Why does policy matter in increasing access to dental care?
|
|
- John Wiggins
- 7 years ago
- Views:
Transcription
1 Why does policy matter in increasing access to dental care? Shelly Gehshan Director, Pew Children s s Dental Campaign
2 Agenda Our work Public Health Provide, finance care Facility and professional regulation Health workforce education and training 2
3 The Pew Center on the States 3
4 Our Work: Fiscal Health Government Performance Election Initiatives Partnership for America s Economic Success Pew Children s Dental Campaign Pew Home Visiting Campaign Pre K Now Public Safety Performance Project Results First Stateline 4
5 The Pew Children s s Dental Campaign Our Mission: The Pew Children s Dental Campaign strives for cost effective policies that will mean millions more children get the basic dental care they need to grow, learn and lead healthy lives. 5
6 Focusing on Three Policy Areas Prevention Community water fluoridation campaigns (CA, AR, MS) National messaging & strategy development Funding for care Advocating for federal appropriations for oral health programs Medicaid reimbursement for fluoride varnish by MDs and RNs Dental Workforce Ensuring adequate workforce to care for children (MN, CA, ME, NH) Research on economics of new models 6
7 Key State Government Roles in Health Care 7
8 Public Health
9 State public oral health activities Design and implement programs for populations, not individuals, e.g. community water fluoridation, sealant programs, surveillance States: Provide financial support State staff plan, coordinate programs, raise funds, identify partners, hire and supervise staff Legislatures set rules for supervision of hygienists in sealant programs 9
10 Funding for state oral health programs, all sources, 2007 Source: Association of State and Territorial Dental Directors. Summary report: synopses of state dental public health programs data for FY New Bern, NC: Association of State and Territorial Dental Directors; p. 14.)
11 Population on public systems receiving fluoridated water (2008) % 50-74% 25-49% 1-24% Source: Source: Centers for Disease Control and Prevention, "2008 Water Fluoridation Statistics," (accessed September 29, 2010).
12 Sealant programs in high risk schools
13 The Human Costs of Poor Oral Health Jacobi Hill 6 years old Virginia Diamond Brownridge 5 years old Chicago, IL Dylan Stewart 5 years old Florida 13
14 Provide, Finance Care
15 States play a big role Fund local health departments that deliver dental services in some states Shape and fund Medicaid programs, under federal rules, that reimburse dentists, clinics, hospitals, for dental services Decide which of optional populations, services, to cover Set reimbursement rates Set policies that affect FQHC dental programs (outside 4 walls) Decide who can bill Medicaid directly 15
16 Budget Gap Forecasts Source: National Conference of State Legislatures, State Budget Update, November 2010
17 Medicaid Fees as a Percentage of ADA Median for 5 Common Children s s Services, 2010 Sources: Pew/MSDA survey of state Medicaid programs, 2010, and ADA 2009 Survey of Dental Fees. 17
18 Changes in dental payments and use in three states, 2000 to 2004 Source: CMS Medicaid Statistical Information System. Available at: Accessed October 2007, and Borchgrevink A, Snyder A, Gehshan S. The effects of Medicaid reimbursement rates on access to dental care. Portland (ME): National Academy for State Health Policy,
19 Dental managed care in Medicaid Managed care controls many things, including the size of the network Overflow goes to FQHCs 18 states have Medicaid children in managed care Of those, 14 have over 50% of their children in managed care Fees, rules, not always public Source: ADA 2008 Compendium Update, Accessed March 31, 2010.
