NOTICES

Inpatient Hospitals Qualifying for Medical Assistance Disproportionate Share Payments

[39 Pa.B. 4824]
[Saturday, August 8, 2009]

   On July 1, 1988, the Department of Public Welfare (Department) implemented a disproportionate share payment system. The Department is required to annually publish the names of each inpatient acute care general hospital, rehabilitation hospital and private psychiatric hospital qualifying for a disproportionate share payment and their respective disproportionate share payment percentage as set forth in 55 Pa. Code §§ 1151.54(i), 1163.67(k) and 1163.459(j) (relating to disproportionate share payments).

   A.  Disproportionate Share for Acute Care General Hospitals, Rehabilitation Hospitals and Private Psychiatric Hospitals.

   The following lists identify the inpatient acute care general hospitals, psychiatric units, drug and alcohol units and rehabilitation units of acute care general hospitals, rehabilitation hospitals, private psychiatric hospitals and private drug and alcohol hospitals eligible for disproportionate share payments for the period July 1, 2008, through June 30, 2009, and their respective payment percentages. For all inpatient facilities, disproportionate share payments are calculated as a percentage of projected Medical Assistance (MA) inpatient income.

   Payment period July 1, 2008, to June 30, 2009, disproportionate share payment percentages:

Acute Care General Hospitals

ALBERT EINSTEIN MED CTR	4.45%
ALFRED I. DUPONT INSTITUTE	9.41%
BARNES KASSON HOSPITAL	4.59%
CHARLES COLE MEMORIAL HOSPITAL	4.83%
CHILDREN'S HOSPITAL OF PHILADELPHIA	8.47%
CHILDREN'S HOSPITAL OF PITTSBURGH	9.27%
CLEARFIELD HOSPITAL	4.78%
CROZER CHESTER MEDICAL CENTER	3.33%
DUBOIS REGIONAL MED CTR	10.00%
HIGHLAND HOSPITAL	3.08%
HOSPITAL UNIVERSITY OF PA	3.76%
INDIANA HOSPITAL	3.45%
JAMESON MEMORIAL	1.00%
KENSINGTON HOSPITAL	4.66%
MAGEE WOMEN'S	6.23%
MEMORIAL HOSPITAL--TOWANDA	5.46%
MERCY HOSP OF PHILA	4.75%
NPHS--GIRARD	1.00%
NPHS--ST. JOSEPH'S	7.44%
PENN PRESBYTERIAN MED CTR OF UPHS	2.96%
PUNXSUTAWNEY AREA HOSPITAL	4.04%
TEMPLE EAST	3.99%
TEMPLE UNIVERSITY HOSPITAL	6.29%
THS--HAHNEMANN UNIV HOSPITAL	3.58%
THS--ST. CHRISTOPHER'S	14.00%
THOMAS JEFFERSON	3.00%
TITUSVILLE AREA HOSP	4.81%
UPMC--BEDFORD	9.00%
UPMC--PRESBYTERIAN--SHADYSIDE	3.66%
VALLEY FORGE	6.05%
WAYNE COUNTY MEMORIAL	5.54%
WEST VIRGINIA UNIV HOSPITALS, INC.	5.48%

Psychiatric Units of Acute Care General Hospitals

ALBERT EINSTEIN	2.97%
DIVINE PROVIDENCE--WILLIAMSPORT	3.83%
DUBOIS REGIONAL MEDICAL CENTER	3.02%
HIGHLAND HOSPITAL	2.19%
INDIANA HOSPITAL	2.03%
JAMESON MEMORIAL	1.65%
MERCY HOSP OF PHILADELPHIA	3.14%
NPHS--GIRARD	1.00%
PENN PRESBYTERIAN MED CNTR OF UPHS	2.12%
TEMPLE UNIVERSITY HOSP	4.02%
THS--HAHNEMANN UNIV HOSP	2.47%

Drug and Alcohol Units of Acute Care Hospitals

NPHS--ST JOSEPH'S	9.00%
PENN PRESBYTERIAN MED CNTR OF UPHS	2.24%
VALLEY FORGE	6.91%

Medical Rehab Units of Acute Care Hospitals

ALBERT EINSTEIN	4.50%
CHILDREN'S HOSPITAL OF PHILADELPHIA	10.00%
DUBOIS REGIONAL MEDICAL CENTER	4.63%
JAMESON MEMORIAL	1.00%
TEMPLE UNIVERSITY HOSP	7.26%

