E6-15979. Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Corrections

AGENCY:

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

ACTION:

Correction notice.

SUMMARY:

This document corrects technical errors that appeared in the July 31, 2006 Federal Register, entitled “Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities—Update—Notice.”

Effective Date: This correction is effective October 1, 2006.

FOR FURTHER INFORMATION CONTACT:

Bill Ullman, [phone].

SUPPLEMENTARY INFORMATION:

I. Background

In FR Doc. 06-6615 of July 31, 2006 (71 FR 43158), there were several technical errors that this notice serves to identify and correct. One correction involves Table 10, which we use to illustrate the skilled nursing facility (SNF) prospective payment system (PPS) payment rate computations for a fictitious “XYZ” SNF located in Cedar Rapids, IA. In the example that appears in this table, RUG Group “CC2” serves to illustrate the effect on the payment rates of applying the 128 percent add-on for SNF residents with AIDS under section 511 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA, P.L. 108-173). The table includes a footnote, marked with an asterisk that describes the MMA adjustment; however, we inadvertently omitted the corresponding asterisk within the table itself to identify the particular figure in the table to which this footnote refers. Accordingly, in section II of this document (“Correction of Errors”), we are restoring the asterisk that belongs next to the adjusted CC2 amount of “$542.54” that appears in Table 10's “Percent Adjustment” column.

In addition, in Table 12 (which displays the projected impact of the FY 2007 SNF PPS payment update, including the variation in impact by region and by certain other facility characteristics), we are correcting errors pertaining to the rural Outlying region. In the projected impact for the rural Outlying region, we inadvertently entered the incorrect figures of “-2.9%” and “3.3%” in the columns entitled “Transition to CBSA” and “Total FY 2007 change,” respectively. In this notice, we correct these figures to read “0.0%” and “6.4%,” respectively, and we also make corresponding revisions in the text of the narrative that accompanies Table 12. We note that the effect on the corrected table is solely distributional in nature and, accordingly, there is no change in the estimated aggregate expenditures for FY 2007 as set forth in the July 31, 2006 update notice. A further discussion of the projected impact of the FY 2007 SNF PPS payment update appears in the July 31, 2006 update notice (71 FR 43173-43176).

Finally, we have determined that in the process of developing the most recent hospital wage index, we inadvertently used incorrect wage information for two providers. These two providers notified their fiscal intermediary in a timely fashion that their wage data were incorrect and we agreed to correct the wage data for these two providers. However, we inadvertently published the uncorrected wage data in the July 31, 2006 update notice. Incorporating their corrected data into our calculation of the national average hourly wage results in revised wage index values for a number of Core-Based Statistical Areas (CBSAs). Accordingly, we are revising and republishing Tables 8 and 9, which appeared in an addendum to the July 31, 2006 update notice, to reflect the correct information.

II. Correction of Errors

In FR Doc. 06-6615 (71 FR 43158), make the following corrections:

1. On page 43170, Table 10, in the “Percent adj” column, the figure “$542.54” is revised to read “$542.54*”.

2. On page 43174, third column,

a. In the first paragraph, line 10, the figure “3.2 percent” is revised to read “6.4 percent”.

b. In the final paragraph, the second sentence is revised to read as follows: “For example, though facilities in the rural Mountain region experience only a slight payment increase of 1.2 percent, some providers (such as those in the rural Outlying region) show a greater increase of 6.4 percent. “ In the third sentence, the phrase “urban Mountain” is revised to read “rural Outlying”.

3. On page 43175, Table 12, the entries displayed for the rural Outlying region in the columns entitled “Transition to full CBSA” and “Total FY 2007 change” are revised to read “0.0%” and “6.4%”, respectively.

