NOTICES

Inpatient Hospitals Qualifying for Medical Assistance Disproportionate Share Payments

[40 Pa.B. 5649]
[Saturday, October 2, 2010]

 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, 2009, through June 30, 2010, 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, 2009, to June 30, 2010, disproportionate share payment percentages:

Acute Care General Hospitals
ALBERT EINSTEIN MEDICAL CENTER	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 MEDICAL CENTER	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 PHILADELPHIA	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 UNIVERSITY HOSPITAL	6.29%
THS—HAHNEMANN UNIV HOSPITAL	3.58%
THS—ST. CHRISTOPHER'S	14.00%
THOMAS JEFFERSON	3.00%
TITUSVILLE AREA HOSPITAL	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 HOSPITAL	4.02%
THS—HAHNEMANN UNIVERSITY HOSPITAL	2.47%

Drug and Alcohol Units of Acute Care Hospitals
NPHS—ST. JOSEPH'S	9.00%
PENN PRESBYTERIAN MED CENTER 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 HOSPITAL	7.26%

Freestanding Rehab Hospitals
CHILDREN'S 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	7.25%

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 MEDICAL CENTER
ALFRED I. DUPONT INSTITUTE
ALLEGHENY KISKI
ALTOONA HOSPITAL
ARIA HOSPITAL
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
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
COMMUNITY MEDICAL CENTER—SCRANTON
CONEMAUGH VALLEY HOSPITAL
COORDINATED HEALTH ORTHOPEDIC HOSPITAL
CORRY MEMORIAL
CROZER—CHESTER MEDICAL CENTER
DELAWARE COUNTY MEMORIAL
DIVINE PROVIDENCE—WILLIAMSPORT
DOYLESTOWN HOSPITAL
DUBOIS REGIONAL MEDICAL CENTER
EASTON HOSPITAL
EDGEWOOD SURGICAL HOSPITAL
ELK REGIONAL
ELLWOOD CITY
ENDLESS MOUNTAINS HEALTH SYSTEM
EPHRATA COMMUNITY
EVANGELICAL COMMUNITY
FRICK COMMUNITY
FULTON COUNTY MEDICAL CENTER
GEISINGER MEDICAL CENTER
GEISINGER SOUTH WILKES-BARRE
GEISINGER WYOMING VALLEY
GETTYSBURG HOSPITAL
GNADEN HUETTEN MEMORIAL
GOOD SAMARITAN—LEBANON
GRAND VIEW HOSPITAL
GROVE CITY MEDICAL CENTER
HAMOT MEDICAL CENTER
HANOVER HOSPITAL
HAZLETON GENERAL HOSPITAL
HEART OF LANCASTER REGIONAL MEDICAL
 CENTER
HIGHLAND HOSPITAL
HOLY REDEEMER
HOLY SPIRIT HOSPITAL
HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA
INDIANA HOSPITAL
JAMESON MEMORIAL HOSPITAL
JC BLAIR
JEANES HOSPITAL
JEFFERSON HEALTH SERVICE
JENNERSVILLE REGIONAL HOSPITAL
JERSEY SHORE HOSPITAL
KANE COMMUNITY
KENSINGTON HOSPITAL
LANCASTER GENERAL
LANCASTER REGIONAL MEDICAL CENTER
LANKENAU HOSPITAL
LANSDALE HOSPITAL
 LATROBE AREA
LEHIGH VALLEY HOSP—MUHLENBERG
LEHIGH VALLEY HOSPITAL
LEWISTOWN HOSPTIAL
LIFECARE HOSPITALS OF PITTSBURGH
LOCK HAVEN HOSPITAL
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—PITTSBURGH
MERCY HOSP OF PHILADELPHIA
MERCY HOSPITAL—SCRANTON
MERCY SPECIAL CARE
MERCY SUBURBAN—NORRISTOWN
MEYERSDALE COMMUNITY HOSPITAL
MID VALLEY HOSPITAL
MILLCREEK COMMUNITY HOSPITAL
MINERS HOSPITAL OF N CAMBRIA
MONONGAHELA VALLEY
MONTGOMERY HOSPITAL MEDICAL CENTER
MOSES TAYLOR
MOUNT NITTANY MEDICAL CENTER
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 MEDICAL CENTER
POTTSTOWN MEMORIAL
PUNXSUTAWNEY AREA HOSPITAL
READING HOSPITAL AND MEDICAL CENTER
RIDDLE MEMORIAL HOSPITAL
ROBERT PACKER HOSPITAL
ROXBOROUGH MEMORIAL
SACRED HEART—ALLENTOWN
SAINT CATHERINE HOSPITAL OF PENNSYLVANIA
SCHUYLKILL MEDICAL CENTER EAST
SCHUYLKILL MEDICAL CENTER SOUTH
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. LUKE'S MINERS MEMORIAL MEDICAL CENTER
ST. MARY'S—LANGHORNE
ST. VINCENT HLTH CTR
SUNBURY COMMUNITY
SURGICAL INSTITUTE OF READING
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—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 MEDICAL CENTER
WESTMORELAND REGIONAL
WILLIAMSPORT HOSPITAL & MEDICAL CENTER
WINDBER MEDICAL CENTER
WILKES BARRE GENERAL HOSPITAL
YORK HOSPITAL

