P
age
1
of
5
s
b94
-
95/2526
H
O
SP
ITAL
&
340
B
DRU
G
T
R
A
NSPA
R
E
NCY
S.B.
94
&
95
:
SU
MMA
R
Y
O
F
IN
TRODU
CE
D BIL
L
IN C
O
MMIT
TE
E
Sena
t
e
Bi
l
l
s
94
an
d
95
(
as
i
n
t
r
o
d
u
c
e
d
2
-
20
-
25
)
(
Sena
t
e
-
p
ass
e
d
ve
r
si
o
n
)
Sp
o
n
so
r
:
S
e
n
at
o
r
Sa
m
Si
n
g
h
(S
.B.
94)
S
e
n
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n
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h
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n
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(
S
.B.
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e
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ve
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sig
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t
Dat
e
C
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mp
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d
:
2
-
26
-
25
CO
N
T
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N
T
Sen
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w
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me
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t
he
Pub
l
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H
e
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ode
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34
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pr
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f
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(
LA
R
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)
.
--
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g
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nn
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l
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1,
2
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r
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te
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l
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w
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l
d
e
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ct
the
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r
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ns
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ct
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to
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ohi
bi
t
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ta
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s
f
r
om
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tt
e
m
pti
ng
to
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l
ect
de
bts
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i
n
co
mpl
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a
nce
w
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t
h
spe
c
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f
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ed
pr
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a
n
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ency
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a
w
s.
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e
bi
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l
l
94
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ag
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g
:
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n
y
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,
r
e
st
r
i
ct
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p
r
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h
i
b
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t
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o
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ing
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sc
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ai
n
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mi
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ac
q
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f
a
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g
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e
n
t
i
t
y
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--
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n
y
ing
,
r
e
st
r
i
ct
ing
,
p
r
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h
i
b
i
t
ing
,
co
n
d
i
t
i
o
n
ing
,
d
i
sc
r
i
mi
n
at
ing
ag
ai
n
st,
o
r
o
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h
e
r
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s
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l
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mi
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ing
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sit
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f
a
34
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d
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sig
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n
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fac
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h
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b
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t
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d
c
o
n
d
u
ct
ab
o
v
e
.
P
age
2
of
5
s
b94
-
95/2526
Th
e
b
i
l
l
wo
u
l
d
al
l
o
w
a
m
an
u
fac
t
u
r
e
r
,
wh
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l
e
sal
e
r
,
o
r
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l
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sal
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d
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str
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b
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r
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k
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ct pr
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h
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t
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th
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l
l
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t
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w
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t
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ment
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g
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n
n
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n
g
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l
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1,
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r
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b
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AR
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:
--
Th
e
na
m
e
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f
t
h
e
340
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e
n
t
i
t
y
sub
mi
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t
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n
g
th
e
r
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p
o
r
t
.
--
A co
p
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f
t
h
e
e
n
t
i
t
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s
an
n
u
al
340
B pr
o
g
r
am
r
e
ce
r
t
i
ficat
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o
n
.
--
A
c
o
p
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o
f
t
h
e
e
n
t
i
t
y'
s
c
o
mm
u
n
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t
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e
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e
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r
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q
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i
r
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d
un
d
e
r
F
e
d
e
r
al
Law.
--
An
aff
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d
avi
t
aff
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r
mi
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g
t
h
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t
h
e
e
n
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d
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pr
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M
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--
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af
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au
d
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t
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t
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n
g
12
mo
n
t
h
s
.
--
A
d
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sc
r
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p
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mp
act
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Pr
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so
,
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ma
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a
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e
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t
h
s
.
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e
r
e
p
o
r
t
w
o
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l
d
h
ave
t
o
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e
in
a
f
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m an
d
man
n
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r
r
e
q
u
i
r
e
d
by
L
AR
A an
d
wo
u
l
d
ha
ve
to
in
clu
d
e
al
l
th
e
f
o
l
l
o
wi
n
g
:
--
Th
e
na
m
e
o
f
t
h
e
man
u
fac
t
u
r
e
r
sub
mi
t
t
i
n
g
th
e
r
e
p
o
r
t
.
--
Th
e
na
m
e
o
f
t
h
e
pr
e
s
cr
i
p
t
i
o
n
dr
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g
in
clu
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e
d
in
t
h
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r
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p
o
r
t
.
