[Federal Register Volume 71, Number 149 (Thursday, August 3, 2006)]
[Proposed Rules]
[Pages 44082-44180]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 06-6614]
[[Page 44081]]
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Part II
Department of Health and Human Services
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Centers for Medicare & Medicaid Services
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42 CFR Parts 414 and 484
Medicare Program; Home Health Prospective Payment System Rate Update
for Calendar Year 2007 and Deficit Reduction Act of 2005 Changes to
Medicare Payment for Oxygen Equipment and Capped Rental Durable Medical
Equipment; Proposed Rule
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 /
Proposed Rules
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 414 and 484
[CMS-1304-P]
RIN 0938-AN76
Medicare Program; Home Health Prospective Payment System Rate
Update for Calendar Year 2007 and Deficit Reduction Act of 2005 Changes
to Medicare Payment for Oxygen Equipment and Capped Rental Durable
Medical Equipment; Proposed Rule
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Proposed rule.
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SUMMARY: This proposed rule would set forth an update to the 60-day
national episode rates and the national per-visit amounts under the
Medicare prospective payment system for home health agencies. In
addition, this proposed rule would set forth policy changes related to
Medicare payment for certain durable medical equipment for the purpose
of implementing sections 1834(a)(5) and 1834(a)(7) of the Social
Security Act, as amended by section 5101 of the Deficit Reduction Act
of 2005. We are also inviting comments on a number of issues including
payments based on reporting quality data and health information
technology, as well as how to improve data transparency for consumers.
DATES: To be assured consideration, comments must be received at one of
the addresses provided below, no later than 5 p.m. on September 25,
2006.
ADDRESSES: In commenting, please refer to file code CMS-1304-P. Because
of staff and resource limitations, we cannot accept comments by
facsimile (FAX) transmission.
You may submit comments in one of four ways (no duplicates,
please):
1. Electronically. You may submit electronic comments on specific
issues in this regulation to http://www.cms.hhs.gov/eRulemaking. Click
on the link ``Submit electronic comments on CMS regulations with an
open comment period.'' (Attachments should be in Microsoft Word,
WordPerfect, or Excel; however, we prefer Microsoft Word.)
2. By regular mail. You may mail written comments (one original and
two copies) to the following address ONLY:
Centers for Medicare & Medicaid Services, Department of Health and
Human Services, Attention: CMS-1304-P, P.O. Box 8014, Baltimore, MD
21244-8014.
Please allow sufficient time for mailed comments to be received
before the close of the comment period.
3. By express or overnight mail. You may send written comments (one
original and two copies) to the following address ONLY:
Centers for Medicare & Medicaid Services, Department of Health and
Human Services, Attention: CMS-1304-P, Mail Stop C4-26-05, 7500
Security Boulevard, Baltimore, MD 21244-1850.
4. By hand or courier. If you prefer, you may deliver (by hand or
courier) your written comments (one original and two copies) before the
close of the comment period to one of the following addresses. If you
intend to deliver your comments to the Baltimore address, please call
telephone number (410) 786-7195 in advance to schedule your arrival
with one of our staff members.
Room 445-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW.,
Washington, DC 20201; or 7500 Security Boulevard, Baltimore, MD 21244-
1850.
(Because access to the interior of the HHH Building is not readily
available to persons without Federal Government identification,
commenters are encouraged to leave their comments in the CMS drop slots
located in the main lobby of the building. A stamp-in clock is
available for persons wishing to retain a proof of filing by stamping
in and retaining an extra copy of the comments being filed.)
Comments mailed to the addresses indicated as appropriate for hand
or courier delivery may be delayed and received after the comment
period.
Submission of comments on paperwork requirements. You may submit
comments on this document's paperwork requirements by mailing your
comments to the addresses provided at the end of the ``Collection of
Information Requirements'' section in this document.
For information on viewing public comments, see the beginning of
the SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT: Randy Throndset, (410) 786-0131, or
Sharon Ventura, (410) 786-1985 (for issues related to the home health
prospective payment system).
Doug Brown, (410) 786-0028 (for issues related to reporting quality
data).
Alexis Meholic, (410) 786-2300 (for issues related to
implementation of section 5101 of the Deficit Reduction Act of 2005).
SUPPLEMENTARY INFORMATION: Submitting Comments: We welcome comments
from the public on all issues set forth in this rule to assist us in
fully considering issues and developing policies. You can assist us by
referencing the file code CMS-1304-P and the specific ``issue
identifier'' that precedes the section on which you choose to comment.
Inspection of Public Comments: All comments received before the
close of the comment period are available for viewing by the public,
including any personally identifiable or confidential business
information that is included in a comment. We post all comments
received before the close of the comment period on the following Web
site as soon as possible after they have been received: http://www.cms.hhs.gov/eRulemaking. Click on the link ``Electronic Comments on
CMS Regulations'' on that Web site to view public comments.
Comments received timely would also be available for public
inspection as they are received, generally beginning approximately 3
weeks after publication of a document, at the headquarters of the
Centers for Medicare & Medicaid Services, 7500 Security Boulevard,
Baltimore, Maryland 21244, Monday through Friday of each week from 8:30
a.m. to 4 p.m. To schedule an appointment to view public comments,
phone 1-800-743-3951.
I. Background
[If you choose to comment on issues in this section, please include
the caption ``BACKGROUND'' at the beginning of your comments.]
A. Statutory Background
The Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), enacted on
August 5, 1997, significantly changed the way Medicare pays for
Medicare home health services. Until the implementation of a home
health prospective payment system (HH PPS) on October 1, 2000, home
health agencies (HHAs) received payment under a cost-based
reimbursement system. Section 4603 of the BBA governed the development
of the HH PPS.
Section 4603(a) of the BBA provides the authority for the
development of a PPS for all Medicare-covered home health services
provided under a plan of care that were paid on a reasonable cost basis
by adding section 1895, entitled ``Prospective Payment For Home Health
Services,'' to the Social Security Act (the Act).
Section 1895(b)(1) of the Act requires the Secretary to establish a
PPS for all
[[Page 44083]]
costs of home health services paid under Medicare.
Section 1895(b)(3)(A) of the Act requires that (1) the computation
of a standard prospective payment amount include all costs of home
health services covered and paid for on a reasonable cost basis and be
initially based on the most recent audited cost report data available
to the Secretary, and (2) the prospective payment amounts be
standardized to eliminate the effects of case-mix and wage levels among
HHAs.
Section 1895(b)(3)(B) of the Act addresses the annual update to the
standard prospective payment amounts by the home health applicable
increase percentage as specified in the statute.
Section 1895(b)(4) of the Act governs the payment computation.
Sections 1895(b)(4)(A)(i) and (b)(4)(A)(ii) of the Act require the
standard prospective payment amount to be adjusted for case-mix and
geographic differences in wage levels. Section 1895(b)(4)(B) of the Act
requires the establishment of an appropriate case-mix adjustment factor
that explains a significant amount of the variation in cost among
different units of services. Similarly, section 1895(b)(4)(C) of the
Act requires the establishment of wage-adjustment factors that reflect
the relative level of wages and wage-related costs applicable to the
furnishing of home health services in a geographic area compared to the
national average applicable level. These wage-adjustment factors may be
the factors used by the Secretary for the different area wage levels
for purposes of section 1886(d)(3)(E) of the Act.
Section 1895(b)(5) of the Act gives the Secretary the option to
grant additions or adjustments to the payment amount otherwise made in
the case of outliers because of unusual variations in the type or
amount of medically necessary care. Total outlier payments in a given
fiscal year cannot exceed 5 percent of total payments projected or
estimated.
On December 8, 2003, the Congress enacted the Medicare Prescription
Drug, Improvement, and Modernization Act (MMA) of 2003 (Pub. L. 108-
173). This legislation affected how we make updates to HH payment
rates.
Section 701 of the MMA changed the yearly update cycle of the HH
PPS rates from that of a fiscal year to a calendar year update cycle
for 2004 and any subsequent year. Generally, section 701(a) of the MMA
changed the references in the statute to refer to the calendar year for
2004 and any subsequent year. The changes resulted in updates to the HH
PPS rates described as ``fiscal year'' updates for 2002 and 2003 and as
``calendar year'' updates for 2004 and any subsequent year (section
1895(b)(3)(B)(i) of the Act). Beginning on January 1, 2005, HH PPS
would now be updated on a calendar year update cycle.
In addition to changing the update cycle for HH PPS rates, section
701 of the MMA made adjustments to the home health applicable increase
percentage for 2004, 2005, and 2006. Specifically, section 701(a)(2)(D)
of the MMA left unchanged the home health market basket update for the
last calendar year quarter of 2003 and the first calendar year quarter
of 2004 (section 1895(b)(3)(B)(ii)(II) of the Act). Furthermore,
section 701(b)(4) of the MMA set the home health applicable percentage
increase for the last 3 quarters of 2004 as the home health market
basket (3.1 percent) minus 0.8 percentage point (section
1895(b)(3)(B)(ii)(III) of the Act). We implemented this provision
through Pub. 100-20, One Time Notification, Transmittal 59, issued
February 20, 2004. Section 701(b)(4) of the MMA also provided that
updates for CY 2005 and CY 2006 would equal the applicable home health
market basket percentage increase minus 0.8 percentage point. Lastly,
section 701(b)(3) of the MMA revised the statute to provide that HH PPS
rates for CY 2007 and any subsequent year would be updated by that
year's home health market basket percentage increase (section
1895(b)(3)(B)(ii)(IV) of the Act).
On February 8, 2006, the Congress enacted the Deficit Reduction Act
(DRA) of 2005 (Pub. L. 109-171). This legislation made additional
changes to HH PPS.
Section 5201 of the DRA changed the CY 2006 update from the
applicable home health market basket percentage increase minus 0.8
percentage point to a 0 percent update.
Section 5201 of the DRA amended section 421(a) of the MMA. The
amended section 421(a) of the MMA requires for home health services
furnished in a rural area (as defined in section 1886(d)(2)(D) of the
Act) on or after January 1, 2006 and before January 1, 2007, that the
Secretary increase the payment amount otherwise made under section 1895
of the Act for those services by 5 percent. The statute waives budget
neutrality for purposes of this increase as it specifically requires
that the Secretary not reduce the standard prospective payment amount
(or amounts) under section 1895 of the Act applicable to home health
services furnished during a period to offset the increase in payments
resulting in the application of this section of the statute.
The 0 percent update to the payment rates and the rural add-on
provisions of the DRA were implemented through Pub. 100-20, One Time
Notification, Transmittal 211 issued February 10, 2006.
In addition, section 5201(c) of the DRA amends the statute to add
section 1895(b)(3)(B)(v) to the Act, requiring HHAs to submit data for
purposes of measuring health care quality. This requirement is
applicable for 2007 and each subsequent year. For 2007 and each
subsequent year, in the case of a HHA that does not submit quality
data, the home health market basket percentage increase would be
reduced by 2 percentage points.
B. Updates
On July 3, 2000, we published a final rule (65 FR 41128) in the
Federal Register to implement the HH PPS legislation. That final rule
established requirements for the new PPS for HHAs as required by
section 4603 of the BBA, and as subsequently amended by section 5101 of
the Omnibus Consolidated and Emergency Supplemental Appropriations Act
(OCESAA) for Fiscal Year 1999 (Pub. L. 105-277), enacted on October 21,
1998; and by sections 302, 305, and 306 of the Medicare, Medicaid, and
SCHIP Balanced Budget Refinement Act (BBRA) of 1999 (Pub. L. 106-113),
enacted on November 29, 1999. The requirements include the
implementation of a PPS for HHAs, consolidated billing requirements,
and a number of other related changes. The PPS described in that rule
replaced the retrospective reasonable-cost-based system that was used
by Medicare for the payment of home health services under Part A and
Part B.
On November 9, 2005, we published a final rule (70 FR 68132), which
set forth an update to the 60-day national episode rates and the
national per-visit amounts under the Medicare prospective payment
system for home health agencies. As part of that final rule, we adopted
revised area labor market Metropolitan Statistical Area designations
for CY 2006. In implementing the new area labor market designations, we
allowed for a one-year transition period. This transition consists of a
blend of 50 percent of the new area labor market designations' wage
index and 50 percent of the previous area labor market designations'
wage index. In addition, we revised the fixed dollar loss ratio, which
is used in the calculation of outlier payments.
C. System for Payment of Home Health Services
Generally, Medicare makes payment under the HH PPS on the basis of
a
[[Page 44084]]
national standardized 60-day episode payment, adjusted for case mix and
wage index. For episodes with four or fewer visits, Medicare pays on
the basis of a national per-visit amount by discipline, referred to as
a low utilization payment adjustment (LUPA). Medicare also adjusts the
60-day episode payment for certain intervening events that give rise to
a partial episode payment adjustment (PEP adjustment) or a significant
change in condition adjustment (SCIC). For certain cases that exceed a
specific cost threshold, an outlier adjustment may also be available.
For a complete and full description of the HH PPS as required by the
BBA and as amended by OCESAA and BBRA, see the July 3, 2000 HH PPS
final rule (65 FR 41128).
D. Changes in Payment for Oxygen and Oxygen Equipment and Other Durable
Medical Equipment (Capped Rental Items)
The Medicare payment rules for durable medical equipment (DME) are
set forth in section 1834(a) of the Act and 42 CFR part 414, subpart D
of our regulations. General payment rules for DME are set forth in
section 1834(a)(1) of the Act and Sec. 414.210 of our regulations, and
Sec. 414.210 also contains paragraphs relating to maintenance and
servicing of items and replacement of items. Specific rules for oxygen
and oxygen equipment are set forth in section 1834(a)(5) of the Act and
Sec. 414.226 of our regulations, and specific rules for capped rental
items are set forth in section 1834(a)(7) of the Act and Sec. 414.229
of our regulations. Rules for determining a period of continuous use
for the rental of DME are set forth in Sec. 414.230 of our
regulations. The Medicare payment basis for DME is equal to 80 percent
of either the lower of the actual charge or the fee schedule amount for
the item. The beneficiary coinsurance is equal to 20 percent of either
the lower of the actual charge or the fee schedule amount for the item.
In accordance with the rules set forth in section 1834(a)(5) of the
Act and Sec. 414.226 of our regulations, since 1989, suppliers have
been paid monthly for furnishing oxygen and oxygen equipment to
Medicare beneficiaries. Suppliers have also been paid an add-on fee for
furnishing portable oxygen equipment to patients when medically
necessary. Before the enactment of the DRA, these monthly payments
continued for the duration of use of the equipment, provided that
Medicare Part B coverage and eligibility criteria were met. Medicare
covers three types of oxygen delivery systems: (1) Stationary or
portable oxygen concentrators, which concentrate oxygen in room air;
(2) stationary or portable liquid oxygen systems, which use oxygen
stored as a very cold liquid in cylinders and tanks; and (3) stationary
or portable gaseous oxygen systems, which administer compressed oxygen
directly from cylinders. Both liquid and gaseous oxygen systems require
delivery of oxygen contents.
Medicare payment for furnishing oxygen and oxygen equipment is made
on a monthly basis and the fee schedule amounts vary by State. Payment
for oxygen contents for both stationary and portable equipment is
included in the fee schedule allowances for stationary equipment.
Medicare fee schedules for home oxygen equipment are modality neutral;
meaning that in a given State, there is one fee schedule amount that
applies to all stationary systems and one fee schedule amount that
applies to all portable systems.
Effective January 1, 2006, section 5101(b) of the DRA amended the
Act at section 1834(a)(5) of the Act, limiting to 36 months the total
number of continuous months for which Medicare will pay for oxygen
equipment on a rental basis. At the end of the 36-month period, this
section mandates that the supplier transfer title to the stationary and
portable oxygen equipment to the beneficiary. Section 5101(b) of the
DRA does not, however, limit the number of months for which Medicare
will pay for oxygen contents for beneficiary-owned stationary or
portable gaseous or liquid systems, and payment will continue to be
made as long as the oxygen remains medically necessary. Section 5101(b)
of the DRA also provides that payment for reasonable and necessary
maintenance and servicing of beneficiary-owned oxygen equipment will be
made for parts and labor not covered by a supplier's or manufacturer's
warranty. In the case of beneficiaries using oxygen equipment on
December 31, 2005, the 36-month rental period prescribed by the DRA
begins on January 1, 2006.
In accordance with the rules set forth in section 1834(a)(7) of the
Act and Sec. 414.229 of our regulations, before the enactment of the
DRA, suppliers of capped rental items (that is, other DME not described
in paragraphs (2) through (6) of section 1834(a) of the Act) were paid
on a rental or purchase option basis. Payment for most items in the
capped rental category was made on a monthly rental basis, with rental
payments being capped at 15 months or 13 months, depending on whether
the beneficiary chose to continue renting the item or to take over
ownership of the item through the ``purchase option.'' For all capped
rental items, the supplier was required to inform the beneficiary of
his or her purchase option, during the 10th rental month, to enter into
a purchase agreement under which the supplier would transfer title to
the item to the beneficiary on the first day after the 13th continuous
month during which payment was made for the rental of the item.
Therefore, if the beneficiary chose the purchase option, rental
payments to the supplier would continue through the 13th month of
continuous use of the equipment, after which time title to the
equipment would transfer from the supplier to the beneficiary. Medicare
would also make payment for any reasonable and necessary repair or
maintenance and servicing of the equipment following the transfer of
title. If the beneficiary did not choose the purchase option, rental
payments would continue through the 15th month of continuous use. In
these cases, suppliers would maintain title to the equipment but would
have to continue furnishing the item to the beneficiary as long as
medically necessity continued. Beginning 6 months after the 15th month
of continuous use in which payment was made, Medicare would also make
semi-annual maintenance and servicing payments to suppliers. These
payments were approximately equal to 10 percent of the purchase price
for the equipment as determined by the statute. Total Medicare payments
made through the 13th and 15th months of rental equal 105 and 120
percent, respectively, of the purchase price for the equipment.
In the case of power-driven wheelchairs, since 1989 payment has
also been made on a lump-sum purchase basis at the time that the item
is initially furnished to the beneficiary if the beneficiary chooses to
obtain the item in this manner. Most beneficiaries choose to obtain
power-driven wheelchairs via this lump-sum purchase option.
Effective for items for which the first rental month occurs on or
after January 1, 2006, section 5101(a) of the DRA of 2005 amended
section 1834(a)(7) of the Act, limiting to 13 months the total number
of continuous months for which Medicare will pay for DME in this
category. After a 13-month period of continuous use during which rental
payments are made, the statute requires that the supplier transfer
title to the equipment to the beneficiary. Beneficiaries may still
elect to obtain power-driven wheelchairs on a lump-sum purchase
agreement basis. In all cases, payment for reasonable and necessary
maintenance and servicing of beneficiary-owned equipment will be made
for parts and labor not covered by
[[Page 44085]]
the supplier's or manufacturer's warranty.
II. Provisions of the Proposed Regulations
[If you choose to comment on issues in this section, please include
the caption ``PROVISIONS OF THE PROPOSED REGULATIONS'' at the beginning
of your comments.]
A. National Standardized 60-Day Episode Rate
Medicare HH PPS has been effective since October 1, 2000. As set
forth in the final rule published July 3, 2000 in the Federal Register
(65 FR 41128), the unit of payment under Medicare HH PPS is a national
standardized 60-day episode rate. As set forth in Sec. 484.220, we
adjust the national standardized 60-day episode rate by a case mix
grouping and a wage index value based on the site of service for the
beneficiary. The proposed CY 2007 HH PPS rates use the same case-mix
methodology and application of the wage index adjustment to the labor
portion of the HH PPS rates as set forth in the July 3, 2000 final
rule. In the October 22, 2004 final rule, we rebased and revised the
home health market basket, resulting in a labor-related share of 76.775
percent and a non-labor portion of 23.225 percent (69 FR 62126). We
multiply the national 60-day episode rate by the patient's applicable
case-mix weight. We divide the case-mix adjusted amount into a labor
and non-labor portion. We multiply the labor portion by the applicable
wage index based on the site of service of the beneficiary.
As required by section 1895(b)(3)(B) of the Act, we have updated
the HH PPS rates annually in a separate Federal Register document.
Section 484.225 sets forth the specific annual percentage update. To
reflect section 1895(b)(3)(B)(v) of the Act, as added by section 5201
of the DRA, in Sec. 484.225, we are proposing to revise paragraph (g)
as follows:
(g) For 2007 and subsequent calendar years, the unadjusted
national rate is equal to the rate for the previous calendar year
increased by the applicable home health market basket index amount
unless the HHA has not submitted quality data in which case the
unadjusted national rate is equal to the rate for the previous
calendar year increased by the applicable home health market basket
index amount minus 2 percentage points.
For CY 2007, we are proposing to use again the design and case-mix
methodology described in section III.G of the HH PPS July 3, 2000 final
rule (65 FR 41192 through 41203). For CY 2007, we are proposing to base
the wage index adjustment to the labor portion of the PPS rates on the
most recent pre-floor and pre-reclassified hospital wage index as
discussed in section II.F. of this proposed rule (not including any
reclassifications under section 1886(d)(8)(B) of the Act).
As discussed in the July 3, 2000 HH PPS final rule, for episodes
with four or fewer visits, Medicare pays the national per-visit amount
by discipline, referred to as a LUPA. We update the national per-visit
amounts by discipline annually by the applicable home health market
basket percentage. We adjust the national per-visit amount by the
appropriate wage index based on the site of service for the beneficiary
as set forth in Sec. 484.230. We propose to adjust the labor portion
of the updated national per-visit amounts by discipline used to
calculate the LUPA by the most recent pre-floor and pre-reclassified
hospital wage index, as discussed in section II.F of this proposed
rule.
Medicare pays the 60-day case-mix and wage-adjusted episode payment
on a split percentage payment approach. The split percentage payment
approach includes an initial percentage payment and a final percentage
payment as set forth in Sec. 484.205(b)(1) and Sec. 484.205(b)(2). We
may base the initial percentage payment on the submission of a request
for anticipated payment (RAP) and the final percentage payment on the
submission of the claim for the episode, as discussed in Sec. 409.43.
The claim for the episode that the HHA submits for the final percentage
payment determines the total payment amount for the episode and whether
we make an applicable adjustment to the 60-day case-mix and wage-
adjusted episode payment. The end date of the 60-day episode as
reported on the claim determines which calendar year rates Medicare
would use to pay the claim.
We may also adjust the 60-day case-mix and wage-adjusted episode
payment based on the information submitted on the claim to reflect the
following:
A low utilization payment provided on a per-visit basis as
set forth in Sec. 484.205(c) and Sec. 484.230.
A partial episode payment adjustment as set forth in Sec.
484.205(d) and Sec. 484.235.
A significant change in condition adjustment as set forth
in Sec. 484.205(e) and Sec. 484.237.
An outlier payment as set forth in Sec. 484.205(f) and
Sec. 484.240.
This proposed rule reflects the proposed updated CY 2007 rates that
would be effective January 1, 2007.
B. Proposed CY 2007 Update to the Home Health Market Basket Index
Section 1895(b)(3)(B) of the Act, as amended by section 5201 of the
DRA, requires for CY 2007 that the standard prospective payment amounts
be increased by a factor equal to the applicable home health market
basket update.
Proposed CY 2007 Adjustments.
In calculating the annual update for the CY 2007 60-day episode
rates, we are proposing to first look at the CY 2006 rates as a
starting point. The CY 2006 national 60-day episode rate, as modified
by section 5201(a)(4) of the DRA (and implemented through Pub. 100-20,
One Time Notification, Transmittal 211 issued February 10, 2006) is
$2,264.28.
In order to calculate the CY 2007 national 60-day episode rate, we
are proposing to multiply the CY 2006 national 60-day episode rate
($2,264.28) by the proposed estimated home health market basket update
of 3.1 percent for CY 2007. The proposed estimated home health market
basket percentage increase reflects changes over time in the prices of
an appropriate mix of goods and services included in covered home
health services. The estimated home health market basket percentage
increase is generally used to update the HH PPS rates on an annual
basis.
We would increase the 60-day episode payment rate for CY 2007
(episodes ending on or after January 1, 2007, and before January 1,
2008) by the proposed estimated home health market basket update (3.1
percent) ($2,264.28 x 1.031) to yield the proposed updated CY 2007
national 60-day episode rate ($2,334.47) (see Table 1 below).
[[Page 44086]]
Table 1.--Proposed National 60-Day Episode Amounts Updated by the Estimated Home Health Market Basket Update for
CY 2007, Before Case-Mix Adjustment
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Multiply by the proposed
Total CY 2006 prospective payment amount per 60-day estimated home health market Proposed CY 2007 updated
episode basket update (3.1 Percent) national 60-day episode rate
\1\
----------------------------------------------------------------------------------------------------------------
$2,264.28........................................... x 1.031 $2,334.47
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\1\ The estimated home health market basket update of 3.1 percent for CY 2007 is based on Global Insight, Inc,
2nd Qtr, 2006 forecast with historical data through 1st Qtr, 2006.
National Per-visit Amounts Used To Pay LUPAs and Compute Imputed Costs
Used in Outlier Calculations
As discussed previously in this proposed rule, the policies
governing the LUPAs and outlier calculations set forth in the July 3,
2000 HH PPS final rule would continue during CY 2007. In calculating
the annual update for the CY 2007 national per-visit amounts we use to
pay LUPAs and to compute the imputed costs in outlier calculations, we
are proposing to look again at the CY 2006 rates as a starting point.
We then are proposing to multiply those amounts by the proposed
estimated home health market basket update (3.1 percent) for CY 2007 to
yield the updated per-visit amounts for each home health discipline for
CY 2007 (episodes ending on or after January 1, 2007, and before
January 1, 2008) (see Table 2 below).
Table 2.--Proposed National Per-Visit Amounts for LUPAs and Outlier Calculations Updated by the Estimated Home
Health Market Basket Update for CY 2007
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Multiply by the
Final CY 2006 per- proposed Proposed CY 2007
visit amounts per estimated home per-visit payment
Home health discipline type 60-day episode health market amount per
for LUPAs basket (3.1 discipline for
percent) \1\ LUPAs
----------------------------------------------------------------------------------------------------------------
Home health aide....................................... $44.76 x 1.031 $46.15
Medical social services................................ 158.45 x 1.031 163.36
Occupational therapy................................... 108.81 x 1.031 112.18
Physical therapy....................................... 108.08 x 1.031 111.43
Skilled nursing........................................ 98.85 x 1.031 101.91
Speech-language pathology.............................. 117.44 x 1.031 121.08
----------------------------------------------------------------------------------------------------------------
\1\ The estimated home health market basket update of 3.1 percent for CY 2007 is based on Global Insight, Inc,
2nd Qtr, 2006 forecast with historical data through 1st Qtr, 2006.
C. Rural Add-On
As stated above, section 5201(b) of the DRA requires, for home
health services furnished in a rural area (as defined in section
1886(d)(2)(D) of the Act) with respect to episodes and visits beginning
on or after January 1, 2006 and before January 1, 2007, that the
Secretary increase by 5 percent the payment amount otherwise made under
section 1895 of the Act. The statute waives budget neutrality related
to this provision as it specifically states that the Secretary shall
not reduce the standard prospective payment amount (or amounts) under
section 1895 of the Act applicable to home health services furnished
during a period to offset the increase in payments resulting in the
application of this section of the statute.
While the rural add-on would primarily affect those episodes paid
based on CY 2006 rates, it would also affect a number of episodes that
would be paid based on CY 2007 rates. For example, an episode that
begins on December 20, 2006 and ends on February 17, 2007, for services
furnished in a rural area, would be paid based on CY 2007 rates because
the episode ends on or after January 1, 2007 and before January 1,
2008; and the episode would also receive the rural add-on because the
episode begins on or after January 1, 2006 and before January 1, 2007.
The applicable case-mix and wage index adjustment is subsequently
applied to the 60-day episode amount for the provision of home health
services where the site of service is the non-Metropolitan Statistical
Area (MSA) of the beneficiary. Similarly, the applicable wage index
adjustment is subsequently applied to the LUPA per-visit amounts
adjusted for the provision of home health services where the site of
service for the beneficiary is a non-MSA area. We implemented this
provision for CY 2006 on February 13, 2006 through Pub. 100-20, One
Time Notification, Transmittal 211 issued February 10, 2006. The 5
percent rural add-on is noted in tables 3 and 4 below.
[[Page 44087]]
Table 3.--Proposed Payment Amounts for 60-Day Episodes Beginning in CY 2006 and Ending in CY 2007 Updated by the
Estimated Home Health Market Basket Update for CY 2007 With Rural Add-On, Before Case-Mix Adjustment
----------------------------------------------------------------------------------------------------------------
Proposed CY 2007 payment
amount per 60-day episode
beginning in CY 2006 and
Proposed CY 2007 total prospective payment amount 5 percent rural add-on before January 1, 2007 and
per 60-day episode ending in CY 2007 for a
beneficiary who resides in a
non-MSA area
----------------------------------------------------------------------------------------------------------------
2,334.47............................................ x 1.05 $2,451.20
----------------------------------------------------------------------------------------------------------------
Table 4.--Proposed National Per-Visit Amounts for Episodes Beginning in CY 2006 and Ending in CY 2007 Updated by
the Estimated Home Health Market Basket Update for CY 2007 With Rural Add-On
----------------------------------------------------------------------------------------------------------------
Proposed CY 2007
per-visit payment
amount per
discipline for 60-
day episodes
Proposed CY 2007 Multiply by the beginning on or
Home health discipline type per-visit amounts 5 percent rural after January 1
add-on in CY 2006 and
ending in CY 2007
for a beneficiary
who resides in a
non-msa area
----------------------------------------------------------------------------------------------------------------
Home health aide....................................... $46.15 x 1.05 $48.46
Medical social services................................ 163.36 x 1.05 171.53
Occupational therapy................................... 112.18 x 1.05 117.79
Physical therapy....................................... 111.43 x 1.05 117.00
Skilled nursing........................................ 101.91 x 1.05 107.01
Speech-language pathology.............................. 121.08 x 1.05 127.13
----------------------------------------------------------------------------------------------------------------
Section 5201(c)(2) of the DRA added section 1895(b)(3)(B)(v)(II) to
the Act, requiring that ``each home health agency shall submit to the
Secretary such data that the Secretary determines are appropriate for
the measurement of health care quality. Such data shall be submitted in
a form and manner, and at a time, specified by the Secretary for
purposes of this clause.'' In addition, section 1895(b)(3)(B)(v)(I) of
the Act, as also added by section 5201(c)(2) of the DRA, dictates that
``for 2007 and each subsequent year, in the case of a home health
agency that does not submit data to the Secretary in accordance with
subclause (II) with respect to such a year, the home health market
basket percentage increase applicable under such clause for such year
shall be reduced by 2 percentage points.''
The Omnibus Budget Reconciliation Act of 1987 (OBRA 87) required
the use of a standardized assessment instrument for quality oversight
of HHAs. A standardized assessment instrument provides an HHA with a
uniform mechanism to assess the needs of their patients and provide CMS
with a uniform mechanism to assess the HHA's ability to adequately
address those needs. To fulfill the OBRA 87 mandate, CMS required that,
as part of their comprehensive assessment process, HHAs collect and
report Outcome and Assessment Information Set (OASIS) data and later
mandated the submission of this data as an HHA condition of
participation at 42 CFR 484.20 and 484.55.
The OASIS data provide consumers and HHAs with ten, publicly-
reported home health quality measures which have been endorsed by the
National Quality Forum (NQF). Reporting this quality data has also
required the development of several supporting mechanisms such as the
HAVEN software used to encode and transmit data using a CMS standard
electronic record layout, edit specifications, and data dictionary. The
HAVEN software, which includes the OASIS, has become a standard
practice within HHA operations. These early investments in data
infrastructure and supporting software that CMS and HHAs have made over
the past several years in order to create this quality reporting
structure, have made quality reporting and measurement an important
component of the HHA industry. The ten measures are:
(1) Improvement in ambulation/locomotion.
(2) Improvement in bathing.
(3) Improvement in transferring.
(4) Improvement in management of oral medications.
(5) Improvement in pain interfering with activity.
(6) Acute care hospitalization.
(7) Emergent care.
(8) Improvement in dyspnea.
(9) Improvement in urinary incontinence.
(10) Discharge to community.
We propose to use OASIS data and the ten quality measures based on
those data as the appropriate measure on home health quality.
Continuing to use the OASIS instrument would minimize the burden to
providers and ensure that costs associated with the development and
testing of a new reporting mechanism are not incurred. We believe that
at this time the noted ten quality measures are the most appropriate
measure of home health quality. Accordingly, for the calendar year (CY)
2007, we propose that the OASIS data, specifically, the ten quality
measures, be submitted by HHAs, to meet the requirement that each HHA
submit data appropriate for the measurement of health care quality, as
determined by the Secretary.
Additionally, section 1895(b)(3)(B)(v)(II) of the Act provides the
Secretary with the discretion to submit the required data in a form,
[[Page 44088]]
manner, and time specified by him. For CY 2007, we are proposing to
consider OASIS data submitted by HHAs to CMS for episodes beginning on
or after July 1, 2005 and before July 1, 2006 as meeting the reporting
requirement. This reporting time period will allow a full 12 months of
data and will provide CMS the time necessary to analyze and make any
necessary payment adjustments to the CY 2007 payment rates. HHAs that
meet the reporting requirement would be eligible for the full home
health market basket percentage increase.
During the next few years, we will be pursuing the development of
patient level process measures for home health agencies, as well as
continuing to refine the current OASIS tool in response to
recommendations from a Technical Expert Panel conducted to review the
data elements that make up the OASIS tool. These process measures will
refer to specific care practices that are, or are not, followed by the
home health agency for each patient. An example of this type of measure
may be: the percentage of patients at risk of falls for whom prevention
of falls was addressed in the care plan. We expect to introduce these
additional measures over 2008 and 2009 so as to complement the existing
OASIS outcome measures. During the years leading to calendar year 2010
payments, we will test and refine these measures to determine if they
can more accurately reflect the level of quality care being provided at
HHAs without being overly burdensome with the data collection
instrument. Some process measures are in the very early stages of
development. To the extent that evidence-based data are available on
which to determine the appropriate measure specifications, and adequate
risk-adjustments are made, we anticipate collecting and reporting these
measures as part of each agency's home health quality plan. We believe
that future modifications to the current OASIS tool including reducing
the numbers of questions on the tool, refining possible responses, as
well as adding new process measures will be made. In all cases, we
anticipate that any future quality measures should be evidence-based,
clearly linked to improved outcomes, and able to be reliably captured
with the least burden to the provider. We are also beginning work in
order to measure patient experience (in the form of a patient
satisfaction survey) of care in the home health setting.
We recognize, however, that the conditions of participation (42 CFR
part 484) that require OASIS submission also provide for exclusions
from this requirement. Generally, agencies are not subject to the OASIS
submission requirement, and thus do not receive Medicare payments, for
patients that are not Medicare Beneficiaries or the patients are not
receiving Medicare-covered home health services. Under the conditions
of participation, agencies are excluded from the OASIS reporting
requirement on individual patients if:
Those patients are receiving only non-skilled services,
Neither Medicare nor Medicaid is paying for home health
care (patients receiving care under a Medicare or Medicaid Managed Care
Plan are not excluded from the OASIS reporting requirement),
Those patients are receiving pre- or post-partum services,
Those patients are under the age of 18 years.
We believe that the rationale behind the exclusion of these
agencies from submitting OASIS on patients excluded from OASIS
submission as a condition of participation is equally applicable to
HHAs for purposes of meeting the DRA quality requirement. If an agency
is not submitting OASIS for patients excluded from OASIS submission as
a condition of participation, we believe that the submission of OASIS
for quality measures for Medicare payment purposes is also not
necessary. Therefore, we propose that HHAs do not need to submit
quality measures for DRA reporting purposes, for those patients who are
excluded from OASIS submission as a condition of participation.
Additionally, we propose that agencies newly certified (on or after
May 31, 2006 for payments to be made in CY 2007) be excluded from the
DRA reporting requirement as data submission and analysis will not be
possible for an agency certified this late in the reporting time
period. We propose that in future years, agencies that certify on or
after May 31 of the preceding year involved be excluded from any
payment penalty under the DRA for the following calendar year. For
example, if HHA ``X'' were to enroll in the Medicare Program on May 30
2007, CMS would expect them to submit the required quality data (unless
covered by another exclusion protocol) on or before June 30 2006 (the
end of the reporting period for payments effectuated in calendar year
2007. However, if HHA ``X'' were to enroll in the Medicare Program on
May 31, 2006, CMS would automatically exclude them from the
requirements under the DRA and the agency would be entitled to the full
market basket increase for calendar year 2007. We note these exclusions
only affect reporting requirements under the DRA and do not affect the
agency's OASIS reporting responsibilities under the conditions of
participation.
We propose to require that all HHAs, unless covered by these
specific exclusions, meet the reporting requirement, or be subject to a
2 percent reduction in the home health market basket percentage
increase in accordance with section 1895(b)(3)(B)(v)(I) of the Act. The
2 percent reduction would apply to all episodes ending on or before
December 31, 2007. We provide the reduced payment rates in tables 5, 6,
7, and 8 below.
Table 5.--For HHAs That Do Not Submit the Required Quality Data--Proposed National 60-Day Episode Amount Updated
by the Estimated Home Health Market Basket Update for CY 2007, Minus 2 Percentage Points, Before Case-Mix
Adjustment
----------------------------------------------------------------------------------------------------------------
Multiply by the proposed Proposed CY 2007 updated
Total CY 2006 prospective payment amount per 60-day estimated home health market national 60-day episode rate
episode basket update (3.1 percent for HHAs that do not submit
\1\ minus 2 percent) required quality data
----------------------------------------------------------------------------------------------------------------
$2,264.28........................................... x 1.011 $2,289.19
----------------------------------------------------------------------------------------------------------------
\1\ The estimated home health market basket update of 3.1 percent for CY 2007 is based on Global Insight, Inc,
2nd Qtr, 2006 forecast with historical data through 1st Qtr, 2006.
[[Page 44089]]
Table 6.--For HHAs That Do Not Submit the Required Quality Data--Proposed National Per-Visit Amounts Updated by
the Estimated Home Health Market Basket Update for CY 2007, Minus 2 Percentage Points
----------------------------------------------------------------------------------------------------------------
Multiply by the Proposed CY 2007
proposed per-visit payment
Final CY 2006 per- estimated home amount per
Home health discipline type visit amounts per health market discipline for
60-day episode basket update HHAs that do not
(3.1 percent \1\ submit required
minus 2 percent) quality data
----------------------------------------------------------------------------------------------------------------
Home health aide....................................... $44.76 x 1.011 $45.25
Medical social services................................ 158.45 x 1.011 160.19
Occupational therapy................................... 108.81 x 1.011 110.01
Physical therapy....................................... 108.08 x 1.011 109.27
Skilled nursing........................................ 98.85 x 1.011 99.94
Speech-language pathology.............................. 117.44 x 1.011 118.73
----------------------------------------------------------------------------------------------------------------
\1\ The estimated home health market basket update of 3.1 percent for CY 2007 is based on Global Insight, Inc,
2nd Qtr, 2006 forecast with historical data through 1st Qtr, 2006.
Table 7.--For HHAs That Do Not Submit the Required Quality Data--Proposed Payment Amount for 60-Day Episodes
Beginning in CY 2006 and Ending in CY 2007 Updated by the Estimated Home Health Market Basket for CY 2007, Minus
2 Percentage Points, With Rural Add-On, Before Case-Mix Adjustment
----------------------------------------------------------------------------------------------------------------
Proposed CY 2007 payment
amount per 60-day episode
beginning in CY 2006 and
Proposed CY 2007 updated national 60-day episode ending in CY 2007 for a
rate for HHAs that do not submit required quality 5 percent rural add-on beneficiary who resides in a
data non-MSA area for HHAs that
do not submit required
quality data
----------------------------------------------------------------------------------------------------------------
$2,289.19........................................... x 1.05 $2,403.65
----------------------------------------------------------------------------------------------------------------
Table 8.--For HHAs That Do Not Submit the Required Quality Data--Proposed Per-Visit Payment Amounts for Episodes
Beginning in CY 2006 and Ending in CY 2007 Updated by the Estimated Home Health Market Basket for CY 2007, Minus
2 Percentage Points, With Rural Add-On
----------------------------------------------------------------------------------------------------------------
Proposed CY 2007
per-visit payment
amounts for
episodes
Proposed CY 2007 beginning in CY
per-visit amounts 2006 and ending
Home health discipline type for HHAs that do 5 percent rural in CY 2007 for a
not submit add-on beneficiary who
required quality resides in a non-
data MSA area for HHAs
that do not
submit required
quality data
----------------------------------------------------------------------------------------------------------------
Home health aide....................................... $45.25 x 1.05 $47.51
Medical social services................................ 160.19 x 1.05 168.20
Occupational therapy................................... 110.01 x 1.05 115.51
Physical therapy....................................... 109.27 x 1.05 114.73
Skilled nursing........................................ 99.94 x 1.05 104.93
Speech-language pathology.............................. 118.73 x 1.05 124.67
----------------------------------------------------------------------------------------------------------------
Section 1895(b)(3)(B)(v)(III) of the Act further requires that the
``Secretary shall establish procedures for making data submitted under
subclause (II) available to the public.'' Additionally, the statute
requires that ``such procedures shall ensure that a home health agency
has the opportunity to review the data that is to be made public with
respect to the agency prior to such data being made public.'' To meet
the requirement for making such data public, we are proposing to
continue to use the CMS Home Health Compare Web site whereby HHAs are
listed geographically. Currently the 10 proposed quality measures are
posted on the CMS Home Health Compare Web site. Consumers can search
for all Medicare-approved home health providers that serve their city
or zip code and then find the agencies offering the types of services
they need as well as the proposed quality measures. See http://www.medicare.gov/HHCompare/Home/. HHAs currently have access (through
the Home Health Compare contractor) to their own agency's quality data
(updated periodically) and we propose to continue this process thus
enabling each agency to know how it is performing before public posting
of agency quality data on the CMS Home Health Compare Web site.
Currently, the CMS Home Health Compare Web site does not publicly
[[Page 44090]]
report data when agencies have fewer than 20 episodes of care within a
reporting period. In light of the DRA requirements we recognize the
need to provide the required data to the public and propose to make
these statistics available through expansion of the CMS Home Health
Compare Web site.
In the July 27, 2005 Medicare Payment Advisory Commission (MedPAC)
testimony before the U.S. Senate Committee on Finance, MedPAC expressed
support for the concept of differential payments for Medicare
providers, which could create incentives to improve quality. To support
this initiative, MedPAC stated that ``outcome measures from CMS'
Outcome-based Quality Indicators'' (currently collected through the
OASIS instrument) ``could form the starter set.'' MedPAC further states
``* * * the Agency for Healthcare Research and Quality concur(s) that a
set of these measures is reliable and adequately risk adjusted.''
The MedPAC testimony recognizes that while the goal of care for
many home health patients is improving health and functioning, for some
patients the goal of the HHA is to simply stabilize their conditions
and prevent further decline. Additionally, the MedPAC testimony
reflects that measures of structure and process could also be
considered.
Various home health outcome measures are now in common use and have
been studied for some time. A number of these measures have been
endorsed by the National Quality Forum (NQF) and are evidence-based,
well accepted, and not unduly burdensome. When determining outcome
measures that would be most appropriate it is important to measure
aspects of care that providers can control and are adequately risk-
adjusted. Home-based care presents particular difficulties for provider
control because patient conditions are compounded by a variety of home
environment and support system issues.
We are currently pursuing the development of patient-level process
measures for HHAs, as well as refining the current OASIS tool in
response to recommendations from a Technical Expert Panel conducted to
review the data elements that make up the OASIS tool. These additional
measures would complement the existing OASIS outcome measures and would
assist us in identifying processes of care that lead to improvements
for certain populations of patients. These process measures are
currently in the very early stages of development. As we stated
previously, to the extent that evidence-based data are available on
which to determine the appropriate measure specifications, and adequate
risk-adjustments are made, we anticipate collecting and reporting these
measures as part of our home health quality plan. Possible
modifications to the current OASIS tool include reducing the numbers of
questions on the tool, refining possible responses, as well as adding
new process measures.
We are soliciting comments on how to make the outcome measures more
useful. We would also like comments on measures of home health care
processes for which there is evidence or improved care to
beneficiaries. In all cases, measures should be evidence-based, clearly
linked to improved outcomes, and able to be reliably captured with the
least burden to the provider. We are also considering measures of
patient experience of care in the home health setting, as well as
efficiency measures, and soliciting comment on the use of the measures
and their importance in the home health setting. We would address any
changes to the HH PPS quality data submission requirement in future
rulemaking.
It is also our intent to provide guidance on the specifications,
definitions, and reporting requirements of any additional measures
through the standard protocol for measure development.
We are proposing to revise the regulations at 42 CFR Sec. 484.225
to reflect these new payment requirements which require submission of
quality data.
E. Outliers and Fixed Dollar Loss Ratio
Outlier payments are payments made in addition to regular 60-day
case-mix and wage-adjusted episode payments for episodes that incur
unusually large costs due to patient home health care needs. Outlier
payments are made for episodes for which the estimated cost exceeds a
threshold amount. The episode's estimated cost is the sum of the
national wage-adjusted per-visit payment amounts for all visits
delivered during the episode. The outlier threshold for each case-mix
group, PEP adjustment, or total SCIC adjustment is defined as the 60-
day episode payment amount, PEP adjustment, or total SCIC adjustment
for that group plus a fixed dollar loss amount. Both components of the
outlier threshold are wage-adjusted.
The wage-adjusted fixed dollar loss (FDL) amount represents the
amount of loss that an agency must bear before an episode becomes
eligible for outlier payments. The FDL is computed by multiplying the
wage-adjusted 60-day episode payment amount by the FDL ratio, which is
a proportion expressed in terms of the national standardized episode
payment amount. The outlier payment is defined to be a proportion of
the wage-adjusted estimated costs beyond the wage-adjusted threshold.
The proportion of additional costs paid as outlier payments is referred
to as the loss-sharing ratio.
Section 1895(b)(5) of the Act requires that estimated total outlier
payments are no more than 5 percent of total estimated HH PPS payments.
In response to the concerns about potential financial losses that might
result from unusually expensive cases expressed in comments to the
October 28, 1999 proposed rule (64 FR 58133), the July 2000 final rule
set the target for estimated outlier payments at the 5 percent level.
The FDL ratio and the loss-sharing ratio were then selected so that
estimated total outlier payments would meet the 5 percent target.
For a given level of outlier payments, there is a trade-off between
the values selected for the FDL ratio and the loss-sharing ratio. A
high FDL ratio reduces the number of episodes that can receive outlier
payments, but makes it possible to select a higher loss-sharing ratio
and, therefore, increase outlier payments for outlier episodes.
Alternatively, a lower FDL ratio means that more episodes can qualify
for outlier payments, but outlier payments per episode must be lower.
As a result of public comments on the October 28, 1999 proposed rule,
in our July 2000 final rule, we made the decision to attempt to cover a
relatively high proportion of the costs of outlier cases for the most
expensive episodes that would qualify for outlier payments within the 5
percent constraint.
In the July 2000 final rule, we chose a value of 0.80 for the loss-
sharing ratio, which preserves incentives for agencies to attempt to
provide care efficiently for outlier cases. A loss-sharing ratio of
0.80 was also consistent with the loss-sharing ratios used in other
Medicare PPS outlier policies. Furthermore, we estimated the value of
the FDL ratio that would yield estimated total outlier payments that
were 5 percent of total home health PPS payments. The resulting value
for the FDL ratio, for the July 2000 final rule, was 1.13.
Our CY 2005 update to the HH PPS rates (69 FR 62124) changed the
FDL ratio from the original 1.13 to 0.70 to allow more home health
episodes to qualify for outlier payments and to better meet the
estimated 5 percent target of outlier payments to total HH PPS
payments. We stated in that CY 2005 update that we planned to continue
to monitor the outlier expenditures on a yearly basis and to make
adjustments as necessary (69 FR
[[Page 44091]]
62129). To do so, we planned on using the best Medicare data available
at the time of publication. For the CY 2005 update, we used CY 2003
home health claims data.
Our CY 2006 update to the HH PPS rates (70 FR 68132) changed the
FDL ratio from 0.70 to 0.65 to allow even more home health episodes to
qualify for outlier payments and to better meet the estimated 5 percent
target of outlier payments to total HH PPS payments. For the CY 2006
update, we used CY 2004 home health claims data.
At this time, we do not have sufficient data to propose any update
to the FDL ratio for the CY 2007 update to the HH PPS rates. However,
depending on the availability of more recent data at the time of
publication of the HH PPS rate update for the CY 2007 final rule, we
may, if necessary, implement an update to the FDL ratio for the CY 2007
update to the HH PPS rates. If so, we plan on using the same
methodology performed in updating to the current FDL ratio described in
the June 2, 2004 proposed rule using any more recent available data.
F. Hospital Wage Index--Revised OMB Definition for Geographical
Statistical Areas
Sections 1895(b)(4)(A)(ii) and (b)(4)(C) of the Act require the
Secretary to establish area wage adjustment factors that reflect the
relative level of wages and wage-related costs applicable to the
furnishing of home health services and to provide appropriate
adjustments to the episode payment amounts under HH PPS to account for
area wage differences. We apply the appropriate wage index value to the
labor portion (76.775 percent; see 60 FR 62126) of the HH PPS rates
based on the geographic area in which the beneficiary received home
health services as discussed in section II.A of this proposed rule.
Generally, we determine each HHA's labor market area based on
definitions of Metropolitan Statistical Areas (MSAs) issued by the
Office of Management and Budget (OMB).
We acknowledged in our October 22, 2004 final rule that on June 6,
2003, the OMB issued an OMB Bulletin (No. 03-04) announcing revised
definitions for MSAs, new definitions for Micropolitan Statistical
Areas and Combined Statistical Areas, and guidance on using the
statistical definitions. A copy of the Bulletin may be obtained at the
following Internet address: http://www.whitehouse.gov/omb/bulletins/b03-04.html. At that time, we did not propose to apply these new
definitions known as Core-Based Statistical Areas (CBSAs). In the
November 9, 2005 final rule, we adopted the OMB-revised definitions to
adjust the CY 2006 HH PPS payment rates and revised the regulations at
Sec. 484.202 to reflect this proposed change. The Hospital Inpatient
PPS (IPPS) also applied these revised definitions as discussed in the
August 11, 2004 IPPS final rule (68 FR 49207).
1. Background
As discussed previously and set forth in the July 3, 2000 final
rule, the statute provides that the wage adjustment factors may be the
factors used by the Secretary for purposes of section 1886(d)(3)(E) of
the Act for hospital wage adjustment factors. As discussed in the July
3, 2000 final rule, we are proposing to again use the pre-floor and
pre-reclassified hospital wage index data to adjust the labor portion
of the HH PPS rates based on the geographic area in which the
beneficiary receives the home health services. We believe the use of
the pre-floor and pre-reclassified hospital wage index data results in
the appropriate adjustment to the labor portion of the costs as
required by statute. For the CY 2007 update to the home health payment
rates, we would continue to use the most recent pre-floor and pre-
reclassified hospital wage index available at the time of publication.
See Addenda A and B of this proposed rule, respectively, for the rural
and urban hospital wage indices using the CBSA designations. For HH PPS
rates addressed in this proposed rule, we use preliminary 2007 pre-
floor and pre-reclassified hospital wage index data. We are proposing
to incorporate updated hospital wage index data for the 2007 pre-floor
and pre-reclassified hospital wage index for use in the final rule for
the CY 2007 HH PPS update (not including any reclassifications under
section 1886(d)(8)(B) of the Act).
As implemented under the HH PPS in the July 3, 2000 HH PPS final
rule, each HHA's labor market is determined based on definitions of
MSAs issued by OMB. In general, an urban area is defined as an MSA or
New England County Metropolitan Area (NECMA) as defined by OMB. Under
Sec. 412.62(f)(1)(iii), a rural area is defined as any area outside of
the urban area. The urban and rural area geographic classifications are
defined in Sec. 412.62(f)(1)(ii) and Sec. 412.62(f)(1)(iii),
respectively, and have been used under HH PPS since it was implemented.
Under the HH PPS, the wage index value is based upon the site of
service (defined by section 1861(m) of the Act as the beneficiary's
place of residence) for the beneficiary. As has been our longstanding
practice, any area not included in an MSA (urban area) is considered to
be nonurban (Sec. 412.64(b)(1)(ii)(C)) and receives the statewide
rural wage index value (see, for example, 65 FR 41173).
2. Current Labor Market Areas Based on MSAs, Including CBSAs
In the August 11, 2004 IPPS final rule (69 FR 49206 through 49034),
revised labor market area definitions were adopted at Sec. 412.64(b),
which were effective October 1, 2004 for acute care hospitals. The new
definitions, including CBSAs, were announced by OMB in late 2000 and
were also discussed in greater detail in the July 14, 2005 HH PPS
proposed rule in which we proposed to move from MSA-based to CBSA-based
wage area designations. For the purposes of this proposed rule, the
term ``MSA-based'' refers to wage index values and designations based
on the previous MSA designations. Conversely, the term ``CBSA-based''
refers to wage index values and designations based on the new OMB
revised MSA designations which now include CBSAs. Recently other
payment systems such as the inpatient rehabilitation facility PPS, the
skilled nursing facility PPS, and Medicare payment for hospice care
have been updated to use the new revised labor market area definitions.
Based on public comments received in response to the July 14, 2005
HH PPS proposed rule, we decided to adopt a 1-year transition policy
consisting of a 50/50 blend of the CBSA-based wage index values and the
MSA-based wage index values. This transition policy is discussed in the
November 9, 2005 HH PPS final rule (70 FR 68132, 68138). In the final
rule, we also noted that for CY 2007, the HH PPS wage index adjustment
would be solely based on a CBSA-based wage index.
3. Proposed Revision to the HH PPS Labor Market Areas
For CY 2007, we are proposing to end the 1 year transition policy
(implemented for CY 2006) of using a 50/50 blend of MSA-based and CBSA-
based wage area designations. For CY 2007, we are proposing to use 100
percent of the CBSA-based wage area designations for purposes of
determining the HH PPS wage index adjustment.
In adopting the CBSA designations, we identified some geographic
areas where there were no hospitals, and thus no hospital wage data on
which to base the calculation of the CY 2006 home health wage index.
For CY 2006, we adopted a policy in the HH PPS final rule (70 FR 68132)
to use the CY 2005
[[Page 44092]]
pre-floor, pre-reclassified hospital wage index value for rural areas
when no rural hospital wage data is available. We also adopted the
policy that for urban labor markets without an urban hospital from
which a hospital wage index can be derived, all of the urban CBSAs
within the State would be used to calculate a statewide urban average
wage index to use as a reasonable proxy for these areas. As we stated
in the CY 2006 Home Health PPS Final Rule, we believe that this
approach serves as a proxy for hospital wage data and provides an
appropriate standard that accounts for area wage differences.
For this CY 2007 proposed rule, we are again proposing to apply our
policy to use the CY 2005 pre-floor/pre-reclassified hospital wage
index for rural areas where no hospital wage data is available.
We have not received any concerns from the industry regarding our
policy to calculate a statewide urban average wage index, using all of
the urban CBSAs wage index values within the State, for urban labor
markets without an urban hospital from which a hospital wage index can
be derived. Consequently, for this CY 2007 proposed rule, we again
propose to apply our policy to calculate a statewide urban average wage
index for urban areas with no hospital wage data available. For this CY
2007 proposed rule, the following areas will be affected by these
policies:
Rural Massachusetts--proposed assigned wage index value of 1.0216;
Rural Puerto Rico--proposed assigned wage index value of 0.4047; and
Hinesville, GA (CBSA 25980)--proposed assigned wage index value of
0.9163.
We recognize that since the publication of the CY 2006 HH PPS final
rule, representatives of the home health industry have expressed
concerns with the policy we apply for rural areas where no hospital
wage data is available, particularly as applied to rural Massachusetts
facilities. In response to these concerns and in recognition that there
may be additional rural areas in the future similarly impacted by a
lack of hospital wage data on which to derive a hospital wage index, we
are considering alternative methodologies to the methodology proposed
above, for imputing a rural wage index for areas in States where no
hospital wage data are available. We believe that an evaluation of
alternative methodologies for imputing a rural wage index in these
areas should adhere to four basic policy criteria. First, an
alternative methodology should retain our current longstanding policy
to use pre-floor, pre-reclassified hospital wage data to compute wage
index values for post acute care facilities, including home health
agencies. Second, any methodology to impute a rural wage index should
use rural wage data to derive the rural wage index value. Third, any
methodology to impute a rural wage index should be easy to evaluate.
Fourth, any methodology to impute a rural wage index would be able to
update wage data from year-to-year.
We are specifically considering one alternative to the proposal
that meets all of the above policy criteria. Under this alternative, we
would impute a rural wage index value by using a simple average CBSA-
based rural wage index value at the Census Division level. Census
Divisions are defined by the U.S. Census Bureau and may be found at
(http://www.census.gov/geo/www/us_regdiv.pdf). As stated above, for CY
2007, hospital wage data are not available to compute a rural wage
index for HHAs in rural Massachusetts, and this alternative methodology
could be applied in this case. Massachusetts is located in Census
Division I (New England). The states in this Census Division, and their
respective rural wage index values (using hospital cost report wage
data for FY 2003) include: Connecticut (1.1753), Maine (0.8410), New
Hampshire (1.0800), Vermont (0.9944), Rhode Island (all five counties
classified as urban) and Massachusetts. Using this alternative
methodology, the states in Census Division I for which rural wage index
values are available, as shown above, would be used resulting in a
simple average rural wage index value of 1.0227. Although this
methodology results in a rural Massachusetts wage index that is
currently greater than the value under the current proposed policy
(1.0216), we believe this methodology may be able to accurately reflect
future increases and/or decreases of wage data for the States within
the applicable census division. Wage indices are intended to be
redistributive and should not increase total Medicare spending. We
believe that the alternative methodology could be a reasonable proxy as
it uses current rural wage index values (using rural hospital wage
data) from States within the same census bureau divisions, with similar
economics.
As defined by the Census Bureau: ``Census divisions are grouping of
states and the District of Columbia that are subdivisions of the four
census regions.'' The Census Bureau further specifically states:
``Puerto Rico and the Island Areas are not part of any census region or
census division.'' Therefore, because the Census Bureau does not
recognize Puerto Rico as part of any of the Census Bureau divisions, we
do not believe that it is appropriate to compute the wage index for
rural Puerto Rico using the methodology described in the alternative
described above. Consequently, as stated above, we propose to continue
to apply the CY 2005 wage index (0.4047) for Puerto Rico to payments
for home health services provided to beneficiaries who reside in rural
areas of Puerto Rico for CY 2007.
We solicit comments on maintaining our current policy for
establishing wage index values for rural and urban areas without
hospitals, the alternative approach outlined above in developing wage
index values for rural areas without hospitals for CY 2007 and
subsequent years, as well as suggestions for determining the wage index
for rural Puerto Rico. We note that there are sufficient economic
differences between the hospitals in the United States and those in
Puerto Rico, and that hospitals in Puerto Rico are paid on a blended
Federal/Commonwealth-specific rates. Consequently, any alternative
approach/methodology to computing a wage index for rural Puerto Rico
would need to take into account those differences. We will also
continue to evaluate existing hospital wage data and, possibly, wage
data from other sources, such as the Bureau of Labor Statistics, to
determine if other methodologies of imputing a wage index value where
hospital wage data are not available may be feasible.
G. Payment for Oxygen, Oxygen Equipment and Capped Rental DME Items
This proposed rule would amend our regulations at Sec. 414.226 by
revising the payment rules for oxygen and oxygen equipment in paragraph
(a), adding a new paragraph (f) that provides that the beneficiary
assumes ownership of oxygen equipment on the first day that begins
after the 36th continuous month in which rental payments are made, and
adding a new paragraph (g) that contains new supplier requirements that
we believe are necessary in light of the amendments made to section
1834(a)(5) of the Act by section 5101(b) of the DRA. This proposed rule
would amend our regulations at Sec. 414.226 by adding a new paragraph
(c) that establishes new classes and national payment amounts for
oxygen and oxygen equipment based on our authority in section
1834(a)(9)(D) of the Act. We are also revising paragraph (b) of this
section to incorporate the special payment rules for oxygen equipment
mandated by
[[Page 44093]]
section 1834(a)(21) of the Act. The provisions of section 1834(a)(21),
which we believe are self-implementing, resulted in adjustments to
Medicare payment amounts for oxygen contents and stationary oxygen
equipment as well as portable oxygen equipment in 2005, which were
implemented through program instructions. We are now seeking to codify
these changes to make our regulations consistent with the payment
methodology for these items in 2005 and 2006, and because the payment
reductions mandated by section 1834(a)(21) are incorporated into our
proposal, as more fully discussed in section I below, to create new
payment classes for oxygen and oxygen equipment. This proposed rule
would redesignate old paragraph (c) of this section as paragraph (d)
and would amend this paragraph to indicate under what situations
payments would be made for the items and services described in new
paragraph (c). Finally, this proposed rule would redesignate old
paragraph (d) of this section as paragraph (e) and would make technical
changes to this paragraph so that the cross-references are accurate in
light of the other changes we are proposing to make to Sec. 414.226.
