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Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2006

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


Final rule.


This final rule 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. This final rule is the first update of the home health prospective payment system (HH PPS) rates that uses the revised area labor market Metropolitan Statistical Area designations for calendar year 2006. In implementing the new area labor market designations, we are allowing for a one-year transition period. This transition consists of a blend of 50 percent of the new area labor market designations' wage index and 50 percent of the previous area labor market designations' wage index. In addition, we are revising the fixed dollar loss ratio, which is used in the calculation of outlier payments.


These regulations are effective on January 1, 2006.

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

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I. Background

A. Statutory Background

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

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

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

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

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

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

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

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

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

In addition to changing the update cycle for HH PPS rates, section 701 of the MMA made adjustments to the home health applicable increase percentage for 2004, 2005, and 2006. Specifically, section 701(a)(2)(D) of the MMA left unchanged the home health market basket update for the last calendar year quarter of 2003 and the first calendar year quarter of 2004 (section 1895(b)(3)(B)(ii)(II) of the Act).

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

B. Updates

1. 2000 Final Rule

On July 3, 2000, we published a final rule (65 FR 41128) in the Federal Register to implement the HH PPS legislation. That final rule established requirements for the new PPS for HHAs as required by section 4603 of the BBA, and as subsequently amended by section 5101 of the Omnibus Consolidated and Emergency Supplemental Appropriations Act (OCESAA) for Fiscal Year 1999 (Pub. L. 105-277), enacted on October 21, 1998; and by sections 302, 305, and 306 of the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act (BBRA) of 1999 (Pub. L. 106-113), enacted on November 29, 1999. The requirements include the implementation of a PPS for HHAs, consolidated billing requirements, and a number of other related changes. The PPS described in that rule replaced the retrospective reasonable-cost-based Start Printed Page 68133system that was used by Medicare for the payment of home health services under Part A and Part B.

2. 2004 Final Rule

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

C. System for Payment of Home Health Services

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

D. Requirements for Issuance of Regulations

Section 902 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) amended section 1871(a) of the Act and requires the Secretary, in consultation with the Director of the Office of Management and Budget, to establish and publish timelines for the publication of Medicare final regulations based on the previous publication of a Medicare proposed or interim final regulation. Section 902 of the MMA also states that the timelines for these regulations may vary but shall not exceed 3 years after publication of the preceding proposed or interim final regulation except under exceptional circumstances.

This final rule finalizes provisions set forth in the July 14, 2005 proposed rule (70 FR 40788). In addition, this final rule has been published within the 3-year time limit imposed by section 902 of the MMA. Therefore, we believe that the final rule is in accordance with the Congress' intent to ensure timely publication of final regulations.

II. Provisions of the Proposed Regulations

We published a proposed rule in the Federal Register on July 14, 2005 (70 FR 40788) that set forth a proposed update to the 60-day national episode rates and the national per-visit amounts under the Medicare prospective payment system for home health agencies. We also proposed to implement the revised area labor market Metropolitan Statistical Area designations for calendar year 2006.

A. National Standardized 60-Day Episode Rate

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

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

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

As discussed in the July 3, 2000 HH PPS final rule, for episodes with four or fewer visits, Medicare pays the national per-visit amount by discipline, referred to as a LUPA. We update the national per-visit amounts by discipline annually by the applicable home health market basket percentage. We adjust the national per-visit amount by the appropriate wage index based on the site of service for the beneficiary as set forth in § 484.230. We will adjust the labor portion of the updated national per-visit amounts by discipline used to calculate the LUPA by the most recent pre-floor and pre-reclassified hospital wage index, as discussed in section II.D of the July 14, 2005 proposed rule.

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

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

  • A low utilization payment provided on a per-visit basis as set forth in § 484.205(c) and § 484.230. Start Printed Page 68134
  • 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.

The July 14, 2005 proposed rule reflected the proposed updated CY 2006 rates, effective January 1, 2006.

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

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

CY 2006 Adjustments

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

In order to calculate the CY 2006 national 60-day episode rate, we multiply the CY 2005 national 60-day episode rate ($2,264.28) by the estimated home health market basket update of 3.6 percent for CY 2006 minus 0.8 percentage point.

We increase the CY 2005 60-day episode payment rate by the estimated home health market basket update (3.6 percent) minus 0.8 percentage point ($2,264.28 × 2.8 percent) to yield the updated CY 2006 national 60-day episode rate ($2,327.68) (see Table 1).

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

Total prospective payment amount per 60-day episode for CY 2005Multiply by the estimated home health market basked update (3.6 percent) minus 0.8 percentage point 1CY 2006 updated national 60-day episode rate
$2,264.28× 1.028$2,327.68
1 The estimated home health market basket update of 3.6 percent for CY 2006 is based on Global Insight, Inc., 3rd Qtr, 2005 forecast with historical data through 2nd Qtr, 2005.

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

As discussed previously in the July 14, 2005 proposed rule, the policies governing the LUPAs and outlier calculations set forth in the July 3, 2000 HH PPS final rule will continue during CY 2006. In calculating the annual update for the CY 2006 national per-visit amounts we use to pay LUPAs and to compute the imputed costs in outlier calculations, we look again at the CY 2005 rates as a starting point. We then multiply those amounts by the estimated home health market basket update minus 0.8 percentage point for CY 2006 to yield the updated per-visit amounts for each home health discipline for CY 2006 (see Table 2).

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

Home health discipline typeFinal per-visit amounts per 60-day episode for CY 2005 for LUPAsMultiply by the estimated home health market basket (3.6 percent) minus 0.8 percentage point1Per-visit payment amount per discipline for CY 2006 for LUPAs
Home Health Aide$44.76× 1.028$46.01
Medical Social Services158.45× 1.028162.89
Occupational Therapy108.81× 1.028111.86
Physical Therapy108.08× 1.028111.11
Skilled Nursing98.85× 1.028101.62
Speech-Language Pathology117.44× 1.028120.73
1 The estimated home health market basket update of 3.6 percent for CY 2006 is based on Global Insight, Inc., 3rd Qtr, 2005 forecast with historical data through 2nd Qtr, 2005.

C. Outliers & the Fixed Dollar Loss Ratio

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

The wage-adjusted FDL amount represents the amount of loss that an agency must bear before an episode becomes eligible for outlier payments. The FDL is computed by multiplying the wage-adjusted 60-day episode payment amount by the FDL ratio, which is a proportion expressed in terms of the national standardized episode payment amount. The outlier payment is defined to be a proportion of Start Printed Page 68135the wage-adjusted estimated costs beyond the wage-adjusted threshold. The proportion of additional costs paid as outlier payments is referred to as the loss-sharing ratio.

Section 1895(b)(5) of the Act requires that estimated total outlier payments are no more than 5 percent of total estimated HH PPS payments. In response to the concerns about potential financial losses that might result from unusually expensive cases expressed in comments to the October 28, 1999 proposed rule (64 FR 58133), the July 3, 2000 final rule set the target for estimated outlier payments at the 5 percent level. The FDL ratio and the loss-sharing ratio were then selected so that estimated total outlier payments would meet the 5 percent target.

For a given level of outlier payments, there is a trade-off between the values selected for the FDL ratio and the loss-sharing ratio. A high FDL ratio reduces the number of episodes that can receive outlier payments, but makes it possible to select a higher loss-sharing ratio and, therefore, increase outlier payments for outlier episodes. Alternatively, a lower FDL ratio means that more episodes can qualify for outlier payments, but outlier payments per episode must be lower. As a result of public comments on the October 28, 1999 proposed rule, in our July 3, 2000 final rule, we made the decision to set the FDL at a level estimated to cover a relatively high proportion of the costs of outlier cases for the most expensive episodes that would qualify for outlier payments within the 5 percent constraint.

In the July 3, 2000 final rule, we chose a value of 0.80 for the loss-sharing ratio, which preserves incentives for agencies to attempt to provide care efficiently for outlier cases. A loss-sharing ratio of 0.80 was also consistent with the loss-sharing ratios used in other Medicare PPS outlier policies. We still believe that a loss-sharing ratio of 0.80 is appropriate. Furthermore, we estimated the value of the FDL ratio that would yield estimated total outlier payments that were 5 percent of total home health PPS payments. The resulting value for the FDL ratio, for the July 3, 2000 final rule, was 1.13.

In the CY 2005 update to the HH PPS rates (69 FR 62124), we revised the FDL ratio from the original 1.13 to 0.70 to allow more home health episodes to qualify for outlier payments and to better meet the estimated 5 percent target of outlier payments to total HH PPS payments. We stated in that CY 2005 update that we planned to continue to monitor the outlier expenditures on a yearly basis and to make adjustments as necessary (69 FR 62129). To do so, we planned on using the best Medicare data available at the time of publication. For the CY 2005 update, we used CY 2003 home health claims data. At the time of publication of the CY 2006 proposed rule, we did not have more recent data, but noted that we may update the FDL ratio for CY 2006 depending on the availability of more recent data. We further noted that if we updated the FDL ratio for the CY 2006 update, we would use the same methodology performed in updating the current FDL ratio described in the October 22, 2004 final rule. Subsequent to publication of the CY 2006 proposed rule, we have now obtained more recent data, that is, CY 2004 home health claims data.

Accordingly for this final rule, we have used the same methodology and performed an analysis on the CY 2004 HH PPS analytic data to update the FDL ratio for CY 2006. The results of this analysis indicate that an FDL ratio of 0.65 is consistent with the existing loss-sharing ratio of 0.80 and a projected target percentage of estimated outlier payments of 5 percent. Therefore, we are updating the FDL ratio from the current 0.70 to 0.65 for CY 2006. As explained below, we believe reducing the FDL ratio will allow more episodes to qualify for outlier payments.

Expressed in terms of a fixed dollar loss amount, an FDL ratio of 0.65 indicates that providers would absorb approximately $1,513 of their costs (before wage adjustment), in addition to their loss-sharing portion of the estimated cost in excess of the outlier threshold. This fixed dollar loss amount of approximately $1,513 is computed by multiplying the standard 60-day episode payment amount ($2,327.68) by the FDL ratio (0.65). In contrast, using the current FDL ratio (0.70), the fixed dollar loss amount would be approximately $1,629 ($2,327.68 × 0.70).

Thus, we believe that an FDL ratio of 0.65 continues to preserve a reasonable degree of cost sharing, and continues to meet the statutory requirements while still allowing a greater number of episodes to qualify for outlier payments.

D. Hospital Wage Index

1. Revised OMB Definition for Geographical Statistical Areas

Sections 1895(b)(4)(A)(ii) and (b)(4)(C) of the Act require the Secretary to establish area wage adjustment factors that reflect the relative level of wages and wage-related costs applicable to the furnishing of home health services and to provide appropriate adjustments to the episode payment amounts under HH PPS to account for area wage differences. We apply the appropriate wage index value to the labor portion (76.775 percent; see 60 FR 62126) of the HH PPS rates based on the geographic area in which the beneficiary received home health services as discussed in section II.A of the July 14, 2005 proposed rule. Generally, we determine each HHA's labor market area based on definitions of Metropolitan Statistical Areas (MSAs) issued by the Office of Management and Budget (OMB).

We acknowledged in our October 22, 2004 final rule that, on June 6, 2003, the OMB issued an OMB Bulletin (No. 03-04) announcing revised definitions for MSAs, new definitions for Micropolitan Statistical Areas and Combined Statistical Areas, and guidance on using the statistical definitions. A copy of the Bulletin may be obtained at the following Internet address:​omb/​bulletins/​b03-04.html. At that time, we did not propose to apply these new definitions known as Core-Based Statistical Areas (CBSAs). In the July 14, 2005 proposed rule, we proposed to use the OMB-revised definitions to adjust the CY 2006 HH PPS payment rates and revise the regulations at 42 CFR 484.202 to reflect this proposed change. The Hospital Inpatient PPS (IPPS) applied these revised definitions as discussed in the August 11, 2004 IPPS final rule (68 FR 49207).

a. Background

As discussed previously and set forth in the July 3, 2000 final rule, the statute provides that the wage adjustment factors may be the factors used by the Secretary for purposes of section 1886(d)(3)(E) of the Act for hospital wage adjustment factors. Again, as discussed in the July 3, 2000 final rule, we will use the pre-floor and pre-reclassified hospital wage index data to adjust the labor portion of the HH PPS rates based on the geographic area in which the beneficiary receives the home health services. We believe the use of the pre-floor and pre-reclassified hospital wage index data results in the appropriate adjustment to the labor portion of the costs as required by statute. For the CY 2006 update to the home health payment rates, we will continue to use the most recent pre-floor and pre-reclassified hospital wage index available at the time of publication. See Addenda A and B of this final rule, respectively, for the rural and urban hospital wage indices using the new MSA designations. For HH PPS rates addressed in the July 14, 2005 proposed rule, we used preliminary 2006 pre-floor and pre-reclassified hospital wage index data. We incorporated updated hospital Start Printed Page 68136wage index data for the 2006 pre-floor and pre-reclassified hospital wage index to be used in the final rule for the CY 2006 HH PPS update (not including any reclassifications under section 1886(d)(8)(B) of the Act).

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

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

In the August 11, 2004 IPPS final rule (69 FR 49206 through 49034), revised labor market area definitions were adopted under § 412.64(b), which were effective October 1, 2004 for acute care hospitals. The new standards, CBSAs, were announced by OMB in late 2000 and were also discussed in greater detail in the July 14, 2005 HH PPS proposed rule. Recently other prospective payment systems such as the inpatient rehabilitation facility PPS (IRF PPS) and the skilled nursing facility PPS (SNF PPS) and Medicare payment for hospice care have been updated to utilize the new revised labor market area definitions. For the purposes of this rule, the term “MSA-based” refers to wage index values and designations based on the previous MSA designations. Conversely, the term “CBSA-based” refers to wage index values and designations based on the new OMB revised MSA designations which now include CBSAs.

III. Analysis of and Responses to Public Comments

We received approximately 35 comments on the HH PPS proposed rule published on July 14, 2005. A summary of the major issues and our responses follow:

Market Basket

Comment: A commenter indicated that CMS institute a modification to the market basket index formula to allow for consideration of cost increases, specifically transportation costs related to rising gasoline prices. The commenter noted that the rising spike in gas prices highlights the unique costs and challenges in delivering home health services that are not faced by hospitals or other health care providers. The commenter further noted that HHAs are one of the few Medicare providers so reliant upon fuel to provide healthcare services and this is especially relevant in rural areas where distance between patients can exceed 50 miles.

Response: As an input price index, the 2000-based HH market basket and CY 2006 HH update is intended to reflect the price increases associated with transportation, not cost increases. The transportation base year cost weight, derived from the 2000 HHA Medicare cost reports, represents 2.744 percent of the HH market basket. In determining the HH market basket percentage increase, these costs are proxied using the Consumer Price Index (CPI) for private transportation; therefore, we believe forecasts of this price proxy reflect the price changes of fuel.

Comment: A commenter noted that CMS has chosen not to rebase and revise the home health market basket for 2006. The commenter stated that CMS should develop a timely process to rebase and revise the home health market basket. The commenter also stated that CMS should consider rebasing more frequently than previous years as more current data become available.

Response: We note that we recently rebased the 2000-based HH market basket for the CY 2004 HH PPS update. As we noted in the October 22, 2004 final rule, we typically rebase the market baskets on a 5-year cycle. We will continue to monitor the home health market basket to ensure that it continues to accurately reflect the cost structures of HHAs.

Comment: A commenter recommended that CMS should establish a technical advisory group that includes economists who can review the costs going into the home health market basket. Technology costs, transportation costs, workers compensation insurance, and the cost of providing home health preparedness in emergency situations significantly impact the ability to provide adequate home health services. Another commenter urged CMS to review and consider more appropriate ways to reflect the true economic realities as they relate to home health services. More accurate reflection of the economic environment will also alleviate the large variations in changes to the wage index from year to year for home health providers.

Response: The majority of the 2000 base year cost weights (accounting for more than 90 percent of the home health market basket cost structure) were derived using the 2000 Medicare cost reports for freestanding HHAs. The price increases associated with the individual cost weights are forecasted by Global Insight, Inc. (GII). GII is a nationally recognized economic and financial forecasting firm that forecasts the components of the market baskets. While we believe the HH forecast is a reliable measure of the costs of providing HH services, specific comments and suggestions by other technical experts on the market basket, cost structure, and price increases are appreciated.

Comment: Although required by law, a commenter opposed implementation of the 0.8 percent reduction to the market basket.

Response: We acknowledge the comment but believe we must fulfill the statutory mandate that requires that our update to the HH payment rate be the applicable HH market basket percentage increase minus 0.8 percentage points.

Outlier Payment

Comment: A commenter noted that, in the proposed rule, CMS proposes no change to the outlier payment formula and notes that if CMS is considering modifying the outlier formula for the final rule, CMS should issue a proposed rule on any such change to allow for full public review and comment. The commenter stated that making policy changes on the HH PPS final rule is improper, and doing so would not follow appropriate procedure for CMS inspection and assessment in developing policies. Moreover, the commenter believes that the outlier threshold should be reduced each year until expenditures equal the 5 percent threshold specified in legislation and that when CMS determines that expenditures have reached the threshold, the evidence for making no further reductions in the threshold should be presented in the proposed rule and finalized after public comment.

Response: We do not disagree with the commenter but, as we stated in the July 14, 2005 proposed rule, we did not propose any change to the outlier methodology. We are updating the FDL ratio using the same methodology described in the October 22, 2004 final rule using the most recent available data. Using the most available data, our analysis showed that the FDL ratio applied to the computation of outlier payments should be decreased. As such, the lower FDL ratio will benefit HHAs by allowing more episodes to qualify for Start Printed Page 68137outlier payments. The updated FDL ratio is 0.65, which we believe results in the estimated total outlier payments meeting the 5 percent target.

We will continue to analyze current and future data in order to ensure that the FDL ratio is effective at maintaining estimated total outlier payments at the 5 percent level.

Rural Add-On

Comment: Several commenters urged CMS to either restore or advocate for the re-establishment of the rural add-on for home health services furnished to beneficiaries living in rural areas.

Response: The rural add-on was a temporary add-on established by the MMA. Specifically, section 421 of the MMA required, for home health services furnished in a rural area with respect to episodes and visits ending on or after April 1, 2004 and before April 1, 2005, that we increase by 5 percent the payment amount that otherwise would be made for the services. The statute does not provide for a continuation of the add-on.

Wage Index Tables

Comment: A commenter would like to see wage index tables that compare the proposed wage index with the current wage index and show the year to year change in each locality. The commenter suggested that tables be presented both in CBSA alphabetical order, as well as by county within the State, as was done in the July 14, 2005 proposed rule. Also, the commenter suggested that a table highlight those areas experiencing the largest increases and decreases in the wage index. If more complete tables cannot be published in the Federal Register itself, the commenter suggested contemporaneous publication on the CMS Web site.

Response: The final rule presents the wage index values in several different table formats. The wage index values are presented in CBSA order in Addendum B and Addendum C. The wage index values are presented by State and county in Addendum A.

Home Health Wage Index

Comment: A commenter questioned how CMS’ pre-floor, pre-reclassified hospital wage index published in the July 14, 2005 Federal Register for the HH PPS proposed rule could be substantially different from the pre-floor, pre-reclassified hospital wage index published in the August 4, 2005 Federal Register for the SNF PPS final rule (70 FR 45026).

Response: The difference between “Table 8.—FY2006 Wage Index for Urban Areas Based on CBSA Labor Market Areas” contained in the August 4, 2005 SNF PPS final rule and “Addendum B.—Proposed CY 2006 Wage Index for Urban Areas by CBSA; Applicable Pre-Floor and Pre-Reclassified Hospital Wage Index” in the July 14, 2005 home health proposed rule is attributable to the fact that the SNF update and the HH proposed update are published at different times. In the July 14, 2005 HH PPS proposed rule, the 2006 pre-floor, pre-reclassified hospital wage index was a preliminary version of the wage index. Between the time of publication of the July 14, 2005 home health PPS proposed rule and the time of publication of the SNF PPS final rule, a final version of the 2006 pre-floor, pre-reclassified hospital wage index became available and was subsequently published in the SNF PPS final rule.

Comment: A number of commenters stated that the wage index formula is seriously flawed, claiming it does not reflect the cost of providing home health services. The commenters noted that providing home health services is unique from providing hospital services in that HHAs incur transportation costs (high gasoline costs) and auto insurance. Moreover, they stated that in the era of this nursing shortage, it is difficult to compete with hospitals to recruit and retain nursing staff. The commenters suggested that CMS should review its factors used in the wage index and communicate to providers how it applies the formulas to take into account the unique costs to HH that impact Medicare beneficiaries.

Response: We disagree with the commenters' statement that the wage index formula is flawed. We believe the home health payment policy that utilizes hospital data as the input for calculating geographic area wage adjustments is the best available proxy for determining the related cost of home health wage and wage level costs. In addition, the home health payment rates incorporate a home health market basket update factor which reflects the unique costs of providing home health services as opposed to hospital or any other type of healthcare services.

