Medicare Program; Hospice Wage Index

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

42 CFR Part 418

[BPD-820-F]

RIN 0938-AG93

Medicare Program; Hospice Wage Index

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Final rule.

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SUMMARY: This final rule establishes a methodology to update the wage

index used to adjust Medicare payment rates for hospice care. It also

includes the new wage index, to be effective October 1, 1997. The wage

index is used to reflect local differences in wage levels. A new wage

index is needed because the index currently applied is based on 1981

wage and employment data and has not been updated since 1983. The

methodology is based on the recommendations of a negotiated rulemaking

advisory committee comprised of persons who represent interests

affected by the hospice rules.

EFFECTIVE DATE: October 1, 1997.

FOR FURTHER INFORMATION CONTACT: Carole Blackford, (410) 786-5909.

SUPPLEMENTARY INFORMATION:

I. Background

A. Statute and Regulations

Hospice care is an approach to treatment that recognizes that the

impending death of an individual warrants a change in focus from

curative care to palliative care (relief of pain and other

uncomfortable symptoms). The goal of hospice care is to help terminally

ill individuals continue life with minimal disruption to normal

activities while remaining primarily in the home environment. A hospice

uses an interdisciplinary approach to deliver medical, social,

psychological, emotional, and spiritual services through the use of a

broad spectrum of professional and other caregivers, with the goal of

making the individual as physically and emotionally comfortable as

possible. Counseling and respite services are available to the family

of the hospice patient. Hospice programs consider both the patient and

the family as a unit of care.

Section 1861(dd) of the Social Security Act (the Act) provides for

coverage of hospice care for terminally ill Medicare beneficiaries who

elect to receive care from a participating hospice. The statutory

authority for payment to hospices participating in the Medicare program

is contained in section 1814(i) of the Act.

Our existing regulations under 42 CFR part 418 (issued on December

16, 1983, effective for hospice services furnished on or after November

1, 1983) establish eligibility requirements and payment standards and

procedures, define covered services, and delineate the conditions a

hospice must meet to be approved for participation in the Medicare

program. Subpart G of Part 418 provides for payment to hospices based

on one of four prospectively determined rates for each day in which a

qualified Medicare beneficiary is under the care of a hospice. The four

rate categories are routine home care, continuous home care, inpatient

respite care, and general inpatient care. Payment rates are established

for each category.

The final rule of December 16, 1983 (48 FR 56034) provided for the

following in determining payment for hospice care:

Adjustment to the payment rates to reflect differences in

area wage levels. Since hospice care is labor-intensive, adjustment was

necessary to permit payment of higher rates in areas with relatively

high wage levels, and proportionately lower rates in areas with wage

levels below the national average.

Labor market areas based on the definitions of

Metropolitan Statistical Areas (MSAs) issued by the Office of

Management and Budget (OMB).

The wage index used to adjust the hospice payment rates to

be the wage index published in the Federal Register on September 1,

1983 (48 FR 39871) for purposes of determining Medicare inpatient

hospital prospective payment rates. This hospital wage index, which is

still in use for hospices, was based on calendar year 1981 hospital

wage and employment data obtained from the Bureau of Labor Statistics'

(BLS) ES 202 Employment, Wages and Contributions file for hospital

workers.

In applying the hospital wage index to the hospice rates,

use of an index value of 0.8 if the hospital wage index value were

lower than 0.8. The use of a wage index ``floor'' reflected our belief

that an index value below 0.8 would make payment levels very low. We

believed this would unduly jeopardize the availability of the benefit

in rural areas by discouraging participation in the Medicare hospice

program by hospices that are located in these areas, and by inhibiting

the ability of these rural hospices to attract and retain sufficient

skilled staff.

The hospice wage index has not been updated since it was issued in

1983. Over the ensuing years, we have instituted many changes in the

hospital wage index in order to ensure its continuing accuracy for

hospitals. Since these changes have not been applied to hospices, there

are widening differences between the existing hospice wage index and

actual wage levels. The existing hospice wage index is based on 1981

BLS hospital data; however, BLS data are no longer used in determining

the hospital wage index. Based on our concern that the BLS data did not

accurately reflect hospital wages, we conducted a survey of hospital

wage and wage related costs and, in fiscal year 1986, implemented a

hospital wage index based solely on HCFA survey data. We repeated the

survey in 1988 and implemented a revised hospital wage index during

fiscal year 1991.

Additionally, in fiscal year 1991, we began adjusting the hospital

wage index to take into account the geographic reclassification of

hospitals in accordance with sections 1886(d)(8)(B) and 1886(d)(10) of

the Act. Beginning in fiscal year 1994, in accordance with section

1886(d)(3)(E) of the Act, we have updated the hospital wage index

annually, based on a survey of wages and wage-related costs of short-

term, acute care hospitals.

The most recent hospital wage index was published in the Federal

Register on August 30, 1996 (61 FR 46166). It is based on the data

collected from the Medicare cost reports submitted by hospitals for

cost reporting periods beginning in fiscal year 1993.

B. Current Payment Procedures for Hospice Care

1. Current Annual Increases in Payment Rates

Section 1814(i)(1)(C)(ii) of the Act provides for an annual

increase in the hospice payment rates based on the rate of increase in

the hospital market basket index used to adjust payments for inpatient

hospital services under the prospective payment system for hospitals.

However, section 13504 of the Omnibus Budget Reconciliation Act of 1993

(Pub. L. 103-66) amended section 1814(ii) of the Act to decrease the

amount of the market basket percentage increase that is applied to

hospice rates for fiscal years 1994 through 1997. For hospice payments

in fiscal years 1996 and 1997, the market basket increase is reduced by

1.5 percent and 0.5 percent, respectively. For fiscal years after 1997,

hospices receive the full hospital market basket increase. The

following is a brief description of each level of care and the

[[Page 42861]]

current daily payment rates for the period October 1, 1996, through

September 30, 1997. The new wage index values set forth in this final

rule are effective on October 1, 1997. At that time, the fiscal

intermediaries will recalculate the current daily payment rates for the

remainder of the rate year using the new hospice wage index.

Routine Home Care--As specified in Sec. 418.302(d)(3) of

the regulations, the payment rate for routine home care is paid to the

hospice for each day during which a Medicare beneficiary is under the

care of the hospice, and not receiving the care described under

continuous home care, inpatient respite care, or general inpatient

care, regardless of the volume and intensity of the services provided

on any given day. The current routine home care rate is $94.17.

Continuous Home Care--The hospice is paid the continuous

home care rate when, in order to maintain the terminally ill patient at

home in a period of crisis, nursing care is required on a continuous

basis. Either home health aide or homemaker services or both may also

be provided. Medicare regulations at Sec. 418.302(e)(4) specify that

the hospice payment on a continuous home care day varies depending on

the number of hours of continuous care. The continuous home care rate

is divided by 24 to yield an hourly rate. The number of hours of

continuous home care furnished during a continuous home care day is

multiplied by the hourly rate to calculate the hospice payment amount

for that day. The hospice must furnish a minimum of 8 hours of

continuous home care on a particular day to qualify for the continuous

home care daily rate. The continuous home care rate is intended only

for periods of crisis when predominantly skilled continuous care is

necessary to achieve palliation or management of the patient's acute

medical symptoms and only as necessary to maintain the patient at home.

The current continuous home care hourly rate is $22.90 and the daily

payment rate is $549.65.

Inpatient Respite Care--The hospice is paid the inpatient

respite care rate for each day the patient is in a Medicare or Medicaid

approved inpatient facility receiving respite care. The inpatient

respite rate applies specifically to situations where the patient's

family members or other persons caring for the patient need a short

period of relief. Payment is limited to no more than 5 consecutive

days. Subsequent days of respite care are paid at the routine home care

rate. The current daily payment rate for inpatient respite care is

$97.41.

General Inpatient Care--The hospice is paid the general

inpatient care rate for each day the patient is in a Medicare or

Medicaid approved inpatient setting to receive services that are

reasonable and necessary for the palliation or management of acute and

severe clinical problems related to the terminal condition that cannot

be managed in other settings. The current daily payment rate for

general inpatient care is $418.93.

2. Adjustment for Wage Variations

In adjusting the payment rates, we separate the national payment

rates into components that reflect the estimated proportion of the rate

that is attributable to wage and nonwage costs. We then multiply the

wage component of each rate by the wage index value applicable to the

area in which the hospice is located (adjusted wage component). The

rate paid to a hospice is the sum of the nonwage component and the

adjusted wage component.

The following table indicates the current hospice payment rates and

the amount (in dollars) of each rate subject to adjustment by the wage

index:

------------------------------------------------------------------------

Component

Payment category National subject Nonwage

rate to index component

------------------------------------------------------------------------

Routine home............................ $94.17 $64.70 $29.47

Continuous home......................... 549.65 377.66 171.99

Inpatient respite....................... 97.41 52.73 44.68

General inpatient....................... 418.93 268.16 150.77

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II. Proposed Rule

A. General

On September 4, 1996, we published a proposed rule in the Federal

Register (61 FR 46579) in which we proposed to establish a methodology

to update the wage index used to adjust Medicare payment rates for

hospices. We also included an updated wage index for hospices.

The proposed rule was developed by a negotiated rulemaking advisory

committee, under the process established by the Negotiated Rulemaking

Act of 1990 (Pub. L. 101-648). This committee was established to

provide advice and make recommendations to the Secretary with respect

to the text or content of a proposed rule on the wage index used to

adjust payment rates for hospices under the Medicare program, to

reflect local differences in area wage levels. Committee members

included representatives of national hospice associations; rural,

urban, large, and small hospices; multi-site hospices; consumer groups;

and a government representative. In addition, during the process, when

the Committee identified large groups of hospices likely to suffer a

significant negative impact as a result of the revised wage index,

attempts were made to contact representatives of those groups for their

input, as well as to provide them an opportunity to participate in the

meetings and discussions.

The Committee met five times from November 1994 to April 1995. Its

deliberations focused on the following issues: the data source for the

wage index; the budget neutrality adjustment; continued application of

a wage index floor; the transition period; future updates; and the

effective date of a revised index. The Committee reached consensus on a

methodology that resulted in a hospice wage index. The Committee

Statement, with which all Committee members concurred, is attached as

an Appendix to this final rule.

B. Provisions of the Proposed Hospice Wage Index

Existing hospice regulations at Sec. 418.306(c) provide that the

payment rates established by HCFA are adjusted by the intermediary to

reflect local differences in wages. We proposed to amend

Sec. 418.306(c) to add that:

The hospice wage index is updated annually based on the

most current available hospital wage data; and

These data will include any changes to the definitions of

Metropolitan Statistical Areas.

As noted above, the revised hospice wage index is based on the

recommendations of a Negotiated Rulemaking Advisory Committee. In the

Agreement in which all Committee members concurred, HCFA agreed that it

would, to the maximum extent possible and consistent with the

applicable legal obligations, draft a proposed rule consistent with the

Committee Statement and publish it as a Notice of Proposed Rulemaking.

We stated our intent to interpret and apply the proposed rule, if

adopted in final form, in a manner fully consistent with the Committee

Statement.

We also stated that if the final rule were adopted without change

from the proposed rule, the only difference between the final rule and

the Committee Statement would be the calculation of the wage index

value for the Virgin Islands, as noted in section II.F below. The wage

index value for the

[[Page 42862]]

Virgin Islands was not addressed by the Committee, since at the time of

its meetings there were no certified hospices located in the Virgin

Islands.

C. Computation of the Hospice Wage Index

We proposed that the hospice wage index be derived from the

following 1993 hospital cost report data:

Total short-term, acute care hospital salaries and hours.

Home office costs and hours.

Fringe benefits associated with hospital and home office

salaries.

Direct patient care related contract labor cost and hours.

The exclusion of salaries and hours for nonhospital type

services such as skilled nursing facility services, home health

services, or other subprovider components that are not subject to the

prospective payment system.

The raw hospital wage data would undergo a series of reviews and

edits to verify the wage data from the Medicare cost report. A detailed

description of this process is contained in both the September 1, 1995

(60 FR 45778) and the August 30, 1996 (60 FR 46166) hospital

prospective payment final rule.

As noted above, we proposed to base the fiscal year 1997 hospice

wage index on hospital wage data reported on the fiscal year 1993 cost

report prior to reclassification; that is, the hospital wage index will

not be adjusted to take into account the geographic reclassification of

hospitals in accordance with sections 1886(d)(8)(B) and 1886(d)(10) of

the Act. A detailed description of the method used to compute the

hospital wage index is contained in both the September 1, 1995 (60 FR

45778), and the August 30, 1996 (60 FR 46166), hospital prospective

payment final rule.

D. Budget Neutrality Adjustment and Application of Wage Index Floor for

the Proposed Hospice Index

We proposed that all hospice wage index values below 0.8 would

receive the greater of the following:

A 15-percent increase, subject to a maximum wage index

value of 0.8; or

An adjustment, by multiplying the hospice wage index value

for a given area by the budget neutrality adjustment factor. In this

way, wage areas with values below 0.8 would not receive both the wage

index floor adjustment and the budget neutrality adjustment. All

hospice wage index values of 0.8 or greater would receive a budget

neutrality adjustment, which would be calculated by multiplying the

hospice wage index value for a given area by the budget neutrality

factor.

