TtaM֜0A"Y (if^zB.-.MeD!K&vdYq\{{NlL`U~[$?p*µCנߵn;F=)TTa-:vFךTՄ" $F cD'q]J ̞ݴJ}k9f&اE'u9nhtX `&띜Ō[l/H1 `ܸ-\!X Qԭ 0NjWo󽎕US"(@lw)*.4VC1 "N"hh˶RiGgF-$f>*eޙ}ĕbEV8 7ءk/ DhD p-7lQB4=!h&6C c!Iu\ױR4@JV3[mr@@ȍMdEjrR\^jə?]qB/κZZ5D$"iql^]f)w{9k'/IUxzMpzɎ dqawqWZLwNoB&V7<9-[lekril-AN Yr*B7guszsmX]]vfD!QtRSVFGdJ *!?%+UŸUj7 =;Mpܭp&G0wiJiMnT;%i[rMYZ ++2"h5'p?mz%LE, k3dt=2< |`UkWClGmk Imifw}wN=-rYo^H4i[3؟T!V F.MSWT6I,yX+K|8c󿖖ɉgG b!{(d3ryJa@gˇ]`oI`E;uF@ёh9\Ž)yZZHjNcaѽâLA p$ə@%d6U 2"5b~1"-ZjXC rjVmvf.Hnv#0Ɛ5Y$ybIֿm(XzYWG.#¤{%' ILAZhH/uI%)KA-朑=K$DA`XFU-Hȩ呈DvV{K'O~6yMɕŜyS+4Dr{@ @rbDly9p~jE!XgEm< ZXl?% [>*.]*+ V"XxceѮ'GHm8 h׷ҦYG:Զ6V2X ia,a?A]bqJhZ:޳*:AސąLE=^ V,-H*} BC04R(|%g jAka6Ur"k|@)NC \lVC`'OJNds @JLg+)@Z9jV)?[zsyf\(yb5k%^WxI3, "㡁 BZR72913eyC/y#B,1hwjjèTMAHAMX Pjiϩy̾ KQ#T@vZe!XR&s%ed <3v Y5!g&VMp=d(@$Aِ3!๫:Rv#OU`\[NڐAxm)iI7V:* fa(ϯQSfT;5DTj IV9) h?R2ٮb b!ѽm7WdB.v)Vv;ߦwW7.b]l$0\"c3=yMZO \k֩3֬rͬ&3. b!J\ߪ&띜Ō ˲X (`%wA~=U]+]н>wO_Rpjkp;;)dET$Q)<3GN+^UszSi굛v!6y ;BKoz|5YRr;r:3t!]oWr.(}m cRYQ(if^z,EAC}Bٖ@*`n#DBYΈB8mٕYM, L@APCk: cLBxVcD%, dr5-7_o f@irR`eZJ p zfrڍ']7亮[ѓߔjiP츝q lHqf_3ɲ)@$B4=St9xgg{!afYjzg?gI ȋѴ[b,YVUd_I>U`5%zZf$TQ$i:ibǽ&띜ŌU@來R:M4^Q!Sy&A@MH0cVtoQ=m9F|{< z6Ckؓ& DT9gŦҞSS󪡙}ANF)DQ\Mˍ׃]X`H9~YmiS+݊"@ BV>[үn#@ZyKvx@ lvEqZB %ЫC7VUkj7)"]XbJU|մ5@ŧՙDu]5A+K!$z7~Rn˥~Er:vFךT9fe'iE$K&X;BKp=lU(@UthAaQ>K*sBMp'yAXû3ndƶeSk=zZi8ZSrzɳVsKmh!6=Zsjj^54/(,NIŅI޴(tL= 5s5(6@kh&tU*{mol>JFq^Wř V$ _CI6ѽӚ 1ac'B;iT}d3 Bѳɐ#qfkBkat:H*䮜*iYϦŅGfXhᚩnf,"%j)jy riZZ$uIUk*~ +%@R+0="hP >As?@l)۸NoH tZ@$":J Ŏ`\=[$F@ \"mE·@Ȃl BVZjGV*fmϊ;k[-Gely#.QB6d*#Dubbd(JԩFE66(T䊥 ry>,e$JX@f'cXNC,p-TfCwԈK:<9 j*X@ئ9F&)EK/v{Լjhf߿1;LO%i@Ȯw`]6n8@qtqt]K\a5d_XEM;9'A)⫸e6R=9A_.ƴ<f~P"˩\%Ax]Qj [ѳC zө-4)m% Tt@qBSmgtYMYM՜(̴1#[B\Ք7rb<4X/K=AΦΕT/jFS~k;;qCk:~qp\@D(z$Yٔ29RD};h+n^C7x|yj/m 4ؐ`?ѷєv=wf҂.tV;{xJ֫Ta&:A!pkr^˖oLVT(WQWD'mS*]7nE`H XMFnR)˰UL"(j孥pZ]Bp{okTZ^\VRs_kKSQ+Wә+1]Wć?~9>֩3֬rͬ&H z \AFQ&W,Us~@lqlkǐpjR'wK)f d%eR=Qdaa̠OkhڵADiFYQd}^ tx/z'gv1#JS! h`ᢡYI3둲_/:vZ|o rIt)!{X@r5[fGsvUՊ Qt"a%'Q\o^_8mhc*Xipa"DS[ia{L%V3WgL<Qm"0nW O}ta;:DS Cf*@m ^y#ՓA[ʍz-[q3zۣ#K3x#=%+U XgձMC'N0n7wkD DOF3P%aq0^z<;X@T n{bD0= hJ-@tMo{R6ݹy!ae{rl 5\ƅ{{C zf DhAG!B@>`5Nѵf5kf5AV0(T䊥 rNZΡ`KƢ\d~/2 O 1^b!vǼF GN8@,̀)(UŌvEn;UFWHnO5ˊG2d?ӈ kzY r>/.t$ "h; \dG b[`5wjUoǛz<=^Zhftu/'j[r "ݴnXUpan @7yLm8?`;qAQf:%kb._өxIt zHl9~1bWK{NMͫf [bf5YL.fLE"TT]kVSfV̴* @k;:d],~hJi-"*[PjZ-ov&}+ ^eP圊zZ?'˅YmsUv{;ؐB4BdEa@IbaT93>Y(}x~k]{^-UrٳMtӓ.~Yl9^vnzv,ty/ݗъzGoyKJ( "V8jEMF'eWDWAΊV 0R<;JXI2mjHzRUDfa<3 X4DP bWK{NMͫftJ Y;0 {mUⱘiY'A*!B^Ř%@؄z}PANs:+?ią5+RR6 z7(ƇAo}z@EVBK+x'2WDWM;9'̳[@DZ bF5%`%Fj4:-: X"ayV5yW˖XC"YğB WFiR͊?@ȝ5ד: &HŘ& \JO("# A Eꃚ\qZ~#0Koia&% 3Kr0,3ZZ5ڸ0!8:zeY+b+cHXĠ4nmwaFF\ mmſu;sVYwkqU-e~'+ZL@1 hwiޙ2Nߑvђfex缋BKCs3F߇^-95568@%UKVnq>@h+jAFULV:]ܴdjeY9!9k1;cj-B9}kH(DaֈZLN/Da),5{mU,_Nu{ Tߎn-njX1P$JXY EݫPpE X)p߽7UF/g_~ݾn.nߒbň{M׽eӯTVB*|C;rJ2% PDG^^,i 4vDFzOxջV:77!py吷Wި+xtjF~AI00K/S^,dMtIqZ˒BBzFi ("ޝx3MI:0.([wIV o0୵O7wM]mBmLE{:vݔ߱=x``ۤo7ow>y`O60ųY vSgxU5Tѵx ~nJpm`+j:@n<$BD`, |;Nl+l4ZmEX.oǍڢ4tٷ[>ik6"J9Ƈ@n/d1 pESX7G6`WZl< BO(||sq/֫4.>>[.T*'r|0"RCOug5 @e:>)9瀼GwGol#=.l aP97~R?_tnZcR{Q0D@%rA6;a%WroBO[ vqKiӹH@Ftˋ(˗b}<\̒y|0Nd"-U,E籦B+YOJu ur6ZY%NbV/';A= 96upZy< Ep87Ȫs/z9o{O0O-fI#K'^g%WAՔ,PDAo&[<: o%MLkQoDl6Z@Kd$ `q4WV4Z011|RŮhܞrJNeBn~zYbQ"pە{bO 9G:/Ers;7NWW]w;ͮgAexe1Gٴ %HETuj:Kgӭx雲q|<7~R?_tFkz3 vpKv7id댢vW bhA*ك-jx7k7bC=28ot128#%rLz\ #+q%am4ڵDWOEV08*dkxHǤD|ݔni5yFPDEϟ?<~Wr'@ѽUxCtqGZaxpSJg޻ɃաK8 :x_BNuxZo KqxR,=H,x|7ݵ@Gr8R`r,@M6u3fjw֊Fog`ׯ8ʳrZٽw+N#>_aܟo@nu "a#f]b?WcA/]Pow%(Syz 8R<[fWjX]ue0Zi2N[IeF.= w??0: esOf^my~8[۝!T h7'i%mߟm:|VۢP-Gi]Y%r&,tzQ\f3 nkat h`, xsg2KNۏka9Z+m;jٯw.i O +| s1(w֋ pB˧Vw74Cy8|ݨ(= ZQ2Z6)]5*t|wArȗkk٧WZ- &xMn?u4௯W_K߿ZUه/?tP@anx7GeV AKsyW @] p(B_j&@EYehӟLwݶ 2șz7EAվn.JuvSƂܟC1|y~*Wujs(itJwaw7NWW]w;ͮg/\<{@nM)gP8Y:{dЛҨ. k=2zNc8]4Ywۅ@AQҿvh3ۋ\l}|?|oǸs$&d3^7h6vg;+- l#U櫫~|;׃VXvpsrvk_˥v* Fn|~ITjfqW8Ǜnr`WpX]kZ̳nh '^ 5,acղׂPza *v:9N3^6:gI+EkێgeW_66ۤ}\6wgnOj. w o31(P/H_cժ۾n.sT@>QPt\( _q*rIֺڈˤmGlz> :,]wWnIEUnѽT(tх{")U,8jKX7S_AЕQҿvͰA/R#Js mt6uP@f6B#7R5-^͢_u(z_n/d1 ȗ\gx\I~(שGlfN/ *rIֺڄ gץ/˟<ޖWYtL}Jd\}ٷWA;QP@iӹj_RY/-ӊ;IO@s12Ǜnr͠kA>f%`BޮKxgqlW./֭vneIRQҿvOnɕyvǂz_@] A74&zEB ;o%Զ^yaNV2a~x5놼]ʕm{X4qtwSy-Yju{\ _EZA_{!RN#ʿ-Gi]Iɠ O}_+k!w#=H Vt]U4QҿvrPH ZktZ 8?O?lhtܟѿP3}s:;iew7x .r6t}sm U->8)/>bh8`Oh?j,ӋIkxj.YppԨ/nEp_Pv< 7wșG1谞a{|i"YYAή+r߮kmz~R;Oj?$X_4z%7<:ӹGnK/_WqDd<ҏᤜ|5Z8-9(d;6u}H{7'*]5m㫯|_N*do\.Noz}w%~J ~UÒݼBG3CCSNL(Ysw@n$0oUM/͚Sș.ۃf=|Ql 8m6Z{mYق-@<ofO|Նf>{9n#tGn{;#v y%h:}q-jd&ڜLgOպkq8pz>xsI jҺ/gge;Ae:e4oWrv]LlS_ao9]갵w; C8[s [ *KBJ>-:?+ pOߚ oB(,]F՛$ a|׿~-&ap!Wlv?jDZֹ`8Y4tuFQr4U oNOUO"T1h<]=*ƣd?5cig PDw (T4[\yaƷ_?Kg_]˛ c(qFgӸ\Ynfj^.A+vܨ-I#OǛ}Y/dv=|VnB(g> e,brL kS1#fnl\Zя<=b{\/˫eQiGOʳ7nƫU*i}-vz}z/mϟom']NuH7 `@>JQc1^LZóUw1)1'pֺ˽(>YuQgkU8iӃ0d'jw/-7{r2* eMWt-O'xMn?uC:a)@=l q|ݼTr<{1,_d'&<iItzyaݍʐgZ v";XJ\Uǻbvq=}W?_}Ͽ拯rRٷzz:8(O'Gq;kE] CG% u$ \]}%]\ݞ-]Djh|^6M﷭`sz9Xfb~ЏvKa /[ E~((|;Nl@Thn  !O$ՆG2~Ȯ > 7"P:7kUW ,.|Y~W'rG|zU΢b] xK՛ S3Mh`\nc&:+Z+jmTٵ.Gf,@!iySy{[U {7>_pgFD7",Y2_xt7ҙ(K%5+4Tvh4}|*O'Gq;kEAw,Ž'AQ6 +v.4.W6񮵛^d[AFmHQ}:ۭzQzhI| A̒]eu闭vIpdTN!c(1u: 7m1oJ/S^-tijBޒG pc0x^ GO<[fW7vԐRI=cG |ivPD(xVƣd}ݮ]'E'hv#ɦcay+zu<ߺkq|!H\z. wNOxYhu2]i\ɪ GޣelMc*f:Z]7WW_K߿Z@!x\P_.I'%#m )DIbX^3R_TEH~ٵQ9ϲZ7\'VL,J*c?<)݈ +b"4TaX^Uf')'Gq;kE?v8y FO4tuFQr4ap^$brA:v画ePbyU]ԚhA*I_uY?,?dOit'o)=+vb?/:A_j$oޛIE$ wѫ|2FOS٧z& 2N( lXVp{S _7vLc( i}}vJ 0ooS 9{vU L فIA(d$O>b:\ùpv7id댢*hJ oץ/Y<[N,.`1ǃ,r]-T_}bױFR2oeul $'×j!gOTh՝W/hxTwGݨTj68_Ԗ{?ZH/[ J.h͈s"E8Rei}cW8@zϯEƻhvyp9\'~f0<)otxlz& ZժD_Re3wUmb5vv`-8`1_e< k]Br,zp8΃ۃd08lfݞ]#[!'%]pU?QP@oul=P@Y] {^ g7B) p0 b0х^␿4\ _o.eފ7w#cxt|% ģlS[`Ty2ExA*@]vr3a|ݯFojÛ Qurf5+ - 4'cMW|(d$vb?