Comment: A commenter stated that future changes to the wage index should be accompanied by a comprehensive impact analysis and at least one year's notice in advance of the proposed change. Adaptations to large swings in reimbursement cannot be accommodated on short notice and threaten stability in providing services.

Response: We believe that using the best available data, at the time of publication, for purposes of updating the HH payment rates is a valid reflection of the wage and wage level costs used in providing HH services.

Comment: A commenter stated that the wage index listed in the proposed rule is based on preliminary 2006 pre-floor, pre-reclassified hospital wage data. In the proposed rule, CMS stated it will use the most recent pre-floor, pre-reclassified hospital wage index data available at the time of publication. The commenter suggested that CMS should update the wage index based on the final 2006 pre-floor and pre-reclassified hospital wage data, not preliminary data. The preliminary data contained errors that were corrected when final hospital wage indexes were issued.

Response: We are updating the HH payment rates using the most recent 2006 pre-floor, pre-reclassified hospital wage index data. As we noted in the July 14, 2005 proposed rule, because of the timing of the proposed rule, the most recent available data at that time were the preliminary 2006 pre-floor, pre-reclassified hospital wage index, and that more recent data would be used in the final rule.

Comment: Several commenters supported the move to CBSAs. One commenter believes that CBSAs provide significantly better measures of individual labor markets and fully supports their adoption.

Response: We appreciate the commenter's support. As we note later, we are adopting wage index values using CBSA designations.

Comment: A commenter suggested that CMS should validate the accuracy and completeness of wage data submitted by hospitals to ensure that all hospitals in an area have reported.

Response: We believe CMS employs current processes that accomplish this validation. All IPPS hospitals must complete the wage index survey (Worksheet S-3, Parts II and III) as part of their Medicare cost reports. Cost reports will be rejected if Worksheet S-3 is not completed. Additionally, intermediaries perform desk reviews on all hospitals' Worksheet S-3 wage data, and CMS runs edits on the wage data to further ensure the accuracy and validity of the wage data.

Comment: A commenter suggested that CMS should provide a mechanism for HHAs to challenge the accuracy of wage index values for their areas, especially in cases where there are indications of an irregularity.

Response: As we currently use hospital wage index data as the basis for the HH geographic wage adjustment, HHAs have the opportunity to submit comments on the hospital wage index data during the annual IPPS rulemaking period. Start Printed Page 68138


Comment: We received a number of comments against using the new CBSA designations. We received a number of comments stating that at a minimum, CMS should institute a transition policy similar to that being implemented by SNFs, hospices, and inpatient rehabilitation facilities. Most commenters suggested a one-year transition period. Some of the commenters recommended a two-year or three-year transition period.

Most commenters recommended a 50/50 blend of the previous and new labor market definitions. One commenter suggested a multi-year phase-in using a blend of previous and new with increasing reliance on the new wage index in each successive year (for example, 25 percent, 50 percent, 75 percent, then 100 percent of the CBSA). Several commenters stated that the transition policy should be applied to wage areas that would experience a decrease in their wage index. Some commenters stated that wage index values for wage areas that would be subject to a decrease remain static. Other commenters suggested the use of a wage index floor to avoid large fluctuations in the wage index. Most commenters wanted a transition period for all wage areas.

Response: We have considered all the comments, and we are adopting a wage index transition policy for HH PPS for CY 2006. The wage index transition policy for CY 2006 is a 50/50 blend of the CBSA-based wage index values and the MSA-based wage index values and will be applied to all wage areas. For CY 2007, the HH PPS will be solely based on a CBSA-based wage index. We believe that the one-year transition policy using a 50/50 blend is responsive to the majority of comments that recommended a one-year transition and the majority that recommended a 50/50 blend while still maintaining an appropriate adjustment to account for geographic wage differences. Addendum A displays the wage index in State and County order showing the MSA-based wage index values, the CBSA-based wage index values, and the blended wage index values. Addendum B and Addendum C display the wage index in CBSA order.

Comment: A commenter suggested that CMS needs to revisit the assumption underlying the wage indices in micropolitan areas. The commenter stated that in any situation where a county of a micropolitan area is contiguous with the principal county of a metropolitan area, CMS must independently determine whether a unified labor market exists and allow for use of an urban rate calculation.

Response: We refer readers to the explanation in the FY 2005 IPPS final rule published August 11, 2004 for our adoption of the new Census designations as well as the treatment of micropolitan areas as rural (69 FR 49026).

Comment: A commenter recommended that the hospital wage index should not exclude CAHs when used for the specific purpose of determining rates for other providers that operate in the same areas served by the CAHs.

Response: This comment is outside the scope of the HH PPS update final rule. Any comments regarding the specifics of the hospital wage index policy should be presented during the IPPS rulemaking period.

Comment: A commenter requested that CMS review and reconsider the wage index calculation for Massachusetts' rural areas.

Response: As the only hospitals left in rural Massachusetts are two critical access hospitals (CAHs), and data from CAHs are no longer included in the IPPS, there are no updated data from which to calculate a wage index for rural Massachusetts for use in the HH PPS update for CY 2006. In providing for an appropriate standard to account for area wage differences, for the purposes of the HH PPS update, we believe a reasonable proxy for the wage index for rural Massachusetts for CY 2006 is the 2005 pre-floor, pre-reclassified hospital wage index data.

Comment: Several commenters expressed concern about decreasing wage index values for specific counties.

Response: We appreciate the detailed concerns sent by the commenters regarding the impact of the wage index update for their specific counties. We note that there will always be some areas that experience an increase in wage index values while others experience a decrease in wage index values. Variability in wage index values occurs each year as wage index values fluctuate from year to year based on the changes to the hospital wage data. As a result, wage index values within the system increase or decrease. We are aware of the changes to wage index values due in part to the adoption of the revised OMB designations and note we have provided a transition period for CY 2006.

Wage Index Reform

Comment: A commenter recommended that in order to provide parity between hospitals and HHAs in areas where hospitals have reclassified to a higher wage index area, CMS should either authorize a similar wage index adjustment for HHAs or seek such authority from the Congress, as well as authority to put a floor on wage index reductions from one year to the next.

The commenter also suggested that CMS should begin a wholesale revision and reform of the home health wage index. This reform should consider the impact on care access and financial stability of HHAs measured at the local level.

Response: The statute does not provide authority to allow HHAs to apply for geographic reclassification. We also note that the HH PPS wage index adjustment is based on the geographic area where the beneficiary received home health services, not where the HHA is located. As to the revision and reform of the home health wage index, we further note that CMS has, along with the industry, explored the feasibility of developing a home health specific wage index. Because of the volatility of the home health wage data and the significant amount of resources that would be required to improve the quality of that data, we do not expect to propose a home health specific wage index until we can demonstrate that a home health specific wage index would be more reflective of the wages and salaries paid in a specific area, that it would significantly improve our ability to determine payment for home health agencies, and that we can justify the resources required to collect the data, as well as the increased burden on providers.

Comment: A commenter recommended that there needs to be an ongoing dialogue between State and national home care associations and CMS in order to determine a more appropriate payment methodology for home care. A commenter stated that CMS should establish a home health technical advisory group to regularly review and update the multitude of parts of the HH PPS reimbursement methodology.

Response: We appreciate the comment; however, we do not believe such a group is necessary as such a dialogue envisioned by the commenter currently exists. We have always received input from the industry on various aspects of our Medicare payment systems, and we anticipate this practice will continue into the future. Moreover, the “open-door” forums, that we initiated, provide the public with an opportunity to provide input and comment on home health in general, including the payment policies used in the HH PPS. Start Printed Page 68139


Comment: We received a comment that LUPA reimbursement is inadequate for New York. The commenter stated that there should be a review and increase to the LUPA per visit rates to ensure that they cover the costs of providing care.

Response: We believe the LUPA per-visit rates adequately account for the costs of providing care in such a situation. The per-visit rates used for the LUPA are adjusted by the appropriate wage index and updated annually by the home health market basket update minus 0.8 percent as required by the statute.

Case Mix Weight

Comment: Commenters stated that the HHRG case mix classification does not recognize the added costs of the dually eligible beneficiaries, noting that this population has more comorbidities and often lacks the informal supports non-dual eligible beneficiaries have. As these complexities add to the cost of providing care, the commenters suggested that an add-on for these patients should be implemented until refinements to the case mix system can be made.

Response: We are currently analyzing possible refinements to the case mix system. Concerns such as those expressed by the commenters are included in our review and analysis. We note that our analysis includes not only review of statistical data but also review of operational feasibility and policy implications.

Comment: We received a comment stating that the case-mix system does not adequately recognize the costs of wound care given the intensity of some of these patients and the newest supplies that can facilitate rapid healing.

Response: We appreciate the comment and note that wound care's impact on case-mix is being addressed in our refinement review and analysis through a study of supplies' costs as a component of case mix and through other types of case-mix model refinements.

Comment: A commenter recommended that CMS should institute ongoing analysis of the case-mix weights along with a mechanism to refine the case-mix adjustments. CMS has 3 years of data that should assist in this process.

Response: We agree and our refinement review and analysis, which is currently under development, addresses a revision of the case-mix weights resulting from a refinement of the underlying case mix model and of the resulting set of groups.

IV. Provisions of the Final Regulations

Generally, this final rule incorporates the provisions of the July 14, 2005 proposed rule. Those provisions of this final rule that differ from the proposed rule are as follows:

There will be a one-year transition period in implementing the new area labor market designations for purposes of adjusting for area wage differences. In calculating the wage index applicable to HH PPS for CY 2006, the wage index will be a blend of 50 percent of wage index values based on CBSA designations and 50 percent of the wage index values based on MSA designations.

In addition, we are revising the fixed-dollar loss ratio used in the calculation of outlier payments.

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. 35).

VI. 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 19, 1980, Pub. L. 96-354), section 1102(b) of the Social Security Act, the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.

Executive Order 12866 (as amended by Executive Order 13258, which merely reassigns responsibility of duties) directs agencies to assess all costs and benefits of available regulatory alternatives and, if regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis (RIA) must be prepared for major rules with economically significant effects ($100 million or more in any 1 year). The update set forth in July 14, 2005 proposed rule applies to Medicare payments under HH PPS in CY 2006. Accordingly, the following analysis describes the impact in CY 2006 only. We estimate that there will be an additional $370 million in CY 2006 expenditures attributable to the CY 2006 proposed estimated home health market basket update (3.6 percent) minus 0.8 percentage points, for a CY 2006 update of 2.8 percent.

The RFA requires agencies to analyze options for regulatory relief of small businesses. For purposes of the RFA, small entities include small businesses, nonprofit organizations, and government jurisdictions. Most hospitals and most other providers and suppliers are small entities, either by nonprofit status or by having revenues of $6 million to $29 million in any 1 year. For purposes of the RFA, approximately 75 percent of HHAs are considered small businesses according to the Small Business Administration's size standards with total revenues of $11.5 million or less in any 1 year. Individuals and States are not included in the definition of a small entity. This final rule 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 and has fewer than 100 beds or a hospital located in a CBSA. We have determined that this final rule 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 whose mandates require spending in any 1 year of $100 million in 1995 dollars, updated annually for inflation. That threshold level is currently approximately $120 million. We believe this final rule will not mandate expenditures in that amount.

Executive Order 13132 establishes certain requirements that an agency must meet when it promulgates a final rule that imposes substantial direct requirement costs on State and local governments, preempts State law, or otherwise has Federalism implications. We have reviewed this rule under the threshold criteria of Executive Order 13132, Federalism. We have determined that this final rule will not have substantial direct effects on the rights, roles, and responsibilities of States. Start Printed Page 68140

B. Anticipated Effects

This rule updates the HH PPS rates contained in the CY 2005 final rule (69 FR 62124, October 22, 2004). The impact analysis of this rule presents the projected effects of the change from MSA designations to a 50/50 blend of MSA and CBSA designations in determining the wage index used to calculate the HH PPS rates for CY 2006. We estimate the effects by estimating payments while holding all other payment variables constant. We use the best data available, but we do not attempt to predict behavioral responses to these changes, and we do not make adjustments for future changes in such variables as days or case-mix.

This analysis incorporates the latest estimates of growth in service use and payments under the Medicare home health benefit, based on the latest available Medicare claims from 2004. We note that certain events may combine to limit the scope or accuracy of our impact analysis, because such an analysis is future-oriented and, thus, susceptible to forecasting errors due to other changes in the forecasted impact time period. Some examples of such possible events are newly-legislated general Medicare program funding changes by the Congress, or changes specifically related to HHAs. In addition, changes to the Medicare program may continue to be made as a result of the BBA, the BBRA, the BIPA, the MMA, or new statutory provisions. Although these changes may not be specific to the HH PPS, the nature of the Medicare program is such that the changes may interact, and the complexity of the interaction of these changes could make it difficult to predict accurately the full scope of the impact upon HHAs.

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

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

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

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

The third column of the table shows the effect of the updating the MSA-based wage index (without moving to CBSAs). This column represents the difference between the 2005 MSA-based wage index and the 2006 MSA-based wage index.

The fourth column of the table reflects the impact of using the new OMB geographic designations based on CBSAs, compared to using the MSA designations without a transition policy. As we are implementing a transition policy, this column is shown for reference purposes only.

The fifth column of the table shows the effect of all of the changes on the CY 2006 payments without implementing a transition policy. The update of 2.8 percentage points (market basket increase of 3.6 percent minus 0.8 percentage points, as mandated by the MMA) is constant for all providers and, though not shown individually, is included in this column. In essence, this column represents the sum of columns three and four, adding in the 2.8 percent increase with slight differences due to rounding. Again, as we are implementing a transition policy, this column is shown for reference purposes only.

The sixth column of the table reflects the impact of using the new OMB geographic designations based on CBSAs, compared to using the MSA designations with a transition policy consisting of a 50/50 blend of the previous (MSA-based) and the new (CBSA-based) wage area designations. Specifically, the effect of using the blended wage index values in determining payment for facilities in urban areas is, on average, a decrease of 0.1 percent. On the other hand, facilities in a rural area show an average increase of 0.4 percent. Rural HHAs, by region, generally show an increase using the CBSA-determined wage index (ranging from an increase of 0.1 percent to 1.1 percent), except for facilities in the Middle Atlantic and the Mountain regions where payments are estimated to decrease by 0.3 percent and 0.2 percent respectively. The impact on urban HHAs, by region, is generally moderate using the 50/50 transition blend of MSA-based and CBSA-based wage index values (ranging from a 0.1 percent increase to a 0.3 percent decrease). By type of facility, the impact on rural facilities using the blended wage index is positive, with payments to freestanding facilities and hospital-based facilities estimated to increase by 0.4 percent. Conversely, hospital-based urban facilities are estimated to experience no impact while freestanding urban facilities are estimated to see a decrease in payments by 0.1 percent.

The seventh column of the table shows the total wage index change with the transition policy. This column represents the sum of the change due to the updated wage data (column 3) and the change due to the move to CBSAs using the transition policy (column 6) with slight differences due to rounding.

The eighth column of the table shows the effect of all of the changes on the CY 2006 payments with a transition policy. The update of 2.8 percentage points (market basket increase of 3.6 percent minus 0.8 percentage points, as mandated by the MMA) is constant for all providers and, though not shown individually, is included in this column. It is projected that total aggregate payments would increase by 2.7 percent; assuming facilities do not change their care delivery and billing practices in response.

As can be seen from this table, the combined effects of all of the changes would vary by specific types of providers and by location. For example, HHAs in rural New England show the largest estimated increase in payment at 5.9 percent, while HHAs in the urban West North Central and East North Central regions show the smallest increases in payments at 1.5 percent and 1.7 percent respectively. Rural HHAs in the West North Central regions and East North Central regions differ from urban HHAs in those regions, seeing an estimated increase in payments of 2.7 percent and 3.5 percent, respectively. Amongst the different type of facility categories, freestanding rural HHAs have the largest estimate of increase, with an estimated increase in payments of 3.4 percent. Hospital-based rural HHAs are next with an estimated increase in payments of 3.3 percent with hospital-based urban and freestanding urban HHAs with estimated increases of 2.5 percent and 2.6 percent, respectively.

Start Printed Page 68141

C. Accounting Statement

As required by OMB Circular A-4 (available at​omb/​circulars/​a004/​a-4.pdf), in Table 4 below, we have prepared an accounting statement showing the classification of the expenditures associated with the provisions of this final rule. This table provides our best estimate of the increase in Medicare payments under the HH PPS as a result of the changes presented in this final rule based on the data for 7,370 HHAs in our database. All expenditures are classified as transfers to Medicare providers (that is, HHAs). Start Printed Page 68142

Table 4.—Accounting Statement: Classification of Estimated Expenditures, From CY 2005 to CY 2006

[in Millions]

Annualized Monetized Transfers$370
From Whom To Whom?Federal Government To HHAs

D. Conclusion

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

Start List of Subjects

List of Subjects in 42 CFR Part 484

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

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

End Amendment Part Start Part


End Part Start Amendment Part

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

End Amendment Part Start Authority

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

End Authority

Subpart E—Prospective Payment System for Home Health Agencies

Start Amendment Part

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

End Amendment Part
* * * * *

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

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

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

Start Signature

Dated: October 13, 2005.

Mark B. McClellan,

Administrator, Centers for Medicare & Medicaid Services.

Approved: October 26, 2005.

Michael O. Leavitt,


End Signature


The following tables and addenda will not appear in the Code of Federal Regulations.

Start Printed Page 68143

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

Total prospective payment amount per 60-day episode for CY 2005Multiply by the estimated Home Health Market Basket Update (3.6 Percent) minus 0.8 percentage pointCY 2006 updated National 60-day episode rate
$2,264.28× 1.028$2,327.68

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

Home Health discipline typeFinal per-visit amounts per 60-day episode for CY 2005 for LUPAsMultiply by the estimated Home Health Market Basket (3.6 percent) minus 0.8 percentage pointPer-visit payment amount per discipline for CY 2006 for LUPAs
Home Health Aide$44.76× 1.028$46.01
Medical Social Services158.45× 1.028162.89
Occupational Therapy108.81× 1.028111.86
Physical Therapy108.08× 1.028111.11
Skilled Nursing98.85× 1.028101.62
Speech-Language Pathology117.44× 1.028120.73

Table 3.—Estimated Impact of CY 2006 Update to the HH PPS

[Final column includes update of 2.8 percent urban/rural defined as MSA/non-MSA]

Number of facilities (percent)Updated wage data (percent)MSA to CBSA without transition (percent)Total CY 2006 change without transition (percent)MSA to CBSA with transition (percent)Total wage index change with transition (percent)Total CY 2006 Change with transition (percent)
Hospital based urban1,869−−0.32.5
Freestanding urban3,211−0.1−0.22.4−0.1−0.22.6
Hospital based rural1,3200.
Freestanding rural9700.
Urban by region:
New England251−0.5−0.42.0−0.2−0.62.2
Middle Atlantic4230.
South Atlantic863−0.6−−0.62.2
East North Central870−0.8−0.51.5−0.2−1.11.7
East South Central2050.1−0.22.7−
West North Central269−1.3−−1.31.5
West South Central1,270−0.1−0.42.3−0.2−0.32.5
Rural by region:
New England463.
Middle Atlantic82−0.2−0.62.0−0.3−0.52.3
South Atlantic289−−0.42.4
East North Central3000.
East South Central2320.
West North Central523−−0.12.7
West South Central5050.
Start Printed Page 68144

