Medicare: Home health prospective payment system; refinement and rate update (2008 CY) Correction,

[Federal Register: June 18, 2007 (Volume 72, Number 116)]

[Proposed Rules]

[Page 33425-33430]

From the Federal Register Online via GPO Access [wais.access.gpo.gov]

[DOCID:fr18jn07-20]

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Part 484

[CMS-1541-CN]

RIN 0938-AO32

Medicare Program; Home Health Prospective Payment System Refinement and Rate Update for Calendar Year 2008; Correction

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Proposed rule; correction notice.

SUMMARY: This document corrects technical errors that appeared in the proposed rule published in the Federal Register on May 4, 2007, entitled ``Medicare Program; Home Health Prospective Payment System Refinement and Rate Update for Calendar Year 2008'' (72 FR 25356).

FOR FURTHER INFORMATION CONTACT: Randy Throndset, (410) 786-0131.

SUPPLEMENTARY INFORMATION:

1. Background

   In FR Doc. 07-2167 of May 4, 2007 (72 FR 25356), there were a number of technical errors that we identified and corrected in the Correction of Errors section below.

2. Summary of Errors

   In the May 4, 2007 published proposed rule, on page 25388, we

   [[Page 33426]]

   provided a Table 4 ``Regression Coefficients for Calculating Case-Mix Relative Weights'' that illustrated payment regression coefficients, which represent the average addition to resource cost due to each severity level. We inadvertently miscalculated the payment for the case-mix groups in the second column of Table 4 and have corrected these errors.

   We are republishing Table 4 in its entirety with the corrected information. The text on page 25388 describing Table 4 has also been changed to reflect the corrected data in the table as well as a typographical error. We are also correcting the language on page 25388 which describes how coefficients are scaled. A phrase was inadvertently omitted which notes that the calculation also adjusts for budget neutrality in the weights.

   We are correcting text on page 25389, which incorrectly stated that we are proposing to adjust for nominal change in case-mix through a reduction in the weights. The adjustment for nominal change in case-mix is made through a rate reduction in the national standardized 60-day episode payment. We are also correcting some typographic errors. On pages 25389-25392, Table 5 ``Case-Mix Groups, Average Cost, and Case- Mix Weight'' includes the predicted average resource cost for the 153 case-mix groups of the proposed model. We inadvertently miscalculated the ``Average Cost'' in the fourth column. We are republishing Table 5 in its entirety with the corrected information.

   On pages 25430-25431, Table 12a ``NRS Case-Mix Adjustment Variables and Scores'' sets forth the NRS scores for the five-group model. We inadvertently included incorrect scores in the third column and have corrected these errors. The table also corrects how the scoring is broken out for Outcome and Assessment Information Set (OASIS) item M0450, giving separate scores for stage 3 and stage 4 pressure ulcers, separating 1 pressure ulcer and 2 pressure ulcers within both stages 3 and 4, changing 3 pressure ulcers for stage 3 or 4 to 3+ pressure ulcers for stage 3, changing the 4+ pressure ulcers for stage 3 and 4 to 3+ pressure ulcers for stage 4, and deleting the score for 5 or more pressure ulcers. We are republishing Table 12a in its entirety with the corrected information.

   We are also correcting text on page 25444 describing the calculation of the case-mix and wage-adjusted national standardized 60- day episode payment rate including non-routine supplies to correct an error in the order of the calculation. We are correcting typographical errors in the LUPA calculation example on page 25447.

   Finally, we are correcting typographical errors in Addendum A on page 25459, in the rural Massachusetts and New Jersey wage indices. The text of the first footnote to Addendum A also incorrectly states that all counties within the State are classified as rural. The first footnote has been corrected.

3. Correction of Errors

   In FR Doc. 07-2167 of May 4, 2007 (72 FR 25356), make the following corrections:

   1. On page 25388, in the first column, the first full paragraph,

      1. In line 1, the word ``PSS'' is corrected to read ``PPS''.

      2. In lines 5 through 10, the sentence ``(To show the coefficients in actual, as opposed to resource cost, dollars, the coefficients were scaled by a multiplier representing the ratio of the HH PPS average payment level to the Abt Associates average resource cost level)'' is corrected to read as follows: ``(To show the coefficients in actual, as opposed to resource cost, dollars, the coefficients were scaled by a multiplier representing the ratio of the HH PPS average payment level to the Abt Associates average resource cost level after adjusting for budget neutrality in the weights (see section II.A.2.c. for an explanation of budget neutrality adjustment to the weights.))''.

