05-13674. Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2006  

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    AGENCY:

    Centers for Medicare & Medicaid Services (CMS), HHS.

    ACTION:

    Proposed rule.

    SUMMARY:

    This proposed rule would set forth an update to the 60-day national episode rates and the national per-visit amounts under the Medicare prospective payment system for home health agencies. We are also proposing to implement the revised area labor market Metropolitan Statistical Area designations for calendar year 2006.

    DATES:

    To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on September 6, 2005.

    ADDRESSES:

    In commenting, please refer to file code CMS-1301-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission.

    You may submit comments in one of three ways (no duplicates, please):

    1. Electronically. You may submit electronic comments on specific issues in this regulation to http://www.cms.hhs.gov/​regulations/​ecomments. (Attachments should be in Microsoft Word, WordPerfect, or Excel; however, we prefer Microsoft Word.)

    2. By mail. You may mail written comments (one original and two copies) to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1301-P, P.O. Box 8016, Baltimore, MD 21244-8016.

    Please allow sufficient time for mailed comments to be received before the close of the comment period.

    3. By hand or courier. If you prefer, you may deliver (by hand or courier) your written comments (one original and two copies) before the close of the comment period to one of the following addresses. If you intend to deliver your comments to the Baltimore address, please call telephone number (410) 786-7195 in advance to schedule your arrival with one of our staff members.

    Hubert H. Humphrey Building, Room 445-G, 200 Independence Avenue, SW., Washington, DC 20201; or 7500 Security Boulevard, Baltimore, MD 21244-1850.

    (Because access to the interior of the HHH Building is not readily available to persons without Federal Government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp-in clock is available for persons wishing to retain a proof of filing by stamping in and retaining an extra copy of the comments being filed.)

    Comments mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and received after the comment period.

    For information on viewing public comments, see the beginning of the SUPPLEMENTARY INFORMATION section.

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    FOR FURTHER INFORMATION CONTACT:

    Randy Throndset, (410) 786-0131. Sharon Ventura, (410) 786-1985.

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    SUPPLEMENTARY INFORMATION:

    Submitting Comments: We welcome comments from the public on all issues set forth in this rule to assist us in fully considering issues and developing policies. You can assist us by referencing the file code CMS-1301-P and the specific “issue identifier” that precedes the section on which you choose to comment.

    Inspection of Public Comments: All comments received before the close of the comment period are available for viewing by the public, including any personally identifiable or confidential business information that is included in a comment. CMS posts all electronic comments received before the close of the comment period on its public Web site as soon as possible after they have been received. Hard copy comments received timely will be available for public inspection as they are received, generally beginning approximately 3 weeks after publication of a document, at the headquarters of the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 a.m. to 4 p.m. To schedule an appointment to view public comments, phone 1-800-743-3951.

    I. Background

    [If you choose to comment on issues in this section, please include the caption “BACKGROUND” at the beginning of your comments.]

    A. Statutory Background

    The Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), enacted on August 5, 1997, significantly changed the way Medicare pays for Medicare home health services. Until the implementation of a home health prospective payment system (HH PPS) on October 1, 2000, home health agencies (HHAs) received payment under a cost-based reimbursement system. Section 4603 of the BBA governed the development of the HH PPS.

    Section 4603(a) of the BBA provides the authority for the development of a PPS for all Medicare-covered home health services provided under a plan of care that were paid on a reasonable cost basis by adding section 1895, entitled “Prospective Payment For Home Health Services,” to the Social Security Act (the Act).

    Section 1895(b)(1) of the Act requires the Secretary to establish a PPS for all costs of home health services paid under Medicare.

    Section 1895(b)(3)(A) of the Act requires that (1) the computation of a standard prospective payment amount include all costs of home health services covered and paid for on a reasonable cost basis and be initially based on the most recent audited cost report data available to the Secretary, and (2) the prospective payment amounts be standardized to eliminate the effects of case-mix and wage levels among HHAs.

    Section 1895(b)(3)(B) of the Act addresses the annual update to the standard prospective payment amounts by the home health applicable increase percentage as specified in the statute.

    Section 1895(b)(4) of the Act governs the payment computation. Sections 1895(b)(4)(A)(i) and (b)(4)(A)(ii) of the Act require the standard prospective payment amount to be adjusted for case-mix and geographic differences in wage levels. Section 1895(b)(4)(B) of the Act requires the establishment of an appropriate case-mix adjustment factor that explains a significant amount of the variation in cost among different units of services. Similarly, section 1895(b)(4)(C) of the Act requires the establishment of wage adjustment factors that reflect the relative level of wages and wage-related costs applicable to the furnishing of home health services in a geographic area compared to the national average applicable level. These wage-adjustment factors may be the factors used by the Secretary for the different area wage levels for purposes of section 1886(d)(3)(E) of the Act.

    Section 1895(b)(5) of the Act gives the Secretary the option to grant additions or adjustments to the payment amount otherwise made in the case of outliers because of unusual variations in the type or amount of medically necessary care. Total outlier payments in a given fiscal year cannot exceed 5 percent of total payments projected or estimated.Start Printed Page 40789

    On December 8, 2003, the Congress enacted the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 (Pub. L. 108-173). This legislation affected how we make updates to HH payment rates.

    Section 701 of the MMA changed the yearly update cycle of the HH PPS rates from that of a fiscal year to a calendar year update cycle for 2004 and any subsequent year. Generally, section 701(a) of the MMA changed the references in the statute to refer to the calendar year for 2004 and any subsequent year. The changes resulted in updates to the HH PPS rates described as “fiscal year” updates for 2002 and 2003 and as “calendar year” updates for 2004 and any subsequent year (section 1895(b)(3)(B)(i) of the Act. Beginning on January 1, 2005, HH PPS will now be updated on a calendar year update cycle.

    In addition to changing the update cycle for HH PPS rates, section 701 of the MMA made adjustments to the home health applicable increase percentage for 2004, 2005, and 2006. Specifically, section 701(a)(2)(D) of the MMA left unchanged the home health market basket update for the last calendar year quarter of 2003 and the first calendar year quarter of 2004 (section 1895(b)(3)(B)(ii)(II) of the Act). Furthermore, section 701(b)(4) of the MMA set the home health applicable percentage increase for the last 3 quarters of 2004 as the home health market basket (3.1 percent) minus 0.8 percentage point (section 1895(b)(3)(B)(ii)(III) of the Act). We implemented this provision through Pub. 100-20, One Time Notification, Transmittal 59, issued February 20, 2004. Section 701(b)(4) of the MMA also provided that updates for CY 2005 and CY 2006 will equal the applicable home health market basket percentage increase minus 0.8 percentage point. Lastly, section 701(b)(3) of the MMA revised the statute to provide that HH PPS rates for CY 2007 and any subsequent year will be updated by that year's home health market basket percentage increase (section 1895(b)(3)(B)(ii)(IV) of the Act).

    B. Updates

    On July 3, 2000, we published a final rule (65 FR 41128) in the Federal Register to implement the HH PPS legislation. That final rule established requirements for the new PPS for HHAs as required by section 4603 of the BBA, and as subsequently amended by section 5101 of the Omnibus Consolidated and Emergency Supplemental Appropriations Act (OCESAA) for Fiscal Year 1999 (Pub. L. 105-277), enacted on October 21, 1998; and by sections 302, 305, and 306 of the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act (BBRA) of 1999 (Pub. L. 106-113), enacted on November 29, 1999. The requirements include the implementation of a PPS for HHAs, consolidated billing requirements, and a number of other related changes. The PPS described in that rule replaced the retrospective reasonable-cost-based system that was used by Medicare for the payment of home health services under Part A and Part B.

    On October 22, 2004, we published a final rule (69 FR 62124), which set forth an update to the 60-day national episode rates and the national per-visit amounts under the Medicare prospective payment system for home health agencies. As part of that final rule, we rebased and revised the home health market basket to ensure it continues to adequately reflect the price changes of efficiently providing home health services. In addition, we revised the fixed dollar loss ratio, which is used in the calculation of outlier payments. That final rule was also the first update of the HH PPS rates on a calendar year update cycle. HH PPS was moved to a calendar year update cycle as a result the MMA.

    C. System for Payment of Home Health Services

    Generally, Medicare makes payment under the HH PPS on the basis of a national standardized 60-day episode payment, adjusted for case mix and wage index. For episodes with four or fewer visits, Medicare pays on the basis of a national per-visit amount by discipline, referred to as a low utilization payment adjustment (LUPA). Medicare also adjusts the 60-day episode payment for certain intervening events that give rise to a partial episode payment adjustment (PEP adjustment) or a significant change in condition adjustment (SCIC). For certain cases that exceed a specific cost threshold, an outlier adjustment may also be available. For a complete and full description of the HH PPS as required by the BBA and as amended by OCESAA and BBRA, see the July 3, 2000 HH PPS final rule (65 FR 41128).

    II. Provisions of the Proposed Regulations

    [If you choose to comment on issues in this section, please include the caption “PROVISIONS OF THE PROPOSED REGULATIONS” at the beginning of your comments.]

    A. National Standardized 60-Day Episode Rate

    Medicare HH PPS has been effective since October 1, 2000. As set forth in the final rule published July 3, 2000 in the Federal Register (65 FR 41128), the unit of payment under Medicare HH PPS is a national standardized 60-day episode rate. As set forth in 42 CFR 484.220, we adjust the national standardized 60-day episode rate by a case mix grouping and a wage index value based on the site of service for the beneficiary. The proposed CY 2006 HH PPS rates use the same case-mix methodology and application of the wage index adjustment to the labor portion of the HH PPS rates as set forth in the July 3, 2000 final rule. In the October 22, 2004 final rule, we rebased and revised the home health market basket, resulting in a labor related share of 76.775 percent and a non-labor portion of 23.225 percent (69 FR 62126). We multiply the national 60-day episode rate by the patient's applicable case-mix weight. We divide the case-mix adjusted amount into a labor and non-labor portion. We multiply the labor portion by the applicable wage index based on the site of service of the beneficiary. As the home health market basket was rebased and revised last year, we are not proposing to rebase it for CY 2006.

    As required by section 1895(b)(3)(B) of the Act, we have updated the HH PPS rates annually in a separate Federal Register document. Section 484.225 sets forth the specific percentage update for fiscal years 2001 through 2008. As amended by section 701 of the MMA, § 484.225(f) sets the CY 2006 unadjusted national prospective 60-day episode payment rate equal to the rate from the previous calendar year (CY 2005), increased by the applicable home health market basket minus 0.8 percentage point.

    For CY 2006, we are proposing to use again the design and case-mix methodology described in section III.G of the HH PPS July 3, 2000 final rule (65 FR 41192 through 41203). For CY 2006, we are proposing to base the wage index adjustment to the labor portion of the PPS rates on the most recent pre-floor and pre-reclassified hospital wage index as discussed in section II.D of this proposed rule (not including any reclassifications under section 1886(d)(8)(B)) of the Act.

    As discussed in the July 3, 2000 HH PPS final rule, for episodes with four or fewer visits, Medicare pays the national per-visit amount by discipline, referred to as a LUPA. We update the national per-visit amounts by discipline annually by the applicable home health market Start Printed Page 40790basket percentage. We adjust the national per-visit amount by the appropriate wage index based on the site of service for the beneficiary as set forth in § 484.230. We propose to adjust the labor portion of the updated national per-visit amounts by discipline used to calculate the LUPA by the most recent pre-floor and pre-reclassified hospital wage index, as discussed in section II.D of this proposed rule.

    Medicare pays the 60-day case-mix and wage-adjusted episode payment on a split percentage payment approach. The split percentage payment approach includes an initial percentage payment and a final percentage payment as set forth in § 484.205(b)(1) and (b)(2). We may base the initial percentage payment on the submission of a request for anticipated payment and the final percentage payment on the submission of the claim for the episode, as discussed in § 409.43. The claim for the episode that the HHA submits for the final percentage payment determines the total payment amount for the episode and whether we make an applicable adjustment to the 60-day case-mix and wage-adjusted episode payment. The end date of the 60-day episode as reported on the claim determines the rate level at which Medicare will pay the claim for the fiscal period.

    We may also adjust the 60-day case-mix and wage-adjusted episode payment based on the information submitted on the claim to reflect the following:

    • A low utilization payment provided on a per-visit basis as set forth in § 484.205(c) and § 484.230.
    • A partial episode payment adjustment as set forth in § 484.205(d) and § 484.235.
    • A significant change in condition adjustment as set forth in § 484.205(e) and § 484.237.
    • An outlier payment as set forth in § 484.205(f) and § 484.240.

    This proposed rule reflects the proposed updated CY 2006 rates that would be effective January 1, 2006.

    B. Proposed CY 2006 Update to the Home Health Market Basket Index

    Section 1895(b)(3)(B) of the Act, as amended by section 701 of the MMA, requires for CY 2006 that the standard prospective payment amounts be increased by a factor equal to the applicable home health market basket update minus 0.8 percentage point.

    • Proposed CY 2006 Adjustments

    In calculating the annual update for the CY 2006 60-day episode rates, we are proposing to first look at the CY 2005 rates as a starting point. The CY 2005 national 60-day episode rate, as published in the Federal Register (69 FR 62124) is $2,264.28.

    In order to calculate the CY 2006 national 60-day episode rate, we are proposing to multiply the CY 2005 national 60-day episode rate ($2,264.28) by the proposed estimated home health market basket update of 3.3 percent for CY 2006 minus 0.8 percentage point.

    We would increase the CY 2005 60-day episode payment rate by the proposed estimated home health market basket update (3.3 percent) minus 0.8 percentage point ($2,264.28 × 2.5 percent) to yield the proposed updated CY 2006 national 60-day episode rate ($2,320.89) (see Table 1 below).

    Table 1.—Proposed National 60-Day Episode Amounts Updated by the Proposed Estimated Home Health Market Basket Update for CY 2006, Minus 0.8 Percentage Point, Before Case-Mix Adjustment, Wage Index Adjustment Based on the Site of Service for the Beneficiary or Applicable Payment Adjustment

    Total prospective payment amount per 60-day episode for CY 2005Multiply by the proposed estimated home health market basket update (3.3 percent) minus 0.8 percentage pointProposed CY 2006 updated national 60-day episode rate
    $2,264.281.025$2,320.89

    National Per-visit Amounts Used to Pay LUPAs and Compute Imputed Costs Used in Outlier Calculations

    As discussed previously in this proposed rule, the policies governing the LUPAs and outlier calculations set forth in the July 3, 2000 HH PPS final rule will continue during CY 2006. In calculating the annual update for the CY 2006 national per-visit amounts we use to pay LUPAs and to compute the imputed costs in outlier calculations, we are proposing to look again at the CY 2005 rates as a starting point. We then are proposing to multiply those amounts by the proposed estimated home health market basket update minus 0.8 percentage point for CY 2006 to yield the updated per-visit amounts for each home health discipline for CY 2006 (see Table 2 below).

    Table 2.—Proposed National Per-Visit Amounts for LUPAs and Outlier Calculations Updated by the Proposed Estimated Home Health Market Basket Update for CY 2006, Minus 0.8 Percentage Point, Before Wage Index Adjustment Based on the Site of Service for the Beneficiary

    Home health discipline typeFinal per-visit amount per 60-day episode for CY 2005 for LUPAsMultiply by the proposed estimated home health market basket (3.3 percent) minus 0.8 percentage pointProposed per-visit payment amount per discipline for CY 2006 for LUPAs
    Home Health Aide$44.761.025$45.88
    Medical Social Services158.451.025162.41
    Occupational Therapy108.811.025111.53
    Physical Therapy108.081.025110.78
    Skilled Nursing98.851.025101.32
    Speech-Language Pathology117.441.025120.38
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    C. Outliers and the Fixed Dollar Loss Ratio

    Outlier payments are payments made in addition to regular 60-day case-mix and wage-adjusted episode payments for episodes that incur unusually large costs due to patient home health care needs. Outlier payments are made for episodes for which the estimated cost exceeds a threshold amount. The episode's estimated cost is the sum of the national wage-adjusted per-visit payment amounts for all visits delivered during the episode. The outlier threshold for each case-mix group, PEP adjustment, or total SCIC adjustment is defined as the 60-day episode payment amount, PEP adjustment, or total SCIC adjustment for that group plus a fixed dollar loss amount. Both components of the outlier threshold are wage-adjusted.

    The wage-adjusted fixed dollar loss (FDL) amount represents the amount of loss that an agency must bear before an episode becomes eligible for outlier payments. The FDL is computed by multiplying the wage-adjusted 60-day episode payment amount by the fixed dollar loss ratio, which is a proportion expressed in terms of the national standardized episode payment amount. The outlier payment is defined to be a proportion of the wage-adjusted estimated costs beyond the wage-adjusted threshold. The proportion of additional costs paid as outlier payments is referred to as the loss-sharing ratio.

    Section 1895(b)(5) of the Act requires that estimated total outlier payments are no more than 5 percent of total estimated HH PPS payments. In response to the concerns about potential financial losses that might result from unusually expensive cases expressed in comments to the October 28, 1999 proposed rule (64 FR 58133), the July 2000 final rule set the target for estimated outlier payments at the 5 percent level. The fixed dollar loss ratio and the loss-sharing ratio were then selected so that estimated total outlier payments would meet the 5 percent target.

    For a given level of outlier payments, there is a trade-off between the values selected for the fixed dollar loss ratio and the loss-sharing ratio. A high fixed dollar loss ratio reduces the number of episodes that can receive outlier payments, but makes it possible to select a higher loss-sharing ratio and, therefore, increase outlier payments for outlier episodes. Alternatively, a lower fixed dollar loss ratio means that more episodes can qualify for outlier payments, but outlier payments per episode must be lower. As a result of public comments on the October 28, 1999 proposed rule, in our July 2000 final rule, we made the decision to attempt to cover a relatively high proportion of the costs of outlier cases for the most expensive episodes that would qualify for outlier payments within the 5 percent constraint.

    In the July 2000 final rule, we chose a value of 0.80 for the loss-sharing ratio, which preserves incentives for agencies to attempt to provide care efficiently for outlier cases. A loss-sharing ratio of 0.80 was also consistent with the loss-sharing ratios used in other Medicare PPS outlier policies. Furthermore, we estimated the value of the fixed dollar loss ratio that would yield estimated total outlier payments that were 5 percent of total home health PPS payments. The resulting value for the fixed dollar loss ratio, for the July 2000 final rule, was 1.13.

    Our CY 2005 update to the HH PPS rates (69 FR 62124) changed the fixed dollar loss ratio from the original 1.13 to 0.70 to allow more home health episodes to qualify for outlier payments and to better meet the estimated 5 percent target of outlier payments to total HH PPS payments. We stated in that CY 2005 update that we planned to continue to monitor the outlier expenditures on a yearly basis and to make adjustments as necessary (69 FR 62129). To do so, we planned on using the best Medicare data available at the time of publication. For the CY 2005 update, we used CY 2003 home health claims data. At this time, we do not have sufficient data to propose any update to the FDL ratio for the CY 2006 update to the HH PPS rates. However, depending on the availability of more recent data at the time of publication of the HH PPS rate update for CY 2006 final rule, we may, if necessary, implement an update to the FDL ratio for the CY 2006 update to the HH PPS rates. If so, we plan on using the same methodology performed in updating to the current FDL ratio described in the June 2, 2004 proposed rule using any more recent available data.

    D. Hospital Wage Index

    1. Revised OMB Definition for Geographical Statistical Areas

    Sections 1895(b)(4)(A)(ii) and (b)(4)(C) of the Act require the Secretary to establish area wage adjustment factors that reflect the relative level of wages and wage-related costs applicable to the furnishing of home health services and to provide appropriate adjustments to the episode payment amounts under HH PPS to account for area wage differences. We apply the appropriate wage index value to the labor portion (76.775 percent; see (60 FR 62126)) of the HH PPS rates based on the geographic area in which the beneficiary received home health services as discussed in section II. A of this proposed rule. Generally, we determine each HHA's labor market area based on definitions of Metropolitan Statistical Areas (MSAs) issued by the Office of Management and Budget (OMB).

    We acknowledged in our October 22, 2004 final rule that, on June 6, 2003, the OMB issued an OMB Bulletin (No. 03-04) announcing revised definitions for Metropolitan Statistical Areas (MSAs), new definitions for Micropolitan Statistical Areas and Combined Statistical Areas, and guidance on using the statistical definitions. A copy of the Bulletin may be obtained at the following Internet address: http://www.whitehouse.gov/​omb/​bulletins/​b03-04.html. At that time, we did not propose to apply these new definitions known as Core-Based Statistical Areas (CBSAs). After further analysis, we are proposing to use the OMB-revised definitions to adjust the proposed CY 2006 HH PPS payment rates. The Hospital Inpatient PPS (IPPS) is applying these revised definitions as discussed in the August 11, 2004 IPPS final rule (68 FR 49207).

    a. Background. As discussed previously and set forth in the July 3, 2000 final rule, the statute provides that the wage adjustment factors may be the factors used by the Secretary for purposes of section 1886(d)(3)(E) of the Act for hospital wage adjustment factors. Again, as discussed in the July 3, 2000 final rule, we are proposing to use the pre-floor and pre-reclassified hospital wage index data to adjust the labor portion of the HH PPS rates based on the geographic area in which the beneficiary receives the home health services. We believe the use of the pre-floor and pre-reclassified hospital wage index data results in the appropriate adjustment to the labor portion of the costs as required by statute. For this proposed CY 2006 update to the home health payment rates, we propose to continue to use the most recent pre-floor and pre-reclassified hospital wage index available at the time of publication. See Addenda A and B of this proposed rule, respectively, for the proposed rural and urban hospital wage indices using the new MSA designations. For HH PPS rates addressed in this proposed rule, we are using preliminary 2006 pre-floor and pre-reclassified hospital wage index data. We will incorporate updated hospital wage index data for the 2006 pre-floor and pre-reclassified hospital wage index to be used in the final rule Start Printed Page 40792for the CY 2006 HH PPS update (not including any reclassifications under section 1886(d)(8)(B) of the Act).

    As implemented under the HH PPS in the July 3, 2000 HH PPS final rule, each HHA's labor market is determined based on definitions of MSAs issued by OMB. In general, an urban area is defined as an MSA or New England County Metropolitan Area (NECMA) as defined by OMB. Under § 412.62(f)(1)(iii), a rural area is defined as any area outside of the urban area. The urban and rural area geographic classifications are defined in § 412.62(f)(1)(ii) and (f)(1)(iii), respectively, and have been used under HH PPS since it was implemented.

    Under the HH PPS, the wage index value used is based upon the location of the beneficiary's home. As has been our longstanding practice, any area not included in an MSA (urban area) is considered to be nonurban (§ 412.64(b)(1)(ii)(C)) and receives the statewide rural wage index value (see, for example (65 FR 41173)).

    Currently, the MSA definitions are used under other prospective payment systems such as the inpatient rehabilitation facility PPS (IRF PPS), the inpatient psychiatric facility PPS (IPF PPS), the skilled nursing facility PPS (SNF PPS), and Medicare payment for hospice care. In the August 11, 2004 IPPS final rule (69 FR 49206 through 49034), revised labor market area definitions were adopted under § 412.64(b), which were effective October 1, 2004 for acute care hospitals. The new standards, CBSAs, were announced by OMB in late 2000 and are discussed in greater detail below.

    As indicated above, we are proposing to implement the designations and definitions published by OMB. Details can be found in the June 6, 2003 OMB Bulletin (No. 03-04). In this proposed rule, we will address the new OMB definitions and their application to the home health wage index used by HH PPS. We are also proposing to revise § 484.202 (Definitions) to reflect those new designations and definitions. As we use the hospital inpatient wage data as the basis for determining the wage index used by HH PPS, we are generally adopting the same approach as taken by the hospital inpatient prospective payment system (IPPS). The changes in the hospital wage index based on the new OMB definitions are discussed in the inpatient prospective payment system (IPPS) proposed rule published in the Federal Register on May 18, 2004 (69 FR 28196) as well as in the IPPS final rule published on August 11, 2004 (69 FR 48916).

    b. Current Labor Market Areas Based on MSAs. As noted above, we currently define labor market areas based on the definitions of Metropolitan Statistical Areas (MSAs), Primary MSAs (PMSAs), and New England County Metropolitan Areas (NECMAs) issued by the OMB. The OMB also designates Consolidated MSAs (CMSAs). A CMSA is a metropolitan area with a population of one million or more, comprising two or more PMSAs (identified by their separate economic and social character). For the purposes of the wage index, we use the PMSAs rather than the CMSAs because they allow a more precise breakdown of labor costs. If a metropolitan area is not designated as part of a PMSA, we use the applicable MSA. These different designations use counties as the building blocks upon which they are based. Hospitals are assigned to either an MSA, PMSA, or NECMA based on whether the county in which the hospital is located is part of that area. All of the counties in a State outside a designated MSA, PMSA, or NECMA are designated rural. For the purposes of calculating the wage index, we combine all of the counties in a State outside a designated MSA, PMSA, or NECMA together to calculate the statewide rural wage index for each state.

    c. Core-Based Statistical Areas. The OMB reviews its Metropolitan Area (MA) definitions preceding each decennial census. As discussed in the August 11, 2004 IPPS final rule (69 FR 49207), in the Fall of 1998, the OMB chartered the Metropolitan Area Standards Review Committee to examine the MA standards and develop recommendations for possible changes to those standards. Three notices related to the review of the standards, providing an opportunity for public comment on the recommendations of the Committee, were published in the Federal Register on the following dates: December 21, 1998 (63 FR 70526); October 20, 1999 (64 FR 56628); and August 22, 2000 (65 FR 51060).

    In the December 27, 2000 Federal Register (65 FR 82228 through 82238), OMB announced its new standards. In that notice, the OMB defines a Core-Based Statistical Area (CBSA), beginning in 2003, as “a geographic entity associated with at least one core of 10,000 or more population, plus adjacent territory that has a high degree of social and economic integration with the core as measured by commuting ties.” The standards designate and define two categories of CBSAs: Metropolitan Statistical Areas (MSAs) and Micropolitan Statistical Areas (65 FR 82235).

    According to the OMB, MSAs are based on urbanized areas of 50,000 or more population, and Micropolitan Statistical Areas (referred to in further discussion as Micropolitan Areas) are based on urban clusters of at least 10,000 population but less than 50,000 population. Counties that do not fall within CBSAs (either MSAs or Micropolitan Areas) are deemed “Outside CBSAs.” In the past, the OMB defined MSAs around areas with a minimum core population of 50,000, and smaller areas were “Outside MSAs.”

    On June 6, 2003, OMB announced the new CBSAs, comprised of MSAs and the new Micropolitan Areas based on Census 2000 data. (A copy of the announcement may be obtained at the following Internet address: http://www.whitehouse.gov/​omb/​bulletins/​fy04/​b04-03.html.) The new CBSA designations recognize 49 new (urban) MSAs and 565 new Micropolitan Areas, and revise the composition of many of the existing (urban) MSAs. There are 1,090 counties in MSAs under these new CBSA designations compared with 848 counties in the previous MSAs. Of these 1,090 counties, 737 are in the same MSA as they were before the changes, 65 are in different MSAs, and 288 were not previously designated to any MSA. There are 674 counties in Micropolitan Areas. Of these, 41 were previously in an MSA, while 633 were not previously designated to an MSA. There are five counties that previously were designated to a MSA but are no longer designated to either an MSA or a new Micropolitan Area: Carter County, KY; St. James Parish, LA; Kane County, UT; Culpepper County, VA; and King George County, VA. For a more detailed discussion of the new CBSAs, refer to the August 11, 2004 IPPS final rule (67 FR 49026 through 49034).

    d. Proposed Revision to the HH PPS Labor Market Areas. In its June 6, 2003 announcement, OMB cautioned that these new definitions “should not be used to develop and implement Federal, State, and local nonstatistical programs and policies without full consideration of the effects of using these definitions for such purposes. These areas should not serve as a general-purpose geographic framework for nonstatistical activities, and they may or may not be suitable for use in program funding formulas.”

    In the HH PPS update for CY 2005 proposed rule (69 FR 31260, June 2, 2004), we noted that the recently published IPPS proposed rule for FY 2005 had discussed some of the issues associated with using these new definitions, and had invited public Start Printed Page 40793comment on them. Accordingly, we decided to defer proposing any new labor market definitions in the home health context at that time, in order to allow the public sufficient time and opportunity to consider and provide comments on this issue. In that HH PPS proposed rule, we also invited all interested parties to provide input on this issue in the specific context of the HH PPS. We believe that sufficient time has now elapsed for interested parties to consider and react to the new OMB definitions and, accordingly, we are now proposing to make the changes discussed below.

    We have continued to use MSAs to define labor market areas for purposes of the wage index. For the HH PPS, the statute states that the Secretary shall establish area wage adjustment factors that reflect the relative level of wages and wage-related costs applicable to the furnishing of home health services in a geographic area compared to the national average applicable level. We believe MSAs are a reasonable and appropriate proxy for developing geographic areas for purposes of adjusting for wage differences in HH PPS and for many of the same reasons stated in the various IPPS rules over the years where this issue has been exhaustively examined. We also note that MSAs have been used to define labor market areas for purposes of the wage index for many of the other Medicare payment systems (for example, IRF PPS, SNF PPS, hospice, and IPF PPS).

    First, historically, Medicare prospective payment systems have used MA definitions developed by OMB. For example, in discussing the adoption of the MSA designation for the IPPS area labor adjustment, the IPPS proposed rule for FY 1985 (49 FR 27426, July 3, 1984) stated:

    [i]n administering a national payment system, we must have a national classification system built on clear, objective standards. Otherwise the program becomes increasingly difficult to administer because the distinction between rural and urban hospitals is blurred. We believe that the MSA system is the only one that currently meets the requirements for use as a classification system in a national payment program. The MSA classification system is a statistical standard developed for use by Federal agencies in the production, analysis, and publication of data on metropolitan areas. The standards have been developed with the aim of producing definitions that will be as consistent as possible for all MSAs nationwide.

    In addition, in numerous instances, the Congress has recognized that the areas developed by OMB may be used for differentiating among geographic areas for Medicare payment purposes. For example, in the IPPS statutory sections, the Congress defines an “urban area” as “an area within a Metropolitan Statistical Area (as defined by the Office of Management and Budget) or within such similar area as the Secretary has recognized.” Section 1886(d)(2)(D) of the Act. Similarly, in the sections of the statute governing the guidelines to be used by the Medicare Geographic Classification Review Board for purposes of reclassification, the Congress directed the Secretary to create guidelines for “determining whether the county in which the hospital is located should be treated as being a part of a particular [MSA].” Section 1886(d)(10)(A), (D)(i)(II) of the Act. Thus, the Congress has accepted and ratified the use of MSAs as an inherently rational manner of dividing labor-market areas for purposes of Medicare payments.

    The process used by OMB to develop the MSAs creates geographic areas upon characteristics that we believe also generally reflect the characteristics of unified labor market areas. For example, the CBSAs reflect a core population plus an adjacent territory that reflects a high degree of social and economic integration. This integration is measured by commuting ties, thus demonstrating that these areas may draw workers from the same general areas. In addition, the most recent CBSAs reflect the most up-to-date information. OMB reviews its MA definitions preceding each decennial census to reflect recent population changes and the CBSAs are based on the Census 2000 data. Finally, in the context of the IPPS, we have reviewed alternative methods for determining geographic areas for purposes of the wage index, and in each case, have decided to retain the OMB designations rather than replace these designations with alternatives.

    Because we believe that we have broad authority to create labor market areas, and because we also believe that OMB's latest MA designations accurately reflect the local economies and wage levels of the areas in which hospitals are currently located, we are proposing to adopt the revised labor market area designations based on OMB's CBSA designations.

    Furthermore, when we implemented the wage index adjustment at § 484.210 under the HH PPS in the July 3, 2000 HH PPS final rule (65 FR 41213), we stated that an appropriate wage index was to be used to adjust for area wage differences. We also explained that in the adjustment to the national prospective 60-day episode payment rate, we have to account for the geographic differences in wage levels using an appropriate wage index based on the site of service of the beneficiary (65 FR 41213). Because we believe that OMB's CBSA designations based on Census 2000 data reflect the most recent available geographic classifications (MA definitions), as noted above we are proposing to revise the labor market area definitions used under the HH PPS. Specifically, we are proposing to revise the HH PPS labor market definitions based on OMB's new CBSA designations (as discussed in greater detail below), effective for HH PPS services occurring on or after January 1, 2006.

    We note that OMB's new CBSA designations are the same labor market area definitions implemented under the IPPS at § 412.64(b), which were effective for those hospitals beginning October 1, 2004, as discussed in the August 11, 2004 IPPS final rule (69 FR 49026 through 49034). The similarity between the IPPS and the HH PPS includes the adoption in the initial implementation of the HH PPS of the same labor market area definitions under the HH PPS that existed under the IPPS at that time, as well as the use of acute care hospitals' wage data in calculating the HH PPS wage index. Therefore, we believe that proposing to revise the HH PPS labor market area definitions based on OMB's CBSA designations is consistent with our historical practice of generally modeling HH PPS wage index policy after IPPS wage index policy.

    Below, we discuss the composition of the proposed HH PPS labor market areas based on OMB's new CBSA designations.

    (1) New England County Metropolitan Areas. NECMAs are currently used to define labor market areas in New England, because they are county-based designations rather than the 1990 MSA definitions for New England, which used minor civil divisions such as cities and towns. Under the new CBSA definition, OMB has now defined the MSAs and Micropolitan Areas in New England on the basis of counties. OMB also established New England City and Town Areas, which are similar to the previous New England MSAs. Therefore, to maintain consistency among all labor market areas and to maintain these areas on the basis of counties, under the HH PPS, we are proposing to use the county-based areas for all MSAs in the nation, including those in New England. Census 2000 has now defined the New England area based on counties, creating a city- and town-based system as an alternative. We believe that adopting county-based labor market areas for the entire country, Start Printed Page 40794except those in New England, would lead to inconsistencies in our designations. Adopting county-based labor market areas for the entire country provides consistency and stability in Medicare program payment because all the labor market areas throughout the country including New England, would be defined using the same system (that is, counties) rather than different systems in different areas of the county, thus minimizing programmatic complexity.

    In addition, we have consistently employed a county-based system for New England for precisely that reason: to maintain consistency with the labor market definitions used throughout the country. We note that this is consistent with the implementation of the CBSA designations under the IPPS for New England (see August 11, 2004 (69 FR 49028)). Accordingly, under the HH PPS we are proposing to use the New England MSAs as determined under the proposed new CBSA-based labor market area definitions in defining the proposed revised HH PPS labor market areas.

    (2) Metropolitan Divisions. Under OMB's new CBSA designations, a Metropolitan Division is a county or group of counties within a CBSA that contains a core population of at least 2.5 million, representing an employment center, plus adjacent counties associated with the main county or counties through commuting lines. A county qualifies as a main county if 65 percent or more of its employed residents work within the county and the ratio of the number of jobs located in the county to the number of employed residents is at least 0.75. A county qualifies as a secondary county if 50 percent or more, but less than 65 percent, of its employed residents work within the county and the ratio of the number of jobs located in the county to the number of employed residents is at least 0.75. After all the main and secondary counties are identified and grouped, each additional county that already has qualified for inclusion in the MSA falls within the Metropolitan Division associated with the main/secondary county or counties with which the county at issue has the highest employment interchange measure. Counties in a Metropolitan Division must be contiguous (65 FR 82236). Metropolitan Divisions have been implemented under IPPS (69 FR 49029).

    As noted above, in the past, OMB designated CMSAs as Metropolitan Areas with a population of one million or more and comprised of two or more PMSAs. Under the HH PPS, we currently use the PMSAs rather than CMSAs to define labor market areas because they comprise a smaller geographic area with potentially varying labor costs due to different local economies. We believe that CMSAs may be too large an area to accurately reflect the local labor costs of all of the individual hospitals included in that relatively “large” area. Similarly, we believe that Metropolitan Divisions under the CBSA designations may be too large an area to accurately reflect the local labor costs of all of the individual hospitals included in that relatively “large” area. Further, Metropolitan Divisions represent the closest approximation to PMSAs and, therefore, would most accurately maintain our current structuring of the HH PPS labor market areas. Therefore, as implemented under the IPPS (69 FR 49029), we are proposing to use the Metropolitan Divisions where applicable (as described below) under the proposed new CBSA-based labor market area definitions.