Freestanding Rehab Hospitals

CHILDRENS INSTITUTE OF PITTSBURGH

6.75%

Private Psychiatric Hospitals

BELMONT CENTER	3.92%
BROOKE GLEN BEHAVIORAL HEALTH	6.51%
CLARION PSYCHIATRIC CENTER	6.33%
DEVEREAUX--MAPLETON PSYCH CTR	10.00%
FAIRMOUNT BHS	3.00%
FIRST HOSPITAL WYOMING VALLEY	5.60%
FOUNDATIONS BEHAVIORAL HEALTH	7.49%
FRIENDS HOSPITAL	2.60%
HORSHAM PSYCHIATRIC HOSPITAL	4.59%
KIDSPEACE HOSPITAL	9.00%
MEADOWS PSYCHIATRIC CENTER	7.44%
MONTGOMERY COUNTY MH/MR ER SVS	4.85%
PHILHAVEN	5.60%
SOUTHWOOD PSYCHIATRIC HOSPITAL	7.2%

Private Drug and Alcohol Hospitals

EAGLEVILLE HOSPITAL

3.57%

   B.  Additional Disproportionate Share Payments

   Additional disproportionate share payments are made to inpatient facilities, with a Medicaid inpatient utilization rate of not less than 1%, which have provided services to persons who have been determined to be low income by meeting the income and resource standards for the State's General Assistance Program.

   The payment adjustments are paid directly proportional to the payment received for either general assistance recipients for all hospital services or Title XIX recipients, 21 years of age or older but under 65 years of age, for services rendered by institutions for mental diseases under the fee-for-service and capitation programs.

   The following hospitals are eligible for this payment adjustment:

Acute Care General Hospitals

ABINGTON MEMORIAL HOSPITAL
ALBERT EINSTEIN MED CTR
ALFRED I. DUPONT INSTITUTE
ALLEGHENY KISKI
ALTOONA HOSPITAL
AMERICAN ONCOLOGIC
ARMSTRONG COUNTY MEMORIAL
BARNES KASSON HOSPITAL
BLOOMSBURG HOSPITAL
BRADFORD REGIONAL
BRANDYWINE HOSPITAL
BROOKVILLE HOSPITAL
BRYN MAWR HOSPITAL
BUCKTAIL MEDICAL CENTER
BUTLER COUNTY MEMORIAL
CANONSBURG GENERAL HOSPITAL
CARLISLE HOSPITAL
CENTRAL MONTGOMERY HOSP
CHAMBERSBURG HOSPITAL
CHARLES COLE MEMORIAL HOSPITAL
CHESTER COUNTY HOSPITAL
CHHS HOSP CO/CHESTNUT HILL HOSPITAL
CHILDREN'S HOSPITAL OF PHILADELPHIA
CHILDREN'S HOSPITAL OF PITTSBURGH
CHS--BERWICK HOSPITAL
CLARION HOSPITAL
CLEARFIELD HOSPITAL
COMMONWEALTH MEDICAL CENTER
COMMUNITY MED CTR--SCRANTON
CONEMAUGH VALLEY HOSP
COORDINATED HEALTH ORTHOPEDIC HOSPITAL
CORRY MEMORIAL
CROZER--CHESTER MEDICAL CENTER
DELAWARE COUNTY MEMORIAL
DIVINE PROVIDENCE--WILLIAMSPORT
DOYLESTOWN HOSPITAL
DUBOIS REGIONAL MED CTR
EASTON HOSPITAL
EDGEWOOD SURGICAL HOSPITAL
ELK REGIONAL
ELLWOOD CITY
ENDLESS MTS. HLTH SYS
EPHRATA COMMUNITY
EVANGELICAL COMMUNITY
FRANKFORD HOSPITAL
FRICK COMMUNITY
FULTON COUNTY MEDICAL CENTER
GEISINGER MEDICAL CENTER
GEISINGER SOUTH WILKES-BARRE
GEISINGER WYOMING VALLEY
GETTYSBURG HOSPITAL
GNADEN HUETTEN MEMORIAL
GOOD SAMARITAN--LEBANON
GOOD SAMARITAN--POTTSVILLE
GRAND VIEW HOSPITAL
GROVE CITY MEDICAL CENTER
HAMOT MED CTR
HANOVER HOSPITAL
HAZLETON GENERAL HOSPITAL
HEART OF LANCASTER REGIONAL MEDICAL
   CENTER
HIGHLAND HOSPITAL
HOLY REDEEMER
HOLY SPIRIT HOSPITAL
HOSPITAL OF THE UNIVERSITY OF PENNA
INDIANA HOSPITAL
JAMESON MEMORIAL HOSPITAL
JC BLAIR
JEANES HOSPITAL
JEFFERSON HEALTH SERVICE
JENNERSVILLE REGIONAL HOSP
JERSEY SHORE HOSPITAL
KANE COMMUNITY
KENSINGTON HOSPITAL
LANCASTER GENERAL
LANCASTER REGIONAL MED CTR
LANKENAU HOSPITAL
LANSDALE HOSPITAL
LATROBE AREA
LEHIGH VALLEY HOSP--MUHLENBERG
LEHIGH VALLEY HOSPITAL
LEWISTOWN HOSPTIAL
LIFECARE HOSPITALS OF PITTSBURGH
LOCK HAVEN HOSP
M S HERSHEY MEDICAL CENTER
MAGEE WOMEN'S
MARIAN COMMUNITY
MEADVILLE MED CTR
MEDICAL CENTER, BEAVER, PA
MEMORIAL HOSP--YORK
MEMORIAL HOSPITAL--TOWANDA
MERCY CATHOLIC FITZGERALD
MERCY HOSP--PGH
MERCY HOSP OF PHILA
MERCY HOSPITAL--SCRANTON
MERCY SPECIAL CARE
MERCY SUBURBAN--NORRISTOWN
MEYERSDALE COMMUNITY HOSPITAL
MID VALLEY HOSPITAL
MILLCREEK COMMUNITY HOSPITAL
MINERS HOSPITAL OF N CAMBRIA
MINERS MEMORIAL MEDICAL CENTER
MONONGAHELA VALLEY
MONTGOMERY HOSPITAL MED CTR
MOSES TAYLOR
MT. NITTANY MED CTR
MUNCY VALLEY HOSPITAL
NASON HOSPITAL
NAZARETH HOSPITAL
NPHS--GIRARD
NPHS--ST. JOSEPH'S
OHIO VALLEY GENERAL
PALMERTON HOSPITAL
PAOLI MEMORIAL HOSPITAL
PENN PRESBYTERIAN MEDICAL CENTER OF UPHS
PHOENIXVILLE HOSPITAL OF UPHS
PINNACLE HEALTH HOSPITALS
POCONO MED CTR
POTTSTOWN MEMORIAL
POTTSVILLE HOSPITAL
PUNXSUTAWNEY AREA HOSPITAL
READING HOSPITAL AND MED CTR
RIDDLE MEMORIAL HOSPITAL
ROBERT PACKER HOSP
ROXBOROUGH MEMORIAL
SACRED HEART--ALLENTOWN
SAINT CATHERINE HOSPITAL OF PENNSYLVANIA
SCHUYLKILL MEDICAL CENTER EAST
   NORWEGIAN ST
SCHUYLKILL MEDICAL CENTER SOUTH
   JACKSON ST
SEWICKLEY VALLEY HOSPITAL
SHAMOKIN AREA COMMUNITY HOSPITAL
SHARON REGIONAL HEALTH SYSTEM
SOLDIERS AND SAILORS MEMORIAL
SOMERSET HOSPITAL
SOUTHWEST REGIONAL MEDICAL CENTER
ST. CLAIR MEMORIAL
ST. JOSEPH REGIONAL HEALTH NETWORK
ST. LUKE'S--BETHLEHEM
ST. LUKE'S--QUAKERTOWN
ST. MARY'S--LANGHORNE
ST. VINCENT HLTH CTR
SUNBURY COMMUNITY
SURGICAL INSTITUTE OF READING
TEMPLE EAST
TEMPLE LOWER BUCKS HOSPITAL
TEMPLE UNIVERSITY HOSPITAL
THOMAS JEFFERSON UNIV HOSPITAL
THS--HAHNEMANN UNIV HOSPITAL
THS--ST. CHRISTOPHER'S
TITUSVILLE AREA HOSP
TROY COMMUNITY
TYLER MEMORIAL HOSPITAL
TYRONE HOSPITAL
UNIONTOWN HOSPITAL
UNIVERSITY OF PENNSYLVANIA MEDICAL
   CENTER--PENNSYLVANIA HOSPITAL
UPMC--BEDFORD
UPMC--BRADDOCK
UPMC--HORIZON
UPMC--MCKEESPORT
UPMC--NORTHWEST MED CTR
UPMC--PASSAVANT
UPMC--PRESBYTERIAN--SHADYSIDE UNIV HOSP
UPMC--SOUTH SIDE
UPMC--ST. MARGARET
VALLEY FORGE
WARREN GENERAL HOSPITAL
WASHINGTON HOSPITAL
WAYNE COUNTY MEMORIAL
WAYNESBORO HOSPITAL
WEST VIRGINIA UNIV HOSPITALS, INC.
WEST PENN--ALLEGHENY
WESTERN PENN--FORBES REGIONAL CAMPUS
WESTERN PENNSYLVANIA
WESTFIELD MED CTR
WESTMORELAND REGIONAL
WILLIAMSPORT HOSPITAL & MED CTR
WINDBER MED CTR
WYOMING VALLEY HLTH CARE SYS
YORK HOSPITAL