      3. In line 17, the figure ``$861.74'' is corrected to read ``$869.55''.

      4. In line 18, the figure ``$219.44'' is corrected to read ``$221.43''.

   2. On page 25388, in the first column, second full paragraph, line 4, the figure ``$1,265.18'' is corrected to read ``$1,276.66''.

   3. On page 25388, in the second column, first partial paragraph,

      1. In line 5, the figure ``$1,265.18'' is corrected to read ``$1,276.66''.

      2. In line 6, the figure ``$139.26'' is corrected to read ``$140.52''.

      3. In line 7, the figure ``$645.90'' is corrected to read ``$651.76''.

      4. In line 9, the figure ``$210.94'' is corrected to read ``$212.85''.

      5. In line 15, the figure ``$2,261.28'' is corrected to read ``$2,281.79''.

   4. On page 25388, in Table 4: Regression Coefficients for Calculating Case-Mix Relative Weights, the table is corrected as follows:

      Table 4.--Regression Coefficients for Calculating Case-Mix Relative Weights

      Intercept (constant for all case mix groups)............... $1,276.66

      1st and 2nd Episodes, 0 to 13 Therapy Visits

      C2......................................................... 384.11 C3......................................................... 869.55 F2......................................................... 221.43 F3......................................................... 382.50 S2 (6 therapy visits)...................................... 504.49 S3 (7-9 therapy visits).................................... 943.50 S4 (10 therapy visits)..................................... 1,387.86 S5 (11-13 therapy visits).................................. 1,771.84

      1st and 2nd Episodes, 14 to 19 Therapy Visits

      Constant................................................... 2,191.26 C2......................................................... 539.55 C3......................................................... 1,257.78 F2......................................................... 270.79 F3......................................................... 429.54 S2 (16-17 therapy visits).................................. 429.35 S3 (18-19 therapy visits).................................. 705.26

      3rd+ Episodes, 0 to 13 Therapy Visits

      Constant................................................... 212.85 C2......................................................... 140.52 C3......................................................... 619.33 F2......................................................... 418.51 F3......................................................... 825.67 S2 (6 therapy visits)...................................... 651.76 S3 (7-9 therapy visits).................................... 1,093.13 S4 (10 therapy visits)..................................... 1,521.27 S5 (11-13 therapy visits).................................. 1,907.93

      3rd+ Episodes, 14 to 19 Therapy Visits

      Constant................................................... 2,198.69 C2......................................................... 678.75 C3......................................................... 1,405.22 F2......................................................... 394.26 F3......................................................... 693.30 S2 (16-17 therapy visits).................................. 294.71 S3 (18-19 therapy visits).................................. 719.09

      All Episodes, 20+ Therapy Visits

      Constant................................................... 4,033.07 C2......................................................... 583.74 C3......................................................... 1,396.22 F2......................................................... 490.14 F3......................................................... 1,052.59

   5. On page 25389, in the first column,

      1. In line 3, the word ``two'' is deleted.

      2. In line 3, the word ``adjustments'' is corrected to read ``adjustment''.

   6. On page 25389, in the second column,

      1. In line 1, the words ``and the'' is deleted.

      2. In line 2, the phrase ``adjustment for nominal changes in case- '' is deleted.

   7. On page 25389, in the third column,

      1. In line 1, the words ``mix coding'' is deleted.

      2. In line 1, the word ``are'' is corrected to read ``is''.

   8. On pages 25389-25392, in Table 5: Case Mix Groups, Average Cost, and

      [[Page 33427]]

      Case Mix Weight, the table is corrected to read as follows:

