Thursday,

May 19, 2005

Part V

Department of 

Health and Human 

Services

Centers for Medicare & Medicaid Services 

42 CFR Part 424

Medicare Program; Prospective Payment 

System and Consolidated Billing for 

Skilled Nursing Facilities for FY 2006; 

Proposed Rule

29070 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Part 424 

[CMS–1282–P] 

RIN 0938–AN65 

Medicare Program; Prospective 

Payment System and Consolidated 

Billing for Skilled Nursing Facilities for 

FY 2006

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS.

ACTION: Proposed rule.

SUMMARY: This proposed rule would 

update the payment rates used under 

the prospective payment system (PPS) 

for skilled nursing facilities (SNFs), for 

fiscal year (FY) 2006, as required by 

statute. Annual updates to the PPS rates 

are required by section 1888(e) of the 

Social Security Act (the Act), as 

amended by the Medicare, Medicaid, 

and SCHIP Balanced Budget Refinement 

Act of 1999 (BBRA), the Medicare, 

Medicaid, and State Children’s Health 

Insurance Program (SCHIP) Benefits 

Improvement and Protection Act of 

2000 (BIPA), and the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003 (MMA), 

relating to Medicare payments and 

consolidated billing for SNFs. As part of 

this year’s annual update, we are 

proposing to introduce refinements in 

the Resource Utilization Groups, version 

III (RUG–III), the case-mix classification 

system used under the SNF PPS.

DATES: To be assured consideration, 

comments must be received at one of 

the addresses provided below, no later 

than 5 p.m. on July 12, 2005.

ADDRESSES: In commenting, please refer 

to file code CMS–1282–P. Because of 

staff and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

You may submit comments in one of 

three ways (no duplicates, please): 

1. Electronically. You may submit 

electronic comments on specific issues 

in this regulation to http://

www.cms.hhs.gov/regulations/

ecomments. (Attachments should be in 

Microsoft Word, WordPerfect, or Excel; 

however, we prefer Microsoft Word.) 

2. By mail. You may mail written 

comments (one original and two copies) 

to the following address ONLY: Centers 

for Medicare & Medicaid Services, 

Department of Health and Human 

Services, Attention: CMS–1282–P, P.O. 

Box 8016, Baltimore, MD 21244–8016. 

Please allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By hand or courier. If you prefer, 

you may deliver (by hand or courier) 

your written comments (one original 

and two copies) before the close of the 

comment period to one of the following 

addresses. If you intend to deliver your 

comments to the Baltimore, Maryland 

address, please call telephone number 

(410) 786–9994 in advance to schedule 

your arrival with one of our staff 

members. Room 445–G, Hubert H. 

Humphrey Building, 200 Independence 

Avenue, SW., Washington, DC 20201; or 

7500 Security Boulevard, Baltimore, MD 

21244–1850. 

(Because access to the interior of the 

HHH Building is not readily available to 

persons without Federal Government 

identification, commenters are 

encouraged to leave their comments in 

the CMS drop slots located in the main 

lobby of the building. A stamp-in clock 

is available for persons wishing to retain 

a proof of filing by stamping in and 

retaining an extra copy of the comments 

being filed.)

Comments mailed to the addresses 

indicated as appropriate for hand or 

courier delivery may be delayed and 

received after the comment period. 

Submission of comments on 

paperwork requirements. You may 

submit comments on this document’s 

paperwork requirements by mailing 

your comments to the addresses 

provided at the end of the ‘‘Collection 

of Information Requirements’’ section in 

this document. 

For information on viewing public 

comments, see the beginning of the 

SUPPLEMENTARY INFORMATION section.

FOR FURTHER INFORMATION CONTACT:

Ellen Gay, (410) 786–4528 (for 

information related to the case-mix 

classification methodology, and for 

information related to swing-bed 

providers). 

Jeanette Kranacs, (410) 786–9385 (for 

information related to the development 

of the payment rates, and for 

information related to the wage index). 

Bill Ullman, (410) 786–5667 (for 

information related to coverage 

requirements, level of care 

determinations, consolidated billing, 

and general information).

SUPPLEMENTARY INFORMATION: 

Submitting Comments: We welcome 

comments from the public on all issues 

set forth in this rule to assist us in fully 

considering issues and developing 

policies. You can assist us by 

referencing the file code CMS–1282–P 

and the specific ‘‘issue identifier’’ that 

precedes the section on which you 

choose to comment. 

Inspection of Public Comments: All 

comments received before the close of 

the comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. CMS posts all electronic 

comments received before the close of 

the comment period on its public Web 

site as soon as possible after they have 

been received. Hard copy comments 

received timely will be available for 

public inspection as they are received, 

generally beginning approximately 3 

weeks after publication of a document, 

at the headquarters of the Centers for 

Medicare & Medicaid Services, 7500 

Security Boulevard, Baltimore, 

Maryland 21244, Monday through 

Friday of each week from 8:30 a.m. to 

4 p.m. To schedule an appointment to 

view public comments, phone 1–800–

743–3951. 

To assist readers in referencing 

sections contained in this document, we 

are providing the following Table of 

Contents.

Table of Contents 

I. Background 

A. Current System for Payment of Skilled 

Nursing Facility Services Under Part A 

of the Medicare Program 

B. Requirements of the Balanced Budget 

Act of 1997 (the BBA) for Updating the 

Prospective Payment System for Skilled 

Nursing Facilities 

C. The Medicare, Medicaid, and SCHIP 

Balanced Budget Refinement Act of 1999 

(the BBRA) 

D. The Medicare, Medicaid, and SCHIP 

Benefits Improvement and Protection 

Act of 2000 (the BIPA) 

E. The Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003 (the MMA) 

F. Skilled Nursing Facility Prospective 

Payment—General Overview 

1. Payment Provisions—Federal Rates 

2. Payment Provisions—Initial Transition 

Period 

G. Use of the Skilled Nursing Facility 

Market Basket Index 

II. Update of Payment Rates Under the 

Prospective Payment System for Skilled 

Nursing Facilities 

A. Federal Prospective Payment System 

1. Costs and Services Covered by the 

Federal Rates 

2. Methodology Used for the Calculation of 

the Federal Rates 

B. Case-Mix Adjustment and Other Clinical 

Issues 

1. Background 

2. Case-Mix Refinement Research 

a. Data Sources and Analyses 

b. Constructing the New RUG–III Groups 

c. Development of the Case-Mix Indexes 

3. Proposed Refinements to the Case-Mix 

Classification System 

4. Implementation Issues 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29071

5. Assessment Timeframes 

6. SNF Certifications and Recertifications 

Performed by Nurse Practitioners and 

Clinical Nurse Specialists 

7. Concurrent Therapy 

C. Wage Index Adjustment to Federal Rates 

D. Proposed Area Wage Index 

1. Proposed Revision of SNF PPS 

Geographic Classifications 

2. Current SNF PPS Labor Market Areas 

Based on MSAs 

3. Core-Based Statistical Areas

4. Proposed Revisions to the SNF PPS 

Labor Market Areas 

a. New England MSAs 

b. Metropolitan Divisions 

c. Micropolitan Areas 

5. Implementation of the Revised Labor 

Market Areas 

6. Wage Index Data 

E. Updates to the Federal Rates 

F. Relationship of RUG–III Classification 

System to Existing Skilled Nursing 

Facility Level-of-Care Criteria 

G. Initial Three-Year Transition Period 

From Facility Specific to Federal Rates 

H. Example of Computation of Adjusted 

PPS Rates and SNF Payment 

III. The Skilled Nursing Facility Market 

Basket Index 

A. Use of the Skilled Nursing Facility 

Market Basket Percentage 

B. Market Basket Forecast Error 

Adjustment 

C. Federal Rate Update Factor 

IV. Consolidated Billing 

V. Application of the SNF PPS to SNF 

Services Furnished by Swing-Bed 

Hospitals 

VI. Qualifying Three-Day Inpatient Hospital 

Stay Requirement 

VII. Provisions of the Proposed Rule 

VIII. Collection of Information Requirements 

IX. Regulatory Impact Analysis 

A. Overall Impact 

B. Anticipated Effects 

C. Accounting Statement 

D. Alternatives Considered 

Regulation Text 

Addendum: Table 8 (Proposed Wage Index 

For Urban Areas Based On Core-Based 

Statistical Area (CBSA) Labor Market 

Areas); Table 9 (Proposed Wage Index 

For Rural Areas Based On CBSA Labor 

Market Areas); and Table A 

(Metropolitan Statistical Area (MSA)/

CBSA Crosswalk)

In addition, because of the many 

terms to which we refer by abbreviation 

in this proposed rule, we are listing 

these abbreviations and their 

corresponding terms in alphabetical 

order below:

ADL Activity of Daily Living 

AHE Average Hourly Earnings 

ARD Assessment Reference Date 

BBA Balanced Budget Act of 1997, Pub. L. 

105–33 

BBRA Medicare, Medicaid and SCHIP 

Balanced Budget Refinement Act of 1999, 

Pub. L. 106–113 

BEA (U.S. Department of Commerce) 

Bureau of Economic Analysis 

BIPA Medicare, Medicaid, and SCHIP 

Benefits Improvement and Protection Act 

of 2000, Pub. L. 106–554 

CAH Critical Access Hospital 

CBSA Core-Based Statistical Area 

CFR Code of Federal Regulations 

CMS Centers for Medicare & Medicaid 

Services 

CMSA Consolidated Metropolitan 

Statistical Area 

CPT (Physicians’) Current Procedural 

Terminology 

DRG Diagnosis Related Group 

FI Fiscal Intermediary 

FR Federal Register 

FY Fiscal Year 

GAO Government Accountability Office 

HCPCS Healthcare Common Procedure 

Coding System 

ICD–9–CM International Classification of 

Diseases, Ninth Edition, Clinical 

Modification 

IFC Interim Final Rule with Comment 

Period 

MDS Minimum Data Set 

MEDPAR Medicare Provider Analysis and 

Review File 

MIP Medicare Integrity Program 

MMA Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003, Pub. L. 108–173 

MSA Metropolitan Statistical Area 

NECMA New England County Metropolitan 

Area 

OIG Office of Inspector General 

OMRA Other Medicare Required 

Assessment 

PCE Personal Care Expenditures 

PMSA Primary Metropolitan Statistical 

Area 

PPI Producer Price Index 

PPS Prospective Payment System 

PRM Provider Reimbursement Manual 

RAI Resident Assessment Instrument 

RAP Resident Assessment Protocol 

RAVEN Resident Assessment Validation 

Entry 

RFA Regulatory Flexibility Act, Pub. L. 96–

354 

RIA Regulatory Impact Analysis 

RUG Resource Utilization Groups 

SCHIP State Children’s Health Insurance 

Program 

SNF Skilled Nursing Facility 

STM Staff Time Measure 

UMRA Unfunded Mandates Reform Act, 

Pub. L. 104–4

I. Background

On July 30, 2004, we published a 

notice in the Federal Register (69 FR 

45775) that set forth updates to the 

payment rates used under the 

prospective payment system (PPS) for 

skilled nursing facilities (SNFs), for 

fiscal year (FY) 2005. Annual updates to 

the PPS rates are required by section 

1888(e) of the Social Security Act (the 

Act), as amended by the Medicare, 

Medicaid, and SCHIP Balanced Budget 

Refinement Act of 1999 (the BBRA) and 

the Medicare, Medicaid, and SCHIP 

Benefits Improvement and Protection 

Act of 2000 (the BIPA), relating to 

Medicare payments and consolidated 

billing for SNFs. 

A. Current System for Payment of 

Skilled Nursing Facility Services Under 

Part A of the Medicare Program 

Section 4432 of the Balanced Budget 

Act of 1997 (the BBA) amended section 

1888 of the Act to provide for the 

implementation of a per diem PPS for 

SNFs, covering all costs (routine, 

ancillary, and capital-related) of covered 

SNF services furnished to Medicare 

beneficiaries under Part A of the 

Medicare program, effective for cost 

reporting periods beginning on or after 

July 1, 1998. In this proposed rule, we 

propose to update the per diem payment 

rates for SNFs for FY 2006. Major 

elements of the SNF PPS include: 

• Rates. Per diem Federal rates were 

established for urban and rural areas 

using allowable costs from FY 1995 cost 

reports. These rates also included an 

estimate of the cost of services that, 

before July 1, 1998, had been paid under 

Part B but were furnished to Medicare 

beneficiaries in a SNF during a Part A 

covered stay. The rates were adjusted 

annually using a SNF market basket 

index. Rates were case-mix adjusted 

using a classification system (Resource 

Utilization Groups, version III (RUG–

III)) based on beneficiary assessments 

(using the Minimum Data Set (MDS) 

2.0). The rates were also adjusted by the 

hospital wage index to account for 

geographic variation in wages. (In 

section II.C of this preamble, we discuss 

the wage index adjustment in detail.) 

Correction notices were published in 

the Federal Register on October 7, 2004 

(69 FR 60158) and on December 30, 

2004 (69 FR 78445), announcing 

corrections to several of the wage 

factors. Additionally, as noted in 

sections I.C through I.E of this proposed 

rule, section 101 of the BBRA, sections 

311, 312, and 314 of the BIPA, and 

section 511 of the MMA also affect the 

payment rate. 

• Transition. The SNF PPS included 

an initial 3-year, phased transition that 

blended a facility-specific payment rate 

with the Federal case-mix adjusted rate. 

For each cost reporting period after a 

facility migrated to the new system, the 

facility-specific portion of the blend 

decreased and the Federal portion 

increased in 25 percentage point 

increments. For most facilities, the 

facility-specific rate was based on 

allowable costs from FY 1995; however, 

since the last year of the transition was 

FY 2001, all facilities were paid at the 

full Federal rate by the following fiscal 

year (FY 2002). Therefore, as discussed 

in section I.F.2 of this proposed rule, we 

are no longer including adjustment 

29072 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

factors related to facility-specific rates 

for the coming fiscal year. 

• Coverage. The establishment of the 

SNF PPS did not change Medicare’s 

fundamental requirements for SNF 

coverage. However, because RUG–III 

classification is based, in part, on the 

beneficiary’s need for skilled nursing 

care and therapy, we have attempted, 

where possible, to coordinate claims 

review procedures involving level of 

care determinations with the outputs of 

beneficiary assessment and RUG–III 

classifying activities. We discuss this 

coordination in greater detail in section 

II.F of this preamble. Moreover, the Part 

A SNF benefit has not only level of care 

requirements, but also a set of technical, 

or ‘‘posthospital’’ requirements as well. 

In section VI of this preamble, we 

discuss one aspect of the technical 

requirement for a qualifying prior 

inpatient hospital stay of at least 3 

consecutive days, on which we invite 

comment. 

• Consolidated Billing. The SNF PPS 

includes a consolidated billing 

provision (described in greater detail in 

section IV of this proposed rule) that 

requires a SNF to submit consolidated 

Medicare bills for almost all of the 

services that its residents receive during 

the course of a covered Part A stay. (In 

addition, this provision places the 

Medicare billing responsibility for 

physical, occupational, and speechlanguage therapy that the resident 

receives during a noncovered stay with 

the SNF.) The statute excludes from the 

consolidated billing provision a small 

list of services—primarily those of 

physicians and certain other types of 

practitioners—which remain separately 

billable to Part B by the outside entity 

that furnishes them. 

• Application of the SNF PPS to SNF 

services furnished by swing-bed 

hospitals. Section 1883 of the Act 

permits certain small, rural hospitals to 

enter into a Medicare swing-bed 

agreement, under which the hospital 

can use its beds to provide either acute 

or SNF care, as needed. For critical 

access hospitals (CAHs), Part A pays on 

a reasonable cost basis for SNF services 

furnished under a swing-bed agreement. 

However, in accordance with section 

1888(e)(7) of the Act, those swing-bed 

SNF services furnished by non-CAH 

rural hospitals are paid under the SNF 

PPS, effective with cost reporting 

periods beginning on or after July 1, 

2002. A more detailed discussion of this 

provision appears in section V of this 

proposed rule. 

B. Requirements of the Balanced Budget 

Act of 1997 (the BBA) for Updating the 

Prospective Payment System for Skilled 

Nursing Facilities 

Section 1888(e)(4)(H) of the Act 

requires that we publish in the Federal 

Register:

1. The unadjusted Federal per diem 

rates to be applied to days of covered 

SNF services furnished during the FY. 

2. The case-mix classification system 

to be applied with respect to these 

services during the FY. 

3. The factors to be applied in making 

the area wage adjustment with respect 

to these services. 

In the July 30, 1999 final rule (64 FR 

41670), we indicated that we would 

announce any changes to the guidelines 

for Medicare level of care 

determinations related to modifications 

in the RUG–III classification structure 

(see section II.F of this proposed rule).

Along with a number of other 

revisions discussed later in this 

preamble, this proposed rule provides 

the annual updates to the Federal rates 

as mandated by the Act. 

C. The Medicare, Medicaid, and SCHIP 

Balanced Budget Refinement Act of 

1999 (the BBRA) 

There were several provisions in the 

BBRA that resulted in adjustments to 

the SNF PPS. These provisions were 

described in detail in the final rule that 

we published in the Federal Register on 

July 31, 2000 (65 FR 46770). In 

particular, section 101 of the BBRA 

provided for a temporary 20 percent 

increase in the per diem adjusted 

payment rates for 15 specified RUG–III 

groups (SE3, SE2, SE1, SSC, SSB, SSA, 

CC2, CC1, CB2, CB1, CA2, CA1, RHC, 

RMC, and RMB). Under the law, this 

temporary increase remains in effect 

until the later of October 1, 2000, or the 

implementation of case-mix refinements 

in the PPS. A discussion of the case-mix 

refinements that we are proposing to 

implement appears in section II.B of this 

proposed rule. Section 101 also 

included a 4 percent across-the-board 

increase in the adjusted Federal per 

diem payment rates each year for FYs 

2001 and 2002, exclusive of the 20 

percent increase. 

We included further information on 

all of the provisions of the BBRA that 

affect the SNF PPS in Program 

Memoranda A–99–53 and A–99–61 

(December 1999), and Program 

Memorandum AB–00–18 (March 2000). 

In addition, for swing-bed hospitals 

with more than 49 (but less than 100) 

beds, section 408 of the BBRA provided 

for the repeal of certain statutory 

restrictions on length of stay and 

aggregate payment for patient days, 

effective with the end of the SNF PPS 

transition period described in section 

1888(e)(2)(E) of the Act. In the July 31, 

2001 final rule (66 FR 39562), we made 

conforming changes to the regulations 

in 42 CFR section 413.114(d), effective 

for services furnished in cost reporting 

periods beginning on or after July 1, 

2002, to reflect section 408 of the BBRA. 

D. The Medicare, Medicaid, and SCHIP 

Benefits Improvement and Protection 

Act of 2000 (the BIPA) 

The BIPA also included several 

provisions that resulted in adjustments 

to the PPS for SNFs. These provisions 

were described in detail in the final rule 

that we published in the Federal 

Register on July 31, 2001 (66 FR 39562) 

as follows: 

• Section 203 of the BIPA exempted 

critical access hospital (CAH) swingbeds from the SNF PPS; we included 

further information on this provision in 

Program Memorandum A–01–09 

(January 16, 2001). 

• Section 311 of the BIPA eliminated 

the 1 percent reduction in the SNF 

market basket that the statutory update 

formula had previously specified for FY 

2001, and changed the 1 percent 

reduction specified for FYs 2002 and 

2003 to a 0.5 percent reduction. As 

discussed in section II.B of this 

proposed rule, this provision also 

required us to conduct a study of 

alternative case-mix classification 

systems for the SNF PPS, and to submit 

a report to the Congress on the results 

of the study. 

• Section 312 of the BIPA provided 

for a temporary 16.66 percent increase 

in the nursing component of the casemix adjusted Federal rate for services 

furnished on or after April 1, 2001, and 

before October 1, 2002. This section also 

required the Government Accountability 

Office (GAO) to conduct an audit of SNF 

nursing staff ratios and submit a report 

to the Congress on whether the 

temporary increase in the nursing 

component should be continued. GAO 

issued this report (GAO–03–176) in 

November 2002. 

• Section 313 of the BIPA repealed 

the consolidated billing requirement for 

services (other than physical, 

occupational, and speech-language 

therapy) furnished to SNF residents 

during noncovered stays, effective 

January 1, 2001. 

• Section 314 of the BIPA adjusted 

the payment rates for all of the 14 

rehabilitation RUGs (RUC, RUB, RUA, 

RVC, RVB, RVA, RHC, RHB, RHA, RMC, 

RMB, RMA, RLB, and RLA), in order to 

correct an anomaly under which the 

existing payment rates for three 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29073

particular rehabilitation RUGs—RHC, 

RMC, and RMB—were higher than the 

rates for some other, more intensive 

rehabilitation RUGs. Under the BIPA 

adjustment, the temporary increase that 

section 101(a) of the BBRA had applied 

to the RHC, RMC, and RMB 

rehabilitation RUGs was revised from 20 

percent to 6.7 percent, and the BIPA 

adjustment also applied this temporary 

6.7 percent increase to each of the other 

11 rehabilitation RUGs. 

• Section 315 of the BIPA authorized 

us to establish a geographic 

reclassification procedure that is 

specific to SNFs, but only after 

collecting the data necessary to establish 

a SNF wage index that is based on wage 

data from nursing homes. 

We included further information on 

several of these provisions in Program 

Memorandum A–01–08 (January 16, 

2001). 

E. The Medicare Prescription Drug, 

Improvement, and Modernization Act of 

2003 (the MMA) 

A provision of the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003 (MMA) 

resulted in a further adjustment to the 

PPS for SNFs. Specifically, section 511 

of the MMA amended paragraph (12) of 

section 1888(e) of the Act to provide for 

a temporary 128 percent increase in the 

PPS per diem payment for any SNF 

resident with Acquired Immune 

Deficiency Syndrome (AIDS), effective 

with services furnished on or after 

October 1, 2004. As discussed in 

Transmittal #160 (Change Request 

#3291, April 30, 2004), this add-on 

applies to claims with diagnosis code 

042. Like the temporary add-on 

payments created by section 101(a) of 

the BBRA (as amended by section 314 

of the BIPA), this special AIDS add-on 

was not intended to remain in effect 

indefinitely. As amended by section 511 

of the MMA, section 1888(e)(12)(B) of 

the Act specifies that this temporary 

increase for patients with AIDS is to 

remain in effect only until ‘‘* * * such 

date as the Secretary certifies that there 

is an appropriate adjustment in the case 

mix * * * to compensate for the 

increased costs associated with [such] 

residents * * *.’’ As discussed 

elsewhere in this proposed rule, we are 

not proposing at this time to address the 

issue of such certification and, 

accordingly, the temporary add-on 

payments created by section 511 of the 

MMA will remain in effect during FY 

2006.

The law further provided that the 128 

percent increase in payment under the 

AIDS add-on is to be ‘‘* * * 

determined without regard to any 

increase’’ under section 101 of the 

BBRA (as amended by section 314 of the 

BIPA). As explained in the MMA 

Conference report, this means that if a 

resident qualifies for the temporary 128 

percent increase in payment under the 

special AIDS add-on, ‘‘the BBRA 

temporary RUG add-on does not apply 

in this case * * *.’’ (H.R. Conf. Rep. No. 

108–391 at 662). The AIDS add-on was 

also discussed in Transmittal #160 

(Change Request #3291), issued on April 

30, 2004, which is available online at 

http://www.cms.hhs.gov/manuals/

pm_trans/2004/transmittals/

comm_date_dsc.asp.

In addition, section 410 of the MMA 

contained a provision that affects the 

consolidated billing requirement, which 

we discuss in section IV of this 

proposed rule. 

F. Skilled Nursing Facility Prospective 

Payment—General Overview 

The Medicare SNF PPS was 

implemented for cost reporting periods 

beginning on or after July 1, 1998. 

Under the PPS, we pay SNFs through 

prospective, case-mix adjusted per diem 

payment rates applicable to all covered 

SNF services. These payment rates 

cover all the costs of furnishing covered 

skilled nursing services (routine, 

ancillary, and capital-related costs) 

other than costs associated with 

approved educational activities. 

Covered SNF services include posthospital services for which benefits are 

provided under Part A and all items and 

services that, before July 1, 1998, had 

been paid under Part B (other than 

physician and certain other services 

specifically excluded under the BBA) 

but furnished to Medicare beneficiaries 

in a SNF during a covered Part A stay. 

A complete discussion of these 

provisions appears in the May 12, 1998 

interim final rule (63 FR 26252). 

1. Payment Provisions—Federal Rate 

The PPS uses per diem Federal 

payment rates based on mean SNF costs 

in a base year updated for inflation to 

the first effective period of the PPS. We 

developed the Federal payment rates 

using allowable costs from hospitalbased and freestanding SNF cost reports 

for reporting periods beginning in FY 

1995. The data used in developing the 

Federal rates also incorporated an 

estimate of the amounts that would be 

payable under Part B for covered SNF 

services furnished to individuals during 

the course of a covered Part A stay in 

a SNF. 

In developing the rates for the initial 

period, we updated costs to the first 

effective year of PPS (the 15-month 

period beginning July 1, 1998) using a 

SNF market basket, and then 

standardized for the costs of facility 

differences in case-mix and for 

geographic variations in wages. 

Providers that received new provider 

exemptions from the routine cost limits 

were excluded from the database used 

to compute the Federal payment rates, 

as well as costs related to payments for 

exceptions to the routine cost limits. In 

accordance with the formula prescribed 

in the BBA, we set the Federal rates at 

a level equal to the weighted mean of 

freestanding costs plus 50 percent of the 

difference between the freestanding 

mean and weighted mean of all SNF 

costs (hospital-based and freestanding) 

combined. We computed and applied 

separately the payment rates for 

facilities located in urban and rural 

areas. In addition, we adjusted the 

portion of the Federal rate attributable 

to wage-related costs by a wage index. 

The Federal rate also incorporates 

adjustments to account for facility casemix, using a classification system that 

accounts for the relative resource 

utilization of different patient types. 

This classification system, Resource 

Utilization Groups, version III (RUG–

III), uses beneficiary assessment data 

from the Minimum Data Set (MDS) 

completed by SNFs to assign 

beneficiaries to one of 44 RUG–III 

groups. The May 12, 1998 interim final 

rule (63 FR 26252) included a complete 

and detailed description of the RUG–III 

classification system, and a further 

discussion appears in section II.B of this 

proposed rule. 

The Federal rates in this proposed 

rule reflect an update to the rates that 

we published for FY 2005 equal to the 

full change in the SNF market basket 

index. According to section 

1888(e)(4)(E)(ii)(IV) of the Act, for FY 

2006, we would update the rate by 

adjusting the current rates by the full 

SNF market basket index. 

2. Payment Provisions—Initial 

Transition Period 

The SNF PPS included an initial, 

phased transition from a facility-specific 

rate (which reflected the individual 

facility’s historical cost experience) to 

the Federal case-mix adjusted rate. The 

transition extended through the 

facility’s first three cost reporting 

periods under the PPS, up to and 

including the one that began in FY 

2001. Accordingly, starting with cost 

reporting periods beginning in FY 2002, 

we base payments entirely on the 

Federal rates and, as indicated in 

section II.G of this proposed rule, we no 

longer include adjustment factors 

related to facility-specific rates for the 

coming fiscal year.

29074 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

G. Use of the Skilled Nursing Facility 

Market Basket Index 

Section 1888(e)(5) of the Act requires 

us to establish a SNF market basket 

index that reflects changes over time in 

the prices of an appropriate mix of 

goods and services included in the 

covered SNF services. The SNF market 

basket index is used to update the 

Federal rates on an annual basis. The 

final rule published on July 31, 2001 (66 

FR 39562) revised and rebased the 

market basket to reflect 1997 total cost 

data. 

In addition, as explained in the FY 

2004 final rule (68 FR 46058, August 4, 

2003) and in section III.B of this 

proposed rule, the annual update of the 

payment rates includes, as appropriate, 

an adjustment to account for market 

basket forecast error. This adjustment 

takes into account the forecast error 

from the most recently available fiscal 

year for which there are final data, and 

is applied whenever the difference 

between the forecasted and actual 

change in the market basket exceeds a 

0.25 percentage point threshold. For FY 

2004 (the most recently available fiscal 

year for which there are final data), the 

estimated increase in the market basket 

index was 3.0 percentage points, while 

the actual increase was 3.1 percentage 

points. Therefore, the payment rates for 

FY 2006 do not include a forecast error 

adjustment, as the difference between 

the estimated and actual amounts of 

change does not exceed the 0.25 

percentage point threshold. Table 1 

below shows the forecasted and actual 

market basket amounts for FY 2004.

TABLE 1.—FY 2004 FORECAST ERROR CORRECTION FOR CMS SNF MARKET BASKET

Index 

Forecasted 

FY 2004 increase * 

Actual FY 

2004 increase ** 

FY 2004 

forecast error 

correction *** 

SNF .................................................................................................................................................... 3.0 3.1 0.0 

* Published in August 4, 2003 Federal Register; based on second quarter 2003 Global Insight/DRI–WEFA forecast. 

** Based on the fourth quarter 2004 Global Insight/DRI–WEFA forecast. 

*** The FY 2004 forecast error correction will be applied to the FY 2006 PPS update. Any forecast error less than 0.25 percentage points is not 

reflected in the update. 

II. Update of Payment Rates Under the 

Prospective Payment System for Skilled 

Nursing Facilities 

A. Federal Prospective Payment System 

This proposed rule sets forth a 

schedule of Federal prospective 

payment rates applicable to Medicare 

Part A SNF services beginning October 

1, 2005. The schedule incorporates per 

diem Federal rates that provide Part A 

payment for all costs of services 

furnished to a beneficiary in a SNF 

during a Medicare-covered stay. 

1. Costs and Services Covered by the 

Federal Rates 

The Federal rates apply to all costs 

(routine, ancillary, and capital-related 

costs) of covered SNF services other 

than costs associated with approved 

educational activities as defined in 

§ 413.85. Under section 1888(e)(2) of the 

Act, covered SNF services include posthospital SNF services for which benefits 

are provided under Part A (the hospital 

insurance program), as well as all items 

and services (other than those services 

excluded by statute) that, before July 1, 

1998, were paid under Part B (the 

supplementary medical insurance 

program) but furnished to Medicare 

beneficiaries in a SNF during a Part A 

covered stay. (These excluded service 

categories are discussed in greater detail 

in section V.B.2 of the May 12, 1998 

interim final rule (63 FR 26295 through 

63 FR 26297)). 

2. Methodology Used for the Calculation 

of the Federal Rates 

The proposed FY 2006 rates would 

reflect an update using the full amount 

of the latest market basket index. The 

FY 2006 market basket increase factor is 

estimated to be 3.0 percent. Consistent 

with previous years, this factor may be 

revised in the final rule when later 

forecast data are available. For a 

complete description of the multi-step 

process, see the May 12, 1998 interim 

final rule (63 FR 26252). We note that 

in accordance with section 101(a) of the 

BBRA and section 314 of the BIPA, the 

existing, temporary increase in the per 

diem adjusted payment rates of 20 

percent for certain specified clinically 

complex RUGs (and 6.7 percent for 

rehabilitation RUGs) remains in effect 

until the implementation of case-mix 

refinements. (A discussion of the casemix refinements that we now propose to 

implement appears in section II.B of this 

preamble.) 

We used the SNF market basket to 

adjust each per diem component of the 

Federal rates forward to reflect cost 

increases occurring between the 

midpoint of the Federal fiscal year 

beginning October 1, 2004, and ending 

September 30, 2005, and the midpoint 

of the Federal fiscal year beginning 

October 1, 2005, and ending September 

30, 2006, to which the payment rates 

apply. In accordance with section 

1888(e)(4)(E)(ii)(IV) of the Act, the 

payment rates for FY 2006 are updated 

by a factor equal to the full market 

basket index percentage. The rates 

would be further adjusted by a wage 

index budget neutrality factor, described 

later in this section. The unadjusted 

rates are the same under both the 

existing 44 group RUG classification 

system and the proposed RUG–53 

classification system. Tables 2 and 3 

reflect the updated components of the 

unadjusted Federal rates for FY 2006.

TABLE 2.—FY 2006 UNADJUSTED FEDERAL RATE PER DIEM—URBAN

Rate component Nursing—

case-mix 

Therapy—

case-mix 

Therapy—

non-case-mix Non-case-mix 

Per Diem Amount .................................................................................................... $137.44 $103.53 $13.63 $70.15 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29075

TABLE 3.—FY 2006 UNADJUSTED FEDERAL RATE PER DIEM—RURAL

Rate component Nursing—

case-mix 

Therapy—

case-mix 

Therapy—

non-case-mix Non-case-mix 

Per Diem Amount .................................................................................................... $131.30 $119.38 $14.56 $71.45 

B. Case-Mix Adjustment and Other 

Clinical Issues 

[If you choose to comment on issues in 

this section, please include the caption 

‘‘Case-Mix Adjustment and Other 

Clinical Issues’’ at the beginning of your 

comments.]

Under the BBA, we must publish the 

SNF PPS case-mix classification 

methodology applicable for the next 

Federal FY before August 1 of each year. 

As discussed in the following sections, 

we propose to begin utilizing a 

refinement to the RUG–III case-mix 

classification system applicable to the 

SNF PPS during FY 2006, and we 

specifically solicit comments on the 

proposed refinement. 

1. Background 

The SNF PPS replaced the cost-based 

structure that had been in effect since 

the inception of the Medicare program. 

Under the SNF PPS, providers have 

more flexibility in the use of Medicare 

funds but are responsible not only for 

furnishing the full range of services to 

Medicare beneficiaries, but for the cost 

effectiveness of their purchasing 

decisions. Like the inpatient hospital 

PPS, reimbursement for all services, 

including therapy and other ancillaries 

such as diagnostic tests, supplies, and 

pharmacy, were for the first time 

included in the SNF Part A ‘‘bundle of 

services’’ and reimbursed directly to the 

SNF rather than to the actual entity 

furnishing the service. 

In addition, in response to over a 

decade of rapidly rising Medicare SNF 

payments, the SNF PPS instituted 

controls to adjust for identified 

overutilization and inflated charge 

structures for therapy and other 

ancillary services. By restructuring the 

payment system to reflect a more 

appropriate expenditure level, there was 

an aggregate decrease in Medicare 

expenditure levels for the first SNF PPS 

year. Providers responded to the SNF 

PPS by restructuring their operations 

and practice patterns in an effort to 

adapt to the new payment structure and 

incentives. 

These rapid changes in facility 

practices and Medicare payment also 

generated significant concerns that the 

transition to a prospective payment 

system would impede access for 

beneficiaries with complex medical 

needs and, by decreasing aggregate 

payments to SNFs, negatively affect the 

quality of care in nursing homes across 

the country. The research presented in 

this proposed rule was initiated as part 

of a broad-based effort to investigate and 

respond to access, quality, and payment 

concerns raised by industry, advocates, 

and other stakeholders. 

During the course of this effort, CMS 

developed tools to monitor and evaluate 

quality of care that are now integral 

components of our program oversight 

activities, including the use of Quality 

Indicators, Quality Measures, and 

Nursing Home Compare. As discussed 

later in this section, the development of 

these new capabilities has also 

positioned us to move forward in new 

areas. The refinements discussed in this 

section are based on research originally 

conducted by Abt Associates (and later 

validated by the Urban Institute) that 

was initiated immediately after the 

introduction of the SNF PPS in 1999. 

In the BBRA, the Congress acted to 

address these access and quality 

concerns by enacting a series of 

temporary payment adjustments. At 

present, only one of these payment 

adjustments is still in effect, a 20 

percent increase in the per diem 

adjusted payment rates for 12 complex 

medical RUG–III groups (SE3, SE2, SE1, 

SSC, SSB, SSA, CC2, CC1, CB2, CB1, 

CA2, and CA1,) and a 6.7 percent 

increase to all 14 rehabilitation groups. 

This legislation specified that the 

payment adjustments would continue 

until the later of: (1) October 1, 2000, or 

(2) implementation of a refined case-mix 

classification system under section 

1888(e)(4)(G)(i) of the Act that would 

better account for medically complex 

patients. 

As we noted in the SNF PPS proposed 

rule for FY 2001 (65 FR 19190, April 10, 

2000), this mandated rate increase was 

intended to serve as a temporary, 

interim adjustment to the payment rates 

and RUG–III case-mix classification 

system as published in the final rule of 

July 30, 1999, until implementation of 

the case-mix refinements described in 

the legislation. In that FY 2001 

proposed rule, we included a proposal 

for an extensive, comprehensive set of 

refinements to the existing case-mix 

classification system that collectively 

would have resulted in expanding the 

existing 44-group structure to well over 

150 groups. 

The speed with which we conducted 

this initial evaluation of the SNF PPS 

demonstrated our commitment to 

ensuring the accuracy and equity of the 

new payment system, but the evaluation 

had important limitations. 

Comprehensive SNF PPS data were not 

yet available, and the research was 

conducted using 1995–1997 data 

housed in a large, cross-linked research 

database collected from only six states 

that had implemented a RUG–III 

payment system prior to July 1998 

(either through the Federal case-mix 

demonstration project or for state 

Medicaid payment). These limitations 

were explained in the proposed rule 

along with our plans to validate the data 

using a national SNF PPS database (65 

FR 19193, April 10, 2000).

In conducting the validation analyses, 

it became clear that the introduction of 

the SNF PPS and SNF consolidated 

billing had caused changes in facility 

practice patterns and billing. Some of 

these changes could also have been 

related to the use of a national database 

and to changing industry practices 

during the early stages of the SNF PPS 

implementation. While it was still true 

that beneficiaries requiring both 

rehabilitation and extensive medical 

services used greater amounts of 

ancillary services, the distribution 

patterns for those high-cost ancillaries 

(such as medications and respiratory 

therapy) had changed from the patterns 

in the six-state data. These results, in 

conjunction with the high degree of 

intra-group and inter-group variability 

in ancillary utilization identified in both 

the initial and validation analyses, 

raised new questions that needed to be 

addressed prior to implementing 

refinements. For these reasons, we 

decided not to implement such 

refinements at that time. (See the FY 

2001 final rule, 65 FR 46773, July 31, 

2000.) 

Several months later, the Congress 

enacted the BIPA. Of the various 

provisions of this legislation that 

addressed the SNF PPS, one directive 

also addressed the future development 

of the SNF PPS. Specifically, section 

311(e) of the BIPA directed us to 

conduct a study of the different systems 

for categorizing patients in Medicare 

SNFs in a manner that accounts for the 

29076 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

relative resource utilization of different 

patient types and to issue a report with 

any appropriate recommendations to the 

Congress. 

Based upon the broad language 

describing the purpose of this study, 

and the multi-year timeframe provided 

for conducting it, we believe that the 

Congress clearly intended for this study 

to address comprehensive changes, by 

evaluating a number of different 

classification systems and considering 

the full range of patient types. In 

contrast, since the BBRA specifically 

ties the duration of its temporary 

payment increases to the 

implementation of a case-mix 

refinement that would ‘‘better account 

for medically complex patients,’’ we 

believe that even case-mix refinements 

of a more incremental nature would 

meet this more targeted mandate to 

better account for medically complex 

patients, and need not await the 

completion of the broader changes 

envisioned in the BIPA provision. 

Moreover, ongoing analysis of the 

SNF PPS showed that providers have 

adjusted to it, and that the SNF PPS 

rates have generally covered the cost of 

care to Medicare beneficiaries. For 

example, in its March 2005 report, 

MedPAC estimated 2005 profit margins 

for freestanding SNFs of 13 percent. In 

this environment, it is appropriate to 

reevaluate the need for maintaining 

payment adjustments that were always 

intended to be temporary.

2. Case-Mix Refinement Research 

a. Data Sources and Analyses 

In July 2001, we awarded a contract 

to the Urban Institute (Urban) for 

performance of research to aid us in 

making refinements to the case-mix 

classification system under section 

1888(e)(4)(G)(i) of the Act and starting 

the case-mix study mandated by section 

311(e) of the BIPA. The first phase of the 

contract focused on developing options 

for refining the case-mix classification 

system under section 1888(e)(4)(G)(i) of 

the Act to account for medically 

complex patients. As part of this 

research, Urban updated and broadened 

the database created for the previous 

refinement analyses by using 1999 

matched MDS and SNF claims, and 

applied the latest cost report data (1998 

and 1999) to estimate costs more 

accurately for non-therapy ancillary and 

other services. 

We then used this updated and 

broadened database to replicate and 

validate the earlier studies conducted by 

Abt. The study used Medicare SNF 

claims data for calendar year 1999 and 

MDS data from our National MDS 

Repository. We matched the claims to 

the MDS assessments upon which they 

were based, yielding approximately 2.7 

million MDS segments, resulting in 

every national facility that billed 

Medicare for a Part A SNF stay in 1999 

being represented in the database. We 

allocated the non-therapy ancillary costs 

to the portion of the stay in which they 

were most likely to have been incurred 

according to a set of decision rules. We 

performed comparative analyses of cost 

and charge data to other existing 

administrative data sets in order to 

establish the validity of these data. We 

also performed a further regression 

analysis of costs and RUG–III groups. 

In addition, we constructed anew the 

case-mix indexes using our Staff Time 

Measurement (STM) study data. The 

STM data were collected in 1990, 1995, 

and 1997, and are described in the May 

12, 1998 interim final rule (63 FR 

26252) that implemented the SNF PPS. 

Urban then analyzed 270,215 records, 

a 10 percent sample of this updated and 

broadened database. As expected, our 

analyses again verified that non-therapy 

ancillary costs are higher for Medicare 

beneficiaries who classify into the 

Extensive Services category than for 

those who classify to other categories. In 

these analyses, Urban found that the 

addition of a combined Rehabilitation 

plus Extensive group improved the 

predictive power of the model. These 

results were very similar to the 

preliminary Abt results discussed in our 

FY 2001 proposed rule, and provided 

validation for the preliminary Abt 

analyses (that is, both studies showed 

an increase in the R-square (explanation 

of variance) for non-therapy ancillaries 

from approximately 4.1 percent in the 

44-group model to 8 percent in the 58-

group model that added nine 

Rehabilitation plus Extensive groups). 

Urban then replicated its results with 

2001 data using the same analytic 

protocols. In this study, Urban found 

that the addition of a new RUG–III 

Rehabilitation plus Extensive category 

was consistent with the prior research. 

Urban used a 163,386 record test sample 

and found that the R-square for nontherapy ancillaries improved to 9.5 

percent from the previous result of 4.1 

percent mentioned above. The analyses 

were repeated on a 170,253 record 

validation sample with a comparable 

result; that is, an R-square of 10.3 

percent. 

While maintaining the general 

structure of the RUG–III system, we 

found that the most viable way to refine 

the system at the present time would be 

to add groups to the top of the hierarchy 

to capture beneficiaries who qualify for 

both the Extensive Services category 

and the Rehabilitation Therapy 

category. In addition, beneficiaries who 

qualify for Extensive Services and 

receive rehabilitation services have 

assumed a larger percentage of the 

Medicare patient population in SNFs in 

recent years. Therefore, we believe that 

the RUG–III case-mix classification 

system can provide even more accurate 

payment for these beneficiaries if 

refined to create a new RUG–III category 

for beneficiaries who qualify for both 

the Extensive Services and 

Rehabilitation Therapy categories. 

b. Constructing the New RUG–III Groups 

Our research findings showed little or 

no correlation between the groups 

within the Extensive Services category 

(that is, SE1, SE2, SE3) and the level of 

rehabilitation services used. For this 

reason, the structure for this new 

hierarchy level would closely mirror 

that of the existing Rehabilitation 

Therapy groups. Normally, this 

methodology would result in the 

creation of 14 new groups, the number 

that was originally proposed in the FY 

2001 proposed rule. However, for the 

reasons discussed below, the more 

recent research (Urban 2003) has shown 

that a smaller number of RUG–III groups 

are sufficient to address the needs of 

beneficiaries eligible for a new RUG–III 

category, Combined Rehabilitation and 

Extensive Care. 

First, we found that several of the 

groups had very few beneficiaries 

assigned to them. In fact, no 

beneficiaries at all were assigned to 

several of the lowest ADL score 

rehabilitation groups. Second, under the 

present structure, each Rehabilitation 

group is sub-divided into three levels 

based on the activities of daily living 

(ADL) score. The lowest level ADL score 

for the Rehabilitation groups is either 4–

7 or 4–8, and very few beneficiaries 

currently classify into those groups. No 

beneficiaries who would qualify for the 

proposed newly created groups would 

classify into such a low ADL score level, 

as a minimum ADL score of seven is 

required for classification into an 

Extensive Care group. 

Therefore, it appears that stratification 

for the lowest level ADL scores for the 

proposed new groups would add 

needless complexity and, thus, would 

not be warranted. Instead, we propose to 

combine that level with the next higher 

level, and would no longer use the ADL 

scores lower than 7. Thus, the proposed 

new groups would be stratified only by 

two levels of ADL score. For example, 

the Rehabilitation High plus Extensive 

Services group would be subdivided 

into only two ADL levels, ADL scores of 

7–12 and 13–18. This left us with only 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29077

one level for Rehabilitation Low plus 

Extensive Services and with only two 

levels at each of the other sub-categories 

in the new category, for a total of 9 new 

groups. As a result, we are proposing 

the addition of 9 new RUG–III groups.

TABLE 3a.—CROSSWALK BETWEEN EXISTING RUG–III REHABILITATION GROUPS AND THE PROPOSED EXTENSIVE PLUS

REHABILITATION GROUPS

Current rehabilitation 

groups 

New combined extensive plus rehabilitation 

groups 

Rehab Ultra .................................................................................................................................. ∑ RUC–ADL 16–18. ...

∑ RUB–ADL 9–15 ......

∑ RUA–ADL 4–8 ........

∑ RUX–ADL 16–18. 

∑ RUL–ADL 7–15. 

Rehab Very High .......................................................................................................................... ∑ RVC–ADL 16–18. ...

∑ RVB–ADL 9–15. ......

∑ RVA–ADL 4–8 .........

∑ RVX–ADL 16–18. 

∑ RVL–ADL 7–15. 

Rehab High .................................................................................................................................. ∑ RHC–ADL 13–18. ...

∑ RHB–ADL 8–12 . ....

∑ RHA–ADL 4–7 ........

∑ RUX–ADL 13–18. 

∑ RUL–ADL 7–12. 

Rehab Medium ............................................................................................................................. ∑ RHC–ADL 15–18 ....

∑ RHB–ADL 8–14. .....

∑ RHA–ADL 4–7 ........

∑ RUX–ADL 15–18. 

∑ RUL–ADL 7–14. 

Rehab Low ................................................................................................................................... ∑ RLB–ADL 14–18 .....

∑ RLA–ADL 4–13 .......

∑ RUX–ADL 7–18 

c. Development of the Case-Mix Indexes 

We developed the case-mix indexes 

for the proposed refined RUG–III system 

using the same method used for 

calculating the initial SNF PPS case-mix 

indexes. The original staff time studies 

conducted in 1990, 1995, and 1997 

resulted in the assignment of residentspecific and non-resident specific time 

(minutes) to individual SNF residents. 

In the initial determination of the casemix indexes, the residents were 

classified into the 44-group system and 

the minutes of staff time, nursing, and 

therapy services, where appropriate, 

remained associated with those 

residents. All of the staff time was 

stratified by type of staff providing the 

minutes of time (for example, RN, LPN, 

etc.), and the minutes were weighted for 

salary. 

In order to calculate weights for the 

proposed refined system, we used the 

minutes as originally assigned at the 

individual patient level. We reclassified 

the patients into the proposed 53 groups 

with their associated wage-weighted 

minutes of resident-specific and 

nonresident-specific staff time. The next 

step was to apply these wage-weighted 

minutes to the entire sample population 

of 26 million days. We multiplied the 

population in each group by the wageweighted minutes for each of the staff 

types. We then derived an average for 

the group using the sum of the wageweighted minutes for all staff (nursing 

and therapy staff minutes were 

calculated separately) xxdivided by the 

total population for that group. The 

relative weight was then calculated by 

dividing that average by the average 

minutes across all of the RUG–III 

groups. 

The nursing weights changed more 

than the therapy weights, due to the 

redistribution of patients from existing 

groups to the newly created proposed 

groups. Even though many of the 

beneficiaries who move into one of the 

proposed new groups are from an 

existing therapy group, the therapy 

weights are affected only slightly. This 

is because the amount of therapy time 

does not change significantly between 

the existing groups and the proposed 

new groups. The therapy groups were 

already narrowly stratified by minutes 

of therapy provided. The groups’

weights would be affected only to the 

extent that the individual beneficiaries 

who are reclassified into one of the 

proposed new groups have unusually 

high or low minutes of therapy within 

the specific limits. The nursing weights 

are more affected by the 

reclassifications, as those are based on 

a much broader scope of possible 

minute values. 

The therapy weights for the nine 

proposed Rehabilitation Therapy plus 

Extensive Services groups were 

identical to those for the comparable 

existing RUG–III rehabilitation therapy 

groups. Although we are capturing 

increased medical/clinical complexity 

with the proposed new groups, the 

therapy contribution remains the same 

as for the existing therapy groups. In 

this way, the Rehabilitation High 

therapy weight is identical to the new 

Rehabilitation High plus Extensive 

Services sub-category. 

The effect of the increased number of 

groups and changes in the case-mix 

indexes should be distributional. By this 

we mean that the relative weights 

assigned to each RUG–III group would 

shift so that the proposed new 

Rehabilitation plus Extensive groups 

would have the highest relative weights 

and the weights for other RUG–III 

groups would decrease proportionally. 

The results of applying these methods 

to index calculation worked well and 

yielded hierarchically sound indexes for 

all of the groups; that is, the indexes for 

the highest groups in the hierarchy are 

higher than for those below it, and this 

pattern holds throughout the proposed 

new category. 

The nursing indexes in the new 

category, as well as in the existing 

rehabilitation category, are naturally 

more compressed (that is, encompass a 

smaller range) than those in the 44-

group RUG–III rehabilitation groups. 

The groups within the new 

Rehabilitation plus Extensive category 

are more homogeneous than were the 

rehabilitation groups of the 44-group 

system. By removing the most clinically 

complex cases and better accounting for 

them by putting them in rehabilitation 

groups of their own, both the resulting 

proposed new category and the 

remaining rehabilitation category groups 

would be more homogeneous and, 

therefore, the relative weights for each 

set of groups would exhibit less 

variance. 

Next, we simulated payments using 

the existing weights compared to the 

new weights to ensure that the 

refinement did not result in greater or 

lesser aggregate payments. The 

simulation results showed an almost 

exact match in payments under both 

case-mix models. However, the 

proposed new 53-group model did yield 

a slight decrease (less than 1 percent) in 

aggregate Medicare payments. To 

29078 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

remove this minor variance, we then 

applied a factor of +.02 to calibrate the 

nursing indexes and re-ran the 

simulation. Using this calibration factor 

of +.02, we are able to ensure absolute 

parity of aggregate payment under the 

53-group RUG–III system compared to 

the 44-group system. 

Finally, we propose to provide for an 

additional adjustment to the nursing 

component of the case-mix weights 

(which includes non-therapy ancillary 

services) for all RUG–53 groups. As 

discussed further in section II.B.3 of this 

proposed rule, we have reviewed data 

that show a high degree of variability in 

non-therapy ancillary utilization, not 

only within but across RUG groups. 

Therefore, we believe that it is 

appropriate to adjust the case-mix 

weights for all 53 groups (that is, the 

existing 44 RUG–III groups plus the 9 

new groups that we are proposing to 

create in this proposed rule) to better 

account for non-therapy ancillary 

variability. We would do this under our 

authority in section 1888(e)(4)(G)(i) of 

the Act to establish an ‘‘appropriate 

adjustment to account for case mix 

****’’

In determining the size of this 

adjustment, we considered not only the 

high degree of variability in non-therapy 

ancillary costs, but also the absence of 

an outlier policy under the SNF PPS. 

Accordingly, we looked at the outlier 

pool established under another postacute care PPS, the one for inpatient 

rehabilitation facility (IRF) services, 

which is set at 3 percent of aggregate 

expenditures. For the purpose of this 

refinement, our calculations employed a 

comparable funding level that could be 

targeted toward payment of non-therapy 

ancillaries. Based on this analysis, we 

are proposing an increase to the nursing 

component of the case-mix weights (the 

component that includes non-therapy 

ancillaries) of approximately 8.4 

percent, which equates to 

approximately 3 percent of aggregate 

expenditures under the SNF PPS. The 

final RUG–53 nursing indexes are 

presented in Tables 4a and 5a. Further 

information regarding this adjustment 

can be found in section II.B.3 of this 

proposed rule. 

3. Proposed Refinements to the CaseMix Classification System 

[If you choose to comment on issues in 

this section, please include the caption 

‘‘Proposed Refinements to the Case-Mix 

Classification System’’ at the beginning 

of your comments.]

We note that, of the various 

individual refinements that were 

collectively set forth in the FY 2001 

proposed rule (65 FR 19194), the 

particular refinement that entailed the 

least amount of added complexity (yet 

addressed the medically complex 

patient) involved the creation of several 

additional groups that would comprise 

a new, combined Rehabilitation plus 

Extensive Services category. As we 

noted in that proposed rule: 

There are * * * a significant number 

of beneficiaries who would classify into 

the Extensive Services category based 

on clinical conditions but who, because 

they are also receiving rehabilitation 

services, classify into one of the 

Rehabilitation groups instead (due to 

the hierarchical logic of the RUG–III 

classification system). These 

beneficiaries carry with them the same 

non-therapy ancillary costs associated 

with their complex clinical needs even 

though they are classified into a RUG–

III Rehabilitation category. The high 

costs for beneficiaries in the Extensive 

Services category suggest that the 

payment rate for Extensive Services 

should be increased. However, 

increasing the payment rate without 

further adjustments could adversely 

affect provider incentives to provide 

therapy to beneficiaries requiring 

Extensive Services. Therefore, we 

expanded the scope of the proposed 

refinement to include new categories for 

beneficiaries who qualify for both 

Extensive Services and a RUG–III 

Rehabilitation category. 

Further, as our subsequent research 

(discussed in the previous section) 

confirmed, the creation of a proposed 

new Rehabilitation plus Extensive 

category would be a means of 

accounting more accurately for the costs 

of certain medically complex patients, 

with the added benefit of a minimal 

degree of added complexity. We note 

that, in the past, some support has been 

expressed for making this particular 

type of modification to the existing casemix classification system. 

Therefore, we propose to refine the 

case-mix classification system under 

section 1888(e)(4)(G)(i) of the Act by 

creating a new, combined Rehabilitation 

plus Extensive category, that better 

accounts for medically complex 

patients, as required in section 101 of 

the BBRA. Accordingly, the payment 

rates set forth in this proposed rule 

reflect the use of the refined 53-group 

RUG classification system that we are 

proposing. The nine groups that we 

propose to add to the existing RUG–III 

system are as follows:

RUX Rehabilitation Ultra High plus 

Extensive Services, High 

RUL Rehabilitation Ultra High plus 

Extensive Services, Low 

RVX Rehabilitation Very High plus 

Extensive Services, High 

RVL Rehabilitation Very High plus 

Extensive Services, Low 

RHX Rehabilitation High plus Extensive 

Services, High 

RHL Rehabilitation High plus Extensive 

Services, Low 

RMX Rehabilitation Medium plus Extensive 

Services, High 

RML Rehabilitation Medium plus Extensive 

Services, Low 

RLX Rehabilitation Low plus Extensive 

Services

We note that, like our current 

proposal, the case-mix refinement that 

we considered in our FY 2001 proposed 

rule would have reconfigured the RUGs 

themselves, in a general effort to 

allocate payments more accurately 

under the SNF PPS. However, that 

earlier proposal also included an 

additional element, which was intended 

to help ensure more accurate allocation 

of payments specifically with regard to 

non-therapy ancillaries (such as drugs 

and medications, laboratory services, 

supplies and other equipment). For 

example, it proposed moving the nontherapy ancillary costs used in 

establishing the nursing case-mix 

component of the payment rates to a 

separate, newly created ‘‘medical 

ancillary’’ component (65 FR 19192, 

April 10, 2000). In addition, it suggested 

a number of possible models, both 

weighted and unweighted, for a new 

non-therapy ancillary index (65 FR 

19248ff). As noted in the FY 2001 final 

rule, these elements ultimately were not 

adopted when subsequent research 

indicated that their added complexity 

would outweigh their increased 

predictive power (65 FR 46774, July 31, 

2000). 

Following the publication of that final 

rule, further research in this area 

revealed a high degree of variability in 

non-therapy ancillary utilization, both 

within and across the various RUG–III 

groups. This finding suggested that 

using an index model to address nontherapy ancillary services might require 

the creation of such a high number of 

groups as to be impractical. 

In fact, the ability of the SNF PPS to 

account adequately for non-therapy 

ancillary services has been the subject of 

attention (and a focus of our research) 

since the very inception of the system. 

When the Congress originally enacted 

the SNF PPS in the BBA, it expressed 

concern in the accompanying legislative 

history ‘‘* * * that under a prospective 

payment system that includes all 

services there may be incentives to 

decrease the use of ancillary services’

(H. Rep. No. 105–149 at 1318). 

Subsequent legislative initiatives, such 

as the BBRA mandate to develop casemix refinements that better account for 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29079

‘‘medically complex’’ patients, and the 

directive in section 311(d) of the BIPA 

for the GAO to conduct a study of the 

adequacy of Medicare’s SNF payment 

rates, can all be viewed in the context 

of an ongoing Congressional concern in 

this area. 

For those reasons, and because the 

data that we have show wide variability 

in non-therapy ancillary utilization 

within each RUG, we believe the 

refinement that we now propose should 

include not only a reconfiguration of the 

RUGs that addresses the accuracy of 

payment allocation in general terms, but 

also an additional element that 

improves the accuracy of payment 

allocation and accounts more directly 

for cost variations related to nontherapy ancillary services. Accordingly, 

as part of our proposed refinement, we 

propose to increase the case-mix 

indexes of the existing 44 RUG–III 

groups (as well as those of the nine 

proposed new Rehabilitation plus 

Extensive Services RUGs), by 

calculating a percentage increase that 

would increase aggregate payments. 

As noted previously, we have 

reviewed data that show great 

variability in the ancillary services 

(such as pharmacy) utilized by different 

SNF residents who are classified into 

the same RUG–III group. For example, 

two different patients, both classified 

into the SE3 group, might utilize 

markedly different amounts of ancillary 

services for reasons that are not 

captured within the current RUG–III 

classification methodology. Our data 

show that the same is true across all of 

the existing 44 RUG–III groups. The 

addition of the 9 new groups does not, 

in itself, compensate for this 

discrepancy. Although the SNF 

payment system is designed as a 

prospective payment system, under 

which SNFs that treat patients grouped 

into the same clinical condition should 

receive the same base payment, the 

variability in ancillary usage that our 

data show makes it difficult to account 

fully for non-therapy ancillary costs by 

adjusting the number of groups. 

Therefore, we believe that it is 

appropriate, considering the data that 

we have available to us, to provide for 

an adjustment to each RUG case-mix 

weight to account for the variability in 

non-therapy ancillaries, using the 

authority that we have under section 

1888(e)(4)(G)(i) of the Act. 

Additionally, we have found a high 

degree of variability in non-therapy 

ancillaries not only within but across 

RUG groups. We have reviewed data 

showing that an individual patient who 

is classified into a less intensive RUG 

may nonetheless be significantly more 

expensive to treat in terms of nontherapy ancillaries than an individual 

patient in a more intensive RUG. The 

data that we have do not adequately 

explain these discrepancies, and the 

addition of the 9 new RUGs does not 

eliminate them. Our data show that the 

same is true across all 44 RUG–III 

groups. We note that in creating the SNF 

PPS, the Congress enacted the only PPS 

legislation in the Medicare program that 

does not establish an outlier policy to 

capture high variability in resource 

utilization. Therefore, in view of the 

data that we have available to us that 

demonstrates wide disparities in nontherapy ancillary resources consumed 

by patients both within and across 

RUG–III groups, we believe that it is 

appropriate to adjust the case-mix 

weights for all 53 groups (that is, the 

existing 44 RUG–III groups plus the 9 

new groups that we are proposing to 

create in this proposed rule) to better 

account for non-therapy ancillary 

variability. We would do this by 

exercising our authority under section 

1888(e)(4)(G)(i) of the Act to establish an 

‘‘appropriate adjustment to account for 

case mix,’’ in order to maintain access 

and quality of care for heavy-care 

patients.

In determining the size of this 

adjustment, we considered the high 

degree of variability in non-therapy 

ancillary costs (which was not yet 

known at the time that the BBA and the 

BBRA were enacted), and the absence of 

an outlier policy under the SNF PPS. 

Accordingly, we looked at the outlier 

pool established under another PPS for 

post-acute care, the inpatient 

rehabilitation facility prospective 

payment system (IRF PPS), which is set 

at 3 percent of aggregate expenditures. 

For the purpose of this refinement, we 

calculated the SNF dollars needed to 

achieve a comparable funding level that 

could be targeted towards payment of 

non-therapy ancillaries. Based on this 

analysis, we are proposing an increase 

to the nursing component of the casemix weights (the component that 

includes non-therapy ancillaries) of 

approximately 8.4 percent, which 

equates to approximately 3 percent of 

aggregate expenditures under the SNF 

PPS. 

Moreover, we believe that this type of 

adjustment can essentially serve as a 

proxy for the non-therapy ancillary 

index that we proposed previously as a 

means of achieving more appropriate 

payment for these services, without the 

potential drawbacks of our earlier 

proposal in terms of complexity and 

addressing variability in utilization. In 

fact, while we are confident that the 

decision to maintain a relatively small 

number of RUG groups is correct in 

terms of the overall operation of the 

SNF PPS, it is still true that this number 

of groups made it extremely difficult to 

distinguish different levels of nontherapy ancillary use. The problem may 

be less severe in other PPSs that use a 

greater number of groups. For example, 

the IRF PPS was initially structured to 

have 100 groups, and the inpatient 

hospital PPS (IPPS) has over 500 

diagnosis-related groups. Similarly, 

there are over 7,000 relative value units 

under the resource-based relative value 

scale that determines the payment rates 

for physician and other Part B services. 

By contrast, under this proposed rule, 

there will be only 53 RUGs. By 

definition, then, there will be wider 

variation in the resource needs of 

patients classified into a particular RUG. 

We, therefore, believe that it is 

appropriate to provide for a further 

adjustment to the case-mix index to 

compensate for these broad 

discrepancies. 

We note that we are advancing these 

proposed changes under our authority 

in section 101(a) of the BBRA to 

establish case-mix refinements, and that 

the changes we are hereby proposing 

will represent the final adjustments 

made under this authority. Accordingly, 

any future changes to the case-mix 

weights or other components of the SNF 

PPS would be accomplished through 

staff time measures and other validated 

analytical studies. 

As further explained in section II.B.4 

of this proposed rule, these additional 

payments would partially offset the 

expiration of the temporary add-on 

payments that will occur, under the 

terms of section 101(c) of the BBRA, 

upon the implementation of this 

proposed case-mix refinement. We 

believe that implementing the proposed 

case-mix refinement in this manner will 

carry out Congressional intent that the 

BBRA’s temporary payment add-ons 

should not continue indefinitely into 

the future, while at the same time 

ensuring that payments under the SNF 

PPS continue to support the quality of 

care furnished in this setting. 

Further, the creation of the proposed 

new Rehabilitation plus Extensive 

Services groups underscores the 

importance of ensuring the accuracy of 

patient classifications, particularly with 

regard to those categories, such as 

Extensive Services, that encompass 

medically complex patients. One way to 

accomplish this could be by ensuring 

that the MDS data used in making such 

classifications reflect only those services 

that are actually furnished during the 

SNF stay itself rather than during the 

preadmission period (for example, 

29080 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

during the prior qualifying hospital 

stay). In the July 30, 1999 SNF PPS final 

rule (64 FR 41668 through 41669), we 

noted a public comment that questioned 

the appropriateness of the MDS’s 14-day 

‘‘look-back’’ provision in the specific 

context of the SNF level of care 

presumption. While we made no 

revisions to the look-back provision at 

that time, we specifically reserved the 

right to reconsider the continued use of 

this mechanism in the future.

Subsequent analysis in this area has 

focused on the four items contained in 

the Special Service section of the MDS 

(P1a—IV medications, suctioning, 

tracheostomy care, and use of a 

ventilator/respirator) that serve to 

classify residents into Extensive Care, 

the category used for the most medically 

complex SNF patients under the RUG–

III classification system. This analysis 

indicates that the use of the look-back 

provision has caused a significant 

number of residents to classify to the 

Extensive Services category based solely 

on services (such as intravenous 

medications) that were furnished 

exclusively during the period before 

SNF admission. Depending on how 

such a proposal was formulated, it has 

the potential to reduce overall SNF 

payments by better aligning them with 

the services actually provided. 

Therefore, we seek comment on the 

potential savings and other impacts of 

revising the MDS Manual instructions to 

include only those special care 

treatments and programs (MDS Section 

P1a) furnished to the resident since 

admission or re-admission to the SNF, 

similar to the requirement for P1b. We 

anticipate that this change can be 

accomplished through an update to the 

MDS Manual instructions, and will not 

involve system changes at the facility, 

State agency, or Federal level. 

In addition, we are inviting comments 

on other policy options that could 

enhance the accuracy of the payment 

system and improve the quality of care 

provided to Medicare beneficiaries 

during an SNF stay, without limiting 

access to post-acute care. For example, 

we have received recommendations to 

decrease or eliminate the grace day 

period specifically for the 5-day PPS 

MDS assessment. We invite comments 

on this specific recommendation as well 

as decreasing or eliminating the grace 

periods associated with all PPS MDS 

assessments. Another example of a 

possible policy change on which we 

invite comment would be whether it 

might be appropriate to eliminate the 

projection of anticipated therapy 

services during the 5-day PPS 

assessment. We invite comments on 

these and other existing SNF policies 

that may have an impact on the quality 

of care in this setting. 

In accordance with section 101 of the 

BBRA, implementing these proposed 

refinements to the case-mix system 

means that the payment rates set forth 

in this proposed rule would no longer 

reflect the temporary add-ons to the 

Federal rates for specified RUG–III 

groups. We understand that the 

expiration of the temporary payment 

increases, provided for in that 

legislation, results in a significant 

reduction in Medicare’s payments 

between FY 2005 and FY 2006. In fact, 

MedPAC has consistently urged that, 

until CMS can design a new payment 

methodology, some or all of the 

temporary add-on payments be retained 

and allocated towards beneficiaries with 

complex medical needs. 

While this proposed rule sets forth 

refinements to the existing case-mix 

classification system and RUG–III 

categories, we are soliciting comments 

on the economic impact of the resulting 

payment changes, as well as their 

potential impact on beneficiaries’ access 

to quality SNF care. We also invite 

comments on possible ways in which 

the case-mix classification system itself 

might be further modified to help 

mitigate the effect of the payment 

changes. 

We note that the expiration of the 

BBRA add-on payments would not 

necessarily affect the temporary 128 

percent increase in the per diem 

adjusted payment rates for SNF 

residents with AIDS. In enacting that 

temporary increase, the Congress cited 

past research indicating that ‘‘* * * 

AIDS patients have much higher costs 

than other patients in the same resource 

utilization groups in skilled nursing 

facilities’’ (H. Rep. No. 108–178, Part 2, 

at 221). This underscored the Congress’

view that AIDS patients are unique 

among SNF residents in that they incur 

significantly higher care costs than 

residents with other diagnoses, 

including those who classify to the same 

RUG–III group. We believe that even if 

a case-mix refinement can meet the 

BBRA criterion of better accounting for 

the needs of medically complex patients 

generally, this still might not enable the 

Secretary to certify under section 

1888(e)(12)(B) of the Act ‘‘* * * that 

there is an appropriate adjustment in 

the case mix * * * to compensate for 

the increased costs’’ specifically 

associated with this particular group of 

patients. Thus, while the 

implementation of case-mix refinements 

will trigger the expiration of the 20 

percent and 6.7 percent add-on 

payments under section 101(a) of the 

BBRA (as amended by section 314 of the 

BIPA), this may not necessarily be the 

case for the AIDS add-on payments 

under section 511 of the MMA. 

Accordingly, pending further 

examination of this issue, we believe 

that it would be premature at this time 

for the Secretary to make the required 

certification under section 

1888(e)(12)(B) of the Act with respect to 

the unique conditions that pertain to the 

care of SNF residents with AIDS. As a 

result, the 128 percent add-on payments 

for SNF residents with AIDS will 

remain in effect during FY 2006.

The case-mix adjusted payment rates 

are listed separately for urban and rural 

SNFs for the existing 44 group RUG and 

proposed RUG–53 classification systems 

in Tables 4, 4a, 5, and 5a, with the 

corresponding case-mix index values. 

We also remain committed to our 

long-term efforts to monitor the RUG-III 

case-mix classification system and to an 

ongoing effort to increase the accuracy 

and efficiency of the SNF PPS. A series 

of analyses, including the studies used 

to develop the refinements discussed 

above, will be discussed in a 

forthcoming report to the Congress. In 

this report, we will discuss the findings 

and put forth a series of next steps that 

will provide a framework for future 

progress. In addition, we have posted 

data describing the research conducted 

by ABT and the Urban Institute on our 

SNF PPS Web site at http://

www.cms.hhs.gov/providers/SNF PPS. 

Commenters may wish to consult this 

material to facilitate a more in depth 

understanding of the proposals 

contained in this document. 

Moreover, we would like to take this 

opportunity to discuss our thinking 

related to broader initiatives in this area 

related to quality of care. Through the 

Nursing Home Quality Initiative, the 

Long Term Care Task Force and other 

forums for collaborative action, CMS 

has worked with the SNF industry on 

the development of valid quality 

measures, and a variety of quality 

improvement efforts focused on nursing 

homes. These efforts and others have 

resulted in improvements in the quality 

of care, particularly in facilities that 

adopt a culture that promotes quality 

through continuous quality initiatives 

(CQI), culture change, and other similar 

programs. Pay for performance is a tool 

that could provide additional support to 

improve the quality of care provided in 

nursing homes. In this way, we could 

recognize and support the ongoing 

efforts of nursing homes to improve 

quality. 

Designing Pay for Performance 

programs for the SNF setting presents 

some significant issues. While Medicare 

beneficiaries are the primary users of 

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SNF services, only a small percentage of 

these beneficiaries (that is, 

approximately 10 percent) receive 

services that are reimbursed under 

Medicare Part A. The majority of 

beneficiaries receive services that are 

reimbursed by multiple payers, 

including Medicare Part B, Medicaid, 

and private insurance, and that are 

delivered within different parts of a 

nursing facility. Therefore, it is not 

enough to change practice patterns in 

just a part of a nursing home (that is, 

skilled units), as Medicare beneficiaries 

can be placed anywhere in the facility. 

In addition, the focus of the nursing, 

rehabilitative, and medical 

interventions will typically vary for 

persons who are receiving short-term 

skilled nursing facility services versus 

those persons who are long-term 

residents in nursing facilities. 

For these reasons, quality measures 

must be carefully constructed; that is, 

broad-based and designed to effect 

change across the mix of patients 

residing in the facility. Similarly, we 

need to consider how to design effective 

incentives; that is, superior performance 

measured against pre-established 

benchmarks and/or performance 

improvements. 

In addition, while our efforts to 

develop the various post-acute care 

PPSs (including the SNF PPS) have 

generated substantial improvements 

over the preexisting cost-based systems, 

each of these individual systems was 

developed independently. As a result, 

we have focused on phases of a patient’s 

illness as defined by a specific site of 

service, rather than on the entirety of 

the post-acute episode from the 

standpoint of the patient rather than the 

facility. As the various provider types 

(such as SNFs and inpatient 

rehabilitation facilities (IRFs)) provide 

similar types of services in some cases, 

and as the opportunities to provide 

similar services in different settings 

increase, we need to investigate a more 

coordinated approach to payment and 

delivery of post-acute services that 

focuses on the overall post-acute 

episode. 

This could entail a strategy of 

developing payment policy that is as 

neutral as possible regarding provider 

and patient decisions about the use of 

particular post-acute services. That is, 

Medicare should provide payments 

sufficient to ensure that beneficiaries 

receive high quality care in the most 

appropriate setting, so that admissions 

and any transfers between settings occur 

only when consistent with good care, 

rather than to generate additional 

revenues. In order to accomplish this 

objective, we need to collect and 

compare clinical data across different 

sites of service. 

In fact, in the long run, our ability to 

compare clinical data across care 

settings is one of the benefits that will 

be realized as a basic component of our 

interest in the use of standardized 

electronic health records (EHRs) and 

other steps to promote continuity of care 

across all settings, including nursing 

homes. It is also important to recognize 

the complexity of the effort, not only in 

developing an integrated assessment 

tool that is designed using health 

information standards, but in examining 

the various provider-centric prospective 

payment methodologies and considering 

patient-centric payment approaches that 

are based on patient characteristics and 

outcomes. MedPAC has recently taken a 

preliminary look at the challenges in 

improving the coordination of our postacute care payment methods, and 

suggested that it may be appropriate to 

explore additional options for 

reimbursing post-acute services. We 

agree that CMS, in conjunction with 

MedPAC and other stakeholders, should 

consider a full range of options in 

analyzing our post-acute care payment 

methods, including the SNF PPS.