Addendum A.—CY 2006 HH PPS Transition Wage Index Table By State and County Code

SSA State/ county codeCounty nameMSA No.2006 MSA- based WI2006 CBSA- based WICBSA No.Number that goes on the claim in the CBSA fieldTransition wage index
01000Autauga County, Alabama52400.86180.861833860502840.8618
01010Baldwin County, Alabama51600.78610.744699901502810.7654
01020Barbour County, Alabama010.74320.744699901500010.7439
01030Bibb County, Alabama010.74320.895913820500020.8196
01040Blount County, Alabama10000.90000.895913820501820.8980
01050Bullock County, Alabama010.74320.744699901500010.7439
01060Butler County, Alabama010.74320.744699901500010.7439
01070Calhoun County, Alabama04500.76820.768211500115000.7682
01080Chambers County, Alabama010.74320.744699901500010.7439
01090Cherokee County, Alabama010.74320.744699901500010.7439
01100Chilton County, Alabama010.74320.895913820500020.8196
01110Choctaw County, Alabama010.74320.744699901500010.7439
01120Clarke County, Alabama010.74320.744699901500010.7439
01130Clay County, Alabama010.74320.744699901500010.7439
01140Cleburne County, Alabama010.74320.744699901500010.7439
01150Coffee County, Alabama010.74320.744699901500010.7439
01160Colbert County, Alabama26500.82720.827222520225200.8272
01170Conecuh County, Alabama010.74320.744699901500010.7439
01180Coosa County, Alabama010.74320.744699901500010.7439
01190Covington County, Alabama010.74320.744699901500010.7439
01200Crenshaw County, Alabama010.74320.744699901500010.7439
01210Cullman County, Alabama010.74320.744699901500010.7439
01220Dale County, Alabama21800.77010.744699901502140.7574
01230Dallas County, Alabama010.74320.744699901500010.7439
01240De Kalb County, Alabama010.74320.744699901500010.7439
01250Elmore County, Alabama52400.86180.861833860502840.8618
01260Escambia County, Alabama010.74320.744699901500010.7439
01270Etowah County, Alabama28800.79380.793823460234600.7938
01280Fayette County, Alabama010.74320.744699901500010.7439
01290Franklin County, Alabama010.74320.744699901500010.7439
01300Geneva County, Alabama010.74320.772120020500030.7577
01310Greene County, Alabama010.74320.864546220500050.8039
01320Hale County, Alabama010.74320.864546220500050.8039
01330Henry County, Alabama010.74320.772120020500030.7577
01340Houston County, Alabama21800.77010.772120020502150.7711
01350Jackson County, Alabama010.74320.744699901500010.7439
01360Jefferson County, Alabama10000.90000.895913820501820.8980
01370Lamar County, Alabama010.74320.744699901500010.7439
01380Lauderdale County, Alabama26500.82720.827222520225200.8272
01390Lawrence County, Alabama20300.84690.846919460194600.8469
01400Lee County, Alabama05800.81000.810012220122200.8100
01410Limestone County, Alabama34400.91460.914626620266200.9146
01420Lowndes County, Alabama010.74320.861833860500040.8025
01430Macon County, Alabama010.74320.744699901500010.7439
01440Madison County, Alabama34400.91460.914626620266200.9146
01450Marengo County, Alabama010.74320.744699901500010.7439
01460Marion County, Alabama010.74320.744699901500010.7439
01470Marshall County, Alabama010.74320.744699901500010.7439
01480Mobile County, Alabama51600.78610.789133660336600.7876
01490Monroe County, Alabama010.74320.744699901500010.7439
01500Montgomery County, Alabama52400.86180.861833860502840.8618
01510Morgan County, Alabama20300.84690.846919460194600.8469
01520Perry County, Alabama010.74320.744699901500010.7439
01530Pickens County, Alabama010.74320.744699901500010.7439
01540Pike County, Alabama010.74320.744699901500010.7439
01550Randolph County, Alabama010.74320.744699901500010.7439
01560Russell County, Alabama18000.85600.856017980502030.8560
01570St Clair County, Alabama10000.90000.895913820501820.8980
01580Shelby County, Alabama10000.90000.895913820501820.8980
01590Sumter County, Alabama010.74320.744699901500010.7439
01600Talladega County, Alabama010.74320.744699901500010.7439
01610Tallapoosa County, Alabama010.74320.744699901500010.7439
01620Tuscaloosa County, Alabama86000.87640.864546220503420.8705
01630Walker County, Alabama010.74320.895913820500020.8196
01640Washington County, Alabama010.74320.744699901500010.7439
01650Wilcox County, Alabama010.74320.744699901500010.7439
Start Printed Page 68145
01660Winston County, Alabama010.74320.744699901500010.7439
02013Aleutians County East, Alaska021.18881.197799902999021.1933
02016Aleutians County West, Alaska021.18881.197799902999021.1933
02020Anchorage County, Alaska03801.17841.189511260501691.1840
02030Angoon County, Alaska021.18881.197799902999021.1933
02040Barrow-North Slope County, Alaska021.18881.197799902999021.1933
02050Bethel County, Alaska021.18881.197799902999021.1933
02060Bristol Bay Borough County, Alaska021.18881.197799902999021.1933
02068Denali County, Alaska021.18881.197799902999021.1933
02070Bristol Bay County, Alaska021.18881.197799902999021.1933
02080Cordova-Mc Carthy County, Alaska021.18881.197799902999021.1933
02090Fairbanks County, Alaska021.18881.140821820218201.1648
02100Haines County, Alaska021.18881.197799902999021.1933
02110Juneau County, Alaska021.18881.197799902999021.1933
02120Kenai-Cook Inlet County, Alaska021.18881.197799902999021.1933
02122Kenai Peninsula Borough, Alaska021.18881.197799902999021.1933
02130Ketchikan County, Alaska021.18881.197799902999021.1933
02140Kobuk County, Alaska021.18881.197799902999021.1933
02150Kodiak County, Alaska021.18881.197799902999021.1933
02160Kuskokwin County, Alaska021.18881.197799902999021.1933
02164Lake and Peninsula Borough, Alaska021.18881.197799902999021.1933
02170Matanuska County, Alaska021.18881.189511260500061.1892
02180Nome County, Alaska021.18881.197799902999021.1933
02185North Slope Borough, Alaska021.18881.197799902999021.1933
02188Northwest Arctic Borough, Alaska021.18881.197799902999021.1933
02190Outer Ketchikan County, Alaska021.18881.197799902999021.1933
02200Prince Of Wales County, Alaska021.18881.197799902999021.1933
02201Prince of Wales-Outer Ketchikan Census Area, Alaska021.18881.197799902999021.1933
02210Seward County, Alaska021.18881.197799902999021.1933
02220Sitka County, Alaska021.18881.197799902999021.1933
02230Skagway-Yakutat County, Alaska021.18881.197799902999021.1933
02231Skagway-Yakutat-Angoon Census Area, Alaska021.18881.197799902999021.1933
02232Skagway-Hoonah-Angoon Census Area, Alaska021.18881.197799902999021.1933
02240Southeast Fairbanks County, Alaska021.18881.197799902999021.1933
02250Upper Yukon County, Alaska021.18881.197799902999021.1933
02260Valdz-Chitna-Whitier County, Alaska021.18881.197799902999021.1933
02261Valdex-Cordove Census Area, Alaska021.18881.197799902999021.1933
02270Wade Hampton County, Alaska021.18881.197799902999021.1933
02280Wrangell-Petersburg County, Alaska021.18881.197799902999021.1933
02282Yakutat Borough, Alaska021.18881.197799902999021.1933
02290Yukon-Koyukuk County, Alaska021.18881.197799902999021.1933
03000Apache County, Arizona030.90450.876899903500070.8907
03010Cochise County, Arizona030.90450.876899903500070.8907
03020Coconino County, Arizona26201.18451.209222380223801.1969
03030Gila County, Arizona030.90450.876899903500070.8907
03040Graham County, Arizona030.90450.876899903500070.8907
03050Greenlee County, Arizona030.90450.876899903500070.8907
03055La Paz County, Arizona030.90450.876899903500070.8907
03060Maricopa County, Arizona62001.01271.012738060380601.0127
03070Mohave County, Arizona41201.11550.876899903502600.9962
03080Navajo County, Arizona030.90450.876899903500070.8907
03090Pima County, Arizona85200.90070.900746060460600.9007
03100Pinal County, Arizona62001.01271.012738060380601.0127
03110Santa Cruz County, Arizona030.90450.876899903500070.8907
03120Yavapai County, Arizona030.90450.986939140391400.9457
03130Yuma County, Arizona93600.91260.912649740497400.9126
04000Arkansas County, Arkansas040.77440.746699904999040.7605
04010Ashley County, Arkansas040.77440.746699904999040.7605
04020Baxter County, Arkansas040.77440.746699904999040.7605
04030Benton County, Arkansas25800.86610.866122220502210.8661
04040Boone County, Arkansas040.77440.746699904999040.7605
04050Bradley County, Arkansas040.77440.746699904999040.7605
04060Calhoun County, Arkansas040.77440.746699904999040.7605
04070Carroll County, Arkansas040.77440.746699904999040.7605
04080Chicot County, Arkansas040.77440.746699904999040.7605
04090Clark County, Arkansas040.77440.746699904999040.7605
Start Printed Page 68146
04100Clay County, Arkansas040.77440.746699904999040.7605
04110Cleburne County, Arkansas040.77440.746699904999040.7605
04120Cleveland County, Arkansas040.77440.868038220500120.8212
04130Columbia County, Arkansas040.77440.746699904999040.7605
04140Conway County, Arkansas040.77440.746699904999040.7605
04150Craighead County, Arkansas37000.79110.791127860502510.7911
04160Crawford County, Arkansas27200.82460.823022900502240.8238
04170Crittenden County, Arkansas49200.94160.939732820502780.9407
04180Cross County, Arkansas040.77440.746699904999040.7605
04190Dallas County, Arkansas040.77440.746699904999040.7605
04200Desha County, Arkansas040.77440.746699904999040.7605
04210Drew County, Arkansas040.77440.746699904999040.7605
04220Faulkner County, Arkansas44000.87470.874730780502650.8747
04230Franklin County, Arkansas040.77440.823022900500090.7987
04240Fulton County, Arkansas040.77440.746699904999040.7605
04250Garland County, Arkansas040.77440.900526300263000.8375
04260Grant County, Arkansas040.77440.874730780500110.8246
04270Greene County, Arkansas040.77440.746699904999040.7605
04280Hempstead County, Arkansas040.77440.746699904999040.7605
04290Hot Spring County, Arkansas040.77440.746699904999040.7605
04300Howard County, Arkansas040.77440.746699904999040.7605
04310Independence County, Arkansas040.77440.746699904999040.7605
04320Izard County, Arkansas040.77440.746699904999040.7605
04330Jackson County, Arkansas040.77440.746699904999040.7605
04340Jefferson County, Arkansas62400.86800.868038220503000.8680
04350Johnson County, Arkansas040.77440.746699904999040.7605
04360Lafayette County, Arkansas040.77440.746699904999040.7605
04370Lawrence County, Arkansas040.77440.746699904999040.7605
04380Lee County, Arkansas040.77440.746699904999040.7605
04390Lincoln County, Arkansas040.77440.868038220500120.8212
04400Little River County, Arkansas040.77440.746699904999040.7605
04410Logan County, Arkansas040.77440.746699904999040.7605
04420Lonoke County, Arkansas44000.87470.874730780502650.8747
04430Madison County, Arkansas040.77440.866122220500080.8203
04440Marion County, Arkansas040.77440.746699904999040.7605
04450Miller County, Arkansas83600.82830.828345500455000.8283
04460Mississippi County, Arkansas040.77440.746699904999040.7605
04470Monroe County, Arkansas040.77440.746699904999040.7605
04480Montgomery County, Arkansas040.77440.746699904999040.7605
04490Nevada County, Arkansas040.77440.746699904999040.7605
04500Newton County, Arkansas040.77440.746699904999040.7605
04510Ouachita County, Arkansas040.77440.746699904999040.7605
04520Perry County, Arkansas040.77440.874730780500110.8246
04530Phillips County, Arkansas040.77440.746699904999040.7605
04540Pike County, Arkansas040.77440.746699904999040.7605
04550Poinsett County, Arkansas040.77440.791127860500100.7828
04560Polk County, Arkansas040.77440.746699904999040.7605
04570Pope County, Arkansas040.77440.746699904999040.7605
04580Prairie County, Arkansas040.77440.746699904999040.7605
04590Pulaski County, Arkansas44000.87470.874730780502650.8747
04600Randolph County, Arkansas040.77440.746699904999040.7605
04610St Francis County, Arkansas040.77440.746699904999040.7605
04620Saline County, Arkansas44000.87470.874730780502650.8747
04630Scott County, Arkansas040.77440.746699904999040.7605
04640Searcy County, Arkansas040.77440.746699904999040.7605
04650Sebastian County, Arkansas27200.82460.823022900502240.8238
04660Sevier County, Arkansas040.77440.746699904999040.7605
04670Sharp County, Arkansas040.77440.746699904999040.7605
04680Stone County, Arkansas040.77440.746699904999040.7605
04690Union County, Arkansas040.77440.746699904999040.7605
04700Van Buren County, Arkansas040.77440.746699904999040.7605
04710Washington County, Arkansas25800.86610.866122220502210.8661
04720White County, Arkansas040.77440.746699904999040.7605
04730Woodruff County, Arkansas040.77440.746699904999040.7605
04740Yell County, Arkansas040.77440.746699904999040.7605
05000Alameda County, California57751.53461.534636084360841.5346
Start Printed Page 68147
05010Alpine County, California051.07751.105499905999051.0915
05020Amador County, California051.07751.105499905999051.0915
05030Butte County, California16201.05111.051117020170201.0511
05040Calaveras County, California051.07751.105499905999051.0915
05050Colusa County, California051.07751.105499905999051.0915
05060Contra Costa County, California57751.53461.534636084360841.5346
05070Del Norte County, California051.07751.105499905999051.0915
05080Eldorado County, California69201.31431.296940900503151.3056
05090Fresno County, California28401.04281.053823420234201.0483
05100Glenn County, California051.07751.105499905999051.0915
05110Humboldt County, California051.07751.105499905999051.0915
05120Imperial County, California051.07750.890620940209400.9841
05130Inyo County, California051.07751.105499905999051.0915
05140Kern County, California06801.04701.047012540125401.0470
05150Kings County, California051.07751.003625260252601.0406
05160Lake County, California051.07751.105499905999051.0915
05170Lassen County, California051.07751.105499905999051.0915
05200Los Angeles County, California44801.17831.178331084310841.1783
05210Los Angeles County, California44801.17831.178331084310841.1783
05300Madera County, California28401.04280.871331460314600.9571
05310Marin County, California73601.49941.499441884418841.4994
05320Mariposa County, California051.07751.105499905999051.0915
05330Mendocino County, California051.07751.105499905999051.0915
05340Merced County, California49401.11091.110932900329001.1109
05350Modoc County, California051.07751.105499905999051.0915
05360Mono County, California051.07751.105499905999051.0915
05370Monterey County, California71201.41281.412841500415001.4128
05380Napa County, California87201.39831.264334900349001.3313
05390Nevada County, California051.07751.105499905999051.0915
05400Orange County, California59451.15591.155942044420441.1559
05410Placer County, California69201.31431.296940900503151.3056
05420Plumas County, California051.07751.105499905999051.0915
05430Riverside County, California67801.10271.102740140401401.1027
05440Sacramento County, California69201.31431.296940900503151.3056
05450San Benito County, California051.07751.509941940500131.2937
05460San Bernardino County, California67801.10271.102740140401401.1027
05470San Diego County, California73201.14131.141341740417401.1413
05480San Francisco County, California73601.49941.499441884418841.4994
05490San Joaquin County, California81201.13071.130744700447001.1307
05500San Luis Obispo County, California74601.13491.134942020420201.1349
05510San Mateo County, California73601.49941.499441884418841.4994
05520Santa Barbara County, California74801.16941.169442060420601.1694
05530Santa Clara County, California74001.51181.509941940503231.5109
05540Santa Cruz County, California74851.51661.516642100421001.5166
05550Shasta County, California66901.22031.220339820398201.2203
05560Sierra County, California051.07751.105499905999051.0915
05570Siskiyou County, California051.07751.105499905999051.0915
05580Solano County, California87201.39831.493646700467001.4460
05590Sonoma County, California75001.34931.349342220422201.3493
05600Stanislaus County, California51701.18851.188533700337001.1885
05610Sutter County, California93401.09211.092149700497001.0921
05620Tehama County, California051.07751.105499905999051.0915
05630Trinity County, California051.07751.105499905999051.0915
05640Tulare County, California87801.01231.012347300473001.0123
05650Tuolumne County, California051.07751.105499905999051.0915
05660Ventura County, California87351.16221.162237100371001.1622
05670Yolo County, California92700.99501.296940900503511.1460
05680Yuba County, California93401.09211.092149700497001.0921
06000Adams County, Colorado20801.07231.072319740502111.0723
06010Alamosa County, Colorado060.93800.938099906999060.9380
06020Arapahoe County, Colorado20801.07231.072319740502111.0723
06030Archuleta County, Colorado060.93800.938099906999060.9380
06040Baca County, Colorado060.93800.938099906999060.9380
06050Bent County, Colorado060.93800.938099906999060.9380
06060Boulder County, Colorado11250.97340.973414500145000.9734
06070Chaffee County, Colorado060.93800.938099906999060.9380
Start Printed Page 68148
06080Cheyenne County, Colorado060.93800.938099906999060.9380
06090Clear Creek County, Colorado060.93801.072319740500151.0052
06100Conejos County, Colorado060.93800.938099906999060.9380
06110Costilla County, Colorado060.93800.938099906999060.9380
06120Crowley County, Colorado060.93800.938099906999060.9380
06130Custer County, Colorado060.93800.938099906999060.9380
06140Delta County, Colorado060.93800.938099906999060.9380
06150Denver County, Colorado20801.07231.072319740502111.0723
06160Dolores County, Colorado060.93800.938099906999060.9380
06170Douglas County, Colorado20801.07231.072319740502111.0723
06180Eagle County, Colorado060.93800.938099906999060.9380
06190Elbert County, Colorado060.93801.072319740500151.0052
06200El Paso County, Colorado17200.94680.946817820502000.9468
06210Fremont County, Colorado060.93800.938099906999060.9380
06220Garfield County, Colorado060.93800.938099906999060.9380
06230Gilpin County, Colorado060.93801.072319740500151.0052
06240Grand County, Colorado060.93800.938099906999060.9380
06250Gunnison County, Colorado060.93800.938099906999060.9380
06260Hinsdale County, Colorado060.93800.938099906999060.9380
06270Huerfano County, Colorado060.93800.938099906999060.9380
06280Jackson County, Colorado060.93800.938099906999060.9380
06290Jefferson County, Colorado20801.07231.072319740502111.0723
06300Kiowa County, Colorado060.93800.938099906999060.9380
06310Kit Carson County, Colorado060.93800.938099906999060.9380
06320Lake County, Colorado060.93800.938099906999060.9380
06330La Plata County, Colorado060.93800.938099906999060.9380
06340Larimer County, Colorado26701.01221.012222660226601.0122
06350Las Animas County, Colorado060.93800.938099906999060.9380
06360Lincoln County, Colorado060.93800.938099906999060.9380
06370Logan County, Colorado060.93800.938099906999060.9380
06380Mesa County, Colorado29950.95500.955024300243000.9550
06390Mineral County, Colorado060.93800.938099906999060.9380
06400Moffat County, Colorado060.93800.938099906999060.9380
06410Montezuma County, Colorado060.93800.938099906999060.9380
06420Montrose County, Colorado060.93800.938099906999060.9380
06430Morgan County, Colorado060.93800.938099906999060.9380
06440Otero County, Colorado060.93800.938099906999060.9380
06450Ouray County, Colorado060.93800.938099906999060.9380
06460Park County, Colorado060.93801.072319740500151.0052
06470Phillips County, Colorado060.93800.938099906999060.9380
06480Pitkin County, Colorado060.93800.938099906999060.9380
06490Prowers County, Colorado060.93800.938099906999060.9380
06500Pueblo County, Colorado65600.86230.862339380393800.8623
06510Rio Blanco County, Colorado060.93800.938099906999060.9380
06520Rio Grande County, Colorado060.93800.938099906999060.9380
06530Routt County, Colorado060.93800.938099906999060.9380
06540Saguache County, Colorado060.93800.938099906999060.9380
06550San Juan County, Colorado060.93800.938099906999060.9380
06560San Miguel County, Colorado060.93800.938099906999060.9380
06570Sedgwick County, Colorado060.93800.938099906999060.9380
06580Summit County, Colorado060.93800.938099906999060.9380
06590Teller County, Colorado060.93800.946817820500140.9424
06600Washington County, Colorado060.93800.938099906999060.9380
06610Weld County, Colorado30600.95700.957024540245400.9570
06620Yuma County, Colorado060.93800.938099906999060.9380