--
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e
t
h
e
r
th
e
pr
e
sc
r
i
p
t
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o
n
dr
u
g
ha
d
a
b
r
an
d
na
me
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g
e
n
e
r
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c
n
am
e
,
wh
e
t
h
e
r
th
e
d
r
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g
was
a
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r
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o
f
t
h
e
na
me
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f
th
e
d
r
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g
.
--
Th
e
wh
o
l
e
sal
e
a
cqu
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sit
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st
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f
t
h
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d
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sit
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n
co
st
i
n
cr
e
a
se
s
f
o
r
th
e
p
r
e
c
e
d
i
n
g
f
i
ve
ye
a
r
s
.
--
Th
e
y
e
a
r
th
e
p
r
e
sc
r
i
p
t
i
o
n
dr
u
g
was
i
n
t
r
o
d
u
c
e
d
t
o
th
e
m
ar
k
e
t
.
--
Th
e
wh
o
l
e
sal
e
a
cqu
i
sit
i
o
n
co
st
o
f
t
h
e
p
r
e
s
cr
i
p
t
i
o
n
d
r
u
g
at
t
h
e
t
i
me
t
h
e
d
r
u
g
was
i
n
t
r
o
d
u
c
e
d
t
o
th
e
ma
r
k
e
t
.
--
Th
e
c
o
st
o
f
p
r
o
d
u
cin
g
o
n
e
c
o
u
r
s
e
o
f
t
r
e
at
ment
o
f
t
h
e
d
r
u
g
,
i
n
clu
d
i
n
g
wh
e
t
h
e
r
o
r
wh
e
n
t
h
e
d
r
u
g
nee
d
e
d
co
mp
o
u
n
d
i
n
g
im
medi
at
e
l
y
b
e
f
o
r
e
d
i
spe
n
sin
g
.
--
Th
e
e
xpi
r
at
i
o
n
dat
e
o
f
t
h
e
pat
e
n
t
f
o
r
th
e
p
r
e
sc
r
i
p
t
i
o
n
dr
u
g
.
--
E
ach
fo
r
m
o
f
t
h
e
d
r
u
g
d
i
spe
n
s
e
d
,
i
n
clu
d
i
n
g
b
y
o
r
al
p
i
l
l
,
t
ab
l
e
t
,
capsu
l
e
,
s
u
p
p
o
sit
o
r
y,
l
i
q
u
i
d
,
t
i
n
ctu
r
e
,
t
o
p
i
cal
c
r
e
am
o
r
o
i
n
t
ment
,
o
r
t
o
p
i
cal
p
a
t
ch
o
r
o
t
h
e
r
w
e
a
r
ab
l
e
,
o
r
b
y
i
n
t
r
a
ve
n
o
u
s,
p
o
r
t
,
pe
r
i
p
h
e
r
al
l
y
i
n
se
r
t
e
d
c
e
n
t
r
al
cath
e
t
e
r
,
o
r
o
t
h
e
r
m
e
t
h
o
d
.
Th
e
b
i
l
l
wo
u
l
d
r
e
q
u
i
r
e
LAR
A
t
o
p
o
st
t
h
e
r
e
p
o
r
t
s
d
e
s
cr
i
b
e
d
ab
o
v
e
o
n
i
t
s
p
u
b
l
i
cly
acc
e
s
sib
l
e
we
b
sit
e
.
