NOTICES
DEPARTMENT OF
HUMAN SERVICES
Inpatient Hospitals Qualifying for Medical Assistance Disproportionate Share Payments
[53 Pa.B. 6933]
[Saturday, November 4, 2023]On July 1, 1988, the Department of Human Services (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 of July 1, 2022, through June 30, 2023, 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, 2022, to June 30, 2023, disproportionate share payment percentages:
Acute Care General Hospitals ALBERT EINSTEIN MEDICAL CENTER 4.92% AVENUES RECOVERY MEDICAL CENTER AT VALLEY FORGE 5.05% BARNES-KASSON COUNTY HOSPITAL 1.43% BRADFORD REGIONAL MEDICAL CENTER 10.00% CHILDREN'S HOSPITAL OF PHILADELPHIA 7.19% CROZER-CHESTER MEDICAL CENTER 3.10% DELAWARE COUNTY MEMORIAL HOSPITAL 2.18% GEISINGER MEDICAL CENTER 6.84% KENSINGTON HOSPITAL 14.00% LEHIGH VALLEY HOSPITAL SCHUYLKILL 6.68% MERCY FITZGERALD 2.69% MILLCREEK COMMUNITY HOSPITAL 5.00% NEMOURS CHILDRENS HOSPITAL 7.64% PENN HIGHLANDS CONNELLSVILLE 4.56% PENN HIGHLANDS DUBOIS 9.00% PENN PRESBYTERIAN MEDICAL CENTER 2.88% PENNSYLVANIA HOSPITAL 3.66% ROBERT PACKER HOSPITAL TOWANDA CAMPUS 3.36% ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN 15.00% TEMPLE UNIVERSITY HOSPITAL 6.66% THOMAS JEFFERSON UNIVERSITY HOSPITAL 2.60% TITUSVILLE HOSPITAL 2.84% TROY COMMUNITY HOSPITAL 3.98% UNIONTOWN HOSPITAL 1.84% UNIVERSITY OF PENNSYLVANIA HOSPITAL 3.13% UNIVERSITY OF PENNSYLVANIA CEDAR CREST 5.19% UPMC BEDFORD MEMORIAL 2.96% UPMC CHILDREN'S HOSPITAL OF PITTSBURGH 9.14% UPMC COLE 1.00% UPMC LOCK HAVEN HOSPITAL 3.16% UPMC MAGEE WOMEN'S HOSPITAL 5.55% UPMC MERCY 1.65% UPMC PRESBYTERIAN SHADYSIDE 2.48% UPMC WELLSBORO 8.75% UPMC WILLIAMSPORT 5.54% WEST VIRGINIA UNIVERSITY HOSPITAL 5.76% WPAHS ALLEGHENY GENERAL HOSPITAL 1.37% WPAHS WESTERN PENNSYLVANIA HOSPITAL 2.44%
Psychiatric Units of Inpatient Hospitals ALBERT EINSTEIN MEDICAL CENTER 2.97% BRADFORD REGIONAL MEDICAL CENTER 2.81% CROZER-CHESTER MEDICAL CENTER 2.02% EAGLEVILLE HOSPITAL 1.74% GEISINGER MEDICAL CENTER 2.06% LEHIGH VALLEY HOSPITAL SCHUYLKILL 2.03% MERCY FITZGERALD 1.80% MILLCREEK COMMUNITY HOSPITAL 3.02% PENN HIGHLANDS CONNELLSVILLE 2.78% PENN HIGHLANDS DUBOIS 2.52% PENN PRESBYTERIAN MEDICAL CENTER 1.90% PENNSYLVANIA HOSPITAL 2.31% TEMPLE UNIVERSITY HOSPITAL 3.89% THOMAS JEFFERSON UNIVERSITY HOSPITAL 1.75% UNIVERSITY OF PENNSYLVANIA CEDAR CREST 3.11% UPMC MERCY 1.26% UPMC PRESBYTERIAN SHADYSIDE 1.69% UPMC WILLIAMSPORT 3.30%
Drug and Alcohol Units of Acute Care Hospitals AVENUES RECOVERY MEDICAL CENTER AT VALLEY FORGE 3.63% PENN PRESBYTERIAN MEDICAL CENTER 1.95%