/:A{XdB _(_ kk!gNO 8ε|7ۏc?&ypi5fnl\ZQЬ1})!nE| ?̲4<9°|]2(RɅ, j#?զUmObO@4tuFQr40߼?!|ݻnv;j۵(GƗ$@ON!gz&|s,U SP@%ݒ(M"ZoZ~Hɪh%b'7x0~[*4z{|Qu@XCnJJ4˫$":ƣdNj; ˿/U՗//. _~hy? & B!oɨȸ.hZNxM0Kft*<;U9r P8:r9ӌ8R2WjN2mgt7>%(˗ ʲ8-:Φqy0yɱ@8[sq|M^?)oJ7J ȗ;pojo^(v]*Buzoj\VfGyV4g*NhI#K'^g%W?])b7IMi\d^^ 8;(`q4WV{9h0]K($}I]x̵s 4n!u _0[rW Óߔbgi2(/e@gxdxgq9]'+?Y,Q)ySPDɪ]4];#u oץ4\$g2!<Z?ߎ*vɩ24ZYUmة^lԾA%ƋUuQkv O!E,p$#I#K'^g%WAU E 8b G1|9xlx݌ٸڝUkd##ǵo۵~^# Ȟ0w% r,$ ǘ;2 8Re}][ި_K ٧.NS#vPDqOBP<1ÐA/]ЪuƒM-K{/}UtqMdWx4Qq4gj_u\ G"Q#]5vu(0%xI#K'^g%WA֕y. ^U՗//G1 Qp? Ghp 揄j(gNL"xzaU'/~7n <$ 3< %})ϸ)*W&>kt+*Ӈêrqg0;}W/mϟomQ:\nN:5;ț9 @&xMn?u4;S cKU\Mi$DڰSL٨}5ݍ֯ܺ'OW(@K/_Hx*?iQ|r2ƃlXEgӸDlno.Q= p$[r6Oy{Ɨ<.x,JJ5䯒ɾmMWIiHh0W0ٌ8Y+ ZOU/P|IF@~ު/7=z[1_b%u< P :U4Ѡ٘ pr4tuFQrݷ+Cޒ,~-sxVcAlfFMZ^޷5++F]Ov'(Y3PyӿynHy+Jri.Ƒx@;gS?)C@,O\l18RL VoeY?ھQ}ݮ]'E'-g+]e< QҿvZxx^eT[ݪqݔJ?Gj)^\ΓyY=N.n|!BSMl3M,y۵T_O1Roo/Is>Hs/sR*n&(ΉxTA̒\,.s}7__׫ydWŲ|6] .Q:WT:4L"-U4n.ٮ> ’2$d u @U&Y-z]}R>~˯ٗ|w~by?[@hG>ٌ8Y+ Zƛ#8C]'qlq6@񜖃}ݮ]'E'hv{ap/",?.NY9-< 䇫{ o6 Ogxqpd$QGtQr%TNlnNO;@*e]feo120 $L(om ߄8Jh5WCޮM__.o*x%(?a~q\*iO|{\I[QӍ <)ۥO3[no۵~y ca(qFgӸ\Ynfj^.ǹ(qh$>ofOlOZ"w|Rr9?|7dЉ@_PvEk38;w+8JWY 8tAޒQ98<۪7Iqz\ ׳OQҿvރ͵5pk!|3nJ/S^ͣY2(M\$qh$X1!Hvrru6-eoҿ>]ϢEP d7[/4ZP@?N۟JQͦҋv,WlfKȝy.ENjrZD|&gaip-CKƷCB f4.y=YI1[ qK>7~R?_tVڇ*6vzq7N;^xKB3u 7ސ٧x݌ٸڝm〢`ϧz& Z޻οޭ~T0{ܐ7ܐٰ%NOjipP@ׇE]_Y|dW, _1fO!g7[Nw&Ys8Oռ9>,}ePo4?junCJy2E:[-&ݓلÿ<ݽKǝph2JAh% P@A޴O'H8TbyU]Ԛ|Z~8.țë]Gzy|Ѓm;llkI| zj 9{x1u:?)9|д7n.Q{1ntgeqv֐ʫM|^Oi|K]5j͒V|~9-<Ŕ{H.Fpz1i V:{l7%C^i?B]WB_:L ^%G {r]%8MV7_Γ|OφvQ]t]+с|]Wv}u>n_nN_U|g[>E٭u/ٴo>$#KVf]OOa(8ε9٧o-a0^:0|Q4:awQ]4d3^7h6vg9nڐkMW[K֛5Ͳ+ OJeߐ7}h3ѐV-]l"OJec o.yw?Oյ颐=Jf{bx}^L ,6ڱ<@Ty 'xMn?uӟ#~]~VNVh8K"8hHi#) <{kY7 +{r)#~-lNx׫8y0ٌ8Y+ ZjhPDj R2/aw:-'Uן?7~&,tzQ\N-<{6{'>UWKe@ @܆٪52;șy?Y?XV.(uxQ9J(+<.]>BڠiaMkgt~R*(}(bFjˆ(M 4d$sTn3clfNr [jo\\?jN*W(.vo|ܨRU.Wl1Hd2ȗ GVqT_|ݾn.4{a|ry >pwܞfSGc @VV7x PHqcx~fYF`_ ٵrA}7T;)T}yBOO<]cY5ZUΦͨ[jU1m(;i|p,(x4Ei]Ihd8A^) 3e8@ k Qmv-zN TGq}Wo٦>ٷ6ݫ%p~,]?4x4MFU-@]kPLwKv7id댢*huao۵~υ xQҿv?|?x't|"8v_E$Y gɼNGMAnQ2|;Nlpr3Vmr!rv]ގE#iDxo6E}~GX=|!^BOjǺ<Un/d1 x.IպCSǗ.4i7j9ײa\/j罸q(# {5gPO+(/g_~ݾn.ZG7{kᦶ˸ :-O~~3hua04E#uQ: 𤔌 xdQkw6+@t1up1 J.hu[>PD7/-o?_\LYMY<[N,Qܕ{ݤN3mn' û|% %jfWˤ.Pp6eZۮfM}\/@Hץ1e}эow8rM2u"R5΢q,8b (f K9@!UtlI6> !|}CA\VxJ`xG (^ Q A[9؍%e=yk.rzP r7Ű ZPyo/"T _qcx~fYF`_$U4^-UUaXDFouOj&wV;/?n o?{npS1tUkǃ(-Fٛuˠϓ*, G[vVtQ :QK8@ԩ{uA~%waI)|YYrvhhʨq;gY<(QҿvA q1.a0lfݾڡCW]UNty>i]f":@>|zUBoH:~h S 3ŃI|ciP@iS!g?NJV\n |% yY4Nn;eT8鍓Eo뒬h[L 8,@nv{Q!u$ (7cƋE9lM˃h:EK7Mwwût:}q)%rPY f{zjͅ%>bP," s=8wΛ8sPЮUCW<=5trOEnIEɕ2x?T glkI|ѹs'voR/ xHE Ys$cj08ƇJFb%HV8 *q.]t}VH#^@=._\vp=vЉnMfQP@ײ hHh0aSf}9ZpY=M`GѮ r_:U=l!8ub<.giPݵ{UwFxR];,Wfz/Z礤o@`d]zV>(to>Yad@! ,RA@&{fwomƿ?F4(";'ȼ5ѯsxߵL1~&xMn?uþPOU @nJ?ό *zzLgZ_h 7!JTMVWɸuv>퓤~wRto{r޷MlMo(͒hZqTpB@8[z'/I'@A,i\En5t1kaT+a8+7Why< Ӻy*>@ U3zx@G7ԴGHd$r]d3^7h6vg(h׫ '`MW~|to&s#+W&;AQҿvA q1.a'j;\TW݋}^ F9Zj!/U՗//((| UF|\M р|I%Ei]zOު` !r0A^_hPHޫX,< IT,v4\Ⱦ(S-8ˁn]x*h-Fd]UK2Wpt pg<>(ϟ@|zQYZ 6ыx݌ٸڝlcuq[] W@p,Gty1O GPک)p4dP@2j~*zm5wf7OnIEUЪwÇITZ-h-hOdi0ZY.@qbp1\۫ECR!l~9쪼 4Zq4(MBD×(o z3|!Pqk ^qxq&AH{ʕAkvIf-+]o5E+h0/޾ĒBn›TOIs?bOiӃn^#} xQ9x8p9{yST&׻0x렧8v:恜>l[7z6ܔf,#=X]d5-xx @'C, _7OZx4#UillkI|ѹ]5B>Q\ Px&t=VoVqF2 .jykS?_V-|I2{M7.GI5~Q~ٷ/ٟ??|7斵Eq9(󯻡?mݤN3ۭvv]8HH9)U|^G| _ûn(r@YUyA/:fXzoÒ/|Ò%=wKFX(x]yՋ|6 Ö09AB _D7axR*Q98|kҐOz\= n|0]c(w&aSíM|SD`\mt6oqhnP _BPofO ۽͑S H7BP;~ÑJk 5T9.ޚ$@vSIZy4^ꋋYw637eyy6kGab=mN'_l! |E|eq pL&@8[9^\zݔF Kjۉvٺ?.AXU.|Y%$oi2EZ*e(ϵ?,I=tO}on;l !{!LQj qvk7nJ?5q8-x\WrИ 0"f.OĘ]Tˆ=ϩaۑVk * w @|:ٌ8Y+iEHJ}[7[X P@A _tQ- r9Nv,rݞ/Y{zqy޺2jy%ǐ^ۯP W_M~~3hjaS* $<6ϐy4xf]ONnu]^,r ,.GvI4>2YdJQ[4FT7vk^'ivՕy;x[{'Tܽ_k^"nNzmP즳nN_U|g[>ysڴOzMQH&@1*Gx\WWβ-NI%ku+jfrZ֧?-kux0kE9w՚7i{vcGt*3gy5/ww-ər oo~31 T}zЦ酮3̚~t tA5[@zQ |njԚ%rp5ZY-(]\ݞ-]Djh[{k\6M﷭`rv &G 'FwapPlnB oץU4xz&߼}NrMVu{۵:ߍr =sXD`\mt6x*l4Zm˅s|vܨ-I#OǛ}Y/ڮvs^NJ<n\2Ks|ݿ֫vSzW6Q?Lߖxa9o4ݱ|p PL~mr9odU{> ,m!gp%,N4l*@<7zrQҿv]p|*0vzQMY::(}d(R9gM܏\lhmIxx1 8)a]{N (h~ԶmqvYKdzjk6tSҤ(Um{1wS4$1KflWŸ9[eO8n/g_~݃&Z NE,/}kY{|9(-xx>yn=<)U.G`5l x\rX#2*NWhlkI| ڝfxuַ,"Ax\VM+W+u:ofObW _OJ 5@x)n/d1xܶSs]*ߔ~*J*)d5,acղTΫ޶UI(#_P8zHh{>R\9ky{\QrOHP_4gY+N|kRvb?/:A ݂)>N"y+Ax\ץr2WL _w0lfj P@_@<+Շkn- C w"r2/ۍpd$G8V4tuFQrF!|{ųevuO1O XtkφjiEq2h5:a?WPo4OU ~#EwۍFv/T OB%YW@σTv(_ kݭkb s1'[@䮒h5(S!Z={!x\f]ON6ox&xMn?uy}߼ޯln_|\\֙ch"z*# (àMY::(w }ϯ??bSw??X5܏{*@1'MjWzgo/'[wx?oC*٨fjw.BOgMvPlG:!˯_~ ɪNJd$Qgb8p ]":+g_ܶ=>J$ [=gܶvۙ@ qQ7Y"KN=*ŒJyq(p]g[0Z2Y w;sg4\?g22W;4ūq+^bAUiPMԧOOGJΗ\(﹡1$q<E]efw:* ,(`#ezDhE }:EjN@{l1|CJ;'I*ݕO'HnW*3@OH?m-'1յUΨ[ɹ]CHw  tò+,NSK|jNM 0HH_jm]w3u7UTDg]M aU\jhiGIZh!Bsa&?QqBeZv@ '#}-\ݠ' ۇZ_Ic4qXӨZqU <qQFA5'8K'2lr}[a@Zm J@K2<[^g0.d϶ϟz(eT7eNy{Y^B77yX[D M΢f~o3tۛȖIcE,z3;nhJ,д>mDW hNd%@ѩpA}: ۍ(Gȟ>1oҟ4_;uSc5L;Ÿ{2,FIf՛43ʦ@'Zhk9>fƸpךJ7 %~Lb ̗8V+oQ5lG.kzaf`LֱMaddgdgpTuH$#x,W0i hSnǾQݔQ^d\X!m8^ͣZt]js211W_3.3AjGcT@ $(@dQ:mNtnpf@M{[K(J0 NQ⢌Ƴ@ݽ"\AE :j R;\0Olg<ѝF^=;@/fi,yfҟ4 ѡK;ϙ IJȞJ:-8iY̫SNI2tanN @v,]3U@: uFhѯU:n]M-wi< ]<\@ Q-ga'(]fv.*(q)Kwh>VE:4k ' R25 MT겉XeQN <<7a"1}(^'fNer9ZI2=C@Nxɞvܴ~ĕ! NQ<'UDf*8S7Y%d%lk9>fƸpӵ*R+D K|0xFgc@m<|w. -dJh}Zgf]fnύt$ rfMșh5qRrF ZPhJF8*idW[ws? -TMW5V{Rh(i} %?Ǿѥ;*{5d/̈^o7FN~ .|& 9l=zd㴷MR]tiYvn's2W#\@ӵޓAL+ fIכفp K Z9ƀt̛%}*İ5qog"OjiNk,>G8}rCvu]LGLԄWo퇯>gp @LsC} %~Lb ڙ/gq\VޢHdC /)vd *-%ZѼN NKF@Mr 7n-֖$rKB˂rb۵;+y÷bBD ,GvQT7 M" ׀@dFh|Klѵƪz֙Ys ŚOhz`S/ i:)a"{B2i(%]of5@+%gh!4> Q$;f8vh.Ll-'p Sgݵ֩9d 8:mbM+ H$;4g)<6Iuq9ǝLrl'#L =>n>}m7;uF<ҺkC .R# ,m`B<H7i Kcb%$<0trd{}<4WU$@!,?ap0պwJC h@ pidak_3.3Ak$3EH㍳eXQ0Kk 96:=qMCh!Ʋl?=D0Qݔ9SL NZ^=˼b@קWצN0[薛^aiZ_IcU}H56$%dh(u?