20 Adult Dental Coverage in Medicaid Adult Dental Coverage in Medicaid, Source: ADULT DENTAL BENEFITS IN MEDICAID: FY , ADA
21 Facility and Professional Regulation
22 Health professional regulation Legislatures establish, amend, state dental practice acts Governs who can do what, where, for whom, when Sets licensing, certification requirements for providers Defines the practice of dentistry, and auxiliaries Establishes state boards to implement laws 22
23 Providers and facilities Governors establish, appoint members to, state boards of dentistry, which should: Should ensure both safety of care, and access Balance rights of providers Promote competition and consumer choice Implement the law as enacted Departments of Health regulate facilities on health and safety standards, do inspections, issue fines
24 Limits of the Current System If you live in the suburbs, if you have a car, plenty of money, dental insurance, and no dental disease, we have the perfect delivery system for you. Charles Bertolami Dean, New York University College of Dentistry 24
25 7,316 new dental providers are needed to end the dentist shortage Ratio of Underserved to Total Population = <10% = between 10% and 20% = >20% Each number represents a dental shortage area Nearly 48 million Americans live in a shortage area (NH) (DC) Source: Designated Health Professional Shortage Areas (HPSA) Statistics. Available at: Accessed January 6,
26 Dentists Real Income Over Time Source: Albert Guay, Dental Practice: Prices, Production, and Profit, JADA, Vol. 136 (March 2005),
27 Supervision Rules for RDH Sealant Application 2010 Dentist s exam and direct or indirect supervision required (10) Dentist s exam always required (12) Dentist s exam sometimes required (13) Dentist s exam never required (16) CA OR WA NV ID AZ UT MT WY NM CO ND SD NE KS OK MN IA MO AR WI IL MI IN KY TN OH WV SC NY PA VA NC ME VT NH MA* RI CT NJ DE MD DC MS AL GA TX LA AK FL* HI *FL A change to not require a dentist s exam had been proposed, but not enacted, at the time Pew s report went to press. *MA Recent changes will allow hygienists in schools and other public health settings to place sealants without a dentist s prior exam, but those changes were not yet in effect at the time Pew s report went to press. 27
28 States allowing hygienists to bill directly for services, 2010 State allows hygienists to bill directly for services Source:
29 New provider models in dentistry Community Dental Health Coordinator (CDHC) Dental therapist (DT, DHAT) Combined dental therapist hygienist (OHT) Minnesota dental therapist/advanced dental therapist (MN DT and ADT) Advanced dental hygiene practitioner (ADHP)
30 Discussing New Dental Care Providers WA CA OR NV ID AZ UT MT WY CO NM ND SD NE KS OK MN WI IA IL MO AR MS MI IN KY TN AL NY PA OH WV VA NC SC GA ME VT NH MA CT RI NJ DE MD DC TX LA AK FL HI Kellogg workforce campaign states Pew workforce campaign states Kellogg and Pew workforce campaign state States with CDHC pilots State with both Pew workforce campaign and CDHC pilot 30
31
32 AFHCAN Cart Alaska Federal Health Care Access Network Wireless networking Touchscreen ECG / Video dental camera and otoscope / scanner / digital camera Mobile customized Makes remote supervision possible, safe WWW. AFHCAN.ORG 32
33 Health Workforce Education and Training
34 Health Workforce Education and Training Types of Dental Schools in the US (61 total schools in 2010) Source:
35 Loan repayment programs by state Loan repayment programs available National Health Service Corps loan repayment program only Tax credit or National Health Service Corps loan repayment only Limited loan repayment Information unavailable Source:
36 In Sum, Policy Decisions Impact FQHCs every day (a few examples) Public health programs reduce need for restorative care Medicaid decisions impact: Coverage for adults, which impacts patient flow, bottom line Ability to get reimbursed at FQHC rate for programs outside 4 walls State funding impacts: Funding for CHCs Workforce decisions impact: Supply of providers, what they can do, where, for whom Education and training impacts supply
37 Shelly Gehshan /dental
Oral Health Workforce for Low Income Children
Oral Health Workforce for Low Income Children National Health Policy Forum April 20, 2007 Shelly Gehshan, Senior Program Director National Academy for State Health Policy National Academy for State Health
More informationDental Therapist Initiatives, Access, and Changing State Practice Acts The ADHA Perspective: An Update
Dental Therapist Initiatives, Access, and Changing State Practice Acts The ADHA Perspective: An Update Pam Quinones, RDH, BS President, ADHA April 29, 2012 I. The Dental Hygiene Workforce as a Partner
More informationU.S. Department of Housing and Urban Development: Weekly Progress Report on Recovery Act Spending
