[Federal Register Volume 61, Number 127 (Monday, July 1, 1996)]
[Notices]
[Pages 33928-33936]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-16568]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[BPD-847-CN]
RIN 0938-AH34


Medicare Program; Changes to the Hospital Inpatient Prospective 
Payment Systems and Fiscal Year 1997 Rates; Correction

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

ACTION: Correction notice.

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

SUMMARY: On May 31, 1996, we published a proposed rule (61 FR 27444) 
that would revise the Medicare hospital inpatient prospective payment 
systems for operating costs and capital-related costs to implement 
necessary changes arising from our continuing experience with the 
systems. In the addendum to the proposed rule, we announced the 
prospective payment rates for Medicare hospital inpatient services for 
operating costs and capital-related costs that would apply to 
discharges occurring on or after October 1, 1996, and set forth the 
factors for determining the rate-of-increase limits for hospital and 
hospital units excluded from the prospective payment system. This 
notice corrects errors made in that document.

FOR FURTHER INFORMATION CONTACT: Tzvi Hefter, (410) 786-1304.

SUPPLEMENTARY INFORMATION: In the May 31, 1996 proposed rule (61 FR 
27444), we indicated that the addendum would discuss our proposed 
update of the factors for determining the rate-of-increase limits for 
cost reporting periods beginning in Federal fiscal year 1997 for 
hospitals and hospital units excluded from the prospective payment 
system. This discussion was inadvertently omitted from the published 
document.
    In addition, there were errors in our calculations of the 
Geographic Adjustment Factors (GAFs) in tables 4a and 4b. The tables 
are reprinted in their entirety in this document. The GAFs set forth in 
table 4c are correct.
    The proposed rule also contained other technical and typographical 
errors. Therefore, we are making the following corrections to the May 
31, 1996 proposed rule:
    1. On page 27474, in the table entitled Initial Residency Period, 
after ``Allopathy'' and before ``ANESTHESIOLOGY'' insert the following 
row:

ALLERGY AND IMMUNOLOGY...............................................3.

    2. On page 27504, in the second column before ``V. Tables'', the 
following information should be inserted:

IV. Proposed Rate-of-Increase Percentages for Excluded Hospitals and 
Hospital Units

    The inpatient operating costs of hospitals and hospital units 
excluded from the prospective payment system are subject to rate-of-
increase limits established under the authority of section 1886(b) of 
the Act, which is implemented in Sec. 413.40 of the regulations. Under 
these limits, an annual target amount (expressed in terms of the 
inpatient operating cost per discharge) is set for each hospital, based 
on the hospital's own historical cost experience trended forward by the 
applicable rate-of-increase percentages (update factors). The target 
amount is multiplied by the number of Medicare discharges in a 
hospital's cost reporting period, yielding the ceiling on aggregate 
Medicare inpatient operating costs for the cost reporting period.
    Effective with cost reporting periods beginning on or after October 
1, 1991, a hospital that has Medicare inpatient operating costs in 
excess of its ceiling is paid its ceiling plus 50 percent of its costs 
in excess of the ceiling. Total payment may not exceed 110 percent of 
the ceiling. A hospital that has inpatient operating costs less than 
its ceiling is paid its costs plus the lower of--
     Fifty percent of the difference between the allowable 
inpatient operating costs and the ceiling; or
     Five percent of the ceiling.
    Each hospital's target amount is adjusted annually, at the 
beginning of its cost reporting period, by an applicable rate-of-
increase percentage. Section 1886(b)(3)(B) of the Act provides that for 
cost reporting periods beginning on or after October 1, 1993, and 
before October 1, 1994, the applicable rate-of-increase percentage is 
the market basket percentage increase minus the lesser of 1 percentage 
point or the percentage point difference between 10 percent and the 
hospital's ``update adjustment percentage'' of at least 10 percent. The 
rate-of-increase percentage for hospitals in the latter case is the 
market basket percentage increase. The ``update adjustment percentage'' 
is the percentage by which a hospital's allowable inpatient operating 
costs exceeds the hospital's ceiling for the cost reporting period 
beginning in Federal fiscal year (FY) 1990. For cost reporting periods 
beginning on or after October 1, 1994, and before October 1, 1997, the 
update adjustment percentage is the update adjustment percentage from 
the previous year plus the previous year's applicable reduction. The 
applicable reduction and applicable rate-of-increase percentage are 
then determined in the same manner as for FY 1994. The most recent 
forecasted market basket increase for FY 1997 for hospitals and 
hospital units excluded from the prospective payment system is 2.7 
percent.
    3. On pages 27521 to 27527, Table 4a--Wage Index and Capital 
Geographic Adjustment Factor (GAF) for Urban Areas is corrected by 
replacing the table with the following table:

[[Page 33929]]