Psychiatric Units of Acute Care Hospitals

ABINGTON MEMORIAL
ALBERT EINSTEIN
ALLEGHENY—KISKI MEDICAL CENTER
ALTOONA
ARIA HOSPITAL
ARMSTRONG COUNTY MEMORIAL

BERWICK HOSPITAL CENTER
BLOOMSBURG HOSPITAL
BRADFORD
BRANDYWINE HOSPITAL
BRYN MAWR HOSPITAL
BUTLER COUNTY MEMORIAL
CHAMBERSBURG HOSPITAL
CLEARFIELD HOSPITAL
COMMUNITY MEDICAL CENTER
CONEMAUGH VALLEY
CORRY MEMORIAL
CROZER—CHESTER
DIVINE PROVIDENCE—WMSPT
DUBOIS REGIONAL MEDICAL CENTER
EAGLEVILLE HOSPITAL
ELK REGIONAL CENTER
EPHRATA COMMUNITY
GEISINGER MEDICAL CENTER
GEISINGER SOUTH WILKES-BARRE
GRANDVIEW
HIGHLAND HOSPITAL
HOLY SPIRIT
INDIANA HOSPITAL
J C BLAIR
JAMESON MEMORIAL HOSPITAL
JEFFERSON HEALTH SERV
LANCASTER REGIONAL MEDICAL CENTER
LANCASTER GENERAL
LATROBE AREA
LEHIGH VALLEY HOSPITAL
LEWISTOWN
MARIAN COMMUNITY HOSPITAL
MEADVILLE MEDICAL CENTER
MEDICAL CENTER, BEAVER
MERCY CATHOLIC—FITZGERALD
MERCY HOSPITAL OF PHILADELPHIA
MERCY HOSPITAL—PITTSBURGH
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 MEDICAL CENTER
READING HOSPITAL
ROBERT PACKER
SACRED HEART HOSP—ALLENTOWN
SAINT CATHERINE HOSPITAL OF PENNSYLVANIA
SCHUYLKILL MEDICAL CENTER SOUTH
SEWICKLEY VALLEY HOSPITAL
SHAMOKIN AREA COMM HOSPITAL
SHARON REGIONAL HEALTH SYSTEM
SOLDIERS AND SAILORS
SOMERSET HOSPITAL CENTER 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 HOSPITAL
UNIVERSITY OF PENNSYLVANIA MEDICAL
 CENTER—PENNSYLVANIA
UNIV OF PITT MED CTR—BRADDOCK
UNIV OF PITT MED CTR—MCKEESPORT
UPMC—NORTHWEST MEDICAL CENTER
UPMC PRESBYTERIAN SHADYSIDE
WARREN GENERAL
WASHINGTON
WEST PENN—ALLEGHENY
WESTERN PENNSYLVANIA
WESTERN PENN HOSPITAL—FORBES REGIONAL CAMPUS
WESTMORELAND
YORK HOSPITAL

Drug and Alcohol Units of Acute Care Hospitals

BUTLER COUNTY MEMORIAL
MEADVILLE MEDICAL CENTER
NPHS—ST. JOSEPH'S HOSPITAL
PRESBY MEDICAL CENTER OF UNIVERSITY OF PA HEALTH SYSTEM
VALLEY FORGE