U.S. Department of Housing and Urban Development: Weekly Progress Report on Recovery Act Spending by State and Program Report as of 3/7/2011 5:40:51 PM HUD's Weekly Recovery Act Progress Report: AK Grants
More informationHow To Rate Plan On A Credit Card With A Credit Union
Rate History Contact: 1 (800) 331-1538 Form * ** Date Date Name 1 NH94 I D 9/14/1998 N/A N/A N/A 35.00% 20.00% 1/25/2006 3/27/2006 8/20/2006 2 LTC94P I F 9/14/1998 N/A N/A N/A 35.00% 20.00% 1/25/2006 3/27/2006
More informationState Corporate Income Tax-Calculation
State Corporate Income Tax-Calculation 1 Because it takes all elements (a*b*c) to calculate the personal or corporate income tax, no one element of the corporate income tax can be analyzed separately from
More informationNew York Public School Spending In Perspec7ve
New York Public School Spending In Perspec7ve School District Fiscal Stress Conference Nelson A. Rockefeller Ins0tute of Government New York State Associa0on of School Business Officials October 4, 2013
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: PTA Supervision Requirements
These tables provide information on what type of supervision is required for PTAs in various practice settings. Definitions Onsite Supervision General Supervision Indirect Supervision The supervisor is
More informationTITLE POLICY ENDORSEMENTS BY STATE
TITLE POLICY ENDORSEMENTS BY STATE State Endorsement ID Endorsement Description AK ARM ALTA 6 Adjustable (Variable) Rate AK BALLOON FNMA Balloon Endorsement AK CONDO ALTA 4 Condominium AK COPY FEE Copies
More informationNHIS State Health insurance data
State Estimates of Health Insurance Coverage Data from the National Health Interview Survey Eve Powell-Griner SHADAC State Survey Workshop Washington, DC, January 13, 2009 U.S. DEPARTMENT OF HEALTH AND
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Continuing Competence
This document reports CEU requirements for renewal. It describes: Number of required for renewal Who approves continuing education Required courses for renewal Which jurisdictions require active practice
More informationStandardized Pharmacy Technician Education and Training
Standardized Pharmacy Technician Education and Training Kevin N. Nicholson, RPh, JD Vice President, Pharmacy Regulatory Affairs National Association of Chain Drug Stores May 19, 2009 Overview of how technicians
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Continuing Competence
This document reports CEU (continuing education units) and CCU (continuing competence units) requirements for renewal. It describes: Number of CEUs/CCUs required for renewal Who approves continuing education
More informationRegional Electricity Forecasting
Regional Electricity Forecasting presented to Michigan Forum on Economic Regulatory Policy January 29, 2010 presented by Doug Gotham State Utility Forecasting Group State Utility Forecasting Group Began
More informationFederation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: License Renewal Who approves courses?
Federation of State s of Physical The table below provides information on approval of continuing education/competence courses and for each jurisdiction. Summary Number of jurisdictions requiring approval
More informationHealth Workforce Data Collection: Findings from a Survey of States
Health Workforce Data Collection: Findings from a Survey of States Jean Moore, DrPH David Armstrong, PhD Health Workforce Technical Assistance Center School of Public Health University at Albany, SUNY
More informationNAAUSA Security Survey
NAAUSA Security Survey 1. How would you rate the importance of each of the following AUSA security improvements. Very important Somewhat important Not too important Not at all important Secure parking
More informationFlorida Workers Comp Market
Florida Workers Comp Market 10/5/10 Lori Lovgren 561-893-3337 Lori_Lovgren@ncci.com Florida Workers Compensation Rates 10-1-03 1-1-11 to 1-1-11* Manufacturing + 9.9% 57.8% Contracting + 7.3% 64.4 % Office
More informationehealth Price Index Trends and Costs in the Short-Term Health Insurance Market, 2013 and 2014
ehealth Price Index Trends and Costs in the Short-Term Health Insurance Market, 2013 and 2014 June 2015 1 INTRODUCTION In this report, ehealth provides an analysis of consumer shopping trends and premium
More informationState Survey Results MULTI-LEVEL LICENSURE TITLE PROTECTION
MULTI-LEVEL LICENSURE TITLE PROTECTION Prior AK MN TN MO AL MO KY VA AZ MS MO DC NYC NE HI ME OR IA RI PA IL TX VA KS WA LA WI MA WV Prior AK ME OR TN AL MI PA HI CO MS FL DC NC MN IA NE UT IL NV WA IN
More informationThe Lincoln National Life Insurance Company Variable Life Portfolio
The Lincoln National Life Insurance Company Variable Life Portfolio State Availability as of 12/14/2015 PRODUCTS AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MP MD MA MI MN MS MO MT NE