Table 4a.--Wage Index and Capital Geographic Adjustment Factor (GAF) for
                               Urban Areas                              
------------------------------------------------------------------------
    Urban area (constituent counties or county       Wage               
                   equivalents)                      index       GAF    
------------------------------------------------------------------------
0040  Abilene, TX................................    0.8055       0.8623
  Taylor, TX                                                            
0060  Aguadilla, PR..............................    0.4430       0.5726
  Aguada, PR                                                            
  Aguadilla, PR                                                         
  Moca, PR                                                              
0080  Akron, OH..................................    0.9875       0.9914
  Portage, OH                                                           
  Summit, OH                                                            
0120  Albany, GA.................................    0.8353       0.8841
  Dougherty, GA                                                         
  Lee, GA                                                               
0160  Albany-Schenectady-Troy, NY................    0.8510       0.8954
  Albany, NY                                                            
  Montgomery, NY                                                        
  Rensselaer, NY                                                        
  Saratoga, NY                                                          
  Schenectady, NY                                                       
  Schoharie, NY                                                         
0200  Albuquerque, NM............................    0.9390       0.9578
  Bernalillo, NM                                                        
  Sandoval, NM                                                          
  Valencia, NM                                                          
0220  Alexandria, LA.............................    0.8213       0.8739
  Rapides, LA                                                           
0240  Allentown-Bethlehem-Easton, PA.............    1.0014       1.0010
  Carbon, PA                                                            
  Lehigh, PA                                                            
  Northampton, PA                                                       
0280  Altoona, PA................................    0.9531       0.9676
  Blair, PA                                                             
0320  Amarillo, TX...............................    0.8557       0.8988
  Potter, TX                                                            
  Randall, TX                                                           
0380  Anchorage, AK..............................    1.3285       1.2147
  Anchorage, AK                                                         
0440  Ann Arbor, MI..............................    1.1688       1.1127
  Lenawee, MI                                                           
  Livingston, MI                                                        
  Washtenaw, MI                                                         
0450  Anniston, AL...............................    0.7848       0.8471
  Calhoun, AL                                                           
0460  Appleton-Oshkosh-Neenah, WI................    0.8910       0.9240
  Calumet, WI                                                           
  Outagamie, WI                                                         
  Winnebago, WI                                                         
0470  Arecibo, PR................................    0.4631       0.5903
  Arecibo, PR                                                           
  Camuy, PR                                                             
  Hatillo, PR                                                           
0480  Asheville, NC..............................    0.9365       0.9561
  Buncombe, NC                                                          
  Madison, NC                                                           
0500  Athens, GA.................................    0.9259       0.9486
  Clarke, GA                                                            
  Madison, GA                                                           
  Oconee, GA                                                            
0520  *Atlanta, GA...............................    1.0089       1.0061
  Barrow, GA                                                            
  Bartow, GA                                                            
  Carroll, GA                                                           
  Cherokee, GA                                                          
  Clayton, GA                                                           
  Cobb, GA                                                              
  Coweta, GA                                                            
  DeKalb, GA                                                            
  Douglas, GA                                                           
  Fayette, GA                                                           
  Forsyth, GA                                                           
  Fulton, GA                                                            
  Gwinnett, GA                                                          
  Henry, GA                                                             
  Newton, GA                                                            
  Paulding, GA                                                          
  Pickens, GA                                                           
  Rockdale, GA                                                          
  Spalding, GA                                                          
  Walton, GA                                                            
0560  Atlantic-Cape May, NJ......................                       
  Atlantic, NJ                                                          
  Cape May, NJ                                       1.1102       1.0742
0600  Augusta-Aiken, GA-SC.......................                       
  Columbia, GA                                                          
  McDuffie, GA                                                          
  Richmond, GA                                                          
  Aiken, SC                                                             
  Edgefield, SC                                      0.8849       0.9197
0640  Austin-San Marcos, TX......................                       
  Bastrop, TX                                                           
  Caldwell, TX                                                          
  Hays, TX                                                              
  Travis, TX                                                            
  Williamson, TX                                     0.9252       0.9482
0680  Bakersfield, CA............................                       
  Kern, CA                                           1.0202       1.0138
0720  *Baltimore, MD.............................                       
  Anne Arundel, MD                                                      
  Baltimore, MD                                                         
  Baltimore City, MD                                                    
  Carroll, MD                                                           
  Harford, MD                                                           
  Howard, MD                                                            
  Queen Anne's, MD                                   0.9820       0.9876
0733  Bangor, ME.................................                       
  Penobscot, ME                                      0.9412       0.9594
0743  Barnstable-Yarmouth, MA....................                       
  Barnstable, MA                                     1.3682       1.2395
0760  Baton Rouge, LA............................                       
  Ascension, LA                                                         
  East Baton Rouge, LA                                                  
  Livingston, LA                                                        
  West Baton Rouge, LA                               0.8442       0.8905
0840  Beaumont-Port Arthur, TX...................                       
  Hardin, TX                                                            
  Jefferson, TX                                                         
  Orange, TX                                         0.8578       0.9003
0860  Bellingham, WA.............................                       
  Whatcom, WA                                        1.1342       1.0901
0870  Benton Harbor, MI..........................                       
  Berrien, MI                                        0.8553       0.8985
0875  *Bergen-Passaic, NJ........................                       
  Bergen, NJ                                                            
  Passaic, NJ                                        1.1717       1.1146
0880  Billings, MT...............................                       
  Yellowstone, MT                                    0.8903       0.9235
0920  Biloxi-Gulfport-Pascagoula, MS.............                       
  Hancock, MS                                                           
  Harrison, MS                                                          
  Jackson, MS                                        0.8573       0.8999
0960  Binghamton, NY.............................                       
  Broome, NY                                                            
Tioga, NY                                            0.8842       0.9192
1000  Birmingham, AL.............................                       
  Blount, AL                                                            
Jefferson, AL                                                           
St. Clair, AL                                                           
Shelby, AL                                           0.9047       0.9337
1010  Bismarck, ND...............................                       
  Burleigh, ND                                                          
Morton, ND                                           0.7976       0.8565
1020  Bloomington, IN............................                       
  Monroe, IN                                         0.8619       0.9032
1040  Bloomington-Normal, IL.....................                       
  McLean, IL                                         0.8921       0.9248
1080  Boise City, ID.............................                       
  Ada, ID                                                               
  Canyon, ID                                         0.9269       0.9493
1123  *Boston-Worcester-Lawrence-Lowell-Brockton,                       
 MA-NH...........................................    1.1639       1.1095
                                                                        
  Bristol, MA                                                           
  Essex, MA                                                             
  Middlesex, MA                                                         
  Norfolk, MA                                                           
  Plymouth, MA                                                          
  Suffolk, MA                                                           
  Worcester, MA                                                         
  Hillsborough, NH                                                      
  Merrimack, NH                                                         
  Rockingham, NH                                                        
  Strafford, NH                                                         
1125  Boulder-Longmont CO........................    0.9383       0.9573
  Boulder, CO                                                           
1145  Brazoria, TX...............................    0.8865       0.9208
  Brazoria, TX                                                          
1150  Bremerton, WA..............................    1.0926       1.0625
                                                                        
  Kitsap, WA                                                            

[[Page 33930]]

