[Federal Register Volume 62, Number 153 (Friday, August 8, 1997)]
[Rules and Regulations]
[Pages 42860-42883]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-20775]



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_______________________________________________________________________

Part II





Department of Health and Human Services





_______________________________________________________________________



Health Care Financing Administration



_______________________________________________________________________



42 CFR Part 418



Medicare Program; Hospice Wage Index; Final Rule

  Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules 
and Regulations  

[[Page 42860]]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

42 CFR Part 418

[BPD-820-F]
RIN 0938-AG93


Medicare Program; Hospice Wage Index

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

ACTION: Final rule.

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SUMMARY: This final rule establishes a methodology to update the wage 
index used to adjust Medicare payment rates for hospice care. It also 
includes the new wage index, to be effective October 1, 1997. The wage 
index is used to reflect local differences in wage levels. A new wage 
index is needed because the index currently applied is based on 1981 
wage and employment data and has not been updated since 1983. The 
methodology is based on the recommendations of a negotiated rulemaking 
advisory committee comprised of persons who represent interests 
affected by the hospice rules.

EFFECTIVE DATE: October 1, 1997.

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

SUPPLEMENTARY INFORMATION:

I. Background

A. Statute and Regulations

    Hospice care is an approach to treatment that recognizes that the 
impending death of an individual warrants a change in focus from 
curative care to palliative care (relief of pain and other 
uncomfortable symptoms). The goal of hospice care is to help terminally 
ill individuals continue life with minimal disruption to normal 
activities while remaining primarily in the home environment. A hospice 
uses an interdisciplinary approach to deliver medical, social, 
psychological, emotional, and spiritual services through the use of a 
broad spectrum of professional and other caregivers, with the goal of 
making the individual as physically and emotionally comfortable as 
possible. Counseling and respite services are available to the family 
of the hospice patient. Hospice programs consider both the patient and 
the family as a unit of care.
    Section 1861(dd) of the Social Security Act (the Act) provides for 
coverage of hospice care for terminally ill Medicare beneficiaries who 
elect to receive care from a participating hospice. The statutory 
authority for payment to hospices participating in the Medicare program 
is contained in section 1814(i) of the Act.
    Our existing regulations under 42 CFR part 418 (issued on December 
16, 1983, effective for hospice services furnished on or after November 
1, 1983) establish eligibility requirements and payment standards and 
procedures, define covered services, and delineate the conditions a 
hospice must meet to be approved for participation in the Medicare 
program. Subpart G of Part 418 provides for payment to hospices based 
on one of four prospectively determined rates for each day in which a 
qualified Medicare beneficiary is under the care of a hospice. The four 
rate categories are routine home care, continuous home care, inpatient 
respite care, and general inpatient care. Payment rates are established 
for each category.
    The final rule of December 16, 1983 (48 FR 56034) provided for the 
following in determining payment for hospice care:
     Adjustment to the payment rates to reflect differences in 
area wage levels. Since hospice care is labor-intensive, adjustment was 
necessary to permit payment of higher rates in areas with relatively 
high wage levels, and proportionately lower rates in areas with wage 
levels below the national average.
     Labor market areas based on the definitions of 
Metropolitan Statistical Areas (MSAs) issued by the Office of 
Management and Budget (OMB).
     The wage index used to adjust the hospice payment rates to 
be the wage index published in the Federal Register on September 1, 
1983 (48 FR 39871) for purposes of determining Medicare inpatient 
hospital prospective payment rates. This hospital wage index, which is 
still in use for hospices, was based on calendar year 1981 hospital 
wage and employment data obtained from the Bureau of Labor Statistics' 
(BLS) ES 202 Employment, Wages and Contributions file for hospital 
workers.
     In applying the hospital wage index to the hospice rates, 
use of an index value of 0.8 if the hospital wage index value were 
lower than 0.8. The use of a wage index ``floor'' reflected our belief 
that an index value below 0.8 would make payment levels very low. We 
believed this would unduly jeopardize the availability of the benefit 
in rural areas by discouraging participation in the Medicare hospice 
program by hospices that are located in these areas, and by inhibiting 
the ability of these rural hospices to attract and retain sufficient 
skilled staff.
    The hospice wage index has not been updated since it was issued in 
1983. Over the ensuing years, we have instituted many changes in the 
hospital wage index in order to ensure its continuing accuracy for 
hospitals. Since these changes have not been applied to hospices, there 
are widening differences between the existing hospice wage index and 
actual wage levels. The existing hospice wage index is based on 1981 
BLS hospital data; however, BLS data are no longer used in determining 
the hospital wage index. Based on our concern that the BLS data did not 
accurately reflect hospital wages, we conducted a survey of hospital 
wage and wage related costs and, in fiscal year 1986, implemented a 
hospital wage index based solely on HCFA survey data. We repeated the 
survey in 1988 and implemented a revised hospital wage index during 
fiscal year 1991.
    Additionally, in fiscal year 1991, we began adjusting the hospital 
wage index to take into account the geographic reclassification of 
hospitals in accordance with sections 1886(d)(8)(B) and 1886(d)(10) of 
the Act. Beginning in fiscal year 1994, in accordance with section 
1886(d)(3)(E) of the Act, we have updated the hospital wage index 
annually, based on a survey of wages and wage-related costs of short-
term, acute care hospitals.
    The most recent hospital wage index was published in the Federal 
Register on August 30, 1996 (61 FR 46166). It is based on the data 
collected from the Medicare cost reports submitted by hospitals for 
cost reporting periods beginning in fiscal year 1993.

B. Current Payment Procedures for Hospice Care

1. Current Annual Increases in Payment Rates
    Section 1814(i)(1)(C)(ii) of the Act provides for an annual 
increase in the hospice payment rates based on the rate of increase in 
the hospital market basket index used to adjust payments for inpatient 
hospital services under the prospective payment system for hospitals. 
However, section 13504 of the Omnibus Budget Reconciliation Act of 1993 
(Pub. L. 103-66) amended section 1814(ii) of the Act to decrease the 
amount of the market basket percentage increase that is applied to 
hospice rates for fiscal years 1994 through 1997. For hospice payments 
in fiscal years 1996 and 1997, the market basket increase is reduced by 
1.5 percent and 0.5 percent, respectively. For fiscal years after 1997, 
hospices receive the full hospital market basket increase. The 
following is a brief description of each level of care and the

[[Page 42861]]

current daily payment rates for the period October 1, 1996, through 
September 30, 1997. The new wage index values set forth in this final 
rule are effective on October 1, 1997. At that time, the fiscal 
intermediaries will recalculate the current daily payment rates for the 
remainder of the rate year using the new hospice wage index.
     Routine Home Care--As specified in Sec. 418.302(d)(3) of 
the regulations, the payment rate for routine home care is paid to the 
hospice for each day during which a Medicare beneficiary is under the 
care of the hospice, and not receiving the care described under 
continuous home care, inpatient respite care, or general inpatient 
care, regardless of the volume and intensity of the services provided 
on any given day. The current routine home care rate is $94.17.
     Continuous Home Care--The hospice is paid the continuous 
home care rate when, in order to maintain the terminally ill patient at 
home in a period of crisis, nursing care is required on a continuous 
basis. Either home health aide or homemaker services or both may also 
be provided. Medicare regulations at Sec. 418.302(e)(4) specify that 
the hospice payment on a continuous home care day varies depending on 
the number of hours of continuous care. The continuous home care rate 
is divided by 24 to yield an hourly rate. The number of hours of 
continuous home care furnished during a continuous home care day is 
multiplied by the hourly rate to calculate the hospice payment amount 
for that day. The hospice must furnish a minimum of 8 hours of 
continuous home care on a particular day to qualify for the continuous 
home care daily rate. The continuous home care rate is intended only 
for periods of crisis when predominantly skilled continuous care is 
necessary to achieve palliation or management of the patient's acute 
medical symptoms and only as necessary to maintain the patient at home. 
The current continuous home care hourly rate is $22.90 and the daily 
payment rate is $549.65.
     Inpatient Respite Care--The hospice is paid the inpatient 
respite care rate for each day the patient is in a Medicare or Medicaid 
approved inpatient facility receiving respite care. The inpatient 
respite rate applies specifically to situations where the patient's 
family members or other persons caring for the patient need a short 
period of relief. Payment is limited to no more than 5 consecutive 
days. Subsequent days of respite care are paid at the routine home care 
rate. The current daily payment rate for inpatient respite care is 
$97.41.
     General Inpatient Care--The hospice is paid the general 
inpatient care rate for each day the patient is in a Medicare or 
Medicaid approved inpatient setting to receive services that are 
reasonable and necessary for the palliation or management of acute and 
severe clinical problems related to the terminal condition that cannot 
be managed in other settings. The current daily payment rate for 
general inpatient care is $418.93.
2. Adjustment for Wage Variations
    In adjusting the payment rates, we separate the national payment 
rates into components that reflect the estimated proportion of the rate 
that is attributable to wage and nonwage costs. We then multiply the 
wage component of each rate by the wage index value applicable to the 
area in which the hospice is located (adjusted wage component). The 
rate paid to a hospice is the sum of the nonwage component and the 
adjusted wage component.
    The following table indicates the current hospice payment rates and 
the amount (in dollars) of each rate subject to adjustment by the wage 
index:

------------------------------------------------------------------------
                                                    Component           
            Payment category              National   subject    Nonwage 
                                            rate     to index  component
------------------------------------------------------------------------
Routine home............................    $94.17    $64.70     $29.47 
Continuous home.........................    549.65    377.66     171.99 
Inpatient respite.......................     97.41     52.73      44.68 
General inpatient.......................    418.93    268.16     150.77 
------------------------------------------------------------------------

II. Proposed Rule

A. General

    On September 4, 1996, we published a proposed rule in the Federal 
Register (61 FR 46579) in which we proposed to establish a methodology 
to update the wage index used to adjust Medicare payment rates for 
hospices. We also included an updated wage index for hospices.
    The proposed rule was developed by a negotiated rulemaking advisory 
committee, under the process established by the Negotiated Rulemaking 
Act of 1990 (Pub. L. 101-648). This committee was established to 
provide advice and make recommendations to the Secretary with respect 
to the text or content of a proposed rule on the wage index used to 
adjust payment rates for hospices under the Medicare program, to 
reflect local differences in area wage levels. Committee members 
included representatives of national hospice associations; rural, 
urban, large, and small hospices; multi-site hospices; consumer groups; 
and a government representative. In addition, during the process, when 
the Committee identified large groups of hospices likely to suffer a 
significant negative impact as a result of the revised wage index, 
attempts were made to contact representatives of those groups for their 
input, as well as to provide them an opportunity to participate in the 
meetings and discussions.
    The Committee met five times from November 1994 to April 1995. Its 
deliberations focused on the following issues: the data source for the 
wage index; the budget neutrality adjustment; continued application of 
a wage index floor; the transition period; future updates; and the 
effective date of a revised index. The Committee reached consensus on a 
methodology that resulted in a hospice wage index. The Committee 
Statement, with which all Committee members concurred, is attached as 
an Appendix to this final rule.

B. Provisions of the Proposed Hospice Wage Index

    Existing hospice regulations at Sec. 418.306(c) provide that the 
payment rates established by HCFA are adjusted by the intermediary to 
reflect local differences in wages. We proposed to amend 
Sec. 418.306(c) to add that:
     The hospice wage index is updated annually based on the 
most current available hospital wage data; and
     These data will include any changes to the definitions of 
Metropolitan Statistical Areas.
    As noted above, the revised hospice wage index is based on the 
recommendations of a Negotiated Rulemaking Advisory Committee. In the 
Agreement in which all Committee members concurred, HCFA agreed that it 
would, to the maximum extent possible and consistent with the 
applicable legal obligations, draft a proposed rule consistent with the 
Committee Statement and publish it as a Notice of Proposed Rulemaking. 
We stated our intent to interpret and apply the proposed rule, if 
adopted in final form, in a manner fully consistent with the Committee 
Statement.
    We also stated that if the final rule were adopted without change 
from the proposed rule, the only difference between the final rule and 
the Committee Statement would be the calculation of the wage index 
value for the Virgin Islands, as noted in section II.F below. The wage 
index value for the

[[Page 42862]]

Virgin Islands was not addressed by the Committee, since at the time of 
its meetings there were no certified hospices located in the Virgin 
Islands.

C. Computation of the Hospice Wage Index

    We proposed that the hospice wage index be derived from the 
following 1993 hospital cost report data:
     Total short-term, acute care hospital salaries and hours.
     Home office costs and hours.
     Fringe benefits associated with hospital and home office 
salaries.
     Direct patient care related contract labor cost and hours.
     The exclusion of salaries and hours for nonhospital type 
services such as skilled nursing facility services, home health 
services, or other subprovider components that are not subject to the 
prospective payment system.
    The raw hospital wage data would undergo a series of reviews and 
edits to verify the wage data from the Medicare cost report. A detailed 
description of this process is contained in both the September 1, 1995 
(60 FR 45778) and the August 30, 1996 (60 FR 46166) hospital 
prospective payment final rule.
    As noted above, we proposed to base the fiscal year 1997 hospice 
wage index on hospital wage data reported on the fiscal year 1993 cost 
report prior to reclassification; that is, the hospital wage index will 
not be adjusted to take into account the geographic reclassification of 
hospitals in accordance with sections 1886(d)(8)(B) and 1886(d)(10) of 
the Act. A detailed description of the method used to compute the 
hospital wage index is contained in both the September 1, 1995 (60 FR 
45778), and the August 30, 1996 (60 FR 46166), hospital prospective 
payment final rule.

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

    We proposed that all hospice wage index values below 0.8 would 
receive the greater of the following:
     A 15-percent increase, subject to a maximum wage index 
value of 0.8; or
     An adjustment, by multiplying the hospice wage index value 
for a given area by the budget neutrality adjustment factor. In this 
way, wage areas with values below 0.8 would not receive both the wage 
index floor adjustment and the budget neutrality adjustment. All 
hospice wage index values of 0.8 or greater would receive a budget 
neutrality adjustment, which would be calculated by multiplying the 
hospice wage index value for a given area by the budget neutrality 
factor.
    To determine a budget neutrality adjustment factor, we established 
the payments that would be made under the 1983 wage index. We did this 
by calculating the labor-related payments for each of the four types of 
hospice services using patient bills for the most recent completed 
fiscal year (that is, fiscal year 1995 bills would be used to calculate 
the fiscal year 1997 index). That dollar amount would be the target for 
the budget neutrality calculation. Then payments would be calculated 
separately for the labor-related portion of the rates using the wage 
index proposed in this rule. The budget neutrality factor would be 
calculated as the multiplier by which labor-related payments using the 
proposed wage index must be adjusted to equal labor-related payments 
using the 1983 wage index. The calculation would be made taking into 
account the respective adjustments applicable to wage index values 
below, at, or above the 0.8 threshold described above. The payments 
would be for the total of labor-related payments for each of the four 
types of hospice services. The budget neutrality factor would then be 
applied to the wage index. To confirm the accuracy of the calculation, 
total payments would then be calculated by using the new budget 
neutrality adjusted wage index and would be compared to payments using 
the 1983 wage index.
    The budget neutrality factor would be calculated and applied 
annually, both during and after the transition period. For the first 
transition year, the budget neutrality factor will be 1.020768.

E. Transition and Annual Updates

    We proposed a 3-year transition period with annual updates as noted 
in the Committee Statement.

F. Wage Index Value for the Virgin Islands

    At the time of negotiations, there were no certified hospices 
located in the Virgin Islands. However, since that time, a hospice 
program has been certified to provide services under Medicare. Since 
the Virgin Islands is not an area designated under the prospective 
payment system for hospitals, there is no hospital wage index value for 
the Virgin Islands. Therefore, though this was not an issue discussed 
by the Committee, we proposed that the methodology to calculate a wage 
index value for the Virgin Islands would be to gather information from 
the hospital cost report and compare hourly wages of the hospital 
located in the Virgin Islands to the national average. This would 
generate a wage index value of 0.6594.

III. Analysis of and Response to Public Comments

    In response to the September 4, 1996 proposed rule, we received 
four items of correspondence, three from hospices, and one from a 
hospice association.
    Comment: One commenter expressed concern that the wage index rates 
continue to be based on the location of the hospice rather than the 
location where the service is furnished.
    Response: Hospices provide services in various locations. These may 
include the patient's home, an inpatient facility, and the hospice 
facility itself. Currently, the wage index for hospice services is 
based on the location of the hospice rather than the location of 
service delivery. Although this was not an issue addressed by this 
rule, a proposal linking payments for hospice services to the 
geographic location of the site where the service was furnished was 
included in the Administration's Medicare and Medicaid Fraud, Abuse, 
and Waste Prevention Amendments of 1997.
     Comment: One commenter requested information on how best to bring 
about a change in classification from a rural area to an urban area 
because he believed that an urban designation better reflects his 
costs.
    Response: Each hospice's labor market area is established by the 
MSA definitions issued by OMB on December 28, 1992, based on the 1990 
census, and updated periodically by the Office of Management and Budget 
(OMB). Any request for change in designation of MSA would have to be 
made to OMB for consideration.
    Comment: One commenter suggested that the wage index values for 
Puerto Rico did not reflect the costs of providing services in that 
area. The commenter believed that implementation of the wage index will 
result in inaccessibility of hospice care in certain areas. The 
commenter described several characteristics that, she believed, are 
unique to providing hospice care in Puerto Rico. These include poor 
access to many communities, lack of educational programs or other 
curricula aimed at training professionals in hospice care, language 
barriers, outdated communication technology, high cost-of-living, and 
high operational costs due to necessary imports. The commenter also 
believed that the hospital wage index does not accurately reflect costs 
in Puerto Rico.
    Response: As stated in the proposed rule, the committee solicited 
participation from Puerto Rico and

[[Page 42863]]

reviewed financial information provided by Puerto Rico hospices. The 
committee considered many of the issues raised by representatives of 
Puerto Rico and determined that, in order to maintain the viability of 
hospice programs in rural and other low wage index areas, it was 
appropriate to continue to assist those areas with wage index values 
below 0.8 by providing an adjustment to the wage component of the rate. 
The committee agreed that for those wage areas below 0.8, the revised 
wage index for the area would be the greater of the pre-reclassified 
hospital wage index value times a budget neutrality adjustment factor, 
or the pre- reclassified hospital wage index value multiplied by 1.15, 
but subject to a maximum wage index value of 0.8.
    We believe that characteristics described by the commenter as being 
unique to hospices in Puerto Rico are in fact shared by hospices in 
many rural and urban areas. Access to communities and outdated 
communications technology are often problematic in rural areas of the 
continental United States. Additionally, many hospices in the 
continental United States experience a lack of external educational 
programs aimed at training hospice professionals and have to provide 
that training internally. The problem of language barriers and the need 
for bilingual staff can also be found in many areas in the United 
States.
    Moreover, some of the commenter's concerns were not relevant to the 
development of a revised hospice wage index. The committee focused its 
attention on the development of a revised hospice wage index and 
therefore did not address some of the issues raised by the commenter. 
For example, the commenter described how the operational costs of 
hospices are high in Puerto Rico due to the costs associated with 
importing supplies. The hospice wage index will affect only the wage 
portion of the hospice daily payment rate. Operational costs would not 
be reflected in this portion of the daily payment rate. Also, it is 
expected that both hospices and hospitals in Puerto Rico will have 
similar staffing problems, so the impact of the resulting higher 
salaries should be reflected in the hospital wage index.
    The issue of the hospital wage index not accurately reflecting the 
costs in Puerto Rico was discussed in the August 30, 1996 Federal 
Register (61 FR 46166). The notice recognized that hospitals in Puerto 
Rico have experienced large swings in their wage index values, and that 
these shifts can cause shifts in payments. Several options, including 
the creation of a single MSA for Puerto Rico, which would limit these 
types of swings, were discussed. However, it was decided that none of 
the options would create a payment system that was fair and equitable 
to all hospitals, regardless of location. While drafting the August 30, 
1996 final rule discussed above, HCFA met with representatives of the 
Puerto Rico Hospital Association to explore other solutions to the 
problems faced by hospitals in the Commonwealth. In reviewing the 
latest Medicare cost report data available at that time, we found that 
hospitals in Puerto Rico continue to demonstrate average Medicare 
operating margins comparable to all other prospective payment 
hospitals.
    This comment was forwarded to the negotiated rulemaking committee 
members for review and consideration. Based on their responses, we 
believe this comment would not have led the group to a different 
consensus had it been available during the negotiations.
    Comment: One commenter expressed concern that reduction of the wage 
index value in his area would cause hospices to experience financial 
hardship.
    Response: We recognize that although the proposed hospice wage 
index is budget neutral, some hospices will experience reductions in 
wage index values. Wage index values below 0.8 percent will be adjusted 
according to the adjustment factor. The revised wage index values would 
be the greater of the pre-reclassification hospital wage index values 
times the budget neutrality adjustment factor or the pre-
reclassification hospital wage index value multiplied by 1.15, but 
subject to a maximum wage index value of 0.8 percent. The committee did 
examine the overall effects of the various methodologies for computing 
the wage index that were proposed during the negotiated rulemaking 
process and chose the option with the least overall impact on hospices.

IV. Provisions of the Final Rule

    This final rule essentially incorporates the provisions of the 
proposed rule, in which we proposed to establish a methodology to 
update the wage index used to adjust Medicare payment rates for 
hospices. The few changes we made from the proposed rule are identified 
below.
    We are also publishing, in Tables A and B below, the updated urban 
and rural wage indexes for hospices included in the proposed rule. The 
values in Tables A and B published with this final rule are current and 
will not be updated until October 1, 1998. The wage index values for 
Tables A and B will be used for the first transition year, and have 
already been subject to all adjustments.

A. Transition Period

    Due to the delay in the publication of this final rule, the revised 
wage index will become effective for care and services furnished on or 
after October 1, 1997. Keeping with the spirit of the consensus 
agreement, the revised wage index will continue to be subject to the 
full 3-year transition period. The first year of the transition period 
will begin October 1, 1997, and will end September 30, 1998.

B. Annual Updates

    Annual updates will begin with the start of the second transition 
year. We plan to coordinate the annual updates after the third 
transition year with the hospital wage index updates. This may result 
in the third transition year lasting somewhat longer than a year. 
Annual updates will be published as a notice in the Federal Register, 
rather than as a proposed rule as agreed to in the Consensus agreement. 
We believe that this change is not contradictory to the intentions of 
the rulemaking committee; rather, it will allow us to make timely 
updates through a less burdensome administrative process. The annual 
updates will update the hospice wage index values according to the 
methodology agreed to by the rulemaking committee and implemented by 
this final rule. In the event that we decide to change the methodology 
by which the wage index is computed, this will be reflected in a 
proposed rule published in the Federal Register.