More informationDashboard. Campaign for Action. Welcome to the Future of Nursing:
Welcome to the Future of Nursing: Campaign for Action Dashboard About this Dashboard: These are graphic representations of measurable goals that the Campaign has selected to evaluate our efforts in support
More informationTable 12: Availability Of Workers Compensation Insurance Through Homeowner s Insurance By Jurisdiction
AL No 2 Yes No See footnote 2. AK No Yes No N/A AZ Yes Yes Yes No specific coverage or rate information available. AR No Yes No N/A CA Yes No No Section 11590 of the CA State Insurance Code mandates the
More informationCDFI FUND NEW MARKETS TAX CREDIT PROGRAM:
CDFI FUND US Department of the Treasury NEW MARKETS TAX CREDIT PROGRAM: SECOND ROUND (2003-2004) Allocatees Serving Allocatee Name (Award Amount) AK 1 Alaska Growth Capital BIDCO, Inc. ($35 million) Total:
More informationCINCINNATI HILLS CHRISTIAN ACADEMY COLLEGE QUESTIONNAIRE FOR STUDENTS
CINCINNATI HILLS CHRISTIAN ACADEMY COLLEGE QUESTIONNAIRE FOR STUDENTS Complete & bring with you to your Junior College Planning Meeting. NAME: ADDRESS: EMAIL: BIRTHDATE: PHONE #: DATE: PLEASE READ BEFORE
More informationState Annual Report Due Dates for Business Entities page 1 of 10
State Annual Report Due Dates for Business Entities page 1 of 10 If you form a formal business entity with the state, you may be required to file periodic reports on the status of your entity to preserve
More informationHow To Know The Nursing Workforce
FAST FACTS The Nursing Workforce 2014: Growth, Salaries, Education, Demographics & Trends RN Job Growth Rate (new and replacement) By State/Region, 2012-2022) 14 states project an annual growth rate of
More informationSurety Bond Requirements for Mortgage Brokers and Mortgage Bankers As of July 15, 2011
Surety Bond Requirements for Mortgage Brokers and Mortgage Bankers As of July 15, 2011 State Mortgage Broker Bond Cancellation Mortgage Banker Bond Cancellation Notes & Citations AK $75,000 minimum for
More informationPayroll Tax Chart Results
Payroll Tax Chart Results Terminated Employee -- Involuntary Terminated Employee -- Vacation Pay Terminated Employee -- Voluntary Taxing Authority Federal Payment Date for Involuntary Termination No provision
More informationThe Leukemia & Lymphoma Society
The Leukemia & Lymphoma Society The Leukemia & Lymphoma Society (LLS) exists to find cures and ensure access to treatments for blood cancer patients. LLS is the voice for all blood cancer patients. We
More informationThe Future of Nursing Report
The Future of Nursing Report Illinois Healthcare Action Coalition Strategic Planning Meeting June 16, 2011 Susan B. Hassmiller, PhD, RN, FAAN Campaign for Action Campaign Vision All Americans have access
More informationANTHONY P. CARNEVALE NICOLE SMITH JEFF STROHL
State-Level Analysis HELP WANTED PROJECTIONS of JOBS and EDUCATION REQUIREMENTS Through 2018 JUNE 2010 ANTHONY P. CARNEVALE NICOLE SMITH JEFF STROHL Contents 1 Introduction 3 U.S. Maps: Educational concentrations
More informationMortgage Broker / Mortgage Originator Bond Requirements Nationwide
Surety One Email: Underwriting@SuretyOne.org Facsimile: 919-834-7039 Mail: P.O. Box 37284, Raleigh, NC 27627 Mortgage Broker / Mortgage Originator Bond Requirements Nationwide AK Mortgage Broker License
More informationUnderstanding Payroll Recordkeeping Requirements
Understanding Payroll Recordkeeping Requirements 1 Presented by Sally Thomson, CPP Directory of Payroll Training American Payroll Association sthomson@americanpayroll.org 2 Agenda Recordkeeping Requirements
More informationTable 11: Residual Workers Compensation Insurance Market By Jurisdiction
Table 11: Residual Workers Market By AL Yes/NCCI 3 Two declination AK Yes/NCCI Two declination AZ Yes/NCCI Three declination, including one from the State Fund Agent/ ()/ Access? 4 Recommend NWCRP Recommend
More informationAnnual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Brief: 2015
Annual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Brief: Economy-Wide Statistics Division Briefs: Public Sector Graphical Summary By Phillip Vidal Released
More informationFinal Expense Life Insurance
Dignified Choice - Classic Series Final Expense Life Insurance Columbian Mutual Life Insurance Company Home Office: Binghamton, NY Administrative Service Office: Norcross, GA Columbian Life Insurance Company
More informationBroadband Technology Opportunities Program: Sustainable Broadband Adoption and Public Computer Centers
Broadband Technology Opportunities Program: Sustainable Broadband Adoption and Public Computer Centers National Telecommunications and Information Agency (NTIA) U. S. Department of Commerce Funded by the
