Implementation of Section 5001 of the American Recovery and Reinvestment Act of 2009 (ARRA) for Adjustments to the Third Quarter of Fiscal Year 2009 Federal Medical Assistance Percentage (FMAP) Rates for Federal Matching Shares for Medicaid and Foster Care and Adoption Assistance, 38630-38633 [E9-18544]
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38630
Federal Register / Vol. 74, No. 148 / Tuesday, August 4, 2009 / Notices
potential to affect national security, and
pursuant to section 564(b) of the Federal
Food, Drug and Cosmetic Act, 21 U.S.C.
360bbb–3(b), the Acting Secretary
declared an emergency justifying the
authorization of the emergency use of
certain in vitro diagnostics for detection
of Swine Influenza A (now called
‘‘2009–H1N1 influenza’’) accompanied
by emergency use information subject to
the terms of any authorization issued
under 21 U.S.C. 360bbb–3(a). The
Secretary further specified that the
declaration is a declaration of
emergency, as defined in the December
17, 2008, Declaration under the PREP
Act for Pandemic Influenza Diagnostics,
Personal Respiratory Protection Devices,
and Respiratory Support Devices,
published at 73 FR 78362 (December 22,
2008).
Also, on April 26, 2009, on the basis
of the Acting Secretary’s determination
on April 26, 2009, pursuant to section
319 of the Public Health Service Act, 42
U.S.C. 247d, that a public health
emergency exists involving Swine
Influenza A that affects or has
significant potential to affect national
security, and pursuant to section 564(b)
of the Federal Food, Drug and Cosmetic
Act, 21 U.S.C. 360bbb–3(b), the Acting
Secretary declared an emergency
justifying the authorization of the
emergency use of certain products from
the neuraminidase class of antivirals
oseltamivir phosphate and zanamivir
accompanied by emergency use
information subject to the terms of any
authorization issued under 21 U.S.C.
360bbb–3(a). The Secretary further
specified that the declaration is a
declaration of emergency, as defined in
the October 10, 2008, Declaration under
the PREP Act for Influenza Antivirals
Oseltamivir Phosphate and Zanamivir,
published at 73 FR 61861 (October 17,
2008), as amended. The Acting
Secretary’s April 26, 2009, amendment
to the October 10, 2008 Declaration
under the PREP Act for Influenza
Antivirals Oseltamivir Phosphate and
Zanamivir is separately published
elsewhere in this issue of the Federal
Register.
On April 27, 2009, on the basis of the
Acting Secretary’s determination on
April 26, 2009, pursuant to section 319
of the Public Health Service Act, 42
U.S.C. 247d, that a public health
emergency exists involving Swine
Influenza A that affects, or has
significant potential to affect, national
security; and pursuant to section 564(b)
of the Federal Food, Drug and Cosmetic
Act, 21 U.S.C. 360bbb–3(b), the Acting
Secretary declared an emergency
justifying the authorization of the
emergency use of certain personal
VerDate Nov<24>2008
16:07 Aug 03, 2009
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respiratory protection devices,
accompanied by emergency use
information subject to the terms of any
authorization issued under 21 U.S.C.
360bbb–3(a). The Secretary further
specified that the declaration is a
declaration of emergency, as defined in
the December 17, 2008, Declaration
under the PREP Act for Pandemic
Influenza Diagnostics, Personal
Respiratory Protection Devices, and
Respiratory Support Devices, 73 FR
78362 (December 22, 2008).
Notice of the authorizations issued by
the FDA Commissioner under 21 U.S.C.
360bbb–3 is provided elsewhere in this
Federal Register.
Dated: July 28, 2009.
Kathleen Sebelius,
Secretary.
[FR Doc. E9–18432 Filed 8–3–09; 8:45 am]
BILLING CODE 4150–37–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
Office for Civil Rights; Delegation of
Authority
Notice is hereby given, that I have
delegated to the Director of the Office
for Civil Rights (OCR), with authority to
redelegate, the following authority
vested in the Secretary of Health and
Human Services:
1. The authority under section 262 of
the Health Insurance Portability and
Accountability Act of 1996 (HIPAA),
Public Law 104–191, as amended, to the
extent that these actions pertain to the
‘‘Security Standards for the Protection
of Electronic Protected Health
Information,’’ at 45 CFR part 160 and
part 164, subparts A and C, to
A. Impose civil money penalties
under section 1176 of the Social
Security Act for a covered entity’s
failure to comply with certain
requirements and standards;
B. Issue subpoenas requiring the
attendance and testimony of witnesses
and the production of any evidence that
relates to any matter under investigation
or compliance review for failure to
comply with certain requirements and
standards; and
C. Make exception determinations,
under section 1178(a)(2)(A) of the Social
Security Act, concerning when
provisions of State laws that are
contrary to the Federal standards are not
preempted by the Federal provisions.
2. The authority under section 262 of
HIPAA, as amended, to administer the
regulation ‘‘Security Standards for the
Protection of Electronic Protected
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Health Information,’’ at 45 CFR part 160
and part 164, subparts A and C, and
General Administrative Requirements,
45 CFR Part 160, as these requirements
pertain to part 164, subparts A and C,
and to make decisions regarding the
interpretation and enforcement of these
Standards and General Administrative
Requirements.
This delegation shall be exercised
under the Department’s existing
delegation of authority and policy
relating to regulations.
This delegation supersedes the
memorandum from the Secretary to the
Administrator, Centers for Medicare &
Medicaid Services, dated October 7,
2003, titled ‘‘Delegation of Authority for
Certain Provisions Under Part C of Title
XI of the Social Security Act.’’
I hereby affirm and ratify any actions
taken by the Director of OCR or his/her
subordinates which involved the
exercise of the authority delegated
herein prior to the effective date of this
delegation.
This delegation is effective
immediately.
Dated: July 27, 2009.
Kathleen Sebelius,
Secretary.
[FR Doc. E9–18557 Filed 8–3–09; 8:45 am]
BILLING CODE 4153–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
Implementation of Section 5001 of the
American Recovery and Reinvestment
Act of 2009 (ARRA) for Adjustments to
the Third Quarter of Fiscal Year 2009
Federal Medical Assistance
Percentage (FMAP) Rates for Federal
Matching Shares for Medicaid and
Foster Care and Adoption Assistance
Office of the Secretary, DHHS.
