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That said, the process to transfer enrollees to the GIC requires direct negotiation with the local PEC either through coalition bargaining (MGL Chapter 32B, section 19) or by adopting MGL Chapter 32, sections 21-23 which also requires a demonstrated savings of at least 5% to force enrollment in the GIC

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[10][11] DSIP and Depression Scientists have investigated the role of DSIP in altering mitochondrial activity under hypoxic conditions

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