To determine a budget neutrality adjustment factor, we established

the payments that would be made under the 1983 wage index. We did this

by calculating the labor-related payments for each of the four types of

hospice services using patient bills for the most recent completed

fiscal year (that is, fiscal year 1995 bills would be used to calculate

the fiscal year 1997 index). That dollar amount would be the target for

the budget neutrality calculation. Then payments would be calculated

separately for the labor-related portion of the rates using the wage

index proposed in this rule. The budget neutrality factor would be

calculated as the multiplier by which labor-related payments using the

proposed wage index must be adjusted to equal labor-related payments

using the 1983 wage index. The calculation would be made taking into

account the respective adjustments applicable to wage index values

below, at, or above the 0.8 threshold described above. The payments

would be for the total of labor-related payments for each of the four

types of hospice services. The budget neutrality factor would then be

applied to the wage index. To confirm the accuracy of the calculation,

total payments would then be calculated by using the new budget

neutrality adjusted wage index and would be compared to payments using

the 1983 wage index.

The budget neutrality factor would be calculated and applied

annually, both during and after the transition period. For the first

transition year, the budget neutrality factor will be 1.020768.

E. Transition and Annual Updates

We proposed a 3-year transition period with annual updates as noted

in the Committee Statement.

F. Wage Index Value for the Virgin Islands

At the time of negotiations, there were no certified hospices

located in the Virgin Islands. However, since that time, a hospice

program has been certified to provide services under Medicare. Since

the Virgin Islands is not an area designated under the prospective

payment system for hospitals, there is no hospital wage index value for

the Virgin Islands. Therefore, though this was not an issue discussed

by the Committee, we proposed that the methodology to calculate a wage

index value for the Virgin Islands would be to gather information from

the hospital cost report and compare hourly wages of the hospital

located in the Virgin Islands to the national average. This would

generate a wage index value of 0.6594.

III. Analysis of and Response to Public Comments

In response to the September 4, 1996 proposed rule, we received

four items of correspondence, three from hospices, and one from a

hospice association.

Comment: One commenter expressed concern that the wage index rates

continue to be based on the location of the hospice rather than the

location where the service is furnished.

Response: Hospices provide services in various locations. These may

include the patient's home, an inpatient facility, and the hospice

facility itself. Currently, the wage index for hospice services is

based on the location of the hospice rather than the location of

service delivery. Although this was not an issue addressed by this

rule, a proposal linking payments for hospice services to the

geographic location of the site where the service was furnished was

included in the Administration's Medicare and Medicaid Fraud, Abuse,

and Waste Prevention Amendments of 1997.

Comment: One commenter requested information on how best to bring

about a change in classification from a rural area to an urban area

because he believed that an urban designation better reflects his

costs.

Response: Each hospice's labor market area is established by the

MSA definitions issued by OMB on December 28, 1992, based on the 1990

census, and updated periodically by the Office of Management and Budget

(OMB). Any request for change in designation of MSA would have to be

made to OMB for consideration.

Comment: One commenter suggested that the wage index values for

Puerto Rico did not reflect the costs of providing services in that

area. The commenter believed that implementation of the wage index will

result in inaccessibility of hospice care in certain areas. The

commenter described several characteristics that, she believed, are

unique to providing hospice care in Puerto Rico. These include poor

access to many communities, lack of educational programs or other

curricula aimed at training professionals in hospice care, language

barriers, outdated communication technology, high cost-of-living, and

high operational costs due to necessary imports. The commenter also

believed that the hospital wage index does not accurately reflect costs

in Puerto Rico.

Response: As stated in the proposed rule, the committee solicited

participation from Puerto Rico and

[[Page 42863]]

reviewed financial information provided by Puerto Rico hospices. The

committee considered many of the issues raised by representatives of

Puerto Rico and determined that, in order to maintain the viability of

hospice programs in rural and other low wage index areas, it was

appropriate to continue to assist those areas with wage index values

below 0.8 by providing an adjustment to the wage component of the rate.

The committee agreed that for those wage areas below 0.8, the revised

wage index for the area would be the greater of the pre-reclassified

hospital wage index value times a budget neutrality adjustment factor,

or the pre- reclassified hospital wage index value multiplied by 1.15,

but subject to a maximum wage index value of 0.8.

We believe that characteristics described by the commenter as being

unique to hospices in Puerto Rico are in fact shared by hospices in

many rural and urban areas. Access to communities and outdated

communications technology are often problematic in rural areas of the

continental United States. Additionally, many hospices in the

continental United States experience a lack of external educational

programs aimed at training hospice professionals and have to provide

that training internally. The problem of language barriers and the need

for bilingual staff can also be found in many areas in the United

States.

Moreover, some of the commenter's concerns were not relevant to the

development of a revised hospice wage index. The committee focused its

attention on the development of a revised hospice wage index and

therefore did not address some of the issues raised by the commenter.

For example, the commenter described how the operational costs of

hospices are high in Puerto Rico due to the costs associated with

importing supplies. The hospice wage index will affect only the wage

portion of the hospice daily payment rate. Operational costs would not

be reflected in this portion of the daily payment rate. Also, it is

expected that both hospices and hospitals in Puerto Rico will have

similar staffing problems, so the impact of the resulting higher

salaries should be reflected in the hospital wage index.

The issue of the hospital wage index not accurately reflecting the

costs in Puerto Rico was discussed in the August 30, 1996 Federal

Register (61 FR 46166). The notice recognized that hospitals in Puerto

Rico have experienced large swings in their wage index values, and that

these shifts can cause shifts in payments. Several options, including

the creation of a single MSA for Puerto Rico, which would limit these

types of swings, were discussed. However, it was decided that none of

the options would create a payment system that was fair and equitable

to all hospitals, regardless of location. While drafting the August 30,

1996 final rule discussed above, HCFA met with representatives of the

Puerto Rico Hospital Association to explore other solutions to the

problems faced by hospitals in the Commonwealth. In reviewing the

latest Medicare cost report data available at that time, we found that

hospitals in Puerto Rico continue to demonstrate average Medicare

operating margins comparable to all other prospective payment

hospitals.

This comment was forwarded to the negotiated rulemaking committee

members for review and consideration. Based on their responses, we

believe this comment would not have led the group to a different

consensus had it been available during the negotiations.

Comment: One commenter expressed concern that reduction of the wage

index value in his area would cause hospices to experience financial

hardship.

Response: We recognize that although the proposed hospice wage

index is budget neutral, some hospices will experience reductions in

wage index values. Wage index values below 0.8 percent will be adjusted

according to the adjustment factor. The revised wage index values would

be the greater of the pre-reclassification hospital wage index values

times the budget neutrality adjustment factor or the pre-

reclassification hospital wage index value multiplied by 1.15, but

subject to a maximum wage index value of 0.8 percent. The committee did

examine the overall effects of the various methodologies for computing

the wage index that were proposed during the negotiated rulemaking

process and chose the option with the least overall impact on hospices.

IV. Provisions of the Final Rule

This final rule essentially incorporates the provisions of the

proposed rule, in which we proposed to establish a methodology to

update the wage index used to adjust Medicare payment rates for

hospices. The few changes we made from the proposed rule are identified

below.

We are also publishing, in Tables A and B below, the updated urban

and rural wage indexes for hospices included in the proposed rule. The

values in Tables A and B published with this final rule are current and

will not be updated until October 1, 1998. The wage index values for

Tables A and B will be used for the first transition year, and have

already been subject to all adjustments.

A. Transition Period

Due to the delay in the publication of this final rule, the revised

wage index will become effective for care and services furnished on or

after October 1, 1997. Keeping with the spirit of the consensus

agreement, the revised wage index will continue to be subject to the

full 3-year transition period. The first year of the transition period

will begin October 1, 1997, and will end September 30, 1998.

B. Annual Updates

Annual updates will begin with the start of the second transition

year. We plan to coordinate the annual updates after the third

transition year with the hospital wage index updates. This may result

in the third transition year lasting somewhat longer than a year.

Annual updates will be published as a notice in the Federal Register,

rather than as a proposed rule as agreed to in the Consensus agreement.

We believe that this change is not contradictory to the intentions of

the rulemaking committee; rather, it will allow us to make timely

updates through a less burdensome administrative process. The annual

updates will update the hospice wage index values according to the

methodology agreed to by the rulemaking committee and implemented by

this final rule. In the event that we decide to change the methodology

by which the wage index is computed, this will be reflected in a

proposed rule published in the Federal Register.

C. Tables

Table A.--Hospice Wage Index for Urban Areas

------------------------------------------------------------------------

Wage

Urban area (constituent counties or county equivalents) index

-------------------------------------------------------------------\1\--

Abilene, TX

Taylor, TX.................................................. 0.9145

Aguadilla, PR

Aguada, PR.................................................. 0.6958

Aguadilla, PR............................................... 0.6958

Moca, PR.................................................... 0.6958

Akron, OH

Portage, OH................................................. 1.0657

Summit, OH.................................................. 1.0657

Albany, GA

Dougherty, GA............................................... 0.8987

Lee, GA..................................................... 0.8987

Albany-Schenectady-Troy, NY

Albany, NY.................................................. 0.9008

Montgomery, NY.............................................. 0.9008

Rensselaer, NY.............................................. 0.9008

Saratoga, NY................................................ 0.9008

[[Page 42864]]

