42860 Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

42 CFR Part 418

[BPD–820–F]

RIN 0938–AG93

Medicare Program; Hospice Wage

Index

AGENCY: Health Care Financing

Administration (HCFA), HHS.

ACTION: Final rule.

SUMMARY: This final rule establishes a

methodology to update the wage index

used to adjust Medicare payment rates

for hospice care. It also includes the

new wage index, to be effective October

1, 1997. The wage index is used to

reflect local differences in wage levels.

A new wage index is needed because

the index currently applied is based on

1981 wage and employment data and

has not been updated since 1983. The

methodology is based on the

recommendations of a negotiated

rulemaking advisory committee

comprised of persons who represent

interests affected by the hospice rules.

EFFECTIVE DATE: October 1, 1997.

FOR FURTHER INFORMATION CONTACT:

Carole Blackford, (410) 786-5909.

SUPPLEMENTARY INFORMATION:

I. Background

A. Statute and Regulations

Hospice care is an approach to

treatment that recognizes that the

impending death of an individual

warrants a change in focus from curative

care to palliative care (relief of pain and

other uncomfortable symptoms). The

goal of hospice care is to help terminally

ill individuals continue life with

minimal disruption to normal activities

while remaining primarily in the home

environment. A hospice uses an

interdisciplinary approach to deliver

medical, social, psychological,

emotional, and spiritual services

through the use of a broad spectrum of

professional and other caregivers, with

the goal of making the individual as

physically and emotionally comfortable

as possible. Counseling and respite

services are available to the family of

the hospice patient. Hospice programs

consider both the patient and the family

as a unit of care.

Section 1861(dd) of the Social

Security Act (the Act) provides for

coverage of hospice care for terminally

ill Medicare beneficiaries who elect to

receive care from a participating

hospice. The statutory authority for

payment to hospices participating in the

Medicare program is contained in

section 1814(i) of the Act.

Our existing regulations under 42 CFR

part 418 (issued on December 16, 1983,

effective for hospice services furnished

on or after November 1, 1983) establish

eligibility requirements and payment

standards and procedures, define

covered services, and delineate the

conditions a hospice must meet to be

approved for participation in the

Medicare program. Subpart G of Part

418 provides for payment to hospices

based on one of four prospectively

determined rates for each day in which

a qualified Medicare beneficiary is

under the care of a hospice. The four

rate categories are routine home care,

continuous home care, inpatient respite

care, and general inpatient care.

Payment rates are established for each

category.

The final rule of December 16, 1983

(48 FR 56034) provided for the

following in determining payment for

hospice care:

• Adjustment to the payment rates to

reflect differences in area wage levels.

Since hospice care is labor-intensive,

adjustment was necessary to permit

payment of higher rates in areas with

relatively high wage levels, and

proportionately lower rates in areas

with wage levels below the national

average.

• Labor market areas based on the

definitions of Metropolitan Statistical

Areas (MSAs) issued by the Office of

Management and Budget (OMB).

• The wage index used to adjust the

hospice payment rates to be the wage

index published in the Federal Register

on September 1, 1983 (48 FR 39871) for

purposes of determining Medicare

inpatient hospital prospective payment

rates. This hospital wage index, which

is still in use for hospices, was based on

calendar year 1981 hospital wage and

employment data obtained from the

Bureau of Labor Statistics’ (BLS) ES 202

Employment, Wages and Contributions

file for hospital workers.

• In applying the hospital wage index

to the hospice rates, use of an index

value of 0.8 if the hospital wage index

value were lower than 0.8. The use of

a wage index ‘‘floor’’ reflected our belief

that an index value below 0.8 would

make payment levels very low. We

believed this would unduly jeopardize

the availability of the benefit in rural

areas by discouraging participation in

the Medicare hospice program by

hospices that are located in these areas,

and by inhibiting the ability of these

rural hospices to attract and retain

sufficient skilled staff.

The hospice wage index has not been

updated since it was issued in 1983.

Over the ensuing years, we have

instituted many changes in the hospital

wage index in order to ensure its

continuing accuracy for hospitals. Since

these changes have not been applied to

hospices, there are widening differences

between the existing hospice wage

index and actual wage levels. The

existing hospice wage index is based on

1981 BLS hospital data; however, BLS

data are no longer used in determining

the hospital wage index. Based on our

concern that the BLS data did not

accurately reflect hospital wages, we

conducted a survey of hospital wage

and wage related costs and, in fiscal

year 1986, implemented a hospital wage

index based solely on HCFA survey

data. We repeated the survey in 1988

and implemented a revised hospital

wage index during fiscal year 1991.

Additionally, in fiscal year 1991, we

began adjusting the hospital wage index

to take into account the geographic

reclassification of hospitals in

accordance with sections 1886(d)(8)(B)

and 1886(d)(10) of the Act. Beginning in

fiscal year 1994, in accordance with

section 1886(d)(3)(E) of the Act, we have

updated the hospital wage index

annually, based on a survey of wages

and wage-related costs of short-term,

acute care hospitals.

The most recent hospital wage index

was published in the Federal Register

on August 30, 1996 (61 FR 46166). It is

based on the data collected from the

Medicare cost reports submitted by

hospitals for cost reporting periods

beginning in fiscal year 1993.

B. Current Payment Procedures for

Hospice Care

1. Current Annual Increases in Payment

Rates

Section 1814(i)(1)(C)(ii) of the Act

provides for an annual increase in the

hospice payment rates based on the rate

of increase in the hospital market basket

index used to adjust payments for

inpatient hospital services under the

prospective payment system for

hospitals. However, section 13504 of the

Omnibus Budget Reconciliation Act of

1993 (Pub. L. 103–66) amended section

1814(ii) of the Act to decrease the

amount of the market basket percentage

increase that is applied to hospice rates

for fiscal years 1994 through 1997. For

hospice payments in fiscal years 1996

and 1997, the market basket increase is

reduced by 1.5 percent and 0.5 percent,

respectively. For fiscal years after 1997,

hospices receive the full hospital market

basket increase. The following is a brief

description of each level of care and the
Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations 42861

current daily payment rates for the

period October 1, 1996, through

September 30, 1997. The new wage

index values set forth in this final rule

are effective on October 1, 1997. At that

time, the fiscal intermediaries will

recalculate the current daily payment

rates for the remainder of the rate year

using the new hospice wage index.

• Routine Home Care—As specified

in § 418.302(d)(3) of the regulations, the

payment rate for routine home care is

paid to the hospice for each day during

which a Medicare beneficiary is under

the care of the hospice, and not

receiving the care described under

continuous home care, inpatient respite

care, or general inpatient care,

regardless of the volume and intensity

of the services provided on any given

day. The current routine home care rate

is $94.17.

• Continuous Home Care—The

hospice is paid the continuous home

care rate when, in order to maintain the

terminally ill patient at home in a

period of crisis, nursing care is required

on a continuous basis. Either home

health aide or homemaker services or

both may also be provided. Medicare

regulations at § 418.302(e)(4) specify

that the hospice payment on a

continuous home care day varies

depending on the number of hours of

continuous care. The continuous home

care rate is divided by 24 to yield an

hourly rate. The number of hours of

continuous home care furnished during

a continuous home care day is

multiplied by the hourly rate to

calculate the hospice payment amount

for that day. The hospice must furnish

a minimum of 8 hours of continuous

home care on a particular day to qualify

for the continuous home care daily rate.

The continuous home care rate is

intended only for periods of crisis when

predominantly skilled continuous care

is necessary to achieve palliation or

management of the patient’s acute

medical symptoms and only as

necessary to maintain the patient at

home. The current continuous home

care hourly rate is $22.90 and the daily

payment rate is $549.65.

• Inpatient Respite Care—The

hospice is paid the inpatient respite care

rate for each day the patient is in a

Medicare or Medicaid approved

inpatient facility receiving respite care.

The inpatient respite rate applies

specifically to situations where the

patient’s family members or other

persons caring for the patient need a

short period of relief. Payment is limited

to no more than 5 consecutive days.

Subsequent days of respite care are paid

at the routine home care rate. The

current daily payment rate for inpatient

respite care is $97.41.

• General Inpatient Care—The

hospice is paid the general inpatient

care rate for each day the patient is in

a Medicare or Medicaid approved

inpatient setting to receive services that

are reasonable and necessary for the

palliation or management of acute and

severe clinical problems related to the

terminal condition that cannot be

managed in other settings. The current

daily payment rate for general inpatient

care is $418.93.

2. Adjustment for Wage Variations

In adjusting the payment rates, we

separate the national payment rates into

components that reflect the estimated

proportion of the rate that is attributable

to wage and nonwage costs. We then

multiply the wage component of each

rate by the wage index value applicable

to the area in which the hospice is

located (adjusted wage component). The

rate paid to a hospice is the sum of the

nonwage component and the adjusted

wage component.

The following table indicates the

current hospice payment rates and the

amount (in dollars) of each rate subject

to adjustment by the wage index:

Payment category

National

rate

Component

subject

to

index

Nonwage

component

Routine home $94.17 $64.70 $29.47

Continuous

home ........... 549.65 377.66 171.99

Inpatient respite .............. 97.41 52.73 44.68

General inpatient ............. 418.93 268.16 150.77

II. Proposed Rule

A. General

On September 4, 1996, we published

a proposed rule in the Federal Register

(61 FR 46579) in which we proposed to

establish a methodology to update the

wage index used to adjust Medicare

payment rates for hospices. We also

included an updated wage index for

hospices.

The proposed rule was developed by

a negotiated rulemaking advisory

committee, under the process

established by the Negotiated

Rulemaking Act of 1990 (Pub. L. 101–

648). This committee was established to

provide advice and make

recommendations to the Secretary with

respect to the text or content of a

proposed rule on the wage index used

to adjust payment rates for hospices

under the Medicare program, to reflect

local differences in area wage levels.

Committee members included

representatives of national hospice

associations; rural, urban, large, and

small hospices; multi-site hospices;

consumer groups; and a government

representative. In addition, during the

process, when the Committee identified

large groups of hospices likely to suffer

a significant negative impact as a result

of the revised wage index, attempts

were made to contact representatives of

those groups for their input, as well as

to provide them an opportunity to

participate in the meetings and

discussions.

The Committee met five times from

November 1994 to April 1995. Its

deliberations focused on the following

issues: the data source for the wage

index; the budget neutrality adjustment;

continued application of a wage index

floor; the transition period; future

updates; and the effective date of a

revised index. The Committee reached

consensus on a methodology that

resulted in a hospice wage index. The

Committee Statement, with which all

Committee members concurred, is

attached as an Appendix to this final

rule.

B. Provisions of the Proposed Hospice

Wage Index

Existing hospice regulations at

§ 418.306(c) provide that the payment

rates established by HCFA are adjusted

by the intermediary to reflect local

differences in wages. We proposed to

amend § 418.306(c) to add that:

• The hospice wage index is updated

annually based on the most current

available hospital wage data; and

• These data will include any

changes to the definitions of

Metropolitan Statistical Areas.

As noted above, the revised hospice

wage index is based on the

recommendations of a Negotiated

Rulemaking Advisory Committee. In the

Agreement in which all Committee

members concurred, HCFA agreed that

it would, to the maximum extent

possible and consistent with the

applicable legal obligations, draft a

proposed rule consistent with the

Committee Statement and publish it as

a Notice of Proposed Rulemaking. We

stated our intent to interpret and apply

the proposed rule, if adopted in final

form, in a manner fully consistent with

the Committee Statement.

We also stated that if the final rule

were adopted without change from the

proposed rule, the only difference

between the final rule and the

Committee Statement would be the

calculation of the wage index value for

the Virgin Islands, as noted in section

II.F below. The wage index value for the
42862 Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations

Virgin Islands was not addressed by the

Committee, since at the time of its

meetings there were no certified

hospices located in the Virgin Islands.

C. Computation of the Hospice Wage

Index

We proposed that the hospice wage

index be derived from the following

1993 hospital cost report data:

• Total short-term, acute care hospital

salaries and hours.

• Home office costs and hours.

• Fringe benefits associated with

hospital and home office salaries.

• Direct patient care related contract

labor cost and hours.

• The exclusion of salaries and hours

for nonhospital type services such as

skilled nursing facility services, home

health services, or other subprovider

components that are not subject to the

prospective payment system.

The raw hospital wage data would

undergo a series of reviews and edits to

verify the wage data from the Medicare

cost report. A detailed description of

this process is contained in both the

September 1, 1995 (60 FR 45778) and

the August 30, 1996 (60 FR 46166)

hospital prospective payment final rule.

As noted above, we proposed to base

the fiscal year 1997 hospice wage index

on hospital wage data reported on the

fiscal year 1993 cost report prior to

reclassification; that is, the hospital

wage index will not be adjusted to take

into account the geographic

reclassification of hospitals in

accordance with sections 1886(d)(8)(B)

and 1886(d)(10) of the Act. A detailed

description of the method used to

compute the hospital wage index is

contained in both the September 1, 1995

(60 FR 45778), and the August 30, 1996

(60 FR 46166), hospital prospective

payment final rule.

D. Budget Neutrality Adjustment and

Application of Wage Index Floor for the

Proposed Hospice Index

We proposed that all hospice wage

index values below 0.8 would receive

the greater of the following:

• A 15-percent increase, subject to a

maximum wage index value of 0.8; or

• An adjustment, by multiplying the

hospice wage index value for a given

area by the budget neutrality adjustment

factor. In this way, wage areas with

values below 0.8 would not receive both

the wage index floor adjustment and the

budget neutrality adjustment. All

hospice wage index values of 0.8 or

greater would receive a budget

neutrality adjustment, which would be

calculated by multiplying the hospice

wage index value for a given area by the

budget neutrality factor.

To determine a budget neutrality

adjustment factor, we established the

payments that would be made under the

1983 wage index. We did this by

calculating the labor-related payments

for each of the four types of hospice

services using patient bills for the most

recent completed fiscal year (that is,

fiscal year 1995 bills would be used to

calculate the fiscal year 1997 index).

That dollar amount would be the target

for the budget neutrality calculation.

Then payments would be calculated

separately for the labor-related portion

of the rates using the wage index

proposed in this rule. The budget

neutrality factor would be calculated as

the multiplier by which labor-related

payments using the proposed wage

index must be adjusted to equal laborrelated payments using the 1983 wage

index. The calculation would be made

taking into account the respective

adjustments applicable to wage index

values below, at, or above the 0.8

threshold described above. The

payments would be for the total of

labor-related payments for each of the

four types of hospice services. The

budget neutrality factor would then be

applied to the wage index. To confirm

the accuracy of the calculation, total

payments would then be calculated by

using the new budget neutrality

adjusted wage index and would be

compared to payments using the 1983

wage index.

The budget neutrality factor would be

calculated and applied annually, both

during and after the transition period.

For the first transition year, the budget

neutrality factor will be 1.020768.

E. Transition and Annual Updates

We proposed a 3-year transition

period with annual updates as noted in

the Committee Statement.

F. Wage Index Value for the Virgin

Islands

At the time of negotiations, there were

no certified hospices located in the

Virgin Islands. However, since that

time, a hospice program has been

certified to provide services under

Medicare. Since the Virgin Islands is not

an area designated under the

prospective payment system for

hospitals, there is no hospital wage

index value for the Virgin Islands.

Therefore, though this was not an issue

discussed by the Committee, we

proposed that the methodology to

calculate a wage index value for the

Virgin Islands would be to gather

information from the hospital cost

report and compare hourly wages of the

hospital located in the Virgin Islands to

the national average. This would

generate a wage index value of 0.6594.

III. Analysis of and Response to Public

Comments

In response to the September 4, 1996

proposed rule, we received four items of

correspondence, three from hospices,

and one from a hospice association.

Comment: One commenter expressed

concern that the wage index rates

continue to be based on the location of

the hospice rather than the location

where the service is furnished.

Response: Hospices provide services

in various locations. These may include

the patient’s home, an inpatient facility,

and the hospice facility itself. Currently,

the wage index for hospice services is

based on the location of the hospice

rather than the location of service

delivery. Although this was not an issue

addressed by this rule, a proposal

linking payments for hospice services to

the geographic location of the site where

the service was furnished was included

in the Administration’s Medicare and

Medicaid Fraud, Abuse, and Waste

Prevention Amendments of 1997.

Comment: One commenter requested

information on how best to bring about

a change in classification from a rural

area to an urban area because he

believed that an urban designation

better reflects his costs.

Response: Each hospice’s labor

market area is established by the MSA

definitions issued by OMB on December

28, 1992, based on the 1990 census, and

updated periodically by the Office of

Management and Budget (OMB). Any

request for change in designation of

MSA would have to be made to OMB for

consideration.

Comment: One commenter suggested

that the wage index values for Puerto

Rico did not reflect the costs of

providing services in that area. The

commenter believed that

implementation of the wage index will

result in inaccessibility of hospice care

in certain areas. The commenter

described several characteristics that,

she believed, are unique to providing

hospice care in Puerto Rico. These

include poor access to many

communities, lack of educational

programs or other curricula aimed at

training professionals in hospice care,

language barriers, outdated

communication technology, high costof-living, and high operational costs due

to necessary imports. The commenter

also believed that the hospital wage

index does not accurately reflect costs

in Puerto Rico.

Response: As stated in the proposed

rule, the committee solicited

participation from Puerto Rico and
Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations 42863

reviewed financial information

provided by Puerto Rico hospices. The

committee considered many of the

issues raised by representatives of

Puerto Rico and determined that, in

order to maintain the viability of

hospice programs in rural and other low

wage index areas, it was appropriate to

continue to assist those areas with wage

index values below 0.8 by providing an

adjustment to the wage component of

the rate. The committee agreed that for

those wage areas below 0.8, the revised

wage index for the area would be the

greater of the pre-reclassified hospital

wage index value times a budget

neutrality adjustment factor, or the prereclassified hospital wage index value

multiplied by 1.15, but subject to a

maximum wage index value of 0.8.

We believe that characteristics

described by the commenter as being

unique to hospices in Puerto Rico are in

fact shared by hospices in many rural

and urban areas. Access to communities

and outdated communications

technology are often problematic in

rural areas of the continental United

States. Additionally, many hospices in

the continental United States experience

a lack of external educational programs

aimed at training hospice professionals

and have to provide that training

internally. The problem of language

barriers and the need for bilingual staff

can also be found in many areas in the

United States.

Moreover, some of the commenter’s

concerns were not relevant to the

development of a revised hospice wage

index. The committee focused its

attention on the development of a

revised hospice wage index and

therefore did not address some of the

issues raised by the commenter. For

example, the commenter described how

the operational costs of hospices are

high in Puerto Rico due to the costs

associated with importing supplies. The

hospice wage index will affect only the

wage portion of the hospice daily

payment rate. Operational costs would

not be reflected in this portion of the

daily payment rate. Also, it is expected

that both hospices and hospitals in

Puerto Rico will have similar staffing

problems, so the impact of the resulting

higher salaries should be reflected in the

hospital wage index.

The issue of the hospital wage index

not accurately reflecting the costs in

Puerto Rico was discussed in the August

30, 1996 Federal Register (61 FR

46166). The notice recognized that

hospitals in Puerto Rico have

experienced large swings in their wage

index values, and that these shifts can

cause shifts in payments. Several

options, including the creation of a

single MSA for Puerto Rico, which

would limit these types of swings, were

discussed. However, it was decided that

none of the options would create a

payment system that was fair and

equitable to all hospitals, regardless of

location. While drafting the August 30,

1996 final rule discussed above, HCFA

met with representatives of the Puerto

Rico Hospital Association to explore

other solutions to the problems faced by

hospitals in the Commonwealth. In

reviewing the latest Medicare cost

report data available at that time, we

found that hospitals in Puerto Rico

continue to demonstrate average

Medicare operating margins comparable

to all other prospective payment

hospitals.

This comment was forwarded to the

negotiated rulemaking committee

members for review and consideration.

Based on their responses, we believe

this comment would not have led the

group to a different consensus had it

been available during the negotiations.

Comment: One commenter expressed

concern that reduction of the wage

index value in his area would cause

hospices to experience financial

hardship.

Response: We recognize that although

the proposed hospice wage index is

budget neutral, some hospices will

experience reductions in wage index

values. Wage index values below 0.8

percent will be adjusted according to

the adjustment factor. The revised wage

index values would be the greater of the

pre-reclassification hospital wage index

values times the budget neutrality

adjustment factor or the prereclassification hospital wage index

value multiplied by 1.15, but subject to

a maximum wage index value of 0.8

percent. The committee did examine the

overall effects of the various

methodologies for computing the wage

index that were proposed during the

negotiated rulemaking process and

chose the option with the least overall

impact on hospices.

IV. Provisions of the Final Rule

This final rule essentially

incorporates the provisions of the

proposed rule, in which we proposed to

establish a methodology to update the

wage index used to adjust Medicare

payment rates for hospices. The few

changes we made from the proposed

rule are identified below.

We are also publishing, in Tables A

and B below, the updated urban and

rural wage indexes for hospices

included in the proposed rule. The

values in Tables A and B published

with this final rule are current and will

not be updated until October 1, 1998.

The wage index values for Tables A and

B will be used for the first transition

year, and have already been subject to

all adjustments.

A. Transition Period

Due to the delay in the publication of

this final rule, the revised wage index

will become effective for care and

services furnished on or after October 1,

1997. Keeping with the spirit of the

consensus agreement, the revised wage

index will continue to be subject to the

full 3-year transition period. The first

year of the transition period will begin

October 1, 1997, and will end

September 30, 1998.

B. Annual Updates

Annual updates will begin with the

start of the second transition year. We

plan to coordinate the annual updates

after the third transition year with the

hospital wage index updates. This may

result in the third transition year lasting

somewhat longer than a year. Annual

updates will be published as a notice in

the Federal Register, rather than as a

proposed rule as agreed to in the

Consensus agreement. We believe that

this change is not contradictory to the

intentions of the rulemaking committee;

rather, it will allow us to make timely

updates through a less burdensome

administrative process. The annual

updates will update the hospice wage

index values according to the

methodology agreed to by the

rulemaking committee and

implemented by this final rule. In the

event that we decide to change the

methodology by which the wage index

is computed, this will be reflected in a

proposed rule published in the Federal

Register.