This proposed rule would also amend our regulations at Sec.
414.229 by revising the payment rules for capped rental durable medical
equipment (DME) items (also called capped rental items) in paragraph
(a), revising paragraph (f) to provide for new payment rules for capped
rental items furnished beginning on or after January 1, 2006, revising
paragraph (g) to provide for supplier requirements that we believe are
necessary in light of the amendments made to section 1834(a)(7)(A) of
the Act by section 5101(a) of the DRA, and adding a new paragraph (h)
to address the lump-sum purchase option for power-driven wheelchairs
furnished on or after January 1, 2006. The language in current
paragraphs (f) and (g) of this section is obsolete, and therefore, we
would propose to delete this language.
This proposed rule would amend our regulations at Sec. 414.210 by
revising the maintenance and servicing rules in paragraph (e) and the
replacement of equipment rules in paragraph (f) to further implement
the new supplier requirements that we are proposing below.
Finally, we are proposing to revise Sec. 414.230(b) to incorporate
section 5101(b)(2)(B) of the DRA, which provides that for all
beneficiaries receiving oxygen equipment paid for under section 1834(a)
on December 31, 2005, the period of continuous use begins on January 1,
2006. We are also proposing to revise Sec. 414.230(f), which governs
when a new period of continuous use begins if a beneficiary receives
new equipment, to account for the fact that oxygen equipment is paid on
a modality neutral basis.
Section 5101(a) of the DRA changes the Medicare payment methodology
for capped rental equipment to beneficiary ownership after 13 months of
continuous use, for those beneficiaries who need the equipment for more
than 13 months. This section also makes the transfer of title for the
capped rental items a requirement rather than a beneficiary option
after 13 months of continuous use. The changes made by this section of
the DRA apply to capped rental items, including rented power-driven
wheelchairs, for which the first rental month occurs on or after
January 1, 2006. We are proposing to update Sec. 414.229 of our
regulations to reflect these new statutory requirements. However, for
capped rental items and rented power-driven wheelchairs for which the
first rental month occurred before January 1, 2006, the existing rules
in Sec. 414.229 would continue to apply. In addition, as was the case
before enactment of the DRA, beneficiaries may elect to obtain power-
driven wheelchairs furnished on or after January 1, 2006, on a lump-sum
purchase basis.
Section 5101(b) of the DRA changes the Medicare payment methodology
for oxygen equipment from continuous rental to beneficiary ownership
after 36 months of continuous use, for those beneficiaries who
medically need the oxygen equipment for more than 36 months. For
beneficiaries who were receiving oxygen equipment on December 31, 2005
for which payment was made under section 1834(a) of the Act, the 36-
month rental period began on January 1, 2006. For beneficiaries who
begin to rent oxygen equipment on or after January 1, 2006, the 36-
month rental period commences at the time they begin to rent the
equipment. We are proposing to update Sec. 414.226 of our regulations
to incorporate these new requirements.
In light of the changes made by sections 5101(a) and (b) of the
DRA, we believe it is necessary to propose additional supplier
requirements in order to maintain beneficiary protections and access to
oxygen, oxygen equipment, and capped rental DME items under section
1834(a) of the Act. For both capped rental DME items and oxygen
equipment, the DRA amendments make the transfer of title from the
supplier to the beneficiary a requirement rather than an option after
the statutorily-prescribed rental period ends for each category of
items. Therefore, suppliers and beneficiaries should be aware that
title to these items will automatically transfer to the beneficiary if
the medical need for the equipment continues for a period of continuous
use that is longer than 36 months for oxygen equipment and 13 months
for capped rental items. We are concerned that there may be incentives
for suppliers to avoid having to transfer title to equipment to
beneficiaries as required by the DRA. For example, we are aware of
cases where a supplier has informed beneficiaries that it would decline
to accept assignment for capped rental items and would charge
beneficiaries who elected the purchase option the full retail price for
the item during the 13th rental month (which was right before the
supplier would be required to transfer title under the purchase
option). In these cases, the beneficiary would become financially
liable for the total retail price for the equipment in the 13th month
if they elected the purchase option. We are making several proposals
relating to the furnishing of oxygen equipment and capped rental items
which we believe protect beneficiaries from these types of abusive
practices and which we believe are reasonable for a supplier to comply
with. Our authority to promulgate these requirements stems from our
authority to administer the payment rules at section 1834(a)(5) of the
Act for oxygen equipment and section 1834(a)(7) of the Act for capped
rental items, as well as the general authority provided in section 1871
of the Act for prescribing regulations necessary for administering the
Medicare program. Other than the length of the rental periods, which
the DRA made effective beginning on January 1, 2006 for all oxygen
equipment and for capped rental items for which the first rental period
began on or after that date, we are proposing that the requirements
presented in this section of the regulations would be effective on
January 1, 2007, and would apply to suppliers that furnish oxygen
equipment or capped rental items on a rental basis.
We believe that a supplier of an item that is subject to these new
payment rules that furnishes the item in the first month for which a
rental payment is made has an obligation to continue furnishing the
item to the beneficiary for the entire period of medical need in which
payments are made, up to and including the time when title to the
equipment transfers to the beneficiary. We believe it is reasonable for
the beneficiary to have an expectation that he or she will not be
forced to change
[[Page 44094]]
equipment or suppliers during the period of medical need unless he or
she wants to. Therefore, we are proposing that unless an exception
applies, the supplier that furnishes oxygen equipment or a capped
rental item for the first month of the statutorily prescribed rental
period must continue to furnish the oxygen equipment or the capped
rental item for as long as the equipment remains medically necessary,
up to and including the last month for which a rental payment is made
by Medicare. We believe that this proposal is necessary to ensure
beneficiary access to equipment during a period of medical need, which
we believe could be jeopardized if suppliers have the option to take
back the rented equipment just before the rental period expires in
order to retain title to that equipment. We propose that this
requirement would be subject to the following exceptions: (1) Cases
where the item becomes subject to a competitive acquisition program
implemented in accordance with section 1847(a) of the Act; (2) cases
where a beneficiary relocates on either a temporary or permanent basis
to an area that is outside the normal service area of the initial
supplier; (3) cases where the beneficiary chooses to obtain equipment
from a different supplier; and (4) other cases where CMS or the carrier
determine that an exception is warranted. We have proposed rules in
connection with the first exception in our Notice of Proposed
Rulemaking for Competitive Acquisition for Certain Durable Medical
Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Other
Issues. These proposed rules are addressed beginning on page 25662 of
the May 1, 2006, Federal Register. If the second exception applies, we
propose that the supplier or beneficiary would need to arrange for
another supplier in the new area to furnish the item on either a
temporary or permanent basis. This proposed exception is consistent
with what currently happens when beneficiaries move outside a
supplier's service area on either a temporary or permanent basis. The
third exception is intended to protect a beneficiary's right to obtain
the equipment from the supplier of his or her choice. Finally, we are
proposing to allow other exceptions to this proposed requirement on a
case-by-case basis at the discretion of CMS or the Medicare contractor.
CMS will be monitoring the case-by-case determinations made by the
Medicare contractor.
We are concerned that there might be potential incentives for a
supplier to replace more valuable or newer equipment used by the
beneficiary with less valuable or older equipment from its inventory at
some point before the 36th rental month for oxygen equipment or 13th
rental month for capped rental DME expires in order to avoid losing
title to the more valuable equipment. In order to avoid such potential
situations, we propose that the supplier may not provide different
equipment from that which was initially furnished to the beneficiary at
any time during the 36-month period for oxygen equipment or 13th rental
month for capped rental DME unless one of the following exceptions
applies: (1) The equipment is lost, stolen, or irreparably damaged; (2)
the equipment is being repaired while loaner equipment is in use; (3)
there is a change in the beneficiary's medical condition such that the
equipment initially furnished is no longer appropriate or medically
necessary; or (4) the carrier determines that a change in equipment is
warranted. However, we are proposing that a change from one oxygen
equipment modality to another without physician documentation that such
a change is medically necessary for the individual would not be
considered a change in equipment that is warranted under the fourth
exception stated above since there is no medical basis for the change.
In those cases where the equipment is replaced, we propose that the
replacement item must be equipment that is, at minimum, in the same
condition as the equipment being replaced. This proposal is intended to
safeguard beneficiary access to quality oxygen equipment and capped
rental items throughout the duration of the rental period.
Under Medicare, suppliers who furnish items of DME can accept
assignment on all claims for Medicare services or on a claim-by-claim
basis. Assignment is an agreement between the supplier and the
beneficiary under which the supplier agrees to request direct payment
from Medicare for the item, to accept 80 percent of the Medicare
allowed payment amount for the item from the carrier, and to charge the
beneficiary not more than the remaining 20 percent of the Medicare
approved payment amount, plus any unmet deductible. If a supplier
elects not to accept assignment, Medicare pays the beneficiary 80
percent of the Medicare allowed payment amount, after subtracting any
unmet deductible, and there is no limit under Title XVIII of the Act on
the amount the supplier can charge the beneficiary for rental of the
DME item. The beneficiary, in these situations, is financially
responsible for the difference between 80 percent of the Medicare
allowed payment amount and the amount the supplier charges for the
rental of the DME item.
Section 1842(h) allows suppliers to sign a participation agreement
where the supplier agrees voluntarily, before a calendar year, to
accept assignment for all Medicare items and services furnished to a
beneficiary for the following calendar year. Current supplier
participation agreements are renewable annually. However, the
agreements do not apply for a full period of medical need for specific
beneficiaries in cases where such need extends for more than a calendar
year. Nor do current participation agreements apply to periods of
medical need where such a period overlaps calendar years. In the latter
case, while a supplier may renew its participation agreement annually,
a beneficiary would not know before choosing a supplier whether the
supplier would be willing to accept assignment of all claims during the
13-month or 36-month rental period.
In order for the beneficiary to make an informed choice, we propose
that before furnishing the oxygen equipment or a capped rental item,
the supplier must disclose to the beneficiary its intentions regarding
whether it will accept assignment of all monthly rental claims for the
equipment during the period of medical necessity, up to and including
the 36th month of continuous use for oxygen equipment or the 13th
rental month of continuous use for capped rental DME in which rental
payments could potentially be made. We believe that it is reasonable
for the supplier to disclose to each beneficiary its intentions
regarding assignment of claims for all months during a rental period as
this decision has a direct financial effect on the beneficiary. A
supplier's intentions could be expressed in the form of a written
agreement between the supplier and a beneficiary. This proposal would
require suppliers to give beneficiaries advance notice of the possible
extent of their financial liability during the period of medical need
in which monthly rental payments are made for the equipment, so that
they can use this information to help select a supplier. Additionally,
to promote informed beneficiary choices, we plan to post information on
a CMS and/or CMS contractor Web site(s) indicating supplier specific
information on oxygen equipment and capped rental items such as (1) the
percentage of beneficiaries for whom each supplier accepted assignment
during a prior period of time (for example, a quarter), and/or (2) the
percentage of cases in which the supplier accepted assignment
[[Page 44095]]
during the beneficiary's entire rental period. We believe that these
proposals create reasonable rules for suppliers that furnish oxygen
equipment and capped rental items and ensure that beneficiaries have
information necessary to make informed choices that could have
significant financial consequences for them.
H. Payment for Oxygen Contents for Beneficiary-Owned Oxygen Equipment
Section 1834(a)(5) of the Act, as amended by section 5101(b)(1) of
the DRA, requires that Medicare continue to make monthly payments for
the delivery and refilling of oxygen contents for the period of medical
need after beneficiaries own their own gaseous or liquid oxygen
stationary or portable equipment. Before the enactment of the DRA,
Medicare made monthly payments for the delivery and refilling of oxygen
contents for beneficiaries who own their own stationary and/or portable
equipment (equipment they obtained on a purchase basis before June 1,
1989, out-of-pocket, or before they enrolled in Medicare Part B). In
accordance with the DRA, we propose that after the supplier transfers
title to the stationary and/or portable oxygen equipment to the
beneficiary, Medicare would continue to make separate monthly payments
for gaseous or liquid oxygen contents until medical necessity ends. We
are also proposing that if the beneficiary-owned equipment is replaced,
and Medicare pays for the replacement in accordance with proposed
revised Sec. 414.210(f) (see section K of this proposed rule for a
more complete discussion of our proposed oxygen equipment replacement
policies), a new 36-month rental period start and the payment for
oxygen contents would be included in the monthly rental payments. We
are proposing that all oxygen content payment amounts would be based on
new rates developed in accordance with our proposal to establish new
payment classes, as discussed in section I below.
In transferring title to gaseous or liquid oxygen equipment used
during the 36-month rental period, we propose that suppliers must
transfer title for all equipment that will meet the beneficiary's
continued medical need, including those oxygen cylinders or vessels
that are refilled at the supplier's place of business. Customary
practice by suppliers for refilling oxygen contents is to deliver to
the beneficiary cylinders filled with contents and take back the empty
cylinders to the supplier's place of business to refill the oxygen
contents. Under our proposal, title would transfer for both sets of
cylinders, meaning the ones that are being used by the beneficiary for
the month and the ones that the supplier refills in its business
location and delivers for use during the next subsequent month. This
policy would apply to both gaseous and liquid oxygen stationary
equipment and portable systems. Similarly, in those cases where the
beneficiary uses an oxygen equipment system which includes a compressor
which fills portable gaseous cylinders in the beneficiary's home, we
propose that suppliers must transfer title for this equipment to the
beneficiary.
Concerns have been raised regarding beneficiary access to, and
safety issues associated with, the delivery of oxygen contents for
beneficiary-owned stationary and portable gaseous or liquid equipment.
We believe that these concerns are based on the misconception that
beneficiaries become responsible for filling their own cylinders. To
the contrary, there are numerous State and Federal regulations
governing the safe handling, filling, and transport of oxygen and those
regulations are unaffected by the DRA oxygen provisions. We expect that
suppliers will continue to furnish replacement contents for
beneficiary-owned gaseous and liquid systems in the same way that they
have furnished replacement contents for beneficiary-owned equipment in
the past. For example, suppliers that deliver a one-month supply of
gaseous cylinders to a beneficiary's home at the same time that they
are picking up empty cylinders that the beneficiary used during the
previous month could continue this practice under section 5101(b) of
the DRA.
I. Classes of Oxygen and Oxygen Equipment
Based on information from paid Medicare claims with dates of
service in calendar year 2004, distribution of usage among the four
general categories of oxygen systems was: (a) 69 percent of
beneficiaries used both a stationary concentrator (which does not
require delivery of oxygen contents) and a portable system that
requires delivery of gaseous or liquid oxygen, (b) 5 percent of
beneficiaries used a stationary system that requires delivery of
gaseous or liquid oxygen and a portable system that requires delivery
of gaseous or liquid oxygen, (c) 24 percent of beneficiaries used a
stationary concentrator system only, and (d) 2 percent of beneficiaries
used only a stationary system that requires delivery of liquid or
gaseous oxygen. The prevalent use of stationary concentrator systems is
due, in part, to the fact that this system is the most cost-effective
and dependable of the stationary oxygen modalities. The main reason
that the concentrator system is the most cost-effective system is that
the oxygen is concentrated from room air, and therefore, the high cost
of delivering contents to the beneficiary's residence is removed when
this system is used. Medicare's current payment structure results in
two separate payments for beneficiaries using both stationary and
portable systems, both of which are modality neutral, meaning that the
payment amount does not differ depending on the type of oxygen delivery
system (gaseous, liquid, or concentrator) that is furnished. One
payment, hereinto referred to as the ``stationary payment,'' includes
payment for the rental of stationary equipment, delivery of stationary
oxygen contents (for gaseous or liquid systems), and delivery of
portable oxygen contents (for gaseous or liquid systems). A separate
add-on payment, hereinto referred to as the ``portable add-on,'' is
also made in cases where the beneficiary is renting portable oxygen
equipment. As a result of this payment methodology which has been in
place since 1989, suppliers have a financial incentive to furnish low
cost concentrator systems as opposed to more expensive gaseous or
liquid systems because the monthly payment is the same regardless of
which system is used. Finally, in implementing section 1834(a)(5) and
(9) of the Act, monthly payment amounts were established through
regulations at Sec. 414.226 for (1) stationary and portable oxygen
contents (for beneficiaries who use stationary and, if applicable,
portable equipment), and (2) portable oxygen contents only (for
beneficiaries who only use portable oxygen equipment).
The current average statewide monthly payment amounts are:
------------------------------------------------------------------------
------------------------------------------------------------------------
Equipment & contents Oxygen contents only
------------------------------------------------------------------------
Stationary pmt................ $199 Stationary & portable. $156
Portable add-on............... 32 Portable only......... 21
------------------------------------------------------------------------
[[Page 44096]]
Based on our data, 36 percent of Medicare beneficiaries continue
using oxygen equipment for more than three years, that is, beyond the
36th month after which title for the equipment would transfer to the
beneficiary in accordance with the DRA.
We have heard concerns about the appropriateness of the current
payment structure for oxygen and oxygen equipment in light of changes
in the technologies for oxygen delivery systems that have occurred
since 1989, and these concerns have been amplified in light of the
recent changes made by the DRA. The specific concerns pertain to
beneficiary access to (1) portable oxygen contents after title to the
equipment transfers to the beneficiary, (2) devices that allow a
beneficiary to fill portable tanks at home (otherwise referred to in
the oxygen equipment industry as transfilling systems), and (3)
portable oxygen concentrators. As we implement the DRA provisions for
oxygen equipment and propose to promulgate additional supplier
requirements, we want to ensure that the Medicare payment methodology
results in payments for oxygen and oxygen equipment that are accurate,
do not impede beneficiary access to innovations in technology, and do
not create inappropriate incentives for suppliers.
Some believe that Medicare's stationary payment for equipment and
contents (average of $199) is ``too high'' and that Medicare's payment
for portable oxygen contents only for beneficiary-owned portable
equipment (average of $21) is ``too low''. While some contend that the
overall payment (stationary payment plus portable add-on) for oxygen
and oxygen equipment is adequate as long as the beneficiary continues
to rent the equipment, they are concerned about the adequacy of
Medicare's $21 monthly payment for furnishing oxygen contents for
beneficiary-owned portable equipment. Some believe that Medicare's
current average monthly payment of $156 for oxygen contents, which
includes payment for both stationary and portable systems, is high
enough to create an incentive for suppliers to furnish stationary
oxygen systems that require the ongoing delivery of oxygen contents,
rather than stationary concentrator systems that do not require
delivery of oxygen contents.
Some technologies provide an attachment to a stationary oxygen
concentrator that allows beneficiaries to fill their own portable tanks
at home. Delivery of portable oxygen contents to the beneficiary's home
is, therefore, not necessary since this equipment refills the
beneficiary's rented or owned portable oxygen tanks. This transfilling
technology eliminates the need for frequent and costly trips by a
supplier to a beneficiary's home to refill portable oxygen tanks and
would save the Medicare program and beneficiaries who use portable
equipment the expense of paying for delivery of portable oxygen
contents. We note that we are not aware that a similar ``transfilling''
technology has been developed that would be capable of filling
stationary tanks in the beneficiary's home. Therefore, there remains a
need for ongoing delivery of gaseous or liquid oxygen contents for
stationary equipment. In accordance with the DRA, after 36 months of
continuous use, title for the transfilling equipment and accompanying
portable oxygen tanks would transfer to the beneficiary who would then
own a portable equipment system that self-generates oxygen in their
home. However, some are concerned that current Medicare payment rules
that allow payment for oxygen contents for stationary equipment creates
an incentive for suppliers to furnish stationary oxygen equipment that
require liquid or gaseous oxygen deliveries, rather than concentrators
and transfilling equipment that self-generate oxygen in the
beneficiary's home. In addition, portable oxygen concentrators are now
available that meet both the beneficiary's stationary and portable
oxygen needs. Some have raised concern about whether the combination of
the Medicare stationary payment and portable add-on payment
(approximately $231 per month), which is what is currently paid for
portable oxygen concentrators, is sufficient to facilitate use of this
new technology which, like a transfilling system, eliminates the need
for delivery of oxygen contents, but is more expensive than a
``standard'' or ``non-portable'' concentrator.
In light of these concerns, we are proposing regulatory changes to
address the Medicare payment rates for oxygen and oxygen equipment. We
are proposing to address these issues by using our authority under
section 1834(a)(9)(D) of the Act to establish separate classes and
monthly payment rates for items of oxygen and oxygen equipment.
Specifically, there are two changes we are proposing for oxygen and
oxygen equipment:
1. We propose to establish a new class and monthly payment amount
for oxygen generating portable oxygen equipment (for example, portable
concentrators and transfilling systems).
2. We propose to establish separate classes and monthly payment
amounts for gaseous and liquid oxygen contents that must be delivered
for beneficiary-owned stationary and portable oxygen equipment.
The first change involves creating a new separate class for
portable oxygen systems that generate their own oxygen and therefore
eliminate the need for delivery of oxygen contents (for example,
portable concentrator systems or transfilling systems). A higher
monthly payment amount would be allowed, as described below, for these
systems to account for the increased, up-front costs to the supplier of
furnishing these more expensive concentrator or transfilling systems,
which would be partially offset by the reduced payments that the
supplier would receive from the Medicare program and beneficiaries due
to the fact that these systems do not require the delivery of oxygen
contents.
The second change involves creating two separate classes
(stationary contents only and portable contents only) and monthly
payment rates for furnishing oxygen contents for beneficiary-owned
stationary and portable systems. Currently, the combined average
monthly payment amount of $156 for furnishing oxygen contents for
beneficiary-owned stationary and portable systems includes payment for
both stationary contents and portable contents. The current fee
schedule amounts for oxygen contents are based on calendar year data
from 1986 for the combined average Medicare monthly payment for both
stationary and portable contents divided by number of rental months for
stationary liquid and gaseous oxygen equipment. As a result, the
current combined stationary/portable contents payment results in
Medicare payments for portable contents even in those cases where the
beneficiary does not use portable oxygen equipment. Under our proposal
to create one payment class for oxygen contents used for stationary
equipment, and a separate class for oxygen contents used for portable
equipment, new national monthly payment amounts for stationary contents
delivery and portable contents delivery would be established by
splitting the combined payment of $156 into two new payments as
explained below. This change would increase the monthly payment for
furnishing portable oxygen contents and would address the concerns that
the monthly payment rate of $21 is too low for the delivery and filling
of portable tanks after the beneficiary assumes ownership of the
equipment in accordance with the DRA.
[[Page 44097]]
In order to achieve budget neutrality for the new classes of oxygen
and increase payment amounts for furnishing portable contents, we would
need to reduce other Medicare oxygen payment rates. Budget neutrality
would require that Medicare's total spending for all modalities of
stationary and portable systems, including contents, be the same under
the proposed change as they would be without the change.
We would propose to achieve budget neutrality by reducing the
current monthly payment amounts (the stationary payment) for stationary
oxygen equipment and oxygen contents (for stationary or portable
equipment) made during the rental period. This reduction in payment is
necessary to offset increased payments for the changes identified above
and to meet the requirement in section 1834(a)(9)(D)(ii) that the
classes and payments be established in a budget neutral fashion. In
most cases, suppliers furnish Medicare beneficiaries with stationary
oxygen concentrators. These devices can be purchased for $1,000 or less
and the current, average Medicare payment of $199 pays suppliers $1,990
over 10 months. We believe that these facts indicate that making a
reduction (from $199 on average to $177) in Medicare payment for this
relatively inexpensive oxygen equipment in order to pay oxygen
suppliers adequately for furnishing portable oxygen contents and more
expensive portable oxygen equipment technologies is warranted. With
this approach, the proposed new classes, as well as proposed new
national monthly payment rates, would be as follows:
1. Stationary Payment: $177.
2. Portable Add-On: $32.
3. Oxygen Generating Portable Equipment Add-On (portable
concentrators or transfilling systems): $64.
4. Stationary Contents Delivery: $101.
5. Portable Contents Delivery: $55.
We provide a detailed discussion of the payment rate calculations/
adjustments in the paragraphs that follow. Under the proposed new
oxygen and oxygen equipment class structure described above, in those
cases where the beneficiary needs both stationary and portable oxygen,
monthly payments of $241 or $209 (proposed revised stationary payment
of $177 plus one of two proposed portable equipment payments, $32 or
$64) would be made during rental months 1 through 36. The stationary
payment (which includes payment for stationary equipment, as well as
oxygen contents for stationary and portable systems) of $177 would be
made during rental months 1 through 36 for beneficiaries who only need
stationary oxygen and oxygen equipment. Monthly payments of $101 for
stationary oxygen contents and/or $55 for portable oxygen contents
would be made in cases where beneficiaries own their stationary and/or
portable oxygen equipment. As explained in more detail in the
paragraphs that follow, the $101 payment is for stationary oxygen
contents only and is derived from the current payment of $156, which is
made for both stationary and portable oxygen contents. The $55 payment
for portable oxygen contents only is also derived from the current
payment of $156 that is made for both stationary and portable oxygen
contents and would replace the current statewide portable oxygen
contents fees (average of $21), which was based on a relatively small
number of claims and allowed services compared to the number of claims
and allowed services that were used in computing the statewide fees
(average of $156) for a combination of stationary and portable oxygen
contents.
As noted above, the proposed national payment rates for delivery of
oxygen contents for beneficiary owned gaseous/liquid equipment were
derived from the current average payment for a combined oxygen contents
delivery of $156. We propose to establish $101, or 65 percent of $156,
as the monthly payment rate for delivery of larger, heavier,
beneficiary-owned stationary gaseous oxygen cylinders or liquid oxygen
vessels and $55, or 35 percent of $156, as the monthly payment rate for
delivery of smaller, lighter, beneficiary-owned portable gaseous oxygen
cylinders or liquid oxygen vessels. The 65/35 split is based on our
understanding that there are higher costs associated with delivering
stationary tanks (cylinders of gaseous oxygen and vessels of liquid
oxygen) which are approximately twice as large as the portable tanks.
Such costs include supplier overhead costs, including the costs to
purchase, maintain, and dispatch trucks, obtain insurance, and purchase
fuel. The 65/35 split is intended to account for the difference in
costs associated with the size of the tanks. Larger tanks take up more
space on the trucks, take longer to fill, are harder to move, and
result in increased fuel costs.
We estimate that the increase from $21 to $55 in the monthly
payment rate for delivery of oxygen contents for beneficiary-owned
portable equipment will result in increased expenditures of
approximately $22 million over a 24 month period, or $11 million
annually. This figure is based on current data on utilization of
portable oxygen by Medicare beneficiaries.
The add-on payment amount of $64 for the oxygen generating portable
equipment class was calculated based on data indicating long term
savings generated from use of equipment that eliminated the need for
payment of $55 per month for portable oxygen contents. The first step
in calculating the proposed $64 payment for oxygen generating portable
equipment involves the computation of a national, enhanced, modality
neutral monthly payment amount of $241 for new technology systems
(stationary concentrators and transfilling systems, as well as portable
concentrators), which was derived from the sum of the current average
stationary payment ($199), the current average portable add-on payment
($32), and an additional $10 to pay suppliers for furnishing more
expensive equipment that eliminates the need for delivery of portable
oxygen contents. Specifically, we calculated the modality neutral
increased payment (that is, $10 above the current combination of the
stationary payment and portable add-on payment) by estimating potential
savings that the Medicare program would realize as a result of not
having to pay for delivery of oxygen contents for beneficiary-owned
portable oxygen systems in the fourth and fifth years of use. We
calculated the increased payment to be equal to potential savings from
not delivering oxygen contents. In calculating this increased payment,
we are only factoring in savings from the fourth and fifth years of use
since we assume that most beneficiaries will elect to obtain
replacement equipment after the 5-year reasonable useful lifetime for
their equipment has expired. Since our data indicates that 35.8 percent
of beneficiaries will use oxygen equipment for more than three years,
and that approximately 74 percent of these beneficiaries use portable
equipment, the $10 amount is calculated based on the following formula,
and is rounded to the nearest dollar:
[GRAPHIC] [TIFF OMITTED] TP03AU06.000
We estimate that the additional $10 payment per month for oxygen
generating portable equipment (transfilling units and portable
concentrators) will result in increased expenditures of approximately
$15 million over a 36 month period, or $5 million annually. This figure
is based on current data on utilization of stationary and portable
oxygen by Medicare beneficiaries over 36 months.
The second step in calculating the proposed $64 add-on payment for
the
[[Page 44098]]
proposed new class of oxygen generating portable equipment involves
subtracting the proposed new stationary payment. Therefore, the
national monthly payment of $241 computed in the first step above would
be reduced by $177, the proposed new adjusted stationary payment
amount, to arrive at the proposed add-on payment of $64 for just the
oxygen generating portable equipment. In addition, to offset the
increased annual payments of approximately $16 million that will result
from increased payments for portable oxygen contents ($11 million) and
newer technology oxygen generating portable equipment ($5 million), we
would propose to decrease the current stationary payment by $22 ($199 -
$177). We estimate that this offset would result in annual Medicare
savings of approximately $16 million, and would therefore offset the
increased payments for new technology oxygen generating portable
equipment and delivery of oxygen contents for other beneficiary-owned
portable equipment. We are proposing that these fees be established on
a nationwide basis due to the fact that the variation in the current
statewide fee schedule amounts for oxygen and oxygen equipment, as well
as the portable equipment add-on payment, are currently only 3 percent
and 5 percent, respectively.
We are proposing that the $64 add-on payment would be made for
oxygen generating portable equipment only if the equipment eliminates
the need for delivery or portable oxygen contents. However, if
transfilling equipment is used in connection with a stationary oxygen
concentrator (whether as an integrated system component or as a
separate part) to both deliver stationary oxygen and fill portable
oxygen tanks, Medicare would make both a $177 stationary payment for
the stationary oxygen concentrator and stationary oxygen contents, and
a separate $64 oxygen generating portable equipment payment for the
portable oxygen transfilling equipment.
There are also portable oxygen transfilling products that are not
part of or used in conjunction with a stationary oxygen concentrator.
These products are only used to fill portable oxygen tanks in the
beneficiary's home. If the beneficiary is using one of these products,
Medicare would make a $64 oxygen generating portable equipment payment.
If the patient is also renting any type of stationary oxygen equipment
(gaseous, liquid, or concentrator), Medicare would make a separate,
additional $177 stationary equipment payment for that equipment.
If a portable oxygen concentrator is furnished, Medicare would make
the $64 oxygen generating portable equipment add-on payment if the
portable oxygen concentrator is used as both the beneficiary's
stationary oxygen equipment and portable oxygen equipment. In this
case, the portable oxygen concentrator equipment would fall under both
the stationary oxygen equipment class and the oxygen generating
portable equipment class. Therefore, the $177 stationary payment would
also be made in this situation, since the equipment being furnished
meets the beneficiary's needs for both stationary and portable oxygen
equipment. In this case, it would be necessary for the supplier to use
two HCPCS codes to bill for this device since it is being used as both
the stationary and portable oxygen equipment for the beneficiary. If
the beneficiary owns any type of stationary equipment (concentrator,
liquid, or gaseous), and is also furnished with a portable oxygen
concentrator, only the oxygen generating payment of $64 would be made
(that is, the supplier would not also receive the $177 payment) and the
portable oxygen concentrator equipment would fall under the oxygen
generating portable equipment class because it is only being used to
meet the beneficiary's need for portable oxygen equipment. Finally, if,
the beneficiary is renting any type of stationary equipment
(concentrator, liquid, or gaseous), and is also furnished with a
portable oxygen concentrator, the oxygen generating add-on payment of
$64 would be paid for the portable oxygen concentrator and the
stationary payment of $177 would be paid separately for the stationary
oxygen equipment and contents.
In summary, we are proposing new payment classes for oxygen
contents for beneficiary-owned stationary equipment, oxygen contents
for beneficiary-owned portable equipment, and oxygen generating
portable equipment. Payments for oxygen contents for beneficiary-owned
portable equipment and oxygen generating portable equipment would
exceed what is currently paid for these items to ensure access to
portable oxygen regardless of the type of equipment used. These
increased payments would be offset by a reduction in the stationary
payment. The six broad categories of oxygen equipment used by
beneficiaries are as follows:
A. Concentrator and liquid or gaseous portable equipment
B. Concentrator and/or oxygen generating portable equipment
C. Liquid or gaseous stationary equipment and liquid or gaseous
portable equipment
D. Liquid or gaseous stationary equipment and oxygen generating
portable equipment
E. Concentrator only
F. Liquid or gaseous stationary equipment only
Based on our proposed new payment classes, Medicare payment under
these six categories would be as follows:
----------------------------------------------------------------------------------------------------------------
Contents for
Category Equipment rental and beneficiary-owned
contents equipment
----------------------------------------------------------------------------------------------------------------
A............................................................. $209 ($177 + $32) $55
B............................................................. 241 ($177 + $64) 0
C............................................................. 209 ($177 + $32) 156 ($101 + $55)
D............................................................. 241 ($177 + $64) 101
E............................................................. 177 0
F............................................................. 177 101
----------------------------------------------------------------------------------------------------------------
We are proposing to revise our regulations in order to implement
these new payment classes and payment amounts, effective for claims
with dates of service on or after January 1, 2007.
J. Payment for Maintenance and Servicing of Oxygen and Oxygen Equipment
and Capped Rental Items
Immediately following passage of the DRA, concerns were raised
regarding the ability of a beneficiary to obtain maintenance and
servicing of his or her DME once he or she has taken title to it. We
believe that these concerns are largely based on misconceptions that
the beneficiary will ``be on his or her own'' in terms of maintenance
and
[[Page 44099]]
servicing of equipment and submission of claims for payment for these
services. We believe that these concerns are unfounded because Medicare
payment has traditionally been made for reasonable and necessary repair
and maintenance of beneficiary-owned DME. In addition, section
1834(a)(5)(F)(ii)(II)(bb) of the Act, as amended by section
5101(b)(1)(B) of the DRA, requires that Medicare continue to pay for
reasonable and necessary maintenance and servicing for parts and labor
that is not covered under a manufacturer's or supplier's warranty in
amounts determined to be appropriate by the Secretary.
Medicare has also traditionally paid for loaner equipment used
while the beneficiary's equipment is being repaired, or in some cases,
when the beneficiary does not have access to the equipment (for
example, in cases when a natural disaster such as a hurricane forces
the beneficiary to be evacuated from his or her home). We are proposing
to continue Medicare payment for such loaner equipment.
We are not aware of instances where beneficiaries have encountered
problems in finding suppliers to provide maintenance and servicing of
beneficiary-owned DME. Section 414.210(e) of our regulations currently
provides that reasonable and necessary charges for maintenance and
servicing of DME are those charges made for parts and labor not
otherwise covered under a manufacturer's or supplier's warranty. This
definition has been applied in paying claims for maintenance and
servicing of beneficiary-owned DME for several years, and the wording
of this regulatory definition is parallel to that used in amended
sections 1834(a)(7)(A)(iv) and (a)(5)(F)(ii)(II)(bb) of the Act in
describing the ``maintenance and servicing'' payments that are
permitted for capped rental DME and oxygen equipment after title has
transferred to the beneficiary. We are proposing to continue use of
this existing regulatory definition to define ``maintenance and
servicing'' in section 5101 of the DRA. We would, however, also propose
to apply our existing policy of not covering certain routine
maintenance or periodic servicing of purchased equipment, such as
testing, cleaning, regulating, changing filters, and general inspection
of beneficiary-owned DME that can be done by the beneficiary or
caregiver, to beneficiary-owned oxygen equipment and to continue that
policy for beneficiary-owned capped rental equipment. As specified in
current program instructions at section 110.2.B of chapter 15 of the
Medicare Benefit Policy Manual (Pub. 100-02), ``the owner [of the
equipment] is expected to perform such routine maintenance rather than
a retailer or some other person who charges the beneficiary.'' We
expect that the supplier, when transferring title to the equipment to
the beneficiary, would also provide to the beneficiary any operating
manuals published by the manufacturer which describe the servicing an
owner may perform to properly maintain the equipment. We also believe
that these owner manuals are commonly available at the various
manufacturer Web sites. In addition, the Durable Medical Equipment,
Prosthetics, Orthotics and Supplies (DMEPOS) supplier standards at
Sec. 424.57(c)(12) require suppliers to provide the beneficiary with
necessary information and instructions on how to use DME items safely
and effectively. We believe that after receiving this information, and
after becoming familiar with the equipment during the 13 or 36 month
rental period, the beneficiary and/or caregiver should be very
knowledgeable regarding the routine maintenance required for the item.
All non-routine maintenance of beneficiary-owned oxygen equipment and
capped rental items which would need to be performed by authorized
technicians would be covered as reasonable and necessary maintenance
and servicing. Examples of the types of maintenance that would be
covered are currently listed in program instructions at section 110.2.B
of chapter 15 of the Medicare Benefit Policy Manual (Pub. 100-02) and
include ``breaking down sealed components and performing tests which
require specialized testing equipment not available to the
beneficiary.''
We are proposing that maintenance and servicing of beneficiary-
owned oxygen equipment and capped rental items would be reasonable and
necessary if it is non-routine maintenance and servicing necessary to
make the equipment serviceable. Payment is currently made under the
Medicare program for parts and labor associated with repairing
beneficiary-owned DME. Medicare allowed payment amounts for replacement
parts are currently paid based on the carrier's individual
consideration of the item. With regard to replacement parts for
beneficiary-owned oxygen equipment or capped rental equipment, we
propose that the carrier pay for the parts in a lump sum amount based
on its consideration of the cost of the item, as is consistent with
what our carriers currently do when evaluating maintenance and
servicing claims for other beneficiary-owned DME. Currently, payment
for labor is based on 15-minute increments in amounts that are
established by the carriers and updated on an annual basis by the same
factor specified in section 1834(a)(14) of the Act, which is used to
update fee schedule amounts for DME. We are proposing that the carriers
use the same fee for labor that is currently used in paying for labor
associated with repairing, maintaining, and servicing other
beneficiary-owned DME, as we are not aware of any past problems
associated with access to these services paid at these rates. We
believe that the current methods and fees used by carriers in paying
for maintenance and servicing of beneficiary-owned DME are reasonable
given that we are not aware of any past problems associated with access
to these services paid at these rates. In most cases, neither the
Medicare program nor the beneficiary actually pays the full amount for
repairing or maintaining an item since manufacturer warranties that
cover all or part of these costs are widespread. For example, some
manufacturers of commonly used oxygen concentrators offer full
warranties that cover all parts and labor for 5 years. Rules in Sec.
414.210(f) regarding replacement of DME that has been in continuous use
for the equipment's reasonable useful lifetime provide that the
beneficiary can elect to obtain replacement equipment after the
reasonable useful lifetime for the equipment has expired. Therefore, we
believe that the beneficiary should incur little, if any, expense for
repair or maintenance of necessary equipment in cases where
manufacturer warranties exist that cover parts and labor necessary to
repair a new item during a 5-year period.
K. Payment for Replacement of Beneficiary-Owned Oxygen Equipment,
Capped Rental Items, and Associated Supplies and Accessories
Medicare has traditionally paid for replacement beneficiary-owned
DME after the expiration of the equipment's useful lifetime (see Sec.
414.210(f) and Sec. 414.229(g) of our regulations), and for
replacement supplies and accessories used in conjunction with
beneficiary-owned DME when these supplies and accessories are necessary
for the effective use of the DME (see Sec. 110.3 of Chapter 15 of the
Medicare Benefit Policy Manual (Pub. 100-02)). Examples of supplies
include drugs and administration sets used with infusion pumps.
Examples of accessories include masks and tubing used with respiratory
equipment. We are proposing to apply these policies to beneficiary-
owned oxygen equipment, as well as the
[[Page 44100]]
supplies and accessories used in conjunction with this equipment, and
to continue to apply these policies to beneficiary-owned capped rental
items, as well as the supplies and accessories used in conjunction with
these items.
Specifically, we are proposing to update Sec. 414.210(f) and Sec.
414.229(g) of our regulations to reflect that payment may be made for
the replacement of beneficiary-owned oxygen equipment and capped rental
DME in cases where the item is lost, stolen, or irreparably damaged, or
in cases where the item has been in continuous use for its reasonable
useful lifetime. We propose that payment for the replacement be made on
a rental basis in accordance with the payment rules in Sec. 414.226
for oxygen equipment and Sec. 414.229 for capped rental items. We also
propose to revise Sec. 414.229 to reflect that these proposed changes
to the replacement policy for beneficiary-owned capped rental items
only apply to those items for which the first rental month occurs on or
after January 1, 2007 since the DRA does not apply to capped rental
items for which the first rental month occurs before January 1, 2006.
The current rules will remain in place for capped rental items to which
the DRA does not apply.
We are aware that some manufacturer warranties may cover
replacement of oxygen or capped rental equipment within a certain time
period after the item is furnished. As was our policy prior to the
enactment of DRA (see Sec. 110.2.C of Chapter 15 of the Medicare
Benefit Policy Manual (Pub. 100-02)), we are proposing that Medicare
not pay for the replacement of beneficiary-owned oxygen equipment or
capped rental items covered by a manufacturer's or supplier's warranty.
In cases where equipment replacement is not covered by a manufacturer's
or supplier's warranty, we propose that the supplier must still replace
beneficiary-owned oxygen equipment or beneficiary-owned capped rental
items at no cost to the beneficiary or to the Medicare program if: (1)
The total accumulated costs, as illustrated in the example below, to
repair the item after transfer of title to the beneficiary exceed 60
percent of the replacement cost; and (2) the item has been in
continuous use for less than its reasonable useful lifetime, as
established in accordance with the procedures set forth in proposed
revised Sec. 414.210(f). For example, a capped rental item that can be
replaced for $1,000 (total of fee schedule payments after 13 rental
months) and for which title has transferred to the beneficiary in
accordance with section 1834(a)(7)(A)(ii) of the Act can be used to
illustrate what we mean when we use the term ``accumulated costs''
above. In this example, if Medicare has paid a total of $500 for 3
repairs necessary to make the item functional, and a fourth repair
costing $200 is needed in order to make the item functional, the
accumulated costs for repair in this case will equal $700, which
exceeds $600 or 60 percent of the $1,000 cost to replace the item. In
this case, and therefore the supplier would be required to furnish a
replacement item. The greater than 60 percent of cost threshold for
replacement is consistent with the threshold repair costs that can
result in the replacement of prosthetics (artificial limbs) in
accordance with section 1834(h)(1)(G) of the Act. We believe this
threshold should apply to oxygen equipment and capped rental items as
well, because artificial limbs, like these items, are built to
withstand repeated use.
We propose that the supplier be responsible for the cost of the
replacement equipment because we believe that the item in this case did
not last for the entire reasonable useful lifetime. After the
beneficiary acquires title to the item, the supplier that transferred
title would be responsible for furnishing the replacement item. We are
proposing this provision to safeguard the beneficiary from receiving,
and the Medicare program from paying for, substandard equipment, and to
avoid creating an incentive for suppliers to increase the number of
claims submitted for repairs in an effort to recover revenue lost as a
result of DRA section 5101. We believe that this requirement is not
unreasonable since suppliers should be furnishing items in good working
order and are otherwise bound by regulations at Sec. 424.57(c)(15) to
accept returns from beneficiaries of substandard items. Exceptions to
this rule may be granted by CMS or the carrier as appropriate (for
example, the supplier would not be responsible for replacing an item in
need of repair due to beneficiary neglect or abuse).
L. Periods of Continuous Use
Rules that apply in determining a period of continuous use for
rental of DME are found at Sec. 414.230 of our regulations. We are
proposing that these rules would continue to apply in implementing
section 5101 of the DRA, with one exception. The rules in Sec.
414.230(f) provide that a new period of continuous use begins for new
or additional equipment prescribed by a physician and found to be
medically necessary, even if the new or additional equipment is similar
to the old equipment.
Medicare payments for stationary and portable oxygen and oxygen
equipment are currently modality neutral, which means that the same
payment amounts apply to the different types of oxygen equipment
furnished to Medicare beneficiaries. Since there is no distinction made
between oxygen equipment modalities for payment purposes under the
Medicare program, we do not believe that it is necessary or appropriate
to begin a new period of continuous use when the beneficiary changes
from one oxygen equipment modality to another. We are proposing to
revise Sec. 414.230(f) of our regulations to designate the existing
language in this section as paragraph (f)(1) and to add a new paragraph
(f)(2) to reflect this exception, effective for oxygen equipment
furnished on or after January 1, 2007. We are also proposing to revise
Sec. 414.230(b) to incorporate section 5101(b)(2)(B) of the DRA, which
provides that for all beneficiaries receiving oxygen equipment paid for
under section 1834(a) on December 31, 2005, the period of continuous
use begins on January 1, 2006.
M. Health Care Information Transparency and Health Information
Technology
(If you choose to comment on issues in this section, please include
the caption ``Health Care Information Transparency and Health
Information Technology'' at the beginning of your comment.)
In the April 25, 2006 Inpatient Prospective Payment Systems
proposed rule (71 FR 23996), we discussed in detail the Health Care
Information Transparency Initiative and our efforts to promote
effective use of health information technology (HIT) as a means to help
improve health care quality and improve efficiency. Specifically, with
regard to the transparency initiative, we discussed several potential
options for making pricing and quality information available to the
public (71 FR 24120 through 24121). We solicited comments on ways the
Department can encourage transparency in health care quality and
pricing whether through its leadership on voluntary initiatives or
through regulatory requirements. We also sought comments on the
Department's statutory authority to impose such requirements. In
addition, we discussed the potential for HIT to facilitate improvements
in the quality and efficiency of health care services (71 FR 24100
through 24101). We solicited comments on our statutory authority to
encourage the adoption and
[[Page 44101]]
use of HIT. The 2007 Budget states that ``the Administration supports
the adoption of health information technology (IT) as a normal cost of
doing business to ensure patients receive high quality care.'' We also
sought comments on the appropriate role of HIT in potential value-based
purchasing programs, beyond the intrinsic incentives of a PPS to
provide efficient care, encourage the avoidance of unnecessary costs,
and increase quality of care. In addition, we sought comments on
promotion of the use of effective HIT and how CMS can encourage its use
in HHAs.
We intend to consider both the health care information transparency
initiative and the use of HIT as we refine and update all Medicare
payment systems. Therefore, we seek comments on these initiatives as
applied to HH PPS in this proposed rule, including the Department's
statutory authority to impose any such requirements. We may address
these initiatives in the final HH PPS rule. For example, a HIT proposal
could include adding a requirement that HHAs use HIT that is compliant
with and certified by the Certification Commission for Health
Information Technology (CCHIT) in the areas in which the technology is
available. As noted previously, we currently collect home health
quality information and propose to collect additional quality data and
report it on the CMS Home Health Compare Web site. We note that we are
in the process of seeking input on these initiatives in various
proposed Medicare payment rules being issued this year.
III. Collection of Information Requirements
Under the Paperwork Reduction Act of 1995, we are required to
provide 60-day notice in the Federal Register and solicit public
comment before a collection of information requirement is submitted to
the Office of Management and Budget (OMB) for review and approval. In
order to fairly evaluate whether an information collection should be
approved by OMB, section 3506(c)(2)(A) of the Paperwork Reduction Act
of 1995 requires that we solicit comment on the following issues:
The need for the information collection and its usefulness
in carrying out the proper functions of our agency.
The accuracy of our estimate of the information collection
burden.
The quality, utility, and clarity of the information to be
collected.
Recommendations to minimize the information collection
burden on the affected public, including automated collection
techniques.
We are soliciting public comment on each of these issues for the
following sections of this document that contain information collection
requirements:
Section 414.226--Oxygen and Oxygen Equipment
This section proposes to require a supplier to disclose to the
beneficiary whether or not the supplier will accept assignment of all
monthly rental claims for oxygen equipment for the duration of the 36-
month rental period.
The burden associated with this requirement is the time and effort
put forth by the supplier to disclose this information. While this
information collection is subject to the PRA, we believe this
requirement meets the requirements of 5 CFR 1320.3(b)(2), and as such,
the burden associated with this requirement is exempt from the PRA.
Section 414.229--Other Durable Medical Equipment-Capped Rental Items
This section proposes to require a supplier to disclose to the
beneficiary whether or not the supplier will accept assignment of all
monthly rental claims for capped rental DME for the duration of the 13-
month rental period.
The burden associated with this requirement is the time and effort
put forth by the supplier to disclose this information. While this
information collection is subject to the PRA, we believe this
requirement meets the requirements of 5 CFR 1320.3(b)(2), and as such,
the burden associated with this requirement is exempt from the PRA.
We have submitted a copy of this proposed rule to OMB for its
review of the information collection requirements described above.
These requirements are not effective until they have been approved by
OMB.
If you comment on these information collection and recordkeeping
requirements, please mail copies directly to the following:
Centers for Medicare & Medicaid Services, Office of Strategic
Operations and Regulatory Affairs, Division of Regulations Development,
Attn: Melissa Musotto, [CMS-1304-P], Room C4-26-05, 7500 Security
Boulevard, Baltimore, MD 21244-1850; and
Office of Information and Regulatory Affairs, Office of Management and
Budget, Room 10235, New Executive Office Building, Washington, DC
20503, Attn: Carolyn Lovette, CMS Desk Officer, CMS-1304-P, [email protected]. Fax (202) 395-6974.
IV. Response to Comments
Because of the large number of public comments we normally receive
on Federal Register documents, we are not able to acknowledge or
respond to them individually. We would consider all comments we receive
by the date and time specified in the DATES section of this preamble,
and, when we proceed with a subsequent document, we would respond to
the comments in the preamble to that document.
V. Regulatory Impact Analysis
[If you choose to comment on issues in this section, please include
the caption ``REGULATORY IMPACT ANALYSIS'' at the beginning of your
comments.]
A. Overall Impact
We have examined the impacts of this rule as required by Executive
Order 12866 (September 1993, Regulatory Planning and Review), the
Regulatory Flexibility Act (RFA) (September 19, 1980, Pub. L. 96-354),
section 1102(b) of the Social Security Act, the Unfunded Mandates
Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.
Executive Order 12866 (as amended by Executive Order 13258, which
merely reassigns responsibility of duties) directs agencies to assess
all costs and benefits of available regulatory alternatives and, if
regulation is necessary, to select regulatory approaches that maximize
net benefits (including potential economic, environmental, public
health and safety effects, distributive impacts, and equity). A
regulatory impact analysis (RIA) must be prepared for major rules with
economically significant effects ($100 million or more in any 1 year).
This proposed rule would be a major rule, as defined in Title 5, United
States Code, section 804(2), because we estimate the impact to the
Medicare Program, and the annual effects to the overall economy, would
be more than $100 million. The update set forth in this proposed rule
would apply to Medicare payments under HH PPS in CY 2007. Accordingly,
the following analysis describes the impact in CY 2007 only. We
estimate that there would be an additional $420 million in CY 2007
expenditures attributable to the CY 2007 proposed estimated home health
market basket update of 3.1 percent.
The RFA requires agencies to analyze options for regulatory relief
of small businesses. For purposes of the RFA, small entities include
small businesses, nonprofit organizations, and small government
agencies. Most hospitals and most other providers and suppliers
[[Page 44102]]
are small entities, either by nonprofit status or by having revenues of
$6 million to $29 million in any 1 year. For purposes of the RFA,
approximately 75 percent of HHAs are considered small businesses
according to the Small Business Administration's size standards with
total revenues of $11.5 million or less in any 1 year. Individuals and
States are not included in the definition of a small entity. As stated
above, this proposed rule would provide an update to all HHAs for CY
2007 as required by statute. This proposed rule would have a
significant positive effect upon small entities that are HHAs.
Based on our analysis of 2003 claims data, we also estimate that
approximately 90 percent of registered DME suppliers are considered
small businesses according to the Small Business Administration's size
standards. The size standard for NAICS code, 532291, Home Health
Equipment Rental is $6 million. (see http://www.sba.gov/size/sizetable2002.html, read May 9, 2005.) This proposed rule would reduce
payments for oxygen equipment and capped rental items; and therefore,
would have a significant negative effect upon small entities that are
DME suppliers overall. However, as explained in detail below, we
believe that Medicare payments would still be adequate for the items
affected by this rule and that suppliers whose primary line of business
involves furnishing these items will remain profitable.
In addition, section 1102(b) of the Act requires us to prepare a
regulatory impact analysis if a rule may have a significant impact on
the operations of a substantial number of small rural hospitals. This
analysis must conform to the provisions of section 603 of the RFA. For
purposes of section 1102(b) of the Act, we define a small rural
hospital as a hospital that is located outside of a Metropolitan
Statistical Area and has fewer than 100 beds. We have determined that
this proposed rule would not have a significant economic impact on the
operations of a substantial number of small rural hospitals.
Section 202 of the Unfunded Mandates Reform Act of 1995 (Pub. L.
104-4) also requires that agencies assess anticipated costs and
benefits before issuing any rule that may result in expenditure in any
1 year by State, local, or tribal governments, in the aggregate, or by
the private sector, of $120 million. We believe this proposed rule
would not mandate expenditures in that amount.
Executive Order 13132 establishes certain requirements that an
agency must meet when it promulgates a proposed rule (and subsequent
final rule) that imposes substantial direct requirement costs on State
and local governments, preempts State law, or otherwise has Federalism
implications. We have reviewed this rule under the threshold criteria
of Executive Order 13132, Federalism. We have determined that this
proposed rule would not have substantial direct effects on the rights,
roles, and responsibilities of States.
B. Anticipated Effects
1. Home Health PPS
This proposed rule would update the HH PPS rates contained in Pub.
100-20, One Time Notification, Transmittal 211, published February 10,
2006. We updated the rates in the CY 2006 final rule (70 FR 68132,
November 9, 2005) through Transmittal 211 to take account of the DRA
changes, specifically the 0 percent update and the rural add-on. The
impact analysis of this proposed rule presents the projected effects of
the proposed change from the CY 2006 transition wage index (50/50 blend
of MSA-based and CBSA-based designations) to the CY 2007 proposed CBSA-
based designations in determining the wage index used to calculate the
HH PPS rates for CY 2007. We estimate the effects by estimating
payments while holding all other payment variables constant. We use the
best data available, but we do not attempt to predict behavioral
responses to these changes, and we do not make adjustments for future
changes in such variables as days or case-mix.
This analysis incorporates the latest estimates of growth in
service use and payments under the Medicare home health benefit, based
on the latest available Medicare claims from 2004. We note that certain
events may combine to limit the scope or accuracy of our impact
analysis, because such an analysis is future-oriented and, thus,
susceptible to forecasting errors due to other changes in the
forecasted impact time period. Some examples of such possible events
are newly-legislated general Medicare program funding changes made by
the Congress, or changes specifically related to HHAs. In addition,
changes to the Medicare program may continue to be made as a result of
the BBA, the BBRA, the Medicare, Medicaid, and SCHIP Benefits
Improvement and Protection Act of 2000, the MMA, the DRA, or new
statutory provisions. Although these changes may not be specific to HH
PPS, the nature of the Medicare program is such that the changes may
interact, and the complexity of the interaction of these changes could
make it difficult to predict accurately the full scope of the impact
upon HHAs.
Our discussion for this proposed rule will focus on the impact of
changes in the wage index, most notably the adoption of the full CBSA
designations. The impacts of the updated wage data are shown in Table 9
below. The breakdown of the various impacts displayed in the table
follows.
The rows display the estimated effect of the proposed changes on
different categories. The first row of figures represents the estimated
effects on all facilities. The next 2 rows show the effect on urban and
rural facilities. This is followed, in the next 4 rows, by impacts on
urban and rural facilities based on whether they are a hospital-based
or freestanding facility. The next 20 rows show the effect on urban and
rural facilities based on the census region in which they are located.
The first column shows the breakdown of all HHAs by urban or rural
status, hospital-based or freestanding status, and census division.
The second column in the table shows the number of facilities in
the impact database. A facility is considered urban if it is located in
a CBSA and, conversely, rural if it is not located in a CBSA.
The third column of the table shows the effect of the proposed
annual update to the wage index. This represents the effect of using
the most recent wage data available to determine the proposed estimated
home health market basket update. The total impact of this change is -
0.1 percent; however, there are distributional effects of the change.
The fourth column of the table shows the effect of all the changes
on the proposed CY 2007 payments. The proposed estimated market basket
update of 3.1 percentage points is constant for all providers and,
though not shown individually, is included in this column. It is
projected that total aggregate payments would increase by 3.0 percent,
assuming facilities do not change their care delivery and billing
practices in response.
As can be seen from this table, the combined effects of all of the
changes would vary by specific types of providers and by location. For
example, HHAs in the rural Pacific show the largest estimated increase
in payment at 10.3 percent, while HHAs in the rural Mountain census
division show the smallest increase in payments at 0.5 percent. Rural
HHAs do somewhat better than urban HHAs, seeing an estimated increase
in payments of 3.3 percent and 2.9 percent respectively. Amongst the
different type of facility categories, freestanding rural HHAs do
[[Page 44103]]
best, with an estimated increase in payments of 3.5 percent. Hospital-
based urban HHAs are next with an estimated increase in payments of 3.2
percent with hospital-based rural and freestanding urban HHAs with
estimated increases of 3.1 percent and 2.8 percent, respectively.
Table 9.--Projected Impact of CY 2007 Update to the HH PPS
----------------------------------------------------------------------------------------------------------------
Total CY 2007
Number of Updated wage change
facilities data (percent) (percent)
----------------------------------------------------------------------------------------------------------------
Total........................................................... 7,370 -0.1 3.0
Urban........................................................... 2,097 -0.2 2.9
Rural........................................................... 5,273 0.2 3.3
Hospital based urban............................................ 1,988 0.1 3.2
Freestanding urban.............................................. 3,285 -0.3 2.8
Hospital based rural............................................ 1,201 0.0 3.1
Freestanding rural.............................................. 896 0.4 3.5
Urban by region:
New England................................................. 254 -1.1 2.0
Middle Atlantic............................................. 423 0.0 3.1
South Atlantic.............................................. 913 -0.5 2.6
East North Central.......................................... 886 0.3 3.5
East South Central.......................................... 222 -0.4 2.7
West North Central.......................................... 304 0.3 3.4
West South Central.......................................... 1,300 -0.6 2.4
Mountain.................................................... 281 1.7 4.8
Pacific..................................................... 649 0.2 3.3
Outlying.................................................... 41 -4.8 -1.8
Rural by region:
New England................................................. 43 -0.7 2.3
Middle Atlantic............................................. 82 0.3 3.4
South Atlantic.............................................. 239 -0.6 2.5
East North Central.......................................... 284 1.5 4.6
East South Central.......................................... 215 -0.3 2.8
West North Central.......................................... 488 0.3 3.4
West South Central.......................................... 475 -0.3 2.8
Mountain.................................................... 173 -2.5 0.5
Pacific..................................................... 88 6.9 10.3
Outlying.................................................... 10 7.7 11.1
----------------------------------------------------------------------------------------------------------------
The impact of the proposed wage index for CY 2007 is shown in
Addendum C to this document. Addendum C to this document shows a side-
by-side comparison, by State and county code, of the CY 2006 transition
wage index, which was a 50/50 blend of MSA-based and CBSA-based pre-
floor, pre-reclassified hospital wage indexes, and the proposed CY 2007
pre-floor, pre-reclassified hospital wage index for the CY 2007 HH PPS
update. In the last column of Addendum C to this document, we show the
percentage change in the wage index from CY 2006 to the proposed wage
index for CY 2007.
We estimate that there would be an additional $420 million in CY
2007 expenditures attributable to the CY 2007 proposed estimated market
basket (3.1 percent) increase. Thus, the anticipated expenditures
outlined in this proposed rule would exceed the $100 million annual
threshold for a major rule as defined in Title 5, USC, section 804(2).
This proposed rule would have a positive effect on providers of
Medicare home health services by increasing their Medicare payment
rates. It is anticipated that very few HHAs will not submit the quality
data required by section 1895(b)(3)(B)(v)(II)of the Act necessary to
receive the full market basket percentage increase. Submission of OASIS
data is a Medicare condition of participation for HHAs. Therefore, one
would expect that no HHA would be subject to the 2 percent reduction in
payments in CY 2007. As indicated in the rule, most HHAs that do not
report OASIS provide pediatric, non-Medicare, or personal care only.
However, CMS is aware of instances of non-compliance among a very small
portion of HHAs with regard to OASIS submission.
For the purposes of the CY 2007 impact analysis, we anticipate that
less than 1 percent of HHAs, involving less than 1 percent of total
Medicare HH payments, would fail to submit quality data and hence would
be subject to the 2 percent reduction. This is not enough to impact the
estimated $420 million in additional expenditures. Finally, we do not
believe there is a differential impact due to the aggregate nature of
the update. We do not anticipate specific effects on other providers.