4. On pages 43176 through 43198, Table 8 is revised to read as follows:

Table 8.— FY 2007 Wage Index For Urban Areas Based On CBSA Labor Market Areas

CBSA code	Urban area (constituent counties)	Wage index
10180	Abilene, TX	0.8000
	Callahan County, TX
	Jones County, TX
	Taylor County, TX
10380	Aguadilla-Isabela-San Sebastián, PR	0.3915
	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
10420	Akron, OH	0.8654
	Portage County, OH
	Summit County, OH
10500	Albany, GA	0.8991
	Baker County, GA
	Dougherty County, GA
	Lee County, GA
	Terrell County, GA
	Worth County, GA
10580	Albany-Schenectady-Troy, NY	0.8720
	Albany County, NY
	Rensselaer County, NY
	Saratoga County, NY
	Schenectady County, NY
	Schoharie County, NY
10740	Albuquerque, NM	0.9458
	Bernalillo County, NM
	Sandoval County, NM
	Torrance County, NM
	Valencia County, NM
10780	Alexandria, LA	0.8006
	Grant Parish, LA
	Rapides Parish, LA
10900	Allentown-Bethlehem-Easton, PA-NJ	0.9947
	Warren County, NJ
	Carbon County, PA
	Lehigh County, PA
	Northampton County, PA
11020	Altoona, PA	0.8812
	Blair County, PA
11100	Amarillo, TX	0.9169
	Armstrong County, TX
	Carson County, TX
	Potter County, TX
	Randall County, TX
11180	Ames, IA	0.9760
	Story County, IA
11260	Anchorage, AK	1.2023
	Anchorage Municipality, AK
	Matanuska-Susitna Borough, AK
11300	Anderson, IN	0.8681
	Madison County, IN
11340	Anderson, SC	0.9017
	Anderson County, SC
11460	Ann Arbor, MI	1.0826
	Washtenaw County, MI
11500	Anniston-Oxford, AL	0.7770
	Calhoun County, AL
11540	Appleton, WI	0.9455
	Calumet County, WI
	Outagamie County, WI
11700	Asheville, NC	0.9216
	Buncombe County, NC
	Haywood County, NC
	Henderson County, NC
	Madison County, NC
12020	Athens-Clarke County, GA	0.9856
	Clarke County, GA
	Madison County, GA
	Oconee County, GA
	Oglethorpe County, GA
12060	Atlanta-Sandy Springs-Marietta, GA	0.9762
	Barrow County, GA
	Bartow County, GA
	Butts County, GA
	Carroll County, GA
	Cherokee County, GA
	Clayton County, GA
	Cobb County, GA
	Coweta County, GA
	Dawson County, GA
	DeKalb County, GA
	Douglas County, GA
	Fayette County, GA
	Forsyth County, GA
	Fulton County, GA
	Gwinnett County, GA
	Haralson County, GA
	Heard County, GA
	Henry County, GA
	Jasper County, GA
	Lamar County, GA
	Meriwether County, GA
	Newton County, GA
	Paulding County, GA
	Pickens County, GA
	Pike County, GA
	Rockdale County, GA
	Spalding County, GA
	Walton County, GA
12100	Atlantic City, NJ	1.1831
	Atlantic County, NJ
12220	Auburn-Opelika, AL	0.8096
	Lee County, AL
12260	Augusta-Richmond County, GA-SC	0.9667
	Burke County, GA
	Columbia County, GA
	McDuffie County, GA
	Richmond County, GA
	Aiken County, SC
	Edgefield County, SC
12420	Austin-Round Rock, TX	0.9344
	Bastrop County, TX
	Caldwell County, TX
	Hays County, TX
	Travis County, TX
	Williamson County, TX
12540	Bakersfield, CA	1.0725
	Kern County, CA
12580	Baltimore-Towson, MD	1.0088
	Anne Arundel County, MD
	Baltimore County, MD
	Carroll County, MD
	Harford County, MD
	Howard County, MD
	Queen Anne's County, MD
	Baltimore City, MD
12620	Bangor, ME	0.9711
	Penobscot County, ME
12700	Barnstable Town, MA	1.2539
	Barnstable County, MA
12940	Baton Rouge, LA	0.8084
	Ascension Parish, LA
	East Baton Rouge Parish, LA
	East Feliciana Parish, LA
	Iberville Parish, LA
	Livingston Parish, LA
	Pointe Coupee Parish, LA
	St. Helena Parish, LA
	West Baton Rouge Parish, LA
	West Feliciana Parish, LA
12980	Battle Creek, MI	0.9762
	Calhoun County, MI
13020	Bay City, MI	0.9251
	Bay County, MI
13140	Beaumont-Port Arthur, TX	0.8595
	Hardin County, TX
	Jefferson County, TX
	Orange County, TX
13380	Bellingham, WA	1.1104
	Whatcom County, WA
13460	Bend, OR	1.0743
	Deschutes County, OR
13644	Bethesda-Frederick-Gaithersburg, MD	1.0903
	Frederick County, MD
	Montgomery County, MD
13740	Billings, MT	0.8712
	Carbon County, MT
	Yellowstone County, MT
13780	Binghamton, NY	0.8786
	Broome County, NY
	Tioga County, NY
13820	Birmingham-Hoover, AL	0.8894
	Bibb County, AL
	Blount County, AL
	Chilton County, AL
	Jefferson County, AL
	St. Clair County, AL
	Shelby County, AL
	Walker County, AL
13900	Bismarck, ND	0.7240
	Burleigh County, ND
	Morton County, ND
13980	Blacksburg-Christiansburg-Radford, VA	0.8213
	Giles County, VA
	Montgomery County, VA
	Pulaski County, VA
	Radford City, VA
14020	Bloomington, IN	0.8533
	Greene County, IN
	Monroe County, IN
	Owen County, IN
14060	Bloomington-Normal, IL	0.8944
	McLean County, IL
14260	Boise City-Nampa, ID	0.9401
	Ada County, ID
	Boise County, ID
	Canyon County, ID
	Gem County, ID
	Owyhee County, ID
14484	Boston-Quincy, MA	1.1679
	Norfolk County, MA
	Plymouth County, MA
	Suffolk County, MA
14500	Boulder, CO	1.0350
	Boulder County, CO
14540	Bowling Green, KY	0.8148
	Edmonson County, KY
	Warren County, KY
14740	Bremerton-Silverdale, WA	1.0913
	Kitsap County, WA
14860	Bridgeport-Stamford-Norwalk, CT	1.2659
	Fairfield County, CT
15180	Brownsville-Harlingen, TX	0.9430
	Cameron County, TX
15260	Brunswick, GA	1.0164
	Brantley County, GA
	Glynn County, GA
	McIntosh County, GA
15380	Buffalo-Niagara Falls, NY	0.9424
	Erie County, NY
	Niagara County, NY
15500	Burlington, NC	0.8674
	Alamance County, NC
15540	Burlington-South Burlington, VT	0.9474
	Chittenden County, VT
	Franklin County, VT
	Grand Isle County, VT
15764	Cambridge-Newton-Framingham, MA	1.0970
	Middlesex County, MA
15804	Camden, NJ	1.0392
	Burlington County, NJ
	Camden County, NJ
	Gloucester County, NJ
15940	Canton-Massillon, OH	0.9031
	Carroll County, OH
	Stark County, OH
15980	Cape Coral-Fort Myers, FL	0.9342
	Lee County, FL
16180	Carson City, NV	1.0025
	Carson City, NV
16220	Casper, WY	0.9145
	Natrona County, WY
16300	Cedar Rapids, IA	0.8888
	Benton County, IA
	Jones County, IA
	Linn County, IA
16580	Champaign-Urbana, IL	0.9644
	Champaign County, IL
	Ford County, IL
	Piatt County, IL
16620	Charleston, WV	0.8542
	Boone County, WV