    In addition to being comparable to the organization of the labor market areas under current MSA designations, we believe that proposing to use Metropolitan Divisions where applicable (as described below) under the HH PPS would result in a more accurate adjustment for the variation in local labor market areas. Specifically, if we recognize the relatively “larger” CBSA that comprises two or more Metropolitan Divisions as an independent labor market area for purposes of the wage index, it would be too large and would include the data from too many hospitals to compute a wage index that would accurately reflect the various local labor costs of all of the individual hospitals included in that relatively “large” CBSA. By proposing to recognize Metropolitan Divisions where applicable (as described below) under the proposed new CBSA-based labor market area definitions under the HH PPS, we believe that the local labor costs would be more accurately reflected, thereby resulting in a wage index adjustment that better reflects the variation in the local labor costs of the local economies served by HHAs in those relatively “smaller” areas.

    Under CBSA definitions, there are 11 MSAs containing Metropolitan Divisions: Boston; Chicago; Dallas; Detroit; Los Angeles; Miami; New York; Philadelphia; San Francisco; Seattle; and Washington, D.C. Although these MSAs were also CMSAs under the prior definitions, in some cases their areas have been significantly altered.

    Under the current HH PPS MSA designations, Boston was a single NECMA. Under the proposed CBSA-based labor market area designations, it would be comprised of 4 Metropolitan Divisions. Los Angeles would go from 4 PMSAs under the current HH PPS MSA designations to 2 Metropolitan Divisions under the proposed CBSA-based labor market area designations. The New York CMSA would go from 15 PMSAs under the current HH PPS MSA designations to only 4 Metropolitan Divisions under the proposed CBSA-based labor market area designations. Five PMSAs in Connecticut under the current HH PPS MSA designations would become separate MSAs under the proposed CBSA-based labor market area designations. The number of PMSAs in New Jersey, under the current HH PPS MSA designations would go from 5 to 2, with the consolidation of 2 New Jersey PMSAs (Bergen-Passaic and Jersey City) into the New York-Wayne-White Plains, NY-NJ Division, under the proposed CBSA-based labor market area designations. In San Francisco, under the proposed CBSA-based labor market area designations, there are only 2 Divisions. Currently, there are 6 PMSAs, some of which are now separate MSAs under the current HH PPS labor market area designations.

    Under the current HH PPS labor market area designations, Cincinnati, Cleveland, Denver, Houston, Milwaukee, Portland, Sacramento, and San Juan are all designated as CMSAs, but would no longer be designated as CMSAs under the proposed CBSA-based labor market area designations. As noted previously, the population threshold to be designated a CMSA under the current HH PPS labor market area designations is one million. In most of these cases, counties currently in a PMSA would become a separate, independent MSA under the proposed CBSA-based labor market area designations, leaving only the MSA for the core area under the proposed CBSA-based labor market area designations.

    (3) Micropolitan Areas. Under OMB's new CBSA designations, Micropolitan Areas are essentially a third area definition comprised primarily of what are currently designated as rural areas, but also include some or all of areas that are currently designated as an urban MSA. As discussed in the August 11, 2004 IPPS final rule (69 FR 49029-49032), how these areas are treated would have significant impact on the calculation and application of the hospital wage index. Specifically, whether or not Micropolitan Areas are included as part of the respective statewide rural wage indices would affect the value of the statewide rural wage index of any State that contains a Micropolitan area. A hospital's Start Printed Page 40795classification as urban or rural affects which hospitals' wage data are included in the statewide rural wage index. As discussed in section II.D.1.b of this proposed rule, all counties in a State outside a designated urban area are combined to calculate the statewide rural wage index for each State.

    Micropolitan Areas included as part of the statewide rural labor market area would result in an increase to the statewide rural wage index because hospitals located in those Micropolitan Areas typically have higher labor costs than other rural hospitals in the State. Alternatively, as discussed in greater detail below, if Micropolitan Areas were recognized as independent labor market areas, because there would be so few hospitals in those areas to complete a wage index, the wage indices for those areas would become relatively unstable as they would change considerably from year to year.

    Currently, we use MSAs to define urban labor market areas and group all the hospitals in counties within each State that are not assigned to an MSA into a statewide rural labor market area. Therefore, we used the terms “urban” and “rural” wage indices in the past for ease of reference. However, the introduction of Micropolitan Areas by OMB potentially complicates this terminology because these areas include many hospitals that are currently included in the statewide rural labor market areas. Thus, the term “rural” is now used to describe hospitals in counties that are not assigned to either MSA or Micropolitan areas.

    We are proposing to treat Micropolitan Areas as rural labor market areas under the HH PPS for the reasons outlined below. That is, counties that are assigned to a Micropolitan area under the CBSA designations would be treated the same as other “rural” counties that are not assigned to either an MSA (Metropolitan Area) or a Micropolitan Area. Therefore, in determining the applicable HH PPS wage index (based on IPPS hospital wage index data, as discussed in greater detail below in section II.D. of this preamble), we propose that the wage index for an HHA servicing a home health beneficiary in a Micropolitan Area under the OMB's CBSA designations would be classified as “rural” and would be assigned the statewide rural wage index for that State.

    In the August 11, 2004 IPPS final rule, (69 FR 49029 through 49032), we discussed the impact of treating Micropolitan areas as part of the statewide rural labor market area instead of treating Micropolitan Areas as independent labor market areas for hospitals paid under IPPS. As discussed in greater detail in that same final rule, Micropolitan Areas encompass smaller populations than MSAs and tend to include fewer hospitals per Micropolitan Area.

    As Micropolitan Areas tend to include fewer hospitals, recognizing Micropolitan Areas as independent labor market areas would generally increase the potential for dramatic shifts in those areas' wage indices from one year to the next because a single hospital (or group of hospitals) could have a disproportionate effect on the wage index of the area. Dramatic shifts in an area's wage index from year to year are problematic because they result in the instability of payment levels from year to year, which makes fiscal planning difficult. Therefore, in order to minimize the potential instability in payment levels from year to year, we believe it would be appropriate to treat Micropolitan Areas as part of the statewide rural labor market area under HH PPS.

    Consistent with the treatment of these areas under the IPPS, we are proposing that Micropolitan Areas be considered a part of the statewide rural labor market area. Accordingly, we are proposing that the HH PPS statewide rural wage index would be determined using acute-care IPPS hospital wage data from hospitals located in non-MSA areas and that the statewide rural wage index would be assigned to home health episodes of care for beneficiaries being served in those areas.

    We are proposing to adopt OMB's new labor market designations for CY 2006, effective January 1, 2006. In adopting the CBSA designations, we identified some geographic areas where there were no hospitals, and thus no hospital wage index data on which to base the calculation of the CY 2006 HH PPS proposed wage index. In addressing this situation, we are proposing approaches that we believe serve as proxies for hospital wage data and will provide an appropriate standard that accounts for area wage differences.

    The first situation involves rural locations in Massachusetts and Puerto Rico. Under the proposed labor market areas, there are no rural hospitals in those locations. Because there is no reasonable proxy for more recent rural data within those areas, we are proposing to use last year's wage index value for rural Massachusetts and rural Puerto Rico.

    The second situation has to do with the urban areas of Hinesville, GA (CBSA 25980) and Mansfield, OH (CBSA 31900). Under the proposed new labor market areas, there are no urban hospitals within those areas. We propose to use all of the urban areas within the State to serve as a reasonable proxy for the urban areas without specific hospital wage index data in determining the HH PPS wage index. Therefore, in this proposed rule, we calculated the urban wage index value for purposes of the wage index for these areas without urban hospital data as the average wage index for all urban areas within the State. We could not apply a similar averaging in rural areas because in the rural areas noted above, there is no rural hospital data available for averaging on a state-wide basis. We solicit comments on these approaches to calculating the wage index values for areas without hospitals for CY 2006 and subsequent years.

    (4) Implementation of the Proposed Revised Labor Market Designation. When the revised labor market areas based on OMB's new CBSA designations were adopted under the IPPS beginning on October 1, 2004, a transition to the new designations was established due to the scope and magnitude of the change, in order to mitigate the resulting adverse impact on certain hospitals. As discussed in the August 11, 2004 IPPS final rule (69 FR 49032), during FY 2005, a blend of wage indices is calculated for those acute care IPPS hospitals experiencing a drop in their wage indices because of the adoption of the new labor market areas. Also, as described in that same final rule (69 FR 49032), under the IPPS, hospitals that previously had been located in an urban MSA but became rural under the new CBSA definitions are assigned the wage index value of the urban area to which they belonged previously, for 3 years (FYs 2005 through 2007).

    Unlike IPPS and some of the other payment systems where each entity uses a single MSA, HHAs may use various wage indices to compute their payments based upon the location of the beneficiary. Therefore, we do not believe that in the aggregate, HHAs would be impacted negatively by the new CBSA designations. While we understand that there are CBSAs that decrease based upon the new definitions, there are those that would be positively affected. For example, many counties that have been included in the rural definitions under the MSA designations are now designated as urban areas under the CBSA and would generally receive an increase in their wage index. We believe that adjustments made to CBSAs because of negative impact would necessitate adjustments to CBSAs that are Start Printed Page 40796positively impacted. Variability and changes in wage indices both positively and negatively have occurred under the MSA designations and occur as a result of geographic differences. As a result, we propose to adopt the CBSA definitions and resulting wage indices without transitions. The impact of CBSA designations is discussed in section V.B of this proposed rule. In estimating the impact of our proposal, we computed the projected expenditures for FY 2006 using geographic areas based upon existing MSAs as well as for areas using the new CBSA designations. Our impact analysis used the proposed CY 2006 payment rates and all of the CY 2003 claims files. In the final rule, we will use the best available home health data for CY 2004 in determining the potential impact of any change to the MSA designations. We also note that, in the past, the OMB has announced MSA changes on an annual basis due to population changes, and we have not proposed to transition these changes. Therefore, we do not propose transitioning the implementation of the new MSA designations.

    We also note that section 505 of the MMA established new section 1886(d)(13) of the Act. The new section 1886(d)(13) requires that the Secretary establish a process to make adjustments to the hospital wage index based on commuting patterns of hospital employees. We believe that this requirement for an “out-commuting” or “out-migration” adjustment applies specifically to the Hospital Inpatient Prospective Payment System. Therefore, we will not be establishing such an adjustment for HH PPS.

    As stated previously, we believe that OMB's latest labor market designations more accurately reflect the local economics and wage levels of the areas in which hospitals are currently located. We believe that OMB's CBSA designations based on Census 2000 data reflect the most recent available geographic classifications (MA definitions) and as a result reflect the relative hospital wage levels in the geographic area. As stated previously, since HHAs compete for the same staff as hospitals in any geographic area, we believe the hospital wage index used by HH PPS reflects the wages that are paid by HHAs.

    To reflect our proposal to use the new OMB labor market areas for purposes of the HH PPS wage index, we are proposing to add, in § 484.202 (Definitions), the following definitions for rural and urban:

    Rural area means, with respect to home health episodes ending on or after January 1, 2006, an area defined in § 412.64(b)(1)(ii)(C).

    Urban area means, with respect to home health episodes ending on or after January 1, 2006, an area defined in § 412.64(b)(1)(ii)(A) and (B).

    To facilitate an understanding of the proposed policies related to the proposed changes in the wage index as discussed in section V.B of this proposed rule, in addendum C, we are providing a listing of each Social Security Administration State and county location code, State and county name, existing MSA-based labor market area designation, MSA-based wage index value, CBSA-based labor market area, and the proposed CBSA-based wage index value.

    III. Collection of Information Requirements

    This document does not impose information collection and recordkeeping requirements. Consequently, it need not be reviewed by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995 (44 U.S.C. 35).

    IV. Response to Comments

    Because of the large number of public comments we normally receive on Federal Register documents, we are not able to acknowledge or respond to them individually. We will consider all comments we receive by the date and time specified in the DATES section of this preamble, and, when we proceed with a subsequent document, we will respond to the comments in the preamble to that document.

    V. Regulatory Impact Analysis

    [If you choose to comment on issues in this section, please include the caption “REGULATORY IMPACT” at the beginning of your comments.]

    A. Overall Impact

    We have examined the impacts of this rule as required by Executive Order 12866 (September 1993, Regulatory Planning and Review), the Regulatory Flexibility Act (RFA) (September 19, 1980, Pub. L. 96-354), section 1102(b) of the Social Security Act, the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.

    Executive Order 12866 (as amended by Executive Order 13258, which merely reassigns responsibility of duties) directs agencies to assess all costs and benefits of available regulatory alternatives and, if regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis (RIA) must be prepared for major rules with economically significant effects ($100 million or more in any 1 year). The update set forth in this proposed rule would apply to Medicare payments under HH PPS in CY 2006. Accordingly, the following analysis describes the impact in CY 2006 only. We estimate that there would be an additional $330 million in CY 2006 expenditures attributable to the CY 2006 proposed estimated home health market basket update (3.3 percent) minus 0.8 percentage point, for a CY 2006 update of 2.5 percent.

    The RFA requires agencies to analyze options for regulatory relief of small businesses. For purposes of the RFA, small entities include small businesses, nonprofit organizations, and government agencies. Most hospitals and most other providers and suppliers are small entities, either by nonprofit status or by having revenues of $6 million to $29 million in any 1 year. For purposes of the RFA, approximately 75 percent of HHAs are considered small businesses according to the Small Business Administration's size standards with total revenues of $11.5 million or less in any 1 year. Individuals and States are not included in the definition of a small entity. As stated above, this proposed rule would provide an update to all HHAs for CY 2006 as required by statute. This proposed rule would have a significant positive effect upon small entities.

    In addition, section 1102(b) of the Act requires us to prepare a regulatory impact analysis if a rule may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 603 of the RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside of a Metropolitan Statistical Area and has fewer than 100 beds. We have determined that this proposed rule would not have a significant economic impact on the operations of a substantial number of small rural hospitals.

    Section 202 of the Unfunded Mandates Reform Act of 1995 also requires that agencies assess anticipated costs and benefits before issuing any rule that may result in expenditure in any 1 year by State, local, or tribal governments, in the aggregate, or by the private sector, of $110 million. We believe this proposed rule would not mandate expenditures in that amount.

    Executive Order 13132 establishes certain requirements that an agency Start Printed Page 40797must meet when it promulgates a proposed rule (and subsequent final rule) that imposes substantial direct requirement costs on State and local governments, preempts State law, or otherwise has Federalism implications. We have reviewed this rule under the threshold criteria of Executive Order 13132, Federalism. We have determined that this proposed rule would not have substantial direct effects on the rights, roles, and responsibilities of States.

    B. Anticipated Effects

    This proposed rule would update the HH PPS rates contained in the CY 2005 final rule (69 FR 62124, October 22, 2004). The impact analysis of this proposed rule presents the projected effects of the proposed change from MSA to CBSA designations in determining the wage index used to calculate the HH PPS rates for CY 2006. We estimate the effects by estimating payments while holding all other payment variables constant. We use the best data available, but we do not attempt to predict behavioral responses to these changes, and we do not make adjustments for future changes in such variables as days or case-mix.

    This analysis incorporates the latest estimates of growth in service use and payments under the Medicare home health benefit, based on the latest available Medicare claims from 2003. We note that certain events may combine to limit the scope or accuracy of our impact analysis, because such an analysis is future-oriented and, thus, susceptible to forecasting errors due to other changes in the forecasted impact time period. Some examples of such possible events are newly-legislated general Medicare program funding changes by the Congress, or changes specifically related to HHAs. In addition, changes to the Medicare program may continue to be made as a result of the BBA, the BBRA, the BIPA, the MMA, or new statutory provisions. Although these changes may not be specific to the HH PPS, the nature of the Medicare program is such that the changes may interact, and the complexity of the interaction of these changes could make it difficult to predict accurately the full scope of the impact upon HHAs.

    Our discussions for this proposed rule will focus on the impact of changes in the wage index, most notably the adoption of the CBSA designations. The impacts are shown in Table 3 below. The breakdown of the various impacts displayed in the table follows.

    The rows display the estimated effect of the proposed changes on different categories. The first row of figures represents the estimated effects on all facilities. The next 2 rows show the effect on urban and rural facilities. This is followed, in the next 4 rows, by impacts on urban and rural facilities based on whether they are a hospital-based or freestanding facility. The next 20 rows show the effect on urban and rural facilities based on the census region in which they are located.

    The first column shows the breakdown of all HHAs by urban or rural status, hospital-based or freestanding status, and census region.

    The second column in the table shows the number of facilities in the impact database. A facility is considered urban if it is located in an MSA and, conversely, rural if it is not located in an MSA.

    The third column of the table shows the effect of the proposed annual update to the wage index. This represents the effect of using the most recent wage data available to determine the proposed estimated home health market basket update. The total impact of this change is zero percent; however, there are distributional effects of the change.

    The fourth column of the table reflects the impact of using the new OMB geographic designations based on CBSAs, compared to using the MSA designations. Specifically, the effect of using the CBSA-designated wage index values versus MSA-designated wage index values in determining payment for facilities in rural areas is, on average, an increase of 0.7 percent. On the other hand, facilities in an urban area do slightly worse, showing an average decrease of 0.1 percent. Rural HHAs, by region, generally do better using the CBSA-determined wage index (ranging from an increase of 0.1 percent to 2.2 percent), except for facilities in the Middle Atlantic and the Mountain regions where payments are estimated to decrease by 0.5 percent. The impact on urban HHAs, by region, is generally moderate using the CBSA determined wage index (ranging from no impact to a −0.8 percent decrease), except for facilities in the Middle Atlantic region, whose payments are estimated to increase slightly by 0.3 percent. By type of facility, the impact on rural facilities using the CBSA-determined wage index is positive, with payments to freestanding facilities estimated to increase by 0.8 percent and payments to hospital-based facilities estimated to increase by 0.7 percent. Conversely, hospital-based urban facilities are estimated to experience no impact while freestanding urban facilities are estimated to see a decrease in payments by 0.2 percent.

    The fifth column of the table shows the effect of all of the changes on the CY 2006 payments. The update of 2.5 percentage points (market basket increase of 3.3 percent minus 0.8 percentage point, as mandated by the MMA) is constant for all providers and, though not shown individually, is included in this column. It is projected that total aggregate payments would increase by 2.5 percent; assuming facilities do not change their care delivery and billing practices in response.

    As can be seen from this table, the combined effects of all of the changes would vary by specific types of providers and by location. For example, HHAs in rural New England show the largest estimated increase in payment at 5.7 percent, while HHAs in the urban West North Central and East North Central regions show the smallest increase in payments at 1.5 percent. Rural HHAs do somewhat better than urban HHAs, seeing an estimated increase in payments of 3.5 percent and 2.3 percent, respectively. Amongst the different type of facility categories, freestanding rural HHAs do best, with an estimated increase in payments of 3.7 percent. Hospital-based rural HHAs are next with an estimated increase in payments of 3.3 percent with hospital-based urban and freestanding HHAs with estimated increases of 2.4 percent and 2.2 percent, respectively.

    Table 3.—Projected Impact of CY 2006 Update to the HH PPS Final Column Includes Update of 2.5 Percent Urban/Rural Defined as MSA/Non-MSA

    Number of facilitiesUpdated wage dataMSA to CBSATotal CY 2006 change
    Total6,8900.00.02.5
    Urban4,602−0.1−0.12.3
    Rural2,2880.30.73.5
    Start Printed Page 40798
    Hospital based urban1,796−0.10.02.4
    Freestanding urban2,806−0.1−0.22.2
    Hospital based rural1,3670.10.73.3
    Freestanding rural9210.40.83.7
    Urban by region
    New England246−0.6−0.31.6
    Middle Atlantic4200.30.33.1
    South Atlantic751−0.50.02.0
    East North Central770−0.6−0.41.5
    East South Central2050.3−0.32.5
    West North Central259−0.9−0.11.5
    West South Central1,0920.0−0.42.1
    Mountain241−0.50.02.0
    Pacific5811.10.03.6
    Outlying370.9−0.82.6
    Rural by region
    New England463.00.15.7
    Middle Atlantic77−0.1−0.51.9
    South Atlantic283−0.50.42.4
    East North Central3030.50.43.4
    East South Central2320.40.83.7
    West North Central524−0.20.32.6
    West South Central4950.22.25.0
    Mountain2000.8−0.52.8
    Pacific1131.90.04.4
    Outlying15−8.210.03.5

    C. Conclusion

    In accordance with the provisions of Executive Order 12866, this regulation was reviewed by the Office of Management and Budget.

    Start List of Subjects

    List of Subjects in 42 CFR Part 484

    • Health facilities
    • Health professions
    • Medicare
    • Reporting and recordkeeping requirements
    End List of Subjects

    For the reasons set forth in the preamble, the Centers for Medicare & Medicaid Services proposes to amend 42 CFR chapter IV as set forth below:

    Start Part

    PART 484—HOME HEALTH SERVICES

    1. The authority citation for part 484 continues to read as follows:

    Start Authority

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395(hh)).

    End Authority

    Subpart E—Prospective Payment System for Home Health Agencies

    2. In § 484.202, the definitions for “Rural area” and “Urban area” are added in alphabetical order to read as follows:

    Definitions.
    * * * * *

    Rural area means, with respect to home health episodes ending on or after January 1, 2006, an area defined in § 412.64(b)(1)(ii)(C) of this chapter.

    Urban area means, with respect to home health episodes ending on or after January 1, 2006, an area defined in § 412.64(b)(1)(ii)(A) and (B) of this chapter.

    (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program)

    Start Signature

    Dated: May 12, 2005.

    Mark B. McClellan,

    Administrator, Centers for Medicare & Medicaid Services.

    Approved: June 21, 2005.

    Michael O. Leavitt,

    Secretary.

    End Signature Start Printed Page 40799

    Note:

    The following addenda will not be published in the Code of Federal Regulations.

    Addendum A.—Proposed CY 2006 Wage Index for Rural Areas by CBSA; Applicable Pre-Floor and Pre-Reclassified Hospital Wage Index

    CBSA codeNonurban areaWage index
    01Alabama0.7477
    02Alaska1.1990
    03Arizona0.8777
    04Arkansas0.7451
    05California1.0857
    06Colorado0.9389
    07Connecticut1.1794
    08Delaware0.9606
    10Florida0.8598
    11Georgia0.7666
    12Hawaii1.0562
    13Idaho0.8045
    14Illinois0.8279
    15Indiana0.8630
    16Iowa0.8502
    17Kansas0.7987
    18Kentucky0.7774
    19Louisiana0.7418
    20Maine0.8852
    21Maryland0.9095
    22Massachusetts 11.0216
    23Michigan0.8870
    24Minnesota0.9183
    25Mississippi0.7671
    26Missouri0.7909
    27Montana0.8833
    28Nebraska0.8665
    29Nevada0.9074
    30New Hampshire1.0677
    31New Jersey 1
    32New Mexico0.8644
    33New York0.8157
    34North Carolina0.8567
    35North Dakota0.7268
    36Ohio0.8786
    37Oklahoma0.7589
    38Oregon0.9830
    39Pennsylvania0.8302
    40Puerto Rico 10.4047
    41Rhode Island 1
    42South Carolina0.8641
    43South Dakota0.8484
    44Tennessee0.7888
    45Texas0.8007
    46Utah0.8126
    47Vermont0.9840
    48Virgin Islands0.7026
    49Virginia0.8012
    50Washington1.0458
    51West Virginia0.7725
    52Wisconsin0.9480
    53Wyoming0.9214
    65Guam0.9611
    1 All counties within the State are classified as urban, with the exception of Massachusetts and Puerto Rico. Massachusetts and Puerto Rico have areas designated as rural, however, no short-term, acute care hospitals are located in the area(s) for FY 2006. Because more recent data is not available for those areas, we are proposing to use last year's wage index value.

    Addendum B.—Proposed CY 2006 Wage Index for Urban Areas by CBSA; Applicable Pre-Floor and Pre-Reclassified Hospital Wage Index