2. Oxygen and Oxygen Equipment Provisions
As mandated by the DRA of 2005, this proposed rule limits to 36
months the total number of continuous months for which Medicare would
pay for oxygen equipment, after which the title to the oxygen equipment
would be transferred from the supplier to the beneficiary. Since
Medicare currently pays for oxygen equipment on a monthly basis for as
long as it is medically necessary, this change would result in savings
to Medicare. In addition, the DRA mandates that Medicare continue to
make monthly payments for furnishing contents for beneficiary-owned
oxygen equipment.
Close to a million patients now receive oxygen therapy. Although
monthly rental payments already have been reduced by 30 percent by
section 4552 of the Balanced Budget Act of 1997 and approximately 10
percent by section 302(c)(2) of the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003, Medicare allowed charges
rose to $2.78 billion by 2004, a 71 percent increase since 1998 that
reflects the growing use. Before the
[[Page 44104]]
amendments to section 1834(a)(5) of the Act made by the DRA, Medicare
continued to make rental payments for as long as medical necessity
continued, even when the total payments greatly exceeded the cost of
purchasing the equipment and the supplier retained title to the
equipment. We believe the DRA amendments to the Act will result in a
loss of revenue to suppliers that will no longer receive payments for
oxygen equipment after the 36th month of continuous use.
Based on data for items furnished in calendar year 2004, oxygen
concentrators accounted for over 93 percent of Medicare utilization for
stationary oxygen systems, in terms of both allowed charges and allowed
services. Since oxygen concentrators can typically be purchased for
$1,000 or less, we believe that 36 months of payment at approximately
$200 per month would ensure the supplier is reimbursed for its cost for
furnishing the equipment. The $200 allowed payment amount may be re-
adjusted in the future to assure that payments are adequate, but not
excessive. This could be accomplished though the competitive
acquisition programs mandated by section 1847 of the Act or in
accordance with our authority for adjusting fee schedule amounts at
section 1842(b)(8) and (9) of the Act. Based on our data, approximately
36 percent of Medicare beneficiaries use oxygen equipment for more than
3 years and approximately 20 percent of Medicare beneficiaries use
oxygen equipment for more than 5 years. In section K of the
``provisions of the proposed regulation section of this preamble,'' we
propose to allow beneficiaries to obtain replacement oxygen equipment
in cases where their equipment has been in continuous use for the
reasonable useful lifetime of the equipment. Unless CMS or its carriers
establish a specific reasonable useful lifetime for oxygen equipment,
the default lifetime for DME of 5 years would apply. The main effect of
this rule on suppliers is that they will not be able to receive payment
for the equipment beyond 36 months for approximately 36 percent of
Medicare patients. They will also not be able to receive payment for
furnishing the same item to subsequent patients in these cases since
they lose title to the equipment. In the case of oxygen concentrator
systems and portable oxygen transfilling systems, delivery of oxygen
contents is not necessary, and therefore, payment will not be made for
the furnishing of contents for these types of beneficiary owned
equipment. Under the old payment rules, payment for oxygen
concentrators used for stationary equipment purposes would have
continued at approximately $200 per month for the entire period of
medical need. Section 5101(b) of the DRA mandates that payment for
oxygen equipment end and that title to the equipment transfer after 36
months of continuous use.
In the case of liquid and gaseous oxygen systems, suppliers will
continue to be paid for furnishing oxygen contents for beneficiary-
owned systems. The current statewide monthly payment amounts for oxygen
and oxygen equipment that would be paid during the 36-month period of
continuous use for beneficiaries who only use stationary equipment
range from $194.48 to $200.41, with the average statewide fee being
$199.36. The current statewide monthly payment amount for furnishing
oxygen contents for beneficiary owned equipment range from $137.54 to
$198.12, with the average statewide fee being $156.07. The average
decrease in Medicare fee schedule amounts that may result from the DRA
changes for liquid and gaseous systems after the 36-month period (that
is, shift from monthly payments for equipment and contents to monthly
payments for contents only), is expected to be $43.29 ($199.36-
$156.07). Therefore, this is the level of monthly reimbursement that
would be lost after the 36-month period for suppliers that furnish
oxygen and oxygen equipment to beneficiaries in these situations and
who continue to furnish contents to these beneficiaries. Based on
current fee schedule amounts for all oxygen and oxygen equipment, this
equates to an average reduction in payment (from $199.36 to $156.07) of
approximately 22 percent.
At the current monthly statewide fee schedule rates, which range
from $194.48 to $200.41, suppliers of oxygen equipment are expected to
be paid from $7,001.28 to $7,214.76 over 36 months. By comparison, a
medical center operated by the Department of Veterans Affairs (VA) in
Tampa, Florida, is the largest VA center in terms of number of veterans
on oxygen therapy and services approximately 1,000 patients on oxygen
by contracting with a locally based manufacturer to purchase the oxygen
concentrators for $895 each. The medical center contracts with a local
supplier for $90 to deliver and set up the concentrator to the
patient's home. This local supplier also provides service and
maintenance of the equipment at any time throughout the year for $48
per service episode. If the equipment needs to be replaced, the local
supplier will furnish another concentrator for a $90 fee. The VA total
payments over 5 years for an oxygen concentrator used by a veteran in
this center plus payment for ten episodes of maintenance and servicing,
assuming servicing every 6 months, would be $1,435, compared to total
Medicare allowed charges of $7,164, on average, for a Medicare
beneficiary. Based on this comparison, the Medicare payment amounts and
methodology appear to be more than adequate.
We do not anticipate that transfer of ownership for oxygen
equipment to the beneficiary after 36 months of continuous use would be
a significant financial burden to suppliers because the effect is
limited to a maximum of 36 percent of a supplier's Medicare business
and because suppliers of oxygen equipment primarily furnish lower cost
oxygen concentrators. We also do not anticipate a significant change in
the rate of assignment of claims for oxygen equipment based on our
belief that suppliers will be adequately reimbursed for furnishing the
oxygen equipment.
Finally, if new oxygen and oxygen equipment classes and payment
amounts are established in accordance with the proposed provisions in
section I of this rule, there could potentially be a shift in
utilization between the various oxygen equipment modalities, which
could impact supplier revenues and sales volume for certain oxygen
equipment manufacturers. However, since use of the authority to create
such classes under section 1834(a)(9)(D) of the Act requires that these
changes be budget-neutral, there would not a significant impact on
overall Medicare payments to suppliers.
3. Capped Rental DME
This proposed rule, which limits to 13 months the total number of
continuous months for which Medicare would pay for capped rental DME,
after which the ownership of the capped rental item would be
transferred from the supplier to the beneficiary, would result in
significant savings for the Medicare program. Savings would be realized
through: (1) The gradual elimination of rental payments for the 14th
and 15th months of continuous use; and (2) changing the semi-annual
payment for maintenance and servicing to payment only when reasonable
and necessary maintenance and servicing is needed. We anticipate that
suppliers may lose money due to the loss of 1 to 2 months rental in
cases where beneficiaries need the item for more than 13 months and
would not have otherwise selected the purchase option currently
described in Sec. 414.229(d). The average of the 2006 fee schedule
amounts for all capped rental
[[Page 44105]]
items for months 14 and 15 is approximately $152. We do not believe
suppliers will suffer financially as a result of this provision based
on data which shows that in 2004, 97 percent of suppliers accepted
assignment for beneficiaries who chose the purchase option (Sec.
414.229(d)) in the 11th month of a capped rental period. This is an
indication that suppliers were willing to accept the Medicare payment
as payment in full for the capped rental item, even though they had
been informed that the beneficiary would take over ownership of the
item after the 13th month of continuous use. Therefore, we do not
anticipate that transfer of ownership for capped rental equipment to
the beneficiary after 13 months of continuous use would be a
significant financial burden to suppliers.
For items for which the first rental payment falls on or after
January 1, 2006, Medicare would only pay for maintenance and servicing
as necessary. In a June 2002 report (OEI-03-00-00410), the Office of
Inspector General (OIG) indicated that only 9 percent of the capped
rental equipment with a June 2000 service date actually received any
servicing between June and December 2000. Out of the $7.3 million
Medicare paid for maintenance services from June 2000, we estimate that
$6.5 million was paid for equipment that received no actual servicing.
The OIG recommended to CMS in 2002 that we eliminate the semi-annual
maintenance payment currently allowed for capped rental equipment and
pay only for repairs when needed.
The combination of these two factors provides strong evidence that
the Medicare rules for paying for maintenance and servicing of capped
rental equipment furnished before January 1, 2006, were not cost-
effective.
Impact on Beneficiaries
The DRA provisions and this proposed rule would result in savings
for Medicare beneficiaries using oxygen equipment and capped rental
items. For capped rental items, Medicare payments will be made for 13
continuous months and for oxygen equipment, payments will be made for
36 continuous months. After the rental period for each category of
equipment expires, ownership of the equipment will transfer from the
suppliers to the beneficiaries. Beneficiaries will continue to be
financially responsible for a 20 percent coinsurance payment during the
13 or 36 month rental periods for capped rental items and oxygen
equipment, respectively. However, beneficiaries will no longer have to
make a monthly 20 percent coinsurance payment for the equipment after
they own it. This will result in significant savings to beneficiaries.
For example, before the DRA, Medicare and the beneficiary made
continuous payments for the rental of oxygen equipment that totaled
about $200 per month. Of this amount, the beneficiary paid coinsurance
of $40 which would equal $480 for a single year's rental, $1,440 over
36 months, and $2,400 over 5 years. After the DRA, beneficiaries will
only pay a coinsurance amount for up to 36 months for the rental of
oxygen equipment, after which time they will own the equipment. Thus,
the DRA oxygen provisions result in savings of approximately $480 if
beneficiaries use the equipment for 4 years, and $960 if they use the
equipment for 5 years.
For capped rental items, beneficiaries will save coinsurance by not
being responsible for any equipment payment after the 13th rental month
or the semi-annual maintenance and servicing payment that was
approximately equal to 10 percent of the purchase price for the
equipment. Before the DRA, Medicare and the beneficiary would pay up to
15 months for capped rental items, and Medicare and the beneficiary
would also pay for maintenance and servicing every six months. Thus,
beneficiaries will save coinsurance payments related to both the
equipment itself and the maintenance and servicing of that equipment.
The proposed rule would assure beneficiaries that suppliers that
furnish the equipment for the first month would continue to furnish the
equipment for the entire 36-month period of continuous use for oxygen
equipment or the 13-month period of continuous use for capped rental.
Beneficiaries would also be assured that their oxygen and capped
rental equipment would not be impermissibly swapped by the supplier at
any time during the rental period. Under the proposed rule, we propose
that a supplier may not provide different rented equipment to the
beneficiary at any time during the 36 rental months for oxygen
equipment or the 13 rental months for capped rental DME unless one of
the following exceptions apply: The equipment is lost, stolen, or
irreparably damaged; the equipment is being repaired while loaner
equipment is in use; there is a change in the beneficiary's medical
condition; or the carrier determines that a change in equipment is
otherwise warranted.
We are proposing that suppliers inform beneficiaries whether they
will accept or not accept assignment on all monthly rental claims
during the 13-month rental period for capped rental items or the 36-
month rental period for oxygen equipment in an upfront manner.
The proposed rule would also assure beneficiaries that following
the transfer of title, the supplier would replace the item at no cost
to the beneficiary in cases where the accumulated costs of repair
exceed 60 percent of the cost of replacement, if the reasonable useful
lifetime of the item (currently a default period of 5 years) has not
expired.
C. Accounting Statement
As required by OMB Circular A-4 (available at ), http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf) in Table 10 below, we
have prepared an accounting statement showing the classification of the
expenditures associated with the provisions of this proposed rule. This
table provides our best estimate of the increase in Medicare payments
under the HH PPS as a result of the changes presented in this final
rule based on the data for 7,370 HHAs in our database. All expenditures
are classified as transfers to Medicare providers (that is, HHAs).
Table 10.--Accounting Statement: Classification of Estimated
Expenditures, From CY 2006 to CY 2007
[In millions]
------------------------------------------------------------------------
Category Transfers
------------------------------------------------------------------------
Annualized monetized transfers............ $420
From whom to whom? Federal Government to HHAs.
------------------------------------------------------------------------
In Table 11 below, we have prepared an accounting statement showing
the classification of the expenditures associated with the DME
provisions of this final rule. This table provides our best estimate of
the decrease in Medicare payments under the DME benefit as a result of
the changes presented in this final rule based on the 2004 allowed
charge data for oxygen and capped rental DME in our database. All
expenditures are classified as transfers to the Medicare program and
its beneficiaries.
Table 11.--Accounting Statement: Classification of Estimated
Expenditures
[In millions]
------------------------------------------------------------------------
Category Transfers
------------------------------------------------------------------------
Monetized transfers in FY 2007............ $80
[[Page 44106]]
Monetized transfers in FY 2008............ 130
Monetized transfers in FY 2009............ 170
Monetized transfers in FY 2010............ 220
Monetized transfers in FY 2011............ 280
From whom to whom? Suppliers to Federal
Government and
beneficiaries.
------------------------------------------------------------------------
In accordance with the provisions of Executive Order 12866, this
regulation was reviewed by the Office of Management and Budget.
List of Subjects
42 CFR Part 414
Administrative practice and procedure, Health facilities, Health
professions, Kidney diseases, Medicare, Reporting and recordkeeping
requirements.
42 CFR Part 484
Health facilities, Health professions, Medicare, Reporting and
recordkeeping requirements.
For the reasons set forth in the preamble, the Centers for Medicare
& Medicaid Services would amend 42 CFR chapter IV as set forth below:
PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
Subpart D--Payment for Durable Medical Equipment and Prosthetic and
Orthotic Devices
1. The authority citation for part 414 continues to read as
follows:
Authority: Secs. 1102, 1871, and 1881(b)(1) of the Social
Security Act (42 U.S.C. 1302, 1395(hh), and 1395rr(b)(1)).
2. Amend Sec. 414.210 as follows:
A. Revise paragraph (e).
B. Revise the introductory text to paragraph (f).
C. Revise paragraph (f)(2)
D. Add new paragraphs (f)(3) and (f)(4).
The revisions read as follows:
Sec. 414.210 General payment rules.
* * * * *
(e) Maintenance and servicing.--(1) General rule. Except as
provided in paragraph (e)(2) of this section, the carrier pays the
reasonable and necessary charges for maintenance and servicing of
beneficiary-owned equipment. Reasonable and necessary charges are those
made for parts and labor not otherwise covered under a manufacturer's
or supplier's warranty. Payment is made for replacement parts in a lump
sum based on the carrier's consideration of the item. The carrier
establishes a reasonable fee for labor associated with repairing,
maintaining, and servicing the item. Payment is not made for
maintenance and servicing of a rented item other than the maintenance
and servicing fee for other durable medical equipment as described in
Sec. 414.229(e).
(2) Exception. For items purchased on or after June 1, 1989, no
payment is made under the provisions of paragraph (e)(1) of this
section for the maintenance and servicing of:
(i) Items requiring frequent and substantial servicing, as defined
in Sec. 414.222(a);
(ii) Capped rental items, as defined in Sec. 414.229(a), that are
not beneficiary-owned in accordance with Sec. 414.229(d) or Sec.
414.229(h); and
(iii) Oxygen equipment, as described in Sec. 414.226, that is not
beneficiary-owned in accordance with Sec. 414.226(e).
(3) Supplier replacement of beneficiary-owned equipment based on
accumulated repair costs. A supplier that transfers title to oxygen
equipment or a capped rental item to a beneficiary in accordance with
Sec. 414.226(f) or Sec. 414.229(f)(2) is responsible for furnishing
replacement equipment at no cost to the beneficiary or to the Medicare
program if the total repair costs that accumulate for the equipment
after transfer of title exceed 60 percent of the cost to replace the
equipment and the equipment has been in use for less than its
reasonable useful lifetime, as determined under Sec. 414.210(f)(1).
(f) Payment for replacement of equipment. If a beneficiary-owned
item of DME or a prosthetic or orthotic device paid for under this
subpart has been in continuous use by the patient for the equipment's
reasonable useful lifetime or if the carrier determines that the item
is lost, stolen, or irreparably damaged, the patient may elect to
obtain a new piece of equipment.
* * * * *
(2) If the beneficiary elects to obtain replacement oxygen
equipment, payment is made in accordance with Sec. 414.226(a).
(3) If the beneficiary elects to obtain a replacement capped rental
item, payment is made in accordance with Sec. 414.229(a)(2) or (a)(3).
(4) For all other beneficiary-owned items, if the beneficiary
elects to obtain replacement equipment, payment is made on a purchase
basis.
3. Amend Sec. 414.226 by--
A. Revising paragraph (a) and the heading of paragraph (b).
B. Revising paragraph (b)(3).
C. Adding paragraphs (b)(4) and (b)(5).
D. Redesignating paragraph (d) as paragraph (e).
E. Redesignating paragraph (c) as paragraph (d).
F. Revising newly redesignated paragraph (d).
G. Adding a new paragraph (c).
H. Revising newly redesignated paragraph (e)(1) introductory text.
I. Revising newly redesignated paragraph (e)(1)(i).
. Revising newly redesignated paragraph (e)(2)(i).
K. Revising newly redesignated paragraph (e)(2)(ii).
L. Adding new paragraphs (f) and (g).
The revisions and additions read as follows:
Sec. 414.226 Oxygen and oxygen equipment.
(a) Payment rules. (1) Oxygen equipment. Payment for rental of
oxygen equipment is made based on a monthly fee schedule amount during
the period of medical need, but for no longer than a period of
continuous use of 36 months. A period of continuous use is determined
under the provisions in Sec. 414.230.
(2) Oxygen contents. Payment for purchase of oxygen contents is
made based on a monthly fee schedule amount until medical necessity
ends.
(b) Monthly fee schedule amount for items furnished prior to 2007.
* * * * *
(3) For 1991 through 2006, the fee schedule amounts for items
described in paragraphs (b)(1)(iii) and (iv) of this section are
determined using the methodology contained in Sec. 414.220 (d), (e),
and (f).
(4) For 1991 through 2006, the fee schedule amounts for items
described in paragraphs (b)(1)(i) and (ii) of this section are
determined using the methodology contained in Sec. 414.220 (d), (e),
and (f).
(5) For 2005 and 2006, the fee schedule amounts determined under
paragraph (b)(4) of this section are reduced using the methodology
described in Sec. 1834(a)(21)(A) of the Act.
(c) Monthly fee schedule amount for items furnished for years after
2006. (1) Monthly fee schedule amounts are separately calculated for
the following items:
(i) Stationary oxygen equipment (including stationary
concentrators) and oxygen contents (stationary and portable).
[[Page 44107]]
(ii) Portable equipment only (gaseous or liquid tanks).
(iii) Oxygen generating portable equipment only.
(iv) Stationary oxygen contents only.
(v) Portable oxygen contents only.
(2) The nationwide fee schedule amount for items described in
paragraph (c)(1)(i) of this section is equal to the average fee
schedule amount established under paragraph (b)(5) of this section
reduced by $22.
(3) The nationwide fee schedule amount for items described in
paragraph (c)(1)(ii) of this section is equal to the average of the fee
schedule amounts established under paragraph (b)(5) of this section.
(4) The nationwide fee schedule amount for items described in
paragraph (c)(1)(iii) of this section is equal to the sum of the
average of the fee schedule amounts established under paragraph (b)(5)
of this section for items described in paragraph (b)(1)(i) of this
section and the average of the fee schedule amounts established under
paragraph (b)(5) of this section for items described in paragraph
(b)(1)(ii) of this section, increased by $10, and reduced by the
nationwide fee schedule amount established under paragraph (c)(2) of
this section.
(5) The nationwide fee schedule amount for items described in
paragraph (c)(1)(iv) of this section is equal to 65 percent of the
average fee schedule amount established under paragraph (b)(3) of this
section for items described in paragraph (b)(1)(iii) of this section.
(6) The nationwide fee schedule amount for items described in
paragraph (c)(1)(v) of this section is equal to 35 percent of the
average fee schedule amount established under paragraph (b)(3) of this
section for items described in paragraph (b)(1)(iii) of this section.
(d) Application of monthly fee schedule amounts. (1) The fee
schedule amount for items described in paragraph (c)(1)(i) of this
section is paid when the beneficiary rents stationary oxygen equipment.
(2) Subject to the limitation set forth in paragraph (e)(2) of this
section, the fee schedule amount for items described in paragraph
(c)(1)(ii) and (iii) of this section is paid when the beneficiary rents
portable oxygen equipment.
(3) The fee schedule amount for items described in paragraph
(c)(1)(iv) of this section is paid when the beneficiary owns stationary
oxygen equipment that requires delivery of gaseous or liquid oxygen
contents.
(4) The fee schedule amount for items described in paragraph
(c)(1)(v) of this section is paid when the beneficiary owns portable
oxygen equipment described in paragraph (c)(1)(ii) of this section, or
rents portable oxygen equipment described in paragraph (c)(1)(ii) of
this section and does not rent stationary oxygen equipment.
(e) Volume adjustments. (1) The fee schedule amount for an item
described in paragraph (c)(1)(i) of this section is adjusted as
follows:
(i) If the attending physician prescribes an oxygen flow rate
exceeding four liters per minute, the fee schedule amount is increased
by 50 percent, subject to the limit in paragraph (e)(2) of this
section.
* * * * *
(2) * * *
(i) The sum of the monthly fee schedule amount for the items
described in paragraphs (c)(1)(i) and (ii) or (iii) of this section; or
(ii) The adjusted fee schedule amount described in paragraph
(e)(1)(i) of this section.
* * * * *
(f) Ownership of equipment. On the first day that begins after the
36th continuous month in which payment is made for oxygen equipment
under paragraph (a)(1) of this section, the supplier must transfer
title to the oxygen equipment to the beneficiary.
(g) Additional supplier requirements for rentals that begin on or
after January 1, 2007. (1) The supplier that furnishes oxygen equipment
for the first month during which payment is made under this section
must continue to furnish the equipment until medical necessity ends, or
the 36-month period of continuous use ends, whichever is earlier,
unless-(i) The item becomes subject to a competitive acquisition
program implemented in accordance with section 1847(a) of the Act;
(ii) The beneficiary relocates to an area that is outside the
normal service area of the supplier that initially furnished the
equipment;
(iii) The beneficiary elects to obtain oxygen equipment from a
different supplier prior to the expiration of the 36-month rental
period; or
(iv) CMS or the carrier determines that an exception should apply
in an individual case based on the circumstances.
(2) Oxygen equipment furnished under this section may not be
replaced by the supplier prior to the expiration of the 36-month rental
period unless:
(i) The equipment is lost, stolen, or irreparably damaged;
(ii) The furnishing of loaner equipment is necessary while the
equipment is being repaired;
(iii) The equipment is no longer medically necessary; or
(iv) The equipment is replaced in accordance with Sec.
414.210(e)(3) or (f).
(3) Before furnishing oxygen equipment, the supplier must disclose
to the beneficiary its intentions regarding whether it will accept
assignment of all monthly rental claims for the duration of the rental
period. A supplier's intentions could be expressed in the form of a
written agreement between the supplier and the beneficiary.
4. Amend Sec. 414.229 by--
A. Revising paragraphs (a), (f) and (g).
B. Adding paragraph (h).
The revisions and additions read as follows:
Sec. 414.229 Other durable medical equipment-capped rental items.
(a) General payment rule. Payment is made for other durable medical
equipment that is not subject to the payment provisions set forth in
Sec. Sec. 414.220 through 414.228 as follows:
(1) For items furnished prior to January 1, 2006, payment is made
on a rental or purchase option basis in accordance with the rules set
forth in paragraphs (b) through (e) of this section.
(2) For items other than power-driven wheelchairs furnished on or
after January 1, 2006, payment is made in accordance with the rules set
forth in paragraph (f) of this section.
(3) For power-driven wheelchairs furnished on or after January 1,
2006, payment is made in accordance with the rules set forth in
paragraphs (f) or (h) of this section.
* * * * *
(f) Rules for Capped Rental Items Furnished Beginning on or after
January 1, 2006. (1) For items furnished on or after January 1, 2006,
payment is made based on a monthly rental fee schedule amount during
the period of medical need, but for no longer than a period of
continuous use of 13 months. A period of continuous use is determined
under the provisions in Sec. 414.230.
(2) The supplier must transfer title to the item to the beneficiary
on the first day that begins after the 13th continuous month in which
payments are made under paragraph (f)(1) of this section.
(3) Payment for maintenance and servicing of beneficiary-owned
equipment is made in accordance with Sec. 414.210(e).
(g) Additional supplier requirements for capped rental items that
are furnished beginning on or after January 1, 2007. (1) The supplier
that furnishes an item for the first month during which payment is made
using the methodology described in paragraph (f)(1) of this
[[Page 44108]]
section must continue to furnish the equipment until medical necessity
ends, or the 13-month period of continuous use ends, whichever is
earlier, unless--
(i) The item becomes subject to a competitive acquisition program
implemented in accordance with section 1847(a) of the Act;
(ii) The beneficiary relocates to an area that is outside the
normal service area of the supplier that initially furnished the
equipment;
(iii) The beneficiary elects to obtain the equipment from a
different supplier prior to the expiration of the 13-month rental
period; or
(iv) CMS or the carrier determines that an exception should apply
in an individual case based on the circumstances.
(2) A capped rental item furnished under this section may not be
replaced by the supplier prior to the expiration of the 13-month rental
period unless:
(i) The item is lost, stolen, or irreparably damaged;
(ii) The furnishing of a loaner item is necessary while the item is
being repaired;
(iii) The item is no longer medically necessary; or
(iv) The item is replaced in accordance with Sec. 414.210(e)(3) or
(f).
(3) Before furnishing a capped rental item, the supplier must
disclose to the beneficiary its intentions regarding whether it will
accept assignment of all monthly rental claims for the duration of the
rental period. A supplier's intentions could be expressed in the form
of a written agreement between the supplier and the beneficiary.
(h) Purchase of power-driven wheelchairs furnished on or after
January 1, 2006. Suppliers must offer beneficiaries the option to
purchase power-driven wheelchairs at the time the equipment is
initially furnished. Payment is made on a lump-sum purchase basis if
the beneficiary chooses this option.
5. Amend Sec. 414.230 by--
A. Revising paragraphs (b)(1) and (b)(2).
B. Revising paragraph (f).
The revisions read as follows:
Sec. 414.230 Determining a period of continuous use.
* * * * *
(b) Continuous use. (1) A period of continuous use begins with the
first month of medical need and lasts until a beneficiary's medical
need for a particular item of durable medical equipment ends.
(2) In the case of a beneficiary receiving oxygen equipment on
December 31, 2005, the period of continuous use for the equipment
begins on January 1, 2006.
* * * * *
(f) New equipment. (1) If a beneficiary changes equipment or
requires additional equipment based on a physician's prescription, and
the new or additional equipment is found to be necessary, a new period
of continuous use begins for the new or additional equipment. A new
period of continuous use does not begin for base equipment that is
modified by an addition.
(2) A new period of continuous use does not begin when a
beneficiary changes from one oxygen equipment modality to another.
* * * * *
PART 484--HOME HEALTH SERVICES
6. The authority citation for part 484 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395(hh)) unless otherwise indicated.
7. Amend Sec. 484.225 as follows:
A. Revise paragraph (f).
B. Redesignate paragraph (g) as paragraph (h).
C. Add new paragraph (g).
D. Revise newly redesignated paragraph (h).
E. Add new paragraph (i).
The revisions and additions read as follows:
Sec. 484.225 Annual update of the unadjusted national prospective 60-
day episode payment rate.
* * * * *
(f) For calendar year 2005, the unadjusted national prospective 60-
day episode payment rate is equal to the rate from the previous
calendar year, increased by the applicable home health market basket
minus 0.8 percentage points.
(g) For calendar year 2006, the unadjusted national prospective 60-
day episode payment rate is equal to the rate from calendar year 2005.
(h) For 2007 and subsequent calendar years, in the case of a home
health agency that submits home health quality data, as specified by
the Secretary, the unadjusted national prospective 60-day episode rate
is equal to the rate for the previous calendar year increased by the
applicable home health market basket index amount.
(i) For 2007 and subsequent calendar years, in the case of a home
health agency that does not submit home health quality data, as
specified by the Secretary, the unadjusted national prospective 60-day
episode rate is equal to the rate for the previous calendar year
increased by the applicable home health market basket index amount
minus 2 percentage points. Any reduction of the percentage change will
apply only to the calendar year involved and will not be taken into
account in computing the prospective payment amount for a subsequent
calendar year.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: June 16, 2006.
Mark B. McClellan,
Administrator, Centers for Medicare & Medicaid Services.
Approved: July 14, 2006.
Michael O. Leavitt,
Secretary.
[[Page 44109]]
Addendum A.--Proposed CY 2007 Wage Index for Rural Areas by CBSA;
Applicable Pre-Floor and Pre-Reclassified Hospital Wage Index
------------------------------------------------------------------------
Wage
CBSA code Nonurban Area index
------------------------------------------------------------------------
01.......................... Alabama......................... 0.7652
02.......................... Alaska.......................... 1.0680
03.......................... Arizona......................... 0.8924
04.......................... Arkansas........................ 0.7335
05.......................... California...................... 1.1302
06.......................... Colorado........................ 0.9342
07.......................... Connecticut..................... 1.1753
08.......................... Delaware........................ 0.9723
10.......................... Florida......................... 0.8595
11.......................... Georgia......................... 0.7560
12.......................... Hawaii.......................... 1.0467
13.......................... Idaho........................... 0.8134
14.......................... Illinois........................ 0.8327
15.......................... Indiana......................... 0.8477
16.......................... Iowa............................ 0.8697
17.......................... Kansas.......................... 0.8000
18.......................... Kentucky........................ 0.7780
19.......................... Louisiana....................... 0.7450
20.......................... Maine........................... 0.8410
21.......................... Maryland........................ 0.8942
22.......................... Massachusetts\1\................ 1.0216
23.......................... Michigan........................ 0.9052
24.......................... Minnesota....................... 0.9167
25.......................... Mississippi..................... 0.7565
26.......................... Missouri........................ 0.7934
27.......................... Montana......................... 0.8605
28.......................... Nebraska........................ 0.8693
29.......................... Nevada.......................... 0.8960
30.......................... New Hampshire................... 1.0800
31.......................... New Jersey\1\................... ........
32.......................... New Mexico...................... 0.8347
33.......................... New York........................ 0.8250
34.......................... North Carolina.................. 0.8599
35.......................... North Dakota.................... 0.7228
36.......................... Ohio............................ 0.8674
37.......................... Oklahoma........................ 0.7640
38.......................... Oregon.......................... 0.9770
39.......................... Pennsylvania.................... 0.8332
40.......................... Puerto Rico \1\................. 0.4047
41.......................... Rhode Island \1\................ ........
42.......................... South Carolina.................. 0.8583
43.......................... South Dakota.................... 0.8496
44.......................... Tennessee....................... 0.7841
45.......................... Texas........................... 0.7973
46.......................... Utah............................ 0.8154
47.......................... Vermont......................... 0.9944
48.......................... Virgin Islands.................. 0.7615
49.......................... Virginia........................ 0.7954
50.......................... Washington...................... 1.0281
51.......................... West Virginia................... 0.7620
52.......................... Wisconsin....................... 0.9468
53.......................... Wyoming......................... 0.9311
65.......................... Guam............................ 0.9611
------------------------------------------------------------------------
\1\All counties within the State are classified as urban, with the
exception of Massaschusetts and Puerto Pico. Massachusetts and Puerto
Rico have areas designated as rural, however, no short-term, acute
care hospitals are located in the area(s) for CY 2007.
Addendum B.--Proposed CY 2007 Wage Index for Urban Areas by CBSA;
Applicable Pre-Floor and Pre-Reclassified Hospital Wage Index
------------------------------------------------------------------------
Urban area (constituent Wage
CBSA code counties) index
------------------------------------------------------------------------
10180............................ Abilene, TX............... 0.8014
Callahan County, TX
Jones County, TX
Taylor County, TX
10380............................ Aguadilla-Isabela-San 0.3922
Sebastian, PR.
Aguada Municipio, PR
Aguadilla Municipio, PR
Anasco Municipio, PR
Isabela Municipio, PR
Lares Municipio, PR
Moca Municipio, PR
Rincon Municipio, PR
San Sebastian Municipio,
PR
10420............................ Akron, OH................. 0.8639
Portage County, OH
Summit County, OH
10500............................ Albany, GA................ 0.8962
Baker County, GA
Dougherty County, GA
Lee County, GA
Terrell County, GA
Worth County, GA
10580............................ Albany-Schenectady-Troy, 0.8735
NY.
Albany County, NY
Rensselaer County, NY
Saratoga County, NY
Schenectady County, NY
Schoharie County, NY
10740............................ Albuquerque, NM........... 0.9474
Bernalillo County, NM
Sandoval County, NM
Torrance County, NM
Valencia County, NM
10780............................ Alexandria, LA............ 0.8020
Grant Parish, LA
Rapides Parish, LA
10900............................ Allentown-Bethlehem- 0.9910
Easton, PA-NJ.
Warren County, NJ
Carbon County, PA
[[Page 44110]]
Lehigh County, PA
Northampton County, PA
11020............................ Altoona, PA............... 0.8727
Blair County, PA
11100............................ Amarillo, TX.............. 0.9177
Armstrong County, TX
Carson County, TX
Potter County, TX
Randall County, TX
11180............................ Ames, IA.................. 0.9777
Story County, IA
11260............................ Anchorage, AK............. 1.2045
Anchorage Municipality,
AK
Matanuska-Susitna
Borough, AK
11300............................ Anderson, IN.............. 0.8790
Madison County, IN
11340............................ Anderson, SC.............. 0.8959
Anderson County, SC
11460............................ Ann Arbor, MI............. 1.0838
Washtenaw County, MI
11500............................ Anniston-Oxford, AL....... 0.7868
Calhoun County, AL
11540............................ Appleton, WI.............. 0.9472
Calumet County, WI
Outagamie County, WI
11700............................ Asheville, NC............. 0.9093
Buncombe County, NC
Haywood County, NC
Henderson County, NC
Madison County, NC
12020............................ Athens-Clarke County, GA.. 0.9857
Clarke County, GA
Madison County, GA
Oconee County, GA
Oglethorpe County, GA
12060............................ Atlanta-Sandy Springs- 0.9772
Marietta, GA.
Barrow County, GA
Bartow County, GA
Butts County, GA
Carroll County, GA
Cherokee County, GA
Clayton County, GA
Cobb County, GA
Coweta County, GA
Dawson County, GA
DeKalb County, GA
Douglas County, GA
Fayette County, GA
Forsyth County, GA
Fulton County, GA
Gwinnett County, GA
Haralson County, GA
Heard County, GA
Henry County, GA
Jasper County, GA
Lamar County, GA
Meriwether County, GA
Newton County, GA
Paulding County, GA
Pickens County, GA
Pike County, GA
Rockdale County, GA
Spalding County, GA
Walton County, GA
12100............................ Atlantic City, NJ......... 1.1751
Atlantic County, NJ
12220............................ Auburn-Opelika, AL........ 0.8110
Lee County, AL
12260............................ Augusta-Richmond County, 0.9678
GA-SC.
Burke County, GA
[[Page 44111]]
Columbia County, GA
McDuffie County, GA
Richmond County, GA
Aiken County, SC
Edgefield County, SC
12420............................ Austin-Round Rock, TX..... 0.9360
Bastrop County, TX
Caldwell County, TX
Hays County, TX
Travis County, TX
Williamson County, TX
12540............................ Bakersfield, CA........... 1.0605
Kern County, CA
12580............................ Baltimore-Towson, MD...... 1.0106
Anne Arundel County, MD
Baltimore County, MD
Carroll County, MD
Harford County, MD
Howard County, MD
Queen Anne's County, MD
Baltimore City, MD
12620............................ Bangor, ME................ 0.9719
Penobscot County, ME
12700............................ Barnstable Town, MA....... 1.2561
Barnstable County, MA
12940............................ Baton Rouge, LA........... 0.8099
Ascension Parish, LA
East Baton Rouge Parish,
LA
East Feliciana Parish,
LA
Iberville Parish, LA
Livingston Parish, LA
Pointe Coupee Parish, LA
St. Helena Parish, LA
West Baton Rouge Parish,
LA
West Feliciana Parish,
LA
12980............................ Battle Creek, MI.......... 0.9746
Calhoun County, MI
13020............................ Bay City, MI.............. 0.9271
Bay County, MI
13140............................ Beaumont-Port Arthur, TX.. 0.8610
Hardin County, TX
Jefferson County, TX
Orange County, TX
13380............................ Bellingham, WA............ 1.1124
Whatcom County, WA
13460............................ Bend, OR.................. 1.0762
Deschutes County, OR
13644............................ Bethesda-Frederick- 1.0923
Gaithersburg, MD.
Frederick County, MD
Montgomery County, MD
13740............................ Billings, MT.............. 0.8728
Carbon County, MT
Yellowstone County, MT
13780............................ Binghamton, NY............ 0.8798
Broome County, NY
Tioga County, NY
13820............................ Birmingham-Hoover, AL..... 0.8919
Bibb County, AL
Blount County, AL
Chilton County, AL
Jefferson County, AL
St. Clair County, AL
Shelby County, AL
Walker County, AL
13900............................ Bismarck, ND.............. 0.7253
Burleigh County, ND
Morton County, ND
13980............................ Blacksburg-Christiansburg- 0.8227
Radford, VA.
Giles County, VA
Montgomery County, VA
[[Page 44112]]
Pulaski County, VA
Radford City, VA
14020............................ Bloomington, IN........... 0.8548
Greene County, IN
Monroe County, IN
Owen County, IN
14060............................ Bloomington-Normal, IL.... 0.8960
McLean County, IL
14260............................ Boise City-Nampa, ID...... 0.9417
Ada County, ID
Boise County, ID
Canyon County, ID
Gem County, ID
Owyhee County, ID
14484............................ Boston-Quincy, MA......... 1.1693
Norfolk County, MA
Plymouth County, MA
Suffolk County, MA
14500............................ Boulder, CO............... 1.0368
Boulder County, CO
14540............................ Bowling Green, KY......... 0.8162
Edmonson County, KY
Warren County, KY
14740............................ Bremerton-Silverdale, WA.. 1.0932
Kitsap County, WA
14860............................ Bridgeport-Stamford- 1.2681
Norwalk, CT.
Fairfield County, CT
15180............................ Brownsville-Harlingen, TX. 0.9446
Cameron County, TX
15260............................ Brunswick, GA............. 1.0097
Brantley County, GA
Glynn County, GA
McIntosh County, GA
15380............................ Buffalo-Niagara Falls, NY. 0.9483
Erie County, NY
Niagara County, NY
15500............................ Burlington, NC............ 0.8689
Alamance County, NC
15540............................ Burlington-South 0.9491
Burlington, VT.
Chittenden County, VT
Franklin County, VT
Grand Isle County, VT
15764............................ Cambridge-Newton- 1.0918
Framingham, MA.
Middlesex County, MA
15804............................ Camden, NJ................ 1.0411
Burlington County, NJ
Camden County, NJ
Gloucester County, NJ
15940............................ Canton-Massillon, OH...... 0.9047
Carroll County, OH
Stark County, OH
15980............................ Cape Coral-Fort Myers, FL. 0.9359
Lee County, FL
16180............................ Carson City, NV........... 1.0043
Carson City, NV
16220............................ Casper, WY................ 0.9161
Natrona County, WY
16300............................ Cedar Rapids, IA.......... 0.8903
Benton County, IA
Jones County, IA
Linn County, IA
16580............................ Champaign-Urbana, IL...... 0.9661
Champaign County, IL
Ford County, IL
Piatt County, IL
16620............................ Charleston, WV............ 0.8558
Boone County, WV
Clay County, WV
Kanawha County, WV
Lincoln County, WV
[[Page 44113]]
Putnam County, WV
16700............................ Charleston-North 0.9156
Charleston, SC.
Berkeley County, SC
Charleston County, SC
Dorchester County, SC
16740............................ Charlotte-Gastonia- 0.9564
Concord, NC-SC.
Anson County, NC
Cabarrus County, NC
Gaston County, NC
Mecklenburg County, NC
Union County, NC
York County, SC
16820............................ Charlottesville, VA....... 1.0143
Albemarle County, VA
Fluvanna County, VA
Greene County, VA
Nelson County, VA
Charlottesville City, VA
16860............................ Chattanooga, TN-GA........ 0.8963
Catoosa County, GA
Dade County, GA
Walker County, GA
Hamilton County, TN
Marion County, TN
Sequatchie County, TN
16940............................ Cheyenne, WY.............. 0.9076
Laramie County, WY
16974............................ Chicago-Naperville-Joliet, 1.0745
IL.
Cook County, IL
DeKalb County, IL
DuPage County, IL
Grundy County, IL
Kane County, IL
Kendall County, IL
McHenry County, IL
Will County, IL
17020............................ Chico, CA................. 1.1073
Butte County, CA
17140............................ Cincinnati-Middletown, OH- 0.9617
KY-IN.
Dearborn County, IN
Franklin County, IN
Ohio County, IN
Boone County, KY
Bracken County, KY
Campbell County, KY
Gallatin County, KY
Grant County, KY
Kenton County, KY
Pendleton County, KY
Brown County, OH
Butler County, OH
Clermont County, OH
Hamilton County, OH
Warren County, OH
17300............................ Clarksville, TN-KY........ 0.8451
Christian County, KY
Trigg County, KY
Montgomery County, TN
Stewart County, TN
17420............................ Cleveland, TN............. 0.8124
Bradley County, TN
Polk County, TN
17460............................ Cleveland-Elyria-Mentor, 0.9385
OH.
Cuyahoga County, OH
Geauga County, OH
Lake County, OH
Lorain County, OH
Medina County, OH
17660............................ Coeur d'Alene, ID......... 0.9360
Kootenai County, ID
[[Page 44114]]
17780............................ College Station-Bryan, TX. 0.9061
Brazos County, TX
Burleson County, TX
Robertson County, TX
17820............................ Colorado Springs, CO...... 0.9718
El Paso County, CO
Teller County, CO
17860............................ Columbia, MO.............. 0.8557
Boone County, MO
Howard County, MO
17900............................ Columbia, SC.............. 0.8028
Calhoun County, SC
Fairfield County, SC
Kershaw County, SC
Lexington County, SC
Richland County, SC
Saluda County, SC
17980............................ Columbus, GA-AL........... 0.8254
Russell County, AL
Chattahoochee County, GA
Harris County, GA
Marion County, GA
Muscogee County, GA
18020............................ Columbus, IN.............. 0.9334
Bartholomew County, IN
18140............................ Columbus, OH.............. 1.0122
Delaware County, OH
Fairfield County, OH
Franklin County, OH
Licking County, OH
Madison County, OH
Morrow County, OH
Pickaway County, OH
Union County, OH
18580............................ Corpus Christi, TX........ 0.8579
Aransas County, TX
Nueces County, TX
San Patricio County, TX
18700............................ Corvallis, OR............. 1.1566
Benton County, OR
19060............................ Cumberland, MD-WV......... 0.8859
Allegany County, MD
Mineral County, WV
19124............................ Dallas-Plano-Irving, TX... 1.0093
Collin County, TX
Dallas County, TX
Delta County, TX
Denton County, TX
Ellis County, TX
Hunt County, TX
Kaufman County, TX
Rockwall County, TX
19140............................ Dalton, GA................ 0.9061
Murray County, GA
Whitfield County, GA
19180............................ Danville, IL.............. 0.9283
Vermilion County, IL
19260............................ Danville, VA.............. 0.8466
Pittsylvania County, VA
Danville City, VA
19340............................ Davenport-Moline-Rock 0.8557
Island, IA-IL.
Henry County, IL
Mercer County, IL
Rock Island County, IL
Scott County, IA
19380............................ Dayton, OH................ 0.9053
Greene County, OH
Miami County, OH
Montgomery County, OH
Preble County, OH
[[Page 44115]]
19460............................ Decatur, AL............... 0.8220
Lawrence County, AL
Morgan County, AL
19500............................ Decatur, IL............... 0.8187
Macon County, IL
19660............................ Deltona-Daytona Beach- 0.9280
Ormond Beach, FL.
Volusia County, FL
19740............................ Denver-Aurora, CO......... 1.0947
Adams County, CO
Arapahoe County, CO
Broomfield County, CO
Clear Creek County, CO
Denver County, CO
Douglas County, CO
Elbert County, CO
Gilpin County, CO
Jefferson County, CO
Park County, CO
19780............................ Des Moines, IA............ 0.9136
Dallas County, IA
Guthrie County, IA
Madison County, IA
Polk County, IA
Warren County, IA
19804............................ Detroit-Livonia-Dearborn, 1.0223
MI.
Wayne County, MI
20020............................ Dothan, AL................ 0.7438
Geneva County, AL
Henry County, AL
Houston County, AL
20100............................ Dover, DE................. 0.9865
Kent County, DE
20220............................ Dubuque, IA............... 0.9150
Dubuque County, IA
20260............................ Duluth, MN-WI............. 1.0070
Carlton County, MN
St. Louis County, MN
Douglas County, WI
20500............................ Durham, NC................ 0.9843
Chatham County, NC
Durham County, NC
Orange County, NC
Person County, NC
20740............................ Eau Claire, WI............ 0.9647
Chippewa County, WI
Eau Claire County, WI
20764............................ Edison, NJ................ 1.1207
Middlesex County, NJ
Monmouth County, NJ
Ocean County, NJ
Somerset County, NJ
20940............................ El Centro, CA............. 0.9092
Imperial County, CA
21060............................ Elizabethtown, KY......... 0.8713
Hardin County, KY
Larue County, KY
21140............................ Elkhart-Goshen, IN........ 0.9442
Elkhart County, IN
21300............................ Elmira, NY................ 0.8213
Chemung County, NY
21340............................ El Paso, TX............... 0.9069
El Paso County, TX
21500............................ Erie, PA.................. 0.8704
Erie County, PA
21604............................ Essex County, MA.......... 1.0437
Essex County, MA
21660............................ Eugene-Springfield, OR.... 1.0896
Lane County, OR
21780............................ Evansville, IN-KY......... 0.8830
Gibson County, IN
[[Page 44116]]
Posey County, IN
Vanderburgh County, IN
Warrick County, IN
Henderson County, KY
Webster County, KY
21820............................ Fairbanks, AK............. 1.1079
Fairbanks North Star
Borough, AK
21940............................ Fajardo, PR............... 0.4044
Ceiba Municipio, PR
Fajardo Municipio, PR
Luquillo Municipio, PR
22020............................ Fargo, ND-MN.............. 0.8265
Cass County, ND
Clay County, MN
22140............................ Farmington, NM............ 0.8604
San Juan County, NM
22180............................ Fayetteville, NC.......... 0.8961
Cumberland County, NC
Hoke County, NC
22220............................ Fayetteville-Springdale- 0.8761
Rogers, AR-MO.
Benton County, AR
Madison County, AR
Washington County, AR
McDonald County, MO
22380............................ Flagstaff, AZ............. 1.1621
Coconino County, AZ
22420............................ Flint, MI................. 1.0988
Genesee County, MI
22500............................ Florence, SC.............. 0.8421
Darlington County, SC
Florence County, SC
22520............................ Florence-Muscle Shoals, AL 0.7967
Colbert County, AL
Lauderdale County, AL
22540............................ Fond du Lac, WI........... 1.0081
Fond du Lac County, WI
22660............................ Fort Collins-Loveland, CO. 0.9561
Larimer County, CO
22744............................ Fort Lauderdale-Pompano 1.0151
Beach-Deerfield.
Beach, FL
Broward County, FL
22900............................ Fort Smith, AR-OK......... 0.7745
Crawford County, AR
Franklin County, AR
Sebastian County, AR
Le Flore County, OK
Sequoyah County, OK
23020............................ Fort Walton Beach- 0.8658
Crestview-Destin, FL.
Okaloosa County, FL
23060............................ Fort Wayne, IN............ 0.9504
Allen County, IN
Wells County, IN
Whitley County, IN
23104............................ Fort Worth-Arlington, TX.. 0.9587
Johnson County, TX
Parker County, TX
Tarrant County, TX
Wise County, TX
23420............................ Fresno, CA................ 1.0965
Fresno County, CA
23460............................ Gadsden, AL............... 0.8080
Etowah County, AL
23540............................ Gainesville, FL........... 0.9312
Alachua County, FL
Gilchrist County, FL
23580............................ Gainesville, GA........... 0.8974
Hall County, GA
23844............................ Gary, IN.................. 0.9281
Jasper County, IN
Lake County, IN
[[Page 44117]]
Newton County, IN
Porter County, IN
24020............................ Glens Falls, NY........... 0.8339
Warren County, NY
Washington County, NY
24140............................ Goldsboro, NC............. 0.9187
Wayne County, NC
24220............................ Grand Forks, ND-MN........ 0.7963
Polk County, MN
Grand Forks County, ND
24300............................ Grand Junction, CO........ 0.9685
Mesa County, CO
24340............................ Grand Rapids-Wyoming, MI.. 0.9470
Barry County, MI
Ionia County, MI
Kent County, MI
Newaygo County, MI
24500............................ Great Falls, MT........... 0.8613
Cascade County, MT
24540............................ Greeley, CO............... 0.9619
Weld County, CO
24580............................ Green Bay, WI............. 0.9804
Brown County, WI
Kewaunee County, WI
Oconto County, WI
24660............................ Greensboro-High Point, NC. 0.8735
Guilford County, NC
Randolph County, NC
Rockingham County, NC
24780............................ Greenville, NC............ 0.9449
Greene County, NC
Pitt County, NC
24860............................ Greenville, SC............ 0.9733
Greenville County, SC
Laurens County, SC
Pickens County, SC
25020............................ Guayama, PR............... 0.3241
Arroyo Municipio, PR
Guayama Municipio, PR
Patillas Municipio, PR
25060............................ Gulfport-Biloxi, MS....... 0.8931
Hancock County, MS
Harrison County, MS
Stone County, MS
25180............................ Hagerstown-Martinsburg, MD- 0.9054
WV.
Washington County, MD
Berkeley County, WV
Morgan County, WV
25260............................ Hanford-Corcoran, CA...... 1.0142
Kings County, CA
25420............................ Harrisburg-Carlisle, PA... 0.9419
Cumberland County, PA
Dauphin County, PA
Perry County, PA
25500............................ Harrisonburg, VA.......... 0.9090
Rockingham County, VA
Harrisonburg City, VA
25540............................ Hartford-West Hartford- 1.0916
East Hartford, CT.
Hartford County, CT
Litchfield County, CT
Middlesex County, CT
Tolland County, CT
25620............................ Hattiesburg, MS........... 0.7443
Forrest County, MS
Lamar County, MS
Perry County, MS
25860............................ Hickory-Lenoir-Morganton, 0.9021
NC.
Alexander County, NC
Burke County, NC
Caldwell County, NC
[[Page 44118]]
Catawba County, NC
25980 \\2\....................... Hinesville-Fort Stewart, 0.9163
GA
Liberty County, GA
Long County, GA
26100............................ Holland-Grand Haven, MI... 0.9205
Ottawa County, MI
26180............................ Honolulu, HI.............. 1.1067
Honolulu County, HI
26300............................ Hot Springs, AR........... 0.8797
Garland County, AR
26380............................ Houma-Bayou Cane- 0.8003
Thibodaux, LA.
Lafourche Parish, LA
Terrebonne Parish, LA
26420............................ Houston-Baytown-Sugar 1.0026
Land, TX.
Austin County, TX
Brazoria County, TX
Chambers County, TX
Fort Bend County, TX
Galveston County, TX
Harris County, TX
Liberty County, TX
Montgomery County, TX
San Jacinto County, TX
Waller County, TX
26580............................ Huntington-Ashland, WV-KY- 0.9013
OH.
Boyd County, KY
Greenup County, KY
Lawrence County, OH
Cabell County, WV
Wayne County, WV
26620............................ Huntsville, AL............ 0.9051
Limestone County, AL
Madison County, AL
26820............................ Idaho Falls, ID........... 0.9104
Bonneville County, ID
Jefferson County, ID
26900............................ Indianapolis, IN.......... 0.9766
Boone County, IN
Brown County, IN
Hamilton County, IN
Hancock County, IN
Hendricks County, IN
Johnson County, IN
Marion County, IN
Morgan County, IN
Putnam County, IN
Shelby County, IN
26980............................ Iowa City, IA............. 0.9731
Johnson County, IA
Washington County, IA
27060............................ Ithaca, NY................ 0.9831
Tompkins County, NY
27100............................ Jackson, MI............... 0.9577
Jackson County, MI
27140............................ Jackson, MS............... 0.8286
Copiah County, MS
Hinds County, MS
Madison County, MS
Rankin County, MS
Simpson County, MS
27180............................ Jackson, TN............... 0.8869
Chester County, TN
Madison County, TN
27260............................ Jacksonville, FL.......... 0.9042
Baker County, FL
Clay County, FL
Duval County, FL
Nassau County, FL
St. Johns County, FL
27340............................ Jacksonville, NC.......... 0.8245
[[Page 44119]]
Onslow County, NC
27500............................ Janesville, WI............ 0.9672
Rock County, WI
27620............................ Jefferson City, MO........ 0.8347
Callaway County, MO
Cole County, MO
Moniteau County, MO
Osage County, MO
27740............................ Johnson City, TN.......... 0.8057
Carter County, TN
Unicoi County, TN
Washington County, TN
27780............................ Johnstown, PA............. 0.8635
Cambria County, PA
27860............................ Jonesboro, AR............. 0.7609
Craighead County, AR
Poinsett County, AR
27900............................ Joplin, MO................ 0.8620
Jasper County, MO
Newton County, MO
28020............................ Kalamazoo-Portage, MI..... 1.0723
Kalamazoo County, MI
Van Buren County, MI
28100............................ Kankakee-Bradley, IL...... 0.9990
Kankakee County, IL
28140............................ Kansas City, MO-KS........ 0.9514
Franklin County, KS
Johnson County, KS
Leavenworth County, KS
Linn County, KS
Miami County, KS
Wyandotte County, KS
Bates County, MO
Caldwell County, MO
Cass County, MO
Clay County, MO
Clinton County, MO
Jackson County, MO
Lafayette County, MO
Platte County, MO
Ray County, MO
28420............................ Kennewick-Richland-Pasco, 1.0361
WA.
Benton County, WA
Franklin County, WA
28660............................ Killeen-Temple-Fort Hood, 0.9098
TX.
Bell County, TX
Coryell County, TX
Lampasas County, TX
28700............................ Kingsport-Bristol-Bristol, 0.7975
TN-VA.
Hawkins County, TN
Sullivan County, TN
Bristol City, VA
Scott County, VA
Washington County, VA
28740............................ Kingston, NY.............. 0.9383
Ulster County, NY
28940............................ Knoxville, TN............. 0.8263
Anderson County, TN
Blount County, TN
Knox County, TN
Loudon County, TN
Union County, TN
29020............................ Kokomo, IN................ 0.9460
Howard County, IN
Tipton County, IN
29100............................ La Crosse, WI-MN.......... 0.9442
Houston County, MN
La Crosse County, WI
29140............................ Lafayette, IN............. 0.8972
Benton County, IN
[[Page 44120]]
Carroll County, IN
Tippecanoe County, IN
29180............................ Lafayette, LA............. 0.8293
Lafayette Parish, LA
St. Martin Parish, LA
29340............................ Lake Charles, LA.......... 0.7928
Calcasieu Parish, LA
Cameron Parish, LA
29404............................ Lake County-Kenosha 1.0406
County, IL-WI.
Lake County, IL
Kenosha County, WI
29460............................ Lakeland, FL.............. 0.8895
Polk County, FL
29540............................ Lancaster, PA............. 0.9644
Lancaster County, PA
29620............................ Lansing-East Lansing, MI.. 1.0102
Clinton County, MI
Eaton County, MI
Ingham County, MI
29700............................ Laredo, TX................ 0.7825
Webb County, TX
29740............................ Las Cruces, NM............ 0.9290
Dona Ana County, NM
29820............................ Las Vegas-Paradise, NV.... 1.1450
Clark County, NV
29940............................ Lawrence, KS.............. 0.8353
Douglas County, KS
30020............................ Lawton, OK................ 0.8080
Comanche County, OK
30140............................ Lebanon, PA............... 0.8695
Lebanon County, PA
30300............................ Lewiston, ID-WA........... 0.9871
Nez Perce County, ID
Asotin County, WA
30340............................ Lewiston-Auburn, ME....... 0.9148
Androscoggin County, ME
30460............................ Lexington-Fayette, KY..... 0.9191
Bourbon County, KY
Clark County, KY
Fayette County, KY
Jessamine County, KY
Scott County, KY
Woodford County, KY
30620............................ Lima, OH.................. 0.9058
Allen County, OH
30700............................ Lincoln, NE............... 1.0110
Lancaster County, NE
Seward County, NE
30780............................ Little Rock-North Little 0.8906
Rock, AR.
Faulkner County, AR
Grant County, AR
Lonoke County, AR
Perry County, AR
Pulaski County, AR
Saline County, AR
30860............................ Logan, UT-ID.............. 0.9038
Franklin County, ID
Cache County, UT
30980............................ Longview, TX.............. 0.8803
Gregg County, TX
Rusk County, TX
Upshur County, TX
31020............................ Longview, WA.............. 1.0029
Cowlitz County, WA
31084............................ Los Angeles-Long Beach- 1.1752
Glendale, CA.
Los Angeles County, CA
31140............................ Louisville, KY-IN......... 0.9135
Clark County, IN
Floyd County, IN
Harrison County, IN
[[Page 44121]]
Washington County, IN
Bullitt County, KY
Henry County, KY
Jefferson County, KY
Meade County, KY
Nelson County, KY
Oldham County, KY
Shelby County, KY
Spencer County, KY
Trimble County, KY
31180............................ Lubbock, TX............... 0.8628
Crosby County, TX
Lubbock County, TX
31340............................ Lynchburg, VA............. 0.8710
Amherst County, VA
Appomattox County, VA
Bedford County, VA
Campbell County, VA
Bedford City, VA
Lynchburg City, VA
31420............................ Macon, GA................. 0.9518
Bibb County, GA
Crawford County, GA
Jones County, GA
Monroe County, GA
Twiggs County, GA
31460............................ Madera, CA................ 0.8169
Madera County, CA
31540............................ Madison, WI............... 1.0736
Columbia County, WI
Dane County, WI
Iowa County, WI
31700............................ Manchester-Nashua, NH..... 1.0261
Hillsborough County, NH
Merrimack County, NH
31900............................ Mansfield, OH............. 0.9287
Richland County, OH
32420............................ Mayaguez, PR.............. 0.3857
Hormigueros Municipio,
PR
Mayaguez Municipio, PR
32580............................ McAllen-Edinburg-Pharr, TX 0.8788
Hidalgo County, TX
32780............................ Medford, OR............... 1.0837
Jackson County, OR
32820............................ Memphis, TN-MS-AR......... 0.9361
Crittenden County, AR
DeSoto County, MS
Marshall County, MS
Tate County, MS
Tunica County, MS
Fayette County, TN
Shelby County, TN
Tipton County, TN
32900............................ Merced, CA................ 1.1415
Merced County, CA
33124............................ Miami-Miami Beach-Kendall, 0.9830
FL.
Miami-Dade County, FL
33140............................ Michigan City-La Porte, IN 0.9093
LaPorte County, IN
33260............................ Midland, TX............... 0.9803
Midland County, TX
33340............................ Milwaukee-Waukesha-West 1.0236
Allis, WI.
Milwaukee County, WI
Ozaukee County, WI
Washington County, WI
Waukesha County, WI
33460............................ Minneapolis-St. Paul- 1.0965
Bloomington, MN-WI.
Anoka County, MN
Carver County, MN
Chisago County, MN
[[Page 44122]]
Dakota County, MN
Hennepin County, MN
Isanti County, MN
Ramsey County, MN
Scott County, MN
Sherburne County, MN
Washington County, MN
Wright County, MN
Pierce County, WI
St. Croix County, WI
33540............................ Missoula, MT.............. 0.8944
Missoula County, MT
33660............................ Mobile, AL................ 0.7947
Mobile County, AL
33700............................ Modesto, CA............... 1.1590
Stanislaus County, CA
33740............................ Monroe, LA................ 0.8011
Ouachita Parish, LA
Union Parish, LA
33780............................ Monroe, MI................ 0.9725
Monroe County, MI
33860............................ Montgomery, AL............ 0.8023
Autauga County, AL
Elmore County, AL
Lowndes County, AL
Montgomery County, AL
34060............................ Morgantown, WV............ 0.8438
Monongalia County, WV
Preston County, WV
34100............................ Morristown, TN............ 0.7944
Grainger County, TN
Hamblen County, TN
Jefferson County, TN
34580............................ Mount Vernon-Anacortes, WA 1.0536
Skagit County, WA
34620............................ Muncie, IN................ 0.8299
Delaware County, IN
34740............................ Muskegon-Norton Shores, MI 0.9957
Muskegon County, MI
34820............................ Myrtle Beach-Conway-North 0.8824
Myrtle Beach, SC.