      Table 5.--Case-Mix Groups, Average Cost, and Case-Mix Weight

      Severity level for each dimension

      Average Case-mix Clinical

      Functional

      Services utilization cost

      weight

      1st and 2nd Episodes, 0 to 13 Therapy Visits+C47

      C1.................................. F1..................... S1..................... $1,276.66 0.5549 C1.................................. F1..................... S2..................... 1,781.15 0.7742 C1.................................. F1..................... S3..................... 2,220.16 0.9650 C1.................................. F1..................... S4..................... 2,664.52 1.1582 C1.................................. F1..................... S5..................... 3,048.51 1.3251 C1.................................. F2..................... S1..................... 1,498.09 0.6512 C1.................................. F2..................... S2..................... 2,002.59 0.8705 C1.................................. F2..................... S3..................... 2,441.60 1.0613 C1.................................. F2..................... S4..................... 2,885.95 1.2544 C1.................................. F2..................... S5..................... 3,269.94 1.4213 C1.................................. F3..................... S1..................... 1,659.16 0.7212 C1.................................. F3..................... S2..................... 2,163.65 0.9405 C1.................................. F3..................... S3..................... 2,602.66 1.1313 C1.................................. F3..................... S4..................... 3,047.02 1.3244 C1.................................. F3..................... S5..................... 3,431.00 1.4914 C2.................................. F1..................... S1..................... 1,660.77 0.7219 C2.................................. F1..................... S2..................... 2,165.26 0.9412 C2.................................. F1..................... S3..................... 2,604.27 1.1320 C2.................................. F1..................... S4..................... 3,048.63 1.3251 C2.................................. F1..................... S5..................... 3,432.61 1.4921 C2.................................. F2..................... S1..................... 1,882.20 0.8181 C2.................................. F2..................... S2..................... 2,386.69 1.0374 C2.................................. F2..................... S3..................... 2,825.70 1.2282 C2.................................. F2..................... S4..................... 3,270.06 1.4214 C2.................................. F2..................... S5..................... 3,654.04 1.5883 C2.................................. F3..................... S1..................... 2,043.27 0.8881 C2.................................. F3..................... S2..................... 2,547.76 1.1074 C2.................................. F3..................... S3..................... 2,986.77 1.2983 C2.................................. F3..................... S4..................... 3,431.12 1.4914 C2.................................. F3..................... S5..................... 3,815.11 1.6583 C3.................................. F1..................... S1..................... 2,146.21 0.9329 C3.................................. F1..................... S2..................... 2,650.71 1.1522 C3.................................. F1..................... S3..................... 3,089.72 1.3430 C3.................................. F1..................... S4..................... 3,534.07 1.5362 C3.................................. F1..................... S5..................... 3,918.06 1.7031 C3.................................. F2..................... S1..................... 2,367.65 1.0291 C3.................................. F2..................... S2..................... 2,872.14 1.2484 C3.................................. F2..................... S3..................... 3,311.15 1.4393 C3.................................. F2..................... S4..................... 3,755.50 1.6324 C3.................................. F2..................... S5..................... 4,139.49 1.7993 C3.................................. F3..................... S1..................... 2,528.71 1.0992 C3.................................. F3..................... S2..................... 3,033.21 1.3184 C3.................................. F3..................... S3..................... 3,472.22 1.5093 C3.................................. F3..................... S4..................... 3,916.57 1.7024 C3.................................. F3..................... S5..................... 4,300.56 1.8693

      1st and 2nd Episodes, 14 to 19 Therapy Visits

      C1.................................. F1..................... S1..................... 3,467.92 1.5074 C1.................................. F1..................... S2..................... 3,897.27 1.6940 C1.................................. F1..................... S3..................... 4,173.18 1.8140 C1.................................. F2..................... S1..................... 3,738.71 1.6251 C1.................................. F2..................... S2..................... 4,168.06 1.8117 C1.................................. F2..................... S3..................... 4,443.97 1.9317 C1.................................. F3..................... S1..................... 3,897.46 1.6941 C1.................................. F3..................... S2..................... 4,326.81 1.8807 C1.................................. F3..................... S3..................... 4,602.72 2.0007 C2.................................. F1..................... S1..................... 4,007.46 1.7419 C2.................................. F1..................... S2..................... 4,436.82 1.9285 C2.................................. F1..................... S3..................... 4,712.73 2.0485 C2.................................. F2..................... S1..................... 4,278.26 1.8596 C2.................................. F2..................... S2..................... 4,707.61 2.0463 C2.................................. F2..................... S3..................... 4,983.52 2.1662 C2.................................. F3..................... S1..................... 4,437.00 1.9286

      [[Page 33428]]

      C2.................................. F3..................... S2..................... 4,866.36 2.1153 C2.................................. F3..................... S3..................... 5,142.26 2.2352 C3.................................. F1..................... S1..................... 4,725.69 2.0541 C3.................................. F1..................... S2..................... 5,155.05 2.2407 C3.................................. F1..................... S3..................... 5,430.95 2.3607 C3.................................. F2..................... S1..................... 4,996.48 2.1718 C3.................................. F2..................... S2..................... 5,425.84 2.3584 C3.................................. F2..................... S3..................... 5,701.75 2.4784 C3.................................. F3..................... S1..................... 5,155.23 2.2408 C3.................................. F3..................... S2..................... 5,584.59 2.4274 C3.................................. F3..................... S3..................... 5,860.49 2.5474