We also want to encourage 

incremental changes that will help us 

build toward these longer-term 

objectives. For example, several 

automated medical record tools are now 

available that could allow hospitals and 

SNFs to coordinate discharge planning 

procedures more closely. These tools 

can be used to ensure communication of 

a standardized data set that can also be 

used to establish a comprehensive SNF 

care plan. Improved communications 

may reduce the incidence of potentially 

avoidable re-hospitalizations and other 

negative effects on quality of care that 

occur when patients are transferred to 

SNFs without a full understanding of 

their care needs. CMS is looking at ways 

that Medicare providers can use these 

tools to generate timely data to support 

continuity across settings. We are also 

interested in comments on payment 

reforms that could promote and reward 

such continuity, and avoid the medical 

complications and additional costs 

associated with re-hospitalization. 

Some of the ideas discussed here may 

exceed CMS’s current statutory 

authority. However, we believe that it is 

useful to encourage discussion of a 

broad range of ideas for debate of the 

relative advantages and disadvantages of 

the various policies affecting this 

important component of the health care 

sector, to ensure that our administrative 

actions provide maximum support for 

further steps toward higher quality postacute care. We welcome comments on 

these and other approaches. 

4. Implementation Issues 

[If you choose to comment on issues in 

this section, please include the caption 

‘‘Implementation Issues’’ at the 

beginning of your comments.]

As noted previously in this proposed 

rule, the temporary add-on payments 

enacted by section 101(a) of the BBRA 

expire upon the implementation of casemix refinements. Section 101(c) of the 

BBRA specifies that the actual date on 

which these temporary add-on 

payments are to expire is ‘‘the later of—

(1) October 1, 2000; or (2) the date on 

which the Secretary implements a 

refined case mix classification system 

under section 1888(e)(4)(G)(i) of the 

Social Security Act (42 U.S.C. 

1395yy(e)(4)(G)(i)) to better account for 

medically complex patients’’. Section 

1888(e)(4)(G)(i) of the Act, in turn, 

specifies that the Secretary shall provide 

for an ‘‘appropriate adjustment’’ to 

account for case mix. 

While this proposed rule sets forth 

proposed updates to the SNF PPS 

payment rates that are to take effect as 

of October 1, 2005, we recognize that 

adopting the proposed refinements to 

the case-mix classification system will 

likely entail significant changes for 

SNFs as well as for Medicare 

contractors. Therefore, in order to allow 

sufficient time for preparation and to 

ease the transition to the proposed 

refinements, we believe that it would be 

appropriate under section 

1888(e)(4)(G)(i) of the Act to make a 

case-mix adjustment that reflects the 

implementation of the refinements 

described below. 

Accordingly, from October 1, 2005, 

through December 31, 2005, we propose 

to make payment based entirely on the 

existing 44-group RUG–III classification 

system. Beginning on January 1, 2006, 

we propose to make payment based 

entirely on the proposed new RUG–53 

classification system. This means that 

under the terms of section 101(c) of the 

BBRA, the temporary add-on payments 

for certain designated RUG–III groups 

will expire as of January 1, 2006. We 

note that the resulting reduction in 

payment will be partially offset by the 

increase in the RUG case-mix indexes, 

as explained previously in section II.B.3 

of this proposed rule. We invite 

comments on all aspects of 

implementing the proposed case-mix 

refinements, including our plan to defer 

implementation until January 1, 2006. 

Further, along with those matters 

relating specifically to the case-mix 

classification system, we have identified 

a number of broader clinical issues that 

29082 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

we are also taking this opportunity to 

address: 

5. Assessment Timeframes 

We would like to take this 

opportunity to clarify existing 

requirements regarding completion of 

Other Medicare Required Assessments 

(OMRAs) for beneficiaries reimbursed 

under the SNF PPS. An OMRA is due 

8 to 10 days after the cessation of all 

therapy (occupational and physical 

therapies and speech-language 

pathology services) in all situations 

where the beneficiary was assigned a 

rehabilitation RUG–III group on the 

previous assessment. 

The ‘‘last day of therapy’’ is the last 

day on which a therapy service was 

furnished. It is not the day the discharge 

order for therapy was received and/or 

written on the resident’s medical record. 

Therefore, when the last day that 

therapy was provided falls on a Friday, 

the Saturday and Sunday directly 

following are counted as days 1 and 2, 

respectively, toward the total 8 to 10 

days of the OMRA window. The same 

principles apply when the ‘‘midnight 

rule’’ is initiated during a beneficiary’s 

Part A SNF stay. 

In addition, in the relatively 

uncommon situations where a resident 

starts a leave of absence after the 

therapy services have been discontinued 

and is out of the facility for part of the 

8 to 10 day period during which the 

OMRA must be completed, those 

therapeutic leave days are to be counted 

when determining the OMRA due date. 

While this information is not new, we 

determined that it would be beneficial 

to clarify and remind the public of these 

specific issues involving the OMRA. 

6. SNF Certifications and 

Recertifications Performed by Nurse 

Practitioners and Clinical Nurse 

Specialists 

[If you choose to comment on issues in 

this section, please include the caption 

‘‘SNF Certifications and Recertifications 

Performed by Nurse Practitioners and 

Clinical Nurse Specialists’’ at the 

beginning of your comments.]

We are taking this opportunity to 

clarify the requirement for physician 

signature on the certification and 

recertification of the need for SNF care 

(§ 424.20(e)(2)) as it relates to nurse 

practitioners (NPs) and clinical nurse 

specialists (CNSs). In section 6028 of the 

Omnibus Budget Reconciliation Act of 

1989, the Congress amended section 

1814(a)(2) of the Act. As amended, the 

Act specifies that an NP or CNS ‘‘* * * 

who does not have a direct or indirect 

employment relationship’’ with the 

facility but is working in collaboration 

with a physician may sign the required 

certification (or recertification) for a 

beneficiary’s SNF stay. (Section 

1819(b)(6)(A) of the Act further specifies 

that the medical care of each SNF 

resident must be under the supervision 

of a physician (see also the regulations 

at 42 CFR 483.40(a)(1)).) This provision 

that bars NPs and CNSs from having a 

direct or indirect employment 

relationship with a SNF in order to sign 

a certification or recertification of the 

need for care is very restrictive. By 

contrast, a similar statutory limitation 

(see section 1919(b)(6)(A) of the Act) on 

the delegation of physician tasks in 

Medicaid nursing facilities only bars 

NPs, CNSs, and physician assistants 

(PAs) from performing delegated tasks if 

they are actually employed by the 

facility. 

Following the enactment of this 

legislation, we received numerous 

inquiries asking us to define ‘‘direct’’

and ‘‘indirect’’ employment 

relationships in greater detail. In the 

July 26, 1995 final rule (60 FR 38268), 

we stated that factors indicating 

whether a NP or CNS has a direct or 

indirect employment relationship 

include, but are not limited to the 

following: 

• The facility or someone on its 

medical staff has the authority to hire or 

fire the nurse; 

• The facility or someone on its 

medical staff furnishes the equipment or 

place to work, sets the hours, and pays 

the nurse by the hour, week, or month; 

• The facility or someone on its 

medical staff restricts the nurse’s ability 

to work for someone else or provides 

training and requires the nurse to follow 

instructions. 

We note that the longstanding 

common law test, as set forth in 

regulations at 20 CFR 404.1005, 

404.1007, and 404.1009, continues to 

determine the presence of a direct 

employment relationship for the 

purposes of this provision. However, 

numerous inquiries from providers and 

other stakeholders continue to request 

that we specifically clarify the 

definition of an ‘‘indirect’’ employment 

relationship in those situations where 

no direct employment relationship 

exists. Accordingly, we propose to 

revise the regulations at § 424.20(e)(2) to 

identify the existence of an indirect

employment relationship in terms of the 

type of services that the practitioner 

performs in the SNF. We note that NPs 

and CNSs who are employed by SNFs 

not only perform the types of delegated 

physician tasks that are permitted under 

the long-term care facility requirements 

for participation at 42 CFR 483.40(e), 

but typically perform general nursing 

services as well. We believe that, even 

in the absence of a direct employment 

relationship, an SNF that has an NP or 

CNS perform these general nursing 

services is essentially utilizing the NP or 

CNS in the same manner as it would an 

employee, so that an indirect 

employment relationship can be 

considered to exist. Accordingly, in 

situations where there is no direct 

employment relationship between the 

SNF and the NP or CNS, we propose 

that an indirect employment 

relationship exists whenever the NP or 

CNS not only performs delegated 

physician tasks, but also provides 

nursing services under the regulations at 

42 CFR 409.21, which include such 

services within the scope of coverage 

under the Part A SNF benefit. We 

believe that this criterion is appropriate, 

because there would be a potential 

conflict of interest if an NP or CNS who 

is engaged in furnishing covered Part A 

nursing services to an SNF’s resident 

were also permitted to certify as to that 

resident’s need for Part A SNF care. We 

invite comments on the effects of 

establishing our proposed distinction in 

this context. 

7. Concurrent Therapy 

[If you choose to comment on issues in 

this section, please include the caption 

‘‘Concurrent Therapy’’ at the beginning 

of your comments.] 

The SNF PPS proposed rule for FY 

2002 (66 FR 23991, May 10, 2001) 

included a discussion of concurrent 

therapy, a practice also known as 

‘‘dovetailing.’’ In that discussion, we 

noted that this practice involves a single 

professional therapist treating more than 

one Medicare beneficiary at a time—in 

some cases, many more than one 

individual at a time. In contrast to group 

therapy, in which all participants are 

working on some common skill 

development, each beneficiary who 

receives concurrent therapy likely is not 

receiving services that relate to those 

needed by any of the other participants. 

Although the care that each beneficiary 

receives may be prescribed in his or her 

individual plan of treatment, it may not 

conform to Medicare coverage 

guidelines; that is, the therapy is not 

being provided individually, and it is 

unlikely that the services being 

delivered are at the complex skill level 

required for coverage by Medicare. We 

expressed particular concern over 

instances in which facility management 

might inappropriately attempt to 

increase productivity by coercing a 

therapist, against his or her own 

professional judgment, to perform 

concurrent therapy.

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29083

In the SNF PPS final rule for FY 2002 

(66 FR 39567, July 31, 2001), we noted 

that most of the public comments that 

we received on this discussion urged us 

to continue to recognize concurrent 

therapy as skilled therapy, and 

contended that therapists are treating 

more than one beneficiary concurrently 

only when appropriate. However, others 

indicated that our concerns regarding 

concurrent therapy were, in fact, 

warranted. They reported that since the 

implementation of the SNF PPS, 

professional therapists are encountering 

increased pressure to be more 

productive than they have in the past, 

including the need to see more than one 

patient at a time, and performing 

documentation and collaboration with 

other members of the care team as nonreimbursed time. In response to the 

comments, we acknowledged that 

concurrent therapy can have a 

legitimate place in the spectrum of care 

options available to therapists treating 

Medicare beneficiaries, as long as its use 

is driven by valid clinical 

considerations. However, while we 

declined to make any specific policy 

changes at that time, we reiterated that 

it is inappropriate for a facility to 

require, as a condition of employment, 

that a therapist agree to treat more than 

one beneficiary at a time in situations 

where providing treatment in such a 

manner would compromise the 

therapist’s professional judgment. We 

also noted that we might revisit this 

issue in the future should the need to do 

so arise. 

Since that time, we have continued to 

encounter reports of facilities that 

attempt to override the therapist’s 

professional judgment and have 

concurrent therapy performed in the 

absence of valid clinical considerations. 

Accordingly, we believe it is 

appropriate at this time to consider once 

again whether there is a need to issue 

additional guidelines to preclude the 

inappropriate provision of concurrent 

therapy. We invite comment on the 

most effective way to prevent the abuse 

of this practice, and to ensure that 

concurrent therapy is performed only in 

those instances where it is clinically 

justified. 

We propose to establish an effective 

date of January 1, 2006, as the beginning 

date for the use of the proposed casemix refinements. Accordingly, from 

October 1, 2005, through December 31, 

2005, we propose to make payment 

based entirely on the existing 44-group 

RUG–III classification system. Tables 4, 

5, 6, and 7 reflect the corresponding rate 

information for the existing 44 group 

RUG–III classification system to be used 

during this time. 

Beginning on January 1, 2006, we 

propose to make payment based on the 

proposed new RUG–53 classification 

system (and, thus, would not include 

the add-on payments). Tables 4a, 5a, 6a, 

and 7a reflect the corresponding rate 

information for the proposed RUG–53 

classification system. 

Tables 4 and 5 reflect the updated 

SNF Federal rates for FY 2006 for the 

existing 44 group RUG–III classification 

system. Tables 4a and 5a reflect the 

updated SNF Federal rates for FY 2006 

for the RUG–53 classification system. 

The first nine groups listed in the tables 

are for new Rehabilitation plus 

Extensive Services groups.

TABLE 4.—RUG–44, CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES—URBAN

RUG III category Nursing 

index 

Therapy 

index 

Nursing 

component 

Therapy 

component 

Non-case 

mix therapy 

component 

Non-case 

mix

component 

Total rate 

RUC ......................................................... 1.30 2.25 178.67 232.94 .................... 70.15 481.76 

RUB .......................................................... 0.95 2.25 130.57 232.94 .................... 70.15 433.66 

RUA .......................................................... 0.78 2.25 107.20 232.94 .................... 70.15 410.29 

RVC .......................................................... 1.13 1.41 155.31 145.98 .................... 70.15 371.44 

RVB .......................................................... 1.04 1.41 142.94 145.98 .................... 70.15 359.07 

RVA .......................................................... 0.81 1.41 111.33 145.98 .................... 70.15 327.46 

RHC ......................................................... 1.26 0.94 173.17 97.32 .................... 70.15 340.64 

RHB .......................................................... 1.06 0.94 145.69 97.32 .................... 70.15 313.16 

RHA .......................................................... 0.87 0.94 119.57 97.32 .................... 70.15 287.04 

RMC ......................................................... 1.35 0.77 185.54 79.72 .................... 70.15 335.41 

RMB ......................................................... 1.09 0.77 149.81 79.72 .................... 70.15 299.68 

RMA ......................................................... 0.96 0.77 131.94 79.72 .................... 70.15 281.81 

RLB .......................................................... 1.11 0.43 152.56 44.52 .................... 70.15 267.23 

RLA .......................................................... 0.80 0.43 109.95 44.52 .................... 70.15 224.62 

SE3 .......................................................... 1.70 .................... 233.65 .................... 13.63 70.15 317.43

SE2 .......................................................... 1.39 .................... 191.04 .................... 13.63 70.15 274.82

SE1 .......................................................... 1.17 .................... 160.80 .................... 13.63 70.15 244.58

SSC .......................................................... 1.13 .................... 155.31 .................... 13.63 70.15 239.09

SSB .......................................................... 1.05 .................... 144.31 .................... 13.63 70.15 228.09

SSA .......................................................... 1.01 .................... 138.81 .................... 13.63 70.15 222.59

CC2 .......................................................... 1.12 .................... 153.93 .................... 13.63 70.15 237.71

CC1 .......................................................... 0.99 .................... 136.07 .................... 13.63 70.15 219.85

CB2 .......................................................... 0.91 .................... 125.07 .................... 13.63 70.15 208.85

CB1 .......................................................... 0.84 .................... 115.45 .................... 13.63 70.15 199.23

CA2 .......................................................... 0.83 .................... 114.08 .................... 13.63 70.15 197.86

CA1 .......................................................... 0.75 .................... 103.08 .................... 13.63 70.15 186.86

IB2 ............................................................ 0.69 .................... 94.83 .................... 13.63 70.15 178.61 

IB1 ............................................................ 0.67 .................... 92.08 .................... 13.63 70.15 175.86 

IA2 ............................................................ 0.57 .................... 78.34 .................... 13.63 70.15 162.12 

IA1 ............................................................ 0.53 .................... 72.84 .................... 13.63 70.15 156.62 

BB2 .......................................................... 0.68 .................... 93.46 .................... 13.63 70.15 177.24 

BB1 .......................................................... 0.65 .................... 89.34 .................... 13.63 70.15 173.12 

BA2 .......................................................... 0.56 .................... 76.97 .................... 13.63 70.15 160.75 

BA1 .......................................................... 0.48 .................... 65.97 .................... 13.63 70.15 149.75 

PE2 .......................................................... 0.79 .................... 108.58 .................... 13.63 70.15 192.36

PE1 .......................................................... 0.77 .................... 105.83 .................... 13.63 70.15 189.61

PD2 .......................................................... 0.72 .................... 98.96 .................... 13.63 70.15 182.74 

29084 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE 4.—RUG–44, CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES—URBAN—Continued

RUG III category Nursing 

index 

Therapy 

index 

Nursing 

component 

Therapy 

component 

Non-case 

mix therapy 

component 

Non-case 

mix

component 

Total rate 

PD1 .......................................................... 0.70 .................... 96.21 .................... 13.63 70.15 179.99 

PC2 .......................................................... 0.65 .................... 89.34 .................... 13.63 70.15 173.12 

PC1 .......................................................... 0.64 .................... 87.96 .................... 13.63 70.15 171.74 

PB2 .......................................................... 0.51 .................... 70.09 .................... 13.63 70.15 153.87 

PB1 .......................................................... 0.50 .................... 68.72 .................... 13.63 70.15 152.50 

PA2 .......................................................... 0.49 .................... 67.35 .................... 13.63 70.15 151.13 

PA1 .......................................................... 0.46 .................... 63.22 .................... 13.63 70.15 147.00 

TABLE 4A.—RUG–53, CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES—URBAN

RUG–53 category Nursing 

index 

Therapy 

index 

Nursing 

component 

Therapy 

component 

Non-case 

mix therapy 

component 

Non-case 

mix component Total rate 

RUX .......................................................... 1.80 2.24 247.39 231.91 .................... 70.15 549.45 

RUL .......................................................... 1.33 2.24 182.80 231.91 .................... 70.15 484.86 

RVX .......................................................... 1.46 1.32 200.66 136.66 .................... 70.15 407.47 

RVL .......................................................... 1.26 1.32 173.17 136.66 .................... 70.15 379.98 

RHX .......................................................... 1.34 1.10 184.17 113.88 .................... 70.15 368.20 

RHL .......................................................... 1.30 1.10 178.67 113.88 .................... 70.15 362.70 

RMX ......................................................... 1.83 1.03 251.52 106.64 .................... 70.15 428.31 

RML .......................................................... 1.60 1.03 219.90 106.64 .................... 70.15 396.69 

RLX .......................................................... 1.25 0.79 171.80 81.79 .................... 70.15 323.74 

RUC ......................................................... 1.21 2.24 166.30 231.91 .................... 70.15 468.36 

RUB .......................................................... 0.94 2.24 129.19 231.91 .................... 70.15 431.25 

RUA .......................................................... 0.79 2.24 108.58 231.91 .................... 70.15 410.64 

RVC .......................................................... 1.16 1.32 159.43 136.66 .................... 70.15 366.24 

RVB .......................................................... 1.02 1.32 140.19 136.66 .................... 70.15 347.00 

RVA .......................................................... 0.79 1.32 108.58 136.66 .................... 70.15 315.39 

RHC ......................................................... 1.15 1.10 158.06 113.88 .................... 70.15 342.09 

RHB .......................................................... 1.05 1.10 144.31 113.88 .................... 70.15 328.34 

RHA .......................................................... 0.89 1.10 122.32 113.88 .................... 70.15 306.35 

RMC ......................................................... 1.09 1.03 149.81 106.64 .................... 70.15 326.60 

RMB ......................................................... 1.02 1.03 140.19 106.64 .................... 70.15 316.98 

RMA ......................................................... 0.99 1.03 136.07 106.64 .................... 70.15 312.86 

RLB .......................................................... 1.08 0.79 148.44 81.79 .................... 70.15 300.38 

RLA .......................................................... 0.80 0.79 109.95 81.79 .................... 70.15 261.89 

SE3 .......................................................... 1.76 .................... 241.89 .................... 13.63 70.15 325.67

SE2 .......................................................... 1.41 .................... 193.79 .................... 13.63 70.15 277.57

SE1 .......................................................... 1.19 .................... 163.55 .................... 13.63 70.15 247.33

SSC .......................................................... 1.16 .................... 159.43 .................... 13.63 70.15 243.21

SSB .......................................................... 1.07 .................... 147.06 .................... 13.63 70.15 230.84

SSA .......................................................... 1.03 .................... 141.56 .................... 13.63 70.15 225.34

CC2 .......................................................... 1.15 .................... 158.06 .................... 13.63 70.15 241.84

CC1 .......................................................... 1.01 .................... 138.81 .................... 13.63 70.15 222.59

CB2 .......................................................... 0.93 .................... 127.82 .................... 13.63 70.15 211.60

CB1 .......................................................... 0.86 .................... 118.20 .................... 13.63 70.15 201.98

CA2 .......................................................... 0.85 .................... 116.82 .................... 13.63 70.15 200.60

CA1 .......................................................... 0.77 .................... 105.83 .................... 13.63 70.15 189.61

IB2 ............................................................ 0.70 .................... 96.21 .................... 13.63 70.15 179.99 

IB1 ............................................................ 0.68 .................... 93.46 .................... 13.63 70.15 177.24 

IA2 ............................................................ 0.59 .................... 81.09 .................... 13.63 70.15 164.87 

IA1 ............................................................ 0.54 .................... 74.22 .................... 13.63 70.15 158.00 

BB2 .......................................................... 0.69 .................... 94.83 .................... 13.63 70.15 178.61 

BB1 .......................................................... 0.66 .................... 90.71 .................... 13.63 70.15 174.49 

BA2 .......................................................... 0.57 .................... 78.34 .................... 13.63 70.15 162.12 

BA1 .......................................................... 0.49 .................... 67.35 .................... 13.63 70.15 151.13 

PE2 .......................................................... 0.80 .................... 109.95 .................... 13.63 70.15 193.73

PE1 .......................................................... 0.78 .................... 107.20 .................... 13.63 70.15 190.98

PD2 .......................................................... 0.74 .................... 101.71 .................... 13.63 70.15 185.49

PD1 .......................................................... 0.72 .................... 98.96 .................... 13.63 70.15 182.74 

PC2 .......................................................... 0.67 .................... 92.08 .................... 13.63 70.15 175.86 

PC1 .......................................................... 0.65 .................... 89.34 .................... 13.63 70.15 173.12 

PB2 .......................................................... 0.52 .................... 71.47 .................... 13.63 70.15 155.25 

PB1 .......................................................... 0.51 .................... 70.09 .................... 13.63 70.15 153.87 

PA2 .......................................................... 0.50 .................... 68.72 .................... 13.63 70.15 152.50 

PA1 .......................................................... 0.48 .................... 65.97 .................... 13.63 70.15 149.75 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29085

TABLE 5.—RUG–44, CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES—RURAL

RUG III category Nursing 

index 

Therapy 

index 

Nursing 

component 

Therapy 

component 

Non-case 

mix therapy 

component 

Non-case 

mix component Total rate 

RUC ......................................................... 1.30 2.25 170.69 268.61 .................... 71.45 510.75 

RUB .......................................................... 0.95 2.25 124.74 268.61 .................... 71.45 464.80 

RUA .......................................................... 0.78 2.25 102.41 268.61 .................... 71.45 442.47 

RVC .......................................................... 1.13 1.41 148.37 168.33 .................... 71.45 388.15 

RVB .......................................................... 1.04 1.41 136.55 168.33 .................... 71.45 376.33 

RVA .......................................................... 0.81 1.41 106.35 168.33 .................... 71.45 346.13 

RHC ......................................................... 1.26 0.94 165.44 112.22 .................... 71.45 349.11 

RHB .......................................................... 1.06 0.94 139.18 112.22 .................... 71.45 322.85 

RHA .......................................................... 0.87 0.94 114.23 112.22 .................... 71.45 297.90 

RMC ......................................................... 1.35 0.77 177.26 91.92 .................... 71.45 340.63 

RMB ......................................................... 1.09 0.77 143.12 91.92 .................... 71.45 306.49 

RMA ......................................................... 0.96 0.77 126.05 91.92 .................... 71.45 289.42 

RLB .......................................................... 1.11 0.43 145.74 51.33 .................... 71.45 268.52 

RLA .......................................................... 0.80 0.43 105.04 51.33 .................... 71.45 227.82 

SE3 .......................................................... 1.70 .................... 223.21 .................... 14.56 71.45 309.22 

SE2 .......................................................... 1.39 .................... 182.51 .................... 14.56 71.45 268.52 

SE1 .......................................................... 1.17 .................... 153.62 .................... 14.56 71.45 239.63

SSC .......................................................... 1.13 .................... 148.37 .................... 14.56 71.45 234.38

SSB .......................................................... 1.05 .................... 137.87 .................... 14.56 71.45 223.88

SSA .......................................................... 1.01 .................... 132.61 .................... 14.56 71.45 218.62

CC2 .......................................................... 1.12 .................... 147.06 .................... 14.56 71.45 233.07

CC1 .......................................................... 0.99 .................... 129.99 .................... 14.56 71.45 216.00

CB2 .......................................................... 0.91 .................... 119.48 .................... 14.56 71.45 205.49

CB1 .......................................................... 0.84 .................... 110.29 .................... 14.56 71.45 196.30

CA2 .......................................................... 0.83 .................... 108.98 .................... 14.56 71.45 194.99

CA1 .......................................................... 0.75 .................... 98.48 .................... 14.56 71.45 184.49 

IB2 ............................................................ 0.69 .................... 90.60 .................... 14.56 71.45 176.61 

IB1 ............................................................ 0.67 .................... 87.97 .................... 14.56 71.45 173.98 

IA2 ............................................................ 0.57 .................... 74.84 .................... 14.56 71.45 160.85 

IA1 ............................................................ 0.53 .................... 69.59 .................... 14.56 71.45 155.60 

BB2 .......................................................... 0.68 .................... 89.28 .................... 14.56 71.45 175.29 

BB1 .......................................................... 0.65 .................... 85.35 .................... 14.56 71.45 171.36 

BA2 .......................................................... 0.56 .................... 73.53 .................... 14.56 71.45 159.54 

BA1 .......................................................... 0.48 .................... 63.02 .................... 14.56 71.45 149.03 

PE2 .......................................................... 0.79 .................... 103.73 .................... 14.56 71.45 189.74

PE1 .......................................................... 0.77 .................... 101.10 .................... 14.56 71.45 187.11

PD2 .......................................................... 0.72 .................... 94.54 .................... 14.56 71.45 180.55 

PD1 .......................................................... 0.70 .................... 91.91 .................... 14.56 71.45 177.92 

PC2 .......................................................... 0.65 .................... 85.35 .................... 14.56 71.45 171.36 

PC1 .......................................................... 0.64 .................... 84.03 .................... 14.56 71.45 170.04 

PB2 .......................................................... 0.51 .................... 66.96 .................... 14.56 71.45 152.97 

PB1 .......................................................... 0.50 .................... 65.65 .................... 14.56 71.45 151.66 

PA2 .......................................................... 0.49 .................... 64.34 .................... 14.56 71.45 150.35 

PA1 .......................................................... 0.46 .................... 60.40 .................... 14.56 71.45 146.41 

TABLE 5A.—RUG–53, CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES—RURAL

RUG–53 category Nursing 

index 

Therapy 

index 

Nursing 

component 

Therapy 

component 

Non-case 

mix therapy 

component 

Non-case 

mix

component 

Total rate 

RUX .......................................................... 1.8 2.24 236.34 267.41 .................... 71.45 575.20 

RUL .......................................................... 1.33 2.24 174.63 267.41 .................... 71.45 513.49 

RVX .......................................................... 1.46 1.32 191.70 157.58 .................... 71.45 420.73 

RVL .......................................................... 1.26 1.32 165.44 157.58 .................... 71.45 394.47 

RHX .......................................................... 1.34 1.10 175.94 131.32 .................... 71.45 378.71 

RHL .......................................................... 1.3 1.10 170.69 131.32 .................... 71.45 373.46 

RMX ......................................................... 1.83 1.03 240.28 122.96 .................... 71.45 434.69 

RML .......................................................... 1.6 1.03 210.08 122.96 .................... 71.45 404.49 

RLX .......................................................... 1.25 0.79 164.13 94.31 .................... 71.45 329.89 

RUC ......................................................... 1.21 2.24 158.87 267.41 .................... 71.45 497.73 

RUB .......................................................... 0.94 2.24 123.42 267.41 .................... 71.45 462.28 

RUA .......................................................... 0.79 2.24 103.73 267.41 .................... 71.45 442.59 

RVC .......................................................... 1.16 1.32 152.31 157.58 .................... 71.45 381.34 

RVB .......................................................... 1.02 1.32 133.93 157.58 .................... 71.45 362.96 

RVA .......................................................... 0.79 1.32 103.73 157.58 .................... 71.45 332.76 

RHC ......................................................... 1.15 1.10 151.00 131.32 .................... 71.45 353.77 

RHB .......................................................... 1.05 1.10 137.87 131.32 .................... 71.45 340.64 

RHA .......................................................... 0.89 1.10 116.86 131.32 .................... 71.45 319.63 

RMC ......................................................... 1.09 1.03 143.12 122.96 .................... 71.45 337.53 

29086 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE 5A.—RUG–53, CASE-MIX ADJUSTED FEDERAL RATES AND ASSOCIATED INDEXES—RURAL—Continued

RUG–53 category Nursing 

index 

Therapy 

index 

Nursing 

component 

Therapy 

component 

Non-case 

mix therapy 

component 

Non-case 

mix

component 

Total rate 

RMB ......................................................... 1.02 1.03 133.93 122.96 .................... 71.45 328.34 

RMA ......................................................... 0.99 1.03 129.99 122.96 .................... 71.45 324.40 

RLB .......................................................... 1.08 0.79 141.80 94.31 .................... 71.45 307.56 

RLA .......................................................... 0.80 0.79 105.04 94.31 .................... 71.45 270.80 

SE3 .......................................................... 1.76 .................... 231.09 .................... 14.56 71.45 317.10 

SE2 .......................................................... 1.41 .................... 185.13 .................... 14.56 71.45 271.14 

SE1 .......................................................... 1.19 .................... 156.25 .................... 14.56 71.45 242.26 

SSC .......................................................... 1.16 .................... 152.31 .................... 14.56 71.45 238.32 

SSB .......................................................... 1.07 .................... 140.49 .................... 14.56 71.45 226.50 

SSA .......................................................... 1.03 .................... 135.24 .................... 14.56 71.45 221.25 

CC2 .......................................................... 1.15 .................... 151.00 .................... 14.56 71.45 237.01 

CC1 .......................................................... 1.01 .................... 132.61 .................... 14.56 71.45 218.62 

CB2 .......................................................... 0.93 .................... 122.11 .................... 14.56 71.45 208.12 

CB1 .......................................................... 0.86 .................... 112.92 .................... 14.56 71.45 198.93 

CA2 .......................................................... 0.85 .................... 111.61 .................... 14.56 71.45 197.62 

CA1 .......................................................... 0.77 .................... 101.10 .................... 14.56 71.45 187.11 

IB2 ............................................................ 0.70 .................... 91.91 .................... 14.56 71.45 177.92 

IB1 ............................................................ 0.68 .................... 89.28 .................... 14.56 71.45 175.29 

IA2 ............................................................ 0.59 .................... 77.47 .................... 14.56 71.45 163.48 

IA1 ............................................................ 0.54 .................... 70.90 .................... 14.56 71.45 156.91 

BB2 .......................................................... 0.69 .................... 90.60 .................... 14.56 71.45 176.61 

BB1 .......................................................... 0.66 .................... 86.66 .................... 14.56 71.45 172.67 

BA2 .......................................................... 0.57 .................... 74.84 .................... 14.56 71.45 160.85 

BA1 .......................................................... 0.49 .................... 64.34 .................... 14.56 71.45 150.35 

PE2 .......................................................... 0.80 .................... 105.04 .................... 14.56 71.45 191.05 

PE1 .......................................................... 0.78 .................... 102.41 .................... 14.56 71.45 188.42 

PD2 .......................................................... 0.74 .................... 97.16 .................... 14.56 71.45 183.17 

PD1 .......................................................... 0.72 .................... 94.54 .................... 14.56 71.45 180.55 

PC2 .......................................................... 0.67 .................... 87.97 .................... 14.56 71.45 173.98 

PC1 .......................................................... 0.65 .................... 85.35 .................... 14.56 71.45 171.36 

PB2 .......................................................... 0.52 .................... 68.28 .................... 14.56 71.45 154.29 

PB1 .......................................................... 0.51 .................... 66.96 .................... 14.56 71.45 152.97 

PA2 .......................................................... 0.50 .................... 65.65 .................... 14.56 71.45 151.66 

PA1 .......................................................... 0.48 .................... 63.02 .................... 14.56 71.45 149.03 

C. Wage Index Adjustment to Federal 

Rates 

Section 1888(e)(4)(G)(ii) of the Act 

requires that we adjust the Federal rates 

to account for differences in area wage 

levels, using a wage index that we find 

appropriate. Since the inception of a 

PPS for SNFs, we have used hospital 

wage data in developing a wage index 

to be applied to SNFs. We propose to 

continue that practice for FY 2006, as 

we continue to believe that in the 

absence of SNF-specific wage data, 

using the hospital wage index is 

appropriate and reasonable for the SNF 

PPS. 

The wage index adjustment would be 

applied to the proposed labor-related 

portion of the Federal rate, which is 

76.087 percent of the total rate. This 

percentage reflects the labor-related 

relative importance for FY 2006. The 

labor-related relative importance is 

calculated from the SNF market basket, 

and approximates the labor-related 

portion of the total costs after taking 

into account historical and projected 

price changes between the base year and 

FY 2006. The price proxies that move 

the different cost categories in the 

market basket do not necessarily change 

at the same rate, and the relative 

importance captures these changes. 

Accordingly, the relative importance 

figure more closely reflects the cost 

share weights for FY 2006 than the base 

year weights from the SNF market 

basket. 

We calculate the labor-related relative 

importance for FY 2006 in four steps. 

First, we compute the FY 2006 price 

index level for the total market basket 

and each cost category of the market 

basket. Second, we calculate a ratio for 

each cost category by dividing the FY 

2006 price index level for that cost 

category by the total market basket price 

index level. Third, we determine the FY 

2006 relative importance for each cost 

category by multiplying this ratio by the 

base year (FY 1997) weight. Finally, we 

sum the FY 2006 relative importance for 

each of the labor-related cost categories 

(wages and salaries, employee benefits, 

nonmedical professional fees, laborintensive services, and capital-related 

expenses) to produce the FY 2006 laborrelated relative importance. Tables 6 

and 7 show the Federal rates by laborrelated and non-labor-related 

components for the existing 44 group 

RUG classification system. Tables 6a 

and 7a show the Federal rates by laborrelated and non-labor-related 

components for the proposed RUG–53 

classification system.

TABLE 6.—RUG–44, CASE-MIX ADJUSTED FEDERAL RATES FOR URBAN SNFS BY LABOR AND NON-LABOR COMPONENT

RUG III category Total rate Labor portion Non-labor 

portion 

RUC ................................................................................................................................................... 481.76 366.56 115.20 

RUB ................................................................................................................................................... 433.66 329.96 103.70 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29087

TABLE 6.—RUG–44, CASE-MIX ADJUSTED FEDERAL RATES FOR URBAN SNFS BY LABOR AND NON-LABOR

COMPONENT—Continued

RUG III category Total rate Labor portion Non-labor 

portion 

RUA ................................................................................................................................................... 410.29 312.18 98.11 

RVC ................................................................................................................................................... 371.44 282.62 88.82 

RVB .................................................................................................................................................... 359.07 273.21 85.86 

RVA .................................................................................................................................................... 327.46 249.15 78.31 

RHC ................................................................................................................................................... 340.64 259.18 81.46 

RHB ................................................................................................................................................... 313.16 238.27 74.89 

RHA ................................................................................................................................................... 287.04 218.40 68.64 

RMC ................................................................................................................................................... 335.41 255.20 80.21 

RMB ................................................................................................................................................... 299.68 228.02 71.66 

RMA ................................................................................................................................................... 281.81 214.42 67.39 

RLB .................................................................................................................................................... 267.23 203.33 63.90 

RLA .................................................................................................................................................... 224.62 170.91 53.71 

SE3 .................................................................................................................................................... 317.43 241.52 75.91 

SE2 .................................................................................................................................................... 274.82 209.10 65.72 

SE1 .................................................................................................................................................... 244.58 186.09 58.49 

SSC .................................................................................................................................................... 239.09 181.92 57.17 

SSB .................................................................................................................................................... 228.09 173.55 54.54 

SSA .................................................................................................................................................... 222.59 169.36 53.23 

CC2 .................................................................................................................................................... 237.71 180.87 56.84 

CC1 .................................................................................................................................................... 219.85 167.28 52.57 

CB2 .................................................................................................................................................... 208.85 158.91 49.94 

CB1 .................................................................................................................................................... 199.23 151.59 47.64 

CA2 .................................................................................................................................................... 197.86 150.55 47.31 

CA1 .................................................................................................................................................... 186.86 142.18 44.68 

IB2 ...................................................................................................................................................... 178.61 135.90 42.71 

IB1 ...................................................................................................................................................... 175.86 133.81 42.05 

IA2 ...................................................................................................................................................... 162.12 123.35 38.77 

IA1 ...................................................................................................................................................... 156.62 119.17 37.45 

BB2 .................................................................................................................................................... 177.24 134.86 42.38 

BB1 .................................................................................................................................................... 173.12 131.72 41.40 

BA2 .................................................................................................................................................... 160.75 122.31 38.44 

BA1 .................................................................................................................................................... 149.75 113.94 35.81 

PE2 .................................................................................................................................................... 192.36 146.36 46.00 

PE1 .................................................................................................................................................... 189.61 144.27 45.34 

PD2 .................................................................................................................................................... 182.74 139.04 43.70 

PD1 .................................................................................................................................................... 179.99 136.95 43.04 

PC2 .................................................................................................................................................... 173.12 131.72 41.40 

PC1 .................................................................................................................................................... 171.74 130.67 41.07 

PB2 .................................................................................................................................................... 153.87 117.08 36.79 

PB1 .................................................................................................................................................... 152.50 116.03 36.47 

PA2 .................................................................................................................................................... 151.13 114.99 36.14 

PA1 .................................................................................................................................................... 147.00 111.85 35.15 

TABLE 6A.—RUG–53, CASE-MIX ADJUSTED FEDERAL RATES FOR URBAN SNFS BY LABOR AND NON-LABOR COMPONENT

RUG 53 category Total rate Labor portion Non-labor 

portion 

RUX ................................................................................................................................................... 549.45 418.06 131.39 

RUL .................................................................................................................................................... 484.86 368.92 115.94 

RVX .................................................................................................................................................... 407.47 310.03 97.44 

RVL .................................................................................................................................................... 379.98 289.12 90.86 

RHX ................................................................................................................................................... 368.20 280.15 88.05 

RHL .................................................................................................................................................... 362.70 275.97 86.73 

RMX ................................................................................................................................................... 428.31 325.89 102.42 

RML ................................................................................................................................................... 396.69 301.83 94.86 

RLX .................................................................................................................................................... 323.74 246.32 77.42 

RUC ................................................................................................................................................... 468.36 356.36 112.00 

RUB ................................................................................................................................................... 431.25 328.13 103.12 

RUA ................................................................................................................................................... 410.64 312.44 98.20 

RVC ................................................................................................................................................... 366.24 278.66 87.58 

RVB .................................................................................................................................................... 347.00 264.02 82.98 

RVA .................................................................................................................................................... 315.39 239.97 75.42 

RHC ................................................................................................................................................... 342.09 260.29 81.80 

RHB ................................................................................................................................................... 328.34 249.82 78.52 

RHA ................................................................................................................................................... 306.35 233.09 73.26 

RMC ................................................................................................................................................... 326.60 248.50 78.10 

RMB ................................................................................................................................................... 316.98 241.18 75.80 

RMA ................................................................................................................................................... 312.86 238.05 74.81 

29088 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE 6A.—RUG–53, CASE-MIX ADJUSTED FEDERAL RATES FOR URBAN SNFS BY LABOR AND NON-LABOR

COMPONENT—Continued

RUG 53 category Total rate Labor portion Non-labor 

portion 

RLB .................................................................................................................................................... 300.38 228.55 71.83 

RLA .................................................................................................................................................... 261.89 199.26 62.63 

SE3 .................................................................................................................................................... 325.67 247.79 77.88 

SE2 .................................................................................................................................................... 277.57 211.19 66.38 

SE1 .................................................................................................................................................... 247.33 188.19 59.14 

SSC .................................................................................................................................................... 243.21 185.05 58.16 

SSB .................................................................................................................................................... 230.84 175.64 55.20 

SSA .................................................................................................................................................... 225.34 171.45 53.89 

CC2 .................................................................................................................................................... 241.84 184.01 57.83 

CC1 .................................................................................................................................................... 222.59 169.36 53.23 

CB2 .................................................................................................................................................... 211.60 161.00 50.60 

CB1 .................................................................................................................................................... 201.98 153.68 48.30 

CA2 .................................................................................................................................................... 200.60 152.63 47.97 

CA1 .................................................................................................................................................... 189.61 144.27 45.34 

IB2 ...................................................................................................................................................... 179.99 136.95 43.04 

IB1 ...................................................................................................................................................... 177.24 134.86 42.38 

IA2 ...................................................................................................................................................... 164.87 125.44 39.43 

IA1 ...................................................................................................................................................... 158.00 120.22 37.78 

BB2 .................................................................................................................................................... 178.61 135.90 42.71 

BB1 .................................................................................................................................................... 174.49 132.76 41.73 

BA2 .................................................................................................................................................... 162.12 123.35 38.77 

BA1 .................................................................................................................................................... 151.13 114.99 36.14 

PE2 .................................................................................................................................................... 193.73 147.40 46.33 

PE1 .................................................................................................................................................... 190.98 145.31 45.67 

PD2 .................................................................................................................................................... 185.49 141.13 44.36 

PD1 .................................................................................................................................................... 182.74 139.04 43.70 

PC2 .................................................................................................................................................... 175.86 133.81 42.05 

PC1 .................................................................................................................................................... 173.12 131.72 41.40 

PB2 .................................................................................................................................................... 155.25 118.13 37.12 

PB1 .................................................................................................................................................... 153.87 117.08 36.79 

PA2 .................................................................................................................................................... 152.50 116.03 36.47 

PA1 .................................................................................................................................................... 149.75 113.94 35.81 

TABLE 7.—RUG–44, CASE-MIX ADJUSTED FEDERAL RATES FOR RURAL SNFS BY LABOR AND NON-LABOR COMPONENT

RUG III category Total rate Labor portion Non-labor

portion 

RUC ................................................................................................................................................... 510.75 388.61 122.14 

RUB ................................................................................................................................................... 464.80 353.65 111.15 

RUA ................................................................................................................................................... 442.47 336.66 105.81 

RVC ................................................................................................................................................... 388.15 295.33 92.82 

RVB .................................................................................................................................................... 376.33 286.34 89.99 

RVA .................................................................................................................................................... 346.13 263.36 82.77 

RHC ................................................................................................................................................... 349.11 265.63 83.48 

RHB ................................................................................................................................................... 322.85 245.65 77.20 

RHA ................................................................................................................................................... 297.90 226.66 71.24 

RMC ................................................................................................................................................... 340.63 259.18 81.45 

RMB ................................................................................................................................................... 306.49 233.20 73.29 

RMA ................................................................................................................................................... 289.42 220.21 69.21 

RLB .................................................................................................................................................... 268.52 204.31 64.21 

RLA .................................................................................................................................................... 227.82 173.34 54.48 

SE3 .................................................................................................................................................... 309.22 235.28 73.94 

SE2 .................................................................................................................................................... 268.52 204.31 64.21 

SE1 .................................................................................................................................................... 239.63 182.33 57.30 

SSC .................................................................................................................................................... 234.38 178.33 56.05 

SSB .................................................................................................................................................... 223.88 170.34 53.54 

SSA .................................................................................................................................................... 218.62 166.34 52.28 

CC2 .................................................................................................................................................... 233.07 177.34 55.73 

CC1 .................................................................................................................................................... 216.00 164.35 51.65 

CB2 .................................................................................................................................................... 205.49 156.35 49.14 

CB1 .................................................................................................................................................... 196.30 149.36 46.94 

CA2 .................................................................................................................................................... 194.99 148.36 46.63 

CA1 .................................................................................................................................................... 184.49 140.37 44.12 

IB2 ...................................................................................................................................................... 176.61 134.38 42.23 

IB1 ...................................................................................................................................................... 173.98 132.38 41.60 

IA2 ...................................................................................................................................................... 160.85 122.39 38.46 

IA1 ...................................................................................................................................................... 155.60 118.39 37.21 

BB2 .................................................................................................................................................... 175.29 133.37 41.92 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29089

TABLE 7.—RUG–44, CASE-MIX ADJUSTED FEDERAL RATES FOR RURAL SNFS BY LABOR AND NON-LABOR

COMPONENT—Continued

RUG III category Total rate Labor portion Non-labor

portion 

BB1 .................................................................................................................................................... 171.36 130.38 40.98 

BA2 .................................................................................................................................................... 159.54 121.39 38.15 

BA1 .................................................................................................................................................... 149.03 113.39 35.64 

PE2 .................................................................................................................................................... 189.74 144.37 45.37 

PE1 .................................................................................................................................................... 187.11 142.37 44.74 

PD2 .................................................................................................................................................... 180.55 137.38 43.17 

PD1 .................................................................................................................................................... 177.92 135.37 42.55 

PC2 .................................................................................................................................................... 171.36 130.38 40.98 

PC1 .................................................................................................................................................... 170.04 129.38 40.66 

PB2 .................................................................................................................................................... 152.97 116.39 36.58 

PB1 .................................................................................................................................................... 151.66 115.39 36.27 

PA2 .................................................................................................................................................... 150.35 114.40 35.95 

PA1 .................................................................................................................................................... 146.41 111.40 35.01 

TABLE 7A.—RUG–53 CASE-MIX ADJUSTED FEDERAL RATES FOR RURAL SNFS BY LABOR AND NON-LABOR COMPONENT

RUG–53 category Total rate Labor portion Non-labor

portion 

RUX ................................................................................................................................................... 575.20 437.65 137.55 

RUL .................................................................................................................................................... 513.49 390.70 122.79 

RVX .................................................................................................................................................... 420.73 320.12 100.61 

RVL .................................................................................................................................................... 394.47 300.14 94.33 

RHX ................................................................................................................................................... 378.71 288.15 90.56 

RHL .................................................................................................................................................... 373.46 284.15 89.31 

RMX ................................................................................................................................................... 434.69 330.74 103.95 

RML ................................................................................................................................................... 404.49 307.76 96.73 

RLX .................................................................................................................................................... 329.89 251.00 78.89 

RUC ................................................................................................................................................... 497.73 378.71 119.02 

RUB ................................................................................................................................................... 462.28 351.73 110.55 

RUA ................................................................................................................................................... 442.59 336.75 105.84 

RVC ................................................................................................................................................... 381.34 290.15 91.19 

RVB .................................................................................................................................................... 362.96 276.17 86.79 

RVA .................................................................................................................................................... 332.76 253.19 79.57 

RHC ................................................................................................................................................... 353.77 269.17 84.60 

RHB ................................................................................................................................................... 340.64 259.18 81.46 

RHA ................................................................................................................................................... 319.63 243.20 76.43 

RMC ................................................................................................................................................... 337.53 256.82 80.71 

RMB ................................................................................................................................................... 328.34 249.82 78.52 

RMA ................................................................................................................................................... 324.40 246.83 77.57 

RLB .................................................................................................................................................... 307.56 234.01 73.55 

RLA .................................................................................................................................................... 270.80 206.04 64.76 

SE3 .................................................................................................................................................... 317.10 241.27 75.83 

SE2 .................................................................................................................................................... 271.14 206.30 64.84 

SE1 .................................................................................................................................................... 242.26 184.33 57.93 

SSC .................................................................................................................................................... 238.32 181.33 56.99 

SSB .................................................................................................................................................... 226.50 172.34 54.16 

SSA .................................................................................................................................................... 221.25 168.34 52.91 

CC2 .................................................................................................................................................... 237.01 180.33 56.68 

CC1 .................................................................................................................................................... 218.62 166.34 52.28 

CB2 .................................................................................................................................................... 208.12 158.35 49.77 

CB1 .................................................................................................................................................... 198.93 151.36 47.57 

CA2 .................................................................................................................................................... 197.62 150.36 47.26 

CA1 .................................................................................................................................................... 187.11 142.37 44.74 

IB2 ...................................................................................................................................................... 177.92 135.37 42.55 

IB1 ...................................................................................................................................................... 175.29 133.37 41.92 

IA2 ...................................................................................................................................................... 163.48 124.39 39.09 

IA1 ...................................................................................................................................................... 156.91 119.39 37.52 

BB2 .................................................................................................................................................... 176.61 134.38 42.23 

BB1 .................................................................................................................................................... 172.67 131.38 41.29 

BA2 .................................................................................................................................................... 160.85 122.39 38.46 

BA1 .................................................................................................................................................... 150.35 114.40 35.95 

PE2 .................................................................................................................................................... 191.05 145.36 45.69 

PE1 .................................................................................................................................................... 188.42 143.36 45.06 

PD2 .................................................................................................................................................... 183.17 139.37 43.80 

PD1 .................................................................................................................................................... 180.55 137.38 43.17 

PC2 .................................................................................................................................................... 173.98 132.38 41.60 

PC1 .................................................................................................................................................... 171.36 130.38 40.98 

PB2 .................................................................................................................................................... 154.29 117.39 36.90 

29090 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE 7A.—RUG–53 CASE-MIX ADJUSTED FEDERAL RATES FOR RURAL SNFS BY LABOR AND NON-LABOR

COMPONENT—Continued

RUG–53 category Total rate Labor portion Non-labor

portion 

PB1 .................................................................................................................................................... 152.97 116.39 36.58 

PA2 .................................................................................................................................................... 151.66 115.39 36.27 

PA1 .................................................................................................................................................... 149.03 113.39 35.64 

Section 1888(e)(4)(G)(ii) of the Act 

also requires that we apply this wage 

index in a manner that does not result 

in aggregate payments that are greater or 

lesser than would otherwise be made in 

the absence of the wage adjustment. For 

FY 2006 (Federal rates effective October 

1, 2005), we would apply the most 

recent wage index using the hospital 

wage data, and apply an adjustment to 

fulfill the budget neutrality requirement. 

This requirement would be met by 

multiplying each of the components of 

the unadjusted Federal rates by a factor 

equal to the ratio of the volume 

weighted mean wage adjustment factor 

(using the wage index from the previous 

year) to the volume weighted mean 

wage adjustment factor, using the wage 

index for the FY beginning October 1, 

2005. The same volume weights are 

used in both the numerator and 

denominator and will be derived from 

1997 Medicare Provider Analysis and 

Review File (MEDPAR) data. The wage 

adjustment factor used in this 

calculation is defined as the labor share 

of the rate component multiplied by the 

wage index plus the non-labor share. 

The proposed budget neutrality factor 

for this year is 1.0011. However, this 

may change in the final rule. In order to 

give the public a sense of the magnitude 

of this adjustment, last year’s factor was 

1.0011. 

D. Proposed Area Wage Index 

Section 1888(e)(4)(G)(ii) of the Act 

requires that we adjust the Federal rates 

to account for differences in area wage 

levels, using a wage index that we find 

appropriate. Since the inception of a 

PPS for SNFs, we have used hospital 

wage data in developing a wage index 

to be applied to SNFs. As noted 

previously, we are proposing to 

continue that practice for FY 2006. 

In our July 30, 2004 update notice, we 

acknowledged that on June 6, 2003, the 

Office of Management and Budget 

(OMB) issued ‘‘OMB Bulletin No.03–

04,’’ which announced revised 

definitions for Metropolitan Statistical 

Areas, and new definitions of 

Micropolitan Statistical Areas and 

Combined Statistical Areas. A copy of 

the Bulletin may be obtained at the 

following Internet address: http://

www.whitehouse.gov/omb/bulletins/

b03–04.html. At that time, we did not 

propose to apply these new definitions 

known as the Core-Based Statistical 

Areas (CBSAs). After further analysis, 

we are proposing to use the OMBrevised definitions to adjust the FY 2006 

SNF PPS payment rates. The Hospital 

Inpatient PPS (IPPS) is applying these 

revised definitions as discussed in the 

August 11, 2004 IPPS final rule (69 FR 

49207). 

1. Proposed Revision of SNF PPS 

Geographic Classifications 

As discussed in the May 12, 1998 SNF 

PPS interim final rule, which 

implemented the SNF PPS (63 FR 

26252), in establishing an adjustment 

for area wage levels under 

§ 413.337(a)(ii), the labor-related portion 

of a SNF’s Federal prospective payment 

is adjusted by using an appropriate 

wage index. As set forth in 

§ 413.337(a)(ii), a SNF’s wage index is 

determined based on the location of the 

SNF in an urban or rural area as defined 

in § 412.62(f)(1)(ii) and (f)(1)(iii), 

respectively. In general, an urban area is 

defined as a Metropolitan Statistical 

Area (MSA) or New England County 

Metropolitan Area (NECMA) as defined 

by OMB. Under § 412.62(f)(1)(iii), a 

rural area is defined as any area outside 

of an urban area. The urban and rural 

area geographic classifications defined 

in § 412.62(f)(1)(ii) and (f)(1)(iii), 

respectively, were used under the IPPS 

from FYs 1985 through 2004 

(§ 412.63(b)), and have been used under 

the SNF PPS since it was implemented 

for cost reporting periods beginning on 

or after July 1, 1998. The wage index 

used for the SNF PPS is calculated using 

the IPPS wage index data on the basis 

of the labor market area in which the 

acute care hospital is located, but 

without taking into account geographic 

reclassification under sections 

1886(d)(8) and (d)(10) of the Act. The 

applicable SNF wage index value is 

assigned to a SNF on the basis of the 

labor market area in which the SNF is 

geographically located.

Section 4410 of the BBA provides that 

for the purposes of section 1886(d)(3)(E) 

of the Act, the area wage index 

applicable to hospitals located in an 

urban area of a State may not be less 

than the area wage index applicable to 

hospitals located in rural areas in the 

State. Consistent with past SNF policy, 

we treat this provision, commonly 

referred to as the ‘‘rural floor,’’ as 

applicable to acute inpatient hospitals 

and not SNFs. Therefore, the hospital 

wage index used for SNFs is commonly 

referred to as ‘‘pre-floor,’’ indicating that 

the ‘‘rural floor’’ provision is not 

applied. 

The current SNF PPS labor market 

areas are defined based on the 

definitions of MSAs, Primary MSAs 

(PMSAs), and NECMAs issued by the 

OMB (commonly referred to collectively 

as ‘‘MSAs’’). These MSA definitions, 

which are discussed in greater detail 

below, are currently used under the SNF 

PPS and other prospective payment 

systems such as the long-term care 

hospital PPS (LTCH PPS), the inpatient 

psychiatric facility PPS (IPF PPS), the 

home health agency PPS (HHA PPS), 

and the inpatient rehabilitation facility 

PPS (IRF PPS). In the August 11, 2004 

IPPS final rule (67 FR 49026 through 

49034), revised labor market area 

definitions were adopted under 

§ 412.64(b), which were effective 

October 1, 2004 for acute care hospitals. 

The new standards, CBSAs, were 

announced by OMB in late 2000 and are 

discussed in greater detail below. 

2. Current SNF PPS Labor Market Areas 

Based on MSAs 

As noted above, we currently define 

labor market areas based on the 

definitions of MSAs, PMSAs, and 

NECMAs issued by the OMB. The OMB 

also designates Consolidated MSAs 

(CMSAs). A CMSA is a metropolitan 

area with a population of one million or 

more, comprising two or more PMSAs 

(identified by their separate economic 

and social character). For purposes of 

the wage index, we use the PMSAs 

rather than CMSAs because they allow 

a more precise breakdown of labor costs. 

If a metropolitan area is not designated 

as part of a PMSA, we use the 

applicable MSA. 

These different designations use 

counties as the building blocks upon 

which they are based. Therefore, 

providers are assigned to either an MSA, 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29091

PMSA, or NECMA based on whether the 

county in which the provider is located 

is part of that area. All of the counties 

in a State outside a designated MSA, 

PMSA, or NECMA are designated as 

rural. For the purposes of calculating 

the wage index, we combine all of the 

counties in a State outside a designated 

MSA, PMSA, or NECMA together to 

calculate the statewide rural wage index 

for each State. 

3. Core-Based Statistical Areas

The OMB reviews its Metropolitan 

Area (MA) definitions preceding each 

decennial census. As discussed in the 

August 11, 2004 IPPS final rule (69 FR 

49207), in the fall of 1998, the OMB 

chartered the Metropolitan Area 

Standards Review Committee to 

examine the MA standards and develop 

recommendations for possible changes 

to those standards. Three notices related 

to the review of the standards, providing 

an opportunity for public comment on 

the recommendations of the Committee, 

were published in the Federal Register

on the following dates: December 21, 

1998 (63 FR 70526); October 20, 1999 

(64 FR 56628); and August 22, 2000 (65 

FR 51060). 

In the December 27, 2000 Federal 

Register (65 FR 82228 through 82238), 

the OMB announced its new standards. 

In that notice, the OMB defines a CoreBased Statistical Area (CBSA), 

beginning in 2003, as ‘‘a geographic 

entity associated with at least one core 

of 10,000 or more population, plus 

adjacent territory that has a high degree 

of social and economic integration with 

the core as measured by commuting 

ties.’’ The standards designate and 

define two categories of CBSAs: MSAs 

and Micropolitan Statistical Areas (65 

FR 82235). 

According to the OMB, MSAs are 

based on urbanized areas of 50,000 or 

more population, and Micropolitan 

Statistical Areas (referred to in this 

discussion as Micropolitan Areas) are 

based on urban clusters of at least 

10,000 population, but less than 50,000 

population. Counties that do not fall 

within CBSAs (either MSAs or 

Micropolitan Areas) are deemed 

‘‘Outside CBSAs.’’ In the past, the OMB 

defined MSAs around areas with a 

minimum core population of 50,000, 

and smaller areas were ‘‘Outside 

MSAs.’’ On June 6, 2003, the OMB 

announced the new CBSAs, comprised 

of MSAs and the new Micropolitan 

Areas based on Census 2000 data. (A 

copy of the announcement may be 

obtained at the following Internet 

address: http://www.whitehouse.gov/

omb/bulletins/fy04/b04–03.html.)

The new CBSA designations 

recognize 49 new (urban) MSAs and 565 

new Micropolitan Areas, and revise the 

composition of many of the existing 

(urban) MSAs. There are 1,090 counties 

in MSAs under the new CBSA 

designations (previously, there were 848 

counties in MSAs). Of these 1,090 

counties, 737 are in the same MSA as 

they were before the change in 

designations, 65 are in a different MSA, 

and 288 were not previously designated 

to any MSA. There are 674 counties in 

Micropolitan Areas. Of these, 41 were 

previously in an MSA, while 633 were 

not previously designated to an MSA. 

There are five counties that previously 

were designated to an MSA but are no 

longer designated to either an MSA or 

a new Micropolitan Area: Carter County, 

KY; St. James Parish, LA; Kane County, 

UT; Culpepper County, VA; and King 

George County, VA. For a more detailed 

discussion of the conceptual basis of the 

new CBSAs, refer to the August 11, 2004 

IPPS final rule (67 FR 49026 through 

49034). 

4. Proposed Revisions to the SNF PPS 

Labor Market Areas 

[If you choose to comment on issues in 

this section, please include the caption 

‘‘Proposed Revisions to the SNF PPS 

Labor Market Areas’’ at the beginning of 

your comments.]

In its June 6, 2003 announcement, the 

OMB cautioned that these new 

definitions ‘‘should not be used to 

develop and implement Federal, State, 

and local nonstatistical programs and 

policies without full consideration of 

the effects of using these definitions for 

such purposes. These areas should not 

serve as a general-purpose geographic 

framework for nonstatistical activities, 

and they may or may not be suitable for 

use in program funding formulas.’’

In the SNF PPS update notice for FY 

2005 (69 FR 45786, July 30, 2004), we 

noted that the recently-published IPPS 

proposed rule for FY 2005 had 

discussed some of the problems and 

concerns associated with using these 

new definitions, and had invited public 

comment on them. Accordingly, we 

decided to defer proposing any new 

labor market definitions in the SNF 

context at that time, in order to allow 

the public sufficient time and 

opportunity to consider and provide 

comments on this issue. Although the 

June 30, 2004 update notice also invited 

comments on the possible application of 

the new definitions to the SNF PPS, we 

received no written comments on the 

use of the new definitions specifically 

in the SNF context; however, we did 

receive a few phone calls inquiring 

about the methodology applied in the 

August 11, 2004 IPPS final rule (69 FR 

49207). We believe that sufficient time 

has now elapsed for interested parties to 

consider and react to the new OMB 

definitions and, accordingly, we are 

now proposing to make the changes 

discussed below. 

We have continued to use MSAs to 

define labor market areas for purposes 

of the wage index. For the SNF 

prospective payment system, the statute 

provides the Secretary with broad 

authority to use an ‘‘appropriate wage 

index as determined by the Secretary.’’

We believe MSAs are a reasonable and 

appropriate proxy for developing 

geographic areas for purposes of 

adjusting for wage differences in SNF 

PPS and for many of the same reasons 

stated in the various IPPS rules over the 

years where this issue has been 

exhaustively examined. We also note 

that MSAs are used to define labor 

market areas for purposes of the wage 

index for many of the other Medicare 

payment systems (for example, IRF PPS, 

HHA PPS, and IPF PPS). 

First, historically, Medicare 

prospective payment systems have 

utilized MA definitions developed by 

OMB. For example, in discussing the 

adoption of the MSA designation for the 

IPPS area labor adjustment, the IPPS 

proposed rule for FY 1985 (49 FR 27426, 

July 3, 1984) stated: 

[i]n administering a national payment 

system, we must have a national 

classification system built on clear, 

objective standards. Otherwise the 

program becomes increasingly difficult 

to administer because the distinction 

between rural and urban hospitals is 

blurred. We believe that the MSA 

system is the only one that currently 

meets the requirements for use as a 

classification system in a national 

payment program. The MSA 

classification system is a statistical 

standard developed for use by Federal 

agencies in the production, analysis, 

and publication of data on metropolitan 

areas. The standards have been 

developed with the aim of producing 

definitions that will be as consistent as 

possible for all MSAs nationwide.

In addition, in numerous instances, 

the Congress has recognized that the 

areas developed by OMB may be used 

for differentiating among geographic 

areas for Medicare payment purposes. 

For example, in the IPPS statutory 

sections, the Congress defines an ‘‘urban 

area’’ as ‘‘an area within a Metropolitan 

Statistical Area (as defined by the Office 

of Management and Budget) or within 

such similar area as the Secretary has 

recognized’’ (section 1886(d)(2)(D) of 

the Act). Similarly, in the sections of the 

29092 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

statute governing the guidelines to be 

used by the Medicare Geographic 

Classification Review Board for 

purposes of reclassification, the 

Congress directed the Secretary to create 

guidelines for ‘‘determining whether the 

county in which the hospital is located 

should be treated as being a part of a 

particular [MSA]’’ (sections 

1886(d)(10)(A) and 1886(d)(10)(D)(i)(II) 

of the Act). Thus, the Congress has 

accepted and ratified the use of MSAs 

as an inherently rational manner of 

dividing up labor-market areas for 

purposes of Medicare payments. 

The process used by OMB to develop 

the MSAs creates geographic areas 

based upon characteristics that we 

believe also generally reflect the 

characteristics of unified labor market 

areas. For example, the CBSAs reflect a 

core population plus an adjacent 

territory that reflects a high degree of 

social and economic integration. This 

integration is measured by commuting 

ties, thus demonstrating that these areas 

may draw workers from the same 

general areas. In addition, the most 

recent CBSAs reflect the most up to date 

information. The OMB reviews its MA 

definitions preceding each decennial 

census to reflect recent population 

changes, and the CBSAs are based on 

the Census 2000 data. Finally, in the 

context of the IPPS, CMS has reviewed 

alternative methods for determining 

geographic areas for purposes of the 

wage index, and in each case, has 

decided to retain the OMB designations 

rather than replace these designations 

with alternatives. 

Because we believe that we have 

broad authority to create labor market 

areas, and because we also believe that 

the OMB’s latest MA designations 

accurately reflect the local economies 

and wage levels of the areas in which 

hospitals are currently located, we are 

proposing to adopt the revised labor 

market area designations based on the 

OMB’s CBSA designations. 

When we implemented the wage 

index adjustment at § 413.337(a)(ii) 

under the SNF PPS in the May 12, 1998 

SNF PPS interim final rule (63 FR 

26252), we explained that the SNF PPS 

wage index adjustment was intended to 

reflect the relative hospital wage levels 

in the geographic area of the hospital as 

compared to the national average 

hospital wage level. Because we believe 

that the OMB’s CBSA designations 

based on Census 2000 data reflect the 

most recent available geographic 

classifications (MA definitions), we are 

proposing to revise the labor market 

area definitions used under the SNF 

PPS. Specifically, we are proposing to 

revise the SNF PPS labor market 

definitions based on the OMB’s new 

CBSA designations (as discussed in 

greater detail below) effective for SNF 

PPS services occurring on or after 

October 1, 2005. Accordingly, we are 

proposing to revise § 413.337(a)(ii) to 

specify that for services furnished on or 

after October 1, 2005, the application of 

the wage index under the SNF PPS 

would be made on the basis of the 

location of the facility in an urban or 

rural area as defined in 

§ 412.64(b)(1)(ii)(A) through (C). 

We note that the OMB’s new CBSA 

designations are the same labor market 

area definitions implemented under the 

IPPS at § 412.64(b), which were effective 

for those hospitals beginning October 1, 

2004, as discussed in the August 11, 

2004 IPPS final rule (69 FR 49026 

through 49034). The similarity between 

the IPPS and the SNF PPS includes the 

adoption in the initial implementation 

of the SNF PPS of the same labor market 

area definitions under the SNF PPS that 

existed under the IPPS at that time, as 

well as the use of acute care hospitals’

wage data in calculating the SNF PPS 

wage index. Therefore, we believe that 

proposing to revise the SNF PPS labor 

market area definitions based on OMB’s 

CBSA designations is consistent with 

our historical practice of generally 

modeling SNF PPS wage index policy 

after IPPS wage index policy. 

Below, we discuss the composition of 

the proposed SNF PPS labor market 

areas based on the OMB’s new CBSA 

designations. 

a. New England MSAs 

As stated above, under the SNF PPS, 

we currently use NECMAs to define 

labor market areas in New England, 

because these are county-based 

designations rather than the 1990 MSA 

definitions for New England, which 

used minor civil divisions such as cities 

and towns. Under the current MSA 

definitions, NECMAs provided more 

consistency in labor market definitions 

for New England compared with the rest 

of the country, where MSAs are countybased. Under the new CBSAs, the OMB 

has now defined the MSAs and 

Micropolitan Areas in New England on 

the basis of counties. The OMB also 

established New England City and 

Town Areas, which are similar to the 

previous New England MSAs. 

In order to create consistency among 

all labor market areas and to maintain 

these areas on the basis of counties, we 

are proposing to use the county-based 

areas for all MSAs in the nation, 

including those in New England. Census 

2000 has now defined the New England 

area based on counties, creating a cityand town-based system as an 

alternative. We believe that adopting 

county-based labor market areas for the 

entire country except those in New 

England would lead to inconsistencies 

in our designations. Adopting countybased labor market areas for the entire 

country provides consistency and 

stability in Medicare SNF PPS program 

payment because all of the labor market 

areas throughout the country, including 

New England, would be defined using 

the same system (that is, counties) 

rather than different systems in different 

areas of the country, thus minimizing 

programmatic complexity. 

In addition, we have consistently 

employed a county-based system for 

New England for precisely that reason: 

To maintain consistency with the labor 

market definitions used throughout the 

country. We note that this is consistent 

with the implementation of the CBSA 

designations under the IPPS for New 

England (see August 11, 2004 (69 FR 

49028)). Accordingly, under the SNF 

PPS we are proposing to use the New 

England MSAs as determined under the 

proposed new CBSA-based labor market 

area definitions in defining the 

proposed revised SNF PPS labor market 

areas.

b. Metropolitan Divisions 

Under the OMB’s new CBSA 

designations, a Metropolitan Division is 

a county or group of counties within a 

CBSA that contains a core population of 

at least 2.5 million, representing an 

employment center, plus adjacent 

counties associated with the main 

county or counties through commuting 

ties. A county qualifies as a main county 

if 65 percent or more of its employed 

residents work within the county and 

the ratio of the number of jobs located 

in the county to the number of 

employed residents is at least 0.75 

percent. A county qualifies as a 

secondary county if 50 percent or more, 

but less than 65 percent, of its employed 

residents work within the county and 

the ratio of the number of jobs located 

in the county to the number of 

employed residents is at least 0.75 

percent. After all the main and 

secondary counties are identified and 

grouped, each additional county that 

already has qualified for inclusion in 

the MSA falls within the Metropolitan 

Division associated with the main/

secondary county or counties with 

which the county at issue has the 

highest employment interchange 

measure. Counties in a Metropolitan 

Division must be contiguous (see 65 FR 

82236). 

As noted above, in the past, the OMB 

designated CMSAs as Metropolitan 

Areas with a population of one million 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29093

or more and comprised of two or more 

PMSAs. Under the SNF PPS, we 

currently use the PMSAs rather than 

CMSAs to define labor market areas 

because they comprise a smaller 

geographic area with potentially varying 

labor costs due to different local 

economies. We believe that CMSAs may 

be too large an area to reflect accurately 

the local labor costs of all of the 

individual SNFs included in that 

relatively ‘‘large’’ area. Similarly, we 

believe that Metropolitan Divisions 

under the CBSA designations may be 

too large an area to reflect accurately the 

local labor costs of all of the individual 

SNFs included in that relatively ‘‘large’’

area. Further, Metropolitan Divisions 

represent the closest approximation to 

PMSAs and, therefore, would most 

accurately maintain our current 

structuring of the SNF PPS labor market 

areas. Therefore, as implemented under 

the IPPS (69 FR 49029), we are 

proposing to use the Metropolitan 

Divisions where applicable (as 

described below) under the proposed 

new CBSA-based labor market area 

definitions. 

In addition to being comparable to the 

organization of the labor market areas 

under current MSA designations, we 

believe that proposing to use 

Metropolitan Divisions where 

applicable (as described below) under 

the SNF PPS would result in a more 

accurate adjustment for the variation in 

local labor market areas for SNFs. 

Specifically, if we recognize the 

relatively ‘‘larger’’ CBSA that comprises 

two or more Metropolitan Divisions as 

an independent labor market area for 

purposes of the wage index, it would be 

too large and would include the data 

from too many hospitals to compute a 

wage index that would accurately reflect 

the various local labor costs of all of the 

individual hospitals included in that 

relatively ‘‘large’’ CBSA. By proposing 

to recognize Metropolitan Divisions 

where applicable (as described below) 

under the proposed new CBSA-based 

labor market area definitions under the 

SNF PPS, we believe that the local labor 

costs would be more accurately 

reflected, thereby resulting in a wage 

index adjustment that better reflects the 

variation in the local labor costs of the 

local economies of the SNFs located in 

those relatively ‘‘smaller’’ areas. 

Under the CBSA designations, there 

are 11 MSAs containing Metropolitan 

Divisions: Boston; Chicago; Dallas; 

Detroit; Los Angeles; Miami; New York; 

Philadelphia; San Francisco; Seattle; 

and Washington, D.C. Although these 

MSAs were also CMSAs under the prior 

definitions, in some cases their areas 

have been altered. Under the current 

SNF PPS MSA designations, Boston was 

a single NECMA. Under the proposed 

CBSA-based labor market area 

designations, it would be comprised of 

4 Metropolitan Divisions. Los Angeles 

would go from 4 PMSAs under the 

current SNF PPS MSA designations to 2 

Metropolitan Divisions under the 

proposed CBSA-based labor market area 

designations. The New York CMSA 

would go from 15 PMSAs under the 

current SNF PPS MSA designations to 

only 4 Metropolitan Divisions under the 

proposed CBSA-based labor market area 

designations. Five PMSAs in 

Connecticut under the current SNF PPS 

MSA designations would become 

separate MSAs under the proposed 

CBSA-based labor market area 

designations. The number of PMSAs in 

New Jersey, under the current SNF PPS 

MSA designations would go from 5 to 

2, with the consolidation of 2 New 

Jersey PMSAs (Bergen-Passaic and 

Jersey City) into the New York-WayneWhite Plains, NY–NJ Division, under 

the proposed CBSA-based labor market 

area designations. In San Francisco, 

under the proposed CBSA-based labor 

market area designations there are only 

2 Divisions. Currently, there are 6 

PMSAs, some of which are now separate 

MSAs under the current SNF PPS labor 

market area designations. 