    CBSA codeUrban area (constituent counties)Wage index
    10180Abilene, TX0.7904
    Callahan County, TX
    Jones County, TX
    Taylor County, TX
    10380Aguadilla-Isabela-San Sebastián, PR0.4743
    Aguada Municipio, PR
    Aguadilla Municipio, PR
    Añasco Municipio, PR
    Isabela Municipio, PR
    Lares Municipio, PR
    Moca Municipio, PR
    Rincón Municipio, PR
    San Sebastián Municipio, PR
    10420Akron, OH0.8991
    Portage County, OH
    Summit County, OH
    10500Albany, GA0.8636
    Baker County, GA
    Dougherty County, GA
    Lee County, GA
    Terrell County, GA
    Worth County, GA
    10580Albany-Schenectady-Troy, NY0.8545
    Albany County, NY
    Rensselaer County, NY
    Saratoga County, NY
    Schenectady County, NY
    Schoharie County, NY
    10740Albuquerque, NM0.9693
    Bernalillo County, NM
    Sandoval County, NM
    Torrance County, NM
    Valencia County, NM
    10780Alexandria, LA0.8041
    Grant Parish, LA
    Rapides Parish, LA
    10900Allentown-Bethlehem-Easton, PA-NJ0.9828
    Start Printed Page 40800
    Warren County, NJ
    Carbon County, PA
    Lehigh County, PA
    Northampton County, PA
    11020Altoona, PA0.8953
    Blair County, PA
    11100Amarillo, TX0.9166
    Armstrong County, TX
    Carson County, TX
    Potter County, TX
    Randall County, TX
    11180Ames, IA0.9545
    Story County, IA
    11260Anchorage, AK1.2110
    Anchorage Municipality, AK
    Matanuska-Susitna Borough, AK
    11300Anderson, IN0.8595
    Madison County, IN
    11340Anderson, SC0.8897
    Anderson County, SC
    11460Ann Arbor, MI1.0870
    Washtenaw County, MI
    11500Anniston-Oxford, AL0.7659
    Calhoun County, AL
    11540Appleton, WI0.9298
    Calumet County, WI
    Outagamie County, WI
    11700Asheville, NC0.9294
    Buncombe County, NC
    Haywood County, NC
    Henderson County, NC
    Madison County, NC
    12020Athens-Clarke County, GA0.9843
    Clarke County, GA
    Madison County, GA
    Oconee County, GA
    Oglethorpe County, GA
    12060Atlanta-Sandy Springs-Marietta, GA0.9648
    Barrow County, GA
    Bartow County, GA
    Butts County, GA
    Carroll County, GA
    Cherokee County, GA
    Clayton County, GA
    Cobb County, GA
    Coweta County, GA
    Dawson County, GA
    DeKalb County, GA
    Douglas County, GA
    Fayette County, GA
    Forsyth County, GA
    Fulton County, GA
    Gwinnett County, GA
    Haralson County, GA
    Heard County, GA
    Henry County, GA
    Jasper County, GA
    Lamar County, GA
    Meriwether County, GA
    Newton County, GA
    Paulding County, GA
    Pickens County, GA
    Pike County, GA
    Rockdale County, GA
    Spalding County, GA
    Walton County, GA
    12100Atlantic City, NJ1.1633
    Atlantic County, NJ
    12220Auburn-Opelika, AL0.8108
    Lee County, AL
    Start Printed Page 40801
    12260Augusta-Richmond County, GA-SC0.9565
    Burke County, GA
    Columbia County, GA
    McDuffie County, GA
    Richmond County, GA
    Aiken County, SC
    Edgefield County, SC
    12420Austin-Round Rock, TX0.9450
    Bastrop County, TX
    Caldwell County, TX
    Hays County, TX
    Travis County, TX
    Williamson County, TX
    12540Bakersfield, CA1.0344
    Kern County, CA
    12580Baltimore-Towson, MD0.9907
    Anne Arundel County, MD
    Baltimore County, MD
    Carroll County, MD
    Harford County, MD
    Howard County, MD
    Queen Anne's County, MD
    Baltimore City, MD
    12620Bangor, ME1.0003
    Penobscot County, ME
    12700Barnstable Town, MA1.2527
    Barnstable County, MA
    12940Baton Rouge, LA0.8601
    Ascension Parish, LA
    East Baton Rouge Parish, LA
    East Feliciana Parish, LA
    Iberville Parish, LA
    Livingston Parish, LA
    Pointe Coupee Parish, LA
    St. Helena Parish, LA
    West Baton Rouge Parish, LA
    West Feliciana Parish, LA
    12980Battle Creek, MI0.9510
    Calhoun County, MI
    13020Bay City, MI0.9352
    Bay County, MI
    13140Beaumont-Port Arthur, TX0.8421
    Hardin County, TX
    Jefferson County, TX
    Orange County, TX
    13380Bellingham, WA1.1743
    Whatcom County, WA
    13460Bend, OR1.0796
    Deschutes County, OR
    13644Bethesda-Frederick-Gaithersburg, MD1.1495
    Frederick County, MD
    Montgomery County, MD
    13740Billings, MT0.8843
    Carbon County, MT
    Yellowstone County, MT
    13780Binghamton, NY0.8571
    Broome County, NY
    Tioga County, NY
    13820Birmingham-Hoover, AL0.8979
    Bibb County, AL
    Blount County, AL
    Chilton County, AL
    Jefferson County, AL
    St. Clair County, AL
    Shelby County, AL
    Walker County, AL
    13900Bismarck, ND0.7519
    Burleigh County, ND
    Morton County, ND
    13980Blacksburg-Christiansburg-Radford, VA0.7962
    Start Printed Page 40802
    Giles County, VA
    Montgomery County, VA
    Pulaski County, VA
    Radford City, VA
    14020Bloomington, IN0.8456
    Greene County, IN
    Monroe County, IN
    Owen County, IN
    14060Bloomington-Normal, IL0.9084
    McLean County, IL
    14260Boise City-Nampa, ID0.9061
    Ada County, ID
    Boise County, ID
    Canyon County, ID
    Gem County, ID
    Owyhee County, ID
    14484Boston-Quincy, MA1.1543
    Norfolk County, MA
    Plymouth County, MA
    Suffolk County, MA
    14500Boulder, CO0.9744
    Boulder County, CO
    14540Bowling Green, KY0.8220
    Edmonson County, KY
    Warren County, KY
    14740Bremerton-Silverdale, WA1.0686
    Kitsap County, WA
    14860Bridgeport-Stamford-Norwalk, CT1.2598
    Fairfield County, CT
    15180Brownsville-Harlingen, TX0.9822
    Cameron County, TX
    15260Brunswick, GA0.9320
    Brantley County, GA
    Glynn County, GA
    McIntosh County, GA
    15380Buffalo-Niagara Falls, NY0.8889
    Erie County, NY
    Niagara County, NY
    15500Burlington, NC0.8914
    Alamance County, NC
    15540Burlington-South Burlington, VT0.9446
    Chittenden County, VT
    Franklin County, VT
    Grand Isle County, VT
    15764Cambridge-Newton-Framingham, MA1.1084
    Middlesex County, MA
    15804Camden, NJ1.0528
    Burlington County, NJ
    Camden County, NJ
    Gloucester County, NJ
    15940Canton-Massillon, OH0.8944
    Carroll County, OH
    Stark County, OH
    15980Cape Coral-Fort Myers, FL0.9366
    Lee County, FL
    16180Carson City, NV1.0244
    Carson City, NV
    16220Casper, WY0.9035
    Natrona County, WY
    16300Cedar Rapids, IA0.8617
    Benton County, IA
    Jones County, IA
    Linn County, IA
    16580Champaign-Urbana, IL0.9604
    Champaign County, IL
    Ford County, IL
    Piatt County, IL
    16620Charleston, WV0.8428
    Boone County, WV
    Clay County, WV
    Start Printed Page 40803
    Kanawha County, WV
    Lincoln County, WV
    Putnam County, WV
    16700Charleston-North Charleston, SC0.9438
    Berkeley County, SC
    Charleston County, SC
    Dorchester County, SC
    16740Charlotte-Gastonia-Concord, NCSC0.9760
    Anson County, NC
    Cabarrus County, NC
    Gaston County, NC
    Mecklenburg County, NC
    Union County, NC
    York County, SC
    16820Charlottesville, VA1.0234
    Albemarle County, VA
    Fluvanna County, VA
    Greene County, VA
    Nelson County, VA
    Charlottesville City, VA
    16860Chattanooga, TN-GA0.9098
    Catoosa County, GA
    Dade County, GA
    Walker County, GA
    Hamilton County, TN
    Marion County, TN
    Sequatchie County, TN
    16940Cheyenne, WY0.8784
    Laramie County, WY
    16974Chicago-Naperville-Joliet, IL1.0848
    Cook County, IL
    DeKalb County, IL
    DuPage County, IL
    Grundy County, IL
    Kane County, IL
    Kendall County, IL
    McHenry County, IL
    Will County, IL
    17020Chico, CA1.0522
    Butte County, CA
    17140Cincinnati-Middletown, OH-KY-IN0.9623
    Dearborn County, IN
    Franklin County, IN
    Ohio County, IN
    Boone County, KY
    Bracken County, KY
    Campbell County, KY
    Gallatin County, KY
    Grant County, KY
    Kenton County, KY
    Pendleton County, KY
    Brown County, OH
    Butler County, OH
    Clermont County, OH
    Hamilton County, OH
    Warren County, OH
    17300Clarksville, TN-KY0.8292
    Christian County, KY
    Trigg County, KY
    Montgomery County, TN
    Stewart County, TN
    17420Cleveland, TN0.8141
    Bradley County, TN
    Polk County, TN
    17460Cleveland-Elyria-Mentor, OH0.9204
    Cuyahoga County, OH
    Geauga County, OH
    Lake County, OH
    Lorain County, OH
    Medina County, OH
    Start Printed Page 40804
    17660Coeur d'Alene, ID0.9657
    Kootenai County, ID
    17780College Station-Bryan, TX0.8909
    Brazos County, TX
    Burleson County, TX
    Robertson County, TX
    17820Colorado Springs, CO0.9478
    El Paso County, CO
    Teller County, CO
    17860Columbia, MO0.8354
    Boone County, MO
    Howard County, MO
    17900Columbia, SC0.9047
    Calhoun County, SC
    Fairfield County, SC
    Kershaw County, SC
    Lexington County, SC
    Richland County, SC
    Saluda County, SC
    17980Columbus, GA-AL0.8568
    Russell County, AL
    Chattahoochee County, GA
    Harris County, GA
    Marion County, GA
    Muscogee County, GA
    18020Columbus, IN0.9598
    Bartholomew County, IN
    18140Columbus, OH0.9850
    Delaware County, OH
    Fairfield County, OH
    Franklin County, OH
    Licking County, OH
    Madison County, OH
    Morrow County, OH
    Pickaway County, OH
    Union County, OH
    18580Corpus Christi, TX0.8559
    Aransas County, TX
    Nueces County, TX
    San Patricio County, TX
    18700Corvallis, OR1.0739
    Benton County, OR
    19060Cumberland, MD-WV0.9326
    Allegany County, MD
    Mineral County, WV
    19124Dallas-Plano-Irving, TX1.0233
    Collin County, TX
    Dallas County, TX
    Delta County, TX
    Denton County, TX
    Ellis County, TX
    Hunt County, TX
    Kaufman County, TX
    Rockwall County, TX
    19140Dalton, GA0.9044
    Murray County, GA
    Whitfield County, GA
    19180Danville, IL0.9037
    Vermilion County, IL
    19260Danville, VA0.8497
    Pittsylvania County, VA
    Danville City, VA
    19340Davenport-Moline-Rock Island, IA-IL0.8731
    Henry County, IL
    Mercer County, IL
    Rock Island County, IL
    Scott County, IA
    19380Dayton, OH0.9073
    Greene County, OH
    Miami County, OH
    Start Printed Page 40805
    Montgomery County, OH
    Preble County, OH
    19460Decatur, AL0.8478
    Lawrence County, AL
    Morgan County, AL
    19500Decatur, IL0.8076
    Macon County, IL
    19660Deltona-Daytona Beach-Ormond Beach, FL0.9308
    Volusia County, FL
    19740Denver-Aurora, CO1.0733
    Adams County, CO
    Arapahoe County, CO
    Broomfield County, CO
    Clear Creek County, CO
    Denver County, CO
    Douglas County, CO
    Elbert County, CO
    Gilpin County, CO
    Jefferson County, CO
    Park County, CO
    19780Des Moines, IA0.9651
    Dallas County, IA
    Guthrie County, IA
    Madison County, IA
    Polk County, IA
    Warren County, IA
    19804Detroit-Livonia-Dearborn, MI1.0441
    Wayne County, MI
    20020Dothan, AL0.7707
    Geneva County, AL
    Henry County, AL
    Houston County, AL
    20100Dover, DE0.9779
    Kent County, DE
    20220Dubuque, IA0.9135
    Dubuque County, IA
    20260Duluth, MN-WI1.0209
    Carlton County, MN
    St. Louis County, MN
    Douglas County, WI
    20500Durham, NC1.0303
    Chatham County, NC
    Durham County, NC
    Orange County, NC
    Person County, NC
    20740Eau Claire, WI0.9210
    Chippewa County, WI
    Eau Claire County, WI
    20764Edison, NJ1.1260
    Middlesex County, NJ
    Monmouth County, NJ
    Ocean County, NJ
    Somerset County, NJ
    20940El Centro, CA0.8915
    Imperial County, CA
    21060Elizabethtown, KY0.8810
    Hardin County, KY
    Larue County, KY
    21140Elkhart-Goshen, IN0.9637
    Elkhart County, IN
    21300Elmira, NY0.8259
    Chemung County, NY
    21340El Paso, TX0.8924
    El Paso County, TX
    21500Erie, PA0.8746
    Erie County, PA
    21604Essex County, MA1.0533
    Essex County, MA
    21660Eugene-Springfield, OR1.0829
    Lane County, OR
    Start Printed Page 40806
    21780Evansville, IN-KY0.8721
    Gibson County, IN
    Posey County, IN
    Vanderburgh County, IN
    Warrick County, IN
    Henderson County, KY
    Webster County, KY
    21820Fairbanks, AK1.1419
    Fairbanks North Star Borough, AK
    21940Fajardo, PR0.4157
    Ceiba Municipio, PR
    Fajardo Municipio, PR
    Luquillo Municipio, PR
    22020Fargo, ND-MN0.8495
    Cass County, ND
    Clay County, MN
    22140Farmington, NM0.8518
    San Juan County, NM
    22180Fayetteville, NC0.9426
    Cumberland County, NC
    Hoke County, NC
    22220Fayetteville-Springdale-Rogers, AR-MO0.8563
    Benton County, AR
    Madison County, AR
    Washington County, AR
    McDonald County, MO
    22380Flagstaff, AZ1.2105
    Coconino County, AZ
    22420Flint, MI1.0663
    Genesee County, MI
    22500Florence, SC0.8964
    Darlington County, SC
    Florence County, SC
    22520Florence-Muscle Shoals, AL0.8280
    Colbert County, AL
    Lauderdale County, AL
    22540Fond du Lac, WI0.9650
    Fond du Lac County, WI
    22660Fort Collins-Loveland, CO1.0132
    Larimer County, CO
    22744Fort Lauderdale-Pompano Beach-Deerfield Beach, FL1.0442
    Broward County, FL
    22900Fort Smith, AROK0.8214
    Crawford County, AR
    Franklin County, AR
    Sebastian County, AR
    Le Flore County, OK
    Sequoyah County, OK
    23020Fort Walton Beach-Crestview-Destin, FL0.8881
    Okaloosa County, FL
    23060Fort Wayne, IN0.9803
    Allen County, IN
    Wells County, IN
    Whitley County, IN
    23104Fort Worth-Arlington, TX0.9510
    Johnson County, TX
    Parker County, TX
    Tarrant County, TX
    Wise County, TX
    23420Fresno, CA1.0541
    Fresno County, CA
    23460Gadsden, AL0.7946
    Etowah County, AL
    23540Gainesville, FL0.9474
    Alachua County, FL
    Gilchrist County, FL
    23580Gainesville, GA0.8883
    Hall County, GA
    23844Gary, IN0.9369
    Jasper County, IN
    Start Printed Page 40807
    Lake County, IN
    Newton County, IN
    Porter County, IN
    24020Glens Falls, NY0.8567
    Warren County, NY
    Washington County, NY
    24140Goldsboro, NC0.8784
    Wayne County, NC
    24220Grand Forks, ND-MN1.1516
    Polk County, MN
    Grand Forks County, ND
    24300Grand Junction, CO0.9560
    Mesa County, CO
    24340Grand Rapids-Wyoming, MI0.9400
    Barry County, MI
    Ionia County, MI
    Kent County, MI
    Newaygo County, MI
    24500Great Falls, MT0.9061
    Cascade County, MT
    24540Greeley, CO0.9580
    Weld County, CO
    24580Green Bay, WI0.9452
    Brown County, WI
    Kewaunee County, WI
    Oconto County, WI
    24660Greensboro-High Point, NC0.9113
    Guilford County, NC
    Randolph County, NC
    Rockingham County, NC
    24780Greenville, NC0.9434
    Greene County, NC
    Pitt County, NC
    24860Greenville, SC1.0165
    Greenville County, SC
    Laurens County, SC
    Pickens County, SC
    25020Guayama, PR0.3184
    Arroyo Municipio, PR
    Guayama Municipio, PR
    Patillas Municipio, PR
    25060Gulfport-Biloxi, MS0.8938
    Hancock County, MS
    Harrison County, MS
    Stone County, MS
    25180Hagerstown-Martinsburg, MD-WV0.9499
    Washington County, MD
    Berkeley County, WV
    Morgan County, WV
    25260Hanford-Corcoran, CA1.0046
    Kings County, CA
    25420Harrisburg-Carlisle, PA0.9322
    Cumberland County, PA
    Dauphin County, PA
    Perry County, PA
    25500Harrisonburg, VA0.9098
    Rockingham County, VA
    Harrisonburg City, VA
    25540Hartford-West Hartford-East Hartford, CT1.1084
    Hartford County, CT
    Litchfield County, CT
    Middlesex County, CT
    Tolland County, CT
    25620Hattiesburg, MS0.7609
    Forrest County, MS
    Lamar County, MS
    Perry County, MS
    25860Hickory-Lenoir-Morganton, NC0.8922
    Alexander County, NC
    Burke County, NC
    Start Printed Page 40808
    Caldwell County, NC
    Catawba County, NC
    25980 2Hinesville-Fort Stewart, GA0.9178
    Liberty County, GA
    Long County, GA
    26100Holland-Grand Haven, MI0.9064
    Ottawa County, MI
    26180Honolulu, HI1.1208
    Honolulu County, HI
    26300Hot Springs, AR0.9053
    Garland County, AR
    26380Houma-Bayou Cane-Thibodaux, LA0.7902
    Lafourche Parish, LA
    Terrebonne Parish, LA
    26420Houston-Baytown-Sugar Land, TX1.0005
    Austin County, TX
    Brazoria County, TX
    Chambers County, TX
    Fort Bend County, TX
    Galveston County, TX
    Harris County, TX
    Liberty County, TX
    Montgomery County, TX
    San Jacinto County, TX
    Waller County, TX
    26580Huntington-Ashland, WV-KY-OH0.9486
    Boyd County, KY
    Greenup County, KY
    Lawrence County, OH
    Cabell County, WV
    Wayne County, WV
    26620Huntsville, AL0.9149
    Limestone County, AL
    Madison County, AL
    26820Idaho Falls, ID0.9429
    Bonneville County, ID
    Jefferson County, ID
    26900Indianapolis, IN0.9930
    Boone County, IN
    Brown County, IN
    Hamilton County, IN
    Hancock County, IN
    Hendricks County, IN
    Johnson County, IN
    Marion County, IN
    Morgan County, IN
    Putnam County, IN
    Shelby County, IN
    26980Iowa City, IA0.9756
    Johnson County, IA
    Washington County, IA
    27060Ithaca, NY0.9803
    Tompkins County, NY
    27100Jackson, MI0.9313
    Jackson County, MI
    27140Jackson, MS0.8319
    Copiah County, MS
    Hinds County, MS
    Madison County, MS
    Rankin County, MS
    Simpson County, MS
    27180Jackson, TN0.8973
    Chester County, TN
    Madison County, TN
    27260Jacksonville, FL0.9299
    Baker County, FL
    Clay County, FL
    Duval County, FL
    Nassau County, FL
    St. Johns County, FL
    Start Printed Page 40809
    27340Jacksonville, NC0.8244
    Onslow County, NC
    27500Janesville, WI0.9547
    Rock County, WI
    27620Jefferson City, MO0.8396
    Callaway County, MO
    Cole County, MO
    Moniteau County, MO
    Osage County, MO
    27740Johnson City, TN0.7945
    Carter County, TN
    Unicoi County, TN
    Washington County, TN
    27780Johnstown, PA0.8362
    Cambria County, PA
    27860Jonesboro, AR0.7919
    Craighead County, AR
    Poinsett County, AR
    27900Joplin, MO0.8590
    Jasper County, MO
    Newton County, MO
    28020Kalamazoo-Portage, MI1.0391
    Kalamazoo County, MI
    Van Buren County, MI
    28100Kankakee-Bradley, IL1.0974
    Kankakee County, IL
    28140Kansas City, MO-KS0.9467
    Franklin County, KS
    Johnson County, KS
    Leavenworth County, KS
    Linn County, KS
    Miami County, KS
    Wyandotte County, KS
    Bates County, MO
    Caldwell County, MO
    Cass County, MO
    Clay County, MO
    Clinton County, MO
    Jackson County, MO
    Lafayette County, MO
    Platte County, MO
    Ray County, MO
    28420Kennewick-Richland-Pasco, WA1.0630
    Benton County, WA
    Franklin County, WA
    28660Killeen-Temple-Fort Hood, TX0.8535
    Bell County, TX
    Coryell County, TX
    Lampasas County, TX
    28700Kingsport-Bristol-Bristol, TN-VA0.8062
    Hawkins County, TN
    Sullivan County, TN
    Bristol City, VA
    Scott County, VA
    Washington County, VA
    28740Kingston, NY0.9257
    Ulster County, NY
    28940Knoxville, TN0.8454
    Anderson County, TN
    Blount County, TN
    Knox County, TN
    Loudon County, TN
    Union County, TN
    29020Kokomo, IN0.9517
    Howard County, IN
    Tipton County, IN
    29100La Crosse, WI-MN0.9573
    Houston County, MN
    La Crosse County, WI
    29140Lafayette, IN0.8745
    Start Printed Page 40810
    Benton County, IN
    Carroll County, IN
    Tippecanoe County, IN
    29180Lafayette, LA0.8436
    Lafayette Parish, LA
    St. Martin Parish, LA
    29340Lake Charles, LA0.7841
    Calcasieu Parish, LA
    Cameron Parish, LA
    29404Lake County-Kenosha County, IL-WI1.0440
    Lake County, IL
    Kenosha County, WI
    29460Lakeland, FL0.8921
    Polk County, FL
    29540Lancaster, PA0.9704
    Lancaster County, PA
    29620Lansing-East Lansing, MI0.9792
    Clinton County, MI
    Eaton County, MI
    Ingham County, MI
    29700Laredo, TX0.8076
    Webb County, TX
    29740Las Cruces, NM0.8475
    Dona Ana County, NM
    29820Las Vegas-Paradise, NV1.1449
    Clark County, NV
    29940Lawrence, KS0.8546
    Douglas County, KS
    30020Lawton, OK0.7880
    Comanche County, OK
    30140Lebanon, PA0.8468
    Lebanon County, PA
    30300Lewiston, ID-WA0.9896
    Nez Perce County, ID
    Asotin County, WA
    30340Lewiston-Auburn, ME0.9341
    Androscoggin County, ME
    30460Lexington-Fayette, KY0.9084
    Bourbon County, KY
    Clark County, KY
    Fayette County, KY
    Jessamine County, KY
    Scott County, KY
    Woodford County, KY
    30620Lima, OH0.9234
    Allen County, OH
    30700Lincoln, NE1.0225
    Lancaster County, NE
    Seward County, NE
    30780Little Rock-North Little Rock, AR0.8756
    Faulkner County, AR
    Grant County, AR
    Lonoke County, AR
    Perry County, AR
    Pulaski County, AR
    Saline County, AR
    30860Logan, UT-ID0.9173
    Franklin County, ID
    Cache County, UT
    30980Longview, TX0.8739
    Gregg County, TX
    Rusk County, TX
    Upshur County, TX
    31020Longview, WA0.9523
    Cowlitz County, WA
    31084Los AngelesLong Beach-Glendale, CA1.1752
    Los Angeles County, CA
    31140Louisville, KY-IN0.9261
    Clark County, IN
    Floyd County, IN
    Start Printed Page 40811
    Harrison County, IN
    Washington County, IN
    Bullitt County, KY
    Henry County, KY
    Jefferson County, KY
    Meade County, KY
    Nelson County, KY
    Oldham County, KY
    Shelby County, KY
    Spencer County, KY
    Trimble County, KY
    31180Lubbock, TX0.8792
    Crosby County, TX
    Lubbock County, TX
    31340Lynchburg, VA0.8700
    Amherst County, VA
    Appomattox County, VA
    Bedford County, VA
    Campbell County, VA
    Bedford City, VA
    Lynchburg City, VA
    31420Macon, GA0.9453
    Bibb County, GA
    Crawford County, GA
    Jones County, GA
    Monroe County, GA
    Twiggs County, GA
    31460Madera, CA0.8721
    Madera County, CA
    31540Madison, WI1.0635
    Columbia County, WI
    Dane County, WI
    Iowa County, WI
    31700Manchester-Nashua, NH1.0335
    Hillsborough County, NH
    Merrimack County, NH
    31900 2Mansfield, OH0.8887
    Richland County, OH
    32420Mayagüez, PR0.4017
    Hormigueros Municipio, PR
    Mayagüez Municipio, PR
    32580McAllen-Edinburg-Pharr, TX0.8943
    Hidalgo County, TX
    32780Medford, OR1.0235
    Jackson County, OR
    32820Memphis, TN-MS-AR0.9341
    Crittenden County, AR
    DeSoto County, MS
    Marshall County, MS
    Tate County, MS
    Tunica County, MS
    Fayette County, TN
    Shelby County, TN
    Tipton County, TN
    32900Merced, CA1.1120
    Merced County, CA
    33124Miami-Miami Beach-Kendall, FL0.9759
    Miami-Dade County, FL
    33140Michigan CityLa Porte, IN0.9409
    LaPorte County, IN
    33260Midland, TX0.9523
    Midland County, TX
    33340Milwaukee-Waukesha-West Allis, WI1.0106
    Milwaukee County, WI
    Ozaukee County, WI
    Washington County, WI
    Waukesha County, WI
    33460Minneapolis-St. Paul-Bloomington, MN-WI1.1078
    Anoka County, MN
    Carver County, MN
    Start Printed Page 40812
    Chisago County, MN
    Dakota County, MN
    Hennepin County, MN
    Isanti County, MN
    Ramsey County, MN
    Scott County, MN
    Sherburne County, MN
    Washington County, MN
    Wright County, MN
    Pierce County, WI
    St. Croix County, WI
    33540Missoula, MT0.9482
    Missoula County, MT
    33660Mobile, AL0.7895
    Mobile County, AL
    33700Modesto, CA1.1804
    Stanislaus County, CA
    33740Monroe, LA0.8040
    Ouachita Parish, LA
    Union Parish, LA
    33780Monroe, MI0.9478
    Monroe County, MI
    33860Montgomery, AL0.8588
    Autauga County, AL
    Elmore County, AL
    Lowndes County, AL
    Montgomery County, AL
    34060Morgantown, WV0.8428
    Monongalia County, WV
    Preston County, WV
    34100Morristown, TN0.8753
    Grainger County, TN
    Hamblen County, TN
    Jefferson County, TN
    34580Mount Vernon-Anacortes, WA1.0465
    Skagit County, WA
    34620Muncie, IN0.8939
    Delaware County, IN
    34740Muskegon-Norton Shores, MI0.9673
    Muskegon County, MI
    34820Myrtle Beach-Conway-North Myrtle Beach, SC0.8873
    Horry County, SC
    34900Napa, CA1.2656
    Napa County, CA
    34940Naples-Marco Island, FL1.0140
    Collier County, FL
    34980Nashville-Davidson-Murfreesboro, TN0.9769
    Cannon County, TN
    Cheatham County, TN
    Davidson County, TN
    Dickson County, TN
    Hickman County, TN
    Macon County, TN
    Robertson County, TN
    Rutherford County, TN
    Smith County, TN
    Sumner County, TN
    Trousdale County, TN
    Williamson County, TN
    Wilson County, TN
    35004Nassau-Suffolk, NY1.2760
    Nassau County, NY
    Suffolk County, NY
    35084Newark-Union, NJ-PA1.2195
    Essex County, NJ
    Hunterdon County, NJ
    Morris County, NJ
    Sussex County, NJ
    Union County, NJ
    Pike County, PA
    Start Printed Page 40813
    35300New Haven-Milford, CT1.1702
    New Haven County, CT
    35380New Orleans-Metairie-Kenner, LA0.9005
    Jefferson Parish, LA
    Orleans Parish, LA
    Plaquemines Parish, LA
    St. Bernard Parish, LA
    St. Charles Parish, LA
    St. John the Baptist Parish, LA
    St. Tammany Parish, LA
    35644New York-Wayne-White Plains, NY-NJ1.3185
    Bergen County, NJ
    Hudson County, NJ
    Passaic County, NJ
    Bronx County, NY
    Kings County, NY
    New York County, NY
    Putnam County, NY
    Queens County, NY
    Richmond County, NY
    Rockland County, NY
    Westchester County, NY
    35660Niles-Benton Harbor, MI0.8888
    Berrien County, MI
    35980Norwich-New London, CT1.1356
    New London County, CT
    36084Oakland-Fremont-Hayward, CA1.5346
    Alameda County, CA
    Contra Costa County, CA
    36100Ocala, FL0.8934
    Marion County, FL
    36140Ocean City, NJ1.1022
    Cape May County, NJ
    36220Odessa, TX0.9894
    Ector County, TX
    36260Ogden-Clearfield, UT0.9038
    Davis County, UT
    Morgan County, UT
    Weber County, UT
    36420Oklahoma City, OK0.9040
    Canadian County, OK
    Cleveland County, OK
    Grady County, OK
    Lincoln County, OK
    Logan County, OK
    McClain County, OK
    Oklahoma County, OK
    36500Olympia, WA1.0938
    Thurston County, WA
    36540Omaha-Council Bluffs, NE-IA0.9569
    Harrison County, IA
    Mills County, IA
    Pottawattamie County, IA
    Cass County, NE
    Douglas County, NE
    Sarpy County, NE
    Saunders County, NE
    Washington County, NE
    36740Orlando, FL0.9459
    Lake County, FL
    Orange County, FL
    Osceola County, FL
    Seminole County, FL
    36780Oshkosh-Neenah, WI0.9192
    Winnebago County, WI
    36980Owensboro, KY0.8789
    Daviess County, KY
    Hancock County, KY
    McLean County, KY
    37100Oxnard-Thousand Oaks-Ventura, CA1.1613
    Start Printed Page 40814
    Ventura County, CA
    37340Palm Bay-Melbourne-Titusville, FL0.9835
    Brevard County, FL
    37460Panama City-Lynn Haven, FL0.7989
    Bay County, FL
    37620Parkersburg-Marietta, WV-OH0.8278
    Washington County, OH
    Pleasants County, WV
    Wirt County, WV
    Wood County, WV
    37700Pascagoula, MS0.8165
    George County, MS
    Jackson County, MS
    37860Pensacola-Ferry Pass-Brent, FL0.8104
    Escambia County, FL
    Santa Rosa County, FL
    37900Peoria, IL0.8868
    Marshall County, IL
    Peoria County, IL
    Stark County, IL
    Tazewell County, IL
    Woodford County, IL
    37964Philadelphia, PA1.1040
    Bucks County, PA
    Chester County, PA
    Delaware County, PA
    Montgomery County, PA
    Philadelphia County, PA
    38060Phoenix-Mesa-Scottsdale, AZ1.0138
    Maricopa County, AZ
    Pinal County, AZ
    38220Pine Bluff, AR0.8689
    Cleveland County, AR
    Jefferson County, AR
    Lincoln County, AR
    38300Pittsburgh, PA0.8853
    Allegheny County, PA
    Armstrong County, PA
    Beaver County, PA
    Butler County, PA
    Fayette County, PA
    Washington County, PA
    Westmoreland County, PA
    38340Pittsfield, MA1.0191
    Berkshire County, MA
    38540Pocatello, ID0.9360
    Bannock County, ID
    Power County, ID
    38660Ponce, PR0.5177
    Juana Díaz Municipio, PR
    Ponce Municipio, PR
    Villalba Municipio, PR
    38860Portland-South Portland-Biddeford, ME1.0392
    Cumberland County, ME
    Sagadahoc County, ME
    York County, ME
    38900Portland-Vancouver-Beaverton, OR-WA1.1260
    Clackamas County, OR
    Columbia County, OR
    Multnomah County, OR
    Washington County, OR
    Yamhill County, OR
    Clark County, WA
    Skamania County, WA
    38940Port St. Lucie-Fort Pierce, FL1.0133
    Martin County, FL
    St. Lucie County, FL
    39100Poughkeepsie-Newburgh-Middletown, NY1.0766
    Dutchess County, NY
    Orange County, NY
    Start Printed Page 40815
    39140Prescott, AZ0.9879
    Yavapai County, AZ
    39300Providence-New Bedford-Fall River, RI-MA1.0966
    Bristol County, MA
    Bristol County, RI
    Kent County, RI
    Newport County, RI
    Providence County, RI
    Washington County, RI
    39340Provo-Orem, UT0.9510
    Juab County, UT
    Utah County, UT
    39380Pueblo, CO0.8632
    Pueblo County, CO
    39460Punta Gorda, FL0.9264
    Charlotte County, FL
    39540Racine, WI0.9006
    Racine County, WI
    39580Raleigh-Cary, NC0.9733
    Franklin County, NC
    Johnston County, NC
    Wake County, NC
    39660Rapid City, SD0.9021
    Meade County, SD
    Pennington County, SD
    39740Reading, PA0.9696
    Berks County, PA
    39820Redding, CA1.2215
    Shasta County, CA
    39900Reno-Sparks, NV1.0993
    Storey County, NV
    Washoe County, NV
    40060Richmond, VA0.9338
    Amelia County, VA
    Caroline County, VA
    Charles City County, VA
    Chesterfield County, VA
    Cumberland County, VA
    Dinwiddie County, VA
    Goochland County, VA
    Hanover County, VA
    Henrico County, VA
    King and Queen County, VA
    King William County, VA
    Louisa County, VA
    New Kent County, VA
    Powhatan County, VA
    Prince George County, VA
    Sussex County, VA
    Colonial Heights City, VA
    Hopewell City, VA
    Petersburg City, VA
    Richmond City, VA
    40140Riverside-San Bernardino-Ontario, CA1.1022
    Riverside County, CA
    San Bernardino County, CA
    40220Roanoke, VA0.8383
    Botetourt County, VA
    Craig County, VA
    Franklin County, VA
    Roanoke County, VA
    Roanoke City, VA
    Salem City, VA
    40340Rochester, MN1.1142
    Dodge County, MN
    Olmsted County, MN
    Wabasha County, MN
    40380Rochester, NY0.9115
    Livingston County, NY
    Monroe County, NY
    Start Printed Page 40816
    Ontario County, NY
    Orleans County, NY
    Wayne County, NY
    40420Rockford, IL0.9994
    Boone County, IL
    Winnebago County, IL
    40484Rockingham County-Strafford County, NH1.0385
    Rockingham County, NH
    Strafford County, NH
    40580Rocky Mount, NC0.8924
    Edgecombe County, NC
    Nash County, NC
    40660Rome, GA0.9424
    Floyd County, GA
    40900Sacramento-Arden-Arcade-Roseville, CA1.2973
    El Dorado County, CA
    Placer County, CA
    Sacramento County, CA
    Yolo County, CA
    40980Saginaw-Saginaw Township North, MI0.9420
    Saginaw County, MI
    41060St. Cloud, MN0.9975
    Benton County, MN
    Stearns County, MN
    41100St. George, UT0.9402
    Washington County, UT
    41140St. Joseph, MO-KS0.9529
    Doniphan County, KS
    Andrew County, MO
    Buchanan County, MO
    DeKalb County, MO
    41180St. Louis, MO-IL0.8949
    Bond County, IL
    Calhoun County, IL
    Clinton County, IL
    Jersey County, IL
    Macoupin County, IL
    Madison County, IL
    Monroe County, IL
    St. Clair County, IL
    Crawford County, MO
    Franklin County, MO
    Jefferson County, MO
    Lincoln County, MO
    St. Charles County, MO
    St. Louis County, MO
    Warren County, MO
    Washington County, MO
    St. Louis City, MO
    41420Salem, OR1.0452
    Marion County, OR
    Polk County, OR
    41500Salinas, CA1.4142
    Monterey County, CA
    41540Salisbury, MD0.9073
    Somerset County, MD
    Wicomico County, MD
    41620Salt Lake City, UT0.9433
    Salt Lake County, UT
    Summit County, UT
    Tooele County, UT
    41660San Angelo, TX0.8280
    Irion County, TX
    Tom Green County, TX
    41700San Antonio, TX0.8989
    Atascosa County, TX
    Bandera County, TX
    Bexar County, TX
    Comal County, TX
    Guadalupe County, TX
    Start Printed Page 40817
    Kendall County, TX
    Medina County, TX
    Wilson County, TX
    41740San Diego-Carlsbad-San Marcos, CA1.1424
    San Diego County, CA
    41780Sandusky, OH0.9025
    Erie County, OH
    41884San Francisco-San Mateo-Redwood City, CA1.4990
    Marin County, CA
    San Francisco County, CA
    San Mateo County, CA
    41900San Germán-Cabo Rojo, PR0.4655
    Cabo Rojo Municipio, PR
    Lajas Municipio, PR
    Sabana Grande Municipio, PR
    San Germán Municipio, PR
    41940San Jose-Sunnyvale-Santa Clara, CA1.5125
    San Benito County, CA
    Santa Clara County, CA
    41980San Juan-Caguas-Guaynabo, PR0.4686
    Aguas Buenas Municipio, PR
    Aibonito Municipio, PR
    Arecibo Municipio, PR
    Barceloneta Municipio, PR
    Barranquitas Municipio, PR
    Bayamón Municipio, PR
    Caguas Municipio, PR
    Camuy Municipio, PR
    Canóvanas Municipio, PR
    Carolina Municipio, PR
    Cataño Municipio, PR
    Cayey Municipio, PR
    Ciales Municipio, PR
    Cidra Municipio, PR
    Comerío Municipio, PR
    Corozal Municipio, PR
    Dorado Municipio, PR
    Florida Municipio, PR
    Guaynabo Municipio, PR
    Gurabo Municipio, PR
    Hatillo Municipio, PR
    Humacao Municipio, PR
    Juncos Municipio, PR
    Las Piedras Municipio, PR
    Loíza Municipio, PR
    Manatí Municipio, PR
    Maunabo Municipio, PR
    Morovis Municipio, PR
    Naguabo Municipio, PR
    Naranjito Municipio, PR
    Orocovis Municipio, PR
    Quebradillas Municipio, PR
    Río Grande Municipio, PR
    San Juan Municipio, PR
    San Lorenzo Municipio, PR
    Toa Alta Municipio, PR
    Toa Baja Municipio, PR
    Trujillo Alto Municipio, PR
    Vega Alta Municipio, PR
    Vega Baja Municipio, PR
    Yabucoa Municipio, PR
    42020San Luis Obispo-Paso Robles, CA1.1360
    San Luis Obispo County, CA
    42044Santa Ana-Anaheim-Irvine, CA1.1576
    Orange County, CA
    42060Santa Barbara-Santa Maria-Goleta, CA1.1538
    Santa Barbara County, CA
    42100Santa Cruz-Watsonville, CA1.5182
    Santa Cruz County, CA
    42140Santa Fe, NM1.0931
    Start Printed Page 40818
    Santa Fe County, NM
    42220Santa Rosa-Petaluma, CA1.3506
    Sonoma County, CA
    42260Sarasota-Bradenton-Venice, FL0.9555
    Manatee County, FL
    Sarasota County, FL
    42340Savannah, GA0.9480
    Bryan County, GA
    Chatham County, GA
    Effingham County, GA
    42540Scranton-WilkesBarre, PA0.8548
    Lackawanna County, PA
    Luzerne County, PA
    Wyoming County, PA
    42644Seattle-Bellevue-Everett, WA1.1589
    King County, WA
    Snohomish County, WA
    43100Sheboygan, WI0.8920
    Sheboygan County, WI
    43300Sherman-Denison, TX0.9516
    Grayson County, TX
    43340Shreveport-Bossier City, LA0.8769
    Bossier Parish, LA
    Caddo Parish, LA
    De Soto Parish, LA
    43580Sioux City, IA-NE-SD0.9376
    Woodbury County, IA
    Dakota County, NE
    Dixon County, NE
    Union County, SD
    43620Sioux Falls, SD0.9645
    Lincoln County, SD
    McCook County, SD
    Minnehaha County, SD
    Turner County, SD
    43780South Bend-Mishawaka, IN-MI0.9798
    St. Joseph County, IN
    Cass County, MI
    43900Spartanburg, SC0.9181
    Spartanburg County, SC
    44060Spokane, WA1.0916
    Spokane County, WA
    44100Springfield, IL0.8885
    Menard County, IL
    Sangamon County, IL
    44140Springfield, MA1.0259
    Franklin County, MA
    Hampden County, MA
    Hampshire County, MA
    44180Springfield, MO0.8246
    Christian County, MO
    Dallas County, MO
    Greene County, MO
    Polk County, MO
    Webster County, MO
    44220Springfield, OH0.8404
    Clark County, OH
    44300State College, PA0.8364
    Centre County, PA
    44700Stockton, CA1.1311
    San Joaquin County, CA
    44940Sumter, SC0.8386
    Sumter County, SC
    45060Syracuse, NY0.9581
    Madison County, NY
    Onondaga County, NY
    Oswego County, NY
    45104Tacoma, WA1.0753
    Pierce County, WA
    45220Tallahassee, FL0.8697
    Start Printed Page 40819
    Gadsden County, FL
    Jefferson County, FL
    Leon County, FL
    Wakulla County, FL
    45300Tampa-St. Petersburg-Clearwater, FL0.9193
    Hernando County, FL
    Hillsborough County, FL
    Pasco County, FL
    Pinellas County, FL
    45460Terre Haute, IN0.8313
    Clay County, IN
    Sullivan County, IN
    Vermillion County, IN
    Vigo County, IN
    45500Texarkana, TX-Texarkana, AR0.8291
    Miller County, AR
    Bowie County, TX
    45780Toledo, OH0.9584
    Fulton County, OH
    Lucas County, OH
    Ottawa County, OH
    Wood County, OH
    45820Topeka, KS0.8929
    Jackson County, KS
    Jefferson County, KS
    Osage County, KS
    Shawnee County, KS
    Wabaunsee County, KS
    45940Trenton-Ewing, NJ1.0845
    Mercer County, NJ
    46060Tucson, AZ0.8987
    Pima County, AZ
    46140Tulsa, OK0.8286
    Creek County, OK
    Okmulgee County, OK
    Osage County, OK
    Pawnee County, OK
    Rogers County, OK
    Tulsa County, OK
    Wagoner County, OK
    46220Tuscaloosa, AL0.8721
    Greene County, AL
    Hale County, AL
    Tuscaloosa County, AL
    46340Tyler, TX0.9307
    Smith County, TX
    46540Utica-Rome, NY0.8293
    Herkimer County, NY
    Oneida County, NY
    46660Valdosta, GA0.8875
    Brooks County, GA
    Echols County, GA
    Lanier County, GA
    Lowndes County, GA
    46700Vallejo-Fairfield, CA1.4899
    Solano County, CA
    46940Vero Beach, FL0.9444
    Indian River County, FL
    47020Victoria, TX0.8168
    Calhoun County, TX
    Goliad County, TX
    Victoria County, TX
    47220Vineland-Millville-Bridgeton, NJ0.9837
    Cumberland County, NJ
    47260Virginia Beach-Norfolk Newport News, VA-NC0.8808
    Currituck County, NC
    Gloucester County, VA
    Isle of Wight County, VA
    James City County, VA
    Mathews County, VA
    Start Printed Page 40820
    Surry County, VA
    York County, VA
    Chesapeake City, VA
    Hampton City, VA
    Newport News City, VA
    Norfolk City, VA
    Poquoson City, VA
    Portsmouth City, VA
    Suffolk City, VA
    Virginia Beach City, VA
    Williamsburg City, VA
    47300Visalia-Porterville, CA1.0074
    Tulare County, CA
    47380Waco, TX0.8527
    McLennan County, TX
    47580Warner Robins, GA0.8654
    Houston County, GA
    47644Warren-Farmington Hills-Troy, MI0.9861
    Lapeer County, MI
    Livingston County, MI
    Macomb County, MI
    Oakland County, MI
    St. Clair County, MI
    47894Washington-Arlington-Alexandria, DC-VA-MD-WV1.0932
    District of Columbia, DC
    Calvert County, MD
    Charles County, MD
    Prince George's County, MD
    Arlington County, VA
    Clarke County, VA
    Fairfax County, VA
    Fauquier County, VA
    Loudoun County, VA
    Prince William County, VA
    Spotsylvania County, VA
    Stafford County, VA
    Warren County, VA
    Alexandria City, VA
    Fairfax City, VA
    Falls Church City, VA
    Fredericksburg City, VA
    Manassas City, VA
    Manassas Park City, VA
    Jefferson County, WV
    47940Waterloo-Cedar Falls, IA0.8566
    Black Hawk County, IA
    Bremer County, IA
    Grundy County, IA
    48140Wausau, WI0.9600
    Marathon County, WI
    48260Weirton-Steubenville, WV-OH0.7827
    Jefferson County, OH
    Brooke County, WV
    Hancock County, WV
    48300Wenatchee, WA1.0080
    Chelan County, WA
    Douglas County, WA
    48424West Palm Beach-Boca Raton-Boynton Beach, FL1.0077
    Palm Beach County, FL
    48540Wheeling, WV-OH0.7168
    Belmont County, OH
    Marshall County, WV
    Ohio County, WV
    48620Wichita, KS0.9141
    Butler County, KS
    Harvey County, KS
    Sedgwick County, KS
    Sumner County, KS
    48660Wichita Falls, TX0.8294
    Archer County, TX
    Start Printed Page 40821
    Clay County, TX
    Wichita County, TX
    48700Williamsport, PA0.8377
    Lycoming County, PA
    48864Wilmington, DE-MD-NJ1.0482
    New Castle County, DE
    Cecil County, MD
    Salem County, NJ
    48900Wilmington, NC0.9592
    Brunswick County, NC
    New Hanover County, NC
    Pender County, NC
    49020Winchester, VA-WV1.0224
    Frederick County, VA
    Winchester City, VA
    Hampshire County, WV
    49180Winston Salem, NC0.8953
    Davie County, NC
    Forsyth County, NC
    Stokes County, NC
    Yadkin County, NC
    49340Worcester, MA1.1039
    Worcester County, MA
    49420Yakima, WA1.0165
    Yakima County, WA
    49500Yauco, PR0.4413
    Guánica Municipio, PR
    Guayanilla Municipio, PR
    Peñuelas Municipio, PR
    Yauco Municipio, PR
    49620York-Hanover, PA0.9420
    York County, PA
    49660Youngstown-Warren-Boardman, OH-PA0.8611
    Mahoning County, OH
    Trumbull County, OH
    Mercer County, PA
    49700Yuba City, CA1.0932
    Sutter County, CA
    Yuba County, CA
    49740Yuma, AZ0.9135
    Yuma County, AZ
    2 At this time, there are no hospitals in these urban areas on which to base a wage index. Therefore, the urban wage index value is based on the average wage index of all urban areas within the State.