@; d{CC9tFn&|@.jy^'ᘦvB˂rb/=8&pw '[rrMOwo5u[{Si#Zzc4,{${I(g ONsQ- @6F'2<7ʫWjXy_uQx Ҙr[q63ƅ+,:i}UHYv }p.qAgpF) FO[¡7 x"\܎11=ӟ/Oha#Y<'~:-t÷;7  љcG Wb)1Zϣ^08mT '#}-\Ӻ_ݎw925&`{.C' @h2ĝ&u#6`del[='٩OZڧk@GQhv߮'۽ۯ}߿?|]>0bO*_z>HOh%wFŠ na/e+ E_3.3Aۻ"hl9Fv:MnG@^ضr&\wo.9\pi7yXP<)bdt0 4 N iΘk9}3vLu104_tCi@+2_65< kؓrylԵ,{Z%Naףը2 յnyѶ͘&H^IPm뙿Ie  6ltiL }AnBq0"pYIj0P8GfDK/Ʒkzڽk Mӈ8NQWfj4Yn{F戻4hgHv˚Z襚-ƊYfv {gVL8g*)6-t( .Mܻ5Lf ]ϻk|i@0HH_ x*2^[p{t^@6n# !8OalynZjdl] M94m ppii8dakk4M}xcۇI@QwݤzgQi.EL g{ߴv +@6&.3qTuU1 x(m"A* [6DLU$y Ʉۺ4WI7jaBXiD,}:,[$\؎rS/ i:)-t1mttE>8 !!O|y9,Wvʍސ<q\@;}]lg5z+[8 A,6FiL }1 `hb7p2i(%]of~?DR (Qݔ9KutҘhtAU]XSy>o3tۛW̬qnk[ڵW VNjk᪗^{x= ȌhpmGγ 3 e.|̾ڸqx t?^0¨T<-‰ZA^Q^?x X\Հ1dO@.RI`:tH N.x:C/MX7ʈhrq -3JgRccuMAB6$JWY,n\ ]ϻk]ti̺ܞFaz*OL+ fIכ+Ľ-5q{ Ib4dhXYIS8dmi@ ]߿^&`ڿ8ɩslK5j< &KNms:.u 4#$\tٴ8^t_JiL }D]63"GB>5P<3).J%:۲jB@ٻ.$yNJD}x&cGsjXyvQdD&Bڦ֙Ys 5qǴ$>3?Dj6 uwQEٍK!W0+jUXH-(G/&*o[TWy֛e18#J~-_,uZՕ8J1/Rm 6,`£mt÷;8w&Q8i^MM^iV2ۑ(zĽL@}q qo-JL0S30r˦02GdFh|K]+@8d?_ZFuS}2Ln<:]F/Q0ˠ.JQhW?1gLblN8BBE4hߚA{۷wjH\@l4V̒7& '#}-\bd8ӧ(< ̺ܞFtK_Zt{7&8\/ 818CF;E)E_ar Н^l@EF fcoJpY $;:z>{0D@넫^RV{l3̇"3?F[µzx\9\8@..`ZE}elC[<:%q;bu?kM>F@q~2Nik622߯nXjtqmInΗd2i(%]of5lMl-'p]G?)hO*AUr$:m<0<_h{}c\pv=8xIi@ 7-6e_hǺL@l/  dzڇ&iI櫾2ͫŇ5To 2._N&g]2_ꤥ1|]_+'!OXԻC94_gp H/aS <:ԨAlM_}*ww\+7,w8d^+]ޏx?޻h"-iھ͗> ۯa<%(KhM7|'<]yaB [hfuzaf`LֱMad1x@9_p22xa-YkS7+u@HYDךYG_y8pVgQ8t&VFm:@+߯ekq 7}ofQP` H9{pf`. tRw]#/N*_;z{+07%>. W专r[X@;uDvMV4->yr~^9u ju=7 MUB~IޝQ KBr˥gi׊rH93.ٴnL'3m4{*o;1jN+g;VB4 r0I1Mny8dW=e1r\=㚈rт,BZLiI_QXju=7ҍp&оrD_%QQ_ D@j. ,U Zh橗5 r}͌q ^bKɳ'U7D+ 0! ,Ǥ,Vp @>{qZyBSw*1L&˭c/qr ihϮ`Wc6O_h^E~rN/8?p4hEQԸKEslĮzӺ7EdMh̆<^:F@ .7$vi7d  @͌hp]W'dUd"\4BpgL3,fyꫫ]'h'Od}dKcb#8݄zKv 0F㴟Y_QoNE1̶,^,@! 2̺ܞFx]SVeXQ0Khi9FqQFAp=1L E.d;%UVUTߛ)Sb?kat]~|]Ҵz[S/WԷ?텥,AU_eTeF&](4*Edx:qeܚIgpZ!b]MtU57)؝؟GYPZ E)o1ˢo cuZ}&'@HxIXYiϮ oBFy/,X``D/@g_h^EY>ݎD9194aUbT<#ui1VTM](88leT7eN}NRЉ.&lqIqPTưʺ |-:iEajgյ =zc^]ٚSԺCh 9IKcf; ' \+ZO1.\u=ãkIU]BB<7ԙkg:YRAOFznj' ,O5 8 xPRyH4h{G< ^l@ufe8H7t5MqE<j)XrOٸkg"9xkӯSq3]Oy޽#* YL+ fIכفt]?tDel7 Uhtu^#]C4f3+0kpYmf }j׵ZMQ^ -DOo+~.Il7zC} U*N#"ә/gq\Vޢ lG.kzaf`LֱMad8) 24ʳ.ON sa4"'\;eZFuS3 qb" \xoo;A+'ksjNvmCE ڧS7h6zqfs3P/n[tQ l(i9%dBGl~\9\X\Q9h#AjUYh! XWI lG;bs@ eFh|ko3j@gEh8VAWjNjXqQ΂:- .JEQMDEhE턮xziqh9 N&{<>(11SH5 g@ e>[ RL0 O! awZUQ-:<-dzѢϴ6"MNGu&Q0WTV} T<-‰pF\}j]$_Ny鯽Ko߾7#\/ ϳWdSs W̬qnN/@CdѤKZכ2_t_ U@6iijCԝiˉ9'JH9^F!*M(rN0[薛5 R2Џ/> t4za<tvBD}k$ZO1.\~}VV#gr5x8ޒ_Fh,ȖIcE,z3;ؿ(\m00rB od^l7Ym{ǮgqTH֩&a[=  qޅD<\sqdjSEyTyZmY+5NuT2-ʴ(KjSy љ۩ m$!g!_^gFh|KxzO;Jǡa] jL < iKy ${Ay@Bd${Ǟ>6]ĉ"u^ftmaiD}@N:Y,]k>L+\'@+ wl$4&(>dkm=}J .cO344-ƊYfv z]tnfgcvW4 hU֙Ys jD k ?sO?hN _({*^^,MtIgV'{GQv?iQy4e]z=}&QQi[/qg!$\Ԃ.| + 8b^E.> CV<<x:i6th 8ϧM\i[cix+/8@GSKh?@W囿hNm ͟xǯKl4V̒7[&;Z*MgL7-la&mf W,72 „@t@)Y^͛ة4uPw&~_߻ m sٮܕAL]4 NQ"ӼSgaHƱYbpYd%D,[q63ƅ+lџx6 &j\aWughh貞6)fX^n@ 7ل(w(fO6=x0$݈nv$!64p prq \7ifFh|Kxьx?h~;W4xh.>&$gFZ&*(Zwƒ'(`#N26}dN OWjQ0zQqrbDMzjQݔ9q;E iQvn7yX 1@4Eyg!:siw뾦æoEt:B76I]7 +:9Ķkx {Gl3c\5B'=@::@ݽ͠ ە֙Ys 4{_TMSwe !uܴ~Fq0EaB@YDgnxa:c'>AvF]Y15# َ\@4P:moM bd '#}-<ĝk !8F}%Uqj,oD=}J .a=wNj#I0}wC}h|ɏ'겉J@ ( Q FǤ,Vp p|9jvgzaf`LֱMadZO1.\ᙖv}.#-,: q7W0iϕ_DFyJ[ubM6j\LG/ V2L.(B<?1!4&\NcQva%Fq9UЭtX|8j:&qcf? <ϡRFuSڽbH_@יv <*CvI:Βp̽Y2Z \;Mo3뭧߿o ʖIcE,z3;ib[.al~r-r)7!'xJdS~ŧfflcT%:(*n[nzvp>\ϓ,16IkNQh*3 Fjw ) @ 2{f 8 ȥ&mߏi7\'fѬfUhPy^gFh|Kx8id@11qE } '#}-<]IF/@sq!(4!$2 „@r J%Nf8n$ X'{u0 8ϳ ׻w방ZO1.\6egl;%,:͛( Ytu`i;+G-t4ֆp@$\^\ XK:) ;$@.1(ufDK/Ʒg8Jn>Qg 'L#p '#}-i#/LQݟ~&",tkk<2i(%]of3=MxΘg<)^zfIzr}IGKGup!$>uk9>fƸpg4qOI:8O捌piƖ=1FڛY4ֻK+˻QnpqeT7%ucp̥4q! .-nN ֳlmekx(4bi@vVjv#>BeZpNjmaڄŶ/'  h9x޾k&@ eFh|Kxd6hq2H֙-xZ8$#~<]ehϽn ]wfahG?WҘ@r*rWQ4,<**N4R /4 /⢜)aO?<@֙Ys i_}xhO/=0HH_ݽwꍷ)J˖IcE,z3;x2ԟ;p\h Gedtn,^d,=0_cN-V{`=;z;ڮoo;#3L< 8}yq@^s-^XոldSN> t{Vƛp TQe5b<OotKƉ=8W%ՀL/@'O4uNJx :~3J`\Bzk"pY("+UD.YAB}3@EaB Zgf]fnύt#\[wPTHvȕ4h"lr/=" zj$">?7"- ׽#-ٞ<l(ڙ-xZ8o~@pZ-tz:5 ۍZE&42G⛢ڇ ˖IcE,z3;hbk9>fƸp ڻnMr <|4醣ej"Ɏ̞l"tVjv#J/KelaVnBqQFA@25 8K'E|-tMI- '8"gw5AN {G }86On[SwyMĴ-h 'Dd%8\/eH_@.aq-Sa>vz6տeEBM^`Γ B8y^ufe8H73z^"@Ҍ-{b7xH M+7qC <Ǥ,Vp ̗8V+oQАlG}Vfj4Yn{F戓j@7}LTpRW0i p̮=(A^-)90HH_ K74K-|EJ4ق 6Za6aIrElY vS7yH _iYF$-sQ5t5mdVh,sSrC.">Ѥۙ: >^rj 8K_3.3AmNNn^@!H0.(`.88 *" FQ1t rSxli+:[&@xyNmbyMg<7,:Ͱֽ`93ݪufDK/Ʒ'f)6:7]63 R2»}%7ȥ6)^aaօZehp# \dLxϦkZN*Q F<.- jṢ`8=b/`VOן{=|hhWFuS|7C&@v6F5$ \BcOvW̬qngco~g4mow!d@fݫ7@1$ڨ3[,[z59QG,̓:RWEY/ 25a98I& id;\;ُ/  gt=Mw֥i:;a tô:I5Cb!Gvk9>fƸp?$}% >T>@kh :"^Es!$q ApQզG8N]%^dueS#:32s{nَvMs< }a4?p'[@.ZQ;< tCLC<R(jm?qk۫F4* NQ.7D,zV,|eT5EU=0{ M"]l"Xf^v6kYCo#p}1h9~YuUZO1.\a#RXpE>Weyb;΍(8ˀ\x]u7g'E (dW !yrsz8~SZ_  0=ף # Ng% [g5kw^=ugs#n+,V^.D fz#vLBr?7Pݾez *b[\JW޶LfOhkC- Ke=-p E)N0C+VvـdaiD}Rxsՙ·Uͨ)gznGVϚ__N_X'uhf᭪96n3՗t/p.zI3GlĽk!M}Tz?k֧~vBю8(E#EQI  B.,oӾrC .+Vil굿Zgf]fnύtC@8 Ѳ?^vM..>\gJcUPM پ*GK){ڇT|hN, zH;Nnl:I`Ab38|٫gZnӵ^N(-M\eof \\gXZ>*Q pNF9'&z٨kYJqϵYƙ7/H ְ4Og@>vڧO/ ʌhlOL׌֙·Uͨ)gDžg4gQߡ)LiVv4vr71FEB @W̬qng(Z/'N&7ƔE@o~ۯ{ׯC pk,C/Q~ gQao[&xr$,[q63ƅ+<&"9ISPF]p&qΌhGw5.v: R2²P G^WV벉>WvC~%ur3wfI+8 ;i0-3 ӳa#u2 kؓrylԵ,{Z%8en/̛qnEr ZcJϱ46|̷6$ӧ"p|I_@2̺ܞFxV@H!$LêvfTTp m!u`5UX@p\Vo{ˍcuda>8 B5(ԽvkV4t#:3רհ-Y-hln^E\ш),:͛syhקc(-cz2,ye<6!Cl4V̒7ap禮 +K/kݞs ?smD.>{jbڥvJ~]yFy- '#}-<ЮUfƸpɤx+:[&YaD FQ;iYuӼ 8ˀrܻ{*&Ҙr/`(ʯ78dn GբՁI_a=әQId;,| ώ;Z=];#i TgXr_H&Mvʽl^R paw~&F9ܻ4W̬qnv5E5ʖ[h^nTyB@2&\a 61g">d8zgZ([&}0HH_ յ_NiȶS228j.@۷ͷ?tr깆s2FHP-K-M^j=VbQ_55ҳ鹦iNyJM8*8:Rˠ^LKE|x(n.SW_'O+@!:9?4MMl-'\KZ:#+٬ѻFhrZFED ڇ0 {F}^hw\8sٙQ/(^|hr# '#}KWm ޤ VUM@Y(>A);Zh;7F8.4 ٽf (feBi#|@ eiƇ. ={<a8iO?h1#yK[}<"pz̲ɲ_6e/qE@l4V̒7a:"QB<(#ߟ/8opt-yXubkq=ӷ;5?ڸ뾓K{Zt>7!R\aP a?&e ӈX@ F,[$@  *1L&˭c/֙Ys sIliL qJs4oo$5oy6@׿>Io 6ާg=@+oշ8RM u^L7y1K&A\~(ja:y,fộXBc γSԪꔩ5BҴ:iڇedy3mƪ`W w5`_ s8 YM@SS٨6:\V_Wi#iV (ETuшC8y:ZVN ']dZ1JDԟ0M TOʌhևOaS<_ps^XՍSH~.H& !