Medical Rehab Units of Acute Care Hospitals

A I DUPONT
ABINGTON MEMORIAL HOSPITAL
ALBERT EINSTEIN
ALTOONA
CARLISLE REGIONAL MEDICAL CENTER
CHAMBERSBURG HOSPITAL
CHARLES COLE
CHILDREN'S HOSPITAL OF PHILADELPHIA
CONEMAUGH VALLEY HOSPITAL
CROZER—CHESTER MEDICAL CENTER
DELAWARE COUNTY MEMORIAL HOSPITAL
DUBOIS REG MEDICAL CENTER
EASTON HOSPITAL
GEISINGER—WYOMING VALLEY
GNADEN HUETTEN MEMORIAL HOSPITAL—MRU
GOOD SAMARITAN HOSPITAL—LEBANON
HANOVER HOSPITAL
HAZELTON GENERAL HOSPITAL MRU
HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA INDIANA HOSPITAL
JAMESON MEMORIAL
JEFFERSON HEALTH SERVICES
LANCASTER GENERAL HOSPITAL
LANCASTER REGIONAL MEDICAL CENTER
MERCY CATHOLIC—FITZGERALD
MERCY HOSPITAL—PITTSBURGH
MILTON S. HERSHEY MEDICAL CENTER
MONONGAHELA VALLEY HOSPITAL
NAZARETH
OHIO VALLEY
PINNACLE HEALTH HOSPITALS
READING HOSPITAL
SCHUYLKILL MEDICAL CENTER EAST
SCHUYLKILL MEDICAL CENTER SOUTH
SEWICKLEY VALLEY HOSPITAL
ST. MARY HOSPITAL—LANGHORNE
ST. LUKES OF BETHLEHEM
ST. VINCENT HEALTH CENTER
TEMPLE UNIVERSITY HOSPITAL
THOMAS JEFFERSON UNIVERSITY HOSPITAL
UPMC—HORIZON
UPMC—MCKEESPORT
UPMC—NORTHWEST MEDICAL CENTER
UPMC—PASSAVANT
UPMC—PRESBYTERIAN SHADYSIDE
UPMC—ST. MARGARET
WASHINGTON HOSPITAL
WESTMORELAND HOSPITAL
WILLIAMSPORT HOSPITAL

Freestanding Rehab Hospitals

ALLIED SERVICES REHAB HOSPITAL
ANGELA JANE PAVILION
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  HOSPITAL
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 HOSPITAL
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 CENTER
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
ARIA HOSPITAL
BARNES KASSON
CHARLES COLE MEMORIAL
CHILDREN'S HOSPITAL OF PHILADELPHIA
CLARION
CLEARFIELD
CROZER—CHESTER MEDICAL CENTER
DOYLESTOWN
DUBOIS REGIONAL MEDICAL CENTER
EAGLEVILLE
EASTON HOSPITAL
EVANGELICAL COMMUNITY
FULTON COUNTY MEDICAL CENTER
GEISINGER MEDICAL CENTER
HAMOT MEDICAL CENTER
HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA
INDIANA HOSPITAL
J C BLAIR
JAMESON MEMORIAL
LANKENAU
LEHIGH VALLEY
LOCK HAVEN
MAGEE WOMENS
MEADVILLE MEDICAL CENTER
MEMORIAL HOSP TOWANDA
MERCY CATHOLIC—FITZGERALD
MERCY HOSPITAL OF PHILADELPHIA
MERCY HOSPITAL—PITTSBURGH
MILTON S. HERSHEY MEDICAL CENTER
NPHS—ST. JOSEPH'S
NPHS—GIRARD
PRESBYT MED CTR OF PHILADELPHIA
PRESBYT UNIV HOSPITAL—PITTSBURGH
PUNXSUTAWNEY
READING HOSPITAL
SOLDIERS AND SAILORS
ST. LUKES OF BETHLEHEM
TEMPLE UNIVERSITY HOSPITAL
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).

HARRIET DICHTER, 
Secretary

 Fiscal Note: 14-NOT-656. No fiscal impact; (8) recommends adoption.

[Pa.B. Doc. No. 10-1895. Filed for public inspection October 1, 2010, 9:00 a.m.]

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