    Addendum C.—MSA/CBSA Crosswalk

    State/countyCounty nameMSAMSA WICBSA WICBSA
    01000Autauga County, Alabama52400.85880.858833860
    01010Baldwin County, Alabama51600.78660.747799901
    01020Barbour County, Alabama010.74630.747799901
    01030Bibb County, Alabama010.74630.897913820
    01040Blount County, Alabama10000.90210.897913820
    01050Bullock County, Alabama010.74630.747799901
    01060Butler County, Alabama010.74630.747799901
    01070Calhoun County, Alabama04500.76590.765911500
    01080Chambers County, Alabama010.74630.747799901
    01090Cherokee County, Alabama010.74630.747799901
    01100Chilton County, Alabama010.74630.897913820
    01110Choctaw County, Alabama010.74630.747799901
    01120Clarke County, Alabama010.74630.747799901
    01130Clay County, Alabama010.74630.747799901
    01140Cleburne County, Alabama010.74630.747799901
    01150Coffee County, Alabama010.74630.747799901
    01160Colbert County, Alabama26500.82800.828022520
    01170Conecuh County, Alabama010.74630.747799901
    01180Coosa County, Alabama010.74630.747799901
    01190Covington County, Alabama010.74630.747799901
    Start Printed Page 40822
    01200Crenshaw County, Alabama010.74630.747799901
    01210Cullman County, Alabama010.74630.747799901
    01220Dale County, Alabama21800.76870.747799901
    01230Dallas County, Alabama010.74630.747799901
    01240De Kalb County, Alabama010.74630.747799901
    01250Elmore County, Alabama52400.85880.858833860
    01260Escambia County, Alabama010.74630.747799901
    01270Etowah County, Alabama28800.79460.794623460
    01280Fayette County, Alabama010.74630.747799901
    01290Franklin County, Alabama010.74630.747799901
    01300Geneva County, Alabama010.74630.770720020
    01310Greene County, Alabama010.74630.872146220
    01320Hale County, Alabama010.74630.872146220
    01330Henry County, Alabama010.74630.770720020
    01340Houston County, Alabama21800.76870.770720020
    01350Jackson County, Alabama010.74630.747799901
    01360Jefferson County, Alabama10000.90210.897913820
    01370Lamar County, Alabama010.74630.747799901
    01380Lauderdale County, Alabama26500.82800.828022520
    01390Lawrence County, Alabama20300.84780.847819460
    01400Lee County, Alabama05800.81080.810812220
    01410Limestone County, Alabama34400.91490.914926620
    01420Lowndes County, Alabama010.74630.858833860
    01430Macon County, Alabama010.74630.747799901
    01440Madison County, Alabama34400.91490.914926620
    01450Marengo County, Alabama010.74630.747799901
    01460Marion County, Alabama010.74630.747799901
    01470Marshall County, Alabama010.74630.747799901
    01480Mobile County, Alabama51600.78660.789533660
    01490Monroe County, Alabama010.74630.747799901
    01500Montgomery County, Alabama52400.85880.858833860
    01510Morgan County, Alabama20300.84780.847819460
    01520Perry County, Alabama010.74630.747799901
    01530Pickens County, Alabama010.74630.747799901
    01540Pike County, Alabama010.74630.747799901
    01550Randolph County, Alabama010.74630.747799901
    01560Russell County, Alabama18000.85680.856817980
    01570St Clair County, Alabama10000.90210.897913820
    01580Shelby County, Alabama10000.90210.913820
    01590Sumter County, Alabama010.74630.747799901
    01600Talladega County, Alabama010.74630.747799901
    01610Tallapoosa County, Alabama010.74630.747799901
    01620Tuscaloosa County, Alabama86000.88420.872146220
    01630Walker County, Alabama010.74630.897913820
    01640Washington County, Alabama010.74630.747799901
    01650Wilcox County, Alabama010.74630.747799901
    01660Winston County, Alabama010.74630.747799901
    02013Aleutians County East, Alaska021.19001.199099902
    02016Aleutians County West, Alaska021.19001.199099902
    02020Anchorage County, Alaska03801.20221.211011260
    02030Angoon County, Alaska021.19001.199099902
    02040Barrow-North Slope County, Alaska021.19001.199099902
    02050Bethel County, Alaska021.19001.199099902
    02060Bristol Bay Borough County, Alaska021.19001.199099902
    02068Denali County, Alaska021.19001.199099902
    02070Bristol Bay County, Alaska021.19001.199099902
    02080Cordova-McCarthy County, Alaska021.19001.199099902
    02090Fairbanks County, Alaska021.19001.141921820
    02100Haines County, Alaska021.19001.199099902
    02110Juneau County, Alaska021.19001.199099902
    02120Kenai-Cook Inlet County, Alaska021.19001.199099902
    02122Kenai Peninsula Borough, Alaska021.19001.199099902
    02130Ketchikan County, Alaska021.19001.199099902
    02140Kobuk County, Alaska021.19001.199099902
    02150Kodiak County, Alaska021.19001.199099902
    02160Kuskokwin County, Alaska021.19001.199099902
    02164Lake and Peninsula Borough, Alaska021.19001.199099902
    02170Matanuska County, Alaska021.19001.211011260
    02180Nome County, Alaska021.19001.199099902
    02185North Slope Borough, Alaska021.19001.199099902
    02188Northwest Arctic Borough, Alaska021.19001.199099902
    Start Printed Page 40823
    02190Outer Ketchikan County, Alaska021.19001.199099902
    02200Prince Of Wales County, Alaska021.19001.199099902
    02201Prince of Wales Outer Ketchikan Census Area, Alaska021.19001.199099902
    02210Seward County, Alaska021.19001.199099902
    02220Sitka County, Alaska021.19001.199099902
    02230Skagway-Yakutat County, Alaska021.19001.199099902
    02231Skagway-Yakutat-Angoon Census Area, Alaska021.19001.199099902
    02232Skagway-Hoonah-Angoon Census Area, Alaska021.19001.199099902
    02240Southeast Fairbanks County, Alaska021.19001.199099902
    02250Upper Yukon County, Alaska021.19001.199099902
    02260Valdz-Chitna-Whitier County, Alaska021.19001.199099902
    02261Valdex-Cordove Census Area, Alaska021.19001.199099902
    02270Wade Hampton County, Alaska021.19001.199099902
    02280Wrangel-lPetersburg County, Alaska021.19001.199099902
    02282Yakutat Borough, Alaska021.19001.199099902
    02290Yukon-Koyukuk County, Alaska021.19001.199099902
    03000Apache County, Arizona030.90540.877799903
    03010Cochise County, Arizona030.90540.877799903
    03020Coconino County, Arizona26201.18571.210522380
    03030Gila County, Arizona030.90540.877799903
    03040Graham County, Arizona030.90540.877799903
    03050Greenlee County, Arizona030.90540.877799903
    03055La Paz County, Arizona030.90540.877799903
    03060Maricopa County, Arizona62001.01381.013838060
    03070Mohave County, Arizona41201.11660.877799903
    03080Navajo County, Arizona030.90540.877799903
    03090Pima County, Arizona85200.89870.898746060
    03100Pinal County, Arizona62001.01381.013838060
    03110Santa Cruz County, Arizona030.90540.877799903
    03120Yavapai County, Arizona030.90540.987939140
    03130Yuma County, Arizona93600.91350.913549740
    04000Arkansas County, Arkansas040.77440.745199904
    04010Ashley County, Arkansas040.77440.745199904
    04020Baxter County, Arkansas040.77440.745199904
    04030Benton County, Arkansas25800.85630.856322220
    04040Boone County, Arkansas040.77440.745199904
    04050Bradley County, Arkansas040.77440.745199904
    04060Calhoun County, Arkansas040.77440.745199904
    04070Carroll County, Arkansas040.77440.745199904
    04080Chicot County, Arkansas040.77440.745199904
    04090Clark County, Arkansas040.77440.745199904
    04100Clay County, Arkansas040.77440.745199904
    04110Cleburne County, Arkansas040.77440.745199904
    04120Cleveland County, Arkansas040.77440.868938220
    04130Columbia County, Arkansas040.77440.745199904
    04140Conway County, Arkansas040.77440.745199904
    04150Craighead County, Arkansas37000.79190.791927860
    04160Crawford County, Arkansas27200.82290.821422900
    04170Crittenden County, Arkansas49200.93600.934132820
    04180Cross County, Arkansas040.77440.745199904
    04190Dallas County, Arkansas040.77440.745199904
    04200Desha County, Arkansas040.77440.745199904
    04210Drew County, Arkansas040.77440.745199904
    04220Faulkner County, Arkansas44000.87560.875630780
    04230Franklin County, Arkansas040.77440.821422900
    04240Fulton County, Arkansas040.77440.745199904
    04250Garland County, Arkansas040.77440.905326300
    04260Grant County, Arkansas040.77440.875630780
    04270Greene County, Arkansas040.77440.745199904
    04280Hempstead County, Arkansas040.77440.745199904
    04290Hot Spring County, Arkansas040.77440.745199904
    04300Howard County, Arkansas040.77440.745199904
    04310Independence County, Arkansas040.77440.745199904
    04320Izard County, Arkansas040.77440.745199904
    04330Jackson County, Arkansas040.77440.745199904
    04340Jefferson County, Arkansas62400.86890.868938220
    04350Johnson County, Arkansas040.77440.745199904
    04360Lafayette County, Arkansas040.77440.745199904
    04370Lawrence County, Arkansas040.77440.745199904
    04380Lee County, Arkansas040.77440.745199904
    04390Lincoln County, Arkansas040.77440.868938220
    Start Printed Page 40824
    04400Little River County, Arkansas040.77440.745199904
    04410Logan County, Arkansas040.77440.745199904
    04420Lonoke County, Arkansas44000.87560.875630780
    04430Madison County, Arkansas040.77440.856322220
    04440Marion County, Arkansas040.77440.745199904
    04450Miller County, Arkansas83600.82910.829145500
    04460Mississippi County, Arkansas040.77440.745199904
    04470Monroe County, Arkansas040.77440.745199904
    04480Montgomery County, Arkansas040.77440.745199904
    04490Nevada County, Arkansas040.77440.745199904
    04500Newton County, Arkansas040.77440.745199904
    04510Ouachita County, Arkansas040.77440.745199904
    04520Perry County, Arkansas040.77440.875630780
    04530Phillips County, Arkansas040.77440.745199904
    04540Pike County, Arkansas040.77440.745199904
    04550Poinsett County, Arkansas040.77440.791927860
    04560Polk County, Arkansas040.77440.745199904
    04570Pope County, Arkansas040.77440.745199904
    04580Prairie County, Arkansas040.77440.745199904
    04590Pulaski County, Arkansas44000.87560.875630780
    04600Randolph County, Arkansas040.77440.745199904
    04610St Francis County, Arkansas040.77440.745199904
    04620Saline County, Arkansas44000.87560.875630780
    04630Scott County, Arkansas040.77440.745199904
    04640Searcy County, Arkansas040.77440.745199904
    04650Sebastian County, Arkansas27200.82290.821422900
    04660Sevier County, Arkansas040.77440.745199904
    04670Sharp County, Arkansas040.77440.745199904
    04680Stone County, Arkansas040.77440.745199904
    04690Union County, Arkansas040.77440.745199904
    04700Van Buren County, Arkansas040.77440.745199904
    04710Washington County, Arkansas25800.85630.856322220
    04720White County, Arkansas040.77440.745199904
    04730Woodruff County, Arkansas040.77440.745199904
    04740Yell County, Arkansas040.77440.745199904
    05000Alameda County, California57751.53461.534636084
    05010Alpine County, California051.06391.085799905
    05020Amador County, California051.06391.085799905
    05030Butte County, California16201.05221.052217020
    05040Calaveras County, California051.06391.085799905
    05050Colusa County, California051.06391.085799905
    05060Contra Costa County, California57751.53461.534636084
    05070Del Norte County, California051.06391.085799905
    05080Eldorado County, California69201.31481.297340900
    05090Fresno County, California28401.04321.054123420
    05100Glenn County, California051.06391.085799905
    05110Humboldt County, California051.06391.085799905
    05120Imperial County, California051.06390.891520940
    05130Inyo County, California051.06391.085799905
    05140Kern County, California06801.03441.034412540
    05150Kings County, California051.06391.004625260
    05160Lake County, California051.06391.085799905
    05170Lassen County, California051.06391.085799905
    05200Los Angeles County, California44801.17521.175231084
    05210Los Angeles County, California44801.17521.175231084
    05300Madera County, California28401.04320.872131460
    05310Marin County, California73601.49901.499041884
    05320Mariposa County, California051.06391.085799905
    05330Mendocino County, California051.06391.085799905
    05340Merced County, California49401.11201.112032900
    05350Modoc County, California051.06391.085799905
    05360Mono County, California051.06391.085799905
    05370Monterey County, California71201.41421.414241500
    05380Napa County, California87201.39661.265634900
    05390Nevada County, California051.06391.085799905
    05400Orange County, California59451.15761.157642044
    05410Placer County, California69201.31481.297340900
    05420Plumas County, California051.06391.085799905
    05430Riverside County, California67801.10221.102240140
    05440Sacramento County, California69201.31481.297340900
    05450San Benito County, California051.06391.512541940
    Start Printed Page 40825
    05460San Bernardino County, California67801.10221.102240140
    05470San Diego County, California73201.14241.142441740
    05480San Francisco County, California73601.49901.499041884
    05490San Joaquin County, California81201.13111.131144700
    05500San Luis Obispo County, California74601.13601.136042020
    05510San Mateo County, California73601.49901.499041884
    05520Santa Barbara County, California74801.15381.153842060
    05530Santa Clara County, California74001.51441.512541940
    05540Santa Cruz County, California74851.51821.518242100
    05550Shasta County, California66901.22151.221539820
    05560Sierra County, California051.06391.085799905
    05570Siskiyou County, California051.06391.085799905
    05580Solano County, California87201.39661.489946700
    05590Sonoma County, California75001.35061.350642220
    05600Stanislaus County, California51701.18041.180433700
    05610Sutter County, California93401.09321.093249700
    05620Tehama County, California051.06391.085799905
    05630Trinity County, California051.06391.085799905
    05640Tulare County, California87801.00741.007447300
    05650Tuolumne County, California051.06391.085799905
    05660Ventura County, California87351.16131.161337100
    05670Yolo County, California92700.99491.297340900
    05680Yuba County, California93401.09321.093249700
    06000Adams County, Colorado20801.07331.073319740
    06010Alamosa County, Colorado060.93890.938999906
    06020Arapahoe County, Colorado20801.07331.073319740
    06030Archuleta County, Colorado060.93890.938999906
    06040Baca County, Colorado060.93890.938999906
    06050Bent County, Colorado060.93890.938999906
    06060Boulder County, Colorado11250.97440.974414500
    06070Chaffee County, Colorado060.93890.938999906
    06080Cheyenne County, Colorado060.93890.938999906
    06090Clear Creek County, Colorado060.93891.073319740
    06100Conejos County, Colorado060.93890.938999906
    06110Costilla County, Colorado060.93890.938999906
    06120Crowley County, Colorado060.93890.938999906
    06130Custer County, Colorado060.93890.938999906
    06140Delta County, Colorado060.93890.938999906
    06150Denver County, Colorado20801.07331.073319740
    06160Dolores County, Colorado060.93890.938999906
    06170Douglas County, Colorado20801.07331.073319740
    06180Eagle County, Colorado060.93890.938999906
    06190Elbert County, Colorado060.93891.073319740
    06200El Paso County, Colorado17200.94780.947817820
    06210Fremont County, Colorado060.93890.938999906
    06220Garfield County, Colorado060.93890.938999906
    06230Gilpin County, Colorado060.93891.073319740
    06240Grand County, Colorado060.93890.938999906
    06250Gunnison County, Colorado060.93890.938999906
    06260Hinsdale County, Colorado060.93890.938999906
    06270Huerfano County, Colorado060.93890.938999906
    06280Jackson County, Colorado060.93890.938999906
    06290Jefferson County, Colorado20801.07331.073319740
    06300Kiowa County, Colorado060.93890.938999906
    06310Kit Carson County, Colorado060.93890.938999906
    06320Lake County, Colorado060.93890.938999906
    06330La Plata County, Colorado060.93890.938999906
    06340Larimer County, Colorado26701.01321.013222660
    06350Las Animas County, Colorado060.93890.938999906
    06360Lincoln County, Colorado060.93890.938999906
    06370Logan County, Colorado060.93890.938999906
    06380Mesa County, Colorado29950.95600.956024300
    06390Mineral County, Colorado060.93890.938999906
    06400Moffat County, Colorado060.93890.938999906
    06410Montezuma County, Colorado060.93890.938999906
    06420Montrose County, Colorado060.93890.938999906
    06430Morgan County, Colorado060.93890.938999906
    06440Otero County, Colorado060.93890.938999906
    06450Ouray County, Colorado060.93890.938999906
    06460Park County, Colorado060.93891.073319740
    06470Phillips County, Colorado060.93890.938999906
    Start Printed Page 40826
    06480Pitkin County, Colorado060.93890.938999906
    06490Prowers County, Colorado060.93890.938999906
    06500Pueblo County, Colorado65600.86320.863239380
    06510Rio Blanco County, Colorado060.93890.938999906
    06520Rio Grande County, Colorado060.93890.938999906
    06530Routt County, Colorado060.93890.938999906
    06540Saguache County, Colorado060.93890.938999906
    06550San Juan County, Colorado060.93890.938999906
    06560San Miguel County, Colorado060.93890.938999906
    06570Sedgwick County, Colorado060.93890.938999906
    06580Summit County, Colorado060.93890.938999906
    06590Teller County, Colorado060.93890.947817820
    06600Washington County, Colorado060.93890.938999906
    06610Weld County, Colorado30600.95800.958024540
    06620Yuma County, Colorado060.93890.938999906
    06630Broomfield County, Colorado20801.07331.073319740
    07000Fairfield County, Connecticut54831.20961.259814860
    07010Hartford County, Connecticut32831.10841.108425540
    07020Litchfield County, Connecticut32831.10841.108425540
    07030Middlesex County, Connecticut32831.10841.108425540
    07040New Haven County, Connecticut54831.20961.170235300
    07050New London County, Connecticut55231.13561.135635980
    07060Tolland County, Connecticut32831.10841.108425540
    07070Windham County, Connecticut071.17941.179499907
    08000Kent County, Delaware21900.97790.977920100
    08010New Castle County, Delaware91601.05371.048248864
    08020Sussex County, Delaware080.96060.960699908
    09000Washington Dc County, Of Col Dist88401.09831.093247894
    10000Alachua County, Florida29000.94740.947423540
    10010Baker County, Florida100.86980.929927260
    10020Bay County, Florida60150.79890.798937460
    10030Bradford County, Florida100.86980.859899910
    10040Brevard County, Florida49000.98350.983537340
    10050Broward County, Florida26801.04421.044222744
    10060Calhoun County, Florida100.86980.859899910
    10070Charlotte County, Florida65800.92640.926439460
    10080Citrus County, Florida100.86980.859899910
    10090Clay County, Florida36000.93080.929927260
    10100Collier County, Florida53451.01401.014034940
    10110Columbia County, Florida100.86980.859899910
    10120Dade County, Florida50000.97590.975933124
    10130De Soto County, Florida100.86980.859899910
    10140Dixie County, Florida100.86980.859899910
    10150Duval County, Florida36000.93080.929927260
    10160Escambia County, Florida60800.81040.810437860
    10170Flagler County, Florida20200.93340.859899910
    10180Franklin County, Florida100.86980.859899910
    10190Gadsden County, Florida82400.86970.869745220
    10200Gilchrist County, Florida100.86980.947423540
    10210Glades County, Florida100.86980.859899910
    10220Gulf County, Florida100.86980.859899910
    10230Hamilton County, Florida100.86980.859899910
    10240Hardee County, Florida100.86980.859899910
    10250Hendry County, Florida100.86980.859899910
    10260Hernando County, Florida82800.91930.919345300
    10270Highlands County, Florida100.86980.859899910
    10280Hillsborough County, Florida82800.91930.919345300
    10290Holmes County, Florida100.86980.859899910
    10300Indian River County, Florida100.86980.944446940
    10310Jackson County, Florida100.86980.859899910
    10320Jefferson County, Florida100.86980.869745220
    10330Lafayette County, Florida100.86980.859899910
    10340Lake County, Florida59600.94590.945936740
    10350Lee County, Florida27000.93660.936615980
    10360Leon County, Florida82400.86970.869745220
    10370Levy County, Florida100.86980.859899910
    10380Liberty County, Florida100.86980.859899910
    10390Madison County, Florida100.86980.859899910
    10400Manatee County, Florida75100.95550.955542260
    10410Marion County, Florida57900.89340.893436100
    10420Martin County, Florida27101.01331.013338940
    Start Printed Page 40827
    10430Monroe County, Florida100.86980.859899910
    10440Nassau County, Florida36000.93080.929927260
    10450Okaloosa County, Florida27500.88810.888123020
    10460Okeechobee County, Florida100.86980.859899910
    10470Orange County, Florida59600.94590.945936740
    10480Osceola County, Florida59600.94590.945936740
    10490Palm Beach County, Florida89601.00771.007748424
    10500Pasco County, Florida82800.91930.919345300
    10510Pinellas County, Florida82800.91930.919345300
    10520Polk County, Florida39800.89210.892129460
    10530Putnam County, Florida100.86980.859899910
    10540Johns County, Florida36000.93080.929927260
    10550St Lucie County, Florida27101.01331.013338940
    10560Santa Rosa County, Florida60800.81040.810437860
    10570Sarasota County, Florida75100.95550.955542260
    10580Seminole County, Florida59600.94590.945936740
    10590Sumter County, Florida100.86980.859899910
    10600Suwannee County, Florida100.86980.859899910
    10610Taylor County, Florida100.86980.859899910
    10620Union County, Florida100.86980.859899910
    10630Volusia County, Florida20200.93340.930819660
    10640Wakulla County, Florida100.86980.869745220
    10650Walton County, Florida100.86980.859899910
    10660Washington County, Florida100.86980.859899910
    11000Appling County, Georgia110.81650.766699911
    11010Atkinson County, Georgia110.81650.766699911
    11011Bacon County, Georgia110.81650.766699911
    11020Baker County, Georgia110.81650.863610500
    11030Baldwin County, Georgia110.81650.766699911
    11040Banks County, Georgia110.81650.766699911
    11050Barrow County, Georgia05200.96480.964812060
    11060Bartow County, Georgia05200.96480.964812060
    11070Ben Hill County, Georgia110.81650.766699911
    11080Berrien County, Georgia110.81650.766699911
    11090Bibb County, Georgia46800.92860.945331420
    11100Bleckley County, Georgia110.81650.766699911
    11110Brantley County, Georgia110.81650.932015260
    11120Brooks County, Georgia110.81650.887546660
    11130Bryan County, Georgia75200.94800.948042340
    11140Bulloch County, Georgia110.81650.766699911
    11150Burke County, Georgia110.81650.956512260
    11160Butts County, Georgia110.81650.964812060
    11161Calhoun County, Georgia110.81650.766699911
    11170Camden County, Georgia110.81650.766699911
    11180Candler County, Georgia110.81650.766699911
    11190Carroll County, Georgia05200.96480.964812060
    11200Catoosa County, Georgia15600.90980.909816860
    11210Charlton County, Georgia110.81650.766699911
    11220Chatham County, Georgia75200.94800.948042340
    11230Chattahoochee County, Georgia18000.85680.856817980
    11240Chattooga County, Georgia110.81650.766699911
    11250Cherokee County, Georgia05200.96480.964812060
    11260Clarke County, Georgia05000.98430.984312020
    11270Clay County, Georgia110.81650.766699911
    11280Clayton County, Georgia05200.96480.964812060
    11281Clinch County, Georgia110.81650.766699911
    11290Cobb County, Georgia05200.96480.964812060
    11291Coffee County, Georgia110.81650.766699911
    11300Colquitt County, Georgia110.81650.766699911
    11310Columbia County, Georgia06000.96190.956512260
    11311Cook County, Georgia110.81650.766699911
    11320Coweta County, Georgia05200.96480.964812060
    11330Crawford County, Georgia110.81650.945331420
    11340Crisp County, Georgia110.81650.766699911
    11341Dade County, Georgia15600.90980.909816860
    11350Dawson County, Georgia110.81650.964812060
    11360Decatur County, Georgia110.81650.766699911
    11370De Kalb County, Georgia05200.96480.964812060
    11380Dodge County, Georgia110.81650.766699911
    11381Dooly County, Georgia110.81650.766699911
    11390Dougherty County, Georgia01200.86360.863610500
    Start Printed Page 40828
    11400Douglas County, Georgia05200.96480.964812060
    11410Early County, Georgia110.81650.766699911
    11420Echols County, Georgia110.81650.887546660
    11421Effingham County, Georgia75200.94800.948042340
    11430Elbert County, Georgia110.81650.766699911
    11440Emanuel County, Georgia110.81650.766699911
    11441Evans County, Georgia110.81650.766699911
    11450Fannin County, Georgia110.81650.766699911
    11451Fayette County, Georgia05200.96480.964812060
    11460Floyd County, Georgia110.81650.942440660
    11461Forsyth County, Georgia05200.96480.964812060
    11462Franklin County, Georgia110.81650.766699911
    11470Fulton County, Georgia05200.96480.964812060
    11471Gilmer County, Georgia110.81650.766699911
    11480Glascock County, Georgia110.81650.766699911
    11490Glynn County, Georgia110.81650.932015260
    11500Gordon County, Georgia110.81650.766699911
    11510Grady County, Georgia110.81650.766699911
    11520Greene County, Georgia110.81650.766699911
    11530Gwinnett County, Georgia05200.96480.964812060
    11540Habersham County, Georgia110.81650.766699911
    11550Hall County, Georgia110.81650.888323580
    11560Hancock County, Georgia110.81650.766699911
    11570Haralson County, Georgia110.81650.964812060
    11580Harris County, Georgia18000.85680.856817980
    11581Hart County, Georgia110.81650.766699911
    11590Heard County, Georgia110.81650.964812060
    11591Henry County, Georgia05200.96480.964812060
    11600Houston County, Georgia46800.92860.865447580
    11601Irwin County, Georgia110.81650.766699911
    11610Jackson County, Georgia110.81650.766699911
    11611Jasper County, Georgia110.81650.964812060
    11612Jeff Davis County, Georgia110.81650.766699911
    11620Jefferson County, Georgia110.81650.766699911
    11630Jenkins County, Georgia110.81650.766699911
    11640Johnson County, Georgia110.81650.766699911
    11650Jones County, Georgia46800.92860.945331420
    11651Lamar County, Georgia110.81650.964812060
    11652Lanier County, Georgia110.81650.887546660
    11660Laurens County, Georgia110.81650.766699911
    11670Lee County, Georgia01200.86360.863610500
    11680Liberty County, Georgia110.81650.917825980
    11690Lincoln County, Georgia110.81650.766699911
    11691Long County, Georgia110.81650.917825980
    11700Lowndes County, Georgia110.81650.887546660
    11701Lumpkin County, Georgia110.81650.766699911
    11702Mc Duffie County, Georgia06000.96190.956512260
    11703Mc Intosh County, Georgia110.81650.932015260
    11710Macon County, Georgia110.81650.766699911
    11720Madison County, Georgia05000.98430.984312020
    11730Marion County, Georgia110.81650.856817980
    11740Meriwether County, Georgia110.81650.964812060
    11741Miller County, Georgia110.81650.766699911
    11750Mitchell County, Georgia110.81650.766699911
    11760Monroe County, Georgia110.81650.945331420
    11770Montgomery County, Georgia110.81650.766699911
    11771Morgan County, Georgia110.81650.766699911
    11772Murray County, Georgia110.81650.904419140
    11780Muscogee County, Georgia18000.85680.856817980
    11790Newton County, Georgia05200.96480.964812060
    11800Oconee County, Georgia05000.98430.984312020
    11801Oglethorpe County, Georgia110.81650.984312020
    11810Paulding County, Georgia05200.96480.964812060
    11811Peach County, Georgia46800.92860.766699911
    11812Pickens County, Georgia05200.96480.964812060
    11820Pierce County, Georgia110.81650.766699911
    11821Pike County, Georgia110.81650.964812060
    11830Polk County, Georgia110.81650.766699911
    11831Pulaski County, Georgia110.81650.766699911
    11832Putnam County, Georgia110.81650.766699911
    11833Quitman County, Georgia110.81650.766699911
    Start Printed Page 40829
    11834Rabun County, Georgia110.81650.766699911
    11835Randolph County, Georgia110.81650.766699911
    11840Richmond County, Georgia06000.96190.956512260
    11841Rockdale County, Georgia05200.96480.964812060
    11842Schley County, Georgia110.81650.766699911
    11850Screven County, Georgia110.81650.766699911
    11851Seminole County, Georgia110.81650.766699911
    11860Spalding County, Georgia05200.96480.964812060
    11861Stephens County, Georgia110.81650.766699911
    11862Stewart County, Georgia110.81650.766699911
    11870Sumter County, Georgia110.81650.766699911
    11880Talbot County, Georgia110.81650.766699911
    11881Taliaferro County, Georgia110.81650.766699911
    11882Tattnall County, Georgia110.81650.766699911
    11883Taylor County, Georgia110.81650.766699911
    11884Telfair County, Georgia110.81650.766699911
    11885Terrell County, Georgia110.81650.863610500
    11890Thomas County, Georgia110.81650.766699911
    11900Tift County, Georgia110.81650.766699911
    11901Toombs County, Georgia110.81650.766699911
    11902Towns County, Georgia110.81650.766699911
    11903Treutlen County, Georgia110.81650.766699911
    11910Troup County, Georgia110.81650.766699911
    11911Turner County, Georgia110.81650.766699911
    11912Twiggs County, Georgia46800.92860.945331420
    11913Union County, Georgia110.81650.766699911
    11920Upson County, Georgia110.81650.766699911
    11921Walker County, Georgia15600.90980.909816860
    11930Walton County, Georgia05200.96480.964812060
    11940Ware County, Georgia110.81650.766699911
    11941Warren County, Georgia110.81650.766699911
    11950Washington County, Georgia110.81650.766699911
    11960Wayne County, Georgia110.81650.766699911
    11961Webster County, Georgia110.81650.766699911
    11962Wheeler County, Georgia110.81650.766699911
    11963White County, Georgia110.81650.766699911
    11970Whitfield County, Georgia110.81650.904419140
    11971Wilcox County, Georgia110.81650.766699911
    11972Wilkes County, Georgia110.81650.766699911
    11973Wilkinson County, Georgia110.81650.766699911
    11980Worth County, Georgia110.81650.863610500
    12005Kalawao County, Hawaii121.05621.056299912
    12010Hawaii County, Hawaii121.05621.056299912
    12020Honolulu County, Hawaii33201.12081.120826180
    12040Kauai County, Hawaii121.05621.056299912
    12050Maui County, Hawaii121.05621.056299912
    13000Ada County, Idaho10800.90610.906114260
    13010Adams County, Idaho130.91060.804599913
    13020Bannock County, Idaho63400.93600.936038540
    13030Bear Lake County, Idaho130.91060.804599913
    13040Benewah County, Idaho130.91060.804599913
    13050Bingham County, Idaho130.91060.804599913
    13060Blaine County, Idaho130.91060.804599913
    13070Boise County, Idaho130.91060.906114260
    13080Bonner County, Idaho130.91060.804599913
    13090Bonneville County, Idaho130.91060.942926820
    13100Boundary County, Idaho130.91060.804599913
    13110Butte County, Idaho130.91060.804599913
    13120Camas County, Idaho130.91060.804599913
    13130Canyon County, Idaho10800.90610.906114260
    13140Caribou County, Idaho130.91060.804599913
    13150Cassia County, Idaho130.91060.804599913
    13160Clark County, Idaho130.91060.804599913
    13170Clearwater County, Idaho130.91060.804599913
    13180Custer County, Idaho130.91060.804599913
    13190Elmore County, Idaho130.91060.804599913
    13200Franklin County, Idaho130.91060.917330860
    13210Fremont County, Idaho130.91060.804599913
    13220Gem County, Idaho130.91060.906114260
    13230Gooding County, Idaho130.91060.804599913
    13240Idaho County, Idaho130.91060.804599913
    Start Printed Page 40830
    13250Jefferson County, Idaho130.91060.942926820
    13260Jerome County, Idaho130.91060.804599913
    13270Kootenai County, Idaho130.91060.965717660
    13280Latah County, Idaho130.91060.804599913
    13290Lemhi County, Idaho130.91060.804599913
    13300Lewis County, Idaho130.91060.804599913
    13310Lincoln County, Idaho130.91060.804599913
    13320Madison County, Idaho130.91060.804599913
    13330Minidoka County, Idaho130.91060.804599913
    13340Nez Perce County, Idaho130.91060.989630300
    13350Oneida County, Idaho130.91060.804599913
    13360Owyhee County, Idaho130.91060.906114260
    13370Payette County, Idaho130.91060.804599913
    13380Power County, Idaho130.91060.936038540
    13390Shoshone County, Idaho130.91060.804599913
    13400Teton County, Idaho130.91060.804599913
    13410Twin Falls County, Idaho130.91060.804599913
    13420Valley County, Idaho130.91060.804599913
    13430Washington County, Idaho130.91060.804599913
    14000Adams County, Illinois140.83090.827999914
    14010Alexander County, Illinois140.83090.827999914
    14020Bond County, Illinois140.83090.894941180
    14030Boone County, Illinois68800.99940.999440420
    14040Brown County, Illinois140.83090.827999914
    14050Bureau County, Illinois140.83090.827999914
    14060Calhoun County, Illinois140.83090.894941180
    14070Carroll County, Illinois140.83090.827999914
    14080Cass County, Illinois140.83090.827999914
    14090Champaign County, Illinois14000.96040.960416580
    14100Christian County, Illinois140.83090.827999914
    14110Clark County, Illinois140.83090.827999914
    14120Clay County, Illinois140.83090.827999914
    14130Clinton County, Illinois70400.89570.894941180
    14140Coles County, Illinois140.83090.827999914
    14141Cook County, Illinois16001.08381.084816974
    14150Crawford County, Illinois140.83090.827999914
    14160Cumberland County, Illinois140.83090.827999914
    14170De Kalb County, Illinois16001.08381.084816974
    14180De Witt County, Illinois140.83090.827999914
    14190Douglas County, Illinois140.83090.827999914
    14250Du Page County, Illinois16001.08381.084816974
    14310Edgar County, Illinois140.83090.827999914
    14320Edwards County, Illinois140.83090.827999914
    14330Effingham County, Illinois140.83090.827999914
    14340Fayette County, Illinois140.83090.827999914
    14350Ford County, Illinois140.83090.960416580
    14360Franklin County, Illinois140.83090.827999914
    14370Fulton County, Illinois140.83090.827999914
    14380Gallatin County, Illinois140.83090.827999914
    14390Greene County, Illinois140.83090.827999914
    14400Grundy County, Illinois16001.08381.084816974
    14410Hamilton County, Illinois140.83090.827999914
    14420Hancock County, Illinois140.83090.827999914
    14421Hardin County, Illinois140.83090.827999914
    14440Henderson County, Illinois140.83090.827999914
    14450Henry County, Illinois19600.87310.873119340
    14460Iroquois County, Illinois140.83090.827999914
    14470Jackson County, Illinois140.83090.827999914
    14480Jasper County, Illinois140.83090.827999914
    14490Jefferson County, Illinois140.83090.827999914
    14500Jersey County, Illinois70400.89570.894941180
    14510Jo Daviess County, Illinois140.83090.827999914
    14520Johnson County, Illinois140.83090.827999914
    14530Kane County, Illinois16001.08381.084816974