C. Tables

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS

Urban area (constituent counties or

county equivalents)

Wage

index 1

Abilene, TX

Taylor, TX .................................... 0.9145

Aguadilla, PR

Aguada, PR ................................. 0.6958

Aguadilla, PR .............................. 0.6958

Moca, PR .................................... 0.6958

Akron, OH

Portage, OH ................................ 1.0657

Summit, OH ................................. 1.0657

Albany, GA

Dougherty, GA ............................ 0.8987

Lee, GA ....................................... 0.8987

Albany-Schenectady-Troy, NY

Albany, NY .................................. 0.9008

Montgomery, NY ......................... 0.9008

Rensselaer, NY ........................... 0.9008

Saratoga, NY ............................... 0.9008
42864 Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Schenectady, NY ........................ 0.9008

Schoharie, NY ............................. 0.8866

Albuquerque, NM

Bernalillo, NM .............................. 1.0378

Sandoval, NM .............................. 0.9503

Valencia, NM ............................... 0.9503

Alexandria, LA

Rapides, LA ................................. 0.9387

Allentown-Bethlehem-Easton, PA

Carbon, PA .................................. 1.0557

Lehigh, PA ................................... 1.0557

Northampton, PA ......................... 1.0557

Altoona, PA

Blair, PA ...................................... 1.0210

Amarillo, TX

Potter, TX .................................... 0.9569

Randall, TX ................................. 0.9569

Anchorage, AK

Anchorage, AK ............................ 1.4474

Ann Arbor, MI

Lenawee, MI ................................ 1.0416

Livingston, MI .............................. 1.2129

Washtenaw, MI ........................... 1.2195

Anniston, AL

Calhoun, AL ................................ 0.8599

Appleton-Oshkosh-Neenah, WI

Calumet, WI ................................ 0.9629

Outagamie, WI ............................ 0.9629

Winnebago, WI ............................ 0.9629

Arecibo, PR

Arecibo, PR ................................. 0.7019

Camuy, PR .................................. 0.7019

Hatillo, PR ................................... 0.7019

Asheville, NC

Buncombe, NC ............................ 0.9646

Madison, NC ............................... 0.8962

Athens, GA

Clarke, GA ................................... 0.9201

Madison, GA ............................... 0.9201

Oconee, GA ................................ 0.9201

Atlanta, GA

Barrow, GA .................................. 0.9822

Bartow, GA .................................. 0.9200

Carroll, GA .................................. 0.9200

Cherokee, GA ............................. 0.9841

Clayton, GA ................................. 0.9822

Cobb, GA .................................... 0.9822

Coweta, GA ................................. 0.9822

De Kalb, GA ................................ 0.9822

Douglas, GA ................................ 0.9822

Fayette, GA ................................. 0.9822

Forsyth, GA ................................. 0.9822

Fulton, GA ................................... 0.9822

Gwinnett, GA ............................... 0.9822

Henry, GA ................................... 0.9822

Newton, GA ................................. 0.9822

Paulding, GA ............................... 0.9822

Pickens, GA ................................ 0.9200

Rockdale, GA .............................. 0.9822

Spalding, GA ............................... 0.9822

Walton, GA .................................. 0.9822

Atlantic City-Cape May, NJ

Atlantic City, NJ ........................... 1.1016

Cape May, NJ ............................. 1.1016

Augusta-Aiken, GA-SC

Columbia, GA .............................. 0.9549

McDuffie, GA ............................... 0.9549

Richmond, GA ............................. 0.9549

Aiken, SC .................................... 0.9549

Edgefield, SC .............................. 0.8510

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Austin-San Marcos, TX

Bastrop, TX ................................. 0.8677

Caldwell, TX ................................ 0.8677

Hays, TX ..................................... 1.0355

Travis, TX .................................... 1.0355

Williamson, TX ............................ 1.0355

Bakersfield, CA

Kern, CA ...................................... 1.1817

Baltimore, MD

Anne Arundel, MD ....................... 1.0724

Baltimore, MD ............................. 1.0724

Baltimore City, MD ...................... 1.0724

Carroll, MD .................................. 1.0724

Harford, MD ................................. 1.0724

Howard, MD ................................ 1.0724

Queen Annes, MD ...................... 1.0724

Bangor, ME

Penobscot, ME ............................ 0.9504

Barnstable-Yarmouth, MA

Barnstable, MA ............................ 1.1253

Baton Rouge, LA

Ascension, LA ............................. 0.9793

East Baton Rouge, LA ................ 0.9793

Livingston, LA .............................. 0.9793

West Baton Rouge, LA ............... 0.9793

Beaumont-Port Arthur, TX

Hardin, TX ................................... 0.9637

Jefferson, TX ............................... 0.9637

Orange, TX .................................. 0.9637

Bellingham, WA

Whatcom, WA ............................. 1.1026

Benton Harbor, MI

Berrien, MI ................................... 0.8838

Bergen-Passaic, NJ

Bergen, NJ .................................. 1.1012

Passaic, NJ ................................. 1.1012

Billings, MT

Yellowstone, MT .......................... 0.9657

Biloxi-Gulfport-Pascagoula, MS

Hancock, MS ............................... 0.8838

Harrison, MS ............................... 0.8838

Jackson, MS ................................ 0.9810

Binghamton, NY

Broome, NY ................................. 0.9484

Tioga, NY .................................... 0.9484

Birmingham, AL

Blount, AL .................................... 0.9912

Jefferson, AL ............................... 0.9912

St. Clair, AL ................................. 0.9912

Shelby, AL ................................... 0.9912

Bismarck, ND

Burleigh, ND ................................ 0.9569

Morton, ND .................................. 0.9569

Bloomington, IN

Monroe, IN .................................. 0.9166

Bloomington-Normal, IL

McLean, IL .................................. 0.9959

Boise City, ID

Ada, ID ........................................ 1.0512

Canyon, ID .................................. 0.9319

Boston-Brockton-Nashua, MA-NH

Bristol, MA ................................... 1.0526

Essex, MA ................................... 1.1402

Middlesex, MA ............................. 1.1402

Norfolk, MA ................................. 1.1402

Plymouth, MA .............................. 1.1402

Suffolk, MA .................................. 1.1402

Worcester, MA ............................ 1.0599

Hillsborough, NH ......................... 1.0311

Merrimack, NH ............................ 1.0311

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Rockingham, NH ......................... 0.9705

Strafford, NH ............................... 0.9705

Boulder-Longmont, CO

Boulder, CO ................................ 1.0033

Brazoria, TX

Brazoria, TX ................................ 0.8853

Bremerton, WA

Kitsap, WA .................................. 0.9826

Brownsville-Harlingen-San Benito,

TX

Cameron, TX ............................... 0.9179

Bryan-College Station, TX

Brazos, TX .................................. 0.9189

Buffalo-Niagara Falls, NY

Erie, NY ....................................... 0.9759

Niagara, NY ................................. 0.9047

Burlington, VT

Chittenden, VT ............................ 0.9995

Franklin, VT ................................. 0.9397

Grand Isle, VT ............................. 0.9995

Caguas, PR

Caguas, PR ................................. 0.7086

Cayey, PR ................................... 0.7086

Cidra, PR ..................................... 0.7086

Gurabo, PR ................................. 0.7086

San Lorenzo, PR ......................... 0.7086

Canton-Massillon, OH

Carroll, OH .................................. 0.9610

Stark, OH .................................... 0.9610

Casper, WY

Natrona, WY ................................ 0.9980

Cedar Rapids, IA

Linn, IA ........................................ 0.9260

Champaign-Urbana, IL

Champaign, IL ............................. 1.0167

Charleston-North Charleston, SC

Berkeley, SC ............................... 1.0033

Charleston, SC ............................ 1.0033

Dorchester, SC ............................ 1.0033

Charleston, WV

Kanawha, WV ............................. 1.0749

Putnam, WV ................................ 1.0749

Charlotte-Gastonia-Rock Hill, NCSC

Cabarrus, NC .............................. 0.9926

Gaston, NC ................................. 0.9926

Lincoln, NC .................................. 0.9926

Mecklenburg, NC ........................ 0.9926

Rowan, NC .................................. 0.9926

Union, NC .................................... 0.9926

York, SC ...................................... 0.9926

Charlottesville, VA

Albemarle, VA ............................. 1.1911

Charlottesville City, VA ............... 1.1911

Fluvanna, VA ............................... 1.1911

Greene, VA ................................. 1.1911

Chattanooga, TN–GA

Catoosa, GA ................................ 0.9591

Dade, GA .................................... 0.9591

Walker, GA .................................. 0.9591

Hamilton, TN ............................... 0.9591

Marion, TN .................................. 0.9591

Cheyenne, WY

Laramie, WY ............................... 0.9043

Chicago, IL

Cook, IL ....................................... 1.1961

De Kalb, IL .................................. 0.9570

Du Page, IL ................................. 1.1961

Grundy, IL ................................... 1.1074

Kane, IL ....................................... 1.0438
Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations 42865

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Kendall, IL ................................... 1.0438

Lake, IL ....................................... 1.1205

McHenry, IL ................................. 1.1961

Will, IL ......................................... 1.1074

Chico-Paradise, CA

Butte, CA ..................................... 1.0729

Cincinnati, OH–KY–IN

Dearborn, IN ................................ 1.0441

Ohio, IN ....................................... 0.9120

Boone, KY ................................... 1.0441

Campbell, KY .............................. 1.0441

Gallatin, KY ................................. 0.8805

Grant, KY .................................... 0.8805

Kenton, KY .................................. 1.0441

Pendleton, KY ............................. 0.8805

Brown, OH ................................... 0.9480

Clermont, OH .............................. 1.0441

Hamilton, OH ............................... 1.0441

Warren, OH ................................. 1.0441

Clarksville-Hopkinsville, TN–KY

Christian, KY ............................... 0.8228

Montgomery, TN ......................... 0.8228

Cleveland-Lorain-Elyria, OH

Ashtabula, OH ............................. 0.9587

Cuyahoga, OH ............................ 1.1549

Geauga, OH ................................ 1.1549

Lake, OH ..................................... 1.1549

Lorain, OH ................................... 1.0542

Medina, OH ................................. 1.1549

Colorado Springs, CO

El Paso, CO ................................ 1.0711

Columbia, MO

Boone, MO .................................. 1.0757

Columbia, SC

Lexington, SC .............................. 0.9652

Richland, SC ............................... 0.9652

Columbus, GA–AL

Russell, AL .................................. 0.8799

Chattanoochee, GA ..................... 0.8799

Harris, GA ................................... 0.8335

Muscogee, GA ............................ 0.8799

Columbus, OH

Delaware, OH .............................. 1.0387

Fairfield, OH ................................ 1.0387

Franklin, OH ................................ 1.0387

Licking, OH .................................. 1.0387

Madison, OH ............................... 1.0387

Pickaway, OH .............................. 1.0387

Corpus Christi, TX

Nueces, TX ................................. 0.9587

San Patricio, TX .......................... 0.9587

Cumberland, MD-WV

Allegany, MD ............................... 0.9388

Mineral, WV ................................. 0.9388

Dallas, TX

Collin, TX ..................................... 1.0642

Dallas, TX .................................... 1.0642

Denton, TX .................................. 1.0642

Ellis, TX ....................................... 1.0642

Henderson, TX ............................ 0.8838

Hunt, TX ...................................... 0.8838

Kaufman, TX ............................... 1.0642

Rockwall, TX ............................... 1.0642

Danville, VA

Danville City, VA ......................... 0.8812

Pittsylvania, VA ........................... 0.8812

Davenport-Rock Island-Moline, IAIL

Scott, IA ....................................... 0.9537

Henry, IL ...................................... 0.9537

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Rock Island, IL ............................ 0.9537

Dayton-Springfield, OH

Clark, OH .................................... 1.0818

Greene, OH ................................. 1.0818

Miami, OH ................................... 1.0818

Montgomery, OH ......................... 1.0818

Daytona Beach, FL

Flagler, FL ................................... 0.8953

Volusia, FL .................................. 0.9615

Decatur, AL

Lawrence, AL .............................. 0.8297

Morgan, AL .................................. 0.8297

Decatur, IL

Macon, IL .................................... 0.9360

Denver, CO

Adams, CO .................................. 1.1721

Arapahoe, CO ............................. 1.1721

Denver, CO ................................. 1.1721

Douglas, CO ................................ 1.1721

Jefferson, CO .............................. 1.1721

Des Moines, IA

Dallas, IA ..................................... 1.0287

Polk, IA ........................................ 1.0287

Warren, IA ................................... 1.0287

Detroit, MI

Lapeer, MI ................................... 1.1810

Macomb, MI ................................ 1.1810

Monroe, MI .................................. 1.1810

Oakland, MI ................................. 1.1810

St. Clair, MI ................................. 1.1810

Wayne, MI ................................... 1.1810

Dothan, AL

Dale, AL ...................................... 0.8565

Houston, AL ................................ 0.8565

Dover, DE

Kent, DE ...................................... 0.9196

Dubuque, IA

Dubuque, IA ................................ 0.9757

Duluth-Superior, MN-WI

St. Louis, MN .............................. 0.9433

Douglas, WI ................................. 0.9433

Dutchess County, NY

Dutchess, NY .............................. 1.1033

Eau Claire, WI

Chippewa, WI .............................. 0.9556

Eau Claire, WI ............................. 0.9556

El Paso, TX

El Paso, TX ................................. 0.9339

Elkhart-Goshen, IN

Elkhart, IN ................................... 0.9056

Elmira, NY

Chemung, NY .............................. 0.9844

Enid, OK

Garfield, OK ................................ 0.8812

Erie, PA

Erie, PA ....................................... 0.9872

Eugene-Springfield, OR

Lane, OR ..................................... 1.0560

Evansville-Henderson, IN-KY

Posey, IN ..................................... 0.9925

Vanderburgh, IN .......................... 0.9925

Warrick, IN .................................. 0.9925

Henderson, KY ............................ 0.9925

Fargo-Moorhead, ND-MN

Clay, MN ..................................... 0.9917

Cass, ND ..................................... 0.9917

Fayetteville, NC

Cumberland, NC ......................... 0.9410

Fayetteville-Springdale-Rogers, AR

Benton, AR .................................. 0.8000

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Washington, AR .......................... 0.8205

Flagstaff, AZ-UT

Coconino, AZ .............................. 0.9159

Kane, UT ..................................... 0.8690

Flint, MI

Genesee, MI ................................ 1.1669

Florence, AL

Colbert, AL .................................. 0.8205

Lauderdale, AL ............................ 0.8205

Florence, SC

Florence, SC ............................... 0.8417

Fort Collins-Loveland, CO

Larimer, CO ................................. 0.9908

Ft. Lauderdale, FL

Broward, FL ................................. 1.1146

Fort Myers-Cape Coral, FL

Lee, FL ........................................ 0.9362

Fort Pierce-Port St. Lucie, FL

Martin, FL .................................... 1.0226

St. Lucie, FL ................................ 1.0226

Fort Smith, AR-OK

Crawford, AR ............................... 0.9280

Sebastian, AR ............................. 0.9280

Sequoyah, OK ............................. 0.9280

Fort Walton Beach, FL

Okaloosa, FL ............................... 0.8572

Fort Wayne, IN

Adams, IN ................................... 0.8858

Allen, IN ....................................... 0.9422

De Kalb, IN .................................. 0.9422

Huntington, IN ............................. 0.8858

Wells, IN ...................................... 0.8858

Whitley, IN ................................... 0.9422

Fort Worth-Arlington, TX

Hood, TX ..................................... 0.8982

Johnson, TX ................................ 0.9770

Parker, TX ................................... 0.9770

Tarrant, TX .................................. 0.9770

Frenso, CA

Fresno, CA .................................. 1.1938

Madera, CA ................................. 1.0684

Gadsden, AL

Etowah, AL .................................. 0.9306

Gainesville, FL

Alachua, FL ................................. 0.9817

Galveston-Texas City, TX

Galveston, TX ............................. 1.1787

Gary, IN

Lake, IN ....................................... 1.0917

Porter, IN ..................................... 1.0917

Glens Falls, NY

Warren, NY ................................. 0.8911

Washington, NY .......................... 0.8911

Goldsboro, NC

Wayne, NC .................................. 0.8642

Grand Forks, ND-MN

Polk, MN ...................................... 0.8911

Grand Forks, ND ......................... 0.9709

Grand Junction, CO

Mesa, CO .................................... 0.8500

Grand Rapids-Muskegon-Holland,

MI

Allegan, MI .................................. 0.9891

Kent, MI ....................................... 1.0247

Muskegon, MI .............................. 0.9789

Ottawa, MI ................................... 1.0247

Great Falls, MT

Cascade, MT ............................... 0.9968

Greeley, CO

Weld, CO ..................................... 1.0666
42866 Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Green Bay, WI

Brown, WI .................................... 0.9863

Greensboro-Winston-Salem-High

Point, NC

Alamance, NC ............................. 0.8946

Davidson, NC .............................. 0.9693

Davie, NC .................................... 0.9693

Forsyth, NC ................................. 0.9693

Guilford, NC ................................ 0.9693

Randolph, NC .............................. 0.9693

Stokes, NC .................................. 0.9693

Yadkin, NC .................................. 0.9693

Greenville, NC

Pitt, NC ........................................ 0.8875

Greenville-Spartanburg-Anderson,

SC

Anderson, SC .............................. 0.8989

Cherokee, SC .............................. 0.8541

Greenville, SC ............................. 0.9485

Pickens, SC ................................. 0.9485

Spartanburg, SC ......................... 0.9485

Hagerstown, MD

Washington, MD .......................... 0.9989

Hamilton-Middletown, OH

Butler, OH ................................... 1.0330

Harrisburg-Lebanon-Carlisle, PA

Cumberland, PA .......................... 1.0504

Dauphin, PA ................................ 1.0504

Lebanon, PA ............................... 1.0504

Perry, PA ..................................... 1.0504

Hartford, CT

Hartford, CT ................................ 1.1484

Litchfield, CT ............................... 1.1484

Middlesex, CT ............................. 1.1484

Tolland, CT .................................. 1.1484

Hattiesburg, MS

Forrest, MS ................................. 0.8013

Lamar, MS ................................... 0.8013

Hickory-Morganton-Lenoir, NC

Alexander, NC ............................. 0.9402

Burke, NC .................................... 0.9402

Caldwell, NC ............................... 0.8721

Catawba, NC ............................... 0.9402

Honolulu, HI

Honolulu, HI ................................ 1.1706

Houma, LA

Lafourche, LA .............................. 0.9332

Terrebonne, LA ........................... 0.9332

Houston, TX

Chambers, TX ............................. 0.8930

Fort Bend, TX .............................. 1.0969

Harris, TX .................................... 1.0969

Liberty, TX ................................... 1.0969

Montgomery, TX .......................... 1.0969

Waller, TX ................................... 1.0969

Huntington-Ashland, WV-KY-OH

Boyd, KY ..................................... 0.9797

Carter, KY ................................... 0.9797

Greenup, KY ............................... 0.9797

Lawrence, OH ............................. 0.9797

Cabell, WV .................................. 0.9797

Wayne, WV ................................. 0.9797

Huntsville, AL

Limestone, AL ............................. 0.8236

Madison, AL ................................ 0.8910

Indianapolis, IN

Boone, IN .................................... 1.0552

Hamilton, IN ................................ 1.0552

Hancock, IN ................................. 1.0552

Hendricks, IN ............................... 1.0552

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Johnson, IN ................................. 1.0552

Madison, IN ................................. 0.9964

Marion, IN .................................... 1.0552

Morgan, IN .................................. 1.0552

Shelby, IN .................................... 1.0552

Iowa City, IA

Johnson, IA ................................. 1.0959

Jackson, MI

Jackson, MI ................................. 1.0074

Jackson, MS

Hinds, MS .................................... 0.8882

Madison, MS ............................... 0.8882

Rankin, MS .................................. 0.8882

Jackson, TN

Madison, TN ................................ 0.8264

Jacksonville, FL

Clay, FL ....................................... 0.9838

Duval, FL ..................................... 0.9838

Nassau, FL .................................. 0.9838

St. Johns, FL ............................... 0.9838

Jacksonville, NC

Onslow, NC ................................. 0.8565

Jamestown, NY

Chautaqua, NY ............................ 0.8477

Janesville-Beloit, WI

Rock, WI ...................................... 0.9003

Jersey City, NJ

Hudson, NJ ................................. 1.1299

Johnson City-Kingsport-Bristol, TNVA

Carter, TN ................................... 0.9311

Hawkins, TN ................................ 0.9311

Sullivan, TN ................................. 0.9311

Unicoi, TN ................................... 0.9311

Washington, TN .......................... 0.9311

Bristol City, VA ............................ 0.9311

Scott, VA ..................................... 0.9311

Washington, VA .......................... 0.9311

Johnstown, PA

Cambria, PA ................................ 0.9856

Somerset, PA .............................. 0.9856

Joplin, MO

Jasper, MO .................................. 0.9053

Newton, MO ................................ 0.9053

Kalamazoo-Battlecreek, MI

Calhoun, MI ................................. 1.0800

Kalamazoo, MI ............................ 1.1936

Van Buren, MI ............................. 1.0035

Kankakee, IL

Kankakee, IL ............................... 0.9323

Kansas City, KS-MO

Johnson, KS ................................ 0.9883

Leavenworth, KS ......................... 0.9883

Miami, KS .................................... 0.9883

Wyandotte, KS ............................ 0.9883

Cass, MO .................................... 0.9969

Clay, MO ..................................... 0.9969

Clinton, MO ................................. 0.8871

Jackson, MO ............................... 0.9969

Lafayette, MO .............................. 0.9969

Platte, MO ................................... 0.9969

Ray, MO ...................................... 0.9969

Kenosha, WI

Kenosha, WI ................................ 1.0538

Killeen-Temple, TX

Bell, TX ........................................ 0.9934

Coryell, TX .................................. 0.9934

Knoxville, TN

Anderson, TN .............................. 0.9144

Blount, TN ................................... 0.9144

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Knox, TN ..................................... 0.9144

Loudon, TN ................................. 0.8337

Sevier, TN ................................... 0.9144

Union, TN .................................... 0.9144

Kokomo, IN

Howard, IN .................................. 0.9463

Tipton, IN ..................................... 0.9463

La Crosse, WI-MN

Houston, MN ............................... 0.8777

La Crosse, WI ............................. 0.9331

Lafayette, LA

Acadia, LA ................................... 0.8464

Lafayette, LA ............................... 0.9693

St. Landry, LA ............................. 0.8464

St. Martin, LA .............................. 0.9693

Lafayette, IN

Clinton, IN ................................... 0.8852

Tippecanoe, IN ............................ 0.9189

Lake Charles, LA

Calcasieu, LA .............................. 0.9499

Lakeland-Winter Haven, FL

Polk, FL ....................................... 0.9298

Lancaster, PA

Lancaster, PA .............................. 1.0319

Lansing-East Lansing, MI

Clinton, MI ................................... 1.0561

Eaton, MI ..................................... 1.0561

Ingham, MI .................................. 1.0561

Laredo, TX

Webb, TX .................................... 0.8374

Las Cruces, NM

Dona Ana, NM ............................ 0.8645

Las Vegas, NV-AZ

Mohave, AZ ................................. 0.9788

Clark, NV ..................................... 1.1994

Nye, NV ....................................... 1.0625

Lawrence, KS

Douglas, KS ................................ 0.9592

Lawton, OK

Comanche, OK ............................ 0.9159

Lewiston-Auburn, ME

Androscoggin, ME ....................... 0.9447

Lexington, KY

Bourbon, KY ................................ 0.9337

Clark, KY ..................................... 0.9337

Fayette, KY ................................. 0.9337

Jessamine, KY ............................ 0.9337

Madison, KY ................................ 0.8371

Scott, KY ..................................... 0.9337

Woodford, KY .............................. 0.9337

Lima, OH

Allen, OH ..................................... 0.9767

Auglaize, OH ............................... 0.9767

Lincoln, NE

Lancaster, NE ............................. 0.9017

Little Rock-North Little Rock, AR

Faulkner, AR ............................... 0.9855

Lonoke, AR ................................. 0.9855

Pulaski, AR .................................. 0.9855

Saline, AR ................................... 0.9855

Longview-Marshall, TX

Gregg, TX .................................... 0.8767

Harrison, TX ................................ 0.8767

Upshur, TX .................................. 0.8469

Los Angeles-Long Beach, CA

Los Angeles, CA ......................... 1.3072

Louisville, KY-IN

Clark, IN ...................................... 1.0601

Floyd, IN ...................................... 1.0601

Harrison, IN ................................. 1.0601
Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations 42867