Under the current SNF PPS labor 

market area designations, Cincinnati, 

Cleveland, Denver, Houston, 

Milwaukee, Portland, Sacramento, and 

San Juan are all designated as CMSAs, 

but would no longer be designated as 

CMSAs under the proposed CBSA-based 

labor market area designations. As noted 

previously, the population threshold to 

be designated a CMSA under the current 

SNF PPS labor market area designations 

is one million. In most of these cases, 

counties currently in a PMSA would 

become a separate, independent MSA 

under the proposed CBSA-based labor 

market area designations, leaving only 

the MSA for the core area under the 

proposed CBSA-based labor market area 

designations. 

c. Micropolitan Areas 

Under the OMB’s new CBSA 

designations, Micropolitan Areas are 

essentially a third area definition 

consisting primarily of areas that are 

currently rural, but also include some or 

all of areas that are currently designated 

as urban MSAs. As discussed in greater 

detail in the August 11, 2004 IPPS final 

rule (69 FR 49029 through 49032), how 

these areas are treated would have 

significant impacts on the calculation 

and application of the wage index. 

Specifically, whether or not 

Micropolitan Areas are included as part 

of the respective statewide rural wage 

indexes would affect the value of the 

Statewide rural wage index of any State 

that contains a Micropolitan Area. A 

hospital’s classification as urban or rural 

affects which hospitals’ wage data are 

included in the statewide rural wage 

index. As discussed above in section 

II.D.3, we combine all of the counties in 

a State outside a designated urban area 

to calculate the statewide rural wage 

index for each State. 

Micropolitan Areas included as part 

of the statewide rural labor market area 

would result in an increase to the 

statewide rural wage index because 

hospitals located in those Micropolitan 

Areas typically have higher labor costs 

than other rural hospitals in the State. 

Alternatively, as discussed in greater 

detail below, if Micropolitan Areas 

would be recognized as independent 

labor market areas, because there would 

be so few hospitals in those areas to 

complete a wage index, the wage 

indexes for SNFs in those areas could 

become relatively unstable as they 

would change considerably from year to 

year. 

We currently use MSAs to define 

urban labor market areas and group all 

of the hospitals in counties within each 

State that are not assigned to an MSA 

into a statewide rural labor market area. 

Therefore, we used the terms ‘‘urban’’

and ‘‘rural’’ wage indexes in the past for 

ease of reference. However, the 

introduction of Micropolitan Areas by 

the OMB potentially complicates this 

terminology because these areas include 

many hospitals that are currently 

included in the statewide rural labor 

market areas.

We are proposing to treat 

Micropolitan Areas as rural labor market 

areas under the SNF PPS for the reasons 

outlined below. That is, counties that 

are assigned to a Micropolitan area 

under the CBSA designations would be 

treated the same as other ‘‘rural’’

counties that are not assigned to either 

an MSA (Metropolitan Area) or a 

Micropolitan Area. Therefore, in 

determining an SNF’s applicable wage 

index (based on IPPS hospital wage 

index data, as discussed in greater detail 

below in section II.D.6 of this preamble), 

we propose that a SNF in a Micropolitan 

Area under the OMB’s CBSA 

designations would be classified as 

‘‘rural’’ and would be assigned the 

statewide rural wage index for the State 

in which it resides. 

In the August 11, 2004 IPPS final rule 

(69 FR 49029 through 49032), we 

discussed the impact of treating 

Micropolitan areas as part of the 

statewide rural labor market area 

instead of treating Micropolitan Areas as 

29094 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

independent labor market areas for 

hospitals paid under the IPPS. As 

discussed in greater detail in that same 

final rule, Micropolitan Areas 

encompass smaller populations than 

MSAs and tend to include fewer 

hospitals per Micropolitan Area. 

Thus, since Micropolitan Areas tend 

to include fewer hospitals, recognizing 

Micropolitan Areas as independent 

labor market areas would generally 

increase the potential for dramatic shifts 

in those areas’ wage indexes from one 

year to the next, because a single 

hospital (or group of hospitals) could 

have a disproportionate effect on the 

wage index of the area. Dramatic shifts 

in an area’s wage index from year to 

year are problematic and create 

instability in the payment levels from 

year to year, which could make fiscal 

planning for SNFs difficult if we 

adopted this approach. Therefore, in 

order to minimize the potential 

instability in payment levels from year 

to year, we believe it would be 

appropriate to treat Micropolitan Areas 

as part of the statewide rural labor 

market area under the SNF PPS. 

Consistent with the treatment of these 

areas under the IPPS, we are proposing 

that Micropolitan Areas be considered a 

part of the Statewide rural labor market 

area. Accordingly, we are proposing that 

the SNF PPS Statewide rural wage index 

would be determined using acute-care 

IPPS hospital wage data from hospitals 

located in non-MSA areas and that the 

Statewide rural wage index would be 

assigned to SNFs located in those areas. 

When the revised labor market areas 

based on the OMB’s new CBSA 

designations were adopted under the 

IPPS beginning on October 1, 2004, a 

transition to the new designations was 

established due to the scope and 

magnitude of the change, in order to 

mitigate the resulting adverse impact on 

certain hospitals. As discussed in the 

August 11, 2004 IPPS final rule (69 FR 

49032), during FY 2005, a blend of wage 

indexes is calculated for those acute 

care IPPS hospitals experiencing a drop 

in their wage indexes because of the 

adoption of the new labor market areas. 

Also, as described in that same final 

rule (69 FR 49032), under the IPPS, 

hospitals that previously had been 

located in an urban MSA but became 

rural under the new CBSA definitions 

are assigned the wage index value of the 

urban area to which they belonged 

previously, for 3 years (FYs 2005 

through FYs 2007). 

We recognize that SNFs will be 

subject to the same impact as hospitals, 

and that some SNFs may experience 

decreases in their wage index as a result 

of the proposed labor market area 

changes. At the same time, a significant 

number of SNFs will benefit from these 

proposed changes. However, as 

explained below, we are not proposing 

a transition period in this proposed rule. 

5. Implementation of the Revised Labor 

Market Areas 

Under section 1888(e)(4)(G)(ii) of the 

Act, the Secretary has the authority to 

adjust for geographic variations in labor 

costs by using an appropriate wage 

index. Moreover, the adjustment must 

be made in a manner such that aggregate 

payments would not change if such 

adjustment were not made. 

To facilitate an understanding of the 

proposed policies related to the 

proposed change to the SNF PPS labor 

market areas discussed above, in Table 

A (MSA/CBSA Crosswalk) of the 

Addendum of this proposed rule, we are 

providing a listing of each Social 

Security Administration (SSA) State and 

county location code; State and county 

name; existing MSA-based labor market 

area designation; MSA-based wage 

index value; CBSA-based labor market 

area; and the new CBSA-based wage 

index value. 

When the revised labor market areas 

based on OMB’s new CBSA 

designations were adopted under the 

IPPS beginning on October 1, 2004, a 

transition to the new designations was 

established due to the scope and fiscal 

impact of these new boundaries. As 

discussed in the IPPS final rule (69 FR 

49032), during FY 2005, a blend of wage 

indexes is calculated for those acute 

care IPPS hospitals experiencing a drop 

in their wage indexes because of the 

adoption of the new labor market areas. 

The most significant impacts will 

generally be for MSA-based urban 

hospitals that were designated as rural 

under the CBSA-based designations.

Because the former MSA-based labor 

market areas used under the IPPS had 

been used for payment for over 10 years, 

we believed it was necessary to provide 

additional protection, given the scope 

and potentially significant implications 

(and the subsequent adverse impact) of 

these new labor market areas on 

numerous acute-care hospitals. 

Therefore, we implemented a transition 

under the IPPS from the former MSAbased labor market area designation to 

the new CBSA-based labor market area 

designation for acute-care hospitals that 

would receive a lower wage index as a 

result of the change in the labor market 

area designations. 

As we recognize that SNFs may 

experience similar changes in their 

wage indexes as a result of the proposed 

labor market area changes, we carefully 

evaluated the impact of the conversion 

to the proposed wage index structure. 

During our analysis, we found that a 

majority of SNFs (61 percent) either 

maintained the same wage index or 

would get an increased wage index 

based on CBSA definitions. Only a very 

small number of SNFs (4 percent) would 

experience a decline of 5 percent or 

more in the wage index based on CBSA 

designations. We also found that only a 

very small number of SNFs would 

experience a change in either rural or 

urban designation under the CBSA 

based definitions. Furthermore, we 

believe the new CBSA definitions may 

have a positive impact on many 

counties. For example, most counties 

which had been included in the rural 

definitions under the MSA designations 

but are now designated as urban areas 

under CBSAs will generally receive an 

increase in their wage index. 

Although a majority of SNFs would 

not be significantly affected, and we 

believe that it is not appropriate or 

necessary to propose a transition to the 

proposed new CBSA-based labor market 

areas for the purpose of the SNF PPS 

wage index, we recognize that there are 

many options in efficiently 

implementing the new CBSA geographic 

designations. Thus, we considered 

several budget neutral options that 

would most effectively implement the 

adoption of the proposed CBSA 

designations as discussed below. 

One option we considered institutes a 

one-year transition with a blended wage 

index for all providers. The wage index 

for each provider would consist of a 

blend of 50 percent of the FY 2006 

MSA-based wage index and 50 percent 

of the FY 2006 CBSA-based wage index 

(both based on the FY 2002 hospital 

wage data). However, we found that 

while this would help some SNFs that 

would be adversely affected by the 

proposed changes to the MSAs, it would 

also reduce the wage index values 

(compared to fully adopting the CBSA 

wage index value) for those SNFs that 

would be positively affected by the 

changes. In addition, the budget 

neutrality factor calculated based on the 

blended wage index for all SNFs would 

slightly reduce the unadjusted payment 

rate for all providers. 

A second option we considered was a 

one-year transition with a blended wage 

index limited to providers that would 

experience a decrease due solely to the 

changes in the labor market definitions. 

Providers that experience a decrease in 

their FY 2006 wage index under the 

CBSA-based definitions compared to the 

wage index they would have received 

under the MSA-based definitions (in 

both cases using FY 2002 hospital wage 

data) would receive a blended wage 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29095

index. The wage index for these 

providers would consist of a blend of 50 

percent of the FY 2006 MSA wage index 

and 50 percent of the FY 2006 CBSA 

wage index (both based on the FY 2002 

hospital wage data). Providers that 

would experience a decrease due to 

changes in the labor market definitions 

would receive the full FY 2006 CBSA 

wage index. 

When we performed our analysis, we 

found that the unadjusted payment 

amounts decreased substantially more 

under this option than they did either 

by using the first option discussed 

above or by fully adopting the CBSA 

designations. As with the first option, 

the positive impact of blending in order 

to decrease the impacts for a relatively 

small number of SNFs would require 

reduced payment rates for all providers, 

including the SNFs receiving a blended 

wage index. 

We also recognize that during FY 

2005, as discussed in the August 11, 

2004 IPPS final rule (69 FR 49032), a 

hold harmless policy under IPPS was 

implemented to minimize the overall 

impact on hospitals that are currently 

designated as urban under the MSA 

designations, but would become rural 

under the CBSA designations. We 

considered adopting a hold harmless 

policy for SNFs, to allow facilities that 

are currently urban under the MSA 

definitions (but become rural under the 

CBSA definitions) to maintain their 

urban status under the CBSA definitions 

for one year. However, our analysis 

shows that only an extremely small 

number of SNFs would qualify for such 

a hold harmless policy. As any 

adjustment requires payments to be 

made in a budget neutral manner, all 

providers would have the payment rates 

reduced for the benefit of that small 

number of SNFs (1.4 percent) which 

lose their urban designations. 

Accordingly, we do not believe it is 

appropriate or necessary to adopt a hold 

harmless policy under the SNF PPS for 

facilities that will experience a change 

in designation under the CBSA 

definitions.

We are proposing to adopt for the SNF 

PPS the new CBSA-based labor market 

area definitions beginning with the 2006 

SNF PPS rate year without a transition 

period and without a hold harmless 

policy. We also note that OMB in the 

past has announced MSA changes on an 

annual basis due to population changes 

and we have not transitioned these 

changes under the SNF PPS. 

As noted previously, our data analysis 

shows that a minimal number of SNFs 

would experience a decrease of more 

than 5 percent in the wage index. In 

addition, under the CBSA designation, 

an even smaller number of SNFs would 

experience a change from their current 

urban or rural designation. Therefore, 

the aggregate impact on SNFs under the 

MSA-based designations as compared to 

the CBSA-based designations does not 

result in a dramatic change overall. 

As explained above, we believe that it 

is not appropriate or necessary to 

propose a transition to the proposed 

new CBSA-based labor market area for 

the SNF PPS wage index adjustment. In 

addition, as noted above, we believe the 

data suggest that the potential benefit of 

a hold harmless policy for an extremely 

small number of providers would be 

outweighed by the resulting decrease in 

payment rates for all providers. 

However, we specifically invite public 

comments on our proposed approach, as 

well as on the various transition options 

discussed above. 

Finally, we note that section 505 of 

the MMA established new section 

1886(d)(13) of the Act. The new section 

1886(d)(13) requires that the Secretary 

establish a process to make adjustments 

to the hospital wage index based on 

commuting patterns of hospital 

employees. We believe that this 

requirement for an ‘‘out-commuting’’ or 

‘‘out-migration’’ adjustment applies 

specifically to the Hospital Inpatient 

Prospective Payment System. Therefore, 

we will not be establishing such an 

adjustment for the SNF PPS. 

6. Wage Index Data 

[If you choose to comment on issues in 

this section, please include the caption 

‘‘Wage Index Data’’ at the beginning of 

your comments.]

In the FY 2005 SNF PPS update 

notice (69 FR 45775, July 30, 2004), we 

established SNF PPS wage index values 

for the 2005 SNF PPS rate year 

calculated from the same data 

(generated in cost reporting periods 

beginning during FY 2001) used to 

compute the FY 2005 acute care 

hospital inpatient wage index data, 

without taking into account geographic 

reclassification under sections 

1886(d)(8) and 1886(d)(10) of the Act 

and without applying the ‘‘rural floor’’

under section 4410 of the BBA. We 

subsequently published correction 

notices to update the wage index values. 

The SNF wage index values applicable 

for services furnished on or after 

October 1, 2004 through August 31, 

2005 are shown in Table 8 (for urban 

areas) and Table 9 (for rural areas) in the 

December 30, 2004 correction notice (69 

FR 78445). 

Acute care hospital inpatient wage 

index data is also used to establish the 

wage index adjustment used in the 

LTCH PPS, IPF PPS, HHA PPS, and IRF 

PPS. As we discussed in the May 12, 

1998 SNF PPS interim final rule (63 FR 

26252), as hospitals that are excluded 

from the IPPS are not required to 

provide wage-related information on the 

Medicare cost report, and because we 

would need to establish instructions for 

the collection of these SNF data in order 

to establish a geographic reclassification 

adjustment under the SNF PPS, the 

wage adjustment established under the 

SNF PPS is based on a SNF’s actual 

location without regard to the urban or 

rural designation of any related or 

affiliated provider. 

In this proposed rule, for the FY 2006 

SNF PPS rate year, we propose to use 

acute care hospital inpatient wage index 

data generated from cost reporting 

periods beginning during FY 2002 

(without taking into account geographic 

reclassification under sections 

1886(d)(8) and 1886(d)(10) of the Act 

and without applying the ‘‘rural floor’’

under section 4410 of the BBA) to 

determine the applicable wage index 

values under the SNF PPS, because 

these data (FY 2002) are the most recent 

complete data. We realize that there has 

been some interest in developing a SNFspecific wage index. However, 

considering the impact of converting to 

the new OMB classification 

methodology discussed above, we 

believe a second major change would be 

inappropriate at this time. In making 

this decision, one of our primary 

concerns is that the combined effect of 

changing both the wage area categories 

and the actual wage index could result 

in an inaccurate impact assessment for 

one or both of these changes. As 

discussed in several of the previous SNF 

PPS rules, we also remain concerned 

about the potential volatility and 

unreliability of unaudited data (see, for 

example, the final rule for FY 2002 (66 

FR 39579 through 39596, July 31, 2001), 

and the final rule for FY 2004 (68 FR 

46045 through 46046, August 3, 2003)). 

We are proposing to adopt OMB’s 

new labor market designations for CY 

2006, effective January 1, 2006. In 

adopting the CBSA designations, we 

identified some geographic areas where 

there were no hospitals, and thus no 

hospital wage index data on which to 

base the calculation of the FY 2006 SNF 

PPS proposed wage index. In addressing 

this situation, we are proposing 

approaches that we believe serve as 

proxies for hospital wage data and 

would provide an appropriate standard 

that accounts for geographic variation in 

labor costs. 

The first situation involves rural 

locations in Massachusetts and Puerto 

Rico. Under these labor market areas, 

there are no rural hospitals in those 

29096 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

locations. Because there is no 

reasonable proxy for more recent rural 

data within those areas, we are 

proposing to use last year’s wage index 

value for rural Massachusetts and rural 

Puerto Rico. 

The second situation has to do with 

the urban areas of Hinesville, GA (CBSA 

25980) and Mansfield, OH (CBSA 

31900). Again, under the proposed new 

labor market areas there are no urban 

hospitals within those areas. We 

propose to use all of the urban areas 

within the State to serve as a reasonable 

proxy for the urban areas without 

specific hospital wage index data in 

determining the SNF PPS wage index. 

Therefore, in this proposed rule, we 

calculated the urban wage index value 

for purposes of the wage index for these 

areas without urban hospital data as the 

average wage index for all urban areas 

within the State. We note that we could 

not apply a similar averaging in rural 

areas, because in the rural areas there 

are no State rural hospital wage data 

available for averaging on a State-wide 

basis. We solicit comments on these 

approaches to calculating the wage 

index values for areas without hospitals 

for FY 2006 and subsequent years. 

The proposed wage index values that 

would be applicable for SNF PPS 

services furnished on or after October 1, 

2005 through August 31, 2006 are 

shown in Tables 8 and 9 in the 

Addendum of this proposed rule. 

E. Updates to the Federal Rates 

In accordance with section 

1888(e)(4)(E) of the Act and section 311 

of the BIPA, the proposed payment rates 

listed here reflect a proposed update 

equal to the full SNF market basket, 

estimated at 3.0 percentage points. We 

will continue to disseminate the rates, 

wage index, and case-mix classification 

methodology through the Federal 

Register before August 1 preceding the 

start of each succeeding fiscal year. We 

discuss the Federal rate update factor in 

greater detail in section III.C of this 

preamble. 

F. Relationship of RUG–III Classification 

System to Existing Skilled Nursing 

Facility Level-of-Care Criteria

As discussed in § 413.345, we include 

in each update of the Federal payment 

rates in the Federal Register the 

designation of those specific RUGs 

under the classification system that 

represent the required SNF level of care, 

as provided in § 409.30. This 

designation reflects an administrative 

presumption under the current 44-group 

RUG–III classification system. Our 

presumption is that any beneficiary who 

is correctly assigned to one of the upper 

26 RUG–III groups in the initial 5-day, 

Medicare-required assessment is 

automatically classified as meeting the 

SNF level of care definition up to the 

assessment reference date for that 

assessment. 

Any beneficiary assigned to any of the 

lower 18 groups is not automatically 

classified as either meeting or not 

meeting the definition, but instead 

receives an individual level of care 

determination using the existing 

administrative criteria. This 

presumption recognizes the strong 

likelihood that beneficiaries assigned to 

one of the upper 26 groups during the 

immediate post-hospital period require 

a covered level of care, which would be 

significantly less likely for those 

beneficiaries assigned to one of the 

lower 18 groups. 

As discussed in section II.B of this 

preamble, we propose to refine the 

existing 44-group RUG–III classification 

system by adding an additional 9 

groups, comprising a new Rehabilitation 

plus Extensive Services category. In 

effect, the groups in this new category 

would encompass care that is at least as 

intensive as that identified by any of the 

upper 26 RUG–III groups under the 

original, 44-group RUG–III classification 

system. Accordingly, for purposes of the 

administrative presumption, we propose 

to designate the upper 35 groups of the 

proposed 53-group refined case-mix 

classification system (including the 

upper 26 groups that we have identified 

as representing a covered level of care 

under the existing 44-group system, 

plus the additional 9 groups set forth in 

this proposed rule), consisting of the 

following RUG classifications: All 

groups within the proposed new 

Rehabilitation plus Extensive Services 

category; all groups within the Ultra 

High Rehabilitation category; all groups 

within the Very High Rehabilitation 

category; all groups within the High 

Rehabilitation category; all groups 

within the Medium Rehabilitation 

category; all groups within the Low 

Rehabilitation category; all groups 

within the Extensive Services category; 

all groups within the Special Care 

category; and, all groups within the 

Clinically Complex category. 

G. Initial 3-Year Transition Period From 

Facility Specific to Federal Rates

As noted previously in section I.A 

and section I.F.2 of this proposed rule, 

the PPS is no longer operating under the 

initial 3-year transition period from 

facility-specific to Federal rates. 

Therefore, payment now equals the 

adjusted Federal per diem rate. 

H. Example of Computation of Adjusted 

PPS Rates and SNF Payment 

As explained in section II.B of this 

proposed rule, from October 1, 2005, 

through December 31, 2005, we propose 

to make payment based entirely on the 

existing 44-group RUG–III classification 

system (including any associated add-on 

payments). Using the model SNF (XYZ) 

described in Table 10, the following 

shows the adjustments made to the 

Federal per diem rate to compute the 

provider’s actual per diem PPS for the 

time period mentioned above using the 

existing 44 group RUG-III classification 

system.

TABLE 10.—RUG–44, SNF XYZ: LOCATED IN STATE COLLEGE, PA, WAGE INDEX: 0.8364 

RUG group Labor Wage index Adjustment 

labor Non-labor Adjustment rate 

Percent

adjustment 

Medicare 

days Payment 

RVC .................................. $282.62 0.8364 $236.38 $88.82 $325.20 * $346.99 14 $4,858 

RHA .................................. 218.40 0.8364 182.67 68.64 251.31 * 268.15 16 4,290 

CC2 .................................. 180.87 0.8364 151.28 56.84 208.12 ** 474.51 10 4,745 

SE3 .................................. 241.52 0.8364 202.01 75.91 277.92 *** 333.50 30 10,005 

IA2 .................................... 123.35 0.8364 103.17 38.77 141.94 141.94 30 4,258 

Total .......................... .................... .................... .................... .................... .................... .................... 100 28,156 

* Reflects a 6.7 percent adjustment from section 314 of the BIPA. 

** Reflects a 128 percent adjustment from section 511 of the MMA. Section 101(a) of the BBRA no longer applies because of the MMA section 

511 adjustment. 

*** Reflects a 20 percent adjustment from section 101(a) of the BBRA. 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29097

Beginning January 1, 2006, we 

propose to make payment based on the 

proposed new RUG–53 classification 

system (and, thus, would not include 

the add-on payments). Table 10a shows 

an example of the actual per diem PPS 

payments under the RUG–53 

classification system.

TABLE 10A.—RUG–53, SNF XYZ: LOCATED IN STATE COLLEGE, PA, WAGE INDEX: 0.8364 

RUG group Labor Wage index Adjustment 

labor Non-labor Adjustment rate 

Percent

adjustment 

Medicare 

days Payment 

RVX .................................. $310.03 0.8364 $259.31 $97.44 $356.75 $356.75 14 $4,994 

RHA .................................. 233.09 0.8364 194.96 73.26 268.22 268.22 16 4,291 

CC2 .................................. 184.01 0.8364 153.91 57.83 211.74 * 482.76 10 4,828 

RLX .................................. 246.32 0.8364 206.02 77.42 283.44 283.44 30 8,503 

IA2 .................................... 125.44 0.8364 104.92 39.43 144.35 144.35 30 4,330 

Total .......................... .................... .................... .................... .................... .................... .................... 100 26,946 

* Reflects a 128 percent adjustment from section 511 of the MMA. 

III. The Skilled Nursing Facility Market 

Basket Index 

Section 1888(e)(5)(A) of the Act 

requires us to establish a SNF market 

basket index (input price index) that 

reflects changes over time in the prices 

of an appropriate mix of goods and 

services included in the SNF PPS. This 

proposed rule incorporates the latest 

available projections of the SNF market 

basket index. The final rule will 

incorporate updated projections based 

on the latest available projections at that 

time. Accordingly, we have developed a 

SNF market basket index that 

encompasses the most commonly used 

cost categories for SNF routine services, 

ancillary services, and capital-related 

expenses. In the July 31, 2001 Federal 

Register (66 FR 39562), we included a 

complete discussion on the rebasing of 

the SNF market basket to FY 1997. 

There are 21 separate cost categories 

and respective price proxies. These cost 

categories were illustrated in Table 

10.A, Table 10.B, and Appendix A, 

along with other relevant information, 

in the July 31, 2001 Federal Register. 

Each year, we calculate a revised 

labor-related share based on the relative 

importance of labor-related cost 

categories in the input price index. 

Table 11 summarizes the proposed 

updated labor-related share for FY 2006.

TABLE 11.—FY 2006 LABOR-RELATED

SHARE

Relative importance, 

labor-related,

FY 2005

(97 index) 

Relative importance, 

labor-related,

FY 2006

(97 index) 

Wages and salaries ................ 54.720 54.572 

Employee benefits .................. 11.595 11.691 

Nonmedical professional fees 2.688 2.702 

TABLE 11.—FY 2006 LABOR-RELATED

SHARE—Continued

Relative importance, 

labor-related,

FY 2005

(97 index) 

Relative importance, 

labor-related,

FY 2006

(97 index) 

Labor-intensive 

services ......... 4.125 4.116 

Capital-related .. 3.094 3.006 

Total .............. 76.222 76.087 

A. Use of the Skilled Nursing Facility 

Market Basket Percentage 

Section 1888(e)(5)(B) of the Act 

defines the SNF market basket 

percentage as the percentage change in 

the SNF market basket index, as 

described in the previous section, from 

the average index level of the prior 

fiscal year to the average index level of 

the current fiscal year. For the Federal 

rates established in this proposed rule, 

this percentage increase in the SNF 

market basket index would be used to 

compute the update factor occurring 

between FY 2005 and FY 2006. We used 

the Global Insight, Inc. (formerly DRIWEFA), 1st quarter 2005 forecasted 

percentage increase in the FY 1997-

based SNF market basket index for 

routine, ancillary, and capital-related 

expenses, described in the previous 

section, to compute the update factor. 

Finally, we no longer compute update 

factors to adjust a facility-specific 

portion of the SNF PPS rates, because 

the 3-year transition period from 

facility-specific to full Federal rates that 

started with cost reporting periods 

beginning in July 1998 has expired. 

B. Market Basket Forecast Error 

Adjustment

As discussed in the June 10, 2003, 

supplemental proposed rule (68 FR 

34768) and finalized in the August 4, 

2003, final rule (68 FR 46067), the 

regulations at § 413.337(d)(2) provide 

for an adjustment to account for market 

basket forecast error. The initial 

adjustment applied to the update of the 

FY 2003 rate that occurred in FY 2004, 

and took into account the cumulative 

forecast error for the period from FY 

2000 through FY 2002. Subsequent 

adjustments in succeeding FYs take into 

account the forecast error from the most 

recently available fiscal year for which 

there are final data, and are applied 

whenever the difference between the 

forecasted and actual change in the 

market basket exceeds a 0.25 percentage 

point threshold. As discussed 

previously in section I.G of this 

proposed rule, as the difference between 

the estimated and actual amounts of 

increase in the market basket index for 

FY 2004 (the most recently available 

fiscal year for which there are final data) 

did not exceed the 0.25 percentage point 

threshold, the payment rates for FY 

2006 do not include a forecast error 

adjustment. 

C. Federal Rate Update Factor 

Section 1888(e)(4)(E)(ii)(IV) of the Act 

requires that the update factor used to 

establish the FY 2006 Federal rates be 

at a level equal to the full market basket 

percentage change. Accordingly, to 

establish the update factor, we 

determined the total growth from the 

average market basket level for the 

period of October 1, 2004 through 

September 30, 2005 to the average 

market basket level for the period of 

October 1, 2005 through September 30, 

2006. Using this process, the proposed 

update factor for FY 2006 SNF Federal 

rates is 3.0 percentage points. We used 

this revised proposed update factor to 

compute the proposed Federal portion 

of the SNF PPS rate shown in Tables 2 

and 3. 

IV. Consolidated Billing 

As established by section 4432(b) of 

the BBA, the consolidated billing 

requirement places with the SNF the 

29098 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

Medicare billing responsibility for 

virtually all of the services that the 

SNF’s residents receive, except for a 

small number of services that the statute 

specifically identifies as being excluded 

from this provision. Section 103 of the 

BBRA amended this provision by 

further excluding a number of high-cost, 

low probability services (identified by 

Healthcare Common Procedure Coding 

System (HCPCS) codes) within several 

broader categories that otherwise 

remained subject to the provision. 

Section 313 of the BIPA further 

amended this provision by repealing its 

Part B aspect; that is, its applicability to 

services furnished to a resident during 

a SNF stay that Medicare does not 

cover. (However, physical, 

occupational, and speech-language 

therapy remain subject to consolidated 

billing, regardless of whether the 

resident who receives these services is 

in a covered Part A stay.) 

Further, while the services of rural 

health clinics (RHCs) and Federally 

Qualified Health Centers (FQHCs) 

generally are subject to SNF 

consolidated billing, section 410 of the 

MMA provided that when an RHC or 

FQHC furnishes the services of a 

physician (or another type of service 

that section 1888(e)(2)(A)(ii) of the Act 

identifies as being excluded from SNF 

consolidated billing), those services do 

not become subject to consolidated 

billing merely by virtue of being 

furnished under the auspices of the RHC 

or FQHC. In effect, this provision 

(which applies to services furnished on 

or after January 1, 2005) enables those 

services to retain their separate identity 

as excluded ‘‘practitioner’’ services in 

this context, rather than being treated as 

bundled ‘‘RHC’’ or ‘‘FQHC’’ services. As 

such, these services would remain 

separately billable to Part B when 

furnished to a resident of the SNF 

during a covered Part A stay. 

To date, the Congress has enacted no 

further legislation affecting the 

consolidated billing provision. 

However, as we noted in the proposed 

rule of April 10, 2000 (65 FR 19232), 

section 1888(e)(2)(A)(iii) of the Act, as 

added by section 103 of the BBRA, not 

only identified for exclusion from this 

provision a number of particular service 

codes within four specified categories 

(that is, chemotherapy items, 

chemotherapy administration services, 

radioisotope services, and customized 

prosthetic devices), but ‘‘* * * also 

gives the Secretary the authority to 

designate additional, individual services 

for exclusion within each of the 

specified service categories.’’ In that 

proposed rule, we also noted that the 

BBRA Conference report (H.R. Conf. 

Rep. No. 106–479 at 854) characterizes 

the individual services that this 

legislation targets for exclusion as 

‘‘* * * high-cost, low probability events 

that could have devastating financial 

impacts because their costs far exceed 

the payment [SNFs] receive under the 

prospective payment system * * *’’

According to the conferees, section 

103(a) ‘‘is an attempt to exclude from 

the PPS certain services and costly 

items that are provided infrequently in 

SNFs * * *.’’ By contrast, we noted that 

the Congress declined to designate for 

exclusion any of the remaining services 

within those four categories (thus 

leaving all of those services subject to 

SNF consolidated billing), because they 

are relatively inexpensive and are 

furnished routinely in SNFs.

As we further explained in the final 

rule of July 31, 2000 (65 FR 46790), any 

additional service codes that we might 

designate for exclusion under our 

discretionary authority must meet the 

same criteria that the Congress used in 

identifying the original codes excluded 

from consolidated billing under section 

103(a) of the BBRA: They must fall 

within one of the four service categories 

specified in the BBRA, and they also 

must meet the same standards of high 

cost and low probability in the SNF 

setting. Accordingly, we characterized 

this statutory authority to identify 

additional service codes for exclusion 

‘‘* * * as essentially affording the 

flexibility to revise the list of excluded 

codes in response to changes of major 

significance that may occur over time 

(for example, the development of new 

medical technologies or other advances 

in the state of medical practice)’’ (65 FR 

46791). In view of the amount of time 

that has elapsed since we last invited 

comments on this issue, we believe it is 

appropriate at this point once again to 

invite public comments that identify 

codes in any of these four service 

categories representing recent medical 

advances that might meet the BBRA 

criteria for exclusion from SNF 

consolidated billing. 

We note that the original BBRA 

legislation (as well as the implementing 

regulations) identified a set of excluded 

services by means of specifying HCPCS 

codes that were in effect as of a 

particular date (for example July 1, 

1999). Identifying the excluded services 

in this manner made it possible for us 

to utilize a Program Memorandum as 

the vehicle for accomplishing routine 

updates of the excluded codes, in order 

to reflect any minor revisions that might 

subsequently occur in the coding system 

itself (for example, the assignment of a 

different code number to the same 

service). Accordingly, for any new 

services that would actually represent a 

substantive change in the scope of 

services that are excluded from the SNF 

consolidated billing provision, we 

would identify these additional 

excluded services by means of the 

HCPCS codes that are in effect as of a 

specific date (in this case, October 1, 

2005). By making any new exclusions in 

this manner, we could similarly 

accomplish routine future updates of 

these additional codes through the 

issuance of program instructions.

V. Application of the SNF PPS to SNF 

Services Furnished by Swing-Bed 

Hospitals 

In accordance with section 1888(e)(7) 

of the Act (as amended by section 203 

of the BIPA), Part A pays critical access 

hospitals (CAHs) on a reasonable cost 

basis for SNF services furnished under 

a swing-bed agreement. However, as 

noted previously in section I.A of this 

notice, the services furnished by nonCAH rural hospitals are paid under the 

SNF PPS. In the July 31, 2001 final rule 

(66 FR 39562), we announced the 

conversion of swing-bed rural hospitals 

to the SNF PPS, effective with the start 

of the provider’s first cost reporting 

period beginning on or after July 1, 

2002. We selected this date consistent 

with the statutory provision to integrate 

swing-bed rural hospitals into the SNF 

PPS by the end of the SNF transition 

period, June 30, 2002. 

As of June 30, 2003, all swing-bed 

rural hospitals have come under the 

SNF PPS. Therefore, all rates and wage 

indexes outlined in earlier sections of 

this notice for SNF PPS also apply to all 

swing-bed rural hospitals. A complete 

discussion of assessment schedules, the 

MDS, and the transmission software 

(Raven-SB for Swing Beds) can be found 

in the July 31, 2001 final rule (66 FR 

39562). The latest changes in the MDS 

for swing-bed rural hospitals are listed 

on our SNF PPS Web site, http://

www.cms.hhs.gov/providers/snfpps/

default.asp.

VI. Qualifying Three-Day Inpatient 

Hospital Stay Requirement 

As indicated in section I.A of this 

proposed rule, the SNF benefit includes 

not only level of care requirements, but 

also a set of technical, or ‘‘posthospital’’

eligibility requirements as well. These 

requirements date back to the original 

Medicare legislation (section 102(a) of 

the Social Security Amendments of 

1965, Public Law 89–97), when the 

Congress defined the intended scope of 

this benefit. The SNF benefit was never 

intended to cover long-term, relatively 

low-level ‘‘custodial’’ care; rather, the 

Congress envisioned this benefit more 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29099

narrowly, in terms of serving as a less 

expensive alternative to what would 

otherwise be the final, convalescent 

portion of an acute care stay of several 

days as an inpatient at a hospital. In 

order to target the SNF benefit more 

effectively at the limited segment of the 

nursing home population that the 

benefit was actually designed to cover 

(that is, those beneficiaries requiring a 

short-term, fairly intensive stay in a SNF 

as a continuation of an acute hospital 

stay of several days), the Congress 

established as a prerequisite for SNF 

coverage a requirement that a 

beneficiary must first be a hospital 

inpatient for ‘‘not less than 3 

consecutive days before his discharge 

from the hospital’’ (section 1861(i) of 

the Act). From the very inception of the 

Medicare program, in determining the 

three-day inpatient requirement for 

purposes of triggering the SNF benefit, 

‘‘inpatient’’ status has been determined 

as commencing with ‘‘the calendar day 

of admission’’ to the hospital (see 20 

CFR § 405.120 (1966)). The current 

guidelines in the CMS Internet Online 

Manual (IOM) at Publication 100–02 

(Medicare Benefit Policy Manual), 

Chapter 8 (Coverage of Extended Care 

(SNF) Services Under Hospital 

Insurance), § 20.1 (Three-Day Prior 

Hospitalization) reflect this 

determination. 

More recently, it has been suggested 

that because of changes in hospital 

admission practices that have occurred 

since the Congress enacted this 

provision in 1965, some patients who at 

that time would have been a hospital 

inpatient for at least 3 days are instead 

now placed in observation status 

initially, before being formally admitted 

as a hospital inpatient. Observation 

status is a distinct service that is 

discussed in the IOM in Publication 

100–02 (Medicare Benefit Policy 

Manual), Chapter 6 (Hospital Services 

Covered Under Part B), § 70.4 

(Outpatient Observation Services), in 

which a patient who needs more care 

than can be provided in an emergency 

room is moved from the emergency 

room, placed in a hospital bed in the 

appropriate hospital unit, and 

monitored by the unit nursing and 

physician staff. We recognize that 

coverage of observation services under 

the outpatient prospective payment 

system is connected to patients with 

three specific diagnoses: chest pain, 

asthma, and congestive heart failure. 

However, as we noted previously, the 

longstanding policy interpretation of the 

SNF benefit’s prior hospital stay 

requirement does not count hospital 

observation time that immediately 

precedes an inpatient admission toward 

meeting the requirement. We have 

received occasional inquiries about the 

effect of this policy on those 

beneficiaries who would be able to 

satisfy the SNF benefit’s 3-day hospital 

stay requirement only if time spent in 

observation status immediately prior to 

the formal inpatient admission were 

counted. These inquiries assert that in 

such situations, the care furnished 

during observation may be 

indistinguishable from the inpatient 

care that follows the formal admission, 

so that the beneficiaries themselves 

often learn of the difference only after 

they were transferred to the SNF and 

failed to meet the SNF benefit’s prior 

hospital stay requirement. The inquirers 

argue that it is unfair to deny SNF 

coverage to such a beneficiary based 

solely on what they characterize as a 

mere recordkeeping convention on the 

part of the hospital rather than a 

substantive change in the actual care 

that the beneficiary receives there. 

We note that the current SNF benefit 

policy (which counts only time 

following the formal inpatient 

admission to the hospital toward 

meeting the qualifying hospital stay 

requirement) is based directly on the 

applicable portion of the Medicare law 

at section 1861(i) of the Act, which 

defines the SNF benefit’s qualifying 

hospital stay as one in which the 

beneficiary ‘‘* * * was an inpatient for 

not less than 3 consecutive days * * *’’

(emphasis added). An inpatient is a 

person who has been admitted to a 

hospital for bed occupancy for purposes 

of receiving inpatient hospital services 

as defined in section 1861 of the Act. 

Moreover, although at the time that this 

provision was enacted, the concept of 

observation status itself was not yet 

even envisioned, to date, the Congress 

has not chosen to amend section 1861(i) 

of the Act specifically to reflect use of 

observation time as triggering the SNF 

benefit. However, we are aware that 

over time, practice and treatment of 

observation time may have changed; 

thus, the effect of not counting this 

observation time under the existing 

policy ultimately might be to restrict 

SNF coverage to a narrower segment of 

the beneficiary population than the 

Congress originally intended.

Accordingly, with regard to those 

beneficiaries whose formal admission to 

the hospital as an inpatient is 

immediately preceded by time spent in 

hospital observation status, we invite 

comments on whether we should 

consider the possibility of counting the 

time spent in observation status toward 

meeting the SNF benefit’s qualifying 3-

day hospital stay requirement. We note 

that in evaluating the potential impact 

of such a change, it is necessary not 

only to consider its effect on those 

beneficiaries who might not otherwise 

be able to meet the SNF benefit’s prior 

qualifying hospital stay requirement, 

but also to assess potential negative 

consequences. Possible examples could 

include altering the nature of the SNF 

benefit in a manner that is inconsistent 

with Congressional intent in 

establishing this requirement, or 

creating a ‘‘woodwork effect’’ of 

unanticipated consequences, such as 

routine placement of patients in 

observation status prior to formal 

admission, even in situations where 

observation is not appropriate. 

In soliciting these comments, 

moreover, we wish to distinguish the 

possible use of observation time from 

time spent in the hospital’s emergency 

room. Although both observation 

services and emergency room services 

are directed at patients who are 

expected to spend only a short period of 

time in that service area, they are in 

many other ways dissimilar. Other than 

for patients with scheduled admissions, 

the emergency room generally serves as 

the hospital’s overall point of entry, 

irrespective of the degree of severity of 

a particular patient’s condition; thus, 

many hospital patients typically would 

commence their hospital encounter by 

spending at least some time initially in 

the emergency room. However, the time 

in the emergency room is not 

considered a substitute for or equivalent 

to inpatient hospital care. Clearly, many 

visits to the ER are for treatment of 

problems requiring no inpatient 

hospitalization (for example, most 

wounds, broken or sprained limbs, or 

minor respiratory illnesses) and often 

patients come to the ER because their 

regular physician is unavailable. 

Situations involving observation status, 

however, tend to be relatively 

infrequent compared to the care of all 

patients that present to the hospital (for 

example, excessive bleeding or 

complications during surgery 

necessitating a longer-than-normal 

recovery period, or non-specific 

significant abdominal pain). Further, as 

emergency room services typically 

represent the patient’s initial medical 

encounter for new or worsening 

symptoms, such services focus on 

identifying, managing, and stabilizing 

the patient’s acute condition. By 

contrast, observation services are 

furnished to a patient for whom there is 

already at least a working diagnosis, and 

involve ongoing assessment and shortterm treatment that is specifically 

directed at that condition so that a 

subsequent determination about 

29100 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

hospital admission or discharge can be 

made. (With respect to continuing 

assessment and treatment, observation 

services would appear to share some 

common elements with inpatient care, 

although the latter involves a condition 

that is expected to require care for a 

significantly longer duration, and that 

also may well require medical 

intervention at a level of complexity 

that does not occur on an outpatient 

basis.) 

We recognize that, under section 

1886(a) of the Act, the statute defines 

‘‘operating costs of inpatient hospital 

services’’ as including the costs of 

certain services furnished prior to a 

patient’s admission to the hospital. That 

is, the costs of certain services furnished 

prior to an individual’s admission as an 

inpatient are deemed by statute to be 

operating costs of inpatient hospital 

services. However, it is worth noting 

that section 1886(a) addresses costs, and 

neither section 1886(a) nor section 

1861(i) provides that a patient be 

deemed an inpatient during the time 

prior to admission for purposes of the 3-

day requirement for SNF coverage. 

Moreover, the deeming requirement in 

section 1886(a) and the 3-day 

requirement for SNF coverage in section 

1861(i) serve different purposes. The 

deeming requirement in section 1886(a) 

was intended to prevent hospitals from 

‘‘unbundling’’ services from the 

inpatient stay and inappropriately 

seeking separate payment. See 59 FR 

1654, 1656 (Jan. 12, 1994). That 

consideration does not apply in the 

context of SNF coverage. As discussed 

above, the purpose of the 3-day 

inpatient stay requirement for SNF 

coverage is to target SNF coverage to 

individuals requiring a short-term, fairly 

intensive stay in a SNF as a 

continuation of an acute hospital stay. 

The Congress chose to target SNF 

coverage to individuals who had been 

inpatients for at least 3 consecutive 

days; the Congress could have chosen a 

shorter time, or it could have specified 

that certain time before admission must 

be counted for purposes of the 3-day 

requirement, but it did not. Given the 

differences in statutory language and 

statutory purpose, we believe the 

requirement in section 1886(a) of the 

Act (to treat certain preadmission costs 

as inpatient costs) is consistent with not 

counting time spent in the hospital prior 

to an individual’s inpatient admission 

as inpatient time, for purposes of the 3-

day requirement for SNF coverage under 

section 1861(i) of the Act. 

VII. Provisions of the Proposed Rule 

In this proposed rule, we propose to 

make the following revision to the 

existing text of the regulations: 

• We would revise the regulations at 

§ 424.20(e)(2), regarding the 

performance of SNF certifications and 

recertifications by NPs and CNSs, to 

clarify the distinction between ‘‘direct’’

and ‘‘indirect’’ employment 

relationships. We would also make a 

minor technical correction in the 

definition of ‘‘HCPCS’’ that appears in 

§ 424.3. 

VIII. Collection of Information 

Requirements 

This document does not impose 

information collection and 

recordkeeping requirements. 

Consequently, it need not be reviewed 

by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995. 

IX. Regulatory Impact Analysis 

A. Overall Impact 

We have examined the impacts of this 

proposed rule as required by Executive 

Order 12866 (September 1993, 

Regulatory Planning and Review), the 

Regulatory Flexibility Act (RFA, 

September 16, 1980, Pub. L. 96–354), 

section 1102(b) of the Social Security 

Act, the Unfunded Mandates Reform 

Act of 1995 (Pub. L. 104–4), and 

Executive Order 13132.

Executive Order 12866 (as amended 

by Executive Order 13258, which 

merely reassigns responsibility of 

duties) directs agencies to assess all 

costs and benefits of available regulatory 

alternatives and, if regulation is 

necessary, to select regulatory 

approaches that maximize net benefits 

(including potential economic, 

environmental, public health and safety 

effects, distributive impacts, and 

equity). A regulatory impact analysis 

(RIA) must be prepared for major rules 

with economically significant effects 

($100 million or more in any 1 year). 

This proposed rule is major, as defined 

in Title 5, United States Code, section 

804(2), because we estimate the impact 

to the Medicare program, and the 

annual effects to the overall economy, 

would be more than $100 million. 

The RFA requires agencies to analyze 

options for regulatory relief of small 

businesses. For purposes of the RFA, 

small entities include small businesses, 

nonprofit organizations, and 

government agencies. Most SNFs and 

most other providers and suppliers are 

small entities, either by their nonprofit 

status or by having revenues of $11.5 

million or less in any 1 year. For 

purposes of the RFA, approximately 53 

percent of SNFs are considered small 

businesses according to the Small 

Business Administration’s latest size 

standards, with total revenues of $11.5 

million or less in any 1 year (for further 

information, see 65 FR 69432, 

November 17, 2000). Individuals and 

States are not included in the definition 

of a small entity. In addition, 

approximately 29 percent of SNFs are 

nonprofit organizations. 

This proposed rule proposes to 

update the SNF PPS rates published in 

the FY 2005 update notice on July 30, 

2004 (69 FR 45775) and the associated 

correction notices published on October 

7, 2004 (69 FR 60158), and December 

30, 2004 (69 FR 78445). 

In addition, section 1102(b) of the Act 

requires us to prepare a regulatory 

impact analysis if a rule may have a 

significant impact on the operations of 

a substantial number of small rural 

hospitals. This analysis must conform to 

the provisions of section 603 of the 

RFA. For purposes of section 1102(b) of 

the Act, we define a small rural hospital 

as a hospital that is located outside of 

a Metropolitan Statistical Area and has 

fewer than 100 beds. We anticipate that 

the impact on swing-bed facilities will 

be similar to the impact on rural 

hospital-based facilities, which benefit 

from the case-mix refinement (see Table 

12 below).

Section 202 of the Unfunded 

Mandates Reform Act of 1995 also 

requires that agencies assess anticipated 

costs and benefits before issuing any 

rule that may result in expenditure in 

any 1 year by State, local, or tribal 

governments, in the aggregate, or by the 

private sector, of $110 million or more. 

This proposed rule would not have a 

substantial effect on the governments 

mentioned, or on private sector costs. 

Executive Order 13132 establishes 

certain requirements that an agency 

must meet when it promulgates a 

proposed rule that impose substantial 

direct requirement costs on State and 

local governments, preempts State law, 

or otherwise has Federalism 

implications. As stated above, this 

proposed rule would not have a 

substantial effect on State and local 

governments. 

B. Anticipated Effects 

This proposed rule sets forth updates 

of the SNF PPS rates contained in the 

FY 2005 update notice (69 FR 45775), 

and the associated correction notices (69 

FR 60158 and 69 FR 78445) and 

presents a refinement to the RUG–III 

case-mix classification system to be 

incorporated into the Medicare SNF PPS 

effective January 1, 2006. As described 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29101

in Section II.B.4, providers would 

continue to be paid under the current 44 

group RUG–III system from October 1, 

2005 through December 31, 2005. 

Beginning January 1, 2006, we propose 

that providers would be paid the 

proposed new RUG–53 payment. 

Based on the above, we estimate the 

FY 2006 impact to be a net impact of $0 

million on payments (this reflects a 

$1.02 billion reduction from the 

expiration of temporary payment 

increases, offset by a $510 million 

increase from the proposed refined casemix classification system and a $510 

million increase from the update to the 

payment rates, as explained in greater 

detail later in this section). The impact 

analysis in Table 12 of this proposed 

rule represents the projected effects of 

the proposed policy changes in the SNF 

PPS from FY 2005 to FY 2006. We 

estimate the effects by estimating 

payments while holding all other 

payment variables constant. We use the 

best data available, but we do not 

attempt to predict behavioral responses 

to these changes, and we do not make 

adjustments for future changes in such 

variables as days or case-mix. 

We note that certain events may 

combine to limit the scope or accuracy 

of our impact analysis, because such an 

analysis is future-oriented and, thus, 

susceptible to forecasting errors due to 

other changes in the forecasted impact 

time period. Some examples are newlylegislated general Medicare program 

funding changes by the Congress, or 

changes specifically related to SNFs. In 

addition, changes to the Medicare 

program may continue to be made as a 

result of the BBA, the BBRA, the BIPA, 

the MMA, or new statutory provisions. 

Although these changes may not be 

specific to the SNF PPS, the nature of 

the Medicare program is such that the 

changes may interact, and the 

complexity of the interaction of these 

changes could make it difficult to 

predict accurately the full scope of the 

impact upon SNFs. 

In accordance with section 

1888(e)(4)(E) of the Act, we are updating 

the payment rates for FY 2006. The 

BBRA, BIPA, and MMA provided for 

several temporary adjustments to the 

SNF PPS payment rates that together, 

using the most recent data available, 

accounted for an estimated $1.4 billion 

per year in payments to the nursing 

home industry. 

We note that in accordance with 

section 101(a) of the BBRA and section 

314 of the BIPA, the existing, temporary 

increase in the per diem adjusted 

payment rates of 20 percent for certain 

specified clinically complex RUGs (and 

6.7 percent for other, rehabilitation 

RUGs) would expire with the 

implementation of the proposed casemix refinements in the SNF PPS. As 

explained in section II.B.3 of this 

proposed rule, section 511 of the MMA, 

which provides for a 128 percent 

increase in the PPS per diem payment 

for any SNF resident with Acquired 

Immune Deficiency Syndrome (AIDS), 

remains in effect. However, we have not 

provided a separate impact analysis for 

the MMA provision. Our latest estimates 

indicate that there are less than 2,000 

beneficiaries who qualify for this add-on 

payment. The impact to Medicare is 

included in the ‘‘total’’ column of Table 

12. 

In proposing to update the rates for 

FY 2006, we made a number of standard 

annual revisions and clarifications 

mentioned elsewhere in this proposed 

rule (for example, the update to the 

wage and market basket indexes used 

for adjusting the Federal rates). These 

revisions would increase payments to 

SNFs by approximately $510 million. 

The aggregate change in payments 

associated with this proposed rule is 

estimated to be $0 million for FY 2006. 

The decrease of $1.02 billion due to the 

elimination of the temporary add-ons as 

of January 1, 2006, together with the 

additional payment due to the proposed 

refined case-mix classification system of 

$510 million and the market basket 

increase of $510 million, results in a net 

change in payments of $0 million. There 

are two areas of change that produce 

this impact on SNFs: 

1. The implementation of a refined 

case-mix classification system under 

section 1888(e)(4)(G)(i) of the Act and, 

consequently, the reduction of the 

temporary 20 percent/6.7 percent addons to the Federal rates for the specified 

RUG groups. 

2. The total change in payments from 

FY 2005 levels to FY 2006 levels. This 

includes all of the previously noted 

changes in addition to the effect of the 

update to the rates. 

The impacts are shown in Table 12. 

The breakdown of the various categories 

of data in the table follows. 

The first column shows the 

breakdown of all SNFs by urban or rural 

status, hospital-based or freestanding 

status, and census region. 

The first row of figures in the first 

column describes the estimated effects 

of the various changes on all facilities. 

The next 6 rows show the effects on 

facilities split by hospital-based, 

freestanding, urban, and rural 

categories. The next 20 rows show the 

effects on urban versus rural status by 

census region. 

The second column in the table shows 

the number of facilities in the impact 

database.

The third column of the table shows 

the effect of the annual update to the 

wage index. This represents the effect of 

using the most recent wage data 

available. The total impact of this 

change is zero percent; however, there 

are distributional effects of the change. 

The fourth column of the table shows 

the effect of using the new OMB 

geographic designations based on 

CBSAs. 

The fifth column of the table shows 

the effect of the elimination of the addon for specified RUG groups. As 

expected, this results in a decrease in 

payments for all providers. 

The sixth column of the table shows 

the effect of the proposed refinements to 

the case-mix classification system. Table 

12 shows that there is a positive three 

percent overall impact from the 

proposed case-mix refinements. 

Distributional effects are noted for 

specific providers. For example, 

hospital-based facilities are expected to 

receive greater than a 5.6 percent 

increase in payment, compared with 

freestanding facilities that show an 

increase in payments of between 2.4 and 

2.9 percent. Additionally, rural Census 

regions show increases in payments of 

3.4 percent. 

The seventh column of the table 

shows the effect of all of the changes on 

the FY 2006 payments. As the market 

basket increase of 3.0 percentage points 

is constant for all providers, it is not 

shown individually; however, we note 

that the ‘‘Total FY 2006 change’’ column 

does incorporate this increase. It is 

projected that aggregate payments 

would not change in total, assuming 

facilities do not change their care 

delivery and billing practices in 

response. 

As can be seen from this table, the 

combined effects of all of the changes 

would vary by specific types of 

providers and by location. For example, 

though facilities in the rural South 

Atlantic and rural Mountain region 

experience payment decreases of 2.3 

and 1.8 percent respectively, some 

providers such as the rural Pacific and 

rural New England show increases of 

4.1 and 2.6 percent respectively. 

Payment increases for facilities in the 

Rural Pacific area of the country are the 

highest for any provider type.

29102 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE 12.—PROJECTED IMPACT TO THE SNF PPS FOR FY 2006 

Number of 

facilities 

Update 

wage data

(percent) 

MSA to 

CBSA

(percent) 

Eliminate 

add-on to 

certain 

RUGs

(percent) 

Case-mix 

refinements

(percent) 

Total FY 

2006 

change

(percent) 

Total ................................................................................. 15,675 0.0 0.0 ¥6.0 3.0 0.0 

Urban ............................................................................... 10,599 0.0 0.2 ¥6.0 2.9 0.1 

Rural ................................................................................. 5,076 0.1 ¥0.8 ¥6.0 3.4 ¥0.3 

Hospital based urban ....................................................... 1,097 0.0 0.2 ¥6.3 5.6 2.5 

Freestanding urban .......................................................... 8,693 0.0 0.2 ¥5.9 2.4 ¥0.3 

Hospital based rural ......................................................... 1,160 0.0 ¥0.7 ¥6.8 5.9 1.3 

Freestanding rural ............................................................ 3,372 0.2 ¥1.0 ¥5.9 2.9 ¥0.8 

Urban by region: 

New England ............................................................ 917 ¥0.4 ¥0.4 ¥6.4 3.0 ¥1.2 

Middle Atlantic .......................................................... 1,499 0.2 0.3 ¥6.1 3.4 0.8 

South Atlantic ............................................................ 1,739 ¥0.3 0.3 ¥5.9 2.6 ¥0.3 

East North Central .................................................... 2,009 ¥0.3 0.0 ¥5.7 2.8 ¥0.2 

East South Central ................................................... 531 0.4 0.7 ¥6.0 2.7 0.8 

West North Central ................................................... 836 ¥0.4 0.4 ¥5.9 3.7 0.8 

West South Central .................................................. 1,093 ¥0.1 0.5 ¥5.8 2.7 0.3 

Mountain ................................................................... 467 ¥0.2 0.5 ¥5.6 3.0 0.7 

Pacific ....................................................................... 1,501 1.2 0.0 ¥6.2 2.7 0.7 

Rural by region: 

New England ............................................................ 139 1.9 ¥0.1 ¥5.7 3.5 2.6 

Middle Atlantic .......................................................... 283 0.0 ¥0.8 ¥6.0 3.7 ¥0.1 

South Atlantic ............................................................ 612 ¥0.3 ¥1.7 ¥6.2 2.9 ¥2.3 

East North Central .................................................... 947 0.2 ¥0.8 ¥5.9 3.5 0.1 

East South Central ................................................... 571 0.4 ¥0.6 ¥6.3 2.9 ¥0.6 

West North Central ................................................... 1,219 ¥0.4 ¥0.3 ¥6.2 4.0 0.1 

West South Central .................................................. 823 0.3 ¥0.8 ¥6.2 2.9 ¥0.7 

Mountain ................................................................... 298 0.8 ¥3.4 ¥5.9 3.8 ¥1.8 

Pacific ....................................................................... 182 1.3 0.5 ¥4.2 3.5 4.1 

Ownership: 

Government .............................................................. 693 0.1 0.3 ¥6.5 3.2 0.0 

Proprietary ................................................................ 9,317 0.0 0.0 ¥5.9 2.9 0.0 

Voluntary ................................................................... 3,493 ¥0.1 ¥0.1 ¥6.0 3.1 ¥0.1 

C. Accounting Statement 

As required by OMB Circular A–4 

(available at http://

www.whitehouse.gov/omb/circulars/

a004/a–4.pdf), in Table 13 below, we 

have prepared an accounting statement 

showing the classification of the 

expenditures associated with the 

provisions of this proposed rule. This 

table provides our best estimate of the 

change in Medicare payments under the 

SNF PPS as a result of the proposals 

presented in this proposed rule based 

on the data for 15,675 SNFs in our 

database. All expenditures are classified 

as transfers to Medicare providers (that 

is, SNFs).

TABLE 13.—ACCOUNTING STATEMENT: 

CLASSIFICATION OF ESTIMATED EXPENDITURES, FROM THE 2005 SNF 

PPS RATE YEAR TO THE 2006 SNF 

PPS RATE YEAR (IN MILLIONS) 

Category Transfers 

Annualized Monetized Transfers.$0 million. 

From Whom To Whom? ....... No Transfer. 

D. Alternatives Considered 

Section 1888(e) of the Act establishes 

the SNF PPS for the payment of 

Medicare SNF services for cost reporting 

periods beginning on or after July 1, 

1998. This section of the statute 

prescribes a detailed formula for 

calculating payment rates under the 

SNF PPS, and does not provide for the 

use of any alternative methodology. It 

specifies that the base year cost data to 

be used for computing the RUG-III 

payment rates must be from FY 1995 

(October 1, 1994, through September 30, 

1995.) In accordance with the statute, 

we also incorporated a number of 

elements into the SNF PPS, such as 

case-mix classification methodology, the 

MDS assessment schedule, a market 

basket index, a wage index, and the 

urban and rural distinction used in the 

development or adjustment of the 

Federal rates. Further, section 

1888(e)(4)(H) of the Act specifically 

requires us to disseminate the payment 

rates for each new fiscal year through 

the Federal Register, and to do so before 

the August 1 that precedes the start of 

the new fiscal year. 

As discussed previously in section 

II.B of this proposed rule, we propose to 

implement refinements to the RUG-III 

case-mix classification system under 

section 1888(e)(4)(G)(i) of the Act. At 

the same time, we continue to evaluate 

longer-range, more comprehensive 

changes in the case-mix classification 

system. One alternative that we 

considered was to defer proposing 

refinements at this time until our 

evaluation of longer-range, more 

comprehensive changes is complete. 

However, we believe that the 

refinements that we are proposing 

would serve to improve the distribution 

of payments under the PPS, in a manner 

that more accurately accounts for the 

care needs of the most medically 

complex patients. As noted in section II 

of this preamble, a number of analyses 

have demonstrated an increase in the 

explanatory power (R-square) of the 

proposed refined case-mix classification 

system model, compared to the 44-

group model that is currently in use. 

While our additional research may 

identify more comprehensive 

modifications, it is not currently known 

when the results of this research would 

become available. Therefore, we have 

decided to propose the refinements 

discussed elsewhere in this proposed 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29103

rule. In addition, as noted previously, 

we specifically solicit comments on the 

economic impact of the payment 

changes discussed in this proposed rule, 

as well as their potential impact on 

beneficiaries’ access to quality SNF care. 

We considered other options intended 

to help ensure more accurate allocation 

of payments specifically with regard to 

non-therapy ancillaries. One of these 

options included moving the nontherapy ancillary costs used in 

establishing the nursing case-mix 

component of the payment rates to a 

separate, newly created ‘‘medically 

ancillary’’ component (65 FR 19192, 

April 10, 2000). In addition, we looked 

at a number of possible models, both 

weighted and unweighted, for a new 

non-therapy ancillary index (65 FR 

19248ff.). Finally, we also researched 

the application of models such as 

Diagnosis-Related Groups (DRGs) and 

All Patient Refined DRGs (APR–DRGs). 

However, at this stage in our analysis, 

none of these alternatives offered a 

significant improvement over the RUG–

53 model in accounting for the 

variability of non-therapy ancillary 

costs. 

In accordance with the provisions of 

Executive Order 12866, this regulation 

was reviewed by the Office of 

Management and Budget.

List of Subjects in 42 CFR Part 424 

Emergency medical services, Health 

facilities, Health professions, Medicare.

For the reasons set forth in the 

preamble, the Centers for Medicare & 

Medicaid Services proposes to amend 

42 CFR chapter IV as follows:

PART 424—CONDITIONS FOR 

MEDICARE PAYMENT 

1. The authority citation for part 424 

continues to read as follows:

Authority: Secs. 1102 and 1871 of the 

Social Security Act (42 U.S.C. 1302 and 

1395hh).

Subpart A—General Provisions

§ 424.3 [Amended] 

2. In § 424.3, in the definition of 

‘‘HCPCS’’ remove the word ‘‘CMS’’ and 

add the word ‘‘Healthcare’’ in its place.

Subpart B—Certification and Plan of 

Treatment Requirements 

3. In § 424.20, paragraph (e)(2) is 

revised to read as follows:

§ 424.20 Requirements for posthospital 

SNF care.

* * * * *

(e) * * * 

(2) A nurse practitioner or clinical 

nurse specialist, neither of whom has a 

direct or indirect employment 

relationship with the facility but who is 

working in collaboration with a 

physician. For purposes of this 

section—

(i) Collaboration means a process 

whereby a nurse practitioner or clinical 

nurse specialist works with a doctor of 

medicine or osteopathy to deliver health 

care services. The services are delivered 

within the scope of the nurse’s 

professional expertise, with medical 

direction and appropriate supervision as 

provided for in guidelines jointly 

developed by the nurse and the 

physician or other mechanisms defined 

by Federal regulations and the law of 

the State in which the services are 

performed. 

(ii) A direct employment relationship

with the facility is one meeting the 

common law test specified in 20 CFR 

404.1005, 404.1007, and 404.1009. 

When this test is not met, the facility is 

considered to have an indirect 

employment relationship with any 

nurse practitioner or clinical nurse 

specialist who performs nursing 

services for the facility under § 409.21 of 

this subchapter (however, the 

performance of only delegated 

physician tasks under § 483.40(e) of this 

chapter does not, in itself, establish the 

existence of an indirect employment 

relationship).

* * * * *

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare-Hospital 

Insurance Program; and No. 93.774, 

Medicare-Supplementary Medical Insurance 

Program)

Dated: March 31, 2005. 

Mark B. McClellan, 

Administrator, Centers for Medicare & 

Medicaid Services. 

Dated: May 13, 2005. 

Michael O. Leavitt, 

Secretary.

VI. Addendum 

This section contains the tables 

referred to throughout the preamble to 

this proposed rule. Tables 8 ‘‘Proposed 

Wage Index For Urban Areas Based On 

CBSA Labor Market Areas,’’ Table 9 

‘‘Proposed Wage Index Based On CBSA 

Labor Market Areas For Rural Areas’’

and Table A ‘‘MSA/CBSA Crosswalk’’

are presented below.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

10180 ....... Abilene, TX ............. 0.7904 

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Callahan County, 

TX.

Jones County, TX.

Taylor County, TX.

10380 ....... Aguadilla-IsabelaSan Sebastian, 

PR.

0.4743 

Aguada Municipio, 

PR.

Aguadilla Municipio, 

PR.

An ̃asco Municipio, 

PR.

Isabela Municipio, 

PR.

Lares Municipio, PR.

Moca Municipio, PR.

Rinco ́n Municipio, 

PR.

San Sebastian 

Municipio, PR.

10420 ....... Akron, OH ............... 0.8991 

Portage County, OH.

Summit County, OH.

10500 ....... Albany, GA ............. 0.8636 

Baker County, GA.

Dougherty County, 

GA.

Lee County, GA.

Terrell County, GA.

Worth County, GA.

10580 ....... Albany-Schenectady-Troy, NY.0.8545 

Albany County, NY.

Rensselaer County, 

NY.

Saratoga County, 

NY.

Schenectady County, NY.

Schoharie County, 

NY.

10740 ....... Albuquerque, NM .... 0.9693 

Bernalillo County, 

NM.

Sandoval County, 

NM.

Torrance County, 

NM.

Valencia County, 

NM.

10780 ....... Alexandria, LA ........ 0.8041 

Grant Parish, LA.

Rapides Parish, LA.

10900 ....... Allentown-Bethlehem-Easton, 

PA-NJ.

0.9828 

Warren County, NJ.

Carbon County, PA.

Lehigh County, PA.

Northampton County, PA.

11020 ....... Altoona, PA ............. 0.8953 

Blair County, PA.

11100 ....... Amarillo, TX ............ 0.9166 

Armstrong County, 

TX.

29104 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Carson County, TX.

Potter County, TX.

Randall County, TX.

11180 ....... Ames, IA ................. 0.9545 

Story County, IA.

11260 ....... Anchorage, AK ....... 1.2110 

Anchorage Municipality, AK.

Matanuska-Susitna 

Borough, AK.

11300 ....... Anderson, IN ........... 0.8595 

Madison County, IN.

11340 ....... Anderson, SC ......... 0.8897 

Anderson County, 

SC.

11460 ....... Ann Arbor, MI ......... 1.0870 

Washtenaw County, 

MI.

11500 ....... Anniston-Oxford, AL 0.7659 

Calhoun County, AL.

11540 ....... Appleton, WI ........... 0.9298 

Calumet County, WI.

Outagamie County, 

WI.

11700 ....... Asheville, NC .......... 0.9294 

Buncombe County, 

NC.

Haywood County, 

NC.

Henderson County, 

NC.

Madison County, 

NC.

12020 ....... Athens-Clarke 

County, GA.

0.9843 

Clarke County, GA.

Madison County, 

GA.

Oconee County, GA.

Oglethorpe County, 

GA.

12060 ....... Atlanta-Sandy 

Springs-Marietta, 

GA.

0.9648 

Barrow County, GA.

Bartow County, GA.

Butts County, GA.

Carroll County, GA.

Cherokee County, 

GA.

Clayton County, GA.

Cobb County, GA.

Coweta County, GA.

Dawson County, GA.

DeKalb County, GA.

Douglas County, GA.

Fayette County, GA.

Forsyth County, GA.

Fulton County, GA.

Gwinnett County, 

GA.

Haralson County, 

GA.

Heard County, GA.

Henry County, GA.

Jasper County, GA.

Lamar County, GA.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Meriwether County, 

GA.

Newton County, GA.

Paulding County, 

GA.

Pickens County, GA.

Pike County, GA.

Rockdale County, 

GA.

Spalding County, 

GA.

Walton County, GA.

12100 ....... Atlantic City, NJ ...... 1.1633 

Atlantic County, NJ.

12220 ....... Auburn-Opelika, AL 0.8108 

Lee County, AL.

12260 ....... Augusta-Richmond 

County, GA-SC.

0.9565 

Burke County, GA.

Columbia County, 

GA.

McDuffie County, 

GA.

Richmond County, 

GA.

Aiken County, SC.

Edgefield County, 

SC.

12420 ....... Austin-Round Rock, 

TX.

0.9450 

Bastrop County, TX.

Caldwell County, TX.

Hays County, TX.

Travis County, TX.

Williamson County, 

TX.

12540 ....... Bakersfield, CA ....... 1.0344 

Kern County, CA.

12580 ....... Baltimore-Towson, 

MD.

0.9907 

Anne Arundel County, MD.

Baltimore County, 

MD.

Carroll County, MD.

Harford County, MD.

Howard County, MD.

Queen Anne’s 

County, MD.

Baltimore City, MD.

12620 ....... Bangor, ME ............. 1.0003 

Penobscot County, 

ME.

12700 ....... Barnstable Town, 

MA.

1.2527 

Barnstable County, 

MA.

12940 ....... Baton Rouge, LA .... 0.8601 

Ascension Parish, 

LA.

East Baton Rouge 

Parish, LA.

East Feliciana Parish, LA.

Iberville Parish, LA.

Livingston Parish, 

LA.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Pointe Coupee Parish, LA.

St. Helena Parish, 

LA.

West Baton Rouge 

Parish, LA.

West Feliciana Parish, LA.

12980 ....... Battle Creek, MI ...... 0.9510 

Calhoun County, MI.

13020 ....... Bay City, MI ............ 0.9352 

Bay County, MI.

13140 ....... Beaumont-Port Arthur, TX.0.8421 

Hardin County, TX.

Jefferson County, 

TX.

Orange County, TX.

13380 ....... Bellingham, WA ...... 1.1743 

Whatcom County, 

WA.

13460 ....... Bend, OR ................ 1.0796 

Deschutes County, 

OR.

13644 ....... Bethesda-FrederickGaithersburg, MD.1.1495 

Frederick County, 

MD.

Montgomery County, MD.

13740 ....... Billings, MT ............. 0.8843 

Carbon County, MT.

Yellowstone County, 

MT.

13780 ....... Binghamton, NY ..... 0.8571 

Broome County, NY.

Tioga County, NY.

13820 ....... Birmingham-Hoover, 

AL.

0.8979 

Bibb County, AL.

Blount County, AL.

Chilton County, AL.

Jefferson County, 

AL.

St. Clair County, AL.

Shelby County, AL.

Walker County, AL.

13900 ....... Bismarck, ND .......... 0.7519 

Burleigh County, ND.

Morton County, ND.

13980 ....... BlacksburgChristiansburgRadford, VA.0.7962 

Giles County, VA.

Montgomery County, VA.

Pulaski County, VA.

Radford City, VA.

14020 ....... Bloomington, IN ...... 0.8456 

Greene County, IN.

Monroe County, IN.

Owen County, IN.

14060 ....... Bloomington-Normal, IL.0.9084 

McLean County, IL.

14260 ....... Boise City-Nampa, 

ID.

0.9061 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29105

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Ada County, ID.

Boise County, ID.

Canyon County, ID.

Gem County, ID.

Owyhee County, ID.

14484 ....... Boston-Quincy, MA 1.1543 

Norfolk County, MA.

Plymouth County, 

MA.

Suffolk County, MA.

14500 ....... Boulder, CO ............ 0.9744 

Boulder County, CO.

14540 ....... Bowling Green, KY 0.8220 

Edmonson County, 

KY.

Warren County, KY.

14740 ....... BremertonSilverdale, WA.1.0686 

Kitsap County, WA.

14860 ....... Bridgeport-Stamford-Norwalk, CT.1.2598 

Fairfield County, CT.

15180 ....... Brownsville-Harlingen, TX.0.9822 

Cameron County, 

TX.

15260 ....... Brunswick, GA ........ 0.9320 

Brantley County, GA.

Glynn County, GA.

McIntosh County, 

GA.

15380 ....... Buffalo-Niagara 

Falls, NY.

0.8889 

Erie County, NY.

Niagara County, NY.

15500 ....... Burlington, NC ........ 0.8914 

Alamance County, 

NC.

15540 ....... Burlington-South 

Burlington, VT.

0.9446 

Chittenden County, 

VT.

Franklin County, VT.

Grand Isle County, 

VT.

15764 ....... Cambridge-NewtonFramingham, MA.1.1084 

Middlesex County, 

MA.

15804 ....... Camden, NJ ............ 1.0528 

Burlington County, 

NJ.

Camden County, NJ.

Gloucester County, 

NJ.

15940 ....... Canton-Massillon, 

OH.

0.8944 

Carroll County, OH.

Stark County, OH.

15980 ....... Cape Coral-Fort 

Myers, FL.

0.9366 

Lee County, FL.

16180 ....... Carson City, NV ...... 1.0244 

16220 ....... Casper, WY ............ 0.9035 

Natrona County, WY.