Psychiatric Units of Acute Care Hospitals

ABINGTON MEMORIAL
ALBERT EINSTEIN
ALLEGHENY--KISKI MED CTR
ALTOONA
ARMSTRONG COUNTY MEMORIAL
BERWICK HOSP CENTER
BLOOMSBURG HOSP
BRADFORD
BRANDYWINE HOSPITAL
BRYN MAWR HOSP
BUTLER COUNTY MEMORIAL
CHAMBERSBURG HOSPITAL
CLEARFIELD HOSPITAL
COMMONWEALTH MEDICAL CENTER
COMMUNITY MEDICAL CENTER
CONEMAUGH VALLEY
CORRY MEMORIAL
CROZER--CHESTER
DIVINE PROVIDENCE--WMSPT
DUBOIS REGIONAL MED CNTR
EAGLEVILLE HOSPITAL
ELK REGIONAL CTR
EPHRATA COMMUNITY
FRANKFORD HOSP--BUCKS CO CAMPUS
GEISINGER MEDICAL CENTER
GEISINGER SOUTH WILKES-BARRE
GRANDVIEW
HIGHLAND HOSPITAL
HOLY SPIRIT
INDIANA HOSPITAL
J C BLAIR
JAMESON MEMORIAL HOSP
JEFFERSON HEALTH SERV
LANCASTER REGIONAL MED CTR
LANCASTER GENERAL
LATROBE AREA
LEHIGH VALLEY HOSPITAL
LEWISTOWN
MARIAN COMMUNITY HOSPITAL
MEADVILLE MED CNTR
MEDICAL CENTER, BEAVER PA, THE
MERCY CATHOLIC--FITZGERALD
MERCY HOSPITAL OF PHILADELPHIA
MERCY HOSPITAL--PGH
MERCY SPECIAL CARE HOSPITAL--NANTICOKE
MILLCREEK COMMUNITY HOSPITAL
MONONGAHELA VALLEY
MONTGOMERY
MOSES TAYLOR
MOUNT NITTANY MEDICAL CENTER
NPHS--GIRARD
PENN PRESBYTERIAN MED CENTER
POCONO HOSPITAL
POTTSTOWN MEMORIAL MED CTR
POTTSVILLE HOSPITAL
READING HOSPITAL
ROBERT PACKER
SACRED HEART HOSP--ALLENTOWN
SCHUYLKILL MEDICAL CENTER SOUTH
   JACKSON ST
SEWICKLEY VALLEY HOSP
SHAMOKIN AREA COMM HOSP
SHARON REGIONAL HLTH SYST
SOLDIERS AND SAILORS
SOMERSET HOSP CNTR FOR HEALTH
SOUTHWEST REGIONAL MEDICAL CENTER
ST. CLAIR MEMORIAL
ST. JOSEPH REGIONAL HEALTH NETWORK
ST. LUKES OF BETHLEHEM
ST. LUKES--QUAKERTOWN
ST. VINCENT
SUNBURY COMMUNITY
TEMPLE UNIVERSITY HOSPITAL
TEMPLE--LOWER BUCKS
THOMAS JEFFERSON
THS--HAHNEMANN UNIV HOSP
UNIVERSITY OF PENNSYLVANIA MEDICAL
   CENTER--PENNSYLVANIA
UNIV OF PITT MED CTR--BRADDOCK
UNIV OF PITT MED CTR--MCKEESPORT
UPMC--NORTHWEST MED CTR
UPMC PRESBYTERIAN SHADYSIDE
WARREN GENERAL
WASHINGTON
WEST PENN--ALLEGHENY
WESTERN PENNSYLVANIA
WESTERN PENN HOSPITAL--FORBES
   REGIONAL CAMPUS
WESTMORELAND
YORK HOSPITAL