06630Broomfield County, Colorado20801.07231.072319740502111.0723
07000Fairfield County, Connecticut54831.21961.259214860148601.2394
07010Hartford County, Connecticut32831.10731.107325540255401.1073
07020Litchfield County, Connecticut32831.10731.107325540255401.1073
07030Middlesex County, Connecticut32831.10731.107325540255401.1073
07040New Haven County, Connecticut54831.21961.188735300353001.2042
07050New London County, Connecticut55231.13451.134535980359801.1345
07060Tolland County, Connecticut32831.10731.107325540255401.1073
07070Windham County, Connecticut071.17301.173099907999071.1730
08000Kent County, Delaware21900.97760.977620100201000.9776
08010New Castle County, Delaware91601.05271.047148864503491.0499
Start Printed Page 68149
08020Sussex County, Delaware080.95790.957999908999080.9579
09000Washington Dc County, Dist Of Col88401.09761.092647894478941.0951
10000Alachua County, Florida29000.93880.938823540502280.9388
10010Baker County, Florida100.86770.929027260500180.8984
10020Bay County, Florida60150.80050.800537460374600.8005
10030Bradford County, Florida100.86770.856899910500160.8623
10040Brevard County, Florida49000.98390.983937340373400.9839
10050Broward County, Florida26801.04321.043222744227441.0432
10060Calhoun County, Florida100.86770.856899910500160.8623
10070Charlotte County, Florida65800.92550.925539460394600.9255
10080Citrus County, Florida100.86770.856899910500160.8623
10090Clay County, Florida36000.92990.929027260502470.9295
10100Collier County, Florida53451.01391.013934940349401.0139
10110Columbia County, Florida100.86770.856899910500160.8623
10120Dade County, Florida50000.97500.975033124331240.9750
10130De Soto County, Florida100.86770.856899910500160.8623
10140Dixie County, Florida100.86770.856899910500160.8623
10150Duval County, Florida36000.92990.929027260502470.9295
10160Escambia County, Florida60800.80960.809637860378600.8096
10170Flagler County, Florida20200.93250.856899910502100.8947
10180Franklin County, Florida100.86770.856899910500160.8623
10190Gadsden County, Florida82400.86880.868845220503370.8688
10200Gilchrist County, Florida100.86770.938823540500170.9033
10210Glades County, Florida100.86770.856899910500160.8623
10220Gulf County, Florida100.86770.856899910500160.8623
10230Hamilton County, Florida100.86770.856899910500160.8623
10240Hardee County, Florida100.86770.856899910500160.8623
10250Hendry County, Florida100.86770.856899910500160.8623
10260Hernando County, Florida82800.92330.923345300453000.9233
10270Highlands County, Florida100.86770.856899910500160.8623
10280Hillsborough County, Florida82800.92330.923345300453000.9233
10290Holmes County, Florida100.86770.856899910500160.8623
10300Indian River County, Florida100.86770.943446940469400.9056
10310Jackson County, Florida100.86770.856899910500160.8623
10320Jefferson County, Florida100.86770.868845220500190.8683
10330Lafayette County, Florida100.86770.856899910500160.8623
10340Lake County, Florida59600.94640.946436740367400.9464
10350Lee County, Florida27000.93560.935615980159800.9356
10360Leon County, Florida82400.86880.868845220503370.8688
10370Levy County, Florida100.86770.856899910500160.8623
10380Liberty County, Florida100.86770.856899910500160.8623
10390Madison County, Florida100.86770.856899910500160.8623
10400Manatee County, Florida75100.96390.963942260422600.9639
10410Marion County, Florida57900.89250.892536100361000.8925
10420Martin County, Florida27101.01231.012338940389401.0123
10430Monroe County, Florida100.86770.856899910500160.8623
10440Nassau County, Florida36000.92990.929027260502470.9295
10450Okaloosa County, Florida27500.88720.887223020230200.8872
10460Okeechobee County, Florida100.86770.856899910500160.8623
10470Orange County, Florida59600.94640.946436740367400.9464
10480Osceola County, Florida59600.94640.946436740367400.9464
10490Palm Beach County, Florida89601.00671.006748424484241.0067
10500Pasco County, Florida82800.92330.923345300453000.9233
10510Pinellas County, Florida82800.92330.923345300453000.9233
10520Polk County, Florida39800.89120.891229460294600.8912
10530Putnam County, Florida100.86770.856899910500160.8623
10540Johns County, Florida36000.92990.929027260502470.9295
10550St Lucie County, Florida27101.01231.012338940389401.0123
10560Santa Rosa County, Florida60800.80960.809637860378600.8096
10570Sarasota County, Florida75100.96390.963942260422600.9639
10580Seminole County, Florida59600.94640.946436740367400.9464
10590Sumter County, Florida100.86770.856899910500160.8623
10600Suwannee County, Florida100.86770.856899910500160.8623
10610Taylor County, Florida100.86770.856899910500160.8623
10620Union County, Florida100.86770.856899910500160.8623
10630Volusia County, Florida20200.93250.929919660196600.9312
Start Printed Page 68150
10640Wakulla County, Florida100.86770.868845220500190.8683
10650Walton County, Florida100.86770.856899910500160.8623
10660Washington County, Florida100.86770.856899910500160.8623
11000Appling County, Georgia110.81660.766299911500200.7914
11010Atkinson County, Georgia110.81660.766299911500200.7914
11011Bacon County, Georgia110.81660.766299911500200.7914
11020Baker County, Georgia110.81660.862810500500210.8397
11030Baldwin County, Georgia110.81660.766299911500200.7914
11040Banks County, Georgia110.81660.766299911500200.7914
11050Barrow County, Georgia05200.97930.979312060501750.9793
11060Bartow County, Georgia05200.97930.979312060501750.9793
11070Ben Hill County, Georgia110.81660.766299911500200.7914
11080Berrien County, Georgia110.81660.766299911500200.7914
11090Bibb County, Georgia46800.92770.944331420502730.9360
11100Bleckley County, Georgia110.81660.766299911500200.7914
11110Brantley County, Georgia110.81660.931115260152600.8739
11120Brooks County, Georgia110.81660.886646660466600.8516
11130Bryan County, Georgia75200.94610.946142340423400.9461
11140Bulloch County, Georgia110.81660.766299911500200.7914
11150Burke County, Georgia110.81660.974812260500240.8957
11160Butts County, Georgia110.81660.979312060500230.8980
11161Calhoun County, Georgia110.81660.766299911500200.7914
11170Camden County, Georgia110.81660.766299911500200.7914
11180Candler County, Georgia110.81660.766299911500200.7914
11190Carroll County, Georgia05200.97930.979312060501750.9793
11200Catoosa County, Georgia15600.90880.908816860501950.9088
11210Charlton County, Georgia110.81660.766299911500200.7914
11220Chatham County, Georgia75200.94610.946142340423400.9461
11230Chattahoochee County, Georgia18000.85600.856017980502030.8560
11240Chattooga County, Georgia110.81660.766299911500200.7914
11250Cherokee County, Georgia05200.97930.979312060501750.9793
11260Clarke County, Georgia05000.98550.985512020501740.9855
11270Clay County, Georgia110.81660.766299911500200.7914
11280Clayton County, Georgia05200.97930.979312060501750.9793
11281Clinch County, Georgia110.81660.766299911500200.7914
11290Cobb County, Georgia05200.97930.979312060501750.9793
11291Coffee County, Georgia110.81660.766299911500200.7914
11300Colquitt County, Georgia110.81660.766299911500200.7914
11310Columbia County, Georgia06000.98080.974812260501760.9778
11311Cook County, Georgia110.81660.766299911500200.7914
11320Coweta County, Georgia05200.97930.979312060501750.9793
11330Crawford County, Georgia110.81660.944331420500260.8805
11340Crisp County, Georgia110.81660.766299911500200.7914
11341Dade County, Georgia15600.90880.908816860501950.9088
11350Dawson County, Georgia110.81660.979312060500230.8980
11360Decatur County, Georgia110.81660.766299911500200.7914
11370De Kalb County, Georgia05200.97930.979312060501750.9793
11380Dodge County, Georgia110.81660.766299911500200.7914
11381Dooly County, Georgia110.81660.766299911500200.7914
11390Dougherty County, Georgia01200.86280.862810500501630.8628
11400Douglas County, Georgia05200.97930.979312060501750.9793
11410Early County, Georgia110.81660.766299911500200.7914
11420Echols County, Georgia110.81660.886646660466600.8516
11421Effingham County, Georgia75200.94610.946142340423400.9461
11430Elbert County, Georgia110.81660.766299911500200.7914
11440Emanuel County, Georgia110.81660.766299911500200.7914
11441Evans County, Georgia110.81660.766299911500200.7914
11450Fannin County, Georgia110.81660.766299911500200.7914
11451Fayette County, Georgia05200.97930.979312060501750.9793
11460Floyd County, Georgia110.81660.941440660406600.8790
11461Forsyth County, Georgia05200.97930.979312060501750.9793
11462Franklin County, Georgia110.81660.766299911500200.7914
11470Fulton County, Georgia05200.97930.979312060501750.9793
11471Gilmer County, Georgia110.81660.766299911500200.7914
11480Glascock County, Georgia110.81660.766299911500200.7914
11490Glynn County, Georgia110.81660.931115260152600.8739
Start Printed Page 68151
11500Gordon County, Georgia110.81660.766299911500200.7914
11510Grady County, Georgia110.81660.766299911500200.7914
11520Greene County, Georgia110.81660.766299911500200.7914
11530Gwinnett County, Georgia05200.97930.979312060501750.9793
11540Habersham County, Georgia110.81660.766299911500200.7914
11550Hall County, Georgia110.81660.887423580235800.8520
11560Hancock County, Georgia110.81660.766299911500200.7914
11570Haralson County, Georgia110.81660.979312060500230.8980
11580Harris County, Georgia18000.85600.856017980502030.8560
11581Hart County, Georgia110.81660.766299911500200.7914
11590Heard County, Georgia110.81660.979312060500230.8980
11591Henry County, Georgia05200.97930.979312060501750.9793
11600Houston County, Georgia46800.92770.864547580475800.8961
11601Irwin County, Georgia110.81660.766299911500200.7914
11610Jackson County, Georgia110.81660.766299911500200.7914
11611Jasper County, Georgia110.81660.979312060500230.8980
11612Jeff Davis County, Georgia110.81660.766299911500200.7914
11620Jefferson County, Georgia110.81660.766299911500200.7914
11630Jenkins County, Georgia110.81660.766299911500200.7914
11640Johnson County, Georgia110.81660.766299911500200.7914
11650Jones County, Georgia46800.92770.944331420502730.9360
11651Lamar County, Georgia110.81660.979312060500230.8980
11652Lanier County, Georgia110.81660.886646660466600.8516
11660Laurens County, Georgia110.81660.766299911500200.7914
11670Lee County, Georgia01200.86280.862810500501630.8628
11680Liberty County, Georgia110.816625980259800.8973
11690Lincoln County, Georgia110.81660.766299911500200.7914
11691Long County, Georgia110.816625980259800.8973
11700Lowndes County, Georgia110.81660.886646660466600.8516
11701Lumpkin County, Georgia110.81660.766299911500200.7914
11702Mc Duffie County, Georgia06000.98080.974812260501760.9778
11703Mc Intosh County, Georgia110.81660.931115260152600.8739
11710Macon County, Georgia110.81660.766299911500200.7914
11720Madison County, Georgia05000.98550.985512020501740.9855
11730Marion County, Georgia110.81660.856017980500250.8363
11740Meriwether County, Georgia110.81660.979312060500230.8980
11741Miller County, Georgia110.81660.766299911500200.7914
11750Mitchell County, Georgia110.81660.766299911500200.7914
11760Monroe County, Georgia110.81660.944331420500260.8805
11770Montgomery County, Georgia110.81660.766299911500200.7914
11771Morgan County, Georgia110.81660.766299911500200.7914
11772Murray County, Georgia110.81660.907919140191400.8623
11780Muscogee County, Georgia18000.85600.856017980502030.8560
11790Newton County, Georgia05200.97930.979312060501750.9793
11800Oconee County, Georgia05000.98550.985512020501740.9855
11801Oglethorpe County, Georgia110.81660.985512020500220.9011
11810Paulding County, Georgia05200.97930.979312060501750.9793
11811Peach County, Georgia46800.92770.766299911502720.8470
11812Pickens County, Georgia05200.97930.979312060501750.9793
11820Pierce County, Georgia110.81660.766299911500200.7914
11821Pike County, Georgia110.81660.979312060500230.8980
11830Polk County, Georgia110.81660.766299911500200.7914
11831Pulaski County, Georgia110.81660.766299911500200.7914
11832Putnam County, Georgia110.81660.766299911500200.7914
11833Quitman County, Georgia110.81660.766299911500200.7914
11834Rabun County, Georgia110.81660.766299911500200.7914
11835Randolph County, Georgia110.81660.766299911500200.7914
11840Richmond County, Georgia06000.98080.974812260501760.9778
11841Rockdale County, Georgia05200.97930.979312060501750.9793
11842Schley County, Georgia110.81660.766299911500200.7914
11850Screven County, Georgia110.81660.766299911500200.7914
11851Seminole County, Georgia110.81660.766299911500200.7914
11860Spalding County, Georgia05200.97930.979312060501750.9793
11861Stephens County, Georgia110.81660.766299911500200.7914
11862Stewart County, Georgia110.81660.766299911500200.7914
11870Sumter County, Georgia110.81660.766299911500200.7914
Start Printed Page 68152
11880Talbot County, Georgia110.81660.766299911500200.7914
11881Taliaferro County, Georgia110.81660.766299911500200.7914
11882Tattnall County, Georgia110.81660.766299911500200.7914
11883Taylor County, Georgia110.81660.766299911500200.7914
11884Telfair County, Georgia110.81660.766299911500200.7914
11885Terrell County, Georgia110.81660.862810500500210.8397
11890Thomas County, Georgia110.81660.766299911500200.7914
11900Tift County, Georgia110.81660.766299911500200.7914
11901Toombs County, Georgia110.81660.766299911500200.7914
11902Towns County, Georgia110.81660.766299911500200.7914
11903Treutlen County, Georgia110.81660.766299911500200.7914
11910Troup County, Georgia110.81660.766299911500200.7914
11911Turner County, Georgia110.81660.766299911500200.7914
11912Twiggs County, Georgia46800.92770.944331420502730.9360
11913Union County, Georgia110.81660.766299911500200.7914
11920Upson County, Georgia110.81660.766299911500200.7914
11921Walker County, Georgia15600.90880.908816860501950.9088
11930Walton County, Georgia05200.97930.979312060501750.9793
11940Ware County, Georgia110.81660.766299911500200.7914
11941Warren County, Georgia110.81660.766299911500200.7914
11950Washington County, Georgia110.81660.766299911500200.7914
11960Wayne County, Georgia110.81660.766299911500200.7914
11961Webster County, Georgia110.81660.766299911500200.7914
11962Wheeler County, Georgia110.81660.766299911500200.7914
11963White County, Georgia110.81660.766299911500200.7914
11970Whitfield County, Georgia110.81660.907919140191400.8623
11971Wilcox County, Georgia110.81660.766299911500200.7914
11972Wilkes County, Georgia110.81660.766299911500200.7914
11973Wilkinson County, Georgia110.81660.766299911500200.7914
11980Worth County, Georgia110.81660.862810500500210.8397
12005Kalawao County, Hawaii121.05511.055199912999121.0551
12010Hawaii County, Hawaii121.05511.055199912999121.0551
12020Honolulu County, Hawaii33201.12141.121426180261801.1214
12040Kauai County, Hawaii121.05511.055199912999121.0551
12050Maui County, Hawaii121.05511.055199912999121.0551
13000Ada County, Idaho10800.90520.905214260501840.9052
13010Adams County, Idaho130.90970.803799913999130.8567
13020Bannock County, Idaho63400.93510.935138540503020.9351
13030Bear Lake County, Idaho130.90970.803799913999130.8567
13040Benewah County, Idaho130.90970.803799913999130.8567
13050Bingham County, Idaho130.90970.803799913999130.8567
13060Blaine County, Idaho130.90970.803799913999130.8567
13070Boise County, Idaho130.90970.905214260500270.9075
13080Bonner County, Idaho130.90970.803799913999130.8567
13090Bonneville County, Idaho130.90970.942026820268200.9259
13100Boundary County, Idaho130.90970.803799913999130.8567
13110Butte County, Idaho130.90970.803799913999130.8567
13120Camas County, Idaho130.90970.803799913999130.8567
13130Canyon County, Idaho10800.90520.905214260501840.9052
13140Caribou County, Idaho130.90970.803799913999130.8567
13150Cassia County, Idaho130.90970.803799913999130.8567
13160Clark County, Idaho130.90970.803799913999130.8567
13170Clearwater County, Idaho130.90970.803799913999130.8567
13180Custer County, Idaho130.90970.803799913999130.8567
13190Elmore County, Idaho130.90970.803799913999130.8567
13200Franklin County, Idaho130.90970.916430860500290.9131
13210Fremont County, Idaho130.90970.803799913999130.8567
13220Gem County, Idaho130.90970.905214260500270.9075
13230Gooding County, Idaho130.90970.803799913999130.8567
13240Idaho County, Idaho130.90970.803799913999130.8567
13250Jefferson County, Idaho130.90970.942026820268200.9259
13260Jerome County, Idaho130.90970.803799913999130.8567
13270Kootenai County, Idaho130.90970.964717660176600.9372
13280Latah County, Idaho130.90970.803799913999130.8567
13290Lemhi County, Idaho130.90970.803799913999130.8567
13300Lewis County, Idaho130.90970.803799913999130.8567
Start Printed Page 68153
13310Lincoln County, Idaho130.90970.803799913999130.8567
13320Madison County, Idaho130.90970.803799913999130.8567
13330Minidoka County, Idaho130.90970.803799913999130.8567
13340Nez Perce County, Idaho130.90970.988630300500280.9492
13350Oneida County, Idaho130.90970.803799913999130.8567
13360Owyhee County, Idaho130.90970.905214260500270.9075
13370Payette County, Idaho130.90970.803799913999130.8567
13380Power County, Idaho130.90970.935138540500300.9224
13390Shoshone County, Idaho130.90970.803799913999130.8567
13400Teton County, Idaho130.90970.803799913999130.8567
13410Twin Falls County, Idaho130.90970.803799913999130.8567
13420Valley County, Idaho130.90970.803799913999130.8567
13430Washington County, Idaho130.90970.803799913999130.8567
14000Adams County, Illinois140.83010.827199914500310.8286
14010Alexander County, Illinois140.83010.827199914500310.8286
14020Bond County, Illinois140.83010.895441180500350.8628
14030Boone County, Illinois68800.99840.998440420404200.9984
14040Brown County, Illinois140.83010.827199914500310.8286
14050Bureau County, Illinois140.83010.827199914500310.8286
14060Calhoun County, Illinois140.83010.895441180500350.8628
14070Carroll County, Illinois140.83010.827199914500310.8286
14080Cass County, Illinois140.83010.827199914500310.8286
14090Champaign County, Illinois14000.95940.959416580501900.9594
14100Christian County, Illinois140.83010.827199914500310.8286
14110Clark County, Illinois140.83010.827199914500310.8286
14120Clay County, Illinois140.83010.827199914500310.8286
14130Clinton County, Illinois70400.89620.895441180503180.8958
14140Coles County, Illinois140.83010.827199914500310.8286
14141Cook County, Illinois16001.07831.079016974169741.0787
14150Crawford County, Illinois140.83010.827199914500310.8286
14160Cumberland County, Illinois140.83010.827199914500310.8286
14170De Kalb County, Illinois16001.07831.079016974169741.0787
14180De Witt County, Illinois140.83010.827199914500310.8286
14190Douglas County, Illinois140.83010.827199914500310.8286
14250Du Page County, Illinois16001.07831.079016974169741.0787
14310Edgar County, Illinois140.83010.827199914500310.8286
14320Edwards County, Illinois140.83010.827199914500310.8286
14330Effingham County, Illinois140.83010.827199914500310.8286
14340Fayette County, Illinois140.83010.827199914500310.8286
14350Ford County, Illinois140.83010.959416580500320.8948
14360Franklin County, Illinois140.83010.827199914500310.8286
14370Fulton County, Illinois140.83010.827199914500310.8286
14380Gallatin County, Illinois140.83010.827199914500310.8286
14390Greene County, Illinois140.83010.827199914500310.8286
14400Grundy County, Illinois16001.07831.079016974169741.0787
14410Hamilton County, Illinois140.83010.827199914500310.8286
14420Hancock County, Illinois140.83010.827199914500310.8286
14421Hardin County, Illinois140.83010.827199914500310.8286
14440Henderson County, Illinois140.83010.827199914500310.8286
14450Henry County, Illinois19600.87240.872419340502080.8724
14460Iroquois County, Illinois140.83010.827199914500310.8286
14470Jackson County, Illinois140.83010.827199914500310.8286
14480Jasper County, Illinois140.83010.827199914500310.8286
14490Jefferson County, Illinois140.83010.827199914500310.8286
14500Jersey County, Illinois70400.89620.895441180503180.8958
14510Jo Daviess County, Illinois140.83010.827199914500310.8286
14520Johnson County, Illinois140.83010.827199914500310.8286
14530Kane County, Illinois16001.07831.079016974169741.0787