Horry County, SC
34900............................ Napa, CA.................. 1.3496
Napa County, CA
34940............................ Naples-Marco Island, FL... 0.9959
Collier County, FL
34980............................ Nashville-Davidson-- 0.9862
Murfreesboro, TN.
Cannon County, TN
Cheatham County, TN
Davidson County, TN
Dickson County, TN
Hickman County, TN
Macon County, TN
Robertson County, TN
Rutherford County, TN
Smith County, TN
Sumner County, TN
Trousdale County, TN
Williamson County, TN
Wilson County, TN
35004............................ Nassau-Suffolk, NY........ 1.2681
Nassau County, NY
Suffolk County, NY
35084............................ Newark-Union, NJ-PA....... 1.1890
Essex County, NJ
Hunterdon County, NJ
Morris County, NJ
Sussex County, NJ
Union County, NJ
Pike County, PA
35300............................ New Haven-Milford, CT..... 1.1974
[[Page 44123]]
New Haven County, CT
35380............................ New Orleans-Metairie- 0.8858
Kenner, LA.
Jefferson Parish, LA
Orleans Parish, LA
Plaquemines Parish, LA
St. Bernard Parish, LA
St. Charles Parish, LA
St. John the Baptist
Parish, LA
St. Tammany Parish, LA
35644............................ New York-Wayne-White 1.3208
Plains, NY-NJ.
Bergen County, NJ
Hudson County, NJ
Passaic County, NJ
Bronx County, NY
Kings County, NY
New York County, NY
Putnam County, NY
Queens County, NY
Richmond County, NY
Rockland County, NY
Westchester County, NY
35660............................ Niles-Benton Harbor, MI... 0.8931
Berrien County, MI
35980............................ Norwich-New London, CT.... 1.1953
New London County, CT
36084............................ Oakland-Fremont-Hayward, 1.5420
CA.
Alameda County, CA
Contra Costa County, CA
36100............................ Ocala, FL................. 0.8883
Marion County, FL
36140............................ Ocean City, NJ............ 1.0490
Cape May County, NJ
36220............................ Odessa, TX................ 1.0119
Ector County, TX
36260............................ Ogden-Clearfield, UT...... 0.9011
Davis County, UT
Morgan County, UT
Weber County, UT
36420............................ Oklahoma City, OK......... 0.8853
Canadian County, OK
Cleveland County, OK
Grady County, OK
Lincoln County, OK
Logan County, OK
McClain County, OK
Oklahoma County, OK
36500............................ Olympia, WA............... 1.1100
Thurston County, WA
36540............................ Omaha-Council Bluffs, NE- 0.9467
IA.
Harrison County, IA
Mills County, IA
Pottawattamie County, IA
Cass County, NE
Douglas County, NE
Sarpy County, NE
Saunders County, NE
Washington County, NE
36740............................ Orlando, FL............... 0.9422
Lake County, FL
Orange County, FL
Osceola County, FL
Seminole County, FL
36780............................ Oshkosh-Neenah, WI........ 0.9332
Winnebago County, WI
36980............................ Owensboro, KY............. 0.8763
Daviess County, KY
Hancock County, KY
McLean County, KY
37100............................ Oxnard-Thousand Oaks- 1.1591
Ventura, CA.
Ventura County, CA
[[Page 44124]]
37340............................ Palm Bay-Melbourne- 0.9448
Titusville, FL.
Brevard County, FL
37460............................ Panama City-Lynn Haven, FL 0.8087
Bay County, FL
37620............................ Parkersburg-Marietta, WV- 0.7940
OH.
Washington County, OH
Pleasants County, WV
Wirt County, WV
Wood County, WV
37700............................ Pascagoula, MS............ 0.8230
George County, MS
Jackson County, MS
37860............................ Pensacola-Ferry Pass- 0.8014
Brent, FL.
Escambia County, FL
Santa Rosa County, FL
37900............................ Peoria, IL................ 0.8998
Marshall County, IL
Peoria County, IL
Stark County, IL
Tazewell County, IL
Woodford County, IL
37964............................ Philadelphia, PA.......... 1.1018
Bucks County, PA
Chester County, PA
Delaware County, PA
Montgomery County, PA
Philadelphia County, PA
38060............................ Phoenix-Mesa-Scottsdale, 1.0305
AZ.
Maricopa County, AZ
Pinal County, AZ
38220............................ Pine Bluff, AR............ 0.8398
Cleveland County, AR
Jefferson County, AR
Lincoln County, AR
38300............................ Pittsburgh, PA............ 0.8685
Allegheny County, PA
Armstrong County, PA
Beaver County, PA
Butler County, PA
Fayette County, PA
Washington County, PA
Westmoreland County, PA
38340............................ Pittsfield, MA............ 1.0284
Berkshire County, MA
38540............................ Pocatello, ID............. 0.9417
Bannock County, ID
Power County, ID
38660............................ Ponce, PR................. 0.4851
Juana Diaz Municipio, PR
Ponce Municipio, PR
Villalba Municipio, PR
38860............................ Portland-South Portland- 0.9926
Biddeford, ME.
Cumberland County, ME
Sagadahoc County, ME
York County, ME
38900............................ Portland-Vancouver- 1.1436
Beaverton, OR-WA.
Clackamas County, OR
Columbia County, OR
Multnomah County, OR
Washington County, OR
Yamhill County, OR
Clark County, WA
Skamania County, WA
38940............................ Port St. Lucie-Fort 0.9851
Pierce, FL.
Martin County, FL
St. Lucie County, FL
39100............................ Poughkeepsie-Newburgh- 1.0913
Middletown, NY.
Dutchess County, NY
Orange County, NY
39140............................ Prescott, AZ.............. 0.9853
[[Page 44125]]
Yavapai County, AZ
39300............................ Providence-New Bedford- 1.0804
Fall River, RI-MA.
Bristol County, MA
Bristol County, RI
Kent County, RI
Newport County, RI
Providence County, RI
Washington County, RI
39340............................ Provo-Orem, UT............ 0.9554
Juab County, UT
Utah County, UT
39380............................ Pueblo, CO................ 0.8552
Pueblo County, CO
39460............................ Punta Gorda, FL........... 0.9421
Charlotte County, FL
39540............................ Racine, WI................ 0.9192
Racine County, WI
39580............................ Raleigh-Cary, NC.......... 0.9879
Franklin County, NC
Johnston County, NC
Wake County, NC
39660............................ Rapid City, SD............ 1.0351
Meade County, SD
Pennington County, SD
39740............................ Reading, PA............... 0.9639
Berks County, PA
39820............................ Redding, CA............... 1.3221
Shasta County, CA
39900............................ Reno-Sparks, NV........... 1.1984
Storey County, NV
Washoe County, NV
40060............................ Richmond, VA.............. 0.9193
Amelia County, VA
Caroline County, VA
Charles City County, VA
Chesterfield County, VA
Cumberland County, VA
Dinwiddie County, VA
Goochland County, VA
Hanover County, VA
Henrico County, VA
King and Queen County,
VA
King William County, VA
Louisa County, VA
New Kent County, VA
Powhatan County, VA
Prince George County, VA
Sussex County, VA
Colonial Heights City,
VA
Hopewell City, VA
Petersburg City, VA
Richmond City, VA
40140............................ Riverside-San Bernardino- 1.0934
Ontario, CA.
Riverside County, CA
San Bernardino County,
CA
40220............................ Roanoke, VA............... 0.8662
Botetourt County, VA
Craig County, VA
Franklin County, VA
Roanoke County, VA
Roanoke City, VA
Salem City, VA
40340............................ Rochester, MN............. 1.1260
Dodge County, MN
Olmsted County, MN
Wabasha County, MN
40380............................ Rochester, NY............. 0.9005
Livingston County, NY
Monroe County, NY
Ontario County, NY
[[Page 44126]]
Orleans County, NY
Wayne County, NY
40420............................ Rockford, IL.............. 1.0007
Boone County, IL
Winnebago County, IL
40484............................ Rockingham County- 1.0177
Strafford County, NH.
Rockingham County, NH
Strafford County, NH
40580............................ Rocky Mount, NC........... 0.8869
Edgecombe County, NC
Nash County, NC
40660............................ Rome, GA.................. 0.9316
Floyd County, GA
40900............................ Sacramento-Arden-Arcade- 1.3373
Roseville, CA.
El Dorado County, CA
Placer County, CA
Sacramento County, CA
Yolo County, CA
40980............................ Saginaw-Saginaw Township 0.8889
North, MI.
Saginaw County, MI
41060............................ St. Cloud, MN............. 1.0380
Benton County, MN
Stearns County, MN
41100............................ St. George, UT............ 0.9281
Washington County, UT
41140............................ St. Joseph, MO-KS......... 1.0136
Doniphan County, KS
Andrew County, MO
Buchanan County, MO
DeKalb County, MO
41180............................ St. Louis, MO-IL.......... 0.9013
Bond County, IL
Calhoun County, IL
Clinton County, IL
Jersey County, IL
Macoupin County, IL
Madison County, IL
Monroe County, IL
St. Clair County, IL
Crawford County, MO
Franklin County, MO
Jefferson County, MO
Lincoln County, MO
St. Charles County, MO
St. Louis County, MO
Warren County, MO
Washington County, MO
St. Louis City, MO
41420............................ Salem, OR................. 1.0457
Marion County, OR
Polk County, OR
41500............................ Salinas, CA............... 1.4459
Monterey County, CA
41540............................ Salisbury, MD............. 0.8969
Somerset County, MD
Wicomico County, MD
41620............................ Salt Lake City, UT........ 0.9418
Salt Lake County, UT
Summit County, UT
Tooele County, UT
41660............................ San Angelo, TX............ 0.8377
Irion County, TX
Tom Green County, TX
41700............................ San Antonio, TX........... 0.8860
Atascosa County, TX
Bandera County, TX
Bexar County, TX
Comal County, TX
Guadalupe County, TX
Kendall County, TX
[[Page 44127]]
Medina County, TX
Wilson County, TX
41740............................ San Diego-Carlsbad-San 1.1374
Marcos, CA.
San Diego County, CA
41780............................ Sandusky, OH.............. 0.9319
Erie County, OH
41884............................ San Francisco-San Mateo- 1.5071
Redwood City, CA.
Marin County, CA
San Francisco County, CA
San Mateo County, CA
41900............................ San German-Cabo Rojo, PR.. 0.4893
Cabo Rojo Municipio, PR
Lajas Municipio, PR
Sabana Grande Municipio,
PR
San German Municipio, PR
41940............................ San Jose-Sunnyvale-Santa 1.5293
Clara, CA.
San Benito County, CA
Santa Clara County, CA
41980............................ San Juan-Caguas-Guaynabo, 0.4397
PR.
Aguas Buenas Municipio,
PR
Aibonito Municipio, PR
Arecibo Municipio, PR
Barceloneta Municipio,
PR
Barranquitas Municipio,
PR
Bayamon Municipio, PR
Caguas Municipio, PR
Camuy Municipio, PR
Canovanas Municipio, PR
Carolina Municipio, PR
Catano Municipio, PR
Cayey Municipio, PR
Ciales Municipio, PR
Cidra Municipio, PR
Comerio Municipio, PR
Corozal Municipio, PR
Dorado Municipio, PR
Florida Municipio, PR
Guaynabo Municipio, PR
Gurabo Municipio, PR
Hatillo Municipio, PR
Humacao Municipio, PR
Juncos Municipio, PR
Las Piedras Municipio,
PR
Loiza Municipio, PR
Manati Municipio, PR
Maunabo Municipio, PR
Morovis Municipio, PR
Naguabo Municipio, PR
Naranjito Municipio, PR
Orocovis Municipio, PR
Quebradillas Municipio,
PR
Rio Grande Municipio, PR
San Juan Municipio, PR
San Lorenzo Municipio,
PR
Toa Alta Municipio, PR
Toa Baja Municipio, PR
Trujillo Alto Municipio,
PR
Vega Alta Municipio, PR
Vega Baja Municipio, PR
Yabucoa Municipio, PR
42020............................ San Luis Obispo-Paso 1.1619
Robles, CA.
San Luis Obispo County,
CA
42044............................ Santa Ana-Anaheim-Irvine, 1.1294
CA.
Orange County, CA
42060............................ Santa Barbara-Santa Maria- 1.1075
Goleta, CA.
Santa Barbara County, CA
42100............................ Santa Cruz-Watsonville, CA 1.5531
Santa Cruz County, CA
42140............................ Santa Fe, NM.............. 1.0843
Santa Fe County, NM
[[Page 44128]]
42220............................ Santa Rosa-Petaluma, CA... 1.4489
Sonoma County, CA
42260............................ Sarasota-Bradenton-Venice, 0.9885
FL.
Manatee County, FL
Sarasota County, FL
42340............................ Savannah, GA.............. 0.9087
Bryan County, GA
Chatham County, GA
Effingham County, GA
42540............................ Scranton--Wilkes-Barre, PA 0.8521
Lackawanna County, PA
Luzerne County, PA
Wyoming County, PA
42644............................ Seattle-Bellevue-Everett, 1.1454
WA.
King County, WA
Snohomish County, WA
42680............................ Sebastian-Vero Beach, FL.. 0.9590
43100............................ Sheboygan, WI............. 0.9042
Sheboygan County, WI
43300............................ Sherman-Denison, TX....... 0.8517
Grayson County, TX
43340............................ Shreveport-Bossier City, 0.8881
LA.
Bossier Parish, LA
Caddo Parish, LA
De Soto Parish, LA
43580............................ Sioux City, IA-NE-SD...... 0.9217
Woodbury County, IA
Dakota County, NE
Dixon County, NE
Union County, SD
43620............................ Sioux Falls, SD........... 0.9587
Lincoln County, SD
McCook County, SD
Minnehaha County, SD
Turner County, SD
43780............................ South Bend-Mishawaka, IN- 0.9690
MI.
St. Joseph County, IN
Cass County, MI
43900............................ Spartanburg, SC........... 0.9190
Spartanburg County, SC
44060............................ Spokane, WA............... 1.0465
Spokane County, WA
44100............................ Springfield, IL........... 0.8905
Menard County, IL
Sangamon County, IL
44140............................ Springfield, MA........... 1.0080
Franklin County, MA
Hampden County, MA
Hampshire County, MA
44180............................ Springfield, MO........... 0.8484
Christian County, MO
Dallas County, MO
Greene County, MO
Polk County, MO
Webster County, MO
44220............................ Springfield, OH........... 0.8462
Clark County, OH
44300............................ State College, PA......... 0.8799
Centre County, PA
44700............................ Stockton, CA.............. 1.1462
San Joaquin County, CA
44940............................ Sumter, SC................ 0.8098
Sumter County, SC
45060............................ Syracuse, NY.............. 0.9709
Madison County, NY
Onondaga County, NY
Oswego County, NY
45104............................ Tacoma, WA................ 1.0808
Pierce County, WA
45220............................ Tallahassee, FL........... 0.9299
[[Page 44129]]
Gadsden County, FL
Jefferson County, FL
Leon County, FL
Wakulla County, FL
45300............................ Tampa-St. Petersburg- 0.9160
Clearwater, FL.
Hernando County, FL
Hillsborough County, FL
Pasco County, FL
Pinellas County, FL
45460............................ Terre Haute, IN........... 0.8661
Clay County, IN
Sullivan County, IN
Vermillion County, IN
Vigo County, IN
45500............................ Texarkana, TX-Texarkana, 0.8118
AR.
Miller County, AR
Bowie County, TX
45780............................ Toledo, OH................ 0.9599
Fulton County, OH
Lucas County, OH
Ottawa County, OH
Wood County, OH
45820............................ Topeka, KS................ 0.8746
Jackson County, KS
Jefferson County, KS
Osage County, KS
Shawnee County, KS
Wabaunsee County, KS
45940............................ Trenton-Ewing, NJ......... 1.0877
Mercer County, NJ
46060............................ Tucson, AZ................ 0.9219
Pima County, AZ
46140............................ Tulsa, OK................. 0.8104
Creek County, OK
Okmulgee County, OK
Osage County, OK
Pawnee County, OK
Rogers County, OK
Tulsa County, OK
Wagoner County, OK
46220............................ Tuscaloosa, AL............ 0.8641
Greene County, AL
Hale County, AL
Tuscaloosa County, AL
46340............................ Tyler, TX................. 0.8827
Smith County, TX
46540............................ Utica-Rome, NY............ 0.8402
Herkimer County, NY
Oneida County, NY
46660............................ Valdosta, GA.............. 0.8344
Brooks County, GA
Echols County, GA
Lanier County, GA
Lowndes County, GA
46700............................ Vallejo-Fairfield, CA..... 1.5164
Solano County, CA
47020............................ Victoria, TX.............. 0.8575
Calhoun County, TX
Goliad County, TX
Victoria County, TX
47220............................ Vineland-Millville- 0.9849
Bridgeton, NJ.
Cumberland County, NJ
47260............................ Virginia Beach-Norfolk- 0.8805
Newport News, VA-NC.
Currituck County, NC
Gloucester County, VA
Isle of Wight County, VA
James City County, VA
Mathews County, VA
Surry County, VA
York County, VA
[[Page 44130]]
Chesapeake City, VA
Hampton City, VA
Newport News City, VA
Norfolk City, VA
Poquoson City, VA
Portsmouth City, VA
Suffolk City, VA
Virginia Beach City, VA
Williamsburg City, VA
47300............................ Visalia-Porterville, CA... 0.9986
Tulare County, CA
47380............................ Waco, TX.................. 0.8648
McLennan County, TX
47580............................ Warner Robins, GA......... 0.8394
Houston County, GA
47644............................ Warren-Farmington Hills- 1.0126
Troy, MI.
Lapeer County, MI
Livingston County, MI
Macomb County, MI
Oakland County, MI
St. Clair County, MI
47894............................ Washington-Arlington- 1.1074
Alexandria, DC-VA-MD-WV.
District of Columbia, DC
Calvert County, MD
Charles County, MD
Prince George's County,
MD
Arlington County, VA
Clarke County, VA
Fairfax County, VA
Fauquier County, VA
Loudoun County, VA
Prince William County,
VA
Spotsylvania County, VA
Stafford County, VA
Warren County, VA
Alexandria City, VA
Fairfax City, VA
Falls Church City, VA
Fredericksburg City, VA
Manassas City, VA
Manassas Park City, VA
Jefferson County, WV
47940............................ Waterloo-Cedar Falls, IA.. 0.8422
Black Hawk County, IA
Bremer County, IA
Grundy County, IA
48140............................ Wausau, WI................ 0.9740
Marathon County, WI
48260............................ Weirton-Steubenville, WV- 0.8078
OH.
Jefferson County, OH
Brooke County, WV
Hancock County, WV
48300............................ Wenatchee, WA............. 1.0365
Chelan County, WA
Douglas County, WA
48424............................ West Palm Beach-Boca Raton- 0.9657
Boynton Beach, FL.
Palm Beach County, FL
48540............................ Wheeling, WV-OH........... 0.7022
Belmont County, OH
Marshall County, WV
Ohio County, WV
48620............................ Wichita, KS............... 0.9079
Butler County, KS
Harvey County, KS
Sedgwick County, KS
Sumner County, KS
48660............................ Wichita Falls, TX......... 0.8326
Archer County, TX
Clay County, TX
Wichita County, TX
[[Page 44131]]
48700............................ Williamsport, PA.......... 0.8126
Lycoming County, PA
48864............................ Wilmington, DE-MD-NJ...... 1.0703
New Castle County, DE
Cecil County, MD
Salem County, NJ
48900............................ Wilmington, NC............ 0.9853
Brunswick County, NC
New Hanover County, NC
Pender County, NC
49020............................ Winchester, VA-WV......... 1.0109
Frederick County, VA
Winchester City, VA
Hampshire County, WV
49180............................ Winston-Salem, NC......... 0.9293
Davie County, NC
Forsyth County, NC
Stokes County, NC
Yadkin County, NC
49340............................ Worcester, MA............. 1.0741
Worcester County, MA
49420............................ Yakima, WA................ 0.9865
Yakima County, WA
49500............................ Yauco, PR................. 0.3861
Guanica Municipio, PR
Guayanilla Municipio, PR
Penuelas Municipio, PR
Yauco Municipio, PR
49620............................ York-Hanover, PA.......... 0.9414
York County, PA
49660............................ Youngstown-Warren- 0.8817
Boardman, OH-PA.
Mahoning County, OH
Trumbull County, OH
Mercer County, PA
49700............................ Yuba City, CA............. 1.0749
Sutter County, CA
Yuba County, CA
49740............................ Yuma, AZ.................. 0.9125
Yuma County, AZ
------------------------------------------------------------------------
\2\ At this time, there are no hospitals in these urban areas on which
to base a wage index. Therefore, the urban wage index value is based
on the average wage index of all urban areas within the State.
Addendum C.--Comparison of HH PPS Transition Wage Index for CY 2006 and Pre-Floor and Pre-Reclassified Hospital
Wage Index for CY 2007
----------------------------------------------------------------------------------------------------------------
CY 2006 HH Proposed CY Percent
PPS 2007 CBSA- change CY
SSA state/county code County name CBSA No. transition based wage 2006-CY
wage index index 2007
----------------------------------------------------------------------------------------------------------------
01000..................... Autauga County, Alabama......... 33860 0.8618 0.8023 -6.90
01010..................... Baldwin County, Alabama......... 99901 0.7654 0.7652 -0.03
01020..................... Barbour County, Alabama......... 99901 0.7439 0.7652 2.86
01030..................... Bibb County, Alabama............ 13820 0.8196 0.8919 8.82
01040..................... Blount County, Alabama.......... 13820 0.8980 0.8919 -0.68
01050..................... Bullock County, Alabama......... 99901 0.7439 0.7652 2.86
01060..................... Butler County, Alabama.......... 99901 0.7439 0.7652 2.86
01070..................... Calhoun County, Alabama......... 11500 0.7682 0.7868 2.42
01080..................... Chambers County, Alabama........ 99901 0.7439 0.7652 2.86
01090..................... Cherokee County, Alabama........ 99901 0.7439 0.7652 2.86
01100..................... Chilton County, Alabama......... 13820 0.8196 0.8919 8.82
01110..................... Choctaw County, Alabama......... 99901 0.7439 0.7652 2.86
01120..................... Clarke County, Alabama.......... 99901 0.7439 0.7652 2.86
01130..................... Clay County, Alabama............ 99901 0.7439 0.7652 2.86
01140..................... Cleburne County, Alabama........ 99901 0.7439 0.7652 2.86
01150..................... Coffee County, Alabama.......... 99901 0.7439 0.7652 2.86
01160..................... Colbert County, Alabama......... 22520 0.8272 0.7967 -3.69
01170..................... Conecuh County, Alabama......... 99901 0.7439 0.7652 2.86
[[Page 44132]]
01180..................... Coosa County, Alabama........... 99901 0.7439 0.7652 2.86
01190..................... Covington County, Alabama....... 99901 0.7439 0.7652 2.86
01200..................... Crenshaw County, Alabama........ 99901 0.7439 0.7652 2.86
01210..................... Cullman County, Alabama......... 99901 0.7439 0.7652 2.86
01220..................... Dale County, Alabama............ 99901 0.7574 0.7652 1.03
01230..................... Dallas County, Alabama.......... 99901 0.7439 0.7652 2.86
01240..................... De Kalb County, Alabama......... 99901 0.7439 0.7652 2.86
01250..................... Elmore County, Alabama.......... 33860 0.8618 0.8023 -6.90
01260..................... Escambia County, Alabama........ 99901 0.7439 0.7652 2.86
01270..................... Etowah County, Alabama.......... 23460 0.7938 0.8080 1.79
01280..................... Fayette County, Alabama......... 99901 0.7439 0.7652 2.86
01290..................... Franklin County, Alabama........ 99901 0.7439 0.7652 2.86
01300..................... Geneva County, Alabama.......... 20020 0.7577 0.7438 -1.83
01310..................... Greene County, Alabama.......... 46220 0.8039 0.8641 7.49
01320..................... Hale County, Alabama............ 46220 0.8039 0.8641 7.49
01330..................... Henry County, Alabama........... 20020 0.7577 0.7438 -1.83
01340..................... Houston County, Alabama......... 20020 0.7711 0.7438 -3.54
01350..................... Jackson County, Alabama......... 99901 0.7439 0.7652 2.86
01360..................... Jefferson County, Alabama....... 13820 0.8980 0.8919 -0.68
01370..................... Lamar County, Alabama........... 99901 0.7439 0.7652 2.86
01380..................... Lauderdale County, Alabama...... 22520 0.8272 0.7967 -3.69
01390..................... Lawrence County, Alabama........ 19460 0.8469 0.8220 -2.94
01400..................... Lee County, Alabama............. 12220 0.8100 0.8110 0.12
01410..................... Limestone County, Alabama....... 26620 0.9146 0.9051 -1.04
01420..................... Lowndes County, Alabama......... 33860 0.8025 0.8023 -0.02
01430..................... Macon County, Alabama........... 99901 0.7439 0.7652 2.86
01440..................... Madison County, Alabama......... 26620 0.9146 0.9051 -1.04
01450..................... Marengo County, Alabama......... 99901 0.7439 0.7652 2.86
01460..................... Marion County, Alabama.......... 99901 0.7439 0.7652 2.86
01470..................... Marshall County, Alabama........ 99901 0.7439 0.7652 2.86
01480..................... Mobile County, Alabama.......... 33660 0.7876 0.7947 0.90
01490..................... Monroe County, Alabama.......... 99901 0.7439 0.7652 2.86
01500..................... Montgomery County, Alabama...... 33860 0.8618 0.8023 -6.90
01510..................... Morgan County, Alabama.......... 19460 0.8469 0.8220 -2.94
01520..................... Perry County, Alabama........... 99901 0.7439 0.7652 2.86
01530..................... Pickens County, Alabama......... 99901 0.7439 0.7652 2.86
01540..................... Pike County, Alabama............ 99901 0.7439 0.7652 2.86
01550..................... Randolph County, Alabama........ 99901 0.7439 0.7652 2.86
01560..................... Russell County, Alabama......... 17980 0.8560 0.8254 -3.57
01570..................... St Clair County, Alabama........ 13820 0.8980 0.8919 -0.68
01580..................... Shelby County, Alabama.......... 13820 0.8980 0.8919 -0.68
01590..................... Sumter County, Alabama.......... 99901 0.7439 0.7652 2.86
01600..................... Talladega County, Alabama....... 99901 0.7439 0.7652 2.86
01610..................... Tallapoosa County, Alabama...... 99901 0.7439 0.7652 2.86
01620..................... Tuscaloosa County, Alabama...... 46220 0.8705 0.8641 -0.74
01630..................... Walker County, Alabama.......... 13820 0.8196 0.8919 8.82
01640..................... Washington County, Alabama...... 99901 0.7439 0.7652 2.86
01650..................... Wilcox County, Alabama.......... 99901 0.7439 0.7652 2.86
01660..................... Winston County, Alabama......... 99901 0.7439 0.7652 2.86
02013..................... Aleutians County East, Alaska... 99902 1.1933 1.0680 -10.50
02016..................... Aleutians County West, Alaska... 99902 1.1933 1.0680 -10.50
02020..................... Anchorage County, Alaska........ 11260 1.1840 1.2045 1.73
02030..................... Angoon County, Alaska........... 99902 1.1933 1.0680 -10.50
02040..................... Barrow-North Slope County, 99902 1.1933 1.0680 -10.50
Alaska.
02050..................... Bethel County, Alaska........... 99902 1.1933 1.0680 -10.50
02060..................... Bristol Bay Borough County, 99902 1.1933 1.0680 -10.50
Alaska.
02068..................... Denali County, Alaska........... 99902 1.1933 1.0680 -10.50
02070..................... Bristol Bay County, Alaska...... 99902 1.1933 1.0680 -10.50
02080..................... Cordova-Mc Carthy County, Alaska 99902 1.1933 1.0680 -10.50
02090..................... Fairbanks County, Alaska........ 21820 1.1648 1.1079 -4.88
02100..................... Haines County, Alaska........... 99902 1.1933 1.0680 -10.50
02110..................... Juneau County, Alaska........... 99902 1.1933 1.0680 -10.50
02120..................... Kenai-Cook Inlet County, Alaska. 99902 1.1933 1.0680 -10.50
02122..................... Kenai Peninsula Borough, Alaska. 99902 1.1933 1.0680 -10.50
02130..................... Ketchikan County, Alaska........ 99902 1.1933 1.0680 -10.50
02140..................... Kobuk County, Alaska............ 99902 1.1933 1.0680 -10.50
02150..................... Kodiak County, Alaska........... 99902 1.1933 1.0680 -10.50
[[Page 44133]]
02160..................... Kuskokwin County, Alaska........ 99902 1.1933 1.0680 -10.50
02164..................... Lake and Peninsula Borough, 99902 1.1933 1.0680 -10.50
Alaska.
02170..................... Matanuska County, Alaska........ 11260 1.1892 1.2045 1.29
02180..................... Nome County, Alaska............. 99902 1.1933 1.0680 -10.50
02185..................... North Slope Borough, Alaska..... 99902 1.1933 1.0680 -10.50
02188..................... Northwest Arctic Borough, Alaska 99902 1.1933 1.0680 -10.50
02190..................... Outer Ketchikan County, Alaska.. 99902 1.1933 1.0680 -10.50
02200..................... Prince Of Wales County, Alaska.. 99902 1.1933 1.0680 -10.50
02201..................... Prince of Wales-Outer Ketchikan 99902 1.1933 1.0680 -10.50
Census Area,AK.
02210..................... Seward County, Alaska........... 99902 1.1933 1.0680 -10.50
02220..................... Sitka County, Alaska............ 99902 1.1933 1.0680 -10.50
02230..................... Skagway-Yakutat County, Alaska.. 99902 1.1933 1.0680 -10.50
02231..................... Skagway-Yakutat-Angoon Census 99902 1.1933 1.0680 -10.50
Area, Alaska.
02232..................... Skagway-Hoonah-Angoon Census 99902 1.1933 1.0680 -10.50
Area, Alaska.
02240..................... Southeast Fairbanks County, 99902 1.1933 1.0680 -10.50
Alaska.
02250..................... Upper Yukon County, Alaska...... 99902 1.1933 1.0680 -10.50
02260..................... Valdz-Chitna-Whitier County, 99902 1.1933 1.0680 -10.50
Alaska.
02261..................... Valdex-Cordove Census Area, 99902 1.1933 1.0680 -10.50
Alaska.
02270..................... Wade Hampton County, Alaska..... 99902 1.1933 1.0680 -10.50
02280..................... Wrangell-Petersburg County, 99902 1.1933 1.0680 -10.50
Alaska.
02282..................... Yakutat Borough, Alaska......... 99902 1.1933 1.0680 -10.50
02290..................... Yukon-Koyukuk County, Alaska.... 99902 1.1933 1.0680 -10.50
03000..................... Apache County, Arizona.......... 99903 0.8907 0.8924 0.19
03010..................... Cochise County, Arizona......... 99903 0.8907 0.8924 0.19
03020..................... Coconino County, Arizona........ 22380 1.1969 1.1621 -2.91
03030..................... Gila County, Arizona............ 99903 0.8907 0.8924 0.19
03040..................... Graham County, Arizona.......... 99903 0.8907 0.8924 0.19
03050..................... Greenlee County, Arizona........ 99903 0.8907 0.8924 0.19
03055..................... La Paz County, Arizona.......... 99903 0.8907 0.8924 0.19
03060..................... Maricopa County, Arizona........ 38060 1.0127 1.0305 1.76
03070..................... Mohave County, Arizona.......... 99903 0.9962 0.8924 -10.42
03080..................... Navajo County, Arizona.......... 99903 0.8907 0.8924 0.19
03090..................... Pima County, Arizona............ 46060 0.9007 0.9219 2.35
03100..................... Pinal County, Arizona........... 38060 1.0127 1.0305 1.76
03110..................... Santa Cruz County, Arizona...... 99903 0.8907 0.8924 0.19
03120..................... Yavapai County, Arizona......... 39140 0.9457 0.9853 4.19
03130..................... Yuma County, Arizona............ 49740 0.9126 0.9125 -0.01
04000..................... Arkansas County, Arkansas....... 99904 0.7605 0.7335 -3.55
04010..................... Ashley County, Arkansas......... 99904 0.7605 0.7335 -3.55
04020..................... Baxter County, Arkansas......... 99904 0.7605 0.7335 -3.55
04030..................... Benton County, Arkansas......... 22220 0.8661 0.8761 1.15
04040..................... Boone County, Arkansas.......... 99904 0.7605 0.7335 -3.55
04050..................... Bradley County, Arkansas........ 99904 0.7605 0.7335 -3.55
04060..................... Calhoun County, Arkansas........ 99904 0.7605 0.7335 -3.55
04070..................... Carroll County, Arkansas........ 99904 0.7605 0.7335 -3.55
04080..................... Chicot County, Arkansas......... 99904 0.7605 0.7335 -3.55
04090..................... Clark County, Arkansas.......... 99904 0.7605 0.7335 -3.55
04100..................... Clay County, Arkansas........... 99904 0.7605 0.7335 -3.55
04110..................... Cleburne County, Arkansas....... 99904 0.7605 0.7335 -3.55
04120..................... Cleveland County, Arkansas...... 38220 0.8212 0.8398 2.26
04130..................... Columbia County, Arkansas....... 99904 0.7605 0.7335 -3.55
04140..................... Conway County, Arkansas......... 99904 0.7605 0.7335 -3.55
04150..................... Craighead County, Arkansas...... 27860 0.7911 0.7609 -3.82
04160..................... Crawford County, Arkansas....... 22900 0.8238 0.7745 -5.98
04170..................... Crittenden County, Arkansas..... 32820 0.9407 0.9361 -0.49
04180..................... Cross County, Arkansas.......... 99904 0.7605 0.7335 -3.55
04190..................... Dallas County, Arkansas......... 99904 0.7605 0.7335 -3.55
04200..................... Desha County, Arkansas.......... 99904 0.7605 0.7335 -3.55
04210..................... Drew County, Arkansas........... 99904 0.7605 0.7335 -3.55
04220..................... Faulkner County, Arkansas....... 30780 0.8747 0.8906 1.82
04230..................... Franklin County, Arkansas....... 22900 0.7987 0.7745 -3.03
04240..................... Fulton County, Arkansas......... 99904 0.7605 0.7335 -3.55
04250..................... Garland County, Arkansas........ 26300 0.8375 0.8797 5.04
04260..................... Grant County, Arkansas.......... 30780 0.8246 0.8906 8.00
04270..................... Greene County, Arkansas......... 99904 0.7605 0.7335 -3.55
04280..................... Hempstead County, Arkansas...... 99904 0.7605 0.7335 -3.55
04290..................... Hot Spring County, Arkansas..... 99904 0.7605 0.7335 -3.55
[[Page 44134]]
04300..................... Howard County, Arkansas......... 99904 0.7605 0.7335 -3.55
04310..................... Independence County, Arkansas... 99904 0.7605 0.7335 -3.55
04320..................... Izard County, Arkansas.......... 99904 0.7605 0.7335 -3.55
04330..................... Jackson County, Arkansas........ 99904 0.7605 0.7335 -3.55
04340..................... Jefferson County, Arkansas...... 38220 0.8680 0.8398 -3.25
04350..................... Johnson County, Arkansas........ 99904 0.7605 0.7335 -3.55
04360..................... Lafayette County, Arkansas...... 99904 0.7605 0.7335 -3.55
04370..................... Lawrence County, Arkansas....... 99904 0.7605 0.7335 -3.55
04380..................... Lee County, Arkansas............ 99904 0.7605 0.7335 -3.55
04390..................... Lincoln County, Arkansas........ 38220 0.8212 0.8398 2.26
04400..................... Little River County, Arkansas... 99904 0.7605 0.7335 -3.55
04410..................... Logan County, Arkansas.......... 99904 0.7605 0.7335 -3.55
04420..................... Lonoke County, Arkansas......... 30780 0.8747 0.8906 1.82
04430..................... Madison County, Arkansas........ 22220 0.8203 0.8761 6.80
04440..................... Marion County, Arkansas......... 99904 0.7605 0.7335 -3.55
04450..................... Miller County, Arkansas......... 45500 0.8283 0.8118 -1.99
04460..................... Mississippi County, Arkansas.... 99904 0.7605 0.7335 -3.55
04470..................... Monroe County, Arkansas......... 99904 0.7605 0.7335 -3.55
04480..................... Montgomery County, Arkansas..... 99904 0.7605 0.7335 -3.55
04490..................... Nevada County, Arkansas......... 99904 0.7605 0.7335 -3.55
04500..................... Newton County, Arkansas......... 99904 0.7605 0.7335 -3.55
04510..................... Ouachita County, Arkansas....... 99904 0.7605 0.7335 -3.55
04520..................... Perry County, Arkansas.......... 30780 0.8246 0.8906 8.00
04530..................... Phillips County, Arkansas....... 99904 0.7605 0.7335 -3.55
04540..................... Pike County, Arkansas........... 99904 0.7605 0.7335 -3.55
04550..................... Poinsett County, Arkansas....... 27860 0.7828 0.7609 -2.80
04560..................... Polk County, Arkansas........... 99904 0.7605 0.7335 -3.55
04570..................... Pope County, Arkansas........... 99904 0.7605 0.7335 -3.55
04580..................... Prairie County, Arkansas........ 99904 0.7605 0.7335 -3.55
04590..................... Pulaski County, Arkansas........ 30780 0.8747 0.8906 1.82
04600..................... Randolph County, Arkansas....... 99904 0.7605 0.7335 -3.55
04610..................... St Francis County, Arkansas..... 99904 0.7605 0.7335 -3.55
04620..................... Saline County, Arkansas......... 30780 0.8747 0.8906 1.82
04630..................... Scott County, Arkansas.......... 99904 0.7605 0.7335 -3.55
04640..................... Searcy County, Arkansas......... 99904 0.7605 0.7335 -3.55
04650..................... Sebastian County, Arkansas...... 22900 0.8238 0.7745 -5.98
04660..................... Sevier County, Arkansas......... 99904 0.7605 0.7335 -3.55
04670..................... Sharp County, Arkansas.......... 99904 0.7605 0.7335 -3.55
04680..................... Stone County, Arkansas.......... 99904 0.7605 0.7335 -3.55
04690..................... Union County, Arkansas.......... 99904 0.7605 0.7335 -3.55
04700..................... Van Buren County, Arkansas...... 99904 0.7605 0.7335 -3.55
04710..................... Washington County, Arkansas..... 22220 0.8661 0.8761 1.15
04720..................... White County, Arkansas.......... 99904 0.7605 0.7335 -3.55
04730..................... Woodruff County, Arkansas....... 99904 0.7605 0.7335 -3.55
04740..................... Yell County, Arkansas........... 99904 0.7605 0.7335 -3.55
05000..................... Alameda County, California...... 36084 1.5346 1.5420 0.48
05010..................... Alpine County, California....... 99905 1.0915 1.1302 3.55
05020..................... Amador County, California....... 99905 1.0915 1.1302 3.55
05030..................... Butte County, California........ 17020 1.0511 1.1073 5.35
05040..................... Calaveras County, California.... 99905 1.0915 1.1302 3.55
05050..................... Colusa County, California....... 99905 1.0915 1.1302 3.55
05060..................... Contra Costa County, California. 36084 1.5346 1.5420 0.48
05070..................... Del Norte County, California.... 99905 1.0915 1.1302 3.55
05080..................... Eldorado County, California..... 40900 1.3056 1.3373 2.43
05090..................... Fresno County, California....... 23420 1.0483 1.0965 4.60
05100..................... Glenn County, California........ 99905 1.0915 1.1302 3.55
05110..................... Humboldt County, California..... 99905 1.0915 1.1302 3.55
05120..................... Imperial County, California..... 20940 0.9841 0.9092 -7.61
05130..................... Inyo County, California......... 99905 1.0915 1.1302 3.55
05140..................... Kern County, California......... 12540 1.0470 1.0605 1.29
05150..................... Kings County, California........ 25260 1.0406 1.0142 -2.54
05160..................... Lake County, California......... 99905 1.0915 1.1302 3.55
05170..................... Lassen County, California....... 99905 1.0915 1.1302 3.55
05200..................... Los Angeles County, California.. 31084 1.1783 1.1752 -0.26
05210..................... Los Angeles County, California.. 31084 1.1783 1.1752 -0.26
05300..................... Madera County, California....... 31460 0.9571 0.8169 -14.65
05310..................... Marin County, California........ 41884 1.4994 1.5071 0.51
[[Page 44135]]
05320..................... Mariposa County, California..... 99905 1.0915 1.1302 3.55
05330..................... Mendocino County, California.... 99905 1.0915 1.1302 3.55
05340..................... Merced County, California....... 32900 1.1109 1.1415 2.75
05350..................... Modoc County, California........ 99905 1.0915 1.1302 3.55
05360..................... Mono County, California......... 99905 1.0915 1.1302 3.55
05370..................... Monterey County, California..... 41500 1.4128 1.4459 2.34
05380..................... Napa County, California......... 34900 1.3313 1.3496 1.37
05390..................... Nevada County, California....... 99905 1.0915 1.1302 3.55
05400..................... Orange County, California....... 42044 1.1559 1.1294 -2.29
05410..................... Placer County, California....... 40900 1.3056 1.3373 2.43
05420..................... Plumas County, California....... 99905 1.0915 1.1302 3.55
05430..................... Riverside County, California.... 40140 1.1027 1.0934 -0.84
05440..................... Sacramento County, California... 40900 1.3056 1.3373 2.43
05450..................... San Benito County, California... 41940 1.2937 1.5293 18.21
05460..................... San Bernardino County, 40140 1.1027 1.0934 -0.84
California.
05470..................... San Diego County, California.... 41740 1.1413 1.1374 -0.34
05480..................... San Francisco County, California 41884 1.4994 1.5071 0.51
05490..................... San Joaquin County, California.. 44700 1.1307 1.1462 1.37
05500..................... San Luis Obispo County, 42020 1.1349 1.1619 2.38
California.
05510..................... San Mateo County, California.... 41884 1.4994 1.5071 0.51
05520..................... Santa Barbara County, California 42060 1.1694 1.1075 -5.29
05530..................... Santa Clara County, California.. 41940 1.5109 1.5293 1.22
05540..................... Santa Cruz County, California... 42100 1.5166 1.5531 2.41
05550..................... Shasta County, California....... 39820 1.2203 1.3221 8.34
05560..................... Sierra County, California....... 99905 1.0915 1.1302 3.55
05570..................... Siskiyou County, California..... 99905 1.0915 1.1302 3.55
05580..................... Solano County, California....... 46700 1.4460 1.5164 4.87
05590..................... Sonoma County, California....... 42220 1.3493 1.4489 7.38
05600..................... Stanislaus County, California... 33700 1.1885 1.1590 -2.48
05610..................... Sutter County, California....... 49700 1.0921 1.0749 -1.57
05620..................... Tehama County, California....... 99905 1.0915 1.1302 3.55
05630..................... Trinity County, California...... 99905 1.0915 1.1302 3.55
05640..................... Tulare County, California....... 47300 1.0123 0.9986 -1.35
05650..................... Tuolumne County, California..... 99905 1.0915 1.1302 3.55
05660..................... Ventura County, California...... 37100 1.1622 1.1591 -0.27
05670..................... Yolo County, California......... 40900 1.1460 1.3373 16.69
05680..................... Yuba County, California......... 49700 1.0921 1.0749 -1.57
06000..................... Adams County, Colorado.......... 19740 1.0723 1.0947 2.09
06010..................... Alamosa County, Colorado........ 99906 0.9380 0.9342 -0.41
06020..................... Arapahoe County, Colorado....... 19740 1.0723 1.0947 2.09
06030..................... Archuleta County, Colorado...... 99906 0.9380 0.9342 -0.41
06040..................... Baca County, Colorado........... 99906 0.9380 0.9342 -0.41
06050..................... Bent County, Colorado........... 99906 0.9380 0.9342 -0.41
06060..................... Boulder County, Colorado........ 14500 0.9734 1.0368 6.51
06070..................... Chaffee County, Colorado........ 99906 0.9380 0.9342 -0.41
06080..................... Cheyenne County, Colorado....... 99906 0.9380 0.9342 -0.41
06090..................... Clear Creek County, Colorado.... 19740 1.0052 1.0947 8.90
06100..................... Conejos County, Colorado........ 99906 0.9380 0.9342 -0.41
06110..................... Costilla County, Colorado....... 99906 0.9380 0.9342 -0.41
06120..................... Crowley County, Colorado........ 99906 0.9380 0.9342 -0.41
06130..................... Custer County, Colorado......... 99906 0.9380 0.9342 -0.41
06140..................... Delta County, Colorado.......... 99906 0.9380 0.9342 -0.41
06150..................... Denver County, Colorado......... 19740 1.0723 1.0947 2.09
06160..................... Dolores County, Colorado........ 99906 0.9380 0.9342 -0.41
06170..................... Douglas County, Colorado........ 19740 1.0723 1.0947 2.09
06180..................... Eagle County, Colorado.......... 99906 0.9380 0.9342 -0.41
06190..................... Elbert County, Colorado......... 19740 1.0052 1.0947 8.90
06200..................... El Paso County, Colorado........ 17820 0.9468 0.9718 2.64
06210..................... Fremont County, Colorado........ 99906 0.9380 0.9342 -0.41
06220..................... Garfield County, Colorado....... 99906 0.9380 0.9342 -0.41
06230..................... Gilpin County, Colorado......... 19740 1.0052 1.0947 8.90
06240..................... Grand County, Colorado.......... 99906 0.9380 0.9342 -0.41
06250..................... Gunnison County, Colorado....... 99906 0.9380 0.9342 -0.41
06260..................... Hinsdale County, Colorado....... 99906 0.9380 0.9342 -0.41
06270..................... Huerfano County, Colorado....... 99906 0.9380 0.9342 -0.41
06280..................... Jackson County, Colorado........ 99906 0.9380 0.9342 -0.41
06290..................... Jefferson County, Colorado...... 19740 1.0723 1.0947 2.09
[[Page 44136]]
06300..................... Kiowa County, Colorado.......... 99906 0.9380 0.9342 -0.41
06310..................... Kit Carson County, Colorado..... 99906 0.9380 0.9342 -0.41
06320..................... Lake County, Colorado........... 99906 0.9380 0.9342 -0.41
06330..................... La Plata County, Colorado....... 99906 0.9380 0.9342 -0.41
06340..................... Larimer County, Colorado........ 22660 1.0122 0.9561 -5.54
06350..................... Las Animas County, Colorado..... 99906 0.9380 0.9342 -0.41
06360..................... Lincoln County, Colorado........ 99906 0.9380 0.9342 -0.41
06370..................... Logan County, Colorado.......... 99906 0.9380 0.9342 -0.41
06380..................... Mesa County, Colorado........... 24300 0.9550 0.9685 1.41
06390..................... Mineral County, Colorado........ 99906 0.9380 0.9342 -0.41
06400..................... Moffat County, Colorado......... 99906 0.9380 0.9342 -0.41
06410..................... Montezuma County, Colorado...... 99906 0.9380 0.9342 -0.41
06420..................... Montrose County, Colorado....... 99906 0.9380 0.9342 -0.41
06430..................... Morgan County, Colorado......... 99906 0.9380 0.9342 -0.41
06440..................... Otero County, Colorado.......... 99906 0.9380 0.9342 -0.41
06450..................... Ouray County, Colorado.......... 99906 0.9380 0.9342 -0.41
06460..................... Park County, Colorado........... 19740 1.0052 1.0947 8.90
06470..................... Phillips County, Colorado....... 99906 0.9380 0.9342 -0.41
06480..................... Pitkin County, Colorado......... 99906 0.9380 0.9342 -0.41
06490..................... Prowers County, Colorado........ 99906 0.9380 0.9342 -0.41
06500..................... Pueblo County, Colorado......... 39380 0.8623 0.8552 -0.82
06510..................... Rio Blanco County, Colorado..... 99906 0.9380 0.9342 -0.41
06520..................... Rio Grande County, Colorado..... 99906 0.9380 0.9342 -0.41
06530..................... Routt County, Colorado.......... 99906 0.9380 0.9342 -0.41
06540..................... Saguache County, Colorado....... 99906 0.9380 0.9342 -0.41
06550..................... San Juan County, Colorado....... 99906 0.9380 0.9342 -0.41
06560..................... San Miguel County, Colorado..... 99906 0.9380 0.9342 -0.41
06570..................... Sedgwick County, Colorado....... 99906 0.9380 0.9342 -0.41
06580..................... Summit County, Colorado......... 99906 0.9380 0.9342 -0.41
06590..................... Teller County, Colorado......... 17820 0.9424 0.9718 3.12
06600..................... Washington County, Colorado..... 99906 0.9380 0.9342 -0.41
06610..................... Weld County, Colorado........... 24540 0.9570 0.9619 0.51
06620..................... Yuma County, Colorado........... 99906 0.9380 0.9342 -0.41
06630..................... Broomfield County, Colorado..... 19740 1.0723 1.0947 2.09
07000..................... Fairfield County, Connecticut... 14860 1.2394 1.2681 2.32
07010..................... Hartford County, Connecticut.... 25540 1.1073 1.0916 -1.42
07020..................... Litchfield County, Connecticut.. 25540 1.1073 1.0916 -1.42
07030..................... Middlesex County, Connecticut... 25540 1.1073 1.0916 -1.42
07040..................... New Haven County, Connecticut... 35300 1.2042 1.1974 -0.56
07050..................... New London County, Connecticut.. 35980 1.1345 1.1953 5.36
07060..................... Tolland County, Connecticut..... 25540 1.1073 1.0916 -1.42
07070..................... Windham County, Connecticut..... 99907 1.1730 1.1753 0.20
08000..................... Kent County, Delaware........... 20100 0.9776 0.9865 0.91
08010..................... New Castle County, Delaware..... 48864 1.0499 1.0703 1.94
08020..................... Sussex County, Delaware......... 99908 0.9579 0.9723 1.50
09000..................... Washington Dc County, Dist Of 47894 1.0951 1.1074 1.12
Col.