More informationPreapproval Inspections for Manufacturing. Christy Foreman Deputy Director Division of Enforcement B Office of Compliance/CDRH
Preapproval Inspections for Manufacturing Christy Foreman Deputy Director Division of Enforcement B Office of Compliance/CDRH Major Steps Review of the Quality System information Inspection requests generated
More informationPharmacist Administered Vaccines Types of Vaccines Authorized to Administer
5 4 Pharmacist Administered Vaccines Types of Vaccines Authorized to Administer 46 Any vaccine I, P, Z 5 Other combos Number of states / territories Any vaccine Influenza, Pneumo and Zoster (I, P, Z) Other
More informationDepartment of Business and Information Technology
Department of Business and Information Technology College of Applied Science and Technology The University of Akron Summer 01 Graduation Survey Report 1. How would you rate your OVERALL EXPERIENCE at The
More informationIn Utilization and Trend In Quality
AHA Taskforce on Variation in Health Care Spending O Hare Hilton, Chicago February 10, 2010 Allan M. Korn, M.D., FACP Senior Vice President, Clinical Affairs and Chief Medical Officer Variation In Utilization
More informationLexisNexis Law Firm Billable Hours Survey Top Line Report. June 11, 2012
LexisNexis Law Firm Billable Hours Survey Top Line Report June 11, 2012 Executive Summary by Law Firm Size According to the survey, we found that attorneys were not billing all the time they worked. There
More informationEnrollment Snapshot of Radiography, Radiation Therapy and Nuclear Medicine Technology Programs 2013
Enrollment Snapshot of Radiography, Radiation Therapy and Nuclear Medicine Technology Programs 2013 A Nationwide Survey of Program Directors Conducted by the American Society of Radiologic Technologists
More informationNurse Practitioners and Physician Assistants in the United States: Current Patterns of Distribution and Recent Trends. Preliminary Tables and Figures
Nurse Practitioners and Physician Assistants in the United States: Current Patterns of Distribution and Recent Trends Preliminary Tables and Figures Kevin M. Stange, PhD Assistant Professor Gerald R. Ford
More informationAn Introduction to... Equity Settlement
An Introduction to... Equity Settlement The New York CEMA & Co-op Process June 2009 About Us... Established in 1986 Over 100 Associates Approved Vendor for Bank of America Preferred Vendor for Many National
More informationADEA Survey of Dental School Seniors, 2014 Graduating Class Tables Report
ADEA Survey of Dental School Seniors, 2014 Graduating Class Tables Report Published February 2015 Suggested Citation American Dental Education Association. (February 2015). ADEA Survey of Dental School
More informationTrends in Medigap Coverage and Enrollment, 2011
Trends in Medigap Coverage and Enrollment, 2011 May 2012 SUMMARY This report presents trends in enrollment in Medicare Supplement (Medigap) insurance coverage, using data on the number of policies in force
More informationBuilding Healthy and Active Communities through Partnerships. Society for Outdoor Recreation Professionals April 16, 2015
Building Healthy and Active Communities through Partnerships Society for Outdoor Recreation Professionals April 16, 2015 Patti Miller Nemours Health & Prevention Services Kendall Sommers Delaware State
More informationStates Future Economic Standing
States Future Economic Standing if current education levels remain the same. Presentation by Joe Marks SREB Director of Data Services State Leaders Forum St. Petersburg, Florida November 17, 2004 1 The
More informationLife Settlements Source List
BROKERS Ashar Group LLC - Life Settlement Specialists 407-772-1818 www.ashargroup.com Except AK NH VT Except AK NH VT Varies based on current market opportunities and groups that pass Ashar s due diligence
More informationLarry R. Kaiser, MD. President The University of Texas Health Science Center at Houston
Larry R. Kaiser, MD President The University of Texas Health Science Center at Houston HealthCare Workforce: UTHealth Experience CHALLENGE To train the Healthcare Workforce of the 21 st Century SOLUTIONS:
More informationEnrollment Snapshot of Radiography, Radiation Therapy and Nuclear Medicine Technology Programs 2014
Enrollment Snapshot of, Radiation Therapy and Nuclear Medicine Technology Programs 2014 January 2015 2015 ASRT. All rights reserved. Reproduction in any form is forbidden without written permission from
More information2014 Year in Review State Policies Impacting CTE. Catherine Imperatore, ACTE Andrea Zimmermann, NASDCTEc February 5, 2015
2014 Year in Review State Policies Impacting CTE Catherine Imperatore, ACTE Andrea Zimmermann, NASDCTEc February 5, 2015 Background and Context Federal policies Perkins WIOA HEA Senate and Congressional
More informationLexisNexis Law Firm Billable Hours Survey Report