Notice with comment period.
AGENCY:
ACTION:
SUMMARY: This notice with comment
period describes the methodology for
calculating the higher federal matching
funding that is made available under
Section 5001 of the American Recovery
and Reinvestment Act of 2009 (ARRA).
Section 5001 of the ARRA provides for
temporary increases in the Federal
Medical Assistance Percentage (FMAP)
rates to provide fiscal relief to States
and to protect and maintain State
Medicaid programs in a period of
economic downturn. The increased
FMAP rates apply during a recession
adjustment period that is defined as the
period beginning on October 1, 2008
and ending on December 31, 2010.
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EFFECTIVE DATE: The percentages listed
are for the third quarter of Fiscal Year
2009 beginning April 1, 2009 and
ending June 30, 2009.
Comment Date: To be assured
consideration, comments must be
received at the address provided below,
no later than 5 p.m. on August 19, 2009.
ADDRESSES: Because of staff and
resource limitations, we can only accept
comments by regular mail. You may
mail written comments (one original
and one copy) to the following address
only: Department of Health and Human
Services, Room 447D, Attention: FMAP
Notice—ARRA, 200 Independence Ave.,
SW., Washington, DC 20201.
Submitting Comments: We welcome
comments from the public on the
calculation methodology set forth in this
notice with comment period to assist us
in fully considering issues and
developing policies. Please provide a
reference to the section on which you
choose to comment.
A. Background
The Federal Medical Assistance
Percentage (FMAP) is used to determine
the amount of Federal matching for
specified State expenditures for
assistance payments under programs
under the Social Security Act. Sections
1905(b) and 1101(a)(8)(B) of the Social
Security Act (‘‘the Act’’) require the
Secretary of Health and Human Services
to publish the FMAP rates each year.
The Secretary calculates the
percentages, using formulas set forth in
sections 1905(b) and 1101(a)(8)(B), from
the Department of Commerce’s statistics
of average income per person in each
State and for the Nation as a whole. The
percentages must be within the upper
and lower limits given in section
1905(b) of the Act. The percentages to
be applied to the District of Columbia,
Puerto Rico, the Virgin Islands, Guam,
American Samoa, and the Northern
Mariana Islands are specified in statute,
and thus are not based on the statutory
formula that determines the percentages
for the 50 States.
Section 1905(b) of the Social Security
Act specifies the formula for calculating
FMAP as follows:
The FMAP for any State shall be 100
per centum less the State percentage;
and the State percentage shall be that
percentage which bears the same ratio to
45 per centum as the square of the per
capita income of such State bears to the
square of the per capita income of the
continental United States (including
Alaska) and Hawaii; except that (1) the
FMAP shall in no case be less than 50
per centum or more than 83 per centum,
and (2) the FMAP for Puerto Rico, the
Virgin Islands, Guam, the Northern
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16:07 Aug 03, 2009
Jkt 217001
Mariana Islands, and American Samoa
shall be 50 per centum. Section 4725 of
the Balanced Budget Act of 1997
amended section 1905(b) to provide that
the FMAP for the District of Columbia
for purposes of titles XIX (Medicaid)
and XXI (CHIP) shall be 70 percent.
Section 5001 of Division B of the
American Recovery and Reinvestment
Act of 2009 (ARRA) provides for a
temporary increase in FMAP rates for
Medicaid, Foster Care and Adoption
Assistance programs. The purposes of
the increases to the FMAP rates are to
provide fiscal relief to States and to
protect and maintain State Medicaid
programs in a period of economic
downturn, referred to as the ‘‘recession
adjustment period.’’ The recession
adjustment period is defined as the
period beginning on October 1, 2008
and ending on December 31, 2010.
B. Calculation of the Increased FMAP
Rates Under ARRA
Section 5001 of the ARRA specifies
that the FMAP rates shall be temporarily
increased for the following: (1)
Maintenance of FMAP rates for fiscal
year 2009, fiscal year 2010, and first
quarter of fiscal year 2011, so that the
FMAP rate will not decrease from the
prior year, determined by using as the
FMAP rate for the current year the
greater of any prior fiscal year FMAP
rates between 2008–2010 or the rate
calculated for the current fiscal year; (2)
in addition to any maintenance
increase, the application of an increase
in each State’s FMAP of 6.2 percentage
points; and (3) an additional percentage
point increase based on the State’s
increase in unemployment during the
recession adjustment period. The
resulting increased FMAP cannot
exceed 100 percent. Each State’s FMAP
will be recalculated each fiscal quarter
beginning October 2008. Availability of
certain components of the increased
FMAP is conditioned on States meeting
statutory programmatic requirements,
such as maintenance of effort
requirements, which are not part of the
calculation process.
Expenditures for which the increased
FMAP is not available under title XIX
include expenditures for
disproportionate share hospital
payments, certain eligibility expansions,
services received through an IHS or
tribal facility (which are already paid at
a rate of 100 percent which is not
subject to increase), and expenditures
that are paid at an enhanced FMAP rate.
The increased FMAP is also not
available for payments under title XXI.
The increased FMAP is available for
expenditures under part E of title IV
(Foster Care Maintenance payments)
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38631
only to the extent of maintenance
increase, if any, and the 6.2 percentage
point increase.
For each qualifying State with an
unemployment rate that has increased at
a rate above a statutory threshold
percentage, ARRA provides additional
relief above the general 6.2 percentage
point increase in FMAP through
application of a different increase
calculation. For those States, the FMAP
for each qualifying State is increased by
the number of percentage points equal
to the product of the State matching
percentage (as calculated under section
1905(b) and adjusted if necessary for the
maintenance of FMAP without
reduction from the prior year, and after
applying half of the 6.2 percentage point
general increase in the federal
percentage) and the applicable percent
determined from the State
unemployment increase percentage for
the quarter, in addition to the 6.2
percentage point increase.
The unemployment increase
percentage for a calendar quarter is
equal to the number of percentage
points (if any) by which the average
monthly unemployment rate for the
State in the most recent previous 3consecutive-month period for which
data are available exceeds the lowest
average monthly unemployment rate for
the State for any 3-consecutive-month
period beginning on or after January 1,
2006 and preceding the most recent
previous 3-consecutive-month period. A
State qualifies for additional relief based
on an increase in unemployment if that
State’s unemployment increase
percentage is at least 1.5 percentage
points.