Schenectady, NY............................................. 0.9008

Schoharie, NY............................................... 0.8866

Albuquerque, NM

Bernalillo, NM.............................................. 1.0378

Sandoval, NM................................................ 0.9503

Valencia, NM................................................ 0.9503

Alexandria, LA

Rapides, LA................................................. 0.9387

Allentown-Bethlehem-Easton, PA

Carbon, PA.................................................. 1.0557

Lehigh, PA.................................................. 1.0557

Northampton, PA............................................. 1.0557

Altoona, PA

Blair, PA................................................... 1.0210

Amarillo, TX

Potter, TX.................................................. 0.9569

Randall, TX................................................. 0.9569

Anchorage, AK

Anchorage, AK............................................... 1.4474

Ann Arbor, MI

Lenawee, MI................................................. 1.0416

Livingston, MI.............................................. 1.2129

Washtenaw, MI............................................... 1.2195

Anniston, AL

Calhoun, AL................................................. 0.8599

Appleton-Oshkosh-Neenah, WI

Calumet, WI................................................. 0.9629

Outagamie, WI............................................... 0.9629

Winnebago, WI............................................... 0.9629

Arecibo, PR

Arecibo, PR................................................. 0.7019

Camuy, PR................................................... 0.7019

Hatillo, PR................................................. 0.7019

Asheville, NC

Buncombe, NC................................................ 0.9646

Madison, NC................................................. 0.8962

Athens, GA

Clarke, GA.................................................. 0.9201

Madison, GA................................................. 0.9201

Oconee, GA.................................................. 0.9201

Atlanta, GA

Barrow, GA.................................................. 0.9822

Bartow, GA.................................................. 0.9200

Carroll, GA................................................. 0.9200

Cherokee, GA................................................ 0.9841

Clayton, GA................................................. 0.9822

Cobb, GA.................................................... 0.9822

Coweta, GA.................................................. 0.9822

De Kalb, GA................................................. 0.9822

Douglas, GA................................................. 0.9822

Fayette, GA................................................. 0.9822

Forsyth, GA................................................. 0.9822

Fulton, GA.................................................. 0.9822

Gwinnett, GA................................................ 0.9822

Henry, GA................................................... 0.9822

Newton, GA.................................................. 0.9822

Paulding, GA................................................ 0.9822

Pickens, GA................................................. 0.9200

Rockdale, GA................................................ 0.9822

Spalding, GA................................................ 0.9822

Walton, GA.................................................. 0.9822

Atlantic City-Cape May, NJ

Atlantic City, NJ........................................... 1.1016

Cape May, NJ................................................ 1.1016

Augusta-Aiken, GA-SC

Columbia, GA................................................ 0.9549

McDuffie, GA................................................ 0.9549

Richmond, GA................................................ 0.9549

Aiken, SC................................................... 0.9549

Edgefield, SC............................................... 0.8510

Austin-San Marcos, TX

Bastrop, TX................................................. 0.8677

Caldwell, TX................................................ 0.8677

Hays, TX.................................................... 1.0355

Travis, TX.................................................. 1.0355

Williamson, TX.............................................. 1.0355

Bakersfield, CA

Kern, CA.................................................... 1.1817

Baltimore, MD

Anne Arundel, MD............................................ 1.0724

Baltimore, MD............................................... 1.0724

Baltimore City, MD.......................................... 1.0724

Carroll, MD................................................. 1.0724

Harford, MD................................................. 1.0724

Howard, MD.................................................. 1.0724

Queen Annes, MD............................................. 1.0724

Bangor, ME

Penobscot, ME............................................... 0.9504

Barnstable-Yarmouth, MA

Barnstable, MA.............................................. 1.1253

Baton Rouge, LA

Ascension, LA............................................... 0.9793

East Baton Rouge, LA........................................ 0.9793

Livingston, LA.............................................. 0.9793

West Baton Rouge, LA........................................ 0.9793

Beaumont-Port Arthur, TX

Hardin, TX.................................................. 0.9637

Jefferson, TX............................................... 0.9637

Orange, TX.................................................. 0.9637

Bellingham, WA

Whatcom, WA................................................. 1.1026

Benton Harbor, MI

Berrien, MI................................................. 0.8838

Bergen-Passaic, NJ

Bergen, NJ.................................................. 1.1012

Passaic, NJ................................................. 1.1012

Billings, MT

Yellowstone, MT............................................. 0.9657

Biloxi-Gulfport-Pascagoula, MS

Hancock, MS................................................. 0.8838

Harrison, MS................................................ 0.8838

Jackson, MS................................................. 0.9810

Binghamton, NY

Broome, NY.................................................. 0.9484

Tioga, NY................................................... 0.9484

Birmingham, AL

Blount, AL.................................................. 0.9912

Jefferson, AL............................................... 0.9912

St. Clair, AL............................................... 0.9912

Shelby, AL.................................................. 0.9912

Bismarck, ND

Burleigh, ND................................................ 0.9569

Morton, ND.................................................. 0.9569

Bloomington, IN

Monroe, IN.................................................. 0.9166

Bloomington-Normal, IL

McLean, IL.................................................. 0.9959

Boise City, ID

Ada, ID..................................................... 1.0512

Canyon, ID.................................................. 0.9319

Boston-Brockton-Nashua, MA-NH

Bristol, MA................................................. 1.0526

Essex, MA................................................... 1.1402

Middlesex, MA............................................... 1.1402

Norfolk, MA................................................. 1.1402

Plymouth, MA................................................ 1.1402

Suffolk, MA................................................. 1.1402

Worcester, MA............................................... 1.0599

Hillsborough, NH............................................ 1.0311

Merrimack, NH............................................... 1.0311

Rockingham, NH.............................................. 0.9705

Strafford, NH............................................... 0.9705

Boulder-Longmont, CO

Boulder, CO................................................. 1.0033

Brazoria, TX

Brazoria, TX................................................ 0.8853

Bremerton, WA

Kitsap, WA.................................................. 0.9826

Brownsville-Harlingen-San Benito, TX

Cameron, TX................................................. 0.9179

Bryan-College Station, TX

Brazos, TX.................................................. 0.9189

Buffalo-Niagara Falls, NY

Erie, NY.................................................... 0.9759

Niagara, NY................................................. 0.9047

Burlington, VT

Chittenden, VT.............................................. 0.9995

Franklin, VT................................................ 0.9397

Grand Isle, VT.............................................. 0.9995

Caguas, PR

Caguas, PR.................................................. 0.7086

Cayey, PR................................................... 0.7086

Cidra, PR................................................... 0.7086

Gurabo, PR.................................................. 0.7086

San Lorenzo, PR............................................. 0.7086

Canton-Massillon, OH

Carroll, OH................................................. 0.9610

Stark, OH................................................... 0.9610

Casper, WY

Natrona, WY................................................. 0.9980

Cedar Rapids, IA

Linn, IA.................................................... 0.9260

Champaign-Urbana, IL

Champaign, IL............................................... 1.0167

Charleston-North Charleston, SC

Berkeley, SC................................................ 1.0033

Charleston, SC.............................................. 1.0033

Dorchester, SC.............................................. 1.0033

Charleston, WV

Kanawha, WV................................................. 1.0749

Putnam, WV.................................................. 1.0749

Charlotte-Gastonia-Rock Hill, NC-SC

Cabarrus, NC................................................ 0.9926

Gaston, NC.................................................. 0.9926

Lincoln, NC................................................. 0.9926

Mecklenburg, NC............................................. 0.9926

Rowan, NC................................................... 0.9926

Union, NC................................................... 0.9926

York, SC.................................................... 0.9926

Charlottesville, VA

Albemarle, VA............................................... 1.1911

Charlottesville City, VA.................................... 1.1911

Fluvanna, VA................................................ 1.1911

Greene, VA.................................................. 1.1911

Chattanooga, TN-GA

Catoosa, GA................................................. 0.9591

Dade, GA.................................................... 0.9591

Walker, GA.................................................. 0.9591

Hamilton, TN................................................ 0.9591

Marion, TN.................................................. 0.9591

Cheyenne, WY

Laramie, WY................................................. 0.9043

Chicago, IL

Cook, IL.................................................... 1.1961

De Kalb, IL................................................. 0.9570

Du Page, IL................................................. 1.1961

Grundy, IL.................................................. 1.1074

Kane, IL.................................................... 1.0438

[[Page 42865]]

Kendall, IL................................................. 1.0438

Lake, IL.................................................... 1.1205

McHenry, IL................................................. 1.1961

Will, IL.................................................... 1.1074

Chico-Paradise, CA

Butte, CA................................................... 1.0729

Cincinnati, OH-KY-IN

Dearborn, IN................................................ 1.0441

Ohio, IN.................................................... 0.9120

Boone, KY................................................... 1.0441

Campbell, KY................................................ 1.0441

Gallatin, KY................................................ 0.8805

Grant, KY................................................... 0.8805

Kenton, KY.................................................. 1.0441

Pendleton, KY............................................... 0.8805

Brown, OH................................................... 0.9480

Clermont, OH................................................ 1.0441

Hamilton, OH................................................ 1.0441

Warren, OH.................................................. 1.0441

Clarksville-Hopkinsville, TN-KY

Christian, KY............................................... 0.8228

Montgomery, TN.............................................. 0.8228

Cleveland-Lorain-Elyria, OH

Ashtabula, OH............................................... 0.9587

Cuyahoga, OH................................................ 1.1549

Geauga, OH.................................................. 1.1549

Lake, OH.................................................... 1.1549

Lorain, OH.................................................. 1.0542

Medina, OH.................................................. 1.1549

Colorado Springs, CO

El Paso, CO................................................. 1.0711

Columbia, MO

Boone, MO................................................... 1.0757

Columbia, SC

Lexington, SC............................................... 0.9652

Richland, SC................................................ 0.9652

Columbus, GA-AL

Russell, AL................................................. 0.8799

Chattanoochee, GA........................................... 0.8799

Harris, GA.................................................. 0.8335

Muscogee, GA................................................ 0.8799

Columbus, OH

Delaware, OH................................................ 1.0387

Fairfield, OH............................................... 1.0387

Franklin, OH................................................ 1.0387

Licking, OH................................................. 1.0387

Madison, OH................................................. 1.0387

Pickaway, OH................................................ 1.0387

Corpus Christi, TX

Nueces, TX.................................................. 0.9587

San Patricio, TX............................................ 0.9587

Cumberland, MD-WV

Allegany, MD................................................ 0.9388

Mineral, WV................................................. 0.9388

Dallas, TX

Collin, TX.................................................. 1.0642

Dallas, TX.................................................. 1.0642

Denton, TX.................................................. 1.0642

Ellis, TX................................................... 1.0642

Henderson, TX............................................... 0.8838

Hunt, TX.................................................... 0.8838

Kaufman, TX................................................. 1.0642

Rockwall, TX................................................ 1.0642

Danville, VA

Danville City, VA........................................... 0.8812

Pittsylvania, VA............................................ 0.8812

Davenport-Rock Island-Moline, IA-IL

Scott, IA................................................... 0.9537

Henry, IL................................................... 0.9537

Rock Island, IL............................................. 0.9537

Dayton-Springfield, OH

Clark, OH................................................... 1.0818

Greene, OH.................................................. 1.0818

Miami, OH................................................... 1.0818

Montgomery, OH.............................................. 1.0818

Daytona Beach, FL

Flagler, FL................................................. 0.8953

Volusia, FL................................................. 0.9615

Decatur, AL

Lawrence, AL................................................ 0.8297

Morgan, AL.................................................. 0.8297

Decatur, IL

Macon, IL................................................... 0.9360

Denver, CO

Adams, CO................................................... 1.1721

Arapahoe, CO................................................ 1.1721

Denver, CO.................................................. 1.1721

Douglas, CO................................................. 1.1721

Jefferson, CO............................................... 1.1721

Des Moines, IA

Dallas, IA.................................................. 1.0287

Polk, IA.................................................... 1.0287

Warren, IA.................................................. 1.0287

Detroit, MI

Lapeer, MI.................................................. 1.1810

Macomb, MI.................................................. 1.1810

Monroe, MI.................................................. 1.1810

Oakland, MI................................................. 1.1810

St. Clair, MI............................................... 1.1810

Wayne, MI................................................... 1.1810

Dothan, AL

Dale, AL.................................................... 0.8565

Houston, AL................................................. 0.8565

Dover, DE

Kent, DE.................................................... 0.9196

Dubuque, IA

Dubuque, IA................................................. 0.9757

Duluth-Superior, MN-WI

St. Louis, MN............................................... 0.9433

Douglas, WI................................................. 0.9433

Dutchess County, NY

Dutchess, NY................................................ 1.1033

Eau Claire, WI

Chippewa, WI................................................ 0.9556

Eau Claire, WI.............................................. 0.9556

El Paso, TX

El Paso, TX................................................. 0.9339

Elkhart-Goshen, IN

Elkhart, IN................................................. 0.9056

Elmira, NY

Chemung, NY................................................. 0.9844

Enid, OK

Garfield, OK................................................ 0.8812

Erie, PA

Erie, PA.................................................... 0.9872

Eugene-Springfield, OR

Lane, OR.................................................... 1.0560

Evansville-Henderson, IN-KY

Posey, IN................................................... 0.9925

Vanderburgh, IN............................................. 0.9925

Warrick, IN................................................. 0.9925

Henderson, KY............................................... 0.9925

Fargo-Moorhead, ND-MN

Clay, MN.................................................... 0.9917

Cass, ND.................................................... 0.9917

Fayetteville, NC

Cumberland, NC.............................................. 0.9410

Fayetteville-Springdale-Rogers, AR

Benton, AR.................................................. 0.8000

Washington, AR.............................................. 0.8205

Flagstaff, AZ-UT

Coconino, AZ................................................ 0.9159

Kane, UT.................................................... 0.8690

Flint, MI

Genesee, MI................................................. 1.1669

Florence, AL

Colbert, AL................................................. 0.8205

Lauderdale, AL.............................................. 0.8205

Florence, SC

Florence, SC................................................ 0.8417

Fort Collins-Loveland, CO

Larimer, CO................................................. 0.9908

Ft. Lauderdale, FL

Broward, FL................................................. 1.1146

Fort Myers-Cape Coral, FL

Lee, FL..................................................... 0.9362

Fort Pierce-Port St. Lucie, FL

Martin, FL.................................................. 1.0226

St. Lucie, FL............................................... 1.0226

Fort Smith, AR-OK

Crawford, AR................................................ 0.9280

Sebastian, AR............................................... 0.9280

Sequoyah, OK................................................ 0.9280

Fort Walton Beach, FL

Okaloosa, FL................................................ 0.8572

Fort Wayne, IN

Adams, IN................................................... 0.8858

Allen, IN................................................... 0.9422

De Kalb, IN................................................. 0.9422

Huntington, IN.............................................. 0.8858

Wells, IN................................................... 0.8858

Whitley, IN................................................. 0.9422

Fort Worth-Arlington, TX

Hood, TX.................................................... 0.8982

Johnson, TX................................................. 0.9770

Parker, TX.................................................. 0.9770

Tarrant, TX................................................. 0.9770

Frenso, CA

Fresno, CA.................................................. 1.1938

Madera, CA.................................................. 1.0684

Gadsden, AL

Etowah, AL.................................................. 0.9306

Gainesville, FL

Alachua, FL................................................. 0.9817

Galveston-Texas City, TX

Galveston, TX............................................... 1.1787

Gary, IN

Lake, IN.................................................... 1.0917

Porter, IN.................................................. 1.0917

Glens Falls, NY

Warren, NY.................................................. 0.8911

Washington, NY.............................................. 0.8911

Goldsboro, NC

Wayne, NC................................................... 0.8642

Grand Forks, ND-MN

Polk, MN.................................................... 0.8911

Grand Forks, ND............................................. 0.9709

Grand Junction, CO

Mesa, CO.................................................... 0.8500

Grand Rapids-Muskegon-Holland, MI

Allegan, MI................................................. 0.9891

Kent, MI.................................................... 1.0247

Muskegon, MI................................................ 0.9789

Ottawa, MI.................................................. 1.0247

Great Falls, MT

Cascade, MT................................................. 0.9968

Greeley, CO

Weld, CO.................................................... 1.0666

[[Page 42866]]

