NOTICES

DEPARTMENT OF
HUMAN SERVICES

Income Limits and Co-payments for the Subsidized Child Care Program

[48 Pa.B. 3172]
[Saturday, May 26, 2018]

 This notice increases the income limits codified at 55 Pa. Code Chapter 3041, Appendix B (relating to co-payment chart family co-payment scale (based on the 2018 Federal Poverty Income Guidelines)) under 55 Pa. Code § 3041.107(b) (relating to availability and use of the Federal Poverty Income Guidelines). This increase is effective May 7, 2018.

 Section 3041.107(b) of 55 Pa. Code requires the Department of Human Services to update the co-payment schedule in 55 Pa. Code Chapter 3041, Appendix B to reflect changes in the Federal Poverty Income Guidelines (FPIG). Effective May 7, 2018, the income guidelines for the subsidized child care program are being raised due to increases in the FPIG. Under section 408.3 of the Human Services Code (62 P.S. § 408.3), the co-payment schedule is adjusted to reflect the increases. Chapter 3041, Appendix B of 55 Pa. Code also establishes the family co-payment levels according to the family's computed annual income and lists the weekly family co-payment based on the annual family income.

TERESA D. MILLER, 
Secretary

 Fiscal Note: 14-NOT-1237. No fiscal impact; (8) recommends adoption.

CO-PAYMENT CHART
FAMILY CO-PAYMENT SCALE EFFECTIVE MAY 7, 2018
(BASED ON THE 2018 FEDERAL POVERTY INCOME GUIDELINES)

Weekly	Family Size:	1	Weekly	Family Size:	2	Weekly	Family Size:	3
Co-pay	Annual Income		Co-pay	Annual Income		Co-pay	Annual Income
$5.00	Less than:	$10,140	$5.00	Less than:	$8,660	$5.00	Less than:	$8,660
$10.00	$10,140.01	$12,140	$10.00	$8,660.01	$12,460	$10.00	$8,660.01	$14,710
$15.00	$12,140.01	$14,140	$16.00	$12,460.01	$14,460	$17.00	$14,710.01	$16,710
$20.00	$14,140.01	$16,140	$21.00	$14,460.01	$16,460	$22.00	$16,710.01	$18,780
$25.00	$16,140.01	$18,140	$25.00	$16,460.01	$18,460	$27.00	$18,780.01	$20,780
$30.00	$18,140.01	$20,140	$29.00	$18,460.01	$20,460	$31.00	$20,780.01	$22,780
$35.00	$20,140.01	$22,140	$33.00	$20,460.01	$22,460	$35.00	$22,780.01	$24,780
$40.00	$22,140.01	$24,140	$38.00	$22,460.01	$24,460	$39.00	$24,780.01	$26,780
$45.00	$24,140.01	$26,140	$43.00	$24,460.01	$26,460	$43.00	$26,780.01	$28,780
$50.00	$26,140.01	$28,140	$48.00	$26,460.01	$28,460	$48.00	$28,780.01	$30,780
$55.00	$28,140.01	$28,529	$53.00	$28,460.01	$30,460	$53.00	$30,780.01	$32,780
			$58.00	$30,460.01	$32,460	$58.00	$32,780.01	$34,780
			$64.00	$32,460.01	$34,460	$63.00	$34,780.01	$36,780
			$70.00	$34,460.01	$36,460	$68.00	$36,780.01	$38,780
			$76.00	$36,460.01	$38,681	$73.00	$38,780.01	$40,780
						$79.00	$40,780.01	$42,780
						$85.00	$42,780.01	$44,780
						$91.00	$44,780.01	$46,780
						$97.00	$46,780.01	$48,833
	200% FPIG	$24,280		200% FPIG	$32,920		200% FPIG	$41,560

Weekly	Family Size:	4	Weekly	Family Size:	5	Weekly	Family Size:	6
Co-pay	Annual Income		Co-pay	Annual Income		Co-pay	Annual Income
$5.00	Less than:	$8,660	$5.00	Less than:	$8,660	$5.00	Less than:	$8,660
$10.00	$8,660.01	$16,400	$10.00	$8,660.01	$16,450	$10.00	$8,660.01	$18,180
$19.00	$16,400.01	$19,100	$19.00	$16,450.01	$19,420	$21.00	$18,180.01	$20,740
$24.00	$19,100.01	$21,100	$23.00	$19,420.01	$21,420	$24.00	$20,740.01	$23,740
$28.00	$21,100.01	$23,100	$27.00	$21,420.01	$23,420	$28.00	$23,740.01	$25,740
$33.00	$23,100.01	$25,100	$31.00	$23,420.01	$25,420	$32.00	$25,740.01	$27,740
$37.00	$25,100.01	$27,100	$35.00	$25,420.01	$27,420	$36.00	$27,740.01	$29,740
$41.00	$27,100.01	$29,100	$40.00	$27,420.01	$29,420	$41.00	$29,740.01	$31,740
$45.00	$29,100.01	$31,100	$44.00	$29,420.01	$31,420	$46.00	$31,740.01	$33,740
$49.00	$31,100.01	$33,100	$47.00	$31,420.01	$33,420	$50.00	$33,740.01	$35,740
$53.00	$33,100.01	$35,100	$51.00	$33,420.01	$35,420	$54.00	$35,740.01	$37,740
$58.00	$35,100.01	$37,100	$55.00	$35,420.01	$37,420	$58.00	$37,740.01	$39,740
$63.00	$37,100.01	$39,100	$59.00	$37,420.01	$39,420	$62.00	$39,740.01	$41,740
$68.00	$39,100.01	$41,100	$63.00	$39,420.01	$41,420	$66.00	$41,740.01	$43,740
$73.00	$41,100.01	$43,100	$68.00	$41,420.01	$43,420	$70.00	$43,740.01	$45,740
$78.00	$43,100.01	$45,100	$73.00	$43,420.01	$45,420	$75.00	$45,740.01	$47,740
$83.00	$45,100.01	$47,100	$78.00	$45,420.01	$47,420	$80.00	$47,740.01	$49,740
$89.00	$47,100.01	$49,100	$83.00	$47,420.01	$49,420	$85.00	$49,740.01	$51,740
$95.00	$49,100.01	$51,100	$88.00	$49,420.01	$51,420	$90.00	$51,740.01	$53,740
$101.00	$51,100.01	$53,100	$93.00	$51,420.01	$53,420	$95.00	$53,740.01	$55,740
$107.00	$53,100.01	$55,100	$98.00	$53,420.01	$55,420	$100.00	$55,740.01	$57,740
$113.00	$55,100.01	$57,100	$103.00	$55,420.01	$57,420	$105.00	$57,740.01	$59,740
$118.00	$57,100.01	$58,985	$109.00	$57,420.01	$59,420	$110.00	$59,740.01	$61,740
			$115.00	$59,420.01	$61,420	$115.00	$61,740.01	$63,740
			$121.00	$61,420.01	$63,420	$121.00	$63,740.01	$65,740
			$127.00	$63,420.01	$65,420	$127.00	$65,740.01	$67,740
			$134.00	$65,420.01	$69,137	$133.00	$67,740.01	$69,740
						$139.00	$69,740.01	$71,740
						$145.00	$71,740.01	$73,740
						$151.00	$73,740.01	$75,740
						$156.00	$75,740.01	$79,289
	200% FPIG	$50,200		200% FPIG	$58,840		200% FPIG	$67,480

