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Notice

Medicare Program; Home Health Prospective Payment System Rate Update for FY 2004

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AGENCY:

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

ACTION:

Notice with comment period.

SUMMARY:

This notice with comment period sets forth an update to the 60-day national episode rates and the national per-visit amounts under the Medicare prospective payment system for home health agencies. It also responds to public comments received on the June 28, 2002 notice with comment period, which set forth the home health prospective payment system rate update for FY 2003.

EFFECTIVE DATE:

Effective Date: The rate updates in this notice with comment period are effective on October 1, 2003.

Comment Period: We will consider comments if we receive them at the appropriate address, as provided below, no later than 5 p.m. on August 29, 2003.

ADDRESSES:

In commenting, please refer to file code CMS-1473-NC. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. Mail written comments (one original and three copies) to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1473-NC, P.O. Box 8016, Baltimore, MD 21244-8016.

Please allow sufficient time for mailed comments to be timely received in the event of delivery delays.

If you prefer, you may deliver (by hand or courier) your written comments (one original and three copies) to one of the following addresses: Room 443-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201, or Room C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-1850.

Comments mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and could be considered late.

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

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FOR FURTHER INFORMATION CONTACT:

Chester Robinson, (410) 786-6959 or Susan Levy, (410) 786-9364.

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SUPPLEMENTARY INFORMATION:

Inspection of Public Comments: Comments received timely will be available for public inspection as they are received, generally beginning approximately 3 weeks after publication of a document, at the headquarters of the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 a.m. to 4 p.m. To schedule an appointment to view public comments, phone (410) 786-7195.

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This Federal Register document is also available from the Federal Register online database through GPO access, a service of the U.S. Government Printing Office. The Web site address is http://www.access.gpo.gov/​nara/​index.html.

I. Background

Legislation on Payment to Home Health Agencies

A. Balanced Budget Act of 1997

The Balanced Budget Act of 1997 (BBA), Pub. L. 105-33, enacted on August 5, 1997, significantly changed the way Medicare pays for Medicare home health services. Until the implementation of a home health prospective payment system (HH PPS) on October 1, 2000, home health agencies (HHAs) received payment under a cost-based reimbursement system. Section 4603 of the BBA governed the development of the HH PPS by adding section 1895 to the Social Security Act (the Act).

Section 1895(b)(3)(B) of the Act requires the standard prospective payment amounts to be increased by a factor equal to the applicable home health market basket increase for FY 2004.

B. System for Payment of Home Health Services

Generally, Medicare makes payment under the HH PPS on the basis of a national standardized 60-day episode payment, adjusted for case mix and wage index. For episodes with four or fewer visits, Medicare pays on the basis of a national per-visit amount by discipline, referred to as a low utilization payment adjustment (LUPA). Medicare also adjusts the 60-day episode payment for certain intervening events that give rise to a partial episode payment adjustment or a significant change in condition adjustment. For certain cases that exceed a specific cost threshold, an outlier adjustment may also be available. For a complete and full description of the HH PPS as required by the BBA and as refined by the Omnibus Consolidated and Emergency Supplemental Appropriations Act (OCESAA) for FY 1999, Pub. L. 105-277, enacted on October 21, 1998, and the Medicare, Medicaid and SCHIP Balanced Budget Refinement Act of 1999, Pub. L. 106-113, enacted on November 29, 1999, see the July 3, 2000 HH PPS final rule (65 FR 41128).

II. Analysis of and Responses To Comments on the Home Health Prospective Payment System June 28, 2002 Notice With Comment Period

On June 28, 2002, we published a notice with comment period in the Federal Register (67 FR 43616) that set forth an update to the 60-day national episode rates and the national per-visit amounts under the Medicare prospective payment system for HHA for FY 2003. In this section, we respond to the 10 public comments that we received on the FY 2003 HH PPS update notice:

Comment: Commenters disagreed with the statutory elimination of the 10 percent rural add-on set forth in section 508 of the Medicare, Medicaid, and SCHIP Benefits and Improvement Protection Act of 2000 (BIPA).

Response: Section 508 of BIPA explicitly prescribes the time period (home health services furnished in a rural area ending on or after April 1, 2001, and before April 1, 2003) governing the 10 percent rural add-on. To conform to the statutory timeframe governing the rural add-on, the FY 2003 update notice published on June 28, 2002 included the expiration of the 10 percent rural add-on mid FY 2003.

Comment: Commenters believe the actuarial assumptions of the behavior under the interim payment system (IPS) were flawed and inadequate data were Start Printed Page 39765provided to the public, thereby compromising the meaning of the public comments.

Response: We do not agree with the commenters. For FY 2003, we must comply with section 1895(b)(3)(A)(i)(III) of the Act (as re-designated by section 501 of BIPA) governing the payment amount under HH PPS. Section 1895(b)(3)(A)(i)(III) of the Act requires the Secretary to determine the payment amount for FY 2003 as if there were a 15 percent reduction to the limits under the IPS updated to FY 2003. The IPS ended with the implementation of home health PPS on October 1, 2000. Originally, the BBA 1997 required the base year PPS rates to be budget neutral to the IPS with the limits reduced by 15 percent. This requirement was delayed in subsequent legislation until section 501 of BIPA made it applicable to the home health PPS payment amount for FY 2003.

As we explained in the FY 2003 update notice, the level by which actual payments to HHAs would be reduced by lowering the limits is not the same percent by which the IPS limits would be lowered. Our actuaries have used the 7 percent reduction in the PPS rates in every estimate for legislation since BBA 1997. Since it was the intention of the Congress to delay the cut it had already specified, we have simply captured the reductions in payments and carried those assumptions forward to the present. If our actuaries had attempted to impute the continued operation of the IPS until October 2002 given the amount of money available under the IPS limits that had not been spent, the actuaries may have well identified a larger reduction in payments. We did not believe such a result was the intent of the Congress.

Comment: Some commenters urged us to postpone the FY 2003 reduction to the PPS rates until the Congress acts to repeal the reduction.

Response: The FY 2003 update notice reflected the statutory requirements governing the home health PPS payment amount. The statutory requirements included both the required annual update to the PPS rates, according to section 1895(b)(3)(B) of the Act and section 1895(b)(3)(A)(i)(III) of the Act reflecting the IPS estimation. Both sections of the statute were effective October 1, 2002 for FY 2003. As the statute was not revised as of October 1, 2002, the FY 2003 update notice appropriately reflected the statutory requirements as of that date.

Comment: Some commenters raised concerns about the assumptions used to determine the low utilization payment adjustment and corresponding impact on the episode rates. Commenters urged us to refine the methodology governing low utilization payment adjustments.

Response: We understand the commenter's concerns. At this time, we are continuing to gather HH PPS data. As we gather more data, we will continue to monitor this issue.

Comment: One commenter requested a detailed explanation of the market basket inflation update utilized in the FY 2003 PPS rate setting. The commenter points out that costs of home care services have increased recently due to new administrative responsibilities and reduced economies of scale due to lowered visit volume. As a result of staff shortages of nurses and home health aides, labor costs have increased. In addition, the HHAs have experienced rising premiums for liability insurance, workers compensation insurance, and employee health insurance. The commenter believes these factors should be incorporated in the market basket calculations and feels that the market basket update relies on too many proxies and surrogates for actual cost increases.

Response: We agree with the commenter that showing the detail of the market basket increase for each year's payment update would be helpful. Thus, in this year's rule, we have added a table detailing the FY 2004 market basket forecast, which we believe adequately reflects the price increases for home health services (see Table 1 in section III.B. of this notice).

Comment: Some commenters suggested that it is inappropriate and inequitable to use the previous fiscal year's pre-floor and pre-reclassified hospital wage index to adjust the current fiscal year's HH PPS rates.

Response: We believe that the hospital wage index data we use is the most current data appropriate for adjusting HHA payments. As we have stated in both the FY 2002 and FY 2003 update notices, we use the most recent available pre-floor and pre-reclassified hospital wage index data available at the time of publication.

Comment: A commenter requested clarification of our response to comments in the update notice published on June 28, 2002 in the Federal Register that states, “the statute does not contemplate a recalculation of the initial base year after the rates are established.” The commenter requested specific clarification of whether or not we were referring to the retrospective or prospective recalculation.

Response: In our response to the comments on the June 2002 notice with comment period, we were referring to the commenter's request for a retrospective recalculation of the initial base year rates.

Comment: A commenter is requesting specific data regarding the frequency of outlier payments, any Home Health Resource Group (HHRG) connections to outlier payments, and the range of discipline-specific visits occurring in outlier cases and a re-evaluation of the outlier methodology.

Response: We appreciate the comment. We are still developing the data requested by the commenter. We anticipate releasing and/or publishing the data upon their completion.

Comment: We received comments on the pre-floor and pre-reclassified hospital wage index. Specifically, commenters noted that a reduction in wage index occurred in their area.