Sen
a
te
Bi
l
l
95
De
fin
i
t
i
o
n
s
"Co
l
l
e
cti
o
n
acti
o
n
"
w
o
u
l
d
mean
an
y
o
f
t
h
e
fo
l
l
o
wi
n
g
acti
o
n
s
t
ak
e
n
wi
t
h
r
e
spe
ct
t
o
a
d
e
b
t
f
o
r
i
t
e
ms
an
d
s
e
r
vi
c
e
s
t
h
at
we
r
e
p
u
r
cha
s
e
d
fr
o
m,
o
r
p
r
o
vi
d
e
d
t
o
a
p
at
i
e
n
t
b
y
,
a
h
o
spi
t
al
o
n
a
d
at
e
d
u
r
i
n
g
wh
i
ch
t
h
e
h
o
spi
t
al
was
n
o
t
i
n
ma
t
e
r
i
al
co
mp
l
i
an
c
e
wi
t
h
h
o
spi
t
al
p
r
i
c
e
t
r
an
spa
r
e
n
cy
l
aws:
P
age
3
of
5
s
b94
-
95/2526
--
An
at
t
e
mp
t
t
o
c
o
l
l
e
ct
a
d
e
b
t
fr
o
m
a
p
at
i
e
n
t
o
r
p
at
i
e
n
t
g
u
ar
an
t
o
r
b
y
r
e
f
e
r
r
i
n
g
t
h
e
d
e
b
t
,
d
i
r
e
ctl
y
o
r
i
n
d
i
r
e
ctl
y,
t
o
a
d
e
b
t
c
o
l
l
e
ct
o
r
,
a
c
o
l
l
e
cti
o
n
ag
e
n
cy
,
o
r
an
o
t
h
e
r
t
h
i
r
d
p
a
r
t
y
r
e
t
ai
n
e
d
by
o
r
o
n
b
e
h
al
f
o
f
t
h
e
ho
spi
t
al
.
--
Su
i
n
g
t
h
e
p
at
i
e
n
t
o
r
p
at
i
e
n
t
g
u
ar
an
t
o
r
o
r
e
n
f
o
r
c
i
n
g
an
ar
b
i
t
r
at
i
o
n
o
r
me
d
i
at
i
o
n
cla
u
se
i
n
an
y
h
o
spi
t
al
d
o
cum
e
n
t
s
,
i
n
clu
d
i
n
g
c
o
n
t
r
a
cts,
agr
e
e
m
e
n
t
s,
stat
e
m
e
n
t
s,
o
r
bi
l
l
s
.
--
Di
r
e
ctl
y
o
r
in
d
i
r
e
ctl
y
h
a
vi
n
g
a
r
e
p
o
r
t
mad
e
to
a
c
o
n
sum
e
r
r
e
p
o
r
t
i
n
g
ag
e
n
cy
.
"Co
l
l
e
cti
o
n
ag
e
n
cy
"
w
o
u
l
d
me
an
a p
e
r
so
n
th
at
d
o
e
s
an
y
o
f
th
e
f
o
l
l
o
wi
n
g
:
--
E
n
g
ag
e
s
i
n
a
b
u
sin
e
ss
,
t
h
e
pr
i
n
cip
al
pu
r
p
o
s
e
o
f
wh
i
ch i
s
t
h
e
co
l
l
e
cti
o
n
o
f
d
e
b
t
s
.
--
R
e
g
u
l
ar
l
y
c
o
l
l
e
cts
o
r
at
t
e
mp
t
s
t
o
c
o
l
l
e
ct,
d
i
r
e
c
t
l
y
o
r
i
n
d
i
r
e
ctl
y,
d
e
b
t
s
o
we
d
o
r
d
u
e
o
r
ass
e
r
t
e
d
to
be
o
w
e
d
o
r
d
u
e
to
an
o
t
h
e
r
.
--
Take
s
a
ss
i
g
n
ment
o
f
d
e
b
t
s
fo
r
co
l
l
e
cti
o
n
pu
r
p
o
s
e
s
.
--
Di
r
e
ctl
y
o
r
i
n
d
i
r
e
ctl
y
s
o
l
i
cit
s
fo
r
t
h
e
co
l
l
e
cti
o
n
o
f
d
e
b
t
s
o
we
d
o
r
d
u
e
o
r
as
se
r
t
e
d
t
o
b
e
o
we
d
o
r
du
e
to
an
o
t
h
e
r
.
Th
e
t
e
r
m
wo
u
l
d
n
o
t
in
clu
d
e
an
y
o
f
t
h
e
f
o
l
l
o
wi
n
g
:
--
An
o
ff
i
ce
r
o
r
e
mp
l
o
y
e
e
o
f
a
cr
e
d
i
t
o
r
wh
i
l
e
,
i
n
t
h
e
n
am
e
o
f
t
h
e
cr
e
d
i
t
o
r
,
t
h
e
o
f
fic
e
r
o
r
e
mp
l
o
y
e
e
wa
s
c
o
l
l
e
cti
n
g
de
b
t
s
fo
r
th
e
c
r
e
d
i
t
o
r
.