                                                                        
1240  Brownsville-Harlingen-San Benito, TX.......    0.8561       0.8991
  Cameron, TX                                                           
1260  Bryan-College Station, TX..................    0.8760       0.9133
  Brazos, TX                                                            
1280  *Buffalo-Niagara Falls, NY.................    0.9123       0.9391
  Erie, NY                                                              
  Niagara, NY                                                           
1303  Burlington, VT.............................    0.9126       0.9393
  Chittenden, VT                                                        
  Franklin, VT                                                          
  Grand Isle, VT                                                        
1310  Caguas, PR.................................    0.4661       0.5929
   Caguas, PR                                                           
  Cayey, PR                                                             
  Cidra, PR                                                             
  Gurabo, PR                                                            
  San Lorenzo, PR                                                       
1320  Canton-Massillon, OH.......................    0.8667       0.9067
  Carroll, OH                                                           
  Stark, OH                                                             
1350  Casper, WY.................................    0.8841       0.9191
  Natrona, WY                                                           
1360  Cedar Rapids, IA...........................    0.8477       0.8930
  Linn, IA                                                              
1400  Champaign-Urbana, IL.......................    0.9413       0.9594
  Champaign, IL                                                         
1440  Charleston-North Charleston, SC............    0.8984       0.9293
  Berkeley, SC                                                          
  Charleston, SC                                                        
  Dorchester, SC                                                        
1480  Charleston, WV.............................    0.9547       0.9688
  Kanawha, WV                                                           
  Putnam, WV                                                            
1520  *Charlotte-Gastonia-Rock Hill, NC-SC.......    0.9631       0.9746
  Cabarrus, NC                                                          
  Gaston, NC                                                            
  Lincoln, NC                                                           
  Mecklenburg, NC                                                       
  Rowan, NC                                                             
  Union, NC                                                             
  York, SC                                                              
1540  Charlottesville, VA........................    0.9175       0.9427
  Albemarle, VA                                                         
  Charlottesville City, VA                                              
  Fluvanna, VA                                                          
  Greene, VA                                                            
1560  Chattanooga, TN-GA.........................    0.8867       0.9210
  Catoosa, GA                                                           
  Dade, GA                                                              
  Walker, GA                                                            
  Hamilton, TN                                                          
  Marion, TN                                                            
1580  Cheyenne, WY...............................    0.7695       0.8357
  Laramie, WY                                                           
1600  *Chicago, IL...............................    1.0756       1.0512
  Cook, IL                                                              
  DeKalb, IL                                                            
  DuPage, IL                                                            
  Grundy, IL                                                            
  Kane, IL                                                              
  Kendall, IL                                                           
  Lake, IL                                                              
  McHenry, IL                                                           
  Will, IL                                                              
1620  Chico-Paradise, CA.........................    1.0441       1.0300
  Butte, CA                                                             
1640  *Cincinnati, OH-KY-IN......................    0.9477       0.9639
  Dearborn, IN                                                          
  Ohio, IN                                                              
  Boone, KY                                                             
  Campbell, KY                                                          
  Gallatin, KY                                                          
  Grant, KY                                                             
  Kenton, KY                                                            
  Pendleton, KY                                                         
  Brown, OH                                                             
  Clermont, OH                                                          
  Hamilton, OH                                                          
  Warren, OH                                                            
1660  Clarksville-Hopkinsville, TN-KY............    0.7733       0.8386
  Christian, KY                                                         
  Montgomery, TN                                                        
1680  *Cleveland-Lorain-Elyria, OH...............    0.9908       0.9937
  Ashtabula, OH                                                         
  Cuyahoga, OH                                                          
  Geauga, OH                                                            
  Lake, OH                                                              
  Lorain, OH                                                            
  Medina, OH                                                            
1720  Colorado Springs, CO.......................    0.9456       0.9624
  El Paso, CO                                                           
1740  Columbia, MO                                   0.8919       0.9246
  Boone, MO                                                             
1760  Columbia, SC...............................    0.9178       0.9430
  Lexington, SC                                                         
  Richland, SC                                                          
1800  Columbus, GA-AL............................    0.7655       0.8328
  Russell, AL                                                           
  Chattanoochee, GA                                                     
  Harris, GA                                                            
  Muscogee, GA                                                          
1840  *Columbus, OH..............................    0.9699       0.9793
  Delaware, OH                                                          
  Fairfield, OH                                                         
  Franklin, OH                                                          
  Licking, OH                                                           
  Madison, OH                                                           
  Pickaway, OH                                                          
1880  Corpus Christi, TX.........................    0.8641       0.9048
  Nueces, TX                                                            
  San Patricio, TX                                                      
1900  Cumberland, MD-WV..........................    0.8613       0.9028
  Allegany, MD                                                          
  Mineral, WV                                                           
1920  *Dallas, TX................................    0.9530       0.9676
  Collin, TX                                                            
  Dallas, TX                                                            
  Denton, TX                                                            
  Ellis, TX                                                             
  Henderson, TX                                                         
  Hunt, TX                                                              
  Kaufman, TX                                                           
  Rockwall, TX                                                          
1950  Danville, VA...............................    0.8516       0.8958
  Danville City, VA                                                     
  Pittsylvania, VA                                                      
1960  Davenport-Moline-Rock Island, IA-IL........    0.8407       0.8880
  Scott, IA                                                             
  Henry, IL                                                             
  Rock Island, IL                                                       
2000  Dayton-Springfield, OH.....................    0.9582       0.9712
  Clark, OH                                                             
  Greene, OH                                                            
  Miami, OH                                                             
  Montgomery, OH                                                        
2020  Daytona Beach, FL..........................    0.8891       0.9227
  Flagler, FL                                                           
  Volusia, FL                                                           
2030  Decatur, AL................................    0.8403       0.8877
  Lawrence, AL                                                          
  Morgan, AL                                                            
2040  Decatur, IL................................    0.7866       0.8484
  Macon, IL                                                             
2080  *Denver, CO................................    1.0291       1.0198
  Adams, CO                                                             
  Arapahoe, CO                                                          
  Denver, CO                                                            
  Douglas, CO                                                           
  Jefferson, CO                                                         
2120  Des Moines, IA.............................    0.8772       0.9142
  Dallas, IA                                                            
  Polk, IA                                                              
  Warren, IA                                                            
2216  *Detroit, MI...............................    1.0748       1.0506
  Lapeer, MI                                                            
  Macomb, MI                                                            
  Monroe, MI                                                            
  Oakland, MI                                                           
  St. Clair, MI                                                         
  Wayne, MI                                                             
2180  Dothan, AL.................................    0.7758       0.8404
  Dale, AL                                                              
  Houston, AL                                                           
2190  Dover, DE..................................    0.9017       0.9316
  Kent, DE                                                              
2000  Dubuque, IA................................    0.8149       0.8692

[[Page 33931]]

                                                                        
  Dubuque, IA                                                           
2240  Duluth-Superior, MN-WI.....................    0.9437       0.9611
  St. Louis, MN                                                         
  Douglas, WI                                                           
2281  Dutchess County, NY........................    1.0604       1.0410
  Dutchess, NY                                                          
2290  Eau Claire, WI.............................    0.8698       0.9089
  Chippewa, WI                                                          
  Eau Claire, WI                                                        
2320  El Paso, TX................................    0.9486       0.9645
  El Paso, TX                                                           
2330  Elkhart-Goshen, IN.........................    0.8820       0.9176
  Elkhart, IN                                                           
2335  Elmira, NY.................................    0.8436       0.8901
  Chemung, NY                                                           
2340  Enid, OK...................................    0.7879       0.8494
  Garfield, OK                                                          
2360  Erie, PA...................................    0.9137       0.9401
  Erie, PA                                                              
2400  Eugene-Springfield, OR.....................    1.1503       1.1006
  Lane, OR                                                              
2440  Evansville-Henderson, IN-KY................    0.8990       0.9297
  Posey, IN                                                             
  Vanderburgh, IN                                                       
  Warrick, IN                                                           
  Henderson, KY                                                         
2520  Fargo-Moorhead, ND-MN......................    0.9010       0.9311
  Clay, MN                                                              
  Cass, ND                                                              
2560  Fayetteville, NC...........................    0.9025       0.9322
  Cumberland, NC                                                        
2580  Fayetteville-Springdale-Rogers, AR.........    0.7236       0.8013
  Benton, AR                                                            
  Washington, AR                                                        
2620  Flagstaff, AZ-UT...........................    0.9039       0.9331
  Coconino, AZ                                                          
  Kane, UT                                                              
2640  Flint, MI..................................    1.1273       1.0855
  Genesee, MI                                                           
2650  Florence, AL...............................    0.8157       0.8698
  Colbert, AL                                                           
  Lauderdale, AL                                                        
2655  Florence, SC...............................    0.8614       0.9029
  Florence, SC                                                          
2670  Fort Collins-Loveland, CO..................    1.0628       1.0426
  Larimer, CO                                                           
2680  *Ft. Lauderdale, FL........................    1.0968       1.0653
  Broward, FL                                                           
2700  Fort Myers-Cape Coral, FL..................    0.9093       0.9370
  Lee, FL                                                               
2710  Fort Pierce-Port St. Lucie, FL.............    1.0192       1.0131
  Martin, FL                                                            
  St. Lucie, FL                                                         
2720  Fort Smith, AR-OK..........................    0.7885       0.8498
  Crawford, AR                                                          
  Sebastian, AR                                                         
  Sequoyah, OK                                                          
2750  Fort Walton Beach, FL......................    0.9186       0.9435
  Okaloosa, FL                                                          
2760  Fort Wayne, IN.............................    0.8819       0.9175
  Adams, IN                                                             
  Allen, IN                                                             
  DeKalb, IN                                                            
  Huntington, IN                                                        
  Wells, IN                                                             
  Whitley, IN                                                           
2800  *Forth Worth-Arlington, TX.................    1.0095       1.0065
  Hood, TX                                                              
  Johnson, TX                                                           
  Parker, TX                                                            
  Tarrant, TX                                                           
2840  Fresno, CA.................................    1.1202       1.0808
  Fresno, CA                                                            
  Madera, CA                                                            
2880  Gadsden, AL................................    0.8901       0.9234
  Etowah, AL                                                            
2900  Gainesville, FL............................    0.9455       0.9623
  Alachua, FL                                                           
2920  Galveston-Texas City, TX...................    1.1022       1.0689
  Galveston, TX                                                         
2960  Gary, IN...................................    0.9176       0.9428
  Lake, IN                                                              
  Porter, IN                                                            
2975  Glens Falls, NY............................    0.8560       0.8990
  Warren, NY                                                            
  Washington, NY                                                        
2980  Goldsboro, NC..............................    0.8412       0.8883
  Wayne, NC                                                             
2985  Grand Forks, ND-MN.........................    0.9228       0.9465
  Polk, MN                                                              
  Grand Forks, ND                                                       
2995  Grand Junction, CO.........................    0.8847       0.9195
  Mesa, CO                                                              
3000  Grand Rapids-Muskegon-Holland, MI..........    1.0088       1.0060
  Allegan, MI                                                           
  Kent, MI                                                              
  Muskegon, MI                                                          
  Ottawa, MI                                                            
3040  Great Falls, MT............................    0.9007       0.9309
  Cascade, MT                                                           
3060  Greeley, CO................................    0.9712       0.9802
  Weld, CO                                                              
3080  Green Bay, WI..............................    0.9387       0.9576
  Brown, WI                                                             
3120  *Greensboro-Winston-Salem-High Point, NC...    0.9327       0.9534
  Alamance, NC                                                          
  Davidson, NC                                                          
  Davie, NC                                                             
  Forsyth, NC                                                           
  Guilford, NC                                                          
  Randolph, NC                                                          
  Stokes, NC                                                            
  Yadkin, NC                                                            
3150  Greenville, NC.............................    0.9098       0.9373
  Pitt, NC                                                              
3160  Greenville-Spartanburg-Anderson, SC........    0.8947       0.9266
  Anderson, SC                                                          
  Cherokee, SC                                                          
  Greenville, SC                                                        
  Pickens, SC                                                           
  Spartanburg, SC                                                       
3180  Hagerstown, MD.............................    0.9195       0.9441
  Washington, MD                                                        
3200  Hamilton-Middletown, OH....................    0.9515       0.9665
  Butler, OH                                                            
3240  Harrisburg-Lebanon-Carlisle, PA Cumberland,                       
 PA..............................................    1.0181       1.0124
  Dauphin, PA                                                           
  Lebanon, PA                                                           
  Perry, PA.                                                            
3283  *Hartford, CT..............................    1.2395       1.1584
  Hartford, CT                                                          
  Litchfield, CT                                                        
  Middlesex, CT                                                         
  Tolland, CT                                                           
3285  Hattiesburg, MS............................    0.7269       0.8038
  Forrest, MS                                                           
  Lamar, MS                                                             
3290  Hickory-Morganton-Lenoir, NC...............    0.7945       0.8542
  Alexander, NC                                                         
  Burke, NC                                                             
  Caldwell, NC                                                          
  Catawba, NC                                                           
3320  Honolulu, HI...............................    1.1487       1.0996
  Honolulu, HI                                                          
3350  Houma, LA..................................    0.7843       0.8467
  Lafourche, LA                                                         
  Terrebonne, LA                                                        
3360  *Houston, TX...............................    0.9790       0.9856
  Chambers, TX                                                          
  Fort Bend, TX                                                         
  Harris, TX                                                            
  Liberty, TX                                                           
  Montgomery, TX                                                        
  Waller, TX                                                            
3400  Huntington-Ashland, WV-KY-OH...............    0.9194       0.9441
  Boyd, KY                                                              
  Carter, KY                                                            