Response: The HH PPS uses the pre-floor and pre-reclassified hospital wage index. Accordingly, we refer the commenters to the annual acute care hospital inpatient proposed and final rules, which provide detailed explanations of the costs that are included in the hospital wage index and how the hospital wage index is calculated. The hospital wage index is computed annually, using data collected annually from hospitals' Medicare cost reports. In addition, hospital data may differ from year-to-year, in part, because in labor market areas with few hospitals, annual variations in wage index values are typical.

Comment: A commenter urged us to develop a home health specific wage index.

Response: We have previously developed a home health specific wage index, which the industry did not support because it was viewed less favorably or less accurate than the pre-floor and pre-reclassified hospital wage index. Specifically, the home health industry had concerns with the methodology used to develop a home health specific wage index. These concerns coupled with our lack of applicable specific home health wage index led to our adoption of the hospital wage index in developing home health PPS. We will, however, continue to review the feasibility of this recommendation.

III. Provisions of this Notice With Comment Period

A. National Standardized 60-Day Episode Rate

Medicare HH PPS has been effective since October 1, 2000. As set forth in the final rule published July 3, 2000 in the Federal Register (65 FR 41128), the unit Start Printed Page 39766of payment under Medicare HH PPS is a national standardized 60-day episode rate. As set forth in 42 CFR 484.220, we adjust the national standardized 60-day episode rate by case mix and wage index based on the site of service for the beneficiary. The FY 2004 HH PPS rates use the same case-mix methodology and application of the wage index adjustment to the labor portion of the HH PPS rates as set forth in the July 3, 2000 final rule. We multiply the national 60-day episode rate by the patient's applicable case-mix weight. We divide the case-mix adjusted amount into a labor and non-labor portion. We multiply the labor portion by the applicable wage index based on the site of service of the beneficiary. The labor portion of the rate continues to be .77668 and the non-labor portion of the rate continues to be .22332. We add the wage-adjusted portion to the non-labor portion yielding the case-mix and wage-adjusted 60-day episode rate subject to applicable adjustments.

For FY 2004, we use again the design and case-mix methodology described in section III.G of the HH PPS July 3, 2000 final rule (65 FR 41192 through 41203). For FY 2004, we base the wage index adjustment to the labor portion of the PPS rates on the most recent pre-floor and pre-reclassified hospital wage index available at the time of publication of this notice, which is discussed in section III.C of this notice with comment period.

As discussed in the July 3, 2000 HH PPS final rule, for episodes with four or fewer visits, Medicare pays the national per-visit amount by discipline, referred to as a LUPA. We update the national per-visit amounts by discipline annually by the applicable home health market basket. We adjust the national per-visit amount by the appropriate wage index based on the site of service for the beneficiary as set forth in § 484.230. We adjust the labor portion of the updated national per-visit amounts by discipline used to calculate the LUPA by the most recent pre-floor and pre-reclassified hospital wage index available at the time of publication of this notice, as discussed in section III.C of this notice with comment period.

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

In summary, we may adjust the 60-day case-mix and wage adjusted episode payment based on the information submitted on the claim to reflect the following:

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

This notice with comment period reflects the updated FY 2004 rates that are effective October 1, 2003.

B. Structure and Methodology for FY 2004 Market Basket

On July 1, 1996, we published a notice with comment period (61 FR 34349) in the Federal Register that fully explained the structure and methodology of the current home health market basket. The home health market basket captures the “pure price” change between payment years associated with providing home health services. In column 1 of Table 1, we have provided the 1993-based cost category components. In column 2 of Table 1, the weights in the home health market basket represent the average cost structure for freestanding HHAs for a base year, currently 1993. The weights are derived using Medicare Cost Reports for freestanding HHAs, augmented with additional information from the U.S. Department of Commerce, Bureau of Economic Analysis' Input-Output Tables. In column 3 of Table 1, the proxies used in the home health market basket are selected for their representativeness in tracking pure price changes and are generally publicly available price series from the U.S. Bureau of Labor Statistics. In column 4 of Table 1, the home health market basket percent change, or update, for FY 2004 is calculated as the weighted average of these specific price proxy changes. We feel that the home health market basket accurately reflects the price changes facing HHAs in providing an efficient level of care.

Market baskets are periodically rebased and revised to a more current base year. To this end, we have been monitoring the most recently available data (for proposes of this analysis, we used 1999 data) on the distribution of costs in providing home health services and the appropriateness of our price proxies. Though this work is still very preliminary, the distribution of costs through 1999 does not appear to be dramatically different than the distribution of costs in the 1993 base year. We will continue to monitor these data, particularly data for the periods after prospective payment began, to determine the most appropriate time to rebase and revise the home health market basket. In Table 1 below, we set forth the 1993-based cost categories, weights, price proxies, and FY 2004 updates for the market basket forecast. In Table 2 below, we have provided a comparison of the FY 2003 and FY 2004 updates to the home health market basket.

Table 1.—1993-Based Cost Categories, Weights, Price Proxies, and FY 2004 Updates

Cost category1993-based market basket weightPrice proxyFY 2004 update (percent)
Total100.0003.3
Compensation, including allocated Contract Services' labor77.6683.6
Wages and salaries, including allocated contract services' labor64.226HHA Occupational Wage Index3.4
Employee benefits, including allocated contract services' labor13.442HHA Occupational Benefits Index4.7
Operations & Maintenance0.832CPI-U Fuel & Other Utilities0.5
Administrative & General, including allocated contract services' non-labor9.5692.7
Telephone0.725CPI-U Telephone0.6
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Paper & Printing0.529CPI-U Household Paper, Paper Products & Stationery Supplies1.7
Postage0.724CPI-U Postage1.8
Other Administrative & General, including allocated contract services' non-labor7.591CPI-U Services3.0
Transportation3.405CPI-U Private Transportation−0.4
Capital-Related3.2042.6
Insurance0.560CPI-U Household Insurance3.6
Fixed Capital1.764CPI-U Owner's Equivalent Rent3.3
Movable Capital0.880PPI Machinery & Equipment0.1
Other Expenses, including allocated contract services' nonlabor5.322CPI-U All Items Less Food & Energy2.7
Source: Global Insights Inc., 1st Qtr, 2003; @USMACRO/MODTREND @CISSIM/TL0203.SIM Historical data through 4TH Qtr, 2002

Table 2.—1993-Based Cost Categories, Weights, and FY 2003 Update Versus FY 2004 Update

Cost category1993-based market basket weightFY03 update (as of 2001: 4th quarter forecast) (percent)FY04 update (as of 2003: 1st quarter forecast) (percent)
Total1000.0003.23.3
Compensation, including allocated Contract Services' labor77.6683.43.6
Wages and salaries, including allocated contract services' labor64.2263.43.4
Employee benefits, including allocated contract services' labor13.4423.44.7
Operations & Maintenance0.8320.90.5
Administrative & General, including allocated contract services' non-labor9.5692.92.7
Telephone0.7250.40.6
Paper & Printing0.5290.91.7
Postage0.7243.61.8
Other Administrative & General, including allocated contract services' non-labor7.5913.13.0
Transportation3.4050.9−0.4
Capital-Related3.2042.52.6
Insurance0.5603.03.6
Fixed Capital1.7643.43.3
Movable Capital0.880−0.30.1
Other Expenses, including allocated contract services' nonlabor5.3222.72.7
Source: Global Insights Inc., 1st Qtr, 2003; @USMACRO/MODTREND @CISSIM/TL0203.SIM Historical data through 4th Qtr, 2002; and 4th Qtr, 2001, @USMACRO/MODTREND @CISSIM/TRENDLONG1101 Historical data through 3rd Qtr, 2001.

C. FY 2004 Update to the Home Health Market Basket Index

Section 1895(b)(3)(B) of the Act requires the standard prospective payment amounts to be increased by a factor equal to the applicable home health market basket increase for FY 2004. This requirement has been codified in regulations in § 484.225.

  • FY 2004 Adjustments

In calculating the annual update for the FY 2004 60-day episode rates, we first looked at the FY 2003 rates as a starting point. The FY 2003 national 60-day episode rate is $2,159.39.

In order to calculate the FY 2004 national 60-day episode rate, we multiplied the FY 2003 national 60-day episode rate (2,159.39) by the applicable home health market basket update for FY 2004. The home health market basket increase for FY 2004 is 3.3 percent. We increased the FY 2003 amount by the FY 2004 home health market basket increase ($2,159.39 + 3.3 percent) to yield the updated FY 2004 national 60-day episode rate ($2,230.65) (see Table 3 below).

Table 3.—National 60-Day Episode Amounts Updated by the Applicable Home Health Market Basket FY 2004 Prior to Case-Mix Adjustment, Wage Index Adjustment Based on the Site of Service for the Beneficiary or Applicable Payment Adjustment

Total prospective payment amount per 60-day episode for FY 2003Multiply by the applicable home health market basket increaseFinal FY 2004 updated national 60-day episode rate
$2,159.39×1.033$2,230.65
  • National Per-Visit Amounts Used To Pay LUPAs and Compute Imputed Costs Used in Outlier Calculations.