Green Bay, WI

Brown, WI................................................... 0.9863

Greensboro-Winston-Salem-High Point, NC

Alamance, NC................................................ 0.8946

Davidson, NC................................................ 0.9693

Davie, NC................................................... 0.9693

Forsyth, NC................................................. 0.9693

Guilford, NC................................................ 0.9693

Randolph, NC................................................ 0.9693

Stokes, NC.................................................. 0.9693

Yadkin, NC.................................................. 0.9693

Greenville, NC

Pitt, NC.................................................... 0.8875

Greenville-Spartanburg-Anderson, SC

Anderson, SC................................................ 0.8989

Cherokee, SC................................................ 0.8541

Greenville, SC.............................................. 0.9485

Pickens, SC................................................. 0.9485

Spartanburg, SC............................................. 0.9485

Hagerstown, MD

Washington, MD.............................................. 0.9989

Hamilton-Middletown, OH

Butler, OH.................................................. 1.0330

Harrisburg-Lebanon-Carlisle, PA

Cumberland, PA.............................................. 1.0504

Dauphin, PA................................................. 1.0504

Lebanon, PA................................................. 1.0504

Perry, PA................................................... 1.0504

Hartford, CT

Hartford, CT................................................ 1.1484

Litchfield, CT.............................................. 1.1484

Middlesex, CT............................................... 1.1484

Tolland, CT................................................. 1.1484

Hattiesburg, MS

Forrest, MS................................................. 0.8013

Lamar, MS................................................... 0.8013

Hickory-Morganton-Lenoir, NC

Alexander, NC............................................... 0.9402

Burke, NC................................................... 0.9402

Caldwell, NC................................................ 0.8721

Catawba, NC................................................. 0.9402

Honolulu, HI

Honolulu, HI................................................ 1.1706

Houma, LA

Lafourche, LA............................................... 0.9332

Terrebonne, LA.............................................. 0.9332

Houston, TX

Chambers, TX................................................ 0.8930

Fort Bend, TX............................................... 1.0969

Harris, TX.................................................. 1.0969

Liberty, TX................................................. 1.0969

Montgomery, TX.............................................. 1.0969

Waller, TX.................................................. 1.0969

Huntington-Ashland, WV-KY-OH

Boyd, KY.................................................... 0.9797

Carter, KY.................................................. 0.9797

Greenup, KY................................................. 0.9797

Lawrence, OH................................................ 0.9797

Cabell, WV.................................................. 0.9797

Wayne, WV................................................... 0.9797

Huntsville, AL

Limestone, AL............................................... 0.8236

Madison, AL................................................. 0.8910

Indianapolis, IN

Boone, IN................................................... 1.0552

Hamilton, IN................................................ 1.0552

Hancock, IN................................................. 1.0552

Hendricks, IN............................................... 1.0552

Johnson, IN................................................. 1.0552

Madison, IN................................................. 0.9964

Marion, IN.................................................. 1.0552

Morgan, IN.................................................. 1.0552

Shelby, IN.................................................. 1.0552

Iowa City, IA

Johnson, IA................................................. 1.0959

Jackson, MI

Jackson, MI................................................. 1.0074

Jackson, MS

Hinds, MS................................................... 0.8882

Madison, MS................................................. 0.8882

Rankin, MS.................................................. 0.8882

Jackson, TN

Madison, TN................................................. 0.8264

Jacksonville, FL

Clay, FL.................................................... 0.9838

Duval, FL................................................... 0.9838

Nassau, FL.................................................. 0.9838

St. Johns, FL............................................... 0.9838

Jacksonville, NC

Onslow, NC.................................................. 0.8565

Jamestown, NY

Chautaqua, NY............................................... 0.8477

Janesville-Beloit, WI

Rock, WI.................................................... 0.9003

Jersey City, NJ

Hudson, NJ.................................................. 1.1299

Johnson City-Kingsport-Bristol, TN-VA

Carter, TN.................................................. 0.9311

Hawkins, TN................................................. 0.9311

Sullivan, TN................................................ 0.9311

Unicoi, TN.................................................. 0.9311

Washington, TN.............................................. 0.9311

Bristol City, VA............................................ 0.9311

Scott, VA................................................... 0.9311

Washington, VA.............................................. 0.9311

Johnstown, PA

Cambria, PA................................................. 0.9856

Somerset, PA................................................ 0.9856

Joplin, MO

Jasper, MO.................................................. 0.9053

Newton, MO.................................................. 0.9053

Kalamazoo-Battlecreek, MI

Calhoun, MI................................................. 1.0800

Kalamazoo, MI............................................... 1.1936

Van Buren, MI............................................... 1.0035

Kankakee, IL

Kankakee, IL................................................ 0.9323

Kansas City, KS-MO

Johnson, KS................................................. 0.9883

Leavenworth, KS............................................. 0.9883

Miami, KS................................................... 0.9883

Wyandotte, KS............................................... 0.9883

Cass, MO.................................................... 0.9969

Clay, MO.................................................... 0.9969

Clinton, MO................................................. 0.8871

Jackson, MO................................................. 0.9969

Lafayette, MO............................................... 0.9969

Platte, MO.................................................. 0.9969

Ray, MO..................................................... 0.9969

Kenosha, WI

Kenosha, WI................................................. 1.0538

Killeen-Temple, TX

Bell, TX.................................................... 0.9934

Coryell, TX................................................. 0.9934

Knoxville, TN

Anderson, TN................................................ 0.9144

Blount, TN.................................................. 0.9144

Knox, TN.................................................... 0.9144

Loudon, TN.................................................. 0.8337

Sevier, TN.................................................. 0.9144

Union, TN................................................... 0.9144

Kokomo, IN

Howard, IN.................................................. 0.9463

Tipton, IN.................................................. 0.9463

La Crosse, WI-MN

Houston, MN................................................. 0.8777

La Crosse, WI............................................... 0.9331

Lafayette, LA

Acadia, LA.................................................. 0.8464

Lafayette, LA............................................... 0.9693

St. Landry, LA.............................................. 0.8464

St. Martin, LA.............................................. 0.9693

Lafayette, IN

Clinton, IN................................................. 0.8852

Tippecanoe, IN.............................................. 0.9189

Lake Charles, LA

Calcasieu, LA............................................... 0.9499

Lakeland-Winter Haven, FL

Polk, FL.................................................... 0.9298

Lancaster, PA

Lancaster, PA............................................... 1.0319

Lansing-East Lansing, MI

Clinton, MI................................................. 1.0561

Eaton, MI................................................... 1.0561

Ingham, MI.................................................. 1.0561

Laredo, TX

Webb, TX.................................................... 0.8374

Las Cruces, NM

Dona Ana, NM................................................ 0.8645

Las Vegas, NV-AZ

Mohave, AZ.................................................. 0.9788

Clark, NV................................................... 1.1994

Nye, NV..................................................... 1.0625

Lawrence, KS

Douglas, KS................................................. 0.9592

Lawton, OK

Comanche, OK................................................ 0.9159

Lewiston-Auburn, ME

Androscoggin, ME............................................ 0.9447

Lexington, KY

Bourbon, KY................................................. 0.9337

Clark, KY................................................... 0.9337

Fayette, KY................................................. 0.9337

Jessamine, KY............................................... 0.9337

Madison, KY................................................. 0.8371

Scott, KY................................................... 0.9337

Woodford, KY................................................ 0.9337

Lima, OH

Allen, OH................................................... 0.9767

Auglaize, OH................................................ 0.9767

Lincoln, NE

Lancaster, NE............................................... 0.9017

Little Rock-North Little Rock, AR

Faulkner, AR................................................ 0.9855

Lonoke, AR.................................................. 0.9855

Pulaski, AR................................................. 0.9855

Saline, AR.................................................. 0.9855

Longview-Marshall, TX

Gregg, TX................................................... 0.8767

Harrison, TX................................................ 0.8767

Upshur, TX.................................................. 0.8469

Los Angeles-Long Beach, CA

Los Angeles, CA............................................. 1.3072

Louisville, KY-IN

Clark, IN................................................... 1.0601

Floyd, IN................................................... 1.0601

Harrison, IN................................................ 1.0601

[[Page 42867]]