[[Page 33932]]

                                                                        
  Greenup, KY                                                           
  Lawrence, OH                                                          
  Cabell, WV                                                            
  Wayne, WV                                                             
3440  Huntsville, AL.............................    0.8145       0.8689
  Limestone, AL                                                         
  Madison, AL                                                           
3480  *Indianapolis, IN..........................    0.9950       0.9966
  Boone, IN                                                             
  Hamilton, IN                                                          
  Hancock, IN                                                           
  Hendricks, IN                                                         
  Johnson, IN                                                           
  Madison, IN                                                           
  Marion, IN                                                            
  Morgan, IN                                                            
  Shelby, IN                                                            
3500  Iowa City, IA..............................    0.9382       0.9573
  Johnson, IA                                                           
3520  Jackson, MI................................    0.9066       0.9351
  Jackson, MI                                                           
3560 Jackson, MS.................................    0.7906       0.8514
  Hinds, MS                                                             
  Madison, MS                                                           
  Rankin, MS                                                            
3580  Jackson, TN................................    0.8340       0.8831
  Madison, TN                                                           
3600  Jacksonville, FL...........................    0.9018       0.9317
  Clay, FL                                                              
  Duval, FL                                                             
  Nassau, FL                                                            
  St. Johns, FL                                                         
3605  Jacksonville, NC...........................    0.7071       0.7887
  Onslow, NC                                                            
3610  Jamestown, NY..............................    0.7679       0.8346
  Chautaqua, NY                                                         
3620  Janesville-Beloit, WI......................    0.8664       0.9065
  Rock, WI                                                              
3640  Jersey City, NJ............................    1.1408       1.0944
  Hudson, NJ                                                            
3660  Johnson City-Kingsport-Bristol, TN-VA......    0.8921       0.9248
  Carter, TN                                                            
  Hawkins, TN                                                           
  Sullivan, TN                                                          
  Unicoi, TN                                                            
  Washington, TN                                                        
  Bristol City, VA                                                      
  Scott, VA                                                             
  Washington, VA                                                        
3680  Johnstown, PA..............................    0.8417       0.8887
  Cambria, PA                                                           
  Somerset, PA                                                          
3710  Joplin, MO.................................    0.7409       0.8144
  Jasper, MO                                                            
  Newton, MO                                                            
3720  Kalamazoo-Battlecreek, MI..................    1.0565       1.0384
  Calhoun, MI                                                           
  Kalamazoo, MI                                                         
  Van Buren, MI                                                         
3740  Kankakee, IL...............................    0.8998       0.9302
  Kankakee, IL                                                          
3760  *Kansas City, KS-MO........................    0.9522       0.9670
  Johnson, KS                                                           
  Leavenworth, KS                                                       
  Miami, KS                                                             
  Wyandotte, KS                                                         
  Cass, MO                                                              
  Clay, MO                                                              
  Clinton, MO                                                           
  Jackson, MO                                                           
  Lafayette, MO                                                         
  Platte, MO                                                            
  Ray, MO                                                               
3800  Kenosha, WI................................    0.9166       0.9421
  Kenosha, WI                                                           
3810  Killeen-Temple, TX.........................    1.0415       1.0282
  Bell, TX                                                              
  Coryell, TX                                                           
3840  Knoxville, TN..............................    0.8520       0.8961
  Anderson, TN                                                          
  Blount, TN                                                            
  Knox, TN                                                              
  Loudon, TN                                                            
  Sevier, TN                                                            
  Union, TN                                                             
3850  Kokomo, IN.................................    0.8609       0.9025
  Howard, IN                                                            
  Tipton, IN                                                            
3870  La Crosse, WI-MN...........................    0.8638       0.9046
  Houston, MN                                                           
  La Crosse, WI                                                         
3880  Lafayette, LA..............................    0.8183       0.8717
  Acadia, LA                                                            
  Lafayette, LA                                                         
  St. Landry, LA                                                        
  St. Martin, LA                                                        
3920  Lafayette, IN..............................    0.8824       0.9179
  Clinton, IN                                                           
  Tippecanoe, IN                                                        
3960  Lake Charles, LA...........................    0.8052       0.8621
  Calcasieu, LA                                                         
3980  Lakeland-Winter Haven, FL..................    0.8677       0.9074
  Polk, FL                                                              
4000  Lancaster, PA..............................    0.9605       0.9728
  Lancaster, PA                                                         
4040  Lansing-East Lansing, MI...................    1.0016       1.0011
  Clinton, MI                                                           
  Eaton, MI                                                             
  Ingham, MI                                                            
4080  Laredo, TX.................................    0.7092   0.79034100
  Webb, TX                                                              
4100  Las Cruces, NM.............................    0.8516       0.8958
  Dona Ana, NM                                                          
4120  *Las Vegas, NV-AZ..........................    1.0894       1.0604
  Mohave, AZ                                                            
  Clark, NV                                                             
  Nye, NV                                                               
4150  Lawrence, KS...............................    0.8616       0.9030
  Douglas, KS                                                           
4200  Lawton, OK.................................    0.8339       0.8830
  Comanche, OK                                                          
4243  Lewiston-Auburn, ME........................    0.9431       0.9607
  Androscoggin, ME                                                      
4280  Lexington, KY..............................    0.8387       0.8865
  Bourbon, KY                                                           
  Clark, KY                                                             
  Fayette, KY                                                           
  Jessamine, KY                                                         
  Madison, KY                                                           
  Scott, KY                                                             
  Woodford, KY                                                          
4320  Lima, OH...................................    0.8752       0.9128
  Allen, OH                                                             
  Auglaize, OH                                                          
4360  Lincoln, NE................................    0.9193       0.9440
  Lancaster, NE                                                         
4400  Little Rock-North Little Rock, AR..........    0.8616       0.9030
  Faulkner, AR                                                          
  Lonoke, AR                                                            
  Pulaski, AR                                                           
  Saline, AR                                                            
4420  Longview-Marshall, TX......................    0.8633       0.9042
  Gregg, TX                                                             
  Harrison, TX                                                          
  Upshur, TX                                                            
4480  *Los Angeles-Long Beach, CA................    1.2396       1.1585
  Los Angeles, CA                                                       
4520  Louisville, KY-IN..........................    0.9445       0.9617
  Clark, IN                                                             
  Floyd, IN                                                             
  Harrison, IN                                                          
  Scott, IN                                                             
  Bullitt, KY                                                           
  Jefferson, KY                                                         
  Oldham, KY                                                            
4600  Lubbock, TX................................    0.8525       0.8965
  Lubbock, TX                                                           
4640  Lynchburg, VA..............................    0.8036       0.8609
  Amherst, VA                                                           
  Bedford, VA                                                           
  Bedford City, VA                                                      
  Campbell, VA                                                          
  Lynchburg City, VA                                                    
4680  Macon, GA..................................    0.8836       0.9187
  Bibb, GA                                                              
  Houston, GA                                                           
  Jones, GA                                                             
  Peach, GA                                                             
  Twiggs, GA                                                            
4720  Madison, WI................................    1.0048       1.0033
  Dane, WI                                                              