Weekly	Family Size:	7	Weekly	Family Size:	8	Weekly	Family Size:	9
Co-pay	Annual Income		Co-pay	Annual Income		Co-pay	Annual Income
$5.00	Less than:	$8,660	$5.00	Less than:	$8,660	$5.00	Less than:	$8,660
$10.00	$8,660.01	$18,180	$10.00	$8,660.01	$19,050	$10.00	$8,660.01	$19,900
$21.00	$18,180.01	$20,770	$22.00	$19,050.01	$22,420	$23.00	$19,900.01	$24,090
$24.00	$20,770.01	$23,340	$26.00	$22,420.01	$24,990	$28.00	$24,090.01	$26,090
$27.00	$23,340.01	$25,640	$29.00	$24,990.01	$28,380	$31.00	$26,090.01	$29,450
$30.00	$25,640.01	$28,060	$33.00	$28,380.01	$30,380	$35.00	$29,450.01	$32,700
$34.00	$28,060.01	$30,060	$37.00	$30,380.01	$32,380	$39.00	$32,700.01	$34,700
$38.00	$30,060.01	$32,060	$41.00	$32,380.01	$34,380	$43.00	$34,700.01	$36,700
$42.00	$32,060.01	$34,060	$45.00	$34,380.01	$36,380	$47.00	$36,700.01	$38,700
$48.00	$34,060.01	$36,060	$49.00	$36,380.01	$38,380	$51.00	$38,700.01	$40,700
$53.00	$36,060.01	$38,060	$54.00	$38,380.01	$40,380	$55.00	$40,700.01	$42,700
$57.00	$38,060.01	$40,060	$59.00	$40,380.01	$42,380	$60.00	$42,700.01	$44,700
$60.00	$40,060.01	$42,060	$63.00	$42,380.01	$44,380	$65.00	$44,700.01	$46,700
$64.00	$42,060.01	$44,060	$66.00	$44,380.01	$46,380	$69.00	$46,700.01	$48,700
$68.00	$44,060.01	$46,060	$70.00	$46,380.01	$48,380	$73.00	$48,700.01	$50,700
$72.00	$46,060.01	$48,060	$74.00	$48,380.01	$50,380	$77.00	$50,700.01	$52,700
$76.00	$48,060.01	$50,060	$78.00	$50,380.01	$52,380	$81.00	$52,700.01	$54,700
$80.00	$50,060.01	$52,060	$82.00	$52,380.01	$54,380	$85.00	$54,700.01	$56,700
$85.00	$52,060.01	$54,060	$86.00	$54,380.01	$56,380	$89.00	$56,700.01	$58,700
$90.00	$54,060.01	$56,060	$90.00	$56,380.01	$58,380	$93.00	$58,700.01	$60,700
$95.00	$56,060.01	$58,060	$95.00	$58,380.01	$60,380	$97.00	$60,700.01	$62,700
$100.00	$58,060.01	$60,060	$100.00	$60,380.01	$62,380	$101.00	$62,700.01	$64,700
$105.00	$60,060.01	$62,060	$105.00	$62,380.01	$64,380	$106.00	$64,700.01	$66,700
$110.00	$62,060.01	$64,060	$110.00	$64,380.01	$66,380	$111.00	$66,700.01	$68,700
$115.00	$64,060.01	$66,060	$115.00	$66,380.01	$68,380	$116.00	$68,700.01	$70,700
$120.00	$66,060.01	$68,060	$120.00	$68,380.01	$70,380	$121.00	$70,700.01	$72,700
$125.00	$68,060.01	$70,060	$125.00	$70,380.01	$72,380	$126.00	$72,700.01	$74,700
$130.00	$70,060.01	$72,060	$130.00	$72,380.01	$74,380	$131.00	$74,700.01	$76,700
$136.00	$72,060.01	$74,060	$135.00	$74,380.01	$76,380	$136.00	$76,700.01	$78,700
$142.00	$74,060.01	$76,060	$140.00	$76,380.01	$78,380	$141.00	$78,700.01	$80,700
$148.00	$76,060.01	$78,060	$145.00	$78,380.01	$80,380	$146.00	$80,700.01	$82,700
$154.00	$78,060.01	$80,060	$151.00	$80,380.01	$82,380	$151.00	$82,700.01	$84,700
$160.00	$80,060.01	$82,060	$157.00	$82,380.01	$84,380	$156.00	$84,700.01	$86,700
$166.00	$82,060.01	$84,060	$163.00	$84,380.01	$86,380	$161.00	$86,700.01	$88,700
$172.00	$84,060.01	$89,441	$169.00	$86,380.01	$88,380	$167.00	$88,700.01	$90,700
			$175.00	$88,380.01	$90,380	$173.00	$90,700.01	$92,700
			$181.00	$90,380.01	$92,380	$179.00	$92,700.01	$94,700
			$187.00	$92,380.01	$94,380	$185.00	$94,700.01	$96,700
			$193.00	$94,380.01	$96,380	$191.00	$96,700.01	$98,700
			$198.00	$96,380.01	$99,593	$197.00	$98,700.01	$100,700
						$203.00	$100,700.01	$102,700
						$209.00	$102,700.01	$104,700
						$216.00	$104,700.01	$109,745
	200% FPIG	$76,120		200% FPIG	$84,760		200% FPIG	$93,400