--
A
p
e
r
s
o
n
wh
i
l
e
acti
n
g
as
a
c
o
l
l
e
cti
o
n
ag
e
n
cy
fo
r
a
n
o
t
h
e
r
p
e
r
s
o
n
,
b
o
t
h
o
f
w
h
o
m
w
e
r
e
r
e
l
at
e
d
b
y
co
mm
o
n
o
wn
e
r
shi
p
o
r
aff
i
l
i
at
e
d
b
y
c
o
r
p
o
r
at
e
co
n
t
r
o
l
,
i
f
t
h
e
p
e
r
s
o
n
act
i
n
g
as
a
co
l
l
e
cti
o
n
ag
e
n
cy
d
i
d
s
o
o
n
l
y
f
o
r
c
r
e
d
i
t
o
r
s
t
o
wh
o
m i
t
was
so
r
e
l
at
e
d
o
r
af
fil
i
at
e
d
a
n
d
if th
e
pr
i
n
cip
al
b
u
sin
e
ss
o
f
th
e
p
e
r
so
n
we
r
e
n
o
t
th
e
co
l
l
e
cti
o
n
o
f
d
e
b
t
s
.
--
An
o
ff
i
ce
r
o
r
e
mp
l
o
y
e
e
o
f
t
h
e
U.S
.
o
r
an
y
stat
e
to
t
h
e
e
xte
n
t
t
h
at
c
o
l
l
e
c
t
i
n
g
o
r
at
t
e
mp
t
i
n
g
t
o
c
o
l
l
e
ct a
d
e
b
t
was
i
n
t
h
e
pe
r
f
o
r
ma
n
c
e
o
f
th
e
o
ff
i
c
e
r
'
s
o
r
e
mp
l
o
ye
e
'
s
o
ff
i
cia
l
du
t
i
e
s
.
--
A
p
e
r
so
n
wh
i
l
e
s
e
r
vi
n
g
o
r
at
t
e
mp
t
i
n
g
t
o
s
e
r
v
e
l
e
g
al
p
r
o
ce
ss
o
n
an
o
t
h
e
r
p
e
r
so
n
i
n
co
n
n
e
cti
o
n
wi
t
h
th
e
ju
d
i
cia
l
e
n
f
o
r
ce
m
e
n
t
o
f
a
de
b
t
.
--
A
p
e
r
s
o
n
l
i
ce
n
s
e
d
t
o
p
r
o
vi
d
e
d
e
b
t
ma
n
ag
e
m
e
n
t
se
r
vi
c
e
s
u
n
d
e
r
t
h
e
De
b
t
Man
ag
e
ment
Act
.
--
A
p
e
r
s
o
n
wh
o
se
p
r
i
n
cip
a
l
b
u
sin
e
ss
wa
s
t
h
e
ma
ki
n
g
o
f
l
o
an
s
o
r
t
h
e
s
e
r
vi
c
i
n
g
o
f
d
e
b
t
n
o
t
i
n
d
e
fau
l
t
an
d
t
h
at
act
ed
a
s
a
l
o
an
co
r
r
e
spo
n
d
e
n
t
,
se
l
l
e
r
an
d
se
r
vi
c
e
r
f
o
r
t
h
e
o
wn
e
r
,
o
r
h
o
l
d
e
r
o
f
a
d
e
b
t
th
at
wa
s
se
cur
e
d
b
y
a
d
e
e
d
o
f
tr
u
st
o
n
r
e
al
pr
o
p
e
r
t
y,
r
e
g
a
r
d
l
e
ss
o
f
wh
e
t
h
e
r
th
e
d
e
b
t
was
al
s
o
s
e
cu
r
e
d
b
y
an
in
t
e
r
e
st
in
pe
r
s
o
n
al
pr
o
p
e
r
t
y
.