As discussed previously in this notice with comment period, the policies governing the LUPAs and outlier calculations set forth in the July 3, 2000 HH PPS final rule will continue during FY 2004. In calculating the annual update for the FY 2004 national per-visit amounts we use to pay LUPAs and to compute the imputed costs in outlier calculations, we again looked at the FY 2003 rates as a starting point. We then multiply those amounts by the applicable home health market basket increase for FY 2004 to yield the updated per-visit amounts for each home health discipline for FY 2004. (See Table 4 below.) Start Printed Page 39768

Table 4.—National Per-Visit Amounts for LUPAs and Outlier Calculations Updated by the Applicable Home Health Market Basket Increase for FY 2004 Prior to Wage Index Adjustment Based on the Site of Service for the Beneficiary

Home health discipline typesFinal per-visit amounts per 60-day episode for FY 2003 for LUPAsMultiply by applicable home health market basketFinal per-visit payment amount per discipline for FY 2004 for LUPAs
Home Health Aide$42.68×1.033$44.09
Medical Social Services151.11×1.033156.10
Occupational Therapy103.77×1.033107.19
Physical Therapy103.07×1.033106.47
Skilled Nursing94.27×1.03397.38
Speech-Language Pathology112.00×1.033115.70

C. Hospital Wage Index

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

As discussed previously and set forth in the July 3, 2000 final rule, the statute provides that the wage adjustment factors may be the factors used by the Secretary for purposes of section 1886(d)(3)(E) of the Act for hospital wage adjustment factors. Again, as discussed in the July 3, 2000 final rule, we used the most recent pre-floor and pre-reclassified hospital wage index available at the time of publication of this notice to adjust the labor portion of the HH PPS rates based on the geographic area in which the beneficiary receives the home health services. We believe the use of the most recent available pre-floor and pre-reclassified hospital wage index data results in the appropriate adjustment to the labor portion of the costs as required by statute. (See addenda A and B of this notice with comment period, respectively, for the rural and urban hospital wage indexes. Furthermore, we have added an addendum C that shows a side-by-side comparison of the FY 2002 pre-floor and pre-reclassified hospital wage index and FY 2003 pre-floor and pre-reclassified hospital wage index for the FY 2004 HH PPS update notice. We believe that addendum C provides a clear illustration of changes in the wage index from FY 2002 and FY 2003.)

IV. Waiver of Proposed Rulemaking

We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a notice such as this take effect. We can waive this procedure, however, if we find good cause that a notice-and-comment procedure is impracticable, unnecessary, or contrary to the public interest and incorporates a statement of finding and its reasons in the notice issued.

We believe it is unnecessary to undertake proposed notice and comment rulemaking as the statute requires annual updates to the HH PPS rates, the methodologies used to update the rate have been previously subject to public comment, and this notice reflects the application of previously established methodologies. This required annual update for the FY 2004 PPS rates is dictated by statute and does not require an exercise of discretion. Therefore, for good cause, we waive prior notice and comment procedures. As indicated previously, we are, however, providing a 60-day comment period for public comment.

V. 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.).

VI. Response to Comments

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

VII. Regulatory Impact Analysis

A. Overall Impact

We have examined the impacts of this rule as required by Executive Order 12866 (September 1993, Regulatory Planning and Review), the Regulatory Flexibility Act (RFA) (September 16, 1980, Pub. L. 96-354), section 1102(b) of the Social Security Act, the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.

Executive Order 12866 (as amended by Executive Order 13258, which merely reassigns responsibility of duties) directs agencies to assess all costs and benefits of available regulatory alternatives and, if regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis (RIA) must be prepared for major rules with economically significant effects ($100 million or more in any 1 year). The update set forth in this notice with comment period applies to Medicare payments under HH PPS in FY 2004. Accordingly, the following analysis describes the impact in FY 2004 only. We estimate that there will be an additional $340 million in FY 2004 expenditures attributable to the FY 2004 market basket increase of 3.3 percent.

The RFA requires agencies to analyze options for regulatory relief of small businesses. For purposes of the RFA, small entities include small businesses, nonprofit organizations, and Start Printed Page 39769government agencies. Most hospitals and most other providers and suppliers are small entities, either by nonprofit status or by having revenues of $6 million to $29 million or less annually (for details, see the Small Business Administration's regulation that set forth size standards for health care industries at 65 FR 69432). For purposes of the RFA, approximately 75 percent of HHAs are considered small businesses according to the Small Business Administration's size standards with total revenues of $11.5 million or less in 1 year. Individuals and States are not included in the definition of a small entity. As stated above, this notice with comment period provides an update to all HHAs for FY 2004 as required by statute. This notice will have a significant positive effect upon small entities.

In addition, section 1102(b) of the Act requires us to prepare a regulatory impact analysis if a rule may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 604 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 (MSA) and has fewer than 100 beds. We have determined that this notice with comment period will not have a significant economic impact on the operations of a substantial number of small rural hospitals.

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

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

B. Anticipated Effects

In accordance with the requirements of section 1895(b)(3) of the Act, we publish an update for each subsequent fiscal year that will provide an update to the payment rates. Section 1895(b)(3) of the Act requires us, for FY 2004, to increase the prospective payment amounts by the applicable home health market basket increase. The home health market basket increase for FY 2004 is 3.3 percent. Taking into account the provisions of section 1895(b)(3) of the Act, the increase for FY 2004 is 3.3 percent.

1. Effects on the Medicare Program

This notice merely provides a percentage update to all Medicare HHAs. Therefore, we have not furnished any impact tables. We increase the payment to each Medicare HHA equally by the home health market basket update for FY 2004, as required by statute. There is no differential impact among provider types. The impact is in the aggregate. We estimate that there will be an additional $340 million in FY 2004 expenditures attributable to the FY 2004 market basket increase of 3.3 percent. Thus, the anticipated expenditures outlined in this notice exceed the $100 million annual threshold for a major rule as defined in Title 5, USC, section 804(2).

The applicable home health market basket increase of 3.3 percent for FY 2004 applies to all Medicare participating in HHAs. We do not believe there is a differential impact due to the aggregate nature of the update.

Table 5

FY 2004 update to home health PPS rates required by the actAdditional FY 2004 medicare home health estimated expenditures due to annual update required by law
Section 1895(b)(3)(B) of the Act requires HH PPS rates increased by applicable home health market basket increase (3.3 percent increase)$340 million.
(Source: President's FY 2003 Budget)

2. Effects on Providers

This notice will have a positive effect on providers of Medicare home health services by increasing their rate of Medicare payment. We do not anticipate specific effects on other providers. This notice reflects the statutorily required annual update to the HH PPS rates. We do not believe there is a differential impact due to the consistent and aggregate nature of the update.

C. Alternatives Considered

As discussed in section II, this notice with comment period reflects an annual update to the HH PPS rates as required by statute. Due to the lack of discretion provided in the statutory requirements governing this notice with comment period, we believe the statute provides no latitude for alternatives other than the approach set forth in this notice reflecting the FY 2004 annual update to the HH PPS rates. Other than the positive effect of the market basket increase, this notice with comment will not have a significant economic impact nor will it impose an additional burden on small entities. When a regulation or notice imposes additional burden on small entities, we are required under the RFA to examine alternatives for reducing burden.

Since this notice with comment period will not impose an additional burden, we have not examined alternatives.

D. Conclusion

We have examined the economic impact of this notice with comment period on small entities and have determined that the economic impact is positive, significant, and that all HHAs will be affected. To the extent that small rural hospitals are affiliated with HHAs, the impact on these facilities will also be positive. Finally, we have determined that the economic effects described above are largely the result of the specific statutory provisions, which this notice serves to announce.

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

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

Dated: February 21, 2003.

Thomas A. Scully,

Administrator, Centers for Medicare & Medicaid Services.

End Signature Start Signature

Dated: March 26, 2003.

Tommy G. Thompson,

Secretary.

End Signature

Addendum A.—Wage Index for Rural Areas—Applicable Pre-Floor and Pre-Reclassified Hospital Wage Index (FY 2003)

MSA nameWage index
ALABAMA.7660
ALASKA1.2293
ARIZONA.8493
Start Printed Page 39770
ARKANSAS.7666
CALIFORNIA.9840
COLORADO.9015
CONNECTICUT1.2394
DELAWARE.9128
FLORIDA.8814
GEORGIA.8230
GUAM.9611
HAWAII1.0255
IDAHO.8747
ILLINOIS.8204
INDIANA.8755
IOWA.8315
KANSAS.7923
KENTUCKY.8079
LOUISIANA.7567
MAINE.8874
MARYLAND.8946
MASSACHUSETTS1.1288
MICHIGAN.9000
MINNESOTA.9151
MISSISSIPPI.7680
MISSOURI.8021
MONTANA.8481
NEBRASKA.8204
NEVADA.9577
NEW HAMPSHIRE.9796
NEW JERSEY 1
NEW MEXICO.8872
NEW YORK.8542
NORTH CAROLINA.8666
NORTH DAKOTA.7788
OHIO.8613
OKLAHOMA.7590
OREGON1.0303
PENNSYLVANIA.8462
PUERTO RICO.4356
RHODE ISLAND 1
SOUTH CAROLINA.8607
SOUTH DAKOTA.7815
TENNESSEE.7877
TEXAS.7821
UTAH.9312
VERMONT.9345
VIRGINIA.8504
VIRGIN ISLANDS.7845
WASHINGTON1.0179
WEST VIRGINIA.7975
WISCONSIN.9162
WYOMING.9007
1 All counties within State are classified as Urban.