10000..................... Alachua County, Florida......... 23540 0.9388 0.9312 -0.81
10010..................... Baker County, Florida........... 27260 0.8984 0.9042 0.65
10020..................... Bay County, Florida............. 37460 0.8005 0.8087 1.02
10030..................... Bradford County, Florida........ 99910 0.8623 0.8595 -0.32
10040..................... Brevard County, Florida......... 37340 0.9839 0.9448 -3.97
10050..................... Broward County, Florida......... 22744 1.0432 1.0151 -2.69
10060..................... Calhoun County, Florida......... 99910 0.8623 0.8595 -0.32
10070..................... Charlotte County, Florida....... 39460 0.9255 0.9421 1.79
10080..................... Citrus County, Florida.......... 99910 0.8623 0.8595 -0.32
10090..................... Clay County, Florida............ 27260 0.9295 0.9042 -2.72
10100..................... Collier County, Florida......... 34940 1.0139 0.9959 -1.78
10110..................... Columbia County, Florida........ 99910 0.8623 0.8595 -0.32
10120..................... Dade County, Florida............ 33124 0.9750 0.9830 0.82
10130..................... De Soto County, Florida......... 99910 0.8623 0.8595 -0.32
10140..................... Dixie County, Florida........... 99910 0.8623 0.8595 -0.32
10150..................... Duval County, Florida........... 27260 0.9295 0.9042 -2.72
10160..................... Escambia County, Florida........ 37860 0.8096 0.8014 -1.01
10170..................... Flagler County, Florida......... 99910 0.8947 0.8595 -3.93
10180..................... Franklin County, Florida........ 99910 0.8623 0.8595 -0.32
10190..................... Gadsden County, Florida......... 45220 0.8688 0.9299 7.03
10200..................... Gilchrist County, Florida....... 23540 0.9033 0.9312 3.09
[[Page 44137]]
10210..................... Glades County, Florida.......... 99910 0.8623 0.8595 -0.32
10220..................... Gulf County, Florida............ 99910 0.8623 0.8595 -0.32
10230..................... Hamilton County, Florida........ 99910 0.8623 0.8595 -0.32
10240..................... Hardee County, Florida.......... 99910 0.8623 0.8595 -0.32
10250..................... Hendry County, Florida.......... 99910 0.8623 0.8595 -0.32
10260..................... Hernando County, Florida........ 45300 0.9233 0.9160 -0.79
10270..................... Highlands County, Florida....... 99910 0.8623 0.8595 -0.32
10280..................... Hillsborough County, Florida.... 45300 0.9233 0.9160 -0.79
10290..................... Holmes County, Florida.......... 99910 0.8623 0.8595 -0.32
10300..................... Indian River County, Florida.... 42680 0.9056 0.9590 5.90
10310..................... Jackson County, Florida......... 99910 0.8623 0.8595 -0.32
10320..................... Jefferson County, Florida....... 45220 0.8683 0.9299 7.09
10330..................... Lafayette County, Florida....... 99910 0.8623 0.8595 -0.32
10340..................... Lake County, Florida............ 36740 0.9464 0.9422 -0.44
10350..................... Lee County, Florida............. 15980 0.9356 0.9359 0.03
10360..................... Leon County, Florida............ 45220 0.8688 0.9299 7.03
10370..................... Levy County, Florida............ 99910 0.8623 0.8595 -0.32
10380..................... Liberty County, Florida......... 99910 0.8623 0.8595 -0.32
10390..................... Madison County, Florida......... 99910 0.8623 0.8595 -0.32
10400..................... Manatee County, Florida......... 42260 0.9639 0.9885 2.55
10410..................... Marion County, Florida.......... 36100 0.8925 0.8883 -0.47
10420..................... Martin County, Florida.......... 38940 1.0123 0.9851 -2.69
10430..................... Monroe County, Florida.......... 99910 0.8623 0.8595 -0.32
10440..................... Nassau County, Florida.......... 27260 0.9295 0.9042 -2.72
10450..................... Okaloosa County, Florida........ 23020 0.8872 0.8658 -2.41
10460..................... Okeechobee County, Florida...... 99910 0.8623 0.8595 -0.32
10470..................... Orange County, Florida.......... 36740 0.9464 0.9422 -0.44
10480..................... Osceola County, Florida......... 36740 0.9464 0.9422 -0.44
10490..................... Palm Beach County, Florida...... 48424 1.0067 0.9657 -4.07
10500..................... Pasco County, Florida........... 45300 0.9233 0.9160 -0.79
10510..................... Pinellas County, Florida........ 45300 0.9233 0.9160 -0.79
10520..................... Polk County, Florida............ 29460 0.8912 0.8895 -0.19
10530..................... Putnam County, Florida.......... 99910 0.8623 0.8595 -0.32
10540..................... Johns County, Florida........... 27260 0.9295 0.9042 -2.72
10550..................... St Lucie County, Florida........ 38940 1.0123 0.9851 -2.69
10560..................... Santa Rosa County, Florida...... 37860 0.8096 0.8014 -1.01
10570..................... Sarasota County, Florida........ 42260 0.9639 0.9885 2.55
10580..................... Seminole County, Florida........ 36740 0.9464 0.9422 -0.44
10590..................... Sumter County, Florida.......... 99910 0.8623 0.8595 -0.32
10600..................... Suwannee County, Florida........ 99910 0.8623 0.8595 -0.32
10610..................... Taylor County, Florida.......... 99910 0.8623 0.8595 -0.32
10620..................... Union County, Florida........... 99910 0.8623 0.8595 -0.32
10630..................... Volusia County, Florida......... 19660 0.9312 0.9280 -0.34
10640..................... Wakulla County, Florida......... 45220 0.8683 0.9299 7.09
10650..................... Walton County, Florida.......... 99910 0.8623 0.8595 -0.32
10660..................... Washington County, Florida...... 99910 0.8623 0.8595 -0.32
11000..................... Appling County, Georgia......... 99911 0.7914 0.7560 -4.47
11010..................... Atkinson County, Georgia........ 99911 0.7914 0.7560 -4.47
11011..................... Bacon County, Georgia........... 99911 0.7914 0.7560 -4.47
11020..................... Baker County, Georgia........... 10500 0.8397 0.8962 6.73
11030..................... Baldwin County, Georgia......... 99911 0.7914 0.7560 -4.47
11040..................... Banks County, Georgia........... 99911 0.7914 0.7560 -4.47
11050..................... Barrow County, Georgia.......... 12060 0.9793 0.9772 -0.21
11060..................... Bartow County, Georgia.......... 12060 0.9793 0.9772 -0.21
11070..................... Ben Hill County, Georgia........ 99911 0.7914 0.7560 -4.47
11080..................... Berrien County, Georgia......... 99911 0.7914 0.7560 -4.47
11090..................... Bibb County, Georgia............ 31420 0.9360 0.9518 1.69
11100..................... Bleckley County, Georgia........ 99911 0.7914 0.7560 -4.47
11110..................... Brantley County, Georgia........ 15260 0.8739 1.0097 15.54
11120..................... Brooks County, Georgia.......... 46660 0.8516 0.8344 -2.02
11130..................... Bryan County, Georgia........... 42340 0.9461 0.9087 -3.95
11140..................... Bulloch County, Georgia......... 99911 0.7914 0.7560 -4.47
11150..................... Burke County, Georgia........... 12260 0.8957 0.9678 8.05
11160..................... Butts County, Georgia........... 12060 0.8980 0.9772 8.82
11161..................... Calhoun County, Georgia......... 99911 0.7914 0.7560 -4.47
11170..................... Camden County, Georgia.......... 99911 0.7914 0.7560 -4.47
11180..................... Candler County, Georgia......... 99911 0.7914 0.7560 -4.47
[[Page 44138]]
11190..................... Carroll County, Georgia......... 12060 0.9793 0.9772 -0.21
11200..................... Catoosa County, Georgia......... 16860 0.9088 0.8963 -1.38
11210..................... Charlton County, Georgia........ 99911 0.7914 0.7560 -4.47
11220..................... Chatham County, Georgia......... 42340 0.9461 0.9087 -3.95
11230..................... Chattahoochee County, Georgia... 17980 0.8560 0.8254 -3.57
11240..................... Chattooga County, Georgia....... 99911 0.7914 0.7560 -4.47
11250..................... Cherokee County, Georgia........ 12060 0.9793 0.9772 -0.21
11260..................... Clarke County, Georgia.......... 12020 0.9855 0.9857 0.02
11270..................... Clay County, Georgia............ 99911 0.7914 0.7560 -4.47
11280..................... Clayton County, Georgia......... 12060 0.9793 0.9772 -0.21
11281..................... Clinch County, Georgia.......... 99911 0.7914 0.7560 -4.47
11290..................... Cobb County, Georgia............ 12060 0.9793 0.9772 -0.21
11291..................... Coffee County, Georgia.......... 99911 0.7914 0.7560 -4.47
11300..................... Colquitt County, Georgia........ 99911 0.7914 0.7560 -4.47
11310..................... Columbia County, Georgia........ 12260 0.9778 0.9678 -1.02
11311..................... Cook County, Georgia............ 99911 0.7914 0.7560 -4.47
11320..................... Coweta County, Georgia.......... 12060 0.9793 0.9772 -0.21
11330..................... Crawford County, Georgia........ 31420 0.8805 0.9518 8.10
11340..................... Crisp County, Georgia........... 99911 0.7914 0.7560 -4.47
11341..................... Dade County, Georgia............ 16860 0.9088 0.8963 -1.38
11350..................... Dawson County, Georgia.......... 12060 0.8980 0.9772 8.82
11360..................... Decatur County, Georgia......... 99911 0.7914 0.7560 -4.47
11370..................... De Kalb County, Georgia......... 12060 0.9793 0.9772 -0.21
11380..................... Dodge County, Georgia........... 99911 0.7914 0.7560 -4.47
11381..................... Dooly County, Georgia........... 99911 0.7914 0.7560 -4.47
11390..................... Dougherty County, Georgia....... 10500 0.8628 0.8962 3.87
11400..................... Douglas County, Georgia......... 12060 0.9793 0.9772 -0.21
11410..................... Early County, Georgia........... 99911 0.7914 0.7560 -4.47
11420..................... Echols County, Georgia.......... 46660 0.8516 0.8344 -2.02
11421..................... Effingham County, Georgia....... 42340 0.9461 0.9087 -3.95
11430..................... Elbert County, Georgia.......... 99911 0.7914 0.7560 -4.47
11440..................... Emanuel County, Georgia......... 99911 0.7914 0.7560 -4.47
11441..................... Evans County, Georgia........... 99911 0.7914 0.7560 -4.47
11450..................... Fannin County, Georgia.......... 99911 0.7914 0.7560 -4.47
11451..................... Fayette County, Georgia......... 12060 0.9793 0.9772 -0.21
11460..................... Floyd County, Georgia........... 40660 0.8790 0.9316 5.98
11461..................... Forsyth County, Georgia......... 12060 0.9793 0.9772 -0.21
11462..................... Franklin County, Georgia........ 99911 0.7914 0.7560 -4.47
11470..................... Fulton County, Georgia.......... 12060 0.9793 0.9772 -0.21
11471..................... Gilmer County, Georgia.......... 99911 0.7914 0.7560 -4.47
11480..................... Glascock County, Georgia........ 99911 0.7914 0.7560 -4.47
11490..................... Glynn County, Georgia........... 15260 0.8739 1.0097 15.54
11500..................... Gordon County, Georgia.......... 99911 0.7914 0.7560 -4.47
11510..................... Grady County, Georgia........... 99911 0.7914 0.7560 -4.47
11520..................... Greene County, Georgia.......... 99911 0.7914 0.7560 -4.47
11530..................... Gwinnett County, Georgia........ 12060 0.9793 0.9772 -0.21
11540..................... Habersham County, Georgia....... 99911 0.7914 0.7560 -4.47
11550..................... Hall County, Georgia............ 23580 0.8520 0.8974 5.33
11560..................... Hancock County, Georgia......... 99911 0.7914 0.7560 -4.47
11570..................... Haralson County, Georgia........ 12060 0.8980 0.9772 8.82
11580..................... Harris County, Georgia.......... 17980 0.8560 0.8254 -3.57
11581..................... Hart County, Georgia............ 99911 0.7914 0.7560 -4.47
11590..................... Heard County, Georgia........... 12060 0.8980 0.9772 8.82
11591..................... Henry County, Georgia........... 12060 0.9793 0.9772 -0.21
11600..................... Houston County, Georgia......... 47580 0.8961 0.8394 -6.33
11601..................... Irwin County, Georgia........... 99911 0.7914 0.7560 -4.47
11610..................... Jackson County, Georgia......... 99911 0.7914 0.7560 -4.47
11611..................... Jasper County, Georgia.......... 12060 0.8980 0.9772 8.82
11612..................... Jeff Davis County, Georgia...... 99911 0.7914 0.7560 -4.47
11620..................... Jefferson County, Georgia....... 99911 0.7914 0.7560 -4.47
11630..................... Jenkins County, Georgia......... 99911 0.7914 0.7560 -4.47
11640..................... Johnson County, Georgia......... 99911 0.7914 0.7560 -4.47
11650..................... Jones County, Georgia........... 31420 0.9360 0.9518 1.69
11651..................... Lamar County, Georgia........... 12060 0.8980 0.9772 8.82
11652..................... Lanier County, Georgia.......... 46660 0.8516 0.8344 -2.02
11660..................... Laurens County, Georgia......... 99911 0.7914 0.7560 -4.47
11670..................... Lee County, Georgia............. 10500 0.8628 0.8962 3.87
[[Page 44139]]
11680..................... Liberty County, Georgia......... 25980 0.8973 0.9163 2.12
11690..................... Lincoln County, Georgia......... 99911 0.7914 0.7560 -4.47
11691..................... Long County, Georgia............ 25980 0.8973 0.9163 2.12
11700..................... Lowndes County, Georgia......... 46660 0.8516 0.8344 -2.02
11701..................... Lumpkin County, Georgia......... 99911 0.7914 0.7560 -4.47
11702..................... Mc Duffie County, Georgia....... 12260 0.9778 0.9678 -1.02
11703..................... Mc Intosh County, Georgia....... 15260 0.8739 1.0097 15.54
11710..................... Macon County, Georgia........... 99911 0.7914 0.7560 -4.47
11720..................... Madison County, Georgia......... 12020 0.9855 0.9857 0.02
11730..................... Marion County, Georgia.......... 17980 0.8363 0.8254 -1.30
11740..................... Meriwether County, Georgia...... 12060 0.8980 0.9772 8.82
11741..................... Miller County, Georgia.......... 99911 0.7914 0.7560 -4.47
11750..................... Mitchell County, Georgia........ 99911 0.7914 0.7560 -4.47
11760..................... Monroe County, Georgia.......... 31420 0.8805 0.9518 8.10
11770..................... Montgomery County, Georgia...... 99911 0.7914 0.7560 -4.47
11771..................... Morgan County, Georgia.......... 99911 0.7914 0.7560 -4.47
11772..................... Murray County, Georgia.......... 19140 0.8623 0.9061 5.08
11780..................... Muscogee County, Georgia........ 17980 0.8560 0.8254 -3.57
11790..................... Newton County, Georgia.......... 12060 0.9793 0.9772 -0.21
11800..................... Oconee County, Georgia.......... 12020 0.9855 0.9857 0.02
11801..................... Oglethorpe County, Georgia...... 12020 0.9011 0.9857 9.39
11810..................... Paulding County, Georgia........ 12060 0.9793 0.9772 -0.21
11811..................... Peach County, Georgia........... 99911 0.8470 0.7560 -10.74
11812..................... Pickens County, Georgia......... 12060 0.9793 0.9772 -0.21
11820..................... Pierce County, Georgia.......... 99911 0.7914 0.7560 -4.47
11821..................... Pike County, Georgia............ 12060 0.8980 0.9772 8.82
11830..................... Polk County, Georgia............ 99911 0.7914 0.7560 -4.47
11831..................... Pulaski County, Georgia......... 99911 0.7914 0.7560 -4.47
11832..................... Putnam County, Georgia.......... 99911 0.7914 0.7560 -4.47
11833..................... Quitman County, Georgia......... 99911 0.7914 0.7560 -4.47
11834..................... Rabun County, Georgia........... 99911 0.7914 0.7560 -4.47
11835..................... Randolph County, Georgia........ 99911 0.7914 0.7560 -4.47
11840..................... Richmond County, Georgia........ 12260 0.9778 0.9678 -1.02
11841..................... Rockdale County, Georgia........ 12060 0.9793 0.9772 -0.21
11842..................... Schley County, Georgia.......... 99911 0.7914 0.7560 -4.47
11850..................... Screven County, Georgia......... 99911 0.7914 0.7560 -4.47
11851..................... Seminole County, Georgia........ 99911 0.7914 0.7560 -4.47
11860..................... Spalding County, Georgia........ 12060 0.9793 0.9772 -0.21
11861..................... Stephens County, Georgia........ 99911 0.7914 0.7560 -4.47
11862..................... Stewart County, Georgia......... 99911 0.7914 0.7560 -4.47
11870..................... Sumter County, Georgia.......... 99911 0.7914 0.7560 -4.47
11880..................... Talbot County, Georgia.......... 99911 0.7914 0.7560 -4.47
11881..................... Taliaferro County, Georgia...... 99911 0.7914 0.7560 -4.47
11882..................... Tattnall County, Georgia........ 99911 0.7914 0.7560 -4.47
11883..................... Taylor County, Georgia.......... 99911 0.7914 0.7560 -4.47
11884..................... Telfair County, Georgia......... 99911 0.7914 0.7560 -4.47
11885..................... Terrell County, Georgia......... 10500 0.8397 0.8962 6.73
11890..................... Thomas County, Georgia.......... 99911 0.7914 0.7560 -4.47
11900..................... Tift County, Georgia............ 99911 0.7914 0.7560 -4.47
11901..................... Toombs County, Georgia.......... 99911 0.7914 0.7560 -4.47
11902..................... Towns County, Georgia........... 99911 0.7914 0.7560 -4.47
11903..................... Treutlen County, Georgia........ 99911 0.7914 0.7560 -4.47
11910..................... Troup County, Georgia........... 99911 0.7914 0.7560 -4.47
11911..................... Turner County, Georgia.......... 99911 0.7914 0.7560 -4.47
11912..................... Twiggs County, Georgia.......... 31420 0.9360 0.9518 1.69
11913..................... Union County, Georgia........... 99911 0.7914 0.7560 -4.47
11920..................... Upson County, Georgia........... 99911 0.7914 0.7560 -4.47
11921..................... Walker County, Georgia.......... 16860 0.9088 0.8963 -1.38
11930..................... Walton County, Georgia.......... 12060 0.9793 0.9772 -0.21
11940..................... Ware County, Georgia............ 99911 0.7914 0.7560 -4.47
11941..................... Warren County, Georgia.......... 99911 0.7914 0.7560 -4.47
11950..................... Washington County, Georgia...... 99911 0.7914 0.7560 -4.47
11960..................... Wayne County, Georgia........... 99911 0.7914 0.7560 -4.47
11961..................... Webster County, Georgia......... 99911 0.7914 0.7560 -4.47
11962..................... Wheeler County, Georgia......... 99911 0.7914 0.7560 -4.47
11963..................... White County, Georgia........... 99911 0.7914 0.7560 -4.47
11970..................... Whitfield County, Georgia....... 19140 0.8623 0.9061 5.08
[[Page 44140]]
11971..................... Wilcox County, Georgia.......... 99911 0.7914 0.7560 -4.47
11972..................... Wilkes County, Georgia.......... 99911 0.7914 0.7560 -4.47
11973..................... Wilkinson County, Georgia....... 99911 0.7914 0.7560 -4.47
11980..................... Worth County, Georgia........... 10500 0.8397 0.8962 6.73
12005..................... Kalawao County, Hawaii.......... 99912 1.0551 1.0467 -0.80
12010..................... Hawaii County, Hawaii........... 99912 1.0551 1.0467 -0.80
12020..................... Honolulu County, Hawaii......... 26180 1.1214 1.1067 -1.31
12040..................... Kauai County, Hawaii............ 99912 1.0551 1.0467 -0.80
12050..................... Maui County, Hawaii............. 99912 1.0551 1.0467 -0.80
13000..................... Ada County, Idaho............... 14260 0.9052 0.9417 4.03
13010..................... Adams County, Idaho............. 99913 0.8567 0.8134 -5.05
13020..................... Bannock County, Idaho........... 38540 0.9351 0.9417 0.71
13030..................... Bear Lake County, Idaho......... 99913 0.8567 0.8134 -5.05
13040..................... Benewah County, Idaho........... 99913 0.8567 0.8134 -5.05
13050..................... Bingham County, Idaho........... 99913 0.8567 0.8134 -5.05
13060..................... Blaine County, Idaho............ 99913 0.8567 0.8134 -5.05
13070..................... Boise County, Idaho............. 14260 0.9075 0.9417 3.77
13080..................... Bonner County, Idaho............ 99913 0.8567 0.8134 -5.05
13090..................... Bonneville County, Idaho........ 26820 0.9259 0.9104 -1.67
13100..................... Boundary County, Idaho.......... 99913 0.8567 0.8134 -5.05
13110..................... Butte County, Idaho............. 99913 0.8567 0.8134 -5.05
13120..................... Camas County, Idaho............. 99913 0.8567 0.8134 -5.05
13130..................... Canyon County, Idaho............ 14260 0.9052 0.9417 4.03
13140..................... Caribou County, Idaho........... 99913 0.8567 0.8134 -5.05
13150..................... Cassia County, Idaho............ 99913 0.8567 0.8134 -5.05
13160..................... Clark County, Idaho............. 99913 0.8567 0.8134 -5.05
13170..................... Clearwater County, Idaho........ 99913 0.8567 0.8134 -5.05
13180..................... Custer County, Idaho............ 99913 0.8567 0.8134 -5.05
13190..................... Elmore County, Idaho............ 99913 0.8567 0.8134 -5.05
13200..................... Franklin County, Idaho.......... 30860 0.9131 0.9038 -1.02
13210..................... Fremont County, Idaho........... 99913 0.8567 0.8134 -5.05
13220..................... Gem County, Idaho............... 14260 0.9075 0.9417 3.77
13230..................... Gooding County, Idaho........... 99913 0.8567 0.8134 -5.05
13240..................... Idaho County, Idaho............. 99913 0.8567 0.8134 -5.05
13250..................... Jefferson County, Idaho......... 26820 0.9259 0.9104 -1.67
13260..................... Jerome County, Idaho............ 99913 0.8567 0.8134 -5.05
13270..................... Kootenai County, Idaho.......... 17660 0.9372 0.9360 -0.13
13280..................... Latah County, Idaho............. 99913 0.8567 0.8134 -5.05
13290..................... Lemhi County, Idaho............. 99913 0.8567 0.8134 -5.05
13300..................... Lewis County, Idaho............. 99913 0.8567 0.8134 -5.05
13310..................... Lincoln County, Idaho........... 99913 0.8567 0.8134 -5.05
13320..................... Madison County, Idaho........... 99913 0.8567 0.8134 -5.05
13330..................... Minidoka County, Idaho.......... 99913 0.8567 0.8134 -5.05
13340..................... Nez Perce County, Idaho......... 30300 0.9492 0.9871 3.99
13350..................... Oneida County, Idaho............ 99913 0.8567 0.8134 -5.05
13360..................... Owyhee County, Idaho............ 14260 0.9075 0.9417 3.77
13370..................... Payette County, Idaho........... 99913 0.8567 0.8134 -5.05
13380..................... Power County, Idaho............. 38540 0.9224 0.9417 2.09
13390..................... Shoshone County, Idaho.......... 99913 0.8567 0.8134 -5.05
13400..................... Teton County, Idaho............. 99913 0.8567 0.8134 -5.05
13410..................... Twin Falls County, Idaho........ 99913 0.8567 0.8134 -5.05
13420..................... Valley County, Idaho............ 99913 0.8567 0.8134 -5.05
13430..................... Washington County, Idaho........ 99913 0.8567 0.8134 -5.05
14000..................... Adams County, Illinois.......... 99914 0.8286 0.8327 0.49
14010..................... Alexander County, Illinois...... 99914 0.8286 0.8327 0.49
14020..................... Bond County, Illinois........... 41180 0.8628 0.9013 4.46
14030..................... Boone County, Illinois.......... 40420 0.9984 1.0007 0.23
14040..................... Brown County, Illinois.......... 99914 0.8286 0.8327 0.49
14050..................... Bureau County, Illinois......... 99914 0.8286 0.8327 0.49
14060..................... Calhoun County, Illinois........ 41180 0.8628 0.9013 4.46
14070..................... Carroll County, Illinois........ 99914 0.8286 0.8327 0.49
14080..................... Cass County, Illinois........... 99914 0.8286 0.8327 0.49
14090..................... Champaign County, Illinois...... 16580 0.9594 0.9661 0.70
14100..................... Christian County, Illinois...... 99914 0.8286 0.8327 0.49
14110..................... Clark County, Illinois.......... 99914 0.8286 0.8327 0.49
14120..................... Clay County, Illinois........... 99914 0.8286 0.8327 0.49
14130..................... Clinton County, Illinois........ 41180 0.8958 0.9013 0.61
[[Page 44141]]
14140..................... Coles County, Illinois.......... 99914 0.8286 0.8327 0.49
14141..................... Cook County, Illinois........... 16974 1.0787 1.0745 -0.39
14150..................... Crawford County, Illinois....... 99914 0.8286 0.8327 0.49
14160..................... Cumberland County, Illinois..... 99914 0.8286 0.8327 0.49
14170..................... De Kalb County, Illinois........ 16974 1.0787 1.0745 -0.39
14180..................... De Witt County, Illinois........ 99914 0.8286 0.8327 0.49
14190..................... Douglas County, Illinois........ 99914 0.8286 0.8327 0.49
14250..................... Du Page County, Illinois........ 16974 1.0787 1.0745 -0.39
14310..................... Edgar County, Illinois.......... 99914 0.8286 0.8327 0.49
14320..................... Edwards County, Illinois........ 99914 0.8286 0.8327 0.49
14330..................... Effingham County, Illinois...... 99914 0.8286 0.8327 0.49
14340..................... Fayette County, Illinois........ 99914 0.8286 0.8327 0.49
14350..................... Ford County, Illinois........... 16580 0.8948 0.9661 7.97
14360..................... Franklin County, Illinois....... 99914 0.8286 0.8327 0.49
14370..................... Fulton County, Illinois......... 99914 0.8286 0.8327 0.49
14380..................... Gallatin County, Illinois....... 99914 0.8286 0.8327 0.49
14390..................... Greene County, Illinois......... 99914 0.8286 0.8327 0.49
14400..................... Grundy County, Illinois......... 16974 1.0787 1.0745 -0.39
14410..................... Hamilton County, Illinois....... 99914 0.8286 0.8327 0.49
14420..................... Hancock County, Illinois........ 99914 0.8286 0.8327 0.49
14421..................... Hardin County, Illinois......... 99914 0.8286 0.8327 0.49
14440..................... Henderson County, Illinois...... 99914 0.8286 0.8327 0.49
14450..................... Henry County, Illinois.......... 19340 0.8724 0.8557 -1.91
14460..................... Iroquois County, Illinois....... 99914 0.8286 0.8327 0.49
14470..................... Jackson County, Illinois........ 99914 0.8286 0.8327 0.49
14480..................... Jasper County, Illinois......... 99914 0.8286 0.8327 0.49
14490..................... Jefferson County, Illinois...... 99914 0.8286 0.8327 0.49
14500..................... Jersey County, Illinois......... 41180 0.8958 0.9013 0.61
14510..................... Jo Daviess County, Illinois..... 99914 0.8286 0.8327 0.49
14520..................... Johnson County, Illinois........ 99914 0.8286 0.8327 0.49
14530..................... Kane County, Illinois........... 16974 1.0787 1.0745 -0.39
14540..................... Kankakee County, Illinois....... 28100 1.0721 0.9990 -6.82
14550..................... Kendall County, Illinois........ 16974 1.0787 1.0745 -0.39
14560..................... Knox County, Illinois........... 99914 0.8286 0.8327 0.49
14570..................... Lake County, Illinois........... 29404 1.0606 1.0406 -1.89
14580..................... La Salle County, Illinois....... 99914 0.8286 0.8327 0.49
14590..................... Lawrence County, Illinois....... 99914 0.8286 0.8327 0.49
14600..................... Lee County, Illinois............ 99914 0.8286 0.8327 0.49
14610..................... Livingston County, Illinois..... 99914 0.8286 0.8327 0.49
14620..................... Logan County, Illinois.......... 99914 0.8286 0.8327 0.49
14630..................... Mc Donough County, Illinois..... 99914 0.8286 0.8327 0.49
14640..................... Mc Henry County, Illinois....... 16974 1.0787 1.0745 -0.39
14650..................... Mclean County, Illinois......... 14060 0.9075 0.8960 -1.27
14660..................... Macon County, Illinois.......... 19500 0.8067 0.8187 1.49
14670..................... Macoupin County, Illinois....... 41180 0.8628 0.9013 4.46
14680..................... Madison County, Illinois........ 41180 0.8958 0.9013 0.61
14690..................... Marion County, Illinois......... 99914 0.8286 0.8327 0.49
14700..................... Marshall County, Illinois....... 37900 0.8586 0.8998 4.80
14710..................... Mason County, Illinois.......... 99914 0.8286 0.8327 0.49
14720..................... Massac County, Illinois......... 99914 0.8286 0.8327 0.49
14730..................... Menard County, Illinois......... 44100 0.8792 0.8905 1.29
14740..................... Mercer County, Illinois......... 19340 0.8513 0.8557 0.52
14750..................... Monroe County, Illinois......... 41180 0.8958 0.9013 0.61
14760..................... Montgomery County, Illinois..... 99914 0.8286 0.8327 0.49
14770..................... Morgan County, Illinois......... 99914 0.8286 0.8327 0.49
14780..................... Moultrie County, Illinois....... 99914 0.8286 0.8327 0.49
14790..................... Ogle County, Illinois........... 99914 0.9128 0.8327 -8.78
14800..................... Peoria County, Illinois......... 37900 0.8870 0.8998 1.44
14810..................... Perry County, Illinois.......... 99914 0.8286 0.8327 0.49
14820..................... Piatt County, Illinois.......... 16580 0.8948 0.9661 7.97
14830..................... Pike County, Illinois........... 99914 0.8286 0.8327 0.49
14831..................... Pope County, Illinois........... 99914 0.8286 0.8327 0.49
14850..................... Pulaski County, Illinois........ 99914 0.8286 0.8327 0.49
14860..................... Putnam County, Illinois......... 99914 0.8286 0.8327 0.49
14870..................... Randolph County, Illinois....... 99914 0.8286 0.8327 0.49
14880..................... Richland County, Illinois....... 99914 0.8286 0.8327 0.49
14890..................... Rock Island County, Illinois.... 19340 0.8724 0.8557 -1.91
[[Page 44142]]
14900..................... St Clair County, Illinois....... 41180 0.8958 0.9013 0.61
14910..................... Saline County, Illinois......... 99914 0.8286 0.8327 0.49
14920..................... Sangamon County, Illinois....... 44100 0.8792 0.8905 1.29
14921..................... Schuyler County, Illinois....... 99914 0.8286 0.8327 0.49
14940..................... Scott County, Illinois.......... 99914 0.8286 0.8327 0.49
14950..................... Shelby County, Illinois......... 99914 0.8286 0.8327 0.49
14960..................... Stark County, Illinois.......... 37900 0.8586 0.8998 4.80
14970..................... Stephenson County, Illinois..... 99914 0.8286 0.8327 0.49
14980..................... Tazewell County, Illinois....... 37900 0.8870 0.8998 1.44
14981..................... Union County, Illinois.......... 99914 0.8286 0.8327 0.49
14982..................... Vermilion County, Illinois...... 19180 0.8665 0.9283 7.13
14983..................... Wabash County, Illinois......... 99914 0.8286 0.8327 0.49
14984..................... Warren County, Illinois......... 99914 0.8286 0.8327 0.49
14985..................... Washington County, Illinois..... 99914 0.8286 0.8327 0.49
14986..................... Wayne County, Illinois.......... 99914 0.8286 0.8327 0.49
14987..................... White County, Illinois.......... 99914 0.8286 0.8327 0.49
14988..................... Whiteside County, Illinois...... 99914 0.8286 0.8327 0.49
14989..................... Will County, Illinois........... 16974 1.0787 1.0745 -0.39
14990..................... Williamson County, Illinois..... 99914 0.8286 0.8327 0.49
14991..................... Winnebago County, Illinois...... 40420 0.9984 1.0007 0.23
14992..................... Woodford County, Illinois....... 37900 0.8870 0.8998 1.44
15000..................... Adams County, Indiana........... 99915 0.9165 0.8477 -7.51
15010..................... Allen County, Indiana........... 23060 0.9750 0.9504 -2.52
15020..................... Bartholomew County, Indiana..... 18020 0.9164 0.9334 1.86
15030..................... Benton County, Indiana.......... 29140 0.8738 0.8972 2.68
15040..................... Blackford County, Indiana....... 99915 0.8682 0.8477 -2.36
15050..................... Boone County, Indiana........... 26900 0.9893 0.9766 -1.28
15060..................... Brown County, Indiana........... 26900 0.9330 0.9766 4.67
15070..................... Carroll County, Indiana......... 29140 0.8738 0.8972 2.68
15080..................... Cass County, Indiana............ 99915 0.8682 0.8477 -2.36
15090..................... Clark County, Indiana........... 31140 0.9272 0.9135 -1.48
15100..................... Clay County, Indiana............ 45460 0.8321 0.8661 4.09
15110..................... Clinton County, Indiana......... 99915 0.8680 0.8477 -2.34
15120..................... Crawford County, Indiana........ 99915 0.8682 0.8477 -2.36
15130..................... Daviess County, Indiana......... 99915 0.8682 0.8477 -2.36
15140..................... Dearborn County, Indiana........ 17140 0.9675 0.9617 -0.60
15150..................... Decatur County, Indiana......... 99915 0.8682 0.8477 -2.36
15160..................... De Kalb County, Indiana......... 99915 0.9165 0.8477 -7.51
15170..................... Delaware County, Indiana........ 34620 0.8930 0.8299 -7.07
15180..................... Dubois County, Indiana.......... 99915 0.8682 0.8477 -2.36
15190..................... Elkhart County, Indiana......... 21140 0.9627 0.9442 -1.92
15200..................... Fayette County, Indiana......... 99915 0.8682 0.8477 -2.36
15210..................... Floyd County, Indiana........... 31140 0.9272 0.9135 -1.48
15220..................... Fountain County, Indiana........ 99915 0.8682 0.8477 -2.36
15230..................... Franklin County, Indiana........ 17140 0.9177 0.9617 4.79
15240..................... Fulton County, Indiana.......... 99915 0.8682 0.8477 -2.36
15250..................... Gibson County, Indiana.......... 21780 0.8726 0.8830 1.19
15260..................... Grant County, Indiana........... 99915 0.8682 0.8477 -2.36
15270..................... Greene County, Indiana.......... 14020 0.8593 0.8548 -0.52
15280..................... Hamilton County, Indiana........ 26900 0.9893 0.9766 -1.28
15290..................... Hancock County, Indiana......... 26900 0.9893 0.9766 -1.28
15300..................... Harrison County, Indiana........ 31140 0.9272 0.9135 -1.48
15310..................... Hendricks County, Indiana....... 26900 0.9893 0.9766 -1.28
15320..................... Henry County, Indiana........... 99915 0.8682 0.8477 -2.36
15330..................... Howard County, Indiana.......... 29020 0.9508 0.9460 -0.50
15340..................... Huntington County, Indiana...... 99915 0.9165 0.8477 -7.51
15350..................... Jackson County, Indiana......... 99915 0.8682 0.8477 -2.36
15360..................... Jasper County, Indiana.......... 23844 0.9067 0.9281 2.36
15370..................... Jay County, Indiana............. 99915 0.8682 0.8477 -2.36
15380..................... Jefferson County, Indiana....... 99915 0.8682 0.8477 -2.36
15390..................... Jennings County, Indiana........ 99915 0.8682 0.8477 -2.36
15400..................... Johnson County, Indiana......... 26900 0.9893 0.9766 -1.28
15410..................... Knox County, Indiana............ 99915 0.8682 0.8477 -2.36
15420..................... Kosciusko County, Indiana....... 99915 0.8682 0.8477 -2.36
15430..................... Lagrange County, Indiana........ 99915 0.8682 0.8477 -2.36
15440..................... Lake County, Indiana............ 23844 0.9395 0.9281 -1.21
15450..................... La Porte County, Indiana........ 33140 0.9069 0.9093 0.26
[[Page 44143]]
15460..................... Lawrence County, Indiana........ 99915 0.8682 0.8477 -2.36
15470..................... Madison County, Indiana......... 11300 0.9226 0.8790 -4.73
15480..................... Marion County, Indiana.......... 26900 0.9893 0.9766 -1.28
15490..................... Marshall County, Indiana........ 99915 0.8682 0.8477 -2.36
15500..................... Martin County, Indiana.......... 99915 0.8682 0.8477 -2.36
15510..................... Miami County, Indiana........... 99915 0.8682 0.8477 -2.36
15520..................... Monroe County, Indiana.......... 14020 0.8447 0.8548 1.20
15530..................... Montgomery County, Indiana...... 99915 0.8682 0.8477 -2.36
15540..................... Morgan County, Indiana.......... 26900 0.9893 0.9766 -1.28
15550..................... Newton County, Indiana.......... 23844 0.9067 0.9281 2.36
15560..................... Noble County, Indiana........... 99915 0.8682 0.8477 -2.36
15570..................... Ohio County, Indiana............ 17140 0.9675 0.9617 -0.60
15580..................... Orange County, Indiana.......... 99915 0.8682 0.8477 -2.36
15590..................... Owen County, Indiana............ 14020 0.8593 0.8548 -0.52
15600..................... Parke County, Indiana........... 99915 0.8682 0.8477 -2.36
15610..................... Perry County, Indiana........... 99915 0.8682 0.8477 -2.36
15620..................... Pike County, Indiana............ 99915 0.8682 0.8477 -2.36
15630..................... Porter County, Indiana.......... 23844 0.9395 0.9281 -1.21
15640..................... Posey County, Indiana........... 21780 0.8713 0.8830 1.34
15650..................... Pulaski County, Indiana......... 99915 0.8682 0.8477 -2.36
15660..................... Putnam County, Indiana.......... 26900 0.9330 0.9766 4.67
15670..................... Randolph County, Indiana........ 99915 0.8682 0.8477 -2.36
15680..................... Ripley County, Indiana.......... 99915 0.8682 0.8477 -2.36
15690..................... Rush County, Indiana............ 99915 0.8682 0.8477 -2.36
15700..................... St Joseph County, Indiana....... 43780 0.9788 0.9690 -1.00
15710..................... Scott County, Indiana........... 99915 0.8959 0.8477 -5.38
15720..................... Shelby County, Indiana.......... 26900 0.9893 0.9766 -1.28
15730..................... Spencer County, Indiana......... 99915 0.8682 0.8477 -2.36
15740..................... Starke County, Indiana.......... 99915 0.8682 0.8477 -2.36
15750..................... Steuben County, Indiana......... 99915 0.8682 0.8477 -2.36
15760..................... Sullivan County, Indiana........ 45460 0.8522 0.8661 1.63
15770..................... Switzerland County, Indiana..... 99915 0.8682 0.8477 -2.36
15780..................... Tippecanoe County, Indiana...... 29140 0.8736 0.8972 2.70
15790..................... Tipton County, Indiana.......... 29020 0.9508 0.9460 -0.50
15800..................... Union County, Indiana........... 99915 0.8682 0.8477 -2.36
15810..................... Vanderburgh County, Indiana..... 21780 0.8713 0.8830 1.34
15820..................... Vermillion County, Indiana...... 45460 0.8321 0.8661 4.09
15830..................... Vigo County, Indiana............ 45460 0.8321 0.8661 4.09
15840..................... Wabash County, Indiana.......... 99915 0.8682 0.8477 -2.36
15850..................... Warren County, Indiana.......... 99915 0.8682 0.8477 -2.36
15860..................... Warrick County, Indiana......... 21780 0.8713 0.8830 1.34
15870..................... Washington County, Indiana...... 31140 0.8995 0.9135 1.56
15880..................... Wayne County, Indiana........... 99915 0.8682 0.8477 -2.36
15890..................... Wells County, Indiana........... 23060 0.9750 0.9504 -2.52
15900..................... White County, Indiana........... 99915 0.8682 0.8477 -2.36
15910..................... Whitley County, Indiana......... 23060 0.9750 0.9504 -2.52
16000..................... Adair County, Iowa.............. 99916 0.8552 0.8697 1.70
16010..................... Adams County, Iowa.............. 99916 0.8552 0.8697 1.70
16020..................... Allamakee County, Iowa.......... 99916 0.8552 0.8697 1.70
16030..................... Appanoose County, Iowa.......... 99916 0.8552 0.8697 1.70
16040..................... Audubon County, Iowa............ 99916 0.8552 0.8697 1.70
16050..................... Benton County, Iowa............. 16300 0.8710 0.8903 2.22
16060..................... Black Hawk County, Iowa......... 47940 0.8557 0.8422 -1.58
16070..................... Boone County, Iowa.............. 99916 0.8552 0.8697 1.70
16080..................... Bremer County, Iowa............. 47940 0.8576 0.8422 -1.80
16090..................... Buchanan County, Iowa........... 99916 0.8552 0.8697 1.70
16100..................... Buena Vista County, Iowa........ 99916 0.8552 0.8697 1.70
16110..................... Butler County, Iowa............. 99916 0.8552 0.8697 1.70
16120..................... Calhoun County, Iowa............ 99916 0.8552 0.8697 1.70
16130..................... Carroll County, Iowa............ 99916 0.8552 0.8697 1.70
16140..................... Cass County, Iowa............... 99916 0.8552 0.8697 1.70
16150..................... Cedar County, Iowa.............. 99916 0.8552 0.8697 1.70
16160..................... Cerro Gordo County, Iowa........ 99916 0.8552 0.8697 1.70
16170..................... Cherokee County, Iowa........... 99916 0.8552 0.8697 1.70
16180..................... Chickasaw County, Iowa.......... 99916 0.8552 0.8697 1.70
16190..................... Clarke County, Iowa............. 99916 0.8552 0.8697 1.70
16200..................... Clay County, Iowa............... 99916 0.8552 0.8697 1.70
[[Page 44144]]
16210..................... Clayton County, Iowa............ 99916 0.8552 0.8697 1.70
16220..................... Clinton County, Iowa............ 99916 0.8552 0.8697 1.70
16230..................... Crawford County, Iowa........... 99916 0.8552 0.8697 1.70
16240..................... Dallas County, Iowa............. 19780 0.9669 0.9136 -5.51
16250..................... Davis County, Iowa.............. 99916 0.8552 0.8697 1.70
16260..................... Decatur County, Iowa............ 99916 0.8552 0.8697 1.70
16270..................... Delaware County, Iowa........... 99916 0.8552 0.8697 1.70
16280..................... Des Moines County, Iowa......... 99916 0.8552 0.8697 1.70
16290..................... Dickinson County, Iowa.......... 99916 0.8552 0.8697 1.70
16300..................... Dubuque County, Iowa............ 20220 0.9024 0.9150 1.40
16310..................... Emmet County, Iowa.............. 99916 0.8552 0.8697 1.70
16320..................... Fayette County, Iowa............ 99916 0.8552 0.8697 1.70
16330..................... Floyd County, Iowa.............. 99916 0.8552 0.8697 1.70
16340..................... Franklin County, Iowa........... 99916 0.8552 0.8697 1.70
16350..................... Fremont County, Iowa............ 99916 0.8552 0.8697 1.70
16360..................... Greene County, Iowa............. 99916 0.8552 0.8697 1.70
16370..................... Grundy County, Iowa............. 47940 0.8576 0.8422 -1.80
16380..................... Guthrie County, Iowa............ 19780 0.9132 0.9136 0.04
16390..................... Hamilton County, Iowa........... 99916 0.8552 0.8697 1.70
16400..................... Hancock County, Iowa............ 99916 0.8552 0.8697 1.70
16410..................... Hardin County, Iowa............. 99916 0.8552 0.8697 1.70
16420..................... Harrison County, Iowa........... 36540 0.9077 0.9467 4.30
16430..................... Henry County, Iowa.............. 99916 0.8552 0.8697 1.70
16440..................... Howard County, Iowa............. 99916 0.8552 0.8697 1.70
16450..................... Humboldt County, Iowa........... 99916 0.8552 0.8697 1.70
16460..................... Ida County, Iowa................ 99916 0.8552 0.8697 1.70
16470..................... Iowa County, Iowa............... 99916 0.8552 0.8697 1.70
16480..................... Jackson County, Iowa............ 99916 0.8552 0.8697 1.70
16490..................... Jasper County, Iowa............. 99916 0.8552 0.8697 1.70
16500..................... Jefferson County, Iowa.......... 99916 0.8552 0.8697 1.70
16510..................... Johnson County, Iowa............ 26980 0.9747 0.9731 -0.16
16520..................... Jones County, Iowa.............. 16300 0.8710 0.8903 2.22
16530..................... Keokuk County, Iowa............. 99916 0.8552 0.8697 1.70
16540..................... Kossuth County, Iowa............ 99916 0.8552 0.8697 1.70
16550..................... Lee County, Iowa................ 99916 0.8552 0.8697 1.70
16560..................... Linn County, Iowa............... 16300 0.8825 0.8903 0.88
16570..................... Louisa County, Iowa............. 99916 0.8552 0.8697 1.70
16580..................... Lucas County, Iowa.............. 99916 0.8552 0.8697 1.70
16590..................... Lyon County, Iowa............... 99916 0.8552 0.8697 1.70
16600..................... Madison County, Iowa............ 19780 0.9132 0.9136 0.04
16610..................... Mahaska County, Iowa............ 99916 0.8552 0.8697 1.70
16620..................... Marion County, Iowa............. 99916 0.8552 0.8697 1.70
16630..................... Marshall County, Iowa........... 99916 0.8552 0.8697 1.70
16640..................... Mills County, Iowa.............. 36540 0.9077 0.9467 4.30
16650..................... Mitchell County, Iowa........... 99916 0.8552 0.8697 1.70
16660..................... Monona County, Iowa............. 99916 0.8552 0.8697 1.70
16670..................... Monroe County, Iowa............. 99916 0.8552 0.8697 1.70
16680..................... Montgomery County, Iowa......... 99916 0.8552 0.8697 1.70
16690..................... Muscatine County, Iowa.......... 99916 0.8552 0.8697 1.70
16700..................... O Brien County, Iowa............ 99916 0.8552 0.8697 1.70
16710..................... Osceola County, Iowa............ 99916 0.8552 0.8697 1.70
16720..................... Page County, Iowa............... 99916 0.8552 0.8697 1.70
16730..................... Palo Alto County, Iowa.......... 99916 0.8552 0.8697 1.70
16740..................... Plymouth County, Iowa........... 99916 0.8552 0.8697 1.70
16750..................... Pocahontas County, Iowa......... 99916 0.8552 0.8697 1.70
16760..................... Polk County, Iowa............... 19780 0.9669 0.9136 -5.51
16770..................... Pottawattamie County, Iowa...... 36540 0.9560 0.9467 -0.97
16780..................... Poweshiek County, Iowa.......... 99916 0.8552 0.8697 1.70
16790..................... Ringgold County, Iowa........... 99916 0.8552 0.8697 1.70
16800..................... Sac County, Iowa................ 99916 0.8552 0.8697 1.70
16810..................... Scott County, Iowa.............. 19340 0.8724 0.8557 -1.91
16820..................... Shelby County, Iowa............. 99916 0.8552 0.8697 1.70
16830..................... Sioux County, Iowa.............. 99916 0.8552 0.8697 1.70
16840..................... Story County, Iowa.............. 11180 0.9065 0.9777 7.85
16850..................... Tama County, Iowa............... 99916 0.8552 0.8697 1.70
16860..................... Taylor County, Iowa............. 99916 0.8552 0.8697 1.70
16870..................... Union County, Iowa.............. 99916 0.8552 0.8697 1.70
[[Page 44145]]
16880..................... Van Buren County, Iowa.......... 99916 0.8552 0.8697 1.70
16890..................... Wapello County, Iowa............ 99916 0.8552 0.8697 1.70
16900..................... Warren County, Iowa............. 19780 0.9669 0.9136 -5.51
16910..................... Washington County, Iowa......... 26980 0.9171 0.9731 6.11
16920..................... Wayne County, Iowa.............. 99916 0.8552 0.8697 1.70
16930..................... Webster County, Iowa............ 99916 0.8552 0.8697 1.70
16940..................... Winnebago County, Iowa.......... 99916 0.8552 0.8697 1.70
16950..................... Winneshiek County, Iowa......... 99916 0.8552 0.8697 1.70
16960..................... Woodbury County, Iowa........... 43580 0.9399 0.9217 -1.94
16970..................... Worth County, Iowa.............. 99916 0.8552 0.8697 1.70
16980..................... Wright County, Iowa............. 99916 0.8552 0.8697 1.70
17000..................... Allen County, Kansas............ 99917 0.8038 0.8000 -0.47
17010..................... Anderson County, Kansas......... 99917 0.8038 0.8000 -0.47
17020..................... Atchison County, Kansas......... 99917 0.8038 0.8000 -0.47
17030..................... Barber County, Kansas........... 99917 0.8038 0.8000 -0.47
17040..................... Barton County, Kansas........... 99917 0.8038 0.8000 -0.47
17050..................... Bourbon County, Kansas.......... 99917 0.8038 0.8000 -0.47
17060..................... Brown County, Kansas............ 99917 0.8038 0.8000 -0.47
17070..................... Butler County, Kansas........... 48620 0.9164 0.9079 -0.93
17080..................... Chase County, Kansas............ 99917 0.8038 0.8000 -0.47
17090..................... Chautauqua County, Kansas....... 99917 0.8038 0.8000 -0.47
17100..................... Cherokee County, Kansas......... 99917 0.8038 0.8000 -0.47
17110..................... Cheyenne County, Kansas......... 99917 0.8038 0.8000 -0.47
17120..................... Clark County, Kansas............ 99917 0.8038 0.8000 -0.47
17130..................... Clay County, Kansas............. 99917 0.8038 0.8000 -0.47
17140..................... Cloud County, Kansas............ 99917 0.8038 0.8000 -0.47
17150..................... Coffey County, Kansas........... 99917 0.8038 0.8000 -0.47
17160..................... Comanche County, Kansas......... 99917 0.8038 0.8000 -0.47
17170..................... Cowley County, Kansas........... 99917 0.8038 0.8000 -0.47
17180..................... Crawford County, Kansas......... 99917 0.8038 0.8000 -0.47
17190..................... Decatur County, Kansas.......... 99917 0.8038 0.8000 -0.47
17200..................... Dickinson County, Kansas........ 99917 0.8038 0.8000 -0.47
17210..................... Doniphan County, Kansas......... 41140 0.8780 1.0136 15.44
17220..................... Douglas County, Kansas.......... 29940 0.8537 0.8353 -2.16
17230..................... Edwards County, Kansas.......... 99917 0.8038 0.8000 -0.47
17240..................... Elk County, Kansas.............. 99917 0.8038 0.8000 -0.47
17250..................... Ellis County, Kansas............ 99917 0.8038 0.8000 -0.47
17260..................... Ellsworth County, Kansas........ 99917 0.8038 0.8000 -0.47
17270..................... Finney County, Kansas........... 99917 0.8038 0.8000 -0.47
17280..................... Ford County, Kansas............. 99917 0.8038 0.8000 -0.47
17290..................... Franklin County, Kansas......... 28140 0.8758 0.9514 8.63
17300..................... Geary County, Kansas............ 99917 0.8038 0.8000 -0.47
17310..................... Gove County, Kansas............. 99917 0.8038 0.8000 -0.47
17320..................... Graham County, Kansas........... 99917 0.8038 0.8000 -0.47
17330..................... Grant County, Kansas............ 99917 0.8038 0.8000 -0.47
17340..................... Gray County, Kansas............. 99917 0.8038 0.8000 -0.47
17350..................... Greeley County, Kansas.......... 99917 0.8038 0.8000 -0.47
17360..................... Greenwood County, Kansas........ 99917 0.8038 0.8000 -0.47
17370..................... Hamilton County, Kansas......... 99917 0.8038 0.8000 -0.47
17380..................... Harper County, Kansas........... 99917 0.8038 0.8000 -0.47
17390..................... Harvey County, Kansas........... 48620 0.9164 0.9079 -0.93
17391..................... Haskell County, Kansas.......... 99917 0.8038 0.8000 -0.47
17410..................... Hodgeman County, Kansas......... 99917 0.8038 0.8000 -0.47
17420..................... Jackson County, Kansas.......... 45820 0.8480 0.8746 3.14
17430..................... Jefferson County, Kansas........ 45820 0.8480 0.8746 3.14
17440..................... Jewell County, Kansas........... 99917 0.8038 0.8000 -0.47
17450..................... Johnson County, Kansas.......... 28140 0.9483 0.9514 0.33
17451..................... Kearny County, Kansas........... 99917 0.8038 0.8000 -0.47
17470..................... Kingman County, Kansas.......... 99917 0.8038 0.8000 -0.47
17480..................... Kiowa County, Kansas............ 99917 0.8038 0.8000 -0.47
17490..................... Labette County, Kansas.......... 99917 0.8038 0.8000 -0.47
17500..................... Lane County, Kansas............. 99917 0.8038 0.8000 -0.47
17510..................... Leavenworth County, Kansas...... 28140 0.9483 0.9514 0.33
17520..................... Lincoln County, Kansas.......... 99917 0.8038 0.8000 -0.47
17530..................... Linn County, Kansas............. 28140 0.8758 0.9514 8.63
17540..................... Logan County, Kansas............ 99917 0.8038 0.8000 -0.47
17550..................... Lyon County, Kansas............. 99917 0.8038 0.8000 -0.47
[[Page 44146]]
17560..................... Mc Pherson County, Kansas....... 99917 0.8038 0.8000 -0.47
17570..................... Marion County, Kansas........... 99917 0.8038 0.8000 -0.47
17580..................... Marshall County, Kansas......... 99917 0.8038 0.8000 -0.47
17590..................... Meade County, Kansas............ 99917 0.8038 0.8000 -0.47
17600..................... Miami County, Kansas............ 28140 0.9483 0.9514 0.33
17610..................... Mitchell County, Kansas......... 99917 0.8038 0.8000 -0.47
17620..................... Montgomery County, Kansas....... 99917 0.8038 0.8000 -0.47
17630..................... Morris County, Kansas........... 99917 0.8038 0.8000 -0.47
17640..................... Morton County, Kansas........... 99917 0.8038 0.8000 -0.47
17650..................... Nemaha County, Kansas........... 99917 0.8038 0.8000 -0.47
17660..................... Neosho County, Kansas........... 99917 0.8038 0.8000 -0.47
17670..................... Ness County, Kansas............. 99917 0.8038 0.8000 -0.47
17680..................... Norton County, Kansas........... 99917 0.8038 0.8000 -0.47
17690..................... Osage County, Kansas............ 45820 0.8480 0.8746 3.14
17700..................... Osborne County, Kansas.......... 99917 0.8038 0.8000 -0.47
17710..................... Ottawa County, Kansas........... 99917 0.8038 0.8000 -0.47
17720..................... Pawnee County, Kansas........... 99917 0.8038 0.8000 -0.47
17730..................... Phillips County, Kansas......... 99917 0.8038 0.8000 -0.47
17740..................... Pottawatomie County, Kansas..... 99917 0.8038 0.8000 -0.47
17750..................... Pratt County, Kansas............ 99917 0.8038 0.8000 -0.47
17760..................... Rawlins County, Kansas.......... 99917 0.8038 0.8000 -0.47
17770..................... Reno County, Kansas............. 99917 0.8038 0.8000 -0.47
17780..................... Republic County, Kansas......... 99917 0.8038 0.8000 -0.47
17790..................... Rice County, Kansas............. 99917 0.8038 0.8000 -0.47
17800..................... Riley County, Kansas............ 99917 0.8038 0.8000 -0.47
17810..................... Rooks County, Kansas............ 99917 0.8038 0.8000 -0.47
17820..................... Rush County, Kansas............. 99917 0.8038 0.8000 -0.47
17830..................... Russell County, Kansas.......... 99917 0.8038 0.8000 -0.47
17840..................... Saline County, Kansas........... 99917 0.8038 0.8000 -0.47
17841..................... Scott County, Kansas............ 99917 0.8038 0.8000 -0.47
17860..................... Sedgwick County, Kansas......... 48620 0.9164 0.9079 -0.93
17870..................... Seward County, Kansas........... 99917 0.8038 0.8000 -0.47
17880..................... Shawnee County, Kansas.......... 45820 0.8920 0.8746 -1.95
17890..................... Sheridan County, Kansas......... 99917 0.8038 0.8000 -0.47
17900..................... Sherman County, Kansas.......... 99917 0.8038 0.8000 -0.47
17910..................... Smith County, Kansas............ 99917 0.8038 0.8000 -0.47
17920..................... Stafford County, Kansas......... 99917 0.8038 0.8000 -0.47
17921..................... Stanton County, Kansas.......... 99917 0.8038 0.8000 -0.47
17940..................... Stevens County, Kansas.......... 99917 0.8038 0.8000 -0.47
17950..................... Sumner County, Kansas........... 48620 0.8597 0.9079 5.61
17960..................... Thomas County, Kansas........... 99917 0.8038 0.8000 -0.47
17970..................... Trego County, Kansas............ 99917 0.8038 0.8000 -0.47
17980..................... Wabaunsee County, Kansas........ 45820 0.8480 0.8746 3.14
17981..................... Wallace County, Kansas.......... 99917 0.8038 0.8000 -0.47
17982..................... Washington County, Kansas....... 99917 0.8038 0.8000 -0.47
17983..................... Wichita County, Kansas.......... 99917 0.8038 0.8000 -0.47
17984..................... Wilson County, Kansas........... 99917 0.8038 0.8000 -0.47
17985..................... Woodson County, Kansas.......... 99917 0.8038 0.8000 -0.47
17986..................... Wyandotte County, Kansas........ 28140 0.9483 0.9514 0.33
18000..................... Adair County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18010..................... Allen County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18020..................... Anderson County, Kentucky....... 99918 0.7812 0.7780 -0.41
18030..................... Ballard County, Kentucky........ 99918 0.7812 0.7780 -0.41
18040..................... Barren County, Kentucky......... 99918 0.7812 0.7780 -0.41
18050..................... Bath County, Kentucky........... 99918 0.7812 0.7780 -0.41
18060..................... Bell County, Kentucky........... 99918 0.7812 0.7780 -0.41
18070..................... Boone County, Kentucky.......... 17140 0.9675 0.9617 -0.60
18080..................... Bourbon County, Kentucky........ 30460 0.9032 0.9191 1.76
18090..................... Boyd County, Kentucky........... 26580 0.9477 0.9013 -4.90
18100..................... Boyle County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18110..................... Bracken County, Kentucky........ 17140 0.8737 0.9617 10.07
18120..................... Breathitt County, Kentucky...... 99918 0.7812 0.7780 -0.41
18130..................... Breckinridge County, Kentucky... 99918 0.7812 0.7780 -0.41
18140..................... Bullitt County, Kentucky........ 31140 0.9272 0.9135 -1.48
18150..................... Butler County, Kentucky......... 99918 0.7812 0.7780 -0.41
18160..................... Caldwell County, Kentucky....... 99918 0.7812 0.7780 -0.41
18170..................... Calloway County, Kentucky....... 99918 0.7812 0.7780 -0.41
[[Page 44147]]
18180..................... Campbell County, Kentucky....... 17140 0.9675 0.9617 -0.60
18190..................... Carlisle County, Kentucky....... 99918 0.7812 0.7780 -0.41
18191..................... Carroll County, Kentucky........ 99918 0.7812 0.7780 -0.41
18210..................... Carter County, Kentucky......... 99918 0.8622 0.7780 -9.77
18220..................... Casey County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18230..................... Christian County, Kentucky...... 17300 0.8284 0.8451 2.02
18240..................... Clark County, Kentucky.......... 30460 0.9032 0.9191 1.76
18250..................... Clay County, Kentucky........... 99918 0.7812 0.7780 -0.41
18260..................... Clinton County, Kentucky........ 99918 0.7812 0.7780 -0.41
18270..................... Crittenden County, Kentucky..... 99918 0.7812 0.7780 -0.41
18271..................... Cumberland County, Kentucky..... 99918 0.7812 0.7780 -0.41
18290..................... Daviess County, Kentucky........ 36980 0.8780 0.8763 -0.19
18291..................... Edmonson County, Kentucky....... 14540 0.8035 0.8162 1.58
18310..................... Elliott County, Kentucky........ 99918 0.7812 0.7780 -0.41
18320..................... Estill County, Kentucky......... 99918 0.7812 0.7780 -0.41
18330..................... Fayette County, Kentucky........ 30460 0.9032 0.9191 1.76
18340..................... Fleming County, Kentucky........ 99918 0.7812 0.7780 -0.41
18350..................... Floyd County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18360..................... Franklin County, Kentucky....... 99918 0.7812 0.7780 -0.41
18361..................... Fulton County, Kentucky......... 99918 0.7812 0.7780 -0.41
18362..................... Gallatin County, Kentucky....... 17140 0.9675 0.9617 -0.60
18390..................... Garrard County, Kentucky........ 99918 0.7812 0.7780 -0.41
18400..................... Grant County, Kentucky.......... 17140 0.9675 0.9617 -0.60
18410..................... Graves County, Kentucky......... 99918 0.7812 0.7780 -0.41
18420..................... Grayson County, Kentucky........ 99918 0.7812 0.7780 -0.41
18421..................... Green County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18440..................... Greenup County, Kentucky........ 26580 0.9477 0.9013 -4.90
18450..................... Hancock County, Kentucky........ 36980 0.8319 0.8763 5.34
18460..................... Hardin County, Kentucky......... 21060 0.8330 0.8713 4.60
18470..................... Harlan County, Kentucky......... 99918 0.7812 0.7780 -0.41
18480..................... Harrison County, Kentucky....... 99918 0.7812 0.7780 -0.41
18490..................... Hart County, Kentucky........... 99918 0.7812 0.7780 -0.41
18500..................... Henderson County, Kentucky...... 21780 0.8713 0.8830 1.34
18510..................... Henry County, Kentucky.......... 31140 0.8555 0.9135 6.78
18511..................... Hickman County, Kentucky........ 99918 0.7812 0.7780 -0.41
18530..................... Hopkins County, Kentucky........ 99918 0.7812 0.7780 -0.41
18540..................... Jackson County, Kentucky........ 99918 0.7812 0.7780 -0.41
18550..................... Jefferson County, Kentucky...... 31140 0.9272 0.9135 -1.48
18560..................... Jessamine County, Kentucky...... 30460 0.9032 0.9191 1.76
18570..................... Johnson County, Kentucky........ 99918 0.7812 0.7780 -0.41
18580..................... Kenton County, Kentucky......... 17140 0.9675 0.9617 -0.60
18590..................... Knott County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18600..................... Knox County, Kentucky........... 99918 0.7812 0.7780 -0.41
18610..................... Larue County, Kentucky.......... 21060 0.8330 0.8713 4.60
18620..................... Laurel County, Kentucky......... 99918 0.7812 0.7780 -0.41
18630..................... Lawrence County, Kentucky....... 99918 0.7812 0.7780 -0.41
18640..................... Lee County, Kentucky............ 99918 0.7812 0.7780 -0.41
18650..................... Leslie County, Kentucky......... 99918 0.7812 0.7780 -0.41
18660..................... Letcher County, Kentucky........ 99918 0.7812 0.7780 -0.41
18670..................... Lewis County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18680..................... Lincoln County, Kentucky........ 99918 0.7812 0.7780 -0.41
18690..................... Livingston County, Kentucky..... 99918 0.7812 0.7780 -0.41
18700..................... Logan County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18710..................... Lyon County, Kentucky........... 99918 0.7812 0.7780 -0.41
18720..................... Mc Cracken County, Kentucky..... 99918 0.7812 0.7780 -0.41
18730..................... Mc Creary County, Kentucky...... 99918 0.7812 0.7780 -0.41
18740..................... Mc Lean County, Kentucky........ 36980 0.8319 0.8763 5.34
18750..................... Madison County, Kentucky........ 99918 0.8377 0.7780 -7.13
18760..................... Magoffin County, Kentucky....... 99918 0.7812 0.7780 -0.41
18770..................... Marion County, Kentucky......... 99918 0.7812 0.7780 -0.41
18780..................... Marshall County, Kentucky....... 99918 0.7812 0.7780 -0.41
18790..................... Martin County, Kentucky......... 99918 0.7812 0.7780 -0.41
18800..................... Mason County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18801..................... Meade County, Kentucky.......... 31140 0.8555 0.9135 6.78
18802..................... Menifee County, Kentucky........ 99918 0.7812 0.7780 -0.41
18830..................... Mercer County, Kentucky......... 99918 0.7812 0.7780 -0.41
18831..................... Metcalfe County, Kentucky....... 99918 0.7812 0.7780 -0.41
[[Page 44148]]
18850..................... Monroe County, Kentucky......... 99918 0.7812 0.7780 -0.41
18860..................... Montgomery County, Kentucky..... 99918 0.7812 0.7780 -0.41
18861..................... Morgan County, Kentucky......... 99918 0.7812 0.7780 -0.41
18880..................... Muhlenberg County, Kentucky..... 99918 0.7812 0.7780 -0.41
18890..................... Nelson County, Kentucky......... 31140 0.8555 0.9135 6.78
18900..................... Nicholas County, Kentucky....... 99918 0.7812 0.7780 -0.41
18910..................... Ohio County, Kentucky........... 99918 0.7812 0.7780 -0.41
18920..................... Oldham County, Kentucky......... 31140 0.9272 0.9135 -1.48
18930..................... Owen County, Kentucky........... 99918 0.7812 0.7780 -0.41
18931..................... Owsley County, Kentucky......... 99918 0.7812 0.7780 -0.41
18932..................... Pendleton County, Kentucky...... 17140 0.9675 0.9617 -0.60
18960..................... Perry County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18970..................... Pike County, Kentucky........... 99918 0.7812 0.7780 -0.41
18971..................... Powell County, Kentucky......... 99918 0.7812 0.7780 -0.41
18972..................... Pulaski County, Kentucky........ 99918 0.7812 0.7780 -0.41
18973..................... Robertson County, Kentucky...... 99918 0.7812 0.7780 -0.41
18974..................... Rockcastle County, Kentucky..... 99918 0.7812 0.7780 -0.41
18975..................... Rowan County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18976..................... Russell County, Kentucky........ 99918 0.7812 0.7780 -0.41
18977..................... Scott County, Kentucky.......... 30460 0.9032 0.9191 1.76
18978..................... Shelby County, Kentucky......... 31140 0.8555 0.9135 6.78
18979..................... Simpson County, Kentucky........ 99918 0.7812 0.7780 -0.41
18980..................... Spencer County, Kentucky........ 31140 0.8555 0.9135 6.78
18981..................... Taylor County, Kentucky......... 99918 0.7812 0.7780 -0.41
18982..................... Todd County, Kentucky........... 99918 0.7812 0.7780 -0.41
18983..................... Trigg County, Kentucky.......... 17300 0.8071 0.8451 4.71
18984..................... Trimble County, Kentucky........ 31140 0.8555 0.9135 6.78
18985..................... Union County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18986..................... Warren County, Kentucky......... 14540 0.8035 0.8162 1.58
18987..................... Washington County, Kentucky..... 99918 0.7812 0.7780 -0.41
18988..................... Wayne County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18989..................... Webster County, Kentucky........ 21780 0.8286 0.8830 6.57
18990..................... Whitley County, Kentucky........ 99918 0.7812 0.7780 -0.41
18991..................... Wolfe County, Kentucky.......... 99918 0.7812 0.7780 -0.41
18992..................... Woodford County, Kentucky....... 30460 0.9032 0.9191 1.76
19000..................... Acadia County, Louisiana........ 99919 0.7831 0.7450 -4.87
19010..................... Allen County, Louisiana......... 99919 0.7376 0.7450 1.00
19020..................... Ascension County, Louisiana..... 12940 0.8618 0.8099 -6.02
19030..................... Assumption County, Louisiana.... 99919 0.7376 0.7450 1.00
19040..................... Avoyelles County, Louisiana..... 99919 0.7376 0.7450 1.00
19050..................... Beauregard County, Louisiana.... 99919 0.7376 0.7450 1.00
19060..................... Bienville County, Louisiana..... 99919 0.7376 0.7450 1.00
19070..................... Bossier County, Louisiana....... 43340 0.8749 0.8881 1.51
19080..................... Caddo County, Louisiana......... 43340 0.8749 0.8881 1.51
19090..................... Calcasieu County, Louisiana..... 29340 0.7846 0.7928 1.05
19100..................... Caldwell County, Louisiana...... 99919 0.7376 0.7450 1.00
19110..................... Cameron County, Louisiana....... 29340 0.7587 0.7928 4.49
19120..................... Catahoula County, Louisiana..... 99919 0.7376 0.7450 1.00
19130..................... Claiborne County, Louisiana..... 99919 0.7376 0.7450 1.00
19140..................... Concordia County, Louisiana..... 99919 0.7376 0.7450 1.00
19150..................... De Soto County, Louisiana....... 43340 0.8050 0.8881 10.32
19160..................... East Baton Rouge County, 12940 0.8618 0.8099 -6.02
Louisiana.
19170..................... East Carroll County, Louisiana.. 99919 0.7376 0.7450 1.00
19180..................... East Feliciana County, Louisiana 12940 0.7967 0.8099 1.66
19190..................... Evangeline County, Louisiana.... 99919 0.7376 0.7450 1.00
19200..................... Franklin County, Louisiana...... 99919 0.7376 0.7450 1.00
19210..................... Grant County, Louisiana......... 10780 0.7687 0.8020 4.33
19220..................... Iberia County, Louisiana........ 99919 0.7376 0.7450 1.00
19230..................... Iberville County, Louisiana..... 12940 0.7967 0.8099 1.66
19240..................... Jackson County, Louisiana....... 99919 0.7376 0.7450 1.00
19250..................... Jefferson County, Louisiana..... 35380 0.8995 0.8858 -1.52
19260..................... Jefferson Davis County, 99919 0.7376 0.7450 1.00
Louisiana.
19270..................... Lafayette County, Louisiana..... 29180 0.8340 0.8293 -0.56
19280..................... Lafourche County, Louisiana..... 26380 0.7894 0.8003 1.38
19290..................... La Salle County, Louisiana...... 99919 0.7376 0.7450 1.00
19300..................... Lincoln County, Louisiana....... 99919 0.7376 0.7450 1.00
19310..................... Livingston County, Louisiana.... 12940 0.8618 0.8099 -6.02
[[Page 44149]]
19320..................... Madison County, Louisiana....... 99919 0.7376 0.7450 1.00
19330..................... Morehouse County, Louisiana..... 99919 0.7376 0.7450 1.00
19340..................... Natchitoches County, Louisiana.. 99919 0.7376 0.7450 1.00
19350..................... Orleans County, Louisiana....... 35380 0.8995 0.8858 -1.52
19360..................... Ouachita County, Louisiana...... 33740 0.8038 0.8011 -0.34
19370..................... Plaquemines County, Louisiana... 35380 0.8995 0.8858 -1.52
19380..................... Pointe Coupee County, Louisiana. 12940 0.7967 0.8099 1.66
19390..................... Rapides County, Louisiana....... 10780 0.8033 0.8020 -0.16
19400..................... Red River County, Louisiana..... 99919 0.7376 0.7450 1.00
19410..................... Richland County, Louisiana...... 99919 0.7376 0.7450 1.00
19420..................... Sabine County, Louisiana........ 99919 0.7376 0.7450 1.00
19430..................... St Bernard County, Louisiana.... 35380 0.8995 0.8858 -1.52
19440..................... St Charles County, Louisiana.... 35380 0.8995 0.8858 -1.52
19450..................... St Helena County, Louisiana..... 12940 0.7967 0.8099 1.66
19460..................... St James County, Louisiana...... 99919 0.8203 0.7450 -9.18
19470..................... St John Baptist County, 35380 0.8995 0.8858 -1.52
Louisiana.