    14540Kankakee County, Illinois37401.09741.097428100
    14550Kendall County, Illinois16001.08381.084816974
    14560Knox County, Illinois140.83090.827999914
    14570Lake County, Illinois16001.08381.044029404
    14580La Salle County, Illinois140.83090.827999914
    14590Lawrence County, Illinois140.83090.827999914
    14600Lee County, Illinois140.83090.827999914
    Start Printed Page 40831
    14610Livingston County, Illinois140.83090.827999914
    14620Logan County, Illinois140.83090.827999914
    14630Mc Donough County, Illinois140.83090.827999914
    14640Mc Henry County, Illinois16001.08381.084816974
    14650Mclean County, Illinois10400.90840.908414060
    14660Macon County, Illinois20400.80760.807619500
    14670Macoupin County, Illinois140.83090.894941180
    14680Madison County, Illinois70400.89570.894941180
    14690Marion County, Illinois140.83090.827999914
    14700Marshall County, Illinois140.83090.886837900
    14710Mason County, Illinois140.83090.827999914
    14720Massac County, Illinois140.83090.827999914
    14730Menard County, Illinois78800.88850.888544100
    14740Mercer County, Illinois140.83090.873119340
    14750Monroe County, Illinois70400.89570.894941180
    14760Montgomery County, Illinois140.83090.827999914
    14770Morgan County, Illinois140.83090.827999914
    14780Moultrie County, Illinois140.83090.827999914
    14790Ogle County, Illinois68800.99940.827999914
    14800Peoria County, Illinois61200.88680.886837900
    14810Perry County, Illinois140.83090.827999914
    14820Piatt County, Illinois140.83090.960416580
    14830Pike County, Illinois140.83090.827999914
    14831Pope County, Illinois140.83090.827999914
    14850Pulaski County, Illinois140.83090.827999914
    14860Putnam County, Illinois140.83090.827999914
    14870Randolph County, Illinois140.83090.827999914
    14880Richland County, Illinois140.83090.827999914
    14890Rock Island County, Illinois19600.87310.873119340
    14900St Clair County, Illinois70400.89570.894941180
    14910Saline County, Illinois140.83090.827999914
    14920Sangamon County, Illinois78800.88850.888544100
    14921Schuyler County, Illinois140.83090.827999914
    14940Scott County, Illinois140.83090.827999914
    14950Shelby County, Illinois140.83090.827999914
    14960Stark County, Illinois140.83090.886837900
    14970Stephenson County, Illinois140.83090.827999914
    14980Tazewell County, Illinois61200.88680.886837900
    14981Union County, Illinois140.83090.827999914
    14982Vermilion County, Illinois140.83090.903719180
    14983Wabash County, Illinois140.83090.827999914
    14984Warren County, Illinois140.83090.827999914
    14985Washington County, Illinois140.83090.827999914
    14986Wayne County, Illinois140.83090.827999914
    14987White County, Illinois140.83090.827999914
    14988Whiteside County, Illinois140.83090.827999914
    14989Will County, Illinois16001.08381.084816974
    14990Williamson County, Illinois140.83090.827999914
    14991Winnebago County, Illinois68800.99940.999440420
    14992Woodford County, Illinois61200.88680.886837900
    15000Adams County, Indiana27600.97160.863099915
    15010Allen County, Indiana27600.97160.980323060
    15020Bartholomew County, Indiana150.87270.959818020
    15030Benton County, Indiana150.87270.874529140
    15040Blackford County, Indiana150.87270.863099915
    15050Boone County, Indiana34800.98750.993026900
    15060Brown County, Indiana150.87270.993026900
    15070Carroll County, Indiana150.87270.874529140
    15080Cass County, Indiana150.87270.863099915
    15090Clark County, Indiana45200.93020.926131140
    15100Clay County, Indiana83200.83450.831345460
    15110Clinton County, Indiana39200.87450.863099915
    15120Crawford County, Indiana150.87270.863099915
    15130Daviess County, Indiana150.87270.863099915
    15140Dearborn County, Indiana16400.97420.962317140
    15150Decatur County, Indiana150.87270.863099915
    15160De Kalb County, Indiana27600.97160.863099915
    15170Delaware County, Indiana52800.89390.893934620
    15180Dubois County, Indiana150.87270.863099915
    15190Elkhart County, Indiana23300.96370.963721140
    15200Fayette County, Indiana150.87270.863099915
    Start Printed Page 40832
    15210Floyd County, Indiana45200.93020.926131140
    15220Fountain County, Indiana150.87270.863099915
    15230Franklin County, Indiana150.87270.962317140
    15240Fulton County, Indiana150.87270.863099915
    15250Gibson County, Indiana150.87270.872121780
    15260Grant County, Indiana150.87270.863099915
    15270Greene County, Indiana150.87270.845614020
    15280Hamilton County, Indiana34800.98750.993026900
    15290Hancock County, Indiana34800.98750.993026900
    15300Harrison County, Indiana45200.93020.926131140
    15310Hendricks County, Indiana34800.98750.993026900
    15320Henry County, Indiana150.87270.863099915
    15330Howard County, Indiana38500.95170.951729020
    15340Huntington County, Indiana27600.97160.863099915
    15350Jackson County, Indiana150.87270.863099915
    15360Jasper County, Indiana150.87270.936923844
    15370Jay County, Indiana150.87270.863099915
    15380Jefferson County, Indiana150.87270.863099915
    15390Jennings County, Indiana150.87270.863099915
    15400Johnson County, Indiana34800.98750.993026900
    15410Knox County, Indiana150.87270.863099915
    15420Kosciusko County, Indiana150.87270.863099915
    15430Lagrange County, Indiana150.87270.863099915
    15440Lake County, Indiana29600.94040.936923844
    15450La Porte County, Indiana150.87270.940933140
    15460Lawrence County, Indiana150.87270.863099915
    15470Madison County, Indiana34800.98750.859511300
    15480Marion County, Indiana34800.98750.993026900
    15490Marshall County, Indiana150.87270.863099915
    15500Martin County, Indiana150.87270.863099915
    15510Miami County, Indiana150.87270.863099915
    15520Monroe County, Indiana10200.84560.845614020
    15530Montgomery County, Indiana150.87270.863099915
    15540Morgan County, Indiana34800.98750.993026900
    15550Newton County, Indiana150.87270.936923844
    15560Noble County, Indiana150.87270.863099915
    15570Ohio County, Indiana16400.97420.962317140
    15580Orange County, Indiana150.87270.863099915
    15590Owen County, Indiana150.87270.845614020
    15600Parke County, Indiana150.87270.863099915
    15610Perry County, Indiana150.87270.863099915
    15620Pike County, Indiana150.87270.863099915
    15630Porter County, Indiana29600.94040.936923844
    15640Posey County, Indiana24400.87210.872121780
    15650Pulaski County, Indiana150.87270.863099915
    15660Putnam County, Indiana150.87270.993026900
    15670Randolph County, Indiana150.87270.863099915
    15680Ripley County, Indiana150.87270.863099915
    15690Rush County, Indiana150.87270.863099915
    15700St Joseph County, Indiana78000.97980.979843780
    15710Scott County, Indiana45200.93020.863099915
    15720Shelby County, Indiana34800.98750.993026900
    15730Spencer County, Indiana150.87270.863099915
    15740Starke County, Indiana150.87270.863099915
    15750Steuben County, Indiana150.87270.863099915
    15760Sullivan County, Indiana150.87270.831345460
    15770Switzerland County, Indiana150.87270.863099915
    15780Tippecanoe County, Indiana39200.87450.874529140
    15790Tipton County, Indiana38500.95170.951729020
    15800Union County, Indiana150.87270.863099915
    15810Vanderburgh County, Indiana24400.87210.872121780
    15820Vermillion County, Indiana83200.83450.831345460
    15830Vigo County, Indiana83200.83450.831345460
    15840Wabash County, Indiana150.87270.863099915
    15850Warren County, Indiana150.87270.863099915
    15860Warrick County, Indiana24400.87210.872121780
    15870Washington County, Indiana150.87270.926131140
    15880Wayne County, Indiana150.87270.863099915
    15890Wells County, Indiana27600.97160.980323060
    15900White County, Indiana150.87270.863099915
    15910Whitley County, Indiana27600.97160.980323060
    Start Printed Page 40833
    16000Adair County, Iowa160.85880.850299916
    16010Adams County, Iowa160.85880.850299916
    16020Allamakee County, Iowa160.85880.850299916
    16030Appanoose County, Iowa160.85880.850299916
    16040Audubon County, Iowa160.85880.850299916
    16050Benton County, Iowa160.85880.861716300
    16060Black Hawk County, Iowa89200.85660.856647940
    16070Boone County, Iowa160.85880.850299916
    16080Bremer County, Iowa160.85880.856647940
    16090Buchanan County, Iowa160.85880.850299916
    16100Buena Vista County, Iowa160.85880.850299916
    16110Butler County, Iowa160.85880.850299916
    16120Calhoun County, Iowa160.85880.850299916
    16130Carroll County, Iowa160.85880.850299916
    16140Cass County, Iowa160.85880.850299916
    16150Cedar County, Iowa160.85880.850299916
    16160Cerro Gordo County, Iowa160.85880.850299916
    16170Cherokee County, Iowa160.85880.850299916
    16180Chickasaw County, Iowa160.85880.850299916
    16190Clarke County, Iowa160.85880.850299916
    16200Clay County, Iowa160.85880.850299916
    16210Clayton County, Iowa160.85880.850299916
    16220Clinton County, Iowa160.85880.850299916
    16230Crawford County, Iowa160.85880.850299916
    16240Dallas County, Iowa21200.96510.965119780
    16250Davis County, Iowa160.85880.850299916
    16260Decatur County, Iowa160.85880.850299916
    16270Delaware County, Iowa160.85880.850299916
    16280Des Moines County, Iowa160.85880.850299916
    16290Dickinson County, Iowa160.85880.850299916
    16300Dubuque County, Iowa22000.91350.913520220
    16310Emmet County, Iowa160.85880.850299916
    16320Fayette County, Iowa160.85880.850299916
    16330Floyd County, Iowa160.85880.850299916
    16340Franklin County, Iowa160.85880.850299916
    16350Fremont County, Iowa160.85880.850299916
    16360Greene County, Iowa160.85880.850299916
    16370Grundy County, Iowa160.85880.856647940
    16380Guthrie County, Iowa160.85880.965119780
    16390Hamilton County, Iowa160.85880.850299916
    16400Hancock County, Iowa160.85880.850299916
    16410Hardin County, Iowa160.85880.850299916
    16420Harrison County, Iowa160.85880.956936540
    16430Henry County, Iowa160.85880.850299916
    16440Howard County, Iowa160.85880.850299916
    16450Humboldt County, Iowa160.85880.850299916
    16460Ida County, Iowa160.85880.850299916
    16470Iowa County, Iowa160.85880.850299916
    16480Jackson County, Iowa160.85880.850299916
    16490Jasper County, Iowa160.85880.850299916
    16500Jefferson County, Iowa160.85880.850299916
    16510Johnson County, Iowa35000.97560.975626980
    16520Jones County, Iowa160.85880.861716300
    16530Keokuk County, Iowa160.85880.850299916
    16540Kossuth County, Iowa160.85880.850299916
    16550Lee County, Iowa160.85880.850299916
    16560Linn County, Iowa13600.86170.861716300
    16570Louisa County, Iowa160.85880.850299916
    16580Lucas County, Iowa160.85880.850299916
    16590Lyon County, Iowa160.85880.850299916
    16600Madison County, Iowa160.85880.965119780
    16610Mahaska County, Iowa160.85880.850299916
    16620Marion County, Iowa160.85880.850299916
    16630Marshall County, Iowa160.85880.850299916
    16640Mills County, Iowa160.85880.956936540
    16650Mitchell County, Iowa160.85880.850299916
    16660Monona County, Iowa160.85880.850299916
    16670Monroe County, Iowa160.85880.850299916
    16680Montgomery County, Iowa160.85880.850299916
    16690Muscatine County, Iowa160.85880.850299916
    16700O Brien County, Iowa160.85880.850299916
    Start Printed Page 40834
    16710Osceola County, Iowa160.85880.850299916
    16720Page County, Iowa160.85880.850299916
    16730Palo Alto County, Iowa160.85880.850299916
    16740Plymouth County, Iowa160.85880.850299916
    16750Pocahontas County, Iowa160.85880.850299916
    16760Polk County, Iowa21200.96510.965119780
    16770Pottawattamie County, Iowa59200.95690.956936540
    16780Poweshiek County, Iowa160.85880.850299916
    16790Ringgold County, Iowa160.85880.850299916
    16800Sac County, Iowa160.85880.850299916
    16810Scott County, Iowa19600.87310.873119340
    16820Shelby County, Iowa160.85880.850299916
    16830Sioux County, Iowa160.85880.850299916
    16840Story County, Iowa160.85880.954511180
    16850Tama County, Iowa160.85880.850299916
    16860Taylor County, Iowa160.85880.850299916
    16870Union County, Iowa160.85880.850299916
    16880Van Buren County, Iowa160.85880.850299916
    16890Wapello County, Iowa160.85880.850299916
    16900Warren County, Iowa21200.96510.965119780
    16910Washington County, Iowa160.85880.975626980
    16920Wayne County, Iowa160.85880.850299916
    16930Webster County, Iowa160.85880.850299916
    16940Winnebago County, Iowa160.85880.850299916
    16950Winneshiek County, Iowa160.85880.850299916
    16960Woodbury County, Iowa77200.94110.937643580
    16970Worth County, Iowa160.85880.850299916
    16980Wright County, Iowa160.85880.850299916
    17000Allen County, Kansas170.79940.798799917
    17010Anderson County, Kansas170.79940.798799917
    17020Atchison County, Kansas170.79940.798799917
    17030Barber County, Kansas170.79940.798799917
    17040Barton County, Kansas170.79940.798799917
    17050Bourbon County, Kansas170.79940.798799917
    17060Brown County, Kansas170.79940.798799917
    17070Butler County, Kansas90400.91630.914148620
    17080Chase County, Kansas170.79940.798799917
    17090Chautauqua County, Kansas170.79940.798799917
    17100Cherokee County, Kansas170.79940.798799917
    17110Cheyenne County, Kansas170.79940.798799917
    17120Clark County, Kansas170.79940.798799917
    17130Clay County, Kansas170.79940.798799917
    17140Cloud County, Kansas170.79940.798799917
    17150Coffey County, Kansas170.79940.798799917
    17160Comanche County, Kansas170.79940.798799917
    17170Cowley County, Kansas170.79940.798799917
    17180Crawford County, Kansas170.79940.798799917
    17190Decatur County, Kansas170.79940.798799917
    17200Dickinson County, Kansas170.79940.798799917
    17210Doniphan County, Kansas170.79940.952941140
    17220Douglas County, Kansas41500.85460.854629940
    17230Edwards County, Kansas170.79940.798799917
    17240Elk County, Kansas170.79940.798799917
    17250Ellis County, Kansas170.79940.798799917
    17260Ellsworth County, Kansas170.79940.798799917
    17270Finney County, Kansas170.79940.798799917
    17280Ford County, Kansas170.79940.798799917
    17290Franklin County, Kansas170.79940.946728140
    17300Geary County, Kansas170.79940.798799917
    17310Gove County, Kansas170.79940.798799917
    17320Graham County, Kansas170.79940.798799917
    17330Grant County, Kansas170.79940.798799917
    17340Gray County, Kansas170.79940.798799917
    17350Greeley County, Kansas170.79940.798799917
    17360Greenwood County, Kansas170.79940.798799917
    17370Hamilton County, Kansas170.79940.798799917
    17380Harper County, Kansas170.79940.798799917
    17390Harvey County, Kansas90400.91630.914148620
    17391Haskell County, Kansas170.79940.798799917
    17410Hodgeman County, Kansas170.79940.798799917
    17420Jackson County, Kansas170.79940.892945820
    Start Printed Page 40835
    17430Jefferson County, Kansas170.79940.892945820
    17440Jewell County, Kansas170.79940.798799917
    17450Johnson County, Kansas37600.94810.946728140
    17451Kearny County, Kansas170.79940.798799917
    17470Kingman County, Kansas170.79940.798799917
    17480Kiowa County, Kansas170.79940.798799917
    17490Labette County, Kansas170.79940.798799917
    17500Lane County, Kansas170.79940.798799917
    17510Leavenworth County, Kansas37600.94810.946728140
    17520Lincoln County, Kansas170.79940.798799917
    17530Linn County, Kansas170.79940.946728140
    17540Logan County, Kansas170.79940.798799917
    17550Lyon County, Kansas170.79940.798799917
    17560Mc Pherson County, Kansas170.79940.798799917
    17570Marion County, Kansas170.79940.798799917
    17580Marshall County, Kansas170.79940.798799917
    17590Meade County, Kansas170.79940.798799917
    17600Miami County, Kansas37600.94810.946728140
    17610Mitchell County, Kansas170.79940.798799917
    17620Montgomery County, Kansas170.79940.798799917
    17630Morris County, Kansas170.79940.798799917
    17640Morton County, Kansas170.79940.798799917
    17650Nemaha County, Kansas170.79940.798799917
    17660Neosho County, Kansas170.79940.798799917
    17670Ness County, Kansas170.79940.798799917
    17680Norton County, Kansas170.79940.798799917
    17690Osage County, Kansas170.79940.892945820
    17700Osborne County, Kansas170.79940.798799917
    17710Ottawa County, Kansas170.79940.798799917
    17720Pawnee County, Kansas170.79940.798799917
    17730Phillips County, Kansas170.79940.798799917
    17740Pottawatomie County, Kansas170.79940.798799917
    17750Pratt County, Kansas170.79940.798799917
    17760Rawlins County, Kansas170.79940.798799917
    17770Reno County, Kansas170.79940.798799917
    17780Republic County, Kansas170.79940.798799917
    17790Rice County, Kansas170.79940.798799917
    17800Riley County, Kansas170.79940.798799917
    17810Rooks County, Kansas170.79940.798799917
    17820Rush County, Kansas170.79940.798799917
    17830Russell County, Kansas170.79940.798799917
    17840Saline County, Kansas170.79940.798799917
    17841Scott County, Kansas170.79940.798799917
    17860Sedgwick County, Kansas90400.91630.914148620
    17870Seward County, Kansas170.79940.798799917
    17880Shawnee County, Kansas84400.89290.892945820
    17890Sheridan County, Kansas170.79940.798799917
    17900Sherman County, Kansas170.79940.798799917
    17910Smith County, Kansas170.79940.798799917
    17920Stafford County, Kansas170.79940.798799917
    17921Stanton County, Kansas170.79940.798799917
    17940Stevens County, Kansas170.79940.798799917
    17950Sumner County, Kansas170.79940.914148620
    17960Thomas County, Kansas170.79940.798799917
    17970Trego County, Kansas170.79940.798799917
    17980Wabaunsee County, Kansas170.79940.892945820
    17981Wallace County, Kansas170.79940.798799917
    17982Washington County, Kansas170.79940.798799917
    17983Wichita County, Kansas170.79940.798799917
    17984Wilson County, Kansas170.79940.798799917
    17985Woodson County, Kansas170.79940.798799917
    17986Wyandotte County, Kansas37600.94810.946728140
    18000Adair County, Kentucky180.78660.777499918
    18010Allen County, Kentucky180.78660.777499918
    18020Anderson County, Kentucky180.78660.777499918
    18030Ballard County, Kentucky180.78660.777499918
    18040Barren County, Kentucky180.78660.777499918
    18050Bath County, Kentucky180.78660.777499918
    18060Bell County, Kentucky180.78660.777499918
    18070Boone County, Kentucky16400.97420.962317140
    18080Bourbon County, Kentucky42800.89970.908430460
    Start Printed Page 40836
    18090Boyd County, Kentucky34000.94860.948626580
    18100Boyle County, Kentucky180.78660.777499918
    18110Bracken County, Kentucky180.78660.962317140
    18120Breathitt County, Kentucky180.78660.777499918
    18130Breckinridge County, Kentucky180.78660.777499918
    18140Bullitt County, Kentucky45200.93020.926131140
    18150Butler County, Kentucky180.78660.777499918
    18160Caldwell County, Kentucky180.78660.777499918
    18170Calloway County, Kentucky180.78660.777499918
    18180Campbell County, Kentucky16400.97420.962317140
    18190Carlisle County, Kentucky180.78660.777499918
    18191Carroll County, Kentucky180.78660.777499918
    18210Carter County, Kentucky34000.94860.777499918
    18220Casey County, Kentucky180.78660.777499918
    18230Christian County, Kentucky16600.82920.829217300
    18240Clark County, Kentucky42800.89970.908430460
    18250Clay County, Kentucky180.78660.777499918
    18260Clinton County, Kentucky180.78660.777499918
    18270Crittenden County, Kentucky180.78660.777499918
    18271Cumberland County, Kentucky180.78660.777499918
    18290Daviess County, Kentucky59900.87890.878936980
    18291Edmonson County, Kentucky180.78660.822014540
    18310Elliott County, Kentucky180.78660.777499918
    18320Estill County, Kentucky180.78660.777499918
    18330Fayette County, Kentucky42800.89970.908430460
    18340Fleming County, Kentucky180.78660.777499918
    18350Floyd County, Kentucky180.78660.777499918
    18360Franklin County, Kentucky180.78660.777499918
    18361Fulton County, Kentucky180.78660.777499918
    18362Gallatin County, Kentucky16400.97420.962317140
    18390Garrard County, Kentucky180.78660.777499918
    18400Grant County, Kentucky16400.97420.962317140
    18410Graves County, Kentucky180.78660.777499918
    18420Grayson County, Kentucky180.78660.777499918
    18421Green County, Kentucky180.78660.777499918
    18440Greenup County, Kentucky34000.94860.948626580
    18450Hancock County, Kentucky180.78660.878936980
    18460Hardin County, Kentucky180.78660.881021060
    18470Harlan County, Kentucky180.78660.777499918
    18480Harrison County, Kentucky180.78660.777499918
    18490Hart County, Kentucky180.78660.777499918
    18500Henderson County, Kentucky24400.87210.872121780
    18510Henry County, Kentucky180.78660.926131140
    18511Hickman County, Kentucky180.78660.777499918
    18530Hopkins County, Kentucky180.78660.777499918
    18540Jackson County, Kentucky180.78660.777499918
    18550Jefferson County, Kentucky45200.93020.926131140
    18560Jessamine County, Kentucky42800.89970.908430460
    18570Johnson County, Kentucky180.78660.777499918
    18580Kenton County, Kentucky16400.97420.962317140
    18590Knott County, Kentucky180.78660.777499918
    18600Knox County, Kentucky180.78660.777499918
    18610Larue County, Kentucky180.78660.881021060
    18620Laurel County, Kentucky180.78660.777499918
    18630Lawrence County, Kentucky180.78660.777499918
    18640Lee County, Kentucky180.78660.777499918
    18650Leslie County, Kentucky180.78660.777499918
    18660Letcher County, Kentucky180.78660.777499918
    18670Lewis County, Kentucky180.78660.777499918
    18680Lincoln County, Kentucky180.78660.777499918
    18690Livingston County, Kentucky180.78660.777499918
    18700Logan County, Kentucky180.78660.777499918
    18710Lyon County, Kentucky180.78660.777499918
    18720McCracken County, Kentucky180.78660.777499918
    18730McCreary County, Kentucky180.78660.777499918
    18740McLean County, Kentucky180.78660.878936980
    18750Madison County, Kentucky42800.89970.777499918
    18760Magoffin County, Kentucky180.78660.777499918
    18770Marion County, Kentucky180.78660.777499918
    18780Marshall County, Kentucky180.78660.777499918
    18790Martin County, Kentucky180.78660.777499918
    Start Printed Page 40837
    18800Mason County, Kentucky180.78660.777499918
    18801Meade County, Kentucky180.78660.926131140
    18802Menifee County, Kentucky180.78660.777499918
    18830Mercer County, Kentucky180.78660.777499918
    18831Metcalfe County, Kentucky180.78660.777499918
    18850Monroe County, Kentucky180.78660.777499918
    18860Montgomery County, Kentucky180.78660.777499918
    18861Morgan County, Kentucky180.78660.777499918
    18880Muhlenberg County, Kentucky180.78660.777499918
    18890Nelson County, Kentucky180.78660.926131140
    18900Nicholas County, Kentucky180.78660.777499918
    18910Ohio County, Kentucky180.78660.777499918
    18920Oldham County, Kentucky45200.93020.926131140
    18930Owen County, Kentucky180.78660.777499918
    18931Owsley County, Kentucky180.78660.777499918
    18932Pendleton County, Kentucky16400.97420.962317140
    18960Perry County, Kentucky180.78660.777499918
    18970Pike County, Kentucky180.78660.777499918
    18971Powell County, Kentucky180.78660.777499918
    18972Pulaski County, Kentucky180.78660.777499918
    18973Robertson County, Kentucky180.78660.777499918
    18974Rockcastle County, Kentucky180.78660.777499918
    18975Rowan County, Kentucky180.78660.777499918
    18976Russell County, Kentucky180.78660.777499918
    18977Scott County, Kentucky42800.89970.908430460
    18978Shelby County, Kentucky180.78660.926131140
    18979Simpson County, Kentucky180.78660.777499918
    18980Spencer County, Kentucky180.78660.926131140
    18981Taylor County, Kentucky180.78660.777499918
    18982Todd County, Kentucky180.78660.777499918
    18983Trigg County, Kentucky180.78660.829217300
    18984Trimble County, Kentucky180.78660.926131140
    18985Union County, Kentucky180.78660.777499918
    18986Warren County, Kentucky180.78660.822014540
    18987Washington County, Kentucky180.78660.777499918
    18988Wayne County, Kentucky180.78660.777499918
    18989Webster County, Kentucky180.78660.872121780
    18990Whitley County, Kentucky180.78660.777499918
    18991Wolfe County, Kentucky180.78660.777499918
    18992Woodford County, Kentucky42800.89970.908430460
    19000Acadia County, Louisiana38800.82600.741899919
    19010Allen County, Louisiana190.73480.741899919
    19020Ascension County, Louisiana07600.86520.860112940
    19030Assumption County, Louisiana190.73480.741899919
    19040Avoyelles County, Louisiana190.73480.741899919
    19050Beauregard County, Louisiana190.73480.741899919
    19060Bienville County, Louisiana190.73480.741899919
    19070Bossier County, Louisiana76800.87460.876943340
    19080Caddo County, Louisiana76800.87460.876943340
    19090Calcasieu County, Louisiana39600.78660.784129340
    19100Caldwell County, Louisiana190.73480.741899919
    19110Cameron County, Louisiana190.73480.784129340
    19120Catahoula County, Louisiana190.73480.741899919
    19130Claiborne County, Louisiana190.73480.741899919
    19140Concordia County, Louisiana190.73480.741899919
    19150De Soto County, Louisiana190.73480.876943340
    19160East Baton Rouge County, Louisiana07600.86520.860112940
    19170East Carroll County, Louisiana190.73480.741899919
    19180East Feliciana County, Louisiana190.73480.860112940
    19190Evangeline County, Louisiana190.73480.741899919
    19200Franklin County, Louisiana190.73480.741899919
    19210Grant County, Louisiana190.73480.804110780
    19220Iberia County, Louisiana190.73480.741899919
    19230Iberville County, Louisiana190.73480.860112940
    19240Jackson County, Louisiana190.73480.741899919
    19250Jefferson County, Louisiana55600.90050.900535380
    19260Jefferson Davis County, Louisiana190.73480.741899919
    19270Lafayette County, Louisiana38800.82600.843629180
    19280Lafourche County, Louisiana33500.79020.790226380
    19290La Salle County, Louisiana190.73480.741899919
    19300Lincoln County, Louisiana190.73480.741899919
    Start Printed Page 40838
    19310Livingston County, Louisiana07600.86520.860112940
    19320Madison County, Louisiana190.73480.741899919
    19330Morehouse County, Louisiana190.73480.741899919
    19340Natchitoches County, Louisiana190.73480.741899919
    19350Orleans County, Louisiana55600.90050.900535380
    19360Ouachita County, Louisiana52000.80520.804033740
    19370Plaquemines County, Louisiana55600.90050.900535380
    19380Pointe Coupee County, Louisiana190.73480.860112940
    19390Rapides County, Louisiana02200.80410.804110780
    19400Red River County, Louisiana190.73480.741899919
    19410Richland County, Louisiana190.73480.741899919
    19420Sabine County, Louisiana190.73480.741899919
    19430St Bernard County, Louisiana55600.90050.900535380
    19440St Charles County, Louisiana55600.90050.900535380
    19450St Helena County, Louisiana190.73480.860112940
    19460St James County, Louisiana55600.90050.741899919
    19470St John Baptist County, Louisiana55600.90050.900535380
    19480St Landry County, Louisiana38800.82600.741899919
    19490St Martin County, Louisiana38800.82600.843629180
    19500St Mary County, Louisiana190.73480.41899919
    19510St Tammany County, Louisiana55600.90050.900535380
    19520Tangipahoa County, Louisiana190.73480.741899919
    19530Tensas County, Louisiana190.73480.741899919
    19540Terrebonne County, Louisiana33500.79020.790226380
    19550Union County, Louisiana190.73480.804033740
    19560Vermilion County, Louisiana190.73480.741899919
    19570Vernon County, Louisiana190.73480.741899919
    19580Washington County, Louisiana190.73480.741899919
    19590Webster County, Louisiana76800.87460.741899919
    19600West Baton Rouge County, Louisiana07600.86520.860112940
    19610West Carroll County, Louisiana190.73480.741899919
    19620West Feliciana County, Louisiana190.73480.860112940
    19630Winn County, Louisiana190.73480.741899919
    20000Androscoggin County, Maine42430.93410.934130340
    20010Aroostook County, Maine200.88520.885299920
    20020Cumberland County, Maine64031.03921.039238860
    20030Franklin County, Maine200.88520.885299920
    20040Hancock County, Maine200.88520.885299920
    20050Kennebec County, Maine200.88520.885299920
    20060Knox County, Maine200.88520.885299920
    20070Lincoln County, Maine200.88520.885299920
    20080Oxford County, Maine200.88520.885299920
    20090Penobscot County, Maine07331.00031.000312620
    20100Piscataquis County, Maine200.88520.885299920
    20110Sagadahoc County, Maine64031.03921.039238860
    20120Somerset County, Maine200.88520.885299920
    20130Waldo County, Maine200.88520.885299920
    20140Washington County, Maine200.88520.885299920
    20150York County, Maine64031.03921.039238860
    21000Allegany County, Maryland19000.93260.932619060
    21010Anne Arundel County, Maryland07200.99070.990712580
    21020Baltimore County, Maryland07200.99070.990712580
    21030Baltimore City County, Maryland07200.99070.990712580
    21040Calvert County, Maryland88401.09831.093247894
    21050Caroline County, Maryland210.90850.909599921
    21060Carroll County, Maryland07200.99070.990712580
    21070Cecil County, Maryland91601.05371.048248864
    21080Charles County, Maryland88401.09831.093247894
    21090Dorchester County, Maryland210.90850.909599921
    21100Frederick County, Maryland88401.09831.149513644
    21110Garrett County, Maryland210.90850.909599921
    21120Harford County, Maryland07200.99070.990712580
    21130Howard County, Maryland07200.99070.990712580
    21140Kent County, Maryland210.90850.909599921
    21150Montgomery County, Maryland88401.09831.149513644
    21160Prince Georges County, Maryland88401.09831.093247894
    21170Queen Annes County, Maryland07200.99070.990712580
    21180St Marys County, Maryland210.90850.909599921
    21190Somerset County, Maryland210.90850.907341540
    21200Talbot County, Maryland210.90850.909599921
    21210Washington County, Maryland31800.98790.949925180
    Start Printed Page 40839
    21220Wicomico County, Maryland210.90850.907341540
    21230Worcester County, Maryland210.90850.909599921
    22000Barnstable County, Massachusetts07431.25271.252712700
    22010Berkshire County, Massachusetts63231.01911.019138340
    22020Bristol County, Massachusetts11231.11521.096639300
    22030Dukes County, Massachusetts221.00501.021699922
    22040Essex County, Massachusetts11231.11521.053321604
    22060Franklin County, Massachusetts221.00501.025944140
    22070Hampden County, Massachusetts80031.02731.025944140
    22080Hampshire County, Massachusetts80031.02731.025944140
    22090Middlesex County, Massachusetts11231.11521.108415764
    22120Nantucket County, Massachusetts221.00501.021699922
    22130Norfolk County, Massachusetts11231.11521.154314484
    22150Plymouth County, Massachusetts11231.11521.154314484
    22160Suffolk County, Massachusetts11231.11521.154314484
    22170Worcester County, Massachusetts11231.11521.103949340
    23000Alcona County, Michigan230.88130.887099923
    23010Alger County, Michigan230.88130.887099923
    23020Allegan County, Michigan30000.94550.887099923
    23030Alpena County, Michigan230.88130.887099923
    23040Antrim County, Michigan230.88130.887099923
    23050Arenac County, Michigan230.88130.887099923
    23060Baraga County, Michigan230.88130.887099923
    23070Barry County, Michigan230.88130.940024340
    23080Bay County, Michigan69600.94150.935213020
    23090Benzie County, Michigan230.88130.887099923
    23100Berrien County, Michigan08700.88880.888835660
    23110Branch County, Michigan230.88130.887099923
    23120Calhoun County, Michigan37201.01510.951012980
    23130Cass County, Michigan230.88130.979843780
    23140Charlevoix County, Michigan230.88130.887099923
    23150Cheboygan County, Michigan230.88130.887099923
    23160Chippewa County, Michigan230.88130.887099923
    23170Clare County, Michigan230.88130.887099923
    23180Clinton County, Michigan40400.97920.979229620
    23190Crawford County, Michigan230.88130.887099923
    23200Delta County, Michigan230.88130.887099923
    23210Dickinson County, Michigan230.88130.887099923
    23220Eaton County, Michigan40400.97920.979229620
    23230Emmet County, Michigan230.88130.887099923
    23240Genesee County, Michigan26401.06631.066322420
    23250Gladwin County, Michigan230.88130.887099923
    23260Gogebic County, Michigan230.88130.887099923
    23270Grand Traverse County, Michigan230.88130.887099923
    23280Gratiot County, Michigan230.88130.887099923
    23290Hillsdale County, Michigan230.88130.887099923
    23300Houghton County, Michigan230.88130.887099923
    23310Huron County, Michigan230.88130.887099923
    23320Ingham County, Michigan40400.97920.979229620
    23330Ionia County, Michigan230.88130.940024340
    23340Iosco County, Michigan230.88130.887099923
    23350Iron County, Michigan230.88130.887099923
    23360Isabella County, Michigan230.88130.887099923
    23370Jackson County, Michigan35200.93130.931327100
    23380Kalamazoo County, Michigan37201.01511.039128020
    23390Kalkaska County, Michigan230.88130.887099923
    23400Kent County, Michigan30000.94550.940024340
    23410Keweenaw County, Michigan230.88130.887099923
    23420Lake County, Michigan230.88130.887099923
    23430Lapeer County, Michigan21601.01520.986147644
    23440Leelanau County, Michigan230.88130.887099923
    23450Lenawee County, Michigan04401.07180.887099923
    23460Livingston County, Michigan04401.07180.986147644
    23470Luce County, Michigan230.88130.887099923
    23480Mackinac County, Michigan230.88130.887099923
    23490Macomb County, Michigan21601.01520.986147644
    23500Manistee County, Michigan230.88130.887099923
    23510Marquette County, Michigan230.88130.887099923
    23520Mason County, Michigan230.88130.887099923
    23530Mecosta County, Michigan230.88130.887099923
    23540Menominee County, Michigan230.88130.887099923
    Start Printed Page 40840
    23550Midland County, Michigan69600.94150.887099923
    23560Missaukee County, Michigan230.88130.887099923
    23570Monroe County, Michigan21601.01520.947833780
    23580Montcalm County, Michigan230.88130.887099923
    23590Montmorency County, Michigan230.88130.887099923
    23600Muskegon County, Michigan30000.94550.967334740
    23610Newaygo County, Michigan230.88130.940024340
    23620Oakland County, Michigan21601.01520.986147644
    23630Oceana County, Michigan230.88130.887099923
    23640Ogemaw County, Michigan230.88130.887099923
    23650Ontonagon County, Michigan230.88130.887099923
    23660Osceola County, Michigan230.88130.887099923
    23670Oscoda County, Michigan230.88130.887099923
    23680Otsego County, Michigan230.88130.887099923
    23690Ottawa County, Michigan30000.94550.906426100