Addendum B.—FY 2003 Wage Index for Urban Areas—Pre-Floor and Pre-Reclassified Hospital Wage Index

MSAUrban area (constituent counties)Wage index
0040Abilene, TX.7792
Taylor, TX
0060Aguadilla, PR.4587
Aguada, PR
Aguadilla, PR
Moca, PR
0080Akron, OH.9600
Portage, OH
Summit, OH
0120Albany, GA1.0594
Dougherty, GA
Lee, GA
0160Albany-Schenectady-Troy, NY.8384
Albany, NY
Montgomery, NY
Rensselaer, NY
Saratoga, NY
Schenectady, NY
Schoharie, NY
0200Albuquerque, NM.9315
Bernalillo, NM
Sandoval, NM
Valencia, NM
0220Alexandria, LA.7859
Rapides, LA
0240Allentown-Bethlehem-Easton, PA.9735
Carbon, PA
Lehigh, PA
Northampton, PA
0280Altoona, PA.9225
Blair, PA
0320Amarillo, TX, Potter, TX.9034
Randall, TX
0380Anchorage, AK1.2358
Anchorage, AK
0440Ann Arbor, MI1.1103
Lenawee, MI
Livingston, MI
Washtenaw, MI
0450Anniston, AL.8044
Calhoun, AL
0460Appleton-Oshkosh-Neenah, WI.8997
Calumet, WI
Start Printed Page 39771
Outagamie, WI
Winnebago, WI
0470Arecibo, PR.4337
Arecibo, PR
Camuy, PR
Hatillo, PR
0480Asheville, NC.9876
Buncombe, NC
Madison, NC
0500Athens, GA1.0211
Clarke, GA
Madison, GA
Oconee, GA
0520Atlanta, GA.9991
Barrow, GA
Bartow, GA
Carroll, GA
Cherokee, GA
Clayton, GA
Cobb, GA
Coweta, GA
DeKalb, GA
Douglas, GA
Fayette, GA
Forsyth, GA
Fulton, GA
Gwinnett, GA
Henry, GA
Newton, GA
Paulding, GA
Pickens, GA
Rockdale, GA
Spalding, GA
Walton, GA
0560Atlantic-Cape May, NJ1.1017
Atlantic, NJ
Cape May, NJ
0580Auburn-Opelka, AL.8325
Lee, AL
0600Augusta-Aiken, GA-SC1.0264
Columbia, GA
McDuffie, GA
Richmond, GA
Aiken, SC
Edgefield, SC
0640Austin-San Marcos, TX.9637
Bastrop, TX
Caldwell, TX
Hays, TX
Travis, TX
Williamson, TX
0680Bakersfield, CA.9899
Kern, CA
0720Baltimore, MD.9929
Anne Arundel, MD
Baltimore City, MD
Carroll, MD
Harford, MD
Howard, MD
Queen Annes, MD
0733Bangor, ME.9664
Penobscot, ME
0743Barnstable-Yarmouth, MA1.3202
Barnstable, MA
0760Baton Rouge, LA.8294
Ascension, LA
East Baton Rouge, LA
Livingston, LA
West Baton Rouge, LA
0840Beaumont-Port Arthur, TX.8324
Start Printed Page 39772
Hardin, TX
Jefferson, TX
Orange, TX
0860Bellingham, WA1.2282
Whatcom, WA
0870Benton Harbor, MI.9042
Berrien, MI
0875Bergen-Passaic, NJ1.2150
Bergen, NJ
Passaic, NJ
0880Billings, MT.9022
Yellowstone, MT
0920Biloxi-Gulfport-Pascagoula, MS.8757
Hancock, MS
Harrison, MS
Jackson, MS
0960Binghamton, NY.8341
Broome, NY
Tioga, NY
1000Birmingham, AL.9222
Blount, AL
Jefferson, AL
St. Clair, AL
Shelby, AL
1010Bismarck, ND.7972
Burleigh, ND
Morton, ND
1020Bloomington, IN.8907
Monroe, IN
1040Bloomington-Normal, IL.9109
McLean, IL
1080Boise City, ID.9310
Ada, ID
Canyon, ID
1123Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH1.1235
Bristol, MA
Essex, MA
Middlesex, MA
Norfolk, MA
Plymouth, MA
Suffolk, MA
Worcester, MA
Hillsborough, NH
Merrimack, NH
Rockingham, NH
Strafford, NH
1125Boulder-Longmont, CO.9689
Boulder, CO
1145Brazoria, TX.8535
Brazoria, TX
1150Bremerton, WA.0944
Kitsap, WA
1240Brownsville-Harlingen-San Benito, TX.8880
Cameron, TX
1260Bryan-College Station, TX.8821
Brazos, TX
1280Buffalo-Niagara Falls, NY.9365
Erie, NY
Niagara, NY
1303Burlington, VT1.0052
Chittenden, VT
Franklin, VT
Grand Isle, VT
1310Caguas, PR.4371
Caguas, PR
Cayey, PR
Cidra, PR
Gurabo, PR
San Lorenzo, PR
1320Canton-Massillon, OH.8932
Start Printed Page 39773
Carroll, OH
Stark, OH
1350Casper, WY.9690
Natrona, WY
1360Cedar Rapids, IA.9056
Linn, IA
1400Champaign-Urbana, IL1.0635
Champaign, IL
1440Charleston-North Charleston, SC.9235
Berkeley, SC
Charleston, SC
Dorchester, SC
1480Charleston, WV.8898
Kanawha, WV
Putnam, WV
1520Charlotte-Gastonia-Rock Hill, NC-SC.9850
Cabarrus, NC
Gaston, NC
Lincoln, NC
Mecklenburg, NC
Rowan, NC
Stanley, NC
Union, NC
York, SC
1540Charlottesville, VA1.0438
Albemarle, VA
Charlottesville City, VA
Fluvanna, VA
Greene, VA
1560Chattanooga, TN-GA.8976
Catoosa, GA
Dade, GA
Walker, GA
Hamilton, TN
Marion, TN
Cheyenne, WY.8628
1580Laramie, WY
1600Chicago, IL1.1044
Cook, IL
DeKalb, IL
DuPage, IL
Grundy, IL
Kane, IL
Kendall, IL
Lake, IL
McHenry, IL
Will, IL
1620Chico-Paradise, CA.9745
Butte, CA
1640Cincinnati, OH-KY-IN.9381
Dearborn, IN
Ohio, IN
Boone, KY
Campbell, KY
Gallatin, KY
Grant, KY
Kenton, KY
Pendleton, KY
Brown, OH
Clermont, OH
Hamilton, OH
Warren, OH
1660Clarksville-Hopkinsville, TN-KY.8406
Christian, KY
Montgomery, TN
1680Cleveland-Lorain-Elyria, OH.9670
Ashtabula, OH
Cuyahoga, OH
Geauga, OH
Lake, OH
Start Printed Page 39774
Lorain, OH
Medina, OH
1720Colorado Springs, CO.9916
El Paso, CO
1740Columbia, MO.8496
Boone, MO
1760Columbia, SC.9307
Lexington, SC
Richland, SC
1800Columbus, GA-AL.8374
Russell, AL
Chattahoochee, GA
Harris, GA
Muscogee, GA
1840Columbus, OH.9751
Delaware, OH
Fairfield, OH
Franklin, OH
Licking, OH
Madison, OH
Pickaway, OH
1880Corpus Christi, TX.8729
Nueces, TX
San Patricio, TX
1890Corvallis, OR1.1453
Benton, OR
1900Cumberland, MD-WV.7847
Allegany, MD
Mineral, WV
1920Dallas, TX.9998
Collin, TX
Dallas, TX
Denton, TX
Ellis, TX
Henderson, TX
Hunt, TX
Kaufman, TX
Rockwall, TX
1950Danville, VA.8859
Danville City, VA
Pittsylvania, VA
1960Davenport-Moline-Rock Island, IA-IL.8835
Scott, IA
Henry, IL
Rock Island, IL
2000Dayton-Springfield, OH.9282
Clark, OH
Greene, OH
Miami, OH
Montgomery, OH
2020Daytona Beach, FL.9062