Medical Rehabilitation Units of Acute Care Hospitals ALBERT EINSTEIN MEDICAL CENTER 3.53% CHILDREN'S HOSPITAL OF PHILADELPHIA 5.29% CROZER-CHESTER MEDICAL CENTER 2.12% DELAWARE COUNTY MEMORIAL HOSPITAL 1.41% MERCY FITZGERALD 1.80% NEMOURS CHILDRENS HOSPITAL 5.65% PENN HIGHLANDS DUBOIS 2.87% TEMPLE UNIVERSITY HOSPITAL 4.88% THOMAS JEFFERSON UNIVERSITY HOSPITAL 1.73% UNIVERSITY OF PENNSYLVANIA HOSPITAL 2.14% UPMC MERCY 1.00% UPMC PRESBYTERIAN SHADYSIDE 1.64%
Freestanding Rehabilitation Hospitals THE CHILDREN'S HOME OF PITTSBURGH 10.00%
Private Psychiatric Hospitals BELMONT BEHAVIORAL HOSPITAL 3.97% BROOKE GLEN BEHAVIORAL HOSPITAL 3.09% CLARION PSYCHIATRIC CENTER 5.81% DEVEREUX FOUNDATION DCBHC 10.00% FAIRMOUNT BEHAVIORAL HEALTH SYSTEM 4.70% FOUNDATIONS BEHAVIORAL HEALTH 5.27% FRIENDS BEHAVIORAL HEALTH SYSTEM 4.01% GIRARD MEDICAL CENTER 2.98% HORSHAM CLINIC 4.15% KIDSPEACE HOSPITAL 7.48% MEADOWS PSYCHIATRIC CENTER 5.95% MONTGOMERY COUNTY EMERGENCY SERVICES 4.90% ROXBURY PSYCHIATRIC HOSPITAL 1.00% SOUTHWOOD PSYCHIATRIC HOSPITAL 9.00% WELLSPAN PHILHAVEN 4.04% WILKES BARRE BEHAVIORAL HOSPITAL COMPANY 4.73%
Private Drug and Alcohol Hospitals EAGLEVILLE HOSPITAL 1.72% 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 Title XIX beneficiaries 21 years of age or older but under 65 years of age, who have been determined to be low income by meeting the income and resource standards for the Commonwealth's MA Program. The payment adjustments are paid directly proportional to the payment received 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 AHN WEXFORD HOSPITAL ALBERT EINSTEIN MEDICAL CENTER ALLE KISKI MEDICAL CENTER AMERICAN ONCOLOGIC HOSPITAL ARIA HEALTH ARMSTRONG COUNTY MEMORIAL HOSPITAL AUMC CANONSBURG AVENUES RECOVERY MEDICAL CENTER AT VALLEY FORGE BARNES-KASSON COUNTY HOSPITAL BRADFORD REGIONAL MEDICAL CENTER BRYN MAWR HOSPITAL BUCKTAIL MEDICAL CENTER BUTLER MEMORIAL HOSPITAL CHESTER COUNTY HOSPITAL CHESTNUT HILL HOSPITAL CHILDREN'S HOSPITAL OF PHILADELPHIA CLARION HOSPITAL CONEMAUGH MEMORIAL MEDICAL CENTER CONEMAUGH MEYERSDALE MEDICAL CENTER CONEMAUGH MINERS MEDICAL CENTER CONEMAUGH NASON MEDICAL CENTER CORRY MEMORIAL HOSPITAL CROZER-CHESTER MEDICAL CENTER DELAWARE COUNTY MEMORIAL HOSPITAL DOYLESTOWN HOSPITAL EINSTEIN MEDICAL CENTER MONTGOMERY ENDLESS MOUNTAINS HEALTH SYSTEMS EVANGELICAL COMMUNITY HOSPITAL FRICK HOSPITAL FULTON COUNTY MEDICAL CENTER GEISINGER BLOOMSBURG HOSPITAL GEISINGER COMMUNITY MEDICAL CENTER GEISINGER JERSEY SHORE HOSPITAL GEISINGER LEWISTOWN HOSPITAL GEISINGER MEDICAL CENTER GEISINGER ST. LUKE GEISINGER WYOMING VALLEY MEDICAL CENTER GIRARD MEDICAL CENTER GRAND VIEW HOSPITAL GROVE CITY MEDICAL CENTER HERITAGE VALLEY BEAVER HERITAGE VALLEY SEWICKLEY HOLY REDEEMER HOSPITAL INDIANA REGIONAL MEDICAL CENTER JEFFERSON REGIONAL MEDICAL CENTER KENSINGTON HOSPITAL LANCASTER GENERAL HOSPITAL LANSDALE HOSPITAL LATROBE AREA HOSPITAL LEHIGH VALLEY HOSPITAL LEHIGH VALLEY HOSPITAL HAZLETON LEHIGH VALLEY HOSPITAL POCONO LEHIGH VALLEY HOSPITAL SCHUYLKILL MAIN LINE HOSPITAL LANKENAU MEADVILLE MEDICAL CENTER MERCY FITZGERALD MILLCREEK COMMUNITY HOSPITAL MONONGAHELA VALLEY HOSPITAL MOUNT NITTANY MEDICAL CENTER NAZARETH HOSPITAL NEMOURS CHILDRENS HOSPITAL PAOLI MEMORIAL HOSPITAL PENN HIGHLANDS BROOKVILLE PENN HIGHLANDS CONNELLSVILLE PENN HIGHLANDS DUBOIS PENN HIGHLANDS ELK PENN PRESBYTERIAN MEDICAL CENTER PENN STATE HEALTH HAMPDEN MEDICAL