    23700Presque Isle County, Michigan230.88130.887099923
    23710Roscommon County, Michigan230.88130.887099923
    23720Saginaw County, Michigan69600.94150.942040980
    23730St Clair County, Michigan21601.01520.986147644
    23740St Joseph County, Michigan230.88130.887099923
    23750Sanilac County, Michigan230.88130.887099923
    23760Schoolcraft County, Michigan230.88130.887099923
    23770Shiawassee County, Michigan230.88130.887099923
    23780Tuscola County, Michigan230.88130.887099923
    23790Van Buren County, Michigan37201.01511.039128020
    23800Washtenaw County, Michigan04401.07181.087011460
    23810Wayne County, Michigan21601.01521.044119804
    23830Wexford County, Michigan230.88130.887099923
    24000Aitkin County, Minnesota240.91930.918399924
    24010Anoka County, Minnesota51201.10781.107833460
    24020Becker County, Minnesota240.91930.918399924
    24030Beltrami County, Minnesota240.91930.918399924
    24040Benton County, Minnesota69800.99750.997541060
    24050Big Stone County, Minnesota240.91930.918399924
    24060Blue Earth County, Minnesota240.91930.918399924
    24070Brown County, Minnesota240.91930.918399924
    24080Carlton County, Minnesota240.91931.020920260
    24090Carver County, Minnesota51201.10781.107833460
    24100Cass County, Minnesota240.91930.918399924
    24110Chippewa County, Minnesota240.91930.918399924
    24120Chisago County, Minnesota51201.10781.107833460
    24130Clay County, Minnesota25200.84950.849522020
    24140Clearwater County, Minnesota240.91930.918399924
    24150Cook County, Minnesota240.91930.918399924
    24160Cottonwood County, Minnesota240.91930.918399924
    24170Crow Wing County, Minnesota240.91930.918399924
    24180Dakota County, Minnesota51201.10781.107833460
    24190Dodge County, Minnesota240.91931.114240340
    24200Douglas County, Minnesota240.91930.918399924
    24210Faribault County, Minnesota240.91930.918399924
    24220Fillmore County, Minnesota240.91930.918399924
    24230Freeborn County, Minnesota240.91930.918399924
    24240Goodhue County, Minnesota240.91930.918399924
    24250Grant County, Minnesota240.91930.918399924
    24260Hennepin County, Minnesota51201.10781.107833460
    24270Houston County, Minnesota38700.95730.957329100
    24280Hubbard County, Minnesota240.91930.918399924
    24290Isanti County, Minnesota51201.10781.107833460
    24300Itasca County, Minnesota240.91930.918399924
    24310Jackson County, Minnesota240.91930.918399924
    24320Kanabec County, Minnesota240.91930.918399924
    24330Kandiyohi County, Minnesota240.91930.918399924
    24340Kittson County, Minnesota240.91930.918399924
    24350Koochiching County, Minnesota240.91930.918399924
    24360Lac Qui Parle County, Minnesota240.91930.918399924
    24370Lake County, Minnesota240.91930.918399924
    24380Lake Of Woods County, Minnesota240.91930.918399924
    24390Le Sueur County, Minnesota240.91930.918399924
    24400Lincoln County, Minnesota240.91930.918399924
    24410Lyon County, Minnesota240.91930.918399924
    24420Mc Leod County, Minnesota240.91930.918399924
    Start Printed Page 40841
    24430Mahnomen County, Minnesota240.91930.918399924
    24440Marshall County, Minnesota240.91930.918399924
    24450Martin County, Minnesota240.91930.918399924
    24460Meeker County, Minnesota240.91930.918399924
    24470Mille Lacs County, Minnesota240.91930.918399924
    24480Morrison County, Minnesota240.91930.918399924
    24490Mower County, Minnesota240.91930.918399924
    24500Murray County, Minnesota240.91930.918399924
    24510Nicollet County, Minnesota240.91930.918399924
    24520Nobles County, Minnesota240.91930.918399924
    24530Norman County, Minnesota240.91930.918399924
    24540Olmsted County, Minnesota68201.11421.114240340
    24550Otter Tail County, Minnesota240.91930.918399924
    24560Pennington County, Minnesota240.91930.918399924
    24570Pine County, Minnesota240.91930.918399924
    24580Pipestone County, Minnesota240.91930.918399924
    24590Polk County, Minnesota29851.15161.151624220
    24600Pope County, Minnesota240.91930.918399924
    24610Ramsey County, Minnesota51201.10781.107833460
    24620Red Lake County, Minnesota240.91930.918399924
    24630Redwood County, Minnesota240.91930.918399924
    24640Renville County, Minnesota240.91930.918399924
    24650Rice County, Minnesota240.91930.918399924
    24660Rock County, Minnesota240.91930.918399924
    24670Roseau County, Minnesota240.91930.918399924
    24680St Louis County, Minnesota22401.02231.020920260
    24690Scott County, Minnesota51201.10781.107833460
    24700Sherburne County, Minnesota51201.10781.107833460
    24710Sibley County, Minnesota240.91930.918399924
    24720Stearns County, Minnesota69800.99750.997541060
    24730Steele County, Minnesota240.91930.918399924
    24740Stevens County, Minnesota240.91930.918399924
    24750Swift County, Minnesota240.91930.918399924
    24760Todd County, Minnesota240.91930.918399924
    24770Traverse County, Minnesota240.91930.918399924
    24780Wabasha County, Minnesota240.91931.114240340
    24790Wadena County, Minnesota240.91930.918399924
    24800Waseca County, Minnesota240.91930.918399924
    24810Washington County, Minnesota51201.10781.107833460
    24820Watonwan County, Minnesota240.91930.918399924
    24830Wilkin County, Minnesota240.91930.918399924
    24840Winona County, Minnesota240.91930.918399924
    24850Wright County, Minnesota51201.10781.107833460
    24860Yellow Medicine County, Minnesota240.91930.918399924
    25000Adams County, Mississippi250.76310.767199925
    25010Alcorn County, Mississippi250.76310.767199925
    25020Amite County, Mississippi250.76310.767199925
    25030Attala County, Mississippi250.76310.767199925
    25040Benton County, Mississippi250.76310.767199925
    25050Bolivar County, Mississippi250.76310.767199925
    25060Calhoun County, Mississippi250.76310.767199925
    25070Carroll County, Mississippi250.76310.767199925
    25080Chickasaw County, Mississippi250.76310.767199925
    25090Choctaw County, Mississippi250.76310.767199925
    25100Claiborne County, Mississippi250.76310.767199925
    25110Clarke County, Mississippi250.76310.767199925
    25120Clay County, Mississippi250.76310.767199925
    25130Coahoma County, Mississippi250.76310.767199925
    25140Copiah County, Mississippi250.76310.831927140
    25150Covington County, Mississippi250.76310.767199925
    25160Desoto County, Mississippi49200.93600.934132820
    25170Forrest County, Mississippi32850.76090.760925620
    25180Franklin County, Mississippi250.76310.767199925
    25190George County, Mississippi250.76310.816537700
    25200Greene County, Mississippi250.76310.767199925
    25210Grenada County, Mississippi250.76310.767199925
    25220Hancock County, Mississippi09200.87150.893825060
    25230Harrison County, Mississippi09200.87150.893825060
    25240Hinds County, Mississippi35600.83910.831927140
    25250Holmes County, Mississippi250.76310.767199925
    25260Humphreys County, Mississippi250.76310.767199925
    Start Printed Page 40842
    25270Issaquena County, Mississippi250.76310.767199925
    25280Itawamba County, Mississippi250.76310.767199925
    25290Jackson County, Mississippi09200.87150.816537700
    25300Jasper County, Mississippi250.76310.767199925
    25310Jefferson County, Mississippi250.76310.767199925
    25320Jefferson Davis County, Mississippi250.76310.767199925
    25330Jones County, Mississippi250.76310.767199925
    25340Kemper County, Mississippi250.76310.767199925
    25350Lafayette County, Mississippi250.76310.767199925
    25360Lamar County, Mississippi32850.76090.760925620
    25370Lauderdale County, Mississippi250.76310.767199925
    25380Lawrence County, Mississippi250.76310.767199925
    25390Leake County, Mississippi250.76310.767199925
    25400Lee County, Mississippi250.76310.767199925
    25410Leflore County, Mississippi250.76310.767199925
    25420Lincoln County, Mississippi250.76310.767199925
    25430Lowndes County, Mississippi250.76310.767199925
    25440Madison County, Mississippi35600.83910.831927140
    25450Marion County, Mississippi250.76310.767199925
    25460Marshall County, Mississippi250.76310.934132820
    25470Monroe County, Mississippi250.76310.767199925
    25480Montgomery County, Mississippi250.76310.767199925
    25490Neshoba County, Mississippi250.76310.767199925
    25500Newton County, Mississippi250.76310.767199925
    25510Noxubee County, Mississippi250.76310.767199925
    25520Oktibbeha County, Mississippi250.76310.767199925
    25530Panola County, Mississippi250.76310.767199925
    25540Pearl River County, Mississippi250.76310.767199925
    25550Perry County, Mississippi250.76310.760925620
    25560Pike County, Mississippi250.76310.767199925
    25570Pontotoc County, Mississippi250.76310.767199925
    25580Prentiss County, Mississippi250.76310.767199925
    25590Quitman County, Mississippi250.76310.767199925
    25600Rankin County, Mississippi35600.83910.831927140
    25610Scott County, Mississippi250.76310.767199925
    25620Sharkey County, Mississippi250.76310.767199925
    25630Simpson County, Mississippi250.76310.831927140
    25640Smith County, Mississippi250.76310.767199925
    25650Stone County, Mississippi250.76310.893825060
    25660Sunflower County, Mississippi250.76310.767199925
    25670Tallahatchie County, Mississippi250.76310.767199925
    25680Tate County, Mississippi250.76310.934132820
    25690Tippah County, Mississippi250.76310.767199925
    25700Tishomingo County, Mississippi250.76310.767199925
    25710Tunica County, Mississippi250.76310.934132820
    25720Union County, Mississippi250.76310.767199925
    25730Walthall County, Mississippi250.76310.767199925
    25740Warren County, Mississippi250.76310.767199925
    25750Washington County, Mississippi250.76310.767199925
    25760Wayne County, Mississippi250.76310.767199925
    25770Webster County, Mississippi250.76310.767199925
    25780Wilkinson County, Mississippi250.76310.767199925
    25790Winston County, Mississippi250.76310.767199925
    25800Yalobusha County, Mississippi250.76310.767199925
    25810Yazoo County, Mississippi250.76310.767199925
    26000Adair County, Missouri260.79680.790999926
    26010Andrew County, Missouri70000.95290.952941140
    26020Atchison County, Missouri260.79680.790999926
    26030Audrain County, Missouri260.79680.790999926
    26040Barry County, Missouri260.79680.790999926
    26050Barton County, Missouri260.79680.790999926
    26060Bates County, Missouri260.79680.946728140
    26070Benton County, Missouri260.79680.790999926
    26080Bollinger County, Missouri260.79680.790999926
    26090Boone County, Missouri17400.83540.835417860
    26100Buchanan County, Missouri70000.95290.952941140
    26110Butler County, Missouri260.79680.790999926
    26120Caldwell County, Missouri260.79680.946728140
    26130Callaway County, Missouri260.79680.839627620
    26140Camden County, Missouri260.79680.790999926
    26150Cape Girardeau County, Missouri260.79680.790999926
    Start Printed Page 40843
    26160Carroll County, Missouri260.79680.790999926
    26170Carter County, Missouri260.79680.790999926
    26180Cass County, Missouri37600.94810.946728140
    26190Cedar County, Missouri260.79680.790999926
    26200Chariton County, Missouri260.79680.790999926
    26210Christian County, Missouri79200.82590.824644180
    26220Clark County, Missouri260.79680.790999926
    26230Clay County, Missouri37600.94810.946728140
    26240Clinton County, Missouri37600.94810.946728140
    26250Cole County, Missouri260.79680.839627620
    26260Cooper County, Missouri260.79680.790999926
    26270Crawford County, Missouri260.79680.894941180
    26280Dade County, Missouri260.79680.790999926
    26290Dallas County, Missouri260.79680.824644180
    26300Daviess County, Missouri260.79680.790999926
    26310De Kalb County, Missouri260.79680.952941140
    26320Dent County, Missouri260.79680.790999926
    26330Douglas County, Missouri260.79680.790999926
    26340Dunklin County, Missouri260.79680.790999926
    26350Franklin County, Missouri70400.89570.894941180
    26360Gasconade County, Missouri260.79680.790999926
    26370Gentry County, Missouri260.79680.790999926
    26380Greene County, Missouri79200.82590.824644180
    26390Grundy County, Missouri260.79680.790999926
    26400Harrison County, Missouri260.79680.790999926
    26410Henry County, Missouri260.79680.790999926
    26411Hickory County, Missouri260.79680.790999926
    26412Holt County, Missouri260.79680.790999926
    26440Howard County, Missouri260.79680.835417860
    26450Howell County, Missouri260.79680.790999926
    26460Iron County, Missouri260.79680.790999926
    26470Jackson County, Missouri37600.94810.946728140
    26480Jasper County, Missouri37100.85900.859027900
    26490Jefferson County, Missouri70400.89570.894941180
    26500Johnson County, Missouri260.79680.790999926
    26510Knox County, Missouri260.79680.790999926
    26520Laclede County, Missouri260.79680.790999926
    26530Lafayette County, Missouri37600.94810.946728140
    26540Lawrence County, Missouri260.79680.790999926
    26541Lewis County, Missouri260.79680.790999926
    26560Lincoln County, Missouri70400.89570.894941180
    26570Linn County, Missouri260.79680.790999926
    26580Livingston County, Missouri260.79680.790999926
    26590Mc Donald County, Missouri260.79680.856322220
    26600Macon County, Missouri260.79680.790999926
    26601Madison County, Missouri260.79680.790999926
    26620Maries County, Missouri260.79680.790999926
    26630Marion County, Missouri260.79680.790999926
    26631Mercer County, Missouri260.79680.790999926
    26650Miller County, Missouri260.79680.790999926
    26660Mississippi County, Missouri260.79680.790999926
    26670Moniteau County, Missouri260.79680.839627620
    26680Monroe County, Missouri260.79680.790999926
    26690Montgomery County, Missouri260.79680.790999926
    26700Morgan County, Missouri260.79680.790999926
    26710New Madrid County, Missouri260.79680.790999926
    26720Newton County, Missouri37100.85900.859027900
    26730Nodaway County, Missouri260.79680.790999926
    26740Oregon County, Missouri260.79680.790999926
    26750Osage County, Missouri260.79680.839627620
    26751Ozark County, Missouri260.79680.790999926
    26770Pemiscot County, Missouri260.79680.790999926
    26780Perry County, Missouri260.79680.790999926
    26790Pettis County, Missouri260.79680.790999926
    26800Phelps County, Missouri260.79680.790999926
    26810Pike County, Missouri260.79680.790999926
    26820Platte County, Missouri37600.94810.946728140
    26821Polk County, Missouri260.79680.824644180
    26840Pulaski County, Missouri260.79680.790999926
    26850Putnam County, Missouri260.79680.790999926
    26860Ralls County, Missouri260.79680.790999926
    Start Printed Page 40844
    26870Randolph County, Missouri260.79680.790999926
    26880Ray County, Missouri37600.94810.946728140
    26881Reynolds County, Missouri260.79680.790999926
    26900Ripley County, Missouri260.79680.790999926
    26910St Charles County, Missouri70400.89570.894941180
    26911St Clair County, Missouri260.79680.790999926
    26930St Francois County, Missouri260.79680.790999926
    26940St Louis County, Missouri70400.89570.894941180
    26950St Louis City County, Missouri70400.89570.894941180
    26960Ste Genevieve County, Missouri260.79680.790999926
    26970Saline County, Missouri260.79680.790999926
    26980Schuyler County, Missouri260.79680.790999926
    26981Scotland County, Missouri260.79680.790999926
    26982Scott County, Missouri260.79680.790999926
    26983Shannon County, Missouri260.79680.790999926
    26984Shelby County, Missouri260.79680.790999926
    26985Stoddard County, Missouri260.79680.790999926
    26986Stone County, Missouri260.79680.790999926
    26987Sullivan County, Missouri260.79680.790999926
    26988Taney County, Missouri260.79680.790999926
    26989Texas County, Missouri260.79680.790999926
    26990Vernon County, Missouri260.79680.790999926
    26991Warren County, Missouri70400.89570.894941180
    26992Washington County, Missouri260.79680.894941180
    26993Wayne County, Missouri260.79680.790999926
    26994Webster County, Missouri79200.82590.824644180
    26995Worth County, Missouri260.79680.790999926
    26996Wright County, Missouri260.79680.790999926
    27000Beaverhead County, Montana270.88330.883399927
    27010Big Horn County, Montana270.88330.883399927
    27020Blaine County, Montana270.88330.883399927
    27030Broadwater County, Montana270.88330.883399927
    27040Carbon County, Montana270.88330.884313740
    27050Carter County, Montana270.88330.883399927
    27060Cascade County, Montana30400.90610.906124500
    27070Chouteau County, Montana270.88330.883399927
    27080Custer County, Montana270.88330.883399927
    27090Daniels County, Montana270.88330.883399927
    27100Dawson County, Montana270.88330.883399927
    27110Deer Lodge County, Montana270.88330.883399927
    27113Yellowstone National Park, Montana270.88330.883399927
    27120Fallon County, Montana270.88330.883399927
    27130Fergus County, Montana270.88330.883399927
    27140Flathead County, Montana270.88330.883399927
    27150Gallatin County, Montana270.88330.883399927
    27160Garfield County, Montana270.88330.883399927
    27170Glacier County, Montana270.88330.883399927
    27180Golden Valley County, Montana270.88330.883399927
    27190Granite County, Montana270.88330.883399927
    27200Hill County, Montana270.88330.883399927
    27210Jefferson County, Montana270.88330.883399927
    27220Judith Basin County, Montana270.88330.883399927
    27230Lake County, Montana270.88330.883399927
    27240Lewis And Clark County, Montana270.88330.883399927
    27250Liberty County, Montana270.88330.883399927
    27260Lincoln County, Montana270.88330.883399927
    27270Mc Cone County, Montana270.88330.883399927
    27280Madison County, Montana270.88330.883399927
    27290Meagher County, Montana270.88330.883399927
    27300Mineral County, Montana270.88330.883399927
    27310Missoula County, Montana51400.94820.948233540
    27320Musselshell County, Montana270.88330.883399927
    27330Park County, Montana270.88330.883399927
    27340Petroleum County, Montana270.88330.883399927
    27350Phillips County, Montana270.88330.883399927
    27360Pondera County, Montana270.88330.883399927
    27370Powder River County, Montana270.88330.883399927
    27380Powell County, Montana270.88330.883399927
    27390Prairie County, Montana270.88330.883399927
    27400Ravalli County, Montana270.88330.883399927
    27410Richland County, Montana270.88330.883399927
    Start Printed Page 40845
    27420Roosevelt County, Montana270.88330.883399927
    27430Rosebud County, Montana270.88330.883399927
    27440Sanders County, Montana270.88330.883399927
    27450Sheridan County, Montana270.88330.883399927
    27460Silver Bow County, Montana270.88330.883399927
    27470Stillwater County, Montana270.88330.883399927
    27480Sweet Grass County, Montana270.88330.883399927
    27490Teton County, Montana270.88330.883399927
    27500Toole County, Montana270.88330.883399927
    27510Treasure County, Montana270.88330.883399927
    27520Valley County, Montana270.88330.883399927
    27530Wheatland County, Montana270.88330.883399927
    27540Wibaux County, Montana270.88330.883399927
    27550Yellowstone County, Montana08800.88430.884313740
    28000Adams County, Nebraska280.86650.866599928
    28010Antelope County, Nebraska280.86650.866599928
    28020Arthur County, Nebraska280.86650.866599928
    28030Banner County, Nebraska280.86650.866599928
    28040Blaine County, Nebraska280.86650.866599928
    28050Boone County, Nebraska280.86650.866599928
    28060Box Butte County, Nebraska280.86650.866599928
    28070Boyd County, Nebraska280.86650.866599928
    28080Brown County, Nebraska280.86650.866599928
    28090Buffalo County, Nebraska280.86650.866599928
    28100Burt County, Nebraska280.86650.866599928
    28110Butler County, Nebraska280.86650.866599928
    28120Cass County, Nebraska59200.95690.956936540
    28130Cedar County, Nebraska280.86650.866599928
    28140Chase County, Nebraska280.86650.866599928
    28150Cherry County, Nebraska280.86650.866599928
    28160Cheyenne County, Nebraska280.86650.866599928
    28170Clay County, Nebraska280.86650.866599928
    28180Colfax County, Nebraska280.86650.866599928
    28190Cuming County, Nebraska280.86650.866599928
    28200Custer County, Nebraska280.86650.866599928
    28210Dakota County, Nebraska77200.94110.937643580
    28220Dawes County, Nebraska280.86650.866599928
    28230Dawson County, Nebraska280.86650.866599928
    28240Deuel County, Nebraska280.86650.866599928
    28250Dixon County, Nebraska280.86650.937643580
    28260Dodge County, Nebraska280.86650.866599928
    28270Douglas County, Nebraska59200.95690.956936540
    28280Dundy County, Nebraska280.86650.866599928
    28290Fillmore County, Nebraska280.86650.866599928
    28300Franklin County, Nebraska280.86650.866599928
    28310Frontier County, Nebraska280.86650.866599928
    28320Furnas County, Nebraska280.86650.866599928
    28330Gage County, Nebraska280.86650.866599928
    28340Garden County, Nebraska280.86650.866599928
    28350Garfield County, Nebraska280.86650.866599928
    28360Gosper County, Nebraska280.86650.866599928
    28370Grant County, Nebraska280.86650.866599928
    28380Greeley County, Nebraska280.86650.866599928
    28390Hall County, Nebraska280.86650.866599928
    28400Hamilton County, Nebraska280.86650.866599928
    28410Harlan County, Nebraska280.86650.866599928
    28420Hayes County, Nebraska280.86650.866599928
    28430Hitchcock County, Nebraska280.86650.866599928
    28440Holt County, Nebraska280.86650.866599928
    28450Hooker County, Nebraska280.86650.866599928
    28460Howard County, Nebraska280.86650.866599928
    28470Jefferson County, Nebraska280.86650.866599928
    28480Johnson County, Nebraska280.86650.866599928
    28490Kearney County, Nebraska280.86650.866599928
    28500Keith County, Nebraska280.86650.866599928
    28510Keya Paha County, Nebraska280.86650.866599928
    28520Kimball County, Nebraska280.86650.866599928
    28530Knox County, Nebraska280.86650.866599928
    28540Lancaster County, Nebraska43601.02251.022530700
    28550Lincoln County, Nebraska280.86650.866599928
    28560Logan County, Nebraska280.86650.866599928
    Start Printed Page 40846
    28570Loup County, Nebraska280.86650.866599928
    28580McPherson County, Nebraska280.86650.866599928
    28590Madison County, Nebraska280.86650.866599928
    28600Merrick County, Nebraska280.86650.866599928
    28610Morrill County, Nebraska280.86650.866599928
    28620Nance County, Nebraska280.86650.866599928
    28630Nemaha County, Nebraska280.86650.866599928
    28640Nuckolls County, Nebraska280.86650.866599928
    28650Otoe County, Nebraska280.86650.866599928
    28660Pawnee County, Nebraska280.86650.866599928
    28670Perkins County, Nebraska280.86650.866599928
    28680Phelps County, Nebraska280.86650.866599928
    28690Pierce County, Nebraska280.86650.866599928
    28700Platte County, Nebraska280.86650.866599928
    28710Polk County, Nebraska280.86650.866599928
    28720Redwillow County, Nebraska280.86650.866599928
    28730Richardson County, Nebraska280.86650.866599928
    28740Rock County, Nebraska280.86650.866599928
    28750Saline County, Nebraska280.86650.866599928
    28760Sarpy County, Nebraska59200.95690.956936540
    28770Saunders County, Nebraska280.86650.956936540
    28780cotts Bluff County, Nebraska280.86650.866599928
    28790Seward County, Nebraska280.86651.022530700
    28800Sheridan County, Nebraska280.86650.866599928
    28810Sherman County, Nebraska280.86650.866599928
    28820Sioux County, Nebraska280.86650.866599928
    28830Stanton County, Nebraska280.86650.866599928
    28840Thayer County, Nebraska280.86650.866599928
    28850Thomas County, Nebraska280.86650.866599928
    28860Thurston County, Nebraska280.86650.866599928
    28870Valley County, Nebraska280.86650.866599928
    28880Washington County, Nebraska59200.95690.956936540
    28890Wayne County, Nebraska280.86650.866599928
    28900Webster County, Nebraska280.86650.866599928
    28910Wheeler County, Nebraska280.86650.866599928
    28920York County, Nebraska280.86650.866599928
    29000Churchill County, Nevada290.96970.907499929
    29010Clark County, Nevada41201.11661.144929820
    29020Douglas County, Nevada290.96970.907499929
    29030Elko County, Nevada290.96970.907499929
    29040Esmeralda County, Nevada290.96970.907499929
    29050Eureka County, Nevada290.96970.907499929
    29060Humboldt County, Nevada290.96970.907499929
    29070Lander County, Nevada290.96970.907499929
    29080Lincoln County, Nevada290.96970.907499929
    29090Lyon County, Nevada290.96970.907499929
    29100Mineral County, Nevada290.96970.907499929
    29110Nye County, Nevada41201.11660.907499929
    29120Carson City County, Nevada290.96971.024416180
    29130Pershing County, Nevada290.96970.907499929
    29140Storey County, Nevada290.96971.099339900
    29150Washoe County, Nevada67201.09931.099339900
    29160White Pine County, Nevada290.96970.907499929
    30000Belknap County, New Hampshire301.06771.067799930
    30010Carroll County, New Hampshire301.06771.067799930
    30020Cheshire County, New Hampshire301.06771.067799930
    30030Coos County, New Hampshire301.06771.067799930
    30040Grafton County, New Hampshire301.06771.067799930
    30050Hillsboro County, New Hampshire11231.11521.033531700
    30060Merrimack County, New Hampshire11231.11521.033531700
    30070Rockingham County, New Hampshire11231.11521.038540484
    30080Strafford County, New Hampshire11231.11521.038540484
    30090Sullivan County, New Hampshire301.06771.067799930
    31000Atlantic County, New Jersey05601.15131.163312100
    1100Bergen County, New Jersey08751.16601.318535644
    31150Burlington County, New Jersey61601.09261.052815804
    31160Camden County, New Jersey61601.09261.052815804
    31180Cape May County, New Jersey05601.15131.102236140
    31190Cumberland County, New Jersey87600.98370.983747220
    31200Essex County, New Jersey56401.21411.219535084
    31220Gloucester County, New Jersey61601.09261.052815804
    Start Printed Page 40847
    31230Hudson County, New Jersey36401.13491.318535644
    31250Hunterdon County, New Jersey50151.11781.219535084
    31260Mercer County, New Jersey84801.08451.084545940
    31270Middlesex County, New Jersey50151.11781.126020764
    31290Monmouth County, New Jersey51901.12711.126020764
    31300Morris County, New Jersey56401.21411.219535084
    31310Ocean County, New Jersey51901.12711.126020764
    31320Passaic County, New Jersey08751.16601.318535644
    31340Salem County, New Jersey61601.09261.048248864
    31350Somerset County, New Jersey50151.11781.126020764
    31360Sussex County, New Jersey56401.21411.219535084
    31370Union County, New Jersey56401.21411.219535084
    31390Warren County, New Jersey56401.21410.982810900
    32000Bernalillo County, New Mexico02000.96930.969310740
    32010Catron County, New Mexico320.85710.864499932
    32020Chaves County, New Mexico320.85710.864499932
    32025Cibola County, New Mexico320.85710.864499932
    32030Colfax County, New Mexico320.85710.864499932
    32040Curry County, New Mexico320.85710.864499932
    32050De Baca County, New Mexico320.85710.864499932
    32060Dona Ana County, New Mexico41000.84750.847529740
    32070Eddy County, New Mexico320.85710.864499932
    32080Grant County, New Mexico320.85710.864499932
    32090Guadalupe County, New Mexico320.85710.864499932
    32100Harding County, New Mexico320.85710.864499932
    32110Hidalgo County, New Mexico320.85710.864499932
    32120Lea County, New Mexico320.85710.864499932
    32130Lincoln County, New Mexico320.85710.864499932
    32131Los Alamos County, New Mexico74901.07590.864499932
    32140Luna County, New Mexico320.85710.864499932
    32150Mc Kinley County, New Mexico320.85710.864499932
    32160Mora County, New Mexico320.85710.864499932
    32170Otero County, New Mexico320.85710.864499932
    32180Quay County, New Mexico320.85710.864499932
    32190Rio Arriba County, New Mexico320.85710.864499932
    32200Roosevelt County, New Mexico320.85710.864499932
    32210Sandoval County, New Mexico02000.96930.969310740
    32220San Juan County, New Mexico320.85710.851822140
    32230San Miguel County, New Mexico320.85710.864499932
    32240Santa Fe County, New Mexico74901.07591.093142140
    32250Sierra County, New Mexico320.85710.864499932
    32260Socorro County, New Mexico320.85710.864499932
    32270Taos County, New Mexico320.85710.864499932
    32280Torrance County, New Mexico320.85710.969310740
    32290Union County, New Mexico320.85710.864499932
    32300Valencia County, New Mexico02000.96930.969310740
    33000Albany County, New York01600.85180.854510580
    33010Allegany County, New York330.83950.815799933
    33020Bronx County, New York56001.34651.318535644
    33030Broome County, New York09600.85710.857113780
    33040Cattaraugus County, New York330.83950.815799933
    33050Cayuga County, New York81600.94990.815799933
    33060Chautauqua County, New York36100.75520.815799933
    33070Chemung County, New York23350.82590.825921300
    33080Chenango County, New York330.83950.815799933
    33090Clinton County, New York330.83950.815799933
    33200Columbia County, New York330.83950.815799933
    33210Cortland County, New York330.83950.815799933
    33220Delaware County, New York330.83950.815799933
    33230Dutchess County, New York22811.01831.076639100
    33240Erie County, New York12800.88890.888915380
    33260Essex County, New York330.83950.815799933
    33270Franklin County, New York330.83950.815799933
    33280Fulton County, New York330.83950.815799933
    33290Genesee County, New York68400.90440.815799933
    33300Greene County, New York330.83950.815799933
    33310Hamilton County, New York330.83950.815799933
    33320Herkimer County, New York86800.82930.829346540
    33330Jefferson County, New York330.83950.815799933
    33331Kings County, New York56001.34651.318535644
    33340Lewis County, New York330.83950.815799933
    Start Printed Page 40848
    33350Livingston County, New York68400.90440.911540380
    33360Madison County, New York81600.94990.958145060
    33370Monroe County, New York68400.90440.911540380
    33380Montgomery County, New York01600.85180.815799933
    33400Nassau County, New York53801.27601.276035004
    33420New York County, New York56001.34651.318535644
    33500Niagara County, New York12800.88890.888915380
    33510Oneida County, New York86800.82930.829346540
    33520Onondaga County, New York81600.94990.958145060
    33530Ontario County, New York68400.90440.911540380
    33540Orange County, New York56601.12181.076639100
    33550Orleans County, New York68400.90440.911540380
    33560Oswego County, New York81600.94990.958145060
    33570Otsego County, New York330.83950.815799933
    33580Putnam County, New York56001.34651.318535644
    33590Queens County, New York56001.34651.318535644
    33600Rensselaer County, New York01600.85180.854510580
    33610Richmond County, New York56001.34651.318535644
    33620Rockland County, New York56001.34651.318535644
    33630St Lawrence County, New York330.83950.815799933
    33640Saratoga County, New York01600.85180.854510580
    33650Schenectady County, New York01600.85180.854510580
    33660Schoharie County, New York01600.85180.854510580
    33670Schuyler County, New York330.83950.815799933
    33680Seneca County, New York330.83950.815799933
    33690Steuben County, New York330.83950.815799933
    33700Suffolk County, New York53801.27601.276035004
    33710Sullivan County, New York330.83950.815799933
    33720Tioga County, New York09600.85710.857113780
    33730Tompkins County, New York330.83950.980327060
    33740Ulster County, New York330.83950.925728740
    33750Warren County, New York29750.85670.856724020
    33760Washington County, New York29750.85670.856724020
    33770Wayne County, New York68400.90440.911540380
    33800Westchester County, New York56001.34651.318535644
    33900Wyoming County, New York330.83950.815799933
    33910Yates County, New York330.83950.815799933
    34000Alamance County, N Carolina31200.90270.891415500
    34010Alexander County, N Carolina32900.89220.892225860
    34020Alleghany County, N Carolina340.84900.856799934
    34030Anson County, N Carolina340.84900.976016740
    34040Ashe County, N Carolina340.84900.856799934
    34050Avery County, N Carolina340.84900.856799934
    34060Beaufort County, N Carolina340.84900.856799934
    34070Bertie County, N Carolina340.84900.856799934
    34080Bladen County, N Carolina340.84900.856799934
    34090Brunswick County, N Carolina92000.95920.959248900
    34100Buncombe County, N Carolina04800.97470.929411700
    34110Burke County, N Carolina32900.89220.892225860
    34120Cabarrus County, N Carolina15200.97250.976016740
    34130Caldwell County, N Carolina32900.89220.892225860
    34140Camden County, N Carolina340.84900.856799934
    34150Carteret County, N Carolina340.84900.856799934
    34160Caswell County, N Carolina340.84900.856799934
    34170Catawba County, N Carolina32900.89220.892225860
    34180Chatham County, N Carolina66401.00871.030320500
    34190Cherokee County, N Carolina340.84900.856799934
    34200Chowan County, N Carolina340.84900.856799934
    34210Clay County, N Carolina340.84900.856799934
    34220Cleveland County, N Carolina340.84900.856799934
    34230Columbus County, N Carolina340.84900.856799934
    34240Craven County, N Carolina340.84900.856799934
    34250Cumberland County, N Carolina25600.94260.942622180
    34251Currituck County, N Carolina57200.88080.880847260
    34270Dare County, N Carolina340.84900.856799934
    34280Davidson County, N Carolina31200.90270.856799934
    34290Davie County, N Carolina31200.90270.895349180
    34300Duplin County, N Carolina340.84900.856799934
    34310Durham County, N Carolina66401.00871.030320500
    34320Edgecombe County, N Carolina68950.89240.892440580
    34330Forsyth County, N Carolina31200.90270.895349180
    Start Printed Page 40849
    34340Franklin County, N Carolina66401.00870.973339580
    34350Gaston County, N Carolina15200.97250.976016740
    34360Gates County, N Carolina340.84900.856799934
    34370Graham County, N Carolina340.84900.856799934
    34380Granville County, N Carolina340.84900.856799934
    34390Greene County, N Carolina340.84900.943427480
    34400Guilford County, N Carolina31200.90270.911327660
    34410Halifax County, N Carolina340.84900.856799934
    34420Harnett County, N Carolina340.84900.856799934
    34430Haywood County, N Carolina340.84900.929411700
    34440Henderson County, N Carolina340.84900.929411700
    34450Hertford County, N Carolina340.84900.856799934
    34460Hoke County, N Carolina340.84900.942622180
    34470Hyde County, N Carolina340.84900.856799934
    34480Iredell County, N Carolina340.84900.856799934
    34490Jackson County, N Carolina340.84900.856799934
    34500Johnston County, N Carolina66401.00870.973339580