The applicable percent is: (1) 5.5
percent if the State unemployment
increase percentage is at least 1.5
percentage points but less than 2.5
percentage points; (2) 8.5 percent if the
State unemployment increase
percentage is at least 2.5 percentage
points but less than 3.5 percentage
points; and (3) 11.5 percent if the State
unemployment increase percentage is at
least 3.5 percentage points.
If the State’s applicable percent is less
than the applicable percent for the
preceding quarter, then the higher
applicable percent shall continue in
effect for any calendar quarter beginning
on January 1, 2009 and ending before
July 1, 2010.
Puerto Rico, the Virgin Islands, Guam,
the Commonwealth of the Northern
Mariana Islands, and America Samoa
can make a one-time election between
(1) A 30 percent increase in their cap on
Medicaid payments (as determined
under subsections (f) and (g) of section
1108 of the Social Security Act), or (2)
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04AUN1
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Federal Register / Vol. 74, No. 148 / Tuesday, August 4, 2009 / Notices
applying the increase of 6.2 percentage
points in the FMAP plus a 15 percent
increase in the cap on Medicaid
payments. There is no quarterly
unemployment adjustment for
Territories. As a result, we are not
addressing the Territories or
Commonwealth in this document, and
will instead work with them separately
and individually.
mstockstill on DSKH9S0YB1PROD with NOTICES
C. Methodology Utilized in the
Calculation of Increased FMAP Rates
for the Third Quarter of Fiscal Year
2009 and Subsequent Quarters During
the Recession Adjustment Period
This notice sets forth increased FMAP
rates for the third quarter of Fiscal Year
2009 that have been calculated pursuant
to the ARRA and are set forth in the
table at the end of the notice. The rates
set forth in this notice are effective from
April 1, 2009 through June 30, 2009.
The table gives figures for each of the 50
States and the District of Columbia.
Adjusted figures are not shown for
Puerto Rico, the Virgin Islands, Guam,
American Samoa, and the
Commonwealth of the Northern Mariana
Islands. Under ARRA, the application of
an increased FMAP calculation for the
Territories and Commonwealth depends
upon a one-time election of a higher
FMAP and 15 percent increase in their
cap on federal Medicaid payments, or a
30 percent increase in their cap.
Moreover, there is no quarterly
unemployment adjustment for the
Territories or Commonwealth. As a
result, we will instead work with the
Territories and Commonwealth
separately and individually.
The maintenance of FMAP
calculation and the general 6.2
percentage point increase are nondiscretionary calculations, and were
included in a prior notice issued April
21, 2009, at 74 FR 18235. This notice
specifically adjusts FMAP rates for
States qualifying for additional increase
based on currently available information
on unemployment rates in the States as
obtained from the Department of Labor’s
Bureau of Labor Statistics, and describes
the methodology we intend to use
throughout the recession adjustment
period.
The methodology that we have used
to calculate the unemployment
adjustment is to utilize the final
unemployment rate for the most recent
previous 3-month period for which data
are available prior to each quarter to
calculate that quarter’s FMAP. The
unemployment rate for the most recent
previous 3-month period includes final
unemployment rates for all three
months.
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16:07 Aug 03, 2009
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The timing of the availability of final
State unemployment data for the month
just prior to the start of the fiscal quarter
prevents the publication of the FMAP
rates until after the fiscal quarter has
begun. For example, State
unemployment data for the month of
March, the month just prior to the start
of the fiscal quarter beginning April 1,
becomes available during the month of
April on a preliminary basis. State
unemployment data for March does not
become final until May with the release
of preliminary April state
unemployment data and so forth for
subsequent months and quarters.
Because States rely on timely
publication of the percentages for their
use in budget planning activities, HHS
will calculate preliminary quarterly
FMAP rates at the time preliminary
monthly data for the month prior to the
start of the quarter is available. HHS
will provide these rates to the Centers
for Medicare and Medicaid Services
(CMS) for the purpose of calculating
preliminary quarterly adjustments, as
specified by ARRA, for States’ federal
matching amounts. HHS will calculate
final quarterly FMAP rates at the time
final monthly data for the month prior
to the start of the fiscal quarter is
available. HHS will provide these rates
to CMS for the purpose of calculating
the final quarterly adjustments, as
specified by ARRA, for States’ final
quarterly federal matching amounts and
publish these final quarterly rates in a
Federal Register notice.
As an example of the methodology,
HHS will calculate preliminary FMAP
rates for the fiscal quarter beginning
April 1, using State unemployment data
from final January, final February, and
preliminary March unemployment rates,
in April when preliminary March data
become available, and supply these to
CMS. HHS will calculate final FMAP
rates for the fiscal quarter beginning
April 1, using State unemployment data
from final January, final February, and
final March unemployment rates, in
May when final March data become
available and supply these to CMS and
publish these final quarterly rates in a
Federal Register notice. The
methodology and timing for the
calculations and their release will
proceed similarly for subsequent
quarters during the recession
adjustment period.
We intend to utilize annual updates to
the historical BLS data to make changes
in the States’ lowest unemployment
rate. Revised historical unemployment
rates are part of the currently available
data used at the time of calculating third
quarter FMAP rates each year. These
revisions to the historical data will
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Fmt 4703
Sfmt 4703
remain current until the following third
quarter FMAP rate is calculated, when
new historical data becomes available.
Using data for the final State
unemployment rates for the 3consecutive-month period prior to the
start of the fiscal quarter beginning
April 1, 2009 and historical periods of
each 3-consecutive-months beginning
on or after January 1, 2006, differences
in States’ unemployment rates were
calculated to determine if a State
qualifies for an adjustment in its FMAP
due to changes in its unemployment
rate. For the third quarter of fiscal year
2009, we compared each State’s final
unemployment rate for the 3-month
period ending in March 2009 to the
lowest average unemployment rate for
the State for any 3-consecutive-month
period from January 1, 2006 through
February 2009. A State received an
additional FMAP increase if the State’s
unemployment increase percentage was
at least 1.5 percentage points.
ARRA adjustments to FMAP are
shown by State in the accompanying
table. The hold harmless FY09 FMAP is
the higher of the original FY08 or FY09
FMAP. The 6.2 percentage point
increase is added to the hold harmless
FY09 FMAP. The unemployment tier is
determined from the comparison of the
3-month average unemployment rate
ending March 2009 and the lowest 3month unemployment rate during
January 2006 to February 2009. The
unemployment adjustment is calculated
according to the unemployment tier and
added to the hold harmless FY09 FMAP
with the 6.2 percentage point increase.