16300 ....... Cedar Rapids, IA .... 0.8617 

Benton County, IA.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Jones County, IA.

Linn County, IA.

16580 ....... Champaign-Urbana, 

IL.

0.9604 

Champaign County, 

IL.

Ford County, IL.

Piatt County, IL.

16620 ....... Charleston, WV ...... 0.8428 

Boone County, WV.

Clay County, WV.

Kanawha County, 

WV.

Lincoln County, WV.

Putnam County, WV.

16700 ....... Charleston-North 

Charleston, SC.

0.9438 

Berkeley County, 

SC.

Charleston County, 

SC.

Dorchester County, 

SC.

16740 ....... Charlotte-GastoniaConcord, NC-SC.0.9760 

Anson County, NC.

Cabarrus County, 

NC.

Gaston County, NC.

Mecklenburg County, NC.

Union County, NC.

York County, SC.

16820 ....... Charlottesville, VA .. 1.0234 

Albemarle County, 

VA.

Fluvanna County, 

VA.

Greene County, VA.

Nelson County, VA.

Charlottesville City, 

VA.

16860 ....... Chattanooga, TNGA.0.9098 

Catoosa County, GA.

Dade County, GA.

Walker County, GA.

Hamilton County, 

TN.

Marion County, TN.

Sequatchie County, 

TN.

16940 ....... Cheyenne, WY ....... 0.8784 

Laramie County, 

WY.

16974 ....... Chicago-NapervilleJoliet, IL.1.0848 

Cook County, IL.

DeKalb County, IL.

DuPage County, IL.

Grundy County, IL.

Kane County, IL.

Kendall County, IL.

McHenry County, IL.

Will County, IL.

17020 ....... Chico, CA ............... 1.0522 

Butte County, CA.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

17140 ....... Cincinnati-Middletown, OH-KY-IN.0.9623 

Dearborn County, IN.

Franklin County, IN.

Ohio County, IN.

Boone County, KY.

Bracken County, KY.

Campbell County, 

KY.

Gallatin County, KY.

Grant County, KY.

Kenton County, KY.

Pendleton County, 

KY.

Brown County, OH.

Butler County, OH.

Clermont County, 

OH.

Hamilton County, 

OH.

Warren County, OH.

17300 ....... Clarksville, TN-KY .. 0.8292 

Christian County, 

KY.

Trigg County, KY.

Montgomery County, TN.

Stewart County, TN.

17420 ....... Cleveland, TN ......... 0.8141 

Bradley County, TN.

Polk County, TN.

17460 ....... Cleveland-ElyriaMentor, OH.0.9204 

Cuyahoga County, 

OH.

Geauga County, OH.

Lake County, OH.

Lorain County, OH.

Medina County, OH.

17660 ....... Coeur d’Alene, ID ... 0.9657 

Kootenai County, ID.

17780 ....... College StationBryan, TX.0.8909 

Brazos County, TX.

Burleson County, 

TX.

Robertson County, 

TX.

17820 ....... Colorado Springs, 

CO.

0.9478 

El Paso County, CO.

Teller County, CO.

17860 ....... Columbia, MO ......... 0.8354 

Boone County, MO.

Howard County, MO.

17900 ....... Columbia, SC ......... 0.9047 

Calhoun County, SC.

Fairfield County, SC.

Kershaw County, 

SC.

Lexington County, 

SC.

Richland County, 

SC.

Saluda County, SC.

17980 ....... Columbus, GA-AL ... 0.8568 

Russell County, AL.

29106 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Chattahoochee 

County, GA.

Harris County, GA.

Marion County, GA.

Muscogee County, 

GA.

18020 ....... Columbus, IN .......... 0.9598 

Bartholomew County, IN.

18140 ....... Columbus, OH ........ 0.9850 

Delaware County, 

OH.

Fairfield County, OH.

Franklin County, OH.

Licking County, OH.

Madison County, 

OH.

Morrow County, OH.

Pickaway County, 

OH.

Union County, OH.

18580 ....... Corpus Christi, TX .. 0.8559 

Aransas County, TX.

Nueces County, TX.

San Patricio County, 

TX.

18700 ....... Corvallis, OR .......... 1.0739 

Benton County, OR.

19060 ....... Cumberland, MDWV.0.9326 

Allegany County, 

MD.

Mineral County, WV.

19124 ....... Dallas-Plano-Irving, 

TX.

1.0233 

Collin County, TX.

Dallas County, TX.

Delta County, TX.

Denton County, TX.

Ellis County, TX.

Hunt County, TX.

Kaufman County, 

TX.

Rockwall County, 

TX.

19140 ....... Dalton, GA .............. 0.9044 

Murray County, GA.

Whitfield County, 

GA.

19180 ....... Danville, IL .............. 0.9037 

Vermilion County, IL.

19260 ....... Danville, VA ............ 0.8497 

Pittsylvania County, 

VA.

Danville City, VA.

19340 ....... Davenport-MolineRock Island, IA-IL.0.8731 

Henry County, IL.

Mercer County, IL.

Rock Island County, 

IL.

Scott County, IA.

19380 ....... Dayton, OH ............. 0.9073 

Greene County, OH.

Miami County, OH.

Montgomery County, OH.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Preble County, OH.

19460 ....... Decatur, AL ............. 0.8478 

Lawrence County, 

AL.

Morgan County, AL.

19500 ....... Decatur, IL .............. 0.8076 

Macon County, IL.

19660 ....... Deltona-Daytona 

Beach-Ormond 

Beach, FL.

0.9308 

Volusia County, FL.

19740 ....... Denver-Aurora, CO 1.0733 

Adams County, CO.

Arapahoe County, 

CO.

Broomfield County, 

CO.

Clear Creek County, 

CO.

Denver County, CO.

Douglas County, CO.

Elbert County, CO.

Gilpin County, CO.

Jefferson County, 

CO.

Park County, CO.

19780 ....... Des Moines, IA ....... 0.9651 

Dallas County, IA.

Guthrie County, IA.

Madison County, IA.

Polk County, IA.

Warren County, IA.

19804 ....... Detroit-Livonia-Dearborn, MI.1.0441 

Wayne County, MI.

20020 ....... Dothan, AL .............. 0.7707 

Geneva County, AL.

Henry County, AL.

Houston County, AL.

20100 ....... Dover, DE ............... 0.9779 

Kent County, DE.

20220 ....... Dubuque, IA ............ 0.9135 

Dubuque County, IA.

20260 ....... Duluth, MN-WI ........ 1.0209 

Carlton County, MN.

St. Louis County, 

MN.

Douglas County, WI.

20500 ....... Durham, NC ............ 1.0303 

Chatham County, 

NC.

Durham County, NC.

Orange County, NC.

Person County, NC.

20740 ....... Eau Claire, WI ........ 0.9210 

Chippewa County, 

WI.

Eau Claire County, 

WI.

20764 ....... Edison, NJ .............. 1.1260 

Middlesex County, 

NJ.

Monmouth County, 

NJ.

Ocean County, NJ.

Somerset County, 

NJ.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

20940 ....... El Centro, CA ......... 0.8915 

Imperial County, CA.

21060 ....... Elizabethtown, KY .. 0.8810 

Hardin County, KY.

Larue County, KY.

21140 ....... Elkhart-Goshen, IN 0.9637 

Elkhart County, IN.

21300 ....... Elmira, NY .............. 0.8259 

Chemung County, 

NY.

21340 ....... El Paso, TX ............ 0.8924 

El Paso County, TX.

21500 ....... Erie, PA .................. 0.8746 

Erie County, PA.

21604 ....... Essex County, MA .. 1.0533 

Essex County, MA.

21660 ....... Eugene-Springfield, 

OR.

1.0829 

Lane County, OR.

21780 ....... Evansville, IN-KY .... 0.8721 

Gibson County, IN.

Posey County, IN.

Vanderburgh County, IN.

Warrick County, IN.

Henderson County, 

KY.

Webster County, KY.

21820 ....... Fairbanks, AK ......... 1.1419 

Fairbanks North 

Star Borough, AK.

21940 ....... Fajardo, PR ............ 0.4157 

Ceiba Municipio, PR.

Fajardo Municipio, 

PR.

Luquillo Municipio, 

PR.

22020 ....... Fargo, ND-MN ........ 0.8495 

Cass County, ND.

Clay County, MN.

22140 ....... Farmington, NM ...... 0.8518 

San Juan County, 

NM.

22180 ....... Fayetteville, NC ...... 0.9426 

Cumberland County, 

NC.

Hoke County, NC.

22220 ....... Fayetteville-Springdale-Rogers, ARMO.0.8563 

Benton County, AR.

Madison County, AR.

Washington County, 

AR.

McDonald County, 

MO.

22380 ....... Flagstaff, AZ ........... 1.2105 

Coconino County, 

AZ.

22420 ....... Flint, MI ................... 1.0663 

Genesee County, MI.

22500 ....... Florence, SC ........... 0.8964 

Darlington County, 

SC.

Florence County, 

SC.

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29107

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

22520 ....... Florence-Muscle 

Shoals, AL.

0.8280 

Colbert County, AL.

Lauderdale County, 

AL.

22540 ....... Fond du Lac, WI ..... 0.9650 

Fond du Lac County, WI.

22660 ....... Fort CollinsLoveland, CO.1.0132 

Larimer County, CO.

22744 ....... Fort LauderdalePompano BeachDeerfield Beach, 

FL.

1.0442 

Broward County, FL.

22900 ....... Fort Smith, AR-OK 0.8214 

Crawford County, 

AR.

Franklin County, AR.

Sebastian County, 

AR.

Le Flore County, OK.

Sequoyah County, 

OK.

23020 ....... Fort Walton BeachCrestview-Destin, 

FL.

0.8881 

Okaloosa County, 

FL.

23060 ....... Fort Wayne, IN ....... 0.9803 

Allen County, IN.

Wells County, IN.

Whitley County, IN.

23104 ....... Fort Worth-Arlington, TX.0.9510 

Johnson County, TX.

Parker County, TX.

Tarrant County, TX.

Wise County, TX.

23420 ....... Fresno, CA ............. 1.0541 

Fresno County, CA.

23460 ....... Gadsden, AL ........... 0.7946 

Etowah County, AL.

23540 ....... Gainesville, FL ........ 0.9474 

Alachua County, FL.

Gilchrist County, FL.

23580 ....... Gainesville, GA ....... 0.8883 

Hall County, GA.

23844 ....... Gary, IN .................. 0.9369 

Jasper County, IN.

Lake County, IN.

Newton County, IN.

Porter County, IN.

24020 ....... Glens Falls, NY ...... 0.8567 

Warren County, NY.

Washington County, 

NY.

24140 ....... Goldsboro, NC ........ 0.8784 

Wayne County, NC.

24220 ....... Grand Forks, NDMN.1.1516 

Polk County, MN.

Grand Forks County, ND.

24300 ....... Grand Junction, CO 0.9560 

Mesa County, CO.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

24340 ....... Grand Rapids-Wyoming, MI.0.9400 

Barry County, MI.

Ionia County, MI.

Kent County, MI.

Newaygo County, 

MI.

24500 ....... Great Falls, MT ....... 0.9061 

Cascade County, 

MT.

24540 ....... Greeley, CO ............ 0.9580 

Weld County, CO.

24580 ....... Green Bay, WI ........ 0.9452 

Brown County, WI.

Kewaunee County, 

WI.

Oconto County, WI.

24660 ....... Greensboro-High 

Point, NC.

0.9113 

Guilford County, NC.

Randolph County, 

NC.

Rockingham County, NC.

24780 ....... Greenville, NC ........ 0.9434 

Greene County, NC.

Pitt County, NC.

24860 ....... Greenville, SC ........ 1.0165 

Greenville County, 

SC.

Laurens County, SC.

Pickens County, SC.

25020 ....... Guayama, PR ......... 0.3184 

Arroyo Municipio, 

PR.

Guayama Municipio, 

PR.

Patillas Municipio, 

PR.

25060 ....... Gulfport-Biloxi, MS .. 0.8938 

Hancock County, 

MS.

Harrison County, 

MS.

Stone County, MS.

25180 ....... Hagerstown-Martinsburg, MD-WV.0.9499 

Washington County, 

MD.

Berkeley County, 

WV.

Morgan County, WV.

25260 ....... Hanford-Corcoran, 

CA.

1.0046 

Kings County, CA.

25420 ....... Harrisburg-Carlisle, 

PA.

0.9322 

Cumberland County, 

PA.

Dauphin County, PA.

Perry County, PA.

25500 ....... Harrisonburg, VA .... 0.9098 

Rockingham County, VA.

Harrisonburg City, 

VA.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

25540 ....... Hartford-West Hartford-East Hartford, 

CT.

1.1084 

Hartford County, CT.

Litchfield County, 

CT.

Middlesex County, 

CT.

Tolland County, CT.

25620 ....... Hattiesburg, MS ...... 0.7609 

Forrest County, MS.

Lamar County, MS.

Perry County, MS.

25860 ....... Hickory-Lenoir-Morganton, NC.0.8922 

Alexander County, 

NC.

Burke County, NC.

Caldwell County, 

NC.

Catawba County, 

NC.

25980 ....... Hinesville-Fort Stewart, GA1.0.9178 

Liberty County, GA.

Long County, GA.

26100 ....... Holland-Grand 

Haven, MI.

0.9064 

Ottawa County, MI.

26180 ....... Honolulu, HI ............ 1.1208 

Honolulu County, HI.

26300 ....... Hot Springs, AR ...... 0.9053 

Garland County, AR.

26380 ....... Houma-Bayou 

Cane-Thibodaux, 

LA.

0.7902 

Lafourche Parish, 

LA.

Terrebonne Parish, 

LA.

26420 ....... Houston-BaytownSugar Land, TX.1.0005 

Austin County, TX.

Brazoria County, TX.

Chambers County, 

TX.

Fort Bend County, 

TX.

Galveston County, 

TX.

Harris County, TX.

Liberty County, TX.

Montgomery County, TX.

San Jacinto County, 

TX.

Waller County, TX.

26580 ....... Huntington-Ashland, 

WV-KY-OH.

0.9486 

Boyd County, KY.

Greenup County, 

KY.

Lawrence County, 

OH.

Cabell County, WV.

Wayne County, WV.

26620 ....... Huntsville, AL .......... 0.9149 

29108 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Limestone County, 

AL.

Madison County, AL.

26820 ....... Idaho Falls, ID ........ 0.9429 

Bonneville County, 

ID.

Jefferson County, ID.

26900 ....... Indianapolis, IN ....... 0.9930 

Boone County, IN.

Brown County, IN.

Hamilton County, IN.

Hancock County, IN.

Hendricks County, 

IN.

Johnson County, IN.

Marion County, IN.

Morgan County, IN.

Putnam County, IN.

Shelby County, IN.

26980 ....... Iowa City, IA ........... 0.9756 

Johnson County, IA.

Washington County, 

IA.

27060 ....... Ithaca, NY ............... 0.9803 

Tompkins County, 

NY.

27100 ....... Jackson, MI ............ 0.9313 

Jackson County, MI.

27140 ....... Jackson, MS ........... 0.8319 

Copiah County, MS.

Hinds County, MS.

Madison County, 

MS.

Rankin County, MS.

Simpson County, 

MS.

27180 ....... Jackson, TN ............ 0.8973 

Chester County, TN.

Madison County, TN.

27260 ....... Jacksonville, FL ...... 0.9299 

Baker County, FL.

Clay County, FL.

Duval County, FL.

Nassau County, FL.

St. Johns County, 

FL.

27340 ....... Jacksonville, NC ..... 0.8244 

Onslow County, NC.

27500 ....... Janesville, WI ......... 0.9547 

Rock County, WI.

27620 ....... Jefferson City, MO .. 0.8396 

Callaway County, 

MO.

Cole County, MO.

Moniteau County, 

MO.

Osage County, MO.

27740 ....... Johnson City, TN .... 0.7945 

Carter County, TN.

Unicoi County, TN.

Washington County, 

TN.

27780 ....... Johnstown, PA ........ 0.8362 

Cambria County, PA.

27860 ....... Jonesboro, AR ........ 0.7919 

Craighead County, 

AR.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Poinsett County, AR.

27900 ....... Joplin, MO .............. 0.8590 

Jasper County, MO.

Newton County, MO.

28020 ....... Kalamazoo-Portage, 

MI.

1.0391 

Kalamazoo County, 

MI.

Van Buren County, 

MI.

28100 ....... Kankakee-Bradley, 

IL.

1.0974 

Kankakee County, 

IL.

28140 ....... Kansas City, MO-KS 0.9467 

Franklin County, KS.

Johnson County, KS.

Leavenworth County, KS.

Linn County, KS.

Miami County, KS.

Wyandotte County, 

KS.

Bates County, MO.

Caldwell County, 

MO.

Cass County, MO.

Clay County, MO.

Clinton County, MO.

Jackson County, 

MO.

Lafayette County, 

MO.

Platte County, MO.

Ray County, MO.

28420 ....... Kennewick-Richland-Pasco, WA.1.0630 

Benton County, WA.

Franklin County, WA.

28660 ....... Killeen-Temple-Fort 

Hood, TX.

0.8535 

Bell County, TX.

Coryell County, TX.

Lampasas County, 

TX.

28700 ....... Kingsport-BristolBristol, TN-VA.0.8062 

Hawkins County, TN.

Sullivan County, TN.

Bristol City, VA.

Scott County, VA.

Washington County, 

VA.

28740 ....... Kingston, NY ........... 0.9257 

Ulster County, NY.

28940 ....... Knoxville, TN .......... 0.8454 

Anderson County, 

TN.

Blount County, TN.

Knox County, TN.

Loudon County, TN.

Union County, TN.

29020 ....... Kokomo, IN ............. 0.9517 

Howard County, IN.

Tipton County, IN.

29100 ....... La Crosse, WI-MN .. 0.9573 

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Houston County, 

MN.

La Crosse County, 

WI.

29140 ....... Lafayette, IN ........... 0.8745 

Benton County, IN.

Carroll County, IN.

Tippecanoe County, 

IN.

29180 ....... Lafayette, LA .......... 0.8436 

Lafayette Parish, LA.

St. Martin Parish, 

LA.

29340 ....... Lake Charles, LA .... 0.7841 

Calcasieu Parish, 

LA.

Cameron Parish, LA.

29404 ....... Lake County-Kenosha County, IL-WI.1.0440 

Lake County, IL.

Kenosha County, WI.

29460 ....... Lakeland, FL ........... 0.8921 

Polk County, FL.

29540 ....... Lancaster, PA ......... 0.9704 

Lancaster County, 

PA.

29620 ....... Lansing-East Lansing, MI.0.9792 

Clinton County, MI.

Eaton County, MI.

Ingham County, MI.

29700 ....... Laredo, TX .............. 0.8076 

Webb County, TX.

29740 ....... Las Cruces, NM ...... 0.8475 

Dona Ana County, 

NM.

29820 ....... Las Vegas-Paradise, NV.1.1449 

Clark County, NV.

29940 ....... Lawrence, KS ......... 0.8546 

Douglas County, KS.

30020 ....... Lawton, OK ............. 0.7880 

Comanche County, 

OK.

30140 ....... Lebanon, PA ........... 0.8468 

Lebanon County, 

PA.

30300 ....... Lewiston, ID-WA ..... 0.9896 

Nez Perce County, 

ID.

Asotin County, WA.

30340 ....... Lewiston-Auburn, 

ME.

0.9341 

Androscoggin County, ME.

30460 ....... Lexington-Fayette, 

KY.

0.9084 

Bourbon County, KY.

Clark County, KY.

Fayette County, KY.

Jessamine County, 

KY.

Scott County, KY.

Woodford County, 

KY.

30620 ....... Lima, OH ................ 0.9234 

Allen County, OH.

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29109

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

30700 ....... Lincoln, NE ............. 1.0225 

Lancaster County, 

NE.

Seward County, NE.

30780 ....... Little Rock-North Little Rock, AR.0.8756 

Faulkner County, 

AR.

Grant County, AR.

Lonoke County, AR.

Perry County, AR.

Pulaski County, AR.

Saline County, AR.

30860 ....... Logan, UT-ID .......... 0.9173 

Franklin County, ID.

Cache County, UT.

30980 ....... Longview, TX .......... 0.8739 

Gregg County, TX.

Rusk County, TX.

Upshur County, TX.

31020 ....... Longview, WA ......... 0.9523 

Cowlitz County, WA.

31084 ....... Los Angeles-Long 

Beach-Glendale, 

CA.

1.1752 

Los Angeles County, CA.

31140 ....... Louisville, KY-IN ..... 0.9261 

Clark County, IN.

Floyd County, IN.

Harrison County, IN.

Washington County, 

IN.

Bullitt County, KY.

Henry County, KY.

Jefferson County, 

KY.

Meade County, KY.

Nelson County, KY.

Oldham County, KY.

Shelby County, KY.

Spencer County, KY.

Trimble County, KY.

31180 ....... Lubbock, TX ........... 0.8792 

Crosby County, TX.

Lubbock County, TX.

31340 ....... Lynchburg, VA ........ 0.8700 

Amherst County, VA.

Appomattox County, 

VA.

Bedford County, VA.

Campbell County, 

VA.

Bedford City, VA.

Lynchburg City, VA.

31420 ....... Macon, GA .............. 0.9453 

Bibb County, GA.

Crawford County, 

GA.

Jones County, GA.

Monroe County, GA.

Twiggs County, GA.

31460 ....... Madera, CA ............ 0.8721 

Madera County, CA.

31540 ....... Madison, WI ............ 1.0635 

Columbia County, 

WI.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Dane County, WI.

Iowa County, WI.

31700 ....... Manchester-Nashua, 

NH.

1.0335 

Hillsborough County, NH.

Merrimack County, 

NH.

31900 ....... Mansfield, OH 1 ....... 0.8887 

Richland County, 

OH.

32420 ....... Mayagu ̈ez, PR ........ 0.4017 

Hormigueros 

Municipio, PR.

Mayagu ̈ez 

Municipio, PR.

32580 ....... McAllen-EdinburgPharr, TX.0.8943 

Hidalgo County, TX.

32780 ....... Medford, OR ........... 1.0235 

Jackson County, OR.

32820 ....... Memphis, TN-MSAR.0.9341 

Crittenden County, 

AR.

DeSoto County, MS.

Marshall County, 

MS.

Tate County, MS.

Tunica County, MS.

Fayette County, TN.

Shelby County, TN.

Tipton County, TN.

32900 ....... Merced, CA ............. 1.1120 

Merced County, CA.

33124 ....... Miami-Miami BeachKendall, FL.0.9759 

Miami-Dade County, 

FL.

33140 ....... Michigan City-La 

Porte, IN.

0.9409 

LaPorte County, IN.

33260 ....... Midland, TX ............ 0.9523 

Midland County, TX.

33340 ....... MilwaukeeWaukesha-West 

Allis, WI.

1.0106 

Milwaukee County, 

WI.

Ozaukee County, 

WI.

Washington County, 

WI.

Waukesha County, 

WI.

33460 ....... Minneapolis-St. 

Paul-Bloomington, 

MN-WI.

1.1078 

Anoka County, MN.

Carver County, MN.

Chisago County, 

MN.

Dakota County, MN.

Hennepin County, 

MN.

Isanti County, MN.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Ramsey County, 

MN.

Scott County, MN.

Sherburne County, 

MN.

Washington County, 

MN.

Wright County, MN.

Pierce County, WI.

St. Croix County, WI.

33540 ....... Missoula, MT .......... 0.9482 

Missoula County, 

MT.

33660 ....... Mobile, AL ............... 0.7895 

Mobile County, AL.

33700 ....... Modesto, CA ........... 1.1804 

Stanislaus County, 

CA.

33740 ....... Monroe, LA ............. 0.8040 

Ouachita Parish, LA.

Union Parish, LA.

33780 ....... Monroe, MI ............. 0.9478 

Monroe County, MI.

33860 ....... Montgomery, AL ..... 0.8588 

Autauga County, AL.

Elmore County, AL.

Lowndes County, 

AL.

Montgomery County, AL.

34060 ....... Morgantown, WV .... 0.8428 

Monongalia County, 

WV.

Preston County, WV.

34100 ....... Morristown, TN ....... 0.8753 

Grainger County, 

TN.

Hamblen County, 

TN.

Jefferson County, 

TN.

34580 ....... Mount VernonAnacortes, WA.1.0465 

Skagit County, WA.

34620 ....... Muncie, IN .............. 0.8939 

Delaware County, 

IN.

34740 ....... Muskegon-Norton 

Shores, MI.

0.9673 

Muskegon County, 

MI.

34820 ....... Myrtle BeachConway-North 

Myrtle Beach, SC.

0.8873 

Horry County, SC.

34900 ....... Napa, CA ................ 1.2656 

Napa County, CA.

34940 ....... Naples-Marco Island, FL.1.0140 

Collier County, FL.

34980 ....... Nashville-Davidson—

Murfreesboro, TN.

0.9769 

Cannon County, TN.

Cheatham County, 

TN.

29110 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Davidson County, 

TN.

Dickson County, TN.

Hickman County, 

TN.

Macon County, TN.

Robertson County, 

TN.

Rutherford County, 

TN.

Smith County, TN.

Sumner County, TN.

Trousdale County, 

TN.

Williamson County, 

TN.

Wilson County, TN.

35004 ....... Nassau-Suffolk, NY 1.2760 

Nassau County, NY.

Suffolk County, NY.

35084 ....... Newark-Union, NJPA.1.2195 

Essex County, NJ.

Hunterdon County, 

NJ.

Morris County, NJ.

Sussex County, NJ.

Union County, NJ.

Pike County, PA.

35300 ....... New Haven-Milford, 

CT.

1.1702 

New Haven County, 

CT.

35380 ....... New OrleansMetairie-Kenner, 

LA.

0.9005 

Jefferson Parish, LA.

Orleans Parish, LA.

Plaquemines Parish, 

LA.

St. Bernard Parish, 

LA.

St. Charles Parish, 

LA.

St. John the Baptist 

Parish, LA.

St. Tammany Parish, LA.

35644 ....... New York-WayneWhite Plains, NYNJ.1.3185 

Bergen County, NJ.

Hudson County, NJ.

Passaic County, NJ.

Bronx County, NY.

Kings County, NY.

New York County, 

NY.

Putnam County, NY.

Queens County, NY.

Richmond County, 

NY.

Rockland County, 

NY.

Westchester County, NY.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

35660 ....... Niles-Benton Harbor, MI.0.8888 

Berrien County, MI.

35980 ....... Norwich-New London, CT.1.1356 

New London County, CT.

36084 ....... Oakland-FremontHayward, CA.1.5346 

Alameda County, 

CA.

Contra Costa County, CA.

36100 ....... Ocala, FL ................ 0.8934 

Marion County, FL.

36140 ....... Ocean City, NJ ....... 1.1022 

Cape May County, 

NJ.

36220 ....... Odessa, TX ............. 0.9894 

Ector County, TX.

36260 ....... Ogden-Clearfield, 

UT.

0.9038 

Davis County, UT.

Morgan County, UT.

Weber County, UT.

36420 ....... Oklahoma City, OK 0.9040 

Canadian County, 

OK.

Cleveland County, 

OK.

Grady County, OK.

Lincoln County, OK.

Logan County, OK.

McClain County, OK.

Oklahoma County, 

OK.

36500 ....... Olympia, WA ........... 1.0938 

Thurston County, 

WA.

36540 ....... Omaha-Council 

Bluffs, NE-IA.

0.9569 

Harrison County, IA.

Mills County, IA.

Pottawattamie 

County, IA.

Cass County, NE.

Douglas County, NE.

Sarpy County, NE.

Saunders County, 

NE.

Washington County, 

NE.

36740 ....... Orlando, FL ............. 0.9459 

Lake County, FL.

Orange County, FL.

Osceola County, FL.

Seminole County, 

FL.

36780 ....... Oshkosh-Neenah, 

WI.

0.9192 

Winnebago County, 

WI.

36980 ....... Owensboro, KY ...... 0.8789 

Daviess County, KY.

Hancock County, 

KY.

McLean County, KY.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

37100 ....... Oxnard-Thousand 

Oaks-Ventura, CA.

1.1613 

Ventura County, CA.

37340 ....... Palm Bay-Melbourne-Titusville, 

FL.

0.9835 

Brevard County, FL.

37460 ....... Panama City-Lynn 

Haven, FL.

0.7989 

Bay County, FL.

37620 ....... Parkersburg-Marietta, WV-OH.0.8278 

Washington County, 

OH.

Pleasants County, 

WV.

Wirt County, WV.

Wood County, WV.

37700 ....... Pascagoula, MS ..... 0.8165 

George County, MS.

Jackson County, MS.

37860 ....... Pensacola-Ferry 

Pass-Brent, FL.

0.8104 

Escambia County, 

FL.

Santa Rosa County, 

FL.

37900 ....... Peoria, IL ................ 0.8868 

Marshall County, IL.

Peoria County, IL.

Stark County, IL.

Tazewell County, IL.

Woodford County, IL.

37964 ....... Philadelphia, PA ..... 1.1040 

Bucks County, PA.

Chester County, PA.

Delaware County, 

PA.

Montgomery County, PA.

Philadelphia County, 

PA.

38060 ....... Phoenix-MesaScottsdale, AZ.1.0138 

Maricopa County, 

AZ.

Pinal County, AZ.

38220 ....... Pine Bluff, AR ......... 0.8689 

Cleveland County, 

AR.

Jefferson County, 

AR.

Lincoln County, AR.

38300 ....... Pittsburgh, PA ......... 0.8853 

Allegheny County, 

PA.

Armstrong County, 

PA.

Beaver County, PA.

Butler County, PA.

Fayette County, PA.

Washington County, 

PA.

Westmoreland 

County, PA.

38340 ....... Pittsfield, MA ........... 1.0191 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29111

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Berkshire County, 

MA.

38540 ....... Pocatello, ID ........... 0.9360 

Bannock County, ID.

Power County, ID.

38660 ....... Ponce, PR .............. 0.5177 

Juana Dı ́az 

Municipio, PR.

Ponce Municipio, 

PR.

Villalba Municipio, 

PR.

38860 ....... Portland-South Portland-Biddeford, 

ME.

1.0392 

Cumberland County, 

ME.

Sagadahoc County, 

ME.

York County, ME.

38900 ....... Portland-VancouverBeaverton, ORWA.1.1260 

Clackamas County, 

OR.

Columbia County, 

OR.

Multnomah County, 

OR.

Washington County, 

OR.

Yamhill County, OR.

Clark County, WA.

Skamania County, 

WA.

38940 ....... Port St. Lucie-Fort 

Pierce, FL.

1.0133 

Martin County, FL.

St. Lucie County, FL.

39100 ....... Poughkeepsie-Newburgh-Middletown, 

NY.

1.0766 

Dutchess County, 

NY.

Orange County, NY.

39140 ....... Prescott, AZ ............ 0.9879 

Yavapai County, AZ.

39300 ....... Providence-New 

Bedford-Fall 

River, RI-MA.

1.0966 

Bristol County, MA.

Bristol County, RI.

Kent County, RI.

Newport County, RI.

Providence County, 

RI.

Washington County, 

RI.

39340 ....... Provo-Orem, UT ..... 0.9510 

Juab County, UT.

Utah County, UT.

39380 ....... Pueblo, CO ............. 0.8632 

Pueblo County, CO.

39460 ....... Punta Gorda, FL ..... 0.9264 

Charlotte County, 

FL.

39540 ....... Racine, WI .............. 0.9006 

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Racine County, WI.

39580 ....... Raleigh-Cary, NC ... 0.9733 

Franklin County, NC.

Johnston County, 

NC.

Wake County, NC.

39660 ....... Rapid City, SD ........ 0.9021 

Meade County, SD.

Pennington County, 

SD.

39740 ....... Reading, PA ........... 0.9696 

Berks County, PA.

39820 ....... Redding, CA ........... 1.2215 

Shasta County, CA.

39900 ....... Reno-Sparks, NV .... 1.0993 

Storey County, NV.

Washoe County, NV.

40060 ....... Richmond, VA ......... 0.9338 

Amelia County, VA.

Caroline County, VA.

Charles City County, 

VA.

Chesterfield County, 

VA.

Cumberland County, 

VA.

Dinwiddie County, 

VA.

Goochland County, 

VA.

Hanover County, VA.

Henrico County, VA.

King and Queen 

County, VA.

King William County, VA.

Louisa County, VA.

New Kent County, 

VA.

Powhatan County, 

VA.

Prince George 

County, VA.

Sussex County, VA.

Colonial Heights 

City, VA.

Hopewell City, VA.

Petersburg City, VA.

Richmond City, VA.

40140 ....... Riverside-San 

Bernardino-Ontario, CA.

1.1022 

Riverside County, 

CA.

San Bernardino 

County, CA.

40220 ....... Roanoke, VA .......... 0.8383 

Botetourt County, 

VA.

Craig County, VA.

Franklin County, VA.

Roanoke County, 

VA.

Roanoke City, VA.

Salem City, VA.

40340 ....... Rochester, MN ........ 1.1142 

Dodge County, MN.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Olmsted County, 

MN.

Wabasha County, 

MN.

40380 ....... Rochester, NY ........ 0.9115 

Livingston County, 

NY.

Monroe County, NY.

Ontario County, NY.

Orleans County, NY.

Wayne County, NY.

40420 ....... Rockford, IL ............ 0.9994 

Boone County, IL.

Winnebago County, 

IL.

40484 ....... Rockingham County-Strafford County, NH.1.0385 

Rockingham County, NH.

Strafford County, 

NH.

40580 ....... Rocky Mount, NC ... 0.8924 

Edgecombe County, 

NC.

Nash County, NC.

40660 ....... Rome, GA ............... 0.9424 

Floyd County, GA.

40900 ....... Sacramento—

Arden-Arcade—

Roseville, CA.

1.2973 

El Dorado County, 

CA.

Placer County, CA.

Sacramento County, 

CA.

Yolo County, CA.

40980 ....... Saginaw-Saginaw 

Township North, 

MI.

0.9420 

Saginaw County, MI.

41060 ....... St. Cloud, MN ......... 0.9975 

Benton County, MN.

Stearns County, MN.

41100 ....... St. George, UT ....... 0.9402 

Washington County, 

UT.

41140 ....... St. Joseph, MO-KS 0.9529 

Doniphan County, 

KS.

Andrew County, MO.

Buchanan County, 

MO.

DeKalb County, MO.

41180 ....... St. Louis, MO-IL ..... 0.8949 

Bond County, IL.

Calhoun County, IL.

Clinton County, IL.

Jersey County, IL.

Macoupin County, IL.

Madison County, IL.

Monroe County, IL.

St. Clair County, IL.

Crawford County, 

MO.

Franklin County, MO.

29112 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Jefferson County, 

MO.

Lincoln County, MO.

St. Charles County, 

MO.

St. Louis County, 

MO.

Warren County, MO.

Washington County, 

MO.

St. Louis City, MO.

41420 ....... Salem, OR .............. 1.0452 

Marion County, OR.

Polk County, OR.

41500 ....... Salinas, CA ............. 1.4142 

Monterey County, 

CA.

41540 ....... Salisbury, MD ......... 0.9073 

Somerset County, 

MD.

Wicomico County, 

MD.

41620 ....... Salt Lake City, UT .. 0.9433 

Salt Lake County, 

UT.

Summit County, UT.

Tooele County, UT.

41660 ....... San Angelo, TX ...... 0.8280 

Irion County, TX.

Tom Green County, 

TX.

41700 ....... San Antonio, TX ..... 0.8989 

Atascosa County, 

TX.

Bandera County, TX.

Bexar County, TX.

Comal County, TX.

Guadalupe County, 

TX.

Kendall County, TX.

Medina County, TX.

Wilson County, TX.

41740 ....... San Diego-Carlsbad-San Marcos, 

CA.

1.1424 

San Diego County, 

CA.

41780 ....... Sandusky, OH ........ 0.9025 

Erie County, OH.

41884 ....... San Francisco-San 

Mateo-Redwood 

City, CA.

1.4990 

Marin County, CA.

San Francisco 

County, CA.

San Mateo County, 

CA.

41900 ....... San Germa ́n-Cabo 

Rojo, PR.

0.4655 

Cabo Rojo 

Municipio, PR.

Lajas Municipio, PR.

Sabana Grande 

Municipio, PR.

San Germa ́n 

Municipio, PR.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

41940 ....... San Jose-Sunnyvale-Santa Clara, 

CA.

1.5125 

San Benito County, 

CA.

Santa Clara County, 

CA.

41980 ....... San Juan-CaguasGuaynabo, PR.0.4686 

Aguas Buenas 

Municipio, PR.

Aibonito Municipio, 

PR.

Arecibo Municipio, 

PR.

Barceloneta 

Municipio, PR.

Barranquitas 

Municipio, PR.

Bayamo ́n Municipio, 

PR.

Caguas Municipio, 

PR.

Camuy Municipio, 

PR.

Cano ́vanas 

Municipio, PR.

Carolina Municipio, 

PR.

Catan ̃o Municipio, 

PR.

Cayey Municipio, 

PR.

Ciales Municipio, 

PR.

Cidra Municipio, PR.

Comer ́ıo Municipio, 

PR.

Corozal Municipio, 

PR.

Dorado Municipio, 

PR.

Florida Municipio, 

PR.

Guaynabo 

Municipio, PR.

Gurabo Municipio, 

PR.

Hatillo Municipio, 

PR.

Humacao Municipio, 

PR.

Juncos Municipio, 

PR.

Las Piedras 

Municipio, PR.

Lo ́ıza Municipio, PR.

Manat ́ı Municipio, 

PR.

Maunabo Municipio, 

PR.

Morovis Municipio, 

PR.

Naguabo Municipio, 

PR.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Naranjito Municipio, 

PR.

Orocovis Municipio, 

PR.

Quebradillas 

Municipio, PR.

R ́ıo Grande 

Municipio, PR.

San Juan Municipio, 

PR.

San Lorenzo 

Municipio, PR.

Toa Alta Municipio, 

PR.

Toa Baja Municipio, 

PR.

Trujillo Alto 

Municipio, PR.

Vega Alta Municipio, 

PR.

Vega Baja 

Municipio, PR.

Yabucoa Municipio, 

PR.

42020 ....... San Luis ObispoPaso Robles, CA.1.1360 

San Luis Obispo 

County, CA.

42044 ....... Santa Ana-Anaheim-Irvine, CA.1.1576 

Orange County, CA.

42060 ....... Santa BarbaraSanta MariaGoleta, CA.1.1538 

Santa Barbara 

County, CA.

42100 ....... Santa CruzWatsonville, CA.1.5182 

Santa Cruz County, 

CA.

42140 ....... Santa Fe, NM ......... 1.0931 

Santa Fe County, 

NM.

42220 ....... Santa RosaPetaluma, CA.1.3506 

Sonoma County, CA.

42260 ....... Sarasota-BradentonVenice, FL.0.9555 

Manatee County, FL.

Sarasota County, FL.

42340 ....... Savannah, GA ........ 0.9480 

Bryan County, GA.

Chatham County, 

GA.

Effingham County, 

GA.

42540 ....... Scranton—WilkesBarre, PA.0.8548 

Lackawanna County, PA.

Luzerne County, PA.

Wyoming County, 

PA.

42644 ....... Seattle-BellevueEverett, WA.1.1589 

King County, WA.

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29113

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Snohomish County, 

WA.

43100 ....... Sheboygan, WI ....... 0.8920 

Sheboygan County, 

WI.

43300 ....... Sherman-Denison, 

TX.

0.9516 

Grayson County, TX.

43340 ....... Shreveport-Bossier 

City, LA.

0.8769 

Bossier Parish, LA.

Caddo Parish, LA.

De Soto Parish, LA.

43580 ....... Sioux City, IA-NESD.0.9376 

Woodbury County, 

IA.

Dakota County, NE.

Dixon County, NE.

Union County, SD.

43620 ....... Sioux Falls, SD ....... 0.9645 

Lincoln County, SD.

McCook County, SD.

Minnehaha County, 

SD.

Turner County, SD.

43780 ....... South BendMishawaka, IN-MI.0.9798 

St. Joseph County, 

IN.

Cass County, MI.

43900 ....... Spartanburg, SC ..... 0.9181 

Spartanburg County, 

SC.

44060 ....... Spokane, WA .......... 1.0916 

Spokane County, 

WA.

44100 ....... Springfield, IL .......... 0.8885 

Menard County, IL.

Sangamon County, 

IL.

44140 ....... Springfield, MA ....... 1.0259 

Franklin County, MA.

Hampden County, 

MA.

Hampshire County, 

MA.

44180 ....... Springfield, MO ....... 0.8246 

Christian County, 

MO.

Dallas County, MO.

Greene County, MO.

Polk County, MO.

Webster County, 

MO.

44220 ....... Springfield, OH ....... 0.8404 

Clark County, OH.

44300 ....... State College, PA ... 0.8364 

Centre County, PA.

44700 ....... Stockton, CA ........... 1.1311 

San Joaquin County, CA.

44940 ....... Sumter, SC ............. 0.8386 

Sumter County, SC.

45060 ....... Syracuse, NY .......... 0.9581 

Madison County, NY.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Onondaga County, 

NY.

Oswego County, NY.

45104 ....... Tacoma, WA ........... 1.0753 

Pierce County, WA.

45220 ....... Tallahassee, FL ...... 0.8697 

Gadsden County, 

FL.

Jefferson County, 

FL.

Leon County, FL.

Wakulla County, FL.

45300 ....... Tampa-St. Petersburg-Clearwater, 

FL.

0.9193 

Hernando County, 

FL.

Hillsborough County, FL.

Pasco County, FL.

Pinellas County, FL.

45460 ....... Terre Haute, IN ....... 0.8313 

Clay County, IN.

Sullivan County, IN.

Vermillion County, 

IN.

Vigo County, IN.

45500 ....... Texarkana, TX-Texarkana, AR.0.8291 

Miller County, AR.

Bowie County, TX.

45780 ....... Toledo, OH ............. 0.9584 

Fulton County, OH.

Lucas County, OH.

Ottawa County, OH.

Wood County, OH.

45820 ....... Topeka, KS ............. 0.8929 

Jackson County, KS.

Jefferson County, 

KS.

Osage County, KS.

Shawnee County, 

KS.

Wabaunsee County, 

KS.

45940 ....... Trenton-Ewing, NJ .. 1.0845 

Mercer County, NJ.

46060 ....... Tucson, AZ ............. 0.8987 

Pima County, AZ.

46140 ....... Tulsa, OK ................ 0.8286 

Creek County, OK.

Okmulgee County, 

OK.

Osage County, OK.

Pawnee County, OK.

Rogers County, OK.

Tulsa County, OK.

Wagoner County, 

OK.

46220 ....... Tuscaloosa, AL ....... 0.8721 

Greene County, AL.

Hale County, AL.

Tuscaloosa County, 

AL.

46340 ....... Tyler, TX ................. 0.9307 

Smith County, TX.

46540 ....... Utica-Rome, NY ...... 0.8293 

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Herkimer County, 

NY.

Oneida County, NY.

46660 ....... Valdosta, GA .......... 0.8875 

Brooks County, GA.

Echols County, GA.

Lanier County, GA.

Lowndes County, 

GA.

46700 ....... Vallejo-Fairfield, CA 1.4899 

Solano County, CA.

46940 ....... Vero Beach, FL ...... 0.9444 

Indian River County, 

FL.

47020 ....... Victoria, TX ............. 0.8168 

Calhoun County, TX.

Goliad County, TX.

Victoria County, TX.

47220 ....... Vineland-MillvilleBridgeton, NJ.0.9837 

Cumberland County, 

NJ.

47260 ....... Virginia Beach-Norfolk-Newport 

News, VA-NC.

0.8808 

Currituck County, 

NC.

Gloucester County, 

VA.

Isle of Wight County, VA.

James City County, 

VA.

Mathews County, 

VA.

Surry County, VA.

York County, VA.

Chesapeake City, 

VA.

Hampton City, VA.

Newport News City, 

VA.

Norfolk City, VA.

Poquoson City, VA.

Portsmouth City, VA.

Suffolk City, VA.

Virginia Beach City, 

VA.

Williamsburg City, 

VA.

47300 ....... Visalia-Porterville, 

CA.

1.0074 

Tulare County, CA.

47380 ....... Waco, TX ................ 0.8527 

McLennan County, 

TX.

47580 ....... Warner Robins, GA 0.8654 

Houston County, GA.

47644 ....... Warren-Farmington 

Hills-Troy, MI.

0.9861 

Lapeer County, MI.

Livingston County, 

MI.

Macomb County, MI.

Oakland County, MI.

St. Clair County, MI.

29114 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

47894 ....... Washington-Arlington-Alexandria, 

DC-VA-MD-WV.

1.0932 

District of Columbia, 

DC.

Calvert County, MD.

Charles County, MD.

Prince George’s 

County, MD.

Arlington County, 

VA.

Clarke County, VA.

Fairfax County, VA.

Fauquier County, 

VA.

Loudoun County, 

VA.

Prince William 

County, VA.

Spotsylvania County, VA.

Stafford County, VA.

Warren County, VA.

Alexandria City, VA.

Fairfax City, VA.

Falls Church City, 

VA.

Fredericksburg City, 

VA.

Manassas City, VA.

Manassas Park City, 

VA.

Jefferson County, 

WV.

47940 ....... Waterloo-Cedar 

Falls, IA.

0.8566 

Black Hawk County, 

IA.

Bremer County, IA.

Grundy County, IA.

48140 ....... Wausau, WI ............ 0.9600 

Marathon County, 

WI.

48260 ....... Weirton-Steubenville, WV-OH.0.7827 

Jefferson County, 

OH.

Brooke County, WV.

Hancock County, 

WV.

48300 ....... Wenatchee, WA ...... 1.0080 

Chelan County, WA.

Douglas County, 

WA.

48424 ....... West Palm BeachBoca Raton-Boynton Beach, FL.1.0077 

Palm Beach County, 

FL.

48540 ....... Wheeling, WV-OH .. 0.7168 

Belmont County, OH.

Marshall County, 

WV.

Ohio County, WV.

48620 ....... Wichita, KS ............. 0.9141 

Butler County, KS.

Harvey County, KS.

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Sedgwick County, 

KS.

Sumner County, KS.

48660 ....... Wichita Falls, TX .... 0.8294 

Archer County, TX.

Clay County, TX.

Wichita County, TX.

48700 ....... Williamsport, PA ..... 0.8377 

Lycoming County, 

PA.

48864 ....... Wilmington, DE-MDNJ.1.0482 

New Castle County, 

DE.

Cecil County, MD.

Salem County, NJ.

48900 ....... Wilmington, NC ....... 0.9592 

Brunswick County, 

NC.

New Hanover County, NC.

Pender County, NC.

49020 ....... Winchester, VA-WV 1.0224 

Frederick County, 

VA.

Winchester City, VA.

Hampshire County, 

WV.

49180 ....... Winston-Salem, NC 0.8953 

Davie County, NC.

Forsyth County, NC.

Stokes County, NC.

Yadkin County, NC.

49340 ....... Worcester, MA ........ 1.1039 

Worcester County, 

MA.

49420 ....... Yakima, WA ............ 1.0165 

Yakima County, WA.

49500 ....... Yauco, PR .............. 0.4413 

Gua ́nica Municipio, 

PR.

Guayanilla 

Municipio, PR.

Pen ̃uelas Municipio, 

PR.

Yauco Municipio, 

PR.

49620 ....... York-Hanover, PA ... 0.9420 

York County, PA.

49660 ....... Youngstown-Warren-Boardman, 

OH-PA.

0.8611 

Mahoning County, 

OH.

Trumbull County, 

OH.

Mercer County, PA.

49700 ....... Yuba City, CA ......... 1.0932 

Sutter County, CA.

Yuba County, CA.

49740 ....... Yuma, AZ ................ 0.9135 

TABLE 8.—PROPOSED WAGE INDEX

FOR URBAN AREAS BASED ON

CBSA LABOR MARKET AREAS—

Continued

CBSA 

Code 

Urban Area

(Constituent

Counties) 

Wage 

Index 

Yuma County, AZ.

1At this time, there are no hospitals located 

in these urban areas on which to base a wage 

index. Therefore, the urban wage index value 

is based on the average wage index for all 

urban areas within the state. 

TABLE 9.—PROPOSED WAGE INDEX

BASED ON CBSA LABOR MARKET

AREAS FOR RURAL AREAS

CBSA 

Code Nonurban Area Wage Index 

01 ............. Alabama .................. 0.7477 

02 ............. Alaska ..................... 1.1990 

03 ............. Arizona .................... 0.8777 

04 ............. Arkansas ................. 0.7451 

05 ............. California ................. 1.0857 

06 ............. Colorado ................. 0.9389 

07 ............. Connecticut ............. 1.1794 

08 ............. Delaware ................. 0.9606 

10 ............. Florida ..................... 0.8598 

11 ............. Georgia ................... 0.7666 

12 ............. Hawaii ..................... 1.0562 

13 ............. Idaho ....................... 0.8045 

14 ............. Illinois ...................... 0.8279 

15 ............. Indiana .................... 0.8630 

16 ............. Iowa ........................ 0.8502 

17 ............. Kansas .................... 0.7987 

18 ............. Kentucky ................. 0.7774 

19 ............. Louisiana ................ 0.7418 

20 ............. Maine ...................... 0.8852 

21 ............. Maryland ................. 0.9095 

22 ............. Massachusetts 2 ...... 1.0216 

23 ............. Michigan ................. 0.8870 

24 ............. Minnesota ............... 0.9183 

25 ............. Mississippi .............. 0.7671 

26 ............. Missouri .................. 0.7909 

27 ............. Montana .................. 0.8833 

28 ............. Nebraska ................ 0.8665 

29 ............. Nevada ................... 0.9074 

30 ............. New Hampshire ...... 1.0677 

31 ............. New Jersey 2 ........... ................

32 ............. New Mexico ............ 0.8644 

33 ............. New York ................ 0.8157 

34 ............. North Carolina ........ 0.8567 

35 ............. North Dakota .......... 0.7268 

36 ............. Ohio ........................ 0.8786 

37 ............. Oklahoma ............... 0.7589 

38 ............. Oregon .................... 0.9830 

39 ............. Pennsylvania .......... 0.8302 

40 ............. Puerto Rico 2 ........... 0.4047 

41 ............. Rhode Island 2 ........ ................

42 ............. South Carolina ........ 0.8641 

43 ............. South Dakota .......... 0.8484 

44 ............. Tennessee .............. 0.7888 

45 ............. Texas ...................... 0.8007 

46 ............. Utah ........................ 0.8126 

47 ............. Vermont .................. 0.9840 

48 ............. Virgin Islands .......... 0.7026 

49 ............. Virginia .................... 0.8012 

50 ............. Washington ............. 1.0458 

51 ............. West Virginia .......... 0.7725 

52 ............. Wisconsin ............... 0.9480 

53 ............. Wyoming ................. 0.9214 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29115

TABLE 9.—PROPOSED WAGE INDEX

BASED ON CBSA LABOR MARKET

AREAS FOR RURAL AREAS—Continued

CBSA 

Code Nonurban Area Wage Index 

65 ............. Guam ...................... 0.9611 

2All counties within the State are classified 

as urban, with the exception of Massachusetts 

and Puerto Rico. Massachusetts and Puerto 

Rico have areas designated as rural, however, 

no short-term, acute care hospitals are located 

in the area(s) for FY 2006. Because more recent data is not available for those areas, we 

are using last year’s wage index value. 

TABLE A.—MSA/CBSA CROSSWALK

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

01000 ....... Autauga County, Alabama ........................................................................................ 5240 0.8588 0.8588 33860 

01010 ....... Baldwin County, Alabama ......................................................................................... 5160 0.7866 0.7477 99901 

01020 ....... Barbour County, Alabama ......................................................................................... 01 0.7463 0.7477 99901 

01030 ....... Bibb County, Alabama ............................................................................................... 01 0.7463 0.8979 13820 

01040 ....... Blount County, Alabama ............................................................................................ 1000 0.9021 0.8979 13820 

01050 ....... Bullock County, Alabama .......................................................................................... 01 0.7463 0.7477 99901 

01060 ....... Butler County, Alabama ............................................................................................ 01 0.7463 0.7477 99901 

01070 ....... Calhoun County, Alabama ........................................................................................ 0450 0.7659 0.7659 11500 

01080 ....... Chambers County, Alabama ..................................................................................... 01 0.7463 0.7477 99901 

01090 ....... Cherokee County, Alabama ...................................................................................... 01 0.7463 0.7477 99901 

01100 ....... Chilton County, Alabama ........................................................................................... 01 0.7463 0.8979 13820 

01110 ....... Choctaw County, Alabama ........................................................................................ 01 0.7463 0.7477 99901 

01120 ....... Clarke County, Alabama ........................................................................................... 01 0.7463 0.7477 99901 

01130 ....... Clay County, Alabama ............................................................................................... 01 0.7463 0.7477 99901 

01140 ....... Cleburne County, Alabama ....................................................................................... 01 0.7463 0.7477 99901 

01150 ....... Coffee County, Alabama ........................................................................................... 01 0.7463 0.7477 99901 

01160 ....... Colbert County, Alabama .......................................................................................... 2650 0.8280 0.8280 22520 

01170 ....... Conecuh County, Alabama ....................................................................................... 01 0.7463 0.7477 99901 

01180 ....... Coosa County, Alabama ........................................................................................... 01 0.7463 0.7477 99901 

01190 ....... Covington County, Alabama ...................................................................................... 01 0.7463 0.7477 99901 

01200 ....... Crenshaw County, Alabama ...................................................................................... 01 0.7463 0.7477 99901 

01210 ....... Cullman County, Alabama ......................................................................................... 01 0.7463 0.7477 99901 

01220 ....... Dale County, Alabama .............................................................................................. 2180 0.7687 0.7477 99901 

01230 ....... Dallas County, Alabama ............................................................................................ 01 0.7463 0.7477 99901 

01240 ....... De Kalb County, Alabama ......................................................................................... 01 0.7463 0.7477 99901 

01250 ....... Elmore County, Alabama .......................................................................................... 5240 0.8588 0.8588 33860 

01260 ....... Escambia County, Alabama ...................................................................................... 01 0.7463 0.7477 99901 

01270 ....... Etowah County, Alabama .......................................................................................... 2880 0.7946 0.7946 23460 

01280 ....... Fayette County, Alabama .......................................................................................... 01 0.7463 0.7477 99901 

01290 ....... Franklin County, Alabama ......................................................................................... 01 0.7463 0.7477 99901 

01300 ....... Geneva County, Alabama ......................................................................................... 01 0.7463 0.7707 20020 

01310 ....... Greene County, Alabama .......................................................................................... 01 0.7463 0.8721 46220 

01320 ....... Hale County, Alabama .............................................................................................. 01 0.7463 0.8721 46220 

01330 ....... Henry County, Alabama ............................................................................................ 01 0.7463 0.7707 20020 

01340 ....... Houston County, Alabama ........................................................................................ 2180 0.7687 0.7707 20020 

01350 ....... Jackson County, Alabama ......................................................................................... 01 0.7463 0.7477 99901 

01360 ....... Jefferson County, Alabama ....................................................................................... 1000 0.9021 0.8979 13820 

01370 ....... Lamar County, Alabama ............................................................................................ 01 0.7463 0.7477 99901 

01380 ....... Lauderdale County, Alabama .................................................................................... 2650 0.8280 0.8280 22520 

01390 ....... Lawrence County, Alabama ...................................................................................... 2030 0.8478 0.8478 19460 

01400 ....... Lee County, Alabama ................................................................................................ 0580 0.8108 0.8108 12220 

01410 ....... Limestone County, Alabama ..................................................................................... 3440 0.9149 0.9149 26620 

01420 ....... Lowndes County, Alabama ....................................................................................... 01 0.7463 0.8588 33860 

01430 ....... Macon County, Alabama ........................................................................................... 01 0.7463 0.7477 99901 

01440 ....... Madison County, Alabama ........................................................................................ 3440 0.9149 0.9149 26620 

01450 ....... Marengo County, Alabama ........................................................................................ 01 0.7463 0.7477 99901 

01460 ....... Marion County, Alabama ........................................................................................... 01 0.7463 0.7477 99901 

01470 ....... Marshall County, Alabama ........................................................................................ 01 0.7463 0.7477 99901 

01480 ....... Mobile County, Alabama ........................................................................................... 5160 0.7866 0.7895 33660 

01490 ....... Monroe County, Alabama .......................................................................................... 01 0.7463 0.7477 99901 

01500 ....... Montgomery County, Alabama .................................................................................. 5240 0.8588 0.8588 33860 

29116 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

01510 ....... Morgan County, Alabama .......................................................................................... 2030 0.8478 0.8478 19460 

01520 ....... Perry County, Alabama ............................................................................................. 01 0.7463 0.7477 99901 

01530 ....... Pickens County, Alabama ......................................................................................... 01 0.7463 0.7477 99901 

01540 ....... Pike County, Alabama ............................................................................................... 01 0.7463 0.7477 99901 

01550 ....... Randolph County, Alabama ...................................................................................... 01 0.7463 0.7477 99901 

01560 ....... Russell County, Alabama .......................................................................................... 1800 0.8568 0.8568 17980 

01570 ....... St Clair County, Alabama .......................................................................................... 1000 0.9021 0.8979 13820 

01580 ....... Shelby County, Alabama ........................................................................................... 1000 0.9021 0.8979 13820 

01590 ....... Sumter County, Alabama .......................................................................................... 01 0.7463 0.7477 99901 

01600 ....... Talladega County, Alabama ...................................................................................... 01 0.7463 0.7477 99901 

01610 ....... Tallapoosa County, Alabama .................................................................................... 01 0.7463 0.7477 99901 

01620 ....... Tuscaloosa County, Alabama ................................................................................... 8600 0.8842 0.8721 46220 

01630 ....... Walker County, Alabama ........................................................................................... 01 0.7463 0.8979 13820 

01640 ....... Washington County, Alabama ................................................................................... 01 0.7463 0.7477 99901 

01650 ....... Wilcox County, Alabama ........................................................................................... 01 0.7463 0.7477 99901 

01660 ....... Winston County, Alabama ......................................................................................... 01 0.7463 0.7477 99901 

02013 ....... Aleutians County East, Alaska .................................................................................. 02 1.1900 1.1990 99902 

02016 ....... Aleutians County West, Alaska ................................................................................. 02 1.1900 1.1990 99902 

02020 ....... Anchorage County, Alaska ........................................................................................ 0380 1.2022 1.2110 11260 

02030 ....... Angoon County, Alaska ............................................................................................. 02 1.1900 1.1990 99902 

02040 ....... Barrow-North Slope County, Alaska ......................................................................... 02 1.1900 1.1990 99902 

02050 ....... Bethel County, Alaska ............................................................................................... 02 1.1900 1.1990 99902 

02060 ....... Bristol Bay Borough County, Alaska ......................................................................... 02 1.1900 1.1990 99902 

02068 ....... Denali County, Alaska ............................................................................................... 02 1.1900 1.1990 99902 

02070 ....... Bristol Bay County, Alaska ........................................................................................ 02 1.1900 1.1990 99902 

02080 ....... Cordova-Mc Carthy County, Alaska .......................................................................... 02 1.1900 1.1990 99902 

02090 ....... Fairbanks County, Alaska ......................................................................................... 02 1.1900 1.1419 21820 

02100 ....... Haines County, Alaska .............................................................................................. 02 1.1900 1.1990 99902 

02110 ....... Juneau County, Alaska ............................................................................................. 02 1.1900 1.1990 99902 

02120 ....... Kenai-Cook Inlet County, Alaska .............................................................................. 02 1.1900 1.1990 99902 

02122 ....... Kenai Peninsula Borough, Alaska ............................................................................. 02 1.1900 1.1990 99902 

02130 ....... Ketchikan County, Alaska ......................................................................................... 02 1.1900 1.1990 99902 

02140 ....... Kobuk County, Alaska ............................................................................................... 02 1.1900 1.1990 99902 

02150 ....... Kodiak County, Alaska .............................................................................................. 02 1.1900 1.1990 99902 

02160 ....... Kuskokwin County, Alaska ........................................................................................ 02 1.1900 1.1990 99902 

02164 ....... Lake and Peninsula Borough, Alaska ....................................................................... 02 1.1900 1.1990 99902 

02170 ....... Matanuska County, Alaska ........................................................................................ 02 1.1900 1.2110 11260 

02180 ....... Nome County, Alaska ................................................................................................ 02 1.1900 1.1990 99902 

02185 ....... North Slope Borough, Alaska .................................................................................... 02 1.1900 1.1990 99902 

02188 ....... Northwest Arctic Borough, Alaska ............................................................................. 02 1.1900 1.1990 99902 

02190 ....... Outer Ketchikan County, Alaska ............................................................................... 02 1.1900 1.1990 99902 

02200 ....... Prince Of Wales County, Alaska ............................................................................... 02 1.1900 1.1990 99902 

02201 ....... Prince of Wales-Outer Ketchikan Census Area, Alaska ........................................... 02 1.1900 1.1990 99902 

02210 ....... Seward County, Alaska ............................................................................................. 02 1.1900 1.1990 99902 

02220 ....... Sitka County, Alaska ................................................................................................. 02 1.1900 1.1990 99902 

02230 ....... Skagway-Yakutat County, Alaska ............................................................................. 02 1.1900 1.1990 99902 

02231 ....... Skagway-Yakutat-Angoon Census Area, Alaska ...................................................... 02 1.1900 1.1990 99902

02232 ....... Skagway-Hoonah-Angoon Census Area, Alaska ...................................................... 02 1.1900 1.1990 99902 

02240 ....... Southeast Fairbanks County, Alaska ........................................................................ 02 1.1900 1.1990 99902 

02250 ....... Upper Yukon County, Alaska .................................................................................... 02 1.1900 1.1990 99902 

02260 ....... Valdz-Chitna-Whitier County, Alaska ........................................................................ 02 1.1900 1.1990 99902 

02261 ....... Valdex-Cordove Census Area, Alaska ...................................................................... 02 1.1900 1.1990 99902 

02270 ....... Wade Hampton County, Alaska ................................................................................ 02 1.1900 1.1990 99902 

02280 ....... Wrangell-Petersburg County, Alaska ........................................................................ 02 1.1900 1.1990 99902 

02282 ....... Yakutat Borough, Alaska ........................................................................................... 02 1.1900 1.1990 99902 

02290 ....... Yukon-Koyukuk County, Alaska ................................................................................ 02 1.1900 1.1990 99902 

03000 ....... Apache County, Arizona ............................................................................................ 03 0.9054 0.8777 99903 

03010 ....... Cochise County, Arizona ........................................................................................... 03 0.9054 0.8777 99903 

03020 ....... Coconino County, Arizona ......................................................................................... 2620 1.1857 1.2105 22380 

03030 ....... Gila County, Arizona ................................................................................................. 03 0.9054 0.8777 99903 

03040 ....... Graham County, Arizona ........................................................................................... 03 0.9054 0.8777 99903 

03050 ....... Greenlee County, Arizona ......................................................................................... 03 0.9054 0.8777 99903 

03055 ....... La Paz County, Arizona ............................................................................................ 03 0.9054 0.8777 99903 

03060 ....... Maricopa County, Arizona ......................................................................................... 6200 1.0138 1.0138 38060 

03070 ....... Mohave County, Arizona ........................................................................................... 4120 1.1166 0.8777 99903 

03080 ....... Navajo County, Arizona ............................................................................................. 03 0.9054 0.8777 99903 

03090 ....... Pima County, Arizona ................................................................................................ 8520 0.8987 0.8987 46060 

03100 ....... Pinal County, Arizona ................................................................................................ 6200 1.0138 1.0138 38060 

03110 ....... Santa Cruz County, Arizona ...................................................................................... 03 0.9054 0.8777 99903 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29117

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

03120 ....... Yavapai County, Arizona ........................................................................................... 03 0.9054 0.9879 39140 

03130 ....... Yuma County, Arizona .............................................................................................. 9360 0.9135 0.9135 49740 

04000 ....... Arkansas County, Arkansas ...................................................................................... 04 0.7744 0.7451 99904 

04010 ....... Ashley County, Arkansas .......................................................................................... 04 0.7744 0.7451 99904 

04020 ....... Baxter County, Arkansas ........................................................................................... 04 0.7744 0.7451 99904 

04030 ....... Benton County, Arkansas .......................................................................................... 2580 0.8563 0.8563 22220 

04040 ....... Boone County, Arkansas ........................................................................................... 04 0.7744 0.7451 99904 

04050 ....... Bradley County, Arkansas ......................................................................................... 04 0.7744 0.7451 99904 

04060 ....... Calhoun County, Arkansas ........................................................................................ 04 0.7744 0.7451 99904 

04070 ....... Carroll County, Arkansas .......................................................................................... 04 0.7744 0.7451 99904 

04080 ....... Chicot County, Arkansas ........................................................................................... 04 0.7744 0.7451 99904 

04090 ....... Clark County, Arkansas ............................................................................................. 04 0.7744 0.7451 99904 

04100 ....... Clay County, Arkansas .............................................................................................. 04 0.7744 0.7451 99904 

04110 ....... Cleburne County, Arkansas ...................................................................................... 04 0.7744 0.7451 99904 

04120 ....... Cleveland County, Arkansas ..................................................................................... 04 0.7744 0.8689 38220 

04130 ....... Columbia County, Arkansas ...................................................................................... 04 0.7744 0.7451 99904 

04140 ....... Conway County, Arkansas ........................................................................................ 04 0.7744 0.7451 99904 

04150 ....... Craighead County, Arkansas .................................................................................... 3700 0.7919 0.7919 27860 

04160 ....... Crawford County, Arkansas ...................................................................................... 2720 0.8229 0.8214 22900 

04170 ....... Crittenden County, Arkansas .................................................................................... 4920 0.9360 0.9341 32820 

04180 ....... Cross County, Arkansas ............................................................................................ 04 0.7744 0.7451 99904 

04190 ....... Dallas County, Arkansas ........................................................................................... 04 0.7744 0.7451 99904 

04200 ....... Desha County, Arkansas ........................................................................................... 04 0.7744 0.7451 99904 

04210 ....... Drew County, Arkansas ............................................................................................. 04 0.7744 0.7451 99904 

04220 ....... Faulkner County, Arkansas ....................................................................................... 4400 0.8756 0.8756 30780 

04230 ....... Franklin County, Arkansas ........................................................................................ 04 0.7744 0.8214 22900 

04240 ....... Fulton County, Arkansas ........................................................................................... 04 0.7744 0.7451 99904 

04250 ....... Garland County, Arkansas ........................................................................................ 04 0.7744 0.9053 26300 

04260 ....... Grant County, Arkansas ............................................................................................ 04 0.7744 0.8756 30780 

04270 ....... Greene County, Arkansas ......................................................................................... 04 0.7744 0.7451 99904 

04280 ....... Hempstead County, Arkansas ................................................................................... 04 0.7744 0.7451 99904 

04290 ....... Hot Spring County, Arkansas .................................................................................... 04 0.7744 0.7451 99904 

04300 ....... Howard County, Arkansas ......................................................................................... 04 0.7744 0.7451 99904 

04310 ....... Independence County, Arkansas .............................................................................. 04 0.7744 0.7451 99904 

04320 ....... Izard County, Arkansas ............................................................................................. 04 0.7744 0.7451 99904 

04330 ....... Jackson County, Arkansas ........................................................................................ 04 0.7744 0.7451 99904 

04340 ....... Jefferson County, Arkansas ...................................................................................... 6240 0.8689 0.8689 38220 

04350 ....... Johnson County, Arkansas ....................................................................................... 04 0.7744 0.7451 99904 

04360 ....... Lafayette County, Arkansas ...................................................................................... 04 0.7744 0.7451 99904 

04370 ....... Lawrence County, Arkansas ..................................................................................... 04 0.7744 0.7451 99904 

04380 ....... Lee County, Arkansas ............................................................................................... 04 0.7744 0.7451 99904 

04390 ....... Lincoln County, Arkansas .......................................................................................... 04 0.7744 0.8689 38220 

04400 ....... Little River County, Arkansas .................................................................................... 04 0.7744 0.7451 99904 

04410 ....... Logan County, Arkansas ........................................................................................... 04 0.7744 0.7451 99904 

04420 ....... Lonoke County, Arkansas ......................................................................................... 4400 0.8756 0.8756 30780 

04430 ....... Madison County, Arkansas ....................................................................................... 04 0.7744 0.8563 22220 

04440 ....... Marion County, Arkansas .......................................................................................... 04 0.7744 0.7451 99904 

04450 ....... Miller County, Arkansas ............................................................................................ 8360 0.8291 0.8291 45500 

04460 ....... Mississippi County, Arkansas .................................................................................... 04 0.7744 0.7451 99904 

04470 ....... Monroe County, Arkansas ......................................................................................... 04 0.7744 0.7451 99904 

04480 ....... Montgomery County, Arkansas ................................................................................. 04 0.7744 0.7451 99904 

04490 ....... Nevada County, Arkansas ......................................................................................... 04 0.7744 0.7451 99904 

04500 ....... Newton County, Arkansas ......................................................................................... 04 0.7744 0.7451 99904 

04510 ....... Ouachita County, Arkansas ....................................................................................... 04 0.7744 0.7451 99904 

04520 ....... Perry County, Arkansas ............................................................................................ 04 0.7744 0.8756 30780 

04530 ....... Phillips County, Arkansas .......................................................................................... 04 0.7744 0.7451 99904 

04540 ....... Pike County, Arkansas .............................................................................................. 04 0.7744 0.7451 99904 

04550 ....... Poinsett County, Arkansas ........................................................................................ 04 0.7744 0.7919 27860 

04560 ....... Polk County, Arkansas .............................................................................................. 04 0.7744 0.7451 99904 

04570 ....... Pope County, Arkansas ............................................................................................. 04 0.7744 0.7451 99904 

04580 ....... Prairie County, Arkansas ........................................................................................... 04 0.7744 0.7451 99904 

04590 ....... Pulaski County, Arkansas ......................................................................................... 4400 0.8756 0.8756 30780 

04600 ....... Randolph County, Arkansas ...................................................................................... 04 0.7744 0.7451 99904 

04610 ....... St Francis County, Arkansas ..................................................................................... 04 0.7744 0.7451 99904 

04620 ....... Saline County, Arkansas ........................................................................................... 4400 0.8756 0.8756 30780 

04630 ....... Scott County, Arkansas ............................................................................................. 04 0.7744 0.7451 99904 

04640 ....... Searcy County, Arkansas .......................................................................................... 04 0.7744 0.7451 99904 

04650 ....... Sebastian County, Arkansas ..................................................................................... 2720 0.8229 0.8214 22900 

04660 ....... Sevier County, Arkansas ........................................................................................... 04 0.7744 0.7451 99904 

29118 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

04670 ....... Sharp County, Arkansas ........................................................................................... 04 0.7744 0.7451 99904 

04680 ....... Stone County, Arkansas ............................................................................................ 04 0.7744 0.7451 99904 

04690 ....... Union County, Arkansas ............................................................................................ 04 0.7744 0.7451 99904 

04700 ....... Van Buren County, Arkansas .................................................................................... 04 0.7744 0.7451 99904 

04710 ....... Washington County, Arkansas .................................................................................. 2580 0.8563 0.8563 22220 

04720 ....... White County, Arkansas ............................................................................................ 04 0.7744 0.7451 99904 

04730 ....... Woodruff County, Arkansas ...................................................................................... 04 0.7744 0.7451 99904 

04740 ....... Yell County, Arkansas ............................................................................................... 04 0.7744 0.7451 99904 

05000 ....... Alameda County, California ....................................................................................... 5775 1.5346 1.5346 36084 

05010 ....... Alpine County, California ........................................................................................... 05 1.0639 1.0857 99905 

05020 ....... Amador County, California ........................................................................................ 05 1.0639 1.0857 99905 

05030 ....... Butte County, California ............................................................................................ 1620 1.0522 1.0522 17020 

05040 ....... Calaveras County, California ..................................................................................... 05 1.0639 1.0857 99905 

05050 ....... Colusa County, California .......................................................................................... 05 1.0639 1.0857 99905 

05060 ....... Contra Costa County, California ............................................................................... 5775 1.5346 1.5346 36084 

05070 ....... Del Norte County, California ..................................................................................... 05 1.0639 1.0857 99905 

05080 ....... Eldorado County, California ...................................................................................... 6920 1.3148 1.2973 40900 

05090 ....... Fresno County, California .......................................................................................... 2840 1.0432 1.0541 23420 

05100 ....... Glenn County, California ........................................................................................... 05 1.0639 1.0857 99905 

05110 ....... Humboldt County, California ..................................................................................... 05 1.0639 1.0857 99905 

05120 ....... Imperial County, California ........................................................................................ 05 1.0639 0.8915 20940 

05130 ....... Inyo County, California .............................................................................................. 05 1.0639 1.0857 99905 

05140 ....... Kern County, California ............................................................................................. 0680 1.0344 1.0344 12540 

05150 ....... Kings County, California ............................................................................................ 05 1.0639 1.0046 25260 

05160 ....... Lake County, California ............................................................................................. 05 1.0639 1.0857 99905 