    34510Jones County, N Carolina340.84900.856799934
    34520Lee County, N Carolina340.84900.856799934
    34530Lenoir County, N Carolina340.84900.856799934
    34540Lincoln County, N Carolina15200.97250.856799934
    34550McDowell County, N Carolina340.84900.856799934
    34560Macon County, N Carolina340.84900.856799934
    34570Madison County, N Carolina04800.97470.929411700
    34580Martin County, N Carolina340.84900.856799934
    34590Mecklenburg County, N Carolina15200.97250.976016740
    34600Mitchell County, N Carolina340.84900.856799934
    34610Montgomery County, N Carolina340.84900.856799934
    34620Moore County, N Carolina340.84900.856799934
    34630Nash County, N Carolina68950.89240.892440580
    34640New Hanover County, N Carolina92000.95920.959248900
    34650Northampton County, N Carolina340.84900.856799934
    34660Onslow County, N Carolina36050.82440.824427340
    34670Orange County, N Carolina66401.00871.030320500
    34680Pamlico County, N Carolina340.84900.856799934
    34690Pasquotank County, N Carolina340.84900.856799934
    34700Pender County, N Carolina340.84900.959248900
    34710Perquimans County, N Carolina340.84900.856799934
    34720Person County, N Carolina340.84901.030320500
    34730Pitt County, N Carolina31500.94340.943427480
    34740Polk County, N Carolina340.84900.856799934
    34750Randolph County, N Carolina31200.90270.911327660
    34760Richmond County, N Carolina340.84900.856799934
    34770Robeson County, N Carolina340.84900.856799934
    34780Rockingham County, N Carolina340.84900.911327660
    34790Rowan County, N Carolina15200.97250.856799934
    34800Rutherford County, N Carolina340.84900.856799934
    34810Sampson County, N Carolina340.84900.856799934
    34820Scotland County, N Carolina340.84900.856799934
    34830Stanly County, N Carolina15200.97250.976016740
    34840Stokes County, N Carolina31200.90270.895349180
    34850Surry County, N Carolina340.84900.856799934
    34860Swain County, N Carolina340.84900.856799934
    34870Transylvania County, N Carolina340.84900.856799934
    34880Tyrrell County, N Carolina340.84900.856799934
    34890Union County, N Carolina15200.97250.976016740
    34900Vance County, N Carolina340.84900.856799934
    34910Wake County, N Carolina66401.00870.973339580
    34920Warren County, N Carolina340.84900.856799934
    34930Washington County, N Carolina340.84900.856799934
    34940Watauga County, N Carolina340.84900.856799934
    34950Wayne County, N Carolina29800.87840.878424140
    34960Wilkes County, N Carolina340.84900.856799934
    34970Wilson County, N Carolina340.84900.856799934
    34980Yadkin County, N Carolina31200.90270.895349180
    34981Yancey County, N Carolina340.84900.856799934
    35000Adams County, N Dakota350.72680.726899935
    35010Barnes County, N Dakota350.72680.726899935
    35020Benson County, N Dakota350.72680.726899935
    35030Billings County, N Dakota350.72680.726899935
    35040Bottineau County, N Dakota350.72680.726899935
    Start Printed Page 40850
    35050Bowman County, N Dakota350.72680.726899935
    35060Burke County, N Dakota350.72680.726899935
    35070Burleigh County, N Dakota10100.75190.751913900
    35080Cass County, N Dakota25200.84950.849522020
    35090Cavalier County, N Dakota350.72680.726899935
    35100Dickey County, N Dakota350.72680.726899935
    35110Divide County, N Dakota350.72680.726899935
    35120Dunn County, N Dakota350.72680.726899935
    35130Eddy County, N Dakota350.72680.726899935
    35140Emmons County, N Dakota350.72680.726899935
    35150Foster County, N Dakota350.72680.726899935
    35160Golden Valley County, N Dakota350.72680.726899935
    35170Grand Forks County, N Dakota29851.15161.151624220
    35180Grant County, N Dakota350.72680.726899935
    35190Griggs County, N Dakota350.72680.726899935
    35200Hettinger County, N Dakota350.72680.726899935
    35210Kidder County, N Dakota350.72680.726899935
    35220La Moure County, N Dakota350.72680.726899935
    35230Logan County, N Dakota350.72680.726899935
    35240Mc Henry County, N Dakota350.72680.726899935
    35250Mc Intosh County, N Dakota350.72680.726899935
    35260Mc Kenzie County, N Dakota350.72680.726899935
    35270Mc Lean County, N Dakota350.72680.726899935
    35280Mercer County, N Dakota350.72680.726899935
    35290Morton County, N Dakota10100.75190.751913900
    35300Mountrail County, N Dakota350.72680.726899935
    35310Nelson County, N Dakota350.72680.726899935
    35320Oliver County, N Dakota350.72680.726899935
    35330Pembina County, N Dakota350.72680.726899935
    35340Pierce County, N Dakota350.72680.726899935
    35350Ramsey County, N Dakota350.72680.726899935
    35360Ransom County, N Dakota350.72680.726899935
    35370Renville County, N Dakota350.72680.726899935
    35380Richland County, N Dakota350.72680.726899935
    35390Rolette County, N Dakota350.72680.726899935
    35400Sargent County, N Dakota350.72680.726899935
    35410Sheridan County, N Dakota350.72680.726899935
    35420Sioux County, N Dakota350.72680.726899935
    35430Slope County, N Dakota350.72680.726899935
    35440Stark County, N Dakota350.72680.726899935
    35450Steele County, N Dakota350.72680.726899935
    35460Stutsman County, N Dakota350.72680.726899935
    35470Towner County, N Dakota350.72680.726899935
    35480Traill County, N Dakota350.72680.726899935
    35490Walsh County, N Dakota350.72680.726899935
    35500Ward County, N Dakota350.72680.726899935
    35510Wells County, N Dakota350.72680.726899935
    35520Williams County, N Dakota350.72680.726899935
    36000Adams County, Ohio360.88860.878699936
    36010Allen County, Ohio43200.91280.923430620
    36020Ashland County, Ohio360.88860.878699936
    36030Ashtabula County, Ohio16800.91740.878699936
    36040Athens County, Ohio360.88860.878699936
    36050Auglaize County, Ohio43200.91280.878699936
    36060Belmont County, Ohio90000.71680.716848540
    36070Brown County, Ohio16400.97420.962317140
    36080Butler County, Ohio32000.89600.962317140
    36090Carroll County, Ohio13200.89440.894415940
    36100Champaign County, Ohio360.88860.878699936
    36110Clark County, Ohio20000.89890.840444220
    36120Clermont County, Ohio16400.97420.962317140
    36130Clinton County, Ohio360.88860.878699936
    36140Columbiana County, Ohio93200.88570.878699936
    36150Coshocton County, Ohio360.88860.878699936
    36160Crawford County, Ohio48000.88860.878699936
    36170Cuyahoga County, Ohio16800.91740.920417460
    36190Darke County, Ohio360.88860.878699936
    36200Defiance County, Ohio360.88860.878699936
    36210Delaware County, Ohio18400.98640.985018140
    36220Erie County, Ohio360.88860.902541780
    36230Fairfield County, Ohio18400.98640.985018140
    Start Printed Page 40851
    36240Fayette County, Ohio360.88860.878699936
    36250Franklin County, Ohio18400.98640.985018140
    36260Fulton County, Ohio84000.95840.958445780
    36270Gallia County, Ohio360.88860.878699936
    36280Geauga County, Ohio16800.91740.920417460
    36290Greene County, Ohio20000.89890.907319380
    36300Guernsey County, Ohio360.88860.878699936
    36310Hamilton County, Ohio16400.97420.962317140
    36330Hancock County, Ohio360.88860.878699936
    36340Hardin County, Ohio360.88860.878699936
    36350Harrison County, Ohio360.88860.878699936
    36360Henry County, Ohio360.88860.878699936
    36370Highland County, Ohio360.88860.878699936
    36380Hocking County, Ohio360.88860.878699936
    36390Holmes County, Ohio360.88860.878699936
    36400Huron County, Ohio360.88860.878699936
    36410Jackson County, Ohio360.88860.878699936
    36420Jefferson County, Ohio80800.78270.782748260
    36430Knox County, Ohio360.88860.878699936
    36440Lake County, Ohio16800.91740.920417460
    36450Lawrence County, Ohio34000.94860.948626580
    36460Licking County, Ohio18400.98640.985018140
    36470Logan County, Ohio360.88860.878699936
    36480Lorain County, Ohio16800.91740.920417460
    36490Lucas County, Ohio84000.95840.958445780
    36500Madison County, Ohio18400.98640.985018140
    36510Mahoning County, Ohio93200.88570.861149660
    36520Marion County, Ohio360.88860.878699936
    36530Medina County, Ohio16800.91740.920417460
    36540Meigs County, Ohio360.88860.878699936
    36550Mercer County, Ohio360.88860.878699936
    36560Miami County, Ohio20000.89890.907319380
    36570Monroe County, Ohio360.88860.878699936
    36580Montgomery County, Ohio20000.89890.907319380
    36590Morgan County, Ohio360.88860.878699936
    36600Morrow County, Ohio360.88860.985018140
    36610Muskingum County, Ohio360.88860.878699936
    36620Noble County, Ohio360.88860.878699936
    36630Ottawa County, Ohio360.88860.958445780
    36640Paulding County, Ohio360.88860.878699936
    36650Perry County, Ohio360.88860.878699936
    36660Pickaway County, Ohio18400.98640.985018140
    36670Pike County, Ohio360.88860.878699936
    36680Portage County, Ohio00800.89910.899110420
    36690Preble County, Ohio360.88860.907319380
    36700Putnam County, Ohio360.88860.878699936
    36710Richland County, Ohio48000.88860.888731900
    36720Ross County, Ohio360.88860.878699936
    36730Sandusky County, Ohio360.88860.878699936
    36740Scioto County, Ohio360.88860.878699936
    36750Seneca County, Ohio360.88860.878699936
    36760Shelby County, Ohio360.88860.878699936
    36770Stark County, Ohio13200.89440.894415940
    36780Summit County, Ohio00800.89910.899110420
    36790Trumbull County, Ohio93200.88570.861149660
    36800Tuscarawas County, Ohio360.88860.878699936
    36810Union County, Ohio360.88860.985018140
    36820Van Wert County, Ohio360.88860.878699936
    36830Vinton County, Ohio360.88860.878699936
    36840Warren County, Ohio16400.97420.962317140
    36850Washington County, Ohio60200.82780.827837620
    36860Wayne County, Ohio360.88860.878699936
    36870Williams County, Ohio360.88860.878699936
    36880Wood County, Ohio84000.95840.958445780
    36890Wyandot County, Ohio360.88860.878699936
    37000Adair County, Oklahoma370.74500.758999937
    37010Alfalfa County, Oklahoma370.74500.758999937
    37020Atoka County, Oklahoma370.74500.758999937
    37030Beaver County, Oklahoma370.74500.758999937
    37040Beckham County, Oklahoma370.74500.758999937
    37050Blaine County, Oklahoma370.74500.758999937
    Start Printed Page 40852
    37060Bryan County, Oklahoma370.74500.758999937
    37070Caddo County, Oklahoma370.74500.758999937
    37080Canadian County, Oklahoma58800.90340.904036420
    37090Carter County, Oklahoma370.74500.758999937
    37100Cherokee County, Oklahoma370.74500.758999937
    37110Choctaw County, Oklahoma370.74500.758999937
    37120Cimarron County, Oklahoma370.74500.758999937
    37130Cleveland County, Oklahoma58800.90340.904036420
    37140Coal County, Oklahoma370.74500.758999937
    37150Comanche County, Oklahoma42000.78800.788030020
    37160Cotton County, Oklahoma370.74500.758999937
    37170Craig County, Oklahoma370.74500.758999937
    37180Creek County, Oklahoma85600.83220.828646140
    37190Custer County, Oklahoma370.74500.758999937
    37200Delaware County, Oklahoma370.74500.758999937
    37210Dewey County, Oklahoma370.74500.758999937
    37220Ellis County, Oklahoma370.74500.758999937
    37230Garfield County, Oklahoma23400.86750.758999937
    37240Garvin County, Oklahoma370.74500.758999937
    37250Grady County, Oklahoma370.74500.904036420
    37260Grant County, Oklahoma370.74500.758999937
    37270Greer County, Oklahoma370.74500.758999937
    37280Harmon County, Oklahoma370.74500.758999937
    37290Harper County, Oklahoma370.74500.758999937
    37300Haskell County, Oklahoma370.74500.758999937
    37310Hughes County, Oklahoma370.74500.758999937
    37320Jackson County, Oklahoma370.74500.758999937
    37330Jefferson County, Oklahoma370.74500.758999937
    37340Johnston County, Oklahoma370.74500.758999937
    37350Kay County, Oklahoma370.74500.758999937
    37360Kingfisher County, Oklahoma370.74500.758999937
    37370Kiowa County, Oklahoma370.74500.758999937
    37380Latimer County, Oklahoma370.74500.758999937
    37390Le Flore County, Oklahoma370.74500.821422900
    37400Lincoln County, Oklahoma370.74500.904036420
    37410Logan County, Oklahoma58800.90340.904036420
    37420Love County, Oklahoma370.74500.758999937
    37430Mc Clain County, Oklahoma58800.90340.904036420
    37440McCurtain County, Oklahoma370.74500.758999937
    37450McIntosh County, Oklahoma370.74500.758999937
    37460Major County, Oklahoma370.74500.758999937
    37470Marshall County, Oklahoma370.74500.758999937
    37480Mayes County, Oklahoma370.74500.758999937
    37490Murray County, Oklahoma370.74500.758999937
    37500Muskogee County, Oklahoma370.74500.758999937
    37510Noble County, Oklahoma370.74500.758999937
    37520Nowata County, Oklahoma370.74500.758999937
    37530Okfuskee County, Oklahoma370.74500.758999937
    37540Oklahoma County, Oklahoma58800.90340.904036420
    37550Okmulgee County, Oklahoma370.74500.828646140
    37560Osage County, Oklahoma85600.83220.828646140
    37570Ottawa County, Oklahoma370.74500.758999937
    37580Pawnee County, Oklahoma370.74500.828646140
    37590Payne County, Oklahoma370.74500.758999937
    37600Pittsburg County, Oklahoma370.74500.758999937
    37610Pontotoc County, Oklahoma370.74500.758999937
    37620Pottawatomie County, Oklahoma58800.90340.758999937
    37630Pushmataha County, Oklahoma370.74500.758999937
    37640Roger Mills County, Oklahoma370.74500.758999937
    37650Rogers County, Oklahoma85600.83220.828646140
    37660Seminole County, Oklahoma370.74500.758999937
    37670Sequoyah County, Oklahoma27200.82290.821422900
    37680Stephens County, Oklahoma370.74500.758999937
    37690Texas County, Oklahoma370.74500.758999937
    37700Tillman County, Oklahoma370.74500.75899937
    37710Tulsa County, Oklahoma85600.83220.828646140
    37720Wagoner County, Oklahoma85600.83220.828646140
    37730Washington County, Oklahoma370.74500.75899937
    37740Washita County, Oklahoma370.74500.75899937
    37750Woods County, Oklahoma370.74500.75899937
    37760Woodward County, Oklahoma370.74500.75899937
    Start Printed Page 40853
    38000Baker County, Oregon381.00570.983099938
    38010Benton County, Oregon18901.07391.073918700
    38020Clackamas County, Oregon64401.12601.126038900
    38030Clatsop County, Oregon381.00570.983099938
    38040Columbia County, Oregon64401.12601.126038900
    38050Coos County, Oregon381.00570.983099938
    38060Crook County, Oregon381.00570.983099938
    38070Curry County, Oregon381.00570.983099938
    38080Deschutes County, Oregon381.00571.079613460
    38090Douglas County, Oregon381.00570.983099938
    38100Gilliam County, Oregon381.00570.983099938
    38110Grant County, Oregon381.00570.983099938
    38120Harney County, Oregon381.00570.983099938
    38130Hood River County, Oregon381.00570.983099938
    38140Jackson County, Oregon48901.02351.023532780
    38150Jefferson County, Oregon381.00570.983099938
    38160Josephine County, Oregon381.00570.983099938
    38170Klamath County, Oregon381.00570.983099938
    38180Lake County, Oregon381.00570.983099938
    38190Lane County, Oregon24001.08291.082921660
    38200Lincoln County, Oregon381.00570.983099938
    38210Linn County, Oregon381.00570.983099938
    38220Malheur County, Oregon381.00570.983099938
    38230Marion County, Oregon70801.04521.045241420
    38240Morrow County, Oregon381.00570.983099938
    38250Multnomah County, Oregon64401.12601.126038900
    38260Polk County, Oregon70801.04521.045241420
    38270Sherman County, Oregon381.00570.983099938
    38280Tillamook County, Oregon381.00570.983099938
    38290Umatilla County, Oregon381.00570.983099938
    38300Union County, Oregon381.00570.983099938
    38310Wallowa County, Oregon381.00570.983099938
    38320Wasco County, Oregon381.00570.983099938
    38330Washington County, Oregon64401.12601.126038900
    38340Wheeler County, Oregon381.00570.983099938
    38350Yamhill County, Oregon64401.12601.126038900
    39000Adams County, Pennsylvania390.83310.830299939
    39010Allegheny County, Pennsylvania62800.88680.885338300
    39070Armstrong County, Pennsylvania390.83310.885338300
    39080Beaver County, Pennsylvania62800.88680.885338300
    39100Bedford County, Pennsylvania390.83310.830299939
    39110Berks County, Pennsylvania66800.96960.969639740
    39120Blair County, Pennsylvania02800.89530.895311020
    39130Bradford County, Pennsylvania390.83310.830299939
    39140Bucks County, Pennsylvania61601.09261.104037964
    39150Butler County, Pennsylvania62800.88680.885338300
    39160Cambria County, Pennsylvania36800.80940.836227780
    39180Cameron County, Pennsylvania390.83310.830299939
    39190Carbon County, Pennsylvania02400.98550.982810900
    39200Centre County, Pennsylvania80500.83640.836444300
    39210Chester County, Pennsylvania61601.09261.104037964
    39220Clarion County, Pennsylvania390.83310.830299939
    39230Clearfield County, Pennsylvania390.83310.830299939
    39240Clinton County, Pennsylvania390.83310.830299939
    39250Columbia County, Pennsylvania75600.85330.830299939
    39260Crawford County, Pennsylvania390.83310.830299939
    39270Cumberland County, Pennsylvania32400.92420.932225420
    39280Dauphin County, Pennsylvania32400.92420.932225420
    39290Delaware County, Pennsylvania61601.09261.104037964
    39310Elk County, Pennsylvania390.83310.830299939
    39320Erie County, Pennsylvania23600.87460.874621500
    39330Fayette County, Pennsylvania62800.88680.885338300
    39340Forest County, Pennsylvania390.83310.830299939
    39350Franklin County, Pennsylvania390.83310.830299939
    39360Fulton County, Pennsylvania390.83310.830299939
    39370Greene County, Pennsylvania390.83310.830299939
    39380Huntingdon County, Pennsylvania390.83310.830299939
    39390Indiana County, Pennsylvania390.83310.830299939
    39400Jefferson County, Pennsylvania390.83310.30299939
    39410Juniata County, Pennsylvania390.83310.830299939
    39420Lackawanna County, Pennsylvania75600.85330.854842540
    Start Printed Page 40854
    39440Lancaster County, Pennsylvania40000.97040.970429540
    39450Lawrence County, Pennsylvania390.83310.830299939
    39460Lebanon County, Pennsylvania32400.92420.846830140
    39470Lehigh County, Pennsylvania02400.98550.982810900
    39480Luzerne County, Pennsylvania75600.85330.854842540
    39510Lycoming County, Pennsylvania91400.83770.837748700
    39520Mc Kean County, Pennsylvania390.83310.830299939
    39530Mercer County, Pennsylvania76100.78010.861149660
    39540Mifflin County, Pennsylvania390.83310.830299939
    39550Monroe County, Pennsylvania390.83310.830299939
    39560Montgomery County, Pennsylvania61601.09261.104037964
    39580Montour County, Pennsylvania390.83310.830299939
    39590Northampton County, Pennsylvania02400.98550.982810900
    39600Northumberland County, Pennsylvania390.83310.830299939
    39610Perry County, Pennsylvania32400.92420.932225420
    39620Philadelphia County, Pennsylvania61601.09261.104037964
    39630Pike County, Pennsylvania56601.12181.219535084
    39640Potter County, Pennsylvania390.83310.830299939
    39650Schuylkill County, Pennsylvania390.83310.830299939
    39670Snyder County, Pennsylvania390.83310.830299939
    39680Somerset County, Pennsylvania36800.80940.830299939
    39690Sullivan County, Pennsylvania390.83310.830299939
    39700Susquehanna County, Pennsylvania390.83310.830299939
    39710Tioga County, Pennsylvania390.83310.830299939
    39720Union County, Pennsylvania390.83310.830299939
    39730Venango County, Pennsylvania390.83310.830299939
    39740Warren County, Pennsylvania390.83310.830299939
    39750Washington County, Pennsylvania62800.88680.885338300
    39760Wayne County, Pennsylvania390.83310.830299939
    39770Westmoreland County, Pennsylvania62800.88680.885338300
    39790Wyoming County, Pennsylvania75600.85330.854842540
    39800York County, Pennsylvania92800.94200.942049620
    40010Adjuntas County, Puerto Rico400.36080.404799940
    40020Aguada County, Puerto Rico00600.48810.474310380
    40030Aguadilla County, Puerto Rico00600.48810.474310380
    40040Aguas Buenas County, Puerto Rico74400.48550.468641980
    40050Aibonito County, Puerto Rico400.36080.468641980
    40060Anasco County, Puerto Rico48400.42460.474310380
    40070Arecibo County, Puerto Rico04700.41160.468641980
    40080Arroyo County, Puerto Rico400.36080.318425020
    40090Barceloneta County, Puerto Rico74400.48550.468641980
    40100Barranquitas County, Puerto Rico400.36080.468641980
    40110Bayamon County, Puerto Rico74400.48550.468641980
    40120Cabo Rojo County, Puerto Rico48400.42460.465541900
    40130Caguas County, Puerto Rico13100.40200.468641980
    40140Camuy County, Puerto Rico04700.41160.468641980
    40145Canovanas County, Puerto Rico74400.48550.468641980
    40150Carolina County, Puerto Rico74400.48550.468641980
    40160Catano County, Puerto Rico74400.48550.468641980
    40170Cayey County, Puerto Rico13100.40200.468641980
    40180Ceiba County, Puerto Rico74400.48550.415721940
    40190Ciales County, Puerto Rico400.36080.468641980
    40200Cidra County, Puerto Rico13100.40200.468641980
    40210Coamo County, Puerto Rico400.36080.404799940
    40220Comerio County, Puerto Rico74400.48550.468641980
    40230Corozal County, Puerto Rico74400.48550.468641980
    40240Culebra County, Puerto Rico400.36080.404799940
    40250Dorado County, Puerto Rico74400.48550.468641980
    40260Fajardo County, Puerto Rico74400.48550.415721940
    40265Florida County, Puerto Rico74400.48550.468641980
    40270Guanica County, Puerto Rico400.36080.441349500
    40280Guayama County, Puerto Rico400.36080.318425020
    40290Guayanilla County, Puerto Rico63600.50910.441349500
    40300Guaynabo County, Puerto Rico74400.48550.468641980
    40310Gurabo County, Puerto Rico13100.40200.468641980
    40320Hatillo County, Puerto Rico04700.41160.468641980
    40330Hormigueros County, Puerto Rico48400.42460.401732420
    40340Humacao County, Puerto Rico74400.48550.468641980
    40350Isabela County, Puerto Rico400.36080.474310380
    40360Jayuya County, Puerto Rico400.36080.404799940
    40370Juana Diaz County, Puerto Rico63600.50910.517738660
    Start Printed Page 40855
    40380Juncos County, Puerto Rico74400.48550.468641980
    40390Lajas County, Puerto Rico400.36080.465541900
    40400Lares County, Puerto Rico400.36080.474310380
    40410Las Marias County, Puerto Rico400.36080.404799940
    40420Las Piedras County, Puerto Rico74400.48550.468641980
    40430Loiza County, Puerto Rico74400.48550.468641980
    40440Luquillo County, Puerto Rico74400.48550.415721940
    40450Manati County, Puerto Rico74400.48550.468641980
    40460Maricao County, Puerto Rico400.36080.404799940
    40470Maunabo County, Puerto Rico400.36080.468641980
    40480Mayaguez County, Puerto Rico48400.42460.401732420
    40490Moca County, Puerto Rico00600.48810.474310380
    40500Morovis County, Puerto Rico74400.48550.468641980
    40510Naguabo County, Puerto Rico74400.48550.468641980
    40520Naranjito County, Puerto Rico74400.48550.468641980
    40530Orocovis County, Puerto Rico400.36080.468641980
    40540Patillas County, Puerto Rico400.36080.318425020
    40550Penuelas County, Puerto Rico63600.50910.441349500
    40560Ponce County, Puerto Rico63600.50910.517738660
    40570Quebradillas County, Puerto Rico400.36080.468641980
    40580Rincon County, Puerto Rico400.36080.474310380
    40590Rio Grande County, Puerto Rico74400.48550.468641980
    40610Sabana Grande County, Puerto Rico48400.42460.465541900
    40620Salinas County, Puerto Rico400.36080.404799940
    40630San German County, Puerto Rico48400.42460.465541900
    40640San Juan County, Puerto Rico74400.48550.468641980
    40650San Lorenzo County, Puerto Rico13100.40200.468641980
    40660San Sebastian County, Puerto Rico400.36080.474310380
    40670Santa Isabel County, Puerto Rico400.36080.404799940
    40680Toa Alta County, Puerto Rico74400.48550.468641980
    40690Toa Baja County, Puerto Rico74400.48550.468641980
    40700Trujillo Alto County, Puerto Rico74400.48550.468641980
    40710Utuado County, Puerto Rico400.36080.404799940
    40720Vega Alta County, Puerto Rico74400.48550.468641980
    40730Vega Baja County, Puerto Rico74400.48550.468641980
    40740Vieques County, Puerto Rico400.36080.404799940
    40750Villalba County, Puerto Rico63600.50910.517738660
    40760Yabucoa County, Puerto Rico74400.48550.468641980
    40770Yauco County, Puerto Rico63600.50910.441349500
    41000Bristol County, Rhode Island64831.10601.096639300
    41010Kent County, Rhode Island64831.10601.096639300
    41020Newport County, Rhode Island64831.10601.096639300
    41030Providence County, Rhode Island64831.10601.096639300
    41050Washington County, Rhode Island64831.10601.096639300
    42000Abbeville County, S Carolina420.86340.864199942
    42010Aiken County, S Carolina06000.96190.956512260
    42020Allendale County, S Carolina420.86340.864199942
    42030Anderson County, S Carolina31600.96770.889711340
    42040Bamberg County, S Carolina420.86340.864199942
    42050Barnwell County, S Carolina420.86340.864199942
    42060Beaufort County, S Carolina420.86340.864199942
    42070Berkeley County, S Carolina14400.94380.943816700
    42080Calhoun County, S Carolina420.86340.904717900
    42090Charleston County, S Carolina14400.94380.943816700
    42100Cherokee County, S Carolina31600.96770.864199942
    42110Chester County, S Carolina420.86340.864199942
    42120Chesterfield County, S Carolina420.86340.864199942
    42130Clarendon County, S Carolina420.86340.864199942
    42140Colleton County, S Carolina420.86340.864199942
    42150Darlington County, S Carolina420.86340.896422500
    42160Dillon County, S Carolina420.86340.864199942
    42170Dorchester County, S Carolina14400.94380.943816700
    42180Edgefield County, S Carolina06000.96190.956512260
    42190Fairfield County, S Carolina420.86340.904717900
    42200Florence County, S Carolina26550.90600.896422500
    42210Georgetown County, S Carolina420.86340.864199942
    42220Greenville County, S Carolina31600.96771.016524860
    42230Greenwood County, S Carolina420.86340.864199942
    42240Hampton County, S Carolina420.86340.864199942
    42250Horry County, S Carolina53300.88730.887334820
    42260Jasper County, S Carolina420.86340.864199942
    Start Printed Page 40856
    42270Kershaw County, S Carolina420.86340.904717900
    42280Lancaster County, S Carolina420.86340.864199942
    42290Laurens County, S Carolina420.86341.016524860
    42300Lee County, S Carolina420.86340.864199942
    42310Lexington County, S Carolina17600.90710.904717900
    42320Mc Cormick County, S Carolina420.86340.864199942
    42330Marion County, S Carolina420.86340.864199942
    42340Marlboro County, S Carolina420.86340.864199942
    42350Newberry County, S Carolina420.86340.864199942
    42360Oconee County, S Carolina420.86340.864199942
    42370Orangeburg County, S Carolina420.86340.864199942
    42380Pickens County, S Carolina31600.96771.016524860
    42390Richland County, S Carolina17600.90710.904717900
    42400Saluda County, S Carolina420.86340.904717900
    42410Spartanburg County, S Carolina31600.96770.918143900
    42420Sumter County, S Carolina81400.83860.838644940
    42430Union County, S Carolina420.86340.864199942
    42440Williamsburg County, S Carolina420.86340.864199942
    42450York County, S Carolina15200.97250.976016740
    43010Aurora County, S Dakota430.84760.848499943
    43020Beadle County, S Dakota430.84760.848499943
    43030Bennett County, S Dakota430.84760.848499943
    43040Bon Homme County, S Dakota430.84760.848499943
    43050Brookings County, S Dakota430.84760.848499943
    43060Brown County, S Dakota430.84760.848499943
    43070Brule County, S Dakota430.84760.848499943
    43080Buffalo County, S Dakota430.84760.848499943
    43090Butte County, S Dakota430.84760.848499943
    43100Campbell County, S Dakota430.84760.848499943
    43110Charles Mix County, S Dakota430.84760.848499943
    43120Clark County, S Dakota430.84760.848499943
    43130Clay County, S Dakota430.84760.848499943
    43140Codington County, S Dakota430.84760.848499943
    43150Corson County, S Dakota430.84760.848499943
    43160Custer County, S Dakota430.84760.848499943
    43170Davison County, S Dakota430.84760.848499943
    43180Day County, S Dakota430.84760.848499943
    43190Deuel County, S Dakota430.84760.848499943
    43200Dewey County, S Dakota430.84760.848499943
    43210Douglas County, S Dakota430.84760.848499943
    43220Edmunds County, S Dakota430.84760.848499943
    43230Fall River County, S Dakota430.84760.848499943
    43240Faulk County, S Dakota430.84760.848499943
    43250Grant County, S Dakota430.84760.848499943
    43260Gregory County, S Dakota430.84760.848499943
    43270Haakon County, S Dakota430.84760.848499943
    43280Hamlin County, S Dakota430.84760.848499943
    43290Hand County, S Dakota430.84760.848499943
    43300Hanson County, S Dakota430.84760.848499943
    43310Harding County, S Dakota430.84760.848499943
    43320Hughes County, S Dakota430.84760.848499943
    43330Hutchinson County, S Dakota430.84760.848499943
    43340Hyde County, S Dakota430.84760.848499943
    43350Jackson County, S Dakota430.84760.848499943
    43360Jerauld County, S Dakota430.84760.848499943
    43370Jones County, S Dakota430.84760.848499943
    43380Kingsbury County, S Dakota430.84760.848499943
    43390Lake County, S Dakota430.84760.848499943
    43400Lawrence County, S Dakota430.84760.848499943
    43410Lincoln County, S Dakota77600.96450.964543620
    43420Lyman County, S Dakota430.84760.848499943
    43430Mc Cook County, S Dakota430.84760.964543620
    43440McPherson County, S Dakota430.84760.848499943
    43450Marshall County, S Dakota430.84760.848499943
    43460Meade County, S Dakota430.84760.902139660
    43470Mellette County, S Dakota430.84760.848499943
    43480Miner County, S Dakota430.84760.848499943
    43490Minnehaha County, S Dakota77600.96450.964543620
    43500Moody County, S Dakota430.84760.848499943
    43510Pennington County, S Dakota66600.90210.902139660
    43520Perkins County, S Dakota430.84760.848499943
    Start Printed Page 40857
    43530Potter County, S Dakota430.84760.848499943
    43540Roberts County, S Dakota430.84760.848499943
    43550Sanborn County, S Dakota430.84760.848499943
    43560Shannon County, S Dakota430.84760.848499943
    43570Spink County, S Dakota430.84760.848499943
    43580Stanley County, S Dakota430.84760.848499943
    43590Sully County, S Dakota430.84760.848499943
    43600Todd County, S Dakota430.84760.848499943
    43610Tripp County, S Dakota430.84760.848499943
    43620Turner County, S Dakota430.84760.964543620
    43630Union County, S Dakota430.84760.937643580
    43640Walworth County, S Dakota430.84760.848499943
    43650Washabaugh County, S Dakota430.84760.848499943
    43670Yankton County, S Dakota430.84760.848499943
    43680Ziebach County, S Dakota430.84760.848499943
    44000Anderson County, Tennessee38400.84110.845428940
    44010Bedford County, Tennessee440.79880.788899944
    44020Benton County, Tennessee440.79880.788899944
    44030Bledsoe County, Tennessee440.79880.788899944
    44040Blount County, Tennessee38400.84110.845428940
    44050Bradley County, Tennessee440.79880.814117420
    44060Campbell County, Tennessee440.79880.788899944
    44070Cannon County, Tennessee440.79880.976934980
    44080Carroll County, Tennessee440.79880.788899944
    44090Carter County, Tennessee36600.80150.794527740
    44100Cheatham County, Tennessee53600.97870.976934980
    44110Chester County, Tennessee35800.89730.897327180
    44120Claiborne County, Tennessee440.79880.788899944
    44130Clay County, Tennessee440.79880.788899944
    44140Cocke County, Tennessee440.79880.788899944
    44150Coffee County, Tennessee440.79880.788899944
    44160Crockett County, Tennessee440.79880.788899944
    44170Cumberland County, Tennessee440.79880.788899944
    44180Davidson County, Tennessee53600.97870.976934980
    44190Decatur County, Tennessee440.79880.788899944
    44200De Kalb County, Tennessee440.79880.788899944
    44210Dickson County, Tennessee53600.97870.976934980
    44220Dyer County, Tennessee440.79880.788899944
    44230Fayette County, Tennessee49200.93600.934132820
    44240Fentress County, Tennessee440.79880.788899944
    44250Franklin County, Tennessee440.79880.788899944
    44260Gibson County, Tennessee440.79880.788899944
    44270Giles County, Tennessee440.79880.788899944
    44280Grainger County, Tennessee440.79880.875334100
    44290Greene County, Tennessee440.79880.788899944
    44300Grundy County, Tennessee440.79880.788899944
    44310Hamblen County, Tennessee440.79880.875334100
    44320Hamilton County, Tennessee15600.90980.909816860
    44330Hancock County, Tennessee440.79880.788899944
    44340Hardeman County, Tennessee440.79880.788899944
    44350Hardin County, Tennessee440.79880.788899944
    44360Hawkins County, Tennessee36600.80150.806228700
    44370Haywood County, Tennessee440.79880.788899944
    44380Henderson County, Tennessee440.79880.788899944
    44390Henry County, Tennessee440.79880.788899944
    44400Hickman County, Tennessee440.79880.976934980
    44410Houston County, Tennessee440.79880.788899944
    44420Humphreys County, Tennessee440.79880.788899944
    44430Jackson County, Tennessee440.79880.788899944
    44440Jefferson County, Tennessee440.79880.875334100
    44450Johnson County, Tennessee440.79880.788899944
    44460Knox County, Tennessee38400.84110.845428940
    44470Lake County, Tennessee440.79880.788899944
    44480Lauderdale County, Tennessee440.79880.788899944
    44490Lawrence County, Tennessee440.79880.788899944
    44500Lewis County, Tennessee440.79880.788899944
    44510Lincoln County, Tennessee440.79880.788899944
    44520Loudon County, Tennessee38400.84110.845428940
    44530McMinn County, Tennessee440.79880.788899944
    44540McNairy County, Tennessee440.79880.788899944
    44550Macon County, Tennessee440.79880.976934980
    Start Printed Page 40858
    44560Madison County, Tennessee35800.89730.897327180
    44570Marion County, Tennessee15600.90980.909816860
    44580Marshall County, Tennessee440.79880.788899944
    44590Maury County, Tennessee440.79880.788899944
    44600Meigs County, Tennessee440.79880.788899944
    44610Monroe County, Tennessee440.79880.788899944
    44620Montgomery County, Tennessee16600.82920.829217300
    44630Moore County, Tennessee440.79880.788899944
    44640Morgan County, Tennessee440.79880.788899944
    44650Obion County, Tennessee440.79880.788899944
    44660Overton County, Tennessee440.79880.788899944
    44670Perry County, Tennessee440.79880.788899944
    44680Pickett County, Tennessee440.79880.788899944
    44690Polk County, Tennessee440.79880.814117420
    44700Putnam County, Tennessee440.79880.788899944
    44710Rhea County, Tennessee440.79880.788899944
    44720Roane County, Tennessee440.79880.788899944
    44730Robertson County, Tennessee53600.97870.976934980
    44740Rutherford County, Tennessee53600.97870.976934980
    44750Scott County, Tennessee440.79880.788899944