Flagler, FL
Volusia, FL
2030Dacatur, AL.8973
Lawrence, AL
Morgan, AL
2040Dacatur, IL.8055
Macon, IL
2080Denver, CO1.0601
Adams, CO
Arapahoe, CO
Denver, CO
Douglas, CO
Jefferson, CO
2120Des Moines, IA.8791
Dallas, IA
Polk, IA
Warren, IA
2160Detroit, MI1.0448
Lapeer, MI
Start Printed Page 39775
Macomb, MI
Monroe, MI
Oakland, MI
St. Clair, MI
Wayne, MI
2180Dothan, AL.8137
Dale, AL
Houston, AL
2190Dover, DE.9356
Kent, DE
2200Dubuque, IA.8795
Dubuque, IA
2240Duluth-Superior, MN-WI1.0368
St. Louis, MN
Douglas, WI
2281Dutchess County, NY1.0684
Dutchess, NY
2290Eau Claire, WI.8952
Chippewa, WI
Eau Claire, WI
2320El Paso, TX.9265
El Paso, TX
2330Elkhart-Goshen, IN.9722
Elkhart, IN
2335Elmira, NY.8416
Chemung, NY
2340Enid, OK.8376
Garfield, OK
2360Erie, PA.8925
Erie, PA
2400Eugene-Springfield, OR1.0944
Lane, OR
2440Evansville-Henderson, IN-KY.8177
Posey, IN
Vanderburgh, IN
Warrick, IN
Henderson, KY
2520Fargo-Moorhead, ND-MN.9684
Clay, MN
Cass, ND
2560Fayetteville, NC.8889
Cumberland, NC
2580Fayetteville-Springdale-Rogers, AR.8100
Benton, AR
Washington, AR
2620Flagstaff, AZ-UT1.0682
Coconino, AZ
Kane, UT
2640Flint, MI1.1135
Genesee, MI
2650Florence, AL.7792
Colbert, AL
Lauderdale, AL
2655Florence, SC.8780
Florence, SC
2670Fort Collins-Loveland, CO1.0066
Larimer, CO
2680Ft. Lauderdale, FL1.0297
Broward, FL
2700Fort Myers-Cape Coral, FL.9680
Lee, FL
2710Fort Pierce-Port St. Lucie, FL.9823
Martin, FL
St. Lucie, FL
2720Fort Smith, AR-OK.7895
Crawford, AR
Sebastian, AR
Sequoyah, OK
2750Fort Walton Beach, FL.9693
Okaloosa, FL
Start Printed Page 39776
2760Fort Wayne, IN.9457
Adams, IN
Allen, IN
De Kalb, IN
Huntington, IN
Wells, IN
Whitley, IN
2800Forth Worth-Arlington, TX.9446
Hood, TX
Johnson, TX
Parker, TX
Tarrant, TX
2840Fresno, CA1.0216
Fresno, CA
Madera, CA
2880Gadsden, AL.8505
Etowah, AL
2900Gainesville, FL.9871
Alachua, FL
2920Galveston-Texas City, TX.9465
Galveston, TX
2960Gary, IN.9584
Lake, IN
Porter, IN
2975Glens Falls, NY.8281
Warren, NY
Washington, NY
2980Goldsboro, NC.8892
Wayne, NC
2985Grand Forks, ND-MN.8897
Polk, MN
Grand Forks, ND
2995Grand Junction, CO.9456
Mesa, CO
3000Grand Rapids-Muskegon-Holland, MI.9525
Allegan, MI
Kent, MI
Muskegon, MI
Ottawa, MI
3040Great Falls, MT.8950
Cascade, MT
3060Greeley, CO.9237
Weld, CO
3080Green Bay, WI.9502
Brown, WI
3120Greensboro-Winston-Salem-High Point,.9282
NC
Alamance, NC
Davidson, NC
Davie, NC
Forsyth, NC
Guilford, NC
Randolph, NC
Stokes, NC
Yadin, NC
3150Greenville, NC.9100
Pitt, NC
3160Greenville, Spartanburg-Anderson, SC.9122
Anderson, SC
Cherokee, SC
Greenville, SC
Pickens, SC
Spartanburg, SC
3180Hagerstown, MD.9268
Washington, MD
3200Hamilton-Middletown, OH.9418
Butler, OH
3240Harrisburg-Lebanon-Carlisle, PA.9223
Cumberland, PA
Dauphin, PA
Start Printed Page 39777
Lebanon, PA
Perry, PA
3283Hartford, CT1.1549
Hartford, CT
Litchfield, CT
Middlesex, CT
Tolland, CT
3285Hattiesburg, MS.7659
Forrest, MS
Lamar, MS
3290Hickory-Morganton-Lenoir, NC.9028
Alexander, NC
Burke, NC
Caldwell, NC
Catawaba, NC
3320Honolulu, HI1.1457
Honolulu, HI
3350Houma, LA.8385
Lafourche, LA
Terrebonne, LA
3360Houston, TX.9892
Chambers, TX
Fort Bend, TX
Harris, TX
Liberty, TX
Montgomery, TX
Waller, TX
3400Huntington-Ashland, WV-KY-OH.9636
Boyd, KY
Carter, KY
Grenup, KY
Lawrence, OH
Cabell, WV
Wayne, WV
3440Huntsville, AL.8903
Limestone, AL
Madison, AL
3480Indianapolis, IN.9717
Boone, IN
Hamilton, IN
Hancoock, IN
Hendricks, IN
Johnson, IN
Madison, IN
Marion, IN
Morgan, IN
Shelby, IN
3500Iowa City, IA.9587
Johnson, IA
3520Jackson, MI.9532
Jackson, MI
3560Jackson, MS.8607
Hinds, MS
Madison, MS
Rankin MS
3580Jackson, TN.9275
Madison, TN
Chester, TN
3600Jacksonville, FL.9381
Clay, FL
Duval, FL
Nassau, FL
St. Johns, FL
3605Jacksonville, NC.8239
Onslow, NC
3610Jamestown, NY.7976
Chautauqua, NY
3620Janesville-Beloit, WI.9849
Rock, WI
3640Jersey City, NJ1.1190
Start Printed Page 39778
Hudson, NJ
3660Johnson City-Kingsport-Bristol, TN-VA.8268
Carter, TN
Hawkins, TN
Sullivan, TN
Unicoi, TN
Washington, TN
Bristol City, VA
Scott, VA
Washington, VA
3680Johnstown, PA.8329
Cambria, PA
Somerset, PA
3700Jonesboro, AR.7749
Craighead, AR
3710Joplin, MO.8613
Jasper, MO
Newton, MO
3720Kalamazoo-Battlecreek, MI1.0595
Calhoun, MI
Kalamazoo, MI
Van Buren, MI
3740Kankakee, IL1.0790
Kankakee, IL
3760Kansas City, KS-MO.9736
Johnson, KS
Leavenworth, KS
Miami, KS
Wyandotte, KS
Cass, MO
Clay, MO
Clinton, MO
Jackson, MO
Lafayette, MO
Platte, MO
Ray, MO
3800Kenosha, WI.9686
Kenosha, WI
3810Killeen-Temple, TX1.0399
Bell, TX
Coryell, TX
3840Knoxville, TN.8970
Anderson, TN
Blount, TN
Knox, TN
Loudon, TN
Sevier, TN
Union, TN
3850Kokomo, IN.8971
Howard, IN
Tipton, IN
3870La Crosse, WI-MN.9400
Houston, MN
La Crosse, WI
3880Lafayette, LA.8475
Acadia, LA
Lafayette, LA
St. Landry, LA
St. Martin, LA
3920Lafayette, IN.9278
Clinton, IN
Tippecanoe, IN
3960Lake Charles, LA.7965
Calcasieu, LA
3980Lakeland-Winter Haven, FL.9357
Polk, FL
4000Lancaster, PA.9078
Lancaster, PA
4040Lansing-East Lansing, MI.9726
Clinton, MI
Start Printed Page 39779
Eaton, MI
Ingham, MI
4080Laredo, TX.8472
Webb, TX
4100Las Cruces, NM.8745
Dona Ana, NM
4120Las Vegas, NV-AZ1.1521
Mohave, AZ
Clark, NV
Nye, NV
4150Lawrence, KS.7983
Douglas, KS