05170 ....... Lassen County, California ......................................................................................... 05 1.0639 1.0857 99905 

05200 ....... Los Angeles County, California ................................................................................. 4480 1.1752 1.1752 31084 

05210 ....... Los Angeles County, California ................................................................................. 4480 1.1752 1.1752 31084 

05300 ....... Madera County, California ......................................................................................... 2840 1.0432 0.8721 31460 

05310 ....... Marin County, California ............................................................................................ 7360 1.4990 1.4990 41884 

05320 ....... Mariposa County, California ...................................................................................... 05 1.0639 1.0857 99905 

05330 ....... Mendocino County, California ................................................................................... 05 1.0639 1.0857 99905 

05340 ....... Merced County, California ......................................................................................... 4940 1.1120 1.1120 32900 

05350 ....... Modoc County, California .......................................................................................... 05 1.0639 1.0857 99905 

05360 ....... Mono County, California ............................................................................................ 05 1.0639 1.0857 99905 

05370 ....... Monterey County, California ...................................................................................... 7120 1.4142 1.4142 41500 

05380 ....... Napa County, California ............................................................................................ 8720 1.3966 1.2656 34900 

05390 ....... Nevada County, California ........................................................................................ 05 1.0639 1.0857 99905 

05400 ....... Orange County, California ......................................................................................... 5945 1.1576 1.1576 42044 

05410 ....... Placer County, California ........................................................................................... 6920 1.3148 1.2973 40900 

05420 ....... Plumas County, California ......................................................................................... 05 1.0639 1.0857 99905 

05430 ....... Riverside County, California ...................................................................................... 6780 1.1022 1.1022 40140 

05440 ....... Sacramento County, California ................................................................................. 6920 1.3148 1.2973 40900 

05450 ....... San Benito County, California ................................................................................... 05 1.0639 1.5125 41940 

05460 ....... San Bernardino County, California ............................................................................ 6780 1.1022 1.1022 40140 

05470 ....... San Diego County, California .................................................................................... 7320 1.1424 1.1424 41740 

05480 ....... San Francisco County, California .............................................................................. 7360 1.4990 1.4990 41884 

05490 ....... San Joaquin County, California ................................................................................. 8120 1.1311 1.1311 44700 

05500 ....... San Luis Obispo County, California .......................................................................... 7460 1.1360 1.1360 42020 

05510 ....... San Mateo County, California ................................................................................... 7360 1.4990 1.4990 41884 

05520 ....... Santa Barbara County, California ............................................................................. 7480 1.1538 1.1538 42060 

05530 ....... Santa Clara County, California .................................................................................. 7400 1.5144 1.5125 41940 

05540 ....... Santa Cruz County, California ................................................................................... 7485 1.5182 1.5182 42100 

05550 ....... Shasta County, California .......................................................................................... 6690 1.2215 1.2215 39820 

05560 ....... Sierra County, California ........................................................................................... 05 1.0639 1.0857 99905 

05570 ....... Siskiyou County, California ....................................................................................... 05 1.0639 1.0857 99905 

05580 ....... Solano County, California .......................................................................................... 8720 1.3966 1.4899 46700 

05590 ....... Sonoma County, California ....................................................................................... 7500 1.3506 1.3506 42220 

05600 ....... Stanislaus County, California .................................................................................... 5170 1.1804 1.1804 33700 

05610 ....... Sutter County, California ........................................................................................... 9340 1.0932 1.0932 49700 

05620 ....... Tehama County, California ........................................................................................ 05 1.0639 1.0857 99905 

05630 ....... Trinity County, California ........................................................................................... 05 1.0639 1.0857 99905 

05640 ....... Tulare County, California ........................................................................................... 8780 1.0074 1.0074 47300 

05650 ....... Tuolumne County, California ..................................................................................... 05 1.0639 1.0857 99905 

05660 ....... Ventura County, California ........................................................................................ 8735 1.1613 1.1613 37100 

05670 ....... Yolo County, California .............................................................................................. 9270 0.9949 1.2973 40900 

05680 ....... Yuba County, California ............................................................................................ 9340 1.0932 1.0932 49700 

06000 ....... Adams County, Colorado .......................................................................................... 2080 1.0733 1.0733 19740 

06010 ....... Alamosa County, Colorado ....................................................................................... 06 0.9389 0.9389 99906 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29119

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

06020 ....... Arapahoe County, Colorado ...................................................................................... 2080 1.0733 1.0733 19740 

06030 ....... Archuleta County, Colorado ...................................................................................... 06 0.9389 0.9389 99906 

06040 ....... Baca County, Colorado ............................................................................................. 06 0.9389 0.9389 99906 

06050 ....... Bent County, Colorado .............................................................................................. 06 0.9389 0.9389 99906 

06060 ....... Boulder County, Colorado ......................................................................................... 1125 0.9744 0.9744 14500 

06070 ....... Chaffee County, Colorado ......................................................................................... 06 0.9389 0.9389 99906 

06080 ....... Cheyenne County, Colorado ..................................................................................... 06 0.9389 0.9389 99906 

06090 ....... Clear Creek County, Colorado .................................................................................. 06 0.9389 1.0733 19740 

06100 ....... Conejos County, Colorado ........................................................................................ 06 0.9389 0.9389 99906 

06110 ....... Costilla County, Colorado .......................................................................................... 06 0.9389 0.9389 99906 

06120 ....... Crowley County, Colorado ........................................................................................ 06 0.9389 0.9389 99906 

06130 ....... Custer County, Colorado ........................................................................................... 06 0.9389 0.9389 99906 

06140 ....... Delta County, Colorado ............................................................................................. 06 0.9389 0.9389 99906 

06150 ....... Denver County, Colorado .......................................................................................... 2080 1.0733 1.0733 19740 

06160 ....... Dolores County, Colorado ......................................................................................... 06 0.9389 0.9389 99906 

06170 ....... Douglas County, Colorado ........................................................................................ 2080 1.0733 1.0733 19740 

06180 ....... Eagle County, Colorado ............................................................................................ 06 0.9389 0.9389 99906 

06190 ....... Elbert County, Colorado ............................................................................................ 06 0.9389 1.0733 19740 

06200 ....... El Paso County, Colorado ......................................................................................... 1720 0.9478 0.9478 17820 

06210 ....... Fremont County, Colorado ........................................................................................ 06 0.9389 0.9389 99906 

06220 ....... Garfield County, Colorado ......................................................................................... 06 0.9389 0.9389 99906 

06230 ....... Gilpin County, Colorado ............................................................................................ 06 0.9389 1.0733 19740 

06240 ....... Grand County, Colorado ........................................................................................... 06 0.9389 0.9389 99906 

06250 ....... Gunnison County, Colorado ...................................................................................... 06 0.9389 0.9389 99906 

06260 ....... Hinsdale County, Colorado ....................................................................................... 06 0.9389 0.9389 99906 

06270 ....... Huerfano County, Colorado ....................................................................................... 06 0.9389 0.9389 99906 

06280 ....... Jackson County, Colorado ........................................................................................ 06 0.9389 0.9389 99906 

06290 ....... Jefferson County, Colorado ....................................................................................... 2080 1.0733 1.0733 19740 

06300 ....... Kiowa County, Colorado ............................................................................................ 06 0.9389 0.9389 99906 

06310 ....... Kit Carson County, Colorado .................................................................................... 06 0.9389 0.9389 99906 

06320 ....... Lake County, Colorado .............................................................................................. 06 0.9389 0.9389 99906 

06330 ....... La Plata County, Colorado ........................................................................................ 06 0.9389 0.9389 99906 

06340 ....... Larimer County, Colorado ......................................................................................... 2670 1.0132 1.0132 22660 

06350 ....... Las Animas County, Colorado .................................................................................. 06 0.9389 0.9389 99906 

06360 ....... Lincoln County, Colorado .......................................................................................... 06 0.9389 0.9389 99906 

06370 ....... Logan County, Colorado ........................................................................................... 06 0.9389 0.9389 99906 

06380 ....... Mesa County, Colorado ............................................................................................. 2995 0.9560 0.9560 24300 

06390 ....... Mineral County, Colorado .......................................................................................... 06 0.9389 0.9389 99906 

06400 ....... Moffat County, Colorado ........................................................................................... 06 0.9389 0.9389 99906 

06410 ....... Montezuma County, Colorado ................................................................................... 06 0.9389 0.9389 99906 

06420 ....... Montrose County, Colorado ...................................................................................... 06 0.9389 0.9389 99906 

06430 ....... Morgan County, Colorado ......................................................................................... 06 0.9389 0.9389 99906 

06440 ....... Otero County, Colorado ............................................................................................ 06 0.9389 0.9389 99906 

06450 ....... Ouray County, Colorado ............................................................................................ 06 0.9389 0.9389 99906 

06460 ....... Park County, Colorado .............................................................................................. 06 0.9389 1.0733 19740 

06470 ....... Phillips County, Colorado .......................................................................................... 06 0.9389 0.9389 99906 

06480 ....... Pitkin County, Colorado ............................................................................................. 06 0.9389 0.9389 99906 

06490 ....... Prowers County, Colorado ........................................................................................ 06 0.9389 0.9389 99906 

06500 ....... Pueblo County, Colorado .......................................................................................... 6560 0.8632 0.8632 39380 

06510 ....... Rio Blanco County, Colorado .................................................................................... 06 0.9389 0.9389 99906 

06520 ....... Rio Grande County, Colorado ................................................................................... 06 0.9389 0.9389 99906 

06530 ....... Routt County, Colorado ............................................................................................. 06 0.9389 0.9389 99906 

06540 ....... Saguache County, Colorado ..................................................................................... 06 0.9389 0.9389 99906 

06550 ....... San Juan County, Colorado ...................................................................................... 06 0.9389 0.9389 99906 

06560 ....... San Miguel County, Colorado ................................................................................... 06 0.9389 0.9389 99906 

06570 ....... Sedgwick County, Colorado ...................................................................................... 06 0.9389 0.9389 99906 

06580 ....... Summit County, Colorado ......................................................................................... 06 0.9389 0.9389 99906 

06590 ....... Teller County, Colorado ............................................................................................ 06 0.9389 0.9478 17820 

06600 ....... Washington County, Colorado .................................................................................. 06 0.9389 0.9389 99906 

06610 ....... Weld County, Colorado ............................................................................................. 3060 0.9580 0.9580 24540 

06620 ....... Yuma County, Colorado ............................................................................................ 06 0.9389 0.9389 99906 

06630 ....... Broomfield County, Colorado .................................................................................... 2080 1.0733 1.0733 19740 

07000 ....... Fairfield County, Connecticut .................................................................................... 5483 1.2096 1.2598 14860 

07010 ....... Hartford County, Connecticut .................................................................................... 3283 1.1084 1.1084 25540 

07020 ....... Litchfield County, Connecticut ................................................................................... 3283 1.1084 1.1084 25540 

07030 ....... Middlesex County, Connecticut ................................................................................. 3283 1.1084 1.1084 25540 

07040 ....... New Haven County, Connecticut .............................................................................. 5483 1.2096 1.1702 35300 

07050 ....... New London County, Connecticut ............................................................................. 5523 1.1356 1.1356 35980 

07060 ....... Tolland County, Connecticut ..................................................................................... 3283 1.1084 1.1084 25540 

29120 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

07070 ....... Windham County, Connecticut .................................................................................. 07 1.1794 1.1794 99907 

08000 ....... Kent County, Delaware ............................................................................................. 2190 0.9779 0.9779 20100 

08010 ....... New Castle County, Delaware .................................................................................. 9160 1.0537 1.0482 48864 

08020 ....... Sussex County, Delaware ......................................................................................... 08 0.9606 0.9606 99908 

09000 ....... Washington Dc County, Dist Of Col .......................................................................... 8840 1.0983 1.0932 47894 

10000 ....... Alachua County, Florida ............................................................................................ 2900 0.9474 0.9474 23540 

10010 ....... Baker County, Florida ................................................................................................ 10 0.8698 0.9299 27260 

10020 ....... Bay County, Florida ................................................................................................... 6015 0.7989 0.7989 37460 

10030 ....... Bradford County, Florida ........................................................................................... 10 0.8698 0.8598 99910 

10040 ....... Brevard County, Florida ............................................................................................ 4900 0.9835 0.9835 37340 

10050 ....... Broward County, Florida ............................................................................................ 2680 1.0442 1.0442 22744 

10060 ....... Calhoun County, Florida ............................................................................................ 10 0.8698 0.8598 99910 

10070 ....... Charlotte County, Florida .......................................................................................... 6580 0.9264 0.9264 39460 

10080 ....... Citrus County, Florida ................................................................................................ 10 0.8698 0.8598 99910 

10090 ....... Clay County, Florida .................................................................................................. 3600 0.9308 0.9299 27260 

10100 ....... Collier County, Florida ............................................................................................... 5345 1.0140 1.0140 34940 

10110 ....... Columbia County, Florida .......................................................................................... 10 0.8698 0.8598 99910 

10120 ....... Dade County, Florida ................................................................................................ 5000 0.9759 0.9759 33124 

10130 ....... De Soto County, Florida ............................................................................................ 10 0.8698 0.8598 99910 

10140 ....... Dixie County, Florida ................................................................................................. 10 0.8698 0.8598 99910 

10150 ....... Duval County, Florida ................................................................................................ 3600 0.9308 0.9299 27260 

10160 ....... Escambia County, Florida ......................................................................................... 6080 0.8104 0.8104 37860 

10170 ....... Flagler County, Florida .............................................................................................. 2020 0.9334 0.8598 99910 

10180 ....... Franklin County, Florida ............................................................................................ 10 0.8698 0.8598 99910 

10190 ....... Gadsden County, Florida .......................................................................................... 8240 0.8697 0.8697 45220 

10200 ....... Gilchrist County, Florida ............................................................................................ 10 0.8698 0.9474 23540 

10210 ....... Glades County, Florida .............................................................................................. 10 0.8698 0.8598 99910 

10220 ....... Gulf County, Florida .................................................................................................. 10 0.8698 0.8598 99910 

10230 ....... Hamilton County, Florida ........................................................................................... 10 0.8698 0.8598 99910 

10240 ....... Hardee County, Florida ............................................................................................. 10 0.8698 0.8598 99910 

10250 ....... Hendry County, Florida ............................................................................................. 10 0.8698 0.8598 99910 

10260 ....... Hernando County, Florida ......................................................................................... 8280 0.9193 0.9193 45300 

10270 ....... Highlands County, Florida ......................................................................................... 10 0.8698 0.8598 99910 

10280 ....... Hillsborough County, Florida ..................................................................................... 8280 0.9193 0.9193 45300 

10290 ....... Holmes County, Florida ............................................................................................. 10 0.8698 0.8598 99910 

10300 ....... Indian River County, Florida ...................................................................................... 10 0.8698 0.9444 46940 

10310 ....... Jackson County, Florida ............................................................................................ 10 0.8698 0.8598 99910 

10320 ....... Jefferson County, Florida .......................................................................................... 10 0.8698 0.8697 45220 

10330 ....... Lafayette County, Florida .......................................................................................... 10 0.8698 0.8598 99910 

10340 ....... Lake County, Florida ................................................................................................. 5960 0.9459 0.9459 36740 

10350 ....... Lee County, Florida ................................................................................................... 2700 0.9366 0.9366 15980 

10360 ....... Leon County, Florida ................................................................................................. 8240 0.8697 0.8697 45220 

10370 ....... Levy County, Florida ................................................................................................. 10 0.8698 0.8598 99910 

10380 ....... Liberty County, Florida .............................................................................................. 10 0.8698 0.8598 99910 

10390 ....... Madison County, Florida ........................................................................................... 10 0.8698 0.8598 99910 

10400 ....... Manatee County, Florida ........................................................................................... 7510 0.9555 0.9555 42260 

10410 ....... Marion County, Florida .............................................................................................. 5790 0.8934 0.8934 36100 

10420 ....... Martin County, Florida ............................................................................................... 2710 1.0133 1.0133 38940 

10430 ....... Monroe County, Florida ............................................................................................. 10 0.8698 0.8598 99910 

10440 ....... Nassau County, Florida ............................................................................................. 3600 0.9308 0.9299 27260 

10450 ....... Okaloosa County, Florida .......................................................................................... 2750 0.8881 0.8881 23020 

10460 ....... Okeechobee County, Florida ..................................................................................... 10 0.8698 0.8598 99910 

10470 ....... Orange County, Florida ............................................................................................. 5960 0.9459 0.9459 36740 

10480 ....... Osceola County, Florida ............................................................................................ 5960 0.9459 0.9459 36740 

10490 ....... Palm Beach County, Florida ..................................................................................... 8960 1.0077 1.0077 48424 

10500 ....... Pasco County, Florida ............................................................................................... 8280 0.9193 0.9193 45300 

10510 ....... Pinellas County, Florida ............................................................................................ 8280 0.9193 0.9193 45300 

10520 ....... Polk County, Florida .................................................................................................. 3980 0.8921 0.8921 29460 

10530 ....... Putnam County, Florida ............................................................................................. 10 0.8698 0.8598 99910 

10540 ....... Johns County, Florida ............................................................................................... 3600 0.9308 0.9299 27260 

10550 ....... St Lucie County, Florida ............................................................................................ 2710 1.0133 1.0133 38940 

10560 ....... Santa Rosa County, Florida ...................................................................................... 6080 0.8104 0.8104 37860 

10570 ....... Sarasota County, Florida ........................................................................................... 7510 0.9555 0.9555 42260 

10580 ....... Seminole County, Florida .......................................................................................... 5960 0.9459 0.9459 36740 

10590 ....... Sumter County, Florida ............................................................................................. 10 0.8698 0.8598 99910 

10600 ....... Suwannee County, Florida ........................................................................................ 10 0.8698 0.8598 99910 

10610 ....... Taylor County, Florida ............................................................................................... 10 0.8698 0.8598 99910 

10620 ....... Union County, Florida ................................................................................................ 10 0.8698 0.8598 99910 

10630 ....... Volusia County, Florida ............................................................................................. 2020 0.9334 0.9308 19660 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29121

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

10640 ....... Wakulla County, Florida ............................................................................................ 10 0.8698 0.8697 45220 

10650 ....... Walton County, Florida .............................................................................................. 10 0.8698 0.8598 99910 

10660 ....... Washington County, Florida ...................................................................................... 10 0.8698 0.8598 99910 

11000 ....... Appling County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11010 ....... Atkinson County, Georgia ......................................................................................... 11 0.8165 0.7666 99911 

11011 ....... Bacon County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11020 ....... Baker County, Georgia .............................................................................................. 11 0.8165 0.8636 10500 

11030 ....... Baldwin County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11040 ....... Banks County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11050 ....... Barrow County, Georgia ............................................................................................ 0520 0.9648 0.9648 12060 

11060 ....... Bartow County, Georgia ............................................................................................ 0520 0.9648 0.9648 12060 

11070 ....... Ben Hill County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11080 ....... Berrien County, Georgia ............................................................................................ 11 0.8165 0.7666 99911 

11090 ....... Bibb County, Georgia ................................................................................................ 4680 0.9286 0.9453 31420 

11100 ....... Bleckley County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11110 ....... Brantley County, Georgia .......................................................................................... 11 0.8165 0.9320 15260 

11120 ....... Brooks County, Georgia ............................................................................................ 11 0.8165 0.8875 46660 

11130 ....... Bryan County, Georgia .............................................................................................. 7520 0.9480 0.9480 42340 

11140 ....... Bulloch County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11150 ....... Burke County, Georgia .............................................................................................. 11 0.8165 0.9565 12260 

11160 ....... Butts County, Georgia ............................................................................................... 11 0.8165 0.9648 12060 

11161 ....... Calhoun County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11170 ....... Camden County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11180 ....... Candler County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11190 ....... Carroll County, Georgia ............................................................................................. 0520 0.9648 0.9648 12060 

11200 ....... Catoosa County, Georgia .......................................................................................... 1560 0.9098 0.9098 16860 

11210 ....... Charlton County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11220 ....... Chatham County, Georgia ......................................................................................... 7520 0.9480 0.9480 42340 

11230 ....... Chattahoochee County, Georgia ............................................................................... 1800 0.8568 0.8568 17980 

11240 ....... Chattooga County, Georgia ....................................................................................... 11 0.8165 0.7666 99911 

11250 ....... Cherokee County, Georgia ........................................................................................ 0520 0.9648 0.9648 12060 

11260 ....... Clarke County, Georgia ............................................................................................. 0500 0.9843 0.9843 12020 

11270 ....... Clay County, Georgia ................................................................................................ 11 0.8165 0.7666 99911 

11280 ....... Clayton County, Georgia ........................................................................................... 0520 0.9648 0.9648 12060 

11281 ....... Clinch County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11290 ....... Cobb County, Georgia ............................................................................................... 0520 0.9648 0.9648 12060 

11291 ....... Coffee County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11300 ....... Colquitt County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11310 ....... Columbia County, Georgia ........................................................................................ 0600 0.9619 0.9565 12260 

11311 ....... Cook County, Georgia ............................................................................................... 11 0.8165 0.7666 99911 

11320 ....... Coweta County, Georgia ........................................................................................... 0520 0.9648 0.9648 12060 

11330 ....... Crawford County, Georgia ......................................................................................... 11 0.8165 0.9453 31420 

11340 ....... Crisp County, Georgia ............................................................................................... 11 0.8165 0.7666 99911 

11341 ....... Dade County, Georgia ............................................................................................... 1560 0.9098 0.9098 16860 

11350 ....... Dawson County, Georgia .......................................................................................... 11 0.8165 0.9648 12060 

11360 ....... Decatur County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11370 ....... De Kalb County, Georgia .......................................................................................... 0520 0.9648 0.9648 12060 

11380 ....... Dodge County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11381 ....... Dooly County, Georgia .............................................................................................. 11 0.8165 0.7666 99911 

11390 ....... Dougherty County, Georgia ....................................................................................... 0120 0.8636 0.8636 10500 

11400 ....... Douglas County, Georgia .......................................................................................... 0520 0.9648 0.9648 12060 

11410 ....... Early County, Georgia ............................................................................................... 11 0.8165 0.7666 99911 

11420 ....... Echols County, Georgia ............................................................................................ 11 0.8165 0.8875 46660 

11421 ....... Effingham County, Georgia ....................................................................................... 7520 0.9480 0.9480 42340 

11430 ....... Elbert County, Georgia .............................................................................................. 11 0.8165 0.7666 99911 

11440 ....... Emanuel County, Georgia ......................................................................................... 11 0.8165 0.7666 99911 

11441 ....... Evans County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11450 ....... Fannin County, Georgia ............................................................................................ 11 0.8165 0.7666 99911 

11451 ....... Fayette County, Georgia ........................................................................................... 0520 0.9648 0.9648 12060 

11460 ....... Floyd County, Georgia .............................................................................................. 11 0.8165 0.9424 40660 

11461 ....... Forsyth County, Georgia ........................................................................................... 0520 0.9648 0.9648 12060 

11462 ....... Franklin County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11470 ....... Fulton County, Georgia ............................................................................................. 0520 0.9648 0.9648 12060 

11471 ....... Gilmer County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11480 ....... Glascock County, Georgia ........................................................................................ 11 0.8165 0.7666 99911 

11490 ....... Glynn County, Georgia .............................................................................................. 11 0.8165 0.9320 15260 

11500 ....... Gordon County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11510 ....... Grady County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11520 ....... Greene County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

29122 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

11530 ....... Gwinnett County, Georgia ......................................................................................... 0520 0.9648 0.9648 12060 

11540 ....... Habersham County, Georgia ..................................................................................... 11 0.8165 0.7666 99911 

11550 ....... Hall County, Georgia ................................................................................................. 11 0.8165 0.8883 23580 

11560 ....... Hancock County, Georgia ......................................................................................... 11 0.8165 0.7666 99911 

11570 ....... Haralson County, Georgia ......................................................................................... 11 0.8165 0.9648 12060 

11580 ....... Harris County, Georgia .............................................................................................. 1800 0.8568 0.8568 17980 

11581 ....... Hart County, Georgia ................................................................................................ 11 0.8165 0.7666 99911 

11590 ....... Heard County, Georgia ............................................................................................. 11 0.8165 0.9648 12060 

11591 ....... Henry County, Georgia .............................................................................................. 0520 0.9648 0.9648 12060 

11600 ....... Houston County, Georgia .......................................................................................... 4680 0.9286 0.8654 47580 

11601 ....... Irwin County, Georgia ................................................................................................ 11 0.8165 0.7666 99911 

11610 ....... Jackson County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11611 ....... Jasper County, Georgia ............................................................................................ 11 0.8165 0.9648 12060 

11612 ....... Jeff Davis County, Georgia ....................................................................................... 11 0.8165 0.7666 99911 

11620 ....... Jefferson County, Georgia ........................................................................................ 11 0.8165 0.7666 99911 

11630 ....... Jenkins County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11640 ....... Johnson County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11650 ....... Jones County, Georgia .............................................................................................. 4680 0.9286 0.9453 31420 

11651 ....... Lamar County, Georgia ............................................................................................. 11 0.8165 0.9648 12060 

11652 ....... Lanier County, Georgia ............................................................................................. 11 0.8165 0.8875 46660 

11660 ....... Laurens County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11670 ....... Lee County, Georgia ................................................................................................. 0120 0.8636 0.8636 10500 

11680 ....... Liberty County, Georgia ............................................................................................ 11 0.8165 0.9178 25980 

11690 ....... Lincoln County, Georgia ............................................................................................ 11 0.8165 0.7666 99911 

11691 ....... Long County, Georgia ............................................................................................... 11 0.8165 0.9178 25980 

11700 ....... Lowndes County, Georgia ......................................................................................... 11 0.8165 0.8875 46660 

11701 ....... Lumpkin County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11702 ....... Mc Duffie County, Georgia ........................................................................................ 0600 0.9619 0.9565 12260 

11703 ....... Mc Intosh County, Georgia ....................................................................................... 11 0.8165 0.9320 15260 

11710 ....... Macon County, Georgia ............................................................................................ 11 0.8165 0.7666 99911 

11720 ....... Madison County, Georgia .......................................................................................... 0500 0.9843 0.9843 12020 

11730 ....... Marion County, Georgia ............................................................................................ 11 0.8165 0.8568 17980 

11740 ....... Meriwether County, Georgia ..................................................................................... 11 0.8165 0.9648 12060 

11741 ....... Miller County, Georgia ............................................................................................... 11 0.8165 0.7666 99911 

11750 ....... Mitchell County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11760 ....... Monroe County, Georgia ........................................................................................... 11 0.8165 0.9453 31420 

11770 ....... Montgomery County, Georgia ................................................................................... 11 0.8165 0.7666 99911 

11771 ....... Morgan County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11772 ....... Murray County, Georgia ............................................................................................ 11 0.8165 0.9044 19140 

11780 ....... Muscogee County, Georgia ....................................................................................... 1800 0.8568 0.8568 17980 

11790 ....... Newton County, Georgia ........................................................................................... 0520 0.9648 0.9648 12060 

11800 ....... Oconee County, Georgia ........................................................................................... 0500 0.9843 0.9843 12020 

11801 ....... Oglethorpe County, Georgia ..................................................................................... 11 0.8165 0.9843 12020 

11810 ....... Paulding County, Georgia ......................................................................................... 0520 0.9648 0.9648 12060 

11811 ....... Peach County, Georgia ............................................................................................. 4680 0.9286 0.7666 99911 

11812 ....... Pickens County, Georgia ........................................................................................... 0520 0.9648 0.9648 12060 

11820 ....... Pierce County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11821 ....... Pike County, Georgia ................................................................................................ 11 0.8165 0.9648 12060 

11830 ....... Polk County, Georgia ................................................................................................ 11 0.8165 0.7666 99911 

11831 ....... Pulaski County, Georgia ............................................................................................ 11 0.8165 0.7666 99911 

11832 ....... Putnam County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11833 ....... Quitman County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11834 ....... Rabun County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11835 ....... Randolph County, Georgia ........................................................................................ 11 0.8165 0.7666 99911 

11840 ....... Richmond County, Georgia ....................................................................................... 0600 0.9619 0.9565 12260 

11841 ....... Rockdale County, Georgia ........................................................................................ 0520 0.9648 0.9648 12060 

11842 ....... Schley County, Georgia ............................................................................................ 11 0.8165 0.7666 99911 

11850 ....... Screven County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11851 ....... Seminole County, Georgia ........................................................................................ 11 0.8165 0.7666 99911 

11860 ....... Spalding County, Georgia ......................................................................................... 0520 0.9648 0.9648 12060 

11861 ....... Stephens County, Georgia ........................................................................................ 11 0.8165 0.7666 99911 

11862 ....... Stewart County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11870 ....... Sumter County, Georgia ............................................................................................ 11 0.8165 0.7666 99911 

11880 ....... Talbot County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11881 ....... Taliaferro County, Georgia ........................................................................................ 11 0.8165 0.7666 99911 

11882 ....... Tattnall County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11883 ....... Taylor County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11884 ....... Telfair County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11885 ....... Terrell County, Georgia ............................................................................................. 11 0.8165 0.8636 10500 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29123

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

11890 ....... Thomas County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11900 ....... Tift County, Georgia .................................................................................................. 11 0.8165 0.7666 99911 

11901 ....... Toombs County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11902 ....... Towns County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11903 ....... Treutlen County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11910 ....... Troup County, Georgia .............................................................................................. 11 0.8165 0.7666 99911 

11911 ....... Turner County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11912 ....... Twiggs County, Georgia ............................................................................................ 4680 0.9286 0.9453 31420 

11913 ....... Union County, Georgia .............................................................................................. 11 0.8165 0.7666 99911 

11920 ....... Upson County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11921 ....... Walker County, Georgia ............................................................................................ 1560 0.9098 0.9098 16860 

11930 ....... Walton County, Georgia ............................................................................................ 0520 0.9648 0.9648 12060 

11940 ....... Ware County, Georgia ............................................................................................... 11 0.8165 0.7666 99911 

11941 ....... Warren County, Georgia ........................................................................................... 11 0.8165 0.7666 99911 

11950 ....... Washington County, Georgia .................................................................................... 11 0.8165 0.7666 99911 

11960 ....... Wayne County, Georgia ............................................................................................ 11 0.8165 0.7666 99911 

11961 ....... Webster County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11962 ....... Wheeler County, Georgia .......................................................................................... 11 0.8165 0.7666 99911 

11963 ....... White County, Georgia .............................................................................................. 11 0.8165 0.7666 99911 

11970 ....... Whitfield County, Georgia ......................................................................................... 11 0.8165 0.9044 19140 

11971 ....... Wilcox County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11972 ....... Wilkes County, Georgia ............................................................................................. 11 0.8165 0.7666 99911 

11973 ....... Wilkinson County, Georgia ........................................................................................ 11 0.8165 0.7666 99911 

11980 ....... Worth County, Georgia .............................................................................................. 11 0.8165 0.8636 10500 

12005 ....... Kalawao County, Hawaii ........................................................................................... 12 1.0562 1.0562 99912 

12010 ....... Hawaii County, Hawaii .............................................................................................. 12 1.0562 1.0562 99912 

12020 ....... Honolulu County, Hawaii ........................................................................................... 3320 1.1208 1.1208 26180 

12040 ....... Kauai County, Hawaii ................................................................................................ 12 1.0562 1.0562 99912 

12050 ....... Maui County, Hawaii ................................................................................................. 12 1.0562 1.0562 99912 

13000 ....... Ada County, Idaho ..................................................................................................... 1080 0.9061 0.9061 14260 

13010 ....... Adams County, Idaho ................................................................................................ 13 0.9106 0.8045 99913 

13020 ....... Bannock County, Idaho ............................................................................................. 6340 0.9360 0.9360 38540 

13030 ....... Bear Lake County, Idaho .......................................................................................... 13 0.9106 0.8045 99913 

13040 ....... Benewah County, Idaho ............................................................................................ 13 0.9106 0.8045 99913 

13050 ....... Bingham County, Idaho ............................................................................................. 13 0.9106 0.8045 99913 

13060 ....... Blaine County, Idaho ................................................................................................. 13 0.9106 0.8045 99913 

13070 ....... Boise County, Idaho .................................................................................................. 13 0.9106 0.9061 14260 

13080 ....... Bonner County, Idaho ............................................................................................... 13 0.9106 0.8045 99913 

13090 ....... Bonneville County, Idaho .......................................................................................... 13 0.9106 0.9429 26820 

13100 ....... Boundary County, Idaho ............................................................................................ 13 0.9106 0.8045 99913 

13110 ....... Butte County, Idaho ................................................................................................... 13 0.9106 0.8045 99913 

13120 ....... Camas County, Idaho ................................................................................................ 13 0.9106 0.8045 99913 

13130 ....... Canyon County, Idaho ............................................................................................... 1080 0.9061 0.9061 14260 

13140 ....... Caribou County, Idaho .............................................................................................. 13 0.9106 0.8045 99913 

13150 ....... Cassia County, Idaho ................................................................................................ 13 0.9106 0.8045 99913 

13160 ....... Clark County, Idaho ................................................................................................... 13 0.9106 0.8045 99913 

13170 ....... Clearwater County, Idaho .......................................................................................... 13 0.9106 0.8045 99913 

13180 ....... Custer County, Idaho ................................................................................................ 13 0.9106 0.8045 99913 

13190 ....... Elmore County, Idaho ................................................................................................ 13 0.9106 0.8045 99913 

13200 ....... Franklin County, Idaho .............................................................................................. 13 0.9106 0.9173 30860 

13210 ....... Fremont County, Idaho .............................................................................................. 13 0.9106 0.8045 99913 

13220 ....... Gem County, Idaho ................................................................................................... 13 0.9106 0.9061 14260 

13230 ....... Gooding County, Idaho ............................................................................................. 13 0.9106 0.8045 99913 

13240 ....... Idaho County, Idaho .................................................................................................. 13 0.9106 0.8045 99913 

13250 ....... Jefferson County, Idaho ............................................................................................ 13 0.9106 0.9429 26820 

13260 ....... Jerome County, Idaho ............................................................................................... 13 0.9106 0.8045 99913 

13270 ....... Kootenai County, Idaho ............................................................................................. 13 0.9106 0.9657 17660 

13280 ....... Latah County, Idaho .................................................................................................. 13 0.9106 0.8045 99913 

13290 ....... Lemhi County, Idaho ................................................................................................. 13 0.9106 0.8045 99913 

13300 ....... Lewis County, Idaho .................................................................................................. 13 0.9106 0.8045 99913 

13310 ....... Lincoln County, Idaho ................................................................................................ 13 0.9106 0.8045 99913 

13320 ....... Madison County, Idaho ............................................................................................. 13 0.9106 0.8045 99913 

13330 ....... Minidoka County, Idaho ............................................................................................. 13 0.9106 0.8045 99913 

13340 ....... Nez Perce County, Idaho .......................................................................................... 13 0.9106 0.9896 30300 

13350 ....... Oneida County, Idaho ............................................................................................... 13 0.9106 0.8045 99913 

13360 ....... Owyhee County, Idaho .............................................................................................. 13 0.9106 0.9061 14260 

13370 ....... Payette County, Idaho ............................................................................................... 13 0.9106 0.8045 99913 

13380 ....... Power County, Idaho ................................................................................................. 13 0.9106 0.9360 38540 

13390 ....... Shoshone County, Idaho ........................................................................................... 13 0.9106 0.8045 99913 

29124 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

13390 ....... Teton County, Idaho .................................................................................................. 13 0.9106 0.8045 99913 

13410 ....... Twin Falls County, Idaho ........................................................................................... 13 0.9106 0.8045 99913 

13420 ....... Valley County, Idaho ................................................................................................. 13 0.9106 0.8045 99913 

13430 ....... Washington County, Idaho ........................................................................................ 13 0.9106 0.8045 99913 

14000 ....... Adams County, Illinois ............................................................................................... 14 0.8309 0.8279 99914 

14010 ....... Alexander County, Illinois .......................................................................................... 14 0.8309 0.8279 99914 

14020 ....... Bond County, Illinois .................................................................................................. 14 0.8309 0.8949 41180 

14030 ....... Boone County, Illinois ................................................................................................ 6880 0.9994 0.9994 40420 

14040 ....... Brown County, Illinois ................................................................................................ 14 0.8309 0.8279 99914 

14050 ....... Bureau County, Illinois .............................................................................................. 14 0.8309 0.8279 99914 

14060 ....... Calhoun County, Illinois ............................................................................................. 14 0.8309 0.8949 41180 

14070 ....... Carroll County, Illinois ............................................................................................... 14 0.8309 0.8279 99914 

14080 ....... Cass County, Illinois .................................................................................................. 14 0.8309 0.8279 99914 

14090 ....... Champaign County, Illinois ........................................................................................ 1400 0.9604 0.9604 16580 

14100 ....... Christian County, Illinois ............................................................................................ 14 0.8309 0.8279 99914 

14110 ....... Clark County, Illinois .................................................................................................. 14 0.8309 0.8279 99914 

14120 ....... Clay County, Illinois ................................................................................................... 14 0.8309 0.8279 99914 

14130 ....... Clinton County, Illinois ............................................................................................... 7040 0.8957 0.8949 41180 

14140 ....... Coles County, Illinois ................................................................................................. 14 0.8309 0.8279 99914 

14141 ....... Cook County, Illinois .................................................................................................. 1600 1.0838 1.0848 16974 

14150 ....... Crawford County, Illinois ........................................................................................... 14 0.8309 0.8279 99914 

14160 ....... Cumberland County, Illinois ...................................................................................... 14 0.8309 0.8279 99914 

14170 ....... De Kalb County, Illinois ............................................................................................. 1600 1.0838 1.0848 16974 

14180 ....... De Witt County, Illinois .............................................................................................. 14 0.8309 0.8279 99914 

14190 ....... Douglas County, Illinois ............................................................................................. 14 0.8309 0.8279 99914 

14250 ....... Du Page County, Illinois ............................................................................................ 1600 1.0838 1.0848 16974 

14310 ....... Edgar County, Illinois ................................................................................................ 14 0.8309 0.8279 99914 

14320 ....... Edwards County, Illinois ............................................................................................ 14 0.8309 0.8279 99914 

14330 ....... Effingham County, Illinois .......................................................................................... 14 0.8309 0.8279 99914 

14340 ....... Fayette County, Illinois .............................................................................................. 14 0.8309 0.8279 99914 

14350 ....... Ford County, Illinois ................................................................................................... 14 0.8309 0.9604 16580 

14360 ....... Franklin County, Illinois ............................................................................................. 14 0.8309 0.8279 99914 

14370 ....... Fulton County, Illinois ................................................................................................ 14 0.8309 0.8279 99914 

14380 ....... Gallatin County, Illinois .............................................................................................. 14 0.8309 0.8279 99914 

14390 ....... Greene County, Illinois .............................................................................................. 14 0.8309 0.8279 99914 

14400 ....... Grundy County, Illinois .............................................................................................. 1600 1.0838 1.0848 16974 

14410 ....... Hamilton County, Illinois ............................................................................................ 14 0.8309 0.8279 99914 

14420 ....... Hancock County, Illinois ............................................................................................ 14 0.8309 0.8279 99914 

14421 ....... Hardin County, Illinois ............................................................................................... 14 0.8309 0.8279 99914 

14440 ....... Henderson County, Illinois ........................................................................................ 14 0.8309 0.8279 99914 

14450 ....... Henry County, Illinois ................................................................................................ 1960 0.8731 0.8731 19340 

14460 ....... Iroquois County, Illinois ............................................................................................. 14 0.8309 0.8279 99914 

14470 ....... Jackson County, Illinois ............................................................................................. 14 0.8309 0.8279 99914 

14480 ....... Jasper County, Illinois ............................................................................................... 14 0.8309 0.8279 99914 

14490 ....... Jefferson County, Illinois ........................................................................................... 14 0.8309 0.8279 99914 

14500 ....... Jersey County, Illinois ............................................................................................... 7040 0.8957 0.8949 41180 

14510 ....... Jo Daviess County, Illinois ........................................................................................ 14 0.8309 0.8279 99914 

14520 ....... Johnson County, Illinois ............................................................................................ 14 0.8309 0.8279 99914 

14530 ....... Kane County, Illinois .................................................................................................. 1600 1.0838 1.0848 16974 

14540 ....... Kankakee County, Illinois .......................................................................................... 3740 1.0974 1.0974 28100 

14550 ....... Kendall County, Illinois .............................................................................................. 1600 1.0838 1.0848 16974 

14560 ....... Knox County, Illinois .................................................................................................. 14 0.8309 0.8279 99914 

14570 ....... Lake County, Illinois .................................................................................................. 1600 1.0838 1.0440 29404 

14580 ....... La Salle County, Illinois ............................................................................................. 14 0.8309 0.8279 99914 

14590 ....... Lawrence County, Illinois .......................................................................................... 14 0.8309 0.8279 99914 

14600 ....... Lee County, Illinois .................................................................................................... 14 0.8309 0.8279 99914 

14610 ....... Livingston County, Illinois .......................................................................................... 14 0.8309 0.8279 99914 

14620 ....... Logan County, Illinois ................................................................................................ 14 0.8309 0.8279 99914 

14630 ....... Mc Donough County, Illinois ..................................................................................... 14 0.8309 0.8279 99914 

14640 ....... Mc Henry County, Illinois .......................................................................................... 1600 1.0838 1.0848 16974 

14650 ....... Mclean County, Illinois .............................................................................................. 1040 0.9084 0.9084 14060 

14660 ....... Macon County, Illinois ............................................................................................... 2040 0.8076 0.8076 19500 

14670 ....... Macoupin County, Illinois .......................................................................................... 14 0.8309 0.8949 41180 

14680 ....... Madison County, Illinois ............................................................................................ 7040 0.8957 0.8949 41180 

14690 ....... Marion County, Illinois ............................................................................................... 14 0.8309 0.8279 99914 

14700 ....... Marshall County, Illinois ............................................................................................ 14 0.8309 0.8868 37900 

14710 ....... Mason County, Illinois ............................................................................................... 14 0.8309 0.8279 99914 

14720 ....... Massac County, Illinois .............................................................................................. 14 0.8309 0.8279 99914 

14730 ....... Menard County, Illinois .............................................................................................. 7880 0.8885 0.8885 44100 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29125

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

14740 ....... Mercer County, Illinois ............................................................................................... 14 0.8309 0.8731 19340 

14750 ....... Monroe County, Illinois .............................................................................................. 7040 0.8957 0.8949 41180 

14760 ....... Montgomery County, Illinois ...................................................................................... 14 0.8309 0.8279 99914 

14770 ....... Morgan County, Illinois .............................................................................................. 14 0.8309 0.8279 99914 

14780 ....... Moultrie County, Illinois ............................................................................................. 14 0.8309 0.8279 99914 

14790 ....... Ogle County, Illinois .................................................................................................. 6880 0.9994 0.8279 99914 

14800 ....... Peoria County, Illinois ................................................................................................ 6120 0.8868 0.8868 37900 

14810 ....... Perry County, Illinois ................................................................................................. 14 0.8309 0.8279 99914 

14820 ....... Piatt County, Illinois ................................................................................................... 14 0.8309 0.9604 16580 

14830 ....... Pike County, Illinois ................................................................................................... 14 0.8309 0.8279 99914 

14831 ....... Pope County, Illinois .................................................................................................. 14 0.8309 0.8279 99914 

14850 ....... Pulaski County, Illinois .............................................................................................. 14 0.8309 0.8279 99914 

14860 ....... Putnam County, Illinois .............................................................................................. 14 0.8309 0.8279 99914 

14870 ....... Randolph County, Illinois ........................................................................................... 14 0.8309 0.8279 99914 

14880 ....... Richland County, Illinois ............................................................................................ 14 0.8309 0.8279 99914 

14890 ....... Rock Island County, Illinois ....................................................................................... 1960 0.8731 0.8731 19340 

14900 ....... St Clair County, Illinois .............................................................................................. 7040 0.8957 0.8949 41180 

14910 ....... Saline County, Illinois ................................................................................................ 14 0.8309 0.8279 99914 

14920 ....... Sangamon County, Illinois ......................................................................................... 7880 0.8885 0.8885 44100 

14921 ....... Schuyler County, Illinois ............................................................................................ 14 0.8309 0.8279 99914 

14940 ....... Scott County, Illinois .................................................................................................. 14 0.8309 0.8279 99914 

14950 ....... Shelby County, Illinois ............................................................................................... 14 0.8309 0.8279 99914 

14960 ....... Stark County, Illinois .................................................................................................. 14 0.8309 0.8868 37900 

14970 ....... Stephenson County, Illinois ....................................................................................... 14 0.8309 0.8279 99914 

14980 ....... Tazewell County, Illinois ............................................................................................ 6120 0.8868 0.8868 37900 

14981 ....... Union County, Illinois ................................................................................................. 14 0.8309 0.8279 99914 

14982 ....... Vermilion County, Illinois ........................................................................................... 14 0.8309 0.9037 19180 

14983 ....... Wabash County, Illinois ............................................................................................. 14 0.8309 0.8279 99914 

14984 ....... Warren County, Illinois .............................................................................................. 14 0.8309 0.8279 99914 

14985 ....... Washington County, Illinois ....................................................................................... 14 0.8309 0.8279 99914 

14986 ....... Wayne County, Illinois ............................................................................................... 14 0.8309 0.8279 99914 

14987 ....... White County, Illinois ................................................................................................. 14 0.8309 0.8279 99914 

14988 ....... Whiteside County, Illinois .......................................................................................... 14 0.8309 0.8279 99914 

14989 ....... Will County, Illinois .................................................................................................... 1600 1.0838 1.0848 16974 

14990 ....... Williamson County, Illinois ......................................................................................... 14 0.8309 0.8279 99914 

14991 ....... Winnebago County, Illinois ........................................................................................ 6880 0.9994 0.9994 40420 

14992 ....... Woodford County, Illinois .......................................................................................... 6120 0.8868 0.8868 37900 

15000 ....... Adams County, Indiana ............................................................................................. 2760 0.9716 0.8630 99915 

15010 ....... Allen County, Indiana ................................................................................................ 2760 0.9716 0.9803 23060 

15020 ....... Bartholomew County, Indiana ................................................................................... 15 0.8727 0.9598 18020 

15030 ....... Benton County, Indiana ............................................................................................. 15 0.8727 0.8745 29140 

15040 ....... Blackford County, Indiana ......................................................................................... 15 0.8727 0.8630 99915 

15050 ....... Boone County, Indiana .............................................................................................. 3480 0.9875 0.9930 26900 

15060 ....... Brown County, Indiana .............................................................................................. 15 0.8727 0.9930 26900 

15070 ....... Carroll County, Indiana .............................................................................................. 15 0.8727 0.8745 29140 

15080 ....... Cass County, Indiana ................................................................................................ 15 0.8727 0.8630 99915 

15090 ....... Clark County, Indiana ................................................................................................ 4520 0.9302 0.9261 31140 

15100 ....... Clay County, Indiana ................................................................................................. 8320 0.8345 0.8313 45460 

15110 ....... Clinton County, Indiana ............................................................................................. 3920 0.8745 0.8630 99915 

15120 ....... Crawford County, Indiana .......................................................................................... 15 0.8727 0.8630 99915 

15130 ....... Daviess County, Indiana ........................................................................................... 15 0.8727 0.8630 99915 

15140 ....... Dearborn County, Indiana ......................................................................................... 1640 0.9742 0.9623 17140 

15150 ....... Decatur County, Indiana ............................................................................................ 15 0.8727 0.8630 99915 

15160 ....... De Kalb County, Indiana ........................................................................................... 2760 0.9716 0.8630 99915 

15170 ....... Delaware County, Indiana ......................................................................................... 5280 0.8939 0.8939 34620 

15180 ....... Dubois County, Indiana ............................................................................................. 15 0.8727 0.8630 99915 

15190 ....... Elkhart County, Indiana ............................................................................................. 2330 0.9637 0.9637 21140 

15200 ....... Fayette County, Indiana ............................................................................................ 15 0.8727 0.8630 99915 

15210 ....... Floyd County, Indiana ............................................................................................... 4520 0.9302 0.9261 31140 

15220 ....... Fountain County, Indiana .......................................................................................... 15 0.8727 0.8630 99915 

15230 ....... Franklin County, Indiana ........................................................................................... 15 0.8727 0.9623 17140 

15240 ....... Fulton County, Indiana .............................................................................................. 15 0.8727 0.8630 99915 

15250 ....... Gibson County, Indiana ............................................................................................. 15 0.8727 0.8721 21780 

15260 ....... Grant County, Indiana ............................................................................................... 15 0.8727 0.8630 99915 

15270 ....... Greene County, Indiana ............................................................................................ 15 0.8727 0.8456 14020 

15280 ....... Hamilton County, Indiana .......................................................................................... 3480 0.9875 0.9930 26900 

15290 ....... Hancock County, Indiana .......................................................................................... 3480 0.9875 0.9930 26900 

15300 ....... Harrison County, Indiana ........................................................................................... 4520 0.9302 0.9261 31140 

15310 ....... Hendricks County, Indiana ........................................................................................ 3480 0.9875 0.9930 26900 

29126 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

15320 ....... Henry County, Indiana ............................................................................................... 15 0.8727 0.8630 99915 

15330 ....... Howard County, Indiana ............................................................................................ 3850 0.9517 0.9517 29020 

15340 ....... Huntington County, Indiana ....................................................................................... 2760 0.9716 0.8630 99915 

15350 ....... Jackson County, Indiana ........................................................................................... 15 0.8727 0.8630 99915 

15360 ....... Jasper County, Indiana ............................................................................................. 15 0.8727 0.9369 23844 

15370 ....... Jay County, Indiana ................................................................................................... 15 0.8727 0.8630 99915 

15380 ....... Jefferson County, Indiana ......................................................................................... 15 0.8727 0.8630 99915 

15390 ....... Jennings County, Indiana .......................................................................................... 15 0.8727 0.8630 99915 

15400 ....... Johnson County, Indiana ........................................................................................... 3480 0.9875 0.9930 26900 

15410 ....... Knox County, Indiana ................................................................................................ 15 0.8727 0.8630 99915 

15420 ....... Kosciusko County, Indiana ........................................................................................ 15 0.8727 0.8630 99915 

15430 ....... Lagrange County, Indiana ......................................................................................... 15 0.8727 0.8630 99915 

15440 ....... Lake County, Indiana ................................................................................................ 2960 0.9404 0.9369 23844 

15450 ....... La Porte County, Indiana .......................................................................................... 15 0.8727 0.9409 33140 

15460 ....... Lawrence County, Indiana ......................................................................................... 15 0.8727 0.8630 99915 

15470 ....... Madison County, Indiana ........................................................................................... 3480 0.9875 0.8595 11300 

15480 ....... Marion County, Indiana ............................................................................................. 3480 0.9875 0.9930 26900 

15490 ....... Marshall County, Indiana ........................................................................................... 15 0.8727 0.8630 99915 

15500 ....... Martin County, Indiana .............................................................................................. 15 0.8727 0.8630 99915 

15510 ....... Miami County, Indiana ............................................................................................... 15 0.8727 0.8630 99915 

15520 ....... Monroe County, Indiana ............................................................................................ 1020 0.8456 0.8456 14020 

15530 ....... Montgomery County, Indiana .................................................................................... 15 0.8727 0.8630 99915 

15540 ....... Morgan County, Indiana ............................................................................................ 3480 0.9875 0.9930 26900 

15550 ....... Newton County, Indiana ............................................................................................ 15 0.8727 0.9369 23844 

15560 ....... Noble County, Indiana ............................................................................................... 15 0.8727 0.8630 99915 

15570 ....... Ohio County, Indiana ................................................................................................. 1640 0.9742 0.9623 17140 

15580 ....... Orange County, Indiana ............................................................................................ 15 0.8727 0.8630 99915 

15590 ....... Owen County, Indiana ............................................................................................... 15 0.8727 0.8456 14020 

15600 ....... Parke County, Indiana ............................................................................................... 15 0.8727 0.8630 99915 

15610 ....... Perry County, Indiana ................................................................................................ 15 0.8727 0.8630 99915 

15620 ....... Pike County, Indiana ................................................................................................. 15 0.8727 0.8630 99915 

15630 ....... Porter County, Indiana .............................................................................................. 2960 0.9404 0.9369 23844 

15640 ....... Posey County, Indiana .............................................................................................. 2440 0.8721 0.8721 21780 

15650 ....... Pulaski County, Indiana ............................................................................................. 15 0.8727 0.8630 99915 

15660 ....... Putnam County, Indiana ............................................................................................ 15 0.8727 0.9930 26900 

15670 ....... Randolph County, Indiana ......................................................................................... 15 0.8727 0.8630 99915 

15680 ....... Ripley County, Indiana .............................................................................................. 15 0.8727 0.8630 99915 

15690 ....... Rush County, Indiana ................................................................................................ 15 0.8727 0.8630 99915 

15700 ....... St Joseph County, Indiana ........................................................................................ 7800 0.9798 0.9798 43780 

15710 ....... Scott County, Indiana ................................................................................................ 4520 0.9302 0.8630 99915 

15720 ....... Shelby County, Indiana ............................................................................................. 3480 0.9875 0.9930 26900 

15730 ....... Spencer County, Indiana ........................................................................................... 15 0.8727 0.8630 99915 

15740 ....... Starke County, Indiana .............................................................................................. 15 0.8727 0.8630 99915 

15750 ....... Steuben County, Indiana ........................................................................................... 15 0.8727 0.8630 99915 

15760 ....... Sullivan County, Indiana ............................................................................................ 15 0.8727 0.8313 45460 

15770 ....... Switzerland County, Indiana ...................................................................................... 15 0.8727 0.8630 99915 

15780 ....... Tippecanoe County, Indiana ..................................................................................... 3920 0.8745 0.8745 29140 

15790 ....... Tipton County, Indiana .............................................................................................. 3850 0.9517 0.9517 29020 

15800 ....... Union County, Indiana ............................................................................................... 15 0.8727 0.8630 99915 

15810 ....... Vanderburgh County, Indiana ................................................................................... 2440 0.8721 0.8721 21780 

15820 ....... Vermillion County, Indiana ........................................................................................ 8320 0.8345 0.8313 45460 

15830 ....... Vigo County, Indiana ................................................................................................. 8320 0.8345 0.8313 45460 

15840 ....... Wabash County, Indiana ........................................................................................... 15 0.8727 0.8630 99915 

15840 ....... Warren County, Indiana ............................................................................................ 15 0.8727 0.8630 99915 

15860 ....... Warrick County, Indiana ............................................................................................ 2440 0.8721 0.8721 21780 

15870 ....... Washington County, Indiana ..................................................................................... 15 0.8727 0.9261 31140 

15880 ....... Wayne County, Indiana ............................................................................................. 15 0.8727 0.8630 99915 

15890 ....... Wells County, Indiana ............................................................................................... 2760 0.9716 0.9803 23060 

15900 ....... White County, Indiana ............................................................................................... 15 0.8727 0.8630 99915 

15910 ....... Whitley County, Indiana ............................................................................................ 2760 0.9716 0.9803 23060 

16000 ....... Adair County, Iowa .................................................................................................... 16 0.8588 0.8502 99916 

16010 ....... Adams County, Iowa ................................................................................................. 16 0.8588 0.8502 99916 

16020 ....... Allamakee County, Iowa ............................................................................................ 16 0.8588 0.8502 99916 

16030 ....... Appanoose County, Iowa .......................................................................................... 16 0.8588 0.8502 99916 

16040 ....... Audubon County, Iowa .............................................................................................. 16 0.8588 0.8502 99916 

16050 ....... Benton County, Iowa ................................................................................................. 16 0.8588 0.8617 16300 

16060 ....... Black Hawk County, Iowa ......................................................................................... 8920 0.8566 0.8566 47940 

16070 ....... Boone County, Iowa .................................................................................................. 16 0.8588 0.8502 99916 

16080 ....... Bremer County, Iowa ................................................................................................. 16 0.8588 0.8566 47940 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29127

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

16090 ....... Buchanan County, Iowa ............................................................................................ 16 0.8588 0.8502 99916 

16100 ....... Buena Vista County, Iowa ......................................................................................... 16 0.8588 0.8502 99916 

16110 ....... Butler County, Iowa ................................................................................................... 16 0.8588 0.8502 99916 

16120 ....... Calhoun County, Iowa ............................................................................................... 16 0.8588 0.8502 99916 

16130 ....... Carroll County, Iowa .................................................................................................. 16 0.8588 0.8502 99916 

16140 ....... Cass County, Iowa .................................................................................................... 16 0.8588 0.8502 99916 

16150 ....... Cedar County, Iowa ................................................................................................... 16 0.8588 0.8502 99916 

16160 ....... Cerro Gordo County, Iowa ........................................................................................ 16 0.8588 0.8502 99916 

16170 ....... Cherokee County, Iowa ............................................................................................. 16 0.8588 0.8502 99916 

16180 ....... Chickasaw County, Iowa ........................................................................................... 16 0.8588 0.8502 99916 

16190 ....... Clarke County, Iowa .................................................................................................. 16 0.8588 0.8502 99916 

16200 ....... Clay County, Iowa ..................................................................................................... 16 0.8588 0.8502 99916 

16210 ....... Clayton County, Iowa ................................................................................................ 16 0.8588 0.8502 99916 

16220 ....... Clinton County, Iowa ................................................................................................. 16 0.8588 0.8502 99916 

16230 ....... Crawford County, Iowa .............................................................................................. 16 0.8588 0.8502 99916 

16240 ....... Dallas County, Iowa .................................................................................................. 2120 0.9651 0.9651 19780 

16250 ....... Davis County, Iowa ................................................................................................... 16 0.8588 0.8502 99916 

16260 ....... Decatur County, Iowa ................................................................................................ 16 0.8588 0.8502 99916 

16270 ....... Delaware County, Iowa ............................................................................................. 16 0.8588 0.8502 99916 

16280 ....... Des Moines County, Iowa ......................................................................................... 16 0.8588 0.8502 99916 

16290 ....... Dickinson County, Iowa ............................................................................................. 16 0.8588 0.8502 99916 

16300 ....... Dubuque County, Iowa .............................................................................................. 2200 0.9135 0.9135 20220 

16310 ....... Emmet County, Iowa ................................................................................................. 16 0.8588 0.8502 99916 

16320 ....... Fayette County, Iowa ................................................................................................ 16 0.8588 0.8502 99916 

16330 ....... Floyd County, Iowa .................................................................................................... 16 0.8588 0.8502 99916 

16340 ....... Franklin County, Iowa ................................................................................................ 16 0.8588 0.8502 99916 

16350 ....... Fremont County, Iowa ............................................................................................... 16 0.8588 0.8502 99916 

16360 ....... Greene County, Iowa ................................................................................................ 16 0.8588 0.8502 99916 

16370 ....... Grundy County, Iowa ................................................................................................. 16 0.8588 0.8566 47940 

16380 ....... Guthrie County, Iowa ................................................................................................. 16 0.8588 0.9651 19780 

16390 ....... Hamilton County, Iowa .............................................................................................. 16 0.8588 0.8502 99916 

16400 ....... Hancock County, Iowa .............................................................................................. 16 0.8588 0.8502 99916 

16410 ....... Hardin County, Iowa .................................................................................................. 16 0.8588 0.8502 99916 

16420 ....... Harrison County, Iowa ............................................................................................... 16 0.8588 0.9569 36540 

16430 ....... Henry County, Iowa ................................................................................................... 16 0.8588 0.8502 99916 

16440 ....... Howard County, Iowa ................................................................................................ 16 0.8588 0.8502 99916 

16450 ....... Humboldt County, Iowa ............................................................................................. 16 0.8588 0.8502 99916 

16460 ....... Ida County, Iowa ....................................................................................................... 16 0.8588 0.8502 99916 

16470 ....... Iowa County, Iowa ..................................................................................................... 16 0.8588 0.8502 99916 

16480 ....... Jackson County, Iowa ............................................................................................... 16 0.8588 0.8502 99916 

16490 ....... Jasper County, Iowa .................................................................................................. 16 0.8588 0.8502 99916 

16500 ....... Jefferson County, Iowa .............................................................................................. 16 0.8588 0.8502 99916 

16510 ....... Johnson County, Iowa ............................................................................................... 3500 0.9756 0.9756 26980 

16520 ....... Jones County, Iowa ................................................................................................... 16 0.8588 0.8617 16300 

16530 ....... Keokuk County, Iowa ................................................................................................ 16 0.8588 0.8502 99916 

16540 ....... Kossuth County, Iowa ............................................................................................... 16 0.8588 0.8502 99916 

16550 ....... Lee County, Iowa ...................................................................................................... 16 0.8588 0.8502 99916 

16560 ....... Linn County, Iowa ...................................................................................................... 1360 0.8617 0.8617 16300 

16570 ....... Louisa County, Iowa .................................................................................................. 16 0.8588 0.8502 99916 

16580 ....... Lucas County, Iowa ................................................................................................... 16 0.8588 0.8502 99916 

16590 ....... Lyon County, Iowa ..................................................................................................... 16 0.8588 0.8502 99916 

16600 ....... Madison County, Iowa ............................................................................................... 16 0.8588 0.9651 19780 

16610 ....... Mahaska County, Iowa .............................................................................................. 16 0.8588 0.8502 99916 

16620 ....... Marion County, Iowa ................................................................................................. 16 0.8588 0.8502 99916 

16630 ....... Marshall County, Iowa ............................................................................................... 16 0.8588 0.8502 99916 

16640 ....... Mills County, Iowa ..................................................................................................... 16 0.8588 0.9569 36540 

16650 ....... Mitchell County, Iowa ................................................................................................ 16 0.8588 0.8502 99916 

16660 ....... Monona County, Iowa ............................................................................................... 16 0.8588 0.8502 99916 

16670 ....... Monroe County, Iowa ................................................................................................ 16 0.8588 0.8502 99916 

16680 ....... Montgomery County, Iowa ........................................................................................ 16 0.8588 0.8502 99916 

16690 ....... Muscatine County, Iowa ............................................................................................ 16 0.8588 0.8502 99916 

16700 ....... OBrien County, Iowa ................................................................................................. 16 0.8588 0.8502 99916 

16710 ....... Osceola County, Iowa ............................................................................................... 16 0.8588 0.8502 99916 

16720 ....... Page County, Iowa .................................................................................................... 16 0.8588 0.8502 99916 

16730 ....... Palo Alto County, Iowa .............................................................................................. 16 0.8588 0.8502 99916 

16740 ....... Plymouth County, Iowa ............................................................................................. 16 0.8588 0.8502 99916 

16750 ....... Pocahontas County, Iowa ......................................................................................... 16 0.8588 0.8502 99916 

16760 ....... Polk County, Iowa ..................................................................................................... 2120 0.9651 0.9651 19780 

16770 ....... Pottawattamie County, Iowa ...................................................................................... 5920 0.9569 0.9569 36540 

29128 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

16780 ....... Poweshiek County, Iowa ........................................................................................... 16 0.8588 0.8502 99916 

16790 ....... Ringgold County, Iowa .............................................................................................. 16 0.8588 0.8502 99916 

16800 ....... Sac County, Iowa ...................................................................................................... 16 0.8588 0.8502 99916 

16810 ....... Scott County, Iowa .................................................................................................... 1960 0.8731 0.8731 19340 

16820 ....... Shelby County, Iowa ................................................................................................. 16 0.8588 0.8502 99916 

16830 ....... Sioux County, Iowa ................................................................................................... 16 0.8588 0.8502 99916 

16840 ....... Story County, Iowa .................................................................................................... 16 0.8588 0.9545 11180 

16850 ....... Tama County, Iowa ................................................................................................... 16 0.8588 0.8502 99916 

16860 ....... Taylor County, Iowa .................................................................................................. 16 0.8588 0.8502 99916 

16870 ....... Union County, Iowa ................................................................................................... 16 0.8588 0.8502 99916 

16880 ....... Van Buren County, Iowa ........................................................................................... 16 0.8588 0.8502 99916 

16890 ....... Wapello County, Iowa ............................................................................................... 16 0.8588 0.8502 99916 

16900 ....... Warren County, Iowa ................................................................................................. 2120 0.9651 0.9651 19780 

16910 ....... Washington County, Iowa ......................................................................................... 16 0.8588 0.9756 26980 

16920 ....... Wayne County, Iowa ................................................................................................. 16 0.8588 0.8502 99916 

16930 ....... Webster County, Iowa ............................................................................................... 16 0.8588 0.8502 99916 

16940 ....... Winnebago County, Iowa .......................................................................................... 16 0.8588 0.8502 99916 

16950 ....... Winneshiek County, Iowa .......................................................................................... 16 0.8588 0.8502 99916 

16960 ....... Woodbury County, Iowa ............................................................................................ 7720 0.9411 0.9376 43580 

16970 ....... Worth County, Iowa ................................................................................................... 16 0.8588 0.8502 99916 

16980 ....... Wright County, Iowa .................................................................................................. 16 0.8588 0.8502 99916 

17000 ....... Allen County, Kansas ................................................................................................ 17 0.7994 0.7987 99917 

17010 ....... Anderson County, Kansas ......................................................................................... 17 0.7994 0.7987 99917 

17020 ....... Atchison County, Kansas .......................................................................................... 17 0.7994 0.7987 99917 

17030 ....... Barber County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17040 ....... Barton County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17050 ....... Bourbon County, Kansas .......................................................................................... 17 0.7994 0.7987 99917 

17060 ....... Brown County, Kansas .............................................................................................. 17 0.7994 0.7987 99917 

17070 ....... Butler County, Kansas ............................................................................................... 9040 0.9163 0.9141 48620 

17080 ....... Chase County, Kansas .............................................................................................. 17 0.7994 0.7987 99917 

17090 ....... Chautauqua County, Kansas .................................................................................... 17 0.7994 0.7987 99917 

17100 ....... Cherokee County, Kansas ........................................................................................ 17 0.7994 0.7987 99917 

17110 ....... Cheyenne County, Kansas ........................................................................................ 17 0.7994 0.7987 99917 

17120 ....... Clark County, Kansas ................................................................................................ 17 0.7994 0.7987 99917 

17130 ....... Clay County, Kansas ................................................................................................. 17 0.7994 0.7987 99917 

17140 ....... Cloud County, Kansas ............................................................................................... 17 0.7994 0.7987 99917 

17150 ....... Coffey County, Kansas .............................................................................................. 17 0.7994 0.7987 99917 

17160 ....... Comanche County, Kansas ....................................................................................... 17 0.7994 0.7987 99917 

17170 ....... Cowley County, Kansas ............................................................................................ 17 0.7994 0.7987 99917 

17180 ....... Crawford County, Kansas ......................................................................................... 17 0.7994 0.7987 99917 

17190 ....... Decatur County, Kansas ........................................................................................... 17 0.7994 0.7987 99917 

17200 ....... Dickinson County, Kansas ........................................................................................ 17 0.7994 0.7987 99917 

17210 ....... Doniphan County, Kansas ......................................................................................... 17 0.7994 0.9529 41140 

17220 ....... Douglas County, Kansas ........................................................................................... 4150 0.8546 0.8546 29940 

17230 ....... Edwards County, Kansas .......................................................................................... 17 0.7994 0.7987 99917 

17240 ....... Elk County, Kansas ................................................................................................... 17 0.7994 0.7987 99917 

17250 ....... Ellis County, Kansas ................................................................................................. 17 0.7994 0.7987 99917 

17260 ....... Ellsworth County, Kansas ......................................................................................... 17 0.7994 0.7987 99917 

17270 ....... Finney County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17280 ....... Ford County, Kansas ................................................................................................. 17 0.7994 0.7987 99917 

17290 ....... Franklin County, Kansas ........................................................................................... 17 0.7994 0.9467 28140 

17300 ....... Geary County, Kansas .............................................................................................. 17 0.7994 0.7987 99917 

17310 ....... Gove County, Kansas ............................................................................................... 17 0.7994 0.7987 99917 

17320 ....... Graham County, Kansas ........................................................................................... 17 0.7994 0.7987 99917 

17330 ....... Grant County, Kansas ............................................................................................... 17 0.7994 0.7987 99917 

17340 ....... Gray County, Kansas ................................................................................................ 17 0.7994 0.7987 99917 

17350 ....... Greeley County, Kansas ........................................................................................... 17 0.7994 0.7987 99917 

17360 ....... Greenwood County, Kansas ..................................................................................... 17 0.7994 0.7987 99917 

17370 ....... Hamilton County, Kansas .......................................................................................... 17 0.7994 0.7987 99917 

17380 ....... Harper County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17390 ....... Harvey County, Kansas ............................................................................................. 9040 0.9163 0.9141 48620 

17391 ....... Haskell County, Kansas ............................................................................................ 17 0.7994 0.7987 99917 

17410 ....... Hodgeman County, Kansas ...................................................................................... 17 0.7994 0.7987 99917 

17420 ....... Jackson County, Kansas ........................................................................................... 17 0.7994 0.8929 45820 

17430 ....... Jefferson County, Kansas ......................................................................................... 17 0.7994 0.8929 45820 

17440 ....... Jewell County, Kansas .............................................................................................. 17 0.7994 0.7987 99917 

17450 ....... Johnson County, Kansas .......................................................................................... 3760 0.9481 0.9467 28140 

17451 ....... Kearny County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17470 ....... Kingman County, Kansas .......................................................................................... 17 0.7994 0.7987 99917 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29129

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

17480 ....... Kiowa County, Kansas .............................................................................................. 17 0.7994 0.7987 99917 

17490 ....... Labette County, Kansas ............................................................................................ 17 0.7994 0.7987 99917 

17500 ....... Lane County, Kansas ................................................................................................ 17 0.7994 0.7987 99917 

17510 ....... Leavenworth County, Kansas ................................................................................... 3760 0.9481 0.9467 28140 

17520 ....... Lincoln County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17530 ....... Linn County, Kansas ................................................................................................. 17 0.7994 0.9467 28140 

17540 ....... Logan County, Kansas .............................................................................................. 17 0.7994 0.7987 99917 

17550 ....... Lyon County, Kansas ................................................................................................ 17 0.7994 0.7987 99917 

17560 ....... Mc Pherson County, Kansas ..................................................................................... 17 0.7994 0.7987 99917 

17570 ....... Marion County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17580 ....... Marshall County, Kansas .......................................................................................... 17 0.7994 0.7987 99917 

17590 ....... Meade County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17600 ....... Miami County, Kansas .............................................................................................. 3760 0.9481 0.9467 28140 

17610 ....... Mitchell County, Kansas ............................................................................................ 17 0.7994 0.7987 99917 

17620 ....... Montgomery County, Kansas .................................................................................... 17 0.7994 0.7987 99917 

17630 ....... Morris County, Kansas .............................................................................................. 17 0.7994 0.7987 99917 

17640 ....... Morton County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17650 ....... Nemaha County, Kansas .......................................................................................... 17 0.7994 0.7987 99917 

17660 ....... Neosho County, Kansas ............................................................................................ 17 0.7994 0.7987 99917 

17670 ....... Ness County, Kansas ................................................................................................ 17 0.7994 0.7987 99917 

17680 ....... Norton County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17690 ....... Osage County, Kansas ............................................................................................. 17 0.7994 0.8929 45820 

17700 ....... Osborne County, Kansas .......................................................................................... 17 0.7994 0.7987 99917 

17710 ....... Ottawa County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17720 ....... Pawnee County, Kansas ........................................................................................... 17 0.7994 0.7987 99917 

17730 ....... Phillips County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17740 ....... Pottawatomie County, Kansas .................................................................................. 17 0.7994 0.7987 99917 

17750 ....... Pratt County, Kansas ................................................................................................ 17 0.7994 0.7987 99917 

17760 ....... Rawlins County, Kansas ........................................................................................... 17 0.7994 0.7987 99917 

17770 ....... Reno County, Kansas ............................................................................................... 17 0.7994 0.7987 99917 

17780 ....... Republic County, Kansas .......................................................................................... 17 0.7994 0.7987 99917 

17790 ....... Rice County, Kansas ................................................................................................. 17 0.7994 0.7987 99917 

17800 ....... Riley County, Kansas ................................................................................................ 17 0.7994 0.7987 99917 

17810 ....... Rooks County, Kansas .............................................................................................. 17 0.7994 0.7987 99917 

17820 ....... Rush County, Kansas ................................................................................................ 17 0.7994 0.7987 99917 

17830 ....... Russell County, Kansas ............................................................................................ 17 0.7994 0.7987 99917 

17840 ....... Saline County, Kansas .............................................................................................. 17 0.7994 0.7987 99917 

17841 ....... Scott County, Kansas ................................................................................................ 17 0.7994 0.7987 99917 

17860 ....... Sedgwick County, Kansas ......................................................................................... 9040 0.9163 0.9141 48620 

17870 ....... Seward County, Kansas ............................................................................................ 17 0.7994 0.7987 99917 

17880 ....... Shawnee County, Kansas ......................................................................................... 8440 0.8929 0.8929 45820 

17890 ....... Sheridan County, Kansas .......................................................................................... 17 0.7994 0.7987 99917 

17900 ....... Sherman County, Kansas ......................................................................................... 17 0.7994 0.7987 99917 

17910 ....... Smith County, Kansas ............................................................................................... 17 0.7994 0.7987 99917 