C. Tables

              Table A.--Hospice Wage Index for Urban Areas              
------------------------------------------------------------------------
                                                                  Wage  
    Urban area (constituent counties or county equivalents)       index 
-------------------------------------------------------------------\1\--
Abilene, TX                                                             
  Taylor, TX..................................................    0.9145
Aguadilla, PR                                                           
  Aguada, PR..................................................    0.6958
  Aguadilla, PR...............................................    0.6958
  Moca, PR....................................................    0.6958
Akron, OH                                                               
  Portage, OH.................................................    1.0657
  Summit, OH..................................................    1.0657
Albany, GA                                                              
  Dougherty, GA...............................................    0.8987
  Lee, GA.....................................................    0.8987
Albany-Schenectady-Troy, NY                                             
  Albany, NY..................................................    0.9008
  Montgomery, NY..............................................    0.9008
  Rensselaer, NY..............................................    0.9008
  Saratoga, NY................................................    0.9008

[[Page 42864]]

                                                                        
  Schenectady, NY.............................................    0.9008
  Schoharie, NY...............................................    0.8866
Albuquerque, NM                                                         
  Bernalillo, NM..............................................    1.0378
  Sandoval, NM................................................    0.9503
  Valencia, NM................................................    0.9503
Alexandria, LA                                                          
  Rapides, LA.................................................    0.9387
Allentown-Bethlehem-Easton, PA                                          
  Carbon, PA..................................................    1.0557
  Lehigh, PA..................................................    1.0557
  Northampton, PA.............................................    1.0557
Altoona, PA                                                             
  Blair, PA...................................................    1.0210
Amarillo, TX                                                            
  Potter, TX..................................................    0.9569
  Randall, TX.................................................    0.9569
Anchorage, AK                                                           
  Anchorage, AK...............................................    1.4474
Ann Arbor, MI                                                           
  Lenawee, MI.................................................    1.0416
  Livingston, MI..............................................    1.2129
  Washtenaw, MI...............................................    1.2195
Anniston, AL                                                            
  Calhoun, AL.................................................    0.8599
Appleton-Oshkosh-Neenah, WI                                             
  Calumet, WI.................................................    0.9629
  Outagamie, WI...............................................    0.9629
  Winnebago, WI...............................................    0.9629
Arecibo, PR                                                             
  Arecibo, PR.................................................    0.7019
  Camuy, PR...................................................    0.7019
  Hatillo, PR.................................................    0.7019
Asheville, NC                                                           
  Buncombe, NC................................................    0.9646
  Madison, NC.................................................    0.8962
Athens, GA                                                              
  Clarke, GA..................................................    0.9201
  Madison, GA.................................................    0.9201
  Oconee, GA..................................................    0.9201
Atlanta, GA                                                             
  Barrow, GA..................................................    0.9822
  Bartow, GA..................................................    0.9200
  Carroll, GA.................................................    0.9200
  Cherokee, GA................................................    0.9841
  Clayton, GA.................................................    0.9822
  Cobb, GA....................................................    0.9822
  Coweta, GA..................................................    0.9822
  De Kalb, GA.................................................    0.9822
  Douglas, GA.................................................    0.9822
  Fayette, GA.................................................    0.9822
  Forsyth, GA.................................................    0.9822
  Fulton, GA..................................................    0.9822
  Gwinnett, GA................................................    0.9822
  Henry, GA...................................................    0.9822
  Newton, GA..................................................    0.9822
  Paulding, GA................................................    0.9822
  Pickens, GA.................................................    0.9200
  Rockdale, GA................................................    0.9822
  Spalding, GA................................................    0.9822
  Walton, GA..................................................    0.9822
Atlantic City-Cape May, NJ                                              
  Atlantic City, NJ...........................................    1.1016
  Cape May, NJ................................................    1.1016
Augusta-Aiken, GA-SC                                                    
  Columbia, GA................................................    0.9549
  McDuffie, GA................................................    0.9549
  Richmond, GA................................................    0.9549
  Aiken, SC...................................................    0.9549
  Edgefield, SC...............................................    0.8510
Austin-San Marcos, TX                                                   
  Bastrop, TX.................................................    0.8677
  Caldwell, TX................................................    0.8677
  Hays, TX....................................................    1.0355
  Travis, TX..................................................    1.0355
  Williamson, TX..............................................    1.0355
Bakersfield, CA                                                         
  Kern, CA....................................................    1.1817
Baltimore, MD                                                           
  Anne Arundel, MD............................................    1.0724
  Baltimore, MD...............................................    1.0724
  Baltimore City, MD..........................................    1.0724
  Carroll, MD.................................................    1.0724
  Harford, MD.................................................    1.0724
  Howard, MD..................................................    1.0724
  Queen Annes, MD.............................................    1.0724
Bangor, ME                                                              
  Penobscot, ME...............................................    0.9504
Barnstable-Yarmouth, MA                                                 
  Barnstable, MA..............................................    1.1253
Baton Rouge, LA                                                         
  Ascension, LA...............................................    0.9793
  East Baton Rouge, LA........................................    0.9793
  Livingston, LA..............................................    0.9793
  West Baton Rouge, LA........................................    0.9793
Beaumont-Port Arthur, TX                                                
  Hardin, TX..................................................    0.9637
  Jefferson, TX...............................................    0.9637
  Orange, TX..................................................    0.9637
Bellingham, WA                                                          
  Whatcom, WA.................................................    1.1026
Benton Harbor, MI                                                       
  Berrien, MI.................................................    0.8838
Bergen-Passaic, NJ                                                      
  Bergen, NJ..................................................    1.1012
  Passaic, NJ.................................................    1.1012
Billings, MT                                                            
  Yellowstone, MT.............................................    0.9657
Biloxi-Gulfport-Pascagoula, MS                                          
  Hancock, MS.................................................    0.8838
  Harrison, MS................................................    0.8838
  Jackson, MS.................................................    0.9810
Binghamton, NY                                                          
  Broome, NY..................................................    0.9484
  Tioga, NY...................................................    0.9484
Birmingham, AL                                                          
  Blount, AL..................................................    0.9912
  Jefferson, AL...............................................    0.9912
  St. Clair, AL...............................................    0.9912
  Shelby, AL..................................................    0.9912
Bismarck, ND                                                            
  Burleigh, ND................................................    0.9569
  Morton, ND..................................................    0.9569
Bloomington, IN                                                         
  Monroe, IN..................................................    0.9166
Bloomington-Normal, IL                                                  
  McLean, IL..................................................    0.9959
Boise City, ID                                                          
  Ada, ID.....................................................    1.0512
  Canyon, ID..................................................    0.9319
Boston-Brockton-Nashua, MA-NH                                           
  Bristol, MA.................................................    1.0526
  Essex, MA...................................................    1.1402
  Middlesex, MA...............................................    1.1402
  Norfolk, MA.................................................    1.1402
  Plymouth, MA................................................    1.1402
  Suffolk, MA.................................................    1.1402
  Worcester, MA...............................................    1.0599
  Hillsborough, NH............................................    1.0311
  Merrimack, NH...............................................    1.0311
  Rockingham, NH..............................................    0.9705
  Strafford, NH...............................................    0.9705
Boulder-Longmont, CO                                                    
  Boulder, CO.................................................    1.0033
Brazoria, TX                                                            
  Brazoria, TX................................................    0.8853
Bremerton, WA                                                           
  Kitsap, WA..................................................    0.9826
Brownsville-Harlingen-San Benito, TX                                    
  Cameron, TX.................................................    0.9179
Bryan-College Station, TX                                               
  Brazos, TX..................................................    0.9189
Buffalo-Niagara Falls, NY                                               
  Erie, NY....................................................    0.9759
  Niagara, NY.................................................    0.9047
Burlington, VT                                                          
  Chittenden, VT..............................................    0.9995
  Franklin, VT................................................    0.9397
  Grand Isle, VT..............................................    0.9995
Caguas, PR                                                              
  Caguas, PR..................................................    0.7086
  Cayey, PR...................................................    0.7086
  Cidra, PR...................................................    0.7086
  Gurabo, PR..................................................    0.7086
  San Lorenzo, PR.............................................    0.7086
Canton-Massillon, OH                                                    
  Carroll, OH.................................................    0.9610
  Stark, OH...................................................    0.9610
Casper, WY                                                              
  Natrona, WY.................................................    0.9980
Cedar Rapids, IA                                                        
  Linn, IA....................................................    0.9260
Champaign-Urbana, IL                                                    
  Champaign, IL...............................................    1.0167
Charleston-North Charleston, SC                                         
  Berkeley, SC................................................    1.0033
  Charleston, SC..............................................    1.0033
  Dorchester, SC..............................................    1.0033
Charleston, WV                                                          
  Kanawha, WV.................................................    1.0749
  Putnam, WV..................................................    1.0749
Charlotte-Gastonia-Rock Hill, NC-SC                                     
  Cabarrus, NC................................................    0.9926
  Gaston, NC..................................................    0.9926
  Lincoln, NC.................................................    0.9926
  Mecklenburg, NC.............................................    0.9926
  Rowan, NC...................................................    0.9926
  Union, NC...................................................    0.9926
  York, SC....................................................    0.9926
Charlottesville, VA                                                     
  Albemarle, VA...............................................    1.1911
  Charlottesville City, VA....................................    1.1911
  Fluvanna, VA................................................    1.1911
  Greene, VA..................................................    1.1911
Chattanooga, TN-GA                                                      
  Catoosa, GA.................................................    0.9591
  Dade, GA....................................................    0.9591
  Walker, GA..................................................    0.9591
  Hamilton, TN................................................    0.9591
  Marion, TN..................................................    0.9591
Cheyenne, WY                                                            
  Laramie, WY.................................................    0.9043
Chicago, IL                                                             
  Cook, IL....................................................    1.1961
  De Kalb, IL.................................................    0.9570
  Du Page, IL.................................................    1.1961
  Grundy, IL..................................................    1.1074
  Kane, IL....................................................    1.0438

[[Page 42865]]

                                                                        
  Kendall, IL.................................................    1.0438
  Lake, IL....................................................    1.1205
  McHenry, IL.................................................    1.1961
  Will, IL....................................................    1.1074
Chico-Paradise, CA                                                      
  Butte, CA...................................................    1.0729
Cincinnati, OH-KY-IN                                                    
  Dearborn, IN................................................    1.0441
  Ohio, IN....................................................    0.9120
  Boone, KY...................................................    1.0441
  Campbell, KY................................................    1.0441
  Gallatin, KY................................................    0.8805
  Grant, KY...................................................    0.8805
  Kenton, KY..................................................    1.0441
  Pendleton, KY...............................................    0.8805
  Brown, OH...................................................    0.9480
  Clermont, OH................................................    1.0441
  Hamilton, OH................................................    1.0441
  Warren, OH..................................................    1.0441
Clarksville-Hopkinsville, TN-KY                                         
  Christian, KY...............................................    0.8228
  Montgomery, TN..............................................    0.8228
Cleveland-Lorain-Elyria, OH                                             
  Ashtabula, OH...............................................    0.9587
  Cuyahoga, OH................................................    1.1549
  Geauga, OH..................................................    1.1549
  Lake, OH....................................................    1.1549
  Lorain, OH..................................................    1.0542
  Medina, OH..................................................    1.1549
Colorado Springs, CO                                                    
  El Paso, CO.................................................    1.0711
Columbia, MO                                                            
  Boone, MO...................................................    1.0757
Columbia, SC                                                            
  Lexington, SC...............................................    0.9652
  Richland, SC................................................    0.9652
Columbus, GA-AL                                                         
  Russell, AL.................................................    0.8799
  Chattanoochee, GA...........................................    0.8799
  Harris, GA..................................................    0.8335
  Muscogee, GA................................................    0.8799
Columbus, OH                                                            
  Delaware, OH................................................    1.0387
  Fairfield, OH...............................................    1.0387
  Franklin, OH................................................    1.0387
  Licking, OH.................................................    1.0387
  Madison, OH.................................................    1.0387
  Pickaway, OH................................................    1.0387
Corpus Christi, TX                                                      
  Nueces, TX..................................................    0.9587
  San Patricio, TX............................................    0.9587
Cumberland, MD-WV                                                       
  Allegany, MD................................................    0.9388
  Mineral, WV.................................................    0.9388
Dallas, TX                                                              
  Collin, TX..................................................    1.0642
  Dallas, TX..................................................    1.0642
  Denton, TX..................................................    1.0642
  Ellis, TX...................................................    1.0642
  Henderson, TX...............................................    0.8838
  Hunt, TX....................................................    0.8838
  Kaufman, TX.................................................    1.0642
  Rockwall, TX................................................    1.0642
Danville, VA                                                            
  Danville City, VA...........................................    0.8812
  Pittsylvania, VA............................................    0.8812
Davenport-Rock Island-Moline, IA-IL                                     
  Scott, IA...................................................    0.9537
  Henry, IL...................................................    0.9537
  Rock Island, IL.............................................    0.9537
Dayton-Springfield, OH                                                  
  Clark, OH...................................................    1.0818
  Greene, OH..................................................    1.0818
  Miami, OH...................................................    1.0818
  Montgomery, OH..............................................    1.0818
Daytona Beach, FL                                                       
  Flagler, FL.................................................    0.8953
  Volusia, FL.................................................    0.9615
Decatur, AL                                                             
  Lawrence, AL................................................    0.8297
  Morgan, AL..................................................    0.8297
Decatur, IL                                                             
  Macon, IL...................................................    0.9360
Denver, CO                                                              
  Adams, CO...................................................    1.1721
  Arapahoe, CO................................................    1.1721
  Denver, CO..................................................    1.1721
  Douglas, CO.................................................    1.1721
  Jefferson, CO...............................................    1.1721
Des Moines, IA                                                          
  Dallas, IA..................................................    1.0287
  Polk, IA....................................................    1.0287
  Warren, IA..................................................    1.0287
Detroit, MI                                                             
  Lapeer, MI..................................................    1.1810
  Macomb, MI..................................................    1.1810
  Monroe, MI..................................................    1.1810
  Oakland, MI.................................................    1.1810
  St. Clair, MI...............................................    1.1810
  Wayne, MI...................................................    1.1810
Dothan, AL                                                              
  Dale, AL....................................................    0.8565
  Houston, AL.................................................    0.8565
Dover, DE                                                               
  Kent, DE....................................................    0.9196
Dubuque, IA                                                             
  Dubuque, IA.................................................    0.9757
Duluth-Superior, MN-WI                                                  
  St. Louis, MN...............................................    0.9433
  Douglas, WI.................................................    0.9433
Dutchess County, NY                                                     
  Dutchess, NY................................................    1.1033
Eau Claire, WI                                                          
  Chippewa, WI................................................    0.9556
  Eau Claire, WI..............................................    0.9556
El Paso, TX                                                             
  El Paso, TX.................................................    0.9339
Elkhart-Goshen, IN                                                      
  Elkhart, IN.................................................    0.9056
Elmira, NY                                                              
  Chemung, NY.................................................    0.9844
Enid, OK                                                                
  Garfield, OK................................................    0.8812
Erie, PA                                                                
  Erie, PA....................................................    0.9872
Eugene-Springfield, OR                                                  
  Lane, OR....................................................    1.0560
Evansville-Henderson, IN-KY                                             
  Posey, IN...................................................    0.9925
  Vanderburgh, IN.............................................    0.9925
  Warrick, IN.................................................    0.9925
  Henderson, KY...............................................    0.9925
Fargo-Moorhead, ND-MN                                                   
  Clay, MN....................................................    0.9917
  Cass, ND....................................................    0.9917
Fayetteville, NC                                                        
  Cumberland, NC..............................................    0.9410
Fayetteville-Springdale-Rogers, AR                                      
  Benton, AR..................................................    0.8000
  Washington, AR..............................................    0.8205
Flagstaff, AZ-UT                                                        
  Coconino, AZ................................................    0.9159
  Kane, UT....................................................    0.8690
Flint, MI                                                               
  Genesee, MI.................................................    1.1669
Florence, AL                                                            
  Colbert, AL.................................................    0.8205
  Lauderdale, AL..............................................    0.8205
Florence, SC                                                            
  Florence, SC................................................    0.8417
Fort Collins-Loveland, CO                                               
  Larimer, CO.................................................    0.9908
Ft. Lauderdale, FL                                                      
  Broward, FL.................................................    1.1146
Fort Myers-Cape Coral, FL                                               
  Lee, FL.....................................................    0.9362
Fort Pierce-Port St. Lucie, FL                                          
  Martin, FL..................................................    1.0226
  St. Lucie, FL...............................................    1.0226
Fort Smith, AR-OK                                                       
  Crawford, AR................................................    0.9280
  Sebastian, AR...............................................    0.9280
  Sequoyah, OK................................................    0.9280
Fort Walton Beach, FL                                                   
  Okaloosa, FL................................................    0.8572
Fort Wayne, IN                                                          
  Adams, IN...................................................    0.8858
  Allen, IN...................................................    0.9422
  De Kalb, IN.................................................    0.9422
  Huntington, IN..............................................    0.8858
  Wells, IN...................................................    0.8858
  Whitley, IN.................................................    0.9422
Fort Worth-Arlington, TX                                                
  Hood, TX....................................................    0.8982
  Johnson, TX.................................................    0.9770
  Parker, TX..................................................    0.9770
  Tarrant, TX.................................................    0.9770
Frenso, CA                                                              
  Fresno, CA..................................................    1.1938
  Madera, CA..................................................    1.0684
Gadsden, AL                                                             
  Etowah, AL..................................................    0.9306
Gainesville, FL                                                         
  Alachua, FL.................................................    0.9817
Galveston-Texas City, TX                                                
  Galveston, TX...............................................    1.1787
Gary, IN                                                                
  Lake, IN....................................................    1.0917
  Porter, IN..................................................    1.0917
Glens Falls, NY                                                         
  Warren, NY..................................................    0.8911
  Washington, NY..............................................    0.8911
Goldsboro, NC                                                           
  Wayne, NC...................................................    0.8642
Grand Forks, ND-MN                                                      
  Polk, MN....................................................    0.8911
  Grand Forks, ND.............................................    0.9709
Grand Junction, CO                                                      
  Mesa, CO....................................................    0.8500
Grand Rapids-Muskegon-Holland, MI                                       
  Allegan, MI.................................................    0.9891
  Kent, MI....................................................    1.0247
  Muskegon, MI................................................    0.9789
  Ottawa, MI..................................................    1.0247
Great Falls, MT                                                         
  Cascade, MT.................................................    0.9968
Greeley, CO                                                             
  Weld, CO....................................................    1.0666

[[Page 42866]]

                                                                        
Green Bay, WI                                                           
  Brown, WI...................................................    0.9863
Greensboro-Winston-Salem-High Point, NC                                 
  Alamance, NC................................................    0.8946
  Davidson, NC................................................    0.9693
  Davie, NC...................................................    0.9693
  Forsyth, NC.................................................    0.9693
  Guilford, NC................................................    0.9693
  Randolph, NC................................................    0.9693
  Stokes, NC..................................................    0.9693
  Yadkin, NC..................................................    0.9693
Greenville, NC                                                          
  Pitt, NC....................................................    0.8875
Greenville-Spartanburg-Anderson, SC                                     
  Anderson, SC................................................    0.8989
  Cherokee, SC................................................    0.8541
  Greenville, SC..............................................    0.9485
  Pickens, SC.................................................    0.9485
  Spartanburg, SC.............................................    0.9485
Hagerstown, MD                                                          
  Washington, MD..............................................    0.9989
Hamilton-Middletown, OH                                                 
  Butler, OH..................................................    1.0330
Harrisburg-Lebanon-Carlisle, PA                                         
  Cumberland, PA..............................................    1.0504
  Dauphin, PA.................................................    1.0504
  Lebanon, PA.................................................    1.0504
  Perry, PA...................................................    1.0504
Hartford, CT                                                            
  Hartford, CT................................................    1.1484
  Litchfield, CT..............................................    1.1484
  Middlesex, CT...............................................    1.1484
  Tolland, CT.................................................    1.1484
Hattiesburg, MS                                                         
  Forrest, MS.................................................    0.8013
  Lamar, MS...................................................    0.8013
Hickory-Morganton-Lenoir, NC                                            
  Alexander, NC...............................................    0.9402
  Burke, NC...................................................    0.9402
  Caldwell, NC................................................    0.8721
  Catawba, NC.................................................    0.9402
Honolulu, HI                                                            
  Honolulu, HI................................................    1.1706
Houma, LA                                                               
  Lafourche, LA...............................................    0.9332
  Terrebonne, LA..............................................    0.9332
Houston, TX                                                             
  Chambers, TX................................................    0.8930
  Fort Bend, TX...............................................    1.0969
  Harris, TX..................................................    1.0969
  Liberty, TX.................................................    1.0969
  Montgomery, TX..............................................    1.0969
  Waller, TX..................................................    1.0969
Huntington-Ashland, WV-KY-OH                                            
  Boyd, KY....................................................    0.9797
  Carter, KY..................................................    0.9797
  Greenup, KY.................................................    0.9797
  Lawrence, OH................................................    0.9797
  Cabell, WV..................................................    0.9797
  Wayne, WV...................................................    0.9797
Huntsville, AL                                                          
  Limestone, AL...............................................    0.8236
  Madison, AL.................................................    0.8910
Indianapolis, IN                                                        
  Boone, IN...................................................    1.0552
  Hamilton, IN................................................    1.0552
  Hancock, IN.................................................    1.0552
  Hendricks, IN...............................................    1.0552
  Johnson, IN.................................................    1.0552
  Madison, IN.................................................    0.9964
  Marion, IN..................................................    1.0552
  Morgan, IN..................................................    1.0552
  Shelby, IN..................................................    1.0552
Iowa City, IA                                                           
  Johnson, IA.................................................    1.0959
Jackson, MI                                                             
  Jackson, MI.................................................    1.0074
Jackson, MS                                                             
  Hinds, MS...................................................    0.8882
  Madison, MS.................................................    0.8882
  Rankin, MS..................................................    0.8882
Jackson, TN                                                             
  Madison, TN.................................................    0.8264
Jacksonville, FL                                                        
  Clay, FL....................................................    0.9838
  Duval, FL...................................................    0.9838
  Nassau, FL..................................................    0.9838
  St. Johns, FL...............................................    0.9838
Jacksonville, NC                                                        
  Onslow, NC..................................................    0.8565
Jamestown, NY                                                           
  Chautaqua, NY...............................................    0.8477
Janesville-Beloit, WI                                                   
  Rock, WI....................................................    0.9003
Jersey City, NJ                                                         
  Hudson, NJ..................................................    1.1299
Johnson City-Kingsport-Bristol, TN-VA                                   
  Carter, TN..................................................    0.9311
  Hawkins, TN.................................................    0.9311
  Sullivan, TN................................................    0.9311
  Unicoi, TN..................................................    0.9311
  Washington, TN..............................................    0.9311
  Bristol City, VA............................................    0.9311
  Scott, VA...................................................    0.9311
  Washington, VA..............................................    0.9311
Johnstown, PA                                                           
  Cambria, PA.................................................    0.9856
  Somerset, PA................................................    0.9856
Joplin, MO                                                              
  Jasper, MO..................................................    0.9053
  Newton, MO..................................................    0.9053
Kalamazoo-Battlecreek, MI                                               
  Calhoun, MI.................................................    1.0800
  Kalamazoo, MI...............................................    1.1936
  Van Buren, MI...............................................    1.0035
Kankakee, IL                                                            
  Kankakee, IL................................................    0.9323
Kansas City, KS-MO                                                      
  Johnson, KS.................................................    0.9883
  Leavenworth, KS.............................................    0.9883
  Miami, KS...................................................    0.9883
  Wyandotte, KS...............................................    0.9883
  Cass, MO....................................................    0.9969
  Clay, MO....................................................    0.9969
  Clinton, MO.................................................    0.8871
  Jackson, MO.................................................    0.9969
  Lafayette, MO...............................................    0.9969
  Platte, MO..................................................    0.9969
  Ray, MO.....................................................    0.9969
Kenosha, WI                                                             
  Kenosha, WI.................................................    1.0538
Killeen-Temple, TX                                                      
  Bell, TX....................................................    0.9934
  Coryell, TX.................................................    0.9934
Knoxville, TN                                                           
  Anderson, TN................................................    0.9144
  Blount, TN..................................................    0.9144
  Knox, TN....................................................    0.9144
  Loudon, TN..................................................    0.8337
  Sevier, TN..................................................    0.9144
  Union, TN...................................................    0.9144
Kokomo, IN                                                              
  Howard, IN..................................................    0.9463
  Tipton, IN..................................................    0.9463
La Crosse, WI-MN                                                        
  Houston, MN.................................................    0.8777
  La Crosse, WI...............................................    0.9331
Lafayette, LA                                                           
  Acadia, LA..................................................    0.8464
  Lafayette, LA...............................................    0.9693
  St. Landry, LA..............................................    0.8464
  St. Martin, LA..............................................    0.9693
Lafayette, IN                                                           
  Clinton, IN.................................................    0.8852
  Tippecanoe, IN..............................................    0.9189
Lake Charles, LA                                                        
  Calcasieu, LA...............................................    0.9499
Lakeland-Winter Haven, FL                                               
  Polk, FL....................................................    0.9298
Lancaster, PA                                                           
  Lancaster, PA...............................................    1.0319
Lansing-East Lansing, MI                                                
  Clinton, MI.................................................    1.0561
  Eaton, MI...................................................    1.0561
  Ingham, MI..................................................    1.0561
Laredo, TX                                                              
  Webb, TX....................................................    0.8374
Las Cruces, NM                                                          
  Dona Ana, NM................................................    0.8645
Las Vegas, NV-AZ                                                        
  Mohave, AZ..................................................    0.9788
  Clark, NV...................................................    1.1994
  Nye, NV.....................................................    1.0625
Lawrence, KS                                                            
  Douglas, KS.................................................    0.9592
Lawton, OK                                                              
  Comanche, OK................................................    0.9159
Lewiston-Auburn, ME                                                     
  Androscoggin, ME............................................    0.9447
Lexington, KY                                                           
  Bourbon, KY.................................................    0.9337
  Clark, KY...................................................    0.9337
  Fayette, KY.................................................    0.9337
  Jessamine, KY...............................................    0.9337
  Madison, KY.................................................    0.8371
  Scott, KY...................................................    0.9337
  Woodford, KY................................................    0.9337
Lima, OH                                                                
  Allen, OH...................................................    0.9767
  Auglaize, OH................................................    0.9767
Lincoln, NE                                                             
  Lancaster, NE...............................................    0.9017
Little Rock-North Little Rock, AR                                       
  Faulkner, AR................................................    0.9855
  Lonoke, AR..................................................    0.9855
  Pulaski, AR.................................................    0.9855
  Saline, AR..................................................    0.9855
Longview-Marshall, TX                                                   
  Gregg, TX...................................................    0.8767
  Harrison, TX................................................    0.8767
  Upshur, TX..................................................    0.8469
Los Angeles-Long Beach, CA                                              
  Los Angeles, CA.............................................    1.3072
Louisville, KY-IN                                                       
  Clark, IN...................................................    1.0601
  Floyd, IN...................................................    1.0601
  Harrison, IN................................................    1.0601