Drub and Alcohol Units of Acute Care Hospitals

BUTLER COUNTY MEMORIAL
MEADVILLE MED CTR
NPHS--ST. JOSEPH'S HOSP
PRESBY MED CTR OF UNIV OF PA HLTH SYST
VALLEY FORGE

Medical Rehab Units of Acute Care Hospitals

AI DUPONT
ABINGTON MEMORIAL HOSP
ALBERT EINSTEIN
ALTOONA
CARLISLE REGIONAL MEDICAL CENTER
CHAMBERSBURG HOSPITAL
CHARLES COLE
CHILDREN'S HOSPITAL OF PHILADELPHIA
CONEMAUGH VALLEY HOSP
CROZER--CHESTER MED CNTR
DELAWARE CNTY MEM HOSP
DUBOIS REG MED CNTR
EASTON HOSPITAL
GEISINGER--WYOMING VALLEY
GNADEN HUETTEN MEMORIAL HOSP--MRU
GOOD SAMARITAN HOSPITAL--LEBANON
GOOD SAMARITAN REGIONAL MEDICAL CENTER
HANOVER HOSPITAL
HAZELTON GENERAL HOSPITAL MRU
HOSP OF THE UNIV OF PA
INDIANA HOSPITAL
JAMESON MEMORIAL
JEFFERSON HEALTH SERVICES
LANCASTER GENERAL HOSP
LANCASTER REGIONAL MEDICAL CENTER
MERCY CATHOLIC--FITZGERALD
MERCY HOSPITAL--PITTSBURGH
MILTON S. HERSHEY MED CTR
MONONGAHELA VALLEY HOSP
NAZARETH
OHIO VALLEY
PINNACLE HEALTH HOSPITALS
POTTSVILLE HOSPITAL
READING HOSPITAL
SCHUYLKILL MEDICAL CENTER EAST
   NORWEGIAN ST
SCHUYLKILL MEDICAL CENTER SOUTH
   JACKSON ST
SEWICKLEY VALLEY HOSPITAL
ST. MARY HOSP--LANGHORNE
ST. VINCENT HEALTH CNTR
TEMPLE UNIVERSITY HOSP
THOMAS JEFFERSON UNIV HOSP
UPMC--HORIZON
UPMC--MCKEESPORT
UPMC--NORTHWEST MED CTR
UPMC--PASSAVANT
UPMC--PRESBYTERIAN SHADYSIDE
UPMC--SOUTHSIDE
UPMC--ST. MARGARET
WASHINGTON HOSPITAL
WESTMORELAND HOSPITAL
WILLIAMSPORT HOSPITAL

Freestanding Rehab Hospitals

ALLIED SERVICES REHAB HOSPITAL
BRYN MAWR REHAB HOSPITAL
CHILDREN'S HOME OF PITTSBURGH
CHILDREN'S INSTITUTE
GOOD SHEPHERD REHAB HOSPITAL
HEALTH SOUTH HARMARVILLE
HEALTH SOUTH LAKE ERIE INSTITUTE REHAB
HEALTH SOUTH MECHANICSBURG REHAB
HEALTH SOUTH PENN STATE GEISENGER
   REHAB HOSP
HEALTH SOUTH READING REHAB HOSPITAL
HEALTH SOUTH REHAB HOSPITAL OF YORK
HEALTH SOUTH REHAB OF ALTOONA
HEALTH SOUTH REHAB OF NITTANY VALLEY
HEALTH SOUTH REHAB OF SEWICKLEY
JOHN HEINZ INSTITUTE
LANCASTER REHAB HOSP
PENN STATE HERSHEY
MAGEE MEMORIAL REHAB HOSPITAL