      3rd+ Episodes, 0 to 13 Therapy Visits

      C1.................................. F1..................... S1..................... 1,489.51 0.6474 C1.................................. F1..................... S2..................... 2,141.27 0.9307 C1.................................. F1..................... S3..................... 2,582.64 1.1226 C1.................................. F1..................... S4..................... 3,010.78 1.3087 C1.................................. F1..................... S5..................... 3,397.44 1.4768 C1.................................. F2..................... S1..................... 1,908.02 0.8294 C1.................................. F2..................... S2..................... 2,559.78 1.1127 C1.................................. F2..................... S3..................... 3,001.15 1.3045 C1.................................. F2..................... S4..................... 3,429.29 1.4906 C1.................................. F2..................... S5..................... 3,815.95 1.6587 C1.................................. F3..................... S1..................... 2,315.18 1.0063 C1.................................. F3..................... S2..................... 2,966.94 1.2896 C1.................................. F3..................... S3..................... 3,408.31 1.4815 C1.................................. F3..................... S4..................... 3,836.46 1.6676 C1.................................. F3..................... S5..................... 4,223.12 1.8357 C2.................................. F1..................... S1..................... 1,630.03 0.7085 C2.................................. F1..................... S2..................... 2,281.79 0.9918 C2.................................. F1..................... S3..................... 2,723.16 1.1837 C2.................................. F1..................... S4..................... 3,151.31 1.3698 C2.................................. F1..................... S5..................... 3,537.97 1.5378 C2.................................. F2..................... S1..................... 2,048.54 0.8904 C2.................................. F2..................... S2..................... 2,700.30 1.1737 C2.................................. F2..................... S3..................... 3,141.67 1.3656 C2.................................. F2..................... S4..................... 3,569.81 1.5517 C2.................................. F2..................... S5..................... 3,956.47 1.7198 C2.................................. F3..................... S1..................... 2,455.71 1.0674 C2.................................. F3..................... S2..................... 3,107.47 1.3507 C2.................................. F3..................... S3..................... 3,548.84 1.5426 C2.................................. F3..................... S4..................... 3,976.98 1.7287 C2.................................. F3..................... S5..................... 4,363.64 1.8967 C3.................................. F1..................... S1..................... 2,108.84 0.9166 C3.................................. F1..................... S2..................... 2,760.60 1.1999 C3.................................. F1..................... S3..................... 3,201.97 1.3918 C3.................................. F1..................... S4..................... 3,630.11 1.5779 C3.................................. F1..................... S5..................... 4,016.77 1.7460 C3.................................. F2..................... S1..................... 2,527.34 1.0986 C3.................................. F2..................... S2..................... 3,179.10 1.3819 C3.................................. F2..................... S3..................... 3,620.47 1.5737 C3.................................. F2..................... S4..................... 4,048.62 1.7598 C3.................................. F2..................... S5..................... 4,435.28 1.9279 C3.................................. F3..................... S1..................... 2,934.51 1.2755 C3.................................. F3..................... S2..................... 3,586.27 1.5588 C3.................................. F3..................... S3..................... 4,027.64 1.7507 C3.................................. F3..................... S4..................... 4,455.78 1.9368 C3.................................. F3..................... S5..................... 4,842.44 2.1049

      3rd+ Episodes, 14 to 19 Therapy Visits

      C1.................................. F1..................... S1..................... 3,475.35 1.5106 C1.................................. F1..................... S2..................... 3,770.07 1.6387 C1.................................. F1..................... S3..................... 4,194.44 1.8232 C1.................................. F2..................... S1..................... 3,869.61 1.6820 C1.................................. F2..................... S2..................... 4,164.33 1.8101 C1.................................. F2..................... S3..................... 4,588.70 1.9946 C1.................................. F3..................... S1..................... 4,168.65 1.8120 C1.................................. F3..................... S2..................... 4,463.37 1.9401

      [[Page 33429]]

      C1.................................. F3..................... S3..................... 4,887.74 2.1246 C2.................................. F1..................... S1..................... 4,154.10 1.8057 C2.................................. F1..................... S2..................... 4,448.82 1.9338 C2.................................. F1..................... S3..................... 4,873.19 2.1182 C2.................................. F2..................... S1..................... 4,548.37 1.9770 C2.................................. F2..................... S2..................... 4,843.08 2.1051 C2.................................. F2..................... S3..................... 5,267.45 2.2896 C2.................................. F3..................... S1..................... 4,847.40 2.1070 C2.................................. F3..................... S2..................... 5,142.12 2.2351 C2.................................. F3..................... S3..................... 5,566.49 2.4196 C3.................................. F1..................... S1..................... 4,880.57 2.1214 C3.................................. F1..................... S2..................... 5,175.29 2.2495 C3.................................. F1..................... S3..................... 5,599.66 2.4340 C3.................................. F2..................... S1..................... 5,274.84 2.2928 C3.................................. F2..................... S2..................... 5,569.55 2.4209 C3.................................. F2..................... S3..................... 5,993.92 2.6054 C3.................................. F3..................... S1..................... 5,573.87 2.4228 C3.................................. F3..................... S2..................... 5,868.59 2.5509 C3.................................. F3..................... S3..................... 6,292.96 2.7354