	Clay County, WV
	Kanawha County, WV
	Lincoln County, WV
	Putnam County, WV
16700	Charleston-North Charleston, SC	0.9145
	Berkeley County, SC
	Charleston County, SC
	Dorchester County, SC
16740	Charlotte-Gastonia-Concord, NC-SC	0.9554
	Anson County, NC
	Cabarrus County, NC
	Gaston County, NC
	Mecklenburg County, NC
	Union County, NC
	York County, SC
16820	Charlottesville, VA	1.0125
	Albemarle County, VA
	Fluvanna County, VA
	Greene County, VA
	Nelson County, VA
	Charlottesville City, VA
16860	Chattanooga, TN-GA	0.8948
	Catoosa County, GA
	Dade County, GA
	Walker County, GA
	Hamilton County, TN
	Marion County, TN
	Sequatchie County, TN
16940	Cheyenne, WY	0.9060
	Laramie County, WY
16974	Chicago-Naperville-Joliet, IL	1.0751
	Cook County, IL
	DeKalb County, IL
	DuPage County, IL
	Grundy County, IL
	Kane County, IL
	Kendall County, IL
	McHenry County, IL
	Will County, IL
17020	Chico, CA	1.1053
	Butte County, CA
17140	Cincinnati-Middletown, OH-KY-IN	0.9601
	Dearborn County, IN
	Franklin County, IN
	Ohio County, IN
	Boone County, KY
	Bracken County, KY
	Campbell County, KY
	Gallatin County, KY
	Grant County, KY
	Kenton County, KY
	Pendleton County, KY
	Brown County, OH
	Butler County, OH
	Clermont County, OH
	Hamilton County, OH
	Warren County, OH
17300	Clarksville, TN-KY	0.8436
	Christian County, KY
	Trigg County, KY
	Montgomery County, TN
	Stewart County, TN
17420	Cleveland, TN	0.8109
	Bradley County, TN
	Polk County, TN
17460	Cleveland-Elyria-Mentor, OH	0.9400
	Cuyahoga County, OH
	Geauga County, OH
	Lake County, OH
	Lorain County, OH
	Medina County, OH
17660	Coeur d'Alene, ID	0.9344
	Kootenai County, ID
17780	College Station-Bryan, TX	0.9045
	Brazos County, TX
	Burleson County, TX
	Robertson County, TX
17820	Colorado Springs, CO	0.9701
	El Paso County, CO
	Teller County, CO
17860	Columbia, MO	0.8542
	Boone County, MO
	Howard County, MO
17900	Columbia, SC	0.8933
	Calhoun County, SC
	Fairfield County, SC
	Kershaw County, SC
	Lexington County, SC
	Richland County, SC
	Saluda County, SC
17980	Columbus, GA-AL	0.8239
	Russell County, AL
	Chattahoochee County, GA
	Harris County, GA
	Marion County, GA
	Muscogee County, GA
18020	Columbus, IN	0.9318
	Bartholomew County, IN
18140	Columbus, OH	1.0107
	Delaware County, OH
	Fairfield County, OH
	Franklin County, OH
	Licking County, OH
	Madison County, OH
	Morrow County, OH
	Pickaway County, OH
	Union County, OH
18580	Corpus Christi, TX	0.8564
	Aransas County, TX
	Nueces County, TX
	San Patricio County, TX
18700	Corvallis, OR	1.1546
	Benton County, OR
19060	Cumberland, MD-WV	0.8446
	Allegany County, MD
	Mineral County, WV
19124	Dallas-Plano-Irving, TX	1.0075
	Collin County, TX
	Dallas County, TX
	Delta County, TX
	Denton County, TX
	Ellis County, TX
	Hunt County, TX
	Kaufman County, TX
	Rockwall County, TX
19140	Dalton, GA	0.9093
	Murray County, GA
	Whitfield County, GA
19180	Danville, IL	0.9266
	Vermilion County, IL
19260	Danville, VA	0.8451
	Pittsylvania County, VA
	Danville City, VA
19340	Davenport-Moline-Rock Island, IA-IL	0.8846
	Henry County, IL
	Mercer County, IL
	Rock Island County, IL
	Scott County, IA
19380	Dayton, OH	0.9037
	Greene County, OH
	Miami County, OH
	Montgomery County, OH
	Preble County, OH
19460	Decatur, AL	0.8159
	Lawrence County, AL
	Morgan County, AL
19500	Decatur, IL	0.8172
	Macon County, IL
19660	Deltona-Daytona Beach-Ormond Beach, FL	0.9263
	Volusia County, FL
19740	Denver-Aurora, CO	1.0930
	Adams County, CO
	Arapahoe County, CO
	Broomfield County, CO
	Clear Creek County, CO
	Denver County, CO
	Douglas County, CO
	Elbert County, CO
	Gilpin County, CO
	Jefferson County, CO
	Park County, CO
19780	Des Moines-West Des Moines, IA	0.9214
	Dallas County, IA
	Guthrie County, IA
	Madison County, IA
	Polk County, IA
	Warren County, IA
19804	Detroit-Livonia-Dearborn, MI	1.0281
	Wayne County, MI
20020	Dothan, AL	0.7381
	Geneva County, AL
	Henry County, AL
	Houston County, AL
20100	Dover, DE	0.9847
	Kent County, DE
20220	Dubuque, IA	0.9133
	Dubuque County, IA
20260	Duluth, MN-WI	1.0042
	Carlton County, MN
	St. Louis County, MN
	Douglas County, WI
20500	Durham, NC	0.9826
	Chatham County, NC
	Durham County, NC
	Orange County, NC
	Person County, NC
20740	Eau Claire, WI	0.9630
	Chippewa County, WI
	Eau Claire County, WI
20764	Edison, NJ	1.1190
	Middlesex County, NJ
	Monmouth County, NJ
	Ocean County, NJ
	Somerset County, NJ
20940	El Centro, CA	0.9076
	Imperial County, CA
21060	Elizabethtown, KY	0.8697
	Hardin County, KY
	Larue County, KY
21140	Elkhart-Goshen, IN	0.9426
	Elkhart County, IN
21300	Elmira, NY	0.8240
	Chemung County, NY
21340	El Paso, TX	0.9053
	El Paso County, TX
21500	Erie, PA	0.8827
	Erie County, PA
21604	Essex County, MA	1.0418
	Essex County, MA
21660	Eugene-Springfield, OR	1.0876
	Lane County, OR
21780	Evansville, IN-KY	0.9071
	Gibson County, IN
	Posey County, IN
	Vanderburgh County, IN
	Warrick County, IN
	Henderson County, KY
	Webster County, KY
21820	Fairbanks, AK	1.1059
	Fairbanks North Star Borough, AK
21940	Fajardo, PR	0.4036
	Ceiba Municipio, PR
	Fajardo Municipio, PR
	Luquillo Municipio, PR
22020	Fargo, ND-MN	0.8250
	Cass County, ND
	Clay County, MN
22140	Farmington, NM	0.8589
	San Juan County, NM
22180	Fayetteville, NC	0.8945
	Cumberland County, NC
	Hoke County, NC
22220	Fayetteville-Springdale-Rogers, AR-MO	0.8865
	Benton County, AR
	Madison County, AR
	Washington County, AR
	McDonald County, MO
22380	Flagstaff, AZ	1.1601
	Coconino County, AZ
22420	Flint, MI	1.0969
	Genesee County, MI
22500	Florence, SC	0.8388
	Darlington County, SC
	Florence County, SC
22520	Florence-Muscle Shoals, AL	0.7843
	Colbert County, AL
	Lauderdale County, AL
22540	Fond du Lac, WI	1.0063
	Fond du Lac County, WI
22660	Fort Collins-Loveland, CO	0.9544
	Larimer County, CO
22744	Fort Lauderdale-Pompano Beach-Deerfield Beach, FL	1.0133
	Broward County, FL
22900	Fort Smith, AR-OK	0.7731