Private Psychiatric Hospitals

BELMONT CENTER FOR COMP TREATMENT
BERKS BEHAVIORAL HEALTH
BROOKE GLEN BEHAVIORAL HOSPITAL
CLARION PSYCHIATRIC CENTER
DEVEREUX--MAPLETON PSYCH CTR
FAIRMOUNT BHS
FIRST HOSPITAL
FOUNDATIONS BEHAVIORAL HEALTH
FRIENDS HOSPITAL
HORSHAM CLINIC
KIDSPEACE
KIRKBRIDE CENTER
MEADOWS PSYCHIATRIC CENTER
MONTGOMERY COUNTY EMERGENCY SERVICE, INC
PENNSYLVANIA PSYCH INSTITUTE
PHILHAVEN
ROXBURY PSYCHIATRIC
SOUTHWOOD PSYCH HOSPITAL

Private Drug and Alcohol Hospitals

EAGLEVILLE HOSPITAL

   C.  Additional Class of Disproportionate Share Payments

   Effective March 1, 1998, the Department established a new class of disproportionate share payments to hospitals which render uncompensated care and which the Department has determined are experiencing significant revenue loss as a result of MA program revisions under the act of May 16, 1996 (P. L. 175, No. 35).

   Effective January 15, 1999, the Department established a new class of disproportionate share payments to include a Charity Care component of the Community Access Fund. A disproportionate share payment will be made to qualifying hospitals based on each hospital's percentage of charity care cost to the total charity care costs of all qualifying hospitals. The Department also established a disproportionate share payment for those hospitals which the Department has determined advanced its goal of enhanced access to multiple types of medical care in economically distressed areas of this Commonwealth.

   The following hospitals qualify for this payment:

A I DUPONT
ABINGTON MEMORIAL
ALBERT EINSTEIN
BARNES KASSON
CHARLES COLE MEMORIAL
CHILDRENS HOSP OF PHILA
CLARION
CLEARFIELD
COMMONWEALTH MEDICAL CENTER
CROZER--CHESTER MED CTR
DOYLESTOWN
DUBOIS REGIONAL MED CTR
EAGLEVILLE
EASTON HOSPITAL
EVANGELICAL COMMUNITY
FRANKFORD
FULTON COUNTY MEDICAL CTR
GEISINGER MEDICAL CENTER
HAMOT MEDICAL CENTER
HOSP OF THE UNIV OF PA
INDIANA HOSPITAL
J C BLAIR
JAMESON MEMORIAL
LANKENAU
LEHIGH VALLEY
LOCK HAVEN
MAGEE WOMENS
MEADVILLE MED CTR
MEMORIAL HOSP TOWANDA
MERCY CATHOLIC--FITZGERALD
MERCY HOSPITAL OF PHILA
MERCY HOSPITAL--PGH
MILTON S. HERSHEY MED CTR
NPHS--ST. JOSEPH'S
NPHS--GIRARD
PRESBYT MED CTR OF PHILA
PRESBYT UNIV HOSPITAL--PGH
PUNXSUTAWNEY
READING HOSPITAL
SOLDIERS AND SAILORS
ST. LUKES OF BETHLEHEM
TEMPLE UNIVERSITY HSP
THOMAS JEFFERSON
THS--HAHNEMANN HOSPITAL
TITUSVILLE
UPHS--PENNSYLVANIA HOSPITAL
UPMC BEDFORD
UPMC BRADDOCK MEDICAL CENTER
VALLEY FORGE
WAYNE COUNTY MEMORIAL
WEST PENN--ALLEGHENY
WEST VIRGINIA
WESTERN PENN
YORK HOSPITAL

Public Comment

   Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Comments received within 30 days will be reviewed and considered for any subsequent revision of the notice.

   Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

   Fiscal Note: 14-NOT-615. No fiscal impact; (8) recommends adoption.

ESTELLE B. RICHMAN,   
Secretary

[Pa.B. Doc. No. 09-1424. Filed for public inspection August 7, 2009, 9:00 a.m.]

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