[[Page 33933]]

                                                                        
4800  Mansfield, OH..............................    0.8543       0.8978
  Crawford, OH                                                          
  Richland, OH                                                          
4840  Mayaguez, PR...............................    0.4186       0.5508
  Anasco, PR                                                            
  Cabo Rojo, PR                                                         
  Hormigueros, PR                                                       
  Mayaguez, PR                                                          
  Sabana Grande, PR                                                     
  San German, PR                                                        
4880  McAllen-Edinburg-Mission, TX...............    0.8502       0.8948
  Hidalgo, TX                                                           
4890  Medford-Ashland, OR........................    1.0213       1.0145
  Jackson, OR                                                           
4900  Melbourne-Titusville-Palm Bay, FL..........    0.9089       0.9367
  Brevard, Fl                                                           
4920  *Memphis, TN-AR-MS.........................    0.8185       0.8718
  Crittenden, AR                                                        
  DeSoto, MS                                                            
  Fayette, TN                                                           
  Shelby, TN                                                            
  Tipton, TN                                                            
4940  Merced, CA.................................    1.0684       1.0463
  Merced, CA                                                            
5000  *Miami, FL.................................    0.9240       0.9473
  Dade, FL                                                              
5015  *Middlesex-Somerset-Hunterdon, NJ..........    1.0777       1.0526
  Hunterdon, NJ                                                         
  Middlesex, NJ                                                         
  Somerset, NJ                                                          
5080  *Milwaukee-Waukesha, WI....................    0.9667       0.9771
  Milwaukee, WI                                                         
  Ozaukee, WI                                                           
  Washington, WI                                                        
  Waukesha, WI                                                          
5120  *Minneapolis-St. Paul, MN-WI...............    1.0785       1.0531
  Anoka, MN                                                             
  Carver, MN                                                            
  Chisago, MN                                                           
  Dakota, MN                                                            
  Hennepin, MN                                                          
  Isanti, MN                                                            
  Ramsey, MN                                                            
  Scott, MN                                                             
  Sherburne, MN                                                         
  Washington, MN                                                        
  Wright, MN                                                            
  Pierce, WI                                                            
  St. Croix, WI                                                         
5160  Mobile, AL.................................    0.7999       0.8582
  Baldwin, AL                                                           
  Mobile, AL                                                            
5170  Modesto, CA................................    1.0135       1.0092
  Stanislaus, CA                                                        
5190  *Monmouth-Ocean, NJ........................    1.0842       1.0569
  Monmouth, NJ                                                          
  Ocean, NJ                                                             
5200  Monroe, LA.................................    0.8234       0.8754
  Ouachita, LA                                                          
5240  Montgomery, AL.............................    0.7949       0.8545
  Autauga, AL                                                           
  Elmore, AL                                                            
  Montgomery, AL                                                        
5280  Muncie, IN                                     0.9736       0.9818
  Delaware, IN                                                          
5330  Myrtle Beach, SC...........................    0.7798       0.8434
  Horry, SC                                                             
5345  Naples, FL.................................    1.0222       1.0151
  Collier, FL                                                           
5360  *Nashville, TN.............................    0.9065       0.9350
  Cheatham, TN                                                          
  Davidson, TN                                                          
  Dickson, TN                                                           
  Robertson, TN                                                         
  Rutherford, TN                                                        
  Sumner, TN                                                            
  Williamson, TN                                                        
  Wilson, TN                                                            
5380  *Nassau-Suffolk, NY........................    1.2852       1.1875
  Nassau, NY                                                            
  Suffolk, NY                                                           
5483  *New Haven-Bridgeport-Stamford-Waterbury...    1.2778       1.1828
  Danbury, CT                                                           
  Fairfield, CT                                                         
  New Haven, CT                                                         
5523  New London-Norwich, CT.....................    1.2345       1.1552
  New London, CT                                                        
5560  *New Orleans, LA...........................    0.9434       0.9609
  Jefferson, LA                                                         
  Orleans, LA                                                           
  Plaquemines, LA                                                       
  St. Bernard, LA                                                       
  St. Charles, LA                                                       
  St. James, LA                                                         
  St. John The Baptist, LA                                              
  St. Tammany, LA                                                       
5600  *New York, NY..............................    1.4041       1.2616
  Bronx, NY                                                             
  Kings, NY                                                             
  New York, NY                                                          
  Putnam, NY                                                            
  Queens, NY                                                            
  Richmond, NY                                                          
  Rockland, NY                                                          
  Westchester, NY                                                       
5640  *Newark, NJ................................    1.1057       1.0712
  Essex, NJ                                                             
  Morris, NJ                                                            
  Sussex, NJ                                                            
  Union, NJ                                                             
  Warren, NJ                                                            
5660  Newburgh, NY-PA............................    1.0829       1.0561
  Orange, NY                                                            
  Pike, PA                                                              
5720  *Norfolk-Virginia Beach-Newport News, VA-NC    0.8326       0.8821
  Currituck, NC                                                         
  Chesapeake City, VA                                                   
  Gloucester, VA                                                        
  Hampton City, VA                                                      
  Isle of Wight, VA                                                     
  James City, VA                                                        
  Mathews, VA                                                           
  Newport News City, VA                                                 
  Norfolk City, VA                                                      
  Poquoson City, VA                                                     
  Portsmouth City, VA                                                   
  Suffolk City, VA                                                      
  Virginia Beach City, VA                                               
  Williamsburg City, VA                                                 
  York, VA                                                              
5775  *Oakland, CA...............................    1.5113       1.3268
  Alameda, CA                                                           
  Contra Costa, CA                                                      
5790  Ocala, FL..................................                       
  Marion, FL                                         0.8999       0.9303
5800  Odessa-Midland, TX.........................    0.8552       0.8984
  Ector, TX                                                             
  Midland, TX                                                           
5880  *Oklahoma City, OK.........................    0.8463       0.8920
  Canadian, OK                                                          
  Cleveland, OK                                                         
  Logan, OK                                                             
  McClain, OK                                                           
  Oklahoma, OK                                                          
  Pottawatomie, OK                                                      
5910  Olympia, WA................................    1.0713       1.0483
  Thurston, WA                                                          
5920  Omaha, NE-IA...............................    0.9425       0.9603
  Pottawattamie, IA                                                     
  Cass, NE                                                              
  Douglas, NE                                                           
  Sarpy, NE                                                             
  Washington, NE                                                        
5945  *Orange County, CA.........................    1.1929       1.1284
  Orange, CA                                                            
5960  *Orlando, FL...............................    0.9491       0.9649
  Lake, FL                                                              
  Orange, FL                                                            
  Osceola, FL                                                           
  Seminole, FL                                                          
5990  Owensboro, KY..............................    0.7578       0.8270
  Daviess, KY                                                           