	Crawford County, AR
	Franklin County, AR
	Sebastian County, AR
	Le Flore County, OK
	Sequoyah County, OK
23020	Fort Walton Beach-Crestview-Destin, FL	0.8643
	Okaloosa County, FL
23060	Fort Wayne, IN	0.9517
	Allen County, IN
	Wells County, IN
	Whitley County, IN
23104	Fort Worth-Arlington, TX	0.9569
	Johnson County, TX
	Parker County, TX
	Tarrant County, TX
	Wise County, TX
23420	Fresno, CA	1.0943
	Fresno County, CA
23460	Gadsden, AL	0.8066
	Etowah County, AL
23540	Gainesville, FL	0.9277
	Alachua County, FL
	Gilchrist County, FL
23580	Gainesville, GA	0.8958
	Hall County, GA
23844	Gary, IN	0.9334
	Jasper County, IN
	Lake County, IN
	Newton County, IN
	Porter County, IN
24020	Glens Falls, NY	0.8324
	Warren County, NY
	Washington County, NY
24140	Goldsboro, NC	0.9171
	Wayne County, NC
24220	Grand Forks, ND-MN	0.7949
	Polk County, MN
	Grand Forks County, ND
24300	Grand Junction, CO	0.9668
	Mesa County, CO
24340	Grand Rapids-Wyoming, MI	0.9455
	Barry County, MI
	Ionia County, MI
	Kent County, MI
	Newaygo County, MI
24500	Great Falls, MT	0.8598
	Cascade County, MT
24540	Greeley, CO	0.9602
	Weld County, CO
24580	Green Bay, WI	0.9787
	Brown County, WI
	Kewaunee County, WI
	Oconto County, WI
24660	Greensboro-High Point, NC	0.8866
	Guilford County, NC
	Randolph County, NC
	Rockingham County, NC
24780	Greenville, NC	0.9432
	Greene County, NC
	Pitt County, NC
24860	Greenville, SC	0.9804
	Greenville County, SC
	Laurens County, SC
	Pickens County, SC
25020	Guayama, PR	0.3235
	Arroyo Municipio, PR
	Guayama Municipio, PR
	Patillas Municipio, PR
25060	Gulfport-Biloxi, MS	0.8915
	Hancock County, MS
	Harrison County, MS
	Stone County, MS
25180	Hagerstown-Martinsburg, MD-WV	0.9038
	Washington County, MD
	Berkeley County, WV
	Morgan County, WV
25260	Hanford-Corcoran, CA	1.0282
	Kings County, CA
25420	Harrisburg-Carlisle, PA	0.9402
	Cumberland County, PA
	Dauphin County, PA
	Perry County, PA
25500	Harrisonburg, VA	0.9073
	Rockingham County, VA
	Harrisonburg City, VA
25540	Hartford-West Hartford-East Hartford, CT	1.0894
	Hartford County, CT
	Litchfield County, CT
	Middlesex County, CT
	Tolland County, CT
25620	Hattiesburg, MS	0.7430
	Forrest County, MS
	Lamar County, MS
	Perry County, MS
25860	Hickory-Lenoir-Morganton, NC	0.9010
	Alexander County, NC
	Burke County, NC
	Caldwell County, NC
	Catawba County, NC
25980	Hinesville-Fort Stewart, GA1	0.9177
	Liberty County, GA
	Long County, GA
26100	Holland-Grand Haven, MI	0.9163
	Ottawa County, MI
26180	Honolulu, HI	1.1096
	Honolulu County, HI
26300	Hot Springs, AR	0.8782
	Garland County, AR
26380	Houma-Bayou Cane-Thibodaux, LA	0.8082
	Lafourche Parish, LA
	Terrebonne Parish, LA
26420	Houston-Sugar Land-Baytown, TX	1.0008
	Austin County, TX
	Brazoria County, TX
	Chambers County, TX
	Fort Bend County, TX
	Galveston County, TX
	Harris County, TX
	Liberty County, TX
	Montgomery County, TX
	San Jacinto County, TX
	Waller County, TX
26580	Huntington-Ashland, WV-KY-OH	0.8997
	Boyd County, KY
	Greenup County, KY
	Lawrence County, OH
	Cabell County, WV
	Wayne County, WV
26620	Huntsville, AL	0.9007
	Limestone County, AL
	Madison County, AL
26820	Idaho Falls, ID	0.9088
	Bonneville County, ID
	Jefferson County, ID
26900	Indianapolis-Carmel, IN	0.9895
	Boone County, IN
	Brown County, IN
	Hamilton County, IN
	Hancock County, IN
	Hendricks County, IN
	Johnson County, IN
	Marion County, IN
	Morgan County, IN
	Putnam County, IN
	Shelby County, IN
26980	Iowa City, IA	0.9714
	Johnson County, IA
	Washington County, IA
27060	Ithaca, NY	0.9928
	Tompkins County, NY
27100	Jackson, MI	0.9560
	Jackson County, MI
27140	Jackson, MS	0.8271
	Copiah County, MS
	Hinds County, MS
	Madison County, MS
	Rankin County, MS
	Simpson County, MS
27180	Jackson, TN	0.8853
	Chester County, TN
	Madison County, TN
27260	Jacksonville, FL	0.9165
	Baker County, FL
	Clay County, FL
	Duval County, FL
	Nassau County, FL
	St. Johns County, FL
27340	Jacksonville, NC	0.8231
	Onslow County, NC
27500	Janesville, WI	0.9655
	Rock County, WI
27620	Jefferson City, MO	0.8332
	Callaway County, MO
	Cole County, MO
	Moniteau County, MO
	Osage County, MO
27740	Johnson City, TN	0.8043
	Carter County, TN
	Unicoi County, TN
	Washington County, TN
27780	Johnstown, PA	0.8620
	Cambria County, PA
27860	Jonesboro, AR	0.7662
	Craighead County, AR
	Poinsett County, AR
27900	Joplin, MO	0.8605
	Jasper County, MO
	Newton County, MO
28020	Kalamazoo-Portage, MI	1.0704
	Kalamazoo County, MI
	Van Buren County, MI
28100	Kankakee-Bradley, IL	1.0083
	Kankakee County, IL
28140	Kansas City, MO-KS	0.9495
	Franklin County, KS
	Johnson County, KS
	Leavenworth County, KS
	Linn County, KS
	Miami County, KS
	Wyandotte County, KS
	Bates County, MO
	Caldwell County, MO
	Cass County, MO
	Clay County, MO
	Clinton County, MO
	Jackson County, MO
	Lafayette County, MO
	Platte County, MO
	Ray County, MO
28420	Kennewick-Richland-Pasco, WA	1.0343
	Benton County, WA
	Franklin County, WA
28660	Killeen-Temple-Fort Hood, TX	0.8901
	Bell County, TX
	Coryell County, TX
	Lampasas County, TX
28700	Kingsport-Bristol-Bristol, TN-VA	0.7985
	Hawkins County, TN
	Sullivan County, TN
	Bristol City, VA
	Scott County, VA
	Washington County, VA
28740	Kingston, NY	0.9367
	Ulster County, NY
28940	Knoxville, TN	0.8249
	Anderson County, TN
	Blount County, TN
	Knox County, TN
	Loudon County, TN
	Union County, TN
29020	Kokomo, IN	0.9669
	Howard County, IN
	Tipton County, IN
29100	La Crosse, WI-MN	0.9426
	Houston County, MN
	La Crosse County, WI
29140	Lafayette, IN	0.8931
	Benton County, IN
	Carroll County, IN
	Tippecanoe County, IN
29180	Lafayette, LA	0.8289
	Lafayette Parish, LA
	St. Martin Parish, LA
29340	Lake Charles, LA	0.7914
	Calcasieu Parish, LA
	Cameron Parish, LA
29404	Lake County-Kenosha County, IL-WI	1.0570
	Lake County, IL
	Kenosha County, WI
29460	Lakeland, FL	0.8879
	Polk County, FL