[[Page 42867]]

                                                                        
  Scott, IN...................................................    0.9078
  Bullitt, KY.................................................    1.0601
  Jefferson, KY...............................................    1.0601
  Oldham, KY..................................................    1.0601
Lubbock, TX                                                             
  Lubbock, TX.................................................    0.9760
Lynchburg, VA                                                           
  Amherst, VA.................................................    0.9028
  Bedford City, VA............................................    0.8537
  Bedford, VA.................................................    0.8537
  Campbell, VA................................................    0.9028
  Lynchburg City, VA..........................................    0.9028
Macon, GA                                                               
  Bibb, GA....................................................    0.9705
  Houston, GA.................................................    0.9705
  Jones, GA...................................................    0.9705
  Peach, GA...................................................    0.9705
  Twiggs, GA..................................................    0.8788
Madison, WI                                                             
  Dane, WI....................................................    1.0391
Mansfield, OH                                                           
  Crawford, OH................................................    0.9124
  Richland, OH................................................    0.9145
Mayaguez, PR                                                            
  Anasco, PR..................................................    0.6949
  Cabo Rojo, PR...............................................    0.6949
  Hormigueros, PR.............................................    0.6949
  Mayaguez, PR................................................    0.6949
  Sabana Grande, PR...........................................    0.6949
  San German, PR..............................................    0.6949
McAllen-Edinburg-Mission, TX                                            
  Hidalgo, TX.................................................    0.8588
Medford-Ashland, OR                                                     
  Jackson, OR.................................................    1.0131
Melbourne-Titusville-Palm Bay, FL                                       
  Brevard, Fl.................................................    0.9437
Memphis, TN-AR-MS                                                       
  Crittenden, AR..............................................    1.0104
  De Soto, MS.................................................    1.0104
  Fayette, TN.................................................    0.8223
  Shelby, TN..................................................    1.0104
  Tipton, TN..................................................    1.0104
Merced, CA                                                              
  Merced, CA..................................................    1.0506
Miami, FL                                                               
  Dade, FL....................................................    1.1202
Middlesex-Somerset-Hunterdon, NJ                                        
  Hunterdon, NJ...............................................    1.0939
  Middlesex, NJ...............................................    1.0939
  Somerset, NJ................................................    1.0939
Milwaukee-Waukesha, WI                                                  
  Milwaukee, WI...............................................    1.0442
  Ozaukee, WI.................................................    1.0442
  Washington, WI..............................................    1.0442
  Waukesha, WI................................................    1.0442
Minneapolis-St Paul, MN-WI                                              
  Anoka, MN...................................................    1.0656
  Carver, MN..................................................    1.0656
  Chisago, MN.................................................    1.0656
  Dakota, MN..................................................    1.0656
  Hennepin, MN................................................    1.0656
  Isanti, MN..................................................    1.0656
  Ramsey, MN..................................................    1.0656
  Scott, MN...................................................    1.0656
  Sherburne, MN...............................................    0.9660
  Washington, MN..............................................    1.0656
  Wright, MN..................................................    1.0656
  Pierce, WI..................................................    0.9317
  St. Croix, WI...............................................    1.0656
Mobile, AL                                                              
  Baldwin, AL.................................................    0.9065
  Mobile, AL..................................................    0.9065
Modesto, CA                                                             
  Stanislaus, CA..............................................    1.0953
Monmouth-Ocean, NJ                                                      
  Monmouth, NJ................................................    1.0398
  Ocean, NJ...................................................    1.0398
Monroe, LA                                                              
  Ouachita, LA................................................    0.9293
Montgomery, AL                                                          
  Autauga, AL.................................................    0.9299
  Elmore, AL..................................................    0.9299
  Montgomery, AL..............................................    0.9299
Muncie, IN                                                              
  Delaware, IN................................................    0.9963
Myrtle Beach, SC                                                        
  Horry, SC...................................................    0.8058
Naples, FL                                                              
  Collier, FL.................................................    0.9405
Nashville, TN                                                           
  Cheatham, TN................................................    1.1451
  Davidson, TN................................................    1.1451
  Dickson, TN.................................................    1.1451
  Robertson, TN...............................................    1.1451
  Rutherford TN...............................................    1.1451
  Sumner, TN..................................................    1.1451
  Williamson, TN..............................................    1.1451
  Wilson, TN..................................................    1.1451
Nassau-Suffolk, NY                                                      
  Nassau, NY..................................................    1.2839
  Suffolk, NY.................................................    1.2839
New Haven-Bridgeport-Stamford-Danbury-Waterbury,                        
  Fairfield, CT...............................................    1.2197
  New Haven, CT...............................................    1.1582
New London-Norwich, CT                                                  
  New London, CT..............................................    1.1431
New Orleans, LA                                                         
  Jefferson, LA...............................................    1.0079
  Orleans, LA.................................................    1.0079
  Plaquemines, LA.............................................    0.8849
  St. Bernard, LA.............................................    1.0079
  St. Charles, LA.............................................    1.0079
  St. James, LA...............................................    0.8849
  St. John The Baptist, LA....................................    1.0079
  St. Tammany, LA.............................................    1.0079
New York, NY                                                            
  Bronx, NY...................................................    1.4110
  Kings, NY...................................................    1.4110
  New York, NY................................................    1.4110
  Putnam, NY..................................................    1.4110
  Queens, NY..................................................    1.4110
  Richmond, NY................................................    1.4110
  Rockland, NY................................................    1.4110
  Westchester, NY.............................................    1.4110
Newark, NJ                                                              
  Essex, NJ...................................................    1.1684
  Morris, NJ..................................................    1.1684
  Sussex, NJ..................................................    1.1684
  Union, NJ...................................................    1.1684
  Warren, NJ..................................................    1.1160
Newburgh, NY-PA                                                         
  Orange, NY..................................................    1.0522
  Pike, PA....................................................    1.0705
Norfolk-Virginia Beach-Newport News, VA-NC                              
  Currituck, NC...............................................    0.8627
  Chesapeake City, VA.........................................    0.9498
  Gloucester, VA..............................................    0.9498
  Hampton City, VA............................................    0.9498
  Isle of Wight, VA...........................................    0.8638
  James City, VA..............................................    0.9498
  Mathews, VA.................................................    0.8638
  Newport News City, VA.......................................    0.9498
  Norfolk City, VA............................................    0.9498
  Poquoson City, VA...........................................    0.9498
  Portsmouth City, VA.........................................    0.9498
  Suffolk City, VA............................................    0.9498
  Virginia Beach City VA......................................    0.9498
  Williamsburg City, VA.......................................    0.9498
  York, VA....................................................    0.9498
Oakland, CA                                                             
  Alameda, CA.................................................    1.3685
  Contra Costa, CA............................................    1.3685
Ocala, FL                                                               
  Marion, FL..................................................    0.9971
Odessa-Midland, TX                                                      
  Ector, TX...................................................    0.9539
  Midland, TX.................................................    1.0224
Oklahoma City, OK                                                       
  Canadian, OK................................................    1.0043
  Cleveland, OK...............................................    1.0043
  Logan, OK...................................................    1.0043
  McClain, OK.................................................    1.0043
  Oklahoma, OK................................................    1.0043
  Pottawatomie, OK............................................    1.0043
Olympia, WA                                                             
  Thurston, WA................................................    1.0832
Omaha, NE-IA                                                            
  Pottawattamie, IA...........................................    0.9312
  Cass, NE....................................................    0.8670
  Douglas, NE.................................................    0.9312
  Sarpy, NE...................................................    0.9312
  Washington, NE..............................................    0.9312
Orange County, CA                                                       
  Orange, CA..................................................    1.2540
Orlando, FL                                                             
  Lake, FL....................................................    0.9157
  Orange, FL..................................................    1.0127
  Osceola, FL.................................................    1.0127
  Seminole, FL................................................    1.0127
Owensboro, KY                                                           
  Daviess, KY.................................................    0.8565
Panama City, FL                                                         
  Bay, FL.....................................................    0.8920
Parkersburg-Marietta, WV-OH                                             
  Washington, OH..............................................    0.9453
  Wood, WV....................................................    0.9453
Pensacola, FL                                                           
  Escambia, FL................................................    0.8990
  Santa Rosa, FL..............................................    0.8990
Peoria-Pekin, IL                                                        
  Peoria, IL..................................................    1.0623
  Tazewell, IL................................................    1.0623
  Woodford, IL................................................    1.0623
Philadelphia, PA-NJ                                                     
  Burlington, NJ..............................................    1.1826
  Camden, NJ..................................................    1.1826
  Gloucester, NJ..............................................    1.1826
  Salem, NJ...................................................    1.1236
  Bucks, PA...................................................    1.1826
  Chester, PA.................................................    1.1826
  Delaware, PA................................................    1.1826
  Montgomery, PA..............................................    1.1826
  Philadelphia, PA............................................    1.1826
Phoenix-Mesa, AZ                                                        
  Maricopa, AZ................................................    1.0907
  Pinal, AZ...................................................    0.9428
Pine Bluff, AR                                                          
  Jefferson, AR...............................................    0.8654

[[Page 42868]]

                                                                        
Pittsburgh, PA                                                          
  Allegheny, PA...............................................    1.1050
  Beaver, PA..................................................    1.0693
  Butler, PA..................................................    1.0330
  Fayette, PA.................................................    1.1050
  Washington, PA..............................................    1.1050
  Westmoreland, PA............................................    1.1050
Pittsfield, MA                                                          
  Berkshire, MA...............................................    1.0270
Ponce, PR                                                               
  Guayanilla, PR..............................................    0.7129
  Juana Diaz, PR..............................................    0.7129
  Penuelas, PR................................................    0.7129
  Ponce, PR...................................................    0.7129
  Villalba, PR................................................    0.7129
  Yauco, PR...................................................    0.7129
Portland, ME                                                            
  Cumberland, ME..............................................    0.9843
  Sagadahoc, ME...............................................    0.9843
  York, ME....................................................    0.9843
Portland-Vancouver, OR-WA                                               
  Clackamas, OR...............................................    1.1440
  Columbia, OR................................................    1.0330
  Multnomah, OR...............................................    1.1440
  Washington, OR..............................................    1.1440
  Yamhill, OR.................................................    1.1440
  Clark, WA...................................................    1.1192
Providence-Warwick, RI                                                  
  Bristol, RI.................................................    1.0425
  Kent, RI....................................................    1.0425
  Newport, RI.................................................    1.0425
  Providence, RI..............................................    1.0425
  Washington, RI..............................................    1.0425
Provo-Orem, UT                                                          
  Utah, UT....................................................    0.9887
Pueblo, CO                                                              
  Pueblo, CO..................................................    1.0713
Punta Gorda, FL                                                         
  Charlotte, FL...............................................    0.8997
Racine, WI                                                              
  Racine, WI..................................................    0.9821
Raleigh-Durham-Chapel Hill, NC                                          
  Chatham, NC.................................................    0.9096
  Durham, NC..................................................    1.0210
  Franklin, NC................................................    1.0210
  Johnston, NC................................................    0.9096
  Orange, NC..................................................    1.0210
  Wake, NC....................................................    1.0210
Rapid City, SD                                                          
  Pennington, SD..............................................    0.8321
Reading, PA                                                             
  Berks, PA...................................................    1.0213
Redding, CA                                                             
  Shasta, CA..................................................    1.1124
Reno, NV                                                                
  Washoe, NV..................................................    1.2587
Richland-Kennewick-Pasco, WA                                            
  Benton, WA..................................................    0.9889
  Franklin, WA................................................    0.9889
Richmond-Petersburg, VA                                                 
  Charles City County, VA.....................................    0.9162
  Chesterfield, VA............................................    0.9162
  Colonial Heights City, VA...................................    0.9162
  Dinwiddie, VA...............................................    0.9162
  Goochland, VA...............................................    0.9162
  Hanover, VA.................................................    0.9162
  Henrico, VA.................................................    0.9162
  Hopewell City, VA...........................................    0.9162
  New Kent, VA................................................    0.9162
  Petersburg City, VA.........................................    0.9162
  Powhatan, VA................................................    0.9162
  Prince George, VA...........................................    0.9162
  Richmond City, VA...........................................    0.9162
Riverside-San Bernardino, CA                                            
  Riverside, CA...............................................    1.1870
  San Bernardino, CA..........................................    1.1870
Roanoke, VA                                                             
  Botetourt, VA...............................................    0.9779
  Roanoke, VA.................................................    0.9779
  Roanoke City, VA............................................    0.9779
  Salem City, VA..............................................    0.9779
Rochester, MN                                                           
  Olmsted, MN.................................................    1.0527
Rochester, NY                                                           
  Genesee, NY.................................................    0.9214
  Livingston, NY..............................................    1.0346
  Monroe, NY..................................................    1.0346
  Ontario, NY.................................................    1.0346
  Orleans, NY.................................................    1.0346
  Wayne, NY...................................................    1.0346
Rockford, IL                                                            
  Boone, IL...................................................    1.0159
  Ogle, IL....................................................    0.8969
  Winnebago, IL...............................................    1.0159
Rocky Mount, NC                                                         
  Edgecombe, NC...............................................    0.8833
  Nash, NC....................................................    0.8833
Sacramento, CA                                                          
  El Dorado, CA...............................................    1.1975
  Placer, CA..................................................    1.1975
  Sacramento, CA..............................................    1.1975
Saginaw-Bay City-Midland, MI                                            
  Bay, MI.....................................................    1.0722
  Midland, MI.................................................    1.0722
  Saginaw, MI.................................................    1.0722
St. Cloud, MN                                                           
  Benton, MN..................................................    0.9210
  Stearns, MN.................................................    0.9210
St. Joseph, MO                                                          
  Andrews, MO.................................................    0.8556
  Buchanan, MO................................................    0.9630
St. Louis, MO-IL                                                        
  Clinton, IL.................................................    0.9682
  Jersey, IL..................................................    0.9594
  Madison, IL.................................................    0.9594
  Monroe, IL..................................................    1.0362
  St. Clair, IL...............................................    0.9682
  Franklin, MO................................................    1.0362
  Jefferson, MO...............................................    1.0362
  Lincoln, MO.................................................    0.8716
  St. Charles, MO.............................................    1.0362
  St. Louis, MO...............................................    1.0362
  St. Louis City, MO..........................................    1.0362
  Warren, MO..................................................    0.8716
Salem, OR                                                               
  Marion, OR..................................................    1.0510
  Polk, OR....................................................    1.0510
Salinas, CA                                                             
  Monterey, CA................................................    1.3382
Salt Lake City-Ogden, UT                                                
  Davis, UT...................................................    0.9873
  Salt Lake, UT...............................................    0.9873
  Weber, UT...................................................    0.9873
San Angelo, TX                                                          
  Tom Green, TX...............................................    0.8859
San Antonio, TX                                                         
  Bexar, TX...................................................    1.0012
  Comal, TX...................................................    1.0012
  Guadalupe, TX...............................................    1.0012
  Wilson, TX..................................................    0.8383
San Diego, CA                                                           
  San Diego, CA...............................................    1.2225
San Francisco, CA                                                       
  Marin, CA...................................................    1.4362
  San Francisco, CA...........................................    1.4362
  San Mateo, CA...............................................    1.4362
San Jose, CA                                                            
  Santa Clara, CA.............................................    1.3756
San Juan-Bayamon, PR                                                    
  Aguas Buenas, PR............................................    0.7061
  Barceloneta, PR.............................................    0.7061
  Bayamon, PR.................................................    0.7061
  Canovanas, PR...............................................    0.7061
  Carolina, PR................................................    0.7061
  Catano, PR..................................................    0.7061
  Ceiba, PR...................................................    0.7061
  Comerio, PR.................................................    0.7061
  Corozal, PR.................................................    0.7061
  Dorado, PR..................................................    0.7061
  Fajardo, PR.................................................    0.7061
  Florida, PR.................................................    0.7061
  Guaynabo, PR................................................    0.7061
  Humacao, PR.................................................    0.7061
  Juncos, PR..................................................    0.7061
  Los Piedras, PR.............................................    0.7061
  Loiza, PR...................................................    0.7061
  Luguillo, PR................................................    0.7061
  Manati, PR..................................................    0.7061
  Morovis, PR.................................................    0.7061
  Naguabo, PR.................................................    0.7061
  Naranjito, PR...............................................    0.7061
  Rio Grande, PR..............................................    0.7061
  San Juan, PR................................................    0.7061
  Toa Alta, PR................................................    0.7061
  Toa Baja, PR................................................    0.7061
  Trujillo Alto, PR...........................................    0.7061
  Vega Alta, PR...............................................    0.7061
  Vega Baja, PR...............................................    0.7061
  Yabucoa, PR.................................................    0.7061
San Luis Obispo-Atascadero-Paso Robles, CA                              
  San Luis Obispo, CA.........................................    1.0812
Santa Barbara-Santa Maria-Lompoc, CA                                    
  Santa Barbara, CA...........................................    1.1390
Santa Cruz-Watsonville, CA                                              
  Santa Cruz, CA..............................................    1.2349
Santa Fe, NM                                                            
  Los Alamos, NM..............................................    1.0007
  Santa Fe, NM................................................    1.0007
Santa Rosa, CA                                                          
  Sonoma, CA..................................................    1.2314
Sarasota-Bradenton, FL                                                  
  Manatee, FL.................................................    0.9591
  Sarasota, FL................................................    1.0054
Savannah, GA                                                            
  Bryan, GA...................................................    0.9069
  Chatham, GA.................................................    0.9762
  Effingham, GA...............................................    0.9762
Scranton--Wilkes-Barre--Hazleton, PA.                                   
  Columbia, PA................................................    0.9621
  Lackawanna, PA..............................................    0.9621
  Luzerne, PA.................................................    0.9621
  Wyoming, PA.................................................    0.9621
Seattle-Bellevue-Everett, WA                                            
  Island, WA..................................................    1.0337
  King, WA....................................................    1.1278
  Snohomish, WA...............................................    1.1278
Sharon, PA                                                              

[[Page 42869]]

                                                                        
  Mercer, PA..................................................    0.9597
Sheboygan, WI                                                           
  Sheboygan, WI...............................................    0.8571
Sherman-Denison, TX                                                     
  Grayson, TX.................................................    0.9066
Shreveport-Bossier City, LA                                             
  Bossier, LA.................................................    1.0436
  Caddo, LA...................................................    1.0436
  Webster, LA.................................................    0.8871
Sioux City, IA-NE                                                       
  Woodbury, IA................................................    0.9853
  Dakota, NE..................................................    0.9853
Sioux Falls, SD                                                         
  Lincoln, SD.................................................    0.8377
  Minnehaha, SD...............................................    0.9362
South Bend, IN                                                          
  St. Joseph, IN..............................................    0.9497
Spokane, WA                                                             
  Spokane, WA.................................................    1.1198
Springfield, IL                                                         
  Menard, IL..................................................    1.0720
  Sangamon, IL................................................    1.0720
Springfield, MO                                                         
  Christian, MO...............................................    0.9025
  Greene, MO..................................................    0.9025
  Webster, MO.................................................    0.8198
Springfield, MA                                                         
  Hampden, MA.................................................    1.0322
  Hampshire, MA...............................................    1.0322
State College, PA                                                       
  Centre, PA..................................................    1.0440
Steubenville-Weirton, OH-WV                                             
  Jefferson, OH...............................................    0.9456
  Brooke, WV..................................................    0.9456
  Hancock, WV.................................................    0.9456
Stockton-Lodi, CA                                                       
  San Joaquin, CA.............................................    1.1781
Sumter, SC                                                              
  Sumter, SC..................................................    0.8058
Syracuse, NY                                                            
  Cayuga, NY..................................................    0.9128
  Madison, NY.................................................    1.3103
  Onondaga, NY................................................    1.3103
  Oswego, NY..................................................    1.3103
Tacoma, WA                                                              
  Pierce, WA..................................................    1.0803
Tallahassee, FL                                                         
  Gadsden, FL.................................................    0.9137
  Leon, FL....................................................    0.9137
Tampa-St. Petersburg-Clearwater, FL                                     
  Hernando, FL................................................    0.9941
  Hillsborough, FL............................................    0.9941
  Pasco, FL...................................................    0.9941
  Pinellas, FL................................................    0.9941
Terre Haute, IN                                                         
  Clay, IN....................................................    0.8962
  Vermillion, IN..............................................    0.8787
  Vigo, IN....................................................    0.8962
Texarkana, AR-Texarkana, TX                                             
  Miller, AR..................................................    1.0450
  Bowie, TX...................................................    1.0450
Toledo, OH                                                              
  Fulton, OH..................................................    1.1236
  Lucas, OH...................................................    1.1236
  Wood, OH....................................................    1.1236
Topeka, KS                                                              
  Shawnee, KS.................................................    1.1007
Trenton, NJ                                                             
  Mercer, NJ..................................................    1.0657
Tucson, AZ                                                              
  Pima, AZ....................................................    1.0000
Tulsa, OK                                                               
  Creek, OK...................................................    0.9826
  Osage, OK...................................................    0.9826
  Rogers, OK..................................................    0.9826
  Tulsa, OK...................................................    0.9826
  Wagoner, OK.................................................    0.9826
Tuscaloosa, AL                                                          
  Tuscaloosa, AL..............................................    0.9457
Tyler, TX                                                               
  Smith, TX...................................................    1.0226
Utica-Rome, NY                                                          
  Herkimer, NY................................................    0.9226
  Oneida, NY..................................................    0.9226
Vallejo-Fairfield-Napa, CA                                              
  Napa, CA....................................................    1.3792
  Solano, CA..................................................    1.3792
Ventura, CA                                                             
  Ventura, CA.................................................    1.2055
Victoria, TX                                                            
  Victoria, TX................................................    0.8731
Vineland-Millville-Bridgeton, NJ                                        
  Cumberland, NJ..............................................    0.9864
Visalia-Tulare-Porterville, CA                                          
  Tulare, CA..................................................    1.1180
Waco, TX                                                                
  McLennan, TX................................................    0.8220
Washington, DC-MD-VA-WV                                                 
  District of Columbia, DC....................................    1.1602
  Calvert, MD.................................................    1.1602
  Charles, MD.................................................    1.1602
  Frederick, MD...............................................    1.1602
  Montgomery, MD..............................................    1.1602
  Prince Georges, MD..........................................    1.1602
  Alexandria City, VA.........................................    1.1602
  Arlington, VA...............................................    1.1602
  Clarke, VA..................................................    0.9480
  Culpepper, VA...............................................    0.9480
  Fairfax, VA.................................................    1.1602
  Fairfax City, VA............................................    1.1602
  Falls Church City, VA.......................................    1.1602
  Fauquier, VA................................................    0.9480
  Fredericksburg City, VA.....................................    0.9480
  King George, VA.............................................    0.9480
  Loudoun, VA.................................................    1.1602
  Manassas City, VA...........................................    1.1602
  Manassas Park City, VA......................................    1.1602
  Prince William, VA..........................................    1.1602
  Spotsylvania, VA............................................    0.9480
  Stafford, VA................................................    1.1602
  Warren, VA..................................................    0.9480
  Berkeley, WV................................................    0.9931
  Jefferson, WV...............................................    0.9931
Waterloo-Cedar Falls, IA                                                
  Black Hawk, IA..............................................    0.9155
Wausau, WI                                                              
  Marathon, WI................................................    0.9851
West Palm Beach-Boca Raton, FL                                          
  Palm Beach, FL..............................................    1.0144
Wheeling, OH-WV                                                         
  Belmont, OH.................................................    0.9221
  Marshall, WV................................................    0.9221
  Ohio, WV....................................................    0.9221
Wichita, KS                                                             
  Butler, KS..................................................    1.0818
  Harvey, KS..................................................    0.8724
  Sedgwick, KS................................................    1.0818
Wichita Falls, TX                                                       
  Archer, TX..................................................    0.8264
  Wichita, TX.................................................    0.8669
Williamsport, PA                                                        
  Lycoming, PA................................................    0.9864
Willington-Newark, DE-MD                                                
  New Castle, DE..............................................    1.1263
  Cecil, MD...................................................    1.1263
Willington, NC                                                          
  Brunswick, NC...............................................    0.8864
  New Hanover, NC.............................................    0.9213
Yakima, WA                                                              
  Yakima, WA..................................................    1.0243
Yolo, CA                                                                
  Yolo, CA....................................................    1.1667
York, PA                                                                
  York, PA....................................................    1.0112
Youngstown-Warren, OH                                                   
  Columbiana, OH..............................................    0.9538
  Mahoning, OH................................................    1.0828
  Trumbull, OH................................................    1.0828
Yuba City, CA                                                           
  Sutter, CA..................................................    1.0913
  Yuba, CA....................................................    1.0913
Yuma, AZ                                                                
  Yuma, AZ....................................................    0.9321
------------------------------------------------------------------------
\1\ Wage index values are based on fiscal year 1993 hospital cost report
  data prior to reclassification. This wage index is further adjusted.  
  Wage index values greater than 0.8 are subject to a budget neutrality 
  adjustment of 1.020768. Wage index values below 0.8 are adjusted to be
  the greater of a 15 percent increase, subject to a maximum wage index 
  value of 0.8, or an adjustment by multiplying the hospice wage index  
  value for a given area by the budget neutrality adjustment. All of    
  these adjustments are built into the wage index values reflected in   
  Table A.                                                              