Weekly	Family Size:	10	Weekly	Family Size:	11	Weekly	Family Size:	12
Co-pay	Annual Income		Co-pay	Annual Income		Co-pay	Annual Income
$5.00	Less than:	$8,660	$5.00	Less than:	$8,660	$5.00	Less than:	$8,660
$10.00	$8,660.01	$21,650	$10.00	$8,660.01	$22,510	$10.00	$8,660.01	$23,380
$25.00	$21,650.01	$25,980	$26.00	$22,510.01	$25,090	$27.00	$23,380.01	$31,170
$30.00	$25,980.01	$29,380	$29.00	$25,090.01	$28,540	$36.00	$31,170.01	$35,460
$34.00	$29,380.01	$31,580	$33.00	$28,540.01	$31,120	$41.00	$35,460.01	$38,860
$37.00	$31,580.01	$34,990	$36.00	$31,120.01	$33,710	$45.00	$38,860.01	$41,660
$41.00	$34,990.01	$37,020	$39.00	$33,710.01	$36,340	$49.00	$41,660.01	$43,660
$45.00	$37,020.01	$39,020	$43.00	$36,340.01	$39,340	$53.00	$43,660.01	$45,660
$49.00	$39,020.01	$41,020	$47.00	$39,340.01	$41,340	$57.00	$45,660.01	$47,660
$53.00	$41,020.01	$43,020	$51.00	$41,340.01	$43,340	$61.00	$47,660.01	$49,660
$57.00	$43,020.01	$45,020	$55.00	$43,340.01	$45,340	$65.00	$49,660.01	$51,660
$61.00	$45,020.01	$47,020	$59.00	$45,340.01	$47,340	$69.00	$51,660.01	$53,660
$66.00	$47,020.01	$49,020	$63.00	$47,340.01	$49,340	$73.00	$53,660.01	$55,660
$71.00	$49,020.01	$51,020	$67.00	$49,340.01	$51,340	$78.00	$55,660.01	$57,660
$75.00	$51,020.01	$53,020	$72.00	$51,340.01	$53,340	$83.00	$57,660.01	$59,660
$78.00	$53,020.01	$55,020	$77.00	$53,340.01	$55,340	$88.00	$59,660.01	$61,660
$82.00	$55,020.01	$57,020	$82.00	$55,340.01	$57,340	$92.00	$61,660.01	$63,660
$86.00	$57,020.01	$59,020	$86.00	$57,340.01	$59,340	$96.00	$63,660.01	$65,660
$90.00	$59,020.01	$61,020	$90.00	$59,340.01	$61,340	$100.00	$65,660.01	$67,660
$94.00	$61,020.01	$63,020	$94.00	$61,340.01	$63,340	$104.00	$67,660.01	$69,660
$98.00	$63,020.01	$65,020	$98.00	$63,340.01	$65,340	$108.00	$69,660.01	$71,660
$102.00	$65,020.01	$67,020	$102.00	$65,340.01	$67,340	$112.00	$71,660.01	$73,660
$106.00	$67,020.01	$69,020	$106.00	$67,340.01	$69,340	$116.00	$73,660.01	$75,660
$111.00	$69,020.01	$71,020	$110.00	$69,340.01	$71,340	$120.00	$75,660.01	$77,660
$116.00	$71,020.01	$73,020	$114.00	$71,340.01	$73,340	$124.00	$77,660.01	$79,660
$121.00	$73,020.01	$75,020	$119.00	$73,340.01	$75,340	$128.00	$79,660.01	$81,660
$126.00	$75,020.01	$77,020	$124.00	$75,340.01	$77,340	$133.00	$81,660.01	$83,660
$131.00	$77,020.01	$79,020	$129.00	$77,340.01	$79,340	$138.00	$83,660.01	$85,660
$136.00	$79,020.01	$81,020	$134.00	$79,340.01	$81,340	$143.00	$85,660.01	$87,660
$141.00	$81,020.01	$83,020	$139.00	$81,340.01	$83,340	$148.00	$87,660.01	$89,660
$146.00	$83,020.01	$85,020	$144.00	$83,340.01	$85,340	$153.00	$89,660.01	$91,660
$151.00	$85,020.01	$87,020	$149.00	$85,340.01	$87,340	$158.00	$91,660.01	$93,660
$156.00	$87,020.01	$89,020	$154.00	$87,340.01	$89,340	$163.00	$93,660.01	$95,660
$161.00	$89,020.01	$91,020	$159.00	$89,340.01	$91,340	$168.00	$95,660.01	$97,660
$166.00	$91,020.01	$93,020	$164.00	$91,340.01	$93,340	$173.00	$97,660.01	$99,660
$171.00	$93,020.01	$95,020	$169.00	$93,340.01	$95,340	$178.00	$99,660.01	$101,660
$177.00	$95,020.01	$97,020	$174.00	$95,340.01	$97,340	$183.00	$101,660.01	$103,660
$183.00	$97,020.01	$99,020	$179.00	$97,340.01	$99,340	$188.00	$103,660.01	$105,660
$189.00	$99,020.01	$101,020	$184.00	$99,340.01	$101,340	$193.00	$105,660.01	$107,660
$195.00	$101,020.01	$103,020	$189.00	$101,340.01	$103,340	$198.00	$107,660.01	$109,660
$201.00	$103,020.01	$105,020	$195.00	$103,340.01	$105,340	$203.00	$109,660.01	$111,660
$207.00	$105,020.01	$107,020	$201.00	$105,340.01	$107,340	$209.00	$111,660.01	$113,660
$213.00	$107,020.01	$109,020	$207.00	$107,340.01	$109,340	$215.00	$113,660.01	$115,660
$219.00	$109,020.01	$111,020	$213.00	$109,340.01	$111,340	$221.00	$115,660.01	$117,660
$225.00	$111,020.01	$113,020	$219.00	$111,340.01	$113,340	$227.00	$117,660.01	$119,660
$232.00	$113,020.01	$119,897	$225.00	$113,340.01	$115,340	$233.00	$119,660.01	$121,660
			$231.00	$115,340.01	$117,340	$239.00	$121,660.01	$123,660
			$237.00	$117,340.01	$119,340	$245.00	$123,660.01	$125,660
			$243.00	$119,340.01	$121,340	$251.00	$125,660.01	$127,660
			$249.00	$121,340.01	$123,340	$257.00	$127,660.01	$129,660
			$255.00	$123,340.01	$125,340	$263.00	$129,660.01	$131,660
			$261.00	$125,340.01	$130,049	$269.00	$131,660.01	$133,660
						$275.00	$133,660.01	$135,660
						$280.00	$135,660.01	$140,201
	200% FPIG	$102,040		200% FPIG	$110,680		200% FPIG	$119,320