29540	Lancaster, PA	0.9589
	Lancaster County, PA
29620	Lansing-East Lansing, MI	1.0088
	Clinton County, MI
	Eaton County, MI
	Ingham County, MI
29700	Laredo, TX	0.7811
	Webb County, TX
29740	Las Cruces, NM	0.9273
	Dona Ana County, NM
29820	Las Vegas-Paradise, NV	1.1430
	Clark County, NV
29940	Lawrence, KS	0.8365
	Douglas County, KS
30020	Lawton, OK	0.8065
	Comanche County, OK
30140	Lebanon, PA	0.8679
	Lebanon County, PA
30300	Lewiston, ID-WA	0.9853
	Nez Perce County, ID
	Asotin County, WA
30340	Lewiston-Auburn, ME	0.9126
	Androscoggin County, ME
30460	Lexington-Fayette, KY	0.9181
	Bourbon County, KY
	Clark County, KY
	Fayette County, KY
	Jessamine County, KY
	Scott County, KY
	Woodford County, KY
30620	Lima, OH	0.9042
	Allen County, OH
30700	Lincoln, NE	1.0092
	Lancaster County, NE
	Seward County, NE
30780	Little Rock-North Little Rock, AR	0.8890
	Faulkner County, AR
	Grant County, AR
	Lonoke County, AR
	Perry County, AR
	Pulaski County, AR
	Saline County, AR
30860	Logan, UT-ID	0.9022
	Franklin County, ID
	Cache County, UT
30980	Longview, TX	0.8788
	Gregg County, TX
	Rusk County, TX
	Upshur County, TX
31020	Longview, WA	1.0011
	Cowlitz County, WA
31084	Los Angeles-Long Beach-Glendale, CA	1.1760
	Los Angeles County, CA
31140	Louisville, KY-IN	0.9118
	Clark County, IN
	Floyd County, IN
	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
31180	Lubbock, TX	0.8613
	Crosby County, TX
	Lubbock County, TX
31340	Lynchburg, VA	0.8694
	Amherst County, VA
	Appomattox County, VA
	Bedford County, VA
	Campbell County, VA
	Bedford City, VA
	Lynchburg City, VA
31420	Macon, GA	0.9519
	Bibb County, GA
	Crawford County, GA
	Jones County, GA
	Monroe County, GA
	Twiggs County, GA
31460	Madera, CA	0.8154
	Madera County, CA
31540	Madison, WI	1.0840
	Columbia County, WI
	Dane County, WI
	Iowa County, WI
31700	Manchester-Nashua, NH	1.0243
	Hillsborough County, NH
	Merrimack County, NH
31900	Mansfield, OH1	0.9271
	Richland County, OH
32420	Mayaguéz, PR	0.3848
	Hormigueros Municipio, PR
	Mayagüez Municipio, PR
32580	McAllen-Edinburg-Pharr, TX	0.8773
	Hidalgo County, TX
32780	Medford, OR	1.0818
	Jackson County, OR
32820	Memphis, TN-MS-AR	0.9373
	Crittenden County, AR
	DeSoto County, MS
	Marshall County, MS
	Tate County, MS
	Tunica County, MS
	Fayette County, TN
	Shelby County, TN
	Tipton County, TN
32900	Merced, CA	1.1471
	Merced County, CA
33124	Miami-Miami Beach-Kendall, FL	0.9812
	Miami-Dade County, FL
33140	Michigan City-La Porte, IN	0.9118
	LaPorte County, IN
33260	Midland, TX	0.9786
	Midland County, TX
33340	Milwaukee-Waukesha-West Allis, WI	1.0218
	Milwaukee County, WI
	Ozaukee County, WI
	Washington County, WI
	Waukesha County, WI
33460	Minneapolis-St. Paul-Bloomington, MN-WI	1.0946
	Anoka County, MN
	Carver County, MN
	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
33540	Missoula, MT	0.8928
	Missoula County, MT
33660	Mobile, AL	0.7913
	Mobile County, AL
33700	Modesto, CA	1.1729
	Stanislaus County, CA
33740	Monroe, LA	0.7997
	Ouachita Parish, LA
	Union Parish, LA
33780	Monroe, MI	0.9707
	Monroe County, MI
33860	Montgomery, AL	0.8009
	Autauga County, AL
	Elmore County, AL
	Lowndes County, AL
	Montgomery County, AL
34060	Morgantown, WV	0.8423
	Monongalia County, WV
	Preston County, WV
34100	Morristown, TN	0.7933
	Grainger County, TN
	Hamblen County, TN
	Jefferson County, TN
34580	Mount Vernon-Anacortes, WA	1.0517
	Skagit County, WA
34620	Muncie, IN	0.8562
	Delaware County, IN
34740	Muskegon-Norton Shores, MI	0.9941
	Muskegon County, MI
34820	Myrtle Beach-Conway-North Myrtle Beach, SC	0.8810
	Horry County, SC
34900	Napa, CA	1.3374
	Napa County, CA
34940	Naples-Marco Island, FL	0.9941
	Collier County, FL
34980	Nashville-Davidson—Murfreesboro, TN	0.9847
	Cannon County, TN
	Cheatham County, TN
	Davidson County, TN
	Dickson County, TN
	Hickman County, TN
	Macon County, TN
	Robertson County, TN
	Rutherford County, TN
	Smith County, TN
	Sumner County, TN
	Trousdale County, TN
	Williamson County, TN
	Wilson County, TN
35004	Nassau-Suffolk, NY	1.2662
	Nassau County, NY
	Suffolk County, NY
35084	Newark-Union, NJ-PA	1.1892
	Essex County, NJ
	Hunterdon County, NJ
	Morris County, NJ
	Sussex County, NJ
	Union County, NJ
	Pike County, PA
35300	New Haven-Milford, CT	1.1953
	New Haven County, CT
35380	New Orleans-Metairie-Kenner, LA	0.8831
	Jefferson Parish, LA
	Orleans Parish, LA
	Plaquemines Parish, LA
	St. Bernard Parish, LA
	St. Charles Parish, LA
	St. John the Baptist Parish, LA
	St. Tammany Parish, LA
35644	New York-Wayne-White Plains, NY-NJ	1.3177
	Bergen County, NJ
	Hudson County, NJ
	Passaic County, NJ
	Bronx County, NY
	Kings County, NY
	New York County, NY
	Putnam County, NY
	Queens County, NY
	Richmond County, NY
	Rockland County, NY
	Westchester County, NY
35660	Niles-Benton Harbor, MI	0.8915
	Berrien County, MI
35980	Norwich-New London, CT	1.1932
	New London County, CT
36084	Oakland-Fremont-Hayward, CA	1.5819
	Alameda County, CA
	Contra Costa County, CA
36100	Ocala, FL	0.8867
	Marion County, FL
36140	Ocean City, NJ	1.0472
	Cape May County, NJ
36220	Odessa, TX	1.0073
	Ector County, TX
36260	Ogden-Clearfield, UT	0.8995
	Davis County, UT
	Morgan County, UT
	Weber County, UT
36420	Oklahoma City, OK	0.8843
	Canadian County, OK
	Cleveland County, OK
	Grady County, OK
	Lincoln County, OK
	Logan County, OK
	McClain County, OK
	Oklahoma County, OK
36500	Olympia, WA	1.1081
	Thurston County, WA
36540	Omaha-Council Bluffs, NE-IA	0.9450
	Harrison County, IA
	Mills County, IA
	Pottawattamie County, IA
	Cass County, NE
	Douglas County, NE
	Sarpy County, NE
	Saunders County, NE
	Washington County, NE
36740	Orlando, FL	0.9452
	Lake County, FL
	Orange County, FL
	Osceola County, FL
	Seminole County, FL
36780	Oshkosh-Neenah, WI	0.9315
	Winnebago County, WI
36980	Owensboro, KY	0.8748
	Daviess County, KY
	Hancock County, KY
	McLean County, KY
37100	Oxnard-Thousand Oaks-Ventura, CA	1.1546