LexisNexis Law Firm Billable Hours Survey Report Executive Summary Despite the critical impact on a firm s bottom line, it remains challenging for some attorneys and legal staff to efficiently capture
More informationU.S. Department of Education NCES 2011-460 NAEP. Tools on the Web
U.S. Department of Education NCES 2011-460 NAEP Tools on the Web Whether you re an educator, a member of the media, a parent, a student, a policymaker, or a researcher, there are many resources available
More informationDownload at www.iii.org/presentations
Residual Markets, Uninsured Motorists and Competition in Maryland Auto Insurance Maryland Auto Insurance Plan Senate Hearing on Uninsured Motorists Annapolis, MD December 16, 2015 Download at www.iii.org/presentations
More information2016 Individual Exchange Premiums updated November 4, 2015
2016 Individual Exchange Premiums updated November 4, 2015 Within the document, you'll find insights across 50 states and DC with available findings (i.e., carrier participation, price leadership, gross
More informationAmGUARD Insurance Company EastGUARD Insurance Company NorGUARD Insurance Company WestGUARD Insurance Company GUARD
About Us For over 30 years, we have protected the interests of the small- to mid-sized businesses that insure with us. At Berkshire Hathaway Insurance Companies, we dedicate our efforts in the areas that
More informationFlorida 1/1/2015 Workers Compensation Rate Filing
Florida 1/1/2015 Workers Compensation Rate Filing Kirt Dooley, FCAS, MAAA October 14, 2014 1 $ Billions 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.873 0.106 Florida s Workers Compensation Premium Volume 2.681 2.368
More informationNational Student Clearinghouse. CACG Meeting
National Student Clearinghouse Presentation for CACG Meeting February 2010 Dr. Jeff Tanner, Vice President The Clearinghouse A non-profit organization founded in 1993 in affiliation with several educational
More informationNotices of Cancellation / Nonrenewal and / or Other Related Forms
Forms are listed alphabetically by form title. INDEX POLICY CODES 1. Auto 2. Fire and Multiple Peril 3. Liability 4. Property, other than Fire and Multiple Peril (e.g. Crime & Inland Marine) 5. Workers
More informationVocational Rehabilitation
Vocational Rehabilitation Senate Education Appropriations Committee October 7, 2015 Emily Sikes, Chief Legislative Analyst, OPPAGA oppaga THE FLORIDA LEGISLATURE S OFFICE OF PROGRAM POLICY ANALYSIS & GOVERNMENT
More informationSTATE INCOME TAX WITHHOLDING INFORMATION DOCUMENT
STATE INCOME TAX WITHHOLDING INFORMATION DOCUMENT Zurich American Life Insurance Company (ZALICO) Administrative Offices: PO BOX 19097 Greenville, SC 29602-9097 800/449-0523 This document is intended to
More informationGE Inventory Finance. Unlock your cash potential.
GE Inventory Finance Unlock your cash potential. Benefits of Floor Planning Increased sales Interest-free extended terms Ecommerce / Customer Online Management Systems (COMS) (Purchase Approvals / Inventory
More informationStates Served. CDFI Fund 601 Thirteenth Street, NW, Suite 200, South, Washington, DC 20005 (202) 622-8662 25
s Served CDFI Fund 601 Thirteenth Street, NW, Suite 200, South, Washington, DC 20005 (202) 622-8662 25 New Markets Tax Credit Program Sixth Round (2008) s Served NOTES: (1) Allocatees that are italicized
More informationCommunity Eligibility Option: Guidance and Procedures for Selection of States for School Year 2012-2013
United States Department of Agriculture Food and Nutrition Service 3101 Park Center Drive Alexandria, VA 22302-1500 DATE: February 9, 2012 MEMO CODE: SP 12-2012 SUBJECT: TO: Community Eligibility Option:
More informationAlaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO)
Beth Radtke 50 Included in the report: 7/22/2015 11:15:28 AM Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Connecticut (CT) Delaware (DE) District Columbia (DC) Florida (FL)
More informationThe following rates are the maximum rates that should be illustrated. Be sure to update the IRIS illustration system
INTEREST RATES - June 16, 2016 to July 15, 2016 Notices 1. Before soliciting or taking any annuity applications, it is required that you have completed Lafayette Life's Annuity Training and any Continuing
More informationAN INSIDE LOOK AT SOCIAL RECRUITING IN THE USA
AN INSIDE LOOK AT SOCIAL RECRUITING IN THE USA THE BULLHORN REACH RANKINGS REPORT TM WWW.BULLHORNREACH.COM @BULLHORNREACH JUNE 2012 COPYRIGHT 2012 BULLHORN, INC. ALL RIGHTS RESERVED. EXECUTIVE SUMMARY
More informationWhat does Georgia gain. by investing in its
What does Georgia gain by investing in its colleges and universities 2 A tremendous return: More economic prosperity. Less government spending. A stronger competitive advantage. A higher quality of life.