[[Page 33934]]

                                                                        
6015  Panama City, FL............................    0.8080       0.8642
  Bay, FL                                                               
6020  Parkersburg-Marietta, WV-OH................    0.7895       0.8506
  Washington, OH                                                        
  Wood, WV                                                              
6080  Pensacola, FL..............................    0.8212       0.8738
  Escambia, FL                                                          
  Santa Rosa, FL                                                        
6120  Peoria-Pekin, IL...........................    0.8923       0.9249
  Peoria, IL                                                            
  Tazewell, IL                                                          
  Woodford, IL                                                          
6160  *Philadelphia, PA-NJ.......................    1.1197       1.0805
  Burlington, NJ                                                        
  Camden, NJ                                                            
  Gloucester, NJ                                                        
  Salem, NJ                                                             
  Bucks, PA                                                             
  Chester, PA                                                           
  Delaware, PA                                                          
  Montgomery, PA                                                        
  Philadelphia, PA                                                      
6200  *Phoenix-Mesa, AZ..........................    0.9832       0.9885
  Maricopa, AZ                                                          
  Pinal, AZ                                                             
6240  Pine Bluff, AR.............................    0.7904       0.8512
  Jefferson, AR                                                         
6280  *Pittsburgh, PA............................    0.9726       0.9812
  Allegheny, PA                                                         
  Beaver, PA                                                            
  Butler, PA                                                            
  Fayette, PA                                                           
  Washington, PA                                                        
  Westmoreland, PA                                                      
6323  Pittsfield, MA.............................    1.0570       1.0387
  Berkshire, MA                                                         
6360  Ponce, PR..................................    0.4500       0.5788
  Guayanilla, PR                                                        
  Juana Diaz, PR                                                        
  Penuelas, PR                                                          
  Ponce, PR                                                             
  Villalba, PR                                                          
  Yauco, PR                                                             
6403  Portland, ME...............................    0.9615       0.9735
  Cumberland, ME                                                        
  Sagadahoc, ME                                                         
  York, ME                                                              
6440  *Portland-Vancouver, OR-WA.................    1.1267       1.0851
  Clackamas, OR                                                         
  Columbia, OR                                                          
  Multnomah, OR                                                         
  Washington, OR                                                        
  Yamhill, OR                                                           
  Clark, WA                                                             
6483  Providence-Warwick-Pawtucket, RI...........    1.1116       1.0751
  Bristol, RI                                                           
  Kent, RI                                                              
  Newport, RI                                                           
  Providence, RI                                                        
  Washington, RI                                                        
6520  Provo-Orem, UT.............................    1.0139       1.0095
  Utah, UT                                                              
6560  Pueblo, CO.................................    0.8302       0.8804
  Pueblo, CO                                                            
6580  Punta Gorda, FL............................    0.8284       0.8790
  Charlotte, FL                                                         
6600  Racine, WI.................................    0.8855       0.9201
  Racine, WI                                                            
6640  Raleigh-Durham-Chapel Hill, NC.............    0.9740       0.9821
  Chatham, NC                                                           
  Durham, NC                                                            
  Franklin, NC                                                          
  Johnston, NC                                                          
  Orange, NC                                                            
  Wake, NC                                                              
6660  Rapid City, SD.............................    0.8493       0.8942
  Pennington, SD                                                        
6680  Reading, PA................................    0.9467       0.9632
  Berks, PA                                                             
6690  Redding, CA................................    1.1631       1.1090
  Shasta, CA                                                            
6720  Reno, NV...................................    1.1043       1.0703
  Washoe, NV                                                            
6740  Richland-Kennewick-Pasco, WA...............    0.9993       0.9995
  Benton, WA                                                            
  Franklin, WA                                                          
6760  Richmond-Petersburg, VA....................    0.9189       0.9437
  Charles City County, VA                                               
  Chesterfield, VA                                                      
  Colonial Heights City, VA                                             
  Dinwiddie, VA                                                         
  Goochland, VA                                                         
  Hanover, VA                                                           
  Henrico, VA                                                           
  Hopewell City, VA                                                     
  New Kent, VA                                                          
  Petersburg City, VA                                                   
  Powhatan, VA                                                          
  Prince George, VA                                                     
  Richmond City, VA                                                     
6780  *Riverside-San Bernardino, CA..............    1.1251       1.0841
  Riverside, CA                                                         
  San Bernardino, CA                                                    
6800  Roanoke, VA................................    0.8721       0.9105
  Botetourt, VA                                                         
  Roanoke, VA                                                           
  Roanoke City, VA                                                      
  Salem City, VA                                                        
6820  Rochester, MN..............................    1.0452       1.0307
  Olmsted, MN                                                           
6840  *Rochester, NY.............................    0.9611       0.9732
  Genesee, NY                                                           
  Livingston, NY                                                        
  Monroe, NY                                                            
  Ontario, NY                                                           
  Orleans, NY                                                           
  Wayne, NY                                                             
6880  Rockford, IL...............................    0.9015       0.9315
  Boone, IL                                                             
  Ogle, IL                                                              
  Winnebago, IL                                                         
6895  Rocky Mount, NC............................    0.8951       0.9269
  Edgecombe, NC                                                         
  Nash, NC                                                              
6920  *Sacramento, CA............................    1.2382       1.1576
  El Dorado, CA                                                         
  Placer, CA                                                            
  Sacramento, CA                                                        
6960  Saginaw-Bay City-Midland, MI...............    0.9605       0.9728
  Bay, MI                                                               
  Midland, MI                                                           
  Saginaw, MI                                                           
6980  St. Cloud, MN..............................    0.9478       0.9640
  Benton, MN                                                            
  Stearns, MN                                                           
7000  St. Joseph, MO.............................    0.8570       0.8997
  Andrews, MO                                                           
  Buchanan, MO                                                          
7040  *St. Louis, MO-IL..........................    0.8926       0.9251
  Clinton, IL                                                           
  Jersey, IL                                                            
  Madison, IL                                                           
  Monroe, IL                                                            
  St. Clair, IL                                                         
  Franklin, MO                                                          
  Jefferson, MO                                                         
  Lincoln, MO                                                           
  St. Charles, MO                                                       
  St. Louis, MO                                                         
  St. Louis City, MO                                                    
  Warren, MO                                                            
7080  Salem, OR..................................    0.9749       0.9827
  Marion, OR                                                            
  Polk, OR                                                              
7120  Salinas, CA................................    1.3835       1.2489
  Monterey, CA                                                          
7160  *Salt Lake City-Ogden, UT..................    0.9677       0.9778
  Davis, UT                                                             
  Salt Lake, UT                                                         
  Weber, UT                                                             
7200  San Angelo, TX.............................    0.7594       0.8282
  Tom Green, TX                                                         