                  Table B.--Wage Index for Rural Areas                  
------------------------------------------------------------------------
                                                                  Wage  
                         Nonurban area                            index 
-------------------------------------------------------------------\2\--
Alabama:                                                                
  Barbour, AL.................................................    0.8000
  Bibb, AL....................................................    0.8000
  Bullock, AL.................................................    0.8000
  Butler, AL..................................................    0.8000
  Chambers, AL................................................    0.8000
  Cherokee, AL................................................    0.8000
  Chilton, AL.................................................    0.8000
  Choctaw, AL.................................................    0.8000
  Clarke, AL..................................................    0.8000
  Clay, AL....................................................    0.8000
  Cleburne, AL................................................    0.8000
  Coffee, AL..................................................    0.8000
  Conecuh, AL.................................................    0.8000
  Coosa, AL...................................................    0.8000
  Covington, AL...............................................    0.8000
  Crenshaw, AL................................................    0.8000
  Cullman, AL.................................................    0.8000
  Dallas, AL..................................................    0.8000
  De Kalb, AL.................................................    0.8000
  Escambia, AL................................................    0.8000
  Fayette, AL.................................................    0.8000
  Franklin, AL................................................    0.8000
  Geneva, AL..................................................    0.8000
  Greene, AL..................................................    0.8000
  Hale, AL....................................................    0.8000

[[Page 42870]]

                                                                        
  Henry, AL...................................................    0.8000
  Jackson, AL.................................................    0.8000
  Lamar, AL...................................................    0.8000
  Lee, AL.....................................................    0.8000
  Lowndes, AL.................................................    0.8000
  Macon, AL...................................................    0.8000
  Marengo, AL.................................................    0.8000
  Marion, AL..................................................    0.8000
  Marshall, AL................................................    0.8000
  Monroe, AL..................................................    0.8000
  Perry, AL...................................................    0.8000
  Pickens, AL.................................................    0.8000
  Pike, AL....................................................    0.8000
  Randolph, AL................................................    0.8000
  Sumter, AL..................................................    0.8000
  Talladega, AL...............................................    0.8000
  Tallapoosa, AL..............................................    0.8000
  Walker, AL..................................................    0.9365
  Washington, AL..............................................    0.8000
  Wilcox, AL..................................................    0.8000
  Winston, AL.................................................    0.8000
Alaska:                                                                 
  Aleutians East, AK..........................................    1.3603
  Aleutians West, AK..........................................    1.3603
  Bethel, AK..................................................    1.3603
  Bristol Bay Borough, AK.....................................    1.3603
  Dillingham, AK..............................................    1.3603
  Fairbanks North Star, AK....................................    1.3603
  Haines, AK..................................................    1.3603
  Juneau, AK..................................................    1.3603
  Kenai Peninsula.............................................    1.3603
  Ketchikan Gateway, AK.......................................    1.3603
  Kodiak Island, AK...........................................    1.3603
  Lake and Peninsula, AK......................................    1.3603
  Matanuska-Susitna, AK.......................................    1.3603
  Nome, AK....................................................    1.3603
  North Slope, AK.............................................    1.3603
  Northwest Arctic, AK........................................    1.3603
  Pr. of Wales-out.Ketchikanak, AK............................    1.3603
  Sitka, AK...................................................    1.3603
  Skagway-Yakutat-Angoon, AK..................................    1.3603
  Southeast Fairbanks, AK.....................................    1.3603
  Valdez-Cordova, AK..........................................    1.3603
  Wade Hampton, AK............................................    1.3603
  Wrangell-Petersburg, AK.....................................    1.3603
  Yukon-Koyukuk, AK...........................................    1.3603
Arizona:                                                                
  Apache, AZ..................................................    0.8787
  Cochise, AZ.................................................    0.8787
  Gila, AZ....................................................    0.8787
  Graham, AZ..................................................    0.8787
  Greenlee, AZ................................................    0.8787
  Lapaz, AZ...................................................    0.8787
  Navajo, AZ..................................................    0.8787
  Santa Cruz, AZ..............................................    0.8787
  Yavapai, AZ.................................................    0.8787
Arkansas:                                                               
  Arkansas, AR................................................    0.7999
  Ashley, AR..................................................    0.7999
  Baxter, AR..................................................    0.7999
  Boone, AR...................................................    0.7999
  Bradley, AR.................................................    0.7999
  Calhoun, AR.................................................    0.7999
  Carroll, AR.................................................    0.7999
  Chicot, AR..................................................    0.7999
  Clark, AR...................................................    0.7999
  Clay, AR....................................................    0.7999
  Cleburne, AR................................................    0.7999
  Cleveland, AR...............................................    0.7999
  Columbia, AR................................................    0.7999
  Conway, AR..................................................    0.7999
  Craighead, AR...............................................    0.7999
  Cross, AR...................................................    0.7999
  Dallas, AR..................................................    0.7999
  Desha, AR...................................................    0.7999
  Drew, AR....................................................    0.7999
  Franklin, AR................................................    0.7999
  Fulton, AR..................................................    0.7999
  Garland, AR.................................................    0.7999
  Grant, AR...................................................    0.7999
  Greene, AR..................................................    0.7999
  Hempstead, AR...............................................    0.7999
  Hot Springs, AR.............................................    0.7999
  Howard, AR..................................................    0.7999
  Independence, AR............................................    0.7999
  Izard, AR...................................................    0.7999
  Jackson, AR.................................................    0.7999
  Johnson, AR.................................................    0.7999
  Lafayette, AR...............................................    0.7999
  Lawrence, AR................................................    0.7999
  Lee, AR.....................................................    0.7999
  Lincoln, AR.................................................    0.7999
  Little River, AR............................................    0.7999
  Logan, AR...................................................    0.7999
  Madison, AR.................................................    0.7999
  Marion, AR..................................................    0.7999
  Mississippi, AR.............................................    0.7999
  Monroe, AR..................................................    0.7999
  Montgomery, AR..............................................    0.7999
  Nevada, AR..................................................    0.7999
  Newton, AR..................................................    0.7999
  Ouachita, AR................................................    0.7999
  Perry, AR...................................................    0.7999
  Phillips, AR................................................    0.7999
  Pike, AR....................................................    0.7999
  Poinsett, AR................................................    0.7999
  Polk, AR....................................................    0.7999
  Pope, AR....................................................    0.7999
  Prairie, AR.................................................    0.7999
  Randolph, AR................................................    0.7999
  St. Francis, AR.............................................    0.7999
  Scott, AR...................................................    0.7999
  Searcy, AR..................................................    0.7999
  Sevier, AR..................................................    0.7999
  Sharp, AR...................................................    0.7999
  Stone, AR...................................................    0.7999
  Union, AR...................................................    0.7999
  Van Buren, AR...............................................    0.7999
  White, AR...................................................    0.7999
  Woodruff, AR................................................    0.7999
  Yell, AR....................................................    0.7999
California:                                                             
  Alpine, CA..................................................    1.0282
  Amador, CA..................................................    1.0282
  Calaveras, CA...............................................    1.0282
  Colusa, CA..................................................    1.0282
  Del Norte, CA...............................................    1.0282
  Glenn, CA...................................................    1.0282
  Humboldt, CA................................................    1.0282
  Imperial, CA................................................    1.0282
  Inyo, CA....................................................    1.0282
  Kings, CA...................................................    1.0282
  Lake, CA....................................................    1.0282
  Lassen, CA..................................................    1.0282
  Mariposa, CA................................................    1.0282
  Mendocino, CA...............................................    1.0282
  Modoc, CA...................................................    1.0282
  Mono, CA....................................................    1.0282
  Nevada, CA..................................................    1.0282
  Plumas, CA..................................................    1.0282
  San Enito, CA...............................................    1.0282
  Sierra, CA..................................................    1.0282
  Siskiyou, CA................................................    1.0282
  Tehama, CA..................................................    1.0282
  Trinity, CA.................................................    1.0282
  Tuolumne, CA................................................    1.0282
Colorado:                                                               
  Alamosa, CO.................................................    0.8417
  Archuleta, CO...............................................    0.8417
  Baca, CO....................................................    0.8417
  Bent, CO....................................................    0.8417
  Chaffee, CO.................................................    0.8417
  Cheyenne, CO................................................    0.8417
  Clear Creek, CO.............................................    0.8417
  Conejos, CO.................................................    0.8417
  Costilla, CO................................................    0.8417
  Crowley, CO.................................................    0.8417
  Custer, CO..................................................    0.8417
  Delta, CO...................................................    0.8417
  Dolores, CO.................................................    0.8417
  Eagle, CO...................................................    0.8417
  Elbert, CO..................................................    0.8417
  Fremont, CO.................................................    0.8417
  Garfield, CO................................................    0.8417
  Gilpin, CO..................................................    0.8417
  Grand, CO...................................................    0.8417
  Gunnison, CO................................................    0.8417
  Hinsdale, CO................................................    0.8417
  Huerfano, CO................................................    0.8417
  Jackson, CO.................................................    0.8417
  Kiowa, CO...................................................    0.8417
  Kit Carson, CO..............................................    0.8417
  Lake, CO....................................................    0.8417
  La Plata, CO................................................    0.8417
  Las Animas, CO..............................................    0.8417
  Lincoln, CO.................................................    0.8417
  Logan, CO...................................................    0.8417
  Mineral, CO.................................................    0.8417
  Moffat, CO..................................................    0.8417
  Montezuma, CO...............................................    0.8417
  Montrose, CO................................................    0.8417
  Morgan, CO..................................................    0.8417
  Otero, CO...................................................    0.8417
  Ouray, CO...................................................    0.8417
  Park, CO....................................................    0.8417
  Phillips, CO................................................    0.8417
  Pitkin, CO..................................................    0.8417
  Prowers, CO.................................................    0.8417
  Rio Blanco, CO..............................................    0.8417
  Rio Grande, CO..............................................    0.8417
  Routt, CO...................................................    0.8417
  Saguache, CO................................................    0.8417
  San Juan, CO................................................    0.8417
  San Miguel, CO..............................................    0.8417
  Sedgwick, CO................................................    0.8417
  Summit, CO..................................................    0.8417
  Teller, CO..................................................    0.8417
  Washington, CO..............................................    0.8417
  Yuma, CO....................................................    0.8417
Connecticut:                                                            
  Windham, CT.................................................    1.1128
Delaware:                                                               
  Sussex, DE..................................................    0.9349
Florida:                                                                
  Baker, FL...................................................    0.8884
  Bradford, FL................................................    0.9556
  Calhoun, FL.................................................    0.8884
  Citrus, FL..................................................    0.8884
  Columbia, FL................................................    0.8884
  De Soto, FL.................................................    0.8884

[[Page 42871]]

                                                                        
  Dixie, FL...................................................    0.8884
  Franklin, FL................................................    0.8884
  Gilchrist, FL...............................................    0.8884
  Glades, FL..................................................    0.8884
  Gulf, FL....................................................    0.8884
  Hamilton, FL................................................    0.8884
  Hardee, FL..................................................    0.8884
  Hendry, FL..................................................    0.8884
  Highlands, FL...............................................    0.8884
  Holmes, FL..................................................    0.8884
  Indian River, FL............................................    0.8884
  Jackson, FL.................................................    0.8884
  Jefferson, FL...............................................    0.8884
  Lafayette, FL...............................................    0.8884
  Levy, FL....................................................    0.8884
  Liberty, FL.................................................    0.8884
  Madison, FL.................................................    0.8884
  Monroe, FL..................................................    0.8884
  Okeechobee, FL..............................................    0.8884
  Putnam, FL..................................................    0.8884
  Sumter, FL..................................................    0.8884
  Suwannee, FL................................................    0.8884
  Taylor, FL..................................................    0.8884
  Union, FL...................................................    0.8884
  Wakulla, FL.................................................    0.8884
  Walton, FL..................................................    0.8884
  Washington, FL..............................................    0.8884
Georgia:                                                                
  Appling, GA.................................................    0.8335
  Atkinson, GA................................................    0.8335
  Bacon, GA...................................................    0.8335
  Baker, GA...................................................    0.8335
  Baldwin, GA.................................................    0.8335
  Banks, GA...................................................    0.8335
  Ben Hill, GA................................................    0.8335
  Berrien, GA.................................................    0.8335
  Bleckley, GA................................................    0.8335
  Brantley, GA................................................    0.8335
  Brooks, GA..................................................    0.8335
  Bulloch, GA.................................................    0.8335
  Burke, GA...................................................    0.8335
  Butts, GA...................................................    0.8945
  Calhoun, GA.................................................    0.8335
  Camden, GA..................................................    0.8335
  Candler, GA.................................................    0.8335
  Charlton, GA................................................    0.8335
  Chattooga, GA...............................................    0.8335
  Clay, GA....................................................    0.8335
  Clinch, GA..................................................    0.8335
  Coffee, GA..................................................    0.8335
  Colquitt, GA................................................    0.8335
  Cook, GA....................................................    0.8335
  Crawford, GA................................................    0.8335
  Crisp, GA...................................................    0.8335
  Dawson, GA..................................................    0.8335
  Decatur, GA.................................................    0.8335
  Dodge, GA...................................................    0.8335
  Dooly, GA...................................................    0.8335
  Early, GA...................................................    0.8335
  Echols, GA..................................................    0.8335
  Elbert, GA..................................................    0.8335
  Emanuel, GA.................................................    0.8335
  Evans, GA...................................................    0.8335
  Fannin, GA..................................................    0.8335
  Floyd, GA...................................................    0.8335
  Franklin, GA................................................    0.8335
  Gilmer, GA..................................................    0.8335
  Glascock, GA................................................    0.8335
  Glynn, GA...................................................    0.8335
  Gordon, GA..................................................    0.8335
  Grady, GA...................................................    0.8335
  Greene, GA..................................................    0.8335
  Habersham, GA...............................................    0.8335
  Hall, GA....................................................    0.8335
  Hancock, GA.................................................    0.8335
  Haralson, GA................................................    0.8335
  Hart, GA....................................................    0.8335
  Heard, GA...................................................    0.8335
  Irwin, GA...................................................    0.8335
  Jackson, GA.................................................    0.8545
  Jasper, GA..................................................    0.8335
  Jeff Davis, GA..............................................    0.8335
  Jefferson, GA...............................................    0.8335
  Jenkins, GA.................................................    0.8335
  Johnson, GA.................................................    0.8335
  Lamar, GA...................................................    0.8335
  Lanier, GA..................................................    0.8335
  Laurens, GA.................................................    0.8335
  Liberty, GA.................................................    0.8335
  Lincoln, GA.................................................    0.8335
  Long, GA....................................................    0.8335
  Lowndes, GA.................................................    0.8335
  Lumpkin, GA.................................................    0.8335
  Mc Intosh, GA...............................................    0.8335
  Macon, GA...................................................    0.8335
  Marion, GA..................................................    0.8335
  Meriwether, GA..............................................    0.8335
  Miller, GA..................................................    0.8335
  Mitchell, GA................................................    0.8335
  Monroe, GA..................................................    0.8335
  Montgomery, GA..............................................    0.8335
  Morgan, GA..................................................    0.8335
  Murray, GA..................................................    0.8335
  Oglethorpe, GA..............................................    0.8335
  Pierce, GA..................................................    0.8335
  Pike, GA....................................................    0.8335
  Polk, GA....................................................    0.8335
  Pulaski, GA.................................................    0.8335
  Putnam, GA..................................................    0.8335
  Quitman, GA.................................................    0.8335
  Rabun, GA...................................................    0.8335
  Randolph, GA................................................    0.8335
  Schley, GA..................................................    0.8335
  Screven, GA.................................................    0.8335
  Seminole, GA................................................    0.8335
  Stephens, GA................................................    0.8335
  Stewart, GA.................................................    0.8335
  Sumter, GA..................................................    0.8335
  Talbot, GA..................................................    0.8335
  Taliaferro, GA..............................................    0.8335
  Tattnall, GA................................................    0.8335
  Taylor, GA..................................................    0.8335
  Telfair, GA.................................................    0.8335
  Terrell, GA.................................................    0.8335
  Thomas, GA..................................................    0.8335
  Tift, GA....................................................    0.8335
  Toombs, GA..................................................    0.8335
  Towns, GA...................................................    0.8335
  Treutlen, GA................................................    0.8335
  Troup, GA...................................................    0.8335
  Turner, GA..................................................    0.8335
  Union, GA...................................................    0.8335
  Upson, GA...................................................    0.8335
  Ware, GA....................................................    0.8335
  Warren, GA..................................................    0.8335
  Washington, GA..............................................    0.8335
  Wayne, GA...................................................    0.8335
  Webster, GA.................................................    0.8335
  Wheeler, GA.................................................    0.8335
  White, GA...................................................    0.8335
  Whitfield, GA...............................................    0.8335
  Wilcox, GA..................................................    0.8335
  Wilkes, GA..................................................    0.8335
  Wilkinson, GA...............................................    0.8335
  Worth, GA...................................................    0.8335
Hawaii:                                                                 
  Hawaii, HI..................................................    1.1496
  Kalawao, HI.................................................    1.1496
  Kauai, HI...................................................    1.1496
  Maui, HI....................................................    1.1496
Idaho:                                                                  
  Adams, ID...................................................    0.8942
  Bannock, ID.................................................    0.8942
  Bear Lake, ID...............................................    0.8942
  Benewah, ID.................................................    0.8942
  Bingham, ID.................................................    0.8942
  Blaine, ID..................................................    0.8942
  Boise, ID...................................................    0.8942
  Bonner, ID..................................................    0.8942
  Bonneville, ID..............................................    0.8942
  Boundary, ID................................................    0.8942
  Butte, ID...................................................    0.8942
  Camas, ID...................................................    0.8942
  Caribou, ID.................................................    0.8942
  Cassia, ID..................................................    0.8942
  Clark, ID...................................................    0.8942
  Clearwater, ID..............................................    0.8942
  Custer, ID..................................................    0.8942
  Elmore, ID..................................................    0.8942
  Franklin, ID................................................    0.8942
  Fremont, ID.................................................    0.8942
  Gem, ID.....................................................    0.8942
  Gooding, ID.................................................    0.8942
  Idaho, ID...................................................    0.8942
  Jefferson, ID...............................................    0.8942
  Jerome, ID..................................................    0.8942
  Kootenai, ID................................................    0.8942
  Latah, ID...................................................    0.8942
  Lemhi, ID...................................................    0.8942
  Lewis, ID...................................................    0.8942
  Lincoln, ID.................................................    0.8942
  Madison, ID.................................................    0.8942
  Minidoka, ID................................................    0.8942
  Nez Perce, ID...............................................    0.8942
  Oneida, ID..................................................    0.8942
  Owyhee, ID..................................................    0.8942
  Payette, ID.................................................    0.8942
  Power, ID...................................................    0.8942
  Shoshone, ID................................................    0.8942
  Teton, ID...................................................    0.8942
  Twin Falls, ID..............................................    0.8942
  Valley, ID..................................................    0.8942
  Washington, ID..............................................    0.8942
Illinois:                                                               
  Adams, IL...................................................    0.8455
  Alexander, IL...............................................    0.8455
  Bond, IL....................................................    0.8455
  Brown, IL...................................................    0.8455
  Bureau, IL..................................................    0.8455
  Calhoun, IL.................................................    0.8455
  Carroll, IL.................................................    0.8455
  Cass, IL....................................................    0.8455
  Christian, IL...............................................    0.8455
  Clark, IL...................................................    0.8455
  Clay, IL....................................................    0.8455
  Coles, IL...................................................    0.8455
  Crawford, IL................................................    0.8455
  Cumberland, IL..............................................    0.8455
  De Witt, IL.................................................    0.8455
  Douglas, IL.................................................    0.8455

[[Page 42872]]