19480..................... St Landry County, Louisiana..... 99919 0.7831 0.7450 -4.87
19490..................... St Martin County, Louisiana..... 29180 0.8340 0.8293 -0.56
19500..................... St Mary County, Louisiana....... 99919 0.7376 0.7450 1.00
19510..................... St Tammany County, Louisiana.... 35380 0.8995 0.8858 -1.52
19520..................... Tangipahoa County, Louisiana.... 99919 0.7376 0.7450 1.00
19530..................... Tensas County, Louisiana........ 99919 0.7376 0.7450 1.00
19540..................... Terrebonne County, Louisiana.... 26380 0.7894 0.8003 1.38
19550..................... Union County, Louisiana......... 33740 0.7686 0.8011 4.23
19560..................... Vermilion County, Louisiana..... 99919 0.7376 0.7450 1.00
19570..................... Vernon County, Louisiana........ 99919 0.7376 0.7450 1.00
19580..................... Washington County, Louisiana.... 99919 0.7376 0.7450 1.00
19590..................... Webster County, Louisiana....... 99919 0.8074 0.7450 -7.73
19600..................... West Baton Rouge County, 12940 0.8618 0.8099 -6.02
Louisiana.
19610..................... West Carroll County, Louisiana.. 99919 0.7376 0.7450 1.00
19620..................... West Feliciana County, Louisiana 12940 0.7967 0.8099 1.66
19630..................... Winn County, Louisiana.......... 99919 0.7376 0.7450 1.00
20000..................... Androscoggin County, Maine...... 30340 0.9331 0.9148 -1.96
20010..................... Aroostook County, Maine......... 99920 0.8843 0.8410 -4.90
20020..................... Cumberland County, Maine........ 38860 1.0382 0.9926 -4.39
20030..................... Franklin County, Maine.......... 99920 0.8843 0.8410 -4.90
20040..................... Hancock County, Maine........... 99920 0.8843 0.8410 -4.90
20050..................... Kennebec County, Maine.......... 99920 0.8843 0.8410 -4.90
20060..................... Knox County, Maine.............. 99920 0.8843 0.8410 -4.90
20070..................... Lincoln County, Maine........... 99920 0.8843 0.8410 -4.90
20080..................... Oxford County, Maine............ 99920 0.8843 0.8410 -4.90
20090..................... Penobscot County, Maine......... 12620 0.9993 0.9719 -2.74
20100..................... Piscataquis County, Maine....... 99920 0.8843 0.8410 -4.90
20110..................... Sagadahoc County, Maine......... 38860 1.0382 0.9926 -4.39
20120..................... Somerset County, Maine.......... 99920 0.8843 0.8410 -4.90
20130..................... Waldo County, Maine............. 99920 0.8843 0.8410 -4.90
20140..................... Washington County, Maine........ 99920 0.8843 0.8410 -4.90
20150..................... York County, Maine.............. 38860 1.0382 0.9926 -4.39
21000..................... Allegany County, Maryland....... 19060 0.9317 0.8859 -4.92
21010..................... Anne Arundel County, Maryland... 12580 0.9897 1.0106 2.11
21020..................... Baltimore County, Maryland...... 12580 0.9897 1.0106 2.11
21030..................... Baltimore City County, Maryland. 12580 0.9897 1.0106 2.11
21040..................... Calvert County, Maryland........ 47894 1.0951 1.1074 1.12
21050..................... Caroline County, Maryland....... 99921 0.9292 0.8942 -3.77
21060..................... Carroll County, Maryland........ 12580 0.9897 1.0106 2.11
21070..................... Cecil County, Maryland.......... 48864 1.0499 1.0703 1.94
21080..................... Charles County, Maryland........ 47894 1.0951 1.1074 1.12
21090..................... Dorchester County, Maryland..... 99921 0.9292 0.8942 -3.77
21100..................... Frederick County, Maryland...... 13644 1.1230 1.0923 -2.73
21110..................... Garrett County, Maryland........ 99921 0.9292 0.8942 -3.77
21120..................... Harford County, Maryland........ 12580 0.9897 1.0106 2.11
21130..................... Howard County, Maryland......... 12580 0.9897 1.0106 2.11
21140..................... Kent County, Maryland........... 99921 0.9292 0.8942 -3.77
21150..................... Montgomery County, Maryland..... 13644 1.1230 1.0923 -2.73
21160..................... Prince Georges County, Maryland. 47894 1.0951 1.1074 1.12
21170..................... Queen Annes County, Maryland.... 12580 0.9897 1.0106 2.11
21180..................... St Marys County, Maryland....... 99921 0.9292 0.8942 -3.77
[[Page 44150]]
21190..................... Somerset County, Maryland....... 41540 0.9147 0.8969 -1.95
21200..................... Talbot County, Maryland......... 99921 0.9292 0.8942 -3.77
21210..................... Washington County, Maryland..... 25180 0.9679 0.9054 -6.46
21220..................... Wicomico County, Maryland....... 41540 0.9147 0.8969 -1.95
21230..................... Worcester County, Maryland...... 99921 0.9292 0.8942 -3.77
22000..................... Barnstable County, Massachusetts 12700 1.2600 1.2561 -0.31
22010..................... Berkshire County, Massachusetts. 38340 1.0181 1.0284 1.01
22020..................... Bristol County, Massachusetts... 39300 1.1072 1.0804 -2.42
22030..................... Dukes County, Massachusetts..... 99922 1.0216 1.0216 0.00
22040..................... Essex County, Massachusetts..... 21604 1.0858 1.0437 -3.88
22060..................... Franklin County, Massachusetts.. 44140 1.0232 1.0080 -0.63
22070..................... Hampden County, Massachusetts... 44140 1.0256 1.0080 -1.72
22080..................... Hampshire County, Massachusetts. 44140 1.0256 1.0080 -1.72
22090..................... Middlesex County, Massachusetts. 15764 1.1175 1.0918 -2.30
22120..................... Nantucket County, Massachusetts. 99922 1.0216 1.0216 0.00
22130..................... Norfolk County, Massachusetts... 14484 1.1368 1.1693 2.86
22150..................... Plymouth County, Massachusetts.. 14484 1.1368 1.1693 2.86
22160..................... Suffolk County, Massachusetts... 14484 1.1368 1.1693 2.86
22170..................... Worcester County, Massachusetts. 49340 1.1103 1.0741 -3.26
23000..................... Alcona County, Michigan......... 99923 0.8860 0.9052 2.17
23010..................... Alger County, Michigan.......... 99923 0.8860 0.9052 2.17
23020..................... Allegan County, Michigan........ 99923 0.9170 0.9052 -1.29
23030..................... Alpena County, Michigan......... 99923 0.8860 0.9052 2.17
23040..................... Antrim County, Michigan......... 99923 0.8860 0.9052 2.17
23050..................... Arenac County, Michigan......... 99923 0.8860 0.9052 2.17
23060..................... Baraga County, Michigan......... 99923 0.8860 0.9052 2.17
23070..................... Barry County, Michigan.......... 24340 0.9107 0.9470 3.99
23080..................... Bay County, Michigan............ 13020 0.9292 0.9271 -0.23
23090..................... Benzie County, Michigan......... 99923 0.8860 0.9052 2.17
23100..................... Berrien County, Michigan........ 35660 0.8879 0.8931 0.59
23110..................... Branch County, Michigan......... 99923 0.8860 0.9052 2.17
23120..................... Calhoun County, Michigan........ 12980 0.9826 0.9746 -0.81
23130..................... Cass County, Michigan........... 43780 0.9306 0.9690 4.13
23140..................... Charlevoix County, Michigan..... 99923 0.8860 0.9052 2.17
23150..................... Cheboygan County, Michigan...... 99923 0.8860 0.9052 2.17
23160..................... Chippewa County, Michigan....... 99923 0.8860 0.9052 2.17
23170..................... Clare County, Michigan.......... 99923 0.8860 0.9052 2.17
23180..................... Clinton County, Michigan........ 29620 0.9794 1.0102 3.14
23190..................... Crawford County, Michigan....... 99923 0.8860 0.9052 2.17
23200..................... Delta County, Michigan.......... 99923 0.8860 0.9052 2.17
23210..................... Dickinson County, Michigan...... 99923 0.8860 0.9052 2.17
23220..................... Eaton County, Michigan.......... 29620 0.9794 1.0102 3.14
23230..................... Emmet County, Michigan.......... 99923 0.8860 0.9052 2.17
23240..................... Genesee County, Michigan........ 22420 1.0655 1.0988 3.13
23250..................... Gladwin County, Michigan........ 99923 0.8860 0.9052 2.17
23260..................... Gogebic County, Michigan........ 99923 0.8860 0.9052 2.17
23270..................... Grand Traverse County, Michigan. 99923 0.8860 0.9052 2.17
23280..................... Gratiot County, Michigan........ 99923 0.8860 0.9052 2.17
23290..................... Hillsdale County, Michigan...... 99923 0.8860 0.9052 2.17
23300..................... Houghton County, Michigan....... 99923 0.8860 0.9052 2.17
23310..................... Huron County, Michigan.......... 99923 0.8860 0.9052 2.17
23320..................... Ingham County, Michigan......... 29620 0.9794 1.0102 3.14
23330..................... Ionia County, Michigan.......... 24340 0.9107 0.9470 3.99
23340..................... Iosco County, Michigan.......... 99923 0.8860 0.9052 2.17
23350..................... Iron County, Michigan........... 99923 0.8860 0.9052 2.17
23360..................... Isabella County, Michigan....... 99923 0.8860 0.9052 2.17
23370..................... Jackson County, Michigan........ 27100 0.9304 0.9577 2.93
23380..................... Kalamazoo County, Michigan...... 28020 1.0262 1.0723 4.49
23390..................... Kalkaska County, Michigan....... 99923 0.8860 0.9052 2.17
23400..................... Kent County, Michigan........... 24340 0.9418 0.9470 0.55
23410..................... Keweenaw County, Michigan....... 99923 0.8860 0.9052 2.17
23420..................... Lake County, Michigan........... 99923 0.8860 0.9052 2.17
23430..................... Lapeer County, Michigan......... 47644 1.0009 1.0126 1.17
23440..................... Leelanau County, Michigan....... 99923 0.8860 0.9052 2.17
23450..................... Lenawee County, Michigan........ 99923 0.9801 0.9052 -7.64
23460..................... Livingston County, Michigan..... 47644 1.0289 1.0126 -1.58
23470..................... Luce County, Michigan........... 99923 0.8860 0.9052 2.17
[[Page 44151]]
23480..................... Mackinac County, Michigan....... 99923 0.8860 0.9052 2.17
23490..................... Macomb County, Michigan......... 47644 1.0009 1.0126 1.17
23500..................... Manistee County, Michigan....... 99923 0.8860 0.9052 2.17
23510..................... Marquette County, Michigan...... 99923 0.8860 0.9052 2.17
23520..................... Mason County, Michigan.......... 99923 0.8860 0.9052 2.17
23530..................... Mecosta County, Michigan........ 99923 0.8860 0.9052 2.17
23540..................... Menominee County, Michigan...... 99923 0.8860 0.9052 2.17
23550..................... Midland County, Michigan........ 99923 0.9068 0.9052 -0.18
23560..................... Missaukee County, Michigan...... 99923 0.8860 0.9052 2.17
23570..................... Monroe County, Michigan......... 33780 0.9808 0.9725 -0.85
23580..................... Montcalm County, Michigan....... 99923 0.8860 0.9052 2.17
23590..................... Montmorency County, Michigan.... 99923 0.8860 0.9052 2.17
23600..................... Muskegon County, Michigan....... 34740 0.9555 0.9957 4.21
23610..................... Newaygo County, Michigan........ 24340 0.9107 0.9470 3.99
23620..................... Oakland County, Michigan........ 47644 1.0009 1.0126 1.17
23630..................... Oceana County, Michigan......... 99923 0.8860 0.9052 2.17
23640..................... Ogemaw County, Michigan......... 99923 0.8860 0.9052 2.17
23650..................... Ontonagon County, Michigan...... 99923 0.8860 0.9052 2.17
23660..................... Osceola County, Michigan........ 99923 0.8860 0.9052 2.17
23670..................... Oscoda County, Michigan......... 99923 0.8860 0.9052 2.17
23680..................... Otsego County, Michigan......... 99923 0.8860 0.9052 2.17
23690..................... Ottawa County, Michigan......... 26100 0.9250 0.9205 -0.49
23700..................... Presque Isle County, Michigan... 99923 0.8860 0.9052 2.17
23710..................... Roscommon County, Michigan...... 99923 0.8860 0.9052 2.17
23720..................... Saginaw County, Michigan........ 40980 0.9165 0.8889 -3.01
23730..................... St Clair County, Michigan....... 47644 1.0009 1.0126 1.17
23740..................... St Joseph County, Michigan...... 99923 0.8860 0.9052 2.17
23750..................... Sanilac County, Michigan........ 99923 0.8860 0.9052 2.17
23760..................... Schoolcraft County, Michigan.... 99923 0.8860 0.9052 2.17
23770..................... Shiawassee County, Michigan..... 99923 0.8860 0.9052 2.17
23780..................... Tuscola County, Michigan........ 99923 0.8860 0.9052 2.17
23790..................... Van Buren County, Michigan...... 28020 1.0262 1.0723 4.49
23800..................... Washtenaw County, Michigan...... 11460 1.0783 1.0838 0.51
23810..................... Wayne County, Michigan.......... 19804 1.0286 1.0223 -0.61
23830..................... Wexford County, Michigan........ 99923 0.8860 0.9052 2.17
24000..................... Aitkin County, Minnesota........ 99924 0.9132 0.9167 0.38
24010..................... Anoka County, Minnesota......... 33460 1.1075 1.0965 -0.99
24020..................... Becker County, Minnesota........ 99924 0.9132 0.9167 0.38
24030..................... Beltrami County, Minnesota...... 99924 0.9132 0.9167 0.38
24040..................... Benton County, Minnesota........ 41060 0.9965 1.0380 4.16
24050..................... Big Stone County, Minnesota..... 99924 0.9132 0.9167 0.38
24060..................... Blue Earth County, Minnesota.... 99924 0.9132 0.9167 0.38
24070..................... Brown County, Minnesota......... 99924 0.9132 0.9167 0.38
24080..................... Carlton County, Minnesota....... 20260 0.9673 1.0070 4.10
24090..................... Carver County, Minnesota........ 33460 1.1075 1.0965 -0.99
24100..................... Cass County, Minnesota.......... 99924 0.9132 0.9167 0.38
24110..................... Chippewa County, Minnesota...... 99924 0.9132 0.9167 0.38
24120..................... Chisago County, Minnesota....... 33460 1.1075 1.0965 -0.99
24130..................... Clay County, Minnesota.......... 22020 0.8486 0.8265 -2.60
24140..................... Clearwater County, Minnesota.... 99924 0.9132 0.9167 0.38
24150..................... Cook County, Minnesota.......... 99924 0.9132 0.9167 0.38
24160..................... Cottonwood County, Minnesota.... 99924 0.9132 0.9167 0.38
24170..................... Crow Wing County, Minnesota..... 99924 0.9132 0.9167 0.38
24180..................... Dakota County, Minnesota........ 33460 1.1075 1.0965 -0.99
24190..................... Dodge County, Minnesota......... 40340 1.0132 1.1260 11.13
24200..................... Douglas County, Minnesota....... 99924 0.9132 0.9167 0.38
24210..................... Faribault County, Minnesota..... 99924 0.9132 0.9167 0.38
24220..................... Fillmore County, Minnesota...... 99924 0.9132 0.9167 0.38
24230..................... Freeborn County, Minnesota...... 99924 0.9132 0.9167 0.38
24240..................... Goodhue County, Minnesota....... 99924 0.9132 0.9167 0.38
24250..................... Grant County, Minnesota......... 99924 0.9132 0.9167 0.38
24260..................... Hennepin County, Minnesota...... 33460 1.1075 1.0965 -0.99
24270..................... Houston County, Minnesota....... 29100 0.9564 0.9442 -1.28
24280..................... Hubbard County, Minnesota....... 99924 0.9132 0.9167 0.38
24290..................... Isanti County, Minnesota........ 33460 1.1075 1.0965 -0.99
24300..................... Itasca County, Minnesota........ 99924 0.9132 0.9167 0.38
24310..................... Jackson County, Minnesota....... 99924 0.9132 0.9167 0.38
[[Page 44152]]
24320..................... Kanabec County, Minnesota....... 99924 0.9132 0.9167 0.38
24330..................... Kandiyohi County, Minnesota..... 99924 0.9132 0.9167 0.38
24340..................... Kittson County, Minnesota....... 99924 0.9132 0.9167 0.38
24350..................... Koochiching County, Minnesota... 99924 0.9132 0.9167 0.38
24360..................... Lac Qui Parle County, Minnesota. 99924 0.9132 0.9167 0.38
24370..................... Lake County, Minnesota.......... 99924 0.9132 0.9167 0.38
24380..................... Lake Of Woods County, Minnesota. 99924 0.9132 0.9167 0.38
24390..................... Le Sueur County, Minnesota...... 99924 0.9132 0.9167 0.38
24400..................... Lincoln County, Minnesota....... 99924 0.9132 0.9167 0.38
24410..................... Lyon County, Minnesota.......... 99924 0.9132 0.9167 0.38
24420..................... Mc Leod County, Minnesota....... 99924 0.9132 0.9167 0.38
24430..................... Mahnomen County, Minnesota...... 99924 0.9132 0.9167 0.38
24440..................... Marshall County, Minnesota...... 99924 0.9132 0.9167 0.38
24450..................... Martin County, Minnesota........ 99924 0.9132 0.9167 0.38
24460..................... Meeker County, Minnesota........ 99924 0.9132 0.9167 0.38
24470..................... Mille Lacs County, Minnesota.... 99924 0.9132 0.9167 0.38
24480..................... Morrison County, Minnesota...... 99924 0.9132 0.9167 0.38
24490..................... Mower County, Minnesota......... 99924 0.9132 0.9167 0.38
24500..................... Murray County, Minnesota........ 99924 0.9132 0.9167 0.38
24510..................... Nicollet County, Minnesota...... 99924 0.9132 0.9167 0.38
24520..................... Nobles County, Minnesota........ 99924 0.9132 0.9167 0.38
24530..................... Norman County, Minnesota........ 99924 0.9132 0.9167 0.38
24540..................... Olmsted County, Minnesota....... 40340 1.1131 1.1260 1.16
24550..................... Otter Tail County, Minnesota.... 99924 0.9132 0.9167 0.38
24560..................... Pennington County, Minnesota.... 99924 0.9132 0.9167 0.38
24570..................... Pine County, Minnesota.......... 99924 0.9132 0.9167 0.38
24580..................... Pipestone County, Minnesota..... 99924 0.9132 0.9167 0.38
24590..................... Polk County, Minnesota.......... 24220 0.7901 0.7963 0.78
24600..................... Pope County, Minnesota.......... 99924 0.9132 0.9167 0.38
24610..................... Ramsey County, Minnesota........ 33460 1.1075 1.0965 -0.99
24620..................... Red Lake County, Minnesota...... 99924 0.9132 0.9167 0.38
24630..................... Redwood County, Minnesota....... 99924 0.9132 0.9167 0.38
24640..................... Renville County, Minnesota...... 99924 0.9132 0.9167 0.38
24650..................... Rice County, Minnesota.......... 99924 0.9132 0.9167 0.38
24660..................... Rock County, Minnesota.......... 99924 0.9132 0.9167 0.38
24670..................... Roseau County, Minnesota........ 99924 0.9132 0.9167 0.38
24680..................... St Louis County, Minnesota...... 20260 1.0213 1.0070 -1.40
24690..................... Scott County, Minnesota......... 33460 1.1075 1.0965 -0.99
24700..................... Sherburne County, Minnesota..... 33460 1.1075 1.0965 -0.99
24710..................... Sibley County, Minnesota........ 99924 0.9132 0.9167 0.38
24720..................... Stearns County, Minnesota....... 41060 0.9965 1.0380 4.16
24730..................... Steele County, Minnesota........ 99924 0.9132 0.9167 0.38
24740..................... Stevens County, Minnesota....... 99924 0.9132 0.9167 0.38
24750..................... Swift County, Minnesota......... 99924 0.9132 0.9167 0.38
24760..................... Todd County, Minnesota.......... 99924 0.9132 0.9167 0.38
24770..................... Traverse County, Minnesota...... 99924 0.9132 0.9167 0.38
24780..................... Wabasha County, Minnesota....... 40340 1.0132 1.1260 11.13
24790..................... Wadena County, Minnesota........ 99924 0.9132 0.9167 0.38
24800..................... Waseca County, Minnesota........ 99924 0.9132 0.9167 0.38
24810..................... Washington County, Minnesota.... 33460 1.1075 1.0965 -0.99
24820..................... Watonwan County, Minnesota...... 99924 0.9132 0.9167 0.38
24830..................... Wilkin County, Minnesota........ 99924 0.9132 0.9167 0.38
24840..................... Winona County, Minnesota........ 99924 0.9132 0.9167 0.38
24850..................... Wright County, Minnesota........ 33460 1.1075 1.0965 -0.99
24860..................... Yellow Medicine County, 99924 0.9132 0.9167 0.38
Minnesota.
25000..................... Adams County, Mississippi....... 99925 0.7654 0.7565 -1.16
25010..................... Alcorn County, Mississippi...... 99925 0.7654 0.7565 -1.16
25020..................... Amite County, Mississippi....... 99925 0.7654 0.7565 -1.16
25030..................... Attala County, Mississippi...... 99925 0.7654 0.7565 -1.16
25040..................... Benton County, Mississippi...... 99925 0.7654 0.7565 -1.16
25050..................... Bolivar County, Mississippi..... 99925 0.7654 0.7565 -1.16
25060..................... Calhoun County, Mississippi..... 99925 0.7654 0.7565 -1.16
25070..................... Carroll County, Mississippi..... 99925 0.7654 0.7565 -1.16
25080..................... Chickasaw County, Mississippi... 99925 0.7654 0.7565 -1.16
25090..................... Choctaw County, Mississippi..... 99925 0.7654 0.7565 -1.16
25100..................... Claiborne County, Mississippi... 99925 0.7654 0.7565 -1.16
25110..................... Clarke County, Mississippi...... 99925 0.7654 0.7565 -1.16
[[Page 44153]]
25120..................... Clay County, Mississippi........ 99925 0.7654 0.7565 -1.16
25130..................... Coahoma County, Mississippi..... 99925 0.7654 0.7565 -1.16
25140..................... Copiah County, Mississippi...... 27140 0.7973 0.8286 3.93
25150..................... Covington County, Mississippi... 99925 0.7654 0.7565 -1.16
25160..................... Desoto County, Mississippi...... 32820 0.9407 0.9361 -0.49
25170..................... Forrest County, Mississippi..... 25620 0.7601 0.7443 -2.08
25180..................... Franklin County, Mississippi.... 99925 0.7654 0.7565 -1.16
25190..................... George County, Mississippi...... 37700 0.7895 0.8230 4.24
25200..................... Greene County, Mississippi...... 99925 0.7654 0.7565 -1.16
25210..................... Grenada County, Mississippi..... 99925 0.7654 0.7565 -1.16
25220..................... Hancock County, Mississippi..... 25060 0.8818 0.8931 1.28
25230..................... Harrison County, Mississippi.... 25060 0.8818 0.8931 1.28
25240..................... Hinds County, Mississippi....... 27140 0.8347 0.8286 -0.73
25250..................... Holmes County, Mississippi...... 99925 0.7654 0.7565 -1.16
25260..................... Humphreys County, Mississippi... 99925 0.7654 0.7565 -1.16
25270..................... Issaquena County, Mississippi... 99925 0.7654 0.7565 -1.16
25280..................... Itawamba County, Mississippi.... 99925 0.7654 0.7565 -1.16
25290..................... Jackson County, Mississippi..... 37700 0.8431 0.8230 -2.38
25300..................... Jasper County, Mississippi...... 99925 0.7654 0.7565 -1.16
25310..................... Jefferson County, Mississippi... 99925 0.7654 0.7565 -1.16
25320..................... Jefferson Davis County, 99925 0.7654 0.7565 -1.16
Mississippi.
25330..................... Jones County, Mississippi....... 99925 0.7654 0.7565 -1.16
25340..................... Kemper County, Mississippi...... 99925 0.7654 0.7565 -1.16
25350..................... Lafayette County, Mississippi... 99925 0.7654 0.7565 -1.16
25360..................... Lamar County, Mississippi....... 25620 0.7601 0.7443 -2.08
25370..................... Lauderdale County, Mississippi.. 99925 0.7654 0.7565 -1.16
25380..................... Lawrence County, Mississippi.... 99925 0.7654 0.7565 -1.16
25390..................... Leake County, Mississippi....... 99925 0.7654 0.7565 -1.16
25400..................... Lee County, Mississippi......... 99925 0.7654 0.7565 -1.16
25410..................... Leflore County, Mississippi..... 99925 0.7654 0.7565 -1.16
25420..................... Lincoln County, Mississippi..... 99925 0.7654 0.7565 -1.16
25430..................... Lowndes County, Mississippi..... 99925 0.7654 0.7565 -1.16
25440..................... Madison County, Mississippi..... 27140 0.8347 0.8286 -0.73
25450..................... Marion County, Mississippi...... 99925 0.7654 0.7565 -1.16
25460..................... Marshall County, Mississippi.... 32820 0.8516 0.9361 9.92
25470..................... Monroe County, Mississippi...... 99925 0.7654 0.7565 -1.16
25480..................... Montgomery County, Mississippi.. 99925 0.7654 0.7565 -1.16
25490..................... Neshoba County, Mississippi..... 99925 0.7654 0.7565 -1.16
25500..................... Newton County, Mississippi...... 99925 0.7654 0.7565 -1.16
25510..................... Noxubee County, Mississippi..... 99925 0.7654 0.7565 -1.16
25520..................... Oktibbeha County, Mississippi... 99925 0.7654 0.7565 -1.16
25530..................... Panola County, Mississippi...... 99925 0.7654 0.7565 -1.16
25540..................... Pearl River County, Mississippi. 99925 0.7654 0.7565 -1.16
25550..................... Perry County, Mississippi....... 25620 0.7618 0.7443 -2.30
25560..................... Pike County, Mississippi........ 99925 0.7654 0.7565 -1.16
25570..................... Pontotoc County, Mississippi.... 99925 0.7654 0.7565 -1.16
25580..................... Prentiss County, Mississippi.... 99925 0.7654 0.7565 -1.16
25590..................... Quitman County, Mississippi..... 99925 0.7654 0.7565 -1.16
25600..................... Rankin County, Mississippi...... 27140 0.8347 0.8286 -0.73
25610..................... Scott County, Mississippi....... 99925 0.7654 0.7565 -1.16
25620..................... Sharkey County, Mississippi..... 99925 0.7654 0.7565 -1.16
25630..................... Simpson County, Mississippi..... 27140 0.7973 0.8286 3.93
25640..................... Smith County, Mississippi....... 99925 0.7654 0.7565 -1.16
25650..................... Stone County, Mississippi....... 25060 0.8282 0.8931 7.84
25660..................... Sunflower County, Mississippi... 99925 0.7654 0.7565 -1.16
25670..................... Tallahatchie County, Mississippi 99925 0.7654 0.7565 -1.16
25680..................... Tate County, Mississippi........ 32820 0.8516 0.9361 9.92
25690..................... Tippah County, Mississippi...... 99925 0.7654 0.7565 -1.16
25700..................... Tishomingo County, Mississippi.. 99925 0.7654 0.7565 -1.16
25710..................... Tunica County, Mississippi...... 32820 0.8516 0.9361 9.92
25720..................... Union County, Mississippi....... 99925 0.7654 0.7565 -1.16
25730..................... Walthall County, Mississippi.... 99925 0.7654 0.7565 -1.16
25740..................... Warren County, Mississippi...... 99925 0.7654 0.7565 -1.16
25750..................... Washington County, Mississippi.. 99925 0.7654 0.7565 -1.16
25760..................... Wayne County, Mississippi....... 99925 0.7654 0.7565 -1.16
25770..................... Webster County, Mississippi..... 99925 0.7654 0.7565 -1.16
25780..................... Wilkinson County, Mississippi... 99925 0.7654 0.7565 -1.16
[[Page 44154]]
25790..................... Winston County, Mississippi..... 99925 0.7654 0.7565 -1.16
25800..................... Yalobusha County, Mississippi... 99925 0.7654 0.7565 -1.16
25810..................... Yazoo County, Mississippi....... 99925 0.7654 0.7565 -1.16
26000..................... Adair County, Missouri.......... 99926 0.7930 0.7934 0.05
26010..................... Andrew County, Missouri......... 41140 0.9519 1.0136 6.48
26020..................... Atchison County, Missouri....... 99926 0.7930 0.7934 0.05
26030..................... Audrain County, Missouri........ 99926 0.7930 0.7934 0.05
26040..................... Barry County, Missouri.......... 99926 0.7930 0.7934 0.05
26050..................... Barton County, Missouri......... 99926 0.7930 0.7934 0.05
26060..................... Bates County, Missouri.......... 28140 0.8718 0.9514 9.13
26070..................... Benton County, Missouri......... 99926 0.7930 0.7934 0.05
26080..................... Bollinger County, Missouri...... 99926 0.7930 0.7934 0.05
26090..................... Boone County, Missouri.......... 17860 0.8345 0.8557 2.54
26100..................... Buchanan County, Missouri....... 41140 0.9519 1.0136 6.48
26110..................... Butler County, Missouri......... 99926 0.7930 0.7934 0.05
26120..................... Caldwell County, Missouri....... 28140 0.8718 0.9514 9.13
26130..................... Callaway County, Missouri....... 27620 0.8173 0.8347 2.13
26140..................... Camden County, Missouri......... 99926 0.7930 0.7934 0.05
26150..................... Cape Girardeau County, Missouri. 99926 0.7930 0.7934 0.05
26160..................... Carroll County, Missouri........ 99926 0.7930 0.7934 0.05
26170..................... Carter County, Missouri......... 99926 0.7930 0.7934 0.05
26180..................... Cass County, Missouri........... 28140 0.9483 0.9514 0.33
26190..................... Cedar County, Missouri.......... 99926 0.7930 0.7934 0.05
26200..................... Chariton County, Missouri....... 99926 0.7930 0.7934 0.05
26210..................... Christian County, Missouri...... 44180 0.8244 0.8484 2.91
26220..................... Clark County, Missouri.......... 99926 0.7930 0.7934 0.05
26230..................... Clay County, Missouri........... 28140 0.9483 0.9514 0.33
26240..................... Clinton County, Missouri........ 28140 0.9483 0.9514 0.33
26250..................... Cole County, Missouri........... 27620 0.8173 0.8347 2.13
26260..................... Cooper County, Missouri......... 99926 0.7930 0.7934 0.05
26270..................... Crawford County, Missouri....... 41180 0.8457 0.9013 6.57
26280..................... Dade County, Missouri........... 99926 0.7930 0.7934 0.05
26290..................... Dallas County, Missouri......... 44180 0.8098 0.8484 4.77
26300..................... Daviess County, Missouri........ 99926 0.7930 0.7934 0.05
26310..................... De Kalb County, Missouri........ 41140 0.8739 1.0136 15.99
26320..................... Dent County, Missouri........... 99926 0.7930 0.7934 0.05
26330..................... Douglas County, Missouri........ 99926 0.7930 0.7934 0.05
26340..................... Dunklin County, Missouri........ 99926 0.7930 0.7934 0.05
26350..................... Franklin County, Missouri....... 41180 0.8958 0.9013 0.61
26360..................... Gasconade County, Missouri...... 99926 0.7930 0.7934 0.05
26370..................... Gentry County, Missouri......... 99926 0.7930 0.7934 0.05
26380..................... Greene County, Missouri......... 44180 0.8244 0.8484 2.91
26390..................... Grundy County, Missouri......... 99926 0.7930 0.7934 0.05
26400..................... Harrison County, Missouri....... 99926 0.7930 0.7934 0.05
26410..................... Henry County, Missouri.......... 99926 0.7930 0.7934 0.05
26411..................... Hickory County, Missouri........ 99926 0.7930 0.7934 0.05
26412..................... Holt County, Missouri........... 99926 0.7930 0.7934 0.05
26440..................... Howard County, Missouri......... 17860 0.8152 0.8557 4.97
26450..................... Howell County, Missouri......... 99926 0.7930 0.7934 0.05
26460..................... Iron County, Missouri........... 99926 0.7930 0.7934 0.05
26470..................... Jackson County, Missouri........ 28140 0.9483 0.9514 0.33
26480..................... Jasper County, Missouri......... 27900 0.8582 0.8620 0.44
26490..................... Jefferson County, Missouri...... 41180 0.8958 0.9013 0.61
26500..................... Johnson County, Missouri........ 99926 0.7930 0.7934 0.05
26510..................... Knox County, Missouri........... 99926 0.7930 0.7934 0.05
26520..................... Laclede County, Missouri........ 99926 0.7930 0.7934 0.05
26530..................... Lafayette County, Missouri...... 28140 0.9483 0.9514 0.33
26540..................... Lawrence County, Missouri....... 99926 0.7930 0.7934 0.05
26541..................... Lewis County, Missouri.......... 99926 0.7930 0.7934 0.05
26560..................... Lincoln County, Missouri........ 41180 0.8958 0.9013 0.61
26570..................... Linn County, Missouri........... 99926 0.7930 0.7934 0.05
26580..................... Livingston County, Missouri..... 99926 0.7930 0.7934 0.05
26590..................... Mc Donald County, Missouri...... 22220 0.8310 0.8761 5.43
26600..................... Macon County, Missouri.......... 99926 0.7930 0.7934 0.05
26601..................... Madison County, Missouri........ 99926 0.7930 0.7934 0.05
26620..................... Maries County, Missouri......... 99926 0.7930 0.7934 0.05
26630..................... Marion County, Missouri......... 99926 0.7930 0.7934 0.05
[[Page 44155]]
26631..................... Mercer County, Missouri......... 99926 0.7930 0.7934 0.05
26650..................... Miller County, Missouri......... 99926 0.7930 0.7934 0.05
26660..................... Mississippi County, Missouri.... 99926 0.7930 0.7934 0.05
26670..................... Moniteau County, Missouri....... 27620 0.8173 0.8347 2.13
26680..................... Monroe County, Missouri......... 99926 0.7930 0.7934 0.05
26690..................... Montgomery County, Missouri..... 99926 0.7930 0.7934 0.05
26700..................... Morgan County, Missouri......... 99926 0.7930 0.7934 0.05
26710..................... New Madrid County, Missouri..... 99926 0.7930 0.7934 0.05
26720..................... Newton County, Missouri......... 27900 0.8582 0.8620 0.44
26730..................... Nodaway County, Missouri........ 99926 0.7930 0.7934 0.05
26740..................... Oregon County, Missouri......... 99926 0.7930 0.7934 0.05
26750..................... Osage County, Missouri.......... 27620 0.8173 0.8347 2.13
26751..................... Ozark County, Missouri.......... 99926 0.7930 0.7934 0.05
26770..................... Pemiscot County, Missouri....... 99926 0.7930 0.7934 0.05
26780..................... Perry County, Missouri.......... 99926 0.7930 0.7934 0.05
26790..................... Pettis County, Missouri......... 99926 0.7930 0.7934 0.05
26800..................... Phelps County, Missouri......... 99926 0.7930 0.7934 0.05
26810..................... Pike County, Missouri........... 99926 0.7930 0.7934 0.05
26820..................... Platte County, Missouri......... 28140 0.9483 0.9514 0.33
26821..................... Polk County, Missouri........... 44180 0.8098 0.8484 4.77
26840..................... Pulaski County, Missouri........ 99926 0.7930 0.7934 0.05
26850..................... Putnam County, Missouri......... 99926 0.7930 0.7934 0.05
26860..................... Ralls County, Missouri.......... 99926 0.7930 0.7934 0.05
26870..................... Randolph County, Missouri....... 99926 0.7930 0.7934 0.05
26880..................... Ray County, Missouri............ 28140 0.9483 0.9514 0.33
26881..................... Reynolds County, Missouri....... 99926 0.7930 0.7934 0.05
26900..................... Ripley County, Missouri......... 99926 0.7930 0.7934 0.05
26910..................... St Charles County, Missouri..... 41180 0.8958 0.9013 0.61
26911..................... St Clair County, Missouri....... 99926 0.7930 0.7934 0.05
26930..................... St Francois County, Missouri.... 99926 0.7930 0.7934 0.05
26940..................... St Louis County, Missouri....... 41180 0.8958 0.9013 0.61
26950..................... St Louis City County, Missouri.. 41180 0.8958 0.9013 0.61
26960..................... Ste Genevieve County, Missouri.. 99926 0.7930 0.7934 0.05
26970..................... Saline County, Missouri......... 99926 0.7930 0.7934 0.05
26980..................... Schuyler County, Missouri....... 99926 0.7930 0.7934 0.05
26981..................... Scotland County, Missouri....... 99926 0.7930 0.7934 0.05
26982..................... Scott County, Missouri.......... 99926 0.7930 0.7934 0.05
26983..................... Shannon County, Missouri........ 99926 0.7930 0.7934 0.05
26984..................... Shelby County, Missouri......... 99926 0.7930 0.7934 0.05
26985..................... Stoddard County, Missouri....... 99926 0.7930 0.7934 0.05
26986..................... Stone County, Missouri.......... 99926 0.7930 0.7934 0.05
26987..................... Sullivan County, Missouri....... 99926 0.7930 0.7934 0.05
26988..................... Taney County, Missouri.......... 99926 0.7930 0.7934 0.05
26989..................... Texas County, Missouri.......... 99926 0.7930 0.7934 0.05
26990..................... Vernon County, Missouri......... 99926 0.7930 0.7934 0.05
26991..................... Warren County, Missouri......... 41180 0.8958 0.9013 0.61
26992..................... Washington County, Missouri..... 41180 0.8457 0.9013 6.57
26993..................... Wayne County, Missouri.......... 99926 0.7930 0.7934 0.05
26994..................... Webster County, Missouri........ 44180 0.8244 0.8484 2.91
26995..................... Worth County, Missouri.......... 99926 0.7930 0.7934 0.05
26996..................... Wright County, Missouri......... 99926 0.7930 0.7934 0.05
27000..................... Beaverhead County, Montana...... 99927 0.8762 0.8605 -1.79
27010..................... Big Horn County, Montana........ 99927 0.8762 0.8605 -1.79
27020..................... Blaine County, Montana.......... 99927 0.8762 0.8605 -1.79
27030..................... Broadwater County, Montana...... 99927 0.8762 0.8605 -1.79
27040..................... Carbon County, Montana.......... 13740 0.8798 0.8728 -0.80
27050..................... Carter County, Montana.......... 99927 0.8762 0.8605 -1.79
27060..................... Cascade County, Montana......... 24500 0.9052 0.8613 -4.85
27070..................... Chouteau County, Montana........ 99927 0.8762 0.8605 -1.79
27080..................... Custer County, Montana.......... 99927 0.8762 0.8605 -1.79
27090..................... Daniels County, Montana......... 99927 0.8762 0.8605 -1.79
27100..................... Dawson County, Montana.......... 99927 0.8762 0.8605 -1.79
27110..................... Deer Lodge County, Montana...... 99927 0.8762 0.8605 -1.79
27113..................... Yellowstone National Park, 99927 0.8762 0.8605 -1.79
Montana.
27120..................... Fallon County, Montana.......... 99927 0.8762 0.8605 -1.79
27130..................... Fergus County, Montana.......... 99927 0.8762 0.8605 -1.79
27140..................... Flathead County, Montana........ 99927 0.8762 0.8605 -1.79
[[Page 44156]]
27150..................... Gallatin County, Montana........ 99927 0.8762 0.8605 -1.79
27160..................... Garfield County, Montana........ 99927 0.8762 0.8605 -1.79
27170..................... Glacier County, Montana......... 99927 0.8762 0.8605 -1.79
27180..................... Golden Valley County, Montana... 99927 0.8762 0.8605 -1.79
27190..................... Granite County, Montana......... 99927 0.8762 0.8605 -1.79
27200..................... Hill County, Montana............ 99927 0.8762 0.8605 -1.79
27210..................... Jefferson County, Montana....... 99927 0.8762 0.8605 -1.79
27220..................... Judith Basin County, Montana.... 99927 0.8762 0.8605 -1.79
27230..................... Lake County, Montana............ 99927 0.8762 0.8605 -1.79
27240..................... Lewis And Clark County, Montana. 99927 0.8762 0.8605 -1.79
27250..................... Liberty County, Montana......... 99927 0.8762 0.8605 -1.79
27260..................... Lincoln County, Montana......... 99927 0.8762 0.8605 -1.79
27270..................... Mc Cone County, Montana......... 99927 0.8762 0.8605 -1.79
27280..................... Madison County, Montana......... 99927 0.8762 0.8605 -1.79
27290..................... Meagher County, Montana......... 99927 0.8762 0.8605 -1.79
27300..................... Mineral County, Montana......... 99927 0.8762 0.8605 -1.79
27310..................... Missoula County, Montana........ 33540 0.9473 0.8944 -5.58
27320..................... Musselshell County, Montana..... 99927 0.8762 0.8605 -1.79
27330..................... Park County, Montana............ 99927 0.8762 0.8605 -1.79
27340..................... Petroleum County, Montana....... 99927 0.8762 0.8605 -1.79
27350..................... Phillips County, Montana........ 99927 0.8762 0.8605 -1.79
27360..................... Pondera County, Montana......... 99927 0.8762 0.8605 -1.79
27370..................... Powder River County, Montana.... 99927 0.8762 0.8605 -1.79
27380..................... Powell County, Montana.......... 99927 0.8762 0.8605 -1.79
27390..................... Prairie County, Montana......... 99927 0.8762 0.8605 -1.79
27400..................... Ravalli County, Montana......... 99927 0.8762 0.8605 -1.79
27410..................... Richland County, Montana........ 99927 0.8762 0.8605 -1.79
27420..................... Roosevelt County, Montana....... 99927 0.8762 0.8605 -1.79
27430..................... Rosebud County, Montana......... 99927 0.8762 0.8605 -1.79
27440..................... Sanders County, Montana......... 99927 0.8762 0.8605 -1.79
27450..................... Sheridan County, Montana........ 99927 0.8762 0.8605 -1.79
27460..................... Silver Bow County, Montana...... 99927 0.8762 0.8605 -1.79
27470..................... Stillwater County, Montana...... 99927 0.8762 0.8605 -1.79
27480..................... Sweet Grass County, Montana..... 99927 0.8762 0.8605 -1.79
27490..................... Teton County, Montana........... 99927 0.8762 0.8605 -1.79
27500..................... Toole County, Montana........... 99927 0.8762 0.8605 -1.79
27510..................... Treasure County, Montana........ 99927 0.8762 0.8605 -1.79
27520..................... Valley County, Montana.......... 99927 0.8762 0.8605 -1.79
27530..................... Wheatland County, Montana....... 99927 0.8762 0.8605 -1.79
27540..................... Wibaux County, Montana.......... 99927 0.8762 0.8605 -1.79
27550..................... Yellowstone County, Montana..... 13740 0.8834 0.8728 -1.20
28000..................... Adams County, Nebraska.......... 99928 0.8657 0.8693 0.42
28010..................... Antelope County, Nebraska....... 99928 0.8657 0.8693 0.42
28020..................... Arthur County, Nebraska......... 99928 0.8657 0.8693 0.42
28030..................... Banner County, Nebraska......... 99928 0.8657 0.8693 0.42
28040..................... Blaine County, Nebraska......... 99928 0.8657 0.8693 0.42
28050..................... Boone County, Nebraska.......... 99928 0.8657 0.8693 0.42
28060..................... Box Butte County, Nebraska...... 99928 0.8657 0.8693 0.42
28070..................... Boyd County, Nebraska........... 99928 0.8657 0.8693 0.42
28080..................... Brown County, Nebraska.......... 99928 0.8657 0.8693 0.42
28090..................... Buffalo County, Nebraska........ 99928 0.8657 0.8693 0.42
28100..................... Burt County, Nebraska........... 99928 0.8657 0.8693 0.42
28110..................... Butler County, Nebraska......... 99928 0.8657 0.8693 0.42
28120..................... Cass County, Nebraska........... 36540 0.9560 0.9467 -0.97
28130..................... Cedar County, Nebraska.......... 99928 0.8657 0.8693 0.42
28140..................... Chase County, Nebraska.......... 99928 0.8657 0.8693 0.42
28150..................... Cherry County, Nebraska......... 99928 0.8657 0.8693 0.42
28160..................... Cheyenne County, Nebraska....... 99928 0.8657 0.8693 0.42
28170..................... Clay County, Nebraska........... 99928 0.8657 0.8693 0.42
28180..................... Colfax County, Nebraska......... 99928 0.8657 0.8693 0.42
28190..................... Cuming County, Nebraska......... 99928 0.8657 0.8693 0.42
28200..................... Custer County, Nebraska......... 99928 0.8657 0.8693 0.42
28210..................... Dakota County, Nebraska......... 43580 0.9399 0.9217 -1.94
28220..................... Dawes County, Nebraska.......... 99928 0.8657 0.8693 0.42
28230..................... Dawson County, Nebraska......... 99928 0.8657 0.8693 0.42
28240..................... Deuel County, Nebraska.......... 99928 0.8657 0.8693 0.42
28250..................... Dixon County, Nebraska.......... 43580 0.9019 0.9217 2.20
[[Page 44157]]
28260..................... Dodge County, Nebraska.......... 99928 0.8657 0.8693 0.42
28270..................... Douglas County, Nebraska........ 36540 0.9560 0.9467 -0.97
28280..................... Dundy County, Nebraska.......... 99928 0.8657 0.8693 0.42
28290..................... Fillmore County, Nebraska....... 99928 0.8657 0.8693 0.42
28300..................... Franklin County, Nebraska....... 99928 0.8657 0.8693 0.42
28310..................... Frontier County, Nebraska....... 99928 0.8657 0.8693 0.42
28320..................... Furnas County, Nebraska......... 99928 0.8657 0.8693 0.42
28330..................... Gage County, Nebraska........... 99928 0.8657 0.8693 0.42
28340..................... Garden County, Nebraska......... 99928 0.8657 0.8693 0.42
28350..................... Garfield County, Nebraska....... 99928 0.8657 0.8693 0.42
28360..................... Gosper County, Nebraska......... 99928 0.8657 0.8693 0.42
28370..................... Grant County, Nebraska.......... 99928 0.8657 0.8693 0.42
28380..................... Greeley County, Nebraska........ 99928 0.8657 0.8693 0.42
28390..................... Hall County, Nebraska........... 99928 0.8657 0.8693 0.42
28400..................... Hamilton County, Nebraska....... 99928 0.8657 0.8693 0.42
28410..................... Harlan County, Nebraska......... 99928 0.8657 0.8693 0.42
28420..................... Hayes County, Nebraska.......... 99928 0.8657 0.8693 0.42
28430..................... Hitchcock County, Nebraska...... 99928 0.8657 0.8693 0.42
28440..................... Holt County, Nebraska........... 99928 0.8657 0.8693 0.42
28450..................... Hooker County, Nebraska......... 99928 0.8657 0.8693 0.42
28460..................... Howard County, Nebraska......... 99928 0.8657 0.8693 0.42
28470..................... Jefferson County, Nebraska...... 99928 0.8657 0.8693 0.42
28480..................... Johnson County, Nebraska........ 99928 0.8657 0.8693 0.42
28490..................... Kearney County, Nebraska........ 99928 0.8657 0.8693 0.42
28500..................... Keith County, Nebraska.......... 99928 0.8657 0.8693 0.42
28510..................... Keya Paha County, Nebraska...... 99928 0.8657 0.8693 0.42
28520..................... Kimball County, Nebraska........ 99928 0.8657 0.8693 0.42
28530..................... Knox County, Nebraska........... 99928 0.8657 0.8693 0.42
28540..................... Lancaster County, Nebraska...... 30700 1.0214 1.0110 -1.02
28550..................... Lincoln County, Nebraska........ 99928 0.8657 0.8693 0.42
28560..................... Logan County, Nebraska.......... 99928 0.8657 0.8693 0.42
28570..................... Loup County, Nebraska........... 99928 0.8657 0.8693 0.42
28580..................... Mc Pherson County, Nebraska..... 99928 0.8657 0.8693 0.42
28590..................... Madison County, Nebraska........ 99928 0.8657 0.8693 0.42
28600..................... Merrick County, Nebraska........ 99928 0.8657 0.8693 0.42
28610..................... Morrill County, Nebraska........ 99928 0.8657 0.8693 0.42
28620..................... Nance County, Nebraska.......... 99928 0.8657 0.8693 0.42
28630..................... Nemaha County, Nebraska......... 99928 0.8657 0.8693 0.42
28640..................... Nuckolls County, Nebraska....... 99928 0.8657 0.8693 0.42
28650..................... Otoe County, Nebraska........... 99928 0.8657 0.8693 0.42
28660..................... Pawnee County, Nebraska......... 99928 0.8657 0.8693 0.42
28670..................... Perkins County, Nebraska........ 99928 0.8657 0.8693 0.42
28680..................... Phelps County, Nebraska......... 99928 0.8657 0.8693 0.42
28690..................... Pierce County, Nebraska......... 99928 0.8657 0.8693 0.42
28700..................... Platte County, Nebraska......... 99928 0.8657 0.8693 0.42
28710..................... Polk County, Nebraska........... 99928 0.8657 0.8693 0.42
28720..................... Redwillow County, Nebraska...... 99928 0.8657 0.8693 0.42
28730..................... Richardson County, Nebraska..... 99928 0.8657 0.8693 0.42
28740..................... Rock County, Nebraska........... 99928 0.8657 0.8693 0.42
28750..................... Saline County, Nebraska......... 99928 0.8657 0.8693 0.42
28760..................... Sarpy County, Nebraska.......... 36540 0.9560 0.9467 -0.97
28770..................... Saunders County, Nebraska....... 36540 0.9109 0.9467 3.93
28780..................... Scotts Bluff County, Nebraska... 99928 0.8657 0.8693 0.42
28790..................... Seward County, Nebraska......... 30700 0.9436 1.0110 7.14
28800..................... Sheridan County, Nebraska....... 99928 0.8657 0.8693 0.42
28810..................... Sherman County, Nebraska........ 99928 0.8657 0.8693 0.42
28820..................... Sioux County, Nebraska.......... 99928 0.8657 0.8693 0.42
28830..................... Stanton County, Nebraska........ 99928 0.8657 0.8693 0.42
28840..................... Thayer County, Nebraska......... 99928 0.8657 0.8693 0.42
28850..................... Thomas County, Nebraska......... 99928 0.8657 0.8693 0.42
28860..................... Thurston County, Nebraska....... 99928 0.8657 0.8693 0.42
28870..................... Valley County, Nebraska......... 99928 0.8657 0.8693 0.42
28880..................... Washington County, Nebraska..... 36540 0.9560 0.9467 -0.97
28890..................... Wayne County, Nebraska.......... 99928 0.8657 0.8693 0.42
28900..................... Webster County, Nebraska........ 99928 0.8657 0.8693 0.42
28910..................... Wheeler County, Nebraska........ 99928 0.8657 0.8693 0.42
28920..................... York County, Nebraska........... 99928 0.8657 0.8693 0.42
[[Page 44158]]
29000..................... Churchill County, Nevada........ 99929 0.9376 0.8960 -4.44
29010..................... Clark County, Nevada............ 29820 1.1296 1.1450 1.36
29020..................... Douglas County, Nevada.......... 99929 0.9376 0.8960 -4.44
29030..................... Elko County, Nevada............. 99929 0.9376 0.8960 -4.44
29040..................... Esmeralda County, Nevada........ 99929 0.9376 0.8960 -4.44
29050..................... Eureka County, Nevada........... 99929 0.9376 0.8960 -4.44
29060..................... Humboldt County, Nevada......... 99929 0.9376 0.8960 -4.44
29070..................... Lander County, Nevada........... 99929 0.9376 0.8960 -4.44
29080..................... Lincoln County, Nevada.......... 99929 0.9376 0.8960 -4.44
29090..................... Lyon County, Nevada............. 99929 0.9376 0.8960 -4.44
29100..................... Mineral County, Nevada.......... 99929 0.9376 0.8960 -4.44
29110..................... Nye County, Nevada.............. 99929 1.0110 0.8960 -11.37
29120..................... Carson City County, Nevada...... 16180 0.9961 1.0043 0.82
29130..................... Pershing County, Nevada......... 99929 0.9376 0.8960 -4.44
29140..................... Storey County, Nevada........... 39900 1.0335 1.1984 15.96
29150..................... Washoe County, Nevada........... 39900 1.0982 1.1984 9.12
29160..................... White Pine County, Nevada....... 99929 0.9376 0.8960 -4.44
30000..................... Belknap County, New Hampshire... 99930 1.0817 1.0800 -0.16
30010..................... Carroll County, New Hampshire... 99930 1.0817 1.0800 -0.16
30020..................... Cheshire County, New Hampshire.. 99930 1.0817 1.0800 -0.16
30030..................... Coos County, New Hampshire...... 99930 1.0817 1.0800 -0.16
30040..................... Grafton County, New Hampshire... 99930 1.0817 1.0800 -0.16
30050..................... Hillsboro County, New Hampshire. 31700 1.0766 1.0261 -4.69
30060..................... Merrimack County, New Hampshire. 31700 1.0766 1.0261 -4.69
30070..................... Rockingham County, New Hampshire 40484 1.0776 1.0177 -5.56