	Ventura County, CA
37340	Palm Bay-Melbourne-Titusville, FL	0.9443
	Brevard County, FL
37460	Panama City-Lynn Haven, FL	0.8027
	Bay County, FL
37620	Parkersburg-Marietta, WV-OH	0.7977
	Washington County, OH
	Pleasants County, WV
	Wirt County, WV
	Wood County, WV
37700	Pascagoula, MS	0.8215
	George County, MS
	Jackson County, MS
37860	Pensacola-Ferry Pass-Brent, FL	0.8000
	Escambia County, FL
	Santa Rosa County, FL
37900	Peoria, IL	0.8982
	Marshall County, IL
	Peoria County, IL
	Stark County, IL
	Tazewell County, IL
	Woodford County, IL
37964	Philadelphia, PA	1.0996
	Bucks County, PA
	Chester County, PA
	Delaware County, PA
	Montgomery County, PA
	Philadelphia County, PA
38060	Phoenix-Mesa-Scottsdale, AZ	1.0287
	Maricopa County, AZ
	Pinal County, AZ
38220	Pine Bluff, AR	0.8383
	Cleveland County, AR
	Jefferson County, AR
	Lincoln County, AR
38300	Pittsburgh, PA	0.8674
	Allegheny County, PA
	Armstrong County, PA
	Beaver County, PA
	Butler County, PA
	Fayette County, PA
	Washington County, PA
	Westmoreland County, PA
38340	Pittsfield, MA	1.0266
	Berkshire County, MA
38540	Pocatello, ID	0.9400
	Bannock County, ID
	Power County, ID
38660	Ponce, PR	0.4842
	Juana Díaz Municipio, PR
	Ponce Municipio, PR
	Villalba Municipio, PR
38860	Portland-South Portland-Biddeford, ME	0.9908
	Cumberland County, ME
	Sagadahoc County, ME
	York County, ME
38900	Portland-Vancouver-Beaverton, OR-WA	1.1416
	Clackamas County, OR
	Columbia County, OR
	Multnomah County, OR
	Washington County, OR
	Yamhill County, OR
	Clark County, WA
	Skamania County, WA
38940	Port St. Lucie-Fort Pierce, FL	0.9833
	Martin County, FL
	St. Lucie County, FL
39100	Poughkeepsie-Newburgh-Middletown, NY	1.0911
	Dutchess County, NY
	Orange County, NY
39140	Prescott, AZ	0.9836
	Yavapai County, AZ
39300	Providence-New Bedford-Fall River, RI-MA	1.0783
	Bristol County, MA
	Bristol County, RI
	Kent County, RI
	Newport County, RI
	Providence County, RI
	Washington County, RI
39340	Provo-Orem, UT	0.9537
	Juab County, UT
	Utah County, UT
39380	Pueblo, CO	0.8753
	Pueblo County, CO
39460	Punta Gorda, FL	0.9405
	Charlotte County, FL
39540	Racine, WI	0.9356
	Racine County, WI
39580	Raleigh-Cary, NC	0.9864
	Franklin County, NC
	Johnston County, NC
	Wake County, NC
39660	Rapid City, SD	0.8833
	Meade County, SD
	Pennington County, SD
39740	Reading, PA	0.9622
	Berks County, PA
39820	Redding, CA	1.3198
	Shasta County, CA
39900	Reno-Sparks, NV	1.1963
	Storey County, NV
	Washoe County, NV
40060	Richmond, VA	0.9177
	Amelia County, VA
	Caroline County, VA
	Charles City County, VA
	Chesterfield County, VA
	Cumberland County, VA
	Dinwiddie County, VA
	Goochland County, VA
	Hanover County, VA
	Henrico County, VA
	King and Queen County, VA
	King William County, VA
	Louisa County, VA
	New Kent County, VA
	Powhatan County, VA
	Prince George County, VA
	Sussex County, VA
	Colonial Heights City, VA
	Hopewell City, VA
	Petersburg City, VA
	Richmond City, VA
40140	Riverside-San Bernardino-Ontario, CA	1.0904
	Riverside County, CA
	San Bernardino County, CA
40220	Roanoke, VA	0.8647
	Botetourt County, VA
	Craig County, VA
	Franklin County, VA
	Roanoke County, VA
	Roanoke City, VA
	Salem City, VA
40340	Rochester, MN	1.1408
	Dodge County, MN
	Olmsted County, MN
	Wabasha County, MN
40380	Rochester, NY	0.8994
	Livingston County, NY
	Monroe County, NY
	Ontario County, NY
	Orleans County, NY
	Wayne County, NY
40420	Rockford, IL	0.9989
	Boone County, IL
	Winnebago County, IL
40484	Rockingham County-Strafford County, NH	1.0159
	Rockingham County, NH
	Strafford County, NH
40580	Rocky Mount, NC	0.8854
	Edgecombe County, NC
	Nash County, NC
40660	Rome, GA	0.9193
	Floyd County, GA
40900	Sacramento—Arden-Arcade—Roseville, CA	1.3372
	El Dorado County, CA
	Placer County, CA
	Sacramento County, CA
	Yolo County, CA
40980	Saginaw-Saginaw Township North, MI	0.8874
	Saginaw County, MI
41060	St. Cloud, MN	1.0362
	Benton County, MN
	Stearns County, MN
41100	St. George, UT	0.9265
	Washington County, UT
41140	St. Joseph, MO-KS	1.0118
	Doniphan County, KS
	Andrew County, MO
	Buchanan County, MO
	DeKalb County, MO
41180	St. Louis, MO-IL	0.9005
	Bond County, IL
	Calhoun County, IL
	Clinton County, IL
	Jersey County, IL
	Macoupin County, IL
	Madison County, IL
	Monroe County, IL
	St. Clair County, IL
	Crawford County, MO
	Franklin County, MO
	Jefferson County, MO
	Lincoln County, MO
	St. Charles County, MO
	St. Louis County, MO
	Warren County, MO
	Washington County, MO
	St. Louis City, MO
41420	Salem, OR	1.0438
	Marion County, OR
	Polk County, OR
41500	Salinas, CA	1.4337
	Monterey County, CA
41540	Salisbury, MD	0.8953
	Somerset County, MD
	Wicomico County, MD
41620	Salt Lake City, UT	0.9402
	Salt Lake County, UT
	Summit County, UT
	Tooele County, UT
41660	San Angelo, TX	0.8362
	Irion County, TX
	Tom Green County, TX
41700	San Antonio, TX	0.8844
	Atascosa County, TX
	Bandera County, TX
	Bexar County, TX
	Comal County, TX
	Guadalupe County, TX
	Kendall County, TX
	Medina County, TX
	Wilson County, TX
41740	San Diego-Carlsbad-San Marcos, CA	1.1354
	San Diego County, CA
41780	Sandusky, OH	0.9302
	Erie County, OH
41884	San Francisco-San Mateo-Redwood City, CA	1.5165
	Marin County, CA
	San Francisco County, CA
	San Mateo County, CA
41900	San Germán-Cabo Rojo, PR	0.4885
	Cabo Rojo Municipio, PR
	Lajas Municipio, PR
	Sabana Grande Municipio, PR
	San Germán Municipio, PR
41940	San Jose-Sunnyvale-Santa Clara, CA	1.5543
	San Benito County, CA
	Santa Clara County, CA
41980	San Juan-Caguas-Guaynabo, PR	0.4452
	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
42020	San Luis Obispo-Paso Robles, CA	1.1598
	San Luis Obispo County, CA
42044	Santa Ana-Anaheim-Irvine, CA	1.1473
	Orange County, CA
42060	Santa Barbara-Santa Maria-Goleta, CA	1.1091
	Santa Barbara County, CA
42100	Santa Cruz-Watsonville, CA	1.5457
	Santa Cruz County, CA