                                                                        
  Edgar, IL...................................................    0.8455
  Edwards, IL.................................................    0.8455
  Effingham, IL...............................................    0.8455
  Fayette, IL.................................................    0.8455
  Ford, IL....................................................    0.8455
  Franklin, IL................................................    0.8455
  Fulton, IL..................................................    0.8455
  Gallatin, IL................................................    0.8455
  Greene, IL..................................................    0.8455
  Hamilton,IL.................................................    0.8455
  Hancock, IL.................................................    0.8455
  Hardin, IL..................................................    0.8455
  Henderson, IL...............................................    0.8455
  Iroquois, IL................................................    0.8455
  Jackson, IL.................................................    0.8455
  Jasper, IL..................................................    0.8455
  Jefferson, IL...............................................    0.8455
  Jo Daviess, IL..............................................    0.8455
  Johnson, IL.................................................    0.8455
  Knox, IL....................................................    0.8455
  La Salle, IL................................................    0.8455
  Lawrence, IL................................................    0.8455
  Lee, IL.....................................................    0.8455
  Livingston, IL..............................................    0.8455
  Logan, IL...................................................    0.8455
  McDonough, IL...............................................    0.8455
  Macoupin, IL................................................    0.8455
  Marion, IL..................................................    0.8455
  Marshall, IL................................................    0.8455
  Mason, IL...................................................    0.8455
  Massac, IL..................................................    0.8455
  Mercer, IL..................................................    0.8455
  Montgomery, IL..............................................    0.8455
  Morgan, IL..................................................    0.8455
  Moultrie, IL................................................    0.8455
  Perry, IL...................................................    0.8455
  Piatt, IL...................................................    0.8455
  Pike, IL....................................................    0.8455
  Pope, IL....................................................    0.8455
  Pulaski, IL.................................................    0.8455
  Putnam, IL..................................................    0.8455
  Randolph, IL................................................    0.8455
  Richland, IL................................................    0.8455
  Saline, IL..................................................    0.8455
  Schuyler, IL................................................    0.8455
  Scott, IL...................................................    0.8455
  Shelby, IL..................................................    0.8455
  Stark, IL...................................................    0.8455
  Stephenson, IL..............................................    0.8455
  Union, IL...................................................    0.8455
  Vermilion, IL...............................................    0.8455
  Wabash, IL..................................................    0.8455
  Warren, IL..................................................    0.8455
  Washington, IL..............................................    0.8455
  Wayne, IL...................................................    0.8455
  White, IL...................................................    0.8455
  Whiteside, IL...............................................    0.8455
  Williamson, IL..............................................    0.8455
Indiana:                                                                
  Bartholomew, IN.............................................    0.8628
  Benton, IN..................................................    0.8628
  Blackford, IN...............................................    0.8628
  Brown, IN...................................................    0.8628
  Carroll, IN.................................................    0.8628
  Cass, IN....................................................    0.8628
  Crawford, IN................................................    0.8628
  Daviess, IN.................................................    0.8628
  Decatur, IN.................................................    0.8628
  Dubois, IN..................................................    0.8628
  Fayette, IN.................................................    0.8628
  Fountain, IN................................................    0.8628
  Franklin, IN................................................    0.8628
  Fulton, IN..................................................    0.8628
  Gibson, IN..................................................    0.8628
  Grant, IN...................................................    0.8628
  Greene, IN..................................................    0.8628
  Henry, IN...................................................    0.8628
  Jackson, IN.................................................    0.8628
  Jasper, IN..................................................    0.8628
  Jay, IN.....................................................    0.8628
  Jefferson, IN...............................................    0.8628
  Jennings, IN................................................    0.8628
  Knox, IN....................................................    0.8628
  Kosciusko, IN...............................................    0.8628
  Lagrange, IN................................................    0.8628
  La Porte, IN................................................    0.8628
  Lawrence, IN................................................    0.8628
  Marshall, IN................................................    0.8628
  Martin, IN..................................................    0.8628
  Miami, IN...................................................    0.8628
  Montgomery, IN..............................................    0.8628
  Newton, IN..................................................    0.8628
  Noble, IN...................................................    0.8628
  Orange, IN..................................................    0.8628
  Owen, IN....................................................    0.8628
  Parke, IN...................................................    0.8628
  Perry, IN...................................................    0.8628
  Pike, IN....................................................    0.8628
  Pulaski, IN.................................................    0.8628
  Putnam, IN..................................................    0.8628
  Randolph, IN................................................    0.8628
  Ripley, IN..................................................    0.8628
  Rush, IN....................................................    0.8628
  Spencer, IN.................................................    0.8628
  Starke, IN..................................................    0.8628
  Steuben, IN.................................................    0.8628
  Sullivan, IN................................................    0.8628
  Switzerland, IN.............................................    0.8628
  Union, IN...................................................    0.8628
  Wabash, IN..................................................    0.8628
  Warren, IN..................................................    0.8628
  Washington, IN..............................................    0.8628
  Wayne, IN...................................................    0.8628
  White, IN...................................................    0.8628
Iowa:                                                                   
  Adair, IA...................................................    0.8116
  Adams, IA...................................................    0.8116
  Allamakee, IA...............................................    0.8116
  Appanoose, IA...............................................    0.8116
  Audubon, IA.................................................    0.8116
  Benton, IA..................................................    0.8116
  Boone, IA...................................................    0.8116
  Bremer, IA..................................................    0.8733
  Buchanan, IA................................................    0.8116
  Buena Vista, IA.............................................    0.8116
  Butler, IA..................................................    0.8116
  Calhoun, IA.................................................    0.8116
  Carroll, IA.................................................    0.8116
  Cass, IA....................................................    0.8116
  Cedar, IA...................................................    0.8116
  Cerro Gordo, IA.............................................    0.8116
  Cherokee, IA................................................    0.8116
  Chickasaw, IA...............................................    0.8116
  Clarke, IA..................................................    0.8116
  Clay, IA....................................................    0.8116
  Clayton, IA.................................................    0.8116
  Clinton, IA.................................................    0.8116
  Crawford, IA................................................    0.8116
  Davis, IA...................................................    0.8116
  Decatur, IA.................................................    0.8116
  Delaware, IA................................................    0.8116
  Des Moines, IA..............................................    0.8116
  Dickinson, IA...............................................    0.8116
  Emmet, IA...................................................    0.8116
  Fayette, IA.................................................    0.8116
  Floyd, IA...................................................    0.8116
  Franklin, IA................................................    0.8116
  Fremont, IA.................................................    0.8116
  Greene, IA..................................................    0.8116
  Grundy, IA..................................................    0.8116
  Guthrie, IA.................................................    0.8116
  Hamilton, IA................................................    0.8116
  Hancock, IA.................................................    0.8116
  Hardin, IA..................................................    0.8116
  Harrison, IA................................................    0.8116
  Henry, IA...................................................    0.8116
  Howard, IA..................................................    0.8116
  Humboldt, IA................................................    0.8116
  Ida, IA.....................................................    0.8116
  Iowa, IA....................................................    0.8116
  Jackson, IA.................................................    0.8116
  Jasper, IA..................................................    0.8116
  Jefferson, IA...............................................    0.8116
  Jones, IA...................................................    0.8116
  Keokuk, IA..................................................    0.8116
  Kossuth, IA.................................................    0.8116
  Lee, IA.....................................................    0.8116
  Louisa, IA..................................................    0.8116
  Lucas, IA...................................................    0.8116
  Lyon, IA....................................................    0.8116
  Madison, IA.................................................    0.8116
  Mahaska, IA.................................................    0.8116
  Marion, IA..................................................    0.8116
  Marshall, IA................................................    0.8116
  Mills, IA...................................................    0.8116
  Mitchell, IA................................................    0.8116
  Monona, IA..................................................    0.8116
  Monroe, IA..................................................    0.8116
  Montgomery, IA..............................................    0.8116
  Muscatine, IA...............................................    0.8116
  Obrien, IA..................................................    0.8116
  Osceola, IA.................................................    0.8116
  Page, IA....................................................    0.8116
  Palo Alto, IA...............................................    0.8116
  Plymouth, IA................................................    0.8116
  Pocahontas, IA..............................................    0.8116
  Poweshiek, IA...............................................    0.8116
  Ringgold, IA................................................    0.8116
  Sac, IA.....................................................    0.8116
  Shelby, IA..................................................    0.8116
  Sioux, IA...................................................    0.8116
  Story, IA...................................................    0.8116
  Tama, IA....................................................    0.8116
  Taylor, IA..................................................    0.8116
  Union, IA...................................................    0.8116
  Van Buren, IA...............................................    0.8116
  Wapello, IA.................................................    0.8116
  Washington, IA..............................................    0.8116
  Wayne, IA...................................................    0.8116
  Webster, IA.................................................    0.8116
  Winnebago, IA...............................................    0.8116
  Winneshiek, IA..............................................    0.8116
  Worth, IA...................................................    0.8116
  Wright, IA..................................................    0.8116
Kansas:                                                                 
  Allen, KS...................................................    0.8090
  Anderson, KS................................................    0.8090
  Atchison, KS................................................    0.8090
  Barber, KS..................................................    0.8090
  Barton, KS..................................................    0.8090

[[Page 42873]]

                                                                        
  Bourbon, KS.................................................    0.8090
  Brown, KS...................................................    0.8090
  Chase, KS...................................................    0.8090
  Chautauqua, KS..............................................    0.8090
  Cherokee, KS................................................    0.8090
  Cheyenne, KS................................................    0.8090
  Clark, KS...................................................    0.8090
  Clay, KS....................................................    0.8090
  Cloud, KS...................................................    0.8090
  Coffey, KS..................................................    0.8090
  Comanche, KS................................................    0.8090
  Cowley, KS..................................................    0.8090
  Crawford, KS................................................    0.8090
  Decatur, KS.................................................    0.8090
  Dickinson, KS...............................................    0.8090
  Doniphan, KS................................................    0.8090
  Edwards, KS.................................................    0.8090
  Elk, KS.....................................................    0.8090
  Ellis, KS...................................................    0.8090
  Ellsworth, KS...............................................    0.8090
  Finney, KS..................................................    0.8090
  Ford, KS....................................................    0.8090
  Franklin, KS................................................    0.8090
  Geary, KS...................................................    0.8090
  Gove, KS....................................................    0.8090
  Graham, KS..................................................    0.8090
  Grant, KS...................................................    0.8090
  Gray, KS....................................................    0.8090
  Greeley, KS.................................................    0.8090
  Greenwood, KS...............................................    0.8090
  Hamilton, KS................................................    0.8090
  Harper, KS..................................................    0.8090
  Haskell, KS.................................................    0.8090
  Hodgeman, KS................................................    0.8090
  Jackson, KS.................................................    0.8090
  Jefferson, KS...............................................    0.8090
  Jewell, KS..................................................    0.8090
  Kearny, KS..................................................    0.8090
  Kingman, KS.................................................    0.8090
  Kiowa, KS...................................................    0.8090
  Labette, KS.................................................    0.8090
  Lane, KS....................................................    0.8090
  Lincoln, KS.................................................    0.8090
  Linn, KS....................................................    0.8090
  Logan, KS...................................................    0.8090
  Lyon, KS....................................................    0.8090
  McPherson, KS...............................................    0.8090
  Marion, KS..................................................    0.8090
  Marshall, KS................................................    0.8090
  Meade, KS...................................................    0.8090
  Mitchell, KS................................................    0.8090
  Montgomery, KS..............................................    0.8090
  Morris, KS..................................................    0.8090
  Morton, KS..................................................    0.8090
  Nemaha, KS..................................................    0.8090
  Neosho, KS..................................................    0.8090
  Ness, KS....................................................    0.8090
  Norton, KS..................................................    0.8090
  Osage, KS...................................................    0.8090
  Osborne, KS.................................................    0.8090
  Ottawa, KS..................................................    0.8090
  Pawnee, KS..................................................    0.8090
  Phillips, KS................................................    0.8090
  Pottawatomie, KS............................................    0.8090
  Pratt, KS...................................................    0.8090
  Rawlins, KS.................................................    0.8090
  Reno, KS....................................................    0.8090
  Republic, KS................................................    0.8090
  Rice, KS....................................................    0.8090
  Riley, KS...................................................    0.8090
  Rooks, KS...................................................    0.8090
  Rush, KS....................................................    0.8090
  Russell, KS.................................................    0.8090
  Saline, KS..................................................    0.8090
  Scott, KS...................................................    0.8090
  Seward, KS..................................................    0.8090
  Sheridan, KS................................................    0.8090
  Sherman, KS.................................................    0.8090
  Smith, KS...................................................    0.8090
  Stafford, KS................................................    0.8090
  Stanton, KS.................................................    0.8090
  Stevens, KS.................................................    0.8090
  Sumner, KS..................................................    0.8090
  Thomas, KS..................................................    0.8090
  Trego, KS...................................................    0.8090
  Wabaunsee, KS...............................................    0.8090
  Wallace, KS.................................................    0.8090
  Washington, KS..............................................    0.8090
  Wichita, KS.................................................    0.8090
  Wilson, KS..................................................    0.8090
  Woodson, KS.................................................    0.8090
Kentucky:                                                               
  Adair, KY...................................................    0.8103
  Allen, KY...................................................    0.8103
  Anderson, KY................................................    0.8103
  Ballard, KY.................................................    0.8103
  Barren, KY..................................................    0.8103
  Bath, KY....................................................    0.8103
  Bell, KY....................................................    0.8103
  Boyle, KY...................................................    0.8103
  Bracken, KY.................................................    0.8103
  Breathitt, KY...............................................    0.8103
  Breckinridge, KY............................................    0.8103
  Butler, KY..................................................    0.8103
  Caldwell, KY................................................    0.8103
  Calloway, KY................................................    0.8103
  Carlisle, KY................................................    0.8103
  Carroll, KY.................................................    0.8103
  Casey, KY...................................................    0.8103
  Clay, KY....................................................    0.8103
  Clinton, KY.................................................    0.8103
  Crittenden, KY..............................................    0.8103
  Cumberland, KY..............................................    0.8103
  Edmonson, KY................................................    0.8103
  Elliott, KY.................................................    0.8103
  Estill, KY..................................................    0.8103
  Fleming, KY.................................................    0.8103
  Floyd, KY...................................................    0.8103
  Franklin, KY................................................    0.8103
  Fulton, KY..................................................    0.8103
  Garrard, KY.................................................    0.8103
  Graves, KY..................................................    0.8103
  Grayson, KY.................................................    0.8103
  Green, KY...................................................    0.8103
  Hancock, KY.................................................    0.8103
  Hardin, KY..................................................    0.8103
  Harlan, KY..................................................    0.8103
  Harrison, KY................................................    0.8103
  Hart, KY....................................................    0.8103
  Henry, KY...................................................    0.8103
  Hickman, KY.................................................    0.8103
  Hopkins, KY.................................................    0.8103
  Jackson, KY.................................................    0.8103
  Johnson, KY.................................................    0.8103
  Knott, KY...................................................    0.8103
  Knox, KY....................................................    0.8103
  Larue, KY...................................................    0.8103
  Laurel, KY..................................................    0.8103
  Lawrence, KY................................................    0.8103
  Lee, KY.....................................................    0.8103
  Leslie, KY..................................................    0.8103
  Letcher, KY.................................................    0.8103
  Lewis, KY...................................................    0.8103
  Lincoln, KY.................................................    0.8103
  Livingston, KY..............................................    0.8103
  Logan, KY...................................................    0.8103
  Lyon, KY....................................................    0.8103
  McCracken, KY...............................................    0.8103
  McCreary, KY................................................    0.8103
  McLean, KY..................................................    0.8103
  Magoffin, KY................................................    0.8103
  Marion, KY..................................................    0.8103
  Marshall, KY................................................    0.8103
  Martin, KY..................................................    0.8103
  Mason, KY...................................................    0.8103
  Meade, KY...................................................    0.8103
  Menifee, KY.................................................    0.8103
  Mercer, KY..................................................    0.8103
  Metcalfe, KY................................................    0.8103
  Monroe, KY..................................................    0.8103
  Montgomery, KY..............................................    0.8103
  Morgan, KY..................................................    0.8103
  Muhlenberg, KY..............................................    0.8103
  Nelson, KY..................................................    0.8103
  Nicholas, KY................................................    0.8103
  Ohio, KY....................................................    0.8103
  Owen, KY....................................................    0.8103
  Owsley, KY..................................................    0.8103
  Perry, KY...................................................    0.8103
  Pike, KY....................................................    0.8103
  Powell, KY..................................................    0.8103
  Pulaski, KY.................................................    0.8103
  Robertson, KY...............................................    0.8103
  Rockcastle, KY..............................................    0.8103
  Rowan, KY...................................................    0.8103
  Russell, KY.................................................    0.8103
  Shelby, KY..................................................    0.9903
  Simpson, KY.................................................    0.8103
  Spencer, KY.................................................    0.8103
  Taylor, KY..................................................    0.8103
  Todd, KY....................................................    0.8103
  Trigg, KY...................................................    0.8103
  Trimble, KY.................................................    0.8103
  Union, KY...................................................    0.8103
  Warren, KY..................................................    0.8103
  Washington, KY..............................................    0.8103
  Wayne, KY...................................................    0.8103
  Webster, KY.................................................    0.8103
  Whitley, KY.................................................    0.8103
  Wolfe, KY...................................................    0.8103
Louisiana:                                                              
  Allen, LA...................................................    0.8237
  Assumption, LA..............................................    0.8237
  Avoyelles, LA...............................................    0.8237
  Beauregard, LA..............................................    0.8237
  Bienville, LA...............................................    0.8237
  Caldwell, LA................................................    0.8237
  Cameron, LA.................................................    0.8237
  Catahoula, LA...............................................    0.8237
  Claiborne, LA...............................................    0.8237
  Concordia, LA...............................................    0.8237
  De Soto, LA.................................................    0.8237
  East Carroll, LA............................................    0.8237
  East Feliciana, LA..........................................    0.8237
  Evangeline, LA..............................................    0.8237
  Franklin, LA................................................    0.8237
  Grant, LA...................................................    0.8237
  Iberia, LA..................................................    0.8237
  Iberville, LA...............................................    0.8237
  Jackson, LA.................................................    0.8237

[[Page 42874]]

                                                                        
  Jefferson Davis, LA.........................................    0.8237
  La Salle, LA................................................    0.8237
  Lincoln, LA.................................................    0.8237
  Madison, LA.................................................    0.8237
  Morehouse, LA...............................................    0.8237
  Natchitoches, LA............................................    0.8237
  Pointe Coupee, LA...........................................    0.8237
  Red River, LA...............................................    0.8237
  Richland, LA................................................    0.8237
  Sabine, LA..................................................    0.8237
  St. Helena, LA..............................................    0.8237
  St. Mary, LA................................................    0.8237
  Tangipahoa, LA..............................................    0.8237
  Tensas, LA..................................................    0.8237
  Union, LA...................................................    0.8237
  Vermilion, LA...............................................    0.8237
  Vernon, LA..................................................    0.8237
  Washington, LA..............................................    0.8237
  West Carroll, LA............................................    0.8237
  West Feliciana, LA..........................................    0.8237
  Winn, LA....................................................    0.8237
Maine:                                                                  
  Aroostook, ME...............................................    0.8731
  Franklin, ME................................................    0.8731
  Hancock, ME.................................................    0.8731
  Kennebec, ME................................................    0.8731
  Knox, ME....................................................    0.8731
  Lincoln, ME.................................................    0.8731
  Oxford, ME..................................................    0.8731
  Piscataquis, ME.............................................    0.8731
  Somerset, ME................................................    0.8731
  Waldo, ME...................................................    0.8731
  Washington, ME..............................................    0.8731
Maryland:                                                               
  Caroline, MD................................................    0.9206
  Dorchester, MD..............................................    0.9206
  Garrett, MD.................................................    0.9206
  Kent, MD....................................................    0.9206
  St. Marys, MD...............................................    0.9206
  Somerset, MD................................................    0.9206
  Talbot, MD..................................................    0.9206
  Wicomico, MD................................................    0.9206
  Worcester, MD...............................................    0.9206
Massachusetts:                                                          
  Dukes, MA...................................................    1.0272
  Franklin, MA................................................    1.0272
  Nantucket, MA...............................................    1.0272
Michigan:                                                               
  Alcona, MI..................................................    0.9452
  Alger, MI...................................................    0.9452
  Alpena, MI..................................................    0.9452
  Antrim, MI..................................................    0.9452
  Arenac, MI..................................................    0.9452
  Baraga, MI..................................................    0.9452
  Barry, MI...................................................    0.9452
  Benzie, MI..................................................    0.9452
  Branch, MI..................................................    0.9452
  Cass, MI....................................................    0.9452
  Charlevoix, MI..............................................    0.9452
  Cheboygan, MI...............................................    0.9452
  Chippewa, MI................................................    0.9452
  Clare, MI...................................................    0.9452
  Crawford, MI................................................    0.9452
  Delta, MI...................................................    0.9452
  Dickinson, MI...............................................    0.9452
  Emmet, MI...................................................    0.9452
  Gladwin, MI.................................................    0.9452
  Gogebic, MI.................................................    0.9452
  Grand Traverse, MI..........................................    0.9452
  Gratiot, MI.................................................    0.9452
  Hillsdale, MI...............................................    0.9452
  Houghton, MI................................................    0.9452
  Huron, MI...................................................    0.9452
  Ionia, MI...................................................    0.9452
  Iosco, MI...................................................    0.9452
  Iron, MI....................................................    0.9452
  Isabella, MI................................................    0.9452
  Kalkaska, MI................................................    0.9452
  Keweenaw, MI................................................    0.9452
  Lake, MI....................................................    0.9452
  Leelanau, MI................................................    0.9452
  Luce, MI....................................................    0.9452
  Mackinac, MI................................................    0.9452
  Manistee, MI................................................    0.9452
  Marquette, MI...............................................    0.9452
  Mason, MI...................................................    0.9452
  Mecosta, MI.................................................    0.9452
  Menominee, MI...............................................    0.9452
  Missaukee, MI...............................................    0.9452
  Montcalm, MI................................................    0.9452
  Montmorency, MI.............................................    0.9452
  Newaygo, MI.................................................    0.9452
  Oceana, MI..................................................    0.9452
  Ogemaw, MI..................................................    0.9452
  Ontonagon, MI...............................................    0.9452
  Osceola, MI.................................................    0.9452
  Oscoda, MI..................................................    0.9452
  Otsego, MI..................................................    0.9452
  Presque Isle, MI............................................    0.9452
  Roscommon, MI...............................................    0.9452
  St. Joseph, MI..............................................    0.9452
  Sanilac, MI.................................................    0.9452
  Schoolcraft, MI.............................................    0.9452
  Shiawassee, MI..............................................    0.9452
  Tuscola, MI.................................................    0.9452
  Wexford, MI.................................................    0.9452
Minnesota:                                                              
  Aitkin, MN..................................................    0.8616
  Becker, MN..................................................    0.8616
  Beltrami, MN................................................    0.8616
  Big Stone, MN...............................................    0.8616
  Blue Earth, MN..............................................    0.8616
  Brown, MN...................................................    0.8616
  Carlton, MN.................................................    0.8616
  Cass, MN....................................................    0.8616
  Chippewa, MN................................................    0.8616
  Clearwater, MN..............................................    0.8616
  Cook, MN....................................................    0.8616
  Cottonwood, MN..............................................    0.8616
  Crow Wing, MN...............................................    0.8616
  Dodge, MN...................................................    0.8616
  Douglas, MN.................................................    0.8616
  Faribault, MN...............................................    0.8616
  Fillmore, MN................................................    0.8616
  Freeborn, MN................................................    0.8616
  Goodhue, MN.................................................    0.8616
  Grant, MN...................................................    0.8616
  Hubbard, MN.................................................    0.8616
  Itasca, MN..................................................    0.8616
  Jackson, MN.................................................    0.8616
  Kanabec, MN.................................................    0.8616
  Kandiyohi, MN...............................................    0.8616
  Kittson, MN.................................................    0.8616
  Koochiching, MN.............................................    0.8616
  Lac Qui Parle, MN...........................................    0.8616
  Lake, MN....................................................    0.8616
  Lake of Woods, MN...........................................    0.8616
  Le Sueur, MN................................................    0.8616
  Lincoln, MN.................................................    0.8616
  Lyon, MN....................................................    0.8616
  Mc Leod, MN.................................................    0.8616
  Mahnomen, MN................................................    0.8616
  Marshall, MN................................................    0.8616
  Martin, MN..................................................    0.8616
  Meeker, MN..................................................    0.8616
  Mille Lacs, MN..............................................    0.8616
  Morrison, MN................................................    0.8616
  Mower, MN...................................................    0.8616
  Murray, MN..................................................    0.8616
  Nicollet, MN................................................    0.8616
  Nobles, MN..................................................    0.8616
  Norman, MN..................................................    0.8616
  Otter Tail, MN..............................................    0.8616
  Pennington, MN..............................................    0.8616
  Pine, MN....................................................    0.8616
  Pipestone, MN...............................................    0.8616
  Pope, MN....................................................    0.8616
  Red Lake, MN................................................    0.8616
  Redwood, MN.................................................    0.8616
  Renville, MN................................................    0.8616
  Rice, MN....................................................    0.8616
  Rock, MN....................................................    0.8616
  Roseau, MN..................................................    0.8616
  Sibley, MN..................................................    0.8616
  Steele, MN..................................................    0.8616
  Stevens, MN.................................................    0.8616
  Swift, MN...................................................    0.8616
  Todd, MN....................................................    0.8616
  Traverse, MN................................................    0.8616
  Wabasha, MN.................................................    0.8616
  Wadena, MN..................................................    0.8616
  Waseca, MN..................................................    0.8616
  Watonwan, MN................................................    0.8616
  Wilkin, MN..................................................    0.8616
  Winona, MN..................................................    0.8616
  Yellow Medicine, MN.........................................    0.8616
Mississippi:                                                            
  Adams, MS...................................................    0.7951
  Alcorn, MS..................................................    0.7951
  Amite, MS...................................................    0.7951
  Attala, MS..................................................    0.7951
  Benton, MS..................................................    0.7951
  Bolivar, MS.................................................    0.7951
  Calhoun, MS.................................................    0.7951
  Carroll, MS.................................................    0.7951
  Chickasaw, MS...............................................    0.7951
  Choctaw, MS.................................................    0.7951
  Claiborne, MS...............................................    0.7951
  Clarke, MS..................................................    0.7951
  Clay, MS....................................................    0.7951
  Coahoma, MS.................................................    0.7951
  Copiah, MS..................................................    0.7951
  Covington, MS...............................................    0.7951
  Franklin, MS................................................    0.7951
  George, MS..................................................    0.7951
  Greene, MS..................................................    0.7951
  Grenada, MS.................................................    0.7951
  Holmes, MS..................................................    0.7951
  Humphreys, MS...............................................    0.7951
  Issaquena, MS...............................................    0.7951
  Itawamba, MS................................................    0.7951
  Jasper, MS..................................................    0.7951
  Jefferson, MS...............................................    0.7951
  Jefferson Davis, MS.........................................    0.7951
  Jones, MS...................................................    0.7951
  Kemper, MS..................................................    0.7951
  Lafayette, MS...............................................    0.7951
  Lauderdale, MS..............................................    0.7951
  Lawrence, MS................................................    0.7951
  Leake, MS...................................................    0.7951