30080..................... Strafford County, New Hampshire. 40484 1.0776 1.0177 -5.56
30090..................... Sullivan County, New Hampshire.. 99930 1.0817 1.0800 -0.16
31000..................... Atlantic County, New Jersey..... 12100 1.1556 1.1751 1.69
31100..................... Bergen County, New Jersey....... 35644 1.2420 1.3208 6.34
31150..................... Burlington County, New Jersey... 15804 1.0720 1.0411 -2.88
31160..................... Camden County, New Jersey....... 15804 1.0720 1.0411 -2.88
31180..................... Cape May County, New Jersey..... 36140 1.1254 1.0490 -6.79
31190..................... Cumberland County, New Jersey... 47220 0.9827 0.9849 0.22
31200..................... Essex County, New Jersey........ 35084 1.1859 1.1890 0.26
31220..................... Gloucester County, New Jersey... 15804 1.0720 1.0411 -2.88
31230..................... Hudson County, New Jersey....... 35644 1.2263 1.3208 7.71
31250..................... Hunterdon County, New Jersey.... 35084 1.1525 1.1890 3.17
31260..................... Mercer County, New Jersey....... 45940 1.0834 1.0877 0.40
31270..................... Middlesex County, New Jersey.... 20764 1.1208 1.1207 -0.01
31290..................... Monmouth County, New Jersey..... 20764 1.1255 1.1207 -0.43
31300..................... Morris County, New Jersey....... 35084 1.1859 1.1890 0.26
31310..................... Ocean County, New Jersey........ 20764 1.1255 1.1207 -0.43
31320..................... Passaic County, New Jersey...... 35644 1.2420 1.3208 6.34
31340..................... Salem County, New Jersey........ 48864 1.0697 1.0703 0.06
31350..................... Somerset County, New Jersey..... 20764 1.1208 1.1207 -0.01
31360..................... Sussex County, New Jersey....... 35084 1.1859 1.1890 0.26
31370..................... Union County, New Jersey........ 35084 1.1859 1.1890 0.26
31390..................... Warren County, New Jersey....... 10900 1.0826 0.9910 -8.46
32000..................... Bernalillo County, New Mexico... 10740 0.9684 0.9474 -2.17
32010..................... Catron County, New Mexico....... 99932 0.8599 0.8347 -2.93
32020..................... Chaves County, New Mexico....... 99932 0.8599 0.8347 -2.93
32025..................... Cibola County, New Mexico....... 99932 0.8599 0.8347 -2.93
32030..................... Colfax County, New Mexico....... 99932 0.8599 0.8347 -2.93
32040..................... Curry County, New Mexico........ 99932 0.8599 0.8347 -2.93
32050..................... De Baca County, New Mexico...... 99932 0.8599 0.8347 -2.93
32060..................... Dona Ana County, New Mexico..... 29740 0.8467 0.9290 9.72
32070..................... Eddy County, New Mexico......... 99932 0.8599 0.8347 -2.93
32080..................... Grant County, New Mexico........ 99932 0.8599 0.8347 -2.93
32090..................... Guadalupe County, New Mexico.... 99932 0.8599 0.8347 -2.93
32100..................... Harding County, New Mexico...... 99932 0.8599 0.8347 -2.93
32110..................... Hidalgo County, New Mexico...... 99932 0.8599 0.8347 -2.93
32120..................... Lea County, New Mexico.......... 99932 0.8599 0.8347 -2.93
32130..................... Lincoln County, New Mexico...... 99932 0.8599 0.8347 -2.93
32131..................... Los Alamos County, New Mexico... 99932 0.9692 0.8347 -13.88
32140..................... Luna County, New Mexico......... 99932 0.8599 0.8347 -2.93
32150..................... Mc Kinley County, New Mexico.... 99932 0.8599 0.8347 -2.93
32160..................... Mora County, New Mexico......... 99932 0.8599 0.8347 -2.93
[[Page 44159]]
32170..................... Otero County, New Mexico........ 99932 0.8599 0.8347 -2.93
32180..................... Quay County, New Mexico......... 99932 0.8599 0.8347 -2.93
32190..................... Rio Arriba County, New Mexico... 99932 0.8599 0.8347 -2.93
32200..................... Roosevelt County, New Mexico.... 99932 0.8599 0.8347 -2.93
32210..................... Sandoval County, New Mexico..... 10740 0.9684 0.9474 -2.17
32220..................... San Juan County, New Mexico..... 22140 0.8536 0.8604 0.80
32230..................... San Miguel County, New Mexico... 99932 0.8599 0.8347 -2.93
32240..................... Santa Fe County, New Mexico..... 42140 1.0834 1.0843 0.08
32250..................... Sierra County, New Mexico....... 99932 0.8599 0.8347 -2.93
32260..................... Socorro County, New Mexico...... 99932 0.8599 0.8347 -2.93
32270..................... Taos County, New Mexico......... 99932 0.8599 0.8347 -2.93
32280..................... Torrance County, New Mexico..... 10740 0.9124 0.9474 3.84
32290..................... Union County, New Mexico........ 99932 0.8599 0.8347 -2.93
32300..................... Valencia County, New Mexico..... 10740 0.9684 0.9474 -2.17
33000..................... Albany County, New York......... 10580 0.8574 0.8735 1.88
33010..................... Allegany County, New York....... 99933 0.8275 0.8250 -0.30
33020..................... Bronx County, New York.......... 35644 1.3326 1.3208 -0.89
33030..................... Broome County, New York......... 13780 0.8562 0.8798 2.76
33040..................... Cattaraugus County, New York.... 99933 0.8275 0.8250 -0.30
33050..................... Cayuga County, New York......... 99933 0.8823 0.8250 -6.49
33060..................... Chautauqua County, New York..... 99933 0.7849 0.8250 5.11
33070..................... Chemung County, New York........ 21300 0.8250 0.8213 -0.45
33080..................... Chenango County, New York....... 99933 0.8275 0.8250 -0.30
33090..................... Clinton County, New York........ 99933 0.8275 0.8250 -0.30
33200..................... Columbia County, New York....... 99933 0.8275 0.8250 -0.30
33210..................... Cortland County, New York....... 99933 0.8275 0.8250 -0.30
33220..................... Delaware County, New York....... 99933 0.8275 0.8250 -0.30
33230..................... Dutchess County, New York....... 39100 1.0683 1.0913 2.15
33240..................... Erie County, New York........... 15380 0.9511 0.9483 -0.29
33260..................... Essex County, New York.......... 99933 0.8275 0.8250 -0.30
33270..................... Franklin County, New York....... 99933 0.8275 0.8250 -0.30
33280..................... Fulton County, New York......... 99933 0.8275 0.8250 -0.30
33290..................... Genesee County, New York........ 99933 0.8602 0.8250 -4.09
33300..................... Greene County, New York......... 99933 0.8275 0.8250 -0.30
33310..................... Hamilton County, New York....... 99933 0.8275 0.8250 -0.30
33320..................... Herkimer County, New York....... 46540 0.8358 0.8402 0.53
33330..................... Jefferson County, New York...... 99933 0.8275 0.8250 -0.30
33331..................... Kings County, New York.......... 35644 1.3326 1.3208 -0.89
33340..................... Lewis County, New York.......... 99933 0.8275 0.8250 -0.30
33350..................... Livingston County, New York..... 40380 0.9085 0.9005 -0.88
33360..................... Madison County, New York........ 45060 0.9533 0.9709 1.85
33370..................... Monroe County, New York......... 40380 0.9085 0.9005 -0.88
33380..................... Montgomery County, New York..... 99933 0.8357 0.8250 -1.28
33400..................... Nassau County, New York......... 35004 1.2719 1.2681 -0.30
33420..................... New York County, New York....... 35644 1.3326 1.3208 -0.89
33500..................... Niagara County, New York........ 15380 0.9511 0.9483 -0.29
33510..................... Oneida County, New York......... 46540 0.8358 0.8402 0.53
33520..................... Onondaga County, New York....... 45060 0.9533 0.9709 1.85
33530..................... Ontario County, New York........ 40380 0.9085 0.9005 -0.88
33540..................... Orange County, New York......... 39100 1.1049 1.0913 -1.23
33550..................... Orleans County, New York........ 40380 0.9085 0.9005 -0.88
33560..................... Oswego County, New York......... 45060 0.9533 0.9709 1.85
33570..................... Otsego County, New York......... 99933 0.8275 0.8250 -0.30
33580..................... Putnam County, New York......... 35644 1.3326 1.3208 -0.89
33590..................... Queens County, New York......... 35644 1.3326 1.3208 -0.89
33600..................... Rensselaer County, New York..... 10580 0.8574 0.8735 1.88
33610..................... Richmond County, New York....... 35644 1.3326 1.3208 -0.89
33620..................... Rockland County, New York....... 35644 1.3326 1.3208 -0.89
33630..................... St Lawrence County, New York.... 99933 0.8275 0.8250 -0.30
33640..................... Saratoga County, New York....... 10580 0.8574 0.8735 1.88
33650..................... Schenectady County, New York.... 10580 0.8574 0.8735 1.88
33660..................... Schoharie County, New York...... 10580 0.8574 0.8735 1.88
33670..................... Schuyler County, New York....... 99933 0.8275 0.8250 -0.30
33680..................... Seneca County, New York......... 99933 0.8275 0.8250 -0.30
33690..................... Steuben County, New York........ 99933 0.8275 0.8250 -0.30
33700..................... Suffolk County, New York........ 35004 1.2719 1.2681 -0.30
33710..................... Sullivan County, New York....... 99933 0.8275 0.8250 -0.30
[[Page 44160]]
33720..................... Tioga County, New York.......... 13780 0.8562 0.8798 2.76
33730..................... Tompkins County, New York....... 27060 0.9094 0.9831 8.10
33740..................... Ulster County, New York......... 28740 0.8825 0.9383 6.32
33750..................... Warren County, New York......... 24020 0.8559 0.8339 -2.57
33760..................... Washington County, New York..... 24020 0.8559 0.8339 -2.57
33770..................... Wayne County, New York.......... 40380 0.9085 0.9005 -0.88
33800..................... Westchester County, New York.... 35644 1.3326 1.3208 -0.89
33900..................... Wyoming County, New York........ 99933 0.8275 0.8250 -0.30
33910..................... Yates County, New York.......... 99933 0.8275 0.8250 -0.30
34000..................... Alamance County, N Carolina..... 15500 0.8962 0.8689 -3.05
34010..................... Alexander County, N Carolina.... 25860 0.8921 0.9021 1.12
34020..................... Alleghany County, N Carolina.... 99934 0.8501 0.8599 1.15
34030..................... Anson County, N Carolina........ 16740 0.9106 0.9564 5.03
34040..................... Ashe County, N Carolina......... 99934 0.8501 0.8599 1.15
34050..................... Avery County, N Carolina........ 99934 0.8501 0.8599 1.15
34060..................... Beaufort County, N Carolina..... 99934 0.8501 0.8599 1.15
34070..................... Bertie County, N Carolina....... 99934 0.8501 0.8599 1.15
34080..................... Bladen County, N Carolina....... 99934 0.8501 0.8599 1.15
34090..................... Brunswick County, N Carolina.... 48900 0.9582 0.9853 2.83
34100..................... Buncombe County, N Carolina..... 11700 0.9511 0.9093 -4.39
34110..................... Burke County, N Carolina........ 25860 0.8921 0.9021 1.12
34120..................... Cabarrus County, N Carolina..... 16740 0.9733 0.9564 -1.74
34130..................... Caldwell County, N Carolina..... 25860 0.8921 0.9021 1.12
34140..................... Camden County, N Carolina....... 99934 0.8501 0.8599 1.15
34150..................... Carteret County, N Carolina..... 99934 0.8501 0.8599 1.15
34160..................... Caswell County, N Carolina...... 99934 0.8501 0.8599 1.15
34170..................... Catawba County, N Carolina...... 25860 0.8921 0.9021 1.12
34180..................... Chatham County, N Carolina...... 20500 1.0139 0.9843 -2.92
34190..................... Cherokee County, N Carolina..... 99934 0.8501 0.8599 1.15
34200..................... Chowan County, N Carolina....... 99934 0.8501 0.8599 1.15
34210..................... Clay County, N Carolina......... 99934 0.8501 0.8599 1.15
34220..................... Cleveland County, N Carolina.... 99934 0.8501 0.8599 1.15
34230..................... Columbus County, N Carolina..... 99934 0.8501 0.8599 1.15
34240..................... Craven County, N Carolina....... 99934 0.8501 0.8599 1.15
34250..................... Cumberland County, N Carolina... 22180 0.9416 0.8961 -4.83
34251..................... Currituck County, N Carolina.... 47260 0.8799 0.8805 0.07
34270..................... Dare County, N Carolina......... 99934 0.8501 0.8599 1.15
34280..................... Davidson County, N Carolina..... 99934 0.8779 0.8599 -2.05
34290..................... Davie County, N Carolina........ 49180 0.8981 0.9293 3.47
34300..................... Duplin County, N Carolina....... 99934 0.8501 0.8599 1.15
34310..................... Durham County, N Carolina....... 20500 1.0139 0.9843 -2.92
34320..................... Edgecombe County, N Carolina.... 40580 0.8915 0.8869 -0.52
34330..................... Forsyth County, N Carolina...... 49180 0.8981 0.9293 3.47
34340..................... Franklin County, N Carolina..... 39580 0.9863 0.9879 0.16
34350..................... Gaston County, N Carolina....... 16740 0.9733 0.9564 -1.74
34360..................... Gates County, N Carolina........ 99934 0.8501 0.8599 1.15
34370..................... Graham County, N Carolina....... 99934 0.8501 0.8599 1.15
34380..................... Granville County, N Carolina.... 99934 0.8501 0.8599 1.15
34390..................... Greene County, N Carolina....... 24780 0.8944 0.9449 5.65
34400..................... Guilford County, N Carolina..... 24660 0.9061 0.8735 -3.60
34410..................... Halifax County, N Carolina...... 99934 0.8501 0.8599 1.15
34420..................... Harnett County, N Carolina...... 99934 0.8501 0.8599 1.15
34430..................... Haywood County, N Carolina...... 11700 0.8874 0.9093 2.47
34440..................... Henderson County, N Carolina.... 11700 0.8874 0.9093 2.47
34450..................... Hertford County, N Carolina..... 99934 0.8501 0.8599 1.15
34460..................... Hoke County, N Carolina......... 22180 0.8939 0.8961 0.25
34470..................... Hyde County, N Carolina......... 99934 0.8501 0.8599 1.15
34480..................... Iredell County, N Carolina...... 99934 0.8501 0.8599 1.15
34490..................... Jackson County, N Carolina...... 99934 0.8501 0.8599 1.15
34500..................... Johnston County, N Carolina..... 39580 0.9863 0.9879 0.16
34510..................... Jones County, N Carolina........ 99934 0.8501 0.8599 1.15
34520..................... Lee County, N Carolina.......... 99934 0.8501 0.8599 1.15
34530..................... Lenoir County, N Carolina....... 99934 0.8501 0.8599 1.15
34540..................... Lincoln County, N Carolina...... 99934 0.9128 0.8599 -5.80
34550..................... Mc Dowell County, N Carolina.... 99934 0.8501 0.8599 1.15
34560..................... Macon County, N Carolina........ 99934 0.8501 0.8599 1.15
34570..................... Madison County, N Carolina...... 11700 0.9511 0.9093 -4.39
[[Page 44161]]
34580..................... Martin County, N Carolina....... 99934 0.8501 0.8599 1.15
34590..................... Mecklenburg County, N Carolina.. 16740 0.9733 0.9564 -1.74
34600..................... Mitchell County, N Carolina..... 99934 0.8501 0.8599 1.15
34610..................... Montgomery County, N Carolina... 99934 0.8501 0.8599 1.15
34620..................... Moore County, N Carolina........ 99934 0.8501 0.8599 1.15
34630..................... Nash County, N Carolina......... 40580 0.8915 0.8869 -0.52
34640..................... New Hanover County, N Carolina.. 48900 0.9582 0.9853 2.83
34650..................... Northampton County, N Carolina.. 99934 0.8501 0.8599 1.15
34660..................... Onslow County, N Carolina....... 27340 0.8236 0.8245 0.11
34670..................... Orange County, N Carolina....... 20500 1.0139 0.9843 -2.92
34680..................... Pamlico County, N Carolina...... 99934 0.8501 0.8599 1.15
34690..................... Pasquotank County, N Carolina... 99934 0.8501 0.8599 1.15
34700..................... Pender County, N Carolina....... 48900 0.9022 0.9853 9.21
34710..................... Perquimans County, N Carolina... 99934 0.8501 0.8599 1.15
34720..................... Person County, N Carolina....... 20500 0.9353 0.9843 5.24
34730..................... Pitt County, N Carolina......... 24780 0.9425 0.9449 0.25
34740..................... Polk County, N Carolina......... 99934 0.8501 0.8599 1.15
34750..................... Randolph County, N Carolina..... 24660 0.9061 0.8735 -3.60
34760..................... Richmond County, N Carolina..... 99934 0.8501 0.8599 1.15
34770..................... Robeson County, N Carolina...... 99934 0.8501 0.8599 1.15
34780..................... Rockingham County, N Carolina... 24660 0.8783 0.8735 -0.55
34790..................... Rowan County, N Carolina........ 99934 0.9128 0.8599 -5.80
34800..................... Rutherford County, N Carolina... 99934 0.8501 0.8599 1.15
34810..................... Sampson County, N Carolina...... 99934 0.8501 0.8599 1.15
34820..................... Scotland County, N Carolina..... 99934 0.8501 0.8599 1.15
34830..................... Stanly County, N Carolina....... 99934 0.8501 0.8599 1.15
34840..................... Stokes County, N Carolina....... 49180 0.8981 0.9293 3.47
34850..................... Surry County, N Carolina........ 99934 0.8501 0.8599 1.15
34860..................... Swain County, N Carolina........ 99934 0.8501 0.8599 1.15
34870..................... Transylvania County, N Carolina. 99934 0.8501 0.8599 1.15
34880..................... Tyrrell County, N Carolina...... 99934 0.8501 0.8599 1.15
34890..................... Union County, N Carolina........ 16740 0.9733 0.9564 -1.74
34900..................... Vance County, N Carolina........ 99934 0.8501 0.8599 1.15
34910..................... Wake County, N Carolina......... 39580 0.9863 0.9879 0.16
34920..................... Warren County, N Carolina....... 99934 0.8501 0.8599 1.15
34930..................... Washington County, N Carolina... 99934 0.8501 0.8599 1.15
34940..................... Watauga County, N Carolina...... 99934 0.8501 0.8599 1.15
34950..................... Wayne County, N Carolina........ 24140 0.8775 0.9187 4.70
34960..................... Wilkes County, N Carolina....... 99934 0.8501 0.8599 1.15
34970..................... Wilson County, N Carolina....... 99934 0.8501 0.8599 1.15
34980..................... Yadkin County, N Carolina....... 49180 0.8981 0.9293 3.47
34981..................... Yancey County, N Carolina....... 99934 0.8501 0.8599 1.15
35000..................... Adams County, N Dakota.......... 99935 0.7261 0.7228 -0.45
35010..................... Barnes County, N Dakota......... 99935 0.7261 0.7228 -0.45
35020..................... Benson County, N Dakota......... 99935 0.7261 0.7228 -0.45
35030..................... Billings County, N Dakota....... 99935 0.7261 0.7228 -0.45
35040..................... Bottineau County, N Dakota...... 99935 0.7261 0.7228 -0.45
35050..................... Bowman County, N Dakota......... 99935 0.7261 0.7228 -0.45
35060..................... Burke County, N Dakota.......... 99935 0.7261 0.7228 -0.45
35070..................... Burleigh County, N Dakota....... 13900 0.7574 0.7253 -4.24
35080..................... Cass County, N Dakota........... 22020 0.8486 0.8265 -2.60
35090..................... Cavalier County, N Dakota....... 99935 0.7261 0.7228 -0.45
35100..................... Dickey County, N Dakota......... 99935 0.7261 0.7228 -0.45
35110..................... Divide County, N Dakota......... 99935 0.7261 0.7228 -0.45
35120..................... Dunn County, N Dakota........... 99935 0.7261 0.7228 -0.45
35130..................... Eddy County, N Dakota........... 99935 0.7261 0.7228 -0.45
35140..................... Emmons County, N Dakota......... 99935 0.7261 0.7228 -0.45
35150..................... Foster County, N Dakota......... 99935 0.7261 0.7228 -0.45
35160..................... Golden Valley County, N Dakota.. 99935 0.7261 0.7228 -0.45
35170..................... Grand Forks County, N Dakota.... 24220 0.7901 0.7963 0.78
35180..................... Grant County, N Dakota.......... 99935 0.7261 0.7228 -0.45
35190..................... Griggs County, N Dakota......... 99935 0.7261 0.7228 -0.45
35200..................... Hettinger County, N Dakota...... 99935 0.7261 0.7228 -0.45
35210..................... Kidder County, N Dakota......... 99935 0.7261 0.7228 -0.45
35220..................... La Moure County, N Dakota....... 99935 0.7261 0.7228 -0.45
35230..................... Logan County, N Dakota.......... 99935 0.7261 0.7228 -0.45
35240..................... Mc Henry County, N Dakota....... 99935 0.7261 0.7228 -0.45
[[Page 44162]]
35250..................... Mc Intosh County, N Dakota...... 99935 0.7261 0.7228 -0.45
35260..................... Mc Kenzie County, N Dakota...... 99935 0.7261 0.7228 -0.45
35270..................... Mc Lean County, N Dakota........ 99935 0.7261 0.7228 -0.45
35280..................... Mercer County, N Dakota......... 99935 0.7261 0.7228 -0.45
35290..................... Morton County, N Dakota......... 13900 0.7574 0.7253 -4.24
35300..................... Mountrail County, N Dakota...... 99935 0.7261 0.7228 -0.45
35310..................... Nelson County, N Dakota......... 99935 0.7261 0.7228 -0.45
35320..................... Oliver County, N Dakota......... 99935 0.7261 0.7228 -0.45
35330..................... Pembina County, N Dakota........ 99935 0.7261 0.7228 -0.45
35340..................... Pierce County, N Dakota......... 99935 0.7261 0.7228 -0.45
35350..................... Ramsey County, N Dakota......... 99935 0.7261 0.7228 -0.45
35360..................... Ransom County, N Dakota......... 99935 0.7261 0.7228 -0.45
35370..................... Renville County, N Dakota....... 99935 0.7261 0.7228 -0.45
35380..................... Richland County, N Dakota....... 99935 0.7261 0.7228 -0.45
35390..................... Rolette County, N Dakota........ 99935 0.7261 0.7228 -0.45
35400..................... Sargent County, N Dakota........ 99935 0.7261 0.7228 -0.45
35410..................... Sheridan County, N Dakota....... 99935 0.7261 0.7228 -0.45
35420..................... Sioux County, N Dakota.......... 99935 0.7261 0.7228 -0.45
35430..................... Slope County, N Dakota.......... 99935 0.7261 0.7228 -0.45
35440..................... Stark County, N Dakota.......... 99935 0.7261 0.7228 -0.45
35450..................... Steele County, N Dakota......... 99935 0.7261 0.7228 -0.45
35460..................... Stutsman County, N Dakota....... 99935 0.7261 0.7228 -0.45
35470..................... Towner County, N Dakota......... 99935 0.7261 0.7228 -0.45
35480..................... Traill County, N Dakota......... 99935 0.7261 0.7228 -0.45
35490..................... Walsh County, N Dakota.......... 99935 0.7261 0.7228 -0.45
35500..................... Ward County, N Dakota........... 99935 0.7261 0.7228 -0.45
35510..................... Wells County, N Dakota.......... 99935 0.7261 0.7228 -0.45
35520..................... Williams County, N Dakota....... 99935 0.7261 0.7228 -0.45
36000..................... Adams County, Ohio.............. 99936 0.8874 0.8674 -2.25
36010..................... Allen County, Ohio.............. 30620 0.9172 0.9058 -1.24
36020..................... Ashland County, Ohio............ 99936 0.8874 0.8674 -2.25
36030..................... Ashtabula County, Ohio.......... 99936 0.9005 0.8674 -3.68
36040..................... Athens County, Ohio............. 99936 0.8874 0.8674 -2.25
36050..................... Auglaize County, Ohio........... 99936 0.8973 0.8674 -3.33
36060..................... Belmont County, Ohio............ 48540 0.7161 0.7022 -1.94
36070..................... Brown County, Ohio.............. 17140 0.9675 0.9617 -0.60
36080..................... Butler County, Ohio............. 17140 0.9283 0.9617 3.60
36090..................... Carroll County, Ohio............ 15940 0.8935 0.9047 1.25
36100..................... Champaign County, Ohio.......... 99936 0.8874 0.8674 -2.25
36110..................... Clark County, Ohio.............. 44220 0.8688 0.8462 -2.60
36120..................... Clermont County, Ohio........... 17140 0.9675 0.9617 -0.60
36130..................... Clinton County, Ohio............ 99936 0.8874 0.8674 -2.25
36140..................... Columbiana County, Ohio......... 99936 0.8837 0.8674 -1.84
36150..................... Coshocton County, Ohio.......... 99936 0.8874 0.8674 -2.25
36160..................... Crawford County, Ohio........... 99936 0.9359 0.8674 -7.32
36170..................... Cuyahoga County, Ohio........... 17460 0.9198 0.9385 2.03
36190..................... Darke County, Ohio.............. 99936 0.8874 0.8674 -2.25
36200..................... Defiance County, Ohio........... 99936 0.8874 0.8674 -2.25
36210..................... Delaware County, Ohio........... 18140 0.9867 1.0122 2.58
36220..................... Erie County, Ohio............... 41780 0.8970 0.9319 3.89
36230..................... Fairfield County, Ohio.......... 18140 0.9867 1.0122 2.58
36240..................... Fayette County, Ohio............ 99936 0.8874 0.8674 -2.25
36250..................... Franklin County, Ohio........... 18140 0.9867 1.0122 2.58
36260..................... Fulton County, Ohio............. 45780 0.9574 0.9599 0.26
36270..................... Gallia County, Ohio............. 99936 0.8874 0.8674 -2.25
36280..................... Geauga County, Ohio............. 17460 0.9198 0.9385 2.03
36290..................... Greene County, Ohio............. 19380 0.9022 0.9053 0.34
36300..................... Guernsey County, Ohio........... 99936 0.8874 0.8674 -2.25
36310..................... Hamilton County, Ohio........... 17140 0.9675 0.9617 -0.60
36330..................... Hancock County, Ohio............ 99936 0.8874 0.8674 -2.25
36340..................... Hardin County, Ohio............. 99936 0.8874 0.8674 -2.25
36350..................... Harrison County, Ohio........... 99936 0.8874 0.8674 -2.25
36360..................... Henry County, Ohio.............. 99936 0.8874 0.8674 -2.25
36370..................... Highland County, Ohio........... 99936 0.8874 0.8674 -2.25
36380..................... Hocking County, Ohio............ 99936 0.8874 0.8674 -2.25
36390..................... Holmes County, Ohio............. 99936 0.8874 0.8674 -2.25
36400..................... Huron County, Ohio.............. 99936 0.8874 0.8674 -2.25
[[Page 44163]]
36410..................... Jackson County, Ohio............ 99936 0.8874 0.8674 -2.25
36420..................... Jefferson County, Ohio.......... 48260 0.7819 0.8078 3.31
36430..................... Knox County, Ohio............... 99936 0.8874 0.8674 -2.25
36440..................... Lake County, Ohio............... 17460 0.9198 0.9385 2.03
36450..................... Lawrence County, Ohio........... 26580 0.9477 0.9013 -4.90
36460..................... Licking County, Ohio............ 18140 0.9867 1.0122 2.58
36470..................... Logan County, Ohio.............. 99936 0.8874 0.8674 -2.25
36480..................... Lorain County, Ohio............. 17460 0.9198 0.9385 2.03
36490..................... Lucas County, Ohio.............. 45780 0.9574 0.9599 0.26
36500..................... Madison County, Ohio............ 18140 0.9867 1.0122 2.58
36510..................... Mahoning County, Ohio........... 49660 0.8726 0.8817 1.04
36520..................... Marion County, Ohio............. 99936 0.8874 0.8674 -2.25
36530..................... Medina County, Ohio............. 17460 0.9198 0.9385 2.03
36540..................... Meigs County, Ohio.............. 99936 0.8874 0.8674 -2.25
36550..................... Mercer County, Ohio............. 99936 0.8874 0.8674 -2.25
36560..................... Miami County, Ohio.............. 19380 0.9022 0.9053 0.34
36570..................... Monroe County, Ohio............. 99936 0.8874 0.8674 -2.25
36580..................... Montgomery County, Ohio......... 19380 0.9022 0.9053 0.34
36590..................... Morgan County, Ohio............. 99936 0.8874 0.8674 -2.25
36600..................... Morrow County, Ohio............. 18140 0.9391 1.0122 7.78
36610..................... Muskingum County, Ohio.......... 99936 0.8874 0.8674 -2.25
36620..................... Noble County, Ohio.............. 99936 0.8874 0.8674 -2.25
36630..................... Ottawa County, Ohio............. 45780 0.9248 0.9599 3.80
36640..................... Paulding County, Ohio........... 99936 0.8874 0.8674 -2.25
36650..................... Perry County, Ohio.............. 99936 0.8874 0.8674 -2.25
36660..................... Pickaway County, Ohio........... 18140 0.9867 1.0122 2.58
36670..................... Pike County, Ohio............... 99936 0.8874 0.8674 -2.25
36680..................... Portage County, Ohio............ 10420 0.8982 0.8639 -3.82
36690..................... Preble County, Ohio............. 19380 0.8993 0.9053 0.67
36700..................... Putnam County, Ohio............. 99936 0.8874 0.8674 -2.25
36710..................... Richland County, Ohio........... 31900 0.8902 0.9287 4.32
36720..................... Ross County, Ohio............... 99936 0.8874 0.8674 -2.25
36730..................... Sandusky County, Ohio........... 99936 0.8874 0.8674 -2.25
36740..................... Scioto County, Ohio............. 99936 0.8874 0.8674 -2.25
36750..................... Seneca County, Ohio............. 99936 0.8874 0.8674 -2.25
36760..................... Shelby County, Ohio............. 99936 0.8874 0.8674 -2.25
36770..................... Stark County, Ohio.............. 15940 0.8935 0.9047 1.25
36780..................... Summit County, Ohio............. 10420 0.8982 0.8639 -3.82
36790..................... Trumbull County, Ohio........... 49660 0.8726 0.8817 1.04
36800..................... Tuscarawas County, Ohio......... 99936 0.8874 0.8674 -2.25
36810..................... Union County, Ohio.............. 18140 0.9391 1.0122 7.78
36820..................... Van Wert County, Ohio........... 99936 0.8874 0.8674 -2.25
36830..................... Vinton County, Ohio............. 99936 0.8874 0.8674 -2.25
36840..................... Warren County, Ohio............. 17140 0.9675 0.9617 -0.60
36850..................... Washington County, Ohio......... 37620 0.8270 0.7940 -3.99
36860..................... Wayne County, Ohio.............. 99936 0.8874 0.8674 -2.25
36870..................... Williams County, Ohio........... 99936 0.8874 0.8674 -2.25
36880..................... Wood County, Ohio............... 45780 0.9574 0.9599 0.26
36890..................... Wyandot County, Ohio............ 99936 0.8874 0.8674 -2.25
37000..................... Adair County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37010..................... Alfalfa County, Oklahoma........ 99937 0.7512 0.7640 1.70
37020..................... Atoka County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37030..................... Beaver County, Oklahoma......... 99937 0.7512 0.7640 1.70
37040..................... Beckham County, Oklahoma........ 99937 0.7512 0.7640 1.70
37050..................... Blaine County, Oklahoma......... 99937 0.7512 0.7640 1.70
37060..................... Bryan County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37070..................... Caddo County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37080..................... Canadian County, Oklahoma....... 36420 0.9028 0.8853 -1.94
37090..................... Carter County, Oklahoma......... 99937 0.7512 0.7640 1.70
37100..................... Cherokee County, Oklahoma....... 99937 0.7512 0.7640 1.70
37110..................... Choctaw County, Oklahoma........ 99937 0.7512 0.7640 1.70
37120..................... Cimarron County, Oklahoma....... 99937 0.7512 0.7640 1.70
37130..................... Cleveland County, Oklahoma...... 36420 0.9028 0.8853 -1.94
37140..................... Coal County, Oklahoma........... 99937 0.7512 0.7640 1.70
37150..................... Comanche County, Oklahoma....... 30020 0.7872 0.8080 2.64
37160..................... Cotton County, Oklahoma......... 99937 0.7512 0.7640 1.70
37170..................... Craig County, Oklahoma.......... 99937 0.7512 0.7640 1.70
[[Page 44164]]
37180..................... Creek County, Oklahoma.......... 46140 0.8565 0.8104 -5.38
37190..................... Custer County, Oklahoma......... 99937 0.7512 0.7640 1.70
37200..................... Delaware County, Oklahoma....... 99937 0.7512 0.7640 1.70
37210..................... Dewey County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37220..................... Ellis County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37230..................... Garfield County, Oklahoma....... 99937 0.8124 0.7640 -5.96
37240..................... Garvin County, Oklahoma......... 99937 0.7512 0.7640 1.70
37250..................... Grady County, Oklahoma.......... 36420 0.8237 0.8853 7.48
37260..................... Grant County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37270..................... Greer County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37280..................... Harmon County, Oklahoma......... 99937 0.7512 0.7640 1.70
37290..................... Harper County, Oklahoma......... 99937 0.7512 0.7640 1.70
37300..................... Haskell County, Oklahoma........ 99937 0.7512 0.7640 1.70
37310..................... Hughes County, Oklahoma......... 99937 0.7512 0.7640 1.70
37320..................... Jackson County, Oklahoma........ 99937 0.7512 0.7640 1.70
37330..................... Jefferson County, Oklahoma...... 99937 0.7512 0.7640 1.70
37340..................... Johnston County, Oklahoma....... 99937 0.7512 0.7640 1.70
37350..................... Kay County, Oklahoma............ 99937 0.7512 0.7640 1.70
37360..................... Kingfisher County, Oklahoma..... 99937 0.7512 0.7640 1.70
37370..................... Kiowa County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37380..................... Latimer County, Oklahoma........ 99937 0.7512 0.7640 1.70
37390..................... Le Flore County, Oklahoma....... 22900 0.7836 0.7745 -1.16
37400..................... Lincoln County, Oklahoma........ 36420 0.8237 0.8853 7.48
37410..................... Logan County, Oklahoma.......... 36420 0.9028 0.8853 -1.94
37420..................... Love County, Oklahoma........... 99937 0.7512 0.7640 1.70
37430..................... Mc Clain County, Oklahoma....... 36420 0.9028 0.8853 -1.94
37440..................... Mc Curtain County, Oklahoma..... 99937 0.7512 0.7640 1.70
37450..................... Mc Intosh County, Oklahoma...... 99937 0.7512 0.7640 1.70
37460..................... Major County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37470..................... Marshall County, Oklahoma....... 99937 0.7512 0.7640 1.70
37480..................... Mayes County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37490..................... Murray County, Oklahoma......... 99937 0.7512 0.7640 1.70
37500..................... Muskogee County, Oklahoma....... 99937 0.7512 0.7640 1.70
37510..................... Noble County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37520..................... Nowata County, Oklahoma......... 99937 0.7512 0.7640 1.70
37530..................... Okfuskee County, Oklahoma....... 99937 0.7512 0.7640 1.70
37540..................... Oklahoma County, Oklahoma....... 36420 0.9028 0.8853 -1.94
37550..................... Okmulgee County, Oklahoma....... 46140 0.7993 0.8104 1.39
37560..................... Osage County, Oklahoma.......... 46140 0.8565 0.8104 -5.38
37570..................... Ottawa County, Oklahoma......... 99937 0.7512 0.7640 1.70
37580..................... Pawnee County, Oklahoma......... 46140 0.7993 0.8104 1.39
37590..................... Payne County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37600..................... Pittsburg County, Oklahoma...... 99937 0.7512 0.7640 1.70
37610..................... Pontotoc County, Oklahoma....... 99937 0.7512 0.7640 1.70
37620..................... Pottawatomie County, Oklahoma... 99937 0.8303 0.7640 -7.99
37630..................... Pushmataha County, Oklahoma..... 99937 0.7512 0.7640 1.70
37640..................... Roger Mills County, Oklahoma.... 99937 0.7512 0.7640 1.70
37650..................... Rogers County, Oklahoma......... 46140 0.8565 0.8104 -5.38
37660..................... Seminole County, Oklahoma....... 99937 0.7512 0.7640 1.70
37670..................... Sequoyah County, Oklahoma....... 22900 0.8238 0.7745 -5.98
37680..................... Stephens County, Oklahoma....... 99937 0.7512 0.7640 1.70
37690..................... Texas County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37700..................... Tillman County, Oklahoma........ 99937 0.7512 0.7640 1.70
37710..................... Tulsa County, Oklahoma.......... 46140 0.8565 0.8104 -5.38
37720..................... Wagoner County, Oklahoma........ 46140 0.8565 0.8104 -5.38
37730..................... Washington County, Oklahoma..... 99937 0.7512 0.7640 1.70
37740..................... Washita County, Oklahoma........ 99937 0.7512 0.7640 1.70
37750..................... Woods County, Oklahoma.......... 99937 0.7512 0.7640 1.70
37760..................... Woodward County, Oklahoma....... 99937 0.7512 0.7640 1.70
38000..................... Baker County, Oregon............ 99938 0.9939 0.9770 -1.70
38010..................... Benton County, Oregon........... 18700 1.0729 1.1566 7.80
38020..................... Clackamas County, Oregon........ 38900 1.1266 1.1436 1.51
38030..................... Clatsop County, Oregon.......... 99938 0.9939 0.9770 -1.70
38040..................... Columbia County, Oregon......... 38900 1.1266 1.1436 1.51
38050..................... Coos County, Oregon............. 99938 0.9939 0.9770 -1.70
38060..................... Crook County, Oregon............ 99938 0.9939 0.9770 -1.70
38070..................... Curry County, Oregon............ 99938 0.9939 0.9770 -1.70
[[Page 44165]]
38080..................... Deschutes County, Oregon........ 13460 1.0419 1.0762 3.29
38090..................... Douglas County, Oregon.......... 99938 0.9939 0.9770 -1.70
38100..................... Gilliam County, Oregon.......... 99938 0.9939 0.9770 -1.70
38110..................... Grant County, Oregon............ 99938 0.9939 0.9770 -1.70
38120..................... Harney County, Oregon........... 99938 0.9939 0.9770 -1.70
38130..................... Hood River County, Oregon....... 99938 0.9939 0.9770 -1.70
38140..................... Jackson County, Oregon.......... 32780 1.0225 1.0837 5.99
38150..................... Jefferson County, Oregon........ 99938 0.9939 0.9770 -1.70
38160..................... Josephine County, Oregon........ 99938 0.9939 0.9770 -1.70
38170..................... Klamath County, Oregon.......... 99938 0.9939 0.9770 -1.70
38180..................... Lake County, Oregon............. 99938 0.9939 0.9770 -1.70
38190..................... Lane County, Oregon............. 21660 1.0818 1.0896 0.72
38200..................... Lincoln County, Oregon.......... 99938 0.9939 0.9770 -1.70
38210..................... Linn County, Oregon............. 99938 0.9939 0.9770 -1.70
38220..................... Malheur County, Oregon.......... 99938 0.9939 0.9770 -1.70
38230..................... Marion County, Oregon........... 41420 1.0442 1.0457 0.14
38240..................... Morrow County, Oregon........... 99938 0.9939 0.9770 -1.70
38250..................... Multnomah County, Oregon........ 38900 1.1266 1.1436 1.51
38260..................... Polk County, Oregon............. 41420 1.0442 1.0457 0.14
38270..................... Sherman County, Oregon.......... 99938 0.9939 0.9770 -1.70
38280..................... Tillamook County, Oregon........ 99938 0.9939 0.9770 -1.70
38290..................... Umatilla County, Oregon......... 99938 0.9939 0.9770 -1.70
38300..................... Union County, Oregon............ 99938 0.9939 0.9770 -1.70
38310..................... Wallowa County, Oregon.......... 99938 0.9939 0.9770 -1.70
38320..................... Wasco County, Oregon............ 99938 0.9939 0.9770 -1.70
38330..................... Washington County, Oregon....... 38900 1.1266 1.1436 1.51
38340..................... Wheeler County, Oregon.......... 99938 0.9939 0.9770 -1.70
38350..................... Yamhill County, Oregon.......... 38900 1.1266 1.1436 1.51
39000..................... Adams County, Pennsylvania...... 99939 0.8305 0.8332 0.33
39010..................... Allegheny County, Pennsylvania.. 38300 0.8853 0.8685 -1.90
39070..................... Armstrong County, Pennsylvania.. 38300 0.8582 0.8685 1.20
39080..................... Beaver County, Pennsylvania..... 38300 0.8853 0.8685 -1.90
39100..................... Bedford County, Pennsylvania.... 99939 0.8305 0.8332 0.33
39110..................... Berks County, Pennsylvania...... 39740 0.9686 0.9639 -0.49
39120..................... Blair County, Pennsylvania...... 11020 0.8944 0.8727 -2.43
39130..................... Bradford County, Pennsylvania... 99939 0.8305 0.8332 0.33
39140..................... Bucks County, Pennsylvania...... 37964 1.0980 1.1018 0.35
39150..................... Butler County, Pennsylvania..... 38300 0.8853 0.8685 -1.90
39160..................... Cambria County, Pennsylvania.... 27780 0.8220 0.8635 5.05
39180..................... Cameron County, Pennsylvania.... 99939 0.8305 0.8332 0.33
39190..................... Carbon County, Pennsylvania..... 10900 0.9832 0.9910 0.79
39200..................... Centre County, Pennsylvania..... 44300 0.8356 0.8799 5.30
39210..................... Chester County, Pennsylvania.... 37964 1.0980 1.1018 0.35
39220..................... Clarion County, Pennsylvania.... 99939 0.8305 0.8332 0.33
39230..................... Clearfield County, Pennsylvania. 99939 0.8305 0.8332 0.33
39240..................... Clinton County, Pennsylvania.... 99939 0.8305 0.8332 0.33
39250..................... Columbia County, Pennsylvania... 99939 0.8408 0.8332 -0.90
39260..................... Crawford County, Pennsylvania... 99939 0.8305 0.8332 0.33
39270..................... Cumberland County, Pennsylvania. 25420 0.9273 0.9419 1.57
39280..................... Dauphin County, Pennsylvania.... 25420 0.9273 0.9419 1.57
39290..................... Delaware County, Pennsylvania... 37964 1.0980 1.1018 0.35
39310..................... Elk County, Pennsylvania........ 99939 0.8305 0.8332 0.33
39320..................... Erie County, Pennsylvania....... 21500 0.8737 0.8704 -0.38
39330..................... Fayette County, Pennsylvania.... 38300 0.8853 0.8685 -1.90
39340..................... Forest County, Pennsylvania..... 99939 0.8305 0.8332 0.33
39350..................... Franklin County, Pennsylvania... 99939 0.8305 0.8332 0.33
39360..................... Fulton County, Pennsylvania..... 99939 0.8305 0.8332 0.33
39370..................... Greene County, Pennsylvania..... 99939 0.8305 0.8332 0.33
39380..................... Huntingdon County, Pennsylvania. 99939 0.8305 0.8332 0.33
39390..................... Indiana County, Pennsylvania.... 99939 0.8305 0.8332 0.33
39400..................... Jefferson County, Pennsylvania.. 99939 0.8305 0.8332 0.33
39410..................... Juniata County, Pennsylvania.... 99939 0.8305 0.8332 0.33
39420..................... Lackawanna County, Pennsylvania. 42540 0.8532 0.8521 -0.13
39440..................... Lancaster County, Pennsylvania.. 29540 0.9694 0.9644 -0.52
39450..................... Lawrence County, Pennsylvania... 99939 0.8305 0.8332 0.33
39460..................... Lebanon County, Pennsylvania.... 30140 0.8846 0.8695 -1.71
39470..................... Lehigh County, Pennsylvania..... 10900 0.9832 0.9910 0.79
[[Page 44166]]
39480..................... Luzerne County, Pennsylvania.... 42540 0.8532 0.8521 -0.13
39510..................... Lycoming County, Pennsylvania... 48700 0.8364 0.8126 -2.85
39520..................... Mc Kean County, Pennsylvania.... 99939 0.8305 0.8332 0.33
39530..................... Mercer County, Pennsylvania..... 49660 0.8198 0.8817 7.55
39540..................... Mifflin County, Pennsylvania.... 99939 0.8305 0.8332 0.33
39550..................... Monroe County, Pennsylvania..... 99939 0.8305 0.8332 0.33
39560..................... Montgomery County, Pennsylvania. 37964 1.0980 1.1018 0.35
39580..................... Montour County, Pennsylvania.... 99939 0.8305 0.8332 0.33
39590..................... Northampton County, Pennsylvania 10900 0.9832 0.9910 0.79
39600..................... Northumberland County, 99939 0.8305 0.8332 0.33
Pennsylvania.
39610..................... Perry County, Pennsylvania...... 25420 0.9273 0.9419 1.57
39620..................... Philadelphia County, 37964 1.0980 1.1018 0.35
Pennsylvania.
39630..................... Pike County, Pennsylvania....... 35084 1.1545 1.1890 2.99
39640..................... Potter County, Pennsylvania..... 99939 0.8305 0.8332 0.33
39650..................... Schuylkill County, Pennsylvania. 99939 0.8305 0.8332 0.33
39670..................... Snyder County, Pennsylvania..... 99939 0.8305 0.8332 0.33
39680..................... Somerset County, Pennsylvania... 99939 0.8189 0.8332 1.75
39690..................... Sullivan County, Pennsylvania... 99939 0.8305 0.8332 0.33
39700..................... Susquehanna County, Pennsylvania 99939 0.8305 0.8332 0.33
39710..................... Tioga County, Pennsylvania...... 99939 0.8305 0.8332 0.33
39720..................... Union County, Pennsylvania...... 99939 0.8305 0.8332 0.33
39730..................... Venango County, Pennsylvania.... 99939 0.8305 0.8332 0.33
39740..................... Warren County, Pennsylvania..... 99939 0.8305 0.8332 0.33
39750..................... Washington County, Pennsylvania. 38300 0.8853 0.8685 -1.90
39760..................... Wayne County, Pennsylvania...... 99939 0.8305 0.8332 0.33
39770..................... Westmoreland County, 38300 0.8853 0.8685 -1.90
Pennsylvania.
39790..................... Wyoming County, Pennsylvania.... 42540 0.8532 0.8521 -0.13
39800..................... York County, Pennsylvania....... 49620 0.9347 0.9414 0.72
40010..................... Adjuntas County, Puerto Rico.... 99940 0.3826 0.4047 5.78
40020..................... Aguada County, Puerto Rico...... 10380 0.4807 0.3922 -18.41
40030..................... Aguadilla County, Puerto Rico... 10380 0.4807 0.3922 -18.41
40040..................... Aguas Buenas County, Puerto Rico 41980 0.4687 0.4397 -6.19
40050..................... Aibonito County, Puerto Rico.... 41980 0.4113 0.4397 6.90
40060..................... Anasco County, Puerto Rico...... 10380 0.4491 0.3922 -12.67
40070..................... Arecibo County, Puerto Rico..... 41980 0.4367 0.4397 0.69
40080..................... Arroyo County, Puerto Rico...... 25020 0.3393 0.3241 -4.48
40090..................... Barceloneta County, Puerto Rico. 41980 0.4687 0.4397 -6.19
40100..................... Barranquitas County, Puerto Rico 41980 0.4113 0.4397 6.90
40110..................... Bayamon County, Puerto Rico..... 41980 0.4687 0.4397 -6.19
40120..................... Cabo Rojo County, Puerto Rico... 41900 0.4447 0.4893 10.03
40130..................... Caguas County, Puerto Rico...... 41980 0.4371 0.4397 0.59
40140..................... Camuy County, Puerto Rico....... 41980 0.4367 0.4397 0.69
40145..................... Canovanas County, Puerto Rico... 41980 0.4687 0.4397 -6.19
40150..................... Carolina County, Puerto Rico.... 41980 0.4687 0.4397 -6.19
40160..................... Catano County, Puerto Rico...... 41980 0.4687 0.4397 -6.19
40170..................... Cayey County, Puerto Rico....... 41980 0.4371 0.4397 0.59
40180..................... Ceiba County, Puerto Rico....... 21940 0.4453 0.4044 -9.18
40190..................... Ciales County, Puerto Rico...... 41980 0.4113 0.4397 6.90
40200..................... Cidra County, Puerto Rico....... 41980 0.4371 0.4397 0.59
40210..................... Coamo County, Puerto Rico....... 99940 0.3826 0.4047 5.78
40220..................... Comerio County, Puerto Rico..... 41980 0.4687 0.4397 -6.19
40230..................... Corozal County, Puerto Rico..... 41980 0.4687 0.4397 -6.19
40240..................... Culebra County, Puerto Rico..... 99940 0.3826 0.4047 5.78
40250..................... Dorado County, Puerto Rico...... 41980 0.4687 0.4397 -6.19
40260..................... Fajardo County, Puerto Rico..... 21940 0.4453 0.4044 -9.18
40265..................... Florida County, Puerto Rico..... 41980 0.4687 0.4397 -6.19
40270..................... Guanica County, Puerto Rico..... 49500 0.4006 0.3861 -3.62
40280..................... Guayama County, Puerto Rico..... 25020 0.3393 0.3241 -4.48
40290..................... Guayanilla County, Puerto Rico.. 49500 0.4645 0.3861 -16.88
40300..................... Guaynabo County, Puerto Rico.... 41980 0.4687 0.4397 -6.19
40310..................... Gurabo County, Puerto Rico...... 41980 0.4371 0.4397 0.59
40320..................... Hatillo County, Puerto Rico..... 41980 0.4367 0.4397 0.69
40330..................... Hormigueros County, Puerto Rico. 32420 0.4132 0.3857 -6.66
40340..................... Humacao County, Puerto Rico..... 41980 0.4687 0.4397 -6.19
40350..................... Isabela County, Puerto Rico..... 10380 0.4171 0.3922 -5.97
40360..................... Jayuya County, Puerto Rico...... 99940 0.3826 0.4047 5.78
40370..................... Juana Diaz County, Puerto Rico.. 38660 0.4910 0.4851 -1.20
[[Page 44167]]
40380..................... Juncos County, Puerto Rico...... 41980 0.4687 0.4397 -6.19
40390..................... Lajas County, Puerto Rico....... 41900 0.4127 0.4893 18.56
40400..................... Lares County, Puerto Rico....... 10380 0.4171 0.3922 -5.97
40410..................... Las Marias County, Puerto Rico.. 99940 0.3826 0.4047 5.78
40420..................... Las Piedras County, Puerto Rico. 41980 0.4687 0.4397 -6.19
40430..................... Loiza County, Puerto Rico....... 41980 0.4687 0.4397 -6.19
40440..................... Luquillo County, Puerto Rico.... 21940 0.4453 0.4044 -9.18
40450..................... Manati County, Puerto Rico...... 41980 0.4687 0.4397 -6.19
40460..................... Maricao County, Puerto Rico..... 99940 0.3826 0.4047 5.78
40470..................... Maunabo County, Puerto Rico..... 41980 0.4113 0.4397 6.90
40480..................... Mayaguez County, Puerto Rico.... 32420 0.4132 0.3857 -6.66
40490..................... Moca County, Puerto Rico........ 10380 0.4807 0.3922 -18.41
40500..................... Morovis County, Puerto Rico..... 41980 0.4687 0.4397 -6.19
40510..................... Naguabo County, Puerto Rico..... 41980 0.4687 0.4397 -6.19
40520..................... Naranjito County, Puerto Rico... 41980 0.4687 0.4397 -6.19
40530..................... Orocovis County, Puerto Rico.... 41980 0.4113 0.4397 6.90
40540..................... Patillas County, Puerto Rico.... 25020 0.3393 0.3241 -4.48
40550..................... Penuelas County, Puerto Rico.... 49500 0.4645 0.3861 -16.88
40560..................... Ponce County, Puerto Rico....... 38660 0.4910 0.4851 -1.20
40570..................... Quebradillas County, Puerto Rico 41980 0.4113 0.4397 6.90
40580..................... Rincon County, Puerto Rico...... 10380 0.4171 0.3922 -5.97
40590..................... Rio Grande County, Puerto Rico.. 41980 0.4687 0.4397 -6.19
40610..................... Sabana Grande County, Puerto 41900 0.4447 0.4893 10.03
Rico.
40620..................... Salinas County, Puerto Rico..... 99940 0.3826 0.4047 5.78
40630..................... San German County, Puerto Rico.. 41900 0.4447 0.4893 10.03
40640..................... San Juan County, Puerto Rico.... 41980 0.4687 0.4397 -6.19
40650..................... San Lorenzo County, Puerto Rico. 41980 0.4371 0.4397 0.59
40660..................... San Sebastian County, Puerto 10380 0.4171 0.3922 -5.97
Rico.
40670..................... Santa Isabel County, Puerto Rico 99940 0.3826 0.4047 5.78
40680..................... Toa Alta County, Puerto Rico.... 41980 0.4687 0.4397 -6.19
40690..................... Toa Baja County, Puerto Rico.... 41980 0.4687 0.4397 -6.19
40700..................... Trujillo Alto County, Puerto 41980 0.4687 0.4397 -6.19
Rico.