Weekly	Family Size:	13	Weekly	Family Size:	14	Weekly	Family Size:	15
Co-pay	Annual Income		Co-pay	Annual Income		Co-pay	Annual Income
$5.00	Less than:	$8,660	$5.00	Less than:	$8,660	$5.00	Less than:	$8,660
$10.00	$8,660.01	$25,110	$10.00	$8,660.01	$25,110	$10.00	$8,660.01	$29,440
$29.00	$25,110.01	$31,170	$29.00	$25,110.01	$31,170	$34.00	$29,440.01	$37,230
$36.00	$31,170.01	$35,480	$36.00	$31,170.01	$37,230	$43.00	$37,230.01	$39,820
$41.00	$35,480.01	$38,070	$43.00	$37,230.01	$39,800	$46.00	$39,820.01	$42,390
$44.00	$38,070.01	$40,660	$46.00	$39,800.01	$41,400	$49.00	$42,390.01	$44,620
$47.00	$40,660.01	$43,780	$49.00	$41,400.01	$44,760	$52.00	$44,620.01	$48,040
$51.00	$43,780.01	$45,980	$53.00	$44,760.01	$48,130	$56.00	$48,040.01	$50,620
$55.00	$45,980.01	$47,980	$57.00	$48,130.01	$50,300	$60.00	$50,620.01	$52,620
$59.00	$47,980.01	$49,980	$61.00	$50,300.01	$52,300	$64.00	$52,620.01	$54,620
$63.00	$49,980.01	$51,980	$65.00	$52,300.01	$54,300	$68.00	$54,620.01	$56,620
$67.00	$51,980.01	$53,980	$69.00	$54,300.01	$56,300	$72.00	$56,620.01	$58,620
$71.00	$53,980.01	$55,980	$73.00	$56,300.01	$58,300	$76.00	$58,620.01	$60,620
$75.00	$55,980.01	$57,980	$77.00	$58,300.01	$60,300	$80.00	$60,620.01	$62,620
$79.00	$57,980.01	$59,980	$81.00	$60,300.01	$62,300	$84.00	$62,620.01	$64,620
$84.00	$59,980.01	$61,980	$85.00	$62,300.01	$64,300	$88.00	$64,620.01	$66,620
$89.00	$61,980.01	$63,980	$90.00	$64,300.01	$66,300	$92.00	$66,620.01	$68,620
$94.00	$63,980.01	$65,980	$95.00	$66,300.01	$68,300	$97.00	$68,620.01	$70,620
$98.00	$65,980.01	$67,980	$100.00	$68,300.01	$70,300	$102.00	$70,620.01	$72,620
$102.00	$67,980.01	$69,980	$104.00	$70,300.01	$72,300	$107.00	$72,620.01	$74,620
$106.00	$69,980.01	$71,980	$108.00	$72,300.01	$74,300	$110.00	$74,620.01	$76,620
$110.00	$71,980.01	$73,980	$112.00	$74,300.01	$76,300	$114.00	$76,620.01	$78,620
$114.00	$73,980.01	$75,980	$116.00	$76,300.01	$78,300	$118.00	$78,620.01	$80,620
$118.00	$75,980.01	$77,980	$120.00	$78,300.01	$80,300	$122.00	$80,620.01	$82,620
$122.00	$77,980.01	$79,980	$124.00	$80,300.01	$82,300	$126.00	$82,620.01	$84,620
$126.00	$79,980.01	$81,980	$128.00	$82,300.01	$84,300	$130.00	$84,620.01	$86,620
$130.00	$81,980.01	$83,980	$132.00	$84,300.01	$86,300	$134.00	$86,620.01	$88,620
$134.00	$83,980.01	$85,980	$136.00	$86,300.01	$88,300	$138.00	$88,620.01	$90,620
$138.00	$85,980.01	$87,980	$140.00	$88,300.01	$90,300	$142.00	$90,620.01	$92,620
$143.00	$87,980.01	$89,980	$144.00	$90,300.01	$92,300	$146.00	$92,620.01	$94,620
$148.00	$89,980.01	$91,980	$149.00	$92,300.01	$94,300	$150.00	$94,620.01	$96,620
$153.00	$91,980.01	$93,980	$154.00	$94,300.01	$96,300	$154.00	$96,620.01	$98,620
$158.00	$93,980.01	$95,980	$159.00	$96,300.01	$98,300	$159.00	$98,620.01	$100,620
$163.00	$95,980.01	$97,980	$164.00	$98,300.01	$100,300	$164.00	$100,620.01	$102,620
$168.00	$97,980.01	$99,980	$169.00	$100,300.01	$102,300	$169.00	$102,620.01	$104,620
$173.00	$99,980.01	$101,980	$174.00	$102,300.01	$104,300	$174.00	$104,620.01	$106,620
$178.00	$101,980.01	$103,980	$179.00	$104,300.01	$106,300	$179.00	$106,620.01	$108,620
$183.00	$103,980.01	$105,980	$184.00	$106,300.01	$108,300	$184.00	$108,620.01	$110,620
$188.00	$105,980.01	$107,980	$189.00	$108,300.01	$110,300	$189.00	$110,620.01	$112,620
$193.00	$107,980.01	$109,980	$194.00	$110,300.01	$112,300	$194.00	$112,620.01	$114,620
$198.00	$109,980.01	$111,980	$199.00	$112,300.01	$114,300	$199.00	$114,620.01	$116,620
$203.00	$111,980.01	$113,980	$204.00	$114,300.01	$116,300	$204.00	$116,620.01	$118,620
$208.00	$113,980.01	$115,980	$209.00	$116,300.01	$118,300	$209.00	$118,620.01	$120,620
$213.00	$115,980.01	$117,980	$214.00	$118,300.01	$120,300	$214.00	$120,620.01	$122,620
$218.00	$117,980.01	$119,980	$219.00	$120,300.01	$122,300	$219.00	$122,620.01	$124,620
$224.00	$119,980.01	$121,980	$224.00	$122,300.01	$124,300	$224.00	$124,620.01	$126,620
$230.00	$121,980.01	$123,980	$229.00	$124,300.01	$126,300	$229.00	$126,620.01	$128,620
$236.00	$123,980.01	$125,980	$235.00	$126,300.01	$128,300	$234.00	$128,620.01	$130,620
$242.00	$125,980.01	$127,980	$241.00	$128,300.01	$130,300	$239.00	$130,620.01	$132,620
$248.00	$127,980.01	$129,980	$247.00	$130,300.01	$132,300	$244.00	$132,620.01	$134,620
$254.00	$129,980.01	$131,980	$253.00	$132,300.01	$134,300	$250.00	$134,620.01	$136,620
$260.00	$131,980.01	$133,980	$259.00	$134,300.01	$136,300	$256.00	$136,620.01	$138,620
$266.00	$133,980.01	$135,980	$265.00	$136,300.01	$138,300	$262.00	$138,620.01	$140,620
$272.00	$135,980.01	$137,980	$271.00	$138,300.01	$140,300	$268.00	$140,620.01	$142,620
$278.00	$137,980.01	$139,980	$277.00	$140,300.01	$142,300	$274.00	$142,620.01	$144,620
$284.00	$139,980.01	$141,980	$283.00	$142,300.01	$144,300	$280.00	$144,620.01	$146,620
$290.00	$141,980.01	$143,980	$289.00	$144,300.01	$146,300	$286.00	$146,620.01	$148,620
$297.00	$143,980.01	$150,353	$295.00	$146,300.01	$148,300	$292.00	$148,620.01	$150,620
			$301.00	$148,300.01	$150,300	$298.00	$150,620.01	$152,620
			$307.00	$150,300.01	$152,300	$304.00	$152,620.01	$154,620
			$314.00	$152,300.01	$160,505	$310.00	$154,620.01	$156,620
						$316.00	$156,620.01	$158,620
						$322.00	$158,620.01	$160,620
						$328.00	$160,620.01	$162,620
						$334.00	$162,620.01	$164,620
						$339.00	$164,620.01	$170,657
	200% FPIG	$127,960		200% FPIG	$136,600		200% FPIG	$145,240