42140	Santa Fe, NM	1.0824
	Santa Fe County, NM
42220	Santa Rosa-Petaluma, CA	1.4464
	Sonoma County, CA
42260	Sarasota-Bradenton-Venice, FL	0.9868
	Manatee County, FL
	Sarasota County, FL
42340	Savannah, GA	0.9351
	Bryan County, GA
	Chatham County, GA
	Effingham County, GA
42540	Scranton—Wilkes-Barre, PA	0.8347
	Lackawanna County, PA
	Luzerne County, PA
	Wyoming County, PA
42644	Seattle-Bellevue-Everett, WA	1.1434
	King County, WA
	Snohomish County, WA
42680	Sebastian-Vero Beach, FL	0.9573
	Indian River County, FL
43100	Sheboygan, WI	0.9026
	Sheboygan County, WI
43300	Sherman-Denison, TX	0.8502
	Grayson County, TX
43340	Shreveport-Bossier City, LA	0.8865
	Bossier Parish, LA
	Caddo Parish, LA
	De Soto Parish, LA
43580	Sioux City, IA-NE-SD	0.9200
	Woodbury County, IA
	Dakota County, NE
	Dixon County, NE
	Union County, SD
43620	Sioux Falls, SD	0.9559
	Lincoln County, SD
	McCook County, SD
	Minnehaha County, SD
	Turner County, SD
43780	South Bend-Mishawaka, IN-MI	0.9842
	St. Joseph County, IN
	Cass County, MI
43900	Spartanburg, SC	0.9174
	Spartanburg County, SC
44060	Spokane, WA	1.0447
	Spokane County, WA
44100	Springfield, IL	0.8890
	Menard County, IL
	Sangamon County, IL
44140	Springfield, MA	1.0079
	Franklin County, MA
	Hampden County, MA
	Hampshire County, MA
44180	Springfield, MO	0.8469
	Christian County, MO
	Dallas County, MO
	Greene County, MO
	Polk County, MO
	Webster County, MO
44220	Springfield, OH	0.8593
	Clark County, OH
44300	State College, PA	0.8784
	Centre County, PA
44700	Stockton, CA	1.1442
	San Joaquin County, CA
44940	Sumter, SC	0.8083
	Sumter County, SC
45060	Syracuse, NY	0.9691
	Madison County, NY
	Onondaga County, NY
	Oswego County, NY
45104	Tacoma, WA	1.0789
	Pierce County, WA
45220	Tallahassee, FL	0.8942
	Gadsden County, FL
	Jefferson County, FL
	Leon County, FL
	Wakulla County, FL
45300	Tampa-St. Petersburg-Clearwater, FL	0.9144
	Hernando County, FL
	Hillsborough County, FL
	Pasco County, FL
	Pinellas County, FL
45460	Terre Haute, IN	0.8765
	Clay County, IN
	Sullivan County, IN
	Vermillion County, IN
	Vigo County, IN
45500	Texarkana, TX-Texarkana, AR	0.8104
	Miller County, AR
	Bowie County, TX
45780	Toledo, OH	0.9586
	Fulton County, OH
	Lucas County, OH
	Ottawa County, OH
	Wood County, OH
45820	Topeka, KS	0.8730
	Jackson County, KS
	Jefferson County, KS
	Osage County, KS
	Shawnee County, KS
	Wabaunsee County, KS
45940	Trenton-Ewing, NJ	1.0835
	Mercer County, NJ
46060	Tucson, AZ	0.9202
	Pima County, AZ
46140	Tulsa, OK	0.8103
	Creek County, OK
	Okmulgee County, OK
	Osage County, OK
	Pawnee County, OK
	Rogers County, OK
	Tulsa County, OK
	Wagoner County, OK
46220	Tuscaloosa, AL	0.8542
	Greene County, AL
	Hale County, AL
	Tuscaloosa County, AL
46340	Tyler, TX	0.8811
	Smith County, TX
46540	Utica-Rome, NY	0.8396
	Herkimer County, NY
	Oneida County, NY
46660	Valdosta, GA	0.8369
	Brooks County, GA
	Echols County, GA
	Lanier County, GA
	Lowndes County, GA
46700	Vallejo-Fairfield, CA	1.5137
	Solano County, CA
47020	Victoria, TX	0.8560
	Calhoun County, TX
	Goliad County, TX
	Victoria County, TX
47220	Vineland-Millville-Bridgeton, NJ	0.9832
	Cumberland County, NJ
47260	Virginia Beach-Norfolk-Newport News, VA-NC	0.8790
	Currituck County, NC
	Gloucester County, VA
	Isle of Wight County, VA
	James City County, VA
	Mathews County, VA
	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
47300	Visalia-Porterville, CA	0.9968
	Tulare County, CA
47380	Waco, TX	0.8633
	McLennan County, TX
47580	Warner Robins, GA	0.8380
	Houston County, GA
47644	Warren-Troy-Farmington Hills, MI	1.0054
	Lapeer County, MI
	Livingston County, MI
	Macomb County, MI
	Oakland County, MI
	St. Clair County, MI
47894	Washington-Arlington-Alexandria, DC-VA-MD-WV	1.1054
	District of Columbia, DC
	Calvert County, MD
	Charles County, MD
	Prince George's County, MD
	Arlington County, VA
	Clarke County, VA
	Fairfax County, VA
	Fauquier County, VA
	Loudoun County, VA
	Prince William County, VA
	Spotsylvania County, VA
	Stafford County, VA
	Warren County, VA
	Alexandria City, VA
	Fairfax City, VA
	Falls Church City, VA
	Fredericksburg City, VA
	Manassas City, VA
	Manassas Park City, VA
	Jefferson County, WV
47940	Waterloo-Cedar Falls, IA	0.8408
	Black Hawk County, IA
	Bremer County, IA
	Grundy County, IA
48140	Wausau, WI	0.9722
	Marathon County, WI
48260	Weirton-Steubenville, WV-OH	0.8063
	Jefferson County, OH
	Brooke County, WV
	Hancock County, WV
48300	Wenatchee, WA	1.0346
	Chelan County, WA
	Douglas County, WA
48424	West Palm Beach-Boca Raton-Boynton Beach, FL	0.9649
	Palm Beach County, FL
48540	Wheeling, WV-OH	0.7010
	Belmont County, OH
	Marshall County, WV
	Ohio County, WV
48620	Wichita, KS	0.9063
	Butler County, KS
	Harvey County, KS
	Sedgwick County, KS
	Sumner County, KS
48660	Wichita Falls, TX	0.8311
	Archer County, TX
	Clay County, TX
	Wichita County, TX
48700	Williamsport, PA	0.8139
	Lycoming County, PA
48864	Wilmington, DE-MD-NJ	1.0684
	New Castle County, DE
	Cecil County, MD
	Salem County, NJ
48900	Wilmington, NC	0.9835
	Brunswick County, NC
	New Hanover County, NC
	Pender County, NC
49020	Winchester, VA-WV	1.0091
	Frederick County, VA
	Winchester City, VA
	Hampshire County, WV
49180	Winston-Salem, NC	0.9276
	Davie County, NC
	Forsyth County, NC
	Stokes County, NC
	Yadkin County, NC
49340	Worcester, MA	1.0722
	Worcester County, MA
49420	Yakima, WA	0.9847
	Yakima County, WA
49500	Yauco, PR	0.3854
	Guánica Municipio, PR
	Guayanilla Municipio, PR
	Peñuelas Municipio, PR
	Yauco Municipio, PR
49620	York-Hanover, PA	0.9397
	York County, PA
49660	Youngstown-Warren-Boardman, OH-PA	0.8802
	Mahoning County, OH
	Trumbull County, OH
	Mercer County, PA
49700	Yuba City, CA	1.0730
	Sutter County, CA
	Yuba County, CA
49740	Yuma, AZ	0.9109
	Yuma County, AZ
1 At this time, there are no hospitals located in this urban area on which to base a wage index.