17920 ....... Stafford County, Kansas ........................................................................................... 17 0.7994 0.7987 99917 

17921 ....... Stanton County, Kansas ............................................................................................ 17 0.7994 0.7987 99917 

17940 ....... Stevens County, Kansas ........................................................................................... 17 0.7994 0.7987 99917 

17950 ....... Sumner County, Kansas ........................................................................................... 17 0.7994 0.9141 48620 

17960 ....... Thomas County, Kansas ........................................................................................... 17 0.7994 0.7987 99917 

17970 ....... Trego County, Kansas ............................................................................................... 17 0.7994 0.7987 99917 

17980 ....... Wabaunsee County, Kansas ..................................................................................... 17 0.7994 0.8929 45820 

17981 ....... Wallace County, Kansas ........................................................................................... 17 0.7994 0.7987 99917 

17982 ....... Washington County, Kansas ..................................................................................... 17 0.7994 0.7987 99917 

17983 ....... Wichita County, Kansas ............................................................................................ 17 0.7994 0.7987 99917 

17984 ....... Wilson County, Kansas ............................................................................................. 17 0.7994 0.7987 99917 

17985 ....... Woodson County, Kansas ......................................................................................... 17 0.7994 0.7987 99917 

17986 ....... Wyandotte County, Kansas ....................................................................................... 3760 0.9481 0.9467 28140 

18000 ....... Adair County, Kentucky ............................................................................................. 18 0.7866 0.7774 99918 

18010 ....... Allen County, Kentucky ............................................................................................. 18 0.7866 0.7774 99918 

18020 ....... Anderson County, Kentucky ...................................................................................... 18 0.7866 0.7774 99918 

18030 ....... Ballard County, Kentucky .......................................................................................... 18 0.7866 0.7774 99918 

18040 ....... Barren County, Kentucky .......................................................................................... 18 0.7866 0.7774 99918 

18050 ....... Bath County, Kentucky .............................................................................................. 18 0.7866 0.7774 99918 

18060 ....... Bell County, Kentucky ............................................................................................... 18 0.7866 0.7774 99918 

18070 ....... Boone County, Kentucky ........................................................................................... 1640 0.9742 0.9623 17140 

18080 ....... Bourbon County, Kentucky ........................................................................................ 4280 0.8997 0.9084 30460 

18090 ....... Boyd County, Kentucky ............................................................................................. 3400 0.9486 0.9486 26580 

18100 ....... Boyle County, Kentucky ............................................................................................ 18 0.7866 0.7774 99918 

18110 ....... Bracken County, Kentucky ........................................................................................ 18 0.7866 0.9623 17140 

29130 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

18120 ....... Breathitt County, Kentucky ........................................................................................ 18 0.7866 0.7774 99918 

18130 ....... Breckinridge County, Kentucky ................................................................................. 18 0.7866 0.7774 99918 

18140 ....... Bullitt County, Kentucky ............................................................................................ 4520 0.9302 0.9261 31140 

18150 ....... Butler County, Kentucky ............................................................................................ 18 0.7866 0.7774 99918 

18160 ....... Caldwell County, Kentucky ........................................................................................ 18 0.7866 0.7774 99918 

18170 ....... Calloway County, Kentucky ....................................................................................... 18 0.7866 0.7774 99918 

18180 ....... Campbell County, Kentucky ...................................................................................... 1640 0.9742 0.9623 17140 

18190 ....... Carlisle County, Kentucky ......................................................................................... 18 0.7866 0.7774 99918 

18191 ....... Carroll County, Kentucky ........................................................................................... 18 0.7866 0.7774 99918 

18210 ....... Carter County, Kentucky ........................................................................................... 3400 0.9486 0.7774 99918 

18220 ....... Casey County, Kentucky ........................................................................................... 18 0.7866 0.7774 99918 

18230 ....... Christian County, Kentucky ....................................................................................... 1660 0.8292 0.8292 17300 

18240 ....... Clark County, Kentucky ............................................................................................. 4280 0.8997 0.9084 30460 

18250 ....... Clay County, Kentucky .............................................................................................. 18 0.7866 0.7774 99918 

18260 ....... Clinton County, Kentucky .......................................................................................... 18 0.7866 0.7774 99918 

18270 ....... Crittenden County, Kentucky ..................................................................................... 18 0.7866 0.7774 99918 

18271 ....... Cumberland County, Kentucky .................................................................................. 18 0.7866 0.7774 99918 

18290 ....... Daviess County, Kentucky ........................................................................................ 5990 0.8789 0.8789 36980 

18291 ....... Edmonson County, Kentucky .................................................................................... 18 0.7866 0.8220 14540 

18310 ....... Elliott County, Kentucky ............................................................................................ 18 0.7866 0.7774 99918 

18320 ....... Estill County, Kentucky .............................................................................................. 18 0.7866 0.7774 99918 

18330 ....... Fayette County, Kentucky ......................................................................................... 4280 0.8997 0.9084 30460 

18340 ....... Fleming County, Kentucky ........................................................................................ 18 0.7866 0.7774 99918 

18350 ....... Floyd County, Kentucky ............................................................................................ 18 0.7866 0.7774 99918 

18360 ....... Franklin County, Kentucky ........................................................................................ 18 0.7866 0.7774 99918 

18361 ....... Fulton County, Kentucky ........................................................................................... 18 0.7866 0.7774 99918 

18362 ....... Gallatin County, Kentucky ......................................................................................... 1640 0.9742 0.9623 17140 

18390 ....... Garrard County, Kentucky ......................................................................................... 18 0.7866 0.7774 99918 

18400 ....... Grant County, Kentucky ............................................................................................ 1640 0.9742 0.9623 17140 

18410 ....... Graves County, Kentucky .......................................................................................... 18 0.7866 0.7774 99918 

18420 ....... Grayson County, Kentucky ........................................................................................ 18 0.7866 0.7774 99918 

18421 ....... Green County, Kentucky ........................................................................................... 18 0.7866 0.7774 99918 

18440 ....... Greenup County, Kentucky ....................................................................................... 3400 0.9486 0.9486 26580 

18450 ....... Hancock County, Kentucky ....................................................................................... 18 0.7866 0.8789 36980 

18460 ....... Hardin County, Kentucky ........................................................................................... 18 0.7866 0.8810 21060 

18470 ....... Harlan County, Kentucky ........................................................................................... 18 0.7866 0.7774 99918 

18480 ....... Harrison County, Kentucky ........................................................................................ 18 0.7866 0.7774 99918 

18490 ....... Hart County, Kentucky .............................................................................................. 18 0.7866 0.7774 99918 

18500 ....... Henderson County, Kentucky .................................................................................... 2440 0.8721 0.8721 21780 

18510 ....... Henry County, Kentucky ............................................................................................ 18 0.7866 0.9261 31140 

18511 ....... Hickman County, Kentucky ....................................................................................... 18 0.7866 0.7774 99918 

18530 ....... Hopkins County, Kentucky ........................................................................................ 18 0.7866 0.7774 99918 

18540 ....... Jackson County, Kentucky ........................................................................................ 18 0.7866 0.7774 99918 

18550 ....... Jefferson County, Kentucky ...................................................................................... 4520 0.9302 0.9261 31140 

18560 ....... Jessamine County, Kentucky .................................................................................... 4280 0.8997 0.9084 30460 

18570 ....... Johnson County, Kentucky ........................................................................................ 18 0.7866 0.7774 99918 

18580 ....... Kenton County, Kentucky .......................................................................................... 1640 0.9742 0.9623 17140 

18590 ....... Knott County, Kentucky ............................................................................................. 18 0.7866 0.7774 99918 

18600 ....... Knox County, Kentucky ............................................................................................. 18 0.7866 0.7774 99918 

18610 ....... Larue County, Kentucky ............................................................................................ 18 0.7866 0.8810 21060 

18620 ....... Laurel County, Kentucky ........................................................................................... 18 0.7866 0.7774 99918 

18630 ....... Lawrence County, Kentucky ...................................................................................... 18 0.7866 0.7774 99918 

18640 ....... Lee County, Kentucky ............................................................................................... 18 0.7866 0.7774 99918 

18650 ....... Leslie County, Kentucky ............................................................................................ 18 0.7866 0.7774 99918 

18660 ....... Letcher County, Kentucky ......................................................................................... 18 0.7866 0.7774 99918 

18670 ....... Lewis County, Kentucky ............................................................................................ 18 0.7866 0.7774 99918 

18680 ....... Lincoln County, Kentucky .......................................................................................... 18 0.7866 0.7774 99918 

18690 ....... Livingston County, Kentucky ..................................................................................... 18 0.7866 0.7774 99918 

18700 ....... Logan County, Kentucky ........................................................................................... 18 0.7866 0.7774 99918 

18710 ....... Lyon County, Kentucky ............................................................................................. 18 0.7866 0.7774 99918 

18720 ....... Mc Cracken County, Kentucky .................................................................................. 18 0.7866 0.7774 99918 

18730 ....... Mc Creary County, Kentucky .................................................................................... 18 0.7866 0.7774 99918 

18740 ....... Mc Lean County, Kentucky ....................................................................................... 18 0.7866 0.8789 36980 

18750 ....... Madison County, Kentucky ........................................................................................ 4280 0.8997 0.7774 99918 

18760 ....... Magoffin County, Kentucky ....................................................................................... 18 0.7866 0.7774 99918 

18770 ....... Marion County, Kentucky .......................................................................................... 18 0.7866 0.7774 99918 

18780 ....... Marshall County, Kentucky ........................................................................................ 18 0.7866 0.7774 99918 

18790 ....... Martin County, Kentucky ........................................................................................... 18 0.7866 0.7774 99918 

18800 ....... Mason County, Kentucky .......................................................................................... 18 0.7866 0.7774 99918 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29131

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

18801 ....... Meade County, Kentucky .......................................................................................... 18 0.7866 0.9261 31140 

18802 ....... Menifee County, Kentucky ........................................................................................ 18 0.7866 0.7774 99918 

18830 ....... Mercer County, Kentucky .......................................................................................... 18 0.7866 0.7774 99918 

18831 ....... Metcalfe County, Kentucky ........................................................................................ 18 0.7866 0.7774 99918 

18850 ....... Monroe County, Kentucky ......................................................................................... 18 0.7866 0.7774 99918 

18860 ....... Montgomery County, Kentucky ................................................................................. 18 0.7866 0.7774 99918 

18861 ....... Morgan County, Kentucky ......................................................................................... 18 0.7866 0.7774 99918 

18880 ....... Muhlenberg County, Kentucky .................................................................................. 18 0.7866 0.7774 99918 

18890 ....... Nelson County, Kentucky .......................................................................................... 18 0.7866 0.9261 31140 

18900 ....... Nicholas County, Kentucky ....................................................................................... 18 0.7866 0.7774 99918 

18910 ....... Ohio County, Kentucky .............................................................................................. 18 0.7866 0.7774 99918 

18920 ....... Oldham County, Kentucky ......................................................................................... 4520 0.9302 0.9261 31140 

18930 ....... Owen County, Kentucky ............................................................................................ 18 0.7866 0.7774 99918 

18931 ....... Owsley County, Kentucky ......................................................................................... 18 0.7866 0.7774 99918 

18932 ....... Pendleton County, Kentucky ..................................................................................... 1640 0.9742 0.9623 17140 

18960 ....... Perry County, Kentucky ............................................................................................. 18 0.7866 0.7774 99918 

18970 ....... Pike County, Kentucky .............................................................................................. 18 0.7866 0.7774 99918 

18971 ....... Powell County, Kentucky ........................................................................................... 18 0.7866 0.7774 99918 

18972 ....... Pulaski County, Kentucky .......................................................................................... 18 0.7866 0.7774 99918 

18973 ....... Robertson County, Kentucky ..................................................................................... 18 0.7866 0.7774 99918 

18974 ....... Rockcastle County, Kentucky .................................................................................... 18 0.7866 0.7774 99918 

18975 ....... Rowan County, Kentucky .......................................................................................... 18 0.7866 0.7774 99918 

18976 ....... Russell County, Kentucky ......................................................................................... 18 0.7866 0.7774 99918 

18977 ....... Scott County, Kentucky ............................................................................................. 4280 0.8997 0.9084 30460 

18978 ....... Shelby County, Kentucky .......................................................................................... 18 0.7866 0.9261 31140 

18979 ....... Simpson County, Kentucky ....................................................................................... 18 0.7866 0.7774 99918 

18980 ....... Spencer County, Kentucky ........................................................................................ 18 0.7866 0.9261 31140 

18981 ....... Taylor County, Kentucky ........................................................................................... 18 0.7866 0.7774 99918 

18982 ....... Todd County, Kentucky ............................................................................................. 18 0.7866 0.7774 99918 

18983 ....... Trigg County, Kentucky ............................................................................................. 18 0.7866 0.8292 17300 

18984 ....... Trimble County, Kentucky ......................................................................................... 18 0.7866 0.9261 31140 

18985 ....... Union County, Kentucky ............................................................................................ 18 0.7866 0.7774 99918 

18986 ....... Warren County, Kentucky ......................................................................................... 18 0.7866 0.8220 14540 

18987 ....... Washington County, Kentucky .................................................................................. 18 0.7866 0.7774 99918 

18988 ....... Wayne County, Kentucky .......................................................................................... 18 0.7866 0.7774 99918 

18989 ....... Webster County, Kentucky ........................................................................................ 18 0.7866 0.8721 21780 

18990 ....... Whitley County, Kentucky ......................................................................................... 18 0.7866 0.7774 99918 

18991 ....... Wolfe County, Kentucky ............................................................................................ 18 0.7866 0.7774 99918 

18992 ....... Woodford County, Kentucky ...................................................................................... 4280 0.8997 0.9084 30460 

19000 ....... Acadia County, Louisiana .......................................................................................... 3880 0.8260 0.7418 99919 

19010 ....... Allen County, Louisiana ............................................................................................. 19 0.7348 0.7418 99919 

19020 ....... Ascension County, Louisiana .................................................................................... 0760 0.8652 0.8601 12940 

19030 ....... Assumption County, Louisiana .................................................................................. 19 0.7348 0.7418 99919 

19040 ....... Avoyelles County, Louisiana ..................................................................................... 19 0.7348 0.7418 99919 

19050 ....... Beauregard County, Louisiana .................................................................................. 19 0.7348 0.7418 99919 

19060 ....... Bienville County, Louisiana ....................................................................................... 19 0.7348 0.7418 99919 

19070 ....... Bossier County, Louisiana ......................................................................................... 7680 0.8746 0.8769 43340 

19080 ....... Caddo County, Louisiana .......................................................................................... 7680 0.8746 0.8769 43340 

19090 ....... Calcasieu County, Louisiana ..................................................................................... 3960 0.7866 0.7841 29340 

19100 ....... Caldwell County, Louisiana ....................................................................................... 19 0.7348 0.7418 99919 

19110 ....... Cameron County, Louisiana ...................................................................................... 19 0.7348 0.7841 29340 

19120 ....... Catahoula County, Louisiana .................................................................................... 19 0.7348 0.7418 99919 

19130 ....... Claiborne County, Louisiana ..................................................................................... 19 0.7348 0.7418 99919 

19140 ....... Concordia County, Louisiana .................................................................................... 19 0.7348 0.7418 99919 

19150 ....... De Soto County, Louisiana ....................................................................................... 19 0.7348 0.8769 43340 

19160 ....... East Baton Rouge County, Louisiana ....................................................................... 0760 0.8652 0.8601 12940 

19170 ....... East Carroll County, Louisiana .................................................................................. 19 0.7348 0.7418 99919 

19180 ....... East Feliciana County, Louisiana .............................................................................. 19 0.7348 0.8601 12940 

19190 ....... Evangeline County, Louisiana ................................................................................... 19 0.7348 0.7418 99919 

19200 ....... Franklin County, Louisiana ........................................................................................ 19 0.7348 0.7418 99919 

19210 ....... Grant County, Louisiana ............................................................................................ 19 0.7348 0.8041 10780 

19220 ....... Iberia County, Louisiana ............................................................................................ 19 0.7348 0.7418 99919 

19230 ....... Iberville County, Louisiana ........................................................................................ 19 0.7348 0.8601 12940 

19240 ....... Jackson County, Louisiana ....................................................................................... 19 0.7348 0.7418 99919 

19250 ....... Jefferson County, Louisiana ...................................................................................... 5560 0.9005 0.9005 35380 

19260 ....... Jefferson Davis County, Louisiana ............................................................................ 19 0.7348 0.7418 99919 

19270 ....... Lafayette County, Louisiana ...................................................................................... 3880 0.8260 0.8436 29180 

19280 ....... Lafourche County, Louisiana ..................................................................................... 3350 0.7902 0.7902 26380 

19290 ....... La Salle County, Louisiana ....................................................................................... 19 0.7348 0.7418 99919 

29132 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

19300 ....... Lincoln County, Louisiana ......................................................................................... 19 0.7348 0.7418 99919 

19310 ....... Livingston County, Louisiana .................................................................................... 0760 0.8652 0.8601 12940 

19320 ....... Madison County, Louisiana ....................................................................................... 19 0.7348 0.7418 99919 

19330 ....... Morehouse County, Louisiana ................................................................................... 19 0.7348 0.7418 99919 

19340 ....... Natchitoches County, Louisiana ................................................................................ 19 0.7348 0.7418 99919 

19350 ....... Orleans County, Louisiana ........................................................................................ 5560 0.9005 0.9005 35380 

19360 ....... Ouachita County, Louisiana ...................................................................................... 5200 0.8052 0.8040 33740 

19370 ....... Plaquemines County, Louisiana ................................................................................ 5560 0.9005 0.9005 35380 

19380 ....... Pointe Coupee County, Louisiana ............................................................................. 19 0.7348 0.8601 12940 

19390 ....... Rapides County, Louisiana ....................................................................................... 0220 0.8041 0.8041 10780 

19400 ....... Red River County, Louisiana .................................................................................... 19 0.7348 0.7418 99919 

19410 ....... Richland County, Louisiana ....................................................................................... 19 0.7348 0.7418 99919 

19420 ....... Sabine County, Louisiana ......................................................................................... 19 0.7348 0.7418 99919 

19430 ....... St Bernard County, Louisiana ................................................................................... 5560 0.9005 0.9005 35380 

19440 ....... St Charles County, Louisiana .................................................................................... 5560 0.9005 0.9005 35380 

19450 ....... St Helena County, Louisiana ..................................................................................... 19 0.7348 0.8601 12940 

19460 ....... St James County, Louisiana ..................................................................................... 5560 0.9005 0.7418 99919 

19470 ....... St John Baptist County, Louisiana ............................................................................ 5560 0.9005 0.9005 35380 

19480 ....... St Landry County, Louisiana ..................................................................................... 3880 0.8260 0.7418 99919 

19490 ....... St Martin County, Louisiana ...................................................................................... 3880 0.8260 0.8436 29180 

19500 ....... St Mary County, Louisiana ........................................................................................ 19 0.7348 0.7418 99919 

19510 ....... St Tammany County, Louisiana ................................................................................ 5560 0.9005 0.9005 35380 

19520 ....... Tangipahoa County, Louisiana .................................................................................. 19 0.7348 0.7418 99919 

19530 ....... Tensas County, Louisiana ......................................................................................... 19 0.7348 0.7418 99919 

19540 ....... Terrebonne County, Louisiana .................................................................................. 3350 0.7902 0.7902 26380 

19550 ....... Union County, Louisiana ........................................................................................... 19 0.7348 0.8040 33740 

19560 ....... Vermilion County, Louisiana ...................................................................................... 19 0.7348 0.7418 99919 

19570 ....... Vernon County, Louisiana ......................................................................................... 19 0.7348 0.7418 99919 

19580 ....... Washington County, Louisiana .................................................................................. 19 0.7348 0.7418 99919 

19590 ....... Webster County, Louisiana ....................................................................................... 7680 0.8746 0.7418 99919 

19600 ....... West Baton Rouge County, Louisiana ...................................................................... 0760 0.8652 0.8601 12940 

19610 ....... West Carroll County, Louisiana ................................................................................. 19 0.7348 0.7418 99919 

19620 ....... West Feliciana County, Louisiana ............................................................................. 19 0.7348 0.8601 12940 

19630 ....... Winn County, Louisiana ............................................................................................ 19 0.7348 0.7418 99919 

20000 ....... Androscoggin County, Maine .................................................................................... 4243 0.9341 0.9341 30340 

20010 ....... Aroostook County, Maine .......................................................................................... 20 0.8852 0.8852 99920 

20020 ....... Cumberland County, Maine ....................................................................................... 6403 1.0392 1.0392 38860 

20030 ....... Franklin County, Maine ............................................................................................. 20 0.8852 0.8852 99920 

20040 ....... Hancock County, Maine ............................................................................................ 20 0.8852 0.8852 99920 

20050 ....... Kennebec County, Maine .......................................................................................... 20 0.8852 0.8852 99920 

20060 ....... Knox County, Maine .................................................................................................. 20 0.8852 0.8852 99920 

20070 ....... Lincoln County, Maine ............................................................................................... 20 0.8852 0.8852 99920 

20080 ....... Oxford County, Maine ............................................................................................... 20 0.8852 0.8852 99920 

20090 ....... Penobscot County, Maine ......................................................................................... 0733 1.0003 1.0003 12620 

20100 ....... Piscataquis County, Maine ........................................................................................ 20 0.8852 0.8852 99920 

20110 ....... Sagadahoc County, Maine ........................................................................................ 6403 1.0392 1.0392 38860 

20120 ....... Somerset County, Maine ........................................................................................... 20 0.8852 0.8852 99920 

20130 ....... Waldo County, Maine ................................................................................................ 20 0.8852 0.8852 99920 

20140 ....... Washington County, Maine ....................................................................................... 20 0.8852 0.8852 99920 

20150 ....... York County, Maine ................................................................................................... 6403 1.0392 1.0392 38860 

21000 ....... Allegany County, Maryland ....................................................................................... 1900 0.9326 0.9326 19060 

21010 ....... Anne Arundel County, Maryland ............................................................................... 0720 0.9907 0.9907 12580 

21020 ....... Baltimore County, Maryland ...................................................................................... 0720 0.9907 0.9907 12580 

21030 ....... Baltimore City County, Maryland ............................................................................... 0720 0.9907 0.9907 12580 

21040 ....... Calvert County, Maryland .......................................................................................... 8840 1.0983 1.0932 47894 

21050 ....... Caroline County, Maryland ........................................................................................ 21 0.9085 0.9095 99921 

21060 ....... Carroll County, Maryland ........................................................................................... 0720 0.9907 0.9907 12580 

21070 ....... Cecil County, Maryland ............................................................................................. 9160 1.0537 1.0482 48864 

21080 ....... Charles County, Maryland ......................................................................................... 8840 1.0983 1.0932 47894 

21090 ....... Dorchester County, Maryland .................................................................................... 21 0.9085 0.9095 99921 

21100 ....... Frederick County, Maryland ...................................................................................... 8840 1.0983 1.1495 13644 

21110 ....... Garrett County, Maryland .......................................................................................... 21 0.9085 0.9095 99921 

21120 ....... Harford County, Maryland ......................................................................................... 0720 0.9907 0.9907 12580 

21130 ....... Howard County, Maryland ......................................................................................... 0720 0.9907 0.9907 12580 

21140 ....... Kent County, Maryland .............................................................................................. 21 0.9085 0.9095 99921 

21150 ....... Montgomery County, Maryland ................................................................................. 8840 1.0983 1.1495 13644 

21160 ....... Prince Georges County, Maryland ............................................................................ 8840 1.0983 1.0932 47894 

21170 ....... Queen Annes County, Maryland ............................................................................... 0720 0.9907 0.9907 12580 

21180 ....... St Marys County, Maryland ....................................................................................... 21 0.9085 0.9095 99921 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29133

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

21190 ....... Somerset County, Maryland ...................................................................................... 21 0.9085 0.9073 41540 

21200 ....... Talbot County, Maryland ........................................................................................... 21 0.9085 0.9095 99921 

21210 ....... Washington County, Maryland .................................................................................. 3180 0.9879 0.9499 25180 

21220 ....... Wicomico County, Maryland ...................................................................................... 21 0.9085 0.9073 41540 

21230 ....... Worcester County, Maryland ..................................................................................... 21 0.9085 0.9095 99921 

22000 ....... Barnstable County, Massachusetts ........................................................................... 0743 1.2527 1.2527 12700 

22010 ....... Berkshire County, Massachusetts ............................................................................. 6323 1.0191 1.0191 38340 

22020 ....... Bristol County, Massachusetts .................................................................................. 1123 1.1152 1.0966 39300 

22030 ....... Dukes County, Massachusetts .................................................................................. 22 1.0050 1.0216 99922 

22040 ....... Essex County, Massachusetts .................................................................................. 1123 1.1152 1.0533 21604 

22060 ....... Franklin County, Massachusetts ............................................................................... 22 1.0050 1.0259 44140 

22070 ....... Hampden County, Massachusetts ............................................................................ 8003 1.0273 1.0259 44140 

22080 ....... Hampshire County, Massachusetts ........................................................................... 8003 1.0273 1.0259 44140 

22090 ....... Middlesex County, Massachusetts ............................................................................ 1123 1.1152 1.1084 15764 

22120 ....... Nantucket County, Massachusetts ............................................................................ 22 1.0050 1.0216 99922 

22130 ....... Norfolk County, Massachusetts ................................................................................. 1123 1.1152 1.1543 14484 

22150 ....... Plymouth County, Massachusetts ............................................................................. 1123 1.1152 1.1543 14484 

22160 ....... Suffolk County, Massachusetts ................................................................................. 1123 1.1152 1.1543 14484 

22170 ....... Worcester County, Massachusetts ............................................................................ 1123 1.1152 1.1039 49340 

23000 ....... Alcona County, Michigan ........................................................................................... 23 0.8813 0.8870 99923 

23010 ....... Alger County, Michigan ............................................................................................. 23 0.8813 0.8870 99923 

23020 ....... Allegan County, Michigan .......................................................................................... 3000 0.9455 0.8870 99923 

23030 ....... Alpena County, Michigan .......................................................................................... 23 0.8813 0.8870 99923 

23040 ....... Antrim County, Michigan ........................................................................................... 23 0.8813 0.8870 99923 

23050 ....... Arenac County, Michigan .......................................................................................... 23 0.8813 0.8870 99923 

23060 ....... Baraga County, Michigan .......................................................................................... 23 0.8813 0.8870 99923 

23070 ....... Barry County, Michigan ............................................................................................. 23 0.8813 0.9400 24340 

23080 ....... Bay County, Michigan ............................................................................................... 6960 0.9415 0.9352 13020 

23090 ....... Benzie County, Michigan ........................................................................................... 23 0.8813 0.8870 99923 

23100 ....... Berrien County, Michigan .......................................................................................... 0870 0.8888 0.8888 35660 

23110 ....... Branch County, Michigan .......................................................................................... 23 0.8813 0.8870 99923 

23120 ....... Calhoun County, Michigan ........................................................................................ 3720 1.0151 0.9510 12980 

23130 ....... Cass County, Michigan ............................................................................................. 23 0.8813 0.9798 43780 

23140 ....... Charlevoix County, Michigan ..................................................................................... 23 0.8813 0.8870 99923 

23150 ....... Cheboygan County, Michigan ................................................................................... 23 0.8813 0.8870 99923 

23160 ....... Chippewa County, Michigan ...................................................................................... 23 0.8813 0.8870 99923 

23170 ....... Clare County, Michigan ............................................................................................. 23 0.8813 0.8870 99923 

23180 ....... Clinton County, Michigan .......................................................................................... 4040 0.9792 0.9792 29620 

23190 ....... Crawford County, Michigan ....................................................................................... 23 0.8813 0.8870 99923 

23200 ....... Delta County, Michigan ............................................................................................. 23 0.8813 0.8870 99923 

23210 ....... Dickinson County, Michigan ...................................................................................... 23 0.8813 0.8870 99923 

23220 ....... Eaton County, Michigan ............................................................................................ 4040 0.9792 0.9792 29620 

23230 ....... Emmet County, Michigan .......................................................................................... 23 0.8813 0.8870 99923 

23240 ....... Genesee County, Michigan ....................................................................................... 2640 1.0663 1.0663 22420 

23250 ....... Gladwin County, Michigan ......................................................................................... 23 0.8813 0.8870 99923 

23260 ....... Gogebic County, Michigan ........................................................................................ 23 0.8813 0.8870 99923 

23270 ....... Grand Traverse County, Michigan ............................................................................ 23 0.8813 0.8870 99923 

23280 ....... Gratiot County, Michigan ........................................................................................... 23 0.8813 0.8870 99923 

23290 ....... Hillsdale County, Michigan ........................................................................................ 23 0.8813 0.8870 99923 

23300 ....... Houghton County, Michigan ...................................................................................... 23 0.8813 0.8870 99923 

23310 ....... Huron County, Michigan ............................................................................................ 23 0.8813 0.8870 99923 

23320 ....... Ingham County, Michigan .......................................................................................... 4040 0.9792 0.9792 29620 

23330 ....... Ionia County, Michigan .............................................................................................. 23 0.8813 0.9400 24340 

23340 ....... Iosco County, Michigan ............................................................................................. 23 0.8813 0.8870 99923 

23350 ....... Iron County, Michigan ............................................................................................... 23 0.8813 0.8870 99923 

23360 ....... Isabella County, Michigan ......................................................................................... 23 0.8813 0.8870 99923 

23370 ....... Jackson County, Michigan ........................................................................................ 3520 0.9313 0.9313 27100 

23380 ....... Kalamazoo County, Michigan .................................................................................... 3720 1.0151 1.0391 28020 

23390 ....... Kalkaska County, Michigan ....................................................................................... 23 0.8813 0.8870 99923 

23400 ....... Kent County, Michigan .............................................................................................. 3000 0.9455 0.9400 24340 

23410 ....... Keweenaw County, Michigan .................................................................................... 23 0.8813 0.8870 99923 

23420 ....... Lake County, Michigan .............................................................................................. 23 0.8813 0.8870 99923 

23430 ....... Lapeer County, Michigan .......................................................................................... 2160 1.0152 0.9861 47644 

23440 ....... Leelanau County, Michigan ....................................................................................... 23 0.8813 0.8870 99923 

23450 ....... Lenawee County, Michigan ....................................................................................... 0440 1.0718 0.8870 99923 

23460 ....... Livingston County, Michigan ..................................................................................... 0440 1.0718 0.9861 47644 

23470 ....... Luce County, Michigan .............................................................................................. 23 0.8813 0.8870 99923 

23480 ....... Mackinac County, Michigan ...................................................................................... 23 0.8813 0.8870 99923 

23490 ....... Macomb County, Michigan ........................................................................................ 2160 1.0152 0.9861 47644 

29134 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

23500 ....... Manistee County, Michigan ....................................................................................... 23 0.8813 0.8870 99923 

23510 ....... Marquette County, Michigan ..................................................................................... 23 0.8813 0.8870 99923 

23520 ....... Mason County, Michigan ........................................................................................... 23 0.8813 0.8870 99923 

23530 ....... Mecosta County, Michigan ........................................................................................ 23 0.8813 0.8870 99923 

23540 ....... Menominee County, Michigan ................................................................................... 23 0.8813 0.8870 99923 

23550 ....... Midland County, Michigan ......................................................................................... 6960 0.9415 0.8870 99923 

23560 ....... Missaukee County, Michigan .................................................................................... 23 0.8813 0.8870 99923 

23570 ....... Monroe County, Michigan ......................................................................................... 2160 1.0152 0.9478 33780 

23580 ....... Montcalm County, Michigan ...................................................................................... 23 0.8813 0.8870 99923 

23590 ....... Montmorency County, Michigan ................................................................................ 23 0.8813 0.8870 99923 

23600 ....... Muskegon County, Michigan ..................................................................................... 3000 0.9455 0.9673 34740 

23610 ....... Newaygo County, Michigan ....................................................................................... 23 0.8813 0.9400 24340 

23620 ....... Oakland County, Michigan ........................................................................................ 2160 1.0152 0.9861 47644 

23630 ....... Oceana County, Michigan ......................................................................................... 23 0.8813 0.8870 99923 

23640 ....... Ogemaw County, Michigan ....................................................................................... 23 0.8813 0.8870 99923 

23650 ....... Ontonagon County, Michigan .................................................................................... 23 0.8813 0.8870 99923 

23660 ....... Osceola County, Michigan ........................................................................................ 23 0.8813 0.8870 99923 

23670 ....... Oscoda County, Michigan ......................................................................................... 23 0.8813 0.8870 99923 

23680 ....... Otsego County, Michigan .......................................................................................... 23 0.8813 0.8870 99923 

23690 ....... Ottawa County, Michigan .......................................................................................... 3000 0.9455 0.9064 26100 

23700 ....... Presque Isle County, Michigan ................................................................................. 23 0.8813 0.8870 99923 

23710 ....... Roscommon County, Michigan ................................................................................. 23 0.8813 0.8870 99923 

23720 ....... Saginaw County, Michigan ........................................................................................ 6960 0.9415 0.9420 40980 

23730 ....... St Clair County, Michigan .......................................................................................... 12160 1.0152 0.9861 47644 

23740 ....... St Joseph County, Michigan ..................................................................................... 23 0.8813 0.8870 99923 

23750 ....... Sanilac County, Michigan .......................................................................................... 23 0.8813 0.8870 99923 

23760 ....... Schoolcraft County, Michigan .................................................................................... 23 0.8813 0.8870 99923 

23770 ....... Shiawassee County, Michigan .................................................................................. 23 0.8813 0.8870 99923 

23780 ....... Tuscola County, Michigan ......................................................................................... 23 0.8813 0.8870 99923 

23790 ....... Van Buren County, Michigan .................................................................................... 3720 1.0151 1.0391 28020 

23800 ....... Washtenaw County, Michigan ................................................................................... 0440 1.0718 1.0870 11460 

23810 ....... Wayne County, Michigan .......................................................................................... 2160 1.0152 1.0441 19804 

23830 ....... Wexford County, Michigan ........................................................................................ 23 0.8813 0.8870 99923 

24000 ....... Aitkin County, Minnesota ........................................................................................... 24 0.9193 0.9183 99924 

24010 ....... Anoka County, Minnesota ......................................................................................... 5120 1.1078 1.1078 33460 

24020 ....... Becker County, Minnesota ........................................................................................ 24 0.9193 0.9183 99924 

24030 ....... Beltrami County, Minnesota ...................................................................................... 24 0.9193 0.9183 99924 

24040 ....... Benton County, Minnesota ........................................................................................ 6980 0.9975 0.9975 41060 

24050 ....... Big Stone County, Minnesota .................................................................................... 24 0.9193 0.9183 99924 

24060 ....... Blue Earth County, Minnesota .................................................................................. 24 0.9193 0.9183 99924 

24070 ....... Brown County, Minnesota ......................................................................................... 24 0.9193 0.9183 99924 

24080 ....... Carlton County, Minnesota ........................................................................................ 24 0.9193 1.0209 20260 

24090 ....... Carver County, Minnesota ......................................................................................... 5120 1.1078 1.1078 33460 

24100 ....... Cass County, Minnesota ........................................................................................... 24 0.9193 0.9183 99924 

24110 ....... Chippewa County, Minnesota ................................................................................... 24 0.9193 0.9183 99924 

24120 ....... Chisago County, Minnesota ...................................................................................... 5120 1.1078 1.1078 33460 

24130 ....... Clay County, Minnesota ............................................................................................ 2520 0.8495 0.8495 22020 

24140 ....... Clearwater County, Minnesota .................................................................................. 24 0.9193 0.9183 99924 

24150 ....... Cook County, Minnesota ........................................................................................... 24 0.9193 0.9183 99924 

24160 ....... Cottonwood County, Minnesota ................................................................................ 24 0.9193 0.9183 99924 

24170 ....... Crow Wing County, Minnesota .................................................................................. 24 0.9193 0.9183 99924 

24180 ....... Dakota County, Minnesota ........................................................................................ 5120 1.1078 1.1078 33460 

24190 ....... Dodge County, Minnesota ......................................................................................... 24 0.9193 1.1142 40340 

24200 ....... Douglas County, Minnesota ...................................................................................... 24 0.9193 0.9183 99924 

24210 ....... Faribault County, Minnesota ..................................................................................... 24 0.9193 0.9183 99924 

24220 ....... Fillmore County, Minnesota ....................................................................................... 24 0.9193 0.9183 99924 

24230 ....... Freeborn County, Minnesota ..................................................................................... 24 0.9193 0.9183 99924 

24240 ....... Goodhue County, Minnesota ..................................................................................... 24 0.9193 0.9183 99924 

24250 ....... Grant County, Minnesota .......................................................................................... 24 0.9193 0.9183 99924 

24260 ....... Hennepin County, Minnesota .................................................................................... 5120 1.1078 1.1078 33460 

24270 ....... Houston County, Minnesota ...................................................................................... 3870 0.9573 0.9573 29100 

24280 ....... Hubbard County, Minnesota ...................................................................................... 24 0.9193 0.9183 99924 

24290 ....... Isanti County, Minnesota ........................................................................................... 5120 1.1078 1.1078 33460 

24300 ....... Itasca County, Minnesota .......................................................................................... 24 0.9193 0.9183 99924 

24310 ....... Jackson County, Minnesota ...................................................................................... 24 0.9193 0.9183 99924 

24320 ....... Kanabec County, Minnesota ..................................................................................... 24 0.9193 0.9183 99924 

24330 ....... Kandiyohi County, Minnesota .................................................................................... 24 0.9193 0.9183 99924 

24340 ....... Kittson County, Minnesota ........................................................................................ 24 0.9193 0.9183 99924 

24350 ....... Koochiching County, Minnesota ................................................................................ 24 0.9193 0.9183 99924 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29135

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

24360 ....... Lac Qui Parle County, Minnesota ............................................................................. 24 0.9193 0.9183 99924 

24370 ....... Lake County, Minnesota ............................................................................................ 24 0.9193 0.9183 99924 

24380 ....... Lake Of Woods County, Minnesota .......................................................................... 24 0.9193 0.9183 99924 

24390 ....... Le Sueur County, Minnesota ..................................................................................... 24 0.9193 0.9183 99924 

24400 ....... Lincoln County, Minnesota ........................................................................................ 24 0.9193 0.9183 99924 

24410 ....... Lyon County, Minnesota ............................................................................................ 24 0.9193 0.9183 99924 

24420 ....... Mc Leod County, Minnesota ..................................................................................... 24 0.9193 0.9183 99924 

24430 ....... Mahnomen County, Minnesota ................................................................................. 24 0.9193 0.9183 99924 

24440 ....... Marshall County, Minnesota ...................................................................................... 24 0.9193 0.9183 99924 

24450 ....... Martin County, Minnesota ......................................................................................... 24 0.9193 0.9183 99924 

24460 ....... Meeker County, Minnesota ....................................................................................... 24 0.9193 0.9183 99924 

24470 ....... Mille Lacs County, Minnesota ................................................................................... 24 0.9193 0.9183 99924 

24480 ....... Morrison County, Minnesota ..................................................................................... 24 0.9193 0.9183 99924 

24490 ....... Mower County, Minnesota ......................................................................................... 24 0.9193 0.9183 99924 

24500 ....... Murray County, Minnesota ........................................................................................ 24 0.9193 0.9183 99924 

24510 ....... Nicollet County, Minnesota ........................................................................................ 24 0.9193 0.9183 99924 

24520 ....... Nobles County, Minnesota ........................................................................................ 24 0.9193 0.9183 99924 

24530 ....... Norman County, Minnesota ....................................................................................... 24 0.9193 0.9183 99924 

24540 ....... Olmsted County, Minnesota ...................................................................................... 6820 1.1142 1.1142 40340 

24550 ....... Otter Tail County, Minnesota .................................................................................... 24 0.9193 0.9183 99924 

24560 ....... Pennington County, Minnesota ................................................................................. 24 0.9193 0.9183 99924 

24570 ....... Pine County, Minnesota ............................................................................................ 24 0.9193 0.9183 99924 

24580 ....... Pipestone County, Minnesota ................................................................................... 24 0.9193 0.9183 99924 

24590 ....... Polk County, Minnesota ............................................................................................ 2985 1.1516 1.1516 24220 

24600 ....... Pope County, Minnesota ........................................................................................... 24 0.9193 0.9183 99924 

24610 ....... Ramsey County, Minnesota ...................................................................................... 5120 1.1078 1.1078 33460 

24620 ....... Red Lake County, Minnesota .................................................................................... 24 0.9193 0.9183 99924 

24630 ....... Redwood County, Minnesota .................................................................................... 24 0.9193 0.9183 99924 

24640 ....... Renville County, Minnesota ....................................................................................... 24 0.9193 0.9183 99924 

24650 ....... Rice County, Minnesota ............................................................................................ 24 0.9193 0.9183 99924 

24660 ....... Rock County, Minnesota ........................................................................................... 24 0.9193 0.9183 99924 

24670 ....... Roseau County, Minnesota ....................................................................................... 24 0.9193 0.9183 99924 

24680 ....... St Louis County, Minnesota ...................................................................................... 2240 1.0223 1.0209 20260 

24690 ....... Scott County, Minnesota ........................................................................................... 5120 1.1078 1.1078 33460 

24700 ....... Sherburne County, Minnesota ................................................................................... 5120 1.1078 1.1078 33460 

24710 ....... Sibley County, Minnesota .......................................................................................... 24 0.9193 0.9183 99924 

24720 ....... Stearns County, Minnesota ....................................................................................... 6980 0.9975 0.9975 41060 

24730 ....... Steele County, Minnesota ......................................................................................... 24 0.9193 0.9183 99924 

24740 ....... Stevens County, Minnesota ...................................................................................... 24 0.9193 0.9183 99924 

24750 ....... Swift County, Minnesota ............................................................................................ 24 0.9193 0.9183 99924 

24760 ....... Todd County, Minnesota ........................................................................................... 24 0.9193 0.9183 99924 

24770 ....... Traverse County, Minnesota ..................................................................................... 24 0.9193 0.9183 99924 

24780 ....... Wabasha County, Minnesota .................................................................................... 24 0.9193 1.1142 40340 

24790 ....... Wadena County, Minnesota ...................................................................................... 24 0.9193 0.9183 99924 

24800 ....... Waseca County, Minnesota ...................................................................................... 24 0.9193 0.9183 99924 

24810 ....... Washington County, Minnesota ................................................................................ 5120 1.1078 1.1078 33460 

24820 ....... Watonwan County, Minnesota .................................................................................. 24 0.9193 0.9183 99924 

24830 ....... Wilkin County, Minnesota .......................................................................................... 24 0.9193 0.9183 99924 

24840 ....... Winona County, Minnesota ....................................................................................... 24 0.9193 0.9183 99924 

24850 ....... Wright County, Minnesota ......................................................................................... 5120 1.1078 1.1078 33460 

24860 ....... Yellow Medicine County, Minnesota ......................................................................... 24 0.9193 0.9183 99924 

25000 ....... Adams County, Mississippi ....................................................................................... 25 0.7631 0.7671 99925 

25010 ....... Alcorn County, Mississippi ........................................................................................ 25 0.7631 0.7671 99925 

25020 ....... Amite County, Mississippi ......................................................................................... 25 0.7631 0.7671 99925 

25030 ....... Attala County, Mississippi ......................................................................................... 25 0.7631 0.7671 99925 

25040 ....... Benton County, Mississippi ....................................................................................... 25 0.7631 0.7671 99925 

25050 ....... Bolivar County, Mississippi ........................................................................................ 25 0.7631 0.7671 99925 

25060 ....... Calhoun County, Mississippi ..................................................................................... 25 0.7631 0.7671 99925 

25070 ....... Carroll County, Mississippi ........................................................................................ 25 0.7631 0.7671 99925 

25080 ....... Chickasaw County, Mississippi ................................................................................. 25 0.7631 0.7671 99925 

25090 ....... Choctaw County, Mississippi ..................................................................................... 25 0.7631 0.7671 99925 

25100 ....... Claiborne County, Mississippi ................................................................................... 25 0.7631 0.7671 99925 

25110 ....... Clarke County, Mississippi ........................................................................................ 25 0.7631 0.7671 99925 

25120 ....... Clay County, Mississippi ........................................................................................... 25 0.7631 0.7671 99925 

25130 ....... Coahoma County, Mississippi ................................................................................... 25 0.7631 0.7671 99925 

25140 ....... Copiah County, Mississippi ....................................................................................... 25 0.7631 0.8319 27140 

25150 ....... Covington County, Mississippi .................................................................................. 25 0.7631 0.7671 99925 

25160 ....... Desoto County, Mississippi ....................................................................................... 4920 0.9360 0.9341 32820 

25170 ....... Forrest County, Mississippi ....................................................................................... 3285 0.7609 0.7609 25620 

29136 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

25180 ....... Franklin County, Mississippi ...................................................................................... 25 0.7631 0.7671 99925 

25190 ....... George County, Mississippi ....................................................................................... 25 0.7631 0.8165 37700 

25200 ....... Greene County, Mississippi ....................................................................................... 25 0.7631 0.7671 99925 

25210 ....... Grenada County, Mississippi ..................................................................................... 25 0.7631 0.7671 99925 

25220 ....... Hancock County, Mississippi ..................................................................................... 0920 0.8715 0.8938 25060 

25230 ....... Harrison County, Mississippi ..................................................................................... 0920 0.8715 0.8938 25060 

25240 ....... Hinds County, Mississippi ......................................................................................... 3560 0.8391 0.8319 27140 

25250 ....... Holmes County, Mississippi ...................................................................................... 25 0.7631 0.7671 99925 

25260 ....... Humphreys County, Mississippi ................................................................................ 25 0.7631 0.7671 99925 

25270 ....... Issaquena County, Mississippi .................................................................................. 25 0.7631 0.7671 99925 

25280 ....... Itawamba County, Mississippi ................................................................................... 25 0.7631 0.7671 99925 

25290 ....... Jackson County, Mississippi ..................................................................................... 0920 0.8715 0.8165 37700 

25300 ....... Jasper County, Mississippi ........................................................................................ 25 0.7631 0.7671 99925 

25310 ....... Jefferson County, Mississippi .................................................................................... 25 0.7631 0.7671 99925 

25320 ....... Jefferson Davis County, Mississippi .......................................................................... 25 0.7631 0.7671 99925 

25330 ....... Jones County, Mississippi ......................................................................................... 25 0.7631 0.7671 99925 

25340 ....... Kemper County, Mississippi ...................................................................................... 25 0.7631 0.7671 99925 

25350 ....... Lafayette County, Mississippi .................................................................................... 25 0.7631 0.7671 99925 

25360 ....... Lamar County, Mississippi ........................................................................................ 3285 0.7609 0.7609 25620 

25370 ....... Lauderdale County, Mississippi ................................................................................. 25 0.7631 0.7671 99925 

25380 ....... Lawrence County, Mississippi ................................................................................... 25 0.7631 0.7671 99925 

25390 ....... Leake County, Mississippi ......................................................................................... 25 0.7631 0.7671 99925 

25400 ....... Lee County, Mississippi ............................................................................................. 25 0.7631 0.7671 99925 

25410 ....... Leflore County, Mississippi ........................................................................................ 25 0.7631 0.7671 99925 

25420 ....... Lincoln County, Mississippi ....................................................................................... 25 0.7631 0.7671 99925 

25430 ....... Lowndes County, Mississippi .................................................................................... 25 0.7631 0.7671 99925 

25440 ....... Madison County, Mississippi ..................................................................................... 3560 0.8391 0.8319 27140 

25450 ....... Marion County, Mississippi ........................................................................................ 25 0.7631 0.7671 99925 

25460 ....... Marshall County, Mississippi ..................................................................................... 25 0.7631 0.9341 32820 

25470 ....... Monroe County, Mississippi ...................................................................................... 25 0.7631 0.7671 99925 

25480 ....... Montgomery County, Mississippi ............................................................................... 25 0.7631 0.7671 99925 

25490 ....... Neshoba County, Mississippi .................................................................................... 25 0.7631 0.7671 99925 

25500 ....... Newton County, Mississippi ...................................................................................... 25 0.7631 0.7671 99925 

25510 ....... Noxubee County, Mississippi .................................................................................... 25 0.7631 0.7671 99925 

25520 ....... Oktibbeha County, Mississippi .................................................................................. 25 0.7631 0.7671 99925 

25530 ....... Panola County, Mississippi ....................................................................................... 25 0.7631 0.7671 99925 

25540 ....... Pearl River County, Mississippi ................................................................................. 25 0.7631 0.7671 99925 

25550 ....... Perry County, Mississippi .......................................................................................... 25 0.7631 0.7609 25620 

25560 ....... Pike County, Mississippi ............................................................................................ 25 0.7631 0.7671 99925 

25570 ....... Pontotoc County, Mississippi .................................................................................... 25 0.7631 0.7671 99925 

25580 ....... Prentiss County, Mississippi ...................................................................................... 25 0.7631 0.7671 99925 

25590 ....... Quitman County, Mississippi ..................................................................................... 25 0.7631 0.7671 99925 

25600 ....... Rankin County, Mississippi ....................................................................................... 3560 0.8391 0.8319 27140 

25610 ....... Scott County, Mississippi .......................................................................................... 25 0.7631 0.7671 99925 

25620 ....... Sharkey County, Mississippi ..................................................................................... 25 0.7631 0.7671 99925 

25630 ....... Simpson County, Mississippi ..................................................................................... 25 0.7631 0.8319 27140 

25640 ....... Smith County, Mississippi ......................................................................................... 25 0.7631 0.7671 99925 

25650 ....... Stone County, Mississippi ......................................................................................... 25 0.7631 0.8938 25060 

25660 ....... Sunflower County, Mississippi ................................................................................... 25 0.7631 0.7671 99925 

25670 ....... Tallahatchie County, Mississippi ............................................................................... 25 0.7631 0.7671 99925 

25680 ....... Tate County, Mississippi ........................................................................................... 25 0.7631 0.9341 32820 

25690 ....... Tippah County, Mississippi ........................................................................................ 25 0.7631 0.7671 99925 

25700 ....... Tishomingo County, Mississippi ................................................................................ 25 0.7631 0.7671 99925 

25710 ....... Tunica County, Mississippi ........................................................................................ 25 0.7631 0.9341 32820 

25720 ....... Union County, Mississippi ......................................................................................... 25 0.7631 0.7671 99925 

25730 ....... Walthall County, Mississippi ...................................................................................... 25 0.7631 0.7671 99925 

25740 ....... Warren County, Mississippi ....................................................................................... 25 0.7631 0.7671 99925 

25750 ....... Washington County, Mississippi ................................................................................ 25 0.7631 0.7671 99925 

25760 ....... Wayne County, Mississippi ....................................................................................... 25 0.7631 0.7671 99925 

25770 ....... Webster County, Mississippi ..................................................................................... 25 0.7631 0.7671 99925 

25780 ....... Wilkinson County, Mississippi ................................................................................... 25 0.7631 0.7671 99925 

25790 ....... Winston County, Mississippi ...................................................................................... 25 0.7631 0.7671 99925 

25800 ....... Yalobusha County, Mississippi .................................................................................. 25 0.7631 0.7671 99925 

25810 ....... Yazoo County, Mississippi ........................................................................................ 25 0.7631 0.7671 99925 

26000 ....... Adair County, Missouri .............................................................................................. 26 0.7968 0.7909 99926 

26010 ....... Andrew County, Missouri .......................................................................................... 7000 0.9529 0.9529 41140 

26020 ....... Atchison County, Missouri ......................................................................................... 26 0.7968 0.7909 99926 

26030 ....... Audrain County, Missouri .......................................................................................... 26 0.7968 0.7909 99926 

26040 ....... Barry County, Missouri .............................................................................................. 26 0.7968 0.7909 99926 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29137

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

26050 ....... Barton County, Missouri ............................................................................................ 26 0.7968 0.7909 99926 

26060 ....... Bates County, Missouri ............................................................................................. 26 0.7968 0.9467 28140 

26070 ....... Benton County, Missouri ........................................................................................... 26 0.7968 0.7909 99926 

26080 ....... Bollinger County, Missouri ......................................................................................... 26 0.7968 0.7909 99926 

26090 ....... Boone County, Missouri ............................................................................................ 1740 0.8354 0.8354 17860 

26100 ....... Buchanan County, Missouri ...................................................................................... 7000 0.9529 0.9529 41140 

26110 ....... Butler County, Missouri ............................................................................................. 26 0.7968 0.7909 99926 

26120 ....... Caldwell County, Missouri ......................................................................................... 26 0.7968 0.9467 28140 

26130 ....... Callaway County, Missouri ........................................................................................ 26 0.7968 0.8396 27620 

26140 ....... Camden County, Missouri ......................................................................................... 26 0.7968 0.7909 99926 

26150 ....... Cape Girardeau County, Missouri ............................................................................. 26 0.7968 0.7909 99926 

26160 ....... Carroll County, Missouri ............................................................................................ 26 0.7968 0.7909 99926 

26170 ....... Carter County, Missouri ............................................................................................. 26 0.7968 0.7909 99926 

26180 ....... Cass County, Missouri .............................................................................................. 3760 0.9481 0.9467 28140 

26190 ....... Cedar County, Missouri ............................................................................................. 26 0.7968 0.7909 99926 

26200 ....... Chariton County, Missouri ......................................................................................... 26 0.7968 0.7909 99926 

26210 ....... Christian County, Missouri ........................................................................................ 7920 0.8259 0.8246 44180 

26220 ....... Clark County, Missouri .............................................................................................. 26 0.7968 0.7909 99926 

26230 ....... Clay County, Missouri ............................................................................................... 3760 0.9481 0.9467 28140 

26240 ....... Clinton County, Missouri ........................................................................................... 3760 0.9481 0.9467 28140 

26250 ....... Cole County, Missouri ............................................................................................... 26 0.7968 0.8396 27620 

26260 ....... Cooper County, Missouri ........................................................................................... 26 0.7968 0.7909 99926 

26270 ....... Crawford County, Missouri ........................................................................................ 26 0.7968 0.8949 41180 

26280 ....... Dade County, Missouri .............................................................................................. 26 0.7968 0.7909 99926 

26290 ....... Dallas County, Missouri ............................................................................................. 26 0.7968 0.8246 44180 

26300 ....... Daviess County, Missouri .......................................................................................... 26 0.7968 0.7909 99926 

26310 ....... De Kalb County, Missouri .......................................................................................... 26 0.7968 0.9529 41140 

26320 ....... Dent County, Missouri ............................................................................................... 26 0.7968 0.7909 99926 

26330 ....... Douglas County, Missouri ......................................................................................... 26 0.7968 0.7909 99926 

26340 ....... Dunklin County, Missouri ........................................................................................... 26 0.7968 0.7909 99926 

26350 ....... Franklin County, Missouri .......................................................................................... 7040 0.8957 0.8949 41180 

26360 ....... Gasconade County, Missouri .................................................................................... 26 0.7968 0.7909 99926 

26370 ....... Gentry County, Missouri ............................................................................................ 26 0.7968 0.7909 99926 

26380 ....... Greene County, Missouri ........................................................................................... 7920 0.8259 0.8246 44180 

26390 ....... Grundy County, Missouri ........................................................................................... 26 0.7968 0.7909 99926 

26400 ....... Harrison County, Missouri ......................................................................................... 26 0.7968 0.7909 99926 

26410 ....... Henry County, Missouri ............................................................................................. 26 0.7968 0.7909 99926 

26411 ....... Hickory County, Missouri ........................................................................................... 26 0.7968 0.7909 99926 

26412 ....... Holt County, Missouri ................................................................................................ 26 0.7968 0.7909 99926 

26440 ....... Howard County, Missouri .......................................................................................... 26 0.7968 0.8354 17860 

26450 ....... Howell County, Missouri ............................................................................................ 26 0.7968 0.7909 99926 

26460 ....... Iron County, Missouri ................................................................................................ 26 0.7968 0.7909 99926 

26470 ....... Jackson County, Missouri ......................................................................................... 3760 0.9481 0.9467 28140 

26480 ....... Jasper County, Missouri ............................................................................................ 3710 0.8590 0.8590 27900 

26490 ....... Jefferson County, Missouri ........................................................................................ 7040 0.8957 0.8949 41180 

26500 ....... Johnson County, Missouri ......................................................................................... 26 0.7968 0.7909 99926 

26510 ....... Knox County, Missouri .............................................................................................. 26 0.7968 0.7909 99926 

26520 ....... Laclede County, Missouri .......................................................................................... 26 0.7968 0.7909 99926 

26530 ....... Lafayette County, Missouri ........................................................................................ 3760 0.9481 0.9467 28140 

26540 ....... Lawrence County, Missouri ....................................................................................... 26 0.7968 0.7909 99926 

26541 ....... Lewis County, Missouri ............................................................................................. 26 0.7968 0.7909 99926 

26560 ....... Lincoln County, Missouri ........................................................................................... 7040 0.8957 0.8949 41180 

26570 ....... Linn County, Missouri ................................................................................................ 26 0.7968 0.7909 99926 

26580 ....... Livingston County, Missouri ...................................................................................... 26 0.7968 0.7909 99926 

26590 ....... Mc Donald County, Missouri ..................................................................................... 26 0.7968 0.8563 22220 

26600 ....... Macon County, Missouri ............................................................................................ 26 0.7968 0.7909 99926 

26601 ....... Madison County, Missouri ......................................................................................... 26 0.7968 0.7909 99926 

26620 ....... Maries County, Missouri ............................................................................................ 26 0.7968 0.7909 99926 

26630 ....... Marion County, Missouri ............................................................................................ 26 0.7968 0.7909 99926 

26631 ....... Mercer County, Missouri ........................................................................................... 26 0.7968 0.7909 99926 

26650 ....... Miller County, Missouri .............................................................................................. 26 0.7968 0.7909 99926 

26660 ....... Mississippi County, Missouri ..................................................................................... 26 0.7968 0.7909 99926 

26670 ....... Moniteau County, Missouri ........................................................................................ 26 0.7968 0.8396 27620 

26680 ....... Monroe County, Missouri .......................................................................................... 26 0.7968 0.7909 99926 

26690 ....... Montgomery County, Missouri ................................................................................... 26 0.7968 0.7909 99926 

26700 ....... Morgan County, Missouri .......................................................................................... 26 0.7968 0.7909 99926 

26710 ....... New Madrid County, Missouri ................................................................................... 26 0.7968 0.7909 99926 

26720 ....... Newton County, Missouri .......................................................................................... 3710 0.8590 0.8590 27900 

26730 ....... Nodaway County, Missouri ........................................................................................ 26 0.7968 0.7909 99926 

29138 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

26740 ....... Oregon County, Missouri ........................................................................................... 26 0.7968 0.7909 99926 

26750 ....... Osage County, Missouri ............................................................................................ 26 0.7968 0.8396 27620 

26751 ....... Ozark County, Missouri ............................................................................................. 26 0.7968 0.7909 99926 

26770 ....... Pemiscot County, Missouri ........................................................................................ 26 0.7968 0.7909 99926 

26780 ....... Perry County, Missouri .............................................................................................. 26 0.7968 0.7909 99926 

26790 ....... Pettis County, Missouri .............................................................................................. 26 0.7968 0.7909 99926 

26800 ....... Phelps County, Missouri ............................................................................................ 26 0.7968 0.7909 99926 

26810 ....... Pike County, Missouri ................................................................................................ 26 0.7968 0.7909 99926 

26820 ....... Platte County, Missouri ............................................................................................. 3760 0.9481 0.9467 28140 

26821 ....... Polk County, Missouri ................................................................................................ 26 0.7968 0.8246 44180 

26840 ....... Pulaski County, Missouri ........................................................................................... 26 0.7968 0.7909 99926 

26850 ....... Putnam County, Missouri .......................................................................................... 26 0.7968 0.7909 99926 

26860 ....... Ralls County, Missouri ............................................................................................... 26 0.7968 0.7909 99926 

26870 ....... Randolph County, Missouri ....................................................................................... 26 0.7968 0.7909 99926 

26880 ....... Ray County, Missouri ................................................................................................ 3760 0.9481 0.9467 28140 

26881 ....... Reynolds County, Missouri ........................................................................................ 26 0.7968 0.7909 99926 

26900 ....... Ripley County, Missouri ............................................................................................. 26 0.7968 0.7909 99926 

26910 ....... St Charles County, Missouri ...................................................................................... 7040 0.8957 0.8949 41180 

26911 ....... St Clair County, Missouri ........................................................................................... 26 0.7968 0.7909 99926 

26930 ....... St Francois County, Missouri .................................................................................... 26 0.7968 0.7909 99926 

26940 ....... St Louis County, Missouri ......................................................................................... 7040 0.8957 0.8949 41180 

26950 ....... St Louis City County, Missouri .................................................................................. 7040 0.8957 0.8949 41180 

26960 ....... Ste Genevieve County, Missouri ............................................................................... 26 0.7968 0.7909 99926 

26970 ....... Saline County, Missouri ............................................................................................. 26 0.7968 0.7909 99926 

26980 ....... Schuyler County, Missouri ......................................................................................... 26 0.7968 0.7909 99926 

26981 ....... Scotland County, Missouri ......................................................................................... 26 0.7968 0.7909 99926 

26982 ....... Scott County, Missouri .............................................................................................. 26 0.7968 0.7909 99926 

26983 ....... Shannon County, Missouri ........................................................................................ 26 0.7968 0.7909 99926 

26984 ....... Shelby County, Missouri ............................................................................................ 26 0.7968 0.7909 99926 

26985 ....... Stoddard County, Missouri ........................................................................................ 26 0.7968 0.7909 99926 

26986 ....... Stone County, Missouri ............................................................................................. 26 0.7968 0.7909 99926 

26987 ....... Sullivan County, Missouri .......................................................................................... 26 0.7968 0.7909 99926 

26988 ....... Taney County, Missouri ............................................................................................. 26 0.7968 0.7909 99926 

26989 ....... Texas County, Missouri ............................................................................................. 26 0.7968 0.7909 99926 

26990 ....... Vernon County, Missouri ........................................................................................... 26 0.7968 0.7909 99926 

26991 ....... Warren County, Missouri ........................................................................................... 7040 0.8957 0.8949 41180 

26992 ....... Washington County, Missouri .................................................................................... 26 0.7968 0.8949 41180 

26993 ....... Wayne County, Missouri ........................................................................................... 26 0.7968 0.7909 99926 

26994 ....... Webster County, Missouri ......................................................................................... 7920 0.8259 0.8246 44180 

26995 ....... Worth County, Missouri ............................................................................................. 26 0.7968 0.7909 99926 

26996 ....... Wright County, Missouri ............................................................................................ 26 0.7968 0.7909 99926 

27000 ....... Beaverhead County, Montana ................................................................................... 27 0.8833 0.8833 99927 

27010 ....... Big Horn County, Montana ........................................................................................ 27 0.8833 0.8833 99927 

27020 ....... Blaine County, Montana ............................................................................................ 27 0.8833 0.8833 99927 

27030 ....... Broadwater County, Montana .................................................................................... 27 0.8833 0.8833 99927 

27040 ....... Carbon County, Montana .......................................................................................... 27 0.8833 0.8843 13740 

27050 ....... Carter County, Montana ............................................................................................ 27 0.8833 0.8833 99927 

27060 ....... Cascade County, Montana ........................................................................................ 3040 0.9061 0.9061 24500 

27070 ....... Chouteau County, Montana ...................................................................................... 27 0.8833 0.8833 99927 

27080 ....... Custer County, Montana ........................................................................................... 27 0.8833 0.8833 99927 

27090 ....... Daniels County, Montana .......................................................................................... 27 0.8833 0.8833 99927 

27100 ....... Dawson County, Montana ......................................................................................... 27 0.8833 0.8833 99927 

27110 ....... Deer Lodge County, Montana ................................................................................... 27 0.8833 0.8833 99927 

27113 ....... Yellowstone National Park, Montana ........................................................................ 27 0.8833 0.8833 99927 

27120 ....... Fallon County, Montana ............................................................................................ 27 0.8833 0.8833 99927 

27130 ....... Fergus County, Montana ........................................................................................... 27 0.8833 0.8833 99927 

27140 ....... Flathead County, Montana ........................................................................................ 27 0.8833 0.8833 99927 

27150 ....... Gallatin County, Montana .......................................................................................... 27 0.8833 0.8833 99927 

27160 ....... Garfield County, Montana ......................................................................................... 27 0.8833 0.8833 99927 

27170 ....... Glacier County, Montana ........................................................................................... 27 0.8833 0.8833 99927 

27180 ....... Golden Valley County, Montana ............................................................................... 27 0.8833 0.8833 99927 

27190 ....... Granite County, Montana .......................................................................................... 27 0.8833 0.8833 99927 

27200 ....... Hill County, Montana ................................................................................................. 27 0.8833 0.8833 99927 

27210 ....... Jefferson County, Montana ....................................................................................... 27 0.8833 0.8833 99927 

27220 ....... Judith Basin County, Montana .................................................................................. 27 0.8833 0.8833 99927 

27230 ....... Lake County, Montana .............................................................................................. 27 0.8833 0.8833 99927 

27240 ....... Lewis And Clark County, Montana ............................................................................ 27 0.8833 0.8833 99927 

27250 ....... Liberty County, Montana ........................................................................................... 27 0.8833 0.8833 99927 

27260 ....... Lincoln County, Montana ........................................................................................... 27 0.8833 0.8833 99927 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29139

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

27270 ....... Mc Cone County, Montana ....................................................................................... 27 0.8833 0.8833 99927 

27280 ....... Madison County, Montana ........................................................................................ 27 0.8833 0.8833 99927 

27290 ....... Meagher County, Montana ........................................................................................ 27 0.8833 0.8833 99927 

27300 ....... Mineral County, Montana .......................................................................................... 27 0.8833 0.8833 99927 

27310 ....... Missoula County, Montana ........................................................................................ 5140 0.9482 0.9482 33540 

27320 ....... Musselshell County, Montana ................................................................................... 27 0.8833 0.8833 99927 

27330 ....... Park County, Montana ............................................................................................... 27 0.8833 0.8833 99927 

27340 ....... Petroleum County, Montana ...................................................................................... 27 0.8833 0.8833 99927 

27350 ....... Phillips County, Montana ........................................................................................... 27 0.8833 0.8833 99927 

27360 ....... Pondera County, Montana ........................................................................................ 27 0.8833 0.8833 99927 

27370 ....... Powder River County, Montana ................................................................................ 27 0.8833 0.8833 99927 

27380 ....... Powell County, Montana ........................................................................................... 27 0.8833 0.8833 99927 

27390 ....... Prairie County, Montana ............................................................................................ 27 0.8833 0.8833 99927 

27400 ....... Ravalli County, Montana ........................................................................................... 27 0.8833 0.8833 99927 

27410 ....... Richland County, Montana ........................................................................................ 27 0.8833 0.8833 99927 

27420 ....... Roosevelt County, Montana ...................................................................................... 27 0.8833 0.8833 99927 

27430 ....... Rosebud County, Montana ........................................................................................ 27 0.8833 0.8833 99927 

27440 ....... Sanders County, Montana ......................................................................................... 27 0.8833 0.8833 99927 

27450 ....... Sheridan County, Montana ........................................................................................ 27 0.8833 0.8833 99927 

27460 ....... Silver Bow County, Montana ..................................................................................... 27 0.8833 0.8833 99927 

27470 ....... Stillwater County, Montana ....................................................................................... 27 0.8833 0.8833 99927 

27480 ....... Sweet Grass County, Montana ................................................................................. 27 0.8833 0.8833 99927 

27490 ....... Teton County, Montana ............................................................................................. 27 0.8833 0.8833 99927 

27500 ....... Toole County, Montana ............................................................................................. 27 0.8833 0.8833 99927 

27510 ....... Treasure County, Montana ........................................................................................ 27 0.8833 0.8833 99927 

27520 ....... Valley County, Montana ............................................................................................ 27 0.8833 0.8833 99927 

27530 ....... Wheatland County, Montana ..................................................................................... 27 0.8833 0.8833 99927 

27540 ....... Wibaux County, Montana .......................................................................................... 27 0.8833 0.8833 99927 

27550 ....... Yellowstone County, Montana ................................................................................... 0880 0.8843 0.8843 13740 

28000 ....... Adams County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28010 ....... Antelope County, Nebraska ...................................................................................... 28 0.8665 0.8665 99928 

28020 ....... Arthur County, Nebraska ........................................................................................... 28 0.8665 0.8665 99928 

28030 ....... Banner County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28040 ....... Blaine County, Nebraska ........................................................................................... 28 0.8665 0.8665 99928 

28050 ....... Boone County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28060 ....... Box Butte County, Nebraska ..................................................................................... 28 0.8665 0.8665 99928 

28070 ....... Boyd County, Nebraska ............................................................................................ 28 0.8665 0.8665 99928 

28080 ....... Brown County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28090 ....... Buffalo County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28100 ....... Burt County, Nebraska .............................................................................................. 28 0.8665 0.8665 99928 

28110 ....... Butler County, Nebraska ........................................................................................... 28 0.8665 0.8665 99928 

28120 ....... Cass County, Nebraska ............................................................................................ 5920 0.9569 0.9569 36540 

28130 ....... Cedar County, Nebraska ........................................................................................... 28 0.8665 0.8665 99928 

28140 ....... Chase County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28150 ....... Cherry County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28160 ....... Cheyenne County, Nebraska .................................................................................... 28 0.8665 0.8665 99928 

28170 ....... Clay County, Nebraska ............................................................................................. 28 0.8665 0.8665 99928 

28180 ....... Colfax County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28190 ....... Cuming County, Nebraska ........................................................................................ 28 0.8665 0.8665 99928 

28200 ....... Custer County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28210 ....... Dakota County, Nebraska ......................................................................................... 7720 0.9411 0.9376 43580 

28220 ....... Dawes County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28230 ....... Dawson County, Nebraska ........................................................................................ 28 0.8665 0.8665 99928 

28240 ....... Deuel County, Nebraska ........................................................................................... 28 0.8665 0.8665 99928 

28250 ....... Dixon County, Nebraska ........................................................................................... 28 0.8665 0.9376 43580 

28260 ....... Dodge County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28270 ....... Douglas County, Nebraska ....................................................................................... 5920 0.9569 0.9569 36540 

28280 ....... Dundy County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28290 ....... Fillmore County, Nebraska ........................................................................................ 28 0.8665 0.8665 99928 

28300 ....... Franklin County, Nebraska ........................................................................................ 28 0.8665 0.8665 99928 

28310 ....... Frontier County, Nebraska ........................................................................................ 28 0.8665 0.8665 99928 

28320 ....... Furnas County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28330 ....... Gage County, Nebraska ............................................................................................ 28 0.8665 0.8665 99928 

28340 ....... Garden County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28350 ....... Garfield County, Nebraska ........................................................................................ 28 0.8665 0.8665 99928 

28360 ....... Gosper County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28370 ....... Grant County, Nebraska ............................................................................................ 28 0.8665 0.8665 99928 

28380 ....... Greeley County, Nebraska ........................................................................................ 28 0.8665 0.8665 99928 

28390 ....... Hall County, Nebraska .............................................................................................. 28 0.8665 0.8665 99928 

29140 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

28400 ....... Hamilton County, Nebraska ...................................................................................... 28 0.8665 0.8665 99928 

28410 ....... Harlan County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28420 ....... Hayes County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28430 ....... Hitchcock County, Nebraska ..................................................................................... 28 0.8665 0.8665 99928 

28440 ....... Holt County, Nebraska .............................................................................................. 28 0.8665 0.8665 99928 

28450 ....... Hooker County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28460 ....... Howard County, Nebraska ........................................................................................ 28 0.8665 0.8665 99928 

28470 ....... Jefferson County, Nebraska ...................................................................................... 28 0.8665 0.8665 99928 

28480 ....... Johnson County, Nebraska ....................................................................................... 28 0.8665 0.8665 99928 

28490 ....... Kearney County, Nebraska ....................................................................................... 28 0.8665 0.8665 99928 

28500 ....... Keith County, Nebraska ............................................................................................ 28 0.8665 0.8665 99928 

28510 ....... Keya Paha County, Nebraska ................................................................................... 28 0.8665 0.8665 99928 

28520 ....... Kimball County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28530 ....... Knox County, Nebraska ............................................................................................ 28 0.8665 0.8665 99928 

28540 ....... Lancaster County, Nebraska ..................................................................................... 4360 1.0225 1.0225 30700 

28550 ....... Lincoln County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28560 ....... Logan County, Nebraska ........................................................................................... 28 0.8665 0.8665 99928 

28570 ....... Loup County, Nebraska ............................................................................................. 28 0.8665 0.8665 99928 

28580 ....... Mc Pherson County, Nebraska ................................................................................. 28 0.8665 0.8665 99928 

28590 ....... Madison County, Nebraska ....................................................................................... 28 0.8665 0.8665 99928 

28600 ....... Merrick County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28610 ....... Morrill County, Nebraska ........................................................................................... 28 0.8665 0.8665 99928 

28620 ....... Nance County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28630 ....... Nemaha County, Nebraska ....................................................................................... 28 0.8665 0.8665 99928 

28640 ....... Nuckolls County, Nebraska ....................................................................................... 28 0.8665 0.8665 99928 