䊦UuhFgπds:2 gwspH|.uF<h6ϻkfL;EQbM'=VVo$ѽ3J@IBӴrC.4(v37+ܷxG@ l4V̒7y=ך^ OGTucZv'Nv$&Ed/tM  ;@ Z6ׇ0^ruA PPF(w:@Z\@_Ko\ :0>J<]+[;u"$>'x>횷@ƶ<"E+UږrE*!g]A N.܀|mm^Mƙ!GNG~ 8!!.6ANurv}=t6^ԚLVQݰ bywos㚰rjaś?͏_3hRu]VEw>m>1\[q63ƅ_S @ QY M>y:ZVN8gҘH_/&jՄ4!-Q83u&ڙNc{rLH\֓'Z_Ic#~mZ[{J* ٻwf7-e-SKpQݟh'kUs] nv$dAo\eNUN&Gp/bOC6*KmKuW }vUlbr=u(ev#%!gɌh=SgruMcv tz @dQI6.>Qi48w8*6t٣ae&M-CL}|KvP}5zok2{aU] @ܯ*}[YԄ\:@2w&<r+N'_w|paID:je-ҩdk&,r*׋̧.^acAZ8ih{CiLtYFp4q/[ׄUjz5`\- YW# >uk9>fƸpob@|k^3MMdFh|K WV4e7O{l4V̒7[rz4!wztp:CYXya7͌GD}H6.TTzFH^h+^"UIjJ;qz"/ŦG.k@ L# XQh[}NWV 6?}8~~_b ))synh?HF5? zGl3c\ulMtglvyE\ػwldq:X`@>&ﺆ^'vM@ rbOFMQײi;VfתZgf]fnύt#z{srftzI}eϴ?OpQyϻ0 <7zC} %~Lb g̗8V+oQhꎀ\oMv:838 tL @7uOαSeWԸEEzz(Oj|љDkS'?KӔ 3*p,UtJ7&@6W\891E vg8dDL+ fIכفp=,rگ (ұ9S3 YM] B*e *8q&k'}O#g)FNcnr f-6e ̺ܞF]/p UUl(iL}ĕK-hJ ̽ 2ܐ-tu&ҧ,Gɓ~_'Eꭼk_7~~g.ŪŤbڈ{@6VUTDԙD5Sr\s- Mq-t@*2.1YLF7 L'N3JlM].j%p¢6ݵ@63y>o3tۛ8T\zD+ F>@dˤ`tFpijM6h8V}P:̬b; BC2=Pde'ieiLquwW̬qn>\{Ozh%t_]3}ȁ(pk9>fƸpEp6_h0 vB x;&@;Z}5h5NSX!NX9uv8yxizw R04F"3?F[gFHru1r~0Wo퇯4g ! :LeXiD,}:,[.E9^|ma4"?7)TP@k}\)7A$?MHXYi0YM9HE(879սl4V̒7Z= <>(^}{k1"թnc}֌C@}-4mG`FwmY(B*(y2"=U*V8 'Ԭ{NӺ?aն׭a:[yLɼv,Ž]*@'O8d?&NvNw+3?F[`$ Y.pTCRӱ'OOs,"ZΝ8wgӪjoo^O;vtv\KN1y>M3@?h>a=~&0\_4 $HLEt;<0\Vpq''Pk{MW-׻TєZm6q^$˸Ynf%tIQg\J<=uQqtiH)1jr2T{$F3ICer B4 ?Ƨ&m-'Y6ӂ4=c3+ eZNs4-Ti m8G'vm[[uD.@11K?U;u:PgXvr] Sr ZhxYvYv^vjVk5|ujkX5euێ1odHv ɝdW 'ʌag`*QM߶s;,Vqt2'=+3zCjnj6e8['tnz>:[&@,WC/dh{,O; < !y^2G 8 *Zꮫ9wg#*7w״&YjLG_ULo*Z䮞ΣQ2*_trkU ^C -:ۯt1ߢW$ ԟdž ֡ZJ3Y ڣ@dcZhwjQk_´0 O! )Tà#~Lb ̗8V+oQppa;BβJL0S30r˦024egH6::'g>[7x(y_h^EN,(y)n4v6%/ ֻ' |to6=BM 1z0fS؞rtQ!zg}ƚ̓fds=h'Gd4265M@A}>*]rKcI>H/./ }h˪L O :DPD2" =k z쎬ˆrӦjAԾݾ" JoIfr) `p@ (Hm pfdXuПCs;#=!bp09G @ȇč? }9a7st pS:h*M @0j+h!ĺ$yzv\?I6Rx[gx(M%J\'j4`a=]Wnz+ |q{(rjqc#g:觟yFӈ5|.֙Q9qndv?7vZMGzb:'rbMF&rl5]&'e8epnOvC#53smޠGpcOY]kT]<MxM7zhR 2KKM_~˷PЬH@ls~m嶡i3,Vq8mkm g+⢌0`Id@+`Zh2:o QM%̊JHt^h=_,^ t Ampb=#XWϯc8~r Z벌JLS|EN0>ݿ NX7ZI9pfq!T_($ *1H@&ֶ3[>IJ xd) QQU9 =ݩ^nj¦hȚ.(73{kz(.,4s6~a[zYPky\|[SN"p{|(Y33Gv:M _6#d0>ѿ':N{  %Mb ϛY/W+wQ(8Ubh>Mm5ugQ㦻/Mٳ,~ASZq8>[t+@Wɯa4"'XJιIގyH7,isKGY?D0ڨ AV %bidΌωt#{(TFU]7ToB㕿xk㍿-r)+ "E|cȖ>[J`R?wx2MK!iyҒ:ܮuHVh8Ҩj~sb ,>tsUTƚOK"@AOFZ\U-/_6` vϧ`_=EHg tY< , {ִmmqȞkP,!)$YG*ċg_UufTexNڢ d ;8̈n8ln- -벌JHoOKFrauEVN OXv BZ:'hEȚ6` d1>9j@?Hy48Q$9@Ubh>Mm5ug|xc)@QU9`=6H@K<u{VN" BeHw=z+@;<E`;sUTƚ0 t{|rr6s53sm京V,%4%1ςm㩺Lm@K&yzZgr&.}o#2@KP?D {NFI7vHK6-i+gάx ƙtR?6ALUr"pڠ:8hZe>tA9 mM&Ly~6ԯ64q*8b@?LY/Tm|M@#k0d^̗ \ d,o!^X\) t2ijL-Z{N@=&(%;w}N-ǣdzjSz2т 62<hΟt|&]="0=15g&&@#+t9slnf^Wq @, @-ncK:v$ ܝl38e$% T$7iVNN蠻^OoB3J\g1ENdeT@O Z-6kڌY3+=ޥd'bs5m[l3}\8ie`גlY\+螪#6hǍ@'V{@^Uną{Rw@<ZjtaCE{)tPv;^j-+7LdT6>@ecZ(Oh|_3*3s Ȧi+ה^,(`#_g߿b'tcc_ye{vӏa8aToN(m^J4t|qpⅻyQ*D4(d8b^E.gMRQ0KTwf9 }cR98/ 2pn #5}4[jBl9ӣMw_z훲S@mM&LSSFU]|@3:_ZZOK(bd@!Ī: L1qH ԟ칞"u3/ƫ80Qo(jp$":nTU={N)@=yB @+4UՔ#c@;C2 }YLR]Z1T2 YӞ*袋ge"sl5]NXyG_g~ N._p{ =s@48_l <ˉ55jtL-fT':Yi&Zzp(tOIQCw2y>|Ǝo#kMk/b v?K|͗yboҔWg*Lmz5luR  zye{/~ogִmmqs}KI(<G(W^o_}ӷ?V@ZmhZ U\5{7Ea"ɔo,7{#}Z A@~0F-4atg:32s<'ҍ욪"qnziL{㷀ٻHaWi^GLDof2 E2ίkj^ ='#”G@K6@KtC'MhS(@Ubh>Mm5ug|zLUO0k( QpPbF45Uus#k0D. 88.#e>K;4m[7bZӜ6js{pS~7l4mM&L"?Qz8gÒޭxL7}oVAzԏsM{_Q`7[S5Z t?K>^ťٺqe;t|qLg%t!8Ubh>Mm5ug9usk2R|v@Cƹ:n@4p}ĵz*bM/v;[O#?mj3 :\ڋraka_y7h=4Us7]$k~g؎s=-Jtx]X"ą9@4 Cয়ufTexN3 E>, *%t@4@w'jMӅ=  H] v6<+ B6 {벌RBݎ/۴%'ntד'x}wV 'zxjnu6KlΓ']] 6JMcBZ?+)aꪢ(]*SL^vItk bEeDt<4FiuE7 '#mpрh Ov /P.PD>W6Ɵ_ɶrh6t4^åJH9>@y" 9,eGQpfidy0>ӏL}܏N^n@<' 0*$z)ʏ2/,ڹ=.`:ʍ'/(&,AU^^Fq&\ũe@t*~wo~܊⺮/| Rtχs\tWaF0t1Y##T2Ӟ2 ~ y/2rb4]pԏ2ۈE+Com⭧MՑ65Z\ :*7XћWX[[wj |p龘cX^Sݿ:j.|/ZziM0]KߨEHOվ?ѐ䫻ki_ﾱOeOzp?xvo&W{:G\%Ne$s5))mӆϥ8 pIh(6Gn|)! *L$mR`ϛY/W+wQ(Z%VӤVSzfYf՝Y\'"`_h^EN,pVw4A@v_|u+1/[7iXuFV8]]e?.07o i^M: iU(-*JhiL K8Xykڶ6fpw{Bh̥8.#βO4FQx|g2~u{DWmE~/~#=#BXa={s~EHxCgyiQ =߿￿9)&n@Z^)=3a@MU$^" :TY ڹU0@? L7}o}'yGg+%◻$4~)58sviQ@!˕VkZ~2^F⽫)ZgFUfAٟ@stHdumFOյt4 ~ X1dC3! ±puƉUgXmR3ŅWM@twy_-&>=Wյpf|H~蠻ߖQ*pIP{ëL g ODXuRms*@,MGAqݗ^nu\Kǃs1Hq0]F|@6G[k7DLt=KuG;%R sga4/BEZGQeLs?84{|ay3g}k4ܠQ~4_;"^ p;cZ`O  S4{ħpUM-%XTx/O͵t^q STF3{Ė, t@<ĝ ȇBAYf՝YTO^y]C_Me#u5m[l3}\8v\yg UmR`8h?ofq\EHw*1H@&ֶ3[>n6ucɯa4"'"XU 6z;`@< qZy4J=jrz@^UnETBZ=В|14F EQ^Dk+ Mka!$5ܟxf{CǬj6&﯒Sӎzelpd g"|@,Όωt#{[] 0HɰBi Fk"'1FyPd嚰bAOFZnEGaYr P=bՏXO-s@ʙxS? Uj/L? 3Bsx:\ڋraka_y7:A뮥M]$k空冦%3뗦"NW[.D;o m~tC(&fMAx@+.7γ]~@?uRymmf֬ԣžtjg0-K./R벌YB#ge64wS!=I~xVkSNvC `N,H HcbZOI?,/ :~lhvw] 1ښM>.!~_<3xɆYS(A@7Sņ "822g. wKb+5ImF,Qݙ]tXvyc<l3f -=6pEdeM_'!(Ubh>Mm5ug|!il>*(7 2X&F9];A꧶a{E= i;>'@/% ד'[-ג G@;[Ӷ6Dž#;(ŀ88.#Z9=ۚrC9ڃk $ xrtGsyɁZ@44ۀpbQW̨8H73 "~6݂C ;LgIGC3VM? r4I)$?7@ ._@n4IJ*p^闓(!a@⃫ZG×"NW["X!犑GIK5//i-g^QM6̚GlhiL Q\GqYhbmajqQl6}pՒAwf1kF`/|7K)\QUM! =%$  #Mb ϛY/W+wQ(ҝJ 0R#ЧI.̖:32s<'ҍ\>zZY:Z(:UZr <ԝ,I+R}tվ^f;V@cp׫ aD?ӘH|14Fr$DugV ki(Bʨ˜[TG1@4yb,EhʆriaНHG j_3*3s Țj?ik1=VITqOfQ$$! ˦]_y_eT}ͫՏ?9kk;?yn9Ί|@4yU~U2Jqݗ^~GUXϞ|5m[l3}\8?OP8m(@=yB .74j77q΋8Ӣ$=B3^+,d7q!+7=z 7~"u|LsƥHdݵ2@_8/|Yek9&EO=h'RWb P ֐1 g2_3*3s w$UENc4-2ʵt0LEa tQ]:B#[j9'$E9 S33:fTS}5cCA q߄E; \8̼R7ۆ`bt{<[O:}2)%]=AD;8 Y<hJwi!H6A3 ԟ53)-xemH!@;ڼߍʸI'lsۚM>.Y;U婺phJ]za(rR".rM^˜T@49].Jo^~{$DugV 8`>&3 /@}_QR=q>1 XZ(Oh|9ӣMw_z}~Kf ~^2Wo|Ao~myyXoa%6ά_h&rLZ1)@qK8$Hwʜd8݁7Yexb?RUz/x77D4lU~1"o&<Tޔg%!XGaZaFOfk[M]-AOFz!>hikڶ6fpy(7RUuHb_&4W˯oʖIYf՝Y~Gq0H=<[; MbAwԎ >}4YtoRM}=\ug,2=jt׾XT{&^̗ \ d,h@әdͩ @Zga6UQ'frUmi<2_butҌ- ׶ǷkG{hzD+2/hENJntU:N #쏄"T(@QU9<e:UGk}:& ta$cZ'=w+ճg+7= g="~r1Hq0]F༞tA97q PR83N1zD ԟRյ=UPbnp (Xq0]FiCpV3{*-H"u5,0U0lXY4@0J ]כBݑa-JC՟X6Mp8ZEi,=lT;bsX @@(Y@,|1l__V |^7\U@(2W@\k5f'E Y8Ie:-P|EX2=jt׾){4IJ$'6@LvJ@?