14540Kankakee County, Illinois37401.07211.072128100281001.0721
14550Kendall County, Illinois16001.07831.079016974169741.0787
14560Knox County, Illinois140.83010.827199914500310.8286
14570Lake County, Illinois16001.07831.042929404501961.0606
14580La Salle County, Illinois140.83010.827199914500310.8286
14590Lawrence County, Illinois140.83010.827199914500310.8286
14600Lee County, Illinois140.83010.827199914500310.8286
14610Livingston County, Illinois140.83010.827199914500310.8286
Start Printed Page 68154
14620Logan County, Illinois140.83010.827199914500310.8286
14630McDonough County, Illinois140.83010.827199914500310.8286
14640Mc Henry County, Illinois16001.07831.079016974169741.0787
14650Mclean County, Illinois10400.90750.907514060140600.9075
14660Macon County, Illinois20400.80670.806719500195000.8067
14670Macoupin County, Illinois140.83010.895441180500350.8628
14680Madison County, Illinois70400.89620.895441180503180.8958
14690Marion County, Illinois140.83010.827199914500310.8286
14700Marshall County, Illinois140.83010.887037900500340.8586
14710Mason County, Illinois140.83010.827199914500310.8286
14720Massac County, Illinois140.83010.827199914500310.8286
14730Menard County, Illinois78800.87920.879244100441000.8792
14740Mercer County, Illinois140.83010.872419340500330.8513
14750Monroe County, Illinois70400.89620.895441180503180.8958
14760Montgomery County, Illinois140.83010.827199914500310.8286
14770Morgan County, Illinois140.83010.827199914500310.8286
14780Moultrie County, Illinois140.83010.827199914500310.8286
14790Ogle County, Illinois68800.99840.827199914503140.9128
14800Peoria County, Illinois61200.88700.887037900502980.8870
14810Perry County, Illinois140.83010.827199914500310.8286
14820Piatt County, Illinois140.83010.959416580500320.8948
14830Pike County, Illinois140.83010.827199914500310.8286
14831Pope County, Illinois140.83010.827199914500310.8286
14850Pulaski County, Illinois140.83010.827199914500310.8286
14860Putnam County, Illinois140.83010.827199914500310.8286
14870Randolph County, Illinois140.83010.827199914500310.8286
14880Richland County, Illinois140.83010.827199914500310.8286
14890Rock Island County, Illinois19600.87240.872419340502080.8724
14900St Clair County, Illinois70400.89620.895441180503180.8958
14910Saline County, Illinois140.83010.827199914500310.8286
14920Sangamon County, Illinois78800.87920.879244100441000.8792
14921Schuyler County, Illinois140.83010.827199914500310.8286
14940Scott County, Illinois140.83010.827199914500310.8286
14950Shelby County, Illinois140.83010.827199914500310.8286
14960Stark County, Illinois140.83010.887037900500340.8586
14970Stephenson County, Illinois140.83010.827199914500310.8286
14980Tazewell County, Illinois61200.88700.887037900502980.8870
14981Union County, Illinois140.83010.827199914500310.8286
14982Vermilion County, Illinois140.83010.902819180191800.8665
14983Wabash County, Illinois140.83010.827199914500310.8286
14984Warren County, Illinois140.83010.827199914500310.8286
14985Washington County, Illinois140.83010.827199914500310.8286
14986Wayne County, Illinois140.83010.827199914500310.8286
14987White County, Illinois140.83010.827199914500310.8286
14988Whiteside County, Illinois140.83010.827199914500310.8286
14989Will County, Illinois16001.07831.079016974169741.0787
14990Williamson County, Illinois140.83010.827199914500310.8286
14991Winnebago County, Illinois68800.99840.998440420404200.9984
14992Woodford County, Illinois61200.88700.887037900502980.8870
15000Adams County, Indiana27600.97060.862499915502250.9165
15010Allen County, Indiana27600.97060.979323060230600.9750
15020Bartholomew County, Indiana150.87390.958818020180200.9164
15030Benton County, Indiana150.87390.873629140500420.8738
15040Blackford County, Indiana150.87390.862499915500360.8682
15050Boone County, Indiana34800.98650.992026900502440.9893
15060Brown County, Indiana150.87390.992026900500410.9330
15070Carroll County, Indiana150.87390.873629140500420.8738
15080Cass County, Indiana150.87390.862499915500360.8682
15090Clark County, Indiana45200.92930.925131140502690.9272
15100Clay County, Indiana83200.83370.830445460503380.8321
15110Clinton County, Indiana39200.87360.862499915502570.8680
15120Crawford County, Indiana150.87390.862499915500360.8682
15130Daviess County, Indiana150.87390.862499915500360.8682
15140Dearborn County, Indiana16400.97340.961517140501970.9675
15150Decatur County, Indiana150.87390.862499915500360.8682
15160De Kalb County, Indiana27600.97060.862499915502250.9165
Start Printed Page 68155
15170Delaware County, Indiana52800.89300.893034620346200.8930
15180Dubois County, Indiana150.87390.862499915500360.8682
15190Elkhart County, Indiana23300.96270.962721140211400.9627
15200Fayette County, Indiana150.87390.862499915500360.8682
15210Floyd County, Indiana45200.92930.925131140502690.9272
15220Fountain County, Indiana150.87390.862499915500360.8682
15230Franklin County, Indiana150.87390.961517140500380.9177
15240Fulton County, Indiana150.87390.862499915500360.8682
15250Gibson County, Indiana150.87390.871321780500390.8726
15260Grant County, Indiana150.87390.862499915500360.8682
15270Greene County, Indiana150.87390.844714020500370.8593
15280Hamilton County, Indiana34800.98650.992026900502440.9893
15290Hancock County, Indiana34800.98650.992026900502440.9893
15300Harrison County, Indiana45200.92930.925131140502690.9272
15310Hendricks County, Indiana34800.98650.992026900502440.9893
15320Henry County, Indiana150.87390.862499915500360.8682
15330Howard County, Indiana38500.95080.950829020290200.9508
15340Huntington County, Indiana27600.97060.862499915502250.9165
15350Jackson County, Indiana150.87390.862499915500360.8682
15360Jasper County, Indiana150.87390.939523844500400.9067
15370Jay County, Indiana150.87390.862499915500360.8682
15380Jefferson County, Indiana150.87390.862499915500360.8682
15390Jennings County, Indiana150.87390.862499915500360.8682
15400Johnson County, Indiana34800.98650.992026900502440.9893
15410Knox County, Indiana150.87390.862499915500360.8682
15420Kosciusko County, Indiana150.87390.862499915500360.8682
15430Lagrange County, Indiana150.87390.862499915500360.8682
15440Lake County, Indiana29600.93950.939523844502300.9395
15450La Porte County, Indiana150.87390.939933140331400.9069
15460Lawrence County, Indiana150.87390.862499915500360.8682
15470Madison County, Indiana34800.98650.858611300113000.9226
15480Marion County, Indiana34800.98650.992026900502440.9893
15490Marshall County, Indiana150.87390.862499915500360.8682
15500Martin County, Indiana150.87390.862499915500360.8682
15510Miami County, Indiana150.87390.862499915500360.8682
15520Monroe County, Indiana10200.84470.844714020501830.8447
15530Montgomery County, Indiana150.87390.862499915500360.8682
15540Morgan County, Indiana34800.98650.992026900502440.9893
15550Newton County, Indiana150.87390.939523844500400.9067
15560Noble County, Indiana150.87390.862499915500360.8682
15570Ohio County, Indiana16400.97340.961517140501970.9675
15580Orange County, Indiana150.87390.862499915500360.8682
15590Owen County, Indiana150.87390.844714020500370.8593
15600Parke County, Indiana150.87390.862499915500360.8682
15610Perry County, Indiana150.87390.862499915500360.8682
15620Pike County, Indiana150.87390.862499915500360.8682
15630Porter County, Indiana29600.93950.939523844502300.9395
15640Posey County, Indiana24400.87130.871321780502190.8713
15650Pulaski County, Indiana150.87390.862499915500360.8682
15660Putnam County, Indiana150.87390.992026900500410.9330
15670Randolph County, Indiana150.87390.862499915500360.8682
15680Ripley County, Indiana150.87390.862499915500360.8682
15690Rush County, Indiana150.87390.862499915500360.8682
15700St Joseph County, Indiana78000.97880.978843780503330.9788
15710Scott County, Indiana45200.92930.862499915502680.8959
15720Shelby County, Indiana34800.98650.992026900502440.9893
15730Spencer County, Indiana150.87390.862499915500360.8682
15740Starke County, Indiana150.87390.862499915500360.8682
15750Steuben County, Indiana150.87390.862499915500360.8682
15760Sullivan County, Indiana150.87390.830445460500440.8522
15770Switzerland County, Indiana150.87390.862499915500360.8682
15780Tippecanoe County, Indiana39200.87360.873629140502580.8736
15790Tipton County, Indiana38500.95080.950829020290200.9508
15800Union County, Indiana150.87390.862499915500360.8682
15810Vanderburgh County, Indiana24400.87130.871321780502190.8713
15820Vermillion County, Indiana83200.83370.830445460503380.8321
Start Printed Page 68156
15830Vigo County, Indiana83200.83370.830445460503380.8321
15840Wabash County, Indiana150.87390.862499915500360.8682
15850Warren County, Indiana150.87390.862499915500360.8682
15860Warrick County, Indiana24400.87130.871321780502190.8713
15870Washington County, Indiana150.87390.925131140500430.8995
15880Wayne County, Indiana150.87390.862499915500360.8682
15890Wells County, Indiana27600.97060.979323060230600.9750
15900White County, Indiana150.87390.862499915500360.8682
15910Whitley County, Indiana27600.97060.979323060230600.9750
16000Adair County, Iowa160.85940.850999916999160.8552
16010Adams County, Iowa160.85940.850999916999160.8552
16020Allamakee County, Iowa160.85940.850999916999160.8552
16030Appanoose County, Iowa160.85940.850999916999160.8552
16040Audubon County, Iowa160.85940.850999916999160.8552
16050Benton County, Iowa160.85940.882516300500450.8710
16060Black Hawk County, Iowa89200.85570.855747940503460.8557
16070Boone County, Iowa160.85940.850999916999160.8552
16080Bremer County, Iowa160.85940.855747940500490.8576
16090Buchanan County, Iowa160.85940.850999916999160.8552
16100Buena Vista County, Iowa160.85940.850999916999160.8552
16110Butler County, Iowa160.85940.850999916999160.8552
16120Calhoun County, Iowa160.85940.850999916999160.8552
16130Carroll County, Iowa160.85940.850999916999160.8552
16140Cass County, Iowa160.85940.850999916999160.8552
16150Cedar County, Iowa160.85940.850999916999160.8552
16160Cerro Gordo County, Iowa160.85940.850999916999160.8552
16170Cherokee County, Iowa160.85940.850999916999160.8552
16180Chickasaw County, Iowa160.85940.850999916999160.8552
16190Clarke County, Iowa160.85940.850999916999160.8552
16200Clay County, Iowa160.85940.850999916999160.8552
16210Clayton County, Iowa160.85940.850999916999160.8552
16220Clinton County, Iowa160.85940.850999916999160.8552
16230Crawford County, Iowa160.85940.850999916999160.8552
16240Dallas County, Iowa21200.96690.966919780502120.9669
16250Davis County, Iowa160.85940.850999916999160.8552
16260Decatur County, Iowa160.85940.850999916999160.8552
16270Delaware County, Iowa160.85940.850999916999160.8552
16280Des Moines County, Iowa160.85940.850999916999160.8552
16290Dickinson County, Iowa160.85940.850999916999160.8552
16300Dubuque County, Iowa22000.90240.902420220202200.9024
16310Emmet County, Iowa160.85940.850999916999160.8552
16320Fayette County, Iowa160.85940.850999916999160.8552
16330Floyd County, Iowa160.85940.850999916999160.8552
16340Franklin County, Iowa160.85940.850999916999160.8552
16350Fremont County, Iowa160.85940.850999916999160.8552
16360Greene County, Iowa160.85940.850999916999160.8552
16370Grundy County, Iowa160.85940.855747940500490.8576
16380Guthrie County, Iowa160.85940.966919780500460.9132
16390Hamilton County, Iowa160.85940.850999916999160.8552
16400Hancock County, Iowa160.85940.850999916999160.8552
16410Hardin County, Iowa160.85940.850999916999160.8552
16420Harrison County, Iowa160.85940.956036540500480.9077
16430Henry County, Iowa160.85940.850999916999160.8552
16440Howard County, Iowa160.85940.850999916999160.8552
16450Humboldt County, Iowa160.85940.850999916999160.8552
16460Ida County, Iowa160.85940.850999916999160.8552
16470Iowa County, Iowa160.85940.850999916999160.8552
16480Jackson County, Iowa160.85940.850999916999160.8552
16490Jasper County, Iowa160.85940.850999916999160.8552
16500Jefferson County, Iowa160.85940.850999916999160.8552
16510Johnson County, Iowa35000.97470.974726980502450.9747
16520Jones County, Iowa160.85940.882516300500450.8710
16530Keokuk County, Iowa160.85940.850999916999160.8552
16540Kossuth County, Iowa160.85940.850999916999160.8552
16550Lee County, Iowa160.85940.850999916999160.8552
16560Linn County, Iowa13600.88250.882516300501890.8825
Start Printed Page 68157
16570Louisa County, Iowa160.85940.850999916999160.8552
16580Lucas County, Iowa160.85940.850999916999160.8552
16590Lyon County, Iowa160.85940.850999916999160.8552
16600Madison County, Iowa160.85940.966919780500460.9132
16610Mahaska County, Iowa160.85940.850999916999160.8552
16620Marion County, Iowa160.85940.850999916999160.8552
16630Marshall County, Iowa160.85940.850999916999160.8552
16640Mills County, Iowa160.85940.956036540500480.9077
16650Mitchell County, Iowa160.85940.850999916999160.8552
16660Monona County, Iowa160.85940.850999916999160.8552
16670Monroe County, Iowa160.85940.850999916999160.8552
16680Montgomery County, Iowa160.85940.850999916999160.8552
16690Muscatine County, Iowa160.85940.850999916999160.8552
16700OBrien County, Iowa160.85940.850999916999160.8552
16710Osceola County, Iowa160.85940.850999916999160.8552
16720Page County, Iowa160.85940.850999916999160.8552
16730Palo Alto County, Iowa160.85940.850999916999160.8552
16740Plymouth County, Iowa160.85940.850999916999160.8552
16750Pocahontas County, Iowa160.85940.850999916999160.8552
16760Polk County, Iowa21200.96690.966919780502120.9669
16770Pottawattamie County, Iowa59200.95600.956036540502950.9560
16780Poweshiek County, Iowa160.85940.850999916999160.8552
16790Ringgold County, Iowa160.85940.850999916999160.8552
16800Sac County, Iowa160.85940.850999916999160.8552
16810Scott County, Iowa19600.87240.872419340502080.8724
16820Shelby County, Iowa160.85940.850999916999160.8552
16830Sioux County, Iowa160.85940.850999916999160.8552
16840Story County, Iowa160.85940.953611180111800.9065
16850Tama County, Iowa160.85940.850999916999160.8552
16860Taylor County, Iowa160.85940.850999916999160.8552
16870Union County, Iowa160.85940.850999916999160.8552
16880Van Buren County, Iowa160.85940.850999916999160.8552
16890Wapello County, Iowa160.85940.850999916999160.8552
16900Warren County, Iowa21200.96690.966919780502120.9669
16910Washington County, Iowa160.85940.974726980500470.9171
16920Wayne County, Iowa160.85940.850999916999160.8552
16930Webster County, Iowa160.85940.850999916999160.8552
16940Winnebago County, Iowa160.85940.850999916999160.8552
16950Winneshiek County, Iowa160.85940.850999916999160.8552
16960Woodbury County, Iowa77200.94160.938143580503310.9399
16970Worth County, Iowa160.85940.850999916999160.8552
16980Wright County, Iowa160.85940.850999916999160.8552
17000Allen County, Kansas170.80400.803599917999170.8038
17010Anderson County, Kansas170.80400.803599917999170.8038
17020Atchison County, Kansas170.80400.803599917999170.8038
17030Barber County, Kansas170.80400.803599917999170.8038
17040Barton County, Kansas170.80400.803599917999170.8038
17050Bourbon County, Kansas170.80400.803599917999170.8038
17060Brown County, Kansas170.80400.803599917999170.8038
17070Butler County, Kansas90400.91750.915348620503470.9164
17080Chase County, Kansas170.80400.803599917999170.8038
17090Chautauqua County, Kansas170.80400.803599917999170.8038
17100Cherokee County, Kansas170.80400.803599917999170.8038
17110Cheyenne County, Kansas170.80400.803599917999170.8038
17120Clark County, Kansas170.80400.803599917999170.8038
17130Clay County, Kansas170.80400.803599917999170.8038
17140Cloud County, Kansas170.80400.803599917999170.8038
17150Coffey County, Kansas170.80400.803599917999170.8038
17160Comanche County, Kansas170.80400.803599917999170.8038
17170Cowley County, Kansas170.80400.803599917999170.8038
17180Crawford County, Kansas170.80400.803599917999170.8038
17190Decatur County, Kansas170.80400.803599917999170.8038
17200Dickinson County, Kansas170.80400.803599917999170.8038
17210Doniphan County, Kansas170.80400.951941140500510.8780
17220Douglas County, Kansas41500.85370.853729940299400.8537
17230Edwards County, Kansas170.80400.803599917999170.8038
Start Printed Page 68158
17240Elk County, Kansas170.80400.803599917999170.8038
17250Ellis County, Kansas170.80400.803599917999170.8038
17260Ellsworth County, Kansas170.80400.803599917999170.8038
17270Finney County, Kansas170.80400.803599917999170.8038
17280Ford County, Kansas170.80400.803599917999170.8038
17290Franklin County, Kansas170.80400.947628140500500.8758
17300Geary County, Kansas170.80400.803599917999170.8038
17310Gove County, Kansas170.80400.803599917999170.8038
17320Graham County, Kansas170.80400.803599917999170.8038
17330Grant County, Kansas170.80400.803599917999170.8038
17340Gray County, Kansas170.80400.803599917999170.8038
17350Greeley County, Kansas170.80400.803599917999170.8038
17360Greenwood County, Kansas170.80400.803599917999170.8038
17370Hamilton County, Kansas170.80400.803599917999170.8038
17380Harper County, Kansas170.80400.803599917999170.8038
17390Harvey County, Kansas90400.91750.915348620503470.9164
17391Haskell County, Kansas170.80400.803599917999170.8038
17410Hodgeman County, Kansas170.80400.803599917999170.8038
17420Jackson County, Kansas170.80400.892045820500520.8480
17430Jefferson County, Kansas170.80400.892045820500520.8480
17440Jewell County, Kansas170.80400.803599917999170.8038
17450Johnson County, Kansas37600.94900.947628140502520.9483
17451Kearny County, Kansas170.80400.803599917999170.8038
17470Kingman County, Kansas170.80400.803599917999170.8038
17480Kiowa County, Kansas170.80400.803599917999170.8038
17490Labette County, Kansas170.80400.803599917999170.8038
17500Lane County, Kansas170.80400.803599917999170.8038
17510Leavenworth County, Kansas37600.94900.947628140502520.9483
17520Lincoln County, Kansas170.80400.803599917999170.8038
17530Linn County, Kansas170.80400.947628140500500.8758
17540Logan County, Kansas170.80400.803599917999170.8038
17550Lyon County, Kansas170.80400.803599917999170.8038
17560Mc Pherson County, Kansas170.80400.803599917999170.8038
17570Marion County, Kansas170.80400.803599917999170.8038
17580Marshall County, Kansas170.80400.803599917999170.8038
17590Meade County, Kansas170.80400.803599917999170.8038
17600Miami County, Kansas37600.94900.947628140502520.9483
17610Mitchell County, Kansas170.80400.803599917999170.8038
17620Montgomery County, Kansas170.80400.803599917999170.8038
17630Morris County, Kansas170.80400.803599917999170.8038
17640Morton County, Kansas170.80400.803599917999170.8038
17650Nemaha County, Kansas170.80400.803599917999170.8038
17660Neosho County, Kansas170.80400.803599917999170.8038
17670Ness County, Kansas170.80400.803599917999170.8038
17680Norton County, Kansas170.80400.803599917999170.8038
17690Osage County, Kansas170.80400.892045820500520.8480
17700Osborne County, Kansas170.80400.803599917999170.8038
17710Ottawa County, Kansas170.80400.803599917999170.8038
17720Pawnee County, Kansas170.80400.803599917999170.8038
17730Phillips County, Kansas170.80400.803599917999170.8038
17740Pottawatomie County, Kansas170.80400.803599917999170.8038
17750Pratt County, Kansas170.80400.803599917999170.8038
17760Rawlins County, Kansas170.80400.803599917999170.8038
17770Reno County, Kansas170.80400.803599917999170.8038
17780Republic County, Kansas170.80400.803599917999170.8038
17790Rice County, Kansas170.80400.803599917999170.8038
17800Riley County, Kansas170.80400.803599917999170.8038
17810Rooks County, Kansas170.80400.803599917999170.8038
17820Rush County, Kansas170.80400.803599917999170.8038
17830Russell County, Kansas170.80400.803599917999170.8038
17840Saline County, Kansas170.80400.803599917999170.8038
17841Scott County, Kansas170.80400.803599917999170.8038
17860Sedgwick County, Kansas90400.91750.915348620503470.9164
17870Seward County, Kansas70.80400.803599917999170.8038
17880Shawnee County, Kansas84400.89200.892045820503400.8920
17890Sheridan County, Kansas170.80400.803599917999170.8038
Start Printed Page 68159
17900Sherman County, Kansas170.80400.803599917999170.8038