A
p
e
r
so
n
t
h
at
w
as
co
l
l
e
cti
n
g
o
r
at
t
e
mp
t
i
n
g
t
o
c
o
l
l
e
ct
a
d
e
b
t
o
w
e
d
o
r
d
u
e
o
r
a
ss
e
r
t
e
d
t
o
b
e
o
we
d
o
r
d
u
e
t
o
an
o
t
h
e
r
p
e
r
s
o
n
wo
u
l
d
b
e
co
n
sid
e
r
e
d
a
"c
o
l
l
e
cti
o
n
ag
e
n
cy
"
t
o
t
h
e
e
xt
e
n
t
t
h
at
an
y
o
f
th
e
f
o
l
l
o
wi
n
g
app
l
i
e
d
:
--
Th
e
acti
vi
t
y
wa
s
i
n
cid
e
n
t
al
t
o
a
b
o
n
a
fid
e
fid
u
cia
r
y
o
b
l
i
g
at
i
o
n
o
r
a
b
o
n
a
fid
e
e
sc
r
o
w
ar
r
an
g
e
ment
.
--
Th
e
acti
vi
t
y
c
o
n
c
e
r
n
e
d
a
d
e
b
t
t
h
at
was
e
xte
n
d
e
d
b
y
t
h
e
p
e
r
s
o
n
at
t
e
m
p
t
i
n
g
t
o
co
l
l
e
ct
t
h
e
d
e
b
t
.
--
Th
e
acti
vi
t
y
c
o
n
c
e
r
n
ed
a
d
e
b
t
t
h
at
was
n
o
t
i
n
d
e
fau
l
t
at
t
h
e
t
i
me
i
t
was
o
b
t
ai
n
e
d
b
y
t
h
e
p
e
r
so
n
att
e
mp
t
i
n
g
to
c
o
l
l
e
ct th
e
d
e
b
t
.
--
Th
e
a
cti
vi
t
y
co
n
c
e
r
n
ed
a
d
e
b
t
o
b
t
ai
n
e
d
b
y
t
h
e
p
e
r
so
n
at
t
e
mp
t
i
n
g
t
o
co
l
l
e
ct
t
h
e
d
e
b
t
a
s
a
se
cu
r
e
d
par
t
y
in
a
c
o
m
mer
cia
l
c
r
e
d
i
t
t
r
an
sac
t
i
o
n
in
vo
l
vi
n
g
th
e
cr
e
d
i
t
o
r
.
A l
i
ce
n
s
e
e
un
d
e
r
an
y
o
f
t
h
e
f
o
l
l
o
wi
n
g
ac
t
s
w
o
u
l
d
be
co
n
sid
e
r
e
d
a
c
o
l
l
e
cti
o
n
age
n
c
y
:
--
Th
e
H
o
r
s
e
Ra
cin
g
L
aw
.
--
Th
e
L
o
t
t
e
r
y
Act
.
--
Th
e
Bi
n
g
o
Act
.
--
Th
e
Mi
chi
g
an
G
am
i
n
g
C
o
n
t
r
o
l
an
d
Re
v
e
n
u
e
A
ct
.
--
Th
e
L
a
wfu
l
Sp
o
r
t
s
Be
t
t
i
n
g
Act
.
P
age
4
of
5
s
b94
-
95/2526
--
Th
e
Fan
t
asy
Co
n
t
e
sts
C
o
n
sum
e
r
P
r
o
t
e
cti
o
n
Act
.
--
Th
e
L
a
wfu
l
In
t
e
r
n
e
t
G
a
mi
n
g
Act
.
Th
e
t
e
r
m
al
so
wo
u
l
d
i
n
cl
u
d
e
a
p
e
r
s
o
n
t
h
at
,
i
n
t
h
e
p
r
o
ce
ss
o
f
co
l
l
e
cti
n
g
t
h
e
p
e
r
so
n
'
s
o
wn
d
e
b
t
s,
u
se
d
an
o
t
h
e
r
n
am
e
t
h
a
t
wo
u
l
d
i
n
d
i
cate
t
h
at
a
t
h
i
r
d
p
e
r
so
n
was
co
l
l
e
ct
i
n
g
o
r
at
t
e
mp
t
i
n
g
t
o
co
l
l
e
ct th
e
d
e
b
t
s
.