Scott, IN................................................... 0.9078

Bullitt, KY................................................. 1.0601

Jefferson, KY............................................... 1.0601

Oldham, KY.................................................. 1.0601

Lubbock, TX

Lubbock, TX................................................. 0.9760

Lynchburg, VA

Amherst, VA................................................. 0.9028

Bedford City, VA............................................ 0.8537

Bedford, VA................................................. 0.8537

Campbell, VA................................................ 0.9028

Lynchburg City, VA.......................................... 0.9028

Macon, GA

Bibb, GA.................................................... 0.9705

Houston, GA................................................. 0.9705

Jones, GA................................................... 0.9705

Peach, GA................................................... 0.9705

Twiggs, GA.................................................. 0.8788

Madison, WI

Dane, WI.................................................... 1.0391

Mansfield, OH

Crawford, OH................................................ 0.9124

Richland, OH................................................ 0.9145

Mayaguez, PR

Anasco, PR.................................................. 0.6949

Cabo Rojo, PR............................................... 0.6949

Hormigueros, PR............................................. 0.6949

Mayaguez, PR................................................ 0.6949

Sabana Grande, PR........................................... 0.6949

San German, PR.............................................. 0.6949

McAllen-Edinburg-Mission, TX

Hidalgo, TX................................................. 0.8588

Medford-Ashland, OR

Jackson, OR................................................. 1.0131

Melbourne-Titusville-Palm Bay, FL

Brevard, Fl................................................. 0.9437

Memphis, TN-AR-MS

Crittenden, AR.............................................. 1.0104

De Soto, MS................................................. 1.0104

Fayette, TN................................................. 0.8223

Shelby, TN.................................................. 1.0104

Tipton, TN.................................................. 1.0104

Merced, CA

Merced, CA.................................................. 1.0506

Miami, FL

Dade, FL.................................................... 1.1202

Middlesex-Somerset-Hunterdon, NJ

Hunterdon, NJ............................................... 1.0939

Middlesex, NJ............................................... 1.0939

Somerset, NJ................................................ 1.0939

Milwaukee-Waukesha, WI

Milwaukee, WI............................................... 1.0442

Ozaukee, WI................................................. 1.0442

Washington, WI.............................................. 1.0442

Waukesha, WI................................................ 1.0442

Minneapolis-St Paul, MN-WI

Anoka, MN................................................... 1.0656

Carver, MN.................................................. 1.0656

Chisago, MN................................................. 1.0656

Dakota, MN.................................................. 1.0656

Hennepin, MN................................................ 1.0656

Isanti, MN.................................................. 1.0656

Ramsey, MN.................................................. 1.0656

Scott, MN................................................... 1.0656

Sherburne, MN............................................... 0.9660

Washington, MN.............................................. 1.0656

Wright, MN.................................................. 1.0656

Pierce, WI.................................................. 0.9317

St. Croix, WI............................................... 1.0656

Mobile, AL

Baldwin, AL................................................. 0.9065

Mobile, AL.................................................. 0.9065

Modesto, CA

Stanislaus, CA.............................................. 1.0953

Monmouth-Ocean, NJ

Monmouth, NJ................................................ 1.0398

Ocean, NJ................................................... 1.0398

Monroe, LA

Ouachita, LA................................................ 0.9293

Montgomery, AL

Autauga, AL................................................. 0.9299

Elmore, AL.................................................. 0.9299

Montgomery, AL.............................................. 0.9299

Muncie, IN

Delaware, IN................................................ 0.9963

Myrtle Beach, SC

Horry, SC................................................... 0.8058

Naples, FL

Collier, FL................................................. 0.9405

Nashville, TN

Cheatham, TN................................................ 1.1451

Davidson, TN................................................ 1.1451

Dickson, TN................................................. 1.1451

Robertson, TN............................................... 1.1451

Rutherford TN............................................... 1.1451

Sumner, TN.................................................. 1.1451

Williamson, TN.............................................. 1.1451

Wilson, TN.................................................. 1.1451

Nassau-Suffolk, NY

Nassau, NY.................................................. 1.2839

Suffolk, NY................................................. 1.2839

New Haven-Bridgeport-Stamford-Danbury-Waterbury,

Fairfield, CT............................................... 1.2197

New Haven, CT............................................... 1.1582

New London-Norwich, CT

New London, CT.............................................. 1.1431

New Orleans, LA

Jefferson, LA............................................... 1.0079

Orleans, LA................................................. 1.0079

Plaquemines, LA............................................. 0.8849

St. Bernard, LA............................................. 1.0079

St. Charles, LA............................................. 1.0079

St. James, LA............................................... 0.8849

St. John The Baptist, LA.................................... 1.0079

St. Tammany, LA............................................. 1.0079

New York, NY

Bronx, NY................................................... 1.4110

Kings, NY................................................... 1.4110

New York, NY................................................ 1.4110

Putnam, NY.................................................. 1.4110

Queens, NY.................................................. 1.4110

Richmond, NY................................................ 1.4110

Rockland, NY................................................ 1.4110

Westchester, NY............................................. 1.4110

Newark, NJ

Essex, NJ................................................... 1.1684

Morris, NJ.................................................. 1.1684

Sussex, NJ.................................................. 1.1684

Union, NJ................................................... 1.1684

Warren, NJ.................................................. 1.1160

Newburgh, NY-PA

Orange, NY.................................................. 1.0522

Pike, PA.................................................... 1.0705

Norfolk-Virginia Beach-Newport News, VA-NC

Currituck, NC............................................... 0.8627

Chesapeake City, VA......................................... 0.9498

Gloucester, VA.............................................. 0.9498

Hampton City, VA............................................ 0.9498

Isle of Wight, VA........................................... 0.8638

James City, VA.............................................. 0.9498

Mathews, VA................................................. 0.8638

Newport News City, VA....................................... 0.9498

Norfolk City, VA............................................ 0.9498

Poquoson City, VA........................................... 0.9498

Portsmouth City, VA......................................... 0.9498

Suffolk City, VA............................................ 0.9498

Virginia Beach City VA...................................... 0.9498

Williamsburg City, VA....................................... 0.9498

York, VA.................................................... 0.9498

Oakland, CA

Alameda, CA................................................. 1.3685

Contra Costa, CA............................................ 1.3685

Ocala, FL

Marion, FL.................................................. 0.9971

Odessa-Midland, TX

Ector, TX................................................... 0.9539

Midland, TX................................................. 1.0224

Oklahoma City, OK

Canadian, OK................................................ 1.0043

Cleveland, OK............................................... 1.0043

Logan, OK................................................... 1.0043

McClain, OK................................................. 1.0043

Oklahoma, OK................................................ 1.0043

Pottawatomie, OK............................................ 1.0043

Olympia, WA

Thurston, WA................................................ 1.0832

Omaha, NE-IA

Pottawattamie, IA........................................... 0.9312

Cass, NE.................................................... 0.8670

Douglas, NE................................................. 0.9312

Sarpy, NE................................................... 0.9312

Washington, NE.............................................. 0.9312

Orange County, CA

Orange, CA.................................................. 1.2540

Orlando, FL

Lake, FL.................................................... 0.9157

Orange, FL.................................................. 1.0127

Osceola, FL................................................. 1.0127

Seminole, FL................................................ 1.0127

Owensboro, KY

Daviess, KY................................................. 0.8565

Panama City, FL

Bay, FL..................................................... 0.8920

Parkersburg-Marietta, WV-OH

Washington, OH.............................................. 0.9453

Wood, WV.................................................... 0.9453

Pensacola, FL

Escambia, FL................................................ 0.8990

Santa Rosa, FL.............................................. 0.8990

Peoria-Pekin, IL

Peoria, IL.................................................. 1.0623

Tazewell, IL................................................ 1.0623

Woodford, IL................................................ 1.0623

Philadelphia, PA-NJ

Burlington, NJ.............................................. 1.1826

Camden, NJ.................................................. 1.1826

Gloucester, NJ.............................................. 1.1826

Salem, NJ................................................... 1.1236

Bucks, PA................................................... 1.1826

Chester, PA................................................. 1.1826

Delaware, PA................................................ 1.1826

Montgomery, PA.............................................. 1.1826

Philadelphia, PA............................................ 1.1826

Phoenix-Mesa, AZ

Maricopa, AZ................................................ 1.0907

Pinal, AZ................................................... 0.9428

Pine Bluff, AR

Jefferson, AR............................................... 0.8654

[[Page 42868]]

Pittsburgh, PA

Allegheny, PA............................................... 1.1050

Beaver, PA.................................................. 1.0693

Butler, PA.................................................. 1.0330

Fayette, PA................................................. 1.1050

Washington, PA.............................................. 1.1050

Westmoreland, PA............................................ 1.1050

Pittsfield, MA

Berkshire, MA............................................... 1.0270

Ponce, PR

Guayanilla, PR.............................................. 0.7129

Juana Diaz, PR.............................................. 0.7129

Penuelas, PR................................................ 0.7129

Ponce, PR................................................... 0.7129

Villalba, PR................................................ 0.7129

Yauco, PR................................................... 0.7129

Portland, ME

Cumberland, ME.............................................. 0.9843

Sagadahoc, ME............................................... 0.9843

York, ME.................................................... 0.9843

Portland-Vancouver, OR-WA

Clackamas, OR............................................... 1.1440

Columbia, OR................................................ 1.0330

Multnomah, OR............................................... 1.1440

Washington, OR.............................................. 1.1440

Yamhill, OR................................................. 1.1440

Clark, WA................................................... 1.1192

Providence-Warwick, RI

Bristol, RI................................................. 1.0425

Kent, RI.................................................... 1.0425

Newport, RI................................................. 1.0425

Providence, RI.............................................. 1.0425

Washington, RI.............................................. 1.0425

Provo-Orem, UT

Utah, UT.................................................... 0.9887

Pueblo, CO

Pueblo, CO.................................................. 1.0713

Punta Gorda, FL

Charlotte, FL............................................... 0.8997

Racine, WI

Racine, WI.................................................. 0.9821

Raleigh-Durham-Chapel Hill, NC

Chatham, NC................................................. 0.9096

Durham, NC.................................................. 1.0210

Franklin, NC................................................ 1.0210

Johnston, NC................................................ 0.9096

Orange, NC.................................................. 1.0210

Wake, NC.................................................... 1.0210

Rapid City, SD

Pennington, SD.............................................. 0.8321

Reading, PA

Berks, PA................................................... 1.0213

Redding, CA

Shasta, CA.................................................. 1.1124

Reno, NV

Washoe, NV.................................................. 1.2587

Richland-Kennewick-Pasco, WA

Benton, WA.................................................. 0.9889

Franklin, WA................................................ 0.9889

Richmond-Petersburg, VA

Charles City County, VA..................................... 0.9162

Chesterfield, VA............................................ 0.9162

Colonial Heights City, VA................................... 0.9162

Dinwiddie, VA............................................... 0.9162

Goochland, VA............................................... 0.9162

Hanover, VA................................................. 0.9162

Henrico, VA................................................. 0.9162

Hopewell City, VA........................................... 0.9162

New Kent, VA................................................ 0.9162

Petersburg City, VA......................................... 0.9162

Powhatan, VA................................................ 0.9162

Prince George, VA........................................... 0.9162

Richmond City, VA........................................... 0.9162

Riverside-San Bernardino, CA

Riverside, CA............................................... 1.1870

San Bernardino, CA.......................................... 1.1870

Roanoke, VA

Botetourt, VA............................................... 0.9779

Roanoke, VA................................................. 0.9779

Roanoke City, VA............................................ 0.9779

Salem City, VA.............................................. 0.9779

Rochester, MN

Olmsted, MN................................................. 1.0527

Rochester, NY

Genesee, NY................................................. 0.9214

Livingston, NY.............................................. 1.0346

Monroe, NY.................................................. 1.0346

Ontario, NY................................................. 1.0346

Orleans, NY................................................. 1.0346

Wayne, NY................................................... 1.0346

Rockford, IL

Boone, IL................................................... 1.0159

Ogle, IL.................................................... 0.8969

Winnebago, IL............................................... 1.0159

Rocky Mount, NC

Edgecombe, NC............................................... 0.8833

Nash, NC.................................................... 0.8833

Sacramento, CA

El Dorado, CA............................................... 1.1975

Placer, CA.................................................. 1.1975

Sacramento, CA.............................................. 1.1975

Saginaw-Bay City-Midland, MI

Bay, MI..................................................... 1.0722

Midland, MI................................................. 1.0722

Saginaw, MI................................................. 1.0722

St. Cloud, MN

Benton, MN.................................................. 0.9210

Stearns, MN................................................. 0.9210

St. Joseph, MO

Andrews, MO................................................. 0.8556

Buchanan, MO................................................ 0.9630

St. Louis, MO-IL

Clinton, IL................................................. 0.9682

Jersey, IL.................................................. 0.9594

Madison, IL................................................. 0.9594

Monroe, IL.................................................. 1.0362

St. Clair, IL............................................... 0.9682

Franklin, MO................................................ 1.0362

Jefferson, MO............................................... 1.0362

Lincoln, MO................................................. 0.8716

St. Charles, MO............................................. 1.0362

St. Louis, MO............................................... 1.0362

St. Louis City, MO.......................................... 1.0362

Warren, MO.................................................. 0.8716

Salem, OR

Marion, OR.................................................. 1.0510

Polk, OR.................................................... 1.0510

Salinas, CA

Monterey, CA................................................ 1.3382

Salt Lake City-Ogden, UT

Davis, UT................................................... 0.9873

Salt Lake, UT............................................... 0.9873

Weber, UT................................................... 0.9873

San Angelo, TX

Tom Green, TX............................................... 0.8859

San Antonio, TX

Bexar, TX................................................... 1.0012

Comal, TX................................................... 1.0012

Guadalupe, TX............................................... 1.0012

Wilson, TX.................................................. 0.8383

San Diego, CA

San Diego, CA............................................... 1.2225

San Francisco, CA

Marin, CA................................................... 1.4362

San Francisco, CA........................................... 1.4362

San Mateo, CA............................................... 1.4362

San Jose, CA

Santa Clara, CA............................................. 1.3756

San Juan-Bayamon, PR

Aguas Buenas, PR............................................ 0.7061

Barceloneta, PR............................................. 0.7061

Bayamon, PR................................................. 0.7061

Canovanas, PR............................................... 0.7061

Carolina, PR................................................ 0.7061

Catano, PR.................................................. 0.7061

Ceiba, PR................................................... 0.7061

Comerio, PR................................................. 0.7061

Corozal, PR................................................. 0.7061

Dorado, PR.................................................. 0.7061

Fajardo, PR................................................. 0.7061

Florida, PR................................................. 0.7061

Guaynabo, PR................................................ 0.7061

Humacao, PR................................................. 0.7061

Juncos, PR.................................................. 0.7061

Los Piedras, PR............................................. 0.7061

Loiza, PR................................................... 0.7061

Luguillo, PR................................................ 0.7061

Manati, PR.................................................. 0.7061

Morovis, PR................................................. 0.7061

Naguabo, PR................................................. 0.7061

Naranjito, PR............................................... 0.7061

Rio Grande, PR.............................................. 0.7061

San Juan, PR................................................ 0.7061

Toa Alta, PR................................................ 0.7061

Toa Baja, PR................................................ 0.7061

Trujillo Alto, PR........................................... 0.7061

Vega Alta, PR............................................... 0.7061

Vega Baja, PR............................................... 0.7061

Yabucoa, PR................................................. 0.7061

San Luis Obispo-Atascadero-Paso Robles, CA

San Luis Obispo, CA......................................... 1.0812

Santa Barbara-Santa Maria-Lompoc, CA

Santa Barbara, CA........................................... 1.1390

Santa Cruz-Watsonville, CA

Santa Cruz, CA.............................................. 1.2349

Santa Fe, NM

Los Alamos, NM.............................................. 1.0007

Santa Fe, NM................................................ 1.0007

Santa Rosa, CA

Sonoma, CA.................................................. 1.2314

Sarasota-Bradenton, FL

Manatee, FL................................................. 0.9591

Sarasota, FL................................................ 1.0054

Savannah, GA

Bryan, GA................................................... 0.9069

Chatham, GA................................................. 0.9762

Effingham, GA............................................... 0.9762

Scranton--Wilkes-Barre--Hazleton, PA.

Columbia, PA................................................ 0.9621

Lackawanna, PA.............................................. 0.9621

Luzerne, PA................................................. 0.9621

Wyoming, PA................................................. 0.9621

Seattle-Bellevue-Everett, WA

Island, WA.................................................. 1.0337

King, WA.................................................... 1.1278

Snohomish, WA............................................... 1.1278

Sharon, PA

[[Page 42869]]