28650 ....... Otoe County, Nebraska ............................................................................................. 28 0.8665 0.8665 99928 

28660 ....... Pawnee County, Nebraska ........................................................................................ 28 0.8665 0.8665 99928 

28670 ....... Perkins County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28680 ....... Phelps County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28690 ....... Pierce County, Nebraska .......................................................................................... 28 0.8665 0.8665 99928 

28700 ....... Platte County, Nebraska ........................................................................................... 28 0.8665 0.8665 99928 

28710 ....... Polk County, Nebraska .............................................................................................. 28 0.8665 0.8665 99928 

28720 ....... Redwillow County, Nebraska .................................................................................... 28 0.8665 0.8665 99928 

28730 ....... Richardson County, Nebraska .................................................................................. 28 0.8665 0.8665 99928 

28740 ....... Rock County, Nebraska ............................................................................................ 28 0.8665 0.8665 99928 

28750 ....... Saline County, Nebraska ........................................................................................... 28 0.8665 0.8665 99928 

28760 ....... Sarpy County, Nebraska ........................................................................................... 5920 0.9569 0.9569 36540 

28770 ....... Saunders County, Nebraska ..................................................................................... 28 0.8665 0.9569 36540 

28780 ....... Scotts Bluff County, Nebraska .................................................................................. 28 0.8665 0.8665 99928 

28790 ....... Seward County, Nebraska ........................................................................................ 28 0.8665 1.0225 30700 

28800 ....... Sheridan County, Nebraska ...................................................................................... 28 0.8665 0.8665 99928 

28810 ....... Sherman County, Nebraska ...................................................................................... 28 0.8665 0.8665 99928 

28820 ....... Sioux County, Nebraska ............................................................................................ 28 0.8665 0.8665 99928 

28830 ....... Stanton County, Nebraska ........................................................................................ 28 0.8665 0.8665 99928 

28840 ....... Thayer County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28850 ....... Thomas County, Nebraska ........................................................................................ 28 0.8665 0.8665 99928 

28860 ....... Thurston County, Nebraska ...................................................................................... 28 0.8665 0.8665 99928 

28870 ....... Valley County, Nebraska ........................................................................................... 28 0.8665 0.8665 99928 

28880 ....... Washington County, Nebraska .................................................................................. 5920 0.9569 0.9569 36540 

28890 ....... Wayne County, Nebraska ......................................................................................... 28 0.8665 0.8665 99928 

28900 ....... Webster County, Nebraska ....................................................................................... 28 0.8665 0.8665 99928 

28910 ....... Wheeler County, Nebraska ....................................................................................... 28 0.8665 0.8665 99928 

28920 ....... York County, Nebraska ............................................................................................. 28 0.8665 0.8665 99928 

29000 ....... Churchill County, Nevada .......................................................................................... 29 0.9697 0.9074 99929 

29010 ....... Clark County, Nevada ............................................................................................... 4120 1.1166 1.1449 29820 

29020 ....... Douglas County, Nevada .......................................................................................... 29 0.9697 0.9074 99929 

29030 ....... Elko County, Nevada ................................................................................................. 29 0.9697 0.9074 99929 

29040 ....... Esmeralda County, Nevada ...................................................................................... 29 0.9697 0.9074 99929 

29050 ....... Eureka County, Nevada ............................................................................................ 29 0.9697 0.9074 99929 

29060 ....... Humboldt County, Nevada ........................................................................................ 29 0.9697 0.9074 99929 

29070 ....... Lander County, Nevada ............................................................................................ 29 0.9697 0.9074 99929 

29080 ....... Lincoln County, Nevada ............................................................................................ 29 0.9697 0.9074 99929 

29090 ....... Lyon County, Nevada ................................................................................................ 29 0.9697 0.9074 99929 

29100 ....... Mineral County, Nevada ............................................................................................ 29 0.9697 0.9074 99929 

29110 ....... Nye County, Nevada ................................................................................................. 4120 1.1166 0.9074 99929 

29120 ....... Carson City County, Nevada ..................................................................................... 29 0.9697 1.0244 16180 

29130 ....... Pershing County, Nevada ......................................................................................... 29 0.9697 0.9074 99929 

29140 ....... Storey County, Nevada ............................................................................................. 29 0.9697 1.0993 39900 

29150 ....... Washoe County, Nevada .......................................................................................... 6720 1.0993 1.0993 39900 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29141

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

29160 ....... White Pine County, Nevada ...................................................................................... 29 0.9697 0.9074 99929 

30000 ....... Belknap County, New Hampshire ............................................................................. 30 1.0677 1.0677 99930 

30010 ....... Carroll County, New Hampshire ................................................................................ 30 1.0677 1.0677 99930 

30020 ....... Cheshire County, New Hampshire ............................................................................ 30 1.0677 1.0677 99930 

30030 ....... Coos County, New Hampshire .................................................................................. 30 1.0677 1.0677 99930 

30040 ....... Grafton County, New Hampshire .............................................................................. 30 1.0677 1.0677 99930 

30050 ....... Hillsboro County, New Hampshire ............................................................................ 1123 1.1152 1.0335 31700 

30060 ....... Merrimack County, New Hampshire ......................................................................... 1123 1.1152 1.0335 31700 

30070 ....... Rockingham County, New Hampshire ...................................................................... 1123 1.1152 1.0385 40484 

30080 ....... Strafford County, New Hampshire ............................................................................ 1123 1.1152 1.0385 40484 

30090 ....... Sullivan County, New Hampshire .............................................................................. 30 1.0677 1.0677 99930 

31000 ....... Atlantic County, New Jersey ..................................................................................... 0560 1.1513 1.1633 12100 

31100 ....... Bergen County, New Jersey ..................................................................................... 0875 1.1660 1.3185 35644 

31150 ....... Burlington County, New Jersey ................................................................................. 6160 1.0926 1.0528 15804 

31160 ....... Camden County, New Jersey ................................................................................... 6160 1.0926 1.0528 15804 

31180 ....... Cape May County, New Jersey ................................................................................ 0560 1.1513 1.1022 36140 

31190 ....... Cumberland County, New Jersey ............................................................................. 8760 0.9837 0.9837 47220 

31200 ....... Essex County, New Jersey ....................................................................................... 5640 1.2141 1.2195 35084 

31220 ....... Gloucester County, New Jersey ................................................................................ 6160 1.0926 1.0528 15804 

31230 ....... Hudson County, New Jersey ..................................................................................... 3640 1.1349 1.3185 35644 

31250 ....... Hunterdon County, New Jersey ................................................................................ 5015 1.1178 1.2195 35084 

31260 ....... Mercer County, New Jersey ...................................................................................... 8480 1.0845 1.0845 45940 

31270 ....... Middlesex County, New Jersey ................................................................................. 5015 1.1178 1.1260 20764 

31290 ....... Monmouth County, New Jersey ................................................................................ 5190 1.1271 1.1260 20764 

31300 ....... Morris County, New Jersey ....................................................................................... 5640 1.2141 1.2195 35084 

31310 ....... Ocean County, New Jersey ...................................................................................... 5190 1.1271 1.1260 20764 

31320 ....... Passaic County, New Jersey .................................................................................... 0875 1.1660 1.3185 35644 

31340 ....... Salem County, New Jersey ....................................................................................... 6160 1.0926 1.0482 48864 

31350 ....... Somerset County, New Jersey .................................................................................. 5015 1.1178 1.1260 20764 

31360 ....... Sussex County, New Jersey ..................................................................................... 5640 1.2141 1.2195 35084 

31370 ....... Union County, New Jersey ........................................................................................ 5640 1.2141 1.2195 35084 

31390 ....... Warren County, New Jersey ..................................................................................... 5640 1.2141 0.9828 10900 

32000 ....... Bernalillo County, New Mexico ................................................................................. 0200 0.9693 0.9693 10740 

32010 ....... Catron County, New Mexico ..................................................................................... 32 0.8571 0.8644 99932 

32020 ....... Chaves County, New Mexico .................................................................................... 32 0.8571 0.8644 99932 

32025 ....... Cibola County, New Mexico ...................................................................................... 32 0.8571 0.8644 99932 

32030 ....... Colfax County, New Mexico ...................................................................................... 32 0.8571 0.8644 99932 

32040 ....... Curry County, New Mexico ....................................................................................... 32 0.8571 0.8644 99932 

32050 ....... De Baca County, New Mexico .................................................................................. 32 0.8571 0.8644 99932 

32060 ....... Dona Ana County, New Mexico ................................................................................ 4100 0.8475 0.8475 29740 

32070 ....... Eddy County, New Mexico ........................................................................................ 32 0.8571 0.8644 99932 

32080 ....... Grant County, New Mexico ....................................................................................... 32 0.8571 0.8644 99932 

32090 ....... Guadalupe County, New Mexico ............................................................................... 32 0.8571 0.8644 99932 

32100 ....... Harding County, New Mexico .................................................................................... 32 0.8571 0.8644 99932 

32110 ....... Hidalgo County, New Mexico .................................................................................... 32 0.8571 0.8644 99932 

32120 ....... Lea County, New Mexico .......................................................................................... 32 0.8571 0.8644 99932 

32130 ....... Lincoln County, New Mexico ..................................................................................... 32 0.8571 0.8644 99932 

32131 ....... Los Alamos County, New Mexico ............................................................................. 7490 1.0759 0.8644 99932 

32140 ....... Luna County, New Mexico ........................................................................................ 32 0.8571 0.8644 99932 

32150 ....... Mc Kinley County, New Mexico ................................................................................ 32 0.8571 0.8644 99932 

32160 ....... Mora County, New Mexico ........................................................................................ 32 0.8571 0.8644 99932 

32170 ....... Otero County, New Mexico ....................................................................................... 32 0.8571 0.8644 99932 

32180 ....... Quay County, New Mexico ........................................................................................ 32 0.8571 0.8644 99932 

32190 ....... Rio Arriba County, New Mexico ................................................................................ 32 0.8571 0.8644 99932 

32200 ....... Roosevelt County, New Mexico ................................................................................ 32 0.8571 0.8644 99932 

32210 ....... Sandoval County, New Mexico ................................................................................. 0200 0.9693 0.9693 10740 

32220 ....... San Juan County, New Mexico ................................................................................. 32 0.8571 0.8518 22140 

32230 ....... San Miguel County, New Mexico .............................................................................. 32 0.8571 0.8644 99932 

32240 ....... Santa Fe County, New Mexico ................................................................................. 7490 1.0759 1.0931 42140 

32250 ....... Sierra County, New Mexico ....................................................................................... 32 0.8571 0.8644 99932 

32260 ....... Socorro County, New Mexico .................................................................................... 32 0.8571 0.8644 99932 

32270 ....... Taos County, New Mexico ........................................................................................ 32 0.8571 0.8644 99932 

32280 ....... Torrance County, New Mexico .................................................................................. 32 0.8571 0.9693 10740 

32290 ....... Union County, New Mexico ....................................................................................... 32 0.8571 0.8644 99932 

32300 ....... Valencia County, New Mexico .................................................................................. 0200 0.9693 0.9693 10740 

33000 ....... Albany County, New York ......................................................................................... 0160 0.8518 0.8545 10580 

33010 ....... Allegany County, New York ...................................................................................... 33 0.8395 0.8157 99933 

33020 ....... Bronx County, New York ........................................................................................... 5600 1.3465 1.3185 35644 

33030 ....... Broome County, New York ........................................................................................ 0960 0.8571 0.8571 13780 

29142 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

33040 ....... Cattaraugus County, New York ................................................................................. 33 0.8395 0.8157 99933 

33050 ....... Cayuga County, New York ........................................................................................ 8160 0.9499 0.8157 99933 

33060 ....... Chautauqua County, New York ................................................................................. 3610 0.7552 0.8157 99933 

33070 ....... Chemung County, New York ..................................................................................... 2335 0.8259 0.8259 21300 

33080 ....... Chenango County, New York .................................................................................... 33 0.8395 0.8157 99933 

33090 ....... Clinton County, New York ......................................................................................... 33 0.8395 0.8157 99933 

33200 ....... Columbia County, New York ..................................................................................... 33 0.8395 0.8157 99933 

33210 ....... Cortland County, New York ....................................................................................... 33 0.8395 0.8157 99933 

33220 ....... Delaware County, New York ..................................................................................... 33 0.8395 0.8157 99933 

33230 ....... Dutchess County, New York ..................................................................................... 2281 1.0183 1.0766 39100 

33240 ....... Erie County, New York .............................................................................................. 1280 0.8889 0.8889 15380 

33260 ....... Essex County, New York .......................................................................................... 33 0.8395 0.8157 99933 

33270 ....... Franklin County, New York ....................................................................................... 33 0.8395 0.8157 99933 

33280 ....... Fulton County, New York .......................................................................................... 33 0.8395 0.8157 99933 

33290 ....... Genesee County, New York ...................................................................................... 6840 0.9044 0.8157 99933 

33300 ....... Greene County, New York ........................................................................................ 33 0.8395 0.8157 99933 

33310 ....... Hamilton County, New York ...................................................................................... 33 0.8395 0.8157 99933 

33320 ....... Herkimer County, New York ...................................................................................... 8680 0.8293 0.8293 46540 

33330 ....... Jefferson County, New York ..................................................................................... 33 0.8395 0.8157 99933 

33331 ....... Kings County, New York ........................................................................................... 5600 1.3465 1.3185 35644 

33340 ....... Lewis County, New York ........................................................................................... 33 0.8395 0.8157 99933 

33350 ....... Livingston County, New York .................................................................................... 6840 0.9044 0.9115 40380 

33360 ....... Madison County, New York ....................................................................................... 8160 0.9499 0.9581 45060 

33370 ....... Monroe County, New York ........................................................................................ 6840 0.9044 0.9115 40380 

33380 ....... Montgomery County, New York ................................................................................ 0160 0.8518 0.8157 99933 

33400 ....... Nassau County, New York ........................................................................................ 5380 1.2760 1.2760 35004 

33420 ....... New York County, New York .................................................................................... 5600 1.3465 1.3185 35644 

33500 ....... Niagara County, New York ........................................................................................ 1280 0.8889 0.8889 15380 

33510 ....... Oneida County, New York ......................................................................................... 8680 0.8293 0.8293 46540 

33520 ....... Onondaga County, New York ................................................................................... 8160 0.9499 0.9581 45060 

33530 ....... Ontario County, New York ........................................................................................ 6840 0.9044 0.9115 40380 

33540 ....... Orange County, New York ........................................................................................ 5660 1.1218 1.0766 39100 

33550 ....... Orleans County, New York ........................................................................................ 6840 0.9044 0.9115 40380 

33560 ....... Oswego County, New York ....................................................................................... 8160 0.9499 0.9581 45060 

33570 ....... Otsego County, New York ......................................................................................... 33 0.8395 0.8157 99933 

33580 ....... Putnam County, New York ........................................................................................ 5600 1.3465 1.3185 35644 

33590 ....... Queens County, New York ........................................................................................ 5600 1.3465 1.3185 35644 

33600 ....... Rensselaer County, New York .................................................................................. 0160 0.8518 0.8545 10580 

33610 ....... Richmond County, New York .................................................................................... 5600 1.3465 1.3185 35644 

33620 ....... Rockland County, New York ..................................................................................... 5600 1.3465 1.3185 35644 

33630 ....... St Lawrence County, New York ................................................................................ 33 0.8395 0.8157 99933 

33640 ....... Saratoga County, New York ...................................................................................... 0160 0.8518 0.8545 10580 

33650 ....... Schenectady County, New York ............................................................................... 0160 0.8518 0.8545 10580 

33660 ....... Schoharie County, New York .................................................................................... 0160 0.8518 0.8545 10580 

33670 ....... Schuyler County, New York ...................................................................................... 33 0.8395 0.8157 99933 

33680 ....... Seneca County, New York ........................................................................................ 33 0.8395 0.8157 99933 

33690 ....... Steuben County, New York ....................................................................................... 33 0.8395 0.8157 99933 

33700 ....... Suffolk County, New York ......................................................................................... 5380 1.2760 1.2760 35004 

33710 ....... Sullivan County, New York ........................................................................................ 33 0.8395 0.8157 99933 

33720 ....... Tioga County, New York ........................................................................................... 0960 0.8571 0.8571 13780 

33730 ....... Tompkins County, New York ..................................................................................... 33 0.8395 0.9803 27060 

33740 ....... Ulster County, New York ........................................................................................... 33 0.8395 0.9257 28740 

33750 ....... Warren County, New York ........................................................................................ 2975 0.8567 0.8567 24020 

33760 ....... Washington County, New York ................................................................................. 2975 0.8567 0.8567 24020 

33770 ....... Wayne County, New York ......................................................................................... 6840 0.9044 0.9115 40380 

33800 ....... Westchester County, New York ................................................................................ 5600 1.3465 1.3185 35644 

33900 ....... Wyoming County, New York ..................................................................................... 33 0.8395 0.8157 99933 

33910 ....... Yates County, New York ........................................................................................... 33 0.8395 0.8157 99933 

34000 ....... Alamance County, N Carolina ................................................................................... 3120 0.9027 0.8914 15500 

34010 ....... Alexander County, N Carolina ................................................................................... 3290 0.8922 0.8922 25860 

34020 ....... Alleghany County, N Carolina ................................................................................... 34 0.8490 0.8567 99934 

34030 ....... Anson County, N Carolina ......................................................................................... 34 0.8490 0.9760 16740 

34040 ....... Ashe County, N Carolina ........................................................................................... 34 0.8490 0.8567 99934 

34050 ....... Avery County, N Carolina .......................................................................................... 34 0.8490 0.8567 99934 

34060 ....... Beaufort County, N Carolina ..................................................................................... 34 0.8490 0.8567 99934 

34070 ....... Bertie County, N Carolina ......................................................................................... 34 0.8490 0.8567 99934 

34080 ....... Bladen County, N Carolina ........................................................................................ 34 0.8490 0.8567 99934 

34090 ....... Brunswick County, N Carolina .................................................................................. 9200 0.9592 0.9592 48900 

34100 ....... Buncombe County, N Carolina .................................................................................. 0480 0.9747 0.9294 11700 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29143

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

34110 ....... Burke County, N Carolina ......................................................................................... 3290 0.8922 0.8922 25860 

34120 ....... Cabarrus County, N Carolina .................................................................................... 1520 0.9725 0.9760 16740 

34130 ....... Caldwell County, N Carolina ..................................................................................... 3290 0.8922 0.8922 25860 

34140 ....... Camden County, N Carolina ..................................................................................... 34 0.8490 0.8567 99934 

34150 ....... Carteret County, N Carolina ...................................................................................... 34 0.8490 0.8567 99934 

34160 ....... Caswell County, N Carolina ...................................................................................... 34 0.8490 0.8567 99934 

34170 ....... Catawba County, N Carolina ..................................................................................... 3290 0.8922 0.8922 25860 

34180 ....... Chatham County, N Carolina .................................................................................... 6640 1.0087 1.0303 20500 

34190 ....... Cherokee County, N Carolina ................................................................................... 34 0.8490 0.8567 99934 

34200 ....... Chowan County, N Carolina ...................................................................................... 34 0.8490 0.8567 99934 

34210 ....... Clay County, N Carolina ............................................................................................ 34 0.8490 0.8567 99934 

34220 ....... Cleveland County, N Carolina ................................................................................... 34 0.8490 0.8567 99934 

34230 ....... Columbus County, N Carolina ................................................................................... 34 0.8490 0.8567 99934 

34240 ....... Craven County, N Carolina ....................................................................................... 34 0.8490 0.8567 99934 

34250 ....... Cumberland County, N Carolina ............................................................................... 2560 0.9426 0.9426 22180 

34251 ....... Currituck County, N Carolina .................................................................................... 5720 0.8808 0.8808 47260 

34270 ....... Dare County, N Carolina ........................................................................................... 34 0.8490 0.8567 99934 

34280 ....... Davidson County, N Carolina .................................................................................... 3120 0.9027 0.8567 99934 

34290 ....... Davie County, N Carolina .......................................................................................... 3120 0.9027 0.8953 49180 

34300 ....... Duplin County, N Carolina ......................................................................................... 34 0.8490 0.8567 99934 

34310 ....... Durham County, N Carolina ...................................................................................... 6640 1.0087 1.0303 20500 

34320 ....... Edgecombe County, N Carolina ................................................................................ 6895 0.8924 0.8924 40580 

34330 ....... Forsyth County, N Carolina ....................................................................................... 3120 0.9027 0.8953 49180 

34340 ....... Franklin County, N Carolina ...................................................................................... 6640 1.0087 0.9733 39580 

34350 ....... Gaston County, N Carolina ....................................................................................... 1520 0.9725 0.9760 16740 

34360 ....... Gates County, N Carolina ......................................................................................... 34 0.8490 0.8567 99934 

34370 ....... Graham County, N Carolina ...................................................................................... 34 0.8490 0.8567 99934 

34380 ....... Granville County, N Carolina ..................................................................................... 34 0.8490 0.8567 99934 

34390 ....... Greene County, N Carolina ....................................................................................... 34 0.8490 0.9434 24780 

34400 ....... Guilford County, N Carolina ...................................................................................... 3120 0.9027 0.9113 24660 

34410 ....... Halifax County, N Carolina ........................................................................................ 34 0.8490 0.8567 99934 

34420 ....... Harnett County, N Carolina ....................................................................................... 34 0.8490 0.8567 99934 

34430 ....... Haywood County, N Carolina .................................................................................... 34 0.8490 0.9294 11700 

34440 ....... Henderson County, N Carolina ................................................................................. 34 0.8490 0.9294 11700 

34450 ....... Hertford County, N Carolina ...................................................................................... 34 0.8490 0.8567 99934 

34460 ....... Hoke County, N Carolina .......................................................................................... 34 0.8490 0.9426 22180 

34470 ....... Hyde County, N Carolina .......................................................................................... 34 0.8490 0.8567 99934 

34480 ....... Iredell County, N Carolina ......................................................................................... 34 0.8490 0.8567 99934 

34490 ....... Jackson County, N Carolina ...................................................................................... 34 0.8490 0.8567 99934 

34500 ....... Johnston County, N Carolina .................................................................................... 6640 1.0087 0.9733 39580 

34510 ....... Jones County, N Carolina ......................................................................................... 34 0.8490 0.8567 99934 

34520 ....... Lee County, N Carolina ............................................................................................. 34 0.8490 0.8567 99934 

34530 ....... Lenoir County, N Carolina ......................................................................................... 34 0.8490 0.8567 99934 

34540 ....... Lincoln County, N Carolina ....................................................................................... 1520 0.9725 0.8567 99934 

34550 ....... Mc Dowell County, N Carolina .................................................................................. 34 0.8490 0.8567 99934 

34560 ....... Macon County, N Carolina ........................................................................................ 34 0.8490 0.8567 99934 

34570 ....... Madison County, N Carolina ..................................................................................... 0480 0.9747 0.9294 11700 

34580 ....... Martin County, N Carolina ......................................................................................... 34 0.8490 0.8567 99934 

34590 ....... Mecklenburg County, N Carolina .............................................................................. 1520 0.9725 0.9760 16740 

34600 ....... Mitchell County, N Carolina ....................................................................................... 34 0.8490 0.8567 99934 

34610 ....... Montgomery County, N Carolina ............................................................................... 34 0.8490 0.8567 99934 

34620 ....... Moore County, N Carolina ......................................................................................... 34 0.8490 0.8567 99934 

34630 ....... Nash County, N Carolina .......................................................................................... 6895 0.8924 0.8924 40580 

34640 ....... New Hanover County, N Carolina ............................................................................. 9200 0.9592 0.9592 48900 

34650 ....... Northampton County, N Carolina .............................................................................. 34 0.8490 0.8567 99934 

34660 ....... Onslow County, N Carolina ....................................................................................... 3605 0.8244 0.8244 27340 

34670 ....... Orange County, N Carolina ....................................................................................... 6640 1.0087 1.0303 20500 

34680 ....... Pamlico County, N Carolina ...................................................................................... 34 0.8490 0.8567 99934 

34690 ....... Pasquotank County, N Carolina ................................................................................ 34 0.8490 0.8567 99934 

34700 ....... Pender County, N Carolina ....................................................................................... 34 0.8490 0.9592 48900 

34710 ....... Perquimans County, N Carolina ................................................................................ 34 0.8490 0.8567 99934 

34720 ....... Person County, N Carolina ....................................................................................... 34 0.8490 1.0303 20500 

34730 ....... Pitt County, N Carolina .............................................................................................. 3150 0.9434 0.9434 24780 

34740 ....... Polk County, N Carolina ............................................................................................ 34 0.8490 0.8567 99934 

34750 ....... Randolph County, N Carolina ................................................................................... 3120 0.9027 0.9113 24660 

34760 ....... Richmond County, N Carolina ................................................................................... 34 0.8490 0.8567 99934 

34770 ....... Robeson County, N Carolina .................................................................................... 34 0.8490 0.8567 99934 

34780 ....... Rockingham County, N Carolina ............................................................................... 34 0.8490 0.9113 24660 

34790 ....... Rowan County, N Carolina ........................................................................................ 1520 0.9725 0.8567 99934 

29144 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

34800 ....... Rutherford County, N Carolina .................................................................................. 34 0.8490 0.8567 99934 

34810 ....... Sampson County, N Carolina .................................................................................... 34 0.8490 0.8567 99934 

34820 ....... Scotland County, N Carolina ..................................................................................... 34 0.8490 0.8567 99934 

34830 ....... Stanly County, N Carolina ......................................................................................... 1520 0.9725 0.9760 16740 

34840 ....... Stokes County, N Carolina ........................................................................................ 3120 0.9027 0.8953 49180 

34850 ....... Surry County, N Carolina .......................................................................................... 34 0.8490 0.8567 99934 

34860 ....... Swain County, N Carolina ......................................................................................... 34 0.8490 0.8567 99934 

34870 ....... Transylvania County, N Carolina .............................................................................. 34 0.8490 0.8567 99934 

34880 ....... Tyrrell County, N Carolina ......................................................................................... 34 0.8490 0.8567 99934 

34890 ....... Union County, N Carolina ......................................................................................... 1520 0.9725 0.9760 16740 

34900 ....... Vance County, N Carolina ......................................................................................... 34 0.8490 0.8567 99934 

34910 ....... Wake County, N Carolina .......................................................................................... 6640 1.0087 0.9733 39580 

34920 ....... Warren County, N Carolina ....................................................................................... 34 0.8490 0.8567 99934 

34930 ....... Washington County, N Carolina ................................................................................ 34 0.8490 0.8567 99934 

34940 ....... Watauga County, N Carolina .................................................................................... 34 0.8490 0.8567 99934 

34950 ....... Wayne County, N Carolina ........................................................................................ 2980 0.8784 0.8784 24140 

34960 ....... Wilkes County, N Carolina ........................................................................................ 34 0.8490 0.8567 99934 

34970 ....... Wilson County, N Carolina ........................................................................................ 34 0.8490 0.8567 99934 

34980 ....... Yadkin County, N Carolina ........................................................................................ 3120 0.9027 0.8953 49180 

34981 ....... Yancey County, N Carolina ....................................................................................... 34 0.8490 0.8567 99934 

35000 ....... Adams County, N Dakota .......................................................................................... 35 0.7268 0.7268 99935 

35010 ....... Barnes County, N Dakota ......................................................................................... 35 0.7268 0.7268 99935 

35020 ....... Benson County, N Dakota ......................................................................................... 35 0.7268 0.7268 99935 

35030 ....... Billings County, N Dakota ......................................................................................... 35 0.7268 0.7268 99935 

35040 ....... Bottineau County, N Dakota ...................................................................................... 35 0.7268 0.7268 99935 

35050 ....... Bowman County, N Dakota ....................................................................................... 35 0.7268 0.7268 99935 

35060 ....... Burke County, N Dakota ........................................................................................... 35 0.7268 0.7268 99935 

35070 ....... Burleigh County, N Dakota ........................................................................................ 1010 0.7519 0.7519 13900 

35080 ....... Cass County, N Dakota ............................................................................................. 2520 0.8495 0.8495 22020 

35090 ....... Cavalier County, N Dakota ........................................................................................ 35 0.7268 0.7268 99935 

35100 ....... Dickey County, N Dakota .......................................................................................... 35 0.7268 0.7268 99935 

35110 ....... Divide County, N Dakota ........................................................................................... 35 0.7268 0.7268 99935 

35120 ....... Dunn County, N Dakota ............................................................................................ 35 0.7268 0.7268 99935 

35130 ....... Eddy County, N Dakota ............................................................................................. 35 0.7268 0.7268 99935 

35140 ....... Emmons County, N Dakota ....................................................................................... 35 0.7268 0.7268 99935 

35150 ....... Foster County, N Dakota ........................................................................................... 35 0.7268 0.7268 99935 

35160 ....... Golden Valley County, N Dakota .............................................................................. 35 0.7268 0.7268 99935 

35170 ....... Grand Forks County, N Dakota ................................................................................. 2985 1.1516 1.1516 24220 

35180 ....... Grant County, N Dakota ............................................................................................ 35 0.7268 0.7268 99935 

35190 ....... Griggs County, N Dakota .......................................................................................... 35 0.7268 0.7268 99935 

35200 ....... Hettinger County, N Dakota ...................................................................................... 35 0.7268 0.7268 99935 

35210 ....... Kidder County, N Dakota .......................................................................................... 35 0.7268 0.7268 99935 

35220 ....... La Moure County, N Dakota ..................................................................................... 35 0.7268 0.7268 99935 

35230 ....... Logan County, N Dakota ........................................................................................... 35 0.7268 0.7268 99935 

35240 ....... Mc Henry County, N Dakota ..................................................................................... 35 0.7268 0.7268 99935 

35250 ....... Mc Intosh County, N Dakota ..................................................................................... 35 0.7268 0.7268 99935 

35260 ....... Mc Kenzie County, N Dakota .................................................................................... 35 0.7268 0.7268 99935 

35270 ....... Mc Lean County, N Dakota ....................................................................................... 35 0.7268 0.7268 99935 

35280 ....... Mercer County, N Dakota .......................................................................................... 35 0.7268 0.7268 99935 

35290 ....... Morton County, N Dakota .......................................................................................... 1010 0.7519 0.7519 13900 

35300 ....... Mountrail County, N Dakota ...................................................................................... 35 0.7268 0.7268 99935 

35310 ....... Nelson County, N Dakota .......................................................................................... 35 0.7268 0.7268 99935 

35320 ....... Oliver County, N Dakota ........................................................................................... 35 0.7268 0.7268 99935 

35330 ....... Pembina County, N Dakota ....................................................................................... 35 0.7268 0.7268 99935 

35340 ....... Pierce County, N Dakota ........................................................................................... 35 0.7268 0.7268 99935 

35350 ....... Ramsey County, N Dakota ........................................................................................ 35 0.7268 0.7268 99935 

35360 ....... Ransom County, N Dakota ....................................................................................... 35 0.7268 0.7268 99935 

35370 ....... Renville County, N Dakota ........................................................................................ 35 0.7268 0.7268 99935 

35380 ....... Richland County, N Dakota ....................................................................................... 35 0.7268 0.7268 99935 

35390 ....... Rolette County, N Dakota ......................................................................................... 35 0.7268 0.7268 99935 

35400 ....... Sargent County, N Dakota ........................................................................................ 35 0.7268 0.7268 99935 

35410 ....... Sheridan County, N Dakota ...................................................................................... 35 0.7268 0.7268 99935 

35420 ....... Sioux County, N Dakota ............................................................................................ 35 0.7268 0.7268 99935 

35430 ....... Slope County, N Dakota ............................................................................................ 35 0.7268 0.7268 99935 

35440 ....... Stark County, N Dakota ............................................................................................ 35 0.7268 0.7268 99935 

35450 ....... Steele County, N Dakota ........................................................................................... 35 0.7268 0.7268 99935 

35460 ....... Stutsman County, N Dakota ...................................................................................... 35 0.7268 0.7268 99935 

35470 ....... Towner County, N Dakota ......................................................................................... 35 0.7268 0.7268 99935 

35480 ....... Traill County, N Dakota ............................................................................................. 35 0.7268 0.7268 99935 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29145

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

35490 ....... Walsh County, N Dakota ........................................................................................... 35 0.7268 0.7268 99935 

35500 ....... Ward County, N Dakota ............................................................................................ 35 0.7268 0.7268 99935 

35510 ....... Wells County, N Dakota ............................................................................................ 35 0.7268 0.7268 99935 

35520 ....... Williams County, N Dakota ....................................................................................... 35 0.7268 0.7268 99935 

36000 ....... Adams County, Ohio ................................................................................................. 36 0.8886 0.8786 99936 

36010 ....... Allen County, Ohio .................................................................................................... 4320 0.9128 0.9234 30620 

36020 ....... Ashland County, Ohio ............................................................................................... 36 0.8886 0.8786 99936 

36030 ....... Ashtabula County, Ohio ............................................................................................ 1680 0.9174 0.8786 99936 

36040 ....... Athens County, Ohio ................................................................................................. 36 0.8886 0.8786 99936 

36050 ....... Auglaize County, Ohio ............................................................................................... 4320 0.9128 0.8786 99936 

36060 ....... Belmont County, Ohio ............................................................................................... 9000 0.7168 0.7168 48540 

36070 ....... Brown County, Ohio .................................................................................................. 1640 0.9742 0.9623 17140 

36080 ....... Butler County, Ohio ................................................................................................... 3200 0.8960 0.9623 17140 

36090 ....... Carroll County, Ohio .................................................................................................. 1320 0.8944 0.8944 15940 

36100 ....... Champaign County, Ohio .......................................................................................... 36 0.8886 0.8786 99936 

36110 ....... Clark County, Ohio .................................................................................................... 2000 0.8989 0.8404 44220 

36120 ....... Clermont County, Ohio .............................................................................................. 1640 0.9742 0.9623 17140 

36130 ....... Clinton County, Ohio ................................................................................................. 36 0.8886 0.8786 99936 

36140 ....... Columbiana County, Ohio ......................................................................................... 9320 0.8857 0.8786 99936 

36150 ....... Coshocton County, Ohio ........................................................................................... 36 0.8886 0.8786 99936 

36160 ....... Crawford County, Ohio .............................................................................................. 4800 0.8886 0.8786 99936 

36170 ....... Cuyahoga County, Ohio ............................................................................................ 1680 0.9174 0.9204 17460 

36190 ....... Darke County, Ohio ................................................................................................... 36 0.8886 0.8786 99936 

36200 ....... Defiance County, Ohio .............................................................................................. 36 0.8886 0.8786 99936 

36210 ....... Delaware County, Ohio ............................................................................................. 1840 0.9864 0.9850 18140 

36220 ....... Erie County, Ohio ...................................................................................................... 36 0.8886 0.9025 41780 

36230 ....... Fairfield County, Ohio ................................................................................................ 1840 0.9864 0.9850 18140 

36240 ....... Fayette County, Ohio ................................................................................................ 36 0.8886 0.8786 99936 

36250 ....... Franklin County, Ohio ................................................................................................ 1840 0.9864 0.9850 18140 

36260 ....... Fulton County, Ohio .................................................................................................. 8400 0.9584 0.9584 45780 

36270 ....... Gallia County, Ohio ................................................................................................... 36 0.8886 0.8786 99936 

36280 ....... Geauga County, Ohio ................................................................................................ 1680 0.9174 0.9204 17460 

36290 ....... Greene County, Ohio ................................................................................................ 2000 0.8989 0.9073 19380 

36300 ....... Guernsey County, Ohio ............................................................................................. 36 0.8886 0.8786 99936 

36310 ....... Hamilton County, Ohio .............................................................................................. 1640 0.9742 0.9623 17140 

36330 ....... Hancock County, Ohio .............................................................................................. 36 0.8886 0.8786 99936 

36340 ....... Hardin County, Ohio .................................................................................................. 36 0.8886 0.8786 99936 

36350 ....... Harrison County, Ohio ............................................................................................... 36 0.8886 0.8786 99936 

36360 ....... Henry County, Ohio ................................................................................................... 36 0.8886 0.8786 99936 

36370 ....... Highland County, Ohio .............................................................................................. 36 0.8886 0.8786 99936 

36380 ....... Hocking County, Ohio ............................................................................................... 36 0.8886 0.8786 99936 

36390 ....... Holmes County, Ohio ................................................................................................ 36 0.8886 0.8786 99936 

36400 ....... Huron County, Ohio ................................................................................................... 36 0.8886 0.8786 99936 

36410 ....... Jackson County, Ohio ............................................................................................... 36 0.8886 0.8786 99936 

36420 ....... Jefferson County, Ohio .............................................................................................. 8080 0.7827 0.7827 48260 

36430 ....... Knox County, Ohio .................................................................................................... 36 0.8886 0.8786 99936 

36440 ....... Lake County, Ohio ..................................................................................................... 1680 0.9174 0.9204 17460 

36450 ....... Lawrence County, Ohio ............................................................................................. 3400 0.9486 0.9486 26580 

36460 ....... Licking County, Ohio ................................................................................................. 1840 0.9864 0.9850 18140 

36470 ....... Logan County, Ohio .................................................................................................. 36 0.8886 0.8786 99936 

36480 ....... Lorain County, Ohio .................................................................................................. 1680 0.9174 0.9204 17460 

36490 ....... Lucas County, Ohio ................................................................................................... 8400 0.9584 0.9584 45780 

36500 ....... Madison County, Ohio ............................................................................................... 1840 0.9864 0.9850 18140 

36510 ....... Mahoning County, Ohio ............................................................................................. 9320 0.8857 0.8611 49660 

36520 ....... Marion County, Ohio ................................................................................................. 36 0.8886 0.8786 99936 

36530 ....... Medina County, Ohio ................................................................................................. 1680 0.9174 0.9204 17460 

36540 ....... Meigs County, Ohio ................................................................................................... 36 0.8886 0.8786 99936 

36550 ....... Mercer County, Ohio ................................................................................................. 36 0.8886 0.8786 99936 

36560 ....... Miami County, Ohio ................................................................................................... 2000 0.8989 0.9073 19380 

36570 ....... Monroe County, Ohio ................................................................................................ 36 0.8886 0.8786 99936 

36580 ....... Montgomery County, Ohio ........................................................................................ 2000 0.8989 0.9073 19380 

36590 ....... Morgan County, Ohio ................................................................................................ 36 0.8886 0.8786 99936 

36600 ....... Morrow County, Ohio ................................................................................................ 36 0.8886 0.9850 18140 

36610 ....... Muskingum County, Ohio .......................................................................................... 36 0.8886 0.8786 99936 

36620 ....... Noble County, Ohio ................................................................................................... 36 0.8886 0.8786 99936 

36630 ....... Ottawa County, Ohio ................................................................................................. 36 0.8886 0.9584 45780 

36640 ....... Paulding County, Ohio .............................................................................................. 36 0.8886 0.8786 99936 

36650 ....... Perry County, Ohio .................................................................................................... 36 0.8886 0.8786 99936 

36660 ....... Pickaway County, Ohio ............................................................................................. 1840 0.9864 0.9850 18140 

29146 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

36670 ....... Pike County, Ohio ..................................................................................................... 36 0.8886 0.8786 99936 

36680 ....... Portage County, Ohio ................................................................................................ 0080 0.8991 0.8991 10420 

36690 ....... Preble County, Ohio .................................................................................................. 36 0.8886 0.9073 19380 

36700 ....... Putnam County, Ohio ................................................................................................ 36 0.8886 0.8786 99936 

36710 ....... Richland County, Ohio .............................................................................................. 4800 0.8886 0.8887 31900 

36720 ....... Ross County, Ohio .................................................................................................... 36 0.8886 0.8786 99936 

36730 ....... Sandusky County, Ohio ............................................................................................. 36 0.8886 0.8786 99936 

36740 ....... Scioto County, Ohio .................................................................................................. 36 0.8886 0.8786 99936 

36750 ....... Seneca County, Ohio ................................................................................................ 36 0.8886 0.8786 99936 

36760 ....... Shelby County, Ohio ................................................................................................. 36 0.8886 0.8786 99936 

36770 ....... Stark County, Ohio .................................................................................................... 1320 0.8944 0.8944 15940 

36780 ....... Summit County, Ohio ................................................................................................ 0080 0.8991 0.8991 10420 

36790 ....... Trumbull County, Ohio .............................................................................................. 9320 0.8857 0.8611 49660 

36800 ....... Tuscarawas County, Ohio ......................................................................................... 36 0.8886 0.8786 99936 

36810 ....... Union County, Ohio ................................................................................................... 36 0.8886 0.9850 18140 

36820 ....... Van Wert County, Ohio ............................................................................................. 36 0.8886 0.8786 99936 

36830 ....... Vinton County, Ohio .................................................................................................. 36 0.8886 0.8786 99936 

36840 ....... Warren County, Ohio ................................................................................................. 1640 0.9742 0.9623 17140 

36850 ....... Washington County, Ohio ......................................................................................... 6020 0.8278 0.8278 37620 

36860 ....... Wayne County, Ohio ................................................................................................. 36 0.8886 0.8786 99936 

36870 ....... Williams County, Ohio ............................................................................................... 36 0.8886 0.8786 99936 

36880 ....... Wood County, Ohio ................................................................................................... 8400 0.9584 0.9584 45780 

36890 ....... Wyandot County, Ohio .............................................................................................. 36 0.8886 0.8786 99936 

37000 ....... Adair County, Oklahoma ........................................................................................... 37 0.7450 0.7589 99937 

37010 ....... Alfalfa County, Oklahoma .......................................................................................... 37 0.7450 0.7589 99937 

37020 ....... Atoka County, Oklahoma .......................................................................................... 37 0.7450 0.7589 99937 

37030 ....... Beaver County, Oklahoma ........................................................................................ 37 0.7450 0.7589 99937 

37040 ....... Beckham County, Oklahoma ..................................................................................... 37 0.7450 0.7589 99937 

37050 ....... Blaine County, Oklahoma .......................................................................................... 37 0.7450 0.7589 99937 

37060 ....... Bryan County, Oklahoma .......................................................................................... 37 0.7450 0.7589 99937 

37070 ....... Caddo County, Oklahoma ......................................................................................... 37 0.7450 0.7589 99937 

37080 ....... Canadian County, Oklahoma .................................................................................... 5880 0.9034 0.9040 36420 

37090 ....... Carter County, Oklahoma .......................................................................................... 37 0.7450 0.7589 99937 

37100 ....... Cherokee County, Oklahoma .................................................................................... 37 0.7450 0.7589 99937 

37110 ....... Choctaw County, Oklahoma ...................................................................................... 37 0.7450 0.7589 99937 

37120 ....... Cimarron County, Oklahoma ..................................................................................... 37 0.7450 0.7589 99937 

37130 ....... Cleveland County, Oklahoma .................................................................................... 5880 0.9034 0.9040 36420 

37140 ....... Coal County, Oklahoma ............................................................................................ 37 0.7450 0.7589 99937 

37150 ....... Comanche County, Oklahoma .................................................................................. 4200 0.7880 0.7880 30020 

37160 ....... Cotton County, Oklahoma ......................................................................................... 37 0.7450 0.7589 99937 

37170 ....... Craig County, Oklahoma ........................................................................................... 37 0.7450 0.7589 99937 

37180 ....... Creek County, Oklahoma .......................................................................................... 8560 0.8322 0.8286 46140 

37190 ....... Custer County, Oklahoma ......................................................................................... 37 0.7450 0.7589 99937 

37200 ....... Delaware County, Oklahoma .................................................................................... 37 0.7450 0.7589 99937 

37210 ....... Dewey County, Oklahoma ......................................................................................... 37 0.7450 0.7589 99937 

37220 ....... Ellis County, Oklahoma ............................................................................................. 37 0.7450 0.7589 99937 

37230 ....... Garfield County, Oklahoma ....................................................................................... 2340 0.8675 0.7589 99937 

37240 ....... Garvin County, Oklahoma ......................................................................................... 37 0.7450 0.7589 99937 

37250 ....... Grady County, Oklahoma .......................................................................................... 37 0.7450 0.9040 36420 

37260 ....... Grant County, Oklahoma ........................................................................................... 37 0.7450 0.7589 99937 

37270 ....... Greer County, Oklahoma .......................................................................................... 37 0.7450 0.7589 99937 

37280 ....... Harmon County, Oklahoma ....................................................................................... 37 0.7450 0.7589 99937 

37290 ....... Harper County, Oklahoma ......................................................................................... 37 0.7450 0.7589 99937 

37300 ....... Haskell County, Oklahoma ........................................................................................ 37 0.7450 0.7589 99937 

37310 ....... Hughes County, Oklahoma ....................................................................................... 37 0.7450 0.7589 99937 

37320 ....... Jackson County, Oklahoma ...................................................................................... 37 0.7450 0.7589 99937 

37330 ....... Jefferson County, Oklahoma ..................................................................................... 37 0.7450 0.7589 99937 

37340 ....... Johnston County, Oklahoma ..................................................................................... 37 0.7450 0.7589 99937 

37350 ....... Kay County, Oklahoma ............................................................................................. 37 0.7450 0.7589 99937 

37360 ....... Kingfisher County, Oklahoma .................................................................................... 37 0.7450 0.7589 99937 

37370 ....... Kiowa County, Oklahoma .......................................................................................... 37 0.7450 0.7589 99937 

37380 ....... Latimer County, Oklahoma ........................................................................................ 37 0.7450 0.7589 99937 

37390 ....... Le Flore County, Oklahoma ...................................................................................... 37 0.7450 0.8214 22900 

37400 ....... Lincoln County, Oklahoma ........................................................................................ 37 0.7450 0.9040 36420 

37410 ....... Logan County, Oklahoma .......................................................................................... 5880 0.9034 0.9040 36420 

37420 ....... Love County, Oklahoma ............................................................................................ 37 0.7450 0.7589 99937 

37430 ....... Mc Clain County, Oklahoma ..................................................................................... 5880 0.9034 0.9040 36420 

37440 ....... Mc Curtain County, Oklahoma .................................................................................. 37 0.7450 0.7589 99937 

37450 ....... Mc Intosh County, Oklahoma .................................................................................... 37 0.7450 0.7589 99937 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29147

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

37460 ....... Major County, Oklahoma ........................................................................................... 37 0.7450 0.7589 99937 

37470 ....... Marshall County, Oklahoma ...................................................................................... 37 0.7450 0.7589 99937 

37480 ....... Mayes County, Oklahoma ......................................................................................... 37 0.7450 0.7589 99937 

37490 ....... Murray County, Oklahoma ........................................................................................ 37 0.7450 0.7589 99937 

37500 ....... Muskogee County, Oklahoma ................................................................................... 37 0.7450 0.7589 99937 

37510 ....... Noble County, Oklahoma .......................................................................................... 37 0.7450 0.7589 99937 

37520 ....... Nowata County, Oklahoma ....................................................................................... 37 0.7450 0.7589 99937 

37530 ....... Okfuskee County, Oklahoma .................................................................................... 37 0.7450 0.7589 99937 

37540 ....... Oklahoma County, Oklahoma ................................................................................... 5880 0.9034 0.9040 36420 

37550 ....... Okmulgee County, Oklahoma ................................................................................... 37 0.7450 0.8286 46140 

37560 ....... Osage County, Oklahoma ......................................................................................... 8560 0.8322 0.8286 46140 

37570 ....... Ottawa County, Oklahoma ........................................................................................ 37 0.7450 0.7589 99937 

37580 ....... Pawnee County, Oklahoma ....................................................................................... 37 0.7450 0.8286 46140 

37590 ....... Payne County, Oklahoma ......................................................................................... 37 0.7450 0.7589 99937 

37600 ....... Pittsburg County, Oklahoma ..................................................................................... 37 0.7450 0.7589 99937 

37610 ....... Pontotoc County, Oklahoma ..................................................................................... 37 0.7450 0.7589 99937 

37620 ....... Pottawatomie County, Oklahoma .............................................................................. 5880 0.9034 0.7589 99937 

37630 ....... Pushmataha County, Oklahoma ............................................................................... 37 0.7450 0.7589 99937 

37640 ....... Roger Mills County, Oklahoma ................................................................................. 37 0.7450 0.7589 99937 

37650 ....... Rogers County, Oklahoma ........................................................................................ 8560 0.8322 0.8286 46140 

37660 ....... Seminole County, Oklahoma ..................................................................................... 37 0.7450 0.7589 99937 

37670 ....... Sequoyah County, Oklahoma ................................................................................... 2720 0.8229 0.8214 22900 

37680 ....... Stephens County, Oklahoma .................................................................................... 37 0.7450 0.7589 99937 

37690 ....... Texas County, Oklahoma .......................................................................................... 37 0.7450 0.7589 99937 

37700 ....... Tillman County, Oklahoma ........................................................................................ 37 0.7450 0.7589 99937 

37710 ....... Tulsa County, Oklahoma ........................................................................................... 8560 0.8322 0.8286 46140 

37720 ....... Wagoner County, Oklahoma ..................................................................................... 8560 0.8322 0.8286 46140 

37730 ....... Washington County, Oklahoma ................................................................................. 37 0.7450 0.7589 99937 

37740 ....... Washita County, Oklahoma ....................................................................................... 37 0.7450 0.7589 99937 

37750 ....... Woods County, Oklahoma ........................................................................................ 37 0.7450 0.7589 99937 

37760 ....... Woodward County, Oklahoma .................................................................................. 37 0.7450 0.7589 99937 

38000 ....... Baker County, Oregon ............................................................................................... 38 1.0057 0.9830 99938 

38010 ....... Benton County, Oregon ............................................................................................. 1890 1.0739 1.0739 18700 

38020 ....... Clackamas County, Oregon ...................................................................................... 6440 1.1260 1.1260 38900 

38030 ....... Clatsop County, Oregon ............................................................................................ 38 1.0057 0.9830 99938 

38040 ....... Columbia County, Oregon ......................................................................................... 6440 1.1260 1.1260 38900 

38050 ....... Coos County, Oregon ................................................................................................ 38 1.0057 0.9830 99938 

38060 ....... Crook County, Oregon .............................................................................................. 38 1.0057 0.9830 99938 

38070 ....... Curry County, Oregon ............................................................................................... 38 1.0057 0.9830 99938 

38080 ....... Deschutes County, Oregon ....................................................................................... 38 1.0057 1.0796 13460 

38090 ....... Douglas County, Oregon ........................................................................................... 38 1.0057 0.9830 99938 

38100 ....... Gilliam County, Oregon ............................................................................................. 38 1.0057 0.9830 99938 

38110 ....... Grant County, Oregon ............................................................................................... 38 1.0057 0.9830 99938 

38120 ....... Harney County, Oregon ............................................................................................ 38 1.0057 0.9830 99938 

38130 ....... Hood River County, Oregon ...................................................................................... 38 1.0057 0.9830 99938 

38140 ....... Jackson County, Oregon ........................................................................................... 4890 1.0235 1.0235 32780 

38150 ....... Jefferson County, Oregon ......................................................................................... 38 1.0057 0.9830 99938 

38160 ....... Josephine County, Oregon ........................................................................................ 38 1.0057 0.9830 99938 

38170 ....... Klamath County, Oregon ........................................................................................... 38 1.0057 0.9830 99938 

38180 ....... Lake County, Oregon ................................................................................................ 38 1.0057 0.9830 99938 

38190 ....... Lane County, Oregon ................................................................................................ 2400 1.0829 1.0829 21660 

38200 ....... Lincoln County, Oregon ............................................................................................. 38 1.0057 0.9830 99938 

38210 ....... Linn County, Oregon ................................................................................................. 38 1.0057 0.9830 99938 

38220 ....... Malheur County, Oregon ........................................................................................... 38 1.0057 0.9830 99938 

38230 ....... Marion County, Oregon ............................................................................................. 7080 1.0452 1.0452 41420 

38240 ....... Morrow County, Oregon ............................................................................................ 38 1.0057 0.9830 99938 

38250 ....... Multnomah County, Oregon ...................................................................................... 6440 1.1260 1.1260 38900 

38260 ....... Polk County, Oregon ................................................................................................. 7080 1.0452 1.0452 41420 

38270 ....... Sherman County, Oregon ......................................................................................... 38 1.0057 0.9830 99938 

38280 ....... Tillamook County, Oregon ......................................................................................... 38 1.0057 0.9830 99938 

38290 ....... Umatilla County, Oregon ........................................................................................... 38 1.0057 0.9830 99938 

38300 ....... Union County, Oregon ............................................................................................... 38 1.0057 0.9830 99938 

38310 ....... Wallowa County, Oregon .......................................................................................... 38 1.0057 0.9830 99938 

38320 ....... Wasco County, Oregon ............................................................................................. 38 1.0057 0.9830 99938 

38330 ....... Washington County, Oregon ..................................................................................... 6440 1.1260 1.1260 38900 

38340 ....... Wheeler County, Oregon ........................................................................................... 38 1.0057 0.9830 99938 

38350 ....... Yamhill County, Oregon ............................................................................................ 6440 1.1260 1.1260 38900 

39000 ....... Adams County, Pennsylvania ................................................................................... 39 0.8331 0.8302 99939 

39010 ....... Allegheny County, Pennsylvania ............................................................................... 6280 0.8868 0.8853 38300 

29148 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

39070 ....... Armstrong County, Pennsylvania .............................................................................. 39 0.8331 0.8853 38300 

39080 ....... Beaver County, Pennsylvania ................................................................................... 6280 0.8868 0.8853 38300 

39100 ....... Bedford County, Pennsylvania .................................................................................. 39 0.8331 0.8302 99939 

39110 ....... Berks County, Pennsylvania ..................................................................................... 6680 0.9696 0.9696 39740 

39120 ....... Blair County, Pennsylvania ....................................................................................... 0280 0.8953 0.8953 11020 

39130 ....... Bradford County, Pennsylvania ................................................................................. 39 0.8331 0.8302 99939 

39140 ....... Bucks County, Pennsylvania ..................................................................................... 6160 1.0926 1.1040 37964 

39150 ....... Butler County, Pennsylvania ..................................................................................... 6280 0.8868 0.8853 38300 

39160 ....... Cambria County, Pennsylvania ................................................................................. 3680 0.8094 0.8362 27780 

39180 ....... Cameron County, Pennsylvania ................................................................................ 39 0.8331 0.8302 99939 

39190 ....... Carbon County, Pennsylvania ................................................................................... 0240 0.9855 0.9828 10900 

39200 ....... Centre County, Pennsylvania .................................................................................... 8050 0.8364 0.8364 44300 

39210 ....... Chester County, Pennsylvania .................................................................................. 6160 1.0926 1.1040 37964 

39220 ....... Clarion County, Pennsylvania ................................................................................... 39 0.8331 0.8302 99939 

39230 ....... Clearfield County, Pennsylvania ............................................................................... 39 0.8331 0.8302 99939 

39240 ....... Clinton County, Pennsylvania ................................................................................... 39 0.8331 0.8302 99939 

39250 ....... Columbia County, Pennsylvania ............................................................................... 7560 0.8533 0.8302 99939 

39260 ....... Crawford County, Pennsylvania ................................................................................ 39 0.8331 0.8302 99939 

39270 ....... Cumberland County, Pennsylvania ........................................................................... 3240 0.9242 0.9322 25420 

39280 ....... Dauphin County, Pennsylvania ................................................................................. 3240 0.9242 0.9322 25420 

39290 ....... Delaware County, Pennsylvania ............................................................................... 6160 1.0926 1.1040 37964 

39310 ....... Elk County, Pennsylvania .......................................................................................... 39 0.8331 0.8302 99939 

39320 ....... Erie County, Pennsylvania ........................................................................................ 2360 0.8746 0.8746 21500 

39330 ....... Fayette County, Pennsylvania ................................................................................... 6280 0.8868 0.8853 38300 

39340 ....... Forest County, Pennsylvania .................................................................................... 39 0.8331 0.8302 99939 

39350 ....... Franklin County, Pennsylvania .................................................................................. 39 0.8331 0.8302 99939 

39360 ....... Fulton County, Pennsylvania ..................................................................................... 39 0.8331 0.8302 99939 

39370 ....... Greene County, Pennsylvania ................................................................................... 39 0.8331 0.8302 99939 

39380 ....... Huntingdon County, Pennsylvania ............................................................................ 39 0.8331 0.8302 99939 

39390 ....... Indiana County, Pennsylvania ................................................................................... 39 0.8331 0.8302 99939 

39400 ....... Jefferson County, Pennsylvania ................................................................................ 39 0.8331 0.8302 99939 

39410 ....... Juniata County, Pennsylvania ................................................................................... 39 0.8331 0.8302 99939 

39420 ....... Lackawanna County, Pennsylvania .......................................................................... 7560 0.8533 0.8548 42540 

39440 ....... Lancaster County, Pennsylvania ............................................................................... 4000 0.9704 0.9704 29540 

39450 ....... Lawrence County, Pennsylvania ............................................................................... 39 0.8331 0.8302 99939 

39460 ....... Lebanon County, Pennsylvania ................................................................................. 3240 0.9242 0.8468 30140 

39470 ....... Lehigh County, Pennsylvania .................................................................................... 0240 0.9855 0.9828 10900 

39480 ....... Luzerne County, Pennsylvania .................................................................................. 7560 0.8533 0.8548 42540 

39510 ....... Lycoming County, Pennsylvania ............................................................................... 9140 0.8377 0.8377 48700 

39520 ....... Mc Kean County, Pennsylvania ................................................................................ 39 0.8331 0.8302 99939 

39530 ....... Mercer County, Pennsylvania ................................................................................... 7610 0.7801 0.8611 49660 

39540 ....... Mifflin County, Pennsylvania ..................................................................................... 39 0.8331 0.8302 99939 

39550 ....... Monroe County, Pennsylvania .................................................................................. 39 0.8331 0.8302 99939 

39560 ....... Montgomery County, Pennsylvania ........................................................................... 6160 1.0926 1.1040 37964 

39580 ....... Montour County, Pennsylvania ................................................................................. 39 0.8331 0.8302 99939 

39590 ....... Northampton County, Pennsylvania .......................................................................... 0240 0.9855 0.9828 10900 

39600 ....... Northumberland County, Pennsylvania ..................................................................... 39 0.8331 0.8302 99939 

39610 ....... Perry County, Pennsylvania ...................................................................................... 3240 0.9242 0.9322 25420 

39620 ....... Philadelphia County, Pennsylvania ........................................................................... 6160 1.0926 1.1040 37964 

39630 ....... Pike County, Pennsylvania ........................................................................................ 5660 1.1218 1.2195 35084 

39640 ....... Potter County, Pennsylvania ..................................................................................... 39 0.8331 0.8302 99939 

39650 ....... Schuylkill County, Pennsylvania ................................................................................ 39 0.8331 0.8302 99939 

39670 ....... Snyder County, Pennsylvania ................................................................................... 39 0.8331 0.8302 99939 

39680 ....... Somerset County, Pennsylvania ............................................................................... 3680 0.8094 0.8302 99939 

39690 ....... Sullivan County, Pennsylvania .................................................................................. 39 0.8331 0.8302 99939 

39700 ....... Susquehanna County, Pennsylvania ........................................................................ 39 0.8331 0.8302 99939 

39710 ....... Tioga County, Pennsylvania ...................................................................................... 39 0.8331 0.8302 99939 

39720 ....... Union County, Pennsylvania ..................................................................................... 39 0.8331 0.8302 99939 

39730 ....... Venango County, Pennsylvania ................................................................................ 39 0.8331 0.8302 99939 

39740 ....... Warren County, Pennsylvania ................................................................................... 39 0.8331 0.8302 99939 

39750 ....... Washington County, Pennsylvania ............................................................................ 6280 0.8868 0.8853 38300 

39760 ....... Wayne County, Pennsylvania ................................................................................... 39 0.8331 0.8302 99939 

39770 ....... Westmoreland County, Pennsylvania ....................................................................... 6280 0.8868 0.8853 38300 

39790 ....... Wyoming County, Pennsylvania ................................................................................ 7560 0.8533 0.8548 42540 

39800 ....... York County, Pennsylvania ....................................................................................... 9280 0.9420 0.9420 49620 

40010 ....... Adjuntas County, Puerto Rico ................................................................................... 40 0.3608 0.4047 99940 

40020 ....... Aguada County, Puerto Rico ..................................................................................... 0060 0.4881 0.4743 10380 

40030 ....... Aguadilla County, Puerto Rico .................................................................................. 0060 0.4881 0.4743 10380 

40040 ....... Aguas Buenas County, Puerto Rico ......................................................................... 7440 0.4855 0.4686 41980 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29149

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

40050 ....... Aibonito County, Puerto Rico .................................................................................... 40 0.3608 0.4686 41980 

40060 ....... Anasco County, Puerto Rico ..................................................................................... 4840 0.4246 0.4743 10380 

40070 ....... Arecibo County, Puerto Rico ..................................................................................... 0470 0.4116 0.4686 41980 

40080 ....... Arroyo County, Puerto Rico ...................................................................................... 40 0.3608 0.3184 25020 

40090 ....... Barceloneta County, Puerto Rico .............................................................................. 7440 0.4855 0.4686 41980 

40100 ....... Barranquitas County, Puerto Rico ............................................................................. 40 0.3608 0.4686 41980 

40110 ....... Bayamon County, Puerto Rico .................................................................................. 7440 0.4855 0.4686 41980 

40120 ....... Cabo Rojo County, Puerto Rico ................................................................................ 4840 0.4246 0.4655 41900 

40130 ....... Caguas County, Puerto Rico ..................................................................................... 1310 0.4020 0.4686 41980 

40140 ....... Camuy County, Puerto Rico ...................................................................................... 0470 0.4116 0.4686 41980 

40145 ....... Canovanas County, Puerto Rico ............................................................................... 7440 0.4855 0.4686 41980 

40150 ....... Carolina County, Puerto Rico .................................................................................... 7440 0.4855 0.4686 41980 

40160 ....... Catano County, Puerto Rico ..................................................................................... 7440 0.4855 0.4686 41980 

40170 ....... Cayey County, Puerto Rico ....................................................................................... 1310 0.4020 0.4686 41980 

40180 ....... Ceiba County, Puerto Rico ........................................................................................ 7440 0.4855 0.4157 21940 

40190 ....... Ciales County, Puerto Rico ....................................................................................... 40 0.3608 0.4686 41980 

40200 ....... Cidra County, Puerto Rico ........................................................................................ 1310 0.4020 0.4686 41980 

40210 ....... Coamo County, Puerto Rico ..................................................................................... 40 0.3608 0.4047 99940 

40220 ....... Comerio County, Puerto Rico ................................................................................... 7440 0.4855 0.4686 41980 

40230 ....... Corozal County, Puerto Rico ..................................................................................... 7440 0.4855 0.4686 41980 

40240 ....... Culebra County, Puerto Rico .................................................................................... 40 0.3608 0.4047 99940 

40250 ....... Dorado County, Puerto Rico ..................................................................................... 7440 0.4855 0.4686 41980 

40260 ....... Fajardo County, Puerto Rico ..................................................................................... 7440 0.4855 0.4157 21940 

40265 ....... Florida County, Puerto Rico ...................................................................................... 7440 0.4855 0.4686 41980 

40270 ....... Guanica County, Puerto Rico .................................................................................... 40 0.3608 0.4413 49500 

40280 ....... Guayama County, Puerto Rico ................................................................................. 40 0.3608 0.3184 25020 

40290 ....... Guayanilla County, Puerto Rico ................................................................................ 6360 0.5091 0.4413 49500 

40300 ....... Guaynabo County, Puerto Rico ................................................................................ 7440 0.4855 0.4686 41980 

40310 ....... Gurabo County, Puerto Rico ..................................................................................... 1310 0.4020 0.4686 41980 

40320 ....... Hatillo County, Puerto Rico ....................................................................................... 0470 0.4116 0.4686 41980 

40330 ....... Hormigueros County, Puerto Rico ............................................................................ 4840 0.4246 0.4017 32420 

40340 ....... Humacao County, Puerto Rico .................................................................................. 7440 0.4855 0.4686 41980 

40350 ....... Isabela County, Puerto Rico ..................................................................................... 40 0.3608 0.4743 10380 

40360 ....... Jayuya County, Puerto Rico ...................................................................................... 40 0.3608 0.4047 99940 

40370 ....... Juana Diaz County, Puerto Rico ............................................................................... 6360 0.5091 0.5177 38660 

40380 ....... Juncos County, Puerto Rico ...................................................................................... 7440 0.4855 0.4686 41980 

40390 ....... Lajas County, Puerto Rico ........................................................................................ 40 0.3608 0.4655 41900 

40400 ....... Lares County, Puerto Rico ........................................................................................ 40 0.3608 0.4743 10380 

40410 ....... Las Marias County, Puerto Rico ............................................................................... 40 0.3608 0.4047 99940 

40420 ....... Las Piedras County, Puerto Rico .............................................................................. 7440 0.4855 0.4686 41980 

40430 ....... Loiza County, Puerto Rico ........................................................................................ 7440 0.4855 0.4686 41980 

40440 ....... Luquillo County, Puerto Rico ..................................................................................... 7440 0.4855 0.4157 21940 

40450 ....... Manati County, Puerto Rico ...................................................................................... 7440 0.4855 0.4686 41980 

40460 ....... Maricao County, Puerto Rico .................................................................................... 40 0.3608 0.4047 99940 

40470 ....... Maunabo County, Puerto Rico .................................................................................. 40 0.3608 0.4686 41980 

40480 ....... Mayaguez County, Puerto Rico ................................................................................ 4840 0.4246 0.4017 32420 

40490 ....... Moca County, Puerto Rico ........................................................................................ 0060 0.4881 0.4743 10380 

40500 ....... Morovis County, Puerto Rico .................................................................................... 7440 0.4855 0.4686 41980 

40510 ....... Naguabo County, Puerto Rico .................................................................................. 7440 0.4855 0.4686 41980 

40520 ....... Naranjito County, Puerto Rico ................................................................................... 7440 0.4855 0.4686 41980 

40530 ....... Orocovis County, Puerto Rico ................................................................................... 40 0.3608 0.4686 41980 

40540 ....... Patillas County, Puerto Rico ..................................................................................... 40 0.3608 0.3184 25020 

40550 ....... Penuelas County, Puerto Rico .................................................................................. 6360 0.5091 0.4413 49500 

40560 ....... Ponce County, Puerto Rico ....................................................................................... 6360 0.5091 0.5177 38660 

40570 ....... Quebradillas County, Puerto Rico ............................................................................. 40 0.3608 0.4686 41980 

40580 ....... Rincon County, Puerto Rico ...................................................................................... 40 0.3608 0.4743 10380 

40590 ....... Rio Grande County, Puerto Rico .............................................................................. 7440 0.4855 0.4686 41980 

40610 ....... Sabana Grande County, Puerto Rico ....................................................................... 4840 0.4246 0.4655 41900 

40620 ....... Salinas County, Puerto Rico ..................................................................................... 40 0.3608 0.4047 99940 

40630 ....... San German County, Puerto Rico ............................................................................ 4840 0.4246 0.4655 41900 

40640 ....... San Juan County, Puerto Rico .................................................................................. 7440 0.4855 0.4686 41980 

40650 ....... San Lorenzo County, Puerto Rico ............................................................................ 1310 0.4020 0.4686 41980 

40660 ....... San Sebastian County, Puerto Rico ......................................................................... 40 0.3608 0.4743 10380 

40670 ....... Santa Isabel County, Puerto Rico ............................................................................. 40 0.3608 0.4047 99940 

40680 ....... Toa Alta County, Puerto Rico ................................................................................... 7440 0.4855 0.4686 41980 

40690 ....... Toa Baja County, Puerto Rico .................................................................................. 7440 0.4855 0.4686 41980 

40700 ....... Trujillo Alto County, Puerto Rico ............................................................................... 7440 0.4855 0.4686 41980 

40710 ....... Utuado County, Puerto Rico ..................................................................................... 40 0.3608 0.4047 99940 

40720 ....... Vega Alta County, Puerto Rico ................................................................................. 7440 0.4855 0.4686 41980 

29150 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

40730 ....... Vega Baja County, Puerto Rico ................................................................................ 7440 0.4855 0.4686 41980 

40740 ....... Vieques County, Puerto Rico .................................................................................... 40 0.3608 0.4047 99940 

40750 ....... Villalba County, Puerto Rico ..................................................................................... 6360 0.5091 0.5177 38660 

40760 ....... Yabucoa County, Puerto Rico ................................................................................... 7440 0.4855 0.4686 41980 

40770 ....... Yauco County, Puerto Rico ....................................................................................... 6360 0.5091 0.4413 49500 

41000 ....... Bristol County, Rhode Island ..................................................................................... 6483 1.1060 1.0966 39300 

41010 ....... Kent County, Rhode Island ....................................................................................... 6483 1.1060 1.0966 39300 

41020 ....... Newport County, Rhode Island ................................................................................. 6483 1.1060 1.0966 39300 

41030 ....... Providence County, Rhode Island ............................................................................. 6483 1.1060 1.0966 39300 

41050 ....... Washington County, Rhode Island ............................................................................ 6483 1.1060 1.0966 39300 

42000 ....... Abbeville County, S Carolina .................................................................................... 42 0.8634 0.8641 99942 

42010 ....... Aiken County, S Carolina .......................................................................................... 0600 0.9619 0.9565 12260 

42020 ....... Allendale County, S Carolina .................................................................................... 42 0.8634 0.8641 99942 

42030 ....... Anderson County, S Carolina .................................................................................... 3160 0.9677 0.8897 11340 

42040 ....... Bamberg County, S Carolina .................................................................................... 42 0.8634 0.8641 99942 

42050 ....... Barnwell County, S Carolina ..................................................................................... 42 0.8634 0.8641 99942 

42060 ....... Beaufort County, S Carolina ..................................................................................... 42 0.8634 0.8641 99942 

42070 ....... Berkeley County, S Carolina ..................................................................................... 1440 0.9438 0.9438 16700 

42080 ....... Calhoun County, S Carolina ...................................................................................... 42 0.8634 0.9047 17900 

42090 ....... Charleston County, S Carolina .................................................................................. 1440 0.9438 0.9438 16700 

42100 ....... Cherokee County, S Carolina ................................................................................... 3160 0.9677 0.8641 99942 

42110 ....... Chester County, S Carolina ...................................................................................... 42 0.8634 0.8641 99942 

42120 ....... Chesterfield County, S Carolina ................................................................................ 42 0.8634 0.8641 99942 

42130 ....... Clarendon County, S Carolina .................................................................................. 42 0.8634 0.8641 99942 

42140 ....... Colleton County, S Carolina ...................................................................................... 42 0.8634 0.8641 99942 

42150 ....... Darlington County, S Carolina ................................................................................... 42 0.8634 0.8964 22500 

42160 ....... Dillon County, S Carolina .......................................................................................... 42 0.8634 0.8641 99942 

42170 ....... Dorchester County, S Carolina ................................................................................. 1440 0.9438 0.9438 16700 

42180 ....... Edgefield County, S Carolina .................................................................................... 0600 0.9619 0.9565 12260 

42190 ....... Fairfield County, S Carolina ...................................................................................... 42 0.8634 0.9047 17900 

42200 ....... Florence County, S Carolina ..................................................................................... 2655 0.9060 0.8964 22500 

42210 ....... Georgetown County, S Carolina ............................................................................... 42 0.8634 0.8641 99942 

42220 ....... Greenville County, S Carolina ................................................................................... 3160 0.9677 1.0165 24860 

42230 ....... Greenwood County, S Carolina ................................................................................ 42 0.8634 0.8641 99942 

42240 ....... Hampton County, S Carolina .................................................................................... 42 0.8634 0.8641 99942 

42250 ....... Horry County, S Carolina .......................................................................................... 5330 0.8873 0.8873 34820 

42260 ....... Jasper County, S Carolina ........................................................................................ 42 0.8634 0.8641 99942 

42270 ....... Kershaw County, S Carolina ..................................................................................... 42 0.8634 0.9047 17900 

42280 ....... Lancaster County, S Carolina ................................................................................... 42 0.8634 0.8641 99942 

42290 ....... Laurens County, S Carolina ...................................................................................... 42 0.8634 1.0165 24860 

42300 ....... Lee County, S Carolina ............................................................................................. 42 0.8634 0.8641 99942 

42310 ....... Lexington County, S Carolina ................................................................................... 1760 0.9071 0.9047 17900 

42320 ....... Mc Cormick County, S Carolina ................................................................................ 42 0.8634 0.8641 99942 

42330 ....... Marion County, S Carolina ........................................................................................ 42 0.8634 0.8641 99942 

42340 ....... Marlboro County, S Carolina ..................................................................................... 42 0.8634 0.8641 99942 

42350 ....... Newberry County, S Carolina .................................................................................... 42 0.8634 0.8641 99942 

42360 ....... Oconee County, S Carolina ...................................................................................... 42 0.8634 0.8641 99942 

42370 ....... Orangeburg County, S Carolina ................................................................................ 42 0.8634 0.8641 99942 

42380 ....... Pickens County, S Carolina ...................................................................................... 3160 0.9677 1.0165 24860 

42390 ....... Richland County, S Carolina ..................................................................................... 1760 0.9071 0.9047 17900 

42400 ....... Saluda County, S Carolina ........................................................................................ 42 0.8634 0.9047 17900 