Weekly	Family Size:	16	Weekly	Family Size:	17	Weekly	Family Size:	18
Co-pay	Annual Income		Co-pay	Annual Income		Co-pay	Annual Income
$5.00	Less than:	$8,660	$5.00	Less than:	$8,660	$5.00	Less than:	$8,660
$10.00	$8,660.01	$29,430	$10.00	$8,660.01	$29,430	$10.00	$8,660.01	$30,310
$34.00	$29,430.01	$38,080	$34.00	$29,430.01	$37,220	$35.00	$30,310.01	$38,960
$44.00	$38,080.01	$43,270	$43.00	$37,220.01	$39,780	$45.00	$38,960.01	$48,120
$50.00	$43,270.01	$45,860	$46.00	$39,780.01	$47,560	$56.00	$48,120.01	$50,120
$53.00	$45,860.01	$48,860	$55.00	$47,560.01	$49,860	$59.00	$50,120.01	$52,660
$57.00	$48,860.01	$52,280	$58.00	$49,860.01	$52,410	$62.00	$52,660.01	$55,980
$61.00	$52,280.01	$54,940	$61.00	$52,410.01	$55,260	$66.00	$55,980.01	$58,650
$65.00	$54,940.01	$56,940	$65.00	$55,260.01	$57,260	$70.00	$58,650.01	$61,580
$69.00	$56,940.01	$58,940	$69.00	$57,260.01	$59,260	$74.00	$61,580.01	$63,580
$73.00	$58,940.01	$60,940	$73.00	$59,260.01	$61,260	$78.00	$63,580.01	$65,580
$77.00	$60,940.01	$62,940	$77.00	$61,260.01	$63,260	$82.00	$65,580.01	$67,580
$81.00	$62,940.01	$64,940	$81.00	$63,260.01	$65,260	$86.00	$67,580.01	$69,580
$85.00	$64,940.01	$66,940	$85.00	$65,260.01	$67,260	$90.00	$69,580.01	$71,580
$89.00	$66,940.01	$68,940	$89.00	$67,260.01	$69,260	$94.00	$71,580.01	$73,580
$93.00	$68,940.01	$70,940	$93.00	$69,260.01	$71,260	$98.00	$73,580.01	$75,580
$98.00	$70,940.01	$72,940	$97.00	$71,260.01	$73,260	$102.00	$75,580.01	$77,580
$103.00	$72,940.01	$74,940	$101.00	$73,260.01	$75,260	$106.00	$77,580.01	$79,580
$108.00	$74,940.01	$76,940	$106.00	$75,260.01	$77,260	$111.00	$79,580.01	$81,580
$113.00	$76,940.01	$78,940	$111.00	$77,260.01	$79,260	$116.00	$81,580.01	$83,580
$117.00	$78,940.01	$80,940	$116.00	$79,260.01	$81,260	$121.00	$83,580.01	$85,580
$120.00	$80,940.01	$82,940	$120.00	$81,260.01	$83,260	$126.00	$85,580.01	$86,900
$124.00	$82,940.01	$84,940	$124.00	$83,260.01	$85,260	$128.00	$86,900.01	$88,900
$128.00	$84,940.01	$86,940	$128.00	$85,260.01	$87,260	$132.00	$88,900.01	$90,900
$132.00	$86,940.01	$88,940	$132.00	$87,260.01	$89,260	$136.00	$90,900.01	$92,900
$136.00	$88,940.01	$90,940	$136.00	$89,260.01	$91,260	$140.00	$92,900.01	$94,900
$140.00	$90,940.01	$92,940	$140.00	$91,260.01	$93,260	$144.00	$94,900.01	$96,900
$144.00	$92,940.01	$94,940	$144.00	$93,260.01	$95,260	$148.00	$96,900.01	$98,900
$148.00	$94,940.01	$96,940	$148.00	$95,260.01	$97,260	$152.00	$98,900.01	$100,900
$152.00	$96,940.01	$98,940	$152.00	$97,260.01	$99,260	$156.00	$100,900.01	$102,900
$156.00	$98,940.01	$100,940	$156.00	$99,260.01	$101,260	$160.00	$102,900.01	$104,900
$160.00	$100,940.01	$102,940	$160.00	$101,260.01	$103,260	$164.00	$104,900.01	$106,900
$164.00	$102,940.01	$104,940	$164.00	$103,260.01	$105,260	$168.00	$106,900.01	$108,900
$169.00	$104,940.01	$106,940	$168.00	$105,260.01	$107,260	$172.00	$108,900.01	$110,900
$174.00	$106,940.01	$108,940	$173.00	$107,260.01	$109,260	$176.00	$110,900.01	$112,900
$179.00	$108,940.01	$110,940	$178.00	$109,260.01	$111,260	$180.00	$112,900.01	$114,900
$184.00	$110,940.01	$112,940	$183.00	$111,260.01	$113,260	$185.00	$114,900.01	$116,900