More informationSTC Insured Deposit Program (STID) Updated 06/16/2016
STC Insured Deposit Program (STID) Welcome to the AIG Federal Savings Bank ( AIG FSB ), d/b/a SunAmerica Trust Company ( STC ) STC Insured Deposit Program. Under this program, available cash balances (from
More informationPRODUCTS CURRENTLY AVAILABLE FOR SALE. Marquis SP
INTEREST RATES - August 16, 2016 to September 15, 2016 Notices 1. Before soliciting or taking any annuity applications, it is required that you have completed Lafayette Life's Annuity Training and any
More informationEnrollment Snapshot of Radiography, Radiation Therapy and Nuclear Medicine Technology Programs 2012
Enrollment Snapshot of, and Nuclear Medicine Programs 2012 A Nationwide Survey of Program Directors Conducted by the American Society of Radiologic Technologists January 2013 2012 ASRT. All rights reserved.
More informationAmeriprise INSURED MONEY MARKET (AIMMA) BANK LIST: The bank list below is effective as of August 22, 2016
Ameriprise INSURED MONEY MARKET (AIMMA) : The lists below contain the names of the program banks where AIMMA assets will be placed. The program banks are shown in columns by state or region. Find the list
More informationANALYSIS OF US AND STATE-BY-STATE CARBON DIOXIDE EMISSIONS AND POTENTIAL SAVINGS IN FUTURE GLOBAL TEMPERATURE AND GLOBAL SEA LEVEL RISE
ANALYSIS OF US AND STATE-BY-STATE CARBON DIOXIDE EMISSIONS AND POTENTIAL SAVINGS IN FUTURE GLOBAL TEMPERATURE AND GLOBAL SEA LEVEL RISE by Paul Knappenberger SPPI ORIGINAL PAPER Updated April 2013 ANALYSIS
More informationWho provides this training? Are there any requirements? The parents/guardians and the doctor go through the medication curriculum with the student.
AL AK AZ AR Student, if they have a chronic condition school nurse or school administrators The student, if their parent/guardian authorizes them to. Trained school personnel can also administer Students
More informationList of HUD Accepted Insured Ten-Year Protection Plans (As of September 22, 2008) Posted as a courtesy by MSI on 11/05/08
List of HUD Accepted Insured Ten-Year Protection Plans (As of September 22, 2008) Posted as a courtesy by MSI on 11/05/08 NAME OF PROVIDER INSURANCE BACKING STATE ACCEPTANCE American ewarranty 6360 Flank
More informationAmbulance Industry Receives Financial Relief Through the MMA
Ambulance Industry Receives Financial Relief Through the MMA On June 25, 2004, the Centers for Medicare and Medicaid Services (CMS) issued Transmittal 220 to Medicare Contractors outlining changes to the
More informationRural Psychiatry. Mohamed Ramadan MD MS Board Certified Psychiatrist Mohave Mental Health Clinic Bullhead City Arizona
Rural Psychiatry Mohamed Ramadan MD MS Board Certified Psychiatrist Mohave Mental Health Clinic Bullhead City Arizona National Context Recognition of potential shortage by national groups: American Association
More informationSTATES VEHICLE ASSET POLICIES IN THE FOOD STAMP PROGRAM
820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org Revised July 1, 2008 STATES VEHICLE ASSET POLICIES IN THE FOOD STAMP PROGRAM States
More informationAAIS Mobile-Homeowners 2008 Series
Policy Forms and Endorsements IT IS WOLTERS KLUWER FINANCIAL SERVICES' POLICY TO LIMIT THE SALE OF BUREAU FORMS TO THE MEMBERS AND SUBSCRIBERS OF THOSE RESPECTIVE BUREAUS. PURCHASE AND USE OF BUREAU FORMS
More informationFIELD SERVICE BULLETIN
FSB_971_1A HUGHES NETWORK SYSTEMS FIELD SERVICE BULLETIN SUBJECT: Updated Commissioning Rules FSB NUMBER: FSB_971_1A FSB ISSUE DATE: 7/1/9 SUBMITTED BY: J. Callow APPROVED BY: D. Dostalik CHANGE TO BE
More informationBuilding a Market for Small Wind: The Break-Even Turnkey Cost of Residential Wind Systems in the United States
Building a Market for Small Wind: The Break-Even Turnkey Cost of Residential Wind Systems in the United States Ryan H. Wiser Lawrence Berkeley National Laboratory rhwiser@lbl.gov; 510-486-5474 Global WINDPOWER
More informationINTRODUCTION. Figure 1. Contributions by Source and Year: 2012 2014 (Billions of dollars)
Annual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Report: Economy-Wide Statistics Division Briefs: Public Sector By Phillip Vidal Released July 2015 G14-ASPP-SL
More informationMoving TIM from Good to Great?