42410 ....... Spartanburg County, S Carolina ............................................................................... 3160 0.9677 0.9181 43900 

42420 ....... Sumter County, S Carolina ....................................................................................... 8140 0.8386 0.8386 44940 

42430 ....... Union County, S Carolina .......................................................................................... 42 0.8634 0.8641 99942 

42440 ....... Williamsburg County, S Carolina .............................................................................. 42 0.8634 0.8641 99942 

42450 ....... York County, S Carolina ............................................................................................ 1520 0.9725 0.9760 16740 

43010 ....... Aurora County, S Dakota .......................................................................................... 43 0.8476 0.8484 99943 

43020 ....... Beadle County, S Dakota .......................................................................................... 43 0.8476 0.8484 99943 

43030 ....... Bennett County, S Dakota ......................................................................................... 43 0.8476 0.8484 99943 

43040 ....... Bon Homme County, S Dakota ................................................................................. 43 0.8476 0.8484 99943 

43050 ....... Brookings County, S Dakota ..................................................................................... 43 0.8476 0.8484 99943 

43060 ....... Brown County, S Dakota ........................................................................................... 43 0.8476 0.8484 99943 

43070 ....... Brule County, S Dakota ............................................................................................. 43 0.8476 0.8484 99943 

43080 ....... Buffalo County, S Dakota .......................................................................................... 43 0.8476 0.8484 99943 

43090 ....... Butte County, S Dakota ............................................................................................. 43 0.8476 0.8484 99943 

43100 ....... Campbell County, S Dakota ...................................................................................... 43 0.8476 0.8484 99943 

43110 ....... Charles Mix County, S Dakota .................................................................................. 43 0.8476 0.8484 99943 

43120 ....... Clark County, S Dakota ............................................................................................. 43 0.8476 0.8484 99943 

43130 ....... Clay County, S Dakota .............................................................................................. 43 0.8476 0.8484 99943 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29151

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

43140 ....... Codington County, S Dakota ..................................................................................... 43 0.8476 0.8484 99943 

43150 ....... Corson County, S Dakota ......................................................................................... 43 0.8476 0.8484 99943 

43160 ....... Custer County, S Dakota .......................................................................................... 43 0.8476 0.8484 99943 

43170 ....... Davison County, S Dakota ........................................................................................ 43 0.8476 0.8484 99943 

43180 ....... Day County, S Dakota ............................................................................................... 43 0.8476 0.8484 99943 

43190 ....... Deuel County, S Dakota ............................................................................................ 43 0.8476 0.8484 99943 

43200 ....... Dewey County, S Dakota .......................................................................................... 43 0.8476 0.8484 99943 

43210 ....... Douglas County, S Dakota ........................................................................................ 43 0.8476 0.8484 99943 

43220 ....... Edmunds County, S Dakota ...................................................................................... 43 0.8476 0.8484 99943 

43230 ....... Fall River County, S Dakota ...................................................................................... 43 0.8476 0.8484 99943 

43240 ....... Faulk County, S Dakota ............................................................................................ 43 0.8476 0.8484 99943 

43250 ....... Grant County, S Dakota ............................................................................................ 43 0.8476 0.8484 99943 

43260 ....... Gregory County, S Dakota ........................................................................................ 43 0.8476 0.8484 99943 

43270 ....... Haakon County, S Dakota ......................................................................................... 43 0.8476 0.8484 99943 

43280 ....... Hamlin County, S Dakota .......................................................................................... 43 0.8476 0.8484 99943 

43290 ....... Hand County, S Dakota ............................................................................................ 43 0.8476 0.8484 99943 

43300 ....... Hanson County, S Dakota ......................................................................................... 43 0.8476 0.8484 99943 

43310 ....... Harding County, S Dakota ........................................................................................ 43 0.8476 0.8484 99943 

43320 ....... Hughes County, S Dakota ......................................................................................... 43 0.8476 0.8484 99943 

43330 ....... Hutchinson County, S Dakota ................................................................................... 43 0.8476 0.8484 99943 

43340 ....... Hyde County, S Dakota ............................................................................................. 43 0.8476 0.8484 99943 

43350 ....... Jackson County, S Dakota ........................................................................................ 43 0.8476 0.8484 99943 

43360 ....... Jerauld County, S Dakota ......................................................................................... 43 0.8476 0.8484 99943 

43370 ....... Jones County, S Dakota ........................................................................................... 43 0.8476 0.8484 99943 

43380 ....... Kingsbury County, S Dakota ..................................................................................... 43 0.8476 0.8484 99943 

43390 ....... Lake County, S Dakota ............................................................................................. 43 0.8476 0.8484 99943 

43400 ....... Lawrence County, S Dakota ..................................................................................... 43 0.8476 0.8484 99943 

43410 ....... Lincoln County, S Dakota .......................................................................................... 7760 0.9645 0.9645 43620 

43420 ....... Lyman County, S Dakota .......................................................................................... 43 0.8476 0.8484 99943 

43430 ....... Mc Cook County, S Dakota ....................................................................................... 43 0.8476 0.9645 43620 

43440 ....... Mc Pherson County, S Dakota .................................................................................. 43 0.8476 0.8484 99943 

43450 ....... Marshall County, S Dakota ....................................................................................... 43 0.8476 0.8484 99943 

43460 ....... Meade County, S Dakota .......................................................................................... 43 0.8476 0.9021 39660 

43470 ....... Mellette County, S Dakota ........................................................................................ 43 0.8476 0.8484 99943 

43480 ....... Miner County, S Dakota ............................................................................................ 43 0.8476 0.8484 99943 

43490 ....... Minnehaha County, S Dakota ................................................................................... 7760 0.9645 0.9645 43620 

43500 ....... Moody County, S Dakota .......................................................................................... 43 0.8476 0.8484 99943 

43510 ....... Pennington County, S Dakota ................................................................................... 6660 0.9021 0.9021 39660 

43520 ....... Perkins County, S Dakota ......................................................................................... 43 0.8476 0.8484 99943 

43530 ....... Potter County, S Dakota ........................................................................................... 43 0.8476 0.8484 99943 

43540 ....... Roberts County, S Dakota ........................................................................................ 43 0.8476 0.8484 99943 

43550 ....... Sanborn County, S Dakota ....................................................................................... 43 0.8476 0.8484 99943 

43560 ....... Shannon County, S Dakota ....................................................................................... 43 0.8476 0.8484 99943 

43570 ....... Spink County, S Dakota ............................................................................................ 43 0.8476 0.8484 99943 

43580 ....... Stanley County, S Dakota ......................................................................................... 43 0.8476 0.8484 99943 

43590 ....... Sully County, S Dakota ............................................................................................. 43 0.8476 0.8484 99943 

43600 ....... Todd County, S Dakota ............................................................................................. 43 0.8476 0.8484 99943 

43610 ....... Tripp County, S Dakota ............................................................................................. 43 0.8476 0.8484 99943 

43620 ....... Turner County, S Dakota .......................................................................................... 43 0.8476 0.9645 43620 

43630 ....... Union County, S Dakota ............................................................................................ 43 0.8476 0.9376 43580 

43640 ....... Walworth County, S Dakota ...................................................................................... 43 0.8476 0.8484 99943 

43650 ....... Washabaugh County, S Dakota ................................................................................ 43 0.8476 0.8484 99943 

43670 ....... Yankton County, S Dakota ........................................................................................ 43 0.8476 0.8484 99943 

43680 ....... Ziebach County, S Dakota ........................................................................................ 43 0.8476 0.8484 99943 

44000 ....... Anderson County, Tennessee ................................................................................... 3840 0.8411 0.8454 28940 

44010 ....... Bedford County, Tennessee ...................................................................................... 44 0.7988 0.7888 99944 

44020 ....... Benton County, Tennessee ....................................................................................... 44 0.7988 0.7888 99944 

44030 ....... Bledsoe County, Tennessee ..................................................................................... 44 0.7988 0.7888 99944 

44040 ....... Blount County, Tennessee ........................................................................................ 3840 0.8411 0.8454 28940 

44050 ....... Bradley County, Tennessee ...................................................................................... 44 0.7988 0.8141 17420 

44060 ....... Campbell County, Tennessee ................................................................................... 44 0.7988 0.7888 99944 

44070 ....... Cannon County, Tennessee ...................................................................................... 44 0.7988 0.9769 34980 

44080 ....... Carroll County, Tennessee ........................................................................................ 44 0.7988 0.7888 99944 

44090 ....... Carter County, Tennessee ........................................................................................ 3660 0.8015 0.7945 27740 

44100 ....... Cheatham County, Tennessee .................................................................................. 5360 0.9787 0.9769 34980 

44110 ....... Chester County, Tennessee ...................................................................................... 3580 0.8973 0.8973 27180 

44120 ....... Claiborne County, Tennessee ................................................................................... 44 0.7988 0.7888 99944 

44130 ....... Clay County, Tennessee ........................................................................................... 44 0.7988 0.7888 99944 

44140 ....... Cocke County, Tennessee ........................................................................................ 44 0.7988 0.7888 99944 

29152 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

44150 ....... Coffee County, Tennessee ........................................................................................ 44 0.7988 0.7888 99944 

44160 ....... Crockett County, Tennessee ..................................................................................... 44 0.7988 0.7888 99944 

44170 ....... Cumberland County, Tennessee ............................................................................... 44 0.7988 0.7888 99944 

44180 ....... Davidson County, Tennessee ................................................................................... 5360 0.9787 0.9769 34980 

44190 ....... Decatur County, Tennessee ...................................................................................... 44 0.7988 0.7888 99944 

44200 ....... De Kalb County, Tennessee ..................................................................................... 44 0.7988 0.7888 99944 

44210 ....... Dickson County, Tennessee ..................................................................................... 5360 0.9787 0.9769 34980 

44220 ....... Dyer County, Tennessee ........................................................................................... 44 0.7988 0.7888 99944 

44230 ....... Fayette County, Tennessee ...................................................................................... 4920 0.9360 0.9341 32820 

44240 ....... Fentress County, Tennessee .................................................................................... 44 0.7988 0.7888 99944 

44250 ....... Franklin County, Tennessee ..................................................................................... 44 0.7988 0.7888 99944 

44260 ....... Gibson County, Tennessee ....................................................................................... 44 0.7988 0.7888 99944 

44270 ....... Giles County, Tennessee .......................................................................................... 44 0.7988 0.7888 99944 

44280 ....... Grainger County, Tennessee .................................................................................... 44 0.7988 0.8753 34100 

44290 ....... Greene County, Tennessee ...................................................................................... 44 0.7988 0.7888 99944 

44300 ....... Grundy County, Tennessee ...................................................................................... 44 0.7988 0.7888 99944 

44310 ....... Hamblen County, Tennessee .................................................................................... 44 0.7988 0.8753 34100 

44320 ....... Hamilton County, Tennessee .................................................................................... 1560 0.9098 0.9098 16860 

44330 ....... Hancock County, Tennessee .................................................................................... 44 0.7988 0.7888 99944 

44340 ....... Hardeman County, Tennessee ................................................................................. 44 0.7988 0.7888 99944 

44350 ....... Hardin County, Tennessee ........................................................................................ 44 0.7988 0.7888 99944 

44360 ....... Hawkins County, Tennessee ..................................................................................... 3660 0.8015 0.8062 28700 

44370 ....... Haywood County, Tennessee ................................................................................... 44 0.7988 0.7888 99944 

44380 ....... Henderson County, Tennessee ................................................................................. 44 0.7988 0.7888 99944 

44390 ....... Henry County, Tennessee ......................................................................................... 44 0.7988 0.7888 99944 

44400 ....... Hickman County, Tennessee .................................................................................... 44 0.7988 0.9769 34980 

44410 ....... Houston County, Tennessee ..................................................................................... 44 0.7988 0.7888 99944 

44420 ....... Humphreys County, Tennessee ................................................................................ 44 0.7988 0.7888 99944 

44430 ....... Jackson County, Tennessee ..................................................................................... 44 0.7988 0.7888 99944 

44440 ....... Jefferson County, Tennessee ................................................................................... 44 0.7988 0.8753 34100 

44450 ....... Johnson County, Tennessee ..................................................................................... 44 0.7988 0.7888 99944 

44460 ....... Knox County, Tennessee .......................................................................................... 3840 0.8411 0.8454 28940 

44470 ....... Lake County, Tennessee .......................................................................................... 44 0.7988 0.7888 99944 

44480 ....... Lauderdale County, Tennessee ................................................................................ 44 0.7988 0.7888 99944 

44490 ....... Lawrence County, Tennessee ................................................................................... 44 0.7988 0.7888 99944 

44500 ....... Lewis County, Tennessee ......................................................................................... 44 0.7988 0.7888 99944 

44510 ....... Lincoln County, Tennessee ....................................................................................... 44 0.7988 0.7888 99944 

44520 ....... Loudon County, Tennessee ...................................................................................... 3840 0.8411 0.8454 28940 

44530 ....... Mc Minn County, Tennessee .................................................................................... 44 0.7988 0.7888 99944 

44540 ....... Mc Nairy County, Tennessee .................................................................................... 44 0.7988 0.7888 99944 

44550 ....... Macon County, Tennessee ....................................................................................... 44 0.7988 0.9769 34980 

44560 ....... Madison County, Tennessee ..................................................................................... 3580 0.8973 0.8973 27180 

44570 ....... Marion County, Tennessee ....................................................................................... 1560 0.9098 0.9098 16860 

44580 ....... Marshall County, Tennessee ..................................................................................... 44 0.7988 0.7888 99944 

44590 ....... Maury County, Tennessee ........................................................................................ 44 0.7988 0.7888 99944 

44600 ....... Meigs County, Tennessee ......................................................................................... 44 0.7988 0.7888 99944 

44610 ....... Monroe County, Tennessee ...................................................................................... 44 0.7988 0.7888 99944 

44620 ....... Montgomery County, Tennessee .............................................................................. 1660 0.8292 0.8292 17300 

44630 ....... Moore County, Tennessee ........................................................................................ 44 0.7988 0.7888 99944 

44640 ....... Morgan County, Tennessee ...................................................................................... 44 0.7988 0.7888 99944 

44650 ....... Obion County, Tennessee ......................................................................................... 44 0.7988 0.7888 99944 

44660 ....... Overton County, Tennessee ..................................................................................... 44 0.7988 0.7888 99944 

44670 ....... Perry County, Tennessee .......................................................................................... 44 0.7988 0.7888 99944 

44680 ....... Pickett County, Tennessee ....................................................................................... 44 0.7988 0.7888 99944 

44690 ....... Polk County, Tennessee ........................................................................................... 44 0.7988 0.8141 17420 

44700 ....... Putnam County, Tennessee ...................................................................................... 44 0.7988 0.7888 99944 

44710 ....... Rhea County, Tennessee .......................................................................................... 44 0.7988 0.7888 99944 

44720 ....... Roane County, Tennessee ........................................................................................ 44 0.7988 0.7888 99944 

44730 ....... Robertson County, Tennessee .................................................................................. 5360 0.9787 0.9769 34980 

44740 ....... Rutherford County, Tennessee ................................................................................. 5360 0.9787 0.9769 34980 

44750 ....... Scott County, Tennessee .......................................................................................... 44 0.7988 0.7888 99944 

44760 ....... Sequatchie County, Tennessee ................................................................................ 44 0.7988 0.9098 16860 

44770 ....... Sevier County, Tennessee ........................................................................................ 3840 0.8411 0.7888 99944 

44780 ....... Shelby County, Tennessee ....................................................................................... 4920 0.9360 0.9341 32820 

44790 ....... Smith County, Tennessee ......................................................................................... 44 0.7988 0.9769 34980 

44800 ....... Stewart County, Tennessee ...................................................................................... 44 0.7988 0.8292 17300 

44810 ....... Sullivan County, Tennessee ...................................................................................... 3660 0.8015 0.8062 28700 

44820 ....... Sumner County, Tennessee ...................................................................................... 5360 0.9787 0.9769 34980 

44830 ....... Tipton County, Tennessee ........................................................................................ 4920 0.9360 0.9341 32820 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29153

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

44840 ....... Trousdale County, Tennessee .................................................................................. 44 0.7988 0.9769 34980 

44850 ....... Unicoi County, Tennessee ........................................................................................ 3660 0.8015 0.7945 27740 

44860 ....... Union County, Tennessee ......................................................................................... 3840 0.8411 0.8454 28940 

44870 ....... Van Buren County, Tennessee ................................................................................. 44 0.7988 0.7888 99944 

44880 ....... Warren County, Tennessee ...................................................................................... 44 0.7988 0.7888 99944 

44890 ....... Washington County, Tennessee ............................................................................... 3660 0.8015 0.7945 27740 

44900 ....... Wayne County, Tennessee ....................................................................................... 44 0.7988 0.7888 99944 

44910 ....... Weakley County, Tennessee .................................................................................... 44 0.7988 0.7888 99944 

44920 ....... White County, Tennessee ......................................................................................... 44 0.7988 0.7888 99944 

44930 ....... Williamson County, Tennessee ................................................................................. 5360 0.9787 0.9769 34980 

44940 ....... Wilson County, Tennessee ....................................................................................... 5360 0.9787 0.9769 34980 

45000 ....... Anderson County, Texas ........................................................................................... 45 0.7936 0.8007 99945 

45010 ....... Andrews County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45020 ....... Angelina County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45030 ....... Aransas County, Texas ............................................................................................. 45 0.7936 0.8559 18580 

45040 ....... Archer County, Texas ................................................................................................ 9080 0.8373 0.8294 48660 

45050 ....... Armstrong County, Texas .......................................................................................... 45 0.7936 0.9166 11100 

45060 ....... Atascosa County, Texas ........................................................................................... 45 0.7936 0.8989 41700 

45070 ....... Austin County, Texas ................................................................................................ 45 0.7936 1.0005 26420 

45080 ....... Bailey County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45090 ....... Bandera County, Texas ............................................................................................. 45 0.7936 0.8989 41700 

45100 ....... Bastrop County, Texas .............................................................................................. 0640 0.9450 0.9450 12420 

45110 ....... Baylor County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45113 ....... Bee County, Texas .................................................................................................... 45 0.7936 0.8007 99945 

45120 ....... Bell County, Texas .................................................................................................... 3810 0.8535 0.8535 28660 

45130 ....... Bexar County, Texas ................................................................................................. 7240 0.8993 0.8989 41700 

45140 ....... Blanco County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45150 ....... Borden County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45160 ....... Bosque County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45170 ....... Bowie County, Texas ................................................................................................ 8360 0.8291 0.8291 45500 

45180 ....... Brazoria County, Texas ............................................................................................. 1145 0.8572 1.0005 26420 

45190 ....... Brazos County, Texas ............................................................................................... 1260 0.8909 0.8909 17780 

45200 ....... Brewster County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45201 ....... Briscoe County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45210 ....... Brooks County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45220 ....... Brown County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45221 ....... Burleson County, Texas ............................................................................................ 45 0.7936 0.8909 17780 

45222 ....... Burnet County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45223 ....... Caldwell County, Texas ............................................................................................. 0640 0.9450 0.9450 12420 

45224 ....... Calhoun County, Texas ............................................................................................. 45 0.7936 0.8168 47020 

45230 ....... Callahan County, Texas ............................................................................................ 45 0.7936 0.7904 10180 

45240 ....... Cameron County, Texas ........................................................................................... 1240 0.9822 0.9822 15180 

45250 ....... Camp County, Texas ................................................................................................. 45 0.7936 0.8007 99945 

45251 ....... Carson County, Texas ............................................................................................... 45 0.7936 0.9166 11100 

45260 ....... Cass County, Texas .................................................................................................. 45 0.7936 0.8007 99945 

45270 ....... Castro County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45280 ....... Chambers County, Texas .......................................................................................... 3360 1.0101 1.0005 26420 

45281 ....... Cherokee County, Texas ........................................................................................... 45 0.7936 0.8007 99945 

45290 ....... Childress County, Texas ........................................................................................... 45 0.7936 0.8007 99945 

45291 ....... Clay County, Texas ................................................................................................... 45 0.7936 0.8294 48660 

45292 ....... Cochran County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45300 ....... Coke County, Texas .................................................................................................. 45 0.7936 0.8007 99945 

45301 ....... Coleman County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45310 ....... Collin County, Texas ................................................................................................. 1920 1.0211 1.0233 19124 

45311 ....... Collingsworth County, Texas ..................................................................................... 45 0.7936 0.8007 99945 

45312 ....... Colorado County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45320 ....... Comal County, Texas ................................................................................................ 7240 0.8993 0.8989 41700 

45321 ....... Comanche County, Texas ......................................................................................... 45 0.7936 0.8007 99945 

45330 ....... Concho County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45340 ....... Cooke County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45341 ....... Coryell County, Texas ............................................................................................... 3810 0.8535 0.8535 28660 

45350 ....... Cottle County, Texas ................................................................................................. 45 0.7936 0.8007 99945 

45360 ....... Crane County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45361 ....... Crockett County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45362 ....... Crosby County, Texas ............................................................................................... 45 0.7936 0.8792 31180 

45370 ....... Culberson County, Texas .......................................................................................... 45 0.7936 0.8007 99945 

45380 ....... Dallam County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45390 ....... Dallas County, Texas ................................................................................................ 1920 1.0211 1.0233 19124 

45391 ....... Dawson County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

29154 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

45392 ....... Deaf Smith County, Texas ........................................................................................ 45 0.7936 0.8007 99945 

45400 ....... Delta County, Texas .................................................................................................. 45 0.7936 1.0233 19124 

45410 ....... Denton County, Texas ............................................................................................... 1920 1.0211 1.0233 19124 

45420 ....... De Witt County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45421 ....... Dickens County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45430 ....... Dimmit County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45431 ....... Donley County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45440 ....... Duval County, Texas ................................................................................................. 45 0.7936 0.8007 99945 

45450 ....... Eastland County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45451 ....... Ector County, Texas .................................................................................................. 5800 0.9751 0.9894 36220 

45460 ....... Edwards County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45470 ....... Ellis County, Texas .................................................................................................... 1920 1.0211 1.0233 19124 

45480 ....... El Paso County, Texas .............................................................................................. 2320 0.8924 0.8924 21340 

45490 ....... Erath County, Texas .................................................................................................. 45 0.7936 0.8007 99945 

45500 ....... Falls County, Texas ................................................................................................... 45 0.7936 0.8007 99945 

45510 ....... Fannin County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45511 ....... Fayette County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45520 ....... Fisher County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45521 ....... Floyd County, Texas ................................................................................................. 45 0.7936 0.8007 99945 

45522 ....... Foard County, Texas ................................................................................................. 45 0.7936 0.8007 99945 

45530 ....... Fort Bend County, Texas .......................................................................................... 3360 1.0101 1.0005 26420 

45531 ....... Franklin County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45540 ....... Freestone County, Texas .......................................................................................... 45 0.7936 0.8007 99945 

45541 ....... Frio County, Texas .................................................................................................... 45 0.7936 0.8007 99945 

45542 ....... Gaines County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45550 ....... Galveston County, Texas .......................................................................................... 2920 0.9645 1.0005 26420 

45551 ....... Garza County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45552 ....... Gillespie County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45560 ....... Glasscock County, Texas .......................................................................................... 45 0.7936 0.8007 99945 

45561 ....... Goliad County, Texas ................................................................................................ 45 0.7936 0.8168 47020 

45562 ....... Gonzales County, Texas ........................................................................................... 45 0.7936 0.8007 99945 

45563 ....... Gray County, Texas .................................................................................................. 45 0.7936 0.8007 99945 

45564 ....... Grayson County, Texas ............................................................................................. 7640 0.9516 0.9516 43300 

45570 ....... Gregg County, Texas ................................................................................................ 4420 0.8897 0.8739 30980 

45580 ....... Grimes County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45581 ....... Guadaloupe County, Texas ....................................................................................... 7240 0.8993 0.8989 41700 

45582 ....... Hale County, Texas ................................................................................................... 45 0.7936 0.8007 99945 

45583 ....... Hall County, Texas .................................................................................................... 45 0.7936 0.8007 99945 

45590 ....... Hamilton County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45591 ....... Hansford County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45592 ....... Hardeman County, Texas ......................................................................................... 45 0.7936 0.8007 99945 

45600 ....... Hardin County, Texas ................................................................................................ 0840 0.8421 0.8421 13140 

45610 ....... Harris County, Texas ................................................................................................. 3360 1.0101 1.0005 26420 

45620 ....... Harrison County, Texas ............................................................................................. 4420 0.8897 0.8007 99945 

45621 ....... Hartley County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45630 ....... Haskell County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45631 ....... Hays County, Texas .................................................................................................. 0640 0.9450 0.9450 12420 

45632 ....... Hemphill County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45640 ....... Henderson County, Texas ......................................................................................... 1920 1.0211 0.8007 99945 

45650 ....... Hidalgo County, Texas .............................................................................................. 4880 0.8943 0.8943 32580 

45651 ....... Hill County, Texas ..................................................................................................... 45 0.7936 0.8007 99945 

45652 ....... Hockley County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45653 ....... Hood County, Texas .................................................................................................. 2800 0.9545 0.8007 99945 

45654 ....... Hopkins County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45660 ....... Houston County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45661 ....... Howard County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45662 ....... Hudspeth County, Texas ........................................................................................... 45 0.7936 0.8007 99945 

45670 ....... Hunt County, Texas ................................................................................................... 1920 1.0211 1.0233 19124 

45671 ....... Hutchinson County, Texas ........................................................................................ 45 0.7936 0.8007 99945 

45672 ....... Irion County, Texas ................................................................................................... 45 0.7936 0.8280 41660 

45680 ....... Jack County, Texas ................................................................................................... 45 0.7936 0.8007 99945 

45681 ....... Jackson County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45690 ....... Jasper County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45691 ....... Jeff Davis County, Texas .......................................................................................... 45 0.7936 0.8007 99945 

45700 ....... Jefferson County, Texas ........................................................................................... 0840 0.8421 0.8421 13140 

45710 ....... Jim Hogg County, Texas ........................................................................................... 45 0.7936 0.8007 99945 

45711 ....... Jim Wells County, Texas ........................................................................................... 45 0.7936 0.8007 99945 

45720 ....... Johnson County, Texas ............................................................................................. 2800 0.9545 0.9510 23104 

45721 ....... Jones County, Texas ................................................................................................. 45 0.7936 0.7904 10180 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29155

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

45722 ....... Karnes County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45730 ....... Kaufman County, Texas ............................................................................................ 1920 1.0211 1.0233 19124 

45731 ....... Kendall County, Texas .............................................................................................. 45 0.7936 0.8989 41700 

45732 ....... Kenedy County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45733 ....... Kent County, Texas ................................................................................................... 45 0.7936 0.8007 99945 

45734 ....... Kerr County, Texas ................................................................................................... 45 0.7936 0.8007 99945 

45740 ....... Kimble County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45741 ....... King County, Texas ................................................................................................... 45 0.7936 0.8007 99945 

45742 ....... Kinney County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45743 ....... Kleberg County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45744 ....... Knox County, Texas .................................................................................................. 45 0.7936 0.8007 99945 

45750 ....... Lamar County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45751 ....... Lamb County, Texas ................................................................................................. 45 0.7936 0.8007 99945 

45752 ....... Lampasas County, Texas .......................................................................................... 45 0.7936 0.8535 28660 

45753 ....... La Salle County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45754 ....... Lavaca County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45755 ....... Lee County, Texas .................................................................................................... 45 0.7936 0.8007 99945 

45756 ....... Leon County, Texas .................................................................................................. 45 0.7936 0.8007 99945 

45757 ....... Liberty County, Texas ............................................................................................... 3360 1.0101 1.0005 26420 

45758 ....... Limestone County, Texas .......................................................................................... 45 0.7936 0.8007 99945 

45759 ....... Lipscomb County, Texas ........................................................................................... 45 0.7936 0.8007 99945 

45760 ....... Live Oak County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45761 ....... Llano County, Texas ................................................................................................. 45 0.7936 0.8007 99945 

45762 ....... Loving County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45770 ....... Lubbock County, Texas ............................................................................................. 4600 0.8792 0.8792 31180 

45771 ....... Lynn County, Texas .................................................................................................. 45 0.7936 0.8007 99945 

45772 ....... Mc Culloch County, Texas ........................................................................................ 45 0.7936 0.8007 99945 

45780 ....... Mc Lennan County, Texas ........................................................................................ 8800 0.8527 0.8527 47380 

45781 ....... Mc Mullen County, Texas .......................................................................................... 45 0.7936 0.8007 99945 

45782 ....... Madison County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45783 ....... Marion County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45784 ....... Martin County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45785 ....... Mason County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45790 ....... Matagorda County, Texas ......................................................................................... 45 0.7936 0.8007 99945 

45791 ....... Maverick County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45792 ....... Medina County, Texas .............................................................................................. 45 0.7936 0.8989 41700 

45793 ....... Menard County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45794 ....... Midland County, Texas .............................................................................................. 5800 0.9751 0.9523 33260 

45795 ....... Milam County, Texas ................................................................................................. 45 0.7936 0.8007 99945 

45796 ....... Mills County, Texas ................................................................................................... 45 0.7936 0.8007 99945 

45797 ....... Mitchell County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45800 ....... Montague County, Texas .......................................................................................... 45 0.7936 0.8007 99945 

45801 ....... Montgomery County, Texas ...................................................................................... 3360 1.0101 1.0005 26420 

45802 ....... Moore County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45803 ....... Morris County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45804 ....... Motley County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45810 ....... Nacogdoches County, Texas .................................................................................... 45 0.7936 0.8007 99945 

45820 ....... Navarro County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45821 ....... Newton County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45822 ....... Nolan County, Texas ................................................................................................. 45 0.7936 0.8007 99945 

45830 ....... Nueces County, Texas .............................................................................................. 1880 0.8559 0.8559 18580 

45831 ....... Ochiltree County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45832 ....... Oldham County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45840 ....... Orange County, Texas .............................................................................................. 0840 0.8421 0.8421 13140 

45841 ....... Palo Pinto County, Texas .......................................................................................... 45 0.7936 0.8007 99945 

45842 ....... Panola County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45843 ....... Parker County, Texas ................................................................................................ 2800 0.9545 0.9510 23104 

45844 ....... Parmer County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45845 ....... Pecos County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45850 ....... Polk County, Texas ................................................................................................... 45 0.7936 0.8007 99945 

45860 ....... Potter County, Texas ................................................................................................. 0320 0.9166 0.9166 11100 

45861 ....... Presidio County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45870 ....... Rains County, Texas ................................................................................................. 45 0.7936 0.8007 99945 

45871 ....... Randall County, Texas .............................................................................................. 0320 0.9166 0.9166 11100 

45872 ....... Reagan County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45873 ....... Real County, Texas ................................................................................................... 45 0.7936 0.8007 99945 

45874 ....... Red River County, Texas .......................................................................................... 45 0.7936 0.8007 99945 

45875 ....... Reeves County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45876 ....... Refugio County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

29156 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

45877 ....... Roberts County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45878 ....... Robertson County, Texas .......................................................................................... 45 0.7936 0.8909 17780 

45879 ....... Rockwall County, Texas ............................................................................................ 1920 1.0211 1.0233 19124 

45880 ....... Runnels County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45881 ....... Rusk County, Texas .................................................................................................. 45 0.7936 0.8739 30980 

45882 ....... Sabine County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45883 ....... San Augustine County, Texas ................................................................................... 45 0.7936 0.8007 99945 

45884 ....... San Jacinto County, Texas ....................................................................................... 45 0.7936 1.0005 26420 

45885 ....... San Patricio County, Texas ....................................................................................... 1880 0.8559 0.8559 18580 

45886 ....... San Saba County, Texas .......................................................................................... 45 0.7936 0.8007 99945 

45887 ....... Schleicher County, Texas ......................................................................................... 45 0.7936 0.8007 99945 

45888 ....... Scurry County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45889 ....... Shackelford County, Texas ....................................................................................... 45 0.7936 0.8007 99945 

45890 ....... Shelby County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45891 ....... Sherman County, Texas ............................................................................................ 45 0.7936 0.8007 99945 

45892 ....... Smith County, Texas ................................................................................................. 8640 0.9307 0.9307 46340 

45893 ....... Somervell County, Texas .......................................................................................... 45 0.7936 0.8007 99945 

45900 ....... Starr County, Texas .................................................................................................. 45 0.7936 0.8007 99945 

45901 ....... Stephens County, Texas ........................................................................................... 45 0.7936 0.8007 99945 

45902 ....... Sterling County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45903 ....... Stonewall County, Texas ........................................................................................... 45 0.7936 0.8007 99945 

45904 ....... Sutton County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45905 ....... Swisher County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45910 ....... Tarrant County, Texas ............................................................................................... 2800 0.9545 0.9510 23104 

45911 ....... Taylor County, Texas ................................................................................................ 0040 0.8062 0.7904 10180 

45912 ....... Terrell County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45913 ....... Terry County, Texas .................................................................................................. 45 0.7936 0.8007 99945 

45920 ....... Throckmorton County, Texas .................................................................................... 45 0.7936 0.8007 99945 

45921 ....... Titus County, Texas .................................................................................................. 45 0.7936 0.8007 99945 

45930 ....... Tom Green County, Texas ........................................................................................ 7200 0.8280 0.8280 41660 

45940 ....... Travis County, Texas ................................................................................................ 0640 0.9450 0.9450 12420 

45941 ....... Trinity County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45942 ....... Tyler County, Texas .................................................................................................. 45 0.7936 0.8007 99945 

45943 ....... Upshur County, Texas ............................................................................................... 4420 0.8897 0.8739 30980 

45944 ....... Upton County, Texas ................................................................................................. 45 0.7936 0.8007 99945 

45945 ....... Uvalde County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45946 ....... Val Verde County, Texas .......................................................................................... 45 0.7936 0.8007 99945 

45947 ....... Van Zandt County, Texas ......................................................................................... 45 0.7936 0.8007 99945 

45948 ....... Victoria County, Texas .............................................................................................. 8750 0.8168 0.8168 47020 

45949 ....... Walker County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45950 ....... Waller County, Texas ................................................................................................ 3360 1.0101 1.0005 26420 

45951 ....... Ward County, Texas .................................................................................................. 45 0.7936 0.8007 99945 

45952 ....... Washington County, Texas ....................................................................................... 45 0.7936 0.8007 99945 

45953 ....... Webb County, Texas ................................................................................................. 4080 0.8076 0.8076 29700 

45954 ....... Wharton County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45955 ....... Wheeler County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45960 ....... Wichita County, Texas .............................................................................................. 9080 0.8373 0.8294 48660 

45961 ....... Wilbarger County, Texas ........................................................................................... 45 0.7936 0.8007 99945 

45962 ....... Willacy County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45970 ....... Williamson County, Texas ......................................................................................... 0640 0.9450 0.9450 12420 

45971 ....... Wilson County, Texas ............................................................................................... 7240 0.8993 0.8989 41700 

45972 ....... Winkler County, Texas .............................................................................................. 45 0.7936 0.8007 99945 

45973 ....... Wise County, Texas .................................................................................................. 45 0.7936 0.9510 23104 

45974 ....... Wood County, Texas ................................................................................................. 45 0.7936 0.8007 99945 

45980 ....... Yoakum County, Texas ............................................................................................. 45 0.7936 0.8007 99945 

45981 ....... Young County, Texas ................................................................................................ 45 0.7936 0.8007 99945 

45982 ....... Zapata County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

45983 ....... Zavala County, Texas ............................................................................................... 45 0.7936 0.8007 99945 

46000 ....... Beaver County, Utah ................................................................................................. 46 0.8779 0.8126 99946 

46010 ....... Box Elder County, Utah ............................................................................................. 46 0.8779 0.8126 99946 

46020 ....... Cache County, Utah .................................................................................................. 46 0.8779 0.9173 30860 

46030 ....... Carbon County, Utah ................................................................................................. 46 0.8779 0.8126 99946 

46040 ....... Daggett County, Utah ................................................................................................ 46 0.8779 0.8126 99946 

46050 ....... Davis County, Utah ................................................................................................... 7160 0.9350 0.9038 36260 

46060 ....... Duchesne County, Utah ............................................................................................ 46 0.8779 0.8126 99946 

46070 ....... Emery County, Utah .................................................................................................. 46 0.8779 0.8126 99946 

46080 ....... Garfield County, Utah ................................................................................................ 46 0.8779 0.8126 99946 

46090 ....... Grand County, Utah .................................................................................................. 46 0.8779 0.8126 99946 

46100 ....... Iron County, Utah ...................................................................................................... 46 0.8779 0.8126 99946 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29157

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

46110 ....... Juab County, Utah ..................................................................................................... 46 0.8779 0.9510 39340 

46120 ....... Kane County, Utah .................................................................................................... 2620 1.1857 0.8126 99946 

46130 ....... Millard County, Utah .................................................................................................. 46 0.8779 0.8126 99946 

46140 ....... Morgan County, Utah ................................................................................................ 46 0.8779 0.9038 36260 

46150 ....... Piute County, Utah .................................................................................................... 46 0.8779 0.8126 99946 

46160 ....... Rich County, Utah ..................................................................................................... 46 0.8779 0.8126 99946 

46170 ....... Salt Lake County, Utah ............................................................................................. 7160 0.9350 0.9433 41620 

46180 ....... San Juan County, Utah ............................................................................................. 46 0.8779 0.8126 99946 

46190 ....... Sanpete County, Utah ............................................................................................... 46 0.8779 0.8126 99946 

46200 ....... Sevier County, Utah .................................................................................................. 46 0.8779 0.8126 99946 

46210 ....... Summit County, Utah ................................................................................................ 46 0.8779 0.9433 41620 

46220 ....... Tooele County, Utah ................................................................................................. 46 0.8779 0.9433 41620 

46230 ....... Uintah County, Utah .................................................................................................. 46 0.8779 0.8126 99946 

46240 ....... Utah County, Utah ..................................................................................................... 6520 0.9510 0.9510 39340 

46250 ....... Wasatch County, Utah .............................................................................................. 46 0.8779 0.8126 99946 

46260 ....... Washington County, Utah ......................................................................................... 46 0.8779 0.9402 41100 

46270 ....... Wayne County, Utah ................................................................................................. 46 0.8779 0.8126 99946 

46280 ....... Weber County, Utah .................................................................................................. 7160 0.9350 0.9038 36260 

47000 ....... Addison County, Vermont ......................................................................................... 47 0.9840 0.9840 99947 

47010 ....... Bennington County, Vermont .................................................................................... 47 0.9840 0.9840 99947 

47020 ....... Caledonia County, Vermont ...................................................................................... 47 0.9840 0.9840 99947 

47030 ....... Chittenden County, Vermont ..................................................................................... 1303 0.9446 0.9446 15540 

47040 ....... Essex County, Vermont ............................................................................................. 47 0.9840 0.9840 99947 

47050 ....... Franklin County, Vermont .......................................................................................... 1303 0.9446 0.9446 15540 

47060 ....... Grand Isle County, Vermont ...................................................................................... 1303 0.9446 0.9446 15540 

47070 ....... Lamoille County, Vermont ......................................................................................... 47 0.9840 0.9840 99947 

47080 ....... Orange County, Vermont .......................................................................................... 47 0.9840 0.9840 99947 

47090 ....... Orleans County, Vermont .......................................................................................... 47 0.9840 0.9840 99947 

47100 ....... Rutland County, Vermont .......................................................................................... 47 0.9840 0.9840 99947 

47110 ....... Washington County, Vermont ................................................................................... 47 0.9840 0.9840 99947 

47120 ....... Windham County, Vermont ....................................................................................... 47 0.9840 0.9840 99947 

47130 ....... Windsor County, Vermont ......................................................................................... 47 0.9840 0.9840 99947 

49000 ....... Accomack County, Virginia ....................................................................................... 49 0.8420 0.8012 99949 

49010 ....... Albemarle County, Virginia ........................................................................................ 1540 1.0234 1.0234 16820 

49011 ....... Alexandria City County, Virginia ................................................................................ 8840 1.0983 1.0932 47894 

49020 ....... Alleghany County, Virginia ........................................................................................ 49 0.8420 0.8012 99949 

49030 ....... Amelia County, Virginia ............................................................................................. 49 0.8420 0.9338 40060 

49040 ....... Amherst County, Virginia ........................................................................................... 4640 0.8700 0.8700 31340 

49050 ....... Appomattox County, Virginia ..................................................................................... 49 0.8420 0.8700 31340 

49060 ....... Arlington County, Virginia .......................................................................................... 8840 1.0983 1.0932 47894 

49070 ....... Augusta County, Virginia ........................................................................................... 49 0.8420 0.8012 99949 

49080 ....... Bath County, Virginia ................................................................................................. 49 0.8420 0.8012 99949 

49088 ....... Bedford City County, Virginia .................................................................................... 4640 0.8700 0.8700 31340 

49090 ....... Bedford County, Virginia ........................................................................................... 4640 0.8700 0.8700 31340 

49100 ....... Bland County, Virginia ............................................................................................... 49 0.8420 0.8012 99949 

49110 ....... Botetourt County, Virginia ......................................................................................... 6800 0.8395 0.8383 40220 

49111 ....... Bristol City County, Virginia ....................................................................................... 3660 0.8015 0.8062 28700 

49120 ....... Brunswick County, Virginia ........................................................................................ 49 0.8420 0.8012 99949 

49130 ....... Buchanan County, Virginia ........................................................................................ 49 0.8420 0.8012 99949 

49140 ....... Buckingham County, Virginia .................................................................................... 49 0.8420 0.8012 99949 

49141 ....... Buena Vista City County, Virginia ............................................................................. 49 0.8420 0.8012 99949 

49150 ....... Campbell County, Virginia ......................................................................................... 4640 0.8700 0.8700 31340 

49160 ....... Caroline County, Virginia ........................................................................................... 49 0.8420 0.9338 40060 

49170 ....... Carroll County, Virginia ............................................................................................. 49 0.8420 0.8012 99949 

49180 ....... Charles City County, Virginia .................................................................................... 6760 0.9338 0.9338 40060 

49190 ....... Charlotte County, Virginia ......................................................................................... 49 0.8420 0.8012 99949 

49191 ....... Charlottesville City County, Virginia .......................................................................... 1540 1.0234 1.0234 16820 

49194 ....... Chesapeake County, Virginia .................................................................................... 5720 0.8808 0.8808 47260 

49200 ....... Chesterfield County, Virginia ..................................................................................... 6760 0.9338 0.9338 40060 

49210 ....... Clarke County, Virginia .............................................................................................. 8840 1.0983 1.0932 47894 

49211 ....... Clifton Forge City County, Virginia ............................................................................ 49 0.8420 0.8012 99949 

49212 ....... Colonial Heights County, Virginia .............................................................................. 6760 0.9338 0.9338 40060 

49213 ....... Covington City County, Virginia ................................................................................ 49 0.8420 0.8012 99949 

49220 ....... Craig County, Virginia ............................................................................................... 49 0.8420 0.8383 40220 

49230 ....... Culpeper County, Virginia ......................................................................................... 8840 1.0983 0.8012 99949 

49240 ....... Cumberland County, Virginia .................................................................................... 49 0.8420 0.9338 40060 

49241 ....... Danville City County, Virginia .................................................................................... 1950 0.8497 0.8497 19260 

49250 ....... Dickenson County, Virginia ....................................................................................... 49 0.8420 0.8012 99949 

49260 ....... Dinniddie County, Virginia ......................................................................................... 6760 0.9338 0.9338 40060 

29158 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

49270 ....... Emporia County, Virginia ........................................................................................... 49 0.8420 0.8012 99949 

49280 ....... Essex County, Virginia .............................................................................................. 49 0.8420 0.8012 99949 

49288 ....... Fairfax City County, Virginia ...................................................................................... 8840 1.0983 1.0932 47894 

49290 ....... Fairfax County, Virginia ............................................................................................. 8840 1.0983 1.0932 47894 

49291 ....... Falls Church City County, Virginia ............................................................................ 8840 1.0983 1.0932 47894 

49300 ....... Fauquier County, Virginia .......................................................................................... 8840 1.0983 1.0932 47894 

49310 ....... Floyd County, Virginia ............................................................................................... 49 0.8420 0.8012 99949 

49320 ....... Fluvanna County, Virginia ......................................................................................... 1540 1.0234 1.0234 16820 

49328 ....... Franklin City County, Virginia .................................................................................... 49 0.8420 0.8012 99949 

49330 ....... Franklin County, Virginia ........................................................................................... 49 0.8420 0.8383 40220 

49340 ....... Frederick County, Virginia ......................................................................................... 49 0.8420 1.0224 49020 

49342 ....... Fredericksburg City County, Virginia ......................................................................... 8840 1.0983 1.0932 47894 

49343 ....... Galax City County, Virginia ....................................................................................... 49 0.8420 0.8012 99949 

49350 ....... Giles County, Virginia ................................................................................................ 49 0.8420 0.7962 13980 

49360 ....... Gloucester County, Virginia ....................................................................................... 5720 0.8808 0.8808 47260 

49370 ....... Goochland County, Virginia ....................................................................................... 6760 0.9338 0.9338 40060 

49380 ....... Grayson County, Virginia .......................................................................................... 49 0.8420 0.8012 99949 

49390 ....... Greene County, Virginia ............................................................................................ 1540 1.0234 1.0234 16820 

49400 ....... Greensville County, Virginia ...................................................................................... 49 0.8420 0.8012 99949 

49410 ....... Halifax County, Virginia ............................................................................................. 49 0.8420 0.8012 99949 

49411 ....... Hampton City County, Virginia .................................................................................. 5720 0.8808 0.8808 47260 

49420 ....... Hanover County, Virginia .......................................................................................... 6760 0.9338 0.9338 40060 

49421 ....... Harrisonburg City County, Virginia ............................................................................ 49 0.8420 0.9098 25500 

49430 ....... Henrico County, Virginia ............................................................................................ 6760 0.9338 0.9338 40060 

49440 ....... Henry County, Virginia .............................................................................................. 49 0.8420 0.8012 99949 

49450 ....... Highland County, Virginia .......................................................................................... 49 0.8420 0.8012 99949 

49451 ....... Hopewell City County, Virginia .................................................................................. 6760 0.9338 0.9338 40060 

49460 ....... Isle Of Wight County, Virginia ................................................................................... 5720 0.8808 0.8808 47260 

49470 ....... James City Co County, Virginia ................................................................................ 5720 0.8808 0.8808 47260 

49480 ....... King And Queen County, Virginia ............................................................................. 49 0.8420 0.9338 40060 

49490 ....... King George County, Virginia .................................................................................... 8840 1.0983 0.8012 99949 

49500 ....... King William County, Virginia .................................................................................... 49 0.8420 0.9338 40060 

49510 ....... Lancaster County, Virginia ........................................................................................ 49 0.8420 0.8012 99949 

49520 ....... Lee County, Virginia .................................................................................................. 49 0.8420 0.8012 99949 

49522 ....... Lexington County, Virginia ........................................................................................ 49 0.8420 0.8012 99949 

49530 ....... Loudoun County, Virginia .......................................................................................... 8840 1.0983 1.0932 47894 

49540 ....... Louisa County, Virginia ............................................................................................. 49 0.8420 0.9338 40060 

49550 ....... Lunenburg County, Virginia ....................................................................................... 49 0.8420 0.8012 99949 

49551 ....... Lynchburg City County, Virginia ................................................................................ 4640 0.8700 0.8700 31340 

49560 ....... Madison County, Virginia .......................................................................................... 49 0.8420 0.8012 99949 

49561 ....... Martinsville City County, Virginia ............................................................................... 49 0.8420 0.8012 99949 

49563 ....... Manassas City County, Virginia ................................................................................ 8840 1.0983 1.0932 47894 

49565 ....... Manassas Park City County, Virginia ........................................................................ 8840 1.0983 1.0932 47894 

49570 ....... Mathews County, Virginia .......................................................................................... 5720 0.8808 0.8808 47260 

49580 ....... Mecklenburg County, Virginia ................................................................................... 49 0.8420 0.8012 99949 

49590 ....... Middlesex County, Virginia ........................................................................................ 49 0.8420 0.8012 99949 

49600 ....... Montgomery County, Virginia .................................................................................... 49 0.8420 0.7962 13980 

49610 ....... Nansemond County, Virginia ..................................................................................... 49 0.8420 0.8012 99949 

49620 ....... Nelson County, Virginia ............................................................................................. 49 0.8420 1.0234 16820 

49621 ....... New Kent County, Virginia ........................................................................................ 6760 0.9338 0.9338 40060 

49622 ....... Newport News City County, Virginia ......................................................................... 5720 0.8808 0.8808 47260 

49641 ....... Norfolk City County, Virginia ..................................................................................... 5720 0.8808 0.8808 47260 

49650 ....... Northampton County, Virginia ................................................................................... 49 0.8420 0.8012 99949 

49660 ....... Northumberland County, Virginia .............................................................................. 49 0.8420 0.8012 99949 

49661 ....... Norton City County, Virginia ...................................................................................... 49 0.8420 0.8012 99949 

49670 ....... Nottoway County, Virginia ......................................................................................... 49 0.8420 0.8012 99949 

49680 ....... Orange County, Virginia ............................................................................................ 49 0.8420 0.8012 99949 

49690 ....... Page County, Virginia ................................................................................................ 49 0.8420 0.8012 99949 

49700 ....... Patrick County, Virginia ............................................................................................. 49 0.8420 0.8012 99949 

49701 ....... Petersburg City County, Virginia ............................................................................... 6760 0.9338 0.9338 40060 

49710 ....... Pittsylvania County, Virginia ...................................................................................... 1950 0.8497 0.8497 19260 

49711 ....... Portsmouth City County, Virginia .............................................................................. 5720 0.8808 0.8808 47260 

49712 ....... Poquoson City County, Virginia ................................................................................ 5720 0.8808 0.8808 47260 

49720 ....... Powhatan County, Virginia ........................................................................................ 6760 0.9338 0.9338 40060 

49730 ....... Prince Edward County, Virginia ................................................................................ 49 0.8420 0.8012 99949 

49740 ....... Prince George County, Virginia ................................................................................. 6760 0.9338 0.9338 40060 

49750 ....... Prince William County, Virginia ................................................................................. 8840 1.0983 1.0932 47894 

49770 ....... Pulaski County, Virginia ............................................................................................ 49 0.8420 0.7962 13980 

49771 ....... Radford City County, Virginia .................................................................................... 49 0.8420 0.7962 13980 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29159

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

49780 ....... Rappahannock County, Virginia ................................................................................ 49 0.8420 0.8012 99949 

49790 ....... Richmond County, Virginia ........................................................................................ 49 0.8420 0.8012 99949 

49791 ....... Richmond City County, Virginia ................................................................................ 6760 0.9338 0.9338 40060 

49800 ....... Roanoke County, Virginia .......................................................................................... 6800 0.8395 0.8383 40220 

49801 ....... Roanoke City County, Virginia .................................................................................. 6800 0.8395 0.8383 40220 

49810 ....... Rockbridge County, Virginia ...................................................................................... 49 0.8420 0.8012 99949 

49820 ....... Rockingham County, Virginia .................................................................................... 49 0.8420 0.9098 25500 

49830 ....... Russell County, Virginia ............................................................................................ 49 0.8420 0.8012 99949 

49838 ....... Salem County, Virginia .............................................................................................. 6800 0.8395 0.8383 40220 

49840 ....... Scott County, Virginia ................................................................................................ 3660 0.8015 0.8062 28700 

49850 ....... Shenandoah County, Virginia .................................................................................... 49 0.8420 0.8012 99949 

49860 ....... Smyth County, Virginia .............................................................................................. 49 0.8420 0.8012 99949 

49867 ....... South Boston City County, Virginia ........................................................................... 49 0.8420 0.8012 99949 

49870 ....... Southampton County, Virginia ................................................................................... 49 0.8420 0.8012 99949 

49880 ....... Spotsylvania County, Virginia .................................................................................... 8840 1.0983 1.0932 47894 

49890 ....... Stafford County, Virginia ........................................................................................... 8840 1.0983 1.0932 47894 

49891 ....... Staunton City County, Virginia .................................................................................. 49 0.8420 0.8012 99949 

49892 ....... Suffolk City County, Virginia ...................................................................................... 5720 0.8808 0.8808 47260 

49900 ....... Surry County, Virginia ............................................................................................... 49 0.8420 0.8808 47260 

49910 ....... Sussex County, Virginia ............................................................................................ 49 0.8420 0.9338 40060 

49920 ....... Tazewell County, Virginia .......................................................................................... 49 0.8420 0.8012 99949 

49921 ....... Virginia Beach City County, Virginia ......................................................................... 5720 0.8808 0.8808 47260 

49930 ....... Warren County, Virginia ............................................................................................ 8840 1.0983 1.0932 47894 

49950 ....... Washington County, Virginia ..................................................................................... 3660 0.8015 0.8062 28700 

49951 ....... Waynesboro City County, Virginia ............................................................................ 49 0.8420 0.8012 99949 

49960 ....... Westmoreland County, Virginia ................................................................................. 49 0.8420 0.8012 99949 

49961 ....... Williamsburg City County, Virginia ............................................................................ 5720 0.8808 0.8808 47260 

49962 ....... Winchester City County, Virginia ............................................................................... 49 0.8420 1.0224 49020 

49970 ....... Wise County, Virginia ................................................................................................ 49 0.8420 0.8012 99949 

49980 ....... Wythe County, Virginia .............................................................................................. 49 0.8420 0.8012 99949 

49981 ....... York County, Virginia ................................................................................................. 5720 0.8808 0.8808 47260 

50000 ....... Adams County, Washington ...................................................................................... 50 1.0194 1.0458 99950 

50010 ....... Asotin County, Washington ....................................................................................... 50 1.0194 0.9896 30300 

50020 ....... Benton County, Washington ...................................................................................... 6740 1.0630 1.0630 28420 

50030 ....... Chelan County, Washington ...................................................................................... 50 1.0194 1.0080 48300 

50040 ....... Clallam County, Washington ..................................................................................... 50 1.0194 1.0458 99950 

50050 ....... Clark County, Washington ......................................................................................... 6440 1.1260 1.1260 38900 

50060 ....... Columbia County, Washington .................................................................................. 50 1.0194 1.0458 99950 

50070 ....... Cowlitz County, Washington ..................................................................................... 50 1.0194 0.9523 31020 

50080 ....... Douglas County, Washington .................................................................................... 50 1.0194 1.0080 48300 

50090 ....... Ferry County, Washington ......................................................................................... 50 1.0194 1.0458 99950 

50100 ....... Franklin County, Washington .................................................................................... 6740 1.0630 1.0630 28420 

50110 ....... Garfield County, Washington .................................................................................... 50 1.0194 1.0458 99950 

50120 ....... Grant County, Washington ........................................................................................ 50 1.0194 1.0458 99950 

50130 ....... Grays Harbor County, Washington ........................................................................... 50 1.0194 1.0458 99950 

50140 ....... Island County, Washington ....................................................................................... 7600 1.1579 1.0458 99950 

50150 ....... Jefferson County, Washington .................................................................................. 50 1.0194 1.0458 99950 

50160 ....... King County, Washington .......................................................................................... 7600 1.1579 1.1589 42644 

50170 ....... Kitsap County, Washington ....................................................................................... 1150 1.0686 1.0686 14740 

50180 ....... Kittitas County, Washington ...................................................................................... 50 1.0194 1.0458 99950 

50190 ....... Klickitat County, Washington ..................................................................................... 50 1.0194 1.0458 99950 

50200 ....... Lewis County, Washington ........................................................................................ 50 1.0194 1.0458 99950 

50210 ....... Lincoln County, Washington ...................................................................................... 50 1.0194 1.0458 99950 

50220 ....... Mason County, Washington ...................................................................................... 50 1.0194 1.0458 99950 

50230 ....... Okanogan County, Washington ................................................................................ 50 1.0194 1.0458 99950 

50240 ....... Pacific County, Washington ...................................................................................... 50 1.0194 1.0458 99950 

50250 ....... Pend Oreille County, Washington ............................................................................. 50 1.0194 1.0458 99950 

50260 ....... Pierce County, Washington ....................................................................................... 8200 1.0753 1.0753 45104 

50270 ....... San Juan County, Washington .................................................................................. 50 1.0194 1.0458 99950 

50280 ....... Skagit County, Washington ....................................................................................... 50 1.0194 1.0465 34580 

50290 ....... Skamania County, Washington ................................................................................. 50 1.0194 1.1260 38900 

50300 ....... Snohomish County, Washington ............................................................................... 7600 1.1579 1.1589 42644 

50310 ....... Spokane County, Washington ................................................................................... 7840 1.0916 1.0916 44060 

50320 ....... Stevens County, Washington .................................................................................... 50 1.0194 1.0458 99950 

50330 ....... Thurston County, Washington ................................................................................... 5910 1.0938 1.0938 36500 

50340 ....... Wahkiakum County, Washington .............................................................................. 50 1.0194 1.0458 99950 

50350 ....... Walla Walla County, Washington .............................................................................. 50 1.0194 1.0458 99950 

50360 ....... Whatcom County, Washington .................................................................................. 0860 1.1743 1.1743 13380 

50370 ....... Whitman County, Washington ................................................................................... 50 1.0194 1.0458 99950 

29160 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

50380 ....... Yakima County, Washington ..................................................................................... 9260 1.0165 1.0165 49420 

51000 ....... Barbour County, W Virginia ....................................................................................... 51 0.7908 0.7725 99951 

51010 ....... Berkeley County, W Virginia ..................................................................................... 8840 1.0983 0.9499 25180 

51020 ....... Boone County, W Virginia ......................................................................................... 51 0.7908 0.8428 16620 

51030 ....... Braxton County, W Virginia ....................................................................................... 51 0.7908 0.7725 99951 

51040 ....... Brooke County, W Virginia ........................................................................................ 8080 0.7827 0.7827 48260 

51050 ....... Cabell County, W Virginia ......................................................................................... 3400 0.9486 0.9486 26580 

51060 ....... Calhoun County, W Virginia ...................................................................................... 51 0.7908 0.7725 99951 

51070 ....... Clay County, W Virginia ............................................................................................ 51 0.7908 0.8428 16620 

51080 ....... Doddridge County, W Virginia ................................................................................... 51 0.7908 0.7725 99951 

51090 ....... Fayette County, W Virginia ....................................................................................... 51 0.7908 0.7725 99951 

51100 ....... Gilmer County, W Virginia ......................................................................................... 51 0.7908 0.7725 99951 

51110 ....... Grant County, W Virginia .......................................................................................... 51 0.7908 0.7725 99951 

51120 ....... Greenbrier County, W Virginia .................................................................................. 51 0.7908 0.7725 99951 

51130 ....... Hampshire County, W Virginia .................................................................................. 51 0.7908 1.0224 49020 

51140 ....... Hancock County, W Virginia ..................................................................................... 8080 0.7827 0.7827 48260 

51150 ....... Hardy County, W Virginia .......................................................................................... 51 0.7908 0.7725 99951 

51160 ....... Harrison County, W Virginia ...................................................................................... 51 0.7908 0.7725 99951 

51170 ....... Jackson County, W Virginia ...................................................................................... 51 0.7908 0.7725 99951 

51180 ....... Jefferson County, W Virginia ..................................................................................... 8840 1.0983 1.0932 47894 

51190 ....... Kanawha County, W Virginia .................................................................................... 1480 0.8428 0.8428 16620 

51200 ....... Lewis County, W Virginia .......................................................................................... 51 0.7908 0.7725 99951 

51210 ....... Lincoln County, W Virginia ........................................................................................ 51 0.7908 0.8428 16620 

51220 ....... Logan County, W Virginia ......................................................................................... 51 0.7908 0.7725 99951 

51230 ....... Mc Dowell County, W Virginia ................................................................................... 51 0.7908 0.7725 99951 

51240 ....... Marion County, W Virginia ........................................................................................ 51 0.7908 0.7725 99951 

51250 ....... Marshall County, W Virginia ...................................................................................... 9000 0.7168 0.7168 48540 

51260 ....... Mason County, W Virginia ......................................................................................... 51 0.7908 0.7725 99951 

51270 ....... Mercer County, W Virginia ........................................................................................ 51 0.7908 0.7725 99951 

51280 ....... Mineral County, W Virginia ........................................................................................ 1900 0.9326 0.9326 19060 

51290 ....... Mingo County, W Virginia .......................................................................................... 51 0.7908 0.7725 99951 

51300 ....... Monongalia County, W Virginia ................................................................................. 51 0.7908 0.8428 34060 

51310 ....... Monroe County, W Virginia ....................................................................................... 51 0.7908 0.7725 99951 

51320 ....... Morgan County, W Virginia ....................................................................................... 51 0.7908 0.9499 25180 

51330 ....... Nicholas County, W Virginia ...................................................................................... 51 0.7908 0.7725 99951 

51340 ....... Ohio County, W Virginia ............................................................................................ 9000 0.7168 0.7168 48540 

51350 ....... Pendleton County, W Virginia ................................................................................... 51 0.7908 0.7725 99951 

51360 ....... Pleasants County, W Virginia .................................................................................... 51 0.7908 0.8278 37620 

51370 ....... Pocahontas County, W Virginia ................................................................................ 51 0.7908 0.7725 99951 

51380 ....... Preston County, W Virginia ....................................................................................... 51 0.7908 0.8428 34060 

51390 ....... Putnam County, W Virginia ....................................................................................... 1480 0.8428 0.8428 16620 

51400 ....... Raleigh County, W Virginia ....................................................................................... 51 0.7908 0.7725 99951 

51410 ....... Randolph County, W Virginia .................................................................................... 51 0.7908 0.7725 99951 

51420 ....... Ritchie County, W Virginia ........................................................................................ 51 0.7908 0.7725 99951 

51430 ....... Roane County, W Virginia ......................................................................................... 51 0.7908 0.7725 99951 

51440 ....... Summers County, W Virginia .................................................................................... 51 0.7908 0.7725 99951 

51450 ....... Taylor County, W Virginia ......................................................................................... 51 0.7908 0.7725 99951 

51460 ....... Tucker County, W Virginia ........................................................................................ 51 0.7908 0.7725 99951 

51470 ....... Tyler County, W Virginia ........................................................................................... 51 0.7908 0.7725 99951 

51480 ....... Upshur County, W Virginia ........................................................................................ 51 0.7908 0.7725 99951 

51490 ....... Wayne County, W Virginia ........................................................................................ 3400 0.9486 0.9486 26580 

51500 ....... Webster County, W Virginia ...................................................................................... 51 0.7908 0.7725 99951 

51510 ....... Wetzel County, W Virginia ........................................................................................ 51 0.7908 0.7725 99951 

51520 ....... Wirt County, W Virginia ............................................................................................. 51 0.7908 0.8278 37620 

51530 ....... Wood County, W Virginia .......................................................................................... 6020 0.8278 0.8278 37620 

51540 ....... Wyoming County, W Virginia .................................................................................... 51 0.7908 0.7725 99951 

52000 ....... Adams County, Wisconsin ........................................................................................ 52 0.9446 0.9480 99952 

52010 ....... Ashland County, Wisconsin ....................................................................................... 52 0.9446 0.9480 99952 

52020 ....... Barron County, Wisconsin ......................................................................................... 52 0.9446 0.9480 99952 

52030 ....... Bayfield County, Wisconsin ....................................................................................... 52 0.9446 0.9480 99952 

52040 ....... Brown County, Wisconsin ......................................................................................... 3080 0.9452 0.9452 24580 

52050 ....... Buffalo County, Wisconsin ........................................................................................ 52 0.9446 0.9480 99952 

52060 ....... Burnett County, Wisconsin ........................................................................................ 52 0.9446 0.9480 99952 

52070 ....... Calumet County, Wisconsin ...................................................................................... 0460 0.9248 0.9298 11540 

52080 ....... Chippewa County, Wisconsin .................................................................................... 2290 0.9210 0.9210 20740 

52090 ....... Clark County, Wisconsin ........................................................................................... 52 0.9446 0.9480 99952 

52100 ....... Columbia County, Wisconsin .................................................................................... 52 0.9446 1.0635 31540 

52110 ....... Crawford County, Wisconsin ..................................................................................... 52 0.9446 0.9480 99952 

52120 ....... Dane County, Wisconsin ........................................................................................... 4720 1.0764 1.0635 31540 

Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 29161

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

52130 ....... Dodge County, Wisconsin ......................................................................................... 52 0.9446 0.9480 99952 

52140 ....... Door County, Wisconsin ............................................................................................ 52 0.9446 0.9480 99952 

52150 ....... Douglas County, Wisconsin ...................................................................................... 2240 1.0223 1.0209 20260 

52160 ....... Dunn County, Wisconsin ........................................................................................... 52 0.9446 0.9480 99952 

52170 ....... Eau Claire County, Wisconsin ................................................................................... 2290 0.9210 0.9210 20740 

52180 ....... Florence County, Wisconsin ...................................................................................... 52 0.9446 0.9480 99952 

52190 ....... Fond Du Lac County, Wisconsin ............................................................................... 52 0.9446 0.9650 22540 

52200 ....... Forest County, Wisconsin ......................................................................................... 52 0.9446 0.9480 99952 

52210 ....... Grant County, Wisconsin ........................................................................................... 52 0.9446 0.9480 99952 

52220 ....... Green County, Wisconsin .......................................................................................... 52 0.9446 0.9480 99952 

52230 ....... Green Lake County, Wisconsin ................................................................................. 52 0.9446 0.9480 99952 

52240 ....... Iowa County, Wisconsin ............................................................................................ 52 0.9446 1.0635 31540 

52250 ....... Iron County, Wisconsin ............................................................................................. 52 0.9446 0.9480 99952 

52260 ....... Jackson County, Wisconsin ...................................................................................... 52 0.9446 0.9480 99952 

52270 ....... Jefferson County, Wisconsin ..................................................................................... 52 0.9446 0.9480 99952 

52280 ....... Juneau County, Wisconsin ........................................................................................ 52 0.9446 0.9480 99952 

52290 ....... Kenosha County, Wisconsin ..................................................................................... 3800 0.9770 1.0440 29404 

52300 ....... Kewaunee County, Wisconsin ................................................................................... 52 0.9446 0.9452 24580 

52310 ....... La Crosse County, Wisconsin ................................................................................... 3870 0.9573 0.9573 29100 

52320 ....... Lafayette County, Wisconsin ..................................................................................... 52 0.9446 0.9480 99952 

52330 ....... Langlade County, Wisconsin ..................................................................................... 52 0.9446 0.9480 99952 

52340 ....... Lincoln County, Wisconsin ........................................................................................ 52 0.9446 0.9480 99952 

52350 ....... Manitowoc County, Wisconsin .................................................................................. 52 0.9446 0.9480 99952 

52360 ....... Marathon County, Wisconsin .................................................................................... 8940 0.9600 0.9600 48140 

52370 ....... Marinette County, Wisconsin ..................................................................................... 52 0.9446 0.9480 99952 

52380 ....... Marquette County, Wisconsin ................................................................................... 52 0.9446 0.9480 99952 

52381 ....... Menominee County, Wisconsin ................................................................................. 52 0.9446 0.9480 99952 

52390 ....... Milwaukee County, Wisconsin ................................................................................... 5080 1.0106 1.0106 33340 

52400 ....... Monroe County, Wisconsin ....................................................................................... 52 0.9446 0.9480 99952 

52410 ....... Oconto County, Wisconsin ........................................................................................ 52 0.9446 0.9452 24580 

52420 ....... Oneida County, Wisconsin ........................................................................................ 52 0.9446 0.9480 99952 

52430 ....... Outagamie County, Wisconsin .................................................................................. 0460 0.9248 0.9298 11540 

52440 ....... Ozaukee County, Wisconsin ..................................................................................... 5080 1.0106 1.0106 33340 

52450 ....... Pepin County, Wisconsin .......................................................................................... 52 0.9446 0.9480 99952 

52460 ....... Pierce County, Wisconsin ......................................................................................... 5120 1.1078 1.1078 33460 

52470 ....... Polk County, Wisconsin ............................................................................................. 52 0.9446 0.9480 99952 

52480 ....... Portage County, Wisconsin ....................................................................................... 52 0.9446 0.9480 99952 

52490 ....... Price County, Wisconsin ........................................................................................... 52 0.9446 0.9480 99952 

52500 ....... Racine County, Wisconsin ........................................................................................ 6600 0.9006 0.9006 39540 

52510 ....... Richland County, Wisconsin ...................................................................................... 52 0.9446 0.9480 99952 

52520 ....... Rock County, Wisconsin ........................................................................................... 3620 0.9547 0.9547 27500 

52530 ....... Rusk County, Wisconsin ........................................................................................... 52 0.9446 0.9480 99952 

52540 ....... St Croix County, Wisconsin ....................................................................................... 5120 1.1078 1.1078 33460 

52550 ....... Sauk County, Wisconsin ........................................................................................... 52 0.9446 0.9480 99952 

52560 ....... Sawyer County, Wisconsin ........................................................................................ 52 0.9446 0.9480 99952 

52570 ....... Shawano County, Wisconsin ..................................................................................... 52 0.9446 0.9480 99952 

52580 ....... Sheboygan County, Wisconsin ................................................................................. 7620 0.8920 0.8920 43100 

52590 ....... Taylor County, Wisconsin .......................................................................................... 52 0.9446 0.9480 99952 

52600 ....... Trempealeau County, Wisconsin .............................................................................. 52 0.9446 0.9480 99952 

52610 ....... Vernon County, Wisconsin ........................................................................................ 52 0.9446 0.9480 99952 

52620 ....... Vilas County, Wisconsin ............................................................................................ 52 0.9446 0.9480 99952 

52630 ....... Walworth County, Wisconsin ..................................................................................... 52 0.9446 0.9480 99952 

52640 ....... Washburn County, Wisconsin ................................................................................... 52 0.9446 0.9480 99952 

52650 ....... Washington County, Wisconsin ................................................................................. 5080 1.0106 1.0106 33340 

52660 ....... Waukesha County, Wisconsin ................................................................................... 5080 1.0106 1.0106 33340 

52670 ....... Waupaca County, Wisconsin .................................................................................... 52 0.9446 0.9480 99952 

52680 ....... Waushara County, Wisconsin ................................................................................... 52 0.9446 0.9480 99952 

52690 ....... Winnebago County, Wisconsin ................................................................................. 0460 0.9248 0.9192 36780 

52700 ....... Wood County, Wisconsin .......................................................................................... 52 0.9446 0.9480 99952 

53000 ....... Albany County, Wyoming .......................................................................................... 53 0.9214 0.9214 99953 

53010 ....... Big Horn County, Wyoming ....................................................................................... 53 0.9214 0.9214 99953 

53020 ....... Campbell County, Wyoming ...................................................................................... 53 0.9214 0.9214 99953 

53030 ....... Carbon County, Wyoming ......................................................................................... 53 0.9214 0.9214 99953 

53040 ....... Converse County, Wyoming ...................................................................................... 53 0.9214 0.9214 99953 

53050 ....... Crook County, Wyoming ........................................................................................... 53 0.9214 0.9214 99953 

53060 ....... Fremont County, Wyoming ........................................................................................ 53 0.9214 0.9214 99953 

53070 ....... Goshen County, Wyoming ........................................................................................ 53 0.9214 0.9214 99953 

53080 ....... Hot Springs County, Wyoming .................................................................................. 53 0.9214 0.9214 99953 

53090 ....... Johnson County, Wyoming ....................................................................................... 53 0.9214 0.9214 99953 

29162 Federal Register / Vol. 70, No. 96 / Thursday, May 19, 2005 / Proposed Rules 

TABLE A.—MSA/CBSA CROSSWALK—Continued

SSA

State/

County

Code 

County and State Name MSA 

Number 

2006

MSAbased

WI 

2006

CBSAbased

WI 

CBSA

Number 

53100 ....... Laramie County, Wyoming ........................................................................................ 1580 0.8784 0.8784 16940 

53110 ....... Lincoln County, Wyoming .......................................................................................... 53 0.9214 0.9214 99953 

53120 ....... Natrona County, Wyoming ........................................................................................ 1350 0.9035 0.9035 16220 

53130 ....... Niobrara County, Wyoming ....................................................................................... 53 0.9214 0.9214 99953 

53140 ....... Park County, Wyoming .............................................................................................. 53 0.9214 0.9214 99953 

53150 ....... Platte County, Wyoming ............................................................................................ 53 0.9214 0.9214 99953 

53160 ....... Sheridan County, Wyoming ....................................................................................... 53 0.9214 0.9214 99953 

53170 ....... Sublette County, Wyoming ........................................................................................ 53 0.9214 0.9214 99953 

53180 ....... Sweetwater County, Wyoming .................................................................................. 53 0.9214 0.9214 99953 

53190 ....... Teton County, Wyoming ............................................................................................ 53 0.9214 0.9214 99953 

53200 ....... Uinta County, Wyoming ............................................................................................. 53 0.9214 0.9214 99953 

53210 ....... Washakie County, Wyoming ..................................................................................... 53 0.9214 0.9214 99953 

53220 ....... Weston County, Wyoming ......................................................................................... 53 0.9214 0.9214 99953 

[FR Doc. 05–9934 Filed 5–13–05; 4:15 pm] 

BILLING CODE 4120–01–P