We are requesting public comment on
the calculation methodology described
above, which we have used in
developing the third quarter increased
FMAP rates. We will address any public
comments in the next quarterly notice of
increased FMAP rates.
FOR FURTHER INFORMATION CONTACT:
Thomas Musco or Rose Chu, Office of
Health Policy, Office of the Assistant
Secretary for Planning and Evaluation,
Room 447D—Hubert H. Humphrey
Building, 200 Independence Avenue,
SW., Washington, DC 20201, (202) 690–
6870.
(Catalog of Federal Domestic Assistance
Program Nos. 93.558: TANF Contingency
Funds; 93.563: Child Support Enforcement;
93.596: Child Care Mandatory and Matching
Funds of the Child Care and Development
Fund; 93.658: 93.659: Adoption Assistance;
93.769: Ticket-to-Work and Work Incentives
Improvement Act (TWWIIA) Demonstrations
to Maintain Independence and Employment)
Dated: July 27, 2009.
Kathleen Sebelius,
Secretary.
E:\FR\FM\04AUN1.SGM
04AUN1
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Federal Register / Vol. 74, No. 148 / Tuesday, August 4, 2009 / Notices
ARRA ADJUSTMENTS TO FMAP Q3 FY09
State
FY08
original
FMAP
FY09
original
FMAP
Hold
harmless FY
09
67.62
52.48
66.20
72.94
50.00
50.00
50.00
50.00
70.00
56.83
63.10
56.50
69.87
50.00
62.69
61.73
59.43
69.78
72.47
63.31
50.00
50.00
58.10
50.00
76.29
62.42
68.53
58.02
52.64
50.00
50.00
71.04
50.00
64.05
63.75
60.79
67.10
60.86
54.08
52.51
69.79
60.03
63.71
60.56
71.63
59.03
50.00
51.52
74.25
57.62
50.00
67.98
50.53
65.77
72.81
50.00
50.00
50.00
50.00
70.00
55.40
64.49
55.11
69.77
50.32
64.26
62.62
60.08
70.13
71.31
64.41
50.00
50.00
60.27
50.00
75.84
63.19
68.04
59.54
50.00
50.00
50.00
70.88
50.00
64.60
63.15
62.14
65.90
62.45
54.52
52.59
70.07
62.55
64.28
59.44
70.71
59.45
50.00
50.94
73.73
59.38
50.00
67.98
52.48
66.20
72.94
50.00
50.00
50.00
50.00
70.00
56.83
64.49
56.50
69.87
50.32
64.26
62.62
60.08
70.13
72.47
64.41
50.00
50.00
60.27
50.00
76.29
63.19
68.53
59.54
52.64
50.00
50.00
71.04
50.00
64.60
63.75
62.14
67.10
62.45
54.52
52.59
70.07
62.55
64.28
60.56
71.63
59.45
50.00
51.52
74.25
59.38
50.00
Alabama .................................
Alaska ....................................
Arizona ...................................
Arkansas ................................
California ................................
Colorado ................................
Connecticut ............................
Delaware ................................
District of Columbia ...............
Florida ....................................
Georgia ..................................
Hawaii ....................................
Idaho ......................................
Illinois .....................................
Indiana ...................................
Iowa .......................................
Kansas ...................................
Kentucky ................................
Louisiana ................................
Maine .....................................
Maryland ................................
Massachusetts .......................
Michigan .................................
Minnesota ..............................
Mississippi ..............................
Missouri ..................................
Montana .................................
Nebraska ................................
Nevada ...................................
New Hampshire .....................
New Jersey ............................
New Mexico ...........................
New York ...............................
North Carolina ........................
North Dakota ..........................
Ohio .......................................
Oklahoma ...............................
Oregon ...................................
Pennsylvania ..........................
Rhode Island ..........................
South Carolina .......................
South Dakota .........................
Tennessee .............................
Texas .....................................
Utah .......................................
Vermont .................................
Virginia ...................................
Washington ............................
West Virginia ..........................
Wisconsin ...............................
Wyoming ................................
[FR Doc. E9–18544 Filed 7–31–09; 11:15 am]
BILLING CODE 4210–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
mstockstill on DSKH9S0YB1PROD with NOTICES
Renewal of Charter for the Presidential
Advisory Council on HIV/AIDS
AGENCY: Department of Health and
Human Services, Office of the Secretary,
Office of Public Health and Science.
ACTION:
SUMMARY: As stipulated by the Federal
Advisory Committee Act, as amended (5
16:07 Aug 03, 2009
1st and
2nd quarter FY09
FMAP Adjust (incl
HH–6.2–
unemployment)
3–Month
average
unemployment ending Mar
2009
Minimum
unemployment
Unemployment difference
74.18
58.68
72.40
79.14
56.20
56.20
56.20
56.20
76.20
63.03
70.69
62.70
76.07
56.52
70.46
68.82
66.28
76.33
78.67
70.61
56.20
56.20
66.47
56.20
82.49
69.39
74.73
65.74
58.84
56.20
56.20
77.24
56.20
70.80
69.95
68.34
73.30
68.65
60.72
58.79
76.27
68.75
70.48
66.76
77.83
65.65
56.20
57.72
80.45
65.58
56.20
76.64
58.68
75.01
79.14
61.59
58.78
60.19
60.19
77.68
67.64
73.44
66.13
78.37
60.48
73.23
68.82
66.28
77.80
80.01
72.40
58.78
58.78
69.58
60.19
83.62
71.24
76.29
65.74
63.93
56.20
58.78
77.24
58.78
73.55
69.95
70.25
74.94
71.58
63.05
63.89
78.55
68.75
73.25
68.76
77.83
67.71
58.78
60.22
80.45
65.58
56.20
8.4
8.0
7.4
6.4
10.6
7.1
7.4
7.2
9.6
9.4
8.9
6.6
6.8
8.5
9.6
5.0
5.9
9.3
5.6
7.9
6.6
7.6
12.1
7.9
9.1
8.4
5.9
4.5
10.0
5.7
7.9
5.5
7.5
10.4
4.2
9.3
5.5
10.8
7.5
10.4
10.9
4.6
9.1
6.5
5.0
7.0
6.4
8.4
6.0
7.8
4.0
3.3
6.0
3.6
4.8
4.8
3.6
4.3
3.3
5.4
3.3
4.3
2.2
2.8
4.4
4.4
3.7
4.0
5.4
3.5
4.4
3.4
4.4
6.7
3.9
6.0
4.7
3.2
2.8
4.2
3.4
4.2
3.5
4.3
4.5
3.0
5.3
3.3
5.0
4.3
4.8
5.5
2.7
4.5
4.4
2.5
3.5
2.8
4.4
4.2
4.4
2.8
5.1
2.0
3.8
1.6
5.8
3.5
3.1
3.9
4.2
6.1
4.6
4.4
4.0
4.1
5.2
1.3
1.9
3.9
2.1
3.5
3.2
3.2
5.4
4.0
3.1
3.7
2.7
1.7
5.8
2.3
3.7
2.0
3.2
5.9
1.2
4.0
2.2
5.8
3.2
5.6
5.4
1.9
4.6
2.1
2.5
3.5
3.6
4.0
1.8
3.4
1.2
U.S.C. Appendix 2), the U.S.