Mercer, PA.................................................. 0.9597

Sheboygan, WI

Sheboygan, WI............................................... 0.8571

Sherman-Denison, TX

Grayson, TX................................................. 0.9066

Shreveport-Bossier City, LA

Bossier, LA................................................. 1.0436

Caddo, LA................................................... 1.0436

Webster, LA................................................. 0.8871

Sioux City, IA-NE

Woodbury, IA................................................ 0.9853

Dakota, NE.................................................. 0.9853

Sioux Falls, SD

Lincoln, SD................................................. 0.8377

Minnehaha, SD............................................... 0.9362

South Bend, IN

St. Joseph, IN.............................................. 0.9497

Spokane, WA

Spokane, WA................................................. 1.1198

Springfield, IL

Menard, IL.................................................. 1.0720

Sangamon, IL................................................ 1.0720

Springfield, MO

Christian, MO............................................... 0.9025

Greene, MO.................................................. 0.9025

Webster, MO................................................. 0.8198

Springfield, MA

Hampden, MA................................................. 1.0322

Hampshire, MA............................................... 1.0322

State College, PA

Centre, PA.................................................. 1.0440

Steubenville-Weirton, OH-WV

Jefferson, OH............................................... 0.9456

Brooke, WV.................................................. 0.9456

Hancock, WV................................................. 0.9456

Stockton-Lodi, CA

San Joaquin, CA............................................. 1.1781

Sumter, SC

Sumter, SC.................................................. 0.8058

Syracuse, NY

Cayuga, NY.................................................. 0.9128

Madison, NY................................................. 1.3103

Onondaga, NY................................................ 1.3103

Oswego, NY.................................................. 1.3103

Tacoma, WA

Pierce, WA.................................................. 1.0803

Tallahassee, FL

Gadsden, FL................................................. 0.9137

Leon, FL.................................................... 0.9137

Tampa-St. Petersburg-Clearwater, FL

Hernando, FL................................................ 0.9941

Hillsborough, FL............................................ 0.9941

Pasco, FL................................................... 0.9941

Pinellas, FL................................................ 0.9941

Terre Haute, IN

Clay, IN.................................................... 0.8962

Vermillion, IN.............................................. 0.8787

Vigo, IN.................................................... 0.8962

Texarkana, AR-Texarkana, TX

Miller, AR.................................................. 1.0450

Bowie, TX................................................... 1.0450

Toledo, OH

Fulton, OH.................................................. 1.1236

Lucas, OH................................................... 1.1236

Wood, OH.................................................... 1.1236

Topeka, KS

Shawnee, KS................................................. 1.1007

Trenton, NJ

Mercer, NJ.................................................. 1.0657

Tucson, AZ

Pima, AZ.................................................... 1.0000

Tulsa, OK

Creek, OK................................................... 0.9826

Osage, OK................................................... 0.9826

Rogers, OK.................................................. 0.9826

Tulsa, OK................................................... 0.9826

Wagoner, OK................................................. 0.9826

Tuscaloosa, AL

Tuscaloosa, AL.............................................. 0.9457

Tyler, TX

Smith, TX................................................... 1.0226

Utica-Rome, NY

Herkimer, NY................................................ 0.9226

Oneida, NY.................................................. 0.9226

Vallejo-Fairfield-Napa, CA

Napa, CA.................................................... 1.3792

Solano, CA.................................................. 1.3792

Ventura, CA

Ventura, CA................................................. 1.2055

Victoria, TX

Victoria, TX................................................ 0.8731

Vineland-Millville-Bridgeton, NJ

Cumberland, NJ.............................................. 0.9864

Visalia-Tulare-Porterville, CA

Tulare, CA.................................................. 1.1180

Waco, TX

McLennan, TX................................................ 0.8220

Washington, DC-MD-VA-WV

District of Columbia, DC.................................... 1.1602

Calvert, MD................................................. 1.1602

Charles, MD................................................. 1.1602

Frederick, MD............................................... 1.1602

Montgomery, MD.............................................. 1.1602

Prince Georges, MD.......................................... 1.1602

Alexandria City, VA......................................... 1.1602

Arlington, VA............................................... 1.1602

Clarke, VA.................................................. 0.9480

Culpepper, VA............................................... 0.9480

Fairfax, VA................................................. 1.1602

Fairfax City, VA............................................ 1.1602

Falls Church City, VA....................................... 1.1602

Fauquier, VA................................................ 0.9480

Fredericksburg City, VA..................................... 0.9480

King George, VA............................................. 0.9480

Loudoun, VA................................................. 1.1602

Manassas City, VA........................................... 1.1602

Manassas Park City, VA...................................... 1.1602

Prince William, VA.......................................... 1.1602

Spotsylvania, VA............................................ 0.9480

Stafford, VA................................................ 1.1602

Warren, VA.................................................. 0.9480

Berkeley, WV................................................ 0.9931

Jefferson, WV............................................... 0.9931

Waterloo-Cedar Falls, IA

Black Hawk, IA.............................................. 0.9155

Wausau, WI

Marathon, WI................................................ 0.9851

West Palm Beach-Boca Raton, FL

Palm Beach, FL.............................................. 1.0144

Wheeling, OH-WV

Belmont, OH................................................. 0.9221

Marshall, WV................................................ 0.9221

Ohio, WV.................................................... 0.9221

Wichita, KS

Butler, KS.................................................. 1.0818

Harvey, KS.................................................. 0.8724

Sedgwick, KS................................................ 1.0818

Wichita Falls, TX

Archer, TX.................................................. 0.8264

Wichita, TX................................................. 0.8669

Williamsport, PA

Lycoming, PA................................................ 0.9864

Willington-Newark, DE-MD

New Castle, DE.............................................. 1.1263

Cecil, MD................................................... 1.1263

Willington, NC

Brunswick, NC............................................... 0.8864

New Hanover, NC............................................. 0.9213

Yakima, WA

Yakima, WA.................................................. 1.0243

Yolo, CA

Yolo, CA.................................................... 1.1667

York, PA

York, PA.................................................... 1.0112

Youngstown-Warren, OH

Columbiana, OH.............................................. 0.9538

Mahoning, OH................................................ 1.0828

Trumbull, OH................................................ 1.0828

Yuba City, CA

Sutter, CA.................................................. 1.0913

Yuba, CA.................................................... 1.0913

Yuma, AZ

Yuma, AZ.................................................... 0.9321

------------------------------------------------------------------------

\1\ Wage index values are based on fiscal year 1993 hospital cost report

data prior to reclassification. This wage index is further adjusted.

Wage index values greater than 0.8 are subject to a budget neutrality

adjustment of 1.020768. Wage index values below 0.8 are adjusted to be

the greater of a 15 percent increase, subject to a maximum wage index

value of 0.8, or an adjustment by multiplying the hospice wage index

value for a given area by the budget neutrality adjustment. All of

these adjustments are built into the wage index values reflected in

Table A.

Table B.--Wage Index for Rural Areas

------------------------------------------------------------------------

Wage

Nonurban area index

-------------------------------------------------------------------\2\--

Alabama:

Barbour, AL................................................. 0.8000

Bibb, AL.................................................... 0.8000

Bullock, AL................................................. 0.8000

Butler, AL.................................................. 0.8000

Chambers, AL................................................ 0.8000

Cherokee, AL................................................ 0.8000

Chilton, AL................................................. 0.8000

Choctaw, AL................................................. 0.8000

Clarke, AL.................................................. 0.8000

Clay, AL.................................................... 0.8000

Cleburne, AL................................................ 0.8000

Coffee, AL.................................................. 0.8000

Conecuh, AL................................................. 0.8000

Coosa, AL................................................... 0.8000

Covington, AL............................................... 0.8000

Crenshaw, AL................................................ 0.8000

Cullman, AL................................................. 0.8000

Dallas, AL.................................................. 0.8000

De Kalb, AL................................................. 0.8000

Escambia, AL................................................ 0.8000

Fayette, AL................................................. 0.8000

Franklin, AL................................................ 0.8000

Geneva, AL.................................................. 0.8000

Greene, AL.................................................. 0.8000

Hale, AL.................................................... 0.8000

[[Page 42870]]

Henry, AL................................................... 0.8000

Jackson, AL................................................. 0.8000

Lamar, AL................................................... 0.8000

Lee, AL..................................................... 0.8000

Lowndes, AL................................................. 0.8000

Macon, AL................................................... 0.8000

Marengo, AL................................................. 0.8000

Marion, AL.................................................. 0.8000

Marshall, AL................................................ 0.8000

Monroe, AL.................................................. 0.8000

Perry, AL................................................... 0.8000

Pickens, AL................................................. 0.8000

Pike, AL.................................................... 0.8000

Randolph, AL................................................ 0.8000

Sumter, AL.................................................. 0.8000

Talladega, AL............................................... 0.8000

Tallapoosa, AL.............................................. 0.8000

Walker, AL.................................................. 0.9365

Washington, AL.............................................. 0.8000

Wilcox, AL.................................................. 0.8000

Winston, AL................................................. 0.8000

Alaska:

Aleutians East, AK.......................................... 1.3603

Aleutians West, AK.......................................... 1.3603

Bethel, AK.................................................. 1.3603

Bristol Bay Borough, AK..................................... 1.3603

Dillingham, AK.............................................. 1.3603

Fairbanks North Star, AK.................................... 1.3603

Haines, AK.................................................. 1.3603

Juneau, AK.................................................. 1.3603

Kenai Peninsula............................................. 1.3603

Ketchikan Gateway, AK....................................... 1.3603

Kodiak Island, AK........................................... 1.3603

Lake and Peninsula, AK...................................... 1.3603

Matanuska-Susitna, AK....................................... 1.3603

Nome, AK.................................................... 1.3603

North Slope, AK............................................. 1.3603

Northwest Arctic, AK........................................ 1.3603

Pr. of Wales-out.Ketchikanak, AK............................ 1.3603

Sitka, AK................................................... 1.3603

Skagway-Yakutat-Angoon, AK.................................. 1.3603

Southeast Fairbanks, AK..................................... 1.3603

Valdez-Cordova, AK.......................................... 1.3603

Wade Hampton, AK............................................ 1.3603

Wrangell-Petersburg, AK..................................... 1.3603

Yukon-Koyukuk, AK........................................... 1.3603

Arizona:

Apache, AZ.................................................. 0.8787

Cochise, AZ................................................. 0.8787

Gila, AZ.................................................... 0.8787

Graham, AZ.................................................. 0.8787

Greenlee, AZ................................................ 0.8787

Lapaz, AZ................................................... 0.8787

Navajo, AZ.................................................. 0.8787

Santa Cruz, AZ.............................................. 0.8787

Yavapai, AZ................................................. 0.8787

Arkansas:

Arkansas, AR................................................ 0.7999

Ashley, AR.................................................. 0.7999

Baxter, AR.................................................. 0.7999

Boone, AR................................................... 0.7999

Bradley, AR................................................. 0.7999

Calhoun, AR................................................. 0.7999

Carroll, AR................................................. 0.7999

Chicot, AR.................................................. 0.7999

Clark, AR................................................... 0.7999

Clay, AR.................................................... 0.7999

Cleburne, AR................................................ 0.7999

Cleveland, AR............................................... 0.7999

Columbia, AR................................................ 0.7999

Conway, AR.................................................. 0.7999

Craighead, AR............................................... 0.7999

Cross, AR................................................... 0.7999

Dallas, AR.................................................. 0.7999

Desha, AR................................................... 0.7999

Drew, AR.................................................... 0.7999

Franklin, AR................................................ 0.7999

Fulton, AR.................................................. 0.7999

Garland, AR................................................. 0.7999

Grant, AR................................................... 0.7999

Greene, AR.................................................. 0.7999

Hempstead, AR............................................... 0.7999

Hot Springs, AR............................................. 0.7999

Howard, AR.................................................. 0.7999

Independence, AR............................................ 0.7999

Izard, AR................................................... 0.7999

Jackson, AR................................................. 0.7999

Johnson, AR................................................. 0.7999

Lafayette, AR............................................... 0.7999

Lawrence, AR................................................ 0.7999

Lee, AR..................................................... 0.7999

Lincoln, AR................................................. 0.7999

Little River, AR............................................ 0.7999

Logan, AR................................................... 0.7999

Madison, AR................................................. 0.7999

Marion, AR.................................................. 0.7999

Mississippi, AR............................................. 0.7999

Monroe, AR.................................................. 0.7999

Montgomery, AR.............................................. 0.7999

Nevada, AR.................................................. 0.7999

Newton, AR.................................................. 0.7999

Ouachita, AR................................................ 0.7999

Perry, AR................................................... 0.7999

Phillips, AR................................................ 0.7999

Pike, AR.................................................... 0.7999

Poinsett, AR................................................ 0.7999

Polk, AR.................................................... 0.7999

Pope, AR.................................................... 0.7999

Prairie, AR................................................. 0.7999

Randolph, AR................................................ 0.7999

St. Francis, AR............................................. 0.7999

Scott, AR................................................... 0.7999

Searcy, AR.................................................. 0.7999

Sevier, AR.................................................. 0.7999

Sharp, AR................................................... 0.7999

Stone, AR................................................... 0.7999

Union, AR................................................... 0.7999

Van Buren, AR............................................... 0.7999

White, AR................................................... 0.7999

Woodruff, AR................................................ 0.7999

Yell, AR.................................................... 0.7999

California:

Alpine, CA.................................................. 1.0282

Amador, CA.................................................. 1.0282

Calaveras, CA............................................... 1.0282

Colusa, CA.................................................. 1.0282

Del Norte, CA............................................... 1.0282

Glenn, CA................................................... 1.0282

Humboldt, CA................................................ 1.0282

Imperial, CA................................................ 1.0282

Inyo, CA.................................................... 1.0282

Kings, CA................................................... 1.0282

Lake, CA.................................................... 1.0282

Lassen, CA.................................................. 1.0282

Mariposa, CA................................................ 1.0282

Mendocino, CA............................................... 1.0282

Modoc, CA................................................... 1.0282

Mono, CA.................................................... 1.0282

Nevada, CA.................................................. 1.0282

Plumas, CA.................................................. 1.0282

San Enito, CA............................................... 1.0282

Sierra, CA.................................................. 1.0282

Siskiyou, CA................................................ 1.0282

Tehama, CA.................................................. 1.0282

Trinity, CA................................................. 1.0282

Tuolumne, CA................................................ 1.0282

Colorado:

Alamosa, CO................................................. 0.8417

Archuleta, CO............................................... 0.8417

Baca, CO.................................................... 0.8417

Bent, CO.................................................... 0.8417

Chaffee, CO................................................. 0.8417

Cheyenne, CO................................................ 0.8417

Clear Creek, CO............................................. 0.8417

Conejos, CO................................................. 0.8417

Costilla, CO................................................ 0.8417

Crowley, CO................................................. 0.8417

Custer, CO.................................................. 0.8417

Delta, CO................................................... 0.8417

Dolores, CO................................................. 0.8417

Eagle, CO................................................... 0.8417

Elbert, CO.................................................. 0.8417

Fremont, CO................................................. 0.8417

Garfield, CO................................................ 0.8417

Gilpin, CO.................................................. 0.8417

Grand, CO................................................... 0.8417

Gunnison, CO................................................ 0.8417

Hinsdale, CO................................................ 0.8417

Huerfano, CO................................................ 0.8417

Jackson, CO................................................. 0.8417

Kiowa, CO................................................... 0.8417

Kit Carson, CO.............................................. 0.8417

Lake, CO.................................................... 0.8417

La Plata, CO................................................ 0.8417

Las Animas, CO.............................................. 0.8417

Lincoln, CO................................................. 0.8417

Logan, CO................................................... 0.8417

Mineral, CO................................................. 0.8417

Moffat, CO.................................................. 0.8417

Montezuma, CO............................................... 0.8417

Montrose, CO................................................ 0.8417

Morgan, CO.................................................. 0.8417

Otero, CO................................................... 0.8417

Ouray, CO................................................... 0.8417

Park, CO.................................................... 0.8417

Phillips, CO................................................ 0.8417

Pitkin, CO.................................................. 0.8417

Prowers, CO................................................. 0.8417

Rio Blanco, CO.............................................. 0.8417

Rio Grande, CO.............................................. 0.8417

Routt, CO................................................... 0.8417

Saguache, CO................................................ 0.8417

San Juan, CO................................................ 0.8417

San Miguel, CO.............................................. 0.8417

Sedgwick, CO................................................ 0.8417

Summit, CO.................................................. 0.8417

Teller, CO.................................................. 0.8417

Washington, CO.............................................. 0.8417

Yuma, CO.................................................... 0.8417

Connecticut:

Windham, CT................................................. 1.1128

Delaware:

Sussex, DE.................................................. 0.9349

Florida:

Baker, FL................................................... 0.8884

Bradford, FL................................................ 0.9556

Calhoun, FL................................................. 0.8884

Citrus, FL.................................................. 0.8884

Columbia, FL................................................ 0.8884

De Soto, FL................................................. 0.8884

[[Page 42871]]

Dixie, FL................................................... 0.8884

Franklin, FL................................................ 0.8884

Gilchrist, FL............................................... 0.8884

Glades, FL.................................................. 0.8884

Gulf, FL.................................................... 0.8884

Hamilton, FL................................................ 0.8884

Hardee, FL.................................................. 0.8884

Hendry, FL.................................................. 0.8884

Highlands, FL............................................... 0.8884

Holmes, FL.................................................. 0.8884

Indian River, FL............................................ 0.8884

Jackson, FL................................................. 0.8884

Jefferson, FL............................................... 0.8884

Lafayette, FL............................................... 0.8884

Levy, FL.................................................... 0.8884

Liberty, FL................................................. 0.8884

Madison, FL................................................. 0.8884

Monroe, FL.................................................. 0.8884

Okeechobee, FL.............................................. 0.8884

Putnam, FL.................................................. 0.8884

Sumter, FL.................................................. 0.8884

Suwannee, FL................................................ 0.8884

Taylor, FL.................................................. 0.8884

Union, FL................................................... 0.8884

Wakulla, FL................................................. 0.8884

Walton, FL.................................................. 0.8884

Washington, FL.............................................. 0.8884

Georgia:

Appling, GA................................................. 0.8335

Atkinson, GA................................................ 0.8335

Bacon, GA................................................... 0.8335

Baker, GA................................................... 0.8335

Baldwin, GA................................................. 0.8335

Banks, GA................................................... 0.8335

Ben Hill, GA................................................ 0.8335

Berrien, GA................................................. 0.8335

Bleckley, GA................................................ 0.8335

Brantley, GA................................................ 0.8335

Brooks, GA.................................................. 0.8335

Bulloch, GA................................................. 0.8335

Burke, GA................................................... 0.8335

Butts, GA................................................... 0.8945

Calhoun, GA................................................. 0.8335

Camden, GA.................................................. 0.8335

Candler, GA................................................. 0.8335

Charlton, GA................................................ 0.8335

Chattooga, GA............................................... 0.8335

Clay, GA.................................................... 0.8335

Clinch, GA.................................................. 0.8335

Coffee, GA.................................................. 0.8335

Colquitt, GA................................................ 0.8335

Cook, GA.................................................... 0.8335

Crawford, GA................................................ 0.8335

Crisp, GA................................................... 0.8335

Dawson, GA.................................................. 0.8335

Decatur, GA................................................. 0.8335

Dodge, GA................................................... 0.8335

Dooly, GA................................................... 0.8335

Early, GA................................................... 0.8335

Echols, GA.................................................. 0.8335

Elbert, GA.................................................. 0.8335

Emanuel, GA................................................. 0.8335

Evans, GA................................................... 0.8335

Fannin, GA.................................................. 0.8335

Floyd, GA................................................... 0.8335

Franklin, GA................................................ 0.8335

Gilmer, GA.................................................. 0.8335

Glascock, GA................................................ 0.8335

Glynn, GA................................................... 0.8335

Gordon, GA.................................................. 0.8335

Grady, GA................................................... 0.8335

Greene, GA.................................................. 0.8335

Habersham, GA............................................... 0.8335

Hall, GA.................................................... 0.8335

Hancock, GA................................................. 0.8335

Haralson, GA................................................ 0.8335

Hart, GA.................................................... 0.8335

Heard, GA................................................... 0.8335

Irwin, GA................................................... 0.8335

Jackson, GA................................................. 0.8545

Jasper, GA.................................................. 0.8335

Jeff Davis, GA.............................................. 0.8335

Jefferson, GA............................................... 0.8335

Jenkins, GA................................................. 0.8335

Johnson, GA................................................. 0.8335

Lamar, GA................................................... 0.8335

Lanier, GA.................................................. 0.8335

Laurens, GA................................................. 0.8335

Liberty, GA................................................. 0.8335

Lincoln, GA................................................. 0.8335

Long, GA.................................................... 0.8335

Lowndes, GA................................................. 0.8335

Lumpkin, GA................................................. 0.8335

Mc Intosh, GA............................................... 0.8335

Macon, GA................................................... 0.8335

Marion, GA.................................................. 0.8335

Meriwether, GA.............................................. 0.8335

Miller, GA.................................................. 0.8335

Mitchell, GA................................................ 0.8335

Monroe, GA.................................................. 0.8335

Montgomery, GA.............................................. 0.8335

Morgan, GA.................................................. 0.8335

Murray, GA.................................................. 0.8335

Oglethorpe, GA.............................................. 0.8335

Pierce, GA.................................................. 0.8335

Pike, GA.................................................... 0.8335

Polk, GA.................................................... 0.8335

Pulaski, GA................................................. 0.8335

Putnam, GA.................................................. 0.8335

Quitman, GA................................................. 0.8335

Rabun, GA................................................... 0.8335

Randolph, GA................................................ 0.8335

Schley, GA.................................................. 0.8335

Screven, GA................................................. 0.8335

Seminole, GA................................................ 0.8335

Stephens, GA................................................ 0.8335

Stewart, GA................................................. 0.8335

Sumter, GA.................................................. 0.8335

Talbot, GA.................................................. 0.8335

Taliaferro, GA.............................................. 0.8335

Tattnall, GA................................................ 0.8335

Taylor, GA.................................................. 0.8335

Telfair, GA................................................. 0.8335

Terrell, GA................................................. 0.8335

Thomas, GA.................................................. 0.8335

Tift, GA.................................................... 0.8335

Toombs, GA.................................................. 0.8335

Towns, GA................................................... 0.8335

Treutlen, GA................................................ 0.8335

Troup, GA................................................... 0.8335

Turner, GA.................................................. 0.8335

Union, GA................................................... 0.8335

Upson, GA................................................... 0.8335

Ware, GA.................................................... 0.8335

Warren, GA.................................................. 0.8335

Washington, GA.............................................. 0.8335

Wayne, GA................................................... 0.8335

Webster, GA................................................. 0.8335

Wheeler, GA................................................. 0.8335

White, GA................................................... 0.8335

Whitfield, GA............................................... 0.8335

Wilcox, GA.................................................. 0.8335

Wilkes, GA.................................................. 0.8335

Wilkinson, GA............................................... 0.8335

Worth, GA................................................... 0.8335

Hawaii:

Hawaii, HI.................................................. 1.1496

Kalawao, HI................................................. 1.1496

Kauai, HI................................................... 1.1496

Maui, HI.................................................... 1.1496

Idaho:

Adams, ID................................................... 0.8942

Bannock, ID................................................. 0.8942

Bear Lake, ID............................................... 0.8942

Benewah, ID................................................. 0.8942

Bingham, ID................................................. 0.8942

Blaine, ID.................................................. 0.8942

Boise, ID................................................... 0.8942

Bonner, ID.................................................. 0.8942

Bonneville, ID.............................................. 0.8942

Boundary, ID................................................ 0.8942

Butte, ID................................................... 0.8942

Camas, ID................................................... 0.8942

Caribou, ID................................................. 0.8942

Cassia, ID.................................................. 0.8942

Clark, ID................................................... 0.8942

Clearwater, ID.............................................. 0.8942

Custer, ID.................................................. 0.8942

Elmore, ID.................................................. 0.8942

Franklin, ID................................................ 0.8942

Fremont, ID................................................. 0.8942

Gem, ID..................................................... 0.8942

Gooding, ID................................................. 0.8942

Idaho, ID................................................... 0.8942

Jefferson, ID............................................... 0.8942

Jerome, ID.................................................. 0.8942

Kootenai, ID................................................ 0.8942

Latah, ID................................................... 0.8942

Lemhi, ID................................................... 0.8942

Lewis, ID................................................... 0.8942

Lincoln, ID................................................. 0.8942

Madison, ID................................................. 0.8942

Minidoka, ID................................................ 0.8942

Nez Perce, ID............................................... 0.8942

Oneida, ID.................................................. 0.8942

Owyhee, ID.................................................. 0.8942

Payette, ID................................................. 0.8942

Power, ID................................................... 0.8942

Shoshone, ID................................................ 0.8942

Teton, ID................................................... 0.8942

Twin Falls, ID.............................................. 0.8942

Valley, ID.................................................. 0.8942

Washington, ID.............................................. 0.8942

Illinois:

Adams, IL................................................... 0.8455

Alexander, IL............................................... 0.8455

Bond, IL.................................................... 0.8455

Brown, IL................................................... 0.8455

Bureau, IL.................................................. 0.8455

Calhoun, IL................................................. 0.8455

Carroll, IL................................................. 0.8455

Cass, IL.................................................... 0.8455

Christian, IL............................................... 0.8455

Clark, IL................................................... 0.8455

Clay, IL.................................................... 0.8455

Coles, IL................................................... 0.8455

Crawford, IL................................................ 0.8455

Cumberland, IL.............................................. 0.8455

De Witt, IL................................................. 0.8455

Douglas, IL................................................. 0.8455

[[Page 42872]]

Edgar, IL................................................... 0.8455

Edwards, IL................................................. 0.8455

Effingham, IL............................................... 0.8455

Fayette, IL................................................. 0.8455

Ford, IL.................................................... 0.8455

Franklin, IL................................................ 0.8455

Fulton, IL.................................................. 0.8455

Gallatin, IL................................................ 0.8455

Greene, IL.................................................. 0.8455

Hamilton,IL................................................. 0.8455

Hancock, IL................................................. 0.8455

Hardin, IL.................................................. 0.8455

Henderson, IL............................................... 0.8455

Iroquois, IL................................................ 0.8455

Jackson, IL................................................. 0.8455

Jasper, IL.................................................. 0.8455

Jefferson, IL............................................... 0.8455

Jo Daviess, IL.............................................. 0.8455

Johnson, IL................................................. 0.8455

Knox, IL.................................................... 0.8455

La Salle, IL................................................ 0.8455

Lawrence, IL................................................ 0.8455

Lee, IL..................................................... 0.8455

Livingston, IL.............................................. 0.8455

Logan, IL................................................... 0.8455

McDonough, IL............................................... 0.8455

Macoupin, IL................................................ 0.8455

Marion, IL.................................................. 0.8455

Marshall, IL................................................ 0.8455

Mason, IL................................................... 0.8455

Massac, IL.................................................. 0.8455

Mercer, IL.................................................. 0.8455

Montgomery, IL.............................................. 0.8455

Morgan, IL.................................................. 0.8455

Moultrie, IL................................................ 0.8455

Perry, IL................................................... 0.8455

Piatt, IL................................................... 0.8455

Pike, IL.................................................... 0.8455

Pope, IL.................................................... 0.8455

Pulaski, IL................................................. 0.8455

Putnam, IL.................................................. 0.8455

Randolph, IL................................................ 0.8455

Richland, IL................................................ 0.8455

Saline, IL.................................................. 0.8455

Schuyler, IL................................................ 0.8455

Scott, IL................................................... 0.8455

Shelby, IL.................................................. 0.8455

Stark, IL................................................... 0.8455

Stephenson, IL.............................................. 0.8455

Union, IL................................................... 0.8455

Vermilion, IL............................................... 0.8455

Wabash, IL.................................................. 0.8455

Warren, IL.................................................. 0.8455

Washington, IL.............................................. 0.8455

Wayne, IL................................................... 0.8455

White, IL................................................... 0.8455

Whiteside, IL............................................... 0.8455

Williamson, IL.............................................. 0.8455

Indiana:

Bartholomew, IN............................................. 0.8628

Benton, IN.................................................. 0.8628

Blackford, IN............................................... 0.8628

Brown, IN................................................... 0.8628

Carroll, IN................................................. 0.8628

Cass, IN.................................................... 0.8628

Crawford, IN................................................ 0.8628

Daviess, IN................................................. 0.8628

Decatur, IN................................................. 0.8628

Dubois, IN.................................................. 0.8628

Fayette, IN................................................. 0.8628

Fountain, IN................................................ 0.8628

Franklin, IN................................................ 0.8628

Fulton, IN.................................................. 0.8628

Gibson, IN.................................................. 0.8628

Grant, IN................................................... 0.8628

Greene, IN.................................................. 0.8628

Henry, IN................................................... 0.8628

Jackson, IN................................................. 0.8628

Jasper, IN.................................................. 0.8628

Jay, IN..................................................... 0.8628

Jefferson, IN............................................... 0.8628

Jennings, IN................................................ 0.8628

Knox, IN.................................................... 0.8628

Kosciusko, IN............................................... 0.8628

Lagrange, IN................................................ 0.8628

La Porte, IN................................................ 0.8628

Lawrence, IN................................................ 0.8628

Marshall, IN................................................ 0.8628

Martin, IN.................................................. 0.8628

Miami, IN................................................... 0.8628

Montgomery, IN.............................................. 0.8628

Newton, IN.................................................. 0.8628

Noble, IN................................................... 0.8628

Orange, IN.................................................. 0.8628

Owen, IN.................................................... 0.8628

Parke, IN................................................... 0.8628

Perry, IN................................................... 0.8628

Pike, IN.................................................... 0.8628

Pulaski, IN................................................. 0.8628

Putnam, IN.................................................. 0.8628

Randolph, IN................................................ 0.8628

Ripley, IN.................................................. 0.8628

Rush, IN.................................................... 0.8628

Spencer, IN................................................. 0.8628

Starke, IN.................................................. 0.8628

Steuben, IN................................................. 0.8628

Sullivan, IN................................................ 0.8628

Switzerland, IN............................................. 0.8628

Union, IN................................................... 0.8628

Wabash, IN.................................................. 0.8628

Warren, IN.................................................. 0.8628

Washington, IN.............................................. 0.8628

Wayne, IN................................................... 0.8628

White, IN................................................... 0.8628

Iowa:

Adair, IA................................................... 0.8116

Adams, IA................................................... 0.8116

Allamakee, IA............................................... 0.8116

Appanoose, IA............................................... 0.8116

Audubon, IA................................................. 0.8116

Benton, IA.................................................. 0.8116

Boone, IA................................................... 0.8116

Bremer, IA.................................................. 0.8733

Buchanan, IA................................................ 0.8116

Buena Vista, IA............................................. 0.8116

Butler, IA.................................................. 0.8116

Calhoun, IA................................................. 0.8116

Carroll, IA................................................. 0.8116

Cass, IA.................................................... 0.8116

Cedar, IA................................................... 0.8116

Cerro Gordo, IA............................................. 0.8116

Cherokee, IA................................................ 0.8116

Chickasaw, IA............................................... 0.8116

Clarke, IA.................................................. 0.8116

Clay, IA.................................................... 0.8116

Clayton, IA................................................. 0.8116

Clinton, IA................................................. 0.8116

Crawford, IA................................................ 0.8116

Davis, IA................................................... 0.8116

Decatur, IA................................................. 0.8116

Delaware, IA................................................ 0.8116

Des Moines, IA.............................................. 0.8116

Dickinson, IA............................................... 0.8116

Emmet, IA................................................... 0.8116

Fayette, IA................................................. 0.8116

Floyd, IA................................................... 0.8116

Franklin, IA................................................ 0.8116

Fremont, IA................................................. 0.8116

Greene, IA.................................................. 0.8116

Grundy, IA.................................................. 0.8116

Guthrie, IA................................................. 0.8116

Hamilton, IA................................................ 0.8116

Hancock, IA................................................. 0.8116

Hardin, IA.................................................. 0.8116

Harrison, IA................................................ 0.8116

Henry, IA................................................... 0.8116

Howard, IA.................................................. 0.8116

Humboldt, IA................................................ 0.8116

Ida, IA..................................................... 0.8116

Iowa, IA.................................................... 0.8116

Jackson, IA................................................. 0.8116

Jasper, IA.................................................. 0.8116

Jefferson, IA............................................... 0.8116

Jones, IA................................................... 0.8116

Keokuk, IA.................................................. 0.8116

Kossuth, IA................................................. 0.8116

Lee, IA..................................................... 0.8116

Louisa, IA.................................................. 0.8116

Lucas, IA................................................... 0.8116

Lyon, IA.................................................... 0.8116

Madison, IA................................................. 0.8116

Mahaska, IA................................................. 0.8116

Marion, IA.................................................. 0.8116

Marshall, IA................................................ 0.8116

Mills, IA................................................... 0.8116

Mitchell, IA................................................ 0.8116

Monona, IA.................................................. 0.8116

Monroe, IA.................................................. 0.8116

Montgomery, IA.............................................. 0.8116

Muscatine, IA............................................... 0.8116

Obrien, IA.................................................. 0.8116

Osceola, IA................................................. 0.8116

Page, IA.................................................... 0.8116

Palo Alto, IA............................................... 0.8116

Plymouth, IA................................................ 0.8116

Pocahontas, IA.............................................. 0.8116

Poweshiek, IA............................................... 0.8116

Ringgold, IA................................................ 0.8116

Sac, IA..................................................... 0.8116

Shelby, IA.................................................. 0.8116

Sioux, IA................................................... 0.8116

Story, IA................................................... 0.8116

Tama, IA.................................................... 0.8116

Taylor, IA.................................................. 0.8116

Union, IA................................................... 0.8116

Van Buren, IA............................................... 0.8116

Wapello, IA................................................. 0.8116

Washington, IA.............................................. 0.8116

Wayne, IA................................................... 0.8116

Webster, IA................................................. 0.8116

Winnebago, IA............................................... 0.8116

Winneshiek, IA.............................................. 0.8116

Worth, IA................................................... 0.8116

Wright, IA.................................................. 0.8116

Kansas:

Allen, KS................................................... 0.8090

Anderson, KS................................................ 0.8090

Atchison, KS................................................ 0.8090

Barber, KS.................................................. 0.8090

Barton, KS.................................................. 0.8090

[[Page 42873]]

Bourbon, KS................................................. 0.8090

Brown, KS................................................... 0.8090

Chase, KS................................................... 0.8090

Chautauqua, KS.............................................. 0.8090

Cherokee, KS................................................ 0.8090

Cheyenne, KS................................................ 0.8090

Clark, KS................................................... 0.8090

Clay, KS.................................................... 0.8090

Cloud, KS................................................... 0.8090

Coffey, KS.................................................. 0.8090

Comanche, KS................................................ 0.8090

Cowley, KS.................................................. 0.8090

Crawford, KS................................................ 0.8090

Decatur, KS................................................. 0.8090

Dickinson, KS............................................... 0.8090

Doniphan, KS................................................ 0.8090

Edwards, KS................................................. 0.8090

Elk, KS..................................................... 0.8090

Ellis, KS................................................... 0.8090

Ellsworth, KS............................................... 0.8090

Finney, KS.................................................. 0.8090

Ford, KS.................................................... 0.8090

Franklin, KS................................................ 0.8090

Geary, KS................................................... 0.8090

Gove, KS.................................................... 0.8090

Graham, KS.................................................. 0.8090

Grant, KS................................................... 0.8090

Gray, KS.................................................... 0.8090

Greeley, KS................................................. 0.8090

Greenwood, KS............................................... 0.8090

Hamilton, KS................................................ 0.8090

Harper, KS.................................................. 0.8090

Haskell, KS................................................. 0.8090

Hodgeman, KS................................................ 0.8090

Jackson, KS................................................. 0.8090

Jefferson, KS............................................... 0.8090

Jewell, KS.................................................. 0.8090

Kearny, KS.................................................. 0.8090

Kingman, KS................................................. 0.8090

Kiowa, KS................................................... 0.8090

Labette, KS................................................. 0.8090

Lane, KS.................................................... 0.8090

Lincoln, KS................................................. 0.8090

Linn, KS.................................................... 0.8090

Logan, KS................................................... 0.8090

Lyon, KS.................................................... 0.8090

McPherson, KS............................................... 0.8090

Marion, KS.................................................. 0.8090

Marshall, KS................................................ 0.8090

Meade, KS................................................... 0.8090

Mitchell, KS................................................ 0.8090

Montgomery, KS.............................................. 0.8090

Morris, KS.................................................. 0.8090

Morton, KS.................................................. 0.8090

Nemaha, KS.................................................. 0.8090

Neosho, KS.................................................. 0.8090

Ness, KS.................................................... 0.8090

Norton, KS.................................................. 0.8090

Osage, KS................................................... 0.8090

Osborne, KS................................................. 0.8090

Ottawa, KS.................................................. 0.8090

Pawnee, KS.................................................. 0.8090

Phillips, KS................................................ 0.8090

Pottawatomie, KS............................................ 0.8090

Pratt, KS................................................... 0.8090

Rawlins, KS................................................. 0.8090

Reno, KS.................................................... 0.8090

Republic, KS................................................ 0.8090

Rice, KS.................................................... 0.8090

Riley, KS................................................... 0.8090

Rooks, KS................................................... 0.8090

Rush, KS.................................................... 0.8090

Russell, KS................................................. 0.8090

Saline, KS.................................................. 0.8090

Scott, KS................................................... 0.8090

Seward, KS.................................................. 0.8090

Sheridan, KS................................................ 0.8090

Sherman, KS................................................. 0.8090

Smith, KS................................................... 0.8090

Stafford, KS................................................ 0.8090

Stanton, KS................................................. 0.8090

Stevens, KS................................................. 0.8090

Sumner, KS.................................................. 0.8090

Thomas, KS.................................................. 0.8090

Trego, KS................................................... 0.8090

Wabaunsee, KS............................................... 0.8090

Wallace, KS................................................. 0.8090

Washington, KS.............................................. 0.8090

Wichita, KS................................................. 0.8090

Wilson, KS.................................................. 0.8090

Woodson, KS................................................. 0.8090

Kentucky:

Adair, KY................................................... 0.8103

Allen, KY................................................... 0.8103

Anderson, KY................................................ 0.8103

Ballard, KY................................................. 0.8103

Barren, KY.................................................. 0.8103

Bath, KY.................................................... 0.8103

Bell, KY.................................................... 0.8103

Boyle, KY................................................... 0.8103

Bracken, KY................................................. 0.8103

Breathitt, KY............................................... 0.8103

Breckinridge, KY............................................ 0.8103

Butler, KY.................................................. 0.8103

Caldwell, KY................................................ 0.8103

Calloway, KY................................................ 0.8103

Carlisle, KY................................................ 0.8103

Carroll, KY................................................. 0.8103

Casey, KY................................................... 0.8103

Clay, KY.................................................... 0.8103

Clinton, KY................................................. 0.8103

Crittenden, KY.............................................. 0.8103

Cumberland, KY.............................................. 0.8103

Edmonson, KY................................................ 0.8103

Elliott, KY................................................. 0.8103

Estill, KY.................................................. 0.8103

Fleming, KY................................................. 0.8103

Floyd, KY................................................... 0.8103

Franklin, KY................................................ 0.8103

Fulton, KY.................................................. 0.8103

Garrard, KY................................................. 0.8103

Graves, KY.................................................. 0.8103

Grayson, KY................................................. 0.8103

Green, KY................................................... 0.8103

Hancock, KY................................................. 0.8103

Hardin, KY.................................................. 0.8103

Harlan, KY.................................................. 0.8103

Harrison, KY................................................ 0.8103

Hart, KY.................................................... 0.8103

Henry, KY................................................... 0.8103

Hickman, KY................................................. 0.8103

Hopkins, KY................................................. 0.8103

Jackson, KY................................................. 0.8103

Johnson, KY................................................. 0.8103

Knott, KY................................................... 0.8103

Knox, KY.................................................... 0.8103

Larue, KY................................................... 0.8103

Laurel, KY.................................................. 0.8103

Lawrence, KY................................................ 0.8103

Lee, KY..................................................... 0.8103

Leslie, KY.................................................. 0.8103

Letcher, KY................................................. 0.8103

Lewis, KY................................................... 0.8103

Lincoln, KY................................................. 0.8103

Livingston, KY.............................................. 0.8103

Logan, KY................................................... 0.8103

Lyon, KY.................................................... 0.8103

McCracken, KY............................................... 0.8103

McCreary, KY................................................ 0.8103

McLean, KY.................................................. 0.8103

Magoffin, KY................................................ 0.8103

Marion, KY.................................................. 0.8103

Marshall, KY................................................ 0.8103

Martin, KY.................................................. 0.8103

Mason, KY................................................... 0.8103

Meade, KY................................................... 0.8103

Menifee, KY................................................. 0.8103

Mercer, KY.................................................. 0.8103

Metcalfe, KY................................................ 0.8103

Monroe, KY.................................................. 0.8103

Montgomery, KY.............................................. 0.8103

Morgan, KY.................................................. 0.8103

Muhlenberg, KY.............................................. 0.8103

Nelson, KY.................................................. 0.8103

Nicholas, KY................................................ 0.8103

Ohio, KY............................

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