+)8gIqUZCǝӅ%+=@gYbZ/ |14Fr$DugV ki(.z=O.jkqT/++ʉcQCw# /^ut3'Xر_dL~-vt@ 3a1 'k K<i/p^d*^{>ۆ5ΰXU!)s♙ ^>ڻMxM7zȄ^D [ 62;gv2K>|Ia5Օ랤0KC[/qgƸhvU~1"?!]}./YCq |_&ql$zV5#Bhޏ8ͣQ㦻/MtE@o?|o?}Bz/~CdI٘.=&&td0袇7tUIqtִmmqd_6o$W/(&ҼNekc]eŪ J[`䀿ZgFUfA{ϗ)m10Mu)ZN~@%: }ӓ4xXZFbe#tQOw32 „@V䇓 V$=$onPm9t:-#iYA7ZJ^o?#1K]dECGr7V pS4Ɖ1.%TVOWK>|/=ӣMw_zW'Q<~" cf՝Y~)X B<WiS1MErU?zB^-]^2Ҙ@ npi@"Ͷ(QBx 8pn2 &YvOp 1+hE*.sjE^b yiVmkm GTOU@}(VhVW4UOx4 Se%f~%pnzI32hPd4,Fdm4AV`QIzx 2Ջ(Gv GxtGYA :>,mL}mi(V@'8̓tC @+D+< Q檙e#>R=KB0„@VIY4"՟78^VP;iZaFOfk[M]-\Nk2_ߛ5W,:ލ}>0 @ q^Ι8,WDe  ~TL?4& =(<n 5 Ea;X < mCgXq t@*s♙ ^>̍S?wx2Mx iyҒ:ܮu?_ ^Då/vڹ&X~/~#=#>=Yf՝Yz:sdu=U Ӏh,@;jU9f?Rnz-uS k@Gz&\jӒ &kiĿ'st*} ]L- @ T`)K;vr7?|7mM&=?5VbzI0h算ƒ|pf)AbHaWi^G6qcfen4}zn:32s<'ҍzvٿAڐO@Ӕ߲g8@ODZeDt#uܪ,&(%;}s9_Ƹ_188BfrFKmqtJ%gTMS8Z vx[0Q㦻/{2S)Q\GqYhbm&pfl{iVvRܿ18^Y|/ؐW%t+@~rjNjWuR l,7_pb=#u \mCgXq y}<Wϯ z}A͍>2 „@VdƷ`)q2Kmkt\~]^܆AOFZ4Rϩ"E^yK pn7iVN'&fzԸK}svXXI@ǵ'ON.ԕߺ:32s<'~OVb@^e󺣇CW&Ia3 :wNs-B7cD{0>@7?OͰ Mch#F+ %! i &@WP퓑z"r8ZB3k돽.pVdXdX~*Qu# ,k+ Mkah.sx8IK95g&l8+J7`k g:ll>Ӎ Jz$wH61P̘/}MFzAlM&LGܠlITnz^\Q&DK>., }9/uPčM׮;MXo3=jt׾߂t$'N&ϟK{-Ƒ],r)+d\Ch*/h̉Ԭ$Z8?BSMD ԟzRpfahO]Oٟpf.&(ۆ.ݿ@{rt^8P ]A]s{MI7iIo4ͣRͧi5(*٣8[Όωt/x;+Su}2>r;g[ ϥ5N }9 ^ @Pq0]F7=@wpmMs+5rH"x-׈̱ko8\ &hKBZQb3h9. \㱱tx{ q4ʴ ȥ?<xD:32s<'~lȇW= yDʚ6` y_B]t! =I! .[8.n8 ?B :t5 pfeTenXBuA ;Uw We -cjKp@ Y37J~ &t|A)t]w֙Q9qnrNM#h%%$ S3=jt׾)(SvzR;[O#?mjb8c:\ڋraka_y73>KahGjrӣ]:vM*y|Qw@8N @1?U9oeWqE-(QALmkm Gg_ ԟn_cؖ5pj$#~^ZQlԁn?~ϧK|p5ݬ(*-mA#@[w=v5i2LQ=F~RBkR$W?MŪFf4f>#YwO+ 0! mR`8tOxZf1#X #5}4[jBl9kڌY3+؟quT1 }'@~w @,ڻO:}]gy& ^fzȮHBVzZsUnƒ|14F@22`QZVn8bWCHxܟxf{CǬj6&s,tRyy06(I5~_Ϥ>q~l ę (dq]5m[l3}\8MU1F(;ʑ\&zP=TiMb;( yQ_5K-?/M\]<& ]O?i*M׋GBZMyj q~XeW2nO7"LWt+@3W ZziL$9횾/}MtGVFj4iԅARf7@ezԸK}sl( x 8@s #-SG h*gnM,VQ&2螫W|^̗ \ d,o!65Яjʱt@4|j*~^4PqR2JtQNNhz< pfYf՝Y¥aR?ό2na gW& /ÇrӓffJ=Z D;Zs#AZuYFy_)џԷMGH+qǴ:b0xuaNxtsuV _jP :GnR|J SFYuޗ w)A>=22'=UYG@B$h8vW8\aZzw/ǯs:) |Q㦻/Tש"?Zz̓2RzZgi(M`bXI #5}4[jB"ijDU3'ޝ)Ab4]hxmxVm$*'( y;n,3]&pٳۚ"b*r?6ALU8Q*|Le, ԰Vr=<;!@|l񏚲??fe_((H]Cb-VFrVG5v?+`#_g߿vz~+|MB?Wr<"*I>0 iR'r hGa_- |qt:aL`w(>rWQ*-r9 R2ֲ9DSI$)xVFj4iԅִmmqȦQFD;x*5冨bQU9qt@3Қt @!8/Όωt#ۆ1@ K,Ua]cᾔTp^O:_/ɚ6` dG7v.m(}OSmM^=b%/:filugb6ؼq"tQ?LgIGC3VDR XG7ͦ"}O z0hfe_(Vnid4Ԇ$էDn#hG~8K}0;b}IKepf_@DKM3aHψ idtҁYZ>wbiڡ>-Xye%"vktt44hEDg@yfp FMOJcB%_r8ZB3kSC]3/5z0EPQ;FQUepp}$u{"U@,mR`8tOxZB!XwkZaFOfk[M]-gzԸK}S6MM>|:@n6e6zP p _nיִқ|+_Wx߲MhO~y@_~;|@;L7y=/{ql⥛2w+wd-ʑJ׻=.[1˨*E0`]l[5eUNjSZp++((Nh$gMRQ0KTwfYpҺ44Ͱykڶ6fpdM}$_C[/qgƸ46t;*xw?ikuZTnpv@1;@s tVFbgU3|sbo?|o?}#zAo^| yF{osQ]f-QT0RS]tr}x2c1 Z麱b48@ Όωt/Z n訔 t|q5m[l3}\8"1ĺ=F,4WM?_7q΋8ӢDk.WZ YjxnBV@4h=t|qfY|XQ?JO5MR!s )W0HɰBÁ 18V5UM ̇<(GrM{/:NچHeTeN|+FO>38\v|g]`A?i}Vf@mw@K:OoQut0P鸣V>rQzx$c xJ{s6@'ǰ`1,:_ *=nWaL)hd .@W<gu{\MeUT*:XIfcMYo qAG!=3BZ9=ak3B=U~l ę ($lA*|5h' ԰Vr=<;f <襵a+{\鏼5|,y u = XQ[rde4e|w_]K~o~m?WQBzaӟX6Mp8>髐@)7=)%`N t_N󊣒`y+Ms4!@%Q?Y%VӤVSzf,m6tчGYHeTeN`+8bs>WLe@H:USmC./?c}&&F9];,Gakڶ6fpd0wˬIj3 fά@4R~XeK@8bsP4A/n*. Us{xjU9FA%`_ʻ"Iۍpwz%E"G*WDx._J/h:\p:?ZC݊4'ó*F<#:4PqR2@g79voˑZf5/zB(&fMA8ފgm_WziL,Q\GqYhbmj&WY:/sJx{̉ VLM*tO$@+aP$Mb 8rr"@Ubh>Mm5ugûm]&Ng7v8o'l,o10՟tüόQe?פ'' :UZGϣW\Ịs&0Fβ䎯eGLzϟKy-T|4U:M((2Z&*{{RUn (#_3*3s Țf ›>GE.`8hZe>tA9ȀOVn8bW# rܟxf{CǬj6&+7[0Ƶ=T'n:)ŴP 땫^IIxR.|ε0I˯߼~L7}oʮǽpi)ne5ImF,QݙȚYMO0HɰB38yh6vr 3w&yzZ~(_5K-?/M\ Ҙbc@t:ٱ?@?JixOmqhw*1H@&ֶ3[><{:t@}d* yd:zUUt5eI?rؕl; ^_^KۮV[A? Z4M6hVe{I蠫WWC-Wnz'uo} [ pU% +WS0HH[V\  S[rJ\>Z86k=Ǥ"@$8ͣ5m[l3}\8RD@o?|o?}Bz/~Cd{:W5MZ(}E#Ʈm+a3HwTIgV'n"4d]ti(V@t@,YϛY/W+wQHS\S*ϔ@;M`8Z{?P8gW맟h wXOYD J:jVW:LL/xFӂ HށGaM/e+ :H>'ֶas}AO ԟiyf돦iݦ=@:8y x 8|5z8zRБ 4,`G<t}o0@? ֭ZgFUfAt$̳|U6(z5e H"XS@; xd&;zw2@ɷ5nkߔ5ݷV~vkڶ6fpdWA_#@,Y]T]wZ3|x꩹Y $!:n_r<冲 i,ǃmWUXCgAwT0m͍te _(gF=/ x:"=.MFZ>ê.fwid冸@E^yHvH`Zh@,:% '#m-kjOa'ۭid‘]ާj`܈Z=oɴk\WkͱkUQv2 `5nkߔ5*E$UЊ%*7gG+<'dPso}e1y>ы㫗o_螟|ǿW4+n~tדkhb*|,cc$dXE!!y&]=EÔtp {eVę;/\Ora'H{m$DugV {5ge%_p! =O! )ܽ tOTaB{IY4f] lX%EN\{`sϲ<N7MVFj4iԅAÿ4@,;oz=UGS ZѼJX@30Zwߓ:)@7-yxSo- Ua"+^oU%%d|a+ZgFUfA R ĿKHeTeν3"_8ͣ|Z. %@4uW͵jk؄g@ 5.@wWs?֕ hTO|Pbgqhˏ(0HH[ˎ+2) SInpC4 Z<E5羷'=aP$Mb /,(s#X #5}4[jBl9ӣMw_zH[>|r>[lijF*-r"Ö6tLtӆC6y@kYYpRrd){V\@xiIj3 fά`?Qoz~TǪT[-^Ol=*Ft?u q&* t@:X8hZe>tA9h3ƮMMƱ? ZH'g*hۃ2"?H6 R2{G?hKB%j>l@r,DoGxiSuMMdG` ^̗ \ d,o!:=yufTexNY< 9E֞k8Z-i!SH [ WD vU~1"N3M vy$ ~qVOԙc+*h珄"׋#7q΋8Ӣ$XLF[GylVb\č:r7^o駟q{r0:[]k|:/ &?6It*1H@&ֶ3g̵l)-eMRQ0KTwferCX{~Npʑ?0?7 qc_ho@ԯ64q*bq33:fTS}5Yٽ3gnX͉Aޗ1ſn8ۃ0M=4+ ~ uT@ZسV(kf(N硻uy'XaP a&e ӈX@,(t'C+ilm = 5Oc.t>鱛~7M~y9>t{S2pfdXEq@kMm\Upm-+,zRKE\F46b:r; ZUu3*7*ziX(I2-ʴ|:ٳ\j(A% pk{jO=,֦/4OW{BZIcbp^# E>((җ jSנ:bZȚ6` dʵtT@| '#mOZ|F}b"u #@^SCm2?keW. y~h1-1m6gVup -@K2 n෺ 8.#B s;o: 7pf=u-E9k9Znz=Gc7N9'WGIVזT]Zv\ 6y4qLLYznQ6Áf8?~_f;_L_n2axHoKM{z"VI:erth`YR:KI%Xb-C?G~8\ }D(*0HH[L\e?ؚM>.IshVܞ v{\k^F*6?FaQ/ Y= H4/J=V6³9H<Ԟ+{:YM#gzԸK}s_ҔkbZT6.Olj-0 3Bspݳ]E !nGH|puy:@4-rUr?2}]WI ;-kڌY3+-Q~]t`P3{8Yz*Iq:,ERR thЏN *5cpwߓ(E?iiCQM60ZiEZ'm&oM&L/z޿8wy(;ɐeѤ_^JiFI14eM$蠓&罛a/ϬY?֣Mw_zڬ:>I!׳a寚m,<;& /v9gA]@wG5|SCduOյ+7:lSCcp[D'=aP$Mb ԟ78^VP;iZaFOfk[M]G&Gg;h"5t"5sW0Wi :n o갤[ph677sU Qp:5TwYˌW *bc ݱ ʍt_qhq"_M? r_RU:֋/qӓrZv4 t*~wo֙Q9qnmSOEHbzz!\^ƒ|ɦHݥ~˰L՗/g밇P_Swpn\,mR`8 Sſ&ÙZSk|B>`B Zќxbqx?kXfcK{lSg.&.ur.`4Ks-'O}\_lM_O !W̨8H7?` }5 VAeTe~ӓje6ecWfvtb5 =<Ԟ+{:YM#/uat/(\^*7M6䋓Yqf^8q#\Rid}U?{&MO8 &gzԸK}S4{`/,El]Ea _ ])̕8Æ$j)@{#@9#c,oGvp,3J2=jt׾_;SO$O~acX8Ԯ].P@z < IA3-<`G*)j5A]Hjoh̎HqoGώ/ga '9'I֋ēMkp }4@ %u"hyx7-F@G6Ij3 fά`B2I蜣lSe+ >sǃ8LMDφC:ۍY,xN;MtC:d( R2@|>RO8a=Vnȸqq&g䏆(`Q0 J1yJ0 F9fy&E%F&ף` њK__!<@-?D'3(J!/3 $(_W[Z5z(j+L k A Judicial Physique Blow to the ACA – Insurance Info News
Home Health Insurance A Judicial Physique Blow to the ACA