"Co
n
sum
e
r
r
e
p
o
r
t
i
n
g
ag
e
n
cy
"
wo
u
l
d
mean
a
p
e
r
s
o
n
t
h
at
,
fo
r
m
o
n
e
t
a
r
y
fe
e
s
o
r
d
u
e
s
o
r
o
n
a
co
o
p
e
r
at
i
ve
n
o
n
p
r
o
fit
b
asi
s,
r
e
g
u
l
ar
l
y
e
n
g
ag
e
s,
i
n
wh
o
l
e
o
r
i
n
p
ar
t
,
i
n
t
h
e
p
r
acti
c
e
o
f
ass
e
mb
l
i
n
g
o
r
e
val
u
at
i
n
g
c
o
n
sum
e
r
c
r
e
d
i
t
in
f
o
r
ma
t
i
o
n
o
r
o
t
h
e
r
in
fo
r
ma
t
i
o
n
o
n
c
o
n
sum
e
r
s
f
o
r
t
h
e
pu
r
p
o
se
o
f
furn
i
shi
n
g
c
o
n
sum
e
r
r
e
p
o
r
t
s
to
t
h
i
r
d
par
t
i
e
s.
"De
b
t
"
w
o
u
l
d
mean
an
o
b
l
i
g
at
i
o
n
o
r
al
l
e
g
e
d
o
b
l
i
g
at
i
o
n
o
f
a
co
n
sum
e
r
t
o
p
ay
mon
e
y
ar
i
sin
g
o
u
t
o
f
a
t
r
an
sac
t
i
o
n
,
r
e
g
ar
d
l
e
s
s
o
f
wh
e
t
h
e
r
t
h
e
o
b
l
i
g
at
i
o
n
h
as
b
e
e
n
r
e
d
u
ce
d
t
o
j
u
d
g
ment
.
Th
e
t
e
r
m
w
o
u
l
d
n
o
t
i
n
clu
d
e
a
d
e
b
t
f
o
r
b
u
sin
e
ss
,
i
n
v
e
stm
e
n
t
,
co
mm
e
r
cia
l
,
o
r
ag
r
i
cul
t
u
r
al
p
u
r
p
o
se
s
o
r
a
de
b
t
in
cu
r
r
e
d
by
a
p
e
r
so
n
e
n
g
ag
e
d
in
bu
si
n
e
ss
.
"De
b
t
c
o
l
l
e
cto
r
"
wo
u
l
d
mean
an
y
p
e
r
so
n
e
mp
l
o
y
e
d
o
r
e
n
g
ag
e
d
b
y
a
co
l
l
e
cti
o
n
ag
e
n
c
y
t
o
p
e
r
f
o
r
m
t
h
e
c
o
l
l
e
cti
o
n
o
f
d
e
b
t
s
o
we
d
o
r
d
u
e
o
r
a
ss
e
r
t
e
d
t
o
b
e
o
w
e
d
o
r
d
u
e
t
o
an
o
t
h
e
r
p
e
r
so
n
.
"H
o
spi
t
al
"
wo
u
l
d
m
e
an
,
co
n
sist
e
n
t
wi
t
h
45
Co
d
e
o
f
F
e
d
e
r
al
R
e
g
u
l
at
i
o
n
s
1
80
.20
(
H
o
spi
t
al
Pr
i
c
e
Tr
an
spa
r
e
n
c
y)
,
a
hos
p
i
t
al
li
ce
n
s
e
d
un
d
e
r
th
e
Pu
b
l
i
c
H
e
al
t
h
Co
d
e
.
"H
o
spi
t
al
p
r
i
c
e
t
r
an
spar
e
n
cy
l
aw
s"
w
o
u
l
d
mean
42
U.S
.
C
o
d
e
300gg
-
18
(
e
)
(
Pu
b
l
i
c
H
e
al
t
h
an
d
We
l
fa
r
e
)
an
d
r
e
g
u
l
at
i
o
n
s
ad
o
p
t
e
d
b
y
t
h
e
U.S
.
De
p
ar
t
m
e
n
t
o
f
H
e
al
t
h
an
d
H
u
ma
n
S
e
r
vi
c
e
s
i
mp
l
e
ment
i
n
g
42
U.S
.
C
o
d
e
300gg
-
18
(
e
)
.