[[Page 42875]]

                                                                        
  Lee, MS.....................................................    0.7951
  Leflore, MS.................................................    0.7951
  Lincoln, MS.................................................    0.7951
  Lowndes, MS.................................................    0.7951
  Marion, MS..................................................    0.7951
  Marshall, MS................................................    0.7951
  Monroe, MS..................................................    0.7951
  Montgomery, MS..............................................    0.7951
  Neshoba, MS.................................................    0.7951
  Newton, MS..................................................    0.7951
  Noxubee, MS.................................................    0.7951
  Oktibbeha, MS...............................................    0.7951
  Panola, MS..................................................    0.7951
  Pearl River, MS.............................................    0.7951
  Perry, MS...................................................    0.7951
  Pike, MS....................................................    0.7951
  Pontotoc, MS,...............................................    0.7951
  Prentiss, MS................................................    0.7951
  Quitman, MS.................................................    0.7951
  Scott, MS...................................................    0.7951
  Sharkey, MS.................................................    0.7951
  Simpson, MS.................................................    0.7951
  Smith, MS...................................................    0.7951
  Stone, MS...................................................    0.7951
  Sunflower, MS...............................................    0.7951
  Tallahatchie, MS............................................    0.7951
  Tate, MS....................................................    0.7951
  Tippah, MS..................................................    0.7951
  Tishomingo, MS..............................................    0.7951
  Tunica, MS..................................................    0.7951
  Union, MS...................................................    0.7951
  Walthall, MS................................................    0.7951
  Warren, MS..................................................    0.7951
  Washington, MS..............................................    0.7951
  Wayne, MS...................................................    0.7951
  Webster, MS.................................................    0.7951
  Wilkinson, MS...............................................    0.7951
  Winston, MS.................................................    0.7951
  Yalobusha, MS...............................................    0.7951
  Yazoo, MS...................................................    0.7951
Missouri:                                                               
  Adair, MO...................................................    0.8198
  Atchison, MO................................................    0.8198
  Audrain, MO.................................................    0.8198
  Barry, MO...................................................    0.8198
  Barton, MO..................................................    0.8198
  Bates, MO...................................................    0.8198
  Benton, MO..................................................    0.8198
  Bollinger, MO...............................................    0.8198
  Butler, MO..................................................    0.8198
  Caldwell, MO................................................    0.8198
  Callaway, MO................................................    0.8198
  Camden, MO..................................................    0.8198
  Cape Girardeau, MO..........................................    0.8198
  Carroll, MO.................................................    0.8198
  Carter, MO..................................................    0.8198
  Cedar, MO...................................................    0.8198
  Chariton, MO................................................    0.8198
  Clark, MO...................................................    0.8198
  Cole, MO....................................................    0.8198
  Cooper, MO..................................................    0.8198
  Crawford, MO................................................    0.8198
  Dade, MO....................................................    0.8198
  Dallas, MO..................................................    0.8198
  Daviess, MO.................................................    0.8198
  De Kalb, MO.................................................    0.8198
  Dent, MO....................................................    0.8198
  Douglas, MO.................................................    0.8198
  Dunklin, MO.................................................    0.8198
  Gasconade, MO...............................................    0.8198
  Gentry, MO..................................................    0.8198
  Grundy, MO..................................................    0.8198
  Harrison, MO................................................    0.8198
  Henry, MO...................................................    0.8198
  Hickory, MO.................................................    0.8198
  Holt, MO....................................................    0.8198
  Howard, MO..................................................    0.8198
  Howell, MO..................................................    0.8198
  Iron, MO....................................................    0.8198
  Johnson, MO.................................................    0.8198
  Knox, MO....................................................    0.8198
  Laclede, MO.................................................    0.8198
  Lawrence, MO................................................    0.8198
  Lewis, MO...................................................    0.8198
  Linn, MO....................................................    0.8198
  Livingston, MO..............................................    0.8198
  McDonald, MO................................................    0.8198
  Macon, MO...................................................    0.8198
  Madison, MO.................................................    0.8198
  Maries, MO..................................................    0.8198
  Marion, MO..................................................    0.8198
  Mercer, MO..................................................    0.8198
  Miller, MO..................................................    0.8198
  Mississippi, MO.............................................    0.8198
  Moniteau, MO................................................    0.8198
  Monroe, MO..................................................    0.8198
  Montgomery, MO..............................................    0.8198
  Morgan, MO..................................................    0.8198
  New Madrid, MO..............................................    0.8198
  Nodaway, MO.................................................    0.8198
  Oregon, MO..................................................    0.8198
  Osage, MO...................................................    0.8198
  Ozark, MO...................................................    0.8198
  Pemiscot, MO................................................    0.8198
  Perry, MO...................................................    0.8198
  Pettis, MO..................................................    0.8198
  Phelps, MO..................................................    0.8198
  Pike, MO....................................................    0.8198
  Polk, MO....................................................    0.8198
  Pulaski, MO.................................................    0.8198
  Putnam, MO..................................................    0.8198
  Ralls, MO...................................................    0.8198
  Randolph, MO................................................    0.8198
  Reynolds, MO................................................    0.8198
  Ripley, MO..................................................    0.8198
  St. Clair, MO...............................................    0.8198
  St. Genevieve, MO...........................................    0.8198
  St. Francois, MO............................................    0.8198
  Saline, MO..................................................    0.8198
  Schuyler, MO................................................    0.8198
  Scotland, MO................................................    0.8198
  Scott, MO...................................................    0.8198
  Shannon, MO.................................................    0.8198
  Shelby, MO..................................................    0.8198
  Stoddard, MO................................................    0.8198
  Stone, MO...................................................    0.8198
  Sullivan, MO................................................    0.8198
  Taney, MO...................................................    0.8198
  Texas, MO...................................................    0.8198
  Vernon, MO..................................................    0.8198
  Washington, MO..............................................    0.8198
  Wayne, MO...................................................    0.8198
  Worth, MO...................................................    0.8198
  Wright, MO..................................................    0.8198
Montana:                                                                
  Beaverhead, MT..............................................    0.8687
  Big Horn, MT................................................    0.8687
  Blaine, MT..................................................    0.8687
  Broadwater, MT..............................................    0.8687
  Carbon, MT..................................................    0.8687
  Carter, MT..................................................    0.8687
  Chouteau, MT................................................    0.8687
  Custer, MT..................................................    0.8687
  Daniels, MT.................................................    0.8687
  Dawson, MT..................................................    0.8687
  Deer Lodge, MT..............................................    0.8687
  Fallon, MT..................................................    0.8687
  Fergus, MT..................................................    0.8687
  Flathead, MT................................................    0.8687
  Gallatin, MT................................................    0.8687
  Garfield, MT................................................    0.8687
  Glacier, MT.................................................    0.8687
  Golden Valley, MT...........................................    0.8687
  Granite, MT.................................................    0.8687
  Hill, MT....................................................    0.8687
  Jefferson, MT...............................................    0.8687
  Judith Basin, MT............................................    0.8687
  Lake, MT....................................................    0.8687
  Lewis and Clark, MT.........................................    0.8687
  Liberty, MT.................................................    0.8687
  Lincoln, MT.................................................    0.8687
  Mccone, MT..................................................    0.8687
  Madison, MT.................................................    0.8687
  Meagher, MT.................................................    0.8687
  Mineral, MT.................................................    0.8687
  Missoula, MT................................................    0.8687
  Musselshell, MT.............................................    0.8687
  Park, MT....................................................    0.8687
  Petroleum, MT...............................................    0.8687
  Phillips, MT................................................    0.8687
  Pondera, MT.................................................    0.8687
  Powder River, MT............................................    0.8687
  Powell, MT..................................................    0.8687
  Prairie, MT.................................................    0.8687
  Ravalli, MT.................................................    0.8687
  Richland, MT................................................    0.8687
  Roosevelt, MT...............................................    0.8687
  Rosebud, MT.................................................    0.8687
  Sanders, MT.................................................    0.8687
  Sheridan, MT................................................    0.8687
  Silver bow, MT..............................................    0.8687
  Stillwater, MT..............................................    0.8687
  Sweet Grass, MT.............................................    0.8687
  Teton, MT...................................................    0.8687
  Toole, MT...................................................    0.8687
  Treasure, MT................................................    0.8687
  Valley, MT..................................................    0.8687
  Wheatland, MT...............................................    0.8687
  Wibaux, MT..................................................    0.8687
  Yellowstone Natl Park, MT...................................    0.8687
Nebraska:                                                               
  Adams, NE...................................................    0.8000
  Antelope, NE................................................    0.8000
  Arthur, NE..................................................    0.8000
  Banner, NE..................................................    0.8000
  Blaine, NE..................................................    0.8000
  Boone, NE...................................................    0.8000
  Box Butte, NE...............................................    0.8000
  Boyd, NE....................................................    0.8000
  Brown, NE...................................................    0.8000
  Buffalo, NE.................................................    0.8000
  Burt, NE....................................................    0.8000
  Butler, NE..................................................    0.8000
  Cedar, NE...................................................    0.8000
  Chase, NE...................................................    0.8000
  Cherry, NE..................................................    0.8000
  Cheyenne, NE................................................    0.8000
  Clay, NE....................................................    0.8000
  Colfax, NE..................................................    0.8000
  Cuming, NE..................................................    0.8000

[[Page 42876]]

                                                                        
  Custer, NE..................................................    0.8000
  Dawes, NE...................................................    0.8000
  Dawson, NE..................................................    0.8000
  Deuel, NE...................................................    0.8000
  Dixon, NE...................................................    0.8000
  Dodge, NE...................................................    0.8000
  Dundy, NE...................................................    0.8000
  Fillmore, NE................................................    0.8000
  Franklin, NE................................................    0.8000
  Frontier, NE,...............................................    0.8000
  Furnas, NE..................................................    0.8000
  Gage, NE....................................................    0.8000
  Garden, NE..................................................    0.8000
  Garfield, NE................................................    0.8000
  Gosper, NE..................................................    0.8000
  Grant, NE...................................................    0.8000
  Greeley, NE.................................................    0.8000
  Hall, NE....................................................    0.8000
  Hamilton, NE................................................    0.8000
  Harlan, NE..................................................    0.8000
  Hayes, NE...................................................    0.8000
  Hitchcock, NE...............................................    0.8000
  Holt, NE....................................................    0.8000
  Hooker, NE..................................................    0.8000
  Howard, NE..................................................    0.8000
  Jefferson, NE...............................................    0.8000
  Johnson, NE.................................................    0.8000
  Kearney, NE.................................................    0.8000
  Keith, NE...................................................    0.8000
  Keya Paha, NE...............................................    0.8000
  Kimball, NE.................................................    0.8000
  Knox, NE....................................................    0.8000
  Lincoln, NE.................................................    0.8000
  Logan, NE...................................................    0.8000
  Loup, NE....................................................    0.8000
  Mc Pherson, NE..............................................    0.8000
  Madison, NE.................................................    0.8000
  Merrick, NE.................................................    0.8000
  Morrill, NE.................................................    0.8000
  Nance, NE...................................................    0.8000
  Nemaha, NE..................................................    0.8000
  Nuckolls, NE................................................    0.8000
  Otoe, NE....................................................    0.8000
  Pawnee, NE..................................................    0.8000
  Perkins, NE.................................................    0.8000
  Phelps, NE..................................................    0.8000
  Pierce, NE..................................................    0.8000
  Platte, NE..................................................    0.8000
  Polk, NE....................................................    0.8000
  Red Willow, NE..............................................    0.8000
  Richardson, NE..............................................    0.8000
  Rock, NE....................................................    0.8000
  Saline, NE..................................................    0.8000
  Saunders, NE................................................    0.8000
  Scott Bluff, NE.............................................    0.8000
  Seward, NE..................................................    0.8000
  Sheridan, NE................................................    0.8000
  Sherman, NE.................................................    0.8000
  Sioux, NE...................................................    0.8000
  Stanton, NE.................................................    0.8000
  Thayer, NE..................................................    0.8000
  Thomas, NE..................................................    0.8000
  Thurston, NE................................................    0.8000
  Valley, NE..................................................    0.8000
  Wayne, NE...................................................    0.8000
  Webster, NE.................................................    0.8000
  Wheeler, NE.................................................    0.8000
  York, NE....................................................    0.8000
Nevada:                                                                 
  Churchill, NV...............................................    0.9912
  Douglas, NV.................................................    0.9912
  Elko, NV....................................................    0.9912
  Esmeralda, NV...............................................    0.9912
  Eureka, NV..................................................    0.9912
  Humboldt, NV................................................    0.9912
  Lander, NV..................................................    0.9912
  Lincoln, NV.................................................    0.9912
  Lyon, NV....................................................    0.9912
  Mineral, NV.................................................    0.9912
  Pershing, NV................................................    0.9912
  Storey, NV..................................................    0.9912
  White Pine, NV..............................................    0.9912
  Carson City, NV.............................................    0.9912
New Hampshire:                                                          
  Belknap, NH.................................................    1.0337
  Carroll, NH.................................................    1.0337
  Cheshire, NH................................................    1.0337
  Coos, NH....................................................    1.0337
  Grafton, NH.................................................    1.0337
  Sullivan, NH................................................    1.0337
New Mexico:                                                             
  Catron, NM..................................................    0.9046
  Chaves, NM..................................................    0.9046
  Cibola, NM..................................................    0.9046
  Colfax, NM..................................................    0.9046
  Curry, NM...................................................    0.9046
  De Baca, NM.................................................    0.9046
  Eddy, NM....................................................    0.9046
  Grant, NM...................................................    0.9046
  Guadalupe, NM...............................................    0.9046
  Harding, NM.................................................    0.9046
  Hidalgo, NM.................................................    0.9046
  Lea, NM.....................................................    0.9046
  Lincoln, NM.................................................    0.9046
  Luna, NM....................................................    0.9046
  Mckinley, NM................................................    0.9046
  Mora, NM....................................................    0.9046
  Otero, NM...................................................    0.9046
  Quay, NM....................................................    0.9046
  Rio Arriba, NM..............................................    0.9046
  Roosevelt, NM...............................................    0.9046
  San Juan, NM................................................    0.9046
  San Miguel, NM..............................................    0.9046
  Sierra, NM..................................................    0.9046
  Socorro, NM.................................................    0.9046
  Taos, NM....................................................    0.9046
  Torrance, NM................................................    0.9046
  Union, NM...................................................    0.9046
New York:                                                               
  Allegany, NY................................................    0.8843
  Cattaraugus, NY.............................................    0.8843
  Chenango, NY................................................    0.8843
  Clinton, NY.................................................    0.8843
  Columbia, NY................................................    0.8843
  Cortland, NY................................................    0.8843
  Delaware, NY................................................    0.8843
  Essex, NY...................................................    0.8843
  Franklin, NY................................................    0.8843
  Fulton, NY..................................................    0.8843
  Greene, NY..................................................    0.8985
  Hamilton, NY................................................    0.8843
  Jefferson, NY...............................................    0.8843
  Lewis, NY...................................................    0.8843
  Otsego, NY..................................................    0.8843
  St. Lawrence, NY............................................    0.8843
  Schuyler, NY................................................    0.8843
  Seneca, NY..................................................    0.8843
  Steuben, NY.................................................    0.8843
  Sullivan, NY................................................    0.8843
  Tompkins, NY................................................    0.8843
  Ulster, NY..................................................    0.8843
  Wyoming, NY.................................................    0.8843
  Yates, NY...................................................    0.8843
North Carolina:                                                         
  Alleghany, NC...............................................    0.8491
  Anson, NC...................................................    0.8491
  Ashe, NC....................................................    0.8491
  Avery, NC...................................................    0.8491
  Beaufort, NC................................................    0.8491
  Bertie, NC..................................................    0.8491
  Bladen, NC..................................................    0.8491
  Camden, NC..................................................    0.8491
  Carteret, NC................................................    0.8491
  Caswell, NC.................................................    0.8491
  Cherokee, NC................................................    0.8491
  Chowan, NC..................................................    0.8491
  Clay, NC....................................................    0.8491
  Cleveland, NC...............................................    0.8491
  Columbus, NC................................................    0.8491
  Craven, NC..................................................    0.8491
  Dare, NC....................................................    0.8491
  Duplin, NC..................................................    0.8491
  Gates, NC...................................................    0.8491
  Graham, NC..................................................    0.8491
  Granville, NC...............................................    0.8491
  Greene, NC..................................................    0.8491
  Halifax, NC.................................................    0.8491
  Harnett, NC.................................................    0.8491
  Haywood, NC.................................................    0.8491
  Henderson, NC...............................................    0.8491
  Hertford, NC................................................    0.8491
  Hoke, NC....................................................    0.8491
  Hyde, NC....................................................    0.8491
  Iredell, NC.................................................    0.8491
  Jackson, NC.................................................    0.8491
  Jones, NC...................................................    0.8491
  Lee, NC.....................................................    0.8491
  Lenoir, NC..................................................    0.8491
  McDowell, NC................................................    0.8491
  Macon, NC...................................................    0.8491
  Martin, NC..................................................    0.8491
  Mitchell, NC................................................    0.8491
  Montgomery, NC..............................................    0.8491
  Moore, NC...................................................    0.8491
  Northampton, NC.............................................    0.8491
  Pamlico, NC.................................................    0.8491
  Pasquotank, NC..............................................    0.8491
  Pender, NC..................................................    0.8491
  Perquimans, NC..............................................    0.8491
  Person, NC..................................................    0.8491
  Polk, NC....................................................    0.8491
  Richmond, NC................................................    0.8491
  Robeson, NC.................................................    0.8491
  Rockingham, NC..............................................    0.8491
  Rutherford, NC..............................................    0.8491
  Sampson, NC.................................................    0.8491
  Scotland, NC................................................    0.8491
  Stanly, NC..................................................    0.8491
  Surry, NC...................................................    0.8491
  Swain, NC...................................................    0.8491
  Transylvania, NC............................................    0.8491
  Tyrrell, NC.................................................    0.8491
  Vance, NC...................................................    0.8491
  Warren, NC..................................................    0.8491
  Washington, NC..............................................    0.8491
  Watauga, NC.................................................    0.8491
  Wilkes, NC..................................................    0.8491
  Wilson, NC..................................................    0.8491
  Yancey, NC..................................................    0.8491
North Dakota:                                                           

[[Page 42877]]