CENTERPENN STATE HEALTH HOLY SPIRIT MEDICAL
CENTERPENNSYLVANIA HOSPITAL PHOENIXVILLE HOSPITAL POTTSTOWN HOSPITAL PRIME HEALTHCARE SERVICES LOWER BUCKS PRIME HEALTHCARE SERVICES ROXBOROUGH PUNXSUTAWNEY AREA HOSPITAL READING HOSPITAL RIDDLE MEMORIAL HOSPITAL ROBERT PACKER HOSPITAL SAINT VINCENT HEALTH CENTER SCRANTON HOSPITAL COMPANY SHARON REGIONAL MEDICAL CENTER SHRINERS HOSPITALS FOR CHILDREN ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN ST. CLAIR MEMORIAL HOSPITAL ST. JOSEPH REGIONAL HEALTH NETWORK ST. LUKE'S HOSPITAL ANDERSON CAMPUS ST. LUKE'S HOSPITAL BETHLEHEM ST. LUKE'S HOSPITAL CARBON CAMPUS ST. LUKE'S HOSPITAL EASTON CAMPUS ST. LUKE'S HOSPITAL MONROE CAMPUS ST. LUKE'S HOSPITAL QUAKERTOWN ST. LUKE'S MINERS CAMPUS ST. MARY MEDICAL CENTER SUBURBAN COMMUNITY HOSPITAL TEMPLE UNIVERSITY HOSPITAL THE CHAMBERSBURG HOSPITAL THE GOOD SAMARITAN HOSPITAL THE MILTON S. HERSHEY MEDICAL CENTER THOMAS JEFFERSON UNIVERSITY HOSPITAL TITUSVILLE HOSPITAL TROY COMMUNITY HOSPITAL TYRONE HOSPITAL UNIONTOWN HOSPITAL UNIVERSITY OF PENNSYLVANIA HOSPITAL UPMC ALTOONA UPMC BEDFORD MEMORIAL UPMC CARLISLE UPMC CHILDREN'S HOSPITAL OF PITTSBURGH UPMC COLE UPMC EAST UPMC HAMOT UPMC HANOVER UPMC HORIZON UPMC JAMESON UPMC KANE UPMC LITITZ UPMC LOCK HAVEN HOSPITAL UPMC MAGEE WOMEN'S HOSPITAL UPMC MCKEESPORT UPMC MEMORIAL UPMC MERCY UPMC MUNCY UPMC NORTHWEST UPMC PASSAVANT HOSPITAL UPMC PINNACALE UPMC PRESBYTERIAN SHADYSIDE UPMC SOMERSET UPMC ST. MARGARET UPMC WELLSBORO UPMC WILLIAMSPORT WARREN GENERAL HOSPITAL WASHINGTON HEALTH SYSTEM GREENE WASHINGTON HOSPITAL WAYNE MEMORIAL HOSPITAL WAYNESBORO HOSPITAL WELLSPAN EPHRATA COMMUNITY HOSPITAL WELLSPAN GETTYSBURG HOSPITAL WEST VIRGINIA UNIVERSITY HOSPITALS WESTMORELAND REGIONAL HOSPITAL WILKES BARRE HOSPITAL COMPANY WILLS EYE HOSPITAL WPAHS ALLEGHENY GENERAL HOSPITAL WPAHS FORBES REGIONAL CAMPUS WPAHS WESTERN PENNSYLVANIA HOSPITAL YORK HOSPITAL
Psychiatric Units of Inpatient Hospitals ABINGTON MEMORIAL HOSPITAL ALBERT EINSTEIN MEDICAL CENTER ALLE KISKI MEDICAL CENTER ARMSTRONG COUNTY MEMORIAL HOSPITAL BRADFORD REGIONAL MEDICAL CENTER BRYN MAWR HOSPITAL BUTLER MEMORIAL HOSPITAL CONEMAUGH MEMORIAL MEDICAL CENTER CROZER-CHESTER MEDICAL CENTER EAGLEVILLE HOSPITAL GEISINGER BLOOMSBURG HOSPITAL GEISINGER COMMUNITY MEDICAL CENTER GEISINGER LEWISTOWN HOSPITAL GEISINGER MEDICAL CENTER HERITAGE VALLEY BEAVER HERITAGE VALLEY SEWICKLEY INDIANA