40710..................... Utuado County, Puerto Rico...... 99940 0.3826 0.4047 5.78
40720..................... Vega Alta County, Puerto Rico... 41980 0.4687 0.4397 -6.19
40730..................... Vega Baja County, Puerto Rico... 41980 0.4687 0.4397 -6.19
40740..................... Vieques County, Puerto Rico..... 99940 0.3826 0.4047 5.78
40750..................... Villalba County, Puerto Rico.... 38660 0.4910 0.4851 -1.20
40760..................... Yabucoa County, Puerto Rico..... 41980 0.4687 0.4397 -6.19
40770..................... Yauco County, Puerto Rico....... 49500 0.4645 0.3861 -16.88
41000..................... Bristol County, Rhode Island.... 39300 1.1012 1.0804 -1.89
41010..................... Kent County, Rhode Island....... 39300 1.1012 1.0804 -1.89
41020..................... Newport County, Rhode Island.... 39300 1.1012 1.0804 -1.89
41030..................... Providence County, Rhode Island. 39300 1.1012 1.0804 -1.89
41050..................... Washington County, Rhode Island. 39300 1.1012 1.0804 -1.89
42000..................... Abbeville County, S Carolina.... 99942 0.8635 0.8583 -0.60
42010..................... Aiken County, S Carolina........ 12260 0.9778 0.9678 -1.02
42020..................... Allendale County, S Carolina.... 99942 0.8635 0.8583 -0.60
42030..................... Anderson County, S Carolina..... 11340 0.9306 0.8959 -3.73
42040..................... Bamberg County, S Carolina...... 99942 0.8635 0.8583 -0.60
42050..................... Barnwell County, S Carolina..... 99942 0.8635 0.8583 -0.60
42060..................... Beaufort County, S Carolina..... 99942 0.8635 0.8583 -0.60
42070..................... Berkeley County, S Carolina..... 16700 0.9245 0.9156 -0.96
42080..................... Calhoun County, S Carolina...... 17900 0.8844 0.8028 -9.23
42090..................... Charleston County, S Carolina... 16700 0.9245 0.9156 -0.96
42100..................... Cherokee County, S Carolina..... 99942 0.9127 0.8583 -5.96
42110..................... Chester County, S Carolina...... 99942 0.8635 0.8583 -0.60
42120..................... Chesterfield County, S Carolina. 99942 0.8635 0.8583 -0.60
42130..................... Clarendon County, S Carolina.... 99942 0.8635 0.8583 -0.60
42140..................... Colleton County, S Carolina..... 99942 0.8635 0.8583 -0.60
42150..................... Darlington County, S Carolina... 22500 0.8789 0.8421 -4.19
42160..................... Dillon County, S Carolina....... 99942 0.8635 0.8583 -0.60
42170..................... Dorchester County, S Carolina... 16700 0.9245 0.9156 -0.96
42180..................... Edgefield County, S Carolina.... 12260 0.9778 0.9678 -1.02
42190..................... Fairfield County, S Carolina.... 17900 0.8844 0.8028 -9.23
42200..................... Florence County, S Carolina..... 22500 0.8995 0.8421 -6.38
42210..................... Georgetown County, S Carolina... 99942 0.8635 0.8583 -0.60
42220..................... Greenville County, S Carolina... 24860 0.9821 0.9733 -0.90
[[Page 44168]]
42230..................... Greenwood County, S Carolina.... 99942 0.8635 0.8583 -0.60
42240..................... Hampton County, S Carolina...... 99942 0.8635 0.8583 -0.60
42250..................... Horry County, S Carolina........ 34820 0.8934 0.8824 -1.23
42260..................... Jasper County, S Carolina....... 99942 0.8635 0.8583 -0.60
42270..................... Kershaw County, S Carolina...... 17900 0.8844 0.8028 -9.23
42280..................... Lancaster County, S Carolina.... 99942 0.8635 0.8583 -0.60
42290..................... Laurens County, S Carolina...... 24860 0.9329 0.9733 4.33
42300..................... Lee County, S Carolina.......... 99942 0.8635 0.8583 -0.60
42310..................... Lexington County, S Carolina.... 17900 0.9070 0.8028 -11.49
42320..................... Mc Cormick County, S Carolina... 99942 0.8635 0.8583 -0.60
42330..................... Marion County, S Carolina....... 99942 0.8635 0.8583 -0.60
42340..................... Marlboro County, S Carolina..... 99942 0.8635 0.8583 -0.60
42350..................... Newberry County, S Carolina..... 99942 0.8635 0.8583 -0.60
42360..................... Oconee County, S Carolina....... 99942 0.8635 0.8583 -0.60
42370..................... Orangeburg County, S Carolina... 99942 0.8635 0.8583 -0.60
42380..................... Pickens County, S Carolina...... 24860 0.9821 0.9733 -0.90
42390..................... Richland County, S Carolina..... 17900 0.9070 0.8028 -11.49
42400..................... Saluda County, S Carolina....... 17900 0.8844 0.8028 -9.23
42410..................... Spartanburg County, S Carolina.. 43900 0.9394 0.9190 -2.17
42420..................... Sumter County, S Carolina....... 44940 0.8377 0.8098 -3.33
42430..................... Union County, S Carolina........ 99942 0.8635 0.8583 -0.60
42440..................... Williamsburg County, S Carolina. 99942 0.8635 0.8583 -0.60
42450..................... York County, S Carolina......... 16740 0.9733 0.9564 -1.74
43010..................... Aurora County, S Dakota......... 99943 0.8556 0.8496 -0.70
43020..................... Beadle County, S Dakota......... 99943 0.8556 0.8496 -0.70
43030..................... Bennett County, S Dakota........ 99943 0.8556 0.8496 -0.70
43040..................... Bon Homme County, S Dakota...... 99943 0.8556 0.8496 -0.70
43050..................... Brookings County, S Dakota...... 99943 0.8556 0.8496 -0.70
43060..................... Brown County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43070..................... Brule County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43080..................... Buffalo County, S Dakota........ 99943 0.8556 0.8496 -0.70
43090..................... Butte County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43100..................... Campbell County, S Dakota....... 99943 0.8556 0.8496 -0.70
43110..................... Charles Mix County, S Dakota.... 99943 0.8556 0.8496 -0.70
43120..................... Clark County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43130..................... Clay County, S Dakota........... 99943 0.8556 0.8496 -0.70
43140..................... Codington County, S Dakota...... 99943 0.8556 0.8496 -0.70
43150..................... Corson County, S Dakota......... 99943 0.8556 0.8496 -0.70
43160..................... Custer County, S Dakota......... 99943 0.8556 0.8496 -0.70
43170..................... Davison County, S Dakota........ 99943 0.8556 0.8496 -0.70
43180..................... Day County, S Dakota............ 99943 0.8556 0.8496 -0.70
43190..................... Deuel County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43200..................... Dewey County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43210..................... Douglas County, S Dakota........ 99943 0.8556 0.8496 -0.70
43220..................... Edmunds County, S Dakota........ 99943 0.8556 0.8496 -0.70
43230..................... Fall River County, S Dakota..... 99943 0.8556 0.8496 -0.70
43240..................... Faulk County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43250..................... Grant County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43260..................... Gregory County, S Dakota........ 99943 0.8556 0.8496 -0.70
43270..................... Haakon County, S Dakota......... 99943 0.8556 0.8496 -0.70
43280..................... Hamlin County, S Dakota......... 99943 0.8556 0.8496 -0.70
43290..................... Hand County, S Dakota........... 99943 0.8556 0.8496 -0.70
43300..................... Hanson County, S Dakota......... 99943 0.8556 0.8496 -0.70
43310..................... Harding County, S Dakota........ 99943 0.8556 0.8496 -0.70
43320..................... Hughes County, S Dakota......... 99943 0.8556 0.8496 -0.70
43330..................... Hutchinson County, S Dakota..... 99943 0.8556 0.8496 -0.70
43340..................... Hyde County, S Dakota........... 99943 0.8556 0.8496 -0.70
43350..................... Jackson County, S Dakota........ 99943 0.8556 0.8496 -0.70
43360..................... Jerauld County, S Dakota........ 99943 0.8556 0.8496 -0.70
43370..................... Jones County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43380..................... Kingsbury County, S Dakota...... 99943 0.8556 0.8496 -0.70
43390..................... Lake County, S Dakota........... 99943 0.8556 0.8496 -0.70
43400..................... Lawrence County, S Dakota....... 99943 0.8556 0.8496 -0.70
43410..................... Lincoln County, S Dakota........ 43620 0.9635 0.9587 -0.50
43420..................... Lyman County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43430..................... Mc Cook County, S Dakota........ 43620 0.9093 0.9587 5.43
43440..................... Mc Pherson County, S Dakota..... 99943 0.8556 0.8496 -0.70
[[Page 44169]]
43450..................... Marshall County, S Dakota....... 99943 0.8556 0.8496 -0.70
43460..................... Meade County, S Dakota.......... 39660 0.8769 1.0351 18.04
43470..................... Mellette County, S Dakota....... 99943 0.8556 0.8496 -0.70
43480..................... Miner County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43490..................... Minnehaha County, S Dakota...... 43620 0.9635 0.9587 -0.50
43500..................... Moody County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43510..................... Pennington County, S Dakota..... 39660 0.8987 1.0351 15.18
43520..................... Perkins County, S Dakota........ 99943 0.8556 0.8496 -0.70
43530..................... Potter County, S Dakota......... 99943 0.8556 0.8496 -0.70
43540..................... Roberts County, S Dakota........ 99943 0.8556 0.8496 -0.70
43550..................... Sanborn County, S Dakota........ 99943 0.8556 0.8496 -0.70
43560..................... Shannon County, S Dakota........ 99943 0.8556 0.8496 -0.70
43570..................... Spink County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43580..................... Stanley County, S Dakota........ 99943 0.8556 0.8496 -0.70
43590..................... Sully County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43600..................... Todd County, S Dakota........... 99943 0.8556 0.8496 -0.70
43610..................... Tripp County, S Dakota.......... 99943 0.8556 0.8496 -0.70
43620..................... Turner County, S Dakota......... 43620 0.9093 0.9587 5.43
43630..................... Union County, S Dakota.......... 43580 0.8966 0.9217 2.80
43640..................... Walworth County, S Dakota....... 99943 0.8556 0.8496 -0.70
43650..................... Washabaugh County, S Dakota..... 99943 0.8556 0.8496 -0.70
43670..................... Yankton County, S Dakota........ 99943 0.8556 0.8496 -0.70
43680..................... Ziebach County, S Dakota........ 99943 0.8556 0.8496 -0.70
44000..................... Anderson County, Tennessee...... 28940 0.8419 0.8263 -1.85
44010..................... Bedford County, Tennessee....... 99944 0.7915 0.7841 -0.93
44020..................... Benton County, Tennessee........ 99944 0.7915 0.7841 -0.93
44030..................... Bledsoe County, Tennessee....... 99944 0.7915 0.7841 -0.93
44040..................... Blount County, Tennessee........ 28940 0.8419 0.8263 -1.85
44050..................... Bradley County, Tennessee....... 17420 0.8037 0.8124 1.08
44060..................... Campbell County, Tennessee...... 99944 0.7915 0.7841 -0.93
44070..................... Cannon County, Tennessee........ 34980 0.8838 0.9862 11.59
44080..................... Carroll County, Tennessee....... 99944 0.7915 0.7841 -0.93
44090..................... Carter County, Tennessee........ 27740 0.7972 0.8057 1.07
44100..................... Cheatham County, Tennessee...... 34980 0.9751 0.9862 1.14
44110..................... Chester County, Tennessee....... 27180 0.8964 0.8869 -1.06
44120..................... Claiborne County, Tennessee..... 99944 0.7915 0.7841 -0.93
44130..................... Clay County, Tennessee.......... 99944 0.7915 0.7841 -0.93
44140..................... Cocke County, Tennessee......... 99944 0.7915 0.7841 -0.93
44150..................... Coffee County, Tennessee........ 99944 0.7915 0.7841 -0.93
44160..................... Crockett County, Tennessee...... 99944 0.7915 0.7841 -0.93
44170..................... Cumberland County, Tennessee.... 99944 0.7915 0.7841 -0.93
44180..................... Davidson County, Tennessee...... 34980 0.9751 0.9862 1.14
44190..................... Decatur County, Tennessee....... 99944 0.7915 0.7841 -0.93
44200..................... De Kalb County, Tennessee....... 99944 0.7915 0.7841 -0.93
44210..................... Dickson County, Tennessee....... 34980 0.9751 0.9862 1.14
44220..................... Dyer County, Tennessee.......... 99944 0.7915 0.7841 -0.93
44230..................... Fayette County, Tennessee....... 32820 0.9407 0.9361 -0.49
44240..................... Fentress County, Tennessee...... 99944 0.7915 0.7841 -0.93
44250..................... Franklin County, Tennessee...... 99944 0.7915 0.7841 -0.93
44260..................... Gibson County, Tennessee........ 99944 0.7915 0.7841 -0.93
44270..................... Giles County, Tennessee......... 99944 0.7915 0.7841 -0.93
44280..................... Grainger County, Tennessee...... 34100 0.7948 0.7944 -0.05
44290..................... Greene County, Tennessee........ 99944 0.7915 0.7841 -0.93
44300..................... Grundy County, Tennessee........ 99944 0.7915 0.7841 -0.93
44310..................... Hamblen County, Tennessee....... 34100 0.7948 0.7944 -0.05
44320..................... Hamilton County, Tennessee...... 16860 0.9088 0.8963 -1.38
44330..................... Hancock County, Tennessee....... 99944 0.7915 0.7841 -0.93
44340..................... Hardeman County, Tennessee...... 99944 0.7915 0.7841 -0.93
44350..................... Hardin County, Tennessee........ 99944 0.7915 0.7841 -0.93
44360..................... Hawkins County, Tennessee....... 28700 0.8031 0.7975 -0.70
44370..................... Haywood County, Tennessee....... 99944 0.7915 0.7841 -0.93
44380..................... Henderson County, Tennessee..... 99944 0.7915 0.7841 -0.93
44390..................... Henry County, Tennessee......... 99944 0.7915 0.7841 -0.93
44400..................... Hickman County, Tennessee....... 34980 0.8838 0.9862 11.59
44410..................... Houston County, Tennessee....... 99944 0.7915 0.7841 -0.93
44420..................... Humphreys County, Tennessee..... 99944 0.7915 0.7841 -0.93
44430..................... Jackson County, Tennessee....... 99944 0.7915 0.7841 -0.93
[[Page 44170]]
44440..................... Jefferson County, Tennessee..... 34100 0.7948 0.7944 -0.05
44450..................... Johnson County, Tennessee....... 99944 0.7915 0.7841 -0.93
44460..................... Knox County, Tennessee.......... 28940 0.8419 0.8263 -1.85
44470..................... Lake County, Tennessee.......... 99944 0.7915 0.7841 -0.93
44480..................... Lauderdale County, Tennessee.... 99944 0.7915 0.7841 -0.93
44490..................... Lawrence County, Tennessee...... 99944 0.7915 0.7841 -0.93
44500..................... Lewis County, Tennessee......... 99944 0.7915 0.7841 -0.93
44510..................... Lincoln County, Tennessee....... 99944 0.7915 0.7841 -0.93
44520..................... Loudon County, Tennessee........ 28940 0.8419 0.8263 -1.85
44530..................... Mc Minn County, Tennessee....... 99944 0.7915 0.7841 -0.93
44540..................... Mc Nairy County, Tennessee...... 99944 0.7915 0.7841 -0.93
44550..................... Macon County, Tennessee......... 34980 0.8838 0.9862 11.59
44560..................... Madison County, Tennessee....... 27180 0.8964 0.8869 -1.06
44570..................... Marion County, Tennessee........ 16860 0.9088 0.8963 -1.38
44580..................... Marshall County, Tennessee...... 99944 0.7915 0.7841 -0.93
44590..................... Maury County, Tennessee......... 99944 0.7915 0.7841 -0.93
44600..................... Meigs County, Tennessee......... 99944 0.7915 0.7841 -0.93
44610..................... Monroe County, Tennessee........ 99944 0.7915 0.7841 -0.93
44620..................... Montgomery County, Tennessee.... 17300 0.8284 0.8451 2.02
44630..................... Moore County, Tennessee......... 99944 0.7915 0.7841 -0.93
44640..................... Morgan County, Tennessee........ 99944 0.7915 0.7841 -0.93
44650..................... Obion County, Tennessee......... 99944 0.7915 0.7841 -0.93
44660..................... Overton County, Tennessee....... 99944 0.7915 0.7841 -0.93
44670..................... Perry County, Tennessee......... 99944 0.7915 0.7841 -0.93
44680..................... Pickett County, Tennessee....... 99944 0.7915 0.7841 -0.93
44690..................... Polk County, Tennessee.......... 17420 0.8037 0.8124 1.08
44700..................... Putnam County, Tennessee........ 99944 0.7915 0.7841 -0.93
44710..................... Rhea County, Tennessee.......... 99944 0.7915 0.7841 -0.93
44720..................... Roane County, Tennessee......... 99944 0.7915 0.7841 -0.93
44730..................... Robertson County, Tennessee..... 34980 0.9751 0.9862 1.14
44740..................... Rutherford County, Tennessee.... 34980 0.9751 0.9862 1.14
44750..................... Scott County, Tennessee......... 99944 0.7915 0.7841 -0.93
44760..................... Sequatchie County, Tennessee.... 16860 0.8512 0.8963 5.30
44770..................... Sevier County, Tennessee........ 99944 0.8146 0.7841 -3.74
44780..................... Shelby County, Tennessee........ 32820 0.9407 0.9361 -0.49
44790..................... Smith County, Tennessee......... 34980 0.8838 0.9862 11.59
44800..................... Stewart County, Tennessee....... 17300 0.8110 0.8451 4.20
44810..................... Sullivan County, Tennessee...... 28700 0.8031 0.7975 -0.70
44820..................... Sumner County, Tennessee........ 34980 0.9751 0.9862 1.14
44830..................... Tipton County, Tennessee........ 32820 0.9407 0.9361 -0.49
44840..................... Trousdale County, Tennessee..... 34980 0.8838 0.9862 11.59
44850..................... Unicoi County, Tennessee........ 27740 0.7972 0.8057 1.07
44860..................... Union County, Tennessee......... 28940 0.8419 0.8263 -1.85
44870..................... Van Buren County, Tennessee..... 99944 0.7915 0.7841 -0.93
44880..................... Warren County, Tennessee........ 99944 0.7915 0.7841 -0.93
44890..................... Washington County, Tennessee.... 27740 0.7972 0.8057 1.07
44900..................... Wayne County, Tennessee......... 99944 0.7915 0.7841 -0.93
44910..................... Weakley County, Tennessee....... 99944 0.7915 0.7841 -0.93
44920..................... White County, Tennessee......... 99944 0.7915 0.7841 -0.93
44930..................... Williamson County, Tennessee.... 34980 0.9751 0.9862 1.14
44940..................... Wilson County, Tennessee........ 34980 0.9751 0.9862 1.14
45000..................... Anderson County, Texas.......... 99945 0.7967 0.7973 0.08
45010..................... Andrews County, Texas........... 99945 0.7967 0.7973 0.08
45020..................... Angelina County, Texas.......... 99945 0.7967 0.7973 0.08
45030..................... Aransas County, Texas........... 18580 0.8241 0.8579 4.10
45040..................... Archer County, Texas............ 48660 0.8325 0.8326 0.01
45050..................... Armstrong County, Texas......... 11100 0.8544 0.9177 7.41
45060..................... Atascosa County, Texas.......... 41700 0.8456 0.8860 4.78
45070..................... Austin County, Texas............ 26420 0.8962 1.0026 11.87
45080..................... Bailey County, Texas............ 99945 0.7967 0.7973 0.08
45090..................... Bandera County, Texas........... 41700 0.8456 0.8860 4.78
45100..................... Bastrop County, Texas........... 12420 0.9437 0.9360 -0.82
45110..................... Baylor County, Texas............ 99945 0.7967 0.7973 0.08
45113..................... Bee County, Texas............... 99945 0.7967 0.7973 0.08
45120..................... Bell County, Texas.............. 28660 0.8526 0.9098 6.71
45130..................... Bexar County, Texas............. 41700 0.8982 0.8860 -1.36
45140..................... Blanco County, Texas............ 99945 0.7967 0.7973 0.08
[[Page 44171]]
45150..................... Borden County, Texas............ 99945 0.7967 0.7973 0.08
45160..................... Bosque County, Texas............ 99945 0.7967 0.7973 0.08
45170..................... Bowie County, Texas............. 45500 0.8283 0.8118 -1.99
45180..................... Brazoria County, Texas.......... 26420 0.9278 1.0026 8.06
45190..................... Brazos County, Texas............ 17780 0.8900 0.9061 1.81
45200..................... Brewster County, Texas.......... 99945 0.7967 0.7973 0.08
45201..................... Briscoe County, Texas........... 99945 0.7967 0.7973 0.08
45210..................... Brooks County, Texas............ 99945 0.7967 0.7973 0.08
45220..................... Brown County, Texas............. 99945 0.7967 0.7973 0.08
45221..................... Burleson County, Texas.......... 17780 0.8416 0.9061 7.66
45222..................... Burnet County, Texas............ 99945 0.7967 0.7973 0.08
45223..................... Caldwell County, Texas.......... 12420 0.9437 0.9360 -0.82
45224..................... Calhoun County, Texas........... 47020 0.8046 0.8575 6.57
45230..................... Callahan County, Texas.......... 10180 0.7914 0.8014 1.26
45240..................... Cameron County, Texas........... 15180 0.9804 0.9446 -3.65
45250..................... Camp County, Texas.............. 99945 0.7967 0.7973 0.08
45251..................... Carson County, Texas............ 11100 0.8544 0.9177 7.41
45260..................... Cass County, Texas.............. 99945 0.7967 0.7973 0.08
45270..................... Castro County, Texas............ 99945 0.7967 0.7973 0.08
45280..................... Chambers County, Texas.......... 26420 1.0040 1.0026 -0.14
45281..................... Cherokee County, Texas.......... 99945 0.7967 0.7973 0.08
45290..................... Childress County, Texas......... 99945 0.7967 0.7973 0.08
45291..................... Clay County, Texas.............. 48660 0.8108 0.8326 2.69
45292..................... Cochran County, Texas........... 99945 0.7967 0.7973 0.08
45300..................... Coke County, Texas.............. 99945 0.7967 0.7973 0.08
45301..................... Coleman County, Texas........... 99945 0.7967 0.7973 0.08
45310..................... Collin County, Texas............ 19124 1.0217 1.0093 -1.21
45311..................... Collingsworth County, Texas..... 99945 0.7967 0.7973 0.08
45312..................... Colorado County, Texas.......... 99945 0.7967 0.7973 0.08
45320..................... Comal County, Texas............. 41700 0.8982 0.8860 -1.36
45321..................... Comanche County, Texas.......... 99945 0.7967 0.7973 0.08
45330..................... Concho County, Texas............ 99945 0.7967 0.7973 0.08
45340..................... Cooke County, Texas............. 99945 0.7967 0.7973 0.08
45341..................... Coryell County, Texas........... 28660 0.8526 0.9098 6.71
45350..................... Cottle County, Texas............ 99945 0.7967 0.7973 0.08
45360..................... Crane County, Texas............. 99945 0.7967 0.7973 0.08
45361..................... Crockett County, Texas.......... 99945 0.7967 0.7973 0.08
45362..................... Crosby County, Texas............ 31180 0.8357 0.8628 3.24
45370..................... Culberson County, Texas......... 99945 0.7967 0.7973 0.08
45380..................... Dallam County, Texas............ 99945 0.7967 0.7973 0.08
45390..................... Dallas County, Texas............ 19124 1.0217 1.0093 -1.21
45391..................... Dawson County, Texas............ 99945 0.7967 0.7973 0.08
45392..................... Deaf Smith County, Texas........ 99945 0.7967 0.7973 0.08
45400..................... Delta County, Texas............. 19124 0.9080 1.0093 11.16
45410..................... Denton County, Texas............ 19124 1.0217 1.0093 -1.21
45420..................... De Witt County, Texas........... 99945 0.7967 0.7973 0.08
45421..................... Dickens County, Texas........... 99945 0.7967 0.7973 0.08
45430..................... Dimmit County, Texas............ 99945 0.7967 0.7973 0.08
45431..................... Donley County, Texas............ 99945 0.7967 0.7973 0.08
45440..................... Duval County, Texas............. 99945 0.7967 0.7973 0.08
45450..................... Eastland County, Texas.......... 99945 0.7967 0.7973 0.08
45451..................... Ector County, Texas............. 36220 0.9813 1.0119 3.12
45460..................... Edwards County, Texas........... 99945 0.7967 0.7973 0.08
45470..................... Ellis County, Texas............. 19124 1.0217 1.0093 -1.21
45480..................... El Paso County, Texas........... 21340 0.8977 0.9069 1.02
45490..................... Erath County, Texas............. 99945 0.7967 0.7973 0.08
45500..................... Falls County, Texas............. 99945 0.7967 0.7973 0.08
45510..................... Fannin County, Texas............ 99945 0.7967 0.7973 0.08
45511..................... Fayette County, Texas........... 99945 0.7967 0.7973 0.08
45520..................... Fisher County, Texas............ 99945 0.7967 0.7973 0.08
45521..................... Floyd County, Texas............. 99945 0.7967 0.7973 0.08
45522..................... Foard County, Texas............. 99945 0.7967 0.7973 0.08
45530..................... Fort Bend County, Texas......... 26420 1.0040 1.0026 -0.14
45531..................... Franklin County, Texas.......... 99945 0.7967 0.7973 0.08
45540..................... Freestone County, Texas......... 99945 0.7967 0.7973 0.08
45541..................... Frio County, Texas.............. 99945 0.7967 0.7973 0.08
45542..................... Gaines County, Texas............ 99945 0.7967 0.7973 0.08
[[Page 44172]]
45550..................... Galveston County, Texas......... 26420 0.9814 1.0026 2.16
45551..................... Garza County, Texas............. 99945 0.7967 0.7973 0.08
45552..................... Gillespie County, Texas......... 99945 0.7967 0.7973 0.08
45560..................... Glasscock County, Texas......... 99945 0.7967 0.7973 0.08
45561..................... Goliad County, Texas............ 47020 0.8046 0.8575 6.57
45562..................... Gonzales County, Texas.......... 99945 0.7967 0.7973 0.08
45563..................... Gray County, Texas.............. 99945 0.7967 0.7973 0.08
45564..................... Grayson County, Texas........... 43300 0.9507 0.8517 -10.41
45570..................... Gregg County, Texas............. 30980 0.8809 0.8803 -0.07
45580..................... Grimes County, Texas............ 99945 0.7967 0.7973 0.08
45581..................... Guadaloupe County, Texas........ 41700 0.8982 0.8860 -1.36
45582..................... Hale County, Texas.............. 99945 0.7967 0.7973 0.08
45583..................... Hall County, Texas.............. 99945 0.7967 0.7973 0.08
45590..................... Hamilton County, Texas.......... 99945 0.7967 0.7973 0.08
45591..................... Hansford County, Texas.......... 99945 0.7967 0.7973 0.08
45592..................... Hardeman County, Texas.......... 99945 0.7967 0.7973 0.08
45600..................... Hardin County, Texas............ 13140 0.8412 0.8610 2.35
45610..................... Harris County, Texas............ 26420 1.0040 1.0026 -0.14
45620..................... Harrison County, Texas.......... 99945 0.8446 0.7973 -5.60
45621..................... Hartley County, Texas........... 99945 0.7967 0.7973 0.08
45630..................... Haskell County, Texas........... 99945 0.7967 0.7973 0.08
45631..................... Hays County, Texas.............. 12420 0.9437 0.9360 -0.82
45632..................... Hemphill County, Texas.......... 99945 0.7967 0.7973 0.08
45640..................... Henderson County, Texas......... 99945 0.9104 0.7973 -12.42
45650..................... Hidalgo County, Texas........... 32580 0.8934 0.8788 -1.63
45651..................... Hill County, Texas.............. 99945 0.7967 0.7973 0.08
45652..................... Hockley County, Texas........... 99945 0.7967 0.7973 0.08
45653..................... Hood County, Texas.............. 99945 0.8763 0.7973 -9.02
45654..................... Hopkins County, Texas........... 99945 0.7967 0.7973 0.08
45660..................... Houston County, Texas........... 99945 0.7967 0.7973 0.08
45661..................... Howard County, Texas............ 99945 0.7967 0.7973 0.08
45662..................... Hudspeth County, Texas.......... 99945 0.7967 0.7973 0.08
45670..................... Hunt County, Texas.............. 19124 1.0217 1.0093 -1.21
45671..................... Hutchinson County, Texas........ 99945 0.7967 0.7973 0.08
45672..................... Irion County, Texas............. 41660 0.8101 0.8377 3.41
45680..................... Jack County, Texas.............. 99945 0.7967 0.7973 0.08
45681..................... Jackson County, Texas........... 99945 0.7967 0.7973 0.08
45690..................... Jasper County, Texas............ 99945 0.7967 0.7973 0.08
45691..................... Jeff Davis County, Texas........ 99945 0.7967 0.7973 0.08
45700..................... Jefferson County, Texas......... 13140 0.8412 0.8610 2.35
45710..................... Jim Hogg County, Texas.......... 99945 0.7967 0.7973 0.08
45711..................... Jim Wells County, Texas......... 99945 0.7967 0.7973 0.08
45720..................... Johnson County, Texas........... 23104 0.9504 0.9587 0.87
45721..................... Jones County, Texas............. 10180 0.7914 0.8014 1.26
45722..................... Karnes County, Texas............ 99945 0.7967 0.7973 0.08
45730..................... Kaufman County, Texas........... 19124 1.0217 1.0093 -1.21
45731..................... Kendall County, Texas........... 41700 0.8456 0.8860 4.78
45732..................... Kenedy County, Texas............ 99945 0.7967 0.7973 0.08
45733..................... Kent County, Texas.............. 99945 0.7967 0.7973 0.08
45734..................... Kerr County, Texas.............. 99945 0.7967 0.7973 0.08
45740..................... Kimble County, Texas............ 99945 0.7967 0.7973 0.08
45741..................... King County, Texas.............. 99945 0.7967 0.7973 0.08
45742..................... Kinney County, Texas............ 99945 0.7967 0.7973 0.08
45743..................... Kleberg County, Texas........... 99945 0.7967 0.7973 0.08
45744..................... Knox County, Texas.............. 99945 0.7967 0.7973 0.08
45750..................... Lamar County, Texas............. 99945 0.7967 0.7973 0.08
45751..................... Lamb County, Texas.............. 99945 0.7967 0.7973 0.08
45752..................... Lampasas County, Texas.......... 28660 0.8229 0.9098 10.56
45753..................... La Salle County, Texas.......... 99945 0.7967 0.7973 0.08
45754..................... Lavaca County, Texas............ 99945 0.7967 0.7973 0.08
45755..................... Lee County, Texas............... 99945 0.7967 0.7973 0.08
45756..................... Leon County, Texas.............. 99945 0.7967 0.7973 0.08
45757..................... Liberty County, Texas........... 26420 1.0040 1.0026 -0.14
45758..................... Limestone County, Texas......... 99945 0.7967 0.7973 0.08
45759..................... Lipscomb County, Texas.......... 99945 0.7967 0.7973 0.08
45760..................... Live Oak County, Texas.......... 99945 0.7967 0.7973 0.08
45761..................... Llano County, Texas............. 99945 0.7967 0.7973 0.08
[[Page 44173]]
45762..................... Loving County, Texas............ 99945 0.7967 0.7973 0.08
45770..................... Lubbock County, Texas........... 31180 0.8783 0.8628 -1.76
45771..................... Lynn County, Texas.............. 99945 0.7967 0.7973 0.08
45772..................... Mc Culloch County, Texas........ 99945 0.7967 0.7973 0.08
45780..................... Mc Lennan County, Texas......... 47380 0.8518 0.8648 1.53
45781..................... Mc Mullen County, Texas......... 99945 0.7967 0.7973 0.08
45782..................... Madison County, Texas........... 99945 0.7967 0.7973 0.08
45783..................... Marion County, Texas............ 99945 0.7967 0.7973 0.08
45784..................... Martin County, Texas............ 99945 0.7967 0.7973 0.08
45785..................... Mason County, Texas............. 99945 0.7967 0.7973 0.08
45790..................... Matagorda County, Texas......... 99945 0.7967 0.7973 0.08
45791..................... Maverick County, Texas.......... 99945 0.7967 0.7973 0.08
45792..................... Medina County, Texas............ 41700 0.8456 0.8860 4.78
45793..................... Menard County, Texas............ 99945 0.7967 0.7973 0.08
45794..................... Midland County, Texas........... 33260 0.9628 0.9803 1.82
45795..................... Milam County, Texas............. 99945 0.7967 0.7973 0.08
45796..................... Mills County, Texas............. 99945 0.7967 0.7973 0.08
45797..................... Mitchell County, Texas.......... 99945 0.7967 0.7973 0.08
45800..................... Montague County, Texas.......... 99945 0.7967 0.7973 0.08
45801..................... Montgomery County, Texas........ 26420 1.0040 1.0026 -0.14
45802..................... Moore County, Texas............. 99945 0.7967 0.7973 0.08
45803..................... Morris County, Texas............ 99945 0.7967 0.7973 0.08
45804..................... Motley County, Texas............ 99945 0.7967 0.7973 0.08
45810..................... Nacogdoches County, Texas....... 99945 0.7967 0.7973 0.08
45820..................... Navarro County, Texas........... 99945 0.7967 0.7973 0.08
45821..................... Newton County, Texas............ 99945 0.7967 0.7973 0.08
45822..................... Nolan County, Texas............. 99945 0.7967 0.7973 0.08
45830..................... Nueces County, Texas............ 18580 0.8550 0.8579 0.34
45831..................... Ochiltree County, Texas......... 99945 0.7967 0.7973 0.08
45832..................... Oldham County, Texas............ 99945 0.7967 0.7973 0.08
45840..................... Orange County, Texas............ 13140 0.8412 0.8610 2.35
45841..................... Palo Pinto County, Texas........ 99945 0.7967 0.7973 0.08
45842..................... Panola County, Texas............ 99945 0.7967 0.7973 0.08
45843..................... Parker County, Texas............ 23104 0.9504 0.9587 0.87
45844..................... Parmer County, Texas............ 99945 0.7967 0.7973 0.08
45845..................... Pecos County, Texas............. 99945 0.7967 0.7973 0.08
45850..................... Polk County, Texas.............. 99945 0.7967 0.7973 0.08
45860..................... Potter County, Texas............ 11100 0.9156 0.9177 0.23
45861..................... Presidio County, Texas.......... 99945 0.7967 0.7973 0.08
45870..................... Rains County, Texas............. 99945 0.7967 0.7973 0.08
45871..................... Randall County, Texas........... 11100 0.9156 0.9177 0.23
45872..................... Reagan County, Texas............ 99945 0.7967 0.7973 0.08
45873..................... Real County, Texas.............. 99945 0.7967 0.7973 0.08
45874..................... Red River County, Texas......... 99945 0.7967 0.7973 0.08
45875..................... Reeves County, Texas............ 99945 0.7967 0.7973 0.08
45876..................... Refugio County, Texas........... 99945 0.7967 0.7973 0.08
45877..................... Roberts County, Texas........... 99945 0.7967 0.7973 0.08
45878..................... Robertson County, Texas......... 17780 0.8416 0.9061 7.66
45879..................... Rockwall County, Texas.......... 19124 1.0217 1.0093 -1.21
45880..................... Runnels County, Texas........... 99945 0.7967 0.7973 0.08
45881..................... Rusk County, Texas.............. 30980 0.8331 0.8803 5.67
45882..................... Sabine County, Texas............ 99945 0.7967 0.7973 0.08
45883..................... San Augustine County, Texas..... 99945 0.7967 0.7973 0.08
45884..................... San Jacinto County, Texas....... 26420 0.8962 1.0026 11.87
45885..................... San Patricio County, Texas...... 18580 0.8550 0.8579 0.34
45886..................... San Saba County, Texas.......... 99945 0.7967 0.7973 0.08
45887..................... Schleicher County, Texas........ 99945 0.7967 0.7973 0.08
45888..................... Scurry County, Texas............ 99945 0.7967 0.7973 0.08
45889..................... Shackelford County, Texas....... 99945 0.7967 0.7973 0.08
45890..................... Shelby County, Texas............ 99945 0.7967 0.7973 0.08
45891..................... Sherman County, Texas........... 99945 0.7967 0.7973 0.08
45892..................... Smith County, Texas............. 46340 0.9168 0.8827 -3.72
45893..................... Somervell County, Texas......... 99945 0.7967 0.7973 0.08
45900..................... Starr County, Texas............. 99945 0.7967 0.7973 0.08
45901..................... Stephens County, Texas.......... 99945 0.7967 0.7973 0.08
45902..................... Sterling County, Texas.......... 99945 0.7967 0.7973 0.08
45903..................... Stonewall County, Texas......... 99945 0.7967 0.7973 0.08
[[Page 44174]]
45904..................... Sutton County, Texas............ 99945 0.7967 0.7973 0.08
45905..................... Swisher County, Texas........... 99945 0.7967 0.7973 0.08
45910..................... Tarrant County, Texas........... 23104 0.9504 0.9587 0.87
45911..................... Taylor County, Texas............ 10180 0.7975 0.8014 0.49
45912..................... Terrell County, Texas........... 99945 0.7967 0.7973 0.08
45913..................... Terry County, Texas............. 99945 0.7967 0.7973 0.08
45920..................... Throckmorton County, Texas...... 99945 0.7967 0.7973 0.08
45921..................... Titus County, Texas............. 99945 0.7967 0.7973 0.08
45930..................... Tom Green County, Texas......... 41660 0.8271 0.8377 1.28
45940..................... Travis County, Texas............ 12420 0.9437 0.9360 -0.82
45941..................... Trinity County, Texas........... 99945 0.7967 0.7973 0.08
45942..................... Tyler County, Texas............. 99945 0.7967 0.7973 0.08
45943..................... Upshur County, Texas............ 30980 0.8809 0.8803 -0.07
45944..................... Upton County, Texas............. 99945 0.7967 0.7973 0.08
45945..................... Uvalde County, Texas............ 99945 0.7967 0.7973 0.08
45946..................... Val Verde County, Texas......... 99945 0.7967 0.7973 0.08
45947..................... Van Zandt County, Texas......... 99945 0.7967 0.7973 0.08
45948..................... Victoria County, Texas.......... 47020 0.8160 0.8575 5.09
45949..................... Walker County, Texas............ 99945 0.7967 0.7973 0.08
45950..................... Waller County, Texas............ 26420 1.0040 1.0026 -0.14
45951..................... Ward County, Texas.............. 99945 0.7967 0.7973 0.08
45952..................... Washington County, Texas........ 99945 0.7967 0.7973 0.08
45953..................... Webb County, Texas.............. 29700 0.8068 0.7825 -3.01
45954..................... Wharton County, Texas........... 99945 0.7967 0.7973 0.08
45955..................... Wheeler County, Texas........... 99945 0.7967 0.7973 0.08
45960..................... Wichita County, Texas........... 48660 0.8325 0.8326 0.01
45961..................... Wilbarger County, Texas......... 99945 0.7967 0.7973 0.08
45962..................... Willacy County, Texas........... 99945 0.7967 0.7973 0.08
45970..................... Williamson County, Texas........ 12420 0.9437 0.9360 -0.82
45971..................... Wilson County, Texas............ 41700 0.8982 0.8860 -1.36
45972..................... Winkler County, Texas........... 99945 0.7967 0.7973 0.08
45973..................... Wise County, Texas.............. 23104 0.8709 0.9587 10.08
45974..................... Wood County, Texas.............. 99945 0.7967 0.7973 0.08
45980..................... Yoakum County, Texas............ 99945 0.7967 0.7973 0.08
45981..................... Young County, Texas............. 99945 0.7967 0.7973 0.08
45982..................... Zapata County, Texas............ 99945 0.7967 0.7973 0.08
45983..................... Zavala County, Texas............ 99945 0.7967 0.7973 0.08
46000..................... Beaver County, Utah............. 99946 0.8440 0.8154 -3.39
46010..................... Box Elder County, Utah.......... 99946 0.8440 0.8154 -3.39
46020..................... Cache County, Utah.............. 30860 0.8963 0.9038 0.84
46030..................... Carbon County, Utah............. 99946 0.8440 0.8154 -3.39
46040..................... Daggett County, Utah............ 99946 0.8440 0.8154 -3.39
46050..................... Davis County, Utah.............. 36260 0.9185 0.9011 -1.89
46060..................... Duchesne County, Utah........... 99946 0.8440 0.8154 -3.39
46070..................... Emery County, Utah.............. 99946 0.8440 0.8154 -3.39
46080..................... Garfield County, Utah........... 99946 0.8440 0.8154 -3.39
46090..................... Grand County, Utah.............. 99946 0.8440 0.8154 -3.39
46100..................... Iron County, Utah............... 99946 0.8440 0.8154 -3.39
46110..................... Juab County, Utah............... 39340 0.9131 0.9554 4.63
46120..................... Kane County, Utah............... 99946 0.9982 0.8154 -18.31
46130..................... Millard County, Utah............ 99946 0.8440 0.8154 -3.39
46140..................... Morgan County, Utah............. 36260 0.8896 0.9011 1.29
46150..................... Piute County, Utah.............. 99946 0.8440 0.8154 -3.39
46160..................... Rich County, Utah............... 99946 0.8440 0.8154 -3.39
46170..................... Salt Lake County, Utah.......... 41620 0.9381 0.9418 0.39
46180..................... San Juan County, Utah........... 99946 0.8440 0.8154 -3.39
46190..................... Sanpete County, Utah............ 99946 0.8440 0.8154 -3.39
46200..................... Sevier County, Utah............. 99946 0.8440 0.8154 -3.39
46210..................... Summit County, Utah............. 41620 0.9092 0.9418 3.59
46220..................... Tooele County, Utah............. 41620 0.9092 0.9418 3.59
46230..................... Uintah County, Utah............. 99946 0.8440 0.8154 -3.39
46240..................... Utah County, Utah............... 39340 0.9500 0.9554 0.57
46250..................... Wasatch County, Utah............ 99946 0.8440 0.8154 -3.39
46260..................... Washington County, Utah......... 41100 0.9077 0.9281 2.25
46270..................... Wayne County, Utah.............. 99946 0.8440 0.8154 -3.39
46280..................... Weber County, Utah.............. 36260 0.9185 0.9011 -1.89
47000..................... Addison County, Vermont......... 99947 0.9830 0.9944 1.16
[[Page 44175]]
47010..................... Bennington County, Vermont...... 99947 0.9830 0.9944 1.16
47020..................... Caledonia County, Vermont....... 99947 0.9830 0.9944 1.16
47030..................... Chittenden County, Vermont...... 15540 0.9410 0.9491 0.86
47040..................... Essex County, Vermont........... 99947 0.9830 0.9944 1.16
47050..................... Franklin County, Vermont........ 15540 0.9410 0.9491 0.86
47060..................... Grand Isle County, Vermont...... 15540 0.9410 0.9491 0.86
47070..................... Lamoille County, Vermont........ 99947 0.9830 0.9944 1.16
47080..................... Orange County, Vermont.......... 99947 0.9830 0.9944 1.16
47090..................... Orleans County, Vermont......... 99947 0.9830 0.9944 1.16
47100..................... Rutland County, Vermont......... 99947 0.9830 0.9944 1.16
47110..................... Washington County, Vermont...... 99947 0.9830 0.9944 1.16
47120..................... Windham County, Vermont......... 99947 0.9830 0.9944 1.16
47130..................... Windsor County, Vermont......... 99947 0.9830 0.9944 1.16
48010..................... St Croix County, Virgin Islands. 99948 0.7615 0.7615 0.00
48020..................... St Thomas-John County, Virgin 99948 0.7615 0.7615 0.00
Islands.
49000..................... Accomack County, Virginia....... 99949 0.8215 0.7954 -3.18
49010..................... Albemarle County, Virginia...... 16820 1.0187 1.0143 -0.43
49011..................... Alexandria City County, Virginia 47894 1.0951 1.1074 1.12
49020..................... Alleghany County, Virginia...... 99949 0.8215 0.7954 -3.18
49030..................... Amelia County, Virginia......... 40060 0.8873 0.9193 3.61
49040..................... Amherst County, Virginia........ 31340 0.8691 0.8710 0.22
49050..................... Appomattox County, Virginia..... 31340 0.8554 0.8710 1.82
49060..................... Arlington County, Virginia...... 47894 1.0951 1.1074 1.12
49070..................... Augusta County, Virginia........ 99949 0.8215 0.7954 -3.18
49080..................... Bath County, Virginia........... 99949 0.8215 0.7954 -3.18
49088..................... Bedford City County, Virginia... 31340 0.8691 0.8710 0.22
49090..................... Bedford County, Virginia........ 31340 0.8691 0.8710 0.22
49100..................... Bland County, Virginia.......... 99949 0.8215 0.7954 -3.18
49110..................... Botetourt County, Virginia...... 40220 0.8381 0.8662 3.35
49111..................... Bristol City County, Virginia... 28700 0.8031 0.7975 -0.70
49120..................... Brunswick County, Virginia...... 99949 0.8215 0.7954 -3.18
49130..................... Buchanan County, Virginia....... 99949 0.8215 0.7954 -3.18
49140..................... Buckingham County, Virginia..... 99949 0.8215 0.7954 -3.18
49141..................... Buena Vista City County, 99949 0.8215 0.7954 -3.18
Virginia.
49150..................... Campbell County, Virginia....... 31340 0.8691 0.8710 0.22
49160..................... Caroline County, Virginia....... 40060 0.8873 0.9193 3.61
49170..................... Carroll County, Virginia........ 99949 0.8215 0.7954 -3.18
49180..................... Charles City County, Virginia... 40060 0.9328 0.9193 -1.45
49190..................... Charlotte County, Virginia...... 99949 0.8215 0.7954 -3.18
49191..................... Charlottesville City County, 16820 1.0187 1.0143 -0.43
Virginia.
49194..................... Chesapeake County, Virginia..... 47260 0.8799 0.8805 0.07
49200..................... Chesterfield County, Virginia... 40060 0.9328 0.9193 -1.45
49210..................... Clarke County, Virginia......... 47894 1.0951 1.1074 1.12
49211..................... Clifton Forge City County, 99949 0.8215 0.7954 -3.18
Virginia.
49212..................... Colonial Heights County, 40060 0.9328 0.9193 -1.45
Virginia.
49213..................... Covington City County, Virginia. 99949 0.8215 0.7954 -3.18
49220..................... Craig County, Virginia.......... 40220 0.8396 0.8662 3.17
49230..................... Culpeper County, Virginia....... 99949 0.9495 0.7954 -16.23
49240..................... Cumberland County, Virginia..... 40060 0.8873 0.9193 3.61
49241..................... Danville City County, Virginia.. 19260 0.8489 0.8466 -0.27
49250..................... Dickenson County, Virginia...... 99949 0.8215 0.7954 -3.18
49260..................... Dinniddie County, Virginia...... 40060 0.9328 0.9193 -1.45
49270..................... Emporia County, Virginia........ 99949 0.8215 0.7954 -3.18
49280..................... Essex County, Virginia.......... 99949 0.8215 0.7954 -3.18
49288..................... Fairfax City County, Virginia... 47894 1.0951 1.1074 1.12
49290..................... Fairfax County, Virginia........ 47894 1.0951 1.1074 1.12
49291..................... Falls Church City County, 47894 1.0951 1.1074 1.12
Virginia.
49300..................... Fauquier County, Virginia....... 47894 1.0951 1.1074 1.12
49310..................... Floyd County, Virginia.......... 99949 0.8215 0.7954 -3.18
49320..................... Fluvanna County, Virginia....... 16820 1.0187 1.0143 -0.43
49328..................... Franklin City County, Virginia.. 99949 0.8215 0.7954 -3.18
49330..................... Franklin County, Virginia....... 40220 0.8396 0.8662 3.17
49340..................... Frederick County, Virginia...... 49020 0.9316 1.0109 8.51
49342..................... Fredericksburg City County, 47894 1.0951 1.1074 1.12
Virginia.
49343..................... Galax City County, Virginia..... 99949 0.8215 0.7954 -3.18
49350..................... Giles County, Virginia.......... 13980 0.8186 0.8227 0.50
49360..................... Gloucester County, Virginia..... 47260 0.8799 0.8805 0.07
[[Page 44176]]
49370..................... Goochland County, Virginia...... 40060 0.9328 0.9193 -1.45
49380..................... Grayson County, Virginia........ 99949 0.8215 0.7954 -3.18
49390..................... Greene County, Virginia......... 16820 1.0187 1.0143 -0.43
49400..................... Greensville County, Virginia.... 99949 0.8215 0.7954 -3.18
49410..................... Halifax County, Virginia........ 99949 0.8215 0.7954 -3.18
49411..................... Hampton City County, Virginia... 47260 0.8799 0.8805 0.07
49420..................... Hanover County, Virginia........ 40060 0.9328 0.9193 -1.45
49421..................... Harrisonburg City County, 25500 0.8753 0.9090 3.85
Virginia.
49430..................... Henrico County, Virginia........ 40060 0.9328 0.9193 -1.45
49440..................... Henry County, Virginia.......... 99949 0.8215 0.7954 -3.18
49450..................... Highland County, Virginia....... 99949 0.8215 0.7954 -3.18
49451..................... Hopewell City County, Virginia.. 40060 0.9328 0.9193 -1.45
49460..................... Isle Of Wight County, Virginia.. 47260 0.8799 0.8805 0.07
49470..................... James City County, Virginia..... 47260 0.8799 0.8805 0.07
49480..................... King And Queen County, Virginia. 40060 0.8873 0.9193 3.61
49490..................... King George County, Virginia.... 99949 0.9495 0.7954 -16.23
49500..................... King William County, Virginia... 40060 0.8873 0.9193 3.61
49510..................... Lancaster County, Virginia...... 99949 0.8215 0.7954 -3.18
49520..................... Lee County, Virginia............ 99949 0.8215 0.7954 -3.18
49522..................... Lexington County, Virginia...... 99949 0.8215 0.7954 -3.18
49530..................... Loudoun County, Virginia........ 47894 1.0951 1.1074 1.12
49540..................... Louisa County, Virginia......... 40060 0.8873 0.9193 3.61
49550..................... Lunenburg County, Virginia...... 99949 0.8215 0.7954 -3.18
49551..................... Lynchburg City County, Virginia. 31340 0.8691 0.8710 0.22
49560..................... Madison County, Virginia........ 99949 0.8215 0.7954 -3.18
49561..................... Martinsville City County, 99949 0.8215 0.7954 -3.18
Virginia.
49563..................... Manassas City County, Virginia.. 47894 1.0951 1.1074 1.12
49565..................... Manassas Park City County, 47894 1.0951 1.1074 1.12
Virginia.
49570..................... Mathews County, Virginia........ 47260 0.8799 0.8805 0.07
49580..................... Mecklenburg County, Virginia.... 99949 0.8215 0.7954 -3.18
49590..................... Middlesex County, Virginia...... 99949 0.8215 0.7954 -3.18
49600..................... Montgomery County, Virginia..... 13980 0.8186 0.8227 0.50
49610..................... Nansemond, Virginia............. 99949 0.8215 0.7954 -3.18
49620..................... Nelson County, Virginia......... 16820 0.9302 1.0143 9.04
49621..................... New Kent County, Virginia....... 40060 0.9328 0.9193 -1.45
49622..................... Newport News City County, 47260 0.8799 0.8805 0.07
Virginia.
49641..................... Norfolk City County, Virginia... 47260 0.8799 0.8805 0.07
49650..................... Northampton County, Virginia.... 99949 0.8215 0.7954 -3.18
49660..................... Northumberland County, Virginia. 99949 0.8215 0.7954 -3.18
49661..................... Norton City County, Virginia.... 99949 0.8215 0.7954 -3.18
49670..................... Nottoway County, Virginia....... 99949 0.8215 0.7954 -3.18
49680..................... Orange County, Virginia......... 99949 0.8215 0.7954 -3.18
49690..................... Page County, Virginia........... 99949 0.8215 0.7954 -3.18
49700..................... Patrick County, Virginia........ 99949 0.8215 0.7954 -3.18
49701..................... Petersburg City County, Virginia 40060 0.9328 0.9193 -1.45
49710..................... Pittsylvania County, Virginia... 19260 0.8489 0.8466 -0.27
49711..................... Portsmouth City County, Virginia 47260 0.8799 0.8805 0.07
49712..................... Poquoson City County, Virginia.. 47260 0.8799 0.8805 0.07
49720..................... Powhatan County, Virginia....... 40060 0.9328 0.9193 -1.45
49730..................... Prince Edward County, Virginia.. 99949 0.8215 0.7954 -3.18
49740..................... Prince George County, Virginia.. 40060 0.9328 0.9193 -1.45
49750..................... Prince William County, Virginia. 47894 1.0951 1.1074 1.12
49770..................... Pulaski County, Virginia........ 13980 0.8186 0.8227 0.50
49771..................... Radford City County, Virginia... 13980 0.8186 0.8227 0.50
49780..................... Rappahannock County, Virginia... 99949 0.8215 0.7954 -3.18
49790..................... Richmond County, Virginia....... 99949 0.8215 0.7954 -3.18
49791..................... Richmond City County, Virginia.. 40060 0.9328 0.9193 -1.45
49800..................... Roanoke County, Virginia........ 40220 0.8381 0.8662 3.35
49801..................... Roanoke City County, Virginia... 40220 0.8381 0.8662 3.35
49810..................... Rockbridge County, Virginia..... 99949 0.8215 0.7954 -3.18
49820..................... Rockingham County, Virginia..... 25500 0.8753 0.9090 3.85
49830..................... Russell County, Virginia........ 99949 0.8215 0.7954 -3.18
49838..................... Salem County, Virginia.......... 40220 0.8381 0.8662 3.35
49840..................... Scott County, Virginia.......... 28700 0.8031 0.7975 -0.70
49850..................... Shenandoah County, Virginia..... 99949 0.8215 0.7954 -3.18
49860..................... Smyth County, Virginia.......... 99949 0.8215 0.7954 -3.18
49867..................... South Boston City County, 99949 0.8215 0.7954 -3.18
Virginia.
[[Page 44177]]
49870..................... Southampton County, Virginia.... 99949 0.8215 0.7954 -3.18
49880..................... Spotsylvania County, Virginia... 47894 1.0951 1.1074 1.12
49890..................... Stafford County, Virginia....... 47894 1.0951 1.1074 1.12
49891..................... Staunton City County, Virginia.. 99949 0.8215 0.7954 -3.18
49892..................... Suffolk City County, Virginia... 47260 0.8799 0.8805 0.07
49900..................... Surry County, Virginia.......... 47260 0.8608 0.8805 2.29
49910..................... Sussex County, Virginia......... 40060 0.8873 0.9193 3.61
49920..................... Tazewell County, Virginia....... 99949 0.8215 0.7954 -3.18
49921..................... Virginia Beach City County, 47260 0.8799 0.8805 0.07
Virginia.
49930..................... Warren County, Virginia......... 47894 1.0951 1.1074 1.12
49950..................... Washington County, Virginia..... 28700 0.8031 0.7975 -0.70
49951..................... Waynesboro City County, Virginia 99949 0.8215 0.7954 -3.18
49960..................... Westmoreland County, Virginia... 99949 0.8215 0.7954 -3.18
49961..................... Williamsburg City County, 47260 0.8799 0.8805 0.07
Virginia.
49962..................... Winchester City County, Virginia 49020 0.9316 1.0109 8.51
49970..................... Wise County, Virginia........... 99949 0.8215 0.7954 -3.18
49980..................... Wythe County, Virginia.......... 99949 0.8215 0.7954 -3.18
49981..................... York County, Virginia........... 47260 0.8799 0.8805 0.07
50000..................... Adams County, Washington........ 99950 1.0364 1.0281 -0.80
50010..................... Asotin County, Washington....... 30300 1.0052 0.9871 -1.80
50020..................... Benton County, Washington....... 28420 1.0619 1.0361 -2.43
50030..................... Chelan County, Washington....... 48300 1.0144 1.0365 2.18
50040..................... Clallam County, Washington...... 99950 1.0364 1.0281 -0.80
50050..................... Clark County, Washington........ 38900 1.1266 1.1436 1.51
50060..................... Columbia County, Washington..... 99950 1.0364 1.0281 -0.80
50070..................... Cowlitz County, Washington...... 31020 0.9898 1.0029 1.32
50080..................... Douglas County, Washington...... 48300 1.0144 1.0365 2.18
50090..................... Ferry County, Washington........ 99950 1.0364 1.0281 -0.80
50100..................... Franklin County, Washington..... 28420 1.0619 1.0361 -2.43
50110..................... Garfield County, Washington..... 99950 1.0364 1.0281 -0.80
50120..................... Grant County, Washington........ 99950 1.0364 1.0281 -0.80
50130..................... Grays Harbor County, Washington. 99950 1.0364 1.0281 -0.80
50140..................... Island County, Washington....... 99950 1.1039 1.0281 -6.87
50150..................... Jefferson County, Washington.... 99950 1.0364 1.0281 -0.80
50160..................... King County, Washington......... 42644 1.1572 1.1454 -1.02
50170..................... Kitsap County, Washington....... 14740 1.0675 1.0932 2.41
50180..................... Kittitas County, Washington..... 99950 1.0364 1.0281 -0.80
50190..................... Klickitat County, Washington.... 99950 1.0364 1.0281 -0.80
50200..................... Lewis County, Washington........ 99950 1.0364 1.0281 -0.80
50210..................... Lincoln County, Washington...... 99950 1.0364 1.0281 -0.80
50220..................... Mason County, Washington........ 99950 1.0364 1.0281 -0.80
50230..................... Okanogan County, Washington..... 99950 1.0364 1.0281 -0.80
50240..................... Pacific County, Washington...... 99950 1.0364 1.0281 -0.80
50250..................... Pend Oreille County, Washington. 99950 1.0364 1.0281 -0.80
50260..................... Pierce County, Washington....... 45104 1.0742 1.0808 0.61
50270..................... San Juan County, Washington..... 99950 1.0364 1.0281 -0.80
50280..................... Skagit County, Washington....... 34580 1.0336 1.0536 1.93
50290..................... Skamania County, Washington..... 38900 1.0742 1.1436 6.46
50300..................... Snohomish County, Washington.... 42644 1.1572 1.1454 -1.02
50310..................... Spokane County, Washington...... 44060 1.0905 1.0465 -4.03
50320..................... Stevens County, Washington...... 99950 1.0364 1.0281 -0.80
50330..................... Thurston County, Washington..... 36500 1.0927 1.1100 1.58
50340..................... Wahkiakum County, Washington.... 99950 1.0364 1.0281 -0.80
50350..................... Walla Walla County, Washington.. 99950 1.0364 1.0281 -0.80
50360..................... Whatcom County, Washington...... 13380 1.1731 1.1124 -5.17
50370..................... Whitman County, Washington...... 99950 1.0364 1.0281 -0.80
50380..................... Yakima County, Washington....... 49420 1.0155 0.9865 -2.86
51000..................... Barbour County, W Virginia...... 99951 0.7809 0.7620 -2.42
51010..................... Berkeley County, W Virginia..... 25180 1.0233 0.9054 -11.52
51020..................... Boone County, W Virginia........ 16620 0.8173 0.8558 4.71
51030..................... Braxton County, W Virginia...... 99951 0.7809 0.7620 -2.42
51040..................... Brooke County, W Virginia....... 48260 0.7819 0.8078 3.31
51050..................... Cabell County, W Virginia....... 26580 0.9477 0.9013 -4.90
51060..................... Calhoun County, W Virginia...... 99951 0.7809 0.7620 -2.42
51070..................... Clay County, W Virginia......... 16620 0.8173 0.8558 4.71
51080..................... Doddridge County, W Virginia.... 99951 0.7809 0.7620 -2.42
51090..................... Fayette County, W Virginia...... 99951 0.7809 0.7620 -2.42
[[Page 44178]]
51100..................... Gilmer County, W Virginia....... 99951 0.7809 0.7620 -2.42
51110..................... Grant County, W Virginia........ 99951 0.7809 0.7620 -2.42
51120..................... Greenbrier County, W Virginia... 99951 0.7809 0.7620 -2.42
51130..................... Hampshire County, W Virginia.... 49020 0.9057 1.0109 11.62
51140..................... Hancock County, W Virginia...... 48260 0.7819 0.8078 3.31
51150..................... Hardy County, W Virginia........ 99951 0.7809 0.7620 -2.42
51160..................... Harrison County, W Virginia..... 99951 0.7809 0.7620 -2.42
51170..................... Jackson County, W Virginia...... 99951 0.7809 0.7620 -2.42
51180..................... Jefferson County, W Virginia.... 47894 1.0951 1.1074 1.12
51190..................... Kanawha County, W Virginia...... 16620 0.8445 0.8558 1.34
51200..................... Lewis County, W Virginia........ 99951 0.7809 0.7620 -2.42
51210..................... Lincoln County, W Virginia...... 16620 0.8173 0.8558 4.71
51220..................... Logan County, W Virginia........ 99951 0.7809 0.7620 -2.42
51230..................... Mc Dowell County, W Virginia.... 99951 0.7809 0.7620 -2.42
51240..................... Marion County, W Virginia....... 99951 0.7809 0.7620 -2.42
51250..................... Marshall County, W Virginia..... 48540 0.7161 0.7022 -1.94
51260..................... Mason County, W Virginia........ 99951 0.7809 0.7620 -2.42
51270..................... Mercer County, W Virginia....... 99951 0.7809 0.7620 -2.42
51280..................... Mineral County, W Virginia...... 19060 0.9317 0.8859 -4.92
51290..................... Mingo County, W Virginia........ 99951 0.7809 0.7620 -2.42
51300..................... Monongalia County, W Virginia... 34060 0.8160 0.8438 3.41
51310..................... Monroe County, W Virginia....... 99951 0.7809 0.7620 -2.42
51320..................... Morgan County, W Virginia....... 25180 0.8695 0.9054 4.13
51330..................... Nicholas County, W Virginia..... 99951 0.7809 0.7620 -2.42
51340..................... Ohio County, W Virginia......... 48540 0.7161 0.7022 -1.94
51350..................... Pendleton County, W Virginia.... 99951 0.7809 0.7620 -2.42
51360..................... Pleasants County, W Virginia.... 37620 0.8085 0.7940 -1.79
51370..................... Pocahontas County, W Virginia... 99951 0.7809 0.7620 -2.42
51380..................... Preston County, W Virginia...... 34060 0.8160 0.8438 3.41
51390..................... Putnam County, W Virginia....... 16620 0.8445 0.8558 1.34
51400..................... Raleigh County, W Virginia...... 99951 0.7809 0.7620 -2.42
51410..................... Randolph County, W Virginia..... 99951 0.7809 0.7620 -2.42
51420..................... Ritchie County, W Virginia...... 99951 0.7809 0.7620 -2.42
51430..................... Roane County, W Virginia........ 99951 0.7809 0.7620 -2.42
51440..................... Summers County, W Virginia...... 99951 0.7809 0.7620 -2.42
51450..................... Taylor County, W Virginia....... 99951 0.7809 0.7620 -2.42
51460..................... Tucker County, W Virginia....... 99951 0.7809 0.7620 -2.42
51470..................... Tyler County, W Virginia........ 99951 0.7809 0.7620 -2.42
51480..................... Upshur County, W Virginia....... 99951 0.7809 0.7620 -2.42
51490..................... Wayne County, W Virginia........ 26580 0.9477 0.9013 -4.90
51500..................... Webster County, W Virginia...... 99951 0.7809 0.7620 -2.42
51510..................... Wetzel County, W Virginia....... 99951 0.7809 0.7620 -2.42
51520..................... Wirt County, W Virginia......... 37620 0.8085 0.7940 -1.79
51530..................... Wood County, W Virginia......... 37620 0.8270 0.7940 -3.99
51540..................... Wyoming County, W Virginia...... 99951 0.7809 0.7620 -2.42
52000..................... Adams County, Wisconsin......... 99952 0.9494 0.9468 -0.27
52010..................... Ashland County, Wisconsin....... 99952 0.9494 0.9468 -0.27
52020..................... Barron County, Wisconsin........ 99952 0.9494 0.9468 -0.27
52030..................... Bayfield County, Wisconsin...... 99952 0.9494 0.9468 -0.27
52040..................... Brown County, Wisconsin......... 24580 0.9483 0.9804 3.39
52050..................... Buffalo County, Wisconsin....... 99952 0.9494 0.9468 -0.27
52060..................... Burnett County, Wisconsin....... 99952 0.9494 0.9468 -0.27
52070..................... Calumet County, Wisconsin....... 11540 0.9264 0.9472 2.25
52080..................... Chippewa County, Wisconsin...... 20740 0.9201 0.9647 4.85
52090..................... Clark County, Wisconsin......... 99952 0.9494 0.9468 -0.27
52100..................... Columbia County, Wisconsin...... 31540 1.0069 1.0736 6.62
52110..................... Crawford County, Wisconsin...... 99952 0.9494 0.9468 -0.27
52120..................... Dane County, Wisconsin.......... 31540 1.0707 1.0736 0.27
52130..................... Dodge County, Wisconsin......... 99952 0.9494 0.9468 -0.27
52140..................... Door County, Wisconsin.......... 99952 0.9494 0.9468 -0.27
52150..................... Douglas County, Wisconsin....... 20260 1.0213 1.0070 -1.40
52160..................... Dunn County, Wisconsin.......... 99952 0.9494 0.9468 -0.27
52170..................... Eau Claire County, Wisconsin.... 20740 0.9201 0.9647 4.85
52180..................... Florence County, Wisconsin...... 99952 0.9494 0.9468 -0.27
52190..................... Fond Du Lac County, Wisconsin... 22540 0.9559 1.0081 5.46
52200..................... Forest County, Wisconsin........ 99952 0.9494 0.9468 -0.27
52210..................... Grant County, Wisconsin......... 99952 0.9494 0.9468 -0.27
[[Page 44179]]
52220..................... Green County, Wisconsin......... 99952 0.9494 0.9468 -0.27
52230..................... Green Lake County, Wisconsin.... 99952 0.9494 0.9468 -0.27
52240..................... Iowa County, Wisconsin.......... 31540 1.0069 1.0736 6.62
52250..................... Iron County, Wisconsin.......... 99952 0.9494 0.9468 -0.27
52260..................... Jackson County, Wisconsin....... 99952 0.9494 0.9468 -0.27
52270..................... Jefferson County, Wisconsin..... 99952 0.9494 0.9468 -0.27
52280..................... Juneau County, Wisconsin........ 99952 0.9494 0.9468 -0.27
52290..................... Kenosha County, Wisconsin....... 29404 1.0095 1.0406 3.08
52300..................... Kewaunee County, Wisconsin...... 24580 0.9481 0.9804 3.41
52310..................... La Crosse County, Wisconsin..... 29100 0.9564 0.9442 -1.28
52320..................... Lafayette County, Wisconsin..... 99952 0.9494 0.9468 -0.27
52330..................... Langlade County, Wisconsin...... 99952 0.9494 0.9468 -0.27
52340..................... Lincoln County, Wisconsin....... 99952 0.9494 0.9468 -0.27
52350..................... Manitowoc County, Wisconsin..... 99952 0.9494 0.9468 -0.27
52360..................... Marathon County, Wisconsin...... 48140 0.9590 0.9740 1.56
52370..................... Marinette County, Wisconsin..... 99952 0.9494 0.9468 -0.27
52380..................... Marquette County, Wisconsin..... 99952 0.9494 0.9468 -0.27
52381..................... Menominee County, Wisconsin..... 99952 0.9494 0.9468 -0.27
52390..................... Milwaukee County, Wisconsin..... 33340 1.0146 1.0236 0.89
52400..................... Monroe County, Wisconsin........ 99952 0.9494 0.9468 -0.27
52410..................... Oconto County, Wisconsin........ 24580 0.9481 0.9804 3.41
52420..................... Oneida County, Wisconsin........ 99952 0.9494 0.9468 -0.27
52430..................... Outagamie County, Wisconsin..... 11540 0.9264 0.9472 2.25
52440..................... Ozaukee County, Wisconsin....... 33340 1.0146 1.0236 0.89
52450..................... Pepin County, Wisconsin......... 99952 0.9494 0.9468 -0.27
52460..................... Pierce County, Wisconsin........ 33460 1.1075 1.0965 -0.99
52470..................... Polk County, Wisconsin.......... 99952 0.9494 0.9468 -0.27
52480..................... Portage County, Wisconsin....... 99952 0.9494 0.9468 -0.27
52490..................... Price County, Wisconsin......... 99952 0.9494 0.9468 -0.27
52500..................... Racine County, Wisconsin........ 39540 0.8997 0.9192 2.17
52510..................... Richland County, Wisconsin...... 99952 0.9494 0.9468 -0.27
52520..................... Rock County, Wisconsin.......... 27500 0.9538 0.9672 1.40
52530..................... Rusk County, Wisconsin.......... 99952 0.9494 0.9468 -0.27
52540..................... St Croix County, Wisconsin...... 33460 1.1075 1.0965 -0.99
52550..................... Sauk County, Wisconsin.......... 99952 0.9494 0.9468 -0.27
52560..................... Sawyer County, Wisconsin........ 99952 0.9494 0.9468 -0.27
52570..................... Shawano County, Wisconsin....... 99952 0.9494 0.9468 -0.27
52580..................... Sheboygan County, Wisconsin..... 43100 0.8911 0.9042 1.47
52590..................... Taylor County, Wisconsin........ 99952 0.9494 0.9468 -0.27
52600..................... Trempealeau County, Wisconsin... 99952 0.9494 0.9468 -0.27
52610..................... Vernon County, Wisconsin........ 99952 0.9494 0.9468 -0.27
52620..................... Vilas County, Wisconsin......... 99952 0.9494 0.9468 -0.27
52630..................... Walworth County, Wisconsin...... 99952 0.9494 0.9468 -0.27
52640..................... Washburn County, Wisconsin...... 99952 0.9494 0.9468 -0.27
52650..................... Washington County, Wisconsin.... 33340 1.0146 1.0236 0.89
52660..................... Waukesha County, Wisconsin...... 33340 1.0146 1.0236 0.89
52670..................... Waupaca County, Wisconsin....... 99952 0.9494 0.9468 -0.27
52680..................... Waushara County, Wisconsin...... 99952 0.9494 0.9468 -0.27
52690..................... Winnebago County, Wisconsin..... 36780 0.9211 0.9332 1.31
52700..................... Wood County, Wisconsin.......... 99952 0.9494 0.9468 -0.27
53000..................... Albany County, Wyoming.......... 99953 0.9257 0.9311 0.58
53010..................... Big Horn County, Wyoming........ 99953 0.9257 0.9311 0.58
53020..................... Campbell County, Wyoming........ 99953 0.9257 0.9311 0.58
53030..................... Carbon County, Wyoming.......... 99953 0.9257 0.9311 0.58
53040..................... Converse County, Wyoming........ 99953 0.9257 0.9311 0.58
53050..................... Crook County, Wyoming........... 99953 0.9257 0.9311 0.58
53060..................... Fremont County, Wyoming......... 99953 0.9257 0.9311 0.58
53070..................... Goshen County, Wyoming.......... 99953 0.9257 0.9311 0.58
53080..................... Hot Springs County, Wyoming..... 99953 0.9257 0.9311 0.58
53090..................... Johnson County, Wyoming......... 99953 0.9257 0.9311 0.58
53100..................... Laramie County, Wyoming......... 16940 0.8775 0.9076 3.43
53110..................... Lincoln County, Wyoming......... 99953 0.9257 0.9311 0.58
53120..................... Natrona County, Wyoming......... 16220 0.9026 0.9161 1.50
53130..................... Niobrara County, Wyoming........ 99953 0.9257 0.9311 0.58
53140..................... Park County, Wyoming............ 99953 0.9257 0.9311 0.58
53150..................... Platte County, Wyoming.......... 99953 0.9257 0.9311 0.58
53160..................... Sheridan County, Wyoming........ 99953 0.9257 0.9311 0.58
[[Page 44180]]
53170..................... Sublette County, Wyoming........ 99953 0.9257 0.9311 0.58
53180..................... Sweetwater County, Wyoming...... 99953 0.9257 0.9311 0.58
53190..................... Teton County, Wyoming........... 99953 0.9257 0.9311 0.58
53200..................... Uinta County, Wyoming........... 99953 0.9257 0.9311 0.58
53210..................... Washakie County, Wyoming........ 99953 0.9257 0.9311 0.58
53220..................... Weston County, Wyoming.......... 99953 0.9257 0.9311 0.58
65010..................... Agana County, Guam.............. 99965 0.9611 0.9611 0.00
65020..................... Agana Heights County, Guam...... 99965 0.9611 0.9611 0.00
65030..................... Agat County, Guam............... 99965 0.9611 0.9611 0.00
65040..................... Asan County, Guam............... 99965 0.9611 0.9611 0.00
65050..................... Barrigada County, Guam.......... 99965 0.9611 0.9611 0.00
65060..................... Chalan Pago County, Guam........ 99965 0.9611 0.9611 0.00
65070..................... Dededo County, Guam............. 99965 0.9611 0.9611 0.00
65080..................... Inarajan County, Guam........... 99965 0.9611 0.9611 0.00
65090..................... Maite County, Guam.............. 99965 0.9611 0.9611 0.00
65100..................... Mangilao County, Guam........... 99965 0.9611 0.9611 0.00
65110..................... Merizo County, Guam............. 99965 0.9611 0.9611 0.00
65120..................... Mongmong County, Guam........... 99965 0.9611 0.9611 0.00
65130..................... Ordot County, Guam.............. 99965 0.9611 0.9611 0.00
65140..................... Piti County, Guam............... 99965 0.9611 0.9611 0.00
65150..................... Santa Rita County, Guam......... 99965 0.9611 0.9611 0.00
65160..................... Sinajana County, Guam........... 99965 0.9611 0.9611 0.00
65170..................... Talofofo County, Guam........... 99965 0.9611 0.9611 0.00
65180..................... Tamuning County, Guam........... 99965 0.9611 0.9611 0.00
65190..................... Toto County, Guam............... 99965 0.9611 0.9611 0.00
65200..................... Umatac County, Guam............. 99965 0.9611 0.9611 0.00
65210..................... Yigo County, Guam............... 99965 0.9611 0.9611 0.00
65220..................... Yona County, Guam............... 99965 0.9611 0.9611 0.00
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[FR Doc. 06-6614 Filed 7-27-06; 4:00 pm]
BILLING CODE 4120-01-P