    44760Sequatchie County, Tennessee440.79880.909816860
    44770Sevier County, Tennessee38400.84110.788899944
    44780Shelby County, Tennessee49200.93600.934132820
    44790Smith County, Tennessee440.79880.976934980
    44800Stewart County, Tennessee440.79880.829217300
    44810Sullivan County, Tennessee36600.80150.806228700
    44820Sumner County, Tennessee53600.97870.976934980
    44830Tipton County, Tennessee49200.93600.934132820
    44840Trousdale County, Tennessee440.79880.976934980
    44850Unicoi County, Tennessee36600.80150.794527740
    44860Union County, Tennessee38400.84110.845428940
    44870Van Buren County, Tennessee440.79880.788899944
    44880Warren County, Tennessee440.79880.788899944
    44890Washington County, Tennessee36600.80150.794527740
    44900Wayne County, Tennessee440.79880.788899944
    44910Weakley County, Tennessee440.79880.788899944
    44920White County, Tennessee440.79880.788899944
    44930Williamson County, Tennessee53600.97870.976934980
    44940Wilson County, Tennessee53600.97870.976934980
    45000Anderson County, Texas450.79360.800799945
    45010Andrews County, Texas450.79360.800799945
    45020Angelina County, Texas450.79360.800799945
    45030Aransas County, Texas450.79360.855918580
    45040Archer County, Texas90800.83730.829448660
    45050Armstrong County, Texas450.79360.916611100
    45060Atascosa County, Texas450.79360.898941700
    45070Austin County, Texas450.79361.000526420
    45080Bailey County, Texas450.79360.800799945
    45090Bandera County, Texas450.79360.898941700
    45100Bastrop County, Texas06400.94500.945012420
    45110Baylor County, Texas450.79360.800799945
    45113Bee County, Texas450.79360.800799945
    45120Bell County, Texas38100.85350.853528660
    45130Bexar County, Texas72400.89930.898941700
    45140Blanco County, Texas450.79360.800799945
    45150Borden County, Texas450.79360.800799945
    45160Bosque County, Texas450.79360.800799945
    45170Bowie County, Texas83600.82910.829145500
    45180Brazoria County, Texas11450.85721.000526420
    45190Brazos County, Texas12600.89090.890917780
    45200Brewster County, Texas450.79360.800799945
    45201Briscoe County, Texas450.79360.800799945
    45210Brooks County, Texas450.79360.800799945
    45220Brown County, Texas450.79360.800799945
    45221Burleson County, Texas450.79360.890917780
    45222Burnet County, Texas450.79360.800799945
    45223Caldwell County, Texas06400.94500.945012420
    45224Calhoun County, Texas450.79360.816847020
    45230Callahan County, Texas450.79360.790410180
    45240Cameron County, Texas12400.98220.982215180
    45250Camp County, Texas450.79360.800799945
    Start Printed Page 40859
    45251Carson County, Texas450.79360.916611100
    45260Cass County, Texas450.79360.800799945
    45270Castro County, Texas450.79360.800799945
    45280Chambers County, Texas33601.01011.000526420
    45281Cherokee County, Texas450.79360.800799945
    45290Childress County, Texas450.79360.800799945
    45291Clay County, Texas450.79360.829448660
    45292Cochran County, Texas450.79360.800799945
    45300Coke County, Texas450.79360.800799945
    45301Coleman County, Texas450.79360.800799945
    45310Collin County, Texas19201.02111.023319124
    45311Collingsworth County, Texas450.79360.800799945
    45312Colorado County, Texas450.79360.800799945
    45320Comal County, Texas72400.89930.898941700
    45321Comanche County, Texas450.79360.800799945
    45330Concho County, Texas450.79360.800799945
    45340Cooke County, Texas450.79360.800799945
    45341Coryell County, Texas38100.85350.853528660
    45350Cottle County, Texas450.79360.800799945
    45360Crane County, Texas450.79360.800799945
    45361Crockett County, Texas450.79360.800799945
    45362Crosby County, Texas450.79360.879231180
    45370Culberson County, Texas450.79360.800799945
    45380Dallam County, Texas450.79360.800799945
    45390Dallas County, Texas19201.02111.023319124
    45391Dawson County, Texas450.79360.800799945
    45392Deaf Smith County, Texas450.79360.800799945
    45400Delta County, Texas450.79361.023319124
    45410Denton County, Texas19201.02111.023319124
    45420De Witt County, Texas450.79360.800799945
    45421Dickens County, Texas450.79360.800799945
    45430Dimmit County, Texas450.79360.800799945
    45431Donley County, Texas450.79360.800799945
    45440uval County, Texas450.79360.800799945
    45450Eastland County, Texas450.79360.800799945
    45451Ector County, Texas58000.97510.989436220
    45460Edwards County, Texas450.79360.800799945
    45470Ellis County, Texas19201.02111.023319124
    45480El Paso County, Texas23200.89240.892421340
    45490Erath County, Texas450.79360.800799945
    45500Falls County, Texas450.79360.800799945
    45510Fannin County, Texas450.79360.800799945
    45511Fayette County, Texas450.79360.800799945
    45520Fisher County, Texas450.79360.800799945
    45521Floyd County, Texas450.79360.800799945
    45522Foard County, Texas450.79360.800799945
    45530Fort Bend County, Texas33601.01011.000526420
    45531Franklin County, Texas450.79360.800799945
    45540Freestone County, Texas450.79360.800799945
    45541Frio County, Texas450.79360.800799945
    45542Gaines County, Texas450.79360.800799945
    45550Galveston County, Texas29200.96451.000526420
    45551Garza County, Texas450.79360.800799945
    45552Gillespie County, Texas450.79360.800799945
    45560Glasscock County, Texas450.79360.800799945
    45561Goliad County, Texas450.79360.816847020
    45562Gonzales County, Texas450.79360.800799945
    45563Gray County, Texas450.79360.800799945
    45564Grayson County, Texas76400.95160.951643300
    45570Gregg County, Texas44200.88970.873930980
    45580Grimes County, Texas450.79360.800799945
    45581Guadaloupe County, Texas72400.89930.898941700
    45582Hale County, Texas450.79360.800799945
    45583Hall County, Texas450.79360.800799945
    45590Hamilton County, Texas450.79360.800799945
    45591Hansford County, Texas450.79360.800799945
    45592Hardeman County, Texas450.79360.800799945
    45600Hardin County, Texas08400.84210.842113140
    45610Harris County, Texas33601.01011.000526420
    45620Harrison County, Texas44200.88970.800799945
    45621Hartley County, Texas450.79360.800799945
    Start Printed Page 40860
    45630Haskell County, Texas450.79360.800799945
    45631Hays County, Texas06400.94500.945012420
    45632Hemphill County, Texas450.79360.800799945
    45640Henderson County, Texas19201.02110.800799945
    45650Hidalgo County, Texas48800.89430.894332580
    45651Hill County, Texas450.79360.800799945
    45652Hockley County, Texas450.79360.800799945
    45653Hood County, Texas28000.95450.800799945
    45654Hopkins County, Texas450.79360.800799945
    45660Houston County, Texas450.79360.800799945
    45661Howard County, Texas450.79360.800799945
    45662Hudspeth County, Texas450.79360.800799945
    45670Hunt County, Texas19201.02111.023319124
    45671Hutchinson County, Texas450.79360.800799945
    45672Irion County, Texas450.79360.828041660
    45680Jack County, Texas450.79360.800799945
    45681Jackson County, Texas450.79360.800799945
    45690Jasper County, Texas450.79360.800799945
    45691Jeff Davis County, Texas450.79360.800799945
    45700Jefferson County, Texas08400.84210.842113140
    45710Jim Hogg County, Texas450.79360.800799945
    45711Jim Wells County, Texas450.79360.800799945
    45720Johnson County, Texas28000.95450.951023104
    45721Jones County, Texas450.79360.790410180
    45722Karnes County, Texas450.79360.800799945
    45730Kaufman County, Texas19201.02111.023319124
    45731Kendall County, Texas450.79360.898941700
    45732Kenedy County, Texas450.79360.800799945
    45733Kent County, Texas450.79360.800799945
    45734Kerr County, Texas450.79360.800799945
    45740Kimble County, Texas450.79360.800799945
    45741King County, Texas450.79360.800799945
    45742Kinney County, Texas450.79360.800799945
    45743Kleberg County, Texas450.79360.800799945
    45744Knox County, Texas450.79360.800799945
    45750Lamar County, Texas450.79360.800799945
    45751Lamb County, Texas450.79360.800799945
    45752Lampasas County, Texas450.79360.853528660
    45753La Salle County, Texas450.79360.800799945
    45754Lavaca County, Texas450.79360.800799945
    45755Lee County, Texas450.79360.800799945
    45756Leon County, Texas450.79360.800799945
    45757Liberty County, Texas33601.01011.000526420
    45758Limestone County, Texas450.79360.800799945
    45759Lipscomb County, Texas450.79360.800799945
    45760Live Oak County, Texas450.79360.800799945
    45761Llano County, Texas450.79360.800799945
    45762Loving County, Texas450.79360.800799945
    45770Lubbock County, Texas46000.87920.879231180
    45771Lynn County, Texas450.79360.800799945
    45772Mc Culloch County, Texas450.79360.800799945
    45780Mc Lennan County, Texas88000.85270.852747380
    45781Mc Mullen County, Texas450.79360.800799945
    45782Madison County, Texas450.79360.800799945
    45783Marion County, Texas450.79360.800799945
    45784Martin County, Texas450.79360.800799945
    45785Mason County, Texas450.79360.800799945
    45790Matagorda County, Texas450.79360.800799945
    45791Maverick County, Texas450.79360.800799945
    45792Medina County, Texas450.79360.898941700
    45793Menard County, Texas450.79360.800799945
    45794Midland County, Texas58000.97510.952333260
    45795Milam County, Texas450.79360.800799945
    45796Mills County, Texas450.79360.800799945
    45797Mitchell County, Texas450.79360.800799945
    45800Montague County, Texas450.79360.800799945
    45801Montgomery County, Texas33601.01011.000526420
    45802Moore County, Texas450.79360.800799945
    45803Morris County, Texas450.79360.800799945
    45804Motley County, Texas450.79360.800799945
    45810Nacogdoches County, Texas450.79360.800799945
    Start Printed Page 40861
    45820Navarro County, Texas450.79360.800799945
    45821Newton County, Texas450.79360.800799945
    45822Nolan County, Texas450.79360.800799945
    45830Nueces County, Texas18800.85590.855918580
    45831Ochiltree County, Texas450.79360.800799945
    45832Oldham County, Texas450.79360.800799945
    45840Orange County, Texas08400.84210.842113140
    45841Palo Pinto County, Texas450.79360.800799945
    45842Panola County, Texas450.79360.800799945
    45843Parker County, Texas28000.95450.951023104
    45844Parmer County, Texas450.79360.800799945
    45845Pecos County, Texas450.79360.800799945
    45850Polk County, Texas450.79360.800799945
    45860Potter County, Texas03200.91660.916611100
    45861Presidio County, Texas450.79360.800799945
    45870Rains County, Texas450.79360.800799945
    45871Randall County, Texas03200.91660.916611100
    45872Reagan County, Texas450.79360.800799945
    45873Real County, Texas450.79360.800799945
    45874Red River County, Texas450.79360.800799945
    45875Reeves County, Texas450.79360.800799945
    45876Refugio County, Texas450.79360.800799945
    45877Roberts County, Texas450.79360.800799945
    45878Robertson County, Texas450.79360.890917780
    45879Rockwall County, Texas19201.02111.023319124
    45880Runnels County, Texas450.79360.800799945
    45881Rusk County, Texas450.79360.873930980
    45882Sabine County, Texas450.79360.800799945
    45883San Augustine County, Texas450.79360.800799945
    45884San Jacinto County, Texas450.79361.000526420
    45885San Patricio County, Texas18800.85590.855918580
    45886San Saba County, Texas450.79360.800799945
    45887Schleicher County, Texas450.79360.800799945
    45888Scurry County, Texas450.79360.800799945
    45889Shackelford County, Texas450.79360.800799945
    45890Shelby County, Texas450.79360.800799945
    45891Sherman County, Texas450.79360.800799945
    45892Smith County, Texas86400.93070.930746340
    45893Somervell County, Texas450.79360.800799945
    45900Starr County, Texas450.79360.800799945
    45901Stephens County, Texas450.79360.800799945
    45902Sterling County, Texas450.79360.800799945
    45903Stonewall County, Texas450.79360.800799945
    45904Sutton County, Texas450.79360.800799945
    45905Swisher County, Texas450.79360.800799945
    45910Tarrant County, Texas28000.95450.951023104
    45911Taylor County, Texas00400.80620.790410180
    45912Terrell County, Texas450.79360.800799945
    45913Terry County, Texas450.79360.800799945
    45920Throckmorton County, Texas450.79360.800799945
    45921Titus County, Texas450.79360.800799945
    45930Tom Green County, Texas72000.82800.828041660
    45940Travis County, Texas06400.94500.945012420
    45941Trinity County, Texas450.79360.800799945
    45942Tyler County, Texas450.79360.800799945
    45943Upshur County, Texas44200.88970.873930980
    45944Upton County, Texas450.79360.800799945
    45945Uvalde County, Texas450.79360.800799945
    45946Val Verde County, Texas450.79360.800799945
    45947Van Zandt County, Texas450.79360.800799945
    45948Victoria County, Texas87500.81680.816847020
    45949Walker County, Texas450.79360.800799945
    45950Waller County, Texas33601.01011.000526420
    45951Ward County, Texas450.79360.800799945
    45952Washington County, Texas450.79360.800799945
    45953Webb County, Texas40800.80760.807629700
    45954Wharton County, Texas450.79360.800799945
    45955Wheeler County, Texas450.79360.800799945
    45960Wichita County, Texas90800.83730.829448660
    45961Wilbarger County, Texas450.79360.800799945
    45962Willacy County, Texas450.79360.800799945
    Start Printed Page 40862
    45970Williamson County, Texas06400.94500.945012420
    45971Wilson County, Texas72400.89930.898941700
    45972Winkler County, Texas450.79360.800799945
    45973Wise County, Texas450.79360.951023104
    45974Wood County, Texas450.79360.800799945
    45980Yoakum County, Texas450.79360.800799945
    45981Young County, Texas450.79360.800799945
    45982Zapata County, Texas450.79360.800799945
    45983Zavala County, Texas450.79360.800799945
    46000Beaver County, Utah460.87790.812699946
    46010Box Elder County, Utah460.87790.812699946
    46020Cache County, Utah460.87790.917330860
    46030Carbon County, Utah460.87790.812699946
    46040Daggett County, Utah460.87790.812699946
    46050Davis County, Utah71600.93500.903836260
    46060Duchesne County, Utah460.87790.812699946
    46070Emery County, Utah460.87790.812699946
    46080Garfield County, Utah460.87790.812699946
    46090Grand County, Utah460.87790.812699946
    46100Iron County, Utah460.87790.812699946
    46110Juab County, Utah460.87790.951039340
    46120Kane County, Utah26201.18570.812699946
    46130Millard County, Utah460.87790.812699946
    46140Morgan County, Utah460.87790.903836260
    46150Piute County, Utah460.87790.812699946
    46160Rich County, Utah460.87790.812699946
    46170Salt Lake County, Utah71600.93500.943341620
    46180San Juan County, Utah460.87790.812699946
    46190Sanpete County, Utah460.87790.812699946
    46200Sevier County, Utah460.87790.812699946
    46210Summit County, Utah460.87790.943341620
    46220Tooele County, Utah460.87790.943341620
    46230Uintah County, Utah460.87790.812699946
    46240Utah County, Utah65200.95100.951039340
    46250Wasatch County, Utah460.87790.812699946
    46260Washington County, Utah460.87790.940241100
    46270Wayne County, Utah460.87790.812699946
    46280Weber County, Utah71600.93500.903836260
    47000Addison County, Vermont470.98400.984099947
    47010Bennington County, Vermont470.98400.984099947
    47020Caledonia County, Vermont470.98400.984099947
    47030Chittenden County, Vermont13030.94460.944615540
    47040Essex County, Vermont470.98400.984099947
    47050Franklin County, Vermont13030.94460.944615540
    47060Grand Isle County, Vermont13030.94460.944615540
    47070Lamoille County, Vermont470.98400.984099947
    47080Orange County, Vermont470.98400.984099947
    47090Orleans County, Vermont470.98400.984099947
    47100Rutland County, Vermont470.98400.984099947
    47110Washington County, Vermont470.98400.984099947
    47120Windham County, Vermont470.98400.984099947
    47130Windsor County, Vermont470.98400.984099947
    49000Accomack County, Virginia490.84200.801299949
    49010Albemarle County, Virginia15401.02341.023416820
    49011Alexandria City County, Virginia88401.09831.093247894
    49020Alleghany County, Virginia490.84200.801299949
    49030Amelia County, Virginia490.84200.933840060
    49040Amherst County, Virginia46400.87000.870031340
    49050Appomattox County, Virginia490.84200.870031340
    49060Arlington County, Virginia88401.09831.093247894
    49070Augusta County, Virginia490.84200.801299949
    49080Bath County, Virginia490.84200.801299949
    49088Bedford City County, Virginia46400.87000.870031340
    49090Bedford County, Virginia46400.87000.870031340
    49100Bland County, Virginia490.84200.801299949
    49110Botetourt County, Virginia68000.83950.838340220
    49111Bristol City County, Virginia36600.80150.806228700
    49120Brunswick County, Virginia490.84200.801299949
    49130Buchanan County, Virginia490.84200.801299949
    49140Buckingham County, Virginia490.84200.801299949
    49141Buena Vista City County, Virginia490.84200.801299949
    Start Printed Page 40863
    49150Campbell County, Virginia46400.87000.870031340
    49160Caroline County, Virginia490.84200.933840060
    49170Carroll County, Virginia490.84200.801299949
    49180Charles City County, Virginia67600.93380.933840060
    49190Charlotte County, Virginia490.84200.801299949
    49191Charlottesville City County, Virginia15401.02341.023416820
    49194Chesapeake County, Virginia57200.88080.880847260
    49200Chesterfield County, Virginia67600.93380.933840060
    49210Clarke County, Virginia88401.09831.093247894
    49211Clifton Forge City County, Virginia90.84200.801299949
    49212Colonial Heights County, Virginia67600.93380.933840060
    49213Covington City County, Virginia490.84200.801299949
    49220Craig County, Virginia490.84200.838340220
    49230Culpeper County, Virginia88401.09830.801299949
    49240Cumberland County, Virginia490.84200.933840060
    49241Danville City County, Virginia19500.84970.849719260
    49250Dickenson County, Virginia490.84200.801299949
    49260Dinniddie County, Virginia67600.93380.933840060
    49270Emporia County, Virginia490.84200.801299949
    49280Essex County, Virginia490.84200.801299949
    49288Fairfax City County, Virginia88401.09831.093247894
    49290Fairfax County, Virginia88401.09831.093247894
    49291Falls Church City County, Virginia88401.09831.093247894
    49300Fauquier County, Virginia88401.09831.093247894
    49310Floyd County, Virginia490.84200.801299949
    49320Fluvanna County, Virginia15401.02341.023416820
    49328Franklin City County, Virginia490.84200.801299949
    49330Franklin County, Virginia490.84200.838340220
    49340Frederick County, Virginia490.84201.022449020
    49342Fredericksburg City County, Virginia88401.09831.093247894
    49343Galax City County, Virginia490.84200.801299949
    49350Giles County, Virginia490.84200.796213980
    49360Gloucester County, Virginia57200.88080.880847260
    49370Goochland County, Virginia 67600.93380.933840060
    49380Grayson County, Virginia490.84200.801299949
    49390Greene County, Virginia15401.02341.023416820
    49400Greensville County, Virginia490.84200.801299949
    49410Halifax County, Virginia490.84200.801299949
    49411Hampton City County, Virginia57200.88080.880847260
    49420Hanover County, Virginia67600.93380.933840060
    49421Harrisonburg City County, Virginia490.84200.909825500
    49430Henrico County, Virginia67600.93380.933840060
    49440Henry County, Virginia490.84200.801299949
    49450Highland County, Virginia490.84200.801299949
    49451Hopewell City County, Virginia67600.93380.933840060
    49460Isle Of Wight County, Virginia57200.88080.880847260
    49470James City Co County, Virginia57200.88080.880847260
    49480King And Queen County, Virginia490.84200.933840060
    49490King George County, Virginia88401.09830.801299949
    49500King William County, Virginia490.84200.933840060
    49510Lancaster County, Virginia490.84200.801299949
    49520Lee County, Virginia490.84200.801299949
    49522Lexington County, Virginia490.84200.801299949
    49530Loudoun County, Virginia88401.09831.093247894
    49540Louisa County, Virginia490.84200.933840060
    49550Lunenburg County, Virginia490.84200.801299949
    49551Lynchburg City County, Virginia46400.87000.870031340
    49560Madison County, Virginia490.84200.801299949
    49561Martinsville City County, Virginia490.84200.801299949
    49563Manassas City County, Virginia88401.09831.093247894
    49565Manassas Park City County, Virginia88401.09831.093247894
    49570Mathews County, Virginia57200.88080.880847260
    49580Mecklenburg County, Virginia490.84200.801299949
    49590Middlesex County, Virginia490.84200.801299949
    49600Montgomery County, Virginia490.84200.796213980
    49610Nansemond County, Virginia490.84200.801299949
    49620Nelson County, Virginia490.84201.023416820
    49621New Kent County, Virginia67600.93380.933840060
    49622Newport News City County, Virginia57200.88080.880847260
    49641Norfolk City County, Virginia57200.88080.880847260
    49650Northampton County, Virginia490.84200.801299949
    Start Printed Page 40864
    49660Northumberland County, Virginia490.84200.801299949
    49661Norton City County, Virginia490.84200.801299949
    49670Nottoway County, Virginia490.84200.801299949
    49680Orange County, Virginia490.84200.801299949
    49690Page County, Virginia490.84200.801299949
    49700Patrick County, Virginia490.84200.801299949
    49701Petersburg City County, Virginia67600.93380.933840060
    49710Pittsylvania County, Virginia19500.84970.849719260
    49711Portsmouth City County, Virginia57200.88080.880847260
    49712Poquoson City County, Virginia57200.88080.880847260
    49720Powhatan County, Virginia67600.93380.933840060
    49730Prince Edward County, Virginia490.84200.801299949
    49740Prince George County, Virginia67600.93380.933840060
    49750Prince William County, Virginia88401.09831.093247894
    49770Pulaski County, Virginia490.84200.796213980
    49771Radford City County, Virginia490.84200.796213980
    49780Rappahannock County, Virginia490.84200.801299949
    49790Richmond County, Virginia490.84200.801299949
    49791Richmond City County, Virginia67600.93380.933840060
    49800Roanoke County, Virginia68000.83950.838340220
    49801Roanoke City County, Virginia68000.83950.838340220
    49810Rockbridge County, Virginia490.84200.801299949
    49820Rockingham County, Virginia490.84200.909825500
    49830Russell County, Virginia490.84200.801299949
    49838Salem County, Virginia68000.83950.838340220
    49840Scott County, Virginia36600.80150.806228700
    49850Shenandoah County, Virginia490.84200.801299949
    49860Smyth County, Virginia490.84200.801299949
    49867South Boston City County, Virginia490.84200.801299949
    49870Southampton County, Virginia490.84200.801299949
    49880Spotsylvania County, Virginia88401.09831.093247894
    49890Stafford County, Virginia88401.09831.093247894
    49891Staunton City County, Virginia490.84200.801299949
    49892Suffolk City County, Virginia57200.88080.880847260
    49900Surry County, Virginia490.84200.880847260
    49910Sussex County, Virginia490.84200.933840060
    49920Tazewell County, Virginia490.84200.801299949
    49921Virginia Beach City County, Virginia57200.88080.880847260
    49930Warren County, Virginia88401.09831.093247894
    49950Washington County, Virginia36600.80150.806228700
    49951Waynesboro City County, Virginia490.84200.801299949
    49960Westmoreland County, Virginia490.84200.801299949
    49961Williamsburg City County, Virginia57200.88080.880847260
    49962Winchester City County, Virginia490.84201.022449020
    49970Wise County, Virginia490.84200.801299949
    49980Wythe County, Virginia490.84200.801299949
    49981York County, Virginia57200.88080.880847260
    50000Adams County, Washington501.01941.045899950
    50010Asotin County, Washington501.01940.989630300
    50020Benton County, Washington67401.06301.063028420
    50030Chelan County, Washington501.01941.008048300
    50040Clallam County, Washington501.01941.045899950
    50050Clark County, Washington64401.12601.126038900
    50060Columbia County, Washington501.01941.045899950
    50070Cowlitz County, Washington501.01940.952331020
    50080Douglas County, Washington501.01941.008048300
    50090Ferry County, Washington501.01941.045899950
    50100Franklin County, Washington67401.06301.063028420
    50110Garfield County, Washington501.01941.045899950
    50120Grant County, Washington501.01941.045899950
    50130Grays Harbor County, Washington501.01941.045899950
    50140Island County, Washington76001.15791.045899950
    50150Jefferson County,501.01941.045899950
    50160King County, Washington76001.15791.158942644
    50170Kitsap County, Washington11501.06861.068614740
    50180Kittitas County, Washington501.01941.045899950
    50190Klickitat County,501.01941.045899950
    50200Lewis County, Washington501.01941.045899950
    50210Lincoln County, Washington501.01941.045899950
    50220Mason County, Washington501.01941.045899950
    50230Okanogan County, Washington501.01941.045899950
    Start Printed Page 40865
    50240Pacific County, Washington501.01941.045899950
    50250Pend Oreille County,501.01941.045899950
    50260Pierce County, Washington82001.07531.075345104
    50270San Juan County, Washington501.01941.045899950
    50280Skagit County, Washington501.01941.046534580
    50290Skamania County, Washington501.01941.126038900
    50300Snohomish County, Washington76001.15791.158942644
    50310Spokane County, Washington78401.09161.091644060
    50320Stevens County, Washington501.01941.045899950
    50330Thurston County, Washington59101.09381.093836500
    50340Wahkiakum County, Washington501.01941.045899950
    50350Walla Walla County, Washington501.01941.045899950
    50360Whatcom County, Washington08601.17431.174313380
    50370Whitman County, Washington501.01941.045899950
    50380Yakima County, Washington92601.01651.016549420
    51000Barbour County, W Virginia510.79080.772599951
    51010Berkeley County, W Virginia88401.09830.949925180
    51020Boone County, W Virginia510.79080.842816620
    51030Braxton County, W Virginia510.79080.772599951
    51040Brooke County, W Virginia80800.78270.782748260
    51050Cabell County, W Virginia34000.94860.948626580
    51060Calhoun County, W Virginia510.79080.772599951
    51070Clay County, W Virginia510.79080.842816620
    51080Doddridge County, W Virginia510.79080.772599951
    51090Fayette County, W Virginia510.79080.772599951
    51100Gilmer County, W Virginia510.79080.772599951
    51110Grant County, W Virginia510.79080.772599951
    51120Greenbrier County, W Virginia510.79080.772599951
    51130Hampshire County, W Virginia510.79081.022449020
    51140Hancock County, W Virginia80800.78270.782748260
    51150Hardy County, W Virginia510.79080.772599951
    51160Harrison County, W Virginia510.79080.772599951
    51170Jackson County, W Virginia510.79080.772599951
    51180Jefferson County, W Virginia88401.09831.093247894
    51190Kanawha County, W Virginia14800.84280.842816620
    51200Lewis County, W Virginia510.79080.772599951
    51210Lincoln County, W Virginia510.79080.842816620
    51220Logan County, W Virginia510.79080.772599951
    51230Mc Dowell County, W510.79080.772599951
    51240Marion County, W Virginia510.79080.772599951
    51250Marshall County, W Virginia90000.71680.716848540
    51260Mason County, W Virginia510.79080.772599951
    51270Mercer County, W Virginia510.79080.772599951
    51280Mineral County, W Virginia19000.93260.932619060
    51290Mingo County, W Virginia510.79080.772599951
    51300Monongalia County, W510.79080.842834060
    51310Monroe County, W Virginia510.79080.772599951
    51320Morgan County, W Virginia510.79080.949925180
    51330Nicholas County, W Virginia510.79080.772599951
    51340Ohio County, W Virginia90000.71680.716848540
    51350Pendleton County, W510.79080.772599951
    51360Pleasants County, W Virginia510.79080.827837620
    51370Pocahontas County, W510.79080.772599951
    51380Preston County, W Virginia510.79080.842834060
    51390Putnam County, W Virginia14800.84280.842816620
    51400Raleigh County, W Virginia510.79080.772599951
    51410Randolph County, W Virginia510.79080.772599951
    51420Ritchie County, W Virginia510.79080.772599951
    51430Roane County, W Virginia510.79080.772599951
    51440Summers County, W Virginia510.79080.772599951
    51450Taylor County, W Virginia510.79080.772599951
    51460Tucker County, W Virginia510.79080.772599951
    51470Tyler County, W Virginia510.79080.772599951
    51480Upshur County, W Virginia510.79080.772599951
    51490Wayne County, W Virginia34000.94860.948626580
    51500Webster County, W Virginia510.79080.772599951
    51510Wetzel County, W Virginia510.79080.772599951
    51520Wirt County, W Virginia510.79080.827837620
    51530Wood County, W Virginia60200.82780.827837620
    51540Wyoming County, W Virginia510.79080.772599951
    52000Adams County, Wisconsin520.94460.948099952
    Start Printed Page 40866
    52010Ashland County, Wisconsin520.94460.948099952
    52020Barron County, Wisconsin520.94460.948099952
    52030Bayfield County, Wisconsin520.94460.948099952
    52040Brown County, Wisconsin30800.94520.945224580
    52050Buffalo County, Wisconsin520.94460.948099952
    52060Burnett County, Wisconsin520.94460.948099952
    52070Calumet County, Wisconsin04600.92480.929811540
    52080Chippewa County, Wisconsin22900.92100.921020740
    52090Clark County, Wisconsin520.94460.948099952
    52100Columbia County, Wisconsin520.94461.063531540
    52110Crawford County, Wisconsin520.94460.948099952
    52120Dane County, Wisconsin47201.07641.063531540
    52130Dodge County, Wisconsin520.94460.948099952
    52140Door County, Wisconsin520.94460.948099952
    52150Douglas County, Wisconsin22401.02231.020920260
    52160Dunn County, Wisconsin520.94460.948099952
    52170Eau Claire County, Wisconsin22900.92100.921020740
    52180Florence County, Wisconsin520.94460.948099952
    52190Fond Du Lac County, Wisconsin520.94460.965022540
    52200Forest County, Wisconsin520.94460.948099952
    52210Grant County, Wisconsin520.94460.948099952
    52220Green County, Wisconsin520.94460.948099952
    52230Green Lake County, Wisconsin520.94460.948099952
    52240Iowa County, Wisconsin520.94461.063531540
    52250Iron County, Wisconsin520.94460.948099952
    52260Jackson County, Wisconsin520.94460.948099952
    52270Jefferson County, Wisconsin520.94460.948099952
    52280Juneau County, Wisconsin520.94460.948099952
    52290Kenosha County, Wisconsin38000.97701.044029404
    52300Kewaunee County, Wisconsin520.94460.945224580
    52310La Crosse County, Wisconsin38700.95730.957329100
    52320Lafayette County, Wisconsin520.94460.948099952
    52330Langlade County, Wisconsin520.94460.948099952
    52340Lincoln County, Wisconsin520.94460.948099952
    52350Manitowoc County, Wisconsin520.94460.948099952
    52360Marathon County, Wisconsin89400.96000.960048140
    52370Marinette County, Wisconsin520.94460.948099952
    52380Marquette County, Wisconsin520.94460.948099952
    52381Menominee County, Wisconsin520.94460.948099952
    52390Milwaukee County, Wisconsin50801.01061.010633340
    52400Monroe County, Wisconsin520.94460.948099952
    52410Oconto County, Wisconsin520.94460.945224580
    52420Oneida County, Wisconsin520.94460.948099952
    52430Outagamie County, Wisconsin04600.92480.929811540
    52440Ozaukee County, Wisconsin50801.01061.010633340
    52450Pepin County, Wisconsin520.94460.948099952
    52460Pierce County, Wisconsin51201.10781.107833460
    52470Polk County, Wisconsin520.94460.948099952
    52480Portage County, Wisconsin520.94460.948099952
    52490Price County, Wisconsin520.94460.948099952
    52500Racine County, Wisconsin66000.90060.900639540
    52510Richland County, Wisconsin520.94460.948099952
    52520Rock County, Wisconsin36200.95470.954727500
    52530Rusk County, Wisconsin520.94460.948099952
    52540St Croix County, Wisconsin51201.10781.107833460
    52550Sauk County, Wisconsin520.94460.948099952
    52560Sawyer County, Wisconsin520.94460.948099952
    52570Shawano County, Wisconsin520.94460.948099952
    52580Sheboygan County, Wisconsin76200.89200.892043100
    52590Taylor County, Wisconsin520.94460.948099952
    52600Trempealeau County, Wisconsin520.94460.948099952
    52610Vernon County, Wisconsin520.94460.948099952
    52620Vilas County, Wisconsin520.94460.948099952
    52630Walworth County, Wisconsin520.94460.948099952
    52640Washburn County, Wisconsin520.94460.948099952
    52650Washington County, Wisconsin50801.01061.010633340
    52660Waukesha County, Wisconsin50801.01061.010633340
    52670Waupaca County, Wisconsin520.94460.948099952
    52680Waushara County, Wisconsin520.94460.948099952
    52690Winnebago County, Wisconsin04600.92480.919236780
    52700Wood County, Wisconsin520.94460.948099952
    Start Printed Page 40867
    53000Albany County, Wyoming530.92140.921499953
    53010Big Horn County, Wyoming530.92140.921499953
    53020Campbell County, Wyoming530.92140.921499953
    53030Carbon County, Wyoming530.92140.921499953
    53040Converse County, Wyoming530.92140.921499953
    53050Crook County, Wyoming530.92140.921499953
    53060Fremont County, Wyoming530.92140.921499953
    53070Goshen County, Wyoming530.92140.921499953
    53080Hot Springs County, Wyoming530.92140.921499953
    53090Johnson County, Wyoming530.92140.921499953
    53100Laramie County, Wyoming15800.87840.878416940
    53110Lincoln County, Wyoming530.92140.921499953
    53120Natrona County, Wyoming13500.90350.903516220
    53130Niobrara County, Wyoming530.92140.921499953
    53140Park County, Wyoming530.92140.921499953
    53150Platte County, Wyoming530.92140.921499953
    53160Sheridan County, Wyoming530.92140.921499953
    53170Sublette County, Wyoming530.92140.921499953
    53180Sweetwater County, Wyoming530.92140.921499953
    53190Teton County, Wyoming530.92140.921499953
    53200Uinta County, Wyoming530.92140.921499953
    53210Washakie County, Wyoming530.92140.921499953
    53220Weston County, Wyoming530.92140.921499953
    End Part End Supplemental Information

    [FR Doc. 05-13674 Filed 7-8-05; 4:01 pm]

    BILLING CODE 4120-01-P

Document Information

Published:
07/14/2005
Department:
Centers for Medicare & Medicaid Services
Entry Type:
Proposed Rule
Action:
Proposed rule.
Document Number:
05-13674
Dates:
To be assured consideration, comments must be received at one of
Pages:
40787-40867 (81 pages)
Docket Numbers:
CMS-1301-P
RINs:
0938-AN44: Home Health Prospective Payment System Rate Update for Calendar Year 2006 (CMS-1301-P)
RIN Links:
https://www.federalregister.gov/regulations/0938-AN44/home-health-prospective-payment-system-rate-update-for-calendar-year-2006-cms-1301-p-
Topics:
Health facilities, Health professions, Medicare, Reporting and recordkeeping requirements
PDF File:
05-13674.pdf
CFR: (1)
42 CFR 484.202