REGIONAL MEDICAL CENTER JEFFERSON REGIONAL MEDICAL CENTER LANCASTER GENERAL HOSPITAL LATROBE AREA HOSPITAL LEHIGH VALLEY HOSPITAL LEHIGH VALLEY HOSPITAL POCONO LEHIGH VALLEY HOSPITAL SCHUYLKILL MEADVILLE MEDICAL CENTER MERCY FITZGERALD MILLCREEK COMMUNITY HOSPITAL MONONGAHELA VALLEY HOSPITAL MOUNT NITTANY MEDICAL CENTER PENN HIGHLANDS CONNELLSVILLE PENN HIGHLANDS DUBOIS PENN HIGHLANDS ELK PENN PRESBYTERIAN MEDICAL CENTER PENN STATE HEALTH HOLY SPIRIT MEDICAL
CENTERPENNSYLVANIA HOSPITAL POTTSTOWN HOSPITAL PRIME HEALTHCARE SERVICES LOWER BUCKS READING HOSPITAL ROBERT PACKER HOSPITAL SAINT VINCENT HEALTH CENTER SHARON REGIONAL MEDICAL CENTER ST. CLAIR MEMORIAL HOSPITAL ST. LUKE'S HOSPITAL BETHLEHEM ST. LUKE'S HOSPITAL QUAKERTOWN TEMPLE UNIVERSITY HOSPITAL THE CHAMBERSBURG HOSPITAL THOMAS JEFFERSON UNIVERSITY HOSPITAL UPMC ALTOONA UPMC MCKEESPORT UPMC MERCY UPMC NORTHWEST UPMC PRESBYTERIAN SHADYSIDE UPMC SOMERSET UPMC WILLIAMSPORT WARREN GENERAL HOSPITAL WASHINGTON HEALTH SYSTEM GREENE WASHINGTON HOSPITAL WELLSPAN EPHRATA COMMUNITY HOSPITAL WESTMORELAND REGIONAL HOSPITAL WPAHS FORBES REGIONAL CAMPUS YORK HOSPITAL
Drug and Alcohol Units of Inpatient Hospitals AVENUES RECOVERY MEDICAL CENTER AT VALLEY FORGE BUTLER MEMORIAL HOSPITAL MEADVILLE MEDICAL CENTER PENN PRESBYTERIAN MEDICAL CENTER
Medical Rehabilitation Units of Inpatient Hospitals ABINGTON MEMORIAL HOSPITAL ALBERT EINSTEIN MEDICAL CENTER AUMC CANONSBURG CHILDREN'S HOSPITAL OF PHILADELPHIA CONEMAUGH MEMORIAL MEDICAL CENTER CROZER-CHESTER MEDICAL CENTER DELAWARE COUNTY MEMORIAL HOSPITAL GEISINGER WYOMING VALLEY MEDICAL CENTER HERITAGE VALLEY BEAVER HERITAGE VALLEY SEWICKLEY INDIANA REGIONAL MEDICAL CENTER JEFFERSON REGIONAL MEDICAL CENTER LEHIGH VALLEY HOSPITAL HAZLETON MERCY FITZGERALD MONONGAHELA VALLEY HOSPITAL NAZARETH HOSPITAL NEMOURS CHILDRENS HOSPITAL PENN HIGHLANDS DUBOIS PHOENIXVILLE HOSPITAL READING HOSPITAL SAINT VINCENT HEALTH CENTER ST. LUKE'S HOSPITAL EASTON CAMPUS ST. LUKE'S HOSPITAL BETHLEHEM TEMPLE UNIVERSITY HOSPITAL THE CHAMBERSBURG HOSPITAL THE GOOD SAMARITAN HOSPITAL THOMAS JEFFERSON UNIVERSITY HOSPITAL UNIVERSITY OF PENNSYLVANIA HOSPITAL UPMC CARLISLE UPMC CHILDREN'S HOSPITAL OF PITTSBURGH UPMC EAST UPMC HORIZON UPMC JAMESON UPMC MCKEESPORT UPMC MERCY UPMC NORTHWEST UPMC PASSAVANT HOSPITAL UPMC PRESBYTERIAN SHADYSIDE UPMC ST. MARGARET UPMC WILLIAMSPORT WASHINGTON HOSPITAL WELLSPAN SURGERY AND REHABILITATION
HOSPITALWESTMORELAND HOSPITAL WPAHS FORBES REGIONAL CAMPUS WPAHS WESTERN PENNSYLVANIA HOSPITAL
Freestanding Rehabilitation Hospitals ALLIED SERVICES INSTITUTE OF