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Scott, IN ...................................... 0.9078

Bullitt, KY ..................................... 1.0601

Jefferson, KY ............................... 1.0601

Oldham, KY ................................. 1.0601

Lubbock, TX

Lubbock, TX ................................ 0.9760

Lynchburg, VA

Amherst, VA ................................ 0.9028

Bedford City, VA ......................... 0.8537

Bedford, VA ................................. 0.8537

Campbell, VA .............................. 0.9028

Lynchburg City, VA ..................... 0.9028

Macon, GA

Bibb, GA ...................................... 0.9705

Houston, GA ................................ 0.9705

Jones, GA ................................... 0.9705

Peach, GA ................................... 0.9705

Twiggs, GA .................................. 0.8788

Madison, WI

Dane, WI ..................................... 1.0391

Mansfield, OH

Crawford, OH .............................. 0.9124

Richland, OH ............................... 0.9145

Mayaguez, PR

Anasco, PR ................................. 0.6949

Cabo Rojo, PR ............................ 0.6949

Hormigueros, PR ......................... 0.6949

Mayaguez, PR ............................. 0.6949

Sabana Grande, PR .................... 0.6949

San German, PR ......................... 0.6949

McAllen-Edinburg-Mission, TX

Hidalgo, TX ................................. 0.8588

Medford-Ashland, OR

Jackson, OR ................................ 1.0131

Melbourne-Titusville-Palm Bay, FL

Brevard, Fl ................................... 0.9437

Memphis, TN-AR-MS

Crittenden, AR ............................. 1.0104

De Soto, MS ................................ 1.0104

Fayette, TN ................................. 0.8223

Shelby, TN .................................. 1.0104

Tipton, TN ................................... 1.0104

Merced, CA

Merced, CA ................................. 1.0506

Miami, FL

Dade, FL ..................................... 1.1202

Middlesex-Somerset-Hunterdon, NJ

Hunterdon, NJ ............................. 1.0939

Middlesex, NJ .............................. 1.0939

Somerset, NJ .............................. 1.0939

Milwaukee-Waukesha, WI

Milwaukee, WI ............................. 1.0442

Ozaukee, WI ............................... 1.0442

Washington, WI ........................... 1.0442

Waukesha, WI ............................. 1.0442

Minneapolis-St Paul, MN-WI

Anoka, MN .................................. 1.0656

Carver, MN .................................. 1.0656

Chisago, MN ............................... 1.0656

Dakota, MN ................................. 1.0656

Hennepin, MN ............................. 1.0656

Isanti, MN .................................... 1.0656

Ramsey, MN ............................... 1.0656

Scott, MN .................................... 1.0656

Sherburne, MN ............................ 0.9660

Washington, MN .......................... 1.0656

Wright, MN .................................. 1.0656

Pierce, WI .................................... 0.9317

St. Croix, WI ................................ 1.0656

Mobile, AL

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Baldwin, AL ................................. 0.9065

Mobile, AL ................................... 0.9065

Modesto, CA

Stanislaus, CA ............................. 1.0953

Monmouth-Ocean, NJ

Monmouth, NJ ............................. 1.0398

Ocean, NJ ................................... 1.0398

Monroe, LA

Ouachita, LA ............................... 0.9293

Montgomery, AL

Autauga, AL ................................ 0.9299

Elmore, AL .................................. 0.9299

Montgomery, AL .......................... 0.9299

Muncie, IN

Delaware, IN ............................... 0.9963

Myrtle Beach, SC

Horry, SC .................................... 0.8058

Naples, FL

Collier, FL .................................... 0.9405

Nashville, TN

Cheatham, TN ............................. 1.1451

Davidson, TN .............................. 1.1451

Dickson, TN ................................. 1.1451

Robertson, TN ............................. 1.1451

Rutherford TN ............................. 1.1451

Sumner, TN ................................. 1.1451

Williamson, TN ............................ 1.1451

Wilson, TN ................................... 1.1451

Nassau-Suffolk, NY

Nassau, NY ................................. 1.2839

Suffolk, NY .................................. 1.2839

New Haven-Bridgeport-StamfordDanbury-Waterbury,

Fairfield, CT ................................. 1.2197

New Haven, CT ........................... 1.1582

New London-Norwich, CT

New London, CT ......................... 1.1431

New Orleans, LA

Jefferson, LA ............................... 1.0079

Orleans, LA ................................. 1.0079

Plaquemines, LA ......................... 0.8849

St. Bernard, LA ........................... 1.0079

St. Charles, LA ............................ 1.0079

St. James, LA .............................. 0.8849

St. John The Baptist, LA ............. 1.0079

St. Tammany, LA ........................ 1.0079

New York, NY

Bronx, NY .................................... 1.4110

Kings, NY .................................... 1.4110

New York, NY ............................. 1.4110

Putnam, NY ................................. 1.4110

Queens, NY ................................. 1.4110

Richmond, NY ............................. 1.4110

Rockland, NY .............................. 1.4110

Westchester, NY ......................... 1.4110

Newark, NJ

Essex, NJ .................................... 1.1684

Morris, NJ .................................... 1.1684

Sussex, NJ .................................. 1.1684

Union, NJ .................................... 1.1684

Warren, NJ .................................. 1.1160

Newburgh, NY-PA

Orange, NY ................................. 1.0522

Pike, PA ...................................... 1.0705

Norfolk-Virginia Beach-Newport

News, VA-NC

Currituck, NC ............................... 0.8627

Chesapeake City, VA .................. 0.9498

Gloucester, VA ............................ 0.9498

Hampton City, VA ....................... 0.9498

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Isle of Wight, VA ......................... 0.8638

James City, VA ........................... 0.9498

Mathews, VA ............................... 0.8638

Newport News City, VA .............. 0.9498

Norfolk City, VA ........................... 0.9498

Poquoson City, VA ...................... 0.9498

Portsmouth City, VA .................... 0.9498

Suffolk City, VA ........................... 0.9498

Virginia Beach City VA ................ 0.9498

Williamsburg City, VA ................. 0.9498

York, VA ...................................... 0.9498

Oakland, CA

Alameda, CA ............................... 1.3685

Contra Costa, CA ........................ 1.3685

Ocala, FL

Marion, FL ................................... 0.9971

Odessa-Midland, TX

Ector, TX ..................................... 0.9539

Midland, TX ................................. 1.0224

Oklahoma City, OK

Canadian, OK .............................. 1.0043

Cleveland, OK ............................. 1.0043

Logan, OK ................................... 1.0043

McClain, OK ................................ 1.0043

Oklahoma, OK ............................. 1.0043

Pottawatomie, OK ....................... 1.0043

Olympia, WA

Thurston, WA .............................. 1.0832

Omaha, NE-IA

Pottawattamie, IA ........................ 0.9312

Cass, NE ..................................... 0.8670

Douglas, NE ................................ 0.9312

Sarpy, NE .................................... 0.9312

Washington, NE .......................... 0.9312

Orange County, CA

Orange, CA ................................. 1.2540

Orlando, FL

Lake, FL ...................................... 0.9157

Orange, FL .................................. 1.0127

Osceola, FL ................................. 1.0127

Seminole, FL ............................... 1.0127

Owensboro, KY

Daviess, KY ................................. 0.8565

Panama City, FL

Bay, FL ........................................ 0.8920

Parkersburg-Marietta, WV-OH

Washington, OH .......................... 0.9453

Wood, WV ................................... 0.9453

Pensacola, FL

Escambia, FL .............................. 0.8990

Santa Rosa, FL ........................... 0.8990

Peoria-Pekin, IL

Peoria, IL ..................................... 1.0623

Tazewell, IL ................................. 1.0623

Woodford, IL ................................ 1.0623

Philadelphia, PA-NJ

Burlington, NJ .............................. 1.1826

Camden, NJ ................................ 1.1826

Gloucester, NJ ............................ 1.1826

Salem, NJ .................................... 1.1236

Bucks, PA .................................... 1.1826

Chester, PA ................................. 1.1826

Delaware, PA .............................. 1.1826

Montgomery, PA ......................... 1.1826

Philadelphia, PA .......................... 1.1826

Phoenix-Mesa, AZ

Maricopa, AZ ............................... 1.0907

Pinal, AZ ...................................... 0.9428

Pine Bluff, AR

Jefferson, AR .............................. 0.8654
42868 Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Pittsburgh, PA

Allegheny, PA .............................. 1.1050

Beaver, PA .................................. 1.0693

Butler, PA .................................... 1.0330

Fayette, PA ................................. 1.1050

Washington, PA .......................... 1.1050

Westmoreland, PA ...................... 1.1050

Pittsfield, MA

Berkshire, MA .............................. 1.0270

Ponce, PR

Guayanilla, PR ............................ 0.7129

Juana Diaz, PR ........................... 0.7129

Penuelas, PR .............................. 0.7129

Ponce, PR ................................... 0.7129

Villalba, PR .................................. 0.7129

Yauco, PR ................................... 0.7129

Portland, ME

Cumberland, ME ......................... 0.9843

Sagadahoc, ME ........................... 0.9843

York, ME ..................................... 0.9843

Portland-Vancouver, OR-WA

Clackamas, OR ........................... 1.1440

Columbia, OR .............................. 1.0330

Multnomah, OR ........................... 1.1440

Washington, OR .......................... 1.1440

Yamhill, OR ................................. 1.1440

Clark, WA .................................... 1.1192

Providence-Warwick, RI

Bristol, RI ..................................... 1.0425

Kent, RI ....................................... 1.0425

Newport, RI ................................. 1.0425

Providence, RI ............................. 1.0425

Washington, RI ............................ 1.0425

Provo-Orem, UT

Utah, UT ...................................... 0.9887

Pueblo, CO

Pueblo, CO .................................. 1.0713

Punta Gorda, FL

Charlotte, FL ............................... 0.8997

Racine, WI

Racine, WI ................................... 0.9821

Raleigh-Durham-Chapel Hill, NC

Chatham, NC .............................. 0.9096

Durham, NC ................................ 1.0210

Franklin, NC ................................ 1.0210

Johnston, NC .............................. 0.9096

Orange, NC ................................. 1.0210

Wake, NC .................................... 1.0210

Rapid City, SD

Pennington, SD ........................... 0.8321

Reading, PA

Berks, PA .................................... 1.0213

Redding, CA

Shasta, CA .................................. 1.1124

Reno, NV

Washoe, NV ................................ 1.2587

Richland-Kennewick-Pasco, WA

Benton, WA ................................. 0.9889

Franklin, WA ................................ 0.9889

Richmond-Petersburg, VA

Charles City County, VA ............. 0.9162

Chesterfield, VA .......................... 0.9162

Colonial Heights City, VA ............ 0.9162

Dinwiddie, VA .............................. 0.9162

Goochland, VA ............................ 0.9162

Hanover, VA ................................ 0.9162

Henrico, VA ................................. 0.9162

Hopewell City, VA ....................... 0.9162

New Kent, VA .............................. 0.9162

Petersburg City, VA .................... 0.9162

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Powhatan, VA ............................. 0.9162

Prince George, VA ...................... 0.9162

Richmond City, VA ...................... 0.9162

Riverside-San Bernardino, CA

Riverside, CA .............................. 1.1870

San Bernardino, CA .................... 1.1870

Roanoke, VA

Botetourt, VA ............................... 0.9779

Roanoke, VA ............................... 0.9779

Roanoke City, VA ........................ 0.9779

Salem City, VA ............................ 0.9779

Rochester, MN

Olmsted, MN ............................... 1.0527

Rochester, NY

Genesee, NY ............................... 0.9214

Livingston, NY ............................. 1.0346

Monroe, NY ................................. 1.0346

Ontario, NY ................................. 1.0346

Orleans, NY ................................. 1.0346

Wayne, NY .................................. 1.0346

Rockford, IL

Boone, IL ..................................... 1.0159

Ogle, IL ........................................ 0.8969

Winnebago, IL ............................. 1.0159

Rocky Mount, NC

Edgecombe, NC .......................... 0.8833

Nash, NC ..................................... 0.8833

Sacramento, CA

El Dorado, CA ............................. 1.1975

Placer, CA ................................... 1.1975

Sacramento, CA .......................... 1.1975

Saginaw-Bay City-Midland, MI

Bay, MI ........................................ 1.0722

Midland, MI .................................. 1.0722

Saginaw, MI ................................ 1.0722

St. Cloud, MN

Benton, MN ................................. 0.9210

Stearns, MN ................................ 0.9210

St. Joseph, MO

Andrews, MO .............................. 0.8556

Buchanan, MO ............................ 0.9630

St. Louis, MO-IL

Clinton, IL .................................... 0.9682

Jersey, IL ..................................... 0.9594

Madison, IL .................................. 0.9594

Monroe, IL ................................... 1.0362

St. Clair, IL .................................. 0.9682

Franklin, MO ................................ 1.0362

Jefferson, MO .............................. 1.0362

Lincoln, MO ................................. 0.8716

St. Charles, MO .......................... 1.0362

St. Louis, MO .............................. 1.0362

St. Louis City, MO ....................... 1.0362

Warren, MO ................................. 0.8716

Salem, OR

Marion, OR .................................. 1.0510

Polk, OR ...................................... 1.0510

Salinas, CA

Monterey, CA .............................. 1.3382

Salt Lake City-Ogden, UT

Davis, UT .................................... 0.9873

Salt Lake, UT .............................. 0.9873

Weber, UT ................................... 0.9873

San Angelo, TX

Tom Green, TX ........................... 0.8859

San Antonio, TX

Bexar, TX .................................... 1.0012

Comal, TX ................................... 1.0012

Guadalupe, TX ............................ 1.0012

Wilson, TX ................................... 0.8383

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

San Diego, CA

San Diego, CA ............................ 1.2225

San Francisco, CA

Marin, CA .................................... 1.4362

San Francisco, CA ...................... 1.4362

San Mateo, CA ............................ 1.4362

San Jose, CA

Santa Clara, CA .......................... 1.3756

San Juan-Bayamon, PR

Aguas Buenas, PR ...................... 0.7061

Barceloneta, PR .......................... 0.7061

Bayamon, PR .............................. 0.7061

Canovanas, PR ........................... 0.7061

Carolina, PR ................................ 0.7061

Catano, PR .................................. 0.7061

Ceiba, PR .................................... 0.7061

Comerio, PR ................................ 0.7061

Corozal, PR ................................. 0.7061

Dorado, PR ................................. 0.7061

Fajardo, PR ................................. 0.7061

Florida, PR .................................. 0.7061

Guaynabo, PR ............................. 0.7061

Humacao, PR .............................. 0.7061

Juncos, PR .................................. 0.7061

Los Piedras, PR .......................... 0.7061

Loiza, PR ..................................... 0.7061

Luguillo, PR ................................. 0.7061

Manati, PR .................................. 0.7061

Morovis, PR ................................. 0.7061

Naguabo, PR ............................... 0.7061

Naranjito, PR ............................... 0.7061

Rio Grande, PR ........................... 0.7061

San Juan, PR .............................. 0.7061

Toa Alta, PR ................................ 0.7061

Toa Baja, PR ............................... 0.7061

Trujillo Alto, PR ........................... 0.7061

Vega Alta, PR ............................. 0.7061

Vega Baja, PR ............................ 0.7061

Yabucoa, PR ............................... 0.7061

San Luis Obispo-Atascadero-Paso

Robles, CA

San Luis Obispo, CA .................. 1.0812

Santa Barbara-Santa MariaLompoc, CA

Santa Barbara, CA ...................... 1.1390

Santa Cruz-Watsonville, CA

Santa Cruz, CA ........................... 1.2349

Santa Fe, NM

Los Alamos, NM .......................... 1.0007

Santa Fe, NM .............................. 1.0007

Santa Rosa, CA

Sonoma, CA ................................ 1.2314

Sarasota-Bradenton, FL

Manatee, FL ................................ 0.9591

Sarasota, FL ................................ 1.0054

Savannah, GA

Bryan, GA .................................... 0.9069

Chatham, GA .............................. 0.9762

Effingham, GA ............................. 0.9762

Scranton—Wilkes-Barre—Hazleton,

PA.

Columbia, PA .............................. 0.9621

Lackawanna, PA ......................... 0.9621

Luzerne, PA ................................ 0.9621

Wyoming, PA .............................. 0.9621

Seattle-Bellevue-Everett, WA

Island, WA ................................... 1.0337

King, WA ..................................... 1.1278

Snohomish, WA .......................... 1.1278

Sharon, PA
Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations 42869

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Mercer, PA .................................. 0.9597

Sheboygan, WI

Sheboygan, WI ............................ 0.8571

Sherman-Denison, TX

Grayson, TX ................................ 0.9066

Shreveport-Bossier City, LA

Bossier, LA .................................. 1.0436

Caddo, LA ................................... 1.0436

Webster, LA ................................ 0.8871

Sioux City, IA-NE

Woodbury, IA .............................. 0.9853

Dakota, NE .................................. 0.9853

Sioux Falls, SD

Lincoln, SD .................................. 0.8377

Minnehaha, SD ........................... 0.9362

South Bend, IN

St. Joseph, IN ............................. 0.9497

Spokane, WA

Spokane, WA .............................. 1.1198

Springfield, IL

Menard, IL ................................... 1.0720

Sangamon, IL .............................. 1.0720

Springfield, MO

Christian, MO .............................. 0.9025

Greene, MO ................................ 0.9025

Webster, MO ............................... 0.8198

Springfield, MA

Hampden, MA ............................. 1.0322

Hampshire, MA ........................... 1.0322

State College, PA

Centre, PA ................................... 1.0440

Steubenville-Weirton, OH-WV

Jefferson, OH .............................. 0.9456

Brooke, WV ................................. 0.9456

Hancock, WV .............................. 0.9456

Stockton-Lodi, CA

San Joaquin, CA ......................... 1.1781

Sumter, SC

Sumter, SC .................................. 0.8058

Syracuse, NY

Cayuga, NY ................................. 0.9128

Madison, NY ................................ 1.3103

Onondaga, NY ............................ 1.3103

Oswego, NY ................................ 1.3103

Tacoma, WA

Pierce, WA .................................. 1.0803

Tallahassee, FL

Gadsden, FL ............................... 0.9137

Leon, FL ...................................... 0.9137

Tampa-St. Petersburg-Clearwater,

FL

Hernando, FL .............................. 0.9941

Hillsborough, FL .......................... 0.9941

Pasco, FL .................................... 0.9941

Pinellas, FL ................................. 0.9941

Terre Haute, IN

Clay, IN ....................................... 0.8962

Vermillion, IN ............................... 0.8787

Vigo, IN ....................................... 0.8962

Texarkana, AR-Texarkana, TX

Miller, AR ..................................... 1.0450

Bowie, TX .................................... 1.0450

Toledo, OH

Fulton, OH ................................... 1.1236

Lucas, OH ................................... 1.1236

Wood, OH ................................... 1.1236

Topeka, KS

Shawnee, KS .............................. 1.1007

Trenton, NJ

Mercer, NJ ................................... 1.0657

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Tucson, AZ

Pima, AZ ..................................... 1.0000

Tulsa, OK

Creek, OK ................................... 0.9826

Osage, OK .................................. 0.9826

Rogers, OK ................................. 0.9826

Tulsa, OK .................................... 0.9826

Wagoner, OK .............................. 0.9826

Tuscaloosa, AL

Tuscaloosa, AL ........................... 0.9457

Tyler, TX

Smith, TX .................................... 1.0226

Utica-Rome, NY

Herkimer, NY ............................... 0.9226

Oneida, NY .................................. 0.9226

Vallejo-Fairfield-Napa, CA

Napa, CA ..................................... 1.3792

Solano, CA .................................. 1.3792

Ventura, CA

Ventura, CA ................................. 1.2055

Victoria, TX

Victoria, TX .................................. 0.8731

Vineland-Millville-Bridgeton, NJ

Cumberland, NJ .......................... 0.9864

Visalia-Tulare-Porterville, CA

Tulare, CA ................................... 1.1180

Waco, TX

McLennan, TX ............................. 0.8220

Washington, DC-MD-VA-WV

District of Columbia, DC ............. 1.1602

Calvert, MD ................................. 1.1602

Charles, MD ................................ 1.1602

Frederick, MD .............................. 1.1602

Montgomery, MD ......................... 1.1602

Prince Georges, MD ................... 1.1602

Alexandria City, VA ..................... 1.1602

Arlington, VA ............................... 1.1602

Clarke, VA ................................... 0.9480

Culpepper, VA ............................. 0.9480

Fairfax, VA .................................. 1.1602

Fairfax City, VA ........................... 1.1602

Falls Church City, VA .................. 1.1602

Fauquier, VA ............................... 0.9480

Fredericksburg City, VA .............. 0.9480

King George, VA ......................... 0.9480

Loudoun, VA ............................... 1.1602

Manassas City, VA ...................... 1.1602

Manassas Park City, VA ............. 1.1602

Prince William, VA ...................... 1.1602

Spotsylvania, VA ......................... 0.9480

Stafford, VA ................................. 1.1602

Warren, VA .................................. 0.9480

Berkeley, WV .............................. 0.9931

Jefferson, WV .............................. 0.9931

Waterloo-Cedar Falls, IA

Black Hawk, IA ............................ 0.9155

Wausau, WI

Marathon, WI ............................... 0.9851

West Palm Beach-Boca Raton, FL

Palm Beach, FL .......................... 1.0144

Wheeling, OH-WV

Belmont, OH ................................ 0.9221

Marshall, WV ............................... 0.9221

Ohio, WV ..................................... 0.9221

Wichita, KS

Butler, KS .................................... 1.0818

Harvey, KS .................................. 0.8724

Sedgwick, KS .............................. 1.0818

Wichita Falls, TX

Archer, TX ................................... 0.8264

TABLE A.—HOSPICE WAGE INDEX FOR

URBAN AREAS—Continued

Urban area (constituent counties or

county equivalents)

Wage

index 1

Wichita, TX .................................. 0.8669

Williamsport, PA

Lycoming, PA .............................. 0.9864

Willington-Newark, DE–MD

New Castle, DE ........................... 1.1263

Cecil, MD ..................................... 1.1263

Willington, NC

Brunswick, NC ............................. 0.8864

New Hanover, NC ....................... 0.9213

Yakima, WA

Yakima, WA ................................ 1.0243

Yolo, CA

Yolo, CA ...................................... 1.1667

York, PA

York, PA ...................................... 1.0112

Youngstown-Warren, OH

Columbiana, OH .......................... 0.9538

Mahoning, OH ............................. 1.0828

Trumbull, OH ............................... 1.0828

Yuba City, CA

Sutter, CA .................................... 1.0913

Yuba, CA ..................................... 1.0913

Yuma, AZ

Yuma, AZ .................................... 0.9321

1Wage index values are based on fiscal

year 1993 hospital cost report data prior to reclassification. This wage index is further adjusted. Wage index values greater than 0.8

are subject to a budget neutrality adjustment

of 1.020768. Wage index values below 0.8 are

adjusted to be the greater of a 15 percent increase, subject to a maximum wage index

value of 0.8, or an adjustment by multiplying

the hospice wage index value for a given area

by the budget neutrality adjustment. All of

these adjustments are built into the wage

index values reflected in Table A.