FHWA Update: Traffic Incident Management Program Moving TIM from Good to Great? Iowa Traffic Safety Forum November 19, 2014 Mr. Jeff King (Retired Capt. AzDPS) Traffic Incident Management Public Safety
More informationEnding Veteran and Veteran Family Homelessness: The Homeless Veteran Supported Employment Program (HVSEP)
Ending Veteran and Veteran Family Homelessness: The Homeless Veteran Supported Employment Program (HVSEP) Carma A. Heitzmann, Ph.D. National Program Manager HVSEP VHA Homeless Program Office carma.heitzmann@va.gov
More informationHealth Insurance Exchanges and the Medicaid Expansion After the Supreme Court Decision: State Actions and Key Implementation Issues
Health Insurance Exchanges and the Medicaid Expansion After the Supreme Court Decision: State Actions and Key Implementation Issues Sara R. Collins, Ph.D. Vice President, Affordable Health Insurance The
More informationMEDCHI, THE MARYLAND STATE MEDICAL SOCIETY HOUSE OF DELEGATES CL Report 3-13. A Fifty State Survey of Tort Reform Provisions
MEDCHI, THE MARYLAND STATE MEDICAL SOCIETY HOUSE OF DELEGATES CL Report 3-13 INTRODUCED BY: SUBJECT: REFERRED TO: Council on Legislation A Fifty State Survey of Tort Reform Provisions Reference Committee
More informationFixed Indexed Annuity Rates
Company / Minimum Issue Ages Product Premiums Surrender Charges Last 15 Years Life of the Southwest SecurePlus Accumulator 5 Life of the Southwest SecurePlus Platinum (after 3/21/06) Fixed Indexed Annuity
More informationState and Local Sales Tax Revenue Losses from E-Commerce: Estimates as of July 2004
State and Local Sales Tax Revenue Losses from E-Commerce: Estimates as of July 2004 by Dr. Donald Bruce, Research Assistant Professor dbruce@utk.edu and Dr. William F. Fox, Professor and Director billfox@utk.edu
More informationHow NYPIRG s Physician Supply Report Misses the Mark. September 2014
How NYPIRG s Physician Supply Report Misses the Mark September 2014 Lawsuit Reform Alliance of New York 19 Dove St., Suite 201 Albany, NY 12210 www.lrany.org About the Lawsuit Reform Alliance of New York
More informationAppendix: Data Supplement. This appendix contains supplementary information about the data and exhibits.
Editor s Note: This online data supplement contains supplemental material that was not included with the published article by Denise A. Davis and Melanie D. Napier, Strategically Addressing the Nurse Shortage:
More informationAdmitting Foreign Trained Lawyers. National Conference of Bar Examiners Chicago, May 2, 2015
Admitting Foreign Trained Lawyers National Conference of Bar Examiners Chicago, May 2, 2015 Professor Laurel S. Terry Penn State s Dickinson Law Carlisle, Pennsylvania LTerry@psu.edu Overview of Remarks
More informationRates and Bills An Analysis of Average Electricity Rates & Bills in Georgia and the United States
Rates and Bills An Analysis of Average Electricity Rates & Bills in Georgia and the United States During regulatory and public policy discussions of electricity costs for Georgia ratepayers, the conversation
More informationSuitability Agent Continuing Education Requirements by State
Suitability Agent Continuing Education Requirements by State STATE AL AK AZ AR CA CO CT DE DC FL GA HI ID Insurance producers holding a life line of insurance license must complete a one-time 4 hour annuity
More informationHistory of Prescription Drug Monitoring Programs. PDMP Training and Technical Assistance Center Brandeis University
History of Prescription Drug Monitoring Programs PDMP Training and Technical Assistance Center Brandeis University History of Prescription Drug Monitoring Programs First PDMP Early PDMP Characteristics
More informationStandardization of Technician Education Want it? Need it? Janet Teeters, M.S., R.Ph. Director of Accreditation Services ASHP
Standardization of Technician Education Want it? Need it? Janet Teeters, M.S., R.Ph. Director of Accreditation Services ASHP Disclosure Director of Accreditation Services Standardized Technician Education
More informationLIMITED LIABILITY COMPANY ORGANIZATION CHART
LIMITED LIABILITY COMPANY ORGANIZATION CHART The following Chart has been designed to allow you in a summary format, determine the minimum requirements to form a limited liability company in all 50 states
More informationAthene Annuity (DE) Rates
January 29, 2015 Athene Annuity (DE) s Athene Benefit 10 SM, Athene Choice, Athene Max and Athene 7 MYG SM rates will remain unchanged for the Athene Annuity (DE) product series. Guaranteed payout rates
More informationFunding Your Technology and Archive Conversion Needs
Funding Your Technology and Archive Conversion Needs Presented at the NACRC Legislative Conference March 5, 2011 Facilitators: Larry Burtness & Carol Foglesong Technology funding The question was asked
More information