                                                                        
  Adams, ND...................................................    0.8217
  Barnes, ND..................................................    0.8217
  Benson, ND..................................................    0.8217
  Billings, ND................................................    0.8217
  Bottineau, ND...............................................    0.8217
  Bowman, ND..................................................    0.8217
  Burke, ND...................................................    0.8217
  Cavalier, ND................................................    0.8217
  Dickey, ND..................................................    0.8217
  Divide, ND..................................................    0.8217
  Dunn, ND....................................................    0.8217
  Eddy, ND....................................................    0.8217
  Emmons, ND..................................................    0.8217
  Foster, ND..................................................    0.8217
  Golden Valley, ND...........................................    0.8217
  Grant, ND...................................................    0.8217
  Griggs, ND..................................................    0.8217
  Hettinger, ND...............................................    0.8217
  Kidder, ND..................................................    0.8217
  La Moure, ND................................................    0.8217
  Logan, ND...................................................    0.8217
  McHenry, ND.................................................    0.8217
  McIntosh, ND................................................    0.8217
  McKenzie, ND................................................    0.8217
  McLean, ND..................................................    0.8217
  Mercer, ND..................................................    0.8217
  Mountrail, ND...............................................    0.8217
  Nelson, ND..................................................    0.8217
  Oliver, ND..................................................    0.8217
  Pembina, ND.................................................    0.8217
  Pierce, ND..................................................    0.8217
  Ramsey, ND..................................................    0.8217
  Ransom, ND..................................................    0.8217
  Renville, ND................................................    0.8217
  Richland, ND................................................    0.8217
  Rolette, ND.................................................    0.8217
  Sargent, ND.................................................    0.8217
  Sheridan, ND................................................    0.8217
  Sioux, ND...................................................    0.8217
  Slope, ND...................................................    0.8217
  Stark, ND...................................................    0.8217
  Steele, ND..................................................    0.8217
  Stutsman, ND................................................    0.8217
  Towner, ND..................................................    0.8217
  Traill, ND..................................................    0.8217
  Walsh, ND...................................................    0.8217
  Ward, ND....................................................    0.8217
  Wells, ND...................................................    0.8217
  Williams, ND................................................    0.8217
Ohio:                                                                   
  Adams, OH...................................................    0.9058
  Ashland, OH.................................................    0.9058
  Athens, OH..................................................    0.9058
  Champaign, OH...............................................    0.9058
  Clinton, OH.................................................    0.9058
  Coshocton, OH...............................................    0.9058
  Darke, OH...................................................    0.9058
  Defiance, OH................................................    0.9058
  Erie, OH....................................................    0.9058
  Fayette, OH.................................................    0.9058
  Gallia, OH..................................................    0.9058
  Guernsey, OH................................................    0.9058
  Hancock, OH.................................................    0.9058
  Hardin, OH..................................................    0.9058
  Harrison, OH................................................    0.9058
  Henry, OH...................................................    0.9058
  Highland, OH................................................    0.9058
  Hocking, OH.................................................    0.9058
  Holmes, OH..................................................    0.9058
  Huron, OH...................................................    0.9058
  Jackson, OH.................................................    0.9058
  Knox, OH....................................................    0.9058
  Logan, OH...................................................    0.9058
  Marion, OH..................................................    0.9058
  Meigs, OH...................................................    0.9058
  Mercer, OH..................................................    0.9058
  Monroe, OH..................................................    0.9058
  Morgan, OH..................................................    0.9058
  Morrow, OH..................................................    0.9058
  Muskingum, OH...............................................    0.9058
  Noble, OH...................................................    0.9058
  Ottawa, OH..................................................    0.9058
  Paulding, OH................................................    0.9058
  Perry, OH...................................................    0.9058
  Pike, OH....................................................    0.9058
  Preble, OH..................................................    0.9058
  Putnam, OH..................................................    0.9058
  Ross, OH....................................................    0.9058
  Sandusky, OH................................................    0.9058
  Scioto, OH..................................................    0.9058
  Seneca, OH..................................................    0.9058
  Shelby, OH..................................................    0.9058
  Tuscarawas, OH..............................................    0.9058
  Union, OH...................................................    0.9928
  Van Wert, OH................................................    0.9058
  Vinton, OH..................................................    0.9058
  Wayne, OH...................................................    0.9058
  Williams, OH................................................    0.9058
  Wyandot, OH.................................................    0.9058
Oklahoma:                                                               
  Adair, OK...................................................    0.8389
  Alfalfa, OK.................................................    0.8389
  Atoka, OK...................................................    0.8389
  Beaver, OK..................................................    0.8389
  Beckham, OK.................................................    0.8389
  Blaine, OK..................................................    0.8389
  Bryan, OK...................................................    0.8389
  Caddo, OK...................................................    0.8389
  Carter, OK..................................................    0.8389
  Cherokee, OK................................................    0.8389
  Choctaw, OK.................................................    0.8389
  Cimarron, OK................................................    0.8389
  Coal, OK....................................................    0.8389
  Cotton, OK..................................................    0.8389
  Craig, OK...................................................    0.8389
  Custer, OK..................................................    0.8389
  Delaware, OK................................................    0.8389
  Dewey, OK...................................................    0.8389
  Ellis, OK...................................................    0.8389
  Garvin, OK..................................................    0.8389
  Grady, OK...................................................    0.8389
  Grant, OK...................................................    0.8389
  Greer, OK...................................................    0.8389
  Harmon, OK..................................................    0.8389
  Harper, OK..................................................    0.8389
  Haskell, OK.................................................    0.8389
  Hughes, OK..................................................    0.8389
  Jackson, OK.................................................    0.8389
  Jefferson, OK...............................................    0.8389
  Johnston, OK................................................    0.8389
  Kay, OK.....................................................    0.8389
  Kingfisher, OK..............................................    0.8389
  Kiowa, OK...................................................    0.8389
  Latimer, OK.................................................    0.8389
  Le Flore, OK................................................    0.8389
  Lincoln, OK.................................................    0.8389
  Love, OK....................................................    0.8389
  Mccurtain, OK...............................................    0.8389
  Mcintosh, OK................................................    0.8389
  Major, OK...................................................    0.8389
  Marshall, OK................................................    0.8389
  Mayes, OK...................................................    0.8389
  Murray, OK..................................................    0.8389
  Muskogee, OK................................................    0.8389
  Noble, OK...................................................    0.8389
  Nowata, OK..................................................    0.8389
  Okfuskee, OK................................................    0.8389
  Okmulgee, OK................................................    0.8389
  Ottawa, OK..................................................    0.8389
  Pawnee, OK..................................................    0.8389
  Payne, OK...................................................    0.8389
  Pittsburg, OK...............................................    0.8389
  Pontotoc, OK................................................    0.8389
  Pushmataha, OK..............................................    0.8389
  Roger Mills, OK.............................................    0.8389
  Seminole, OK................................................    0.8389
  Stephens, OK................................................    0.8389
  Texas, OK...................................................    0.8389
  Tillman, OK.................................................    0.8389
  Washington, OK..............................................    0.8389
  Washita, OK.................................................    0.8389
  Woods, OK...................................................    0.8389
  Woodward, OK................................................    0.8389
Oregon:                                                                 
  Baker, OR...................................................    0.9795
  Benton, OR..................................................    0.9795
  Clatsop, OR.................................................    0.9795
  Coos, OR....................................................    0.9795
  Crook, OR...................................................    0.9795
  Curry, OR...................................................    0.9795
  Deschutes, OR...............................................    0.9795
  Douglas, OR.................................................    0.9795
  Gilliam, OR.................................................    0.9795
  Grant, OR...................................................    0.9795
  Harney, OR..................................................    0.9795
  Hood River, OR..............................................    0.9795
  Jefferson, OR...............................................    0.9795
  Josephine, OR...............................................    0.9795
  Klamath, OR.................................................    0.9795
  Lake, OR....................................................    0.9795
  Lincoln, OR.................................................    0.9795
  Linn, OR....................................................    0.9795
  Malheur, OR.................................................    0.9795
  Morrow, OR..................................................    0.9795
  Sherman, OR.................................................    0.9795
  Tillamook, OR...............................................    0.9795
  Umatilla, OR................................................    0.9795
  Union, OR...................................................    0.9795
  Wallowa, OR.................................................    0.9795
  Wasco, OR...................................................    0.9795
  Wheeler, OR.................................................    0.9795
Pennsylvania:                                                           
  Adams, PA...................................................    0.9890
  Armstrong, PA...............................................    0.9905
  Bedford, PA.................................................    0.9905
  Bradford, PA................................................    0.9905
  Cameron, PA.................................................    0.9905
  Clarion, PA.................................................    0.9905
  Clearfield, PA..............................................    0.9905
  Clinton, PA.................................................    0.9905
  Crawford, PA................................................    0.9905
  Elk, PA.....................................................    0.9905
  Forest, PA..................................................    0.9905
  Franklin, PA................................................    0.9905
  Fulton, PA..................................................    0.9905
  Greene, PA..................................................    0.9905
  Huntingdon, PA..............................................    0.9905
  Indiana, PA.................................................    0.9905
  Jefferson, PA...............................................    0.9905
  Juniata, PA.................................................    0.9905

[[Page 42878]]

                                                                        
  Lawrence, PA................................................    0.9905
  McKean, PA..................................................    0.9905
  Mifflin, PA.................................................    0.9905
  Monroe, PA..................................................    0.9519
  Montour, PA.................................................    0.9905
  Northumberland, PA..........................................    0.9905
  Potter, PA..................................................    0.9905
  Schuylkill, PA..............................................    0.9905
  Snyder, PA..................................................    0.9905
  Sullivan, PA................................................    0.9905
  Tioga, PA...................................................    0.9905
  Susquehanna, PA.............................................    0.9905
  Union, PA...................................................    0.9905
  Venango, PA.................................................    0.9905
  Warren, PA..................................................    0.9905
  Wayne, PA...................................................    0.9905
Puerto Rico:                                                            
  Adjuntas, PR................................................    0.6877
  Aibonito, PR................................................    0.6877
  Arroyo, PR..................................................    0.6877
  Barranquitas, PR............................................    0.6877
  Ciales, PR..................................................    0.6877
  Coamo, PR...................................................    0.6877
  Culebra, PR.................................................    0.6877
  Guanica, PR.................................................    0.6877
  Guayama, PR.................................................    0.6877
  Isabela, PR.................................................    0.6877
  Jayuya, PR..................................................    0.6877
  Lajas, PR...................................................    0.6877
  Lares, PR...................................................    0.6877
  Las Marias, PR..............................................    0.6877
  Maricao, PR.................................................    0.6877
  Maunabo, PR.................................................    0.6877
  Orocovis, PR................................................    0.6877
  Patillas, PR................................................    0.6877
  Quebradillas, PR............................................    0.6877
  Rincon, PR..................................................    0.6877
  Salinas, PR.................................................    0.6877
  San Sebastian, PR...........................................    0.6877
  Santa Isabel, PR............................................    0.6877
  Utuado, PR..................................................    0.6877
  Vieques, PR.................................................    0.6877
  Puerto Rico, Nfd, PR........................................    0.6877
South Carolina:                                                         
  Abbeville, SC...............................................    0.8058
  Allendale, SC...............................................    0.8058
  Bamberg, SC.................................................    0.8058
  Barnwell, SC................................................    0.8058
  Beaufort, SC................................................    0.8058
  Calhoun, SC.................................................    0.8058
  Chester, SC.................................................    0.8058
  Chesterfield, SC............................................    0.8058
  Clarendon, SC...............................................    0.8058
  Colleton, SC................................................    0.8058
  Darlington, SC..............................................    0.8058
  Dillon, SC..................................................    0.8058
  Fairfield, SC...............................................    0.8058
  Georgetown, SC..............................................    0.8058
  Greenwood, SC...............................................    0.8058
  Hampton, SC.................................................    0.8058
  Jasper, SC..................................................    0.8058
  Kershaw, SC.................................................    0.8058
  Lancaster, SC...............................................    0.8058
  Laurens, SC.................................................    0.8058
  Lee, SC.....................................................    0.8058
  Mccormick, SC...............................................    0.8058
  Marion, SC..................................................    0.8058
  Marlboro, SC................................................    0.8058
  Newberry, SC................................................    0.8058
  Oconee, SC..................................................    0.8058
  Orangeburg, SC..............................................    0.8058
  Saluda, SC..................................................    0.8058
  Union, SC...................................................    0.8058
  Williamsburg, SC............................................    0.8058
South Dakota:                                                           
  Aurora, SD..................................................    0.8000
  Beadle, SD..................................................    0.8000
  Bennett, SD.................................................    0.8000
  Bon Homme, SD...............................................    0.8000
  Brookings, SD...............................................    0.8000
  Brown, SD...................................................    0.8000
  Brule, SD...................................................    0.8000
  Buffalo, SD.................................................    0.8000
  Butte, SD...................................................    0.8000
  Campbell, SD................................................    0.8000
  Charles Mix, SD.............................................    0.8000
  Clark, SD...................................................    0.8000
  Clay, SD....................................................    0.8000
  Codington, SD...............................................    0.8000
  Corson, SD..................................................    0.8000
  Custer, SD..................................................    0.8000
  Davison, SD.................................................    0.8000
  Day, SD.....................................................    0.8000
  Deuel, SD...................................................    0.8000
  Dewey, SD...................................................    0.8000
  Douglas, SD.................................................    0.8000
  Edmunds, SD.................................................    0.8000
  Fall River, SD..............................................    0.8000
  Faulk, SD...................................................    0.8000
  Grant, SD...................................................    0.8000
  Gregory, SD.................................................    0.8000
  Haakon, SD..................................................    0.8000
  Hamlin, SD..................................................    0.8000
  Hand, SD....................................................    0.8000
  Hanson, SD..................................................    0.8000
  Harding, SD.................................................    0.8000
  Hughes, SD..................................................    0.8000
  Hutchinson, SD..............................................    0.8000
  Hyde, SD....................................................    0.8000
  Jackson, SD.................................................    0.8000
  Jerauld, SD.................................................    0.8000
  Jones, SD...................................................    0.8000
  Kingsbury, SD...............................................    0.8000
  Lake, SD....................................................    0.8000
  Lawrence, SD................................................    0.8000
  Lyman, SD...................................................    0.8000
  McCook, SD..................................................    0.8000
  McPherson, SD...............................................    0.8000
  Marshall, SD................................................    0.8000
  Meade, SD...................................................    0.8000
  Mellette, SD................................................    0.8000
  Miner, SD...................................................    0.8000
  Moody, SD...................................................    0.8000
  Perkins, SD.................................................    0.8000
  Potter, SD..................................................    0.8000
  Roberts, SD.................................................    0.8000
  Sanborn, SD.................................................    0.8000
  Shannon, SD.................................................    0.8000
  Spink, SD...................................................    0.8000
  Stanley, SD.................................................    0.8000
  Sully, SD...................................................    0.8000
  Todd, SD....................................................    0.8000
  Tripp, SD...................................................    0.8000
  Turner, SD..................................................    0.8000
  Union, SD...................................................    0.8000
  Walworth, SD................................................    0.8000
  Washabaugh, SD..............................................    0.8000
  Yankton, SD.................................................    0.8000
  Ziebach, SD.................................................    0.8000
Tennessee:                                                              
  Bedford, TN.................................................    0.8000
  Benton, TN..................................................    0.8000
  Bledsoe, TN.................................................    0.8000
  Bradley, TN.................................................    0.8000
  Campbell, TN................................................    0.8000
  Cannon, TN..................................................    0.8000
  Carroll, TN.................................................    0.8000
  Chester, TN.................................................    0.8000
  Claiborne, TN...............................................    0.8000
  Clay, TN....................................................    0.8000
  Cocke, TN...................................................    0.8000
  Coffee, TN..................................................    0.8000
  Crockett, TN................................................    0.8000
  Cumberland, TN..............................................    0.8000
  Decatur, TN.................................................    0.8000
  DeKalb, TN..................................................    0.8000
  Dyer, TN....................................................    0.8000
  Fentress, TN................................................    0.8000
  Franklin, TN................................................    0.8000
  Gibson, TN..................................................    0.8000
  Giles, TN...................................................    0.8000
  Grainger, TN................................................    0.8791
  Greene, TN..................................................    0.8000
  Grundy, TN..................................................    0.8000
  Hamblen, TN.................................................    0.8000
  Hancock, TN.................................................    0.8000
  Hardeman, TN................................................    0.8000
  Hardin, TN..................................................    0.8000
  Haywood, TN.................................................    0.8000
  Henderson, TN...............................................    0.8000
  Henry, TN...................................................    0.8000
  Hickman, TN.................................................    0.8000
  Houston, TN.................................................    0.8000
  Humphreys, TN...............................................    0.8000
  Jackson, TN.................................................    0.8000
  Jefferson, TN...............................................    0.8791
  Johnson, TN.................................................    0.8000
  Lake, TN....................................................    0.8000
  Lauderdale, TN..............................................    0.8000
  Lawrence, TN................................................    0.8000
  Lewis, TN...................................................    0.8000
  Lincoln, TN.................................................    0.8000
  McMinn, TN..................................................    0.8000
  McNairy, TN.................................................    0.8000
  Macon, TN...................................................    0.8000
  Marshall, TN................................................    0.8000
  Maury, TN...................................................    0.8000
  Meigs, TN...................................................    0.8000
  Monroe, TN..................................................    0.8000
  Moore, TN...................................................    0.8000
  Morgan, TN..................................................    0.8000
  Obion, TN...................................................    0.8000
  Overton, TN.................................................    0.8000
  Perry, TN...................................................    0.8000
  Pickett, TN.................................................    0.8000
  Polk, TN....................................................    0.8000
  Putnam, TN..................................................    0.8000
  Rhea, TN....................................................    0.8000
  Roane, TN...................................................    0.8000
  Scott, TN...................................................    0.8000
  Sequatchie, TN..............................................    0.9114
  Smith, TN...................................................    0.8000
  Stewart, TN.................................................    0.8000
  Trousdale, TN...............................................    0.8000
  Van Buren, TN...............................................    0.8000
  Warren, TN..................................................    0.8000
  Wayne, TN...................................................    0.8000
  Weakley, TN.................................................    0.8000
  White, TN...................................................    0.8000
Texas:                                                                  

[[Page 42879]]

                                                                        
  Anderson, TX................................................    0.8082
  Andrews, TX.................................................    0.8082
  Angelina, TX................................................    0.8082
  Aransas, TX.,...............................................    0.8082
  Armstrong, TX...............................................    0.8082
  Atascosa, TX................................................    0.8082
  Austin, TX..................................................    0.8082
  Bailey, TX..................................................    0.8082
  Bandera, TX.................................................    0.8082
  Baylor, TX..................................................    0.8082
  Bee, TX.....................................................    0.8082
  Blanco, TX..................................................    0.8082
  Borden, TX..................................................    0.8082
  Bosque, TX..................................................    0.8082
  Brewster, TX................................................    0.8082
  Briscoe, TX.................................................    0.8082
  Brooks, TX..................................................    0.8082
  Brown, TX...................................................    0.8082
  Burleson, TX................................................    0.8082
  Burnet, TX..................................................    0.8082
  Calhoun, TX.................................................    0.8082
  Callahan, TX................................................    0.8082
  Camp, TX....................................................    0.8082
  Carson, TX..................................................    0.8082
  Cass, TX....................................................    0.8082
  Castro, TX..................................................    0.8082
  Cherokee, TX................................................    0.8082
  Childress, TX...............................................    0.8082
  Clay, TX....................................................    0.8082
  Cochran, TX.................................................    0.8082
  Coke, TX....................................................    0.8082
  Coleman, TX.................................................    0.8082
  Collingsworth, TX...........................................    0.8082
  Colorado, TX................................................    0.8082
  Comanche, TX................................................    0.8082
  Concho, TX..................................................    0.8082
  Cooke, TX...................................................    0.8082
  Cottle, TX,.................................................    0.8082
  Crane, TX...................................................    0.8082
  Crockett, TX................................................    0.8082
  Crosby, TX..................................................    0.8082
  Culberson, TX...............................................    0.8082
  Dallam, TX..................................................    0.8082
  Dawson, TX..................................................    0.8082
  Deaf Smith, TX..............................................    0.8082
  Delta, TX...................................................    0.8082
  De Witt, TX.................................................    0.8082
  Dickens, TX.................................................    0.8082
  Dimmit, TX..................................................    0.8082
  Donley, TX..................................................    0.8082
  Duval, TX...................................................    0.8082
  Eastland, TX................................................    0.8082
  Edwards, TX.................................................    0.8082
  Erath, TX...................................................    0.8082
  Falls, TX...................................................    0.8082
  Fannin, TX..................................................    0.8082
  Fayette, TX.................................................    0.8082
  Fisher, TX..................................................    0.8082
  Floyd, TX...................................................    0.8082
  Foard, TX...................................................    0.8082
  Franklin, TX................................................    0.8082
  Freestone, TX...............................................    0.8082
  Frio, TX....................................................    0.8082
  Gaines, TX..................................................    0.8082
  Garza, TX...................................................    0.8082
  Gillespie, TX...............................................    0.8082
  Glasscock, TX...............................................    0.8082
  Goliad, TX..................................................    0.8082
  Gonzales, TX................................................    0.8082
  Gray, TX....................................................    0.8082
  Grimes, TX..................................................    0.8082
  Hale, TX....................................................    0.8082
  Hall, TX....................................................    0.8082
  Hamilton, TX................................................    0.8082
  Hansford, TX................................................    0.8082
  Hardeman, TX................................................    0.8082
  Hartley, TX.................................................    0.8082
  Haskell, TX.................................................    0.8082
  Hemphill, TX................................................    0.8082
  Hill, TX....................................................    0.8082
  Hockley, TX.................................................    0.8082
  Hopkins, TX.................................................    0.8082
  Houston, TX.................................................    0.8082
  Howard, TX..................................................    0.8082
  Hudspeth, TX................................................    0.8082
  Hutchinson, TX..............................................    0.8082
  Irion, TX...................................................    0.8082
  Jack, TX....................................................    0.8082
  Jackson, TX.................................................    0.8082
  Jasper, TX..................................................    0.8082
  Jeff Davis, TX..............................................    0.8082
  Jim Hogg, TX................................................    0.8082
  Jim Wells, TX...............................................    0.8082
  Jones, TX...................................................    0.8082
  Karnes, TX..................................................    0.8082
  Kendall, TX.................................................    0.8082
  Kenedy, TX..................................................    0.8082
  Kent, TX....................................................    0.8082
  Kerr, TX....................................................    0.8082
  Kimble, TX..................................................    0.8082
  King, TX....................................................    0.8082
  Kinney, TX..................................................    0.8082
  Kleberg, TX.................................................    0.8082
  Knox, TX....................................................    0.8082
  Lamar, TX...................................................    0.8082
  Lamb, TX....................................................    0.8082
  Lampasas, TX................................................    0.8082
  La Salle, TX................................................    0.8082
  Lavaca, TX..................................................    0.8082
  Lee, TX.....................................................    0.8082
  Leon, TX....................................................    0.8082
  Limestone, TX...............................................    0.8082
  Lipscomb, TX................................................    0.8082
  Live Oak, TX................................................    0.8082
  Llano, TX...................................................    0.8082
  Loving, TX..................................................    0.8082
  Lynn, TX....................................................    0.8082
  Mc Culloch, TX..............................................    0.8082
  Mc Mullen, TX...............................................    0.8082
  Madison, TX.................................................    0.8082
  Marion, TX..................................................    0.8082
  Martin, TX..................................................    0.8082
  Mason, TX...................................................    0.8082
  Matagorda, TX...............................................    0.8082
  Maverick, TX................................................    0.8082
  Medina, TX..................................................    0.8082
  Menard, TX..................................................    0.8082
  Milam, TX...................................................    0.8082
  Mills, TX...................................................    0.8082
  Mitchell, TX................................................    0.8082
  Montague, TX................................................    0.8082
  Moore, TX...................................................    0.8082
  Morris, TX..................................................    0.8082
  Motley, TX..................................................    0.8082
  Nacogdoches, TX.............................................    0.8082
  Navarro, TX.................................................    0.8082
  Newton, TX..................................................    0.8082
  Nolan, TX...................................................    0.8082
  Ochiltree, TX...............................................    0.8082
  Oldham, TX..................................................    0.8082
  Palo Pinto, TX..............................................    0.8082
  Panola, TX..................................................    0.8082
  Parmer, TX..................................................    0.8082
  Pecos, TX...................................................    0.8082
  Polk, TX....................................................    0.8082
  Presidio, TX................................................    0.8082
  Rains, TX...................................................    0.8082
  Reagan, TX..................................................    0.8082
  Real, TX....................................................    0.8082
  Red River, TX...............................................    0.8082
  Reeves, TX..................................................    0.8082
  Refugio, TX.................................................    0.8082
  Roberts, TX.................................................    0.8082
  Robertson, TX...............................................    0.8082
  Runnels, TX.................................................    0.8082
  Rusk, TX....................................................    0.8082
  Sabine, TX..................................................    0.8082
  San Augustine, TX...........................................    0.8082
  San Jacinto, TX.............................................    0.8082
  San Saba, TX................................................    0.8082
  Schleicher, TX..............................................    0.8082
  Scurry, TX..................................................    0.8082
  Shackelford, TX.............................................    0.8082
  Shelby, TX..................................................    0.8082
  Sherman, TX.................................................    0.8082
  Somervell, TX...............................................    0.8082
  Starr, TX...................................................    0.8082
  Stephens, TX................................................    0.8082
  Sterling, TX................................................    0.8082
  Stonewall, TX...............................................    0.8082
  Sutton, TX..................................................    0.8082
  Swisher, TX.................................................    0.8082
  Terrell, TX.................................................    0.8082
  Terry, TX...................................................    0.8082
  Throckmorton, TX............................................    0.8082
  Titus, TX...................................................    0.8082
  Trinity, TX.................................................    0.8082
  Tyler, TX...................................................    0.8082
  Upton, TX...................................................    0.8082
  Uvalde, TX..................................................    0.8082
  Val Verde, TX...............................................    0.8082
  Van Zandt, TX...............................................    0.8082
  Walker, TX..................................................    0.8082
  Ward, TX....................................................    0.8082
  Washington, TX..............................................    0.8082
  Wharton, TX.................................................    0.8082
  Wheeler, TX.................................................    0.8082
  Wilbarger, TX...............................................    0.8082
  Willacy, TX.................................................    0.8082
  Winkler, TX.................................................    0.8082
  Wise, TX....................................................    0.8082
  Wood, TX....................................................    0.8082
  Yoakum, TX..................................................    0.8082
  Young, TX...................................................    0.8082
  Zapata, TX..................................................    0.8082
  Zavala, TX..................................................    0.8082
Utah:                                                                   
  Beaver, UT..................................................    0.8632
  Box Elder, UT...............................................    0.8632
  Cache, UT...................................................    0.8632
  Carbon, UT..................................................    0.8632
  Daggett, UT.................................................    0.8632
  Duchesne, UT................................................    0.8632
  Emery, UT...................................................    0.8632
  Garfield, UT................................................    0.8632
  Grand, UT...................................................    0.8632
  Iron, UT....................................................    0.8632
  Juab, UT....................................................    0.8632
  Millard, UT.................................................    0.8632
  Morgan, UT..................................................    0.8632

[[Page 42880]]