Table 9.—FY 2007 Wage Index Based on CBSA Labor Market Areas for Rural Areas

CBSA code	Nonurban area	Wage index
1	Alabama	0.7591
2	Alaska	1.0661
3	Arizona	0.8908
4	Arkansas	0.7307
5	California	1.1454
6	Colorado	0.9325
7	Connecticut	1.1709
8	Delaware	0.9705
10	Florida	0.8594
11	Georgia	0.7593
12	Hawaii	1.0448
13	Idaho	0.8120
14	Illinois	0.8320
15	Indiana	0.8538
16	Iowa	0.8681
17	Kansas	0.7998
18	Kentucky	0.7768
19	Louisiana	0.7438
20	Maine	0.8443
21	Maryland	0.8926
22	Massachusetts 1	1.0216
23	Michigan	0.9062
24	Minnesota	0.9153
25	Mississippi	0.7738
26	Missouri	0.7927
27	Montana	0.8590
28	Nebraska	0.8677
29	Nevada	0.8944
30	New Hampshire	1.0853
31	New Jersey 1
32	New Mexico	0.8332
33	New York	0.8232
34	North Carolina	0.8588
35	North Dakota	0.7215
36	Ohio	0.8658
37	Oklahoma	0.7629
38	Oregon	0.9753
39	Pennsylvania	0.8320
40	Puerto Rico 1	0.4047
41	Rhode Island 1
42	South Carolina	0.8566
43	South Dakota	0.8480
44	Tennessee	0.7827
45	Texas	0.7965
46	Utah	0.8140
47	Vermont	0.9744
48	Virgin Islands	0.8467
49	Virginia	0.7940
50	Washington	1.0263
51	West Virginia	0.7607
52	Wisconsin	0.9553
53	Wyoming	0.9295
65	Guam	0.9611
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 2007. Because more recent data are not available for those areas, we are using last year's wage index value.

III. Waiver of Proposed Rulemaking and Delayed Effective Date

We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a notice such as this take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). We also ordinarily provide a 30-day delay in the effective date of the provisions of a notice in accordance with section 553(d) of the APA (5 U.S.C. 553(d)). However, we can waive both the notice and comment procedure and the 30-day delay in effective date if the Secretary finds, for good cause, that a notice and comment process is impracticable, unnecessary or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the notice.

We find for good cause that it is unnecessary to undertake notice and comment rulemaking because this notice merely provides technical corrections to the 2007 SNF PPS update notice. We are not making substantive changes to our payment methodologies or policies, but rather, are simply implementing correctly the payment methodologies and policies that we previously proposed, received comment on, and subsequently finalized. The public has already had the opportunity to comment on these payment methodologies and policies, and this correction notice is intended solely to ensure that the FY 2007 SNF PPS update notice accurately reflects them. Therefore, we believe that undertaking further notice and comment procedures to incorporate these corrections into the update notice is unnecessary and contrary to the public interest.

Further, we believe a delayed effective date is unnecessary because this correction notice merely corrects inadvertent technical errors. The changes noted above do not make any substantive changes to the SNF PPS payment methodologies or policies. Moreover, we regard imposing a delay in the effective date as being contrary to the public interest. We believe that it is in the public interest for providers to receive appropriate SNF PPS payments in as timely a manner as possible and to ensure that the FY 2007 SNF PPS update notice accurately reflects our payment methodologies, payment rates, and policies. Therefore, we find good cause to waive notice and comment procedures, as well as the 30-day delay in effective date.

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

Dated: September 22, 2006.

Ann C. Agnew,

Executive Secretary to the Department.