4200Lawton, OK.8315
Comanche, OK
4243Lewiston-Auburn, ME.9179
Androscoggin, ME
4280Lexington, KY.8581
Bourbon, KY
Clark, KY
Fayette, KY
Jessamine, KY
Madison, KY
Scott, KY
Woodford, KY
Lima, OH.9483
4320Allen, OH
Auglaize, OH
4360Lincoln, NE.9892
Lancaster, NE
4400Little Rock-North Little Rock, AR.9097
Faulkner, AR
Lonoke, AR
Pulaski, AR
Saline, AR
4420Longview-Marshall, TX.8629
Gregg, TX
Harrison, TX
Upshur, TX
4480Los Angeles-Long Beach, CA1.2001
Los Angeles, CA
4520Louisville, KY-IN.9276
Clark, IN
Floyd, IN
Harrison, IN
Scott, IN
Bullitt, KY
Jefferson, KY
Oldham, KY
4600Lubbock, TX.9646
Lubbock, TX
4640Lynchburg, VA.9219
Amherst, VA
Bedford, VA
Bedford City, VA
Campbell, VA
Lynchburg City, VA
4680Macon, GA.9204
Bibb, GA
Houston, GA
Jones, GA
Peach, GA
Twiggs, GA
4720Madison, WI1.0467
Dane, WI
4800Mansfield, OH.8900
Crawford, OH
Richland, OH
4840Mayaguez, PR.4914
Anasco, PR
Cabo Rojo, PR
Start Printed Page 39780
Hormigueros, PR
Mayaguez, PR
Sabana Grande, PR
San German, PR
4880McAllen-Edinburg-Mission, TX.8428
Hidalgo, TX
4890Medford-Ashland, OR1.0498
Jackson, OR
4900Melbourne-Titusville-Palm Bay, FL1.0253
Brevard, FL
4920Memphis, TN-AR-MS.8920
Crittenden, AR
DeSoto, MS
Fayette, TN
Shelby, TN
Tipton, TN
4940Merced, CA.9837
Merced, CA
5000Miami, FL.9802
Dade, FL
5015Middlesex-Somerset-Hunterdon, NJ1.1213
Hunterdon, NJ
Middlesex, NJ
Somerset, NJ
5080Milwaukee-Waukesha, WI.9893
Milwaukee, WI
Ozaukee, WID 
Washington, WI
Waukesha, WI
5120Minneapolis-St. Paul, MN-WI1.0903
Anoka, MN
Carver, MN
Chisago, MN
Dakota, MN
Hennepin, MN
Isanti, MN
Ramsey, MN
Scott, MN
Sherburne, MN
Washington, MN
Wright, MN
Pierce, WI
St. Croix, WI
5140Missoula, MT.9157
Missoula, MT
5160Mobile, AL.8108
Baldwin, AL
Mobile, AL
5170Modesto, CA1.0498
Stanislaus, CA
5190Monmouth-Ocean, NJ1.0674
Monmouth, NJ
Ocean, NJ
5200Monroe, LA.8137
Ouachita, LA
5240Montgomery, AL.7734
Autauga, AL
Elmore, AL
Montgomery, AL
5280Muncie, IN.9284
Delaware, IN
5330Myrtle Beach, SC.8976
Horry, SC
5345Naples, FL.9754
Collier, FL
5360Nashville, TN.9578
Cheatham, TN
Davidson, TN
Dickson, TN
Robertson, TN
Start Printed Page 39781
Rutherford, TN
Sumner, TN
Williamson, TN
Wilson, TN
5380Nassau-Suffolk, NY1.3357
Nassau, NY
Suffolk, NY
5483New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT1.2408
Fairfield, CT
New Haven, CT
5523New London-Norwich, CT1.1767
New London, CT
5560New Orleans, LA.9046
Jefferson, LA
Orleans, LA
Plaquemines, LA
St. Bernard, LA
St. Charles, LA
St. James, LA
St. John The Baptist, LA
St. Tammany, LA
5600New York, NY1.4414
Bronx, NY
Kings, NY
New York, NY
Putnam, NY
Queens, NY
Richmond, NY
Rockland, NY
Westchester, NY
5640Newark, NJ1.1381
Essex, NJ
Morris, NJ
Sussex, NJ
Union, NJ
Warren, NJ
5660Newburgh, NY—PA1.1387
Orange, NY
Pike, PA
5720Norfolk-Virginia Beach-Newport News, VA-NC.8574
Currituck, NC
Chesapeake City, VA
Gloucester, VA
Hampton City, VA
Isle of Wight, VA
James City, VA
Mathews, VA
Newport News City, VA
Norfolk City, VA
Poquoson City, VA
Portsmouth City, VA
Suffolk City, VA
Virginia Beach City VA
Williamsburg City, VA
York, VA
5775Oakland, CA1.5072
Alameda, CA
Contra Costa, CA
5790Ocala, FL.9402
Marion, FL
5800Odessa-Midland, TX.9397
Ector, TX
Midland, TX
5880Oklahoma City, OK.8900
Canadian, OK
Cleveland, OK
Logan, OK
McClain, OK
Oklahoma, OK
Pottawatomie, OK
Start Printed Page 39782
5910Olympia, WA1.0960
Thurston, WA
5920Omaha, NE-IA.9978
Pottawattamie, IA
Cass, NE
Douglas, NE
Sarpy, NE
Washington, NE
5945Orange County, CA1.1474
Orange, CA
5960Orlando, FL.9640
Lake, FL
Orange, FL
Osceola, FL
Seminole, FL
5990Owensboro, KY.8344
Daviess, KY
6015Panama City, FL.8865
Bay, FL
6020Parkersburg-Marietta, WV-OH.8127
Washington, OH
Wood, WV
6080Pensacola, FL.8645
Escambia, FL
Santa Rosa, FL
6120Peoria-Pekin, IL.8739
Peoria, IL
Tazewell, IL
Woodford, IL
6160Philadelphia, PA-NJ1.0713
Burlington, NJ
Camden, NJ
Gloucester, NJ
Salem, NJ
Bucks, PA
Chester, PA
Delaware, PA
Mongtomery, PA
Philadelphia, PA
6200Phoenix-Mesa, AZ.9820
Maricopa, AZ
Pinal, AZ
6240Pine Bluff, AR.7962
Jefferson, AR
6280Pittsburgh, PA.9365
Allegheny, PA
Beaver, PA
Butler, PA
Fayette, PA
Washington, PA
Westmoreland, PA
6323Pittsfield, MA1.0235
Berkshire, MA
6340Pocatello, ID.9372
Bannock, ID
6360Ponce, PR.5169
Guayanilla, PR
Juana Diaz, PR
Penuelas, PR
Ponce, PR
Villalba, PR
Yauco, PR
6403Portland, ME.9794
Cumberland, ME
Sagadahoc, ME
York, ME
6440Portland-Vancouver, OR-WA1.0667
Clackamas, OR
Columbia, OR
Multnomah, OR
Start Printed Page 39783
Washington, OR
Yamhill, OR
Clark, WA
6483Providence-Warwick-Pawtucket, RI1.0854
Bristol, RI
Kent, RI
Newport, RI
Providence, RI
Washington, RI
6520Provo-Orem, UT.9984
Utah, UT
6560Pueblo, CO.8820
Pueblo, CO
6580Punta Gorda, FL.9218
Charlotte, FL
6600Racine, WI.9334
Racine, WI
6640Raleigh-Durham-Chapel Hill, NC.9990
Chatham, NC
Durham, NC
Franklin, NC
Johnston, NC
Orange, NC
Wake, NC
6660Rapid City, SD.8846
Pennington, SD
6680Reading, PA.9295
Berks, PA
6690Redding, CA1.1135
Shasta, CA
6720Reno, NV1.0648
Washoe, NV
6740Richland-Kennewick-Pasco, WA1.1491
Benton, WA
Franklin, WA
6760Richmond-Petersburg, VA.9477
Charles City County, VA
Chesterfield, VA
Colonia Heights City, VA
Dinwiddie, VA
Goochland, VA
Hanover, VA