REHABILITATION MEDICINEBRYN MAWR REHABILITATION HOSPITAL ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ALTOONA ENCOMPASS HEALTH REHABILITATION HOSPITAL OF ERIE ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HARMARVILLE ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MECHANICSBURG ENCOMPASS HEALTH REHABILITATION HOSPITAL OF NITTANY VALLEY ENCOMPASS HEALTH REHABILITATION HOSPITAL OF READING ENCOMPASS HEALTH REHABILITATION HOSPITAL OF YORK GOOD SHEPHERD REHABILITATION HOSPITAL JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE LANCASTER REHABILITATION FACILITY MAGEE MEMORIAL HOSPITAL THE CHILDREN'S HOME OF PITTSBURGH
Private Psychiatric Hospitals BELMONT BEHAVIORAL HOSPITAL BROOKE GLEN BEHAVIORAL HOSPITAL CLARION PSYCHIATRIC CENTER DEVEREUX FOUNDATION DCBHC FAIRMOUNT BEHAVIORAL HEALTH SYSTEM FOUNDATIONS BEHAVIORAL HEALTH FRIENDS BEHAVIORAL HEALTH SYSTEM GIRARD MEDICAL CENTER HORSHAM CLINIC KIDSPEACE HOSPITAL MEADOWS PSYCHIATRIC CENTER MONTGOMERY COUNTY EMERGENCY SERVICES PENNSYLVANIA PSYCHIATRIC INSTITUTE SOUTHWOOD PSYCHIATRIC HOSPITAL WELLSPAN PHILHAVEN WILKES BARRE BEHAVIORAL HOSPITAL COMPANY
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:
ABINGTON MEMORIAL HOSPITAL ALBERT EINSTEIN MEDICAL CENTER ARIA HEALTH AVENUES RECOVERY MEDICAL CENTER AT VALLEY FORGE BARNES-KASSON COUNTY HOSPITAL CHILDREN'S HOSPITAL OF PHILADELPHIA CLARION HOSPITAL CROZER-CHESTER MEDICAL CENTER DOYLESTOWN HOSPITAL EAGLEVILLE HOSPITAL EVANGELICAL COMMUNITY HOSPITAL FULTON COUNTY MEDICAL CENTER GEISINGER MEDICAL CENTER INDIANA REGIONAL MEDICAL CENTER LEHIGH VALLEY HOSPITAL LEHIGH VALLEY HOSPITAL HAZLETON MAIN LINE HOSPITAL LANKENAU MEADVILLE MEDICAL CENTER MERCY FITZGERALD NEMOURS CHILDRENS HOSPITAL PENN HIGHLANDS DUBOIS PENN PRESBYTERIAN MEDICAL CENTER PENNSYLVANIA HOSPITAL PUNXSUTAWNEY AREA HOSPITAL READING HOSPITAL ST. LUKE'S HOSPITAL BETHLEHEM ST. LUKE'S HOSPITAL EASTON CAMPUS TEMPLE UNIVERSITY HOSPITAL THE MILTON S. HERSHEY MEDICAL CENTER THOMAS JEFFERSON UNIVERSITY HOSPITAL TITUSVILLE HOSPITAL UNIVERSITY OF PENNSYLVANIA HOSPITAL UPMC ALTOONA UPMC BEDFORD MEMORIAL UPMC COLE UPMC HAMOT UPMC JAMESON UPMC LOCK HAVEN UPMC MAGEE WOMEN'S HOSPITAL UPMC MERCY UPMC PRESBYTERIAN SHADYSIDE UPMC WELLSBORO WAYNE MEMORIAL HOSPITAL WEST VIRGINIA UNIVERSITY HOSPITAL WPAHS ALLEGHENY GENERAL HOSPITAL WPAHS WESTERN PENNSYLVANIA HOSPITAL YORK HOSPITAL Public Comment
Interested persons are invited to submit written comments regarding these payments to the Department of Human Services, Office of Medical Assistance Programs, c/o Regulations Coordinator, P.O. Box 2675, Harrisburg, PA 17120, RA-PWMAProgComments@pa.gov. 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 Hamilton Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).
VALERIE A. ARKOOSH,
SecretaryFiscal Note: 14-NOT-1595. No fiscal impact; recommends adoption.
[Pa.B. Doc. No. 23-1520. Filed for public inspection November 3, 2023, 9:00 a.m.]
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