A Judicial Physique Blow to the ACA

admin
-
0
A Judicial Physique Blow to the ACA

[ad_1]

The Host

Julie Rovner
KHN


@jrovner


Learn Julie’s tales.

Julie Rovner is chief Washington correspondent and host of KHN’s weekly well being coverage information podcast, “What the Well being?” A famous skilled on well being coverage points, Julie is the writer of the critically praised reference e-book “Well being Care Politics and Coverage A to Z,” now in its third version.

Opponents of the Inexpensive Care Act might have stopped attempting to overturn the complete regulation in court docket, however they haven’t stopped difficult items of it — they usually have discovered an ally in Fort Value, Texas: U.S. District Choose Reed O’Connor. In 2018, O’Connor held that the complete ACA was unconstitutional — a ruling ultimately overturned by the Supreme Court docket. Now the choose has discovered that a part of the regulation’s requirement for insurers to cowl preventive care with out copays violates a federal non secular freedom regulation.

In a lift for the well being regulation, although, North Carolina has turn into the fortieth state to increase the Medicaid program to lower-income individuals who had been beforehand ineligible. Regardless that the federal authorities pays 90% of the price of growth, a broad swath of states — principally within the South — have resisted widening eligibility for this system.

This week’s panelists are Julie Rovner of KHN, Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Sandhya Raman of CQ Roll Name.

Panelists

Rachel Cohrs
Stat Information


@rachelcohrs


Learn Rachel’s tales

Alice Miranda Ollstein
Politico


@AliceOllstein


Learn Alice’s tales

Sandhya Raman
CQ Roll Name


@SandhyaWrites


Learn Sandhya’s tales

Among the many takeaways from this week’s episode:

  • Thursday’s resolution out of Texas impacts well being plans nationwide and is anticipated to disrupt the medical health insurance market, which for years has offered preventive care with out price sharing underneath the ACA. Even when the choice survives a probable attraction, insurers may proceed providing the favored, usually not-so-costly advantages, however they might now not be required to take action.
  • The choice, which discovered that the U.S. Preventive Companies Process Drive can’t mandate protection necessities, hinges on non secular freedom objections to plans overlaying PrEP, the HIV medicine, alongside different preventive care.
  • Talking of the ACA, this week North Carolina turned the newest state to increase Medicaid protection underneath the well being regulation, which can render an estimated 600,000 residents newly eligible for this system. The event comes amid studies about hospitals struggling to cowl uncompensated care, significantly within the 10 states which have resisted increasing Medicaid.
  • Pushback in opposition to Medicaid growth has contributed through the years to a yawning protection divide between politically “blue” and “purple” states, with liberal-leaning states pushing to cowl extra companies and other people, whereas conservative-leaning states residence in on insurance policies that restrict protection, like work necessities.
  • On the abortion entrance, state attorneys basic are difficult the FDA’s authority on the abortion tablet — not solely in Texas, but additionally in Washington state, the place Democratic state officers are preventing the FDA’s current restrictions on prescribing and shelling out the drug. The Biden administration has adopted an analogous argument because it has within the Texas case difficult the company’s unique approval of the abortion tablet: Let the FDA do its job and impose restrictions it deems acceptable, the administration says.
  • The FDA is poised to make a long-awaited resolution on an over-the-counter contraception tablet, an possibility already accessible in different international locations. One key unknown, although, is whether or not the company would impose age restrictions on entry to it.
  • And as of this week, 160 Protection Division promotions have stalled over one Republican senator’s objections to a Pentagon coverage concerning federal funds to service members touring to acquire abortions.

Plus, for “further credit score,” the panelists recommend well being coverage tales they learn this week that they assume it is best to learn, too:

Julie Rovner: New York Journal/The Reduce’s “Abortion Wins Elections: The Battle to Make Reproductive Rights the Centerpiece of the Democratic Social gathering’s 2024 Agenda,” by Rebecca Traister.

Alice Miranda Ollstein: Stat’s “How the Drug Business Makes use of Concern of Fentanyl to Extract Extra Revenue From Naloxone,” by Lev Facher.

Rachel Cohrs: The Washington Put up’s “These Ladies Survived Fight. Then They Needed to Battle for Well being Care,” by Hope Hodge Seck.

Sandhya Raman: Capital B’s “What the Covid-19 Pandemic and Mpox Outbreak Taught Us About Decreasing Well being Disparities,” by Margo Snipe and Kenya Hunter.

Additionally talked about on this week’s podcast:

click on to open the transcript

Transcript: A Judicial Physique Blow to the ACA

KHN’s ‘What the Well being?’Episode Title: A Judicial Physique Blow to the ACAEpisode Quantity: 291Printed: March 30, 2023

[Editor’s note: This transcript, generated using transcription software, has been edited for style and clarity.]

Julie Rovner: Howdy and welcome again to KHN’s “What the Well being?” I’m Julie Rovner, chief Washington correspondent at Kaiser Well being Information. And I’m joined by a number of the greatest and smartest well being reporters in Washington. We’re taping this week on Thursday, March 30, at 11 a.m. As all the time, information occurs quick, and issues may need modified by the point you hear this. So right here we go. At this time we’re joined through video convention by Alice Miranda Ollstein of Politico.

Alice Miranda Ollstein: Good morning.

Rovner: Sandhya Raman of CQ Roll Name.