[[Page 33935]]

                                                                        
7240  *San Antonio, TX...........................    0.8365       0.8849
  Bexar, TX                                                             
  Comal, TX                                                             
  Guadalupe, TX                                                         
  Wilson, TX                                                            
7320  *San Diego, CA.............................    1.2183       1.1448
  San Diego, CA                                                         
7360  *San Francisco, CA.........................    1.4210       1.2720
  Marin, CA                                                             
  San Francisco, CA                                                     
  San Mateo, CA                                                         
7400  *San Jose, CA..............................    1.4435       1.2858
  Santa Clara, CA                                                       
7440  *San Juan-Bayamon, PR......................    0.4616       0.5890
  Aguas Buenas, PR                                                      
  Barceloneta, PR                                                       
  Bayamon, PR                                                           
  Canovanas, PR                                                         
  Carolina, PR                                                          
  Catano, PR                                                            
  Ceiba, PR                                                             
  Comerio, PR                                                           
  Corozal, PR                                                           
  Dorado, PR                                                            
  Fajardo, PR                                                           
  Florida, PR                                                           
  Guaynabo, PR                                                          
  Humacao, PR                                                           
  Juncos, PR                                                            
  Los Piedras, PR                                                       
  Loiza, PR                                                             
  Luguillo, PR                                                          
  Manati, PR                                                            
  Morovis, PR                                                           
  Naguabo, PR                                                           
  Naranjito, PR                                                         
  Rio Grande, PR                                                        
  San Juan, PR                                                          
  Toa Alta, PR                                                          
  Toa Baja, PR                                                          
  Trujillo Alto, PR                                                     
  Vega Alta, PR                                                         
  Vega Baja, PR                                                         
  Yabucoa, PR                                                           
7460  San Luis Obispo-Atascadero-Paso Robles, CA.    1.1587       1.1061
  San Luis Obispo, CA                                                   
7480  Santa Barbara-Santa Maria-Lompoc, CA.......    1.1267       1.0851
  Santa Barbara, CA                                                     
7485  Santa Cruz-Watsonville, CA.................    1.3551       1.2313
  Santa Cruz, CA                                                        
7490  Santa Fe, NM...............................    1.0847       1.0573
  Los Alamos, NM                                                        
  Santa Fe, NM                                                          
7500  Santa Rosa, CA.............................    1.2558       1.1688
  Sonoma, CA                                                            
7510  Sarasota-Bradenton, FL.....................    0.9770       0.9842
  Manatee, FL                                                           
  Sarasota, FL                                                          
7520  Savannah, GA...............................    1.0089       1.0061
  Bryan, GA                                                             
  Chatham, GA                                                           
  Effingham, GA                                                         
7560  Scranton--Wilkes-Barre--Hazleton, PA.......    0.8767       0.9138
  Columbia, PA                                                          
  Lackawanna, PA                                                        
  Luzerne, PA                                                           
  Wyoming, PA                                                           
7600  *Seattle-Bellevue-Everett, WA..............    1.1410       1.0945
  Island, WA                                                            
  King, WA                                                              
  Snohomish, WA                                                         
7610  Sharon, PA.................................    0.8764       0.9136
  Mercer, PA                                                            
7620  Sheboygan, WI..............................    0.7782       0.8422
  Sheboygan, WI                                                         
7640  Sherman-Denison, TX........................    0.8650       0.9055
  Grayson, TX                                                           
7680  Shreveport-Bossier City, LA................    0.9379       0.9570
  Bossier, LA                                                           
  Caddo, LA                                                             
  Webster, LA                                                           
7720  Sioux City, IA-NE..........................    0.8331       0.8825
  Woodbury, IA                                                          
  Dakota, NE 7760                                                       
7760  Sioux Falls, SD............................    0.8606       0.9023
  Lincoln, SD                                                           
  Minnehaha, SD                                                         
7800  South Bend, IN.............................    0.9957       0.9971
  St. Joseph, IN                                                        
7840  Spokane, WA................................    1.0548       1.0372
  Spokane, WA                                                           
7880  Springfield, IL............................    0.8783       0.9150
  Menard, IL                                                            
  Sangamon, IL                                                          
7920  Springfield, MO............................    0.7840       0.8465
  Christian, MO                                                         
  Greene, MO                                                            
  Webster, MO                                                           
8003  Springfield, MA............................    1.0609       1.0413
  Hampden, MA                                                           
  Hampshire, MA                                                         
8050  State College, PA..........................    0.8875       0.9215
  Centre, PA                                                            
8080  Steubenville-Weirton, OH-WV................    0.8244       0.8761
  Jefferson, OH                                                         
  Brooke, WV                                                            
  Hancock, WV                                                           
8120  Stockton-Lodi, CA..........................    1.1417       1.0950
  San Joaquin, CA                                                       
8140  Sumter, SC.................................    0.7716       0.8373
  Sumter, SC                                                            
8160  Syracuse, NY...............................    0.9406       0.9589
  Cayuga, NY                                                            
  Madison, NY                                                           
  Onondaga, NY                                                          
  Oswego, NY                                                            
8200  Tacoma, WA.................................    1.0891       1.0602
  Pierce, WA                                                            
8240  Tallahassee, FL............................    0.8332       0.8825
  Gadsden, FL                                                           
  Leon, FL                                                              
8280  *Tampa-St. Petersburg-Clearwater, FL.......    0.9322       0.9531
  Hernando, FL                                                          
  Hillsborough, FL                                                      
  Pasco, FL                                                             
  Pinellas, FL                                                          
8320  Terre Haute, IN............................    0.8611       0.9027
  Clay, IN                                                              
  Vermillion, IN                                                        
  Vigo, IN                                                              
8360  Texarkana, AR-Texarkana, TX................    0.8484       0.8935
  Miller, AR                                                            
  Bowie, TX                                                             
8400  Toledo, OH.................................    1.0383       1.0261
  Fulton, OH                                                            
  Lucas, OH                                                             
  Wood, OH                                                              
8440  Topeka, KS.................................    1.0108       1.0074
  Shawnee, KS                                                           
8480  Trenton, NJ................................    1.0572       1.0388
  Mercer, NJ                                                            
8520  Tucson, AZ.................................    0.9050       0.9339
  Pima, AZ                                                              
8560  Tulsa, OK..................................    0.8113       0.8666
  Creek, OK                                                             
  Osage, OK                                                             
  Rogers, OK                                                            
  Tulsa, OK                                                             
  Wagoner, OK                                                           
8600  Tuscaloosa, AL.............................    0.7723       0.8378
  Tuscaloosa, AL                                                        
8640  Tyler, TX..................................    1.0158       1.0108
  Smith, TX                                                             
8680  Utica-Rome, NY.............................    0.8421       0.8890
  Herkimer, NY                                                          
  Oneida, NY                                                            
8720  Vallejo-Fairfield-Napa, CA.................    1.3483       1.2271
  Napa, CA                                                              
  Solano, CA                                                            