17910Smith County, Kansas170.80400.803599917999170.8038
17920Stafford County, Kansas170.80400.803599917999170.8038
17921Stanton County, Kansas170.80400.803599917999170.8038
17940Stevens County, Kansas170.80400.803599917999170.8038
17950Sumner County, Kansas170.80400.915348620500530.8597
17960Thomas County, Kansas170.80400.803599917999170.8038
17970Trego County, Kansas170.80400.803599917999170.8038
17980Wabaunsee County, Kansas170.80400.892045820500520.8480
17981Wallace County, Kansas170.80400.803599917999170.8038
17982Washington County, Kansas170.80400.803599917999170.8038
17983Wichita County, Kansas170.80400.803599917999170.8038
17984Wilson County, Kansas170.80400.803599917999170.8038
17985Woodson County, Kansas170.80400.803599917999170.8038
17986Wyandotte County, Kansas37600.94900.947628140502520.9483
18000Adair County, Kentucky180.78580.776699918500540.7812
18010Allen County, Kentucky180.78580.776699918500540.7812
18020Anderson County, Kentucky180.78580.776699918500540.7812
18030Ballard County, Kentucky180.78580.776699918500540.7812
18040Barren County, Kentucky180.78580.776699918500540.7812
18050Bath County, Kentucky180.78580.776699918500540.7812
18060Bell County, Kentucky180.78580.776699918500540.7812
18070Boone County, Kentucky16400.97340.961517140501970.9675
18080Bourbon County, Kentucky42800.89880.907530460304600.9032
18090Boyd County, Kentucky34000.94770.947726580265800.9477
18100Boyle County, Kentucky180.78580.776699918500540.7812
18110Bracken County, Kentucky180.78580.961517140500550.8737
18120Breathitt County, Kentucky180.78580.776699918500540.7812
18130Breckinridge County, Kentucky180.78580.776699918500540.7812
18140Bullitt County, Kentucky45200.92930.925131140502690.9272
18150Butler County, Kentucky180.78580.776699918500540.7812
18160Caldwell County, Kentucky180.78580.776699918500540.7812
18170Calloway County, Kentucky180.78580.776699918500540.7812
18180Campbell County, Kentucky16400.97340.961517140501970.9675
18190Carlisle County, Kentucky180.78580.776699918500540.7812
18191Carroll County, Kentucky180.78580.776699918500540.7812
18210Carter County, Kentucky34000.94770.776699918502430.8622
18220Casey County, Kentucky180.78580.776699918500540.7812
18230Christian County, Kentucky16600.82840.828417300501980.8284
18240Clark County, Kentucky42800.89880.907530460304600.9032
18250Clay County, Kentucky180.78580.776699918500540.7812
18260Clinton County, Kentucky180.78580.776699918500540.7812
18270Crittenden County, Kentucky180.78580.776699918500540.7812
18271Cumberland County, Kentucky180.78580.776699918500540.7812
18290Daviess County, Kentucky59900.87800.878036980502960.8780
18291Edmonson County, Kentucky180.78580.821114540145400.8035
18310Elliott County, Kentucky180.78580.776699918500540.7812
18320Estill County, Kentucky180.78580.776699918500540.7812
18330Fayette County, Kentucky42800.89880.907530460304600.9032
18340Fleming County, Kentucky180.78580.776699918500540.7812
18350Floyd County, Kentucky180.78580.776699918500540.7812
18360Franklin County, Kentucky180.78580.776699918500540.7812
18361Fulton County, Kentucky180.78580.776699918500540.7812
18362Gallatin County, Kentucky16400.97340.961517140501970.9675
18390Garrard County, Kentucky180.78580.776699918500540.7812
18400Grant County, Kentucky16400.97340.961517140501970.9675
18410Graves County, Kentucky180.78580.776699918500540.7812
18420Grayson County, Kentucky180.78580.776699918500540.7812
18421Green County, Kentucky180.78580.776699918500540.7812
18440Greenup County, Kentucky34000.94770.947726580265800.9477
18450Hancock County, Kentucky180.78580.878036980500590.8319
18460Hardin County, Kentucky180.78580.880221060210600.8330
18470Harlan County, Kentucky180.78580.776699918500540.7812
18480Harrison County, Kentucky180.78580.776699918500540.7812
18490Hart County, Kentucky180.78580.776699918500540.7812
18500Henderson County, Kentucky24400.87130.871321780502190.8713
Start Printed Page 68160
18510Henry County, Kentucky180.78580.925131140500580.8555
18511Hickman County, Kentucky180.78580.776699918500540.7812
18530Hopkins County, Kentucky180.78580.776699918500540.7812
18540Jackson County, Kentucky180.78580.776699918500540.7812
18550Jefferson County, Kentucky45200.92930.925131140502690.9272
18560Jessamine County, Kentucky42800.89880.907530460304600.9032
18570Johnson County, Kentucky180.78580.776699918500540.7812
18580Kenton County, Kentucky16400.97340.961517140501970.9675
18590Knott County, Kentucky180.78580.776699918500540.7812
18600Knox County, Kentucky180.78580.776699918500540.7812
18610Larue County, Kentucky180.78580.880221060210600.8330
18620Laurel County, Kentucky180.78580.776699918500540.7812
18630Lawrence County, Kentucky180.78580.776699918500540.7812
18640Lee County, Kentucky180.78580.776699918500540.7812
18650Leslie County, Kentucky180.78580.776699918500540.7812
18660Letcher County, Kentucky180.78580.776699918500540.7812
18670Lewis County, Kentucky180.78580.776699918500540.7812
18680Lincoln County, Kentucky180.78580.776699918500540.7812
18690Livingston County, Kentucky180.78580.776699918500540.7812
18700Logan County, Kentucky180.78580.776699918500540.7812
18710Lyon County, Kentucky180.78580.776699918500540.7812
18720Mc Cracken County, Kentucky180.78580.776699918500540.7812
18730Mc Creary County, Kentucky180.78580.776699918500540.7812
18740Mc Lean County, Kentucky180.78580.878036980500590.8319
18750Madison County, Kentucky42800.89880.776699918502620.8377
18760Magoffin County, Kentucky180.78580.776699918500540.7812
18770Marion County, Kentucky180.78580.776699918500540.7812
18780Marshall County, Kentucky180.78580.776699918500540.7812
18790Martin County, Kentucky180.78580.776699918500540.7812
18800Mason County, Kentucky180.78580.776699918500540.7812
18801Meade County, Kentucky180.78580.925131140500580.8555
18802Menifee County, Kentucky180.78580.776699918500540.7812
18830Mercer County, Kentucky180.78580.776699918500540.7812
18831Metcalfe County, Kentucky180.78580.776699918500540.7812
18850Monroe County, Kentucky180.78580.776699918500540.7812
18860Montgomery County, Kentucky180.78580.776699918500540.7812
18861Morgan County, Kentucky180.78580.776699918500540.7812
18880Muhlenberg County, Kentucky180.78580.776699918500540.7812
18890Nelson County, Kentucky180.78580.925131140500580.8555
18900Nicholas County, Kentucky180.78580.776699918500540.7812
18910Ohio County, Kentucky180.78580.776699918500540.7812
18920Oldham County, Kentucky45200.92930.925131140502690.9272
18930Owen County, Kentucky180.78580.776699918500540.7812
18931Owsley County, Kentucky180.78580.776699918500540.7812
18932Pendleton County, Kentucky16400.97340.961517140501970.9675
18960Perry County, Kentucky180.78580.776699918500540.7812
18970Pike County, Kentucky180.78580.776699918500540.7812
18971Powell County, Kentucky180.78580.776699918500540.7812
18972Pulaski County, Kentucky180.78580.776699918500540.7812
18973Robertson County, Kentucky180.78580.776699918500540.7812
18974Rockcastle County, Kentucky180.78580.776699918500540.7812
18975Rowan County, Kentucky180.78580.776699918500540.7812
18976Russell County, Kentucky180.78580.776699918500540.7812
18977Scott County, Kentucky42800.89880.907530460304600.9032
18978Shelby County, Kentucky180.78580.925131140500580.8555
18979Simpson County, Kentucky180.78580.776699918500540.7812
18980Spencer County, Kentucky180.78580.925131140500580.8555
18981Taylor County, Kentucky180.78580.776699918500540.7812
18982Todd County, Kentucky180.78580.776699918500540.7812
18983Trigg County, Kentucky180.78580.828417300500560.8071
18984Trimble County, Kentucky180.78580.925131140500580.8555
18985Union County, Kentucky180.78580.776699918500540.7812
18986Warren County, Kentucky180.78580.821114540145400.8035
18987Washington County, Kentucky180.78580.776699918500540.7812
18988Wayne County, Kentucky180.78580.776699918500540.7812
18989Webster County, Kentucky180.78580.871321780500570.8286
Start Printed Page 68161
18990Whitley County, Kentucky180.78580.776699918500540.7812
18991Wolfe County, Kentucky180.78580.776699918500540.7812
18992Woodford County, Kentucky42800.89880.907530460304600.9032
19000Acadia County, Louisiana38800.82510.741199919502560.7831
19010Allen County, Louisiana190.73400.741199919500600.7376
19020Ascension County, Louisiana07600.86430.859312940501770.8618
19030Assumption County, Louisiana190.73400.741199919500600.7376
19040Avoyelles County, Louisiana190.73400.741199919500600.7376
19050Beauregard County, Louisiana190.73400.741199919500600.7376
19060Bienville County, Louisiana190.73400.741199919500600.7376
19070Bossier County, Louisiana76800.87370.876043340503300.8749
19080Caddo County, Louisiana76800.87370.876043340503300.8749
19090Calcasieu County, Louisiana39600.78580.783329340502590.7846
19100Caldwell County, Louisiana190.73400.741199919500600.7376
19110Cameron County, Louisiana190.73400.783329340500630.7587
19120Catahoula County, Louisiana190.73400.741199919500600.7376
19130Claiborne County, Louisiana190.73400.741199919500600.7376
19140Concordia County, Louisiana190.73400.741199919500600.7376
19150De Soto County, Louisiana190.73400.876043340500650.8050
19160East Baton Rouge County, Louisiana07600.86430.859312940501770.8618
19170East Carroll County, Louisiana190.73400.741199919500600.7376
19180East Feliciana County, Louisiana190.73400.859312940500620.7967
19190Evangeline County, Louisiana190.73400.741199919500600.7376
19200Franklin County, Louisiana190.73400.741199919500600.7376
19210Grant County, Louisiana190.73400.803310780500610.7687
19220Iberia County, Louisiana190.73400.741199919500600.7376
19230Iberville County, Louisiana190.73400.859312940500620.7967
19240Jackson County, Louisiana190.73400.741199919500600.7376
19250Jefferson County, Louisiana55600.89950.899535380353800.8995
19260Jefferson Davis County, Louisiana190.73400.741199919500600.7376
19270Lafayette County, Louisiana38800.82510.842829180291800.8340
19280Lafourche County, Louisiana33500.78940.789426380263800.7894
19290La Salle County, Louisiana190.73400.741199919500600.7376
19300Lincoln County, Louisiana190.73400.741199919500600.7376
19310Livingston County, Louisiana07600.86430.859312940501770.8618
19320Madison County, Louisiana190.73400.741199919500600.7376
19330Morehouse County, Louisiana190.73400.741199919500600.7376
19340Natchitoches County, Louisiana190.73400.741199919500600.7376
19350Orleans County, Louisiana55600.89950.899535380353800.8995
19360Ouachita County, Louisiana52000.80440.803133740502830.8038
19370Plaquemines County, Louisiana55600.89950.899535380353800.8995
19380Pointe Coupee County, Louisiana190.73400.859312940500620.7967
19390Rapides County, Louisiana02200.80330.803310780501660.8033
19400Red River County, Louisiana190.73400.741199919500600.7376
19410Richland County, Louisiana190.73400.741199919500600.7376
19420Sabine County, Louisiana190.73400.741199919500600.7376
19430St Bernard County, Louisiana55600.89950.899535380353800.8995
19440St Charles County, Louisiana55600.89950.899535380353800.8995
19450St Helena County, Louisiana190.73400.859312940500620.7967
19460St James County, Louisiana55600.89950.741199919502860.8203
19470St John Baptist County, Louisiana55600.89950.899535380353800.8995
19480St Landry County, Louisiana38800.82510.741199919502560.7831
19490St Martin County, Louisiana38800.82510.842829180291800.8340
19500St Mary County, Louisiana190.73400.741199919500600.7376
19510St Tammany County, Louisiana55600.89950.899535380353800.8995
19520Tangipahoa County, Louisiana190.73400.741199919500600.7376
19530Tensas County, Louisiana190.73400.741199919500600.7376
19540Terrebonne County, Louisiana33500.78940.789426380263800.7894
19550Union County, Louisiana190.73400.803133740500640.7686
19560Vermilion County, Louisiana190.73400.741199919500600.7376
19570Vernon County, Louisiana190.73400.741199919500600.7376
19580Washington County, Louisiana190.73400.741199919500600.7376
19590Webster County, Louisiana76800.87370.741199919503290.8074
19600West Baton Rouge County, Louisiana07600.86430.859312940501770.8618
19610West Carroll County, Louisiana190.73400.741199919500600.7376
19620West Feliciana County, Louisiana190.73400.859312940500620.7967
Start Printed Page 68162
19630Winn County, Louisiana190.73400.741199919500600.7376
20000Androscoggin County, Maine42430.93310.933130340303400.9331
20010Aroostook County, Maine200.88430.884399920999200.8843
20020Cumberland County, Maine64031.03821.038238860388601.0382
20030Franklin County, Maine200.88430.884399920999200.8843
20040Hancock County, Maine200.88430.884399920999200.8843
20050Kennebec County, Maine200.88430.884399920999200.8843
20060Knox County, Maine200.88430.884399920999200.8843
20070Lincoln County, Maine200.88430.884399920999200.8843
20080Oxford County, Maine200.88430.884399920999200.8843
20090Penobscot County, Maine07330.99930.999312620126200.9993
20100Piscataquis County, Maine200.88430.884399920999200.8843
20110Sagadahoc County, Maine64031.03821.038238860388601.0382
20120Somerset County, Maine200.88430.884399920999200.8843
20130Waldo County, Maine200.88430.884399920999200.8843
20140Washington County, Maine200.88430.884399920999200.8843
20150York County, Maine64031.03821.038238860388601.0382
21000Allegany County, Maryland19000.93170.931719060190600.9317
21010Anne Arundel County, Maryland07200.98970.989712580125800.9897
21020Baltimore County, Maryland07200.98970.989712580125800.9897
21030Baltimore City County, Maryland07200.98970.989712580125800.9897
21040Calvert County, Maryland88401.09761.092647894478941.0951
21050Caroline County, Maryland210.92300.935399921999210.9292
21060Carroll County, Maryland07200.98970.989712580125800.9897
21070Cecil County, Maryland91601.05271.047148864503491.0499
21080Charles County, Maryland88401.09761.092647894478941.0951
21090Dorchester County, Maryland210.92300.935399921999210.9292
21100Frederick County, Maryland88401.09761.148313644136441.1230
21110Garrett County, Maryland210.92300.935399921999210.9292
21120Harford County, Maryland07200.98970.989712580125800.9897
21130Howard County, Maryland07200.98970.989712580125800.9897
21140Kent County, Maryland210.92300.935399921999210.9292
21150Montgomery County, Maryland88401.09761.148313644136441.1230
21160Prince Georges County, Maryland88401.09761.092647894478941.0951
21170Queen Annes County, Maryland07200.98970.989712580125800.9897
21180St Marys County, Maryland210.92300.935399921999210.9292
21190Somerset County, Maryland210.92300.906441540415400.9147
21200Talbot County, Maryland210.92300.935399921999210.9292
21210Washington County, Maryland31800.98690.948925180502390.9679
21220Wicomico County, Maryland210.92300.906441540415400.9147
21230Worcester County, Maryland210.92300.935399921999210.9292
22000Barnstable County, Massachusetts07431.26001.260012700127001.2600
22010Berkshire County, Massachusetts63231.01811.018138340383401.0181
22020Bristol County, Massachusetts11231.11781.096639300501851.1072
22030Dukes County, Massachusetts221.02161.021699922999221.0216
22040Essex County, Massachusetts11231.11781.053821604216041.0858
22060Franklin County, Massachusetts221.02161.024844140500661.0232
22070Hampden County, Massachusetts80031.02631.024844140503351.0256
22080Hampshire County, Massachusetts80031.02631.024844140503351.0256
22090Middlesex County, Massachusetts11231.11781.117215764157641.1175
22120Nantucket County, Massachusetts221.02161.021699922999221.0216
22130Norfolk County, Massachusetts11231.11781.155814484144841.1368
22150Plymouth County, Massachusetts11231.11781.155814484144841.1368
22160Suffolk County, Massachusetts11231.11781.155814484144841.1368
22170Worcester County, Massachusetts11231.11781.102849340493401.1103
23000Alcona County, Michigan230.88240.889599923500670.8860
23010Alger County, Michigan230.88240.889599923500670.8860
23020Allegan County, Michigan30000.94450.889599923502310.9170
23030Alpena County, Michigan230.88240.889599923500670.8860
23040Antrim County, Michigan230.88240.889599923500670.8860
23050Arenac County, Michigan230.88240.889599923500670.8860
23060Baraga County, Michigan230.88240.889599923500670.8860
23070Barry County, Michigan230.88240.939024340500680.9107
23080Bay County, Michigan69600.92410.934313020130200.9292
23090Benzie County, Michigan230.88240.889599923500670.8860
23100Berrien County, Michigan08700.88790.887935660356600.8879
Start Printed Page 68163
23110Branch County, Michigan230.88240.889599923500670.8860
23120Calhoun County, Michigan37201.01430.950812980129800.9826
23130Cass County, Michigan230.88240.978843780500690.9306
23140Charlevoix County, Michigan230.88240.889599923500670.8860
23150Cheboygan County, Michigan230.88240.889599923500670.8860
23160Chippewa County, Michigan230.88240.889599923500670.8860
23170Clare County, Michigan230.88240.889599923500670.8860
23180Clinton County, Michigan40400.97940.979429620296200.9794
23190Crawford County, Michigan230.88240.889599923500670.8860
23200Delta County, Michigan230.88240.889599923500670.8860
23210Dickinson County, Michigan230.88240.889599923500670.8860
23220Eaton County, Michigan40400.97940.979429620296200.9794
23230Emmet County, Michigan230.88240.889599923500670.8860
23240Genesee County, Michigan26401.06551.065522420224201.0655
23250Gladwin County, Michigan230.88240.889599923500670.8860
23260Gogebic County, Michigan230.88240.889599923500670.8860
23270Grand Traverse County, Michigan230.88240.889599923500670.8860
23280Gratiot County, Michigan230.88240.889599923500670.8860
23290Hillsdale County, Michigan230.88240.889599923500670.8860
23300Houghton County, Michigan230.88240.889599923500670.8860
23310Huron County, Michigan230.88240.889599923500670.8860
23320Ingham County, Michigan40400.97940.979429620296200.9794
23330Ionia County, Michigan230.88240.939024340500680.9107
23340Iosco County, Michigan230.88240.889599923500670.8860
23350Iron County, Michigan230.88240.889599923500670.8860
23360Isabella County, Michigan230.88240.889599923500670.8860
23370Jackson County, Michigan35200.93040.930427100271000.9304
23380Kalamazoo County, Michigan37201.01431.038128020280201.0262
23390Kalkaska County, Michigan230.88240.889599923500670.8860
23400Kent County, Michigan30000.94450.939024340502320.9418
23410Keweenaw County, Michigan230.88240.889599923500670.8860
23420Lake County, Michigan230.88240.889599923500670.8860
23430Lapeer County, Michigan21601.01470.987147644502131.0009
23440Leelanau County, Michigan230.88240.889599923500670.8860
23450Lenawee County, Michigan04401.07070.889599923501700.9801
23460Livingston County, Michigan04401.07070.987147644501711.0289
23470Luce County, Michigan230.88240.889599923500670.8860
23480Mackinac County, Michigan230.88240.889599923500670.8860
23490Macomb County, Michigan21601.01470.987147644502131.0009
23500Manistee County, Michigan230.88240.889599923500670.8860
23510Marquette County, Michigan230.88240.889599923500670.8860
23520Mason County, Michigan230.88240.889599923500670.8860
23530Mecosta County, Michigan230.88240.889599923500670.8860
23540Menominee County, Michigan230.88240.889599923500670.8860
23550Midland County, Michigan69600.92410.889599923503160.9068
23560Missaukee County, Michigan230.88240.889599923500670.8860
23570Monroe County, Michigan21601.01470.946833780337800.9808
23580Montcalm County, Michigan230.88240.889599923500670.8860
23590Montmorency County, Michigan230.88240.889599923500670.8860
23600Muskegon County, Michigan30000.94450.966434740347400.9555
23610Newaygo County, Michigan230.88240.939024340500680.9107
23620Oakland County, Michigan21601.01470.987147644502131.0009
23630Oceana County, Michigan230.88240.889599923500670.8860
23640Ogemaw County, Michigan230.88240.889599923500670.8860
23650Ontonagon County, Michigan230.88240.889599923500670.8860
23660Osceola County, Michigan230.88240.889599923500670.8860
23670Oscoda County, Michigan230.88240.889599923500670.8860
23680Otsego County, Michigan230.88240.889599923500670.8860
23690Ottawa County, Michigan30000.94450.905526100261000.9250