Henrico, VA
Hopewell City, VA
New Kent, VA
Petersburg City, VA
Powhatan, VA
Prince George, VA
Richmond City, VA
6780Riverside-San Bernardino, CA1.1365
Riverside, CA
San Bernardino, CA
6800Roanoke, VA.8614
Botetourt, VA
Roanoke, VA
Roanoke City, VA
Salem City, VA
6820Rochester, MN1.2139
Olmsted, MN
6840Rochester, NY.9194
Genesee, NY
Livingston, NY
Monroe, NY
Ontario, NY
Orleans, NY
Wayne, NY
6880Rockford, IL.9625
Boone, IL
Ogle, IL
Winnebago, IL
Start Printed Page 39784
6895Rocky Mount, NC.9228
Edgecombe, NC
Nash, NC
6920Sacramento, CA1.1500
El Dorado, CA
Placer, CA
Sacramento, CA
6960Saginaw-Bay City-Midland, MI.9650
Bay, MI
Midland, MI
Saginaw, MI
6980St. Cloud, MN.9700
Benton, MN
Stearns, MN
7000St. Joseph, MO.8021
Andrew, MO
Buchanan, MO
7040St. Louis, MO-IL.8855
Clinton, IL
Jersey, IL
Madison, IL
Monroe, IL
St. Clair, IL
Franklin, MO
Jefferson, MO
Lincoln, MO
St. Charles, MO
St. Louis, MO
St. Louis City, MO
Warren, MO
7080Salem, OR1.0367
Marion, OR
Polk, OR
7120Salinas, CA1.4623
Monterey, CA
7160Salt Lake City-Ogden, UT.9945
Davis, UT
Salt Lake, UT
Weber, UT
7200San Angelo, TX.8374
Tom Green, TX
7240San Antonio, TX.8753
Bexar, TX
Comal, TX
Guadalupe, TX
Wilson, TX
7320San Diego, CA1.1131
San Diego, CA
7360San Francisco, CA1.4142
Marin, CA
San Francisco, CA
San Mateo, CA
7400San Jose, CA1.4145
Santa Clara, CA
7440San Juan-Bayamon, PR.4741
Aguas Buenas, PR
Barceloneta, PR
Bayamon, PR
Canovanas, PR
Carolina, PR
Catano, PR
Ceiba, PR
Comerio, PR
Corozal, PR
Dorado, PR
Fajardo, PR
Florida, PR
Guaynabo, PR
Humacao, PR
Juncos, PR
Start Printed Page 39785
Los Piedras, PR
Loiza, PR
Luguillo, PR
Manati, PR
Morovis, PR
Naguabo, PR
Naranjito, PR
Rio Grande, PR
San Juan, PR
Toa Alta, PR
Toa Baja, PR
Trujillo Alto, PR
Vega Alta, PR
Vega Baja, PR
Yabucoa, PR
7460San Luis Obispo-Atascadero-Paso1.1271
Robles, CA
San Luis Obispo, CA
7480Santa Barbara-Santa Maria-Lompoc, CA1.0481
Santa Barbara, CA
7485Santa Cruz-Watsonville, CA1.3646
Santa Cruz, CA
7490Santa Fe, NM1.0712
Los Alamos, NM
Santa Fe, NM
7500Santa Rosa, CA1.3046
Sonoma, CA
7510Sarasota-Bradenton, FL.9425
Manatee, FL
Sarasota, FL
7520Savannah, GA.9376
Bryan, GA
Chatham, GA
Effingham, GA
7560Scranton-Wilkes-Barre-Hazleton, PA.8599
Columbia, PA
Lackawanna, PA
Luzerne, PA
Wyoming, PA
7600Seattle-Bellevue-Everett, WA1.1474
Island, WA
King, WA
Snohomish, WA
7610Sharon, PA.7869
Mercer, PA
7620Sheboygan, WI.8697
Sheboygan, WI
7640Sherman-Denison, TX.9255
Grayson, TX
7680Shreveport-Bossier City, LA.8987
Bossier, LA
Caddo, LA
Webster, LA
7720Sioux City, IA-NE.9046
Woodbury, IA
Dakota, NE
7760Sioux Falls, SD.9257
Lincoln, SD
Minnehaha, SD
7800South Bend, IN.9802
St. Joseph, IN
7840Spokane, WA1.0852
Spokane, WA
7880Springfield, IL.8659
Menard, IL
Sangamon, IL
7920Springfield, MO.8424
Christian, MO
Greene, MO
Webster, MO
Start Printed Page 39786
8003Springfield, MA1.0927
Hampden, MA
Hampshire, MA
8050State College, PA.8941
Centre, PA
8080Steubenville-Weirton, OH-WV.8804
Jefferson, OH
Brooke, WV
Hancock, WV
8120Stockton-Lodi, CA1.0506
San Joaquin, CA
8140Sumter, SC.8273
Sumter, SC
8160Syracuse, NY.9714
Cayuga, NY
Madison, NY
Onondaga, NY
Oswego, NY
8200Tacoma, WA1.0940
Pierce, WA
8240Tallahassee, FL.8504
Gadsden, FL
Leon, FL
8280Tampa-St. Petersburg-Clearwater, FL.9065
Hernando, FL
Hillsborough, FL
Pasco, FL
Pinellas, FL
8320Terre Haute, IN.8599
Clay, IN
Vermillion, IN
Vigo, IN
8360Texarkana, AR-Texarkana, TX.8088
Miller, AR
Bowie, TX
8400Toledo, OH.9810
Fulton, OH
Lucas, OH
Wood, OH
8440Topeka, KS.9199
Shawnee, KS
8480Trenton, NJ1.0432
Mercer, NJ
8520Tucson, AZ.8911
Pima, AZ
8560Tulsa, OK.8332
Creek, OK
Osage, OK
Rogers, OK
Tulsa, OK
Wagoner, OK
8600Tuscaloosa, AL.8130
Tuscaloosa, AL
8640Tyler, TX.9521
Smith, TX
8680Utica-Rome, NY.8465
Herkimer, NY
Oneida, NY
8720Vallejo-Fairfield-Napa, CA1.3354
Napa, CA
Solano, CA
8735Ventura, CA1.1096
Ventura, CA
8750Victoria, TX.8756
Victoria, TX
8760Vineland-Millville-Bridgeton, NJ1.0031
Cumberland, NJ
8780Visalia-Tulare-Porterville, CA.9429
Tulare, CA
8800Waco, TX.8073
Start Printed Page 39787
McLennan, TX
8840Washington, DC-MD-VA-WV1.0851
District of Columbia, DC
Calvert, MD
Charles, MD
Frederick, MD
Montgomery, MD
Prince Georges, MD
Alexandria City, VA
Arlington, VA
Clarke, VA
Culpeper, VA
Fairfax, VA
Fairfax City, VA
Falls Church City, VA
Fauquier, VA
Fredericksburg City, VA
King George, VA
Loudoun, VA
Manassas City, VA
Manassas Park City, VA
Prince William, VA
Spotsylvania, VA
Stafford, VA
Warren, VA
Berkeley, WV
Jefferson, WV
8920Waterloo-Cedar Falls, IA.8069
Black Hawk, IA
8940Wausau, WI.9782
Marathon, WI
8960West Palm Beach-Boca Raton, FL.9939
Palm Beach, FL
9000Wheeling, WV-OH.7670
Belmont, OH
Marshall, WV
Ohio, WV
9040Wichita, KS.9520
Butler, KS
Harvey, KS
Sedgwick, KS
9080Wichita Falls, TX.8498
Archer, TX
Wichita, TX
9140Williamsport, PA.8544
Lycoming, PA
9160Wilmington-Newark, DE-MD1.1173
New Castle, DE
Cecil, MD
9200Wilmington, NC.9640
New Hanover, NC
Brunswick, NC
9260Yakima, WA1.0569
Yakima, WA
9270Yolo, CA.9434
Yolo, CA
9280York, PA.9026
York, PA
9320Youngstown-Warren, OH.9358
Columbiana, OH
Mahoning, OH
Trumbull, OH
9340Yuba City, CA1.0276
Sutter, CA
Yuba, CA
9360Yuma, AZ.8589
Yuma, AZ
Start Printed Page 39788