TABLE B.—WAGE INDEX FOR RURAL

AREAS

Nonurban area Wage

index 2

Alabama:

Barbour, AL ................................. 0.8000

Bibb, AL ....................................... 0.8000

Bullock, AL .................................. 0.8000

Butler, AL .................................... 0.8000

Chambers, AL ............................. 0.8000

Cherokee, AL .............................. 0.8000

Chilton, AL ................................... 0.8000

Choctaw, AL ................................ 0.8000

Clarke, AL ................................... 0.8000

Clay, AL ....................................... 0.8000

Cleburne, AL ............................... 0.8000

Coffee, AL ................................... 0.8000

Conecuh, AL ............................... 0.8000

Coosa, AL ................................... 0.8000

Covington, AL .............................. 0.8000

Crenshaw, AL .............................. 0.8000

Cullman, AL ................................. 0.8000

Dallas, AL .................................... 0.8000

De Kalb, AL ................................. 0.8000

Escambia, AL .............................. 0.8000

Fayette, AL .................................. 0.8000

Franklin, AL ................................. 0.8000

Geneva, AL ................................. 0.8000

Greene, AL .................................. 0.8000

Hale, AL ...................................... 0.8000
42870 Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Henry, AL .................................... 0.8000

Jackson, AL ................................. 0.8000

Lamar, AL .................................... 0.8000

Lee, AL ........................................ 0.8000

Lowndes, AL ............................... 0.8000

Macon, AL ................................... 0.8000

Marengo, AL ................................ 0.8000

Marion, AL ................................... 0.8000

Marshall, AL ................................ 0.8000

Monroe, AL .................................. 0.8000

Perry, AL ..................................... 0.8000

Pickens, AL ................................. 0.8000

Pike, AL ....................................... 0.8000

Randolph, AL .............................. 0.8000

Sumter, AL .................................. 0.8000

Talladega, AL .............................. 0.8000

Tallapoosa, AL ............................ 0.8000

Walker, AL ................................... 0.9365

Washington, AL ........................... 0.8000

Wilcox, AL ................................... 0.8000

Winston, AL ................................. 0.8000

Alaska:

Aleutians East, AK ...................... 1.3603

Aleutians West, AK ..................... 1.3603

Bethel, AK ................................... 1.3603

Bristol Bay Borough, AK ............. 1.3603

Dillingham, AK ............................. 1.3603

Fairbanks North Star, AK ............ 1.3603

Haines, AK .................................. 1.3603

Juneau, AK .................................. 1.3603

Kenai Peninsula .......................... 1.3603

Ketchikan Gateway, AK .............. 1.3603

Kodiak Island, AK ........................ 1.3603

Lake and Peninsula, AK ............. 1.3603

Matanuska-Susitna, AK ............... 1.3603

Nome, AK .................................... 1.3603

North Slope, AK .......................... 1.3603

Northwest Arctic, AK ................... 1.3603

Pr. of Wales-out.Ketchikanak, AK 1.3603

Sitka, AK ..................................... 1.3603

Skagway-Yakutat-Angoon, AK .... 1.3603

Southeast Fairbanks, AK ............ 1.3603

Valdez-Cordova, AK .................... 1.3603

Wade Hampton, AK .................... 1.3603

Wrangell-Petersburg, AK ............ 1.3603

Yukon-Koyukuk, AK .................... 1.3603

Arizona:

Apache, AZ ................................. 0.8787

Cochise, AZ ................................. 0.8787

Gila, AZ ....................................... 0.8787

Graham, AZ ................................. 0.8787

Greenlee, AZ ............................... 0.8787

Lapaz, AZ .................................... 0.8787

Navajo, AZ .................................. 0.8787

Santa Cruz, AZ ........................... 0.8787

Yavapai, AZ ................................. 0.8787

Arkansas:

Arkansas, AR .............................. 0.7999

Ashley, AR .................................. 0.7999

Baxter, AR ................................... 0.7999

Boone, AR ................................... 0.7999

Bradley, AR ................................. 0.7999

Calhoun, AR ................................ 0.7999

Carroll, AR ................................... 0.7999

Chicot, AR ................................... 0.7999

Clark, AR ..................................... 0.7999

Clay, AR ...................................... 0.7999

Cleburne, AR ............................... 0.7999

Cleveland, AR ............................. 0.7999

Columbia, AR .............................. 0.7999

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Conway, AR ................................ 0.7999

Craighead, AR ............................. 0.7999

Cross, AR .................................... 0.7999

Dallas, AR ................................... 0.7999

Desha, AR ................................... 0.7999

Drew, AR ..................................... 0.7999

Franklin, AR ................................ 0.7999

Fulton, AR ................................... 0.7999

Garland, AR ................................ 0.7999

Grant, AR .................................... 0.7999

Greene, AR ................................. 0.7999

Hempstead, AR ........................... 0.7999

Hot Springs, AR .......................... 0.7999

Howard, AR ................................. 0.7999

Independence, AR ...................... 0.7999

Izard, AR ..................................... 0.7999

Jackson, AR ................................ 0.7999

Johnson, AR ................................ 0.7999

Lafayette, AR .............................. 0.7999

Lawrence, AR .............................. 0.7999

Lee, AR ....................................... 0.7999

Lincoln, AR .................................. 0.7999

Little River, AR ............................ 0.7999

Logan, AR ................................... 0.7999

Madison, AR ................................ 0.7999

Marion, AR .................................. 0.7999

Mississippi, AR ............................ 0.7999

Monroe, AR ................................. 0.7999

Montgomery, AR ......................... 0.7999

Nevada, AR ................................. 0.7999

Newton, AR ................................. 0.7999

Ouachita, AR ............................... 0.7999

Perry, AR ..................................... 0.7999

Phillips, AR .................................. 0.7999

Pike, AR ...................................... 0.7999

Poinsett, AR ................................ 0.7999

Polk, AR ...................................... 0.7999

Pope, AR ..................................... 0.7999

Prairie, AR ................................... 0.7999

Randolph, AR .............................. 0.7999

St. Francis, AR ............................ 0.7999

Scott, AR ..................................... 0.7999

Searcy, AR .................................. 0.7999

Sevier, AR ................................... 0.7999

Sharp, AR .................................... 0.7999

Stone, AR .................................... 0.7999

Union, AR .................................... 0.7999

Van Buren, AR ............................ 0.7999

White, AR .................................... 0.7999

Woodruff, AR ............................... 0.7999

Yell, AR ....................................... 0.7999

California:

Alpine, CA ................................... 1.0282

Amador, CA ................................. 1.0282

Calaveras, CA ............................. 1.0282

Colusa, CA .................................. 1.0282

Del Norte, CA .............................. 1.0282

Glenn, CA .................................... 1.0282

Humboldt, CA .............................. 1.0282

Imperial, CA ................................ 1.0282

Inyo, CA ...................................... 1.0282

Kings, CA .................................... 1.0282

Lake, CA ..................................... 1.0282

Lassen, CA .................................. 1.0282

Mariposa, CA .............................. 1.0282

Mendocino, CA ............................ 1.0282

Modoc, CA .................................. 1.0282

Mono, CA .................................... 1.0282

Nevada, CA ................................. 1.0282

Plumas, CA ................................. 1.0282

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

San Enito, CA ............................. 1.0282

Sierra, CA .................................... 1.0282

Siskiyou, CA ................................ 1.0282

Tehama, CA ................................ 1.0282

Trinity, CA ................................... 1.0282

Tuolumne, CA ............................. 1.0282

Colorado:

Alamosa, CO ............................... 0.8417

Archuleta, CO .............................. 0.8417

Baca, CO ..................................... 0.8417

Bent, CO ..................................... 0.8417

Chaffee, CO ................................ 0.8417

Cheyenne, CO ............................ 0.8417

Clear Creek, CO ......................... 0.8417

Conejos, CO ................................ 0.8417

Costilla, CO ................................. 0.8417

Crowley, CO ................................ 0.8417

Custer, CO .................................. 0.8417

Delta, CO .................................... 0.8417

Dolores, CO ................................ 0.8417

Eagle, CO .................................... 0.8417

Elbert, CO ................................... 0.8417

Fremont, CO ............................... 0.8417

Garfield, CO ................................ 0.8417

Gilpin, CO .................................... 0.8417

Grand, CO ................................... 0.8417

Gunnison, CO ............................. 0.8417

Hinsdale, CO ............................... 0.8417

Huerfano, CO .............................. 0.8417

Jackson, CO ................................ 0.8417

Kiowa, CO ................................... 0.8417

Kit Carson, CO ............................ 0.8417

Lake, CO ..................................... 0.8417

La Plata, CO ............................... 0.8417

Las Animas, CO .......................... 0.8417

Lincoln, CO ................................. 0.8417

Logan, CO ................................... 0.8417

Mineral, CO ................................. 0.8417

Moffat, CO ................................... 0.8417

Montezuma, CO .......................... 0.8417

Montrose, CO .............................. 0.8417

Morgan, CO ................................. 0.8417

Otero, CO .................................... 0.8417

Ouray, CO ................................... 0.8417

Park, CO ..................................... 0.8417

Phillips, CO ................................. 0.8417

Pitkin, CO .................................... 0.8417

Prowers, CO ................................ 0.8417

Rio Blanco, CO ........................... 0.8417

Rio Grande, CO .......................... 0.8417

Routt, CO .................................... 0.8417

Saguache, CO ............................. 0.8417

San Juan, CO ............................. 0.8417

San Miguel, CO ........................... 0.8417

Sedgwick, CO ............................. 0.8417

Summit, CO ................................. 0.8417

Teller, CO .................................... 0.8417

Washington, CO .......................... 0.8417

Yuma, CO ................................... 0.8417

Connecticut:

Windham, CT .............................. 1.1128

Delaware:

Sussex, DE ................................. 0.9349

Florida:

Baker, FL ..................................... 0.8884

Bradford, FL ................................ 0.9556

Calhoun, FL ................................. 0.8884

Citrus, FL ..................................... 0.8884

Columbia, FL ............................... 0.8884

De Soto, FL ................................. 0.8884
Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations 42871

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Dixie, FL ...................................... 0.8884

Franklin, FL ................................. 0.8884

Gilchrist, FL ................................. 0.8884

Glades, FL ................................... 0.8884

Gulf, FL ....................................... 0.8884

Hamilton, FL ................................ 0.8884

Hardee, FL .................................. 0.8884

Hendry, FL .................................. 0.8884

Highlands, FL .............................. 0.8884

Holmes, FL .................................. 0.8884

Indian River, FL ........................... 0.8884

Jackson, FL ................................. 0.8884

Jefferson, FL ............................... 0.8884

Lafayette, FL ............................... 0.8884

Levy, FL ...................................... 0.8884

Liberty, FL ................................... 0.8884

Madison, FL ................................ 0.8884

Monroe, FL .................................. 0.8884

Okeechobee, FL .......................... 0.8884

Putnam, FL .................................. 0.8884

Sumter, FL .................................. 0.8884

Suwannee, FL ............................. 0.8884

Taylor, FL .................................... 0.8884

Union, FL ..................................... 0.8884

Wakulla, FL ................................. 0.8884

Walton, FL ................................... 0.8884

Washington, FL ........................... 0.8884

Georgia:

Appling, GA ................................. 0.8335

Atkinson, GA ............................... 0.8335

Bacon, GA ................................... 0.8335

Baker, GA .................................... 0.8335

Baldwin, GA ................................ 0.8335

Banks, GA ................................... 0.8335

Ben Hill, GA ................................ 0.8335

Berrien, GA ................................. 0.8335

Bleckley, GA ................................ 0.8335

Brantley, GA ................................ 0.8335

Brooks, GA .................................. 0.8335

Bulloch, GA ................................. 0.8335

Burke, GA .................................... 0.8335

Butts, GA ..................................... 0.8945

Calhoun, GA ................................ 0.8335

Camden, GA ............................... 0.8335

Candler, GA ................................ 0.8335

Charlton, GA ............................... 0.8335

Chattooga, GA ............................ 0.8335

Clay, GA ...................................... 0.8335

Clinch, GA ................................... 0.8335

Coffee, GA .................................. 0.8335

Colquitt, GA ................................. 0.8335

Cook, GA ..................................... 0.8335

Crawford, GA .............................. 0.8335

Crisp, GA ..................................... 0.8335

Dawson, GA ................................ 0.8335

Decatur, GA ................................ 0.8335

Dodge, GA .................................. 0.8335

Dooly, GA .................................... 0.8335

Early, GA ..................................... 0.8335

Echols, GA .................................. 0.8335

Elbert, GA .................................... 0.8335

Emanuel, GA ............................... 0.8335

Evans, GA ................................... 0.8335

Fannin, GA .................................. 0.8335

Floyd, GA .................................... 0.8335

Franklin, GA ................................ 0.8335

Gilmer, GA .................................. 0.8335

Glascock, GA .............................. 0.8335

Glynn, GA .................................... 0.8335

Gordon, GA ................................. 0.8335

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Grady, GA ................................... 0.8335

Greene, GA ................................. 0.8335

Habersham, GA .......................... 0.8335

Hall, GA ....................................... 0.8335

Hancock, GA ............................... 0.8335

Haralson, GA ............................... 0.8335

Hart, GA ...................................... 0.8335

Heard, GA ................................... 0.8335

Irwin, GA ..................................... 0.8335

Jackson, GA ................................ 0.8545

Jasper, GA .................................. 0.8335

Jeff Davis, GA ............................. 0.8335

Jefferson, GA .............................. 0.8335

Jenkins, GA ................................. 0.8335

Johnson, GA ............................... 0.8335

Lamar, GA ................................... 0.8335

Lanier, GA ................................... 0.8335

Laurens, GA ................................ 0.8335

Liberty, GA .................................. 0.8335

Lincoln, GA .................................. 0.8335

Long, GA ..................................... 0.8335

Lowndes, GA ............................... 0.8335

Lumpkin, GA ............................... 0.8335

Mc Intosh, GA ............................. 0.8335

Macon, GA .................................. 0.8335

Marion, GA .................................. 0.8335

Meriwether, GA ........................... 0.8335

Miller, GA .................................... 0.8335

Mitchell, GA ................................. 0.8335

Monroe, GA ................................. 0.8335

Montgomery, GA ......................... 0.8335

Morgan, GA ................................. 0.8335

Murray, GA .................................. 0.8335

Oglethorpe, GA ........................... 0.8335

Pierce, GA ................................... 0.8335

Pike, GA ...................................... 0.8335

Polk, GA ...................................... 0.8335

Pulaski, GA ................................. 0.8335

Putnam, GA ................................. 0.8335

Quitman, GA ............................... 0.8335

Rabun, GA .................................. 0.8335

Randolph, GA .............................. 0.8335

Schley, GA .................................. 0.8335

Screven, GA ................................ 0.8335

Seminole, GA .............................. 0.8335

Stephens, GA .............................. 0.8335

Stewart, GA ................................. 0.8335

Sumter, GA ................................. 0.8335

Talbot, GA ................................... 0.8335

Taliaferro, GA .............................. 0.8335

Tattnall, GA ................................. 0.8335

Taylor, GA ................................... 0.8335

Telfair, GA ................................... 0.8335

Terrell, GA ................................... 0.8335

Thomas, GA ................................ 0.8335

Tift, GA ........................................ 0.8335

Toombs, GA ................................ 0.8335

Towns, GA .................................. 0.8335

Treutlen, GA ................................ 0.8335

Troup, GA .................................... 0.8335

Turner, GA .................................. 0.8335

Union, GA .................................... 0.8335

Upson, GA ................................... 0.8335

Ware, GA .................................... 0.8335

Warren, GA ................................. 0.8335

Washington, GA .......................... 0.8335

Wayne, GA .................................. 0.8335

Webster, GA ................................ 0.8335

Wheeler, GA ................................ 0.8335

White, GA .................................... 0.8335

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Whitfield, GA ............................... 0.8335

Wilcox, GA .................................. 0.8335

Wilkes, GA .................................. 0.8335

Wilkinson, GA .............................. 0.8335

Worth, GA ................................... 0.8335

Hawaii:

Hawaii, HI .................................... 1.1496

Kalawao, HI ................................. 1.1496

Kauai, HI ..................................... 1.1496

Maui, HI ....................................... 1.1496

Idaho:

Adams, ID ................................... 0.8942

Bannock, ID ................................. 0.8942

Bear Lake, ID .............................. 0.8942

Benewah, ID ................................ 0.8942

Bingham, ID ................................ 0.8942

Blaine, ID ..................................... 0.8942

Boise, ID ...................................... 0.8942

Bonner, ID ................................... 0.8942

Bonneville, ID .............................. 0.8942

Boundary, ID ............................... 0.8942

Butte, ID ...................................... 0.8942

Camas, ID ................................... 0.8942

Caribou, ID .................................. 0.8942

Cassia, ID .................................... 0.8942

Clark, ID ...................................... 0.8942

Clearwater, ID ............................. 0.8942

Custer, ID .................................... 0.8942

Elmore, ID ................................... 0.8942

Franklin, ID .................................. 0.8942

Fremont, ID ................................. 0.8942

Gem, ID ....................................... 0.8942

Gooding, ID ................................. 0.8942

Idaho, ID ...................................... 0.8942

Jefferson, ID ................................ 0.8942

Jerome, ID ................................... 0.8942

Kootenai, ID ................................ 0.8942

Latah, ID ...................................... 0.8942

Lemhi, ID ..................................... 0.8942

Lewis, ID ..................................... 0.8942

Lincoln, ID ................................... 0.8942

Madison, ID ................................. 0.8942

Minidoka, ID ................................ 0.8942

Nez Perce, ID .............................. 0.8942

Oneida, ID ................................... 0.8942

Owyhee, ID ................................. 0.8942

Payette, ID .................................. 0.8942

Power, ID .................................... 0.8942

Shoshone, ID .............................. 0.8942

Teton, ID ..................................... 0.8942

Twin Falls, ID .............................. 0.8942

Valley, ID ..................................... 0.8942

Washington, ID ............................ 0.8942

Illinois:

Adams, IL .................................... 0.8455

Alexander, IL ............................... 0.8455

Bond, IL ....................................... 0.8455

Brown, IL ..................................... 0.8455

Bureau, IL .................................... 0.8455

Calhoun, IL .................................. 0.8455

Carroll, IL ..................................... 0.8455

Cass, IL ....................................... 0.8455

Christian, IL ................................. 0.8455

Clark, IL ....................................... 0.8455

Clay, IL ........................................ 0.8455

Coles, IL ...................................... 0.8455

Crawford, IL ................................. 0.8455

Cumberland, IL ............................ 0.8455

De Witt, IL ................................... 0.8455

Douglas, IL .................................. 0.8455
42872 Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Edgar, IL ...................................... 0.8455

Edwards, IL ................................. 0.8455

Effingham, IL ............................... 0.8455

Fayette, IL ................................... 0.8455

Ford, IL ........................................ 0.8455

Franklin, IL .................................. 0.8455

Fulton, IL ..................................... 0.8455

Gallatin, IL ................................... 0.8455

Greene, IL ................................... 0.8455

Hamilton,IL .................................. 0.8455

Hancock, IL ................................. 0.8455

Hardin, IL ..................................... 0.8455

Henderson, IL .............................. 0.8455

Iroquois, IL .................................. 0.8455

Jackson, IL .................................. 0.8455

Jasper, IL .................................... 0.8455

Jefferson, IL ................................ 0.8455

Jo Daviess, IL ............................. 0.8455

Johnson, IL .................................. 0.8455

Knox, IL ....................................... 0.8455

La Salle, IL .................................. 0.8455

Lawrence, IL ................................ 0.8455

Lee, IL ......................................... 0.8455

Livingston, IL ............................... 0.8455

Logan, IL ..................................... 0.8455

McDonough, IL ............................ 0.8455

Macoupin, IL ................................ 0.8455

Marion, IL .................................... 0.8455

Marshall, IL .................................. 0.8455

Mason, IL .................................... 0.8455

Massac, IL ................................... 0.8455

Mercer, IL .................................... 0.8455

Montgomery, IL ........................... 0.8455

Morgan, IL ................................... 0.8455

Moultrie, IL .................................. 0.8455

Perry, IL ....................................... 0.8455

Piatt, IL ........................................ 0.8455

Pike, IL ........................................ 0.8455

Pope, IL ....................................... 0.8455

Pulaski, IL .................................... 0.8455

Putnam, IL ................................... 0.8455

Randolph, IL ................................ 0.8455

Richland, IL ................................. 0.8455

Saline, IL ..................................... 0.8455

Schuyler, IL ................................. 0.8455

Scott, IL ....................................... 0.8455

Shelby, IL .................................... 0.8455

Stark, IL ....................................... 0.8455

Stephenson, IL ............................ 0.8455

Union, IL ...................................... 0.8455

Vermilion, IL ................................ 0.8455

Wabash, IL .................................. 0.8455

Warren, IL ................................... 0.8455

Washington, IL ............................ 0.8455

Wayne, IL .................................... 0.8455

White, IL ...................................... 0.8455

Whiteside, IL ............................... 0.8455

Williamson, IL .............................. 0.8455

Indiana:

Bartholomew, IN .......................... 0.8628

Benton, IN ................................... 0.8628

Blackford, IN ................................ 0.8628

Brown, IN .................................... 0.8628

Carroll, IN .................................... 0.8628

Cass, IN ...................................... 0.8628

Crawford, IN ................................ 0.8628

Daviess, IN .................................. 0.8628

Decatur, IN .................................. 0.8628

Dubois, IN ................................... 0.8628

Fayette, IN ................................... 0.8628

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Fountain, IN ................................. 0.8628