Ad
h
e
r
e
n
ce
to
H
o
spi
t
al
P
r
i
c
e
T
r
an
spar
e
n
c
y
La
ws
Aft
e
r
t
h
e
b
i
l
l
’
s
e
ff
e
cti
v
e
d
at
e
,
a
h
o
spi
t
al
t
h
at
was
n
o
t
i
n
ma
t
e
r
i
al
c
o
mp
l
i
an
ce
wi
t
h
h
o
spi
t
al
p
r
i
c
e
t
r
an
spar
e
n
cy
la
ws
o
n
th
e
dat
e
th
at
it
e
m
s
an
d
s
e
r
vi
ce
s
w
e
r
e
p
u
r
cha
se
d
fr
o
m o
r
p
r
o
vi
d
e
d
to
a
p
at
i
e
n
t
c
o
u
l
d
n
o
t
i
n
i
t
i
at
e
o
r
p
u
r
su
e
a
c
o
l
l
e
cti
o
n
a
cti
o
n
ag
ai
n
st
t
h
e
p
at
i
e
n
t
o
r
p
at
i
e
n
t
g
u
ar
an
t
o
r
fo
r
a
d
e
b
t
o
we
d
fo
r
t
h
e
i
t
e
ms
an
d
s
e
r
vi
c
e
s.
Th
e
b
i
l
l
wo
u
l
d
ap
p
l
y
t
o
cr
i
t
i
cal
acc
e
s
s
h
o
spi
t
al
s
l
i
ce
n
s
e
d
an
d
c
e
r
t
i
fi
e
d
by
t
h
e
D
H
H
S
u
n
d
e
r
F
e
d
e
r
al
r
u
l
e
s
s
i
x
mo
n
t
h
s
a
fte
r
it
s
e
ff
e
cti
v
e
dat
e
.
If
a
p
at
i
e
n
t
h
ad
e
vi
d
e
n
c
e
t
h
at
a
h
o
spi
t
al
was
n
o
t
i
n
ma
t
e
r
i
al
c
o
mp
l
i
an
ce
wi
t
h
h
o
spi
t
al
p
r
i
ce
t
r
an
spar
e
n
cy
l
aw
s
o
n
a
d
at
e
afte
r
t
h
e
b
i
l
l
’
s
e
ff
e
cti
v
e
d
at
e
an
d
t
h
at
i
t
e
ms
an
d
se
r
vi
c
e
s
w
e
r
e
p
u
r
cha
s
e
d
b
y
o
r
p
r
o
vi
d
e
d
t
o
t
h
e
p
at
i
e
n
t
o
n
t
h
at
d
at
e
,
an
d
i
f
t
h
e
h
o
s
p
i
t
al
t
o
o
k
a
co
l
l
e
cti
o
n
acti
o
n
ag
ai
n
st
t
h
e
p
at
i
e
n
t
o
r
p
at
i
e
n
t
g
u
ar
an
t
o
r
r
e
g
a
r
d
i
n
g
t
h
e
i
t
e
m
s
an
d
se
r
vi
ce
s,
t
h
e
p
at
i
e
n
t
o
r
p
at
i
e
n
t
g
u
ar
an
t
o
r
co
u
l
d
fil
e
a
civi
l
acti
o
n
t
o
d
e
t
e
r
mi
n
e
i
f
t
h
e
h
o
spi
t
al
w
e
r
e
ma
t
e
r
i
al
l
y
o
u
t
o
f
co
mp
l
i
an
c
e
wi
t
h
h
o
spi
t
a
l
p
r
i
c
e
t
r
an
spa
r
e
n
cy
l
aw
s
i
n
e
f
fe
ct
o
n
t
h
e
d
at
e
o
f
se
r
vi
c
e
an
d
i
f
t
h
e
n
o
n
co
mp
l
i
an
c
e
we
r
e
r
e
l
at
e
d
t
o
t
h
e
i
t
e
m
s
an
d
se
r
vi
ce
s.
Th
e
h
o
spi
t
al
c
o
u
l
d
n
o
t
t
ake
co
l
l
e
cti
v
e
acti
o
n
aga
i
n
st th
e
pat
i
e
n
t
o
r
pat
i
e
n
t
gu
ar
an
t
o
r
wh
i
l
e
th
e
civi
l
ac
t
i
o
n
wa
s
p
e
n
d
i
n
g
.