      All Episodes, 20+ Therapy Visits

      C1.................................. F1..................... S1..................... 5,309.73 2.3080 C1.................................. F1..................... S1..................... 5,799.87 2.5210 C1.................................. F1..................... S1..................... 6,362.32 2.7655 C2.................................. F2..................... S1..................... 5,893.47 2.5617 C2.................................. F2..................... S1..................... 6,383.61 2.7748 C2.................................. F2..................... S1..................... 6,946.06 3.0192 C3.................................. F3..................... S1..................... 6,705.95 2.9149 C3.................................. F3..................... S1..................... 7,196.09 3.1279 C3.................................. F3..................... S1..................... 7,758.55 3.3724

   9. On pages 25430-25431, in Table 12a: NRS Case-Mix Adjustment Variables and Scores, the table is corrected to read as follows:

      Table 12a.--NRS Case-Mix Adjustment Variables and Scores

      Description

      Score

      Selected Skin Conditions:

   1. Primary diagnosis = Anal

      19 fissure, fistula and abscess.

   2. Primary diagnosis =

      13 Cellulitis and abscess.

   3. Primary diagnosis =

      10 Gangrene.

   4. Primary diagnosis =

      16 Malignant neoplasms of skin.

   5. Primary diagnosis = Non-

      10 pressure and non-stasis ulcers.

   6. Primary diagnosis = Other

      19 infections of skin and subcutaneous tissue.

   7. Primary diagnosis = Post-

      32 operative Complications 1.

   8. Primary diagnosis = Post-

      23 operative Complications 2.

   9. Primary diagnosis =

      16 Traumatic Wounds and Burns.

   10. Other diagnosis = Anal

       8 fissure, fistula and abscess.

   11. Other diagnosis =

       6 Cellulitis and abscess.

   12. Other diagnosis =

       11 Gangrene.

   13. Other diagnosis = Non-

       8 pressure and non-stasis ulcers.

   14. Other diagnosis = Other

       7 infections of skin and subcutaneous tissue.

   15. Other diagnosis = Post-

       15 operative Complications 1.

   16. Other diagnosis = Post-

       15 operative Complications 2.

   17. Other diagnosis =

       7 Traumatic Wounds and Burns.

   18. M0450 = 1 pressure ulcer,

       12 stage 1 or 2.

   19. M0450 = 2 or 3 pressure

       20 ulcers, stage 1 or 2.

   20. M0450 = 4+ pressure

       30 ulcers, stage 1 or 2.

   21. M0450 = 1 pressure ulcer,

       31 stage 3.

   22. M0450 = 2 pressure

       41 ulcers, stage 3.

   23. M0450 = 3+ pressure

       57 ulcers, stage 3.

   24. M0450 = 1 pressure ulcer,

       52 stage 4.

   25. M0450 = 2 pressure

       80 ulcers, stage 4.

   26. M0450 = 3+ pressure

       104 ulcers, stage 4.

   27. M0450e = 1(unobserved

       16 pressure ulcer(s)).

       [[Page 33430]]

   28. M0476 = 2 (status of most

       18 problematic stasis ulcer: early/partial granulation).

   29. M0476 = 3 (status of most

       28 problematic stasis ulcer: not healing).

   30. M0488 = 3 (status of most

       18 problematic surgical wound: not healing).

   31. M0488 = 2 (status of most

       5 problematic surgical wound: early/partial granulation). Other Clinical Factors:

   32. M0550 = 1 (ostomy not

       21 related to inpt stay/no regimen change).

   33. M0550 = 2 (ostomy related

       35 to inpt stay/regimen change).

   34. Any ``Selected Skin

       22 Conditions'' AND M0550 = 1 (ostomy not related to inpt stay/no regimen change).

   35. Any ``Selected Skin

       7 Conditions'' AND M0550 = 2 (ostomy related to inpt stay/regimen change).

   36. M0250 (Therapy at home) =

       11 1 (IV/Infusion).

   37. M0470 = 2 or 3 (2 or 3

       17 stasis ulcers).

   38. M0470 = 4 (4 stasis

       34 ulcers).

   39. M0520 = 2 (patient

       17 requires urinary catheter).

   10