Franklin, IN .................................. 0.8628

Fulton, IN ..................................... 0.8628

Gibson, IN ................................... 0.8628

Grant, IN ...................................... 0.8628

Greene, IN ................................... 0.8628

Henry, IN ..................................... 0.8628

Jackson, IN ................................. 0.8628

Jasper, IN .................................... 0.8628

Jay, IN ......................................... 0.8628

Jefferson, IN ................................ 0.8628

Jennings, IN ................................ 0.8628

Knox, IN ...................................... 0.8628

Kosciusko, IN .............................. 0.8628

Lagrange, IN ............................... 0.8628

La Porte, IN ................................. 0.8628

Lawrence, IN ............................... 0.8628

Marshall, IN ................................. 0.8628

Martin, IN ..................................... 0.8628

Miami, IN ..................................... 0.8628

Montgomery, IN ........................... 0.8628

Newton, IN .................................. 0.8628

Noble, IN ..................................... 0.8628

Orange, IN ................................... 0.8628

Owen, IN ..................................... 0.8628

Parke, IN ..................................... 0.8628

Perry, IN ...................................... 0.8628

Pike, IN ........................................ 0.8628

Pulaski, IN ................................... 0.8628

Putnam, IN .................................. 0.8628

Randolph, IN ............................... 0.8628

Ripley, IN ..................................... 0.8628

Rush, IN ...................................... 0.8628

Spencer, IN ................................. 0.8628

Starke, IN .................................... 0.8628

Steuben, IN ................................. 0.8628

Sullivan, IN .................................. 0.8628

Switzerland, IN ............................ 0.8628

Union, IN ..................................... 0.8628

Wabash, IN ................................. 0.8628

Warren, IN ................................... 0.8628

Washington, IN ............................ 0.8628

Wayne, IN ................................... 0.8628

White, IN ..................................... 0.8628

Iowa:

Adair, IA ...................................... 0.8116

Adams, IA .................................... 0.8116

Allamakee, IA .............................. 0.8116

Appanoose, IA ............................. 0.8116

Audubon, IA ................................ 0.8116

Benton, IA ................................... 0.8116

Boone, IA .................................... 0.8116

Bremer, IA ................................... 0.8733

Buchanan, IA ............................... 0.8116

Buena Vista, IA ........................... 0.8116

Butler, IA ..................................... 0.8116

Calhoun, IA ................................. 0.8116

Carroll, IA .................................... 0.8116

Cass, IA ....................................... 0.8116

Cedar, IA ..................................... 0.8116

Cerro Gordo, IA ........................... 0.8116

Cherokee, IA ............................... 0.8116

Chickasaw, IA ............................. 0.8116

Clarke, IA .................................... 0.8116

Clay, IA ........................................ 0.8116

Clayton, IA ................................... 0.8116

Clinton, IA .................................... 0.8116

Crawford, IA ................................ 0.8116

Davis, IA ...................................... 0.8116

Decatur, IA .................................. 0.8116

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Delaware, IA ................................ 0.8116

Des Moines, IA ............................ 0.8116

Dickinson, IA ............................... 0.8116

Emmet, IA ................................... 0.8116

Fayette, IA ................................... 0.8116

Floyd, IA ...................................... 0.8116

Franklin, IA .................................. 0.8116

Fremont, IA ................................. 0.8116

Greene, IA ................................... 0.8116

Grundy, IA ................................... 0.8116

Guthrie, IA ................................... 0.8116

Hamilton, IA ................................. 0.8116

Hancock, IA ................................. 0.8116

Hardin, IA .................................... 0.8116

Harrison, IA ................................. 0.8116

Henry, IA ..................................... 0.8116

Howard, IA .................................. 0.8116

Humboldt, IA ............................... 0.8116

Ida, IA .......................................... 0.8116

Iowa, IA ....................................... 0.8116

Jackson, IA .................................. 0.8116

Jasper, IA .................................... 0.8116

Jefferson, IA ................................ 0.8116

Jones, IA ..................................... 0.8116

Keokuk, IA ................................... 0.8116

Kossuth, IA .................................. 0.8116

Lee, IA ......................................... 0.8116

Louisa, IA .................................... 0.8116

Lucas, IA ..................................... 0.8116

Lyon, IA ....................................... 0.8116

Madison, IA ................................. 0.8116

Mahaska, IA ................................ 0.8116

Marion, IA .................................... 0.8116

Marshall, IA ................................. 0.8116

Mills, IA ........................................ 0.8116

Mitchell, IA ................................... 0.8116

Monona, IA .................................. 0.8116

Monroe, IA ................................... 0.8116

Montgomery, IA ........................... 0.8116

Muscatine, IA .............................. 0.8116

Obrien, IA .................................... 0.8116

Osceola, IA .................................. 0.8116

Page, IA ...................................... 0.8116

Palo Alto, IA ................................ 0.8116

Plymouth, IA ................................ 0.8116

Pocahontas, IA ............................ 0.8116

Poweshiek, IA ............................. 0.8116

Ringgold, IA ................................. 0.8116

Sac, IA ......................................... 0.8116

Shelby, IA .................................... 0.8116

Sioux, IA ...................................... 0.8116

Story, IA ...................................... 0.8116

Tama, IA ...................................... 0.8116

Taylor, IA ..................................... 0.8116

Union, IA ..................................... 0.8116

Van Buren, IA .............................. 0.8116

Wapello, IA .................................. 0.8116

Washington, IA ............................ 0.8116

Wayne, IA .................................... 0.8116

Webster, IA ................................. 0.8116

Winnebago, IA ............................. 0.8116

Winneshiek, IA ............................ 0.8116

Worth, IA ..................................... 0.8116

Wright, IA .................................... 0.8116

Kansas:

Allen, KS ..................................... 0.8090

Anderson, KS .............................. 0.8090

Atchison, KS ................................ 0.8090

Barber, KS ................................... 0.8090

Barton, KS ................................... 0.8090
Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations 42873

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Bourbon, KS ................................ 0.8090

Brown, KS ................................... 0.8090

Chase, KS ................................... 0.8090

Chautauqua, KS .......................... 0.8090

Cherokee, KS .............................. 0.8090

Cheyenne, KS ............................. 0.8090

Clark, KS ..................................... 0.8090

Clay, KS ...................................... 0.8090

Cloud, KS .................................... 0.8090

Coffey, KS ................................... 0.8090

Comanche, KS ............................ 0.8090

Cowley, KS .................................. 0.8090

Crawford, KS ............................... 0.8090

Decatur, KS ................................. 0.8090

Dickinson, KS .............................. 0.8090

Doniphan, KS .............................. 0.8090

Edwards, KS ............................... 0.8090

Elk, KS ........................................ 0.8090

Ellis, KS ....................................... 0.8090

Ellsworth, KS ............................... 0.8090

Finney, KS ................................... 0.8090

Ford, KS ...................................... 0.8090

Franklin, KS ................................. 0.8090

Geary, KS .................................... 0.8090

Gove, KS ..................................... 0.8090

Graham, KS ................................ 0.8090

Grant, KS .................................... 0.8090

Gray, KS ...................................... 0.8090

Greeley, KS ................................. 0.8090

Greenwood, KS ........................... 0.8090

Hamilton, KS ............................... 0.8090

Harper, KS .................................. 0.8090

Haskell, KS .................................. 0.8090

Hodgeman, KS ............................ 0.8090

Jackson, KS ................................ 0.8090

Jefferson, KS ............................... 0.8090

Jewell, KS ................................... 0.8090

Kearny, KS .................................. 0.8090

Kingman, KS ............................... 0.8090

Kiowa, KS .................................... 0.8090

Labette, KS ................................. 0.8090

Lane, KS ..................................... 0.8090

Lincoln, KS .................................. 0.8090

Linn, KS ....................................... 0.8090

Logan, KS ................................... 0.8090

Lyon, KS ...................................... 0.8090

McPherson, KS ........................... 0.8090

Marion, KS .................................. 0.8090

Marshall, KS ................................ 0.8090

Meade, KS .................................. 0.8090

Mitchell, KS ................................. 0.8090

Montgomery, KS ......................... 0.8090

Morris, KS ................................... 0.8090

Morton, KS .................................. 0.8090

Nemaha, KS ................................ 0.8090

Neosho, KS ................................. 0.8090

Ness, KS ..................................... 0.8090

Norton, KS ................................... 0.8090

Osage, KS ................................... 0.8090

Osborne, KS ................................ 0.8090

Ottawa, KS .................................. 0.8090

Pawnee, KS ................................ 0.8090

Phillips, KS .................................. 0.8090

Pottawatomie, KS ........................ 0.8090

Pratt, KS ...................................... 0.8090

Rawlins, KS ................................. 0.8090

Reno, KS ..................................... 0.8090

Republic, KS ............................... 0.8090

Rice, KS ...................................... 0.8090

Riley, KS ..................................... 0.8090

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Rooks, KS ................................... 0.8090

Rush, KS ..................................... 0.8090

Russell, KS .................................. 0.8090

Saline, KS ................................... 0.8090

Scott, KS ..................................... 0.8090

Seward, KS ................................. 0.8090

Sheridan, KS ............................... 0.8090

Sherman, KS ............................... 0.8090

Smith, KS .................................... 0.8090

Stafford, KS ................................. 0.8090

Stanton, KS ................................. 0.8090

Stevens, KS ................................ 0.8090

Sumner, KS ................................. 0.8090

Thomas, KS ................................ 0.8090

Trego, KS .................................... 0.8090

Wabaunsee, KS .......................... 0.8090

Wallace, KS ................................. 0.8090

Washington, KS .......................... 0.8090

Wichita, KS .................................. 0.8090

Wilson, KS ................................... 0.8090

Woodson, KS .............................. 0.8090

Kentucky:

Adair, KY ..................................... 0.8103

Allen, KY ..................................... 0.8103

Anderson, KY .............................. 0.8103

Ballard, KY .................................. 0.8103

Barren, KY ................................... 0.8103

Bath, KY ...................................... 0.8103

Bell, KY ....................................... 0.8103

Boyle, KY .................................... 0.8103

Bracken, KY ................................ 0.8103

Breathitt, KY ................................ 0.8103

Breckinridge, KY ......................... 0.8103

Butler, KY .................................... 0.8103

Caldwell, KY ................................ 0.8103

Calloway, KY ............................... 0.8103

Carlisle, KY ................................. 0.8103

Carroll, KY ................................... 0.8103

Casey, KY ................................... 0.8103

Clay, KY ...................................... 0.8103

Clinton, KY .................................. 0.8103

Crittenden, KY ............................. 0.8103

Cumberland, KY .......................... 0.8103

Edmonson, KY ............................ 0.8103

Elliott, KY ..................................... 0.8103

Estill, KY ...................................... 0.8103

Fleming, KY ................................. 0.8103

Floyd, KY ..................................... 0.8103

Franklin, KY ................................. 0.8103

Fulton, KY ................................... 0.8103

Garrard, KY ................................. 0.8103

Graves, KY .................................. 0.8103

Grayson, KY ................................ 0.8103

Green, KY ................................... 0.8103

Hancock, KY ............................... 0.8103

Hardin, KY ................................... 0.8103

Harlan, KY ................................... 0.8103

Harrison, KY ................................ 0.8103

Hart, KY ....................................... 0.8103

Henry, KY .................................... 0.8103

Hickman, KY ............................... 0.8103

Hopkins, KY ................................ 0.8103

Jackson, KY ................................ 0.8103

Johnson, KY ................................ 0.8103

Knott, KY ..................................... 0.8103

Knox, KY ..................................... 0.8103

Larue, KY .................................... 0.8103

Laurel, KY ................................... 0.8103

Lawrence, KY .............................. 0.8103

Lee, KY ....................................... 0.8103

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Leslie, KY .................................... 0.8103

Letcher, KY ................................. 0.8103

Lewis, KY .................................... 0.8103

Lincoln, KY .................................. 0.8103

Livingston, KY ............................. 0.8103

Logan, KY ................................... 0.8103

Lyon, KY ...................................... 0.8103

McCracken, KY ........................... 0.8103

McCreary, KY .............................. 0.8103

McLean, KY ................................. 0.8103

Magoffin, KY ................................ 0.8103

Marion, KY .................................. 0.8103

Marshall, KY ................................ 0.8103

Martin, KY ................................... 0.8103

Mason, KY ................................... 0.8103

Meade, KY .................................. 0.8103

Menifee, KY ................................. 0.8103

Mercer, KY .................................. 0.8103

Metcalfe, KY ................................ 0.8103

Monroe, KY ................................. 0.8103

Montgomery, KY ......................... 0.8103

Morgan, KY ................................. 0.8103

Muhlenberg, KY .......................... 0.8103

Nelson, KY .................................. 0.8103

Nicholas, KY ................................ 0.8103

Ohio, KY ...................................... 0.8103

Owen, KY .................................... 0.8103

Owsley, KY .................................. 0.8103

Perry, KY ..................................... 0.8103

Pike, KY ...................................... 0.8103

Powell, KY ................................... 0.8103

Pulaski, KY .................................. 0.8103

Robertson, KY ............................. 0.8103

Rockcastle, KY ............................ 0.8103

Rowan, KY .................................. 0.8103

Russell, KY .................................. 0.8103

Shelby, KY .................................. 0.9903

Simpson, KY ............................... 0.8103

Spencer, KY ................................ 0.8103

Taylor, KY ................................... 0.8103

Todd, KY ..................................... 0.8103

Trigg, KY ..................................... 0.8103

Trimble, KY ................................. 0.8103

Union, KY .................................... 0.8103

Warren, KY .................................. 0.8103

Washington, KY .......................... 0.8103

Wayne, KY .................................. 0.8103

Webster, KY ................................ 0.8103

Whitley, KY .................................. 0.8103

Wolfe, KY .................................... 0.8103

Louisiana:

Allen, LA ...................................... 0.8237

Assumption, LA ........................... 0.8237

Avoyelles, LA .............................. 0.8237

Beauregard, LA ........................... 0.8237

Bienville, LA ................................ 0.8237

Caldwell, LA ................................ 0.8237

Cameron, LA ............................... 0.8237

Catahoula, LA ............................. 0.8237

Claiborne, LA .............................. 0.8237

Concordia, LA ............................. 0.8237

De Soto, LA ................................. 0.8237

East Carroll, LA ........................... 0.8237

East Feliciana, LA ....................... 0.8237

Evangeline, LA ............................ 0.8237

Franklin, LA ................................. 0.8237

Grant, LA ..................................... 0.8237

Iberia, LA ..................................... 0.8237

Iberville, LA ................................. 0.8237

Jackson, LA ................................. 0.8237
42874 Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Jefferson Davis, LA ..................... 0.8237

La Salle, LA ................................. 0.8237

Lincoln, LA .................................. 0.8237

Madison, LA ................................ 0.8237

Morehouse, LA ............................ 0.8237

Natchitoches, LA ......................... 0.8237

Pointe Coupee, LA ...................... 0.8237

Red River, LA .............................. 0.8237

Richland, LA ................................ 0.8237

Sabine, LA ................................... 0.8237

St. Helena, LA ............................. 0.8237

St. Mary, LA ................................ 0.8237

Tangipahoa, LA ........................... 0.8237

Tensas, LA .................................. 0.8237

Union, LA .................................... 0.8237

Vermilion, LA ............................... 0.8237

Vernon, LA .................................. 0.8237

Washington, LA ........................... 0.8237

West Carroll, LA .......................... 0.8237

West Feliciana, LA ...................... 0.8237

Winn, LA ...................................... 0.8237

Maine:

Aroostook, ME ............................. 0.8731

Franklin, ME ................................ 0.8731

Hancock, ME ............................... 0.8731

Kennebec, ME ............................. 0.8731

Knox, ME ..................................... 0.8731

Lincoln, ME ................................. 0.8731

Oxford, ME .................................. 0.8731

Piscataquis, ME .......................... 0.8731

Somerset, ME ............................. 0.8731

Waldo, ME ................................... 0.8731

Washington, ME .......................... 0.8731

Maryland:

Caroline, MD ............................... 0.9206

Dorchester, MD ........................... 0.9206

Garrett, MD ................................. 0.9206

Kent, MD ..................................... 0.9206

St. Marys, MD ............................. 0.9206

Somerset, MD ............................. 0.9206

Talbot, MD ................................... 0.9206

Wicomico, MD ............................. 0.9206

Worcester, MD ............................ 0.9206

Massachusetts:

Dukes, MA ................................... 1.0272

Franklin, MA ................................ 1.0272

Nantucket, MA ............................. 1.0272

Michigan:

Alcona, MI ................................... 0.9452

Alger, MI ...................................... 0.9452

Alpena, MI ................................... 0.9452

Antrim, MI .................................... 0.9452

Arenac, MI ................................... 0.9452

Baraga, MI ................................... 0.9452

Barry, MI ...................................... 0.9452

Benzie, MI ................................... 0.9452

Branch, MI ................................... 0.9452

Cass, MI ...................................... 0.9452

Charlevoix, MI ............................. 0.9452

Cheboygan, MI ............................ 0.9452

Chippewa, MI .............................. 0.9452

Clare, MI ...................................... 0.9452

Crawford, MI ................................ 0.9452

Delta, MI ...................................... 0.9452

Dickinson, MI ............................... 0.9452

Emmet, MI ................................... 0.9452

Gladwin, MI ................................. 0.9452

Gogebic, MI ................................. 0.9452

Grand Traverse, MI ..................... 0.9452

Gratiot, MI ................................... 0.9452

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Hillsdale, MI ................................. 0.9452

Houghton, MI ............................... 0.9452

Huron, MI .................................... 0.9452

Ionia, MI ...................................... 0.9452

Iosco, MI ...................................... 0.9452

Iron, MI ........................................ 0.9452

Isabella, MI .................................. 0.9452

Kalkaska, MI ................................ 0.9452

Keweenaw, MI ............................. 0.9452

Lake, MI ...................................... 0.9452

Leelanau, MI ............................... 0.9452

Luce, MI ...................................... 0.9452

Mackinac, MI ............................... 0.9452

Manistee, MI ................................ 0.9452

Marquette, MI .............................. 0.9452

Mason, MI ................................... 0.9452

Mecosta, MI ................................. 0.9452

Menominee, MI ........................... 0.9452

Missaukee, MI ............................. 0.9452

Montcalm, MI ............................... 0.9452

Montmorency, MI ........................ 0.9452

Newaygo, MI ............................... 0.9452

Oceana, MI .................................. 0.9452

Ogemaw, MI ................................ 0.9452

Ontonagon, MI ............................ 0.9452

Osceola, MI ................................. 0.9452

Oscoda, MI .................................. 0.9452

Otsego, MI ................................... 0.9452

Presque Isle, MI .......................... 0.9452

Roscommon, MI .......................... 0.9452

St. Joseph, MI ............................. 0.9452

Sanilac, MI .................................. 0.9452

Schoolcraft, MI ............................ 0.9452

Shiawassee, MI ........................... 0.9452

Tuscola, MI .................................. 0.9452

Wexford, MI ................................. 0.9452

Minnesota:

Aitkin, MN .................................... 0.8616

Becker, MN ................................. 0.8616

Beltrami, MN ............................... 0.8616

Big Stone, MN ............................. 0.8616

Blue Earth, MN ............................ 0.8616

Brown, MN .................................. 0.8616

Carlton, MN ................................. 0.8616

Cass, MN .................................... 0.8616

Chippewa, MN ............................. 0.8616

Clearwater, MN ........................... 0.8616

Cook, MN .................................... 0.8616

Cottonwood, MN ......................... 0.8616

Crow Wing, MN ........................... 0.8616

Dodge, MN .................................. 0.8616

Douglas, MN ............................... 0.8616

Faribault, MN ............................... 0.8616

Fillmore, MN ................................ 0.8616

Freeborn, MN .............................. 0.8616

Goodhue, MN .............................. 0.8616

Grant, MN .................................... 0.8616

Hubbard, MN ............................... 0.8616

Itasca, MN ................................... 0.8616

Jackson, MN ............................... 0.8616

Kanabec, MN .............................. 0.8616

Kandiyohi, MN ............................. 0.8616

Kittson, MN .................................. 0.8616

Koochiching, MN ......................... 0.8616

Lac Qui Parle, MN ...................... 0.8616

Lake, MN ..................................... 0.8616

Lake of Woods, MN .................... 0.8616

Le Sueur, MN .............................. 0.8616

Lincoln, MN ................................. 0.8616

Lyon, MN ..................................... 0.8616

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Mc Leod, MN ............................... 0.8616

Mahnomen, MN ........................... 0.8616

Marshall, MN ............................... 0.8616

Martin, MN ................................... 0.8616

Meeker, MN ................................. 0.8616

Mille Lacs, MN ............................ 0.8616

Morrison, MN ............................... 0.8616

Mower, MN .................................. 0.8616

Murray, MN ................................. 0.8616

Nicollet, MN ................................. 0.8616

Nobles, MN ................................. 0.8616

Norman, MN ................................ 0.8616

Otter Tail, MN .............................. 0.8616

Pennington, MN .......................... 0.8616

Pine, MN ..................................... 0.8616

Pipestone, MN ............................. 0.8616

Pope, MN .................................... 0.8616

Red Lake, MN ............................. 0.8616

Redwood, MN ............................. 0.8616

Renville, MN ................................ 0.8616

Rice, MN ..................................... 0.8616

Rock, MN .................................... 0.8616

Roseau, MN ................................ 0.8616

Sibley, MN ................................... 0.8616

Steele, MN .................................. 0.8616

Stevens, MN ................................ 0.8616

Swift, MN ..................................... 0.8616

Todd, MN .................................... 0.8616

Traverse, MN .............................. 0.8616

Wabasha, MN ............................. 0.8616

Wadena, MN ............................... 0.8616

Waseca, MN ................................ 0.8616

Watonwan, MN ............................ 0.8616

Wilkin, MN ................................... 0.8616

Winona, MN ................................ 0.8616

Yellow Medicine, MN .................. 0.8616

Mississippi:

Adams, MS .................................. 0.7951

Alcorn, MS ................................... 0.7951

Amite, MS .................................... 0.7951

Attala, MS .................................... 0.7951

Benton, MS ................................. 0.7951

Bolivar, MS .................................. 0.7951

Calhoun, MS ............................... 0.7951

Carroll, MS .................................. 0.7951

Chickasaw, MS ........................... 0.7951

Choctaw, MS ............................... 0.7951

Claiborne, MS ............................. 0.7951

Clarke, MS .................................. 0.7951

Clay, MS ...................................... 0.7951

Coahoma, MS ............................. 0.7951

Copiah, MS ................................. 0.7951

Covington, MS ............................. 0.7951

Franklin, MS ................................ 0.7951

George, MS ................................. 0.7951

Greene, MS ................................. 0.7951

Grenada, MS ............................... 0.7951

Holmes, MS ................................. 0.7951

Humphreys, MS .......................... 0.7951

Issaquena, MS ............................ 0.7951

Itawamba, MS ............................. 0.7951

Jasper, MS .................................. 0.7951

Jefferson, MS .............................. 0.7951

Jefferson Davis, MS .................... 0.7951

Jones, MS ................................... 0.7951

Kemper, MS ................................ 0.7951

Lafayette, MS .............................. 0.7951

Lauderdale, MS ........................... 0.7951

Lawrence, MS ............................. 0.7951

Leake, MS ................................... 0.7951
Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations 42875