$189.00	$112,940.01	$114,940	$188.00	$113,260.01	$115,260	$190.00	$116,900.01	$118,900
$194.00	$114,940.01	$116,940	$193.00	$115,260.01	$117,260	$195.00	$118,900.01	$120,900
$199.00	$116,940.01	$118,940	$198.00	$117,260.01	$119,260	$200.00	$120,900.01	$122,900
$204.00	$118,940.01	$120,940	$203.00	$119,260.01	$121,260	$205.00	$122,900.01	$124,900
$209.00	$120,940.01	$122,940	$208.00	$121,260.01	$123,260	$210.00	$124,900.01	$126,900
$214.00	$122,940.01	$124,940	$213.00	$123,260.01	$125,260	$215.00	$126,900.01	$128,900
$219.00	$124,940.01	$126,940	$218.00	$125,260.01	$127,260	$220.00	$128,900.01	$130,900
$224.00	$126,940.01	$128,940	$223.00	$127,260.01	$129,260	$225.00	$130,900.01	$132,900
$229.00	$128,940.01	$130,940	$228.00	$129,260.01	$131,260	$230.00	$132,900.01	$134,900
$234.00	$130,940.01	$132,940	$233.00	$131,260.01	$133,260	$235.00	$134,900.01	$136,900
$239.00	$132,940.01	$134,940	$238.00	$133,260.01	$135,260	$240.00	$136,900.01	$138,900
$244.00	$134,940.01	$136,940	$243.00	$135,260.01	$137,260	$245.00	$138,900.01	$140,900
$249.00	$136,940.01	$138,940	$248.00	$137,260.01	$139,260	$250.00	$140,900.01	$142,900
$254.00	$138,940.01	$140,940	$253.00	$139,260.01	$141,260	$255.00	$142,900.01	$144,900
$259.00	$140,940.01	$142,940	$258.00	$141,260.01	$143,260	$260.00	$144,900.01	$146,900
$264.00	$142,940.01	$144,940	$263.00	$143,260.01	$145,260	$265.00	$146,900.01	$148,900
$270.00	$144,940.01	$146,940	$268.00	$145,260.01	$147,260	$270.00	$148,900.01	$150,900
$276.00	$146,940.01	$148,940	$273.00	$147,260.01	$149,260	$275.00	$150,900.01	$152,900
$282.00	$148,940.01	$150,940	$278.00	$149,260.01	$151,260	$280.00	$152,900.01	$154,900
$288.00	$150,940.01	$152,940	$284.00	$151,260.01	$153,260	$285.00	$154,900.01	$156,900
$294.00	$152,940.01	$154,940	$290.00	$153,260.01	$155,260	$290.00	$156,900.01	$158,900
$300.00	$154,940.01	$156,940	$296.00	$155,260.01	$157,260	$296.00	$158,900.01	$160,900
$306.00	$156,940.01	$158,940	$302.00	$157,260.01	$159,260	$302.00	$160,900.01	$162,900
$312.00	$158,940.01	$160,940	$308.00	$159,260.01	$161,260	$308.00	$162,900.01	$164,900
$318.00	$160,940.01	$162,940	$314.00	$161,260.01	$163,260	$314.00	$164,900.01	$166,900
$324.00	$162,940.01	$164,940	$320.00	$163,260.01	$165,260	$320.00	$166,900.01	$168,900
$330.00	$164,940.01	$166,940	$326.00	$165,260.01	$167,260	$326.00	$168,900.01	$170,900
$336.00	$166,940.01	$168,940	$332.00	$167,260.01	$169,260	$332.00	$170,900.01	$172,900
$342.00	$168,940.01	$170,940	$338.00	$169,260.01	$171,260	$338.00	$172,900.01	$174,900
$348.00	$170,940.01	$172,940	$344.00	$171,260.01	$173,260	$344.00	$174,900.01	$176,900
$355.00	$172,940.01	$180,809	$350.00	$173,260.01	$175,260	$350.00	$176,900.01	$178,900
			$356.00	$175,260.01	$177,260	$356.00	$178,900.01	$180,900
			$362.00	$177,260.01	$179,260	$362.00	$180,900.01	$182,900
			$368.00	$179,260.01	$181,260	$368.00	$182,900.01	$184,900
			$374.00	$181,260.01	$190,961	$374.00	$184,900.01	$186,900
						$380.00	$186,900.01	$188,900
						$386.00	$188,900.01	$190,900
						$392.00	$190,900.01	$192,900
						$397.00	$192,900.01	$201,113
	200% FPIG	$153,880		200% FPIG	$162,520		200% FPIG	$171,160