23700Presque Isle County, Michigan230.88240.889599923500670.8860
23710Roscommon County, Michigan230.88240.889599923500670.8860
23720Saginaw County, Michigan69600.92410.908840980409800.9165
23730St Clair County, Michigan21601.01470.987147644502131.0009
23740St Joseph County, Michigan230.88240.889599923500670.8860
23750Sanilac County, Michigan230.88240.889599923500670.8860
23760Schoolcraft County, Michigan230.88240.889599923500670.8860
Start Printed Page 68164
23770Shiawassee County, Michigan230.88240.889599923500670.8860
23780Tuscola County, Michigan230.88240.889599923500670.8860
23790Van Buren County, Michigan37201.01431.038128020280201.0262
23800Washtenaw County, Michigan04401.07071.085911460114601.0783
23810Wayne County, Michigan21601.01471.042419804198041.0286
23830Wexford County, Michigan230.88240.889599923500670.8860
24000Aitkin County, Minnesota240.91320.913299924999240.9132
24010Anoka County, Minnesota51201.10751.107533460334601.1075
24020Becker County, Minnesota240.91320.913299924999240.9132
24030Beltrami County, Minnesota240.91320.913299924999240.9132
24040Benton County, Minnesota69800.99650.996541060410600.9965
24050Big Stone County, Minnesota240.91320.913299924999240.9132
24060Blue Earth County, Minnesota240.91320.913299924999240.9132
24070Brown County, Minnesota240.91320.913299924999240.9132
24080Carlton County, Minnesota240.91321.021320260500700.9673
24090Carver County, Minnesota51201.10751.107533460334601.1075
24100Cass County, Minnesota240.91320.913299924999240.9132
24110Chippewa County, Minnesota240.91320.913299924999240.9132
24120Chisago County, Minnesota51201.10751.107533460334601.1075
24130Clay County, Minnesota25200.84860.848622020220200.8486
24140Clearwater County, Minnesota240.91320.913299924999240.9132
24150Cook County, Minnesota240.91320.913299924999240.9132
24160Cottonwood County, Minnesota240.91320.913299924999240.9132
24170Crow Wing County, Minnesota240.91320.913299924999240.9132
24180Dakota County, Minnesota51201.10751.107533460334601.1075
24190Dodge County, Minnesota240.91321.113140340500711.0132
24200Douglas County, Minnesota240.91320.913299924999240.9132
24210Faribault County, Minnesota240.91320.913299924999240.9132
24220Fillmore County, Minnesota240.91320.913299924999240.9132
24230Freeborn County, Minnesota240.91320.913299924999240.9132
24240Goodhue County, Minnesota240.91320.913299924999240.9132
24250Grant County, Minnesota240.91320.913299924999240.9132
24260Hennepin County, Minnesota51201.10751.107533460334601.1075
24270Houston County, Minnesota38700.95640.956429100291000.9564
24280Hubbard County, Minnesota240.91320.913299924999240.9132
24290Isanti County, Minnesota51201.10751.107533460334601.1075
24300Itasca County, Minnesota240.91320.913299924999240.9132
24310Jackson County, Minnesota240.91320.913299924999240.9132
24320Kanabec County, Minnesota240.91320.913299924999240.9132
24330Kandiyohi County, Minnesota240.91320.913299924999240.9132
24340Kittson County, Minnesota240.91320.913299924999240.9132
24350Koochiching County, Minnesota240.91320.913299924999240.9132
24360Lac Qui Parle County, Minnesota240.91320.913299924999240.9132
24370Lake County, Minnesota240.91320.913299924999240.9132
24380Lake Of Woods County, Minnesota240.91320.913299924999240.9132
24390Le Sueur County, Minnesota240.91320.913299924999240.9132
24400Lincoln County, Minnesota240.91320.913299924999240.9132
24410Lyon County, Minnesota240.91320.913299924999240.9132
24420Mc Leod County, Minnesota240.91320.913299924999240.9132
24430Mahnomen County, Minnesota240.91320.913299924999240.9132
24440Marshall County, Minnesota240.91320.913299924999240.9132
24450Martin County, Minnesota240.91320.913299924999240.9132
24460Meeker County, Minnesota240.91320.913299924999240.9132
24470Mille Lacs County, Minnesota240.91320.913299924999240.9132
24480Morrison County, Minnesota240.91320.913299924999240.9132
24490Mower County, Minnesota240.91320.913299924999240.9132
24500Murray County, Minnesota240.91320.913299924999240.9132
24510Nicollet County, Minnesota240.91320.913299924999240.9132
24520Nobles County, Minnesota240.91320.913299924999240.9132
24530Norman County, Minnesota240.91320.913299924999240.9132
24540Olmsted County, Minnesota68201.11311.113140340503121.1131
24550Otter Tail County, Minnesota240.91320.913299924999240.9132
24560Pennington County, Minnesota240.91320.913299924999240.9132
24570Pine County, Minnesota240.91320.913299924999240.9132
24580Pipestone County, Minnesota240.91320.913299924999240.9132
24590Polk County, Minnesota29850.79010.790124220242200.7901
Start Printed Page 68165
24600Pope County, Minnesota240.91320.913299924999240.9132
24610Ramsey County, Minnesota51201.10751.107533460334601.1075
24620Red Lake County, Minnesota240.91320.913299924999240.9132
24630Redwood County, Minnesota240.91320.913299924999240.9132
24640Renville County, Minnesota240.91320.913299924999240.9132
24650Rice County, Minnesota240.91320.913299924999240.9132
24660Rock County, Minnesota240.91320.913299924999240.9132
24670Roseau County, Minnesota240.91320.913299924999240.9132
24680St Louis County, Minnesota22401.02131.021320260502161.0213
24690Scott County, Minnesota51201.10751.107533460334601.1075
24700Sherburne County, Minnesota51201.10751.107533460334601.1075
24710Sibley County, Minnesota240.91320.913299924999240.9132
24720Stearns County, Minnesota69800.99650.996541060410600.9965
24730Steele County, Minnesota240.91320.913299924999240.9132
24740Stevens County, Minnesota240.91320.913299924999240.9132
24750Swift County, Minnesota240.91320.913299924999240.9132
24760Todd County, Minnesota240.91320.913299924999240.9132
24770Traverse County, Minnesota240.91320.913299924999240.9132
24780Wabasha County, Minnesota240.91321.113140340500711.0132
24790Wadena County, Minnesota240.91320.913299924999240.9132
24800Waseca County, Minnesota240.91320.913299924999240.9132
24810Washington County, Minnesota51201.10751.107533460334601.1075
24820Watonwan County, Minnesota240.91320.913299924999240.9132
24830Wilkin County, Minnesota240.91320.913299924999240.9132
24840Winona County, Minnesota240.91320.913299924999240.9132
24850Wright County, Minnesota51201.10751.107533460334601.1075
24860Yellow Medicine County, Minnesota240.91320.913299924999240.9132
25000Adams County, Mississippi250.76340.767499925999250.7654
25010Alcorn County, Mississippi250.76340.767499925999250.7654
25020Amite County, Mississippi250.76340.767499925999250.7654
25030Attala County, Mississippi250.76340.767499925999250.7654
25040Benton County, Mississippi250.76340.767499925999250.7654
25050Bolivar County, Mississippi250.76340.767499925999250.7654
25060Calhoun County, Mississippi250.76340.767499925999250.7654
25070Carroll County, Mississippi250.76340.767499925999250.7654
25080Chickasaw County, Mississippi250.76340.767499925999250.7654
25090Choctaw County, Mississippi250.76340.767499925999250.7654
25100Claiborne County, Mississippi250.76340.767499925999250.7654
25110Clarke County, Mississippi250.76340.767499925999250.7654
25120Clay County, Mississippi250.76340.767499925999250.7654
25130Coahoma County, Mississippi250.76340.767499925999250.7654
25140Copiah County, Mississippi250.76340.831127140500740.7973
25150Covington County, Mississippi250.76340.767499925999250.7654
25160Desoto County, Mississippi49200.94160.939732820502780.9407
25170Forrest County, Mississippi32850.76010.760125620502410.7601
25180Franklin County, Mississippi250.76340.767499925999250.7654
25190George County, Mississippi250.76340.815637700500760.7895
25200Greene County, Mississippi250.76340.767499925999250.7654
25210Grenada County, Mississippi250.76340.767499925999250.7654
25220Hancock County, Mississippi09200.87060.892925060501800.8818
25230Harrison County, Mississippi09200.87060.892925060501800.8818
25240Hinds County, Mississippi35600.83820.831127140502460.8347
25250Holmes County, Mississippi250.76340.767499925999250.7654
25260Humphreys County, Mississippi250.76340.767499925999250.7654
25270Issaquena County, Mississippi250.76340.767499925999250.7654
25280Itawamba County, Mississippi250.76340.767499925999250.7654
25290Jackson County, Mississippi09200.87060.815637700501810.8431
25300Jasper County, Mississippi250.76340.767499925999250.7654
25310Jefferson County, Mississippi250.76340.767499925999250.7654
25320Jefferson Davis County, Mississippi250.76340.767499925999250.7654
25330Jones County, Mississippi250.76340.767499925999250.7654
25340Kemper County, Mississippi250.76340.767499925999250.7654
25350Lafayette County, Mississippi250.76340.767499925999250.7654
25360Lamar County, Mississippi32850.76010.760125620502410.7601
25370Lauderdale County, Mississippi250.76340.767499925999250.7654
25380Lawrence County, Mississippi250.76340.767499925999250.7654
Start Printed Page 68166
25390Leake County, Mississippi250.76340.767499925999250.7654
25400Lee County, Mississippi250.76340.767499925999250.7654
25410Leflore County, Mississippi250.76340.767499925999250.7654
25420Lincoln County, Mississippi250.76340.767499925999250.7654
25430Lowndes County, Mississippi250.76340.767499925999250.7654
25440Madison County, Mississippi35600.83820.831127140502460.8347
25450Marion County, Mississippi250.76340.767499925999250.7654
25460Marshall County, Mississippi250.76340.939732820500750.8516
25470Monroe County, Mississippi250.76340.767499925999250.7654
25480Montgomery County, Mississippi250.76340.767499925999250.7654
25490Neshoba County, Mississippi250.76340.767499925999250.7654
25500Newton County, Mississippi250.76340.767499925999250.7654
25510Noxubee County, Mississippi250.76340.767499925999250.7654
25520Oktibbeha County, Mississippi250.76340.767499925999250.7654
25530Panola County, Mississippi250.76340.767499925999250.7654
25540Pearl River County, Mississippi250.76340.767499925999250.7654
25550Perry County, Mississippi250.76340.760125620500730.7618
25560Pike County, Mississippi250.76340.767499925999250.7654
25570Pontotoc County, Mississippi250.76340.767499925999250.7654
25580Prentiss County, Mississippi250.76340.767499925999250.7654
25590Quitman County, Mississippi250.76340.767499925999250.7654
25600Rankin County, Mississippi35600.83820.831127140502460.8347
25610Scott County, Mississippi250.76340.767499925999250.7654
25620Sharkey County, Mississippi250.76340.767499925999250.7654
25630Simpson County, Mississippi250.76340.831127140500740.7973
25640Smith County, Mississippi250.76340.767499925999250.7654
25650Stone County, Mississippi250.76340.892925060500720.8282
25660Sunflower County, Mississippi250.76340.767499925999250.7654
25670Tallahatchie County, Mississippi250.76340.767499925999250.7654
25680Tate County, Mississippi250.76340.939732820500750.8516
25690Tippah County, Mississippi250.76340.767499925999250.7654
25700Tishomingo County, Mississippi250.76340.767499925999250.7654
25710Tunica County, Mississippi250.76340.939732820500750.8516
25720Union County, Mississippi250.76340.767499925999250.7654
25730Walthall County, Mississippi250.76340.767499925999250.7654
25740Warren County, Mississippi250.76340.767499925999250.7654
25750Washington County, Mississippi250.76340.767499925999250.7654
25760Wayne County, Mississippi250.76340.767499925999250.7654
25770Webster County, Mississippi250.76340.767499925999250.7654
25780Wilkinson County, Mississippi250.76340.767499925999250.7654
25790Winston County, Mississippi250.76340.767499925999250.7654
25800Yalobusha County, Mississippi250.76340.767499925999250.7654
25810Yazoo County, Mississippi250.76340.767499925999250.7654
26000Adair County, Missouri260.79590.790099926999260.7930
26010Andrew County, Missouri70000.95190.951941140503170.9519
26020Atchison County, Missouri260.79590.790099926999260.7930
26030Audrain County, Missouri260.79590.790099926999260.7930
26040Barry County, Missouri260.79590.790099926999260.7930
26050Barton County, Missouri260.79590.790099926999260.7930
26060Bates County, Missouri260.79590.947628140500790.8718
26070Benton County, Missouri260.79590.790099926999260.7930
26080Bollinger County, Missouri260.79590.790099926999260.7930
26090Boone County, Missouri17400.83450.834517860502010.8345
26100Buchanan County, Missouri70000.95190.951941140503170.9519
26110Butler County, Missouri260.79590.790099926999260.7930
26120Caldwell County, Missouri260.79590.947628140500790.8718
26130Callaway County, Missouri260.79590.838727620276200.8173
26140Camden County, Missouri260.79590.790099926999260.7930
26150Cape Girardeau County, Missouri260.79590.790099926999260.7930
26160Carroll County, Missouri260.79590.790099926999260.7930
26170Carter County, Missouri260.79590.790099926999260.7930
26180Cass County, Missouri37600.94900.947628140502520.9483
26190Cedar County, Missouri260.79590.790099926999260.7930
26200Chariton County, Missouri260.79590.790099926999260.7930
26210Christian County, Missouri79200.82500.823744180503340.8244
26220Clark County, Missouri260.79590.790099926999260.7930
Start Printed Page 68167
26230Clay County, Missouri37600.94900.947628140502520.9483
26240Clinton County, Missouri37600.94900.947628140502520.9483
26250Cole County, Missouri260.79590.838727620276200.8173
26260Cooper County, Missouri260.79590.790099926999260.7930
26270Crawford County, Missouri260.79590.895441180500810.8457
26280Dade County, Missouri260.79590.790099926999260.7930
26290Dallas County, Missouri260.79590.823744180500820.8098
26300Daviess County, Missouri260.79590.790099926999260.7930
26310De Kalb County, Missouri260.79590.951941140500800.8739
26320Dent County, Missouri260.79590.790099926999260.7930
26330Douglas County, Missouri260.79590.790099926999260.7930
26340Dunklin County, Missouri260.79590.790099926999260.7930
26350Franklin County, Missouri70400.89620.895441180503180.8958
26360Gasconade County, Missouri260.79590.790099926999260.7930
26370Gentry County, Missouri260.79590.790099926999260.7930
26380Greene County, Missouri79200.82500.823744180503340.8244
26390Grundy County, Missouri260.79590.790099926999260.7930
26400Harrison County, Missouri260.79590.790099926999260.7930
26410Henry County, Missouri260.79590.790099926999260.7930
26411Hickory County, Missouri260.79590.790099926999260.7930
26412Holt County, Missouri260.79590.790099926999260.7930
26440Howard County, Missouri260.79590.834517860500770.8152
26450Howell County, Missouri260.79590.790099926999260.7930
26460Iron County, Missouri260.79590.790099926999260.7930
26470Jackson County, Missouri37600.94900.947628140502520.9483
26480Jasper County, Missouri37100.85820.858227900279000.8582
26490Jefferson County, Missouri70400.89620.895441180503180.8958
26500Johnson County, Missouri260.79590.790099926999260.7930
26510Knox County, Missouri260.79590.790099926999260.7930
26520Laclede County, Missouri260.79590.790099926999260.7930
26530Lafayette County, Missouri37600.94900.947628140502520.9483
26540Lawrence County, Missouri260.79590.790099926999260.7930
26541Lewis County, Missouri260.79590.790099926999260.7930
26560Lincoln County, Missouri70400.89620.895441180503180.8958
26570Linn County, Missouri260.79590.790099926999260.7930
26580Livingston County, Missouri260.79590.790099926999260.7930
26590Mc Donald County, Missouri260.79590.866122220500780.8310
26600Macon County, Missouri260.79590.790099926999260.7930
26601Madison County, Missouri260.79590.790099926999260.7930
26620Maries County, Missouri260.79590.790099926999260.7930
26630Marion County, Missouri260.79590.790099926999260.7930
26631Mercer County, Missouri260.79590.790099926999260.7930
26650Miller County, Missouri260.79590.790099926999260.7930
26660Mississippi County, Missouri260.79590.790099926999260.7930
26670Moniteau County, Missouri260.79590.838727620276200.8173
26680Monroe County, Missouri260.79590.790099926999260.7930
26690Montgomery County, Missouri260.79590.790099926999260.7930
26700Morgan County, Missouri260.79590.790099926999260.7930
26710New Madrid County, Missouri260.79590.790099926999260.7930
26720Newton County, Missouri37100.85820.858227900279000.8582
26730Nodaway County, Missouri260.79590.790099926999260.7930
26740Oregon County, Missouri260.79590.790099926999260.7930
26750Osage County, Missouri260.79590.838727620276200.8173
26751Ozark County, Missouri260.79590.790099926999260.7930
26770Pemiscot County, Missouri260.79590.790099926999260.7930
26780Perry County, Missouri260.79590.790099926999260.7930
26790Pettis County, Missouri260.79590.790099926999260.7930
26800Phelps County, Missouri260.79590.790099926999260.7930
26810Pike County, Missouri260.79590.790099926999260.7930
26820Platte County, Missouri37600.94900.947628140502520.9483
26821Polk County, Missouri260.79590.823744180500820.8098
26840Pulaski County, Missouri260.79590.790099926999260.7930
26850Putnam County, Missouri260.79590.790099926999260.7930
26860Ralls County, Missouri260.79590.790099926999260.7930
26870Randolph County, Missouri260.79590.790099926999260.7930
26880Ray County, Missouri37600.94900.947628140502520.9483
Start Printed Page 68168
26881Reynolds County, Missouri260.79590.790099926999260.7930
26900Ripley County, Missouri260.79590.790099926999260.7930
26910St Charles County, Missouri70400.89620.895441180503180.8958
26911St Clair County, Missouri260.79590.790099926999260.7930
26930St Francois County, Missouri260.79590.790099926999260.7930
26940St Louis County, Missouri70400.89620.895441180503180.8958
26950St Louis City County, Missouri70400.89620.895441180503180.8958
26960Ste Genevieve County, Missouri260.79590.790099926999260.7930
26970Saline County, Missouri260.79590.790099926999260.7930
26980Schuyler County, Missouri260.79590.790099926999260.7930
26981Scotland County, Missouri260.79590.790099926999260.7930
26982Scott County, Missouri260.79590.790099926999260.7930
26983Shannon County, Missouri260.79590.790099926999260.7930
26984Shelby County, Missouri260.79590.790099926999260.7930
26985Stoddard County, Missouri260.79590.790099926999260.7930
26986Stone County, Missouri260.79590.790099926999260.7930
26987Sullivan County, Missouri260.79590.790099926999260.7930
26988Taney County, Missouri260.79590.790099926999260.7930
26989Texas County, Missouri260.79590.790099926999260.7930
26990Vernon County, Missouri260.79590.790099926999260.7930
26991Warren County, Missouri70400.89620.895441180503180.8958
26992Washington County, Missouri260.79590.895441180500810.8457
26993Wayne County, Missouri260.79590.790099926999260.7930
26994Webster County, Missouri79200.82500.823744180503340.8244
26995Worth County, Missouri260.79590.790099926999260.7930
26996Wright County, Missouri260.79590.790099926999260.7930
27000Beaverhead County, Montana270.87620.876299927999270.8762
27010Big Horn County, Montana270.87620.876299927999270.8762
27020Blaine County, Montana270.87620.876299927999270.8762
27030Broadwater County, Montana270.87620.876299927999270.8762
27040Carbon County, Montana270.87620.883413740500830.8798
27050Carter County, Montana270.87620.876299927999270.8762
27060Cascade County, Montana30400.90520.905224500245000.9052
27070Chouteau County, Montana270.87620.876299927999270.8762
27080Custer County, Montana270.87620.876299927999270.8762
27090Daniels County, Montana270.87620.876299927999270.8762
27100Dawson County, Montana270.87620.876299927999270.8762
27110Deer Lodge County, Montana270.87620.876299927999270.8762
27113Yellowstone National Park, Montana270.87620.876299927999270.8762
27120Fallon County, Montana270.87620.876299927999270.8762
27130Fergus County, Montana270.87620.876299927999270.8762
27140Flathead County, Montana270.87620.876299927999270.8762
27150Gallatin County, Montana270.87620.876299927999270.8762
27160Garfield County, Montana270.87620.876299927999270.8762
27170Glacier County, Montana270.87620.876299927999270.8762
27180Golden Valley County, Montana270.87620.876299927999270.8762
27190Granite County, Montana270.87620.876299927999270.8762
27200Hill County, Montana270.87620.876299927999270.8762
27210Jefferson County, Montana270.87620.876299927999270.8762
27220Judith Basin County, Montana270.87620.876299927999270.8762