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Lee, MS ....................................... 0.7951

Leflore, MS .................................. 0.7951

Lincoln, MS ................................. 0.7951

Lowndes, MS .............................. 0.7951

Marion, MS .................................. 0.7951

Marshall, MS ............................... 0.7951

Monroe, MS ................................. 0.7951

Montgomery, MS ......................... 0.7951

Neshoba, MS .............................. 0.7951

Newton, MS ................................. 0.7951

Noxubee, MS .............................. 0.7951

Oktibbeha, MS ............................ 0.7951

Panola, MS .................................. 0.7951

Pearl River, MS ........................... 0.7951

Perry, MS .................................... 0.7951

Pike, MS ...................................... 0.7951

Pontotoc, MS, .............................. 0.7951

Prentiss, MS ................................ 0.7951

Quitman, MS ............................... 0.7951

Scott, MS ..................................... 0.7951

Sharkey, MS ................................ 0.7951

Simpson, MS ............................... 0.7951

Smith, MS .................................... 0.7951

Stone, MS ................................... 0.7951

Sunflower, MS ............................. 0.7951

Tallahatchie, MS ......................... 0.7951

Tate, MS ...................................... 0.7951

Tippah, MS .................................. 0.7951

Tishomingo, MS .......................... 0.7951

Tunica, MS .................................. 0.7951

Union, MS ................................... 0.7951

Walthall, MS ................................ 0.7951

Warren, MS ................................. 0.7951

Washington, MS .......................... 0.7951

Wayne, MS .................................. 0.7951

Webster, MS ............................... 0.7951

Wilkinson, MS ............................. 0.7951

Winston, MS ................................ 0.7951

Yalobusha, MS ............................ 0.7951

Yazoo, MS ................................... 0.7951

Missouri:

Adair, MO .................................... 0.8198

Atchison, MO ............................... 0.8198

Audrain, MO ................................ 0.8198

Barry, MO .................................... 0.8198

Barton, MO. ................................. 0.8198

Bates, MO ................................... 0.8198

Benton, MO ................................. 0.8198

Bollinger, MO .............................. 0.8198

Butler, MO ................................... 0.8198

Caldwell, MO ............................... 0.8198

Callaway, MO .............................. 0.8198

Camden, MO ............................... 0.8198

Cape Girardeau, MO ................... 0.8198

Carroll, MO .................................. 0.8198

Carter, MO .................................. 0.8198

Cedar, MO ................................... 0.8198

Chariton, MO ............................... 0.8198

Clark, MO .................................... 0.8198

Cole, MO ..................................... 0.8198

Cooper, MO ................................. 0.8198

Crawford, MO .............................. 0.8198

Dade, MO .................................... 0.8198

Dallas, MO .................................. 0.8198

Daviess, MO ................................ 0.8198

De Kalb, MO ............................... 0.8198

Dent, MO ..................................... 0.8198

Douglas, MO ............................... 0.8198

Dunklin, MO ................................ 0.8198

Gasconade, MO .......................... 0.8198

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Gentry, MO .................................. 0.8198

Grundy, MO ................................. 0.8198

Harrison, MO ............................... 0.8198

Henry, MO ................................... 0.8198

Hickory, MO ................................ 0.8198

Holt, MO ...................................... 0.8198

Howard, MO ................................ 0.8198

Howell, MO .................................. 0.8198

Iron, MO ...................................... 0.8198

Johnson, MO ............................... 0.8198

Knox, MO .................................... 0.8198

Laclede, MO ................................ 0.8198

Lawrence, MO ............................. 0.8198

Lewis, MO ................................... 0.8198

Linn, MO ...................................... 0.8198

Livingston, MO ............................ 0.8198

McDonald, MO ............................ 0.8198

Macon, MO .................................. 0.8198

Madison, MO ............................... 0.8198

Maries, MO .................................. 0.8198

Marion, MO ................................. 0.8198

Mercer, MO ................................. 0.8198

Miller, MO .................................... 0.8198

Mississippi, MO ........................... 0.8198

Moniteau, MO .............................. 0.8198

Monroe, MO ................................ 0.8198

Montgomery, MO ........................ 0.8198

Morgan, MO ................................ 0.8198

New Madrid, MO ......................... 0.8198

Nodaway, MO ............................. 0.8198

Oregon, MO ................................ 0.8198

Osage, MO .................................. 0.8198

Ozark, MO ................................... 0.8198

Pemiscot, MO .............................. 0.8198

Perry, MO .................................... 0.8198

Pettis, MO ................................... 0.8198

Phelps, MO ................................. 0.8198

Pike, MO ..................................... 0.8198

Polk, MO ..................................... 0.8198

Pulaski, MO ................................. 0.8198

Putnam, MO ................................ 0.8198

Ralls, MO .................................... 0.8198

Randolph, MO ............................. 0.8198

Reynolds, MO ............................. 0.8198

Ripley, MO .................................. 0.8198

St. Clair, MO ............................... 0.8198

St. Genevieve, MO ...................... 0.8198

St. Francois, MO ......................... 0.8198

Saline, MO .................................. 0.8198

Schuyler, MO .............................. 0.8198

Scotland, MO .............................. 0.8198

Scott, MO .................................... 0.8198

Shannon, MO .............................. 0.8198

Shelby, MO ................................. 0.8198

Stoddard, MO .............................. 0.8198

Stone, MO ................................... 0.8198

Sullivan, MO ................................ 0.8198

Taney, MO .................................. 0.8198

Texas, MO ................................... 0.8198

Vernon, MO ................................. 0.8198

Washington, MO ......................... 0.8198

Wayne, MO ................................. 0.8198

Worth, MO ................................... 0.8198

Wright, MO .................................. 0.8198

Montana:

Beaverhead, MT .......................... 0.8687

Big Horn, MT ............................... 0.8687

Blaine, MT ................................... 0.8687

Broadwater, MT ........................... 0.8687

Carbon, MT ................................. 0.8687

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Carter, MT ................................... 0.8687

Chouteau, MT ............................. 0.8687

Custer, MT .................................. 0.8687

Daniels, MT ................................. 0.8687

Dawson, MT ................................ 0.8687

Deer Lodge, MT .......................... 0.8687

Fallon, MT ................................... 0.8687

Fergus, MT .................................. 0.8687

Flathead, MT ............................... 0.8687

Gallatin, MT ................................. 0.8687

Garfield, MT ................................ 0.8687

Glacier, MT .................................. 0.8687

Golden Valley, MT ...................... 0.8687

Granite, MT ................................. 0.8687

Hill, MT ........................................ 0.8687

Jefferson, MT .............................. 0.8687

Judith Basin, MT ......................... 0.8687

Lake, MT ..................................... 0.8687

Lewis and Clark, MT ................... 0.8687

Liberty, MT .................................. 0.8687

Lincoln, MT .................................. 0.8687

Mccone, MT ................................ 0.8687

Madison, MT ............................... 0.8687

Meagher, MT ............................... 0.8687

Mineral, MT ................................. 0.8687

Missoula, MT ............................... 0.8687

Musselshell, MT .......................... 0.8687

Park, MT ...................................... 0.8687

Petroleum, MT ............................. 0.8687

Phillips, MT .................................. 0.8687

Pondera, MT ............................... 0.8687

Powder River, MT ....................... 0.8687

Powell, MT .................................. 0.8687

Prairie, MT ................................... 0.8687

Ravalli, MT .................................. 0.8687

Richland, MT ............................... 0.8687

Roosevelt, MT ............................. 0.8687

Rosebud, MT ............................... 0.8687

Sanders, MT ................................ 0.8687

Sheridan, MT ............................... 0.8687

Silver bow, MT ............................ 0.8687

Stillwater, MT .............................. 0.8687

Sweet Grass, MT ........................ 0.8687

Teton, MT .................................... 0.8687

Toole, MT .................................... 0.8687

Treasure, MT ............................... 0.8687

Valley, MT ................................... 0.8687

Wheatland, MT ............................ 0.8687

Wibaux, MT ................................. 0.8687

Yellowstone Natl Park, MT ......... 0.8687

Nebraska:

Adams, NE .................................. 0.8000

Antelope, NE ............................... 0.8000

Arthur, NE ................................... 0.8000

Banner, NE .................................. 0.8000

Blaine, NE ................................... 0.8000

Boone, NE ................................... 0.8000

Box Butte, NE ............................. 0.8000

Boyd, NE ..................................... 0.8000

Brown, NE ................................... 0.8000

Buffalo, NE .................................. 0.8000

Burt, NE ....................................... 0.8000

Butler, NE .................................... 0.8000

Cedar, NE ................................... 0.8000

Chase, NE ................................... 0.8000

Cherry, NE .................................. 0.8000

Cheyenne, NE ............................. 0.8000

Clay, NE ...................................... 0.8000

Colfax, NE ................................... 0.8000

Cuming, NE ................................. 0.8000
42876 Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Custer, NE ................................... 0.8000

Dawes, NE .................................. 0.8000

Dawson, NE ................................ 0.8000

Deuel, NE .................................... 0.8000

Dixon, NE .................................... 0.8000

Dodge, NE ................................... 0.8000

Dundy, NE ................................... 0.8000

Fillmore, NE ................................ 0.8000

Franklin, NE ................................ 0.8000

Frontier, NE, ................................ 0.8000

Furnas, NE .................................. 0.8000

Gage, NE .................................... 0.8000

Garden, NE ................................. 0.8000

Garfield, NE ................................. 0.8000

Gosper, NE ................................. 0.8000

Grant, NE .................................... 0.8000

Greeley, NE ................................. 0.8000

Hall, NE ....................................... 0.8000

Hamilton, NE ............................... 0.8000

Harlan, NE ................................... 0.8000

Hayes, NE ................................... 0.8000

Hitchcock, NE .............................. 0.8000

Holt, NE ....................................... 0.8000

Hooker, NE .................................. 0.8000

Howard, NE ................................. 0.8000

Jefferson, NE .............................. 0.8000

Johnson, NE ................................ 0.8000

Kearney, NE ................................ 0.8000

Keith, NE ..................................... 0.8000

Keya Paha, NE ........................... 0.8000

Kimball, NE ................................. 0.8000

Knox, NE ..................................... 0.8000

Lincoln, NE .................................. 0.8000

Logan, NE ................................... 0.8000

Loup, NE ..................................... 0.8000

Mc Pherson, NE .......................... 0.8000

Madison, NE ................................ 0.8000

Merrick, NE ................................. 0.8000

Morrill, NE ................................... 0.8000

Nance, NE ................................... 0.8000

Nemaha, NE ................................ 0.8000

Nuckolls, NE ................................ 0.8000

Otoe, NE ..................................... 0.8000

Pawnee, NE ................................ 0.8000

Perkins, NE ................................. 0.8000

Phelps, NE .................................. 0.8000

Pierce, NE ................................... 0.8000

Platte, NE .................................... 0.8000

Polk, NE ...................................... 0.8000

Red Willow, NE ........................... 0.8000

Richardson, NE ........................... 0.8000

Rock, NE ..................................... 0.8000

Saline, NE ................................... 0.8000

Saunders, NE .............................. 0.8000

Scott Bluff, NE ............................. 0.8000

Seward, NE ................................. 0.8000

Sheridan, NE ............................... 0.8000

Sherman, NE ............................... 0.8000

Sioux, NE .................................... 0.8000

Stanton, NE ................................. 0.8000

Thayer, NE .................................. 0.8000

Thomas, NE ................................ 0.8000

Thurston, NE ............................... 0.8000

Valley, NE ................................... 0.8000

Wayne, NE .................................. 0.8000

Webster, NE ................................ 0.8000

Wheeler, NE ................................ 0.8000

York, NE ...................................... 0.8000

Nevada:

Churchill, NV ............................... 0.9912

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Douglas, NV ................................ 0.9912

Elko, NV ...................................... 0.9912

Esmeralda, NV ............................ 0.9912

Eureka, NV .................................. 0.9912

Humboldt, NV .............................. 0.9912

Lander, NV .................................. 0.9912

Lincoln, NV .................................. 0.9912

Lyon, NV ..................................... 0.9912

Mineral, NV ................................. 0.9912

Pershing, NV ............................... 0.9912

Storey, NV ................................... 0.9912

White Pine, NV ............................ 0.9912

Carson City, NV .......................... 0.9912

New Hampshire:

Belknap, NH ................................ 1.0337

Carroll, NH .................................. 1.0337

Cheshire, NH ............................... 1.0337

Coos, NH ..................................... 1.0337

Grafton, NH ................................. 1.0337

Sullivan, NH ................................ 1.0337

New Mexico:

Catron, NM .................................. 0.9046

Chaves, NM ................................ 0.9046

Cibola, NM .................................. 0.9046

Colfax, NM .................................. 0.9046

Curry, NM .................................... 0.9046

De Baca, NM ............................... 0.9046

Eddy, NM .................................... 0.9046

Grant, NM .................................... 0.9046

Guadalupe, NM ........................... 0.9046

Harding, NM ................................ 0.9046

Hidalgo, NM ................................ 0.9046

Lea, NM ....................................... 0.9046

Lincoln, NM ................................. 0.9046

Luna, NM ..................................... 0.9046

Mckinley, NM ............................... 0.9046

Mora, NM .................................... 0.9046

Otero, NM .................................... 0.9046

Quay, NM .................................... 0.9046

Rio Arriba, NM ............................ 0.9046

Roosevelt, NM ............................. 0.9046

San Juan, NM ............................. 0.9046

San Miguel, NM .......................... 0.9046

Sierra, NM ................................... 0.9046

Socorro, NM ................................ 0.9046

Taos, NM ..................................... 0.9046

Torrance, NM .............................. 0.9046

Union, NM ................................... 0.9046

New York:

Allegany, NY ............................... 0.8843

Cattaraugus, NY .......................... 0.8843

Chenango, NY ............................. 0.8843

Clinton, NY .................................. 0.8843

Columbia, NY .............................. 0.8843

Cortland, NY ................................ 0.8843

Delaware, NY .............................. 0.8843

Essex, NY ................................... 0.8843

Franklin, NY ................................ 0.8843

Fulton, NY ................................... 0.8843

Greene, NY ................................. 0.8985

Hamilton, NY ............................... 0.8843

Jefferson, NY .............................. 0.8843

Lewis, NY .................................... 0.8843

Otsego, NY .................................. 0.8843

St. Lawrence, NY ........................ 0.8843

Schuyler, NY ............................... 0.8843

Seneca, NY ................................. 0.8843

Steuben, NY ................................ 0.8843

Sullivan, NY ................................. 0.8843

Tompkins, NY .............................. 0.8843

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Ulster, NY .................................... 0.8843

Wyoming, NY .............................. 0.8843

Yates, NY .................................... 0.8843

North Carolina:

Alleghany, NC ............................. 0.8491

Anson, NC ................................... 0.8491

Ashe, NC ..................................... 0.8491

Avery, NC .................................... 0.8491

Beaufort, NC ............................... 0.8491

Bertie, NC .................................... 0.8491

Bladen, NC .................................. 0.8491

Camden, NC ............................... 0.8491

Carteret, NC ................................ 0.8491

Caswell, NC ................................ 0.8491

Cherokee, NC ............................. 0.8491

Chowan, NC ................................ 0.8491

Clay, NC ...................................... 0.8491

Cleveland, NC ............................. 0.8491

Columbus, NC ............................. 0.8491

Craven, NC ................................. 0.8491

Dare, NC ..................................... 0.8491

Duplin, NC ................................... 0.8491

Gates, NC ................................... 0.8491

Graham, NC ................................ 0.8491

Granville, NC ............................... 0.8491

Greene, NC ................................. 0.8491

Halifax, NC .................................. 0.8491

Harnett, NC ................................. 0.8491

Haywood, NC .............................. 0.8491

Henderson, NC ........................... 0.8491

Hertford, NC ................................ 0.8491

Hoke, NC ..................................... 0.8491

Hyde, NC ..................................... 0.8491

Iredell, NC ................................... 0.8491

Jackson, NC ................................ 0.8491

Jones, NC ................................... 0.8491

Lee, NC ....................................... 0.8491

Lenoir, NC ................................... 0.8491

McDowell, NC ............................. 0.8491

Macon, NC .................................. 0.8491

Martin, NC ................................... 0.8491

Mitchell, NC ................................. 0.8491

Montgomery, NC ......................... 0.8491

Moore, NC ................................... 0.8491

Northampton, NC ........................ 0.8491

Pamlico, NC ................................ 0.8491

Pasquotank, NC .......................... 0.8491

Pender, NC ................................. 0.8491

Perquimans, NC .......................... 0.8491

Person, NC .................................. 0.8491

Polk, NC ...................................... 0.8491

Richmond, NC ............................. 0.8491

Robeson, NC ............................... 0.8491

Rockingham, NC ......................... 0.8491

Rutherford, NC ............................ 0.8491

Sampson, NC .............................. 0.8491

Scotland, NC ............................... 0.8491

Stanly, NC ................................... 0.8491

Surry, NC .................................... 0.8491

Swain, NC ................................... 0.8491

Transylvania, NC ......................... 0.8491

Tyrrell, NC ................................... 0.8491

Vance, NC ................................... 0.8491

Warren, NC ................................. 0.8491

Washington, NC .......................... 0.8491

Watauga, NC ............................... 0.8491

Wilkes, NC .................................. 0.8491

Wilson, NC .................................. 0.8491

Yancey, NC ................................. 0.8491

North Dakota:
Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations 42877

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Adams, ND .................................. 0.8217

Barnes, ND .................................. 0.8217

Benson, ND ................................. 0.8217

Billings, ND .................................. 0.8217

Bottineau, ND .............................. 0.8217

Bowman, ND ............................... 0.8217

Burke, ND .................................... 0.8217

Cavalier, ND ................................ 0.8217

Dickey, ND .................................. 0.8217

Divide, ND ................................... 0.8217

Dunn, ND .................................... 0.8217

Eddy, ND ..................................... 0.8217

Emmons, ND ............................... 0.8217

Foster, ND ................................... 0.8217

Golden Valley, ND ...................... 0.8217

Grant, ND .................................... 0.8217

Griggs, ND .................................. 0.8217

Hettinger, ND .............................. 0.8217

Kidder, ND ................................... 0.8217

La Moure, ND .............................. 0.8217

Logan, ND ................................... 0.8217

McHenry, ND ............................... 0.8217

McIntosh, ND .............................. 0.8217

McKenzie, ND ............................. 0.8217

McLean, ND ................................ 0.8217

Mercer, ND .................................. 0.8217

Mountrail, ND .............................. 0.8217

Nelson, ND .................................. 0.8217

Oliver, ND .................................... 0.8217

Pembina, ND ............................... 0.8217

Pierce, ND ................................... 0.8217

Ramsey, ND ................................ 0.8217

Ransom, ND ................................ 0.8217

Renville, ND ................................ 0.8217

Richland, ND ............................... 0.8217

Rolette, ND .................................. 0.8217

Sargent, ND ................................ 0.8217

Sheridan, ND ............................... 0.8217

Sioux, ND .................................... 0.8217

Slope, ND .................................... 0.8217

Stark, ND ..................................... 0.8217

Steele, ND ................................... 0.8217

Stutsman, ND .............................. 0.8217

Towner, ND ................................. 0.8217

Traill, ND ..................................... 0.8217

Walsh, ND ................................... 0.8217

Ward, ND .................................... 0.8217

Wells, ND .................................... 0.8217

Williams, ND ................................ 0.8217

Ohio:

Adams, OH .................................. 0.9058

Ashland, OH ................................ 0.9058

Athens, OH .................................. 0.9058

Champaign, OH .......................... 0.9058

Clinton, OH .................................. 0.9058

Coshocton, OH ............................ 0.9058

Darke, OH ................................... 0.9058

Defiance, OH ............................... 0.9058

Erie, OH ...................................... 0.9058

Fayette, OH ................................. 0.9058

Gallia, OH .................................... 0.9058

Guernsey, OH ............................. 0.9058

Hancock, OH ............................... 0.9058

Hardin, OH .................................. 0.9058

Harrison, OH ............................... 0.9058

Henry, OH ................................... 0.9058

Highland, OH ............................... 0.9058

Hocking, OH ................................ 0.9058

Holmes, OH ................................. 0.9058

Huron, OH ................................... 0.9058

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Jackson, OH ................................ 0.9058

Knox, OH ..................................... 0.9058

Logan, OH ................................... 0.9058

Marion, OH .................................. 0.9058

Meigs, OH ................................... 0.9058

Mercer, OH .................................. 0.9058

Monroe, OH ................................. 0.9058

Morgan, OH ................................. 0.9058

Morrow, OH ................................. 0.9058

Muskingum, OH .......................... 0.9058

Noble, OH ................................... 0.9058

Ottawa, OH ................................. 0.9058

Paulding, OH ............................... 0.9058

Perry, OH .................................... 0.9058

Pike, OH ...................................... 0.9058

Preble, OH .................................. 0.9058

Putnam, OH ................................ 0.9058

Ross, OH ..................................... 0.9058

Sandusky, OH ............................. 0.9058

Scioto, OH ................................... 0.9058

Seneca, OH ................................. 0.9058

Shelby, OH .................................. 0.9058

Tuscarawas, OH ......................... 0.9058

Union, OH ................................... 0.9928

Van Wert, OH .............................. 0.9058

Vinton, OH ................................... 0.9058

Wayne, OH .................................. 0.9058

Williams, OH ............................... 0.9058

Wyandot, OH ............................... 0.9058

Oklahoma:

Adair, OK ..................................... 0.8389

Alfalfa, OK ................................... 0.8389

Atoka, OK .................................... 0.8389

Beaver, OK .................................. 0.8389

Beckham, OK .............................. 0.8389

Blaine, OK ................................... 0.8389

Bryan, OK .................................... 0.8389

Caddo, OK .................................. 0.8389

Carter, OK ................................... 0.8389

Cherokee, OK ............................. 0.8389

Choctaw, OK ............................... 0.8389

Cimarron, OK .............................. 0.8389

Coal, OK ...................................... 0.8389

Cotton, OK .................................. 0.8389

Craig, OK .................................... 0.8389

Custer, OK .................................. 0.8389

Delaware, OK .............................. 0.8389

Dewey, OK .................................. 0.8389

Ellis, OK ...................................... 0.8389

Garvin, OK .................................. 0.8389

Grady, OK ................................... 0.8389

Grant, OK .................................... 0.8389

Greer, OK .................................... 0.8389

Harmon, OK ................................ 0.8389

Harper, OK .................................. 0.8389

Haskell, OK ................................. 0.8389

Hughes, OK ................................. 0.8389

Jackson, OK ................................ 0.8389

Jefferson, OK .............................. 0.8389

Johnston, OK .............................. 0.8389

Kay, OK ....................................... 0.8389

Kingfisher, OK ............................. 0.8389

Kiowa, OK ................................... 0.8389

Latimer, OK ................................. 0.8389

Le Flore, OK ................................ 0.8389

Lincoln, OK .................................. 0.8389

Love, OK ..................................... 0.8389

Mccurtain, OK ............................. 0.8389

Mcintosh, OK ............................... 0.8389

Major, OK .................................... 0.8389

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Marshall, OK ............................... 0.8389