Sandhya Raman: Good morning.

Rovner: And completely happy birthday to you.

Raman: Thanks.

Rovner: And Rachel Cohrs of Stat Information.

Rachel Cohrs: Hello, all people.

Rovner: We’ve acquired breaking information, so we’ll get proper to it. In Texas, we’ve acquired a serious resolution from a federal choose with nationwide implications. No, not the abortion tablet case — that’s nonetheless on the market. This time, Choose Reed O’Connor has dominated that the Inexpensive Care Act can’t require protection of preventive companies really useful by the [U.S.] Preventive Companies Process Drive as a result of the PSTF, as an impartial advisory board, can’t legally mandate something. This case was particularly — though it was about a whole lot of issues — but it surely was principally about employers who didn’t need to cowl preexposure prophylaxis [PrEP] for individuals at excessive threat of HIV as a result of it violated their non secular beliefs. And if the identify Reed O’Connor sounds acquainted, that’s as a result of he’s the identical choose who dominated in 2018 that the complete Inexpensive Care Act was unconstitutional, a discovering that wasn’t formally overturned till it acquired to the Supreme Court docket. Alice, you’ve been following this case. What occurs now?

Ollstein: I’m anticipating the Biden administration to attraction at lightning pace, though that attraction will go to the fifth Circuit, which may be very right-leaning. It’s dominated to chip away on the Inexpensive Care Act up to now. So who actually is aware of what is going to occur there? However yeah, that is actually enormous. That is saying that this board that has determined what companies insurance coverage firms must cowl free of charge, with no price sharing, going all the best way again to 2010 is just not constitutional, and thus what they are saying can’t be enforced. And so this throws the insurance coverage market right into a little bit of chaos.

Rovner: Yeah, though one would assume that it wouldn’t have an effect on this yr’s insurance policies — I imply, for people who find themselves going to be anxious that swiftly, you already know, oh my God, I scheduled my mammogram and now my insurer won’t pay for it. It’s not going to be that speedy, proper?

Ollstein: We’re not anticipating that. I imply, we’re anticipating the Biden administration to ask for courts to remain the influence of the ruling till additional arguments and appeals might be made. However we actually don’t know at this level. And I’ll say, you already know, I’ve seen some misinformation on the market about how the ruling offers with contraception. They do not block the contraception mandate. That’s associated to this case, however the court docket didn’t settle for that a part of the challengers’ claims.

Rovner: Yeah, we should always say there are a bunch of various claims and the choose solely accepted a few them. It may have been even broader. However, you already know, not like the earlier Inexpensive Care Act instances, this one doesn’t threaten the complete regulation, but it surely does threaten one of many regulation’s hottest items, these necessities that plans cowl preventive care that’s been proven to be cost-effective. This might be an uncomfortable case for the Supreme Court docket, assuming it will get there, couldn’t it?

Cohrs: It might be an uncomfortable case for the Supreme Court docket, but it surely’s additionally uncomfortable for insurers, too, who’ve promised this. Folks have come to anticipate it. And whether it is cost-effective, I imply, definitely there could also be plans that, you already know, make selections to limit protection or impose some price sharing. If this stands, if that is utilized nationwide — once more, very massive ifs at this level — but when these actually are cost-effective, then it’s sort of an open query what insurers will select to do, as a result of clearly they need individuals to enroll of their plans as effectively.

Rovner: Yeah, I used to be going to say, I may see insurers form of deciding as a bunch that we’re going to maintain offering these items, as you say, Rachel, as a result of they need, you already know, they need to appeal to prospects, as a result of for probably the most half it’s not that costly. I imply, clearly, you already know, issues like colonoscopies can run into the hundreds of {dollars}, however a whole lot of this stuff are, if not de minimis, then simply not very costly. And, as I discussed, they’re very fashionable. So it’s potential that, regardless that they might strike down the mandate, there received’t be as a lot of an influence from this as some individuals are saying. However, as Alice factors out, we don’t actually know something at this level.

Ollstein: And I feel a number of the concern is the sort of risk-pool sorting we used to see, you already know. So the challengers stated that their proper to buy insurance coverage that doesn’t cowl sure issues was being infringed upon. And so if insurers begin to create separate plans, a few of which cowl all types of preventive care, together with sexual well being care, and separate ones that don’t, and individuals who don’t assume they want a whole lot of stuff, you already know, type themselves into some plans and never others, you’ll be able to see that mirrored in premiums that would result in a number of the main pre-ACA issues we used to see.

Rovner: If the concept that anyone doesn’t like one thing and due to this fact can’t purchase one thing with out it, you’ll be able to see that resulting in all types of issues down the road about individuals saying, effectively, “I don’t like that drugstores promote condoms, so due to this fact I ought to have the ability to go to a drugstore that doesn’t promote condoms,” though that’s not a mandate. However you’ll be able to see that this might stretch very far with individuals’s non secular beliefs. And certainly, the idea of this declare is that this violated the Non secular Freedom Restoration Act. That’s one of many issues that Choose O’Connor discovered, and that might be taken to fairly the intense, I think about.

Ollstein: Proper. I imply, they weren’t required to truly buy PrEP. They weren’t required to make use of it. They weren’t required to prescribe it. Simply the insurance coverage firm was required to cowl it together with every thing else they cowl. And the oldsters stated even buying insurance coverage that had that as one of many issues it may conceivably cowl violated their non secular rights.

Rovner: Sure. And this goes again to the contraceptive instances, the place the non secular group stated that, you already know, by having contraception of their plans, it made them complicit in one thing that they thought was a sin. And that’s precisely what’s being confused right here, even among the many particular person plaintiffs: that having to purchase insurance coverage that has these advantages, even when they don’t use them, makes them complicit in, principally, intercourse exterior of marriage. I imply, that’s what’s within the resolution. It’s fairly a attain. I’ll have an interest to see, as this goes up, what individuals consider it. So, earlier than we acquired Choose O’Connor’s opinion, what I believed could be the largest information of the week comes from North Carolina, which on Monday turned the fortieth state to increase Medicaid underneath the Inexpensive Care Act, to cowl individuals with incomes as much as 138% of poverty. That’s about $20,000 in 2023. Properly, it’s virtually there. The newly eligible 600,000 individuals received’t have the ability to join till the legislature approves a finances, which is probably going later this spring. North Carolina increasing this system leaves solely a swath of states throughout the South, together with Florida, Georgia, and Texas, and a pair within the Nice Plains as nonetheless holding out on a 90% federal match. Is anybody else on the horizon or is that this going to be it for some time?

Raman: I feel one factor to notice about how that is taking place is that North Carolina was ready to do that lastly by way of the legislature after like a yearslong course of. And it has been more and more uncommon for this to occur by way of the legislature. The final time was Virginia, in 2018, however each different state that has carried out it in recent times has all been by way of poll initiative and going that route. And the ten holdouts that we’ve got, you already know, we’ve got Republican-controlled legislatures who’ve been fairly in opposition to doing this. So I feel if any of these states had been to have the ability to try this at this level that haven’t been tempted by, you already know, any of the incentives … [unintelligible] … get a better match charge or something like that, it must be by way of the poll, which is already a tough course of, can take years. There have been varied roadblocks to push again and even a number of the states up to now which were in a position to get it by way of poll initiative — a number of the legislatures afterwards have tried to love push again on it — after we noticed with Utah a couple of years in the past, the place even when the voters had voted that they needed to increase, they needed to sort of pull it again.

Rovner: We thought in Maine, the place the governor blocked it till principally he was out of workplace.

Raman: Yeah.

Ollstein: And in Missouri, the place they only refused to fund it.

Raman: Yeah, so I feel that’ll be positively one thing to observe with how the finances goes within the subsequent few months. However I assume, at the least with North Carolina, this was one thing that was bipartisan. It was spearheaded within the legislature by Republicans, so I feel they won’t have the identical points there than Missouri, but it surely’s a tricky haul to get the remaining 10 at this level after this a few years.

Rovner: Yeah, I really feel like North Carolina is rather more like Virginia, which is that, lastly, after a whole lot of sporting down, the Republican legislature and the Democratic governor had been in a position to come to some sort of settlement. That’s what occurred in Virginia. And that appears to be what’s occurred right here in North Carolina. In the meantime, in these 10 states, hospitals which find yourself offering free care to individuals who can’t pay aren’t doing so effectively. In Florida, the state’s hospital affiliation has been all however begging the state authorities to increase Medicaid just about because it was accessible to them, which is now happening 13 years. In keeping with the American Hospital Affiliation, 74% of rural hospital closures across the nation befell in states that haven’t expanded Medicaid or the place growth had been in place for lower than a yr. And the New York Instances has a narrative this week concerning the toll that that lack of insurance coverage is taking — I’m sorry — and the New York Instances has a story this week concerning the toll that lack of insurance coverage for the working poor is taking there, not simply on the state’s hospitals, however on the well being of the state’s inhabitants. Lawmakers in these states are very completely happy to take federal cash for all method of issues. What’s it about this Medicaid growth that’s making them say, “No, no, no”?

Raman: This was one thing that got here up this week within the Home. Appropriations’ Labor, HHS, Schooling Subcommittee had a listening to this week particularly on rural communities and a number of the points they face. And Medicaid growth clearly did give you a number of the witnesses and a number of the lawmakers as one thing that may be useful given the variety of hospital closures they’ve seen, and there would possibly solely be one well being care facility for miles or in a county, and simply how it will be serving to them to sort of relieve paying for the uncompensated care that they’re already coping with, you already know, highlighted plenty of the problems there. So it’s one thing that comes up, however I feel one of many pushbacks that we noticed was, you already know, once more, that it’s a) tied to the Inexpensive Care Act, which has been such a partisan back-and-forth since its inception, after which b) simply the messaging has all the time been about the price. I imply, even when the final consensus is that it does lower your expenses over time for taking good care of that care, one thing that got here up was why states get extra of a reimbursement for growth than they do for conventional Medicaid. That was introduced up a pair occasions, issues like that. And so I feel it’s onerous to get a few of these people on board simply due to how partisan it has turn into.

Rovner: Yeah, I bear in mind I watched the listening to in Wyoming on this final yr. They didn’t need to do it, it appeared, extra for ideology. I imply, a whole lot of states which are doing this, you already know, you’ll be able to levy a tax on hospitals and nursing houses, who’re completely happy to pay the tax as a result of they’re now getting paid for these sufferers who couldn’t pay. And the state’s actually not out-of-pocket, because it had been, in any respect. However and but, as we level out, these final 10 states, together with a number of the actually massive ones, have but to truly succumb to this. Properly, whereas we’re speaking about Medicaid, there have been a few attention-grabbing tales from my KHN colleagues up to now few weeks about so-called social determinants of well being, these not strictly medical interventions which have a big effect on how sick or wholesome individuals are. In California, Democratic Gov. Gavin Newsom needs to make use of Medicaid to pay for six months of lease or short-term housing for homeless individuals. And in Montana, well being professionals can now prescribe vouchers for fruit and greens for sufferers with little entry to contemporary meals. Is that this the wave of the long run, or will those that need to shrink moderately than increase the welfare state and authorities normally roll packages like these again?

Cohrs: I feel there definitely is a development, a whole lot of momentum behind the thought of meals as drugs and, you already know, transferring away and exploring a few of these non-medication therapies or a few of these underlying explanation why individuals do have well being points. I feel definitely assist for the Medicaid program goes to be a hot-button subject in D.C. over the subsequent few months, however there’s a lot that states can do on their very own as effectively. And I do know states have, you already know, packages to sort of cowl those who fall between the cracks of conventional insurance coverage packages. California has a strong program for that, the native ranges as effectively. So I feel there could also be methods to get round that, even when we do see some extra restrictions. And once more, the administration is Democratic at this level, so I feel they might be friendlier to a few of these improvements than prior ones, and that would change at any time. However this definitely isn’t one thing that’s going to go away.

Rovner: I ponder if we’re going to finish up with blue states having all of those extra strong professional — I imply, we have already got blue states with extra strong packages, however blue states having these extra inclusive packages and purple states not. Alice, you’re nodding.

Ollstein: Completely. And that’s been the development for some time, but it surely may even speed up now, I feel, and also you’re seeing that on each side, with blue states seeking to cowl an increasing number of issues; additionally seeking to cowl an increasing number of individuals, together with undocumented individuals. That’s one other development in Medicaid. On the identical time, you’ve purple states which have lengthy explored find out how to cowl fewer and fewer, you already know, attempting to vary the revenue eligibility threshold for expanded Medicaid, attempting to do work necessities, attempting to do, like, different restrictions. And so I feel the patchwork and the divide is simply going to proceed.

Rovner: Properly, transferring on to abortion this week, we’re nonetheless ready, as I stated, for that different resolution out of Texas that would influence the way forward for the abortion tablet mifepristone. However Alice, there’s one other case on the different finish of the nation that would have one thing to say concerning the Texas case. What’s happening in Washington state?