If
t
h
e
ju
d
g
e
o
r
a
j
u
r
y
i
n
a c
i
vi
l
ac
t
i
o
n
un
d
e
r
t
h
e
b
i
l
l
,
co
n
sid
e
r
i
n
g
c
o
mp
l
i
an
ce
stan
d
ar
d
s
is
sue
d
b
y
t
h
e
Ce
n
t
e
r
s
f
o
r
M
e
d
i
c
ar
e
an
d
M
e
d
i
cai
d
S
e
r
vi
c
e
s,
d
e
t
e
r
mi
n
e
d
t
h
at
a
h
o
spi
t
al
was
ma
t
e
r
i
al
l
y
o
u
t
o
f
c
o
mp
l
i
an
ce
wi
t
h
h
o
spi
t
al
p
r
i
c
e
t
r
an
spa
r
e
n
cy
l
aws,
t
h
e
h
o
spi
t
al
w
o
u
l
d
h
ave
t
o
d
o
al
l
t
h
e
fo
l
l
o
wi
n
g
:
--
R
e
fun
d
t
h
e
p
ay
e
r
an
y
a
mou
n
t
o
f
t
h
e
d
e
b
t
t
h
e
p
aye
r
h
a
d
p
ai
d
an
d
p
a
y
a
p
e
n
al
t
y
t
o
t
h
e
p
at
i
e
n
t
o
r
pat
i
e
n
t
gu
ar
a
n
t
o
r
an
am
o
u
n
t
e
q
u
al
to
th
e
to
t
al
am
o
u
n
t
o
f
th
e
de
b
t
.
--
Di
smi
ss
o
r
m
o
v
e
t
o
d
i
sm
i
ss
wi
t
h
p
r
e
j
u
d
i
c
e
an
y
c
o
u
r
t
acti
o
n
b
as
e
d
o
n
t
h
e
d
e
b
t
an
d
p
ay
an
y
at
t
o
r
n
e
y
f
e
e
s
an
d
c
o
st
s
i
n
curr
e
d
b
y
t
h
e
p
at
i
e
n
t
o
r
p
at
i
e
n
t
g
u
ar
an
t
o
r
r
e
l
at
i
n
g
t
o
t
h
e
acti
o
n
.
P
age
5
of
5
B
i
l
l
A
nal
y
s
i
s
@
www.s
enat
e.m
i
c
hi
gan.
go
v
/s
fa
s
b94
-
95/2526
--
R
e
mo
ve
o
r
h
av
e
r
e
m
o
v
e
d
fr
o
m
t
h
e
p
at
i
e
n
t
'
s
o
r
p
at
i
e
n
t
g
u
ar
an
t
o
r
'
s
c
r
e
d
i
t
r
e
co
r
d
an
y
r
e
p
o
r
t
ma
d
e
to
a
c
o
n
sum
e
r
r
e
p
o
r
t
i
n
g
age
n
cy
r
e
l
at
i
n
g
t
o
th
e
d
e
b
t
.
Th
e
A
ct
w
o
u
l
d
n
o
t
p
r
o
h
i
b
i
t
a
h
o
spi
t
al
f
r
o
m
b
i
l
l
i
n
g
a
p
at
i
e
n
t
,
p
at
i
e
n
t
g
u
ar
an
t
o
r
,
o
r
t
h
i
r
d
-
p
ar
t
y
p
aye
r
,
i
n
clu
d
i
n
g
a
h
e
al
t
h
i
n
sure
r
,
fo
r
i
t
e
ms
an
d
s
e
r
vi
ce
s
p
r
o
vi
d
e
d
t
o
t
h
e
p
at
i
e
n
t
.
Th
e
Act
w
o
u
l
d
n
o
t
r
e
q
u
i
r
e
a
h
o
spi
t
al
t
o
r
e
fun
d
an
y
p
ayment
ma
d
e
t
o
t
h
e
h
o
spi
t
al
fo
r
i
t
e
ms
an
d
s
e
r
vi
c
e
s
p
r
o
vi
d
e
d
to
th
e
pat
i
e
n
t
,
i
f
n
o
co
l
l
e
cti
o
n
a
cti
o
n
w
e
r
e
t
ak
e
n
in
v
i
o
l
at
i
o
n
o
f
t
h
e
Act.
Pr
o
p
o
s
e
d
M
CL
33
3
.177
5
7c (S
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