Mayes, OK .................................. 0.8389

Murray, OK .................................. 0.8389

Muskogee, OK ............................ 0.8389

Noble, OK .................................... 0.8389

Nowata, OK ................................. 0.8389

Okfuskee, OK .............................. 0.8389

Okmulgee, OK ............................. 0.8389

Ottawa, OK .................................. 0.8389

Pawnee, OK ................................ 0.8389

Payne, OK ................................... 0.8389

Pittsburg, OK ............................... 0.8389

Pontotoc, OK ............................... 0.8389

Pushmataha, OK ......................... 0.8389

Roger Mills, OK ........................... 0.8389

Seminole, OK .............................. 0.8389

Stephens, OK .............................. 0.8389

Texas, OK ................................... 0.8389

Tillman, OK ................................. 0.8389

Washington, OK .......................... 0.8389

Washita, OK ................................ 0.8389

Woods, OK .................................. 0.8389

Woodward, OK ............................ 0.8389

Oregon:

Baker, OR ................................... 0.9795

Benton, OR ................................. 0.9795

Clatsop, OR ................................. 0.9795

Coos, OR .................................... 0.9795

Crook, OR ................................... 0.9795

Curry, OR .................................... 0.9795

Deschutes, OR ............................ 0.9795

Douglas, OR ................................ 0.9795

Gilliam, OR .................................. 0.9795

Grant, OR .................................... 0.9795

Harney, OR ................................. 0.9795

Hood River, OR ........................... 0.9795

Jefferson, OR .............................. 0.9795

Josephine, OR ............................ 0.9795

Klamath, OR ................................ 0.9795

Lake, OR ..................................... 0.9795

Lincoln, OR ................................. 0.9795

Linn, OR ...................................... 0.9795

Malheur, OR ................................ 0.9795

Morrow, OR ................................. 0.9795

Sherman, OR .............................. 0.9795

Tillamook, OR ............................. 0.9795

Umatilla, OR ................................ 0.9795

Union, OR ................................... 0.9795

Wallowa, OR ............................... 0.9795

Wasco, OR .................................. 0.9795

Wheeler, OR ............................... 0.9795

Pennsylvania:

Adams, PA .................................. 0.9890

Armstrong, PA ............................. 0.9905

Bedford, PA ................................. 0.9905

Bradford, PA ................................ 0.9905

Cameron, PA ............................... 0.9905

Clarion, PA .................................. 0.9905

Clearfield, PA .............................. 0.9905

Clinton, PA .................................. 0.9905

Crawford, PA ............................... 0.9905

Elk, PA ........................................ 0.9905

Forest, PA ................................... 0.9905

Franklin, PA ................................. 0.9905

Fulton, PA ................................... 0.9905

Greene, PA ................................. 0.9905

Huntingdon, PA ........................... 0.9905

Indiana, PA .................................. 0.9905

Jefferson, PA ............................... 0.9905

Juniata, PA .................................. 0.9905
42878 Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Lawrence, PA .............................. 0.9905

McKean, PA ................................ 0.9905

Mifflin, PA .................................... 0.9905

Monroe, PA ................................. 0.9519

Montour, PA ................................ 0.9905

Northumberland, PA .................... 0.9905

Potter, PA .................................... 0.9905

Schuylkill, PA .............................. 0.9905

Snyder, PA .................................. 0.9905

Sullivan, PA ................................. 0.9905

Tioga, PA .................................... 0.9905

Susquehanna, PA ....................... 0.9905

Union, PA .................................... 0.9905

Venango, PA ............................... 0.9905

Warren, PA .................................. 0.9905

Wayne, PA .................................. 0.9905

Puerto Rico:

Adjuntas, PR ............................... 0.6877

Aibonito, PR ................................ 0.6877

Arroyo, PR ................................... 0.6877

Barranquitas, PR ......................... 0.6877

Ciales, PR ................................... 0.6877

Coamo, PR .................................. 0.6877

Culebra, PR ................................. 0.6877

Guanica, PR ................................ 0.6877

Guayama, PR .............................. 0.6877

Isabela, PR .................................. 0.6877

Jayuya, PR .................................. 0.6877

Lajas, PR ..................................... 0.6877

Lares, PR .................................... 0.6877

Las Marias, PR ........................... 0.6877

Maricao, PR ................................ 0.6877

Maunabo, PR .............................. 0.6877

Orocovis, PR ............................... 0.6877

Patillas, PR .................................. 0.6877

Quebradillas, PR ......................... 0.6877

Rincon, PR .................................. 0.6877

Salinas, PR ................................. 0.6877

San Sebastian, PR ...................... 0.6877

Santa Isabel, PR ......................... 0.6877

Utuado, PR .................................. 0.6877

Vieques, PR ................................ 0.6877

Puerto Rico, Nfd, PR .................. 0.6877

South Carolina:

Abbeville, SC ............................... 0.8058

Allendale, SC .............................. 0.8058

Bamberg, SC ............................... 0.8058

Barnwell, SC ............................... 0.8058

Beaufort, SC ................................ 0.8058

Calhoun, SC ................................ 0.8058

Chester, SC ................................. 0.8058

Chesterfield, SC .......................... 0.8058

Clarendon, SC ............................. 0.8058

Colleton, SC ................................ 0.8058

Darlington, SC ............................. 0.8058

Dillon, SC .................................... 0.8058

Fairfield, SC ................................ 0.8058

Georgetown, SC .......................... 0.8058

Greenwood, SC ........................... 0.8058

Hampton, SC ............................... 0.8058

Jasper, SC .................................. 0.8058

Kershaw, SC ............................... 0.8058

Lancaster, SC ............................. 0.8058

Laurens, SC ................................ 0.8058

Lee, SC ....................................... 0.8058

Mccormick, SC ............................ 0.8058

Marion, SC .................................. 0.8058

Marlboro, SC ............................... 0.8058

Newberry, SC .............................. 0.8058

Oconee, SC ................................. 0.8058

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Orangeburg, SC .......................... 0.8058

Saluda, SC .................................. 0.8058

Union, SC .................................... 0.8058

Williamsburg, SC ......................... 0.8058

South Dakota:

Aurora, SD .................................. 0.8000

Beadle, SD .................................. 0.8000

Bennett, SD ................................. 0.8000

Bon Homme, SD ......................... 0.8000

Brookings, SD ............................. 0.8000

Brown, SD ................................... 0.8000

Brule, SD ..................................... 0.8000

Buffalo, SD .................................. 0.8000

Butte, SD ..................................... 0.8000

Campbell, SD .............................. 0.8000

Charles Mix, SD .......................... 0.8000

Clark, SD ..................................... 0.8000

Clay, SD ...................................... 0.8000

Codington, SD ............................. 0.8000

Corson, SD .................................. 0.8000

Custer, SD ................................... 0.8000

Davison, SD ................................ 0.8000

Day, SD ....................................... 0.8000

Deuel, SD .................................... 0.8000

Dewey, SD .................................. 0.8000

Douglas, SD ................................ 0.8000

Edmunds, SD .............................. 0.8000

Fall River, SD .............................. 0.8000

Faulk, SD .................................... 0.8000

Grant, SD .................................... 0.8000

Gregory, SD ................................ 0.8000

Haakon, SD ................................. 0.8000

Hamlin, SD .................................. 0.8000

Hand, SD ..................................... 0.8000

Hanson, SD ................................. 0.8000

Harding, SD ................................. 0.8000

Hughes, SD ................................. 0.8000

Hutchinson, SD ........................... 0.8000

Hyde, SD ..................................... 0.8000

Jackson, SD ................................ 0.8000

Jerauld, SD ................................. 0.8000

Jones, SD .................................... 0.8000

Kingsbury, SD ............................. 0.8000

Lake, SD ..................................... 0.8000

Lawrence, SD .............................. 0.8000

Lyman, SD .................................. 0.8000

McCook, SD ................................ 0.8000

McPherson, SD ........................... 0.8000

Marshall, SD ................................ 0.8000

Meade, SD .................................. 0.8000

Mellette, SD ................................. 0.8000

Miner, SD .................................... 0.8000

Moody, SD .................................. 0.8000

Perkins, SD ................................. 0.8000

Potter, SD .................................... 0.8000

Roberts, SD ................................. 0.8000

Sanborn, SD ................................ 0.8000

Shannon, SD ............................... 0.8000

Spink, SD .................................... 0.8000

Stanley, SD ................................. 0.8000

Sully, SD ..................................... 0.8000

Todd, SD ..................................... 0.8000

Tripp, SD ..................................... 0.8000

Turner, SD ................................... 0.8000

Union, SD .................................... 0.8000

Walworth, SD .............................. 0.8000

Washabaugh, SD ........................ 0.8000

Yankton, SD ................................ 0.8000

Ziebach, SD ................................ 0.8000

Tennessee:

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Bedford, TN ................................. 0.8000

Benton, TN .................................. 0.8000

Bledsoe, TN ................................ 0.8000

Bradley, TN ................................. 0.8000

Campbell, TN .............................. 0.8000

Cannon, TN ................................. 0.8000

Carroll, TN ................................... 0.8000

Chester, TN ................................. 0.8000

Claiborne, TN .............................. 0.8000

Clay, TN ...................................... 0.8000

Cocke, TN ................................... 0.8000

Coffee, TN ................................... 0.8000

Crockett, TN ................................ 0.8000

Cumberland, TN .......................... 0.8000

Decatur, TN ................................. 0.8000

DeKalb, TN .................................. 0.8000

Dyer, TN ...................................... 0.8000

Fentress, TN ............................... 0.8000

Franklin, TN ................................. 0.8000

Gibson, TN .................................. 0.8000

Giles, TN ..................................... 0.8000

Grainger, TN ............................... 0.8791

Greene, TN ................................. 0.8000

Grundy, TN .................................. 0.8000

Hamblen, TN ............................... 0.8000

Hancock, TN ............................... 0.8000

Hardeman, TN ............................. 0.8000

Hardin, TN ................................... 0.8000

Haywood, TN .............................. 0.8000

Henderson, TN ............................ 0.8000

Henry, TN .................................... 0.8000

Hickman, TN ............................... 0.8000

Houston, TN ................................ 0.8000

Humphreys, TN ........................... 0.8000

Jackson, TN ................................ 0.8000

Jefferson, TN ............................... 0.8791

Johnson, TN ................................ 0.8000

Lake, TN ...................................... 0.8000

Lauderdale, TN ........................... 0.8000

Lawrence, TN .............................. 0.8000

Lewis, TN .................................... 0.8000

Lincoln, TN .................................. 0.8000

McMinn, TN ................................. 0.8000

McNairy, TN ................................ 0.8000

Macon, TN ................................... 0.8000

Marshall, TN ................................ 0.8000

Maury, TN ................................... 0.8000

Meigs, TN .................................... 0.8000

Monroe, TN ................................. 0.8000

Moore, TN ................................... 0.8000

Morgan, TN ................................. 0.8000

Obion, TN .................................... 0.8000

Overton, TN ................................. 0.8000

Perry, TN ..................................... 0.8000

Pickett, TN ................................... 0.8000

Polk, TN ...................................... 0.8000

Putnam, TN ................................. 0.8000

Rhea, TN ..................................... 0.8000

Roane, TN ................................... 0.8000

Scott, TN ..................................... 0.8000

Sequatchie, TN ........................... 0.9114

Smith, TN .................................... 0.8000

Stewart, TN ................................. 0.8000

Trousdale, TN ............................. 0.8000

Van Buren, TN ............................ 0.8000

Warren, TN .................................. 0.8000

Wayne, TN .................................. 0.8000

Weakley, TN ................................ 0.8000

White, TN .................................... 0.8000

Texas:
Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations 42879

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Anderson, TX .............................. 0.8082

Andrews, TX ................................ 0.8082

Angelina, TX ................................ 0.8082

Aransas, TX., .............................. 0.8082

Armstrong, TX ............................. 0.8082

Atascosa, TX ............................... 0.8082

Austin, TX .................................... 0.8082

Bailey, TX .................................... 0.8082

Bandera, TX ................................ 0.8082

Baylor, TX ................................... 0.8082

Bee, TX ....................................... 0.8082

Blanco, TX ................................... 0.8082

Borden, TX .................................. 0.8082

Bosque, TX ................................. 0.8082

Brewster, TX ............................... 0.8082

Briscoe, TX .................................. 0.8082

Brooks, TX .................................. 0.8082

Brown, TX ................................... 0.8082

Burleson, TX ............................... 0.8082

Burnet, TX ................................... 0.8082

Calhoun, TX ................................ 0.8082

Callahan, TX ............................... 0.8082

Camp, TX .................................... 0.8082

Carson, TX .................................. 0.8082

Cass, TX ..................................... 0.8082

Castro, TX ................................... 0.8082

Cherokee, TX .............................. 0.8082

Childress, TX ............................... 0.8082

Clay, TX ...................................... 0.8082

Cochran, TX ................................ 0.8082

Coke, TX ..................................... 0.8082

Coleman, TX ............................... 0.8082

Collingsworth, TX ........................ 0.8082

Colorado, TX ............................... 0.8082

Comanche, TX ............................ 0.8082

Concho, TX ................................. 0.8082

Cooke, TX ................................... 0.8082

Cottle, TX, ................................... 0.8082

Crane, TX .................................... 0.8082

Crockett, TX ................................ 0.8082

Crosby, TX .................................. 0.8082

Culberson, TX ............................. 0.8082

Dallam, TX .................................. 0.8082

Dawson, TX ................................. 0.8082

Deaf Smith, TX ............................ 0.8082

Delta, TX ..................................... 0.8082

De Witt, TX .................................. 0.8082

Dickens, TX ................................. 0.8082

Dimmit, TX .................................. 0.8082

Donley, TX .................................. 0.8082

Duval, TX .................................... 0.8082

Eastland, TX ................................ 0.8082

Edwards, TX ................................ 0.8082

Erath, TX ..................................... 0.8082

Falls, TX ...................................... 0.8082

Fannin, TX ................................... 0.8082

Fayette, TX .................................. 0.8082

Fisher, TX .................................... 0.8082

Floyd, TX ..................................... 0.8082

Foard, TX .................................... 0.8082

Franklin, TX ................................. 0.8082

Freestone, TX ............................. 0.8082

Frio, TX ....................................... 0.8082

Gaines, TX .................................. 0.8082

Garza, TX .................................... 0.8082

Gillespie, TX ................................ 0.8082

Glasscock, TX ............................. 0.8082

Goliad, TX ................................... 0.8082

Gonzales, TX .............................. 0.8082

Gray, TX ...................................... 0.8082

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Grimes, TX .................................. 0.8082

Hale, TX ...................................... 0.8082

Hall, TX ....................................... 0.8082

Hamilton, TX ............................... 0.8082

Hansford, TX ............................... 0.8082

Hardeman, TX ............................. 0.8082

Hartley, TX .................................. 0.8082

Haskell, TX .................................. 0.8082

Hemphill, TX ................................ 0.8082

Hill, TX ......................................... 0.8082

Hockley, TX ................................. 0.8082

Hopkins, TX ................................. 0.8082

Houston, TX ................................ 0.8082

Howard, TX ................................. 0.8082

Hudspeth, TX .............................. 0.8082

Hutchinson, TX ............................ 0.8082

Irion, TX ....................................... 0.8082

Jack, TX ...................................... 0.8082

Jackson, TX ................................ 0.8082

Jasper, TX ................................... 0.8082

Jeff Davis, TX .............................. 0.8082

Jim Hogg, TX .............................. 0.8082

Jim Wells, TX .............................. 0.8082

Jones, TX .................................... 0.8082

Karnes, TX .................................. 0.8082

Kendall, TX .................................. 0.8082

Kenedy, TX ................................. 0.8082

Kent, TX ...................................... 0.8082

Kerr, TX ....................................... 0.8082

Kimble, TX ................................... 0.8082

King, TX ...................................... 0.8082

Kinney, TX ................................... 0.8082

Kleberg, TX ................................. 0.8082

Knox, TX ..................................... 0.8082

Lamar, TX ................................... 0.8082

Lamb, TX ..................................... 0.8082

Lampasas, TX ............................. 0.8082

La Salle, TX ................................ 0.8082

Lavaca, TX .................................. 0.8082

Lee, TX ........................................ 0.8082

Leon, TX ...................................... 0.8082

Limestone, TX ............................. 0.8082

Lipscomb, TX .............................. 0.8082

Live Oak, TX ............................... 0.8082

Llano, TX ..................................... 0.8082

Loving, TX ................................... 0.8082

Lynn, TX ...................................... 0.8082

Mc Culloch, TX ............................ 0.8082

Mc Mullen, TX ............................. 0.8082

Madison, TX ................................ 0.8082

Marion, TX ................................... 0.8082

Martin, TX .................................... 0.8082

Mason, TX ................................... 0.8082

Matagorda, TX ............................ 0.8082

Maverick, TX ............................... 0.8082

Medina, TX .................................. 0.8082

Menard, TX ................................. 0.8082

Milam, TX .................................... 0.8082

Mills, TX ...................................... 0.8082

Mitchell, TX ................................. 0.8082

Montague, TX .............................. 0.8082

Moore, TX ................................... 0.8082

Morris, TX .................................... 0.8082

Motley, TX ................................... 0.8082

Nacogdoches, TX ........................ 0.8082

Navarro, TX ................................. 0.8082

Newton, TX ................................. 0.8082

Nolan, TX .................................... 0.8082

Ochiltree, TX ............................... 0.8082

Oldham, TX ................................. 0.8082

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Palo Pinto, TX ............................. 0.8082

Panola, TX .................................. 0.8082

Parmer, TX .................................. 0.8082

Pecos, TX .................................... 0.8082

Polk, TX ....................................... 0.8082

Presidio, TX ................................. 0.8082

Rains, TX .................................... 0.8082

Reagan, TX ................................. 0.8082

Real, TX ...................................... 0.8082

Red River, TX ............................. 0.8082

Reeves, TX ................................. 0.8082

Refugio, TX ................................. 0.8082

Roberts, TX ................................. 0.8082

Robertson, TX ............................. 0.8082

Runnels, TX ................................ 0.8082

Rusk, TX ..................................... 0.8082

Sabine, TX .................................. 0.8082

San Augustine, TX ...................... 0.8082

San Jacinto, TX ........................... 0.8082

San Saba, TX .............................. 0.8082

Schleicher, TX ............................. 0.8082

Scurry, TX ................................... 0.8082

Shackelford, TX ........................... 0.8082

Shelby, TX ................................... 0.8082

Sherman, TX ............................... 0.8082

Somervell, TX .............................. 0.8082

Starr, TX ...................................... 0.8082

Stephens, TX .............................. 0.8082

Sterling, TX ................................. 0.8082

Stonewall, TX .............................. 0.8082

Sutton, TX ................................... 0.8082

Swisher, TX ................................. 0.8082

Terrell, TX ................................... 0.8082

Terry, TX ..................................... 0.8082

Throckmorton, TX ....................... 0.8082

Titus, TX ...................................... 0.8082

Trinity, TX .................................... 0.8082

Tyler, TX ...................................... 0.8082

Upton, TX .................................... 0.8082

Uvalde, TX .................................. 0.8082

Val Verde, TX .............................. 0.8082

Van Zandt, TX ............................. 0.8082

Walker, TX .................................. 0.8082

Ward, TX ..................................... 0.8082

Washington, TX ........................... 0.8082

Wharton, TX ................................ 0.8082

Wheeler, TX ................................ 0.8082

Wilbarger, TX .............................. 0.8082

Willacy, TX .................................. 0.8082

Winkler, TX .................................. 0.8082

Wise, TX ...................................... 0.8082

Wood, TX .................................... 0.8082

Yoakum, TX ................................ 0.8082

Young, TX ................................... 0.8082

Zapata, TX .................................. 0.8082

Zavala, TX ................................... 0.8082

Utah:

Beaver, UT .................................. 0.8632

Box Elder, UT .............................. 0.8632

Cache, UT ................................... 0.8632

Carbon, UT .................................. 0.8632

Daggett, UT ................................. 0.8632

Duchesne, UT ............................. 0.8632

Emery, UT ................................... 0.8632

Garfield, UT ................................. 0.8632

Grand, UT ................................... 0.8632

Iron, UT ....................................... 0.8632

Juab, UT ...................................... 0.8632

Millard, UT ................................... 0.8632

Morgan, UT ................................. 0.8632
42880 Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Piute, UT ..................................... 0.8632

Rich, UT ...................................... 0.8632

San Juan, UT .............................. 0.8632

Sanpete, UT ................................ 0.8632

Sevier, UT ................................... 0.8632

Summit, UT ................................. 0.8632

Tooele, UT .................................. 0.8632

Uintah, UT ................................... 0.8632

Wasatch, UT ............................... 0.8632

Washington, UT .......................... 0.8632

Wayne, UT .................................. 0.8632

Vermont:

Addison, VT ................................. 0.9006

Bennington, VT ........................... 0.9006

Caledonia, VT ............................. 0.9006

Essex, VT .................................... 0.9006

Lamoille, VT ................................ 0.9006

Orange, VT .................................. 0.9006

Orleans, VT ................................. 0.9006

Rutland, VT ................................. 0.9006

Washington, VT ........................... 0.9006

Windham, VT .............................. 0.9006

Windsor, VT ................................ 0.9006

Virgin Islands .................................. 0.6594

Virginia:

Accomack, VA ............................. 0.8346

Alleghany, VA .............................. 0.8346

Amelia, VA .................................. 0.8346

Appomattox, VA .......................... 0.8346

Augusta, VA ................................ 0.8346

Bath, VA ...................................... 0.8346

Bland, VA .................................... 0.8346

Brunswick, VA ............................. 0.8346

Buchanan, VA ............................. 0.8346

Buckingham, VA .......................... 0.8346

Caroline, VA ................................ 0.8346

Carroll, VA ................................... 0.8346

Charlotte, VA ............................... 0.8346

Craig, VA ..................................... 0.8346

Cumberland, VA .......................... 0.8346

Dickenson, VA ............................. 0.8346

Essex, VA .................................... 0.8346

Floyd, VA ..................................... 0.8346

Franklin, VA ................................. 0.8346

Frederick, VA .............................. 0.8346

Giles, VA ..................................... 0.8346

Grayson, VA ................................ 0.8346

Greensville, VA ........................... 0.8346

Halifax, VA .................................. 0.8346

Henry, VA .................................... 0.8346

Highland, VA ............................... 0.8346

King and Queen, VA ................... 0.8346

King William, VA ......................... 0.8346

Lancaster, VA .............................. 0.8346

Lee, VA ....................................... 0.8346

Louisa, VA ................................... 0.8346

Lunenburg, VA ............................ 0.8346

Madison, VA ................................ 0.8346

Mecklenburg, VA ......................... 0.8346

Middlesex, VA ............................. 0.8346

Montgomery, VA ......................... 0.8346

Nelson, VA .................................. 0.8346

Northampton, VA ......................... 0.8346

Northumberlnd, VA ...................... 0.8346

Nottoway, VA .............................. 0.8346

Orange, VA ................................. 0.8346

Page, VA ..................................... 0.8346

Patrick, VA .................................. 0.8346

Prince Edward, VA ...................... 0.8346

Pulaski, VA .................................. 0.8346

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Rappahannock, VA ..................... 0.8346