Ollstein: This one has actually flown underneath the radar. So that is an attention-grabbing scenario the place the identical — a whole lot of the identical Democratic attorneys basic who had been siding with the Biden administration within the Texas case are difficult the Biden administration in a unique case in Washington state, principally saying that the remaining federal restrictions on abortion tablets — primarily that suppliers must get licensed as a way to prescribe the medication or dispense them — saying that that needs to be tossed out, that it’s not supported by drugs and science. And so it’s attention-grabbing as a result of you’ve the Biden administration preventing again in opposition to an effort to make the tablets extra accessible, which isn’t what lots of people anticipate. It goes form of in opposition to their rhetoric in current months; they’ve talked about eager to make the tablets extra accessible they usually’re opposing an effort that may try this. However it’s considerably per their place within the Texas case, which is, they’re saying, “Look, that is the FDA’s job. Let the FDA do its job. The FDA has a course of, got here up with these guidelines, removed some, saved others, and also you exterior people don’t have the correct to problem and overturn it.”

Rovner: So what occurs if the judges in each of those instances discover for the plaintiffs, which might be sort of, however not utterly, conflicting?

Ollstein: Yeah, so the Washington state case may simply apply to the dozen states which are a part of the problem. And so you may have, once more, extra of a patchwork through which the abortion tablets turn into much more accessible in these blue states and even much less accessible in different states. You can even have these competing rulings that in the end set off Supreme Court docket evaluation.

Rovner: Yeah, it’s not precisely a circuit break up as a result of it wouldn’t be reverse choices on the identical case; they’re totally different instances right here. However as you level out, it’s actually a case difficult the authority of the FDA to do what the FDA does. So it’s going to be actually attention-grabbing to observe how this all performs out. Whereas the way forward for mifepristone stays unsure, the FDA goes to contemplate making at the least one contraception tablet over-the-counter. We all know that morning-after tablets, that are excessive doses of normal contraception tablets, are already accessible with out a prescription. So why hasn’t there been an over-the-counter contraception tablet till now?

Ollstein: All the pieces regarding contraception, emergency contraception, abortion, it simply — these fights drag on for years and years and years. So lastly, we appear to be on the cusp of getting a call on this. It’s anticipated, from most individuals I’ve talked to, that they are going to approve this over-the-counter contraception. There’s a whole lot of knowledge from world wide. Numerous different international locations have already got this. And one key unknown is whether or not the FDA will keep an age restriction on it. Numerous progressive advocates are not looking for an age restriction as a result of they assume that that is essential to assist teenagers forestall undesirable pregnancies. And I feel that’s going to be an enormous piece of the struggle that I’m watching.

Rovner: And oh, my goodness, it was that age restriction that held up the over-the-counter morning-after tablet for years. That was like a 13-year course of to get that over-the-counter. It went on and on and on, and I coated it. All proper. Properly, there’s abortion-related motion on Capitol Hill too this week. We’ve acquired a possible abortion standoff brewing within the Senate over reproductive well being coverage on the Division of Protection. Who needs to speak about that one?

Raman: This one has been, I feel, actually attention-grabbing, since we’re all well being reporters. And it’s been actually one thing that I feel my protection colleagues have been following so intently. However we’ve got Senator Tuberville, who’s been holding up navy nominations as a result of the Pentagon has a coverage that enables, you already know, service members depart for reproductive care and it covers journey to hunt an abortion. And so —

Rovner: Though it nonetheless doesn’t pay for the abortion.

Raman: It doesn’t pay for the abortions. It’s for the journey. And so I do know that my colleagues have checked out this and the way this level, like, each side have been getting slightly annoyed, you already know, with even some senators saying, “Hey, I agree that I don’t like this coverage, however you have to discover one other means,” as a result of as of earlier this week 160 promotions have been stalled. And so it’s simply been sort of ramping up and holding up a whole lot of people for sort of an uncommon methodology.

Rovner: Yeah, and the protection secretary saying, I imply, this threatens nationwide safety as a result of these are promotions — are essential promotions. Flag officers, these should not, you already know, simply form of — they’re routine, however they’re, you already know, but when they don’t occur, in the event that they get stalled, it’s an issue. In all of my years of seeing anti-abortion senators maintain up issues, this isn’t one I’ve seen earlier than. It’s at the least — it’s form of new and imaginative, and I assume we’ll see how that performs out. Again within the states, although, evidently the efforts to limit reproductive rights are getting very excessive, very quick. Sure, the Oklahoma Supreme Court docket dominated earlier this month {that a} pregnant lady does have a proper to an abortion when persevering with the being pregnant threatens her life. However 4 of the 9 justices there didn’t even need to go that far, suggesting that the legislature has the correct to principally require saving the fetus even at the price of the pregnant individual’s life. In Texas, a lawsuit through which the ex-husband is suing the good friend of his ex-wife for the wrongful demise of his baby for serving to her get abortion medicine is setting the stage for the so-called personhood debate: the concept that a brand new individual with full authorized proper is created upon fertilization of an egg by sperm. Over the previous few many years, a number of states have rejected personhood poll measures as a bridge too far. But it surely appears like all bets are off now. I imply, it’s form of like a race to see who might be probably the most excessive state.

Ollstein: I feel the developments are revealing some attention-grabbing issues. I imply, one, anti-abortion people are effectively conscious that individuals are nonetheless getting abortions, primarily in one among two methods: both touring out of state or ordering tablets on-line and taking them at residence, each of that are very tough to implement and cease. And so there’s simply a whole lot of, like, throwing spaghetti in opposition to the wall and seeing what sticks, by way of, can we truly criminalize both of these issues? If that’s the case, how is it enforced, or does it even have to be enforced? Or is simply the worry and the chilling impact sufficient? I imply, we positively see that. We positively see medical suppliers holding off on doing even completely authorized issues due to worry and the chilling impact. And so there’s simply a whole lot of experimentation on the state stage proper now.

Rovner: Yeah, I forgot to say Idaho, the place the legislature launched a invoice that may make it against the law — that creates abortion trafficking as against the law — for somebody to take a minor, it’s not likely throughout state traces, as a result of the state can’t try this, so it’s like taking the minor to the border in an effort to cross state traces to get an abortion. There was, for a few years within the late Nineteen Nineties and early 2000s, one thing referred to as the Youngster Custody Safety Act in Congress, as a result of they wanted that for the interstate a part of it, that may make it against the law to take a minor throughout state traces in violation of the house state’s parental involvement legal guidelines. It handed each the Home and the Senate at varied occasions. It by no means turned regulation. It’s been launched lately, however no person’s tried to take it up lately. I wouldn’t be stunned to see that come again up, too. But it surely actually does appear that every single day there’s one other invoice in one other state legislature that claims — after all of the claims of the anti-abortion motion for many years, that we don’t need to punish the ladies, we solely need to punish the suppliers — that’s gone out the window, proper?

Raman: I assume I might add that, you already know, we’re seeing a whole lot of this exercise now. However one thing that I take into account is {that a}) it’s gotten so much tougher to know what’s going to, you already know, utilizing the spaghetti metaphor that Alice did, like what is going to stick. So there’s simply much more flurry of motion. After which I really feel like I see more and more, you already know, individuals, since they don’t know that, identical to fixating so much on varied issues, simply since you don’t know. I feel, you already know, even a couple of years in the past, there have been a whole lot of issues that may have one sponsor or two sponsors and don’t have any probability of going anyplace, as most payments launched anyplace do. However now, a) a whole lot of this stuff are transferring very, in a short time within the legislature, and b) since we don’t know, it’s onerous to know the place to sort of focus, even to a number of the specialists that I’ve talked to, the place it’s simply, “We’re unsure.” So simply concentrate on all of this stuff in varied locations due to sort of that uncertainty.

Rovner: Yeah, I do know I’m usually loath to speak about payments that acquired launched both in Congress or in state legislatures, as a result of I feel it unnecessarily creates expectations that for probably the most half don’t occur. However as each of you say, a few of these issues are taking place so quick that, when you point out them one week, they’re regulation by the subsequent week. So we’ll see as this continues to maneuver rapidly. All proper. That’s the information for this week. Now it’s time for our further credit score phase. That’s after we every advocate a narrative we learn this week we expect it is best to learn too. As all the time, don’t fear when you miss it. We are going to publish the hyperlinks on the podcast web page at khn.org and in our present notes in your telephone or different cell gadget. Rachel, why don’t you go first this week?

Cohrs: All proper. So my story is from the Washington Put up, and the headline is “These Ladies Survived Fight. Then They Needed to Battle for Well being Care,” by Hope Hodge Seck. And I believed it was only a actually nice function on this very area of interest subject. And I feel veterans’ sort of well being care total simply doesn’t get as a lot protection because it ought to, and —

Rovner: Notably girls’s veteran’s well being care.

Cohrs: Precisely. Sure. And so these girls had been primarily going into fight conditions to assist relations with girls in very conservative cultures, they usually had been uncovered to the grenade blasts and a whole lot of these fight conditions. However then their well being care protection upon returning wasn’t coated. And there’s sort of a brand new invoice with some momentum behind it that’s attempting to plug that loophole. So, yeah, I believed it was a really nice function on a difficulty that’s undercovered.

Rovner: Yeah, this was one thing I knew nothing about till I learn this story. Alice?

Ollstein: I selected a bit by Rachel’s colleague at Stat, Lev Facher, referred to as “How the Drug Business Makes use of Concern of Fentanyl to Extract Extra Revenue From Naloxone.” And that is actually well timed, with the approval this week of over-the-counter opioid-overdose-reverse medicine. And principally it’s about how these drug firms are arising with new types of the drug, actually enormous doses, new supply varieties, injectables, and nasal sprays, and stuff that aren’t actually justified by science and are form of simply a chance for extra revenue as a result of the essential type of the drug that works extraordinarily effectively and may be very inexpensive, they’re principally hyping the worry of fentanyl to attempt to push these stronger merchandise they’re arising with. And the worry is that municipal governments which have restricted assets are going to spend their cash on these not likely justified new varieties and get fewer medicine for everybody than simply utilizing the essential stuff that we all know works.

Rovner: Certainly. Sandhya?

Raman: My further credit score is from Margo Snipe and Kenya Hunter at Capital B, and it’s referred to as “What the Covid-19 Pandemic and Mpox Outbreak Taught Us About Decreasing Well being Disparities.” And I believed this was an attention-grabbing look that they did, highlighting how, you already know, there’s been much more speak concerning the varied well being inequities amongst, you already know, racial and ethnic and sexual minority communities after these two pandemics have began. They usually take a look at how a number of the focused efforts have narrowed a number of the gaps in issues like vaccines, however simply how a few of these classes can be utilized to handle different well being disparities, you already know, issues like neighborhood outreach and increasing sorts of screenings and what number of languages public well being data is translated into and issues like that. So, it’s a superb learn.

Rovner: Properly, my further credit score this week is a protracted learn, a really lengthy learn, by Rebecca Traister in New York Journal, referred to as “Abortion Wins Elections: The Battle to Make Reproductive Rights the Centerpiece of the Democratic Social gathering’s 2024 Agenda.” And whereas I’m unsure I’m shopping for every thing that she’s promoting right here, that is an extremely thorough and attention-grabbing take a look at the previous, current, and presumably way forward for the abortion rights motion on the nationwide, state, and native ranges. If you’re actually on this topic, it’s effectively definitely worth the half hour or so of your time that it takes to get by way of the complete factor. It’s a very, actually good piece. OK, that’s our present for this week. As all the time, when you loved the podcast, you’ll be able to subscribe wherever you get your podcasts. We’d respect it when you left us a evaluation; that helps different individuals discover us too. Particular thanks, as all the time, to our ever-patient producer, Francis Ying. Additionally, as all the time, you’ll be able to e mail us your feedback or questions. We’re at whatthehealth@kff.org. Or you’ll be able to tweet me nonetheless. I’m @jrovner. Alice?

Ollstein: @AliceOllstein.

Rovner: Rachel?

Cohrs: @rachelcohrs.

Rovner: Sandhya?

Raman: @SandhyaWrites.

Rovner: We will probably be again in your feed subsequent week. Till then, be wholesome.

Credit

Francis Ying
Audio producer

Emmarie Huetteman
Editor

To listen to all our podcasts, click on right here.

And subscribe to KHN’s What the Well being? on Spotify, Apple Podcasts, Stitcher, Pocket Casts, or wherever you hearken to podcasts.

KHN (Kaiser Well being Information) is a nationwide newsroom that produces in-depth journalism about well being points. Along with Coverage Evaluation and Polling, KHN is among the three main working packages at KFF (Kaiser Household Basis). KFF is an endowed nonprofit group offering data on well being points to the nation.

USE OUR CONTENT

This story might be republished free of charge (particulars).



[ad_2]

LEAVE A REPLY

Please enter your comment!
Please enter your name here

© Newspaper WordPress Theme by TagDiv