Addendum C.—Comparison of Pre-Floor and Pre-Reclassified Hospital Wage Index for FY 2002 and FY 2003

Rural areaFY 2002 wage indexFY 2003 wage indexPercent change, FY 2002-FY 2003
ALABAMA0.73390.7664.37
ALASKA1.18621.22933.63
ARIZONA0.86810.8493−2.17
ARKANSAS0.74890.76662.36
CALIFORNIA0.96590.9841.87
COLORADO0.88110.90152.32
CONNECTICUT1.20771.23942.62
DELAWARE0.95890.9128−4.81
FLORIDA0.87940.88140.23
GEORGIA0.82950.823−0.78
GUAM0.96110.96110.00
HAWAII1.11121.0255−7.71
IDAHO0.87180.87470.33
ILLINOIS0.80530.82041.88
INDIANA0.87210.87550.39
IOWA0.81470.83152.06
KANSAS0.78120.79231.42
KENTUCKY0.79630.80791.46
LOUISIANA0.75960.7567−0.38
MAINE0.87210.88741.75
MARYLAND0.88590.89460.98
MASSACHUSETTS1.14541.1288−1.45
MICHIGAN0.90.90.00
MINNESOTA0.90350.91511.28
MISSISSIPPI0.75280.7682.02
MISSOURI0.78910.80211.65
MONTANA0.86550.8481−2.01
NEBRASKA0.81420.82040.76
NEVADA0.97270.9577−1.54
NEW HAMPSHIRE0.97790.97960.17
NEW JERSEY
NEW MEXICO0.86760.88722.26
NEW YORK0.85470.8542−0.06
NORTH CAROLINA0.85350.86661.53
Non-Urban areaFY 2002 wage indexFY 2003 wage indexPercent change, FY 2002-FY 2003 (percent)
NORTH DAKOTA0.78790.7788−1.15
OHIO0.86680.8613−0.63
OKLAHOMA0.75660.7590.32
OREGON1.00271.03032.75
PENNSYLVANIA0.86070.8462−1.68
PUERTO RICO0.480.4356−9.25
RHODE ISLAND
SOUTH CAROLINA0.85120.86071.12
SOUTH DAKOTA0.78610.7815−0.59
TENNESSEE0.79280.7877−0.64
TEXAS0.77120.78211.41
UTAH0.90510.93122.88
VERMONT0.94660.9345−1.28
VIRGINIA0.82410.85043.19
VIRGIN ISLANDS0.67470.784516.27
WASHINGTON1.02091.0179−0.29
WEST VIRGINIA0.80670.7975−1.14
WISCONSIN0.90660.91621.06
WYOMING0.87470.90072.97
Urban MSAFY 2002 wage indexFY 2003 wage indexPercent change, FY 2002-FY 2003
00400.79650.7792−2.17
00600.46830.4587−2.05
00800.98760.96−2.79
Start Printed Page 39789
01201.0641.0594−0.43
01600.850.8384−1.36
02000.97590.9315−4.55
02200.80290.7859−2.12
02401.00770.9735−3.39
02800.91260.92251.08
03200.87110.90343.71
03801.2571.2358−1.69
04401.10981.11030.05
04500.82760.8044−2.80
04600.92410.8997−2.64
04700.4630.4337−6.33
04800.920.98767.35
05000.98421.02113.75
05201.00580.9991−0.67
05601.12931.1017−2.44
05800.8230.83251.15
06000.9971.02642.95
06400.9630.96370.07
06800.95190.98993.99
07200.98560.99290.74
07330.95930.96640.74
07431.36261.3202−3.11
07600.81490.82941.78
08400.84420.8324−1.40
08601.18261.22823.86
08700.88870.90421.74
08751.16891.2153.94
08800.93520.9022−3.53
09200.8440.87573.76
09600.84460.8341−1.24
10000.88080.92224.70
10100.79840.7972−0.15
10200.88420.89070.74
10400.90380.91090.79
10800.9050.9312.87
11231.13831.1235−1.30
11250.97990.9689−1.12
11450.82090.85353.97
11501.07581.09441.73
12400.90120.888−1.46
12600.93280.8821−5.44
12800.94590.9365−0.99
13030.98831.00521.71
13100.46990.4371−6.98
13200.89560.8932−0.27
13500.94960.9692.04
13600.86990.90564.10
14000.93061.063514.28
14400.92060.92350.32
14800.92640.8898−3.95
15200.93360.9855.51
15401.05661.0438−1.21
15600.93690.8976−4.19
15800.82880.86284.10
16001.10461.1044−0.02
16200.98560.9745−1.13
16400.94730.9381−0.97
16600.83370.84060.83
16800.94570.9672.25
17200.97440.99161.77
17400.86860.8496−2.19
17600.94920.9307−1.95
18000.8440.8374−0.78
18400.95650.97511.94
18800.83410.87294.65
18901.16461.1453−1.66
19000.83060.7847−5.53
19200.99360.99980.62
19500.86130.88592.86
19600.86380.88352.28
20000.92250.92820.62
20200.89720.90621.00
20300.87750.89732.26
20400.79870.80550.85
20801.03281.06012.64
21200.87790.87910.14
21601.04871.0448−0.37
21800.79480.81372.38
21901.02960.9356−9.13
22000.85190.87953.24
22401.02841.03680.82
22811.05321.06841.44
22900.88990.89520.60
23200.92150.92650.54
23300.96380.97220.87
23350.84150.84160.01
23400.83570.83760.23
23600.87160.89252.40
24001.14711.0944−4.59
24400.85140.8177−3.96
25200.92670.96844.50
25600.90270.8889−1.53
25800.84450.81−4.09
26201.05561.06821.19
26401.09131.11352.03
26500.78450.7792−0.68
26550.87220.8780.66
26701.00451.00660.21
26801.02931.02970.04
27000.93740.9683.26
27101.02140.9823−3.83
27200.80530.7895−1.96
27500.90020.96937.68
27600.92030.94572.76
28000.93940.94460.55
28400.99841.02162.32
28800.87920.8505−3.26
29000.94810.98714.11
29201.03130.9465−8.22
29600.9530.95840.57
29750.83360.8281−0.66
29800.87090.88922.10
29850.90690.8897−1.90
29950.95690.9456−1.18
30001.00480.9525−5.21
30400.8870.8950.90
30600.94950.9237−2.72
30800.92080.95023.19
31200.95390.9282−2.69
31500.92890.91−2.03
31600.92170.9122−1.03
31800.83650.926810.79
32000.92870.94181.41
32400.94250.9223−2.14
32831.15331.15490.14
32850.74760.76592.45
32900.93670.9028−3.62
33201.15391.1457−0.71
33500.79750.83855.14
33600.96310.98922.71
34000.96160.96360.21
34400.88830.89030.23
34800.96980.97170.20
35000.98590.9587−2.76
35200.92570.95322.97
35600.84910.86071.37
35800.90130.92752.91
36000.92230.93811.71
36050.76220.82398.09
36100.8050.7976−0.92
36200.97390.98491.13
36401.11781.1190.11
36600.86170.8268−4.05
36800.87230.8329−4.52
37000.84250.7749−8.02
37100.87270.8613−1.31
37201.06391.0595−0.41
37400.98891.0799.11
37600.95360.97362.10
38000.95680.96861.23
38100.97641.03996.50
38400.8890.8970.90
38500.91260.8971−1.70
38700.9250.941.62
38800.85440.8475−0.81
39200.91210.92781.72
39600.77650.79652.58
39800.90670.93573.20
40000.92960.9078−2.35
40400.96530.97260.76
40800.78490.84727.94
41000.86210.87451.44
41201.11821.15213.03
41500.78120.79231.42
42000.86820.8315−4.23
42430.92870.9179−1.16
42800.87910.8581−2.39
43200.9470.94830.14
43601.01730.9892−2.76
44000.89550.90971.59
44200.85710.86290.68
44801.19481.20010.44
45200.95290.9276−2.66
46000.84490.964614.17
46400.91030.92191.27
46800.89570.92042.76
47201.03371.04671.26
48000.87080.892.20
48400.4860.49141.11
48800.83780.84280.60
48901.03141.04981.78
49000.99131.02533.43
49200.89780.892−0.65
49400.99470.9837−1.11
50000.9950.9802−1.49
50151.14691.1213−2.23
50800.99710.9893−0.78
51201.0931.0903−0.25
51400.93640.9157−2.21
51600.80820.81080.32
51701.0821.0498−2.98
51901.08511.0674−1.63
52000.82010.8137−0.78
52400.73590.77345.10
52800.99390.9284−6.59
53300.87710.89762.34
53450.96990.97540.57
53600.97540.9578−1.80
53801.36431.3357−2.10
54831.22381.24081.39
55231.15261.17672.09
55600.90360.90460.11
56001.44271.4414−0.09
56401.16221.1381−2.07
56601.11131.13872.47
57200.85790.8574−0.06
57751.53191.5072−1.61
57900.95560.9402−1.61
58001.01040.9397−7.00
58800.86940.892.37
59101.1351.096−3.44
59200.97120.99782.74
Start Printed Page 39790
59451.11231.14743.16
59600.96420.964−0.02
59900.83340.83440.12
60150.90610.8865−2.16
60200.81330.8127−0.07
60800.83610.86453.40
61200.87730.8739−0.39
61601.09471.0713−2.14
62000.96380.9821.89
62400.78950.79620.85
62800.9560.9365−2.04
63231.02781.0235−0.42
63400.94480.9372−0.80
63600.52180.5169−0.94
64030.94270.97943.89
64401.11111.0667−4.00
64831.08051.08540.45
65200.98430.99841.43
65600.86040.8822.51
65800.90150.92182.25
66000.93330.93340.01
66400.98180.9991.75
66600.88690.8846−0.26
66800.95830.9295−3.01
66901.11551.1135−0.18
67201.04211.06482.18
67401.0961.14914.84
67600.96780.9477−2.08
67801.11121.13652.28
68000.83710.86142.90
68201.14621.21395.91
68400.93470.9194−1.64
68800.92040.96254.57
68950.91090.92281.31
69201.18311.15−2.80
69600.9590.9650.63
69800.98510.97−1.53
70000.78910.80211.65
70400.89310.8855−0.85
70801.00111.03673.56
71201.46841.4623−0.42
71600.98630.99450.83
72000.81930.83742.21
72400.85840.87531.97
73201.12651.1131−1.19
73601.4141.41420.01
74001.41931.4145−0.34
74400.47620.4741−0.44
74601.0991.12712.56
74801.08021.0481−2.97
74851.3971.3646−2.32
74901.01941.07125.08
75001.30341.30460.09
75101.0090.9425−6.59
75201.00180.9376−6.41
75600.86830.8599−0.97
76001.13611.14740.99
76100.79260.7869−0.72
76200.84270.86973.20
76400.93730.9255−1.26
76800.9050.8987−0.70
77200.87670.90463.18
77600.91390.92571.29
78000.99930.9802−1.91
78401.06681.08521.72
78800.86760.8659−0.20
79200.85670.8424−1.67
80031.08811.09270.42
80500.91330.8941−2.10
80800.86370.88041.93
81201.08151.0506−2.86
81400.77940.82736.15
81600.96210.97140.97
82001.16161.094−5.82
82400.85270.8504−0.27
82800.89250.90651.57
83200.85320.85990.79
83600.83270.8088−2.87
84000.98090.9810.01
84400.89120.91993.22
84801.04161.04320.15
85200.89670.8911−0.62
85600.89020.8332−6.40
86000.81710.813−0.50
86400.96410.9521−1.24
86800.83290.84651.63
87201.35621.3354−1.53
87351.09941.10960.93
87500.83280.87565.14
87601.04411.0031−3.93
87800.96280.9429−2.07
88000.81290.8073−0.69
88401.09621.0851−1.01
89200.80410.80690.35
89400.96960.97820.89
89600.97770.99391.66
90000.79850.767−3.94
90400.96060.952−0.90
90800.78670.84988.02
91400.86280.8544−0.97
91601.08771.11732.72
92000.94090.9642.46
92601.05671.05690.02
92700.97010.9434−2.75
92800.94410.9026−4.40
93200.95630.9358−2.14
93401.03591.0276−0.80
93600.89890.8589−4.45
End Supplemental Information

[FR Doc. 03-16397 Filed 6-27-03; 8:45 am]

BILLING CODE 4120-01-P