Richmond, VA ............................. 0.8346

Rockbridge, VA ........................... 0.8346

Rockingham, VA ......................... 0.8346

Russell, VA .................................. 0.8346

Shenandoah, VA ......................... 0.8346

Smyth, VA ................................... 0.8346

Southampton, VA ........................ 0.8346

Surry, VA ..................................... 0.8346

Sussex, VA .................................. 0.8346

Tazewell, VA ............................... 0.8346

Westmoreland, VA ...................... 0.8346

Wise, VA ..................................... 0.8346

Wythe, VA ................................... 0.8346

Buena Vista City, VA .................. 0.8346

Clifton Forge City, VA ................. 0.8346

Covington City, VA ...................... 0.8346

Emporia City, VA ......................... 0.8346

Franklin City, VA ......................... 0.8346

Galax City, VA ............................. 0.8346

Harrisonburg City, VA ................. 0.8346

Lexington City, VA ...................... 0.8346

Martinsville City, VA .................... 0.8346

Nansemond City, VA ................... 0.8346

Norton City, VA ........................... 0.8346

Radford City, VA ......................... 0.8346

South Boston City, VA ................ 0.8346

Staunton City, VA ........................ 0.8346

Waynesboro City, VA .................. 0.8346

Winchester City, VA .................... 0.8346

Washington:

Adams, WA ................................. 0.9843

Asotin, WA .................................. 0.9843

Chelan, WA ................................. 0.9843

Clallam, WA ................................ 0.9843

Columbia, WA ............................. 0.9843

Cowlitz, WA ................................. 0.9843

Douglas, WA ............................... 0.9843

Ferry, WA .................................... 0.9843

Garfield, WA ................................ 0.9843

Grant, WA ................................... 0.9843

Grays Harbor, WA ....................... 0.9843

Jefferson, WA .............................. 0.9843

Kittitas, WA .................................. 0.9843

Klickitat, WA ................................ 0.9843

Lewis, WA ................................... 0.9843

Lincoln, WA ................................. 0.9843

Mason, WA .................................. 0.9843

Okanogan, WA ............................ 0.9843

Pacific, WA .................................. 0.9843

Pend Oreille, WA ........................ 0.9843

San Juan, WA ............................. 0.9843

Skagit, WA .................................. 0.9843

Skamania, WA ............................ 0.9843

Stevens, WA ............................... 0.9843

Wahkiakum, WA .......................... 0.9843

Walla Walla, WA ......................... 0.9843

Whitman, WA .............................. 0.9843

West Virginia:

Barbour, WV ................................ 0.8938

Boone, WV .................................. 0.8938

Braxton, WV ................................ 0.8938

Calhoun, WV ............................... 0.8938

Clay, WV ..................................... 0.8938

Doddridge, WV ............................ 0.8938

Fayette, WV ................................ 0.8938

Gilmer, WV .................................. 0.8938

Grant, WV ................................... 0.8938

Greenbrier, WV ........................... 0.8938

Hampshire, WV ........................... 0.8938

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Hardy, WV ................................... 0.8938

Harrison, WV ............................... 0.8938

Jackson, WV ............................... 0.8938

Lewis, WV ................................... 0.8938

Lincoln, WV ................................. 0.8938

Logan, WV .................................. 0.8938

McDowell, WV ............................. 0.8938

Marion, WV ................................. 0.8938

Mason, WV .................................. 0.8938

Mercer, WV ................................. 0.8938

Mingo, WV ................................... 0.8938

Monongahela, WV ....................... 0.8938

Monroe, WV ................................ 0.8938

Morgan, WV ................................ 0.8938

Nicholas, WV ............................... 0.8938

Pendleton, WV ............................ 0.8938

Pleasants, WV ............................. 0.8938

Pocahontas, WV ......................... 0.8938

Preston, WV ................................ 0.8938

Raleigh, WV ................................ 0.8938

Randolph, WV ............................. 0.8938

Ritchie, WV ................................. 0.8938

Roane, WV .................................. 0.8938

Summers, WV ............................. 0.8938

Taylor, WV .................................. 0.8938

Tucker, WV ................................. 0.8938

Tyler, WV .................................... 0.8938

Upshur, WV ................................. 0.8938

Webster, WV ............................... 0.8938

Wetzel, WV ................................. 0.8938

Wirt, WV ...................................... 0.8938

Wyoming, WV ............................. 0.8938

Wisconsin:

Adams, WI ................................... 0.8518

Ashland, WI, ................................ 0.8518

Barron, WI ................................... 0.8518

Bayfield, WI ................................. 0.8518

Buffalo, WI ................................... 0.8518

Burnett, WI .................................. 0.8518

Clark, WI ..................................... 0.8518

Columbia, WI ............................... 0.8518

Crawford, WI ............................... 0.8518

Dodge, WI ................................... 0.8518

Door, WI ...................................... 0.8518

Dunn, WI ..................................... 0.8518

Florence, WI ................................ 0.8518

Fond Du Lac, WI ......................... 0.8518

Forest, WI .................................... 0.8518

Grant, WI ..................................... 0.8518

Green, WI .................................... 0.8518

Green lake, WI ............................ 0.8518

Iowa, WI ...................................... 0.8518

Iron, WI ........................................ 0.8518

Jackson, WI ................................. 0.8518

Jefferson, WI ............................... 0.8518

Juneau, WI .................................. 0.8518

Kewaunee, WI ............................. 0.8518

Lafayette, WI ............................... 0.8518

Langlade, WI ............................... 0.8518

Lincoln, WI .................................. 0.8518

Manitowoc, WI ............................. 0.8518

Marinette, WI ............................... 0.8518

Marquette, WI .............................. 0.8518

Menomonee, WI .......................... 0.8518

Monroe, WI .................................. 0.8518

Oconto, WI .................................. 0.8518

Oneida, WI .................................. 0.8518

Pepin, WI ..................................... 0.8518

Polk, WI ....................................... 0.8518

Portage, WI ................................. 0.8518
Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations 42881

TABLE B.—WAGE INDEX FOR RURAL

AREAS—Continued

Nonurban area Wage

index 2

Price, WI ...................................... 0.8518

Richland, WI ................................ 0.8518

Rusk, WI ...................................... 0.8518

Sauk, WI ...................................... 0.8518

Sawyer, WI .................................. 0.8518

Shawano, WI ............................... 0.8518

Taylor, WI .................................... 0.8518

Trempealeau, WI ......................... 0.8518

Vernon, WI .................................. 0.8518

Vilas, WI ...................................... 0.8518

Walworth, WI ............................... 0.8518

Washburn, WI ............................. 0.8518

Waupaca, WI ............................... 0.8518

Waushara, WI ............................. 0.8518

Wood, WI .................................... 0.8518

Wyoming:

Albany, WY ................................. 0.9291

Big Horn, WY .............................. 0.9291

Campbell, WY ............................. 0.9291

Carbon, WY ................................. 0.9291

Converse, WY ............................. 0.9291

Crook, WY ................................... 0.9291

Fremont, WY ............................... 0.9291

Goshen, WY ................................ 0.9291

Hot Springs, WY ......................... 0.9291

Johnson, WY ............................... 0.9291

Lincoln, WY ................................. 0.9291

Niobrara, WY ............................... 0.9291

Park, WY ..................................... 0.9291

Platte, WY ................................... 0.9291

Sheridan, WY .............................. 0.9291

Sublette, WY ............................... 0.9291

Sweetwater, WY .......................... 0.9291

Teton, WY ................................... 0.9291

Uinta, WY .................................... 0.9291

Washakie, WY ............................. 0.9291

Weston, WY ................................ 0.9291

2Wage index values are based on fiscal

year 1993 hospital cost report data prior to reclassification. This wage index is further adjusted. Wage index values greater than 0.8

are subject to a budget neutrality adjustment

of 1.020768. Wage index values below 0.8 are

adjusted to be the greater of a 15 percent increase, subject to a maximum wage index

value of 0.8, or an adjustment by multiplying

the hospice wage index value for a given area

by the budget neutrality adjustment. All of

these adjustments are built into the wage

index values reflected in Table B.

V. Regulatory Impact Statement

Consistent with the Regulatory

Flexibility Act (RFA) (5 U.S.C. 601

through 612), we prepare a regulatory

flexibility analysis unless we certify that

a rule will not have a significant

economic impact on a substantial

number of small entities. For purposes

of the RFA, all hospices are considered

to be small entities. Individuals and

States are not included in the definition

of a small entity.

In addition, section 1102(b) of the Act

requires us to prepare a regulatory

impact analysis if a rule has a

significant impact on the operations of

a substantial number of small rural

hospitals. Such an 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 50

beds.

This impact analysis compares

hospice payments under the current

wage index (column 3 of the Table C)

to the first transition year blend (column

4). The wage index blend for the first

transition year of the 3-year transition is

two-thirds of the current wage index

added to one-third of the new wage

index. The data used in developing the

quantitative analysis for this final rule

were obtained from the June 1996

update of the national claims history file

of all bills submitted during fiscal year

1995. We deleted bills from hospices

that have since closed.

Table C demonstrates the results of

our analysis. The table categorizes

hospices by various geographic and

provider characteristics. The top row of

the table demonstrates that the overall

impact on the 1,834 hospices included

in the analysis is budget neutral. The

next two rows of the table categorize

hospices according to their geographic

location (urban and rural). There are

1,200 hospices located in urban areas

included in our analysis and 634

hospices located in rural areas. The next

two groupings in the table indicate the

number of hospices by census region,

also broken down by urban and rural

hospices. The next grouping shows the

impact on hospices based on the size of

the hospice’s program. We determined

that the majority of hospice payments

are made at the routine home care rate;

therefore, we based the size of each

individual hospice’s program on the

number of routine home care days

provided in 1995. The next grouping

shows the impact on hospices by type

of ownership. The final grouping shows

the impact on hospices defined by

whether they are provider-based or

freestanding.

In column 2 of the table we indicate

the number of routine home care days

that were included in our analysis,

although the analysis was performed on

all types of hospice care. Columns 3 and

4 show the payments that would have

been made to hospices under the 1983

wage index and payments that would be

made under the 1997 wage index. As

the first row in column 4 indicates, the

wage index is budget neutral. The final

column shows the percent change in

hospice payments based on the category

of the hospice.

The results of our analysis show that

the greatest increases are for urban

hospices in the New England and

Pacific regions, 4.4 percent and 1.7

percent respectively. The greatest

decreases, besides Puerto Rico, are the

urban East South Central and West

South Central regions with 1.6 percent

and 1.4 percent respectively. The most

dramatic shift occurs in Puerto Rico,

where urban payments decrease by 7.3

percent and rural payments decrease by

8.9 percent. The region most affected by

the revision to the wage index floor is

Puerto Rico. This is because the wage

index values for the Puerto Rico region

are more than 15 percent below 0.8.

Under the current wage index floor,

Puerto Rico’s wage index value would

have been adjusted to 0.8. Under the

final wage index floor, Puerto Rico’s

wage index will be the prereclassification hospital wage index

value multiplied by 1.15.

Small hospice programs show small

decreases while larger programs show

slight increases. Proprietary hospices

show slight decreases in payment due to

the wage index change while voluntary

programs gain slightly. Finally,

freestanding and skilled nursing facilitybased hospices show small decreases

while home health agency and hospitalbased hospice programs show small

increases.

TABLE C.—IMPACT OF HOSPICE WAGE INDEX CHANGE

Number of

hospices

Number of

routine

home care

days in

thousands

Payments

using old

wage index in

thousands

Payments

using new

wage index

first transition

year blend in

thousands

Percent

change in

hospice

payments

(1) (2) (3) (4) (5)

All Hospices ...................................................................................... 1,834 17,179 1,904,050 1,904,049 0.0
42882 Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations

TABLE C.—IMPACT OF HOSPICE WAGE INDEX CHANGE—Continued

Number of

hospices

Number of

routine

home care

days in

thousands

Payments

using old

wage index in

thousands

Payments

using new

wage index

first transition

year blend in

thousands

Percent

change in

hospice

payments

(1) (2) (3) (4) (5)

Urban Hospices ................................................................................ 1,200 14,811 1,685,552 1,686,214 0.0

Rural Hospices ................................................................................. 634 2,368 218,497 217,835 ¥0.3

Region (Urban):

New England ............................................................................. 91 545 64,625 67,473 4.4

Middle Atlantic ........................................................................... 157 1,687 200,376 202,123 0.9

South Atlantic ............................................................................ 160 3,335 384,600 385,506 0.2

East North Cent ......................................................................... 202 2,631 297,586 295,001 ¥0.9

East South Cent ........................................................................ 77 639 72,432 71,261 ¥1.6

West North Cent ........................................................................ 85 989 102,553 102,139 ¥0.4

West South Cent ....................................................................... 158 1,883 195,386 192,709 ¥1.4

Mountain .................................................................................... 73 816 101,912 100,685 ¥1.2

Pacific ........................................................................................ 168 2,126 253,035 257,225 1.7

Puerto Rico ................................................................................ 29 159 13,049 12,091 ¥7.3

Region (Rural):

New England ............................................................................. 18 54 5,231 5,316 1.6

Middle Atlantic ........................................................................... 34 157 15,981 15,826 ¥1.0

South Atlantic ............................................................................ 103 511 46,636 46,436 ¥0.4

East North Cent ......................................................................... 111 455 42,290 42,203 ¥0.2

East South Cent ........................................................................ 67 322 28,309 28,202 ¥0.4

West North Cent ........................................................................ 131 339 31,020 30,898 ¥0.4

West South Cent ....................................................................... 67 227 19,860 19,783 ¥0.4

Mountain .................................................................................... 58 141 13,251 13,163 ¥0.7

Pacific ........................................................................................ 42 149 14,769 14,960 1.3

Puerto Rico ................................................................................ 3 14 1,150 1,048 ¥8.9

Size (Routine Home Care Days):

0 - 1,551 Days ........................................................................... 458 323 33,983 33,923 ¥0.2

1,551 - 4385 Days ..................................................................... 459 1,310 132,410 132,086 ¥0.2

4,385 -10,110 Days ................................................................... 458 3,160 324,347 324,965 0.2

10,110 + Days ........................................................................... 459 12,387 1,413,310 1,413,075 0.0

Type of Ownership:

Voluntary .................................................................................... 1,272 12,517 1,370,153 1,372,430 0.2

Proprietary ................................................................................. 388 4,152 482,816 480,497 ¥0.5

Government ............................................................................... 151 450 45,046 45,044 0.0

Other .......................................................................................... 23 60 6,035 6,078 0.7

Hospice Base:

Freestanding .............................................................................. 674 9,375 1,046,456 1,042,436 ¥0.4

Home Health Agency ................................................................ 679 4,633 507,575 510,966 0.7

Hospital ...................................................................................... 464 3,058 334,128 334,891 0.2

Skilled Nurs. Fac ....................................................................... 17 112 15,891 15,756 ¥0.9

We have concluded that this final

regulation will have an impact on small

hospices. However, the provisions of

this regulation were determined by

consensus through a negotiated

rulemaking committee. Based on all of

the options considered, the committee

determined that the provisions in this

regulation were favorable for the

hospice community as a whole, as well

as for the beneficiaries that they serve.

We have also determined, and certify,

that this final rule will not result in a

significant economic impact on a

substantial number of small entities and

will not have a significant impact on the

operations of a substantial number of

small rural hospitals. For these reasons,

we are not preparing analyses for the

RFA or section 1102(b) of the Act.

In accordance with the provisions of

Executive Order 12866, this regulation

was reviewed by the Office of

Management and Budget.

VI. 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 (44

U.S.C. 3501 et seq.).

Lists of Subjects for 42 CFR Part 418

Health facilities, Hospice care,

Medicare, Reporting and recordkeeping

requirements.

42 CFR part 418 is amended as set

forth below:

PART 418—HOSPICE CARE

1. The authority citation for part 418

continues to read as follows:

Authority: Secs. 1102 and 1871 of the

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

1395hh).

2. In § 418.306, paragraph (c) is

revised to read as follows:;

§ 418.306 Determination of payment

amounts.

* * * * *

(c) Adjustment for wage differences.

HCFA will issue annually, in the

Federal Register, a hospice wage index

based on the most current available

HCFA hospital wage data, including any
Federal Register / Vol. 62, No. 153 / Friday, August 8, 1997 / Rules and Regulations 42883

changes to the definitions of

Metropolitan Statistical Areas. The

payment rates established by HCFA are

adjusted by the intermediary to reflect

local differences in wages according to

the revised wage index.

* * * * *

(Catalog of Federal Domestic Assistance

Program No. 93.773, Medicare—Hospital

Insurance; and Program No. 93.774,

Medicare—Supplementary Medical

Insurance Program)

Dated: April 16, 1997.

Bruce C. Vladeck,

Administrator, Health Care Financing

Administration.

Appendix: Note This Appendix Will Not

Appear in the Code of Federal Regulations

United States Department of Health and

Human Services Negotiating Committee on

the Medicare Hospice Wage Index

Committee Statement

April 13, 1995.

The Negotiating Committee on Medicare

Hospice Wage Index has concurred in the

following recommendations, considered as a

whole, concerning the wage index used to

adjust Medicare payment rates for hospice

services to reflect geographic differences in

wages:

A. Data to be Used

The wage index for hospices will be based

on the wage index used by the Health Care

Financing Administration (HCFA) for

hospitals under the Medicare Prospective

Payment System, prior to reclassification.

This means that the hospital wage index will

not be adjusted to take into account the

geographic reclassification of hospitals in

accordance with sections 1886(d)(8)(B) and

1886(d)(10) of the Social Security Act.

The hospital wage index prior to

reclassification will be referred to in this

statement as the Raw Index and will be

adjusted as provided below to calculate what

will be referred to as the Revised Wage Index.

Special provisions governing a transition

period are described in paragraph D below.

B. Budget Neutrality

HCFA will determine a Budget Neutrality

Factor that will be applied to achieve budget

neutrality during and after the transition

period. Budget neutrality means that, in a

given year, estimated aggregate payments for

Medicare hospice services using the Revised

Wage Index will equal estimated payments

that would have been made for the same

services if the wage index adopted for

hospices in 1983 (1983 Index) had remained

in effect. HCFA will estimate aggregate

payments for Medicare hospice services

using the best available utilization data.

C. Adjustments

Each Raw Index value will be adjusted in

one of two ways to determine the Revised

Wage Index value applicable to each area.

(1) If the Raw Index value for any area is

0.8 or greater, the Revised Wage Index will

be calculated by multiplying the Raw Index

value for that area by the Budget Neutrality

Factor.

(2) If the Raw Index value for any area is

less than 0.8, the Revised Wage Index will be

the greater of either:

(a) The Raw Index value for that area

multiplied by the Budget Neutrality Factor;

or

(b) The Raw Index value for that area

multiplied by 1.15 (in effect, a 15-percent

increase), but subject to a maximum index

value of 0.8.

D. Transition Period

The Revised Wage Index will be

implemented over a 3-year transition period

beginning on or about October 1, 1996. For

the first year of the transition period, a

blended index will be calculated by adding

two-thirds of each 1983 Index value for an

area to one-third of the Revised Wage Index

value for that area. During the second year of

the transition period, the calculation will be

similar, except that the blend will be onethird of the 1983 Index values and two-thirds

of the Revised Wage Index values. During the

third year the Revised Wage Index will be

fully implemented.

Throughout the transition period, new

hospices will be treated the same as existing

hospices based in the same county.

E. Annual Updates

The Revised Wage Index will be updated

annually, so that it is based on the most

current available data used by HCFA to

construct the hospital wage index, as well as

on changes by the Office of Management and

Budget to Metropolitan Statistical Areas as

adopted by HCFA in calculating the hospital

wage index.

HCFA will use the most current hospital

cost report data available that allows HCFA

to publish a proposed rule containing wage

index values at least 4 months in advance of

the effective date of each annual update to

the Revised Wage Index.

F. Effective Date

The effective date of a final rule revising

the wage index as stated above should be

October 1, 1997.

G. Statement to Accompany Proposed and

Final Hospice Wage Index Notice

The proposed rule is based upon a

Committee Statement developed by a

Negotiating Committee on the Medicare

hospice wage index which was convened

under the Negotiated Rulemaking Act. A new

hospice wage index is needed because the

existing hospice wage index is based on a

1983 wage index using 1981 Bureau of Labor

Statistics (BLS) data which is inaccurate and

outdated.

The Committee reached consensus;

however, this means only that all Committee

members could ‘‘live with’’ the agreement,

considered as a whole, even if elements of

that agreement were not the preferred choice

of individual Committee members. The

Committee Statement reflects those issues

upon which the Committee ultimately

concurred, but does not address many issues

that were considered by the Committee.

The Committee considered the appropriate

data to be used to construct a wage index, the

appropriateness of retaining a 0.8 floor,

budget neutrality, and how to structure a

transition to timely update the index yet

ensure access to hospice care. In particular,

the Committee considered the problems

faced by hospices that would receive

significant decreases under the new wage

indices, rural hospices, hospices with low

wage indices, and hospices that may have

disproportionately high non-wage costs.

The Committee received extensive

information from experts who appeared

before the Committee and from the hospice

community, and sought public input. While

considerable data were reviewed, the

Committee acknowledges that hospice data

collection is maturing and encourages its

continued development. In addition, while

other issues were identified, the scope of the

Committee’s negotiations was limited by the

notice of intent to negotiate.

Given these constraints, and taking into

account the differing and conflicting interests

that would be significantly affected, the

Committee sought to develop a wage index

that would be as accurate, reliable, and

equitable as possible, but would not threaten

access to hospice care.

The Committee recognizes that hospice

care is still not universally available. The

Committee further recognizes that there may

be geographic or other circumstances that

inhibit the provision of hospice care. The

Committee strongly requests that HCFA

consider options to address these access

problems.

Reaching consensus was a long and

deliberative process. The Committee

concurred that the wage index it

recommends will be better both for the

hospice community as a whole, and for the

Medicare beneficiaries it serves, than a wage

index developed by the traditional

rulemaking process.

[FR Doc. 97–20775 Filed 8–1–97; 4:55 pm]

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