27230Lake County, Montana270.87620.876299927999270.8762
27240Lewis And Clark County, Montana270.87620.876299927999270.8762
27250Liberty County, Montana270.87620.876299927999270.8762
27260Lincoln County, Montana270.87620.876299927999270.8762
27270Mc Cone County, Montana270.87620.876299927999270.8762
27280Madison County, Montana270.87620.876299927999270.8762
27290Meagher County, Montana270.87620.876299927999270.8762
27300Mineral County, Montana270.87620.876299927999270.8762
27310Missoula County, Montana51400.94730.947333540335400.9473
27320Musselshell County, Montana270.87620.876299927999270.8762
27330Park County, Montana270.87620.876299927999270.8762
27340Petroleum County, Montana270.87620.876299927999270.8762
27350Phillips County, Montana270.87620.876299927999270.8762
27360Pondera County, Montana270.87620.876299927999270.8762
27370Powder River County, Montana270.87620.876299927999270.8762
27380Powell County, Montana270.87620.876299927999270.8762
Start Printed Page 68169
27390Prairie County, Montana270.87620.876299927999270.8762
27400Ravalli County, Montana270.87620.876299927999270.8762
27410Richland County, Montana270.87620.876299927999270.8762
27420Roosevelt County, Montana270.87620.876299927999270.8762
27430Rosebud County, Montana270.87620.876299927999270.8762
27440Sanders County, Montana270.87620.876299927999270.8762
27450Sheridan County, Montana270.87620.876299927999270.8762
27460Silver Bow County, Montana270.87620.876299927999270.8762
27470Stillwater County, Montana270.87620.876299927999270.8762
27480Sweet Grass County, Montana270.87620.876299927999270.8762
27490Teton County, Montana270.87620.876299927999270.8762
27500Toole County, Montana270.87620.876299927999270.8762
27510Treasure County, Montana270.87620.876299927999270.8762
27520Valley County, Montana270.87620.876299927999270.8762
27530Wheatland County, Montana270.87620.876299927999270.8762
27540Wibaux County, Montana270.87620.876299927999270.8762
27550Yellowstone County, Montana08800.88340.883413740501790.8834
28000Adams County, Nebraska280.86570.865799928999280.8657
28010Antelope County, Nebraska280.86570.865799928999280.8657
28020Arthur County, Nebraska280.86570.865799928999280.8657
28030Banner County, Nebraska280.86570.865799928999280.8657
28040Blaine County, Nebraska280.86570.865799928999280.8657
28050Boone County, Nebraska280.86570.865799928999280.8657
28060Box Butte County, Nebraska280.86570.865799928999280.8657
28070Boyd County, Nebraska280.86570.865799928999280.8657
28080Brown County, Nebraska280.86570.865799928999280.8657
28090Buffalo County, Nebraska280.86570.865799928999280.8657
28100Burt County, Nebraska280.86570.865799928999280.8657
28110Butler County, Nebraska280.86570.865799928999280.8657
28120Cass County, Nebraska59200.95600.956036540502950.9560
28130Cedar County, Nebraska280.86570.865799928999280.8657
28140Chase County, Nebraska280.86570.865799928999280.8657
28150Cherry County, Nebraska280.86570.865799928999280.8657
28160Cheyenne County, Nebraska280.86570.865799928999280.8657
28170Clay County, Nebraska280.86570.865799928999280.8657
28180Colfax County, Nebraska280.86570.865799928999280.8657
28190Cuming County, Nebraska280.86570.865799928999280.8657
28200Custer County, Nebraska280.86570.865799928999280.8657
28210Dakota County, Nebraska77200.94160.938143580503310.9399
28220Dawes County, Nebraska280.86570.865799928999280.8657
28230Dawson County, Nebraska280.86570.865799928999280.8657
28240Deuel County, Nebraska280.86570.865799928999280.8657
28250Dixon County, Nebraska280.86570.938143580500860.9019
28260Dodge County, Nebraska280.86570.865799928999280.8657
28270Douglas County, Nebraska59200.95600.956036540502950.9560
28280Dundy County, Nebraska280.86570.865799928999280.8657
28290Fillmore County, Nebraska280.86570.865799928999280.8657
28300Franklin County, Nebraska280.86570.865799928999280.8657
28310Frontier County, Nebraska280.86570.865799928999280.8657
28320Furnas County, Nebraska280.86570.865799928999280.8657
28330Gage County, Nebraska280.86570.865799928999280.8657
28340Garden County, Nebraska280.86570.865799928999280.8657
28350Garfield County, Nebraska280.86570.865799928999280.8657
28360Gosper County, Nebraska280.86570.865799928999280.8657
28370Grant County, Nebraska280.86570.865799928999280.8657
28380Greeley County, Nebraska280.86570.865799928999280.8657
28390Hall County, Nebraska280.86570.865799928999280.8657
28400Hamilton County, Nebraska280.86570.865799928999280.8657
28410Harlan County, Nebraska280.86570.865799928999280.8657
28420Hayes County, Nebraska280.86570.865799928999280.8657
28430Hitchcock County, Nebraska280.86570.865799928999280.8657
28440Holt County, Nebraska280.86570.865799928999280.8657
28450Hooker County, Nebraska280.86570.865799928999280.8657
28460Howard County, Nebraska280.86570.865799928999280.8657
28470Jefferson County, Nebraska280.86570.865799928999280.8657
28480Johnson County, Nebraska280.86570.865799928999280.8657
Start Printed Page 68170
28490Kearney County, Nebraska280.86570.865799928999280.8657
28500Keith County, Nebraska280.86570.865799928999280.8657
28510Keya Paha County, Nebraska280.86570.865799928999280.8657
28520Kimball County, Nebraska280.86570.865799928999280.8657
28530Knox County, Nebraska280.86570.865799928999280.8657
28540Lancaster County, Nebraska43601.02141.021430700502641.0214
28550Lincoln County, Nebraska280.86570.865799928999280.8657
28560Logan County, Nebraska280.86570.865799928999280.8657
28570Loup County, Nebraska280.86570.865799928999280.8657
28580Mc Pherson County, Nebraska280.86570.865799928999280.8657
28590Madison County, Nebraska280.86570.865799928999280.8657
28600Merrick County, Nebraska280.86570.865799928999280.8657
28610Morrill County, Nebraska280.86570.865799928999280.8657
28620Nance County, Nebraska280.86570.865799928999280.8657
28630Nemaha County, Nebraska280.86570.865799928999280.8657
28640Nuckolls County, Nebraska280.86570.865799928999280.8657
28650Otoe County, Nebraska280.86570.865799928999280.8657
28660Pawnee County, Nebraska280.86570.865799928999280.8657
28670Perkins County, Nebraska280.86570.865799928999280.8657
28680Phelps County, Nebraska280.86570.865799928999280.8657
28690Pierce County, Nebraska280.86570.865799928999280.8657
28700Platte County, Nebraska280.86570.865799928999280.8657
28710Polk County, Nebraska280.86570.865799928999280.8657
28720Redwillow County, Nebraska280.86570.865799928999280.8657
28730Richardson County, Nebraska280.86570.865799928999280.8657
28740Rock County, Nebraska280.86570.865799928999280.8657
28750Saline County, Nebraska280.86570.865799928999280.8657
28760Sarpy County, Nebraska59200.95600.956036540502950.9560
28770Saunders County, Nebraska280.86570.956036540500850.9109
28780Scotts Bluff County, Nebraska280.86570.865799928999280.8657
28790Seward County, Nebraska280.86571.021430700500840.9436
28800Sheridan County, Nebraska280.86570.865799928999280.8657
28810Sherman County, Nebraska280.86570.865799928999280.8657
28820Sioux County, Nebraska280.86570.865799928999280.8657
28830Stanton County, Nebraska280.86570.865799928999280.8657
28840Thayer County, Nebraska280.86570.865799928999280.8657
28850Thomas County, Nebraska280.86570.865799928999280.8657
28860Thurston County, Nebraska280.86570.865799928999280.8657
28870Valley County, Nebraska280.86570.865799928999280.8657
28880Washington County, Nebraska59200.95600.956036540502950.9560
28890Wayne County, Nebraska280.86570.865799928999280.8657
28900Webster County, Nebraska280.86570.865799928999280.8657
28910Wheeler County, Nebraska280.86570.865799928999280.8657
28920York County, Nebraska280.86570.865799928999280.8657
29000Churchill County, Nevada290.96870.906599929500870.9376
29010Clark County, Nevada41201.11551.143729820298201.1296
29020Douglas County, Nevada290.96870.906599929500870.9376
29030Elko County, Nevada290.96870.906599929500870.9376
29040Esmeralda County, Nevada290.96870.906599929500870.9376
29050Eureka County, Nevada290.96870.906599929500870.9376
29060Humboldt County, Nevada290.96870.906599929500870.9376
29070Lander County, Nevada290.96870.906599929500870.9376
29080Lincoln County, Nevada290.96870.906599929500870.9376
29090Lyon County, Nevada290.96870.906599929500870.9376
29100Mineral County, Nevada290.96870.906599929500870.9376
29110Nye County, Nevada41201.11550.906599929502611.0110
29120Carson City County, Nevada290.96871.023416180161800.9961
29130Pershing County, Nevada290.96870.906599929500870.9376
29140Storey County, Nevada290.96871.098239900500881.0335
29150Washoe County, Nevada67201.09821.098239900503091.0982
29160White Pine County, Nevada290.96870.906599929500870.9376
30000Belknap County, New Hampshire301.08171.081799930999301.0817
30010Carroll County, New Hampshire301.08171.081799930999301.0817
30020Cheshire County, New Hampshire301.08171.081799930999301.0817
30030Coos County, New Hampshire301.08171.081799930999301.0817
30040Grafton County, New Hampshire301.08171.081799930999301.0817
Start Printed Page 68171
30050Hillsboro County, New Hampshire11231.11781.035431700317001.0766
30060Merrimack County, New Hampshire11231.11781.035431700317001.0766
30070Rockingham County, New Hampshire11231.11781.037440484404841.0776
30080Strafford County, New Hampshire11231.11781.037440484404841.0776
30090Sullivan County, New Hampshire301.08171.081799930999301.0817
31000Atlantic County, New Jersey05601.14961.161512100121001.1556
31100Bergen County, New Jersey08751.16511.318835644501781.2420
31150Burlington County, New Jersey61601.09221.051715804158041.0720
31160Camden County, New Jersey61601.09221.051715804158041.0720
31180Cape May County, New Jersey05601.14961.101136140361401.1254
31190Cumberland County, New Jersey87600.98270.982747220472200.9827
31200Essex County, New Jersey56401.18341.188335084502891.1859
31220Gloucester County, New Jersey61601.09221.051715804158041.0720
31230Hudson County, New Jersey36401.13381.318835644502491.2263
31250Hunterdon County, New Jersey50151.11671.188335084502801.1525
31260Mercer County, New Jersey84801.08341.083445940459401.0834
31270Middlesex County, New Jersey50151.11671.124920764502791.1208
31290Monmouth County, New Jersey51901.12601.124920764502821.1255
31300Morris County, New Jersey56401.18341.188335084502891.1859
31310Ocean County, New Jersey51901.12601.124920764502821.1255
31320Passaic County, New Jersey08751.16511.318835644501781.2420
31340Salem County, New Jersey61601.09221.047148864502991.0697
31350Somerset County, New Jersey50151.11671.124920764502791.1208
31360Sussex County, New Jersey56401.18341.188335084502891.1859
31370Union County, New Jersey56401.18341.188335084502891.1859
31390Warren County, New Jersey56401.18340.981810900502881.0826
32000Bernalillo County, New Mexico02000.96840.968410740501650.9684
32010Catron County, New Mexico320.85630.863599932500890.8599
32020Chaves County, New Mexico320.85630.863599932500890.8599
32025Cibola County, New Mexico320.85630.863599932500890.8599
32030Colfax County, New Mexico320.85630.863599932500890.8599
32040Curry County, New Mexico320.85630.863599932500890.8599
32050De Baca County, New Mexico320.85630.863599932500890.8599
32060Dona Ana County, New Mexico41000.84670.846729740297400.8467
32070Eddy County, New Mexico320.85630.863599932500890.8599
32080Grant County, New Mexico320.85630.863599932500890.8599
32090Guadalupe County, New Mexico320.85630.863599932500890.8599
32100Harding County, New Mexico320.85630.863599932500890.8599
32110Hidalgo County, New Mexico320.85630.863599932500890.8599
32120Lea County, New Mexico320.85630.863599932500890.8599
32130Lincoln County, New Mexico320.85630.863599932500890.8599
32131Los Alamos County, New Mexico74901.07480.863599932503250.9692
32140Luna County, New Mexico320.85630.863599932500890.8599
32150Mc Kinley County, New Mexico320.85630.863599932500890.8599
32160Mora County, New Mexico320.85630.863599932500890.8599
32170Otero County, New Mexico320.85630.863599932500890.8599
32180Quay County, New Mexico320.85630.863599932500890.8599
32190Rio Arriba County, New Mexico320.85630.863599932500890.8599
32200Roosevelt County, New Mexico320.85630.863599932500890.8599
32210Sandoval County, New Mexico02000.96840.968410740501650.9684
32220San Juan County, New Mexico320.85630.850922140221400.8536
32230San Miguel County, New Mexico320.85630.863599932500890.8599
32240Santa Fe County, New Mexico74901.07481.092042140421401.0834
32250Sierra County, New Mexico320.85630.863599932500890.8599
32260Socorro County, New Mexico320.85630.863599932500890.8599
32270Taos County, New Mexico320.85630.863599932500890.8599
32280Torrance County, New Mexico320.85630.968410740500900.9124
32290Union County, New Mexico320.85630.863599932500890.8599
32300Valencia County, New Mexico02000.96840.968410740501650.9684
33000Albany County, New York01600.85590.858910580105800.8574
33010Allegany County, New York330.83950.815499933500910.8275
33020Bronx County, New York56001.34641.318835644502871.3326
33030Broome County, New York09600.85620.856213780137800.8562
33040Cattaraugus County, New York330.83950.815499933500910.8275
33050Cayuga County, New York81600.94920.815499933503360.8823
33060Chautauqua County, New York36100.75440.815499933502480.7849
Start Printed Page 68172
33070Chemung County, New York23350.82500.825021300213000.8250
33080Chenango County, New York330.83950.815499933500910.8275
33090Clinton County, New York330.83950.815499933500910.8275
33200Columbia County, New York330.83950.815499933500910.8275
33210Cortland County, New York330.83950.815499933500910.8275
33220Delaware County, New York330.83950.815499933500910.8275
33230Dutchess County, New York22811.04751.089139100502171.0683
33240Erie County, New York12800.95110.951115380153800.9511
33260Essex County, New York330.83950.815499933500910.8275
33270Franklin County, New York330.83950.815499933500910.8275
33280Fulton County, New York330.83950.815499933500910.8275
33290Genesee County, New York68400.90490.815499933503130.8602
33300Greene County, New York330.83950.815499933500910.8275
33310Hamilton County, New York330.83950.815499933500910.8275
33320Herkimer County, New York86800.83580.835846540465400.8358
33330Jefferson County, New York330.83950.815499933500910.8275
33331Kings County, New York56001.34641.318835644502871.3326
33340Lewis County, New York330.83950.815499933500910.8275
33350Livingston County, New York68400.90490.912140380403800.9085
33360Madison County, New York81600.94920.957445060450600.9533
33370Monroe County, New York68400.90490.912140380403800.9085
33380Montgomery County, New York01600.85590.815499933501640.8357
33400Nassau County, New York53801.27191.271935004350041.2719
33420New York County, New York56001.34641.318835644502871.3326
33500Niagara County, New York12800.95110.951115380153800.9511
33510Oneida County, New York86800.83580.835846540465400.8358
33520Onondaga County, New York81600.94920.957445060450600.9533
33530Ontario County, New York68400.90490.912140380403800.9085
33540Orange County, New York56601.12071.089139100502911.1049
33550Orleans County, New York68400.90490.912140380403800.9085
33560Oswego County, New York81600.94920.957445060450600.9533
33570Otsego County, New York330.83950.815499933500910.8275
33580Putnam County, New York56001.34641.318835644502871.3326
33590Queens County, New York56001.34641.318835644502871.3326
33600Rensselaer County, New York01600.85590.858910580105800.8574
33610Richmond County, New York56001.34641.318835644502871.3326
33620Rockland County, New York56001.34641.318835644502871.3326
33630St Lawrence County, New York330.83950.815499933500910.8275
33640Saratoga County, New York01600.85590.858910580105800.8574
33650Schenectady County, New York01600.85590.858910580105800.8574
33660Schoharie County, New York01600.85590.858910580105800.8574
33670Schuyler County, New York330.83950.815499933500910.8275
33680Seneca County, New York330.83950.815499933500910.8275
33690Steuben County, New York330.83950.815499933500910.8275
33700Suffolk County, New York53801.27191.271935004350041.2719
33710Sullivan County, New York330.83950.815499933500910.8275
33720Tioga County, New York09600.85620.856213780137800.8562
33730Tompkins County, New York330.83950.979327060270600.9094
33740Ulster County, New York330.83950.925528740287400.8825
33750Warren County, New York29750.85590.855924020240200.8559
33760Washington County, New York29750.85590.855924020240200.8559
33770Wayne County, New York68400.90490.912140380403800.9085
33800Westchester County, New York56001.34641.318835644502871.3326
33900Wyoming County, New York330.83950.815499933500910.8275
33910Yates County, New York330.83950.815499933500910.8275
34000Alamance County, N Carolina31200.90180.890515500155000.8962
34010Alexander County, N Carolina32900.89210.892125860258600.8921
34020Alleghany County, N Carolina340.84620.854099934500920.8501
34030Anson County, N Carolina340.84620.975016740500940.9106
34040Ashe County, N Carolina340.84620.854099934500920.8501
34050Avery County, N Carolina340.84620.854099934500920.8501
34060Beaufort County, N Carolina340.84620.854099934500920.8501
34070Bertie County, N Carolina340.84620.854099934500920.8501
34080Bladen County, N Carolina340.84620.854099934500920.8501
34090Brunswick County, N Carolina92000.95820.958248900503500.9582
34100Buncombe County, N Carolina04800.97370.928511700501730.9511
Start Printed Page 68173
34110Burke County, N Carolina32900.89210.892125860258600.8921
34120Cabarrus County, N Carolina15200.97150.975016740501930.9733
34130Caldwell County, N Carolina32900.89210.892125860258600.8921
34140Camden County, N Carolina340.84620.854099934500920.8501
34150Carteret County, N Carolina340.84620.854099934500920.8501
34160Caswell County, N Carolina340.84620.854099934500920.8501
34170Catawba County, N Carolina32900.89210.892125860258600.8921
34180Chatham County, N Carolina66401.00341.024420500503071.0139
34190Cherokee County, N Carolina340.84620.854099934500920.8501
34200Chowan County, N Carolina340.84620.854099934500920.8501
34210Clay County, N Carolina340.84620.854099934500920.8501
34220Cleveland County, N Carolina340.84620.854099934500920.8501
34230Columbus County, N Carolina340.84620.854099934500920.8501
34240Craven County, N Carolina340.84620.854099934500920.8501
34250Cumberland County, N Carolina25600.94160.941622180502200.9416
34251Currituck County, N Carolina57200.87990.879947260502920.8799
34270Dare County, N Carolina340.84620.854099934500920.8501
34280Davidson County, N Carolina31200.90180.854099934502340.8779
34290Davie County, N Carolina31200.90180.894449180491800.8981
34300Duplin County, N Carolina340.84620.854099934500920.8501
34310Durham County, N Carolina66401.00341.024420500503071.0139
34320Edgecombe County, N Carolina68950.89150.891540580405800.8915
34330Forsyth County, N Carolina31200.90180.894449180491800.8981
34340Franklin County, N Carolina66401.00340.969139580395800.9863
34350Gaston County, N Carolina15200.97150.975016740501930.9733
34360Gates County, N Carolina340.84620.854099934500920.8501
34370Graham County, N Carolina340.84620.854099934500920.8501
34380Granville County, N Carolina340.84620.854099934500920.8501
34390Greene County, N Carolina340.84620.942524780500980.8944
34400Guilford County, N Carolina31200.90180.910424660502350.9061
34410Halifax County, N Carolina340.84620.854099934500920.8501
34420Harnett County, N Carolina340.84620.854099934500920.8501
34430Haywood County, N Carolina340.84620.928511700500930.8874
34440Henderson County, N Carolina340.84620.928511700500930.8874
34450Hertford County, N Carolina340.84620.854099934500920.8501
34460Hoke County, N Carolina340.84620.941622180500960.8939
34470Hyde County, N Carolina340.84620.854099934500920.8501
34480Iredell County, N Carolina340.84620.854099934500920.8501
34490Jackson County, N Carolina340.84620.854099934500920.8501
34500Johnston County, N Carolina66401.00340.969139580395800.9863
34510Jones County, N Carolina340.84620.854099934500920.8501
34520Lee County, N Carolina340.84620.854099934500920.8501
34530Lenoir County, N Carolina340.84620.854099934