[[Page 33936]]

                                                                        
8735  Ventura, CA................................    1.1169       1.0786
  Ventura, CA                                                           
8750  Victoria, TX...............................    0.8478       0.8931
  Victoria, TX                                                          
8760  Vineland-Millville-Bridgeton, NJ...........    1.0015       1.0010
  Cumberland, NJ                                                        
8780  Visalia-Tulare-Porterville, CA.............    1.0174       1.0119
  Tulare, CA                                                            
8800  Waco, TX...................................    0.7789       0.8427
  McLennan, TX                                                          
8840  *Washington, DC-MD-VA-WV...................    1.0842       1.0569
  District of Columbia, DC                                              
  Calvert, MD                                                           
  Charles, MD                                                           
  Frederick, MD                                                         
  Montgomery, MD                                                        
  Prince Georges, MD                                                    
  Alexandria City, VA                                                   
  Arlington, VA                                                         
  Clarke, VA                                                            
  Culpepper, VA                                                         
  Fairfax, VA                                                           
  Fairfax City, VA                                                      
  Falls Church City, VA                                                 
  Fauquier, VA                                                          
  Fredericksburg City, VA                                               
  King George, VA                                                       
  Loudoun, VA                                                           
  Manassas City, VA                                                     
  Manassas Park City, VA                                                
  Prince William, VA                                                    
  Spotsylvania, VA                                                      
  Stafford, VA                                                          
  Warren, VA                                                            
  Berkeley, WV                                                          
  Jefferson, WV                                                         
8920  Waterloo-Cedar Falls, IA...................    0.8724       0.9108
  Black Hawk, IA                                                        
8940  Wausau, WI.................................    1.0347       1.0236
  Marathon, WI                                                          
8960  West Palm Beach-Boca Raton, FL.............    1.0016       1.0011
  Palm Beach, FL                                                        
9000  Wheeling, OH-WV............................    0.7580       0.8272
  Belmont, OH                                                           
  Marshall, WV                                                          
  Ohio, WV                                                              
9040  Wichita, KS................................    0.9447       0.9618
  Butler, KS                                                            
  Harvey, KS                                                            
  Sedgwick, KS                                                          
9080  Wichita Falls, TX..........................    0.8070       0.8634
  Archer, TX                                                            
  Wichita, TX                                                           
9140  Williamsport, PA...........................    0.8487       0.8937
  Lycoming, PA                                                          
9160  Wilmington-Newark, DE-MD...................    1.1341       1.0900
  New Castle, DE                                                        
  Cecil, MD                                                             
9200  Wilmington, NC.............................    0.9072       0.9355
  New Hanover, NC                                                       
  Brunswick, NC                                                         
9260  Yakima, WA.................................    1.0049       1.0034
  Yakima, WA                                                            
9270  Yolo, CA...................................    1.1470       1.0985
  Yolo, CA                                                              
9280  York, PA...................................    0.9124       0.9391
  York, PA                                                              
9320  Youngstown-Warren, OH......................    0.9764       0.9838
  Columbiana, OH                                                        
  Mahoning, OH                                                          
  Trumbull, OH                                                          
9340  Yuba City, CA..............................    1.0437       1.0297
  Sutter, CA                                                            
  Yuba, CA                                                              
9360  Yuma, AZ...................................    0.9518       0.9667
  Yuma, AZ                                                              
------------------------------------------------------------------------
* Large Urban Area                                                      


    4. On pages 27527 to 27528, Table 4b--Wage Index and Capital 
Geographic Adjustment Factor (GAF) for Rural Areas is corrected by 
replacing the table with the following table:

Table 4B.--Wage Index and Capital Geographic Adjustment Factor (GAF) For
                               Rural Areas                              
------------------------------------------------------------------------
                                                        Wage            
                    Nonurban Area                       index      GAF  
------------------------------------------------------------------------
Alabama.............................................    0.7160    0.7955
Alaska..............................................    1.2472    1.1633
Arizona.............................................    0.7946    0.8543
Arkansas............................................    0.7000    0.7833
California..........................................    0.9991    0.9994
Colorado............................................    0.8156    0.8697
Connecticut.........................................    1.2788    1.1834
Delaware............................................    0.9464    0.9630
Florida.............................................    0.8677    0.9074
Georgia.............................................    0.7659    0.8331
Hawaii..............................................    1.0268    1.0183
Idaho...............................................    0.8356    0.8843
Illinois............................................    0.7567    0.8262
Indiana.............................................    0.8119    0.8670
Iowa................................................    0.7394    0.8132
Kansas..............................................    0.7113    0.7919
Kentucky............................................    0.7772    0.8415
Louisiana...........................................    0.7284    0.8049
Maine...............................................    0.8335    0.8827
Maryland............................................    0.8446    0.8908
Massachusetts.......................................    1.0794    1.0537
Michigan............................................    0.8837    0.9188
Minnesota...........................................    0.8161    0.8701
Mississippi.........................................    0.6808    0.7685
Missouri............................................    0.7249    0.8023
Montana.............................................    0.8137    0.8683
Nebraska............................................    0.7245    0.8020
Nevada..............................................    0.8795    0.9158
New Hampshire.......................................    0.9776    0.9846
New Jersey \1\......................................  ........  ........
New Mexico..........................................    0.7873    0.8489
New York............................................    0.8565    0.8994
North Carolina......................................    0.7945    0.8542
North Dakota........................................    0.7370    0.8114
Ohio................................................    0.8349    0.8838
Oklahoma............................................    0.6963    0.7805
Oregon..............................................    0.9715    0.9804
Pennsylvania........................................    0.8480    0.8932
Puerto Rico.........................................    0.4182    0.5505
Rhode Island \1\....................................  ........  ........
South Carolina......................................    0.7679    0.8346
South Dakota........................................    0.7085    0.7898
Tennessee...........................................    0.7372    0.8116
Texas...............................................    0.7430    0.8159
Utah................................................    0.8854    0.9200
Vermont.............................................    0.8941    0.9262
Virginia............................................    0.7760    0.8406
Washington..........................................    0.9956    0.9970
West Virginia.......................................    0.7943    0.8541
Wisconsin...........................................    0.8449    0.8910
Wyoming.............................................    0.8202   0.8731 
------------------------------------------------------------------------
\1\ All counties within the State are classified urban.                 

    5. On page 27544, top of the page, the title of table 6c is 
corrected to read as follows: ``TABLE 6C--INVALID DIAGNOSIS CODES.''
    6. On page 27590, column two, between the end of the fifth 
paragraph and the beginning of the letter to The Honorable Albert Gore, 
Jr., the following text should be inserted: ``Appendix D: Report to 
Congress on the Update Factor for Prospective Payment Hospitals and 
Hospitals Excluded from the Prospective Payment System.''

(Catalog of Federal Domestic Assistance Program No. 93.778, Medical 
Assistance Program; No. 93.773 Medicare--Hospital Insurance Program; 
and No. 93.774, Medicare--Supplementary Medical Insurance Program)

    Dated: June 24, 1996.
Neil J. Stillman,
Deputy Assistant Secretary for Information Resource Management.
[FR Doc. 96-16568 Filed 6-28-96; 8:45 am]
BILLING CODE 4120-01-P