Weekly	Family Size:	19	Weekly	Family Size:	20	Weekly	Family Size:	21
Co-pay	Annual Income		Co-pay	Annual Income		Co-pay	Annual Income
$5.00	Less than:	$8,660	$5.00	Less than:	$8,660	$5.00	Less than:	$8,660
$10.00	$8,660.01	$31,170	$10.00	$8,660.01	$32,900	$10.00	$8,660.01	$45,890
$36.00	$31,170.01	$43,210	$38.00	$32,900.01	$45,000	$53.00	$45,890.01	$53,660
$50.00	$43,210.01	$49,200	$52.00	$45,000.01	$48,000	$62.00	$53,660.01	$55,390
$57.00	$49,200.01	$51,900	$56.00	$48,000.01	$54,220	$64.00	$55,390.01	$57,900
$62.00	$51,900.01	$53,900	$64.00	$54,220.01	$56,220	$67.00	$57,900.01	$59,940
$65.00	$53,900.01	$55,900	$68.00	$56,220.01	$58,220	$70.00	$59,940.01	$63,350
$68.00	$55,900.01	$57,900	$71.00	$58,220.01	$60,220	$74.00	$63,350.01	$66,540
$71.00	$57,900.01	$59,900	$75.00	$60,220.01	$62,220	$78.00	$66,540.01	$68,540
$77.00	$59,900.01	$61,900	$80.00	$62,220.01	$64,220	$82.00	$68,540.01	$70,540
$80.00	$61,900.01	$63,900	$85.00	$64,220.01	$66,220	$86.00	$70,540.01	$72,540
$84.00	$63,900.01	$65,900	$89.00	$66,220.01	$68,220	$90.00	$72,540.01	$74,540
$87.00	$65,900.01	$67,900	$92.00	$68,220.01	$70,220	$94.00	$74,540.01	$76,540
$91.00	$67,900.01	$69,900	$96.00	$70,220.01	$72,220	$98.00	$76,540.01	$78,540
$94.00	$69,900.01	$71,900	$99.00	$72,220.01	$74,220	$102.00	$78,540.01	$80,540
$100.00	$71,900.01	$73,900	$103.00	$74,220.01	$76,220	$106.00	$80,540.01	$82,540
$103.00	$73,900.01	$75,900	$106.00	$76,220.01	$78,220	$110.00	$82,540.01	$84,540
$107.00	$75,900.01	$77,900	$110.00	$78,220.01	$80,220	$114.00	$84,540.01	$86,540
$110.00	$77,900.01	$79,900	$113.00	$80,220.01	$82,220	$118.00	$86,540.01	$88,540
$114.00	$79,900.01	$81,900	$117.00	$82,220.01	$84,220	$122.00	$88,540.01	$90,540
$117.00	$81,900.01	$83,900	$120.00	$84,220.01	$86,220	$126.00	$90,540.01	$92,540
$121.00	$83,900.01	$85,900	$124.00	$86,220.01	$88,220	$131.00	$92,540.01	$94,540
$125.00	$85,900.01	$87,900	$127.00	$88,220.01	$90,220	$136.00	$94,540.01	$96,540
$129.00	$87,900.01	$89,900	$131.00	$90,220.01	$92,220	$141.00	$96,540.01	$98,540
$133.00	$89,900.01	$91,900	$135.00	$92,220.01	$94,220	$145.00	$98,540.01	$100,540
$137.00	$91,900.01	$93,900	$139.00	$94,220.01	$96,220	$149.00	$100,540.01	$102,540
$141.00	$93,900.01	$95,900	$143.00	$96,220.01	$98,220	$153.00	$102,540.01	$104,540
$145.00	$95,900.01	$97,900	$147.00	$98,220.01	$100,220	$157.00	$104,540.01	$106,540
$149.00	$97,900.01	$99,900	$151.00	$100,220.01	$102,220	$161.00	$106,540.01	$108,540
$153.00	$99,900.01	$101,900	$155.00	$102,220.01	$104,220	$165.00	$108,540.01	$110,540
$157.00	$101,900.01	$103,900	$159.00	$104,220.01	$106,220	$169.00	$110,540.01	$112,540
$161.00	$103,900.01	$105,900	$163.00	$106,220.01	$108,220	$173.00	$112,540.01	$114,540
$165.00	$105,900.01	$107,900	$167.00	$108,220.01	$110,220	$177.00	$114,540.01	$116,540
$169.00	$107,900.01	$109,900	$171.00	$110,220.01	$112,220	$181.00	$116,540.01	$118,540
$173.00	$109,900.01	$111,900	$175.00	$112,220.01	$114,220	$185.00	$118,540.01	$120,540
$177.00	$111,900.01	$113,900	$179.00	$114,220.01	$116,220	$189.00	$120,540.01	$122,540
$181.00	$113,900.01	$115,900	$183.00	$116,220.01	$118,220	$193.00	$122,540.01	$124,540
$185.00	$115,900.01	$117,900	$187.00	$118,220.01	$120,220	$197.00	$124,540.01	$126,540
$189.00	$117,900.01	$119,900	$191.00	$120,220.01	$122,220	$201.00	$126,540.01	$128,540
$194.00	$119,900.01	$121,900	$195.00	$122,220.01	$124,220	$205.00	$128,540.01	$130,540
$199.00	$121,900.01	$123,900	$199.00	$124,220.01	$126,220	$210.00	$130,540.01	$132,540
$204.00	$123,900.01	$125,900	$204.00	$126,220.01	$128,220	$215.00	$132,540.01	$134,540
$209.00	$125,900.01	$127,900	$209.00	$128,220.01	$130,220	$220.00	$134,540.01	$136,540
$214.00	$127,900.01	$129,900	$214.00	$130,220.01	$132,220	$225.00	$136,540.01	$138,540