                                                                        
  Piute, UT...................................................    0.8632
  Rich, UT....................................................    0.8632
  San Juan, UT................................................    0.8632
  Sanpete, UT.................................................    0.8632
  Sevier, UT..................................................    0.8632
  Summit, UT..................................................    0.8632
  Tooele, UT..................................................    0.8632
  Uintah, UT..................................................    0.8632
  Wasatch, UT.................................................    0.8632
  Washington, UT..............................................    0.8632
  Wayne, UT...................................................    0.8632
Vermont:                                                                
  Addison, VT.................................................    0.9006
  Bennington, VT..............................................    0.9006
  Caledonia, VT...............................................    0.9006
  Essex, VT...................................................    0.9006
  Lamoille, VT................................................    0.9006
  Orange, VT..................................................    0.9006
  Orleans, VT.................................................    0.9006
  Rutland, VT.................................................    0.9006
  Washington, VT..............................................    0.9006
  Windham, VT.................................................    0.9006
  Windsor, VT.................................................    0.9006
Virgin Islands................................................    0.6594
Virginia:                                                               
  Accomack, VA................................................    0.8346
  Alleghany, VA...............................................    0.8346
  Amelia, VA..................................................    0.8346
  Appomattox, VA..............................................    0.8346
  Augusta, VA.................................................    0.8346
  Bath, VA....................................................    0.8346
  Bland, VA...................................................    0.8346
  Brunswick, VA...............................................    0.8346
  Buchanan, VA................................................    0.8346
  Buckingham, VA..............................................    0.8346
  Caroline, VA................................................    0.8346
  Carroll, VA.................................................    0.8346
  Charlotte, VA...............................................    0.8346
  Craig, VA...................................................    0.8346
  Cumberland, VA..............................................    0.8346
  Dickenson, VA...............................................    0.8346
  Essex, VA...................................................    0.8346
  Floyd, VA...................................................    0.8346
  Franklin, VA................................................    0.8346
  Frederick, VA...............................................    0.8346
  Giles, VA...................................................    0.8346
  Grayson, VA.................................................    0.8346
  Greensville, VA.............................................    0.8346
  Halifax, VA.................................................    0.8346
  Henry, VA...................................................    0.8346
  Highland, VA................................................    0.8346
  King and Queen, VA..........................................    0.8346
  King William, VA............................................    0.8346
  Lancaster, VA...............................................    0.8346
  Lee, VA.....................................................    0.8346
  Louisa, VA..................................................    0.8346
  Lunenburg, VA...............................................    0.8346
  Madison, VA.................................................    0.8346
  Mecklenburg, VA.............................................    0.8346
  Middlesex, VA...............................................    0.8346
  Montgomery, VA..............................................    0.8346
  Nelson, VA..................................................    0.8346
  Northampton, VA.............................................    0.8346
  Northumberlnd, VA...........................................    0.8346
  Nottoway, VA................................................    0.8346
  Orange, VA..................................................    0.8346
  Page, VA....................................................    0.8346
  Patrick, VA.................................................    0.8346
  Prince Edward, VA...........................................    0.8346
  Pulaski, VA.................................................    0.8346
  Rappahannock, VA............................................    0.8346
  Richmond, VA................................................    0.8346
  Rockbridge, VA..............................................    0.8346
  Rockingham, VA..............................................    0.8346
  Russell, VA.................................................    0.8346
  Shenandoah, VA..............................................    0.8346
  Smyth, VA...................................................    0.8346
  Southampton, VA.............................................    0.8346
  Surry, VA...................................................    0.8346
  Sussex, VA..................................................    0.8346
  Tazewell, VA................................................    0.8346
  Westmoreland, VA............................................    0.8346
  Wise, VA....................................................    0.8346
  Wythe, VA...................................................    0.8346
  Buena Vista City, VA........................................    0.8346
  Clifton Forge City, VA......................................    0.8346
  Covington City, VA..........................................    0.8346
  Emporia City, VA............................................    0.8346
  Franklin City, VA...........................................    0.8346
  Galax City, VA..............................................    0.8346
  Harrisonburg City, VA.......................................    0.8346
  Lexington City, VA..........................................    0.8346
  Martinsville City, VA.......................................    0.8346
  Nansemond City, VA..........................................    0.8346
  Norton City, VA.............................................    0.8346
  Radford City, VA............................................    0.8346
  South Boston City, VA.......................................    0.8346
  Staunton City, VA...........................................    0.8346
  Waynesboro City, VA.........................................    0.8346
  Winchester City, VA.........................................    0.8346
Washington:                                                             
  Adams, WA...................................................    0.9843
  Asotin, WA..................................................    0.9843
  Chelan, WA..................................................    0.9843
  Clallam, WA.................................................    0.9843
  Columbia, WA................................................    0.9843
  Cowlitz, WA.................................................    0.9843
  Douglas, WA.................................................    0.9843
  Ferry, WA...................................................    0.9843
  Garfield, WA................................................    0.9843
  Grant, WA...................................................    0.9843
  Grays Harbor, WA............................................    0.9843
  Jefferson, WA...............................................    0.9843
  Kittitas, WA................................................    0.9843
  Klickitat, WA...............................................    0.9843
  Lewis, WA...................................................    0.9843
  Lincoln, WA.................................................    0.9843
  Mason, WA...................................................    0.9843
  Okanogan, WA................................................    0.9843
  Pacific, WA.................................................    0.9843
  Pend Oreille, WA............................................    0.9843
  San Juan, WA................................................    0.9843
  Skagit, WA..................................................    0.9843
  Skamania, WA................................................    0.9843
  Stevens, WA.................................................    0.9843
  Wahkiakum, WA...............................................    0.9843
  Walla Walla, WA.............................................    0.9843
  Whitman, WA.................................................    0.9843
West Virginia:                                                          
  Barbour, WV.................................................    0.8938
  Boone, WV...................................................    0.8938
  Braxton, WV.................................................    0.8938
  Calhoun, WV.................................................    0.8938
  Clay, WV....................................................    0.8938
  Doddridge, WV...............................................    0.8938
  Fayette, WV.................................................    0.8938
  Gilmer, WV..................................................    0.8938
  Grant, WV...................................................    0.8938
  Greenbrier, WV..............................................    0.8938
  Hampshire, WV...............................................    0.8938
  Hardy, WV...................................................    0.8938
  Harrison, WV................................................    0.8938
  Jackson, WV.................................................    0.8938
  Lewis, WV...................................................    0.8938
  Lincoln, WV.................................................    0.8938
  Logan, WV...................................................    0.8938
  McDowell, WV................................................    0.8938
  Marion, WV..................................................    0.8938
  Mason, WV...................................................    0.8938
  Mercer, WV..................................................    0.8938
  Mingo, WV...................................................    0.8938
  Monongahela, WV.............................................    0.8938
  Monroe, WV..................................................    0.8938
  Morgan, WV..................................................    0.8938
  Nicholas, WV................................................    0.8938
  Pendleton, WV...............................................    0.8938
  Pleasants, WV...............................................    0.8938
  Pocahontas, WV..............................................    0.8938
  Preston, WV.................................................    0.8938
  Raleigh, WV.................................................    0.8938
  Randolph, WV................................................    0.8938
  Ritchie, WV.................................................    0.8938
  Roane, WV...................................................    0.8938
  Summers, WV.................................................    0.8938
  Taylor, WV..................................................    0.8938
  Tucker, WV..................................................    0.8938
  Tyler, WV...................................................    0.8938
  Upshur, WV..................................................    0.8938
  Webster, WV.................................................    0.8938
  Wetzel, WV..................................................    0.8938
  Wirt, WV....................................................    0.8938
  Wyoming, WV.................................................    0.8938
Wisconsin:                                                              
  Adams, WI...................................................    0.8518
  Ashland, WI,................................................    0.8518
  Barron, WI..................................................    0.8518
  Bayfield, WI................................................    0.8518
  Buffalo, WI.................................................    0.8518
  Burnett, WI.................................................    0.8518
  Clark, WI...................................................    0.8518
  Columbia, WI................................................    0.8518
  Crawford, WI................................................    0.8518
  Dodge, WI...................................................    0.8518
  Door, WI....................................................    0.8518
  Dunn, WI....................................................    0.8518
  Florence, WI................................................    0.8518
  Fond Du Lac, WI.............................................    0.8518
  Forest, WI..................................................    0.8518
  Grant, WI...................................................    0.8518
  Green, WI...................................................    0.8518
  Green lake, WI..............................................    0.8518
  Iowa, WI....................................................    0.8518
  Iron, WI....................................................    0.8518
  Jackson, WI.................................................    0.8518
  Jefferson, WI...............................................    0.8518
  Juneau, WI..................................................    0.8518
  Kewaunee, WI................................................    0.8518
  Lafayette, WI...............................................    0.8518
  Langlade, WI................................................    0.8518
  Lincoln, WI.................................................    0.8518
  Manitowoc, WI...............................................    0.8518
  Marinette, WI...............................................    0.8518
  Marquette, WI...............................................    0.8518
  Menomonee, WI...............................................    0.8518
  Monroe, WI..................................................    0.8518
  Oconto, WI..................................................    0.8518
  Oneida, WI..................................................    0.8518
  Pepin, WI...................................................    0.8518
  Polk, WI....................................................    0.8518
  Portage, WI.................................................    0.8518

[[Page 42881]]

                                                                        
  Price, WI...................................................    0.8518
  Richland, WI................................................    0.8518
  Rusk, WI....................................................    0.8518
  Sauk, WI....................................................    0.8518
  Sawyer, WI..................................................    0.8518
  Shawano, WI.................................................    0.8518
  Taylor, WI..................................................    0.8518
  Trempealeau, WI.............................................    0.8518
  Vernon, WI..................................................    0.8518
  Vilas, WI...................................................    0.8518
  Walworth, WI................................................    0.8518
  Washburn, WI................................................    0.8518
  Waupaca, WI.................................................    0.8518
  Waushara, WI................................................    0.8518
  Wood, WI....................................................    0.8518
Wyoming:                                                                
  Albany, WY..................................................    0.9291
  Big Horn, WY................................................    0.9291
  Campbell, WY................................................    0.9291
  Carbon, WY..................................................    0.9291
  Converse, WY................................................    0.9291
  Crook, WY...................................................    0.9291
  Fremont, WY.................................................    0.9291
  Goshen, WY..................................................    0.9291
  Hot Springs, WY.............................................    0.9291
  Johnson, WY.................................................    0.9291
  Lincoln, WY.................................................    0.9291
  Niobrara, WY................................................    0.9291
  Park, WY....................................................    0.9291
  Platte, WY..................................................    0.9291
  Sheridan, WY................................................    0.9291
  Sublette, WY................................................    0.9291
  Sweetwater, WY..............................................    0.9291
  Teton, WY...................................................    0.9291
  Uinta, WY...................................................    0.9291
  Washakie, WY................................................    0.9291
  Weston, WY..................................................    0.9291
------------------------------------------------------------------------
\2\ Wage index values are based on fiscal year 1993 hospital cost report
  data prior to reclassification. This wage index is further adjusted.  
  Wage index values greater than 0.8 are subject to a budget neutrality 
  adjustment of 1.020768. Wage index values below 0.8 are adjusted to be
  the greater of a 15 percent increase, subject to a maximum wage index 
  value of 0.8, or an adjustment by multiplying the hospice wage index  
  value for a given area by the budget neutrality adjustment. All of    
  these adjustments are built into the wage index values reflected in   
  Table B.                                                              

V. Regulatory Impact Statement

    Consistent with the Regulatory Flexibility Act (RFA) (5 U.S.C. 601 
through 612), we prepare a regulatory flexibility analysis unless we 
certify that a rule will not have a significant economic impact on a 
substantial number of small entities. For purposes of the RFA, all 
hospices are considered to be small entities. Individuals and States 
are not included in the definition of a small entity.
    In addition, section 1102(b) of the Act requires us to prepare a 
regulatory impact analysis if a rule has a significant impact on the 
operations of a substantial number of small rural hospitals. Such an 
analysis must conform to the provisions of section 603 of the RFA. For 
purposes of section 1102(b) of the Act, we define a small rural 
hospital as a hospital that is located outside of a Metropolitan 
Statistical Area and has fewer than 50 beds.
    This impact analysis compares hospice payments under the current 
wage index (column 3 of the Table C) to the first transition year blend 
(column 4). The wage index blend for the first transition year of the 
3-year transition is two-thirds of the current wage index added to one-
third of the new wage index. The data used in developing the 
quantitative analysis for this final rule were obtained from the June 
1996 update of the national claims history file of all bills submitted 
during fiscal year 1995. We deleted bills from hospices that have since 
closed.
    Table C demonstrates the results of our analysis. The table 
categorizes hospices by various geographic and provider 
characteristics. The top row of the table demonstrates that the overall 
impact on the 1,834 hospices included in the analysis is budget 
neutral. The next two rows of the table categorize hospices according 
to their geographic location (urban and rural). There are 1,200 
hospices located in urban areas included in our analysis and 634 
hospices located in rural areas. The next two groupings in the table 
indicate the number of hospices by census region, also broken down by 
urban and rural hospices. The next grouping shows the impact on 
hospices based on the size of the hospice's program. We determined that 
the majority of hospice payments are made at the routine home care 
rate; therefore, we based the size of each individual hospice's program 
on the number of routine home care days provided in 1995. The next 
grouping shows the impact on hospices by type of ownership. The final 
grouping shows the impact on hospices defined by whether they are 
provider-based or freestanding.
    In column 2 of the table we indicate the number of routine home 
care days that were included in our analysis, although the analysis was 
performed on all types of hospice care. Columns 3 and 4 show the 
payments that would have been made to hospices under the 1983 wage 
index and payments that would be made under the 1997 wage index. As the 
first row in column 4 indicates, the wage index is budget neutral. The 
final column shows the percent change in hospice payments based on the 
category of the hospice.
    The results of our analysis show that the greatest increases are 
for urban hospices in the New England and Pacific regions, 4.4 percent 
and 1.7 percent respectively. The greatest decreases, besides Puerto 
Rico, are the urban East South Central and West South Central regions 
with 1.6 percent and 1.4 percent respectively. The most dramatic shift 
occurs in Puerto Rico, where urban payments decrease by 7.3 percent and 
rural payments decrease by 8.9 percent. The region most affected by the 
revision to the wage index floor is Puerto Rico. This is because the 
wage index values for the Puerto Rico region are more than 15 percent 
below 0.8. Under the current wage index floor, Puerto Rico's wage index 
value would have been adjusted to 0.8. Under the final wage index 
floor, Puerto Rico's wage index will be the pre-reclassification 
hospital wage index value multiplied by 1.15.
    Small hospice programs show small decreases while larger programs 
show slight increases. Proprietary hospices show slight decreases in 
payment due to the wage index change while voluntary programs gain 
slightly. Finally, freestanding and skilled nursing facility-based 
hospices show small decreases while home health agency and hospital-
based hospice programs show small increases.

                                  Table C.--Impact of Hospice Wage Index Change                                 
                                                                                                                
                                                                                     Payments using             
                                                         Number of                   new wage index    Percent  
                                            Number of     routine    Payments using       first       change in 
                                             hospices    home care   old wage index    transition      hospice  
                                                          days in     in thousands    year blend in    payments 
                                                         thousands                      thousands               
                                                   (1)          (2)             (3)             (4)          (5)
----------------------------------------------------------------------------------------------------------------
All Hospices.............................        1,834       17,179       1,904,050       1,904,049          0.0

[[Page 42882]]

                                                                                                                
Urban Hospices...........................        1,200       14,811       1,685,552       1,686,214          0.0
Rural Hospices...........................          634        2,368         218,497         217,835         -0.3
Region (Urban):                                                                                                 
    New England..........................           91          545          64,625          67,473          4.4
    Middle Atlantic......................          157        1,687         200,376         202,123          0.9
    South Atlantic.......................          160        3,335         384,600         385,506          0.2
    East North Cent......................          202        2,631         297,586         295,001         -0.9
    East South Cent......................           77          639          72,432          71,261         -1.6
    West North Cent......................           85          989         102,553         102,139         -0.4
    West South Cent......................          158        1,883         195,386         192,709         -1.4
    Mountain.............................           73          816         101,912         100,685         -1.2
    Pacific..............................          168        2,126         253,035         257,225          1.7
    Puerto Rico..........................           29          159          13,049          12,091         -7.3
Region (Rural):                                                                                                 
    New England..........................           18           54           5,231           5,316          1.6
    Middle Atlantic......................           34          157          15,981          15,826         -1.0
    South Atlantic.......................          103          511          46,636          46,436         -0.4
    East North Cent......................          111          455          42,290          42,203         -0.2
    East South Cent......................           67          322          28,309          28,202         -0.4
    West North Cent......................          131          339          31,020          30,898         -0.4
    West South Cent......................           67          227          19,860          19,783         -0.4
    Mountain.............................           58          141          13,251          13,163         -0.7
    Pacific..............................           42          149          14,769          14,960          1.3
    Puerto Rico..........................            3           14           1,150           1,048         -8.9
Size (Routine Home Care Days):                                                                                  
    0 - 1,551 Days.......................          458          323          33,983          33,923         -0.2
    1,551 - 4385 Days....................          459        1,310         132,410         132,086         -0.2
    4,385 -10,110 Days...................          458        3,160         324,347         324,965          0.2
    10,110 + Days........................          459       12,387       1,413,310       1,413,075          0.0
Type of Ownership:                                                                                              
    Voluntary............................        1,272       12,517       1,370,153       1,372,430          0.2
    Proprietary..........................          388        4,152         482,816         480,497         -0.5
    Government...........................          151          450          45,046          45,044          0.0
    Other................................           23           60           6,035           6,078          0.7
Hospice Base:                                                                                                   
    Freestanding.........................          674        9,375       1,046,456       1,042,436         -0.4
    Home Health Agency...................          679        4,633         507,575         510,966          0.7
    Hospital.............................          464        3,058         334,128         334,891          0.2
    Skilled Nurs. Fac....................           17          112          15,891          15,756         -0.9
----------------------------------------------------------------------------------------------------------------

    We have concluded that this final regulation will have an impact on 
small hospices. However, the provisions of this regulation were 
determined by consensus through a negotiated rulemaking committee. 
Based on all of the options considered, the committee determined that 
the provisions in this regulation were favorable for the hospice 
community as a whole, as well as for the beneficiaries that they serve.
    We have also determined, and certify, that this final rule will not 
result in a significant economic impact on a substantial number of 
small entities and will not have a significant impact on the operations 
of a substantial number of small rural hospitals. For these reasons, we 
are not preparing analyses for the RFA or section 1102(b) of the Act.
    In accordance with the provisions of Executive Order 12866, this 
regulation was reviewed by the Office of Management and Budget.

VI. Collection of Information Requirements

    This document does not impose information collection and 
recordkeeping requirements. Consequently, it need not be reviewed by 
the Office of Management and Budget under the authority of the 
Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.).

Lists of Subjects for 42 CFR Part 418

    Health facilities, Hospice care, Medicare, Reporting and 
recordkeeping requirements.
    42 CFR part 418 is amended as set forth below:

PART 418--HOSPICE CARE

    1. The authority citation for part 418 continues to read as 
follows:

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

    2. In Sec. 418.306, paragraph (c) is revised to read as follows:;


Sec. 418.306  Determination of payment amounts.

* * * * *
    (c) Adjustment for wage differences. HCFA will issue annually, in 
the Federal Register, a hospice wage index based on the most current 
available HCFA hospital wage data, including any

[[Page 42883]]

changes to the definitions of Metropolitan Statistical Areas. The 
payment rates established by HCFA are adjusted by the intermediary to 
reflect local differences in wages according to the revised wage index.
* * * * *
(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)

    Dated: April 16, 1997.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.

Appendix: Note This Appendix Will Not Appear in the Code of Federal 
Regulations

United States Department of Health and Human Services Negotiating 
Committee on the Medicare Hospice Wage Index

Committee Statement

April 13, 1995.

    The Negotiating Committee on Medicare Hospice Wage Index has 
concurred in the following recommendations, considered as a whole, 
concerning the wage index used to adjust Medicare payment rates for 
hospice services to reflect geographic differences in wages:

A. Data to be Used

    The wage index for hospices will be based on the wage index used 
by the Health Care Financing Administration (HCFA) for hospitals 
under the Medicare Prospective Payment System, prior to 
reclassification. This means that the hospital wage index will not 
be adjusted to take into account the geographic reclassification of 
hospitals in accordance with sections 1886(d)(8)(B) and 1886(d)(10) 
of the Social Security Act.
    The hospital wage index prior to reclassification will be 
referred to in this statement as the Raw Index and will be adjusted 
as provided below to calculate what will be referred to as the 
Revised Wage Index.
    Special provisions governing a transition period are described 
in paragraph D below.

B. Budget Neutrality

    HCFA will determine a Budget Neutrality Factor that will be 
applied to achieve budget neutrality during and after the transition 
period. Budget neutrality means that, in a given year, estimated 
aggregate payments for Medicare hospice services using the Revised 
Wage Index will equal estimated payments that would have been made 
for the same services if the wage index adopted for hospices in 1983 
(1983 Index) had remained in effect. HCFA will estimate aggregate 
payments for Medicare hospice services using the best available 
utilization data.

C. Adjustments

    Each Raw Index value will be adjusted in one of two ways to 
determine the Revised Wage Index value applicable to each area.
    (1) If the Raw Index value for any area is 0.8 or greater, the 
Revised Wage Index will be calculated by multiplying the Raw Index 
value for that area by the Budget Neutrality Factor.
    (2) If the Raw Index value for any area is less than 0.8, the 
Revised Wage Index will be the greater of either:
    (a) The Raw Index value for that area multiplied by the Budget 
Neutrality Factor; or
    (b) The Raw Index value for that area multiplied by 1.15 (in 
effect, a 15-percent increase), but subject to a maximum index value 
of 0.8.

D. Transition Period

    The Revised Wage Index will be implemented over a 3-year 
transition period beginning on or about October 1, 1996. For the 
first year of the transition period, a blended index will be 
calculated by adding two-thirds of each 1983 Index value for an area 
to one-third of the Revised Wage Index value for that area. During 
the second year of the transition period, the calculation will be 
similar, except that the blend will be one-third of the 1983 Index 
values and two-thirds of the Revised Wage Index values. During the 
third year the Revised Wage Index will be fully implemented.
    Throughout the transition period, new hospices will be treated 
the same as existing hospices based in the same county.

E. Annual Updates

    The Revised Wage Index will be updated annually, so that it is 
based on the most current available data used by HCFA to construct 
the hospital wage index, as well as on changes by the Office of 
Management and Budget to Metropolitan Statistical Areas as adopted 
by HCFA in calculating the hospital wage index.
    HCFA will use the most current hospital cost report data 
available that allows HCFA to publish a proposed rule containing 
wage index values at least 4 months in advance of the effective date 
of each annual update to the Revised Wage Index.

F. Effective Date

    The effective date of a final rule revising the wage index as 
stated above should be October 1, 1997.

G. Statement to Accompany Proposed and Final Hospice Wage Index Notice

    The proposed rule is based upon a Committee Statement developed 
by a Negotiating Committee on the Medicare hospice wage index which 
was convened under the Negotiated Rulemaking Act. A new hospice wage 
index is needed because the existing hospice wage index is based on 
a 1983 wage index using 1981 Bureau of Labor Statistics (BLS) data 
which is inaccurate and outdated.
    The Committee reached consensus; however, this means only that 
all Committee members could ``live with'' the agreement, considered 
as a whole, even if elements of that agreement were not the 
preferred choice of individual Committee members. The Committee 
Statement reflects those issues upon which the Committee ultimately 
concurred, but does not address many issues that were considered by 
the Committee.
    The Committee considered the appropriate data to be used to 
construct a wage index, the appropriateness of retaining a 0.8 
floor, budget neutrality, and how to structure a transition to 
timely update the index yet ensure access to hospice care. In 
particular, the Committee considered the problems faced by hospices 
that would receive significant decreases under the new wage indices, 
rural hospices, hospices with low wage indices, and hospices that 
may have disproportionately high non-wage costs.
    The Committee received extensive information from experts who 
appeared before the Committee and from the hospice community, and 
sought public input. While considerable data were reviewed, the 
Committee acknowledges that hospice data collection is maturing and 
encourages its continued development. In addition, while other 
issues were identified, the scope of the Committee's negotiations 
was limited by the notice of intent to negotiate.
    Given these constraints, and taking into account the differing 
and conflicting interests that would be significantly affected, the 
Committee sought to develop a wage index that would be as accurate, 
reliable, and equitable as possible, but would not threaten access 
to hospice care.
    The Committee recognizes that hospice care is still not 
universally available. The Committee further recognizes that there 
may be geographic or other circumstances that inhibit the provision 
of hospice care. The Committee strongly requests that HCFA consider 
options to address these access problems.
    Reaching consensus was a long and deliberative process. The 
Committee concurred that the wage index it recommends will be better 
both for the hospice community as a whole, and for the Medicare 
beneficiaries it serves, than a wage index developed by the 
traditional rulemaking process.

[FR Doc. 97-20775 Filed 8-1-97; 4:55 pm]
BILLING CODE 4120-01-P