Department of Health and Human
Services is hereby announcing renewal
of the charter for the Presidential
Advisory Council on HIV/AIDS
(PACHA).
FOR FURTHER INFORMATION CONTACT: Mr.
Christopher Bates, Interim Executive
Director, PACHA, Department of Health
and Human Services, 200 Independence
Avenue, SW., Room 443H; (202) 690–
5560.
PACHA
was established by Executive Order
12963, dated June 14, 1995, as amended
by Executive Order 13009, dated June
SUPPLEMENTARY INFORMATION:
Notice.
VerDate Nov<24>2008
Hold
harmless
FY09
FMAP
with
6.2%pt
increase
Jkt 217001
PO 00000
Frm 00057
Fmt 4703
Sfmt 4703
Unemployment tier
Unemployment adjustment
Q3
FY09
3nd quarter FY09
FMAP adjust (incl
HH–6.2–
unemployment)
11.5
5.5
11.5
5.5
11.5
11.5
8.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
0.0
5.5
11.5
5.5
11.5
8.5
8.5
11.5
11.5
8.5
11.5
8.5
5.5
11.5
5.5
11.5
5.5
8.5
11.5
0.0
11.5
5.5
11.5
8.5
11.5
11.5
5.5
11.5
5.5
8.5
11.5
11.5
11.5
5.5
8.5
0.0
3.33
2.44
3.53
1.32
5.39
5.39
3.99
5.39
3.09
4.61
3.73
4.65
3.11
5.36
3.75
0.00
2.03
3.08
1.34
3.74
3.99
3.99
4.21
5.39
1.75
3.88
2.41
2.05
5.09
2.58
5.39
1.42
3.99
3.71
0.00
4.00
1.64
3.96
3.60
5.10
3.09
1.89
3.75
2.00
2.15
4.31
5.39
5.22
1.25
3.19
0.00
77.51
61.12
75.93
80.46
61.59
61.59
60.19
61.59
79.29
67.64
74.42
67.35
79.18
61.88
74.21
68.82
68.31
79.41
80.01
74.35
60.19
60.19
70.68
61.59
84.24
73.27
77.14
67.79
63.93
58.78
61.59
78.66
60.19
74.51
69.95
72.34
74.94
72.61
64.32
63.89
79.36
70.64
74.23
68.76
79.98
69.96
61.59
62.94
81.70
68.77
56.20
14, 1996; and Section 222 of the Public
Health Service Act (42 U.S.C. 217a). The
Council was established to provide
advice, information, and
recommendations to the Secretary of
Health and Human Services regarding
programs and policies to promote
effective prevention and cure of HIV
disease and AIDS. The functions of the
Council shall be solely advisory in
nature.
Since PACHA was established,
renewal of its charter has been carried
out at the appropriate intervals as
stipulated by FACA. The previous
Council charter was scheduled to expire
on July 27, 2009. On July 24, 2009, the
E:\FR\FM\04AUN1.SGM
04AUN1
]]>Agencies
[Federal Register Volume 74, Number 148 (Tuesday, August 4, 2009)]
[Notices]
[Pages 38630-38633]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-18544]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
Implementation of Section 5001 of the American Recovery and
Reinvestment Act of 2009 (ARRA) for Adjustments to the Third Quarter of
Fiscal Year 2009 Federal Medical Assistance Percentage (FMAP) Rates for
Federal Matching Shares for Medicaid and Foster Care and Adoption
Assistance
AGENCY: Office of the Secretary, DHHS.
ACTION: Notice with comment period.
-----------------------------------------------------------------------
SUMMARY: This notice with comment period describes the methodology for
calculating the higher federal matching funding that is made available
under Section 5001 of the American Recovery and Reinvestment Act of
2009 (ARRA). Section 5001 of the ARRA provides for temporary increases
in the Federal Medical Assistance Percentage (FMAP) rates to provide
fiscal relief to States and to protect and maintain State Medicaid
programs in a period of economic downturn. The increased FMAP rates
apply during a recession adjustment period that is defined as the
period beginning on October 1, 2008 and ending on December 31, 2010.
[[Page 38631]]
Effective Date: The percentages listed are for the third quarter of
Fiscal Year 2009 beginning April 1, 2009 and ending June 30, 2009.
Comment Date: To be assured consideration, comments must be
received at the address provided below, no later than 5 p.m. on August
19, 2009.
ADDRESSES: Because of staff and resource limitations, we can only
accept comments by regular mail. You may mail written comments (one
original and one copy) to the following address only: Department of
Health and Human Services, Room 447D, Attention: FMAP Notice--ARRA, 200
Independence Ave., SW., Washington, DC 20201.
Submitting Comments: We welcome comments from the public on the
calculation methodology set forth in this notice with comment period to
assist us in fully considering issues and developing policies. Please
provide a reference to the section on which you choose to comment.
A. Background
The Federal Medical Assistance Percentage (FMAP) is used to
determine the amount of Federal matching for specified State
expenditures for assistance payments under programs under the Social
Security Act. Sections 1905(b) and 1101(a)(8)(B) of the Social Security
Act (``the Act'') require the Secretary of Health and Human Services to
publish the FMAP rates each year. The Secretary calculates the
percentages, using formulas set forth in sections 1905(b) and
1101(a)(8)(B), from the Department of Commerce's statistics of average
income per person in each State and for the Nation as a whole. The
percentages must be within the upper and lower limits given in section
1905(b) of the Act. The percentages to be applied to the District of
Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and
the Northern Mariana Islands are specified in statute, and thus are not
based on the statutory formula that determines the percentages for the
50 States.
Section 1905(b) of the Social Security Act specifies the formula
for calculating FMAP as follows:
The FMAP for any State shall be 100 per centum less the State
percentage; and the State percentage shall be that percentage which
bears the same ratio to 45 per centum as the square of the per capita
income of such State bears to the square of the per capita income of
the continental United States (including Alaska) and Hawaii; except
that (1) the FMAP shall in no case be less than 50 per centum or more
than 83 per centum, and (2) the FMAP for Puerto Rico, the Virgin
Islands, Guam, the Northern Mariana Islands, and American Samoa shall
be 50 per centum. Section 4725 of the Balanced Budget Act of 1997
amended section 1905(b) to provide that the FMAP for the District of
Columbia for purposes of titles XIX (Medicaid) and XXI (CHIP) shall be
70 percent.
Section 5001 of Division B of the American Recovery and
Reinvestment Act of 2009 (ARRA) provides for a temporary increase in
FMAP rates for Medicaid, Foster Care and Adoption Assistance programs.
The purposes of the increases to the FMAP rates are to provide fiscal
relief to States and to protect and maintain State Medicaid programs in
a period of economic downturn, referred to as the ``recession
adjustment period.'' The recession adjustment period is defined as the
period beginning on October 1, 2008 and ending on December 31, 2010.
B. Calculation of the Increased FMAP Rates Under ARRA
Section 5001 of the ARRA specifies that the FMAP rates shall be
temporarily increased for the following: (1) Maintenance of FMAP rates
for fiscal year 2009, fiscal year 2010, and first quarter of fiscal
year 2011, so that the FMAP rate will not decrease from the prior year,
determined by using as the FMAP rate for the current year the greater
of any prior fiscal year FMAP rates between 2008-2010 or the rate
calculated for the current fiscal year; (2) in addition to any
maintenance increase, the application of an increase in each State's
FMAP of 6.2 percentage points; and (3) an additional percentage point
increase based on the State's increase in unemployment during the
recession adjustment period. The resulting increased FMAP cannot exceed
100 percent. Each State's FMAP will be recalculated each fiscal quarter
beginning October 2008. Availability of certain components of the
increased FMAP is conditioned on States meeting statutory programmatic
requirements, such as maintenance of effort requirements, which are not
part of the calculation process.
Expenditures for which the increased FMAP is not available under
title XIX include expenditures for disproportionate share hospital
payments, certain eligibility expansions, services received through an
IHS or tribal facility (which are already paid at a rate of 100 percent
which is not subject to increase), and expenditures that are paid at an
enhanced FMAP rate. The increased FMAP is also not available for
payments under title XXI. The increased FMAP is available for
expenditures under part E of title IV (Foster Care Maintenance
payments) only to the extent of maintenance increase, if any, and the
6.2 percentage point increase.
For each qualifying State with an unemployment rate that has
increased at a rate above a statutory threshold percentage, ARRA
provides additional relief above the general 6.2 percentage point
increase in FMAP through application of a different increase
calculation. For those States, the FMAP for each qualifying State is
increased by the number of percentage points equal to the product of
the State matching percentage (as calculated under section 1905(b) and
adjusted if necessary for the maintenance of FMAP without reduction
from the prior year, and after applying half of the 6.2 percentage
point general increase in the federal percentage) and the applicable
percent determined from the State unemployment increase percentage for
the quarter, in addition to the 6.2 percentage point increase.
The unemployment increase percentage for a calendar quarter is
equal to the number of percentage points (if any) by which the average
monthly unemployment rate for the State in the most recent previous 3-
consecutive-month period for which data are available exceeds the
lowest average monthly unemployment rate for the State for any 3-
consecutive-month period beginning on or after January 1, 2006 and
preceding the most recent previous 3-consecutive-month period. A State
qualifies for additional relief based on an increase in unemployment if
that State's unemployment increase percentage is at least 1.5
percentage points.
The applicable percent is: (1) 5.5 percent if the State
unemployment increase percentage is at least 1.5 percentage points but
less than 2.5 percentage points; (2) 8.5 percent if the State
unemployment increase percentage is at least 2.5 percentage points but
less than 3.5 percentage points; and (3) 11.5 percent if the State
unemployment increase percentage is at least 3.5 percentage points.
If the State's applicable percent is less than the applicable
percent for the preceding quarter, then the higher applicable percent
shall continue in effect for any calendar quarter beginning on January
1, 2009 and ending before July 1, 2010.
Puerto Rico, the Virgin Islands, Guam, the Commonwealth of the
Northern Mariana Islands, and America Samoa can make a one-time
election between (1) A 30 percent increase in their cap on Medicaid
payments (as determined under subsections (f) and (g) of section 1108
of the Social Security Act), or (2)
[[Page 38632]]
applying the increase of 6.2 percentage points in the FMAP plus a 15
percent increase in the cap on Medicaid payments. There is no quarterly
unemployment adjustment for Territories. As a result, we are not
addressing the Territories or Commonwealth in this document, and will
instead work with them separately and individually.
C. Methodology Utilized in the Calculation of Increased FMAP Rates for
the Third Quarter of Fiscal Year 2009 and Subsequent Quarters During
the Recession Adjustment Period
This notice sets forth increased FMAP rates for the third quarter
of Fiscal Year 2009 that have been calculated pursuant to the ARRA and
are set forth in the table at the end of the notice. The rates set
forth in this notice are effective from April 1, 2009 through June 30,
2009. The table gives figures for each of the 50 States and the
District of Columbia. Adjusted figures are not shown for Puerto Rico,
the Virgin Islands, Guam, American Samoa, and the Commonwealth of the
Northern Mariana Islands. Under ARRA, the application of an increased
FMAP calculation for the Territories and Commonwealth depends upon a
one-time election of a higher FMAP and 15 percent increase in their cap
on federal Medicaid payments, or a 30 percent increase in their cap.
Moreover, there is no quarterly unemployment adjustment for the
Territories or Commonwealth. As a result, we will instead work with the
Territories and Commonwealth separately and individually.
The maintenance of FMAP calculation and the general 6.2 percentage
point increase are non-discretionary calculations, and were included in
a prior notice issued April 21, 2009, at 74 FR 18235. This notice
specifically adjusts FMAP rates for States qualifying for additional
increase based on currently available information on unemployment rates
in the States as obtained from the Department of Labor's Bureau of
Labor Statistics, and describes the methodology we intend to use
throughout the recession adjustment period.
The methodology that we have used to calculate the unemployment
adjustment is to utilize the final unemployment rate for the most
recent previous 3-month period for which data are available prior to
each quarter to calculate that quarter's FMAP. The unemployment rate
for the most recent previous 3-month period includes final unemployment
rates for all three months.
The timing of the availability of final State unemployment data for
the month just prior to the start of the fiscal quarter prevents the
publication of the FMAP rates until after the fiscal quarter has begun.
For example, State unemployment data for the month of March, the month
just prior to the start of the fiscal quarter beginning April 1,
becomes available during the month of April on a preliminary basis.
State unemployment data for March does not become final until May with
the release of preliminary April state unemployment data and so forth
for subsequent months and quarters.
Because States rely on timely publication of the percentages for
their use in budget planning activities, HHS will calculate preliminary
quarterly FMAP rates at the time preliminary monthly data for the month
prior to the start of the quarter is available. HHS will provide these
rates to the Centers for Medicare and Medicaid Services (CMS) for the
purpose of calculating preliminary quarterly adjustments, as specified
by ARRA, for States' federal matching amounts. HHS will calculate final
quarterly FMAP rates at the time final monthly data for the month prior
to the start of the fiscal quarter is available. HHS will provide these
rates to CMS for the purpose of calculating the final quarterly
adjustments, as specified by ARRA, for States' final quarterly federal
matching amounts and publish these final quarterly rates in a Federal
Register notice.
As an example of the methodology, HHS will calculate preliminary
FMAP rates for the fiscal quarter beginning April 1, using State
unemployment data from final January, final February, and preliminary
March unemployment rates, in April when preliminary March data become
available, and supply these to CMS. HHS will calculate final FMAP rates
for the fiscal quarter beginning April 1, using State unemployment data
from final January, final February, and final March unemployment rates,
in May when final March data become available and supply these to CMS
and publish these final quarterly rates in a Federal Register notice.
The methodology and timing for the calculations and their release will
proceed similarly for subsequent quarters during the recession
adjustment period.
We intend to utilize annual updates to the historical BLS data to
make changes in the States' lowest unemployment rate. Revised
historical unemployment rates are part of the currently available data
used at the time of calculating third quarter FMAP rates each year.
These revisions to the historical data will remain current until the
following third quarter FMAP rate is calculated, when new historical
data becomes available.
Using data for the final State unemployment rates for the 3-
consecutive-month period prior to the start of the fiscal quarter
beginning April 1, 2009 and historical periods of each 3-consecutive-
months beginning on or after January 1, 2006, differences in States'
unemployment rates were calculated to determine if a State qualifies
for an adjustment in its FMAP due to changes in its unemployment rate.
For the third quarter of fiscal year 2009, we compared each State's
final unemployment rate for the 3-month period ending in March 2009 to
the lowest average unemployment rate for the State for any 3-
consecutive-month period from January 1, 2006 through February 2009. A
State received an additional FMAP increase if the State's unemployment
increase percentage was at least 1.5 percentage points.
ARRA adjustments to FMAP are shown by State in the accompanying
table. The hold harmless FY09 FMAP is the higher of the original FY08
or FY09 FMAP. The 6.2 percentage point increase is added to the hold
harmless FY09 FMAP. The unemployment tier is determined from the
comparison of the 3-month average unemployment rate ending March 2009
and the lowest 3-month unemployment rate during January 2006 to
February 2009. The unemployment adjustment is calculated according to
the unemployment tier and added to the hold harmless FY09 FMAP with the
6.2 percentage point increase.
We are requesting public comment on the calculation methodology
described above, which we have used in developing the third quarter
increased FMAP rates. We will address any public comments in the next
quarterly notice of increased FMAP rates.
FOR FURTHER INFORMATION CONTACT: Thomas Musco or Rose Chu, Office of
Health Policy, Office of the Assistant Secretary for Planning and
Evaluation, Room 447D--Hubert H. Humphrey Building, 200 Independence
Avenue, SW., Washington, DC 20201, (202) 690-6870.
(Catalog of Federal Domestic Assistance Program Nos. 93.558: TANF
Contingency Funds; 93.563: Child Support Enforcement; 93.596: Child
Care Mandatory and Matching Funds of the Child Care and Development
Fund; 93.658: 93.659: Adoption Assistance; 93.769: Ticket-to-Work
and Work Incentives Improvement Act (TWWIIA) Demonstrations to
Maintain Independence and Employment)
Dated: July 27, 2009.
Kathleen Sebelius,
Secretary.
[[Page 38633]]
ARRA Adjustments to FMAP Q3 FY09
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hold
harmless 1st and 2nd 3-Month 3nd quarter
FY08 FY09 Hold FY09 quarter FY09 average Minimum Unemploy- Unemploy- FY09 FMAP
State original original harmless FMAP FMAP Adjust unemploy- unemploy- ment Unemploy- ment adjust (incl
FMAP FMAP FY 09 with (incl HH-6.2- ment ment difference ment tier adjustment HH-6.2-
6.2%pt unemploy-ment) ending Q3 FY09 unemploy-ment)
increase Mar 2009
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alabama........................................................ 67.62 67.98 67.98 74.18 76.64 8.4 3.3 5.1 11.5 3.33 77.51
Alaska......................................................... 52.48 50.53 52.48 58.68 58.68 8.0 6.0 2.0 5.5 2.44 61.12
Arizona........................................................ 66.20 65.77 66.20 72.40 75.01 7.4 3.6 3.8 11.5 3.53 75.93
Arkansas....................................................... 72.94 72.81 72.94 79.14 79.14 6.4 4.8 1.6 5.5 1.32 80.46
California..................................................... 50.00 50.00 50.00 56.20 61.59 10.6 4.8 5.8 11.5 5.39 61.59
Colorado....................................................... 50.00 50.00 50.00 56.20 58.78 7.1 3.6 3.5 11.5 5.39 61.59
Connecticut.................................................... 50.00 50.00 50.00 56.20 60.19 7.4 4.3 3.1 8.5 3.99 60.19
Delaware....................................................... 50.00 50.00 50.00 56.20 60.19 7.2 3.3 3.9 11.5 5.39 61.59
District of Columbia........................................... 70.00 70.00 70.00 76.20 77.68 9.6 5.4 4.2 11.5 3.09 79.29
Florida........................................................ 56.83 55.40 56.83 63.03 67.64 9.4 3.3 6.1 11.5 4.61 67.64
Georgia........................................................ 63.10 64.49 64.49 70.69 73.44 8.9 4.3 4.6 11.5 3.73 74.42
Hawaii......................................................... 56.50 55.11 56.50 62.70 66.13 6.6 2.2 4.4 11.5 4.65 67.35
Idaho.......................................................... 69.87 69.77 69.87 76.07 78.37 6.8 2.8 4.0 11.5 3.11 79.18
Illinois....................................................... 50.00 50.32 50.32 56.52 60.48 8.5 4.4 4.1 11.5 5.36 61.88
Indiana........................................................ 62.69 64.26 64.26 70.46 73.23 9.6 4.4 5.2 11.5 3.75 74.21
Iowa........................................................... 61.73 62.62 62.62 68.82 68.82 5.0 3.7 1.3 0.0 0.00 68.82
Kansas......................................................... 59.43 60.08 60.08 66.28 66.28 5.9 4.0 1.9 5.5 2.03 68.31
Kentucky....................................................... 69.78 70.13 70.13 76.33 77.80 9.3 5.4 3.9 11.5 3.08 79.41
Louisiana...................................................... 72.47 71.31 72.47 78.67 80.01 5.6 3.5 2.1 5.5 1.34 80.01
Maine.......................................................... 63.31 64.41 64.41 70.61 72.40 7.9 4.4 3.5 11.5 3.74 74.35
Maryland....................................................... 50.00 50.00 50.00 56.20 58.78 6.6 3.4 3.2 8.5 3.99 60.19
Massachusetts.................................................. 50.00 50.00 50.00 56.20 58.78 7.6 4.4 3.2 8.5 3.99 60.19
Michigan....................................................... 58.10 60.27 60.27 66.47 69.58 12.1 6.7 5.4 11.5 4.21 70.68
Minnesota...................................................... 50.00 50.00 50.00 56.20 60.19 7.9 3.9 4.0 11.5 5.39 61.59
Mississippi.................................................... 76.29 75.84 76.29 82.49 83.62 9.1 6.0 3.1 8.5 1.75 84.24
Missouri....................................................... 62.42 63.19 63.19 69.39 71.24 8.4 4.7 3.7 11.5 3.88 73.27
Montana........................................................ 68.53 68.04 68.53 74.73 76.29 5.9 3.2 2.7 8.5 2.41 77.14
Nebraska....................................................... 58.02 59.54 59.54 65.74 65.74 4.5 2.8 1.7 5.5 2.05 67.79
Nevada......................................................... 52.64 50.00 52.64 58.84 63.93 10.0 4.2 5.8 11.5 5.09 63.93
New Hampshire.................................................. 50.00 50.00 50.00 56.20 56.20 5.7 3.4 2.3 5.5 2.58 58.78
New Jersey..................................................... 50.00 50.00 50.00 56.20 58.78 7.9 4.2 3.7 11.5 5.39 61.59
New Mexico..................................................... 71.04 70.88 71.04 77.24 77.24 5.5 3.5 2.0 5.5 1.42 78.66
New York....................................................... 50.00 50.00 50.00 56.20 58.78 7.5 4.3 3.2 8.5 3.99 60.19
North Carolina................................................. 64.05 64.60 64.60 70.80 73.55 10.4 4.5 5.9 11.5 3.71 74.51
North Dakota................................................... 63.75 63.15 63.75 69.95 69.95 4.2 3.0 1.2 0.0 0.00 69.95
Ohio........................................................... 60.79 62.14 62.14 68.34 70.25 9.3 5.3 4.0 11.5 4.00 72.34
Oklahoma....................................................... 67.10 65.90 67.10 73.30 74.94 5.5 3.3 2.2 5.5 1.64 74.94
Oregon......................................................... 60.86 62.45 62.45 68.65 71.58 10.8 5.0 5.8 11.5 3.96 72.61
Pennsylvania................................................... 54.08 54.52 54.52 60.72 63.05 7.5 4.3 3.2 8.5 3.60 64.32
Rhode Island................................................... 52.51 52.59 52.59 58.79 63.89 10.4 4.8 5.6 11.5 5.10 63.89
South Carolina................................................. 69.79 70.07 70.07 76.27 78.55 10.9 5.5 5.4 11.5 3.09 79.36
South Dakota................................................... 60.03 62.55 62.55 68.75 68.75 4.6 2.7 1.9 5.5 1.89 70.64
Tennessee...................................................... 63.71 64.28 64.28 70.48 73.25 9.1 4.5 4.6 11.5 3.75 74.23
Texas.......................................................... 60.56 59.44 60.56 66.76 68.76 6.5 4.4 2.1 5.5 2.00 68.76
Utah........................................................... 71.63 70.71 71.63 77.83 77.83 5.0 2.5 2.5 8.5 2.15 79.98
Vermont........................................................ 59.03 59.45 59.45 65.65 67.71 7.0 3.5 3.5 11.5 4.31 69.96
Virginia....................................................... 50.00 50.00 50.00 56.20 58.78 6.4 2.8 3.6 11.5 5.39 61.59
Washington..................................................... 51.52 50.94 51.52 57.72 60.22 8.4 4.4 4.0 11.5 5.22 62.94
West Virginia.................................................. 74.25 73.73 74.25 80.45 80.45 6.0 4.2 1.8 5.5 1.25 81.70
Wisconsin...................................................... 57.62 59.38 59.38 65.58 65.58 7.8 4.4 3.4 8.5 3.19 68.77
Wyoming........................................................ 50.00 50.00 50.00 56.20 56.20 4.0 2.8 1.2 0.0 0.00 56.20
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
[FR Doc. E9-18544 Filed 7-31-09; 11:15 am]
BILLING CODE 4210-01-P