$219.00	$129,900.01	$131,900	$219.00	$132,220.01	$134,220	$230.00	$138,540.01	$140,540
$224.00	$131,900.01	$133,900	$224.00	$134,220.01	$136,220	$235.00	$140,540.01	$142,540
$229.00	$133,900.01	$135,900	$229.00	$136,220.01	$138,220	$240.00	$142,540.01	$144,540
$234.00	$135,900.01	$137,900	$234.00	$138,220.01	$140,220	$245.00	$144,540.01	$146,540
$239.00	$137,900.01	$139,900	$239.00	$140,220.01	$142,220	$250.00	$146,540.01	$148,540
$244.00	$139,900.01	$141,900	$244.00	$142,220.01	$144,220	$255.00	$148,540.01	$150,540
$249.00	$141,900.01	$143,900	$249.00	$144,220.01	$146,220	$260.00	$150,540.01	$152,540
$254.00	$143,900.01	$145,900	$254.00	$146,220.01	$148,220	$265.00	$152,540.01	$154,540
$259.00	$145,900.01	$147,900	$259.00	$148,220.01	$150,220	$270.00	$154,540.01	$156,540
$264.00	$147,900.01	$149,900	$264.00	$150,220.01	$152,220	$275.00	$156,540.01	$158,540
$269.00	$149,900.01	$151,900	$269.00	$152,220.01	$154,220	$280.00	$158,540.01	$160,540
$274.00	$151,900.01	$153,900	$274.00	$154,220.01	$156,220	$285.00	$160,540.01	$162,540
$279.00	$153,900.01	$155,900	$279.00	$156,220.01	$158,220	$290.00	$162,540.01	$164,540
$284.00	$155,900.01	$157,900	$284.00	$158,220.01	$160,220	$295.00	$164,540.01	$166,540
$289.00	$157,900.01	$159,900	$289.00	$160,220.01	$162,220	$300.00	$166,540.01	$168,540
$294.00	$159,900.01	$161,900	$294.00	$162,220.01	$164,220	$305.00	$168,540.01	$170,540
$299.00	$161,900.01	$163,900	$299.00	$164,220.01	$166,220	$310.00	$170,540.01	$172,540
$304.00	$163,900.01	$165,900	$304.00	$166,220.01	$168,220	$315.00	$172,540.01	$174,540
$309.00	$165,900.01	$167,900	$309.00	$168,220.01	$170,220	$320.00	$174,540.01	$176,540
$315.00	$167,900.01	$169,900	$314.00	$170,220.01	$172,220	$325.00	$176,540.01	$178,540
$321.00	$169,900.01	$171,900	$319.00	$172,220.01	$174,220	$330.00	$178,540.01	$180,540
$327.00	$171,900.01	$173,900	$324.00	$174,220.01	$176,220	$335.00	$180,540.01	$182,540
$333.00	$173,900.01	$175,900	$330.00	$176,220.01	$178,220	$341.00	$182,540.01	$184,540
$339.00	$175,900.01	$177,900	$336.00	$178,220.01	$180,220	$347.00	$184,540.01	$186,540
$345.00	$177,900.01	$179,900	$342.00	$180,220.01	$182,220	$353.00	$186,540.01	$188,540
$351.00	$179,900.01	$181,900	$348.00	$182,220.01	$184,220	$359.00	$188,540.01	$190,540
$357.00	$181,900.01	$183,900	$354.00	$184,220.01	$186,220	$365.00	$190,540.01	$192,540
$363.00	$183,900.01	$185,900	$360.00	$186,220.01	$188,220	$371.00	$192,540.01	$194,540
$369.00	$185,900.01	$187,900	$366.00	$188,220.01	$190,220	$377.00	$194,540.01	$196,540
$375.00	$187,900.01	$189,900	$372.00	$190,220.01	$192,220	$383.00	$196,540.01	$198,540
$381.00	$189,900.01	$191,900	$378.00	$192,220.01	$194,220	$389.00	$198,540.01	$200,540
$387.00	$191,900.01	$193,900	$384.00	$194,220.01	$196,220	$395.00	$200,540.01	$202,540
$393.00	$193,900.01	$195,900	$390.00	$196,220.01	$198,220	$401.00	$202,540.01	$204,540
$399.00	$195,900.01	$197,900	$396.00	$198,220.01	$200,220	$407.00	$204,540.01	$206,540
$405.00	$197,900.01	$199,900	$402.00	$200,220.01	$202,220	$413.00	$206,540.01	$208,540
$411.00	$199,900.01	$201,900	$408.00	$202,220.01	$204,220	$419.00	$208,540.01	$210,540
$419.00	$201,900.01	$203,900	$414.00	$204,220.01	$206,220	$425.00	$210,540.01	$212,540
$424.00	$203,900.01	$211,265	$420.00	$206,220.01	$208,220	$431.00	$212,540.01	$214,540
			$426.00	$208,220.01	$210,220	$437.00	$214,540.01	$216,540
			$432.00	$210,220.01	$212,220	$443.00	$216,540.01	$218,540
			$438.00	$212,220.01	$221,417	$449.00	$218,540.01	$220,540
						$455.00	$220,540.01	$231,569
	200% FPIG	$179,800		200% FPIG	$188,440		200% FPIG	$197,080

[Pa.B. Doc. No. 18-835. Filed for public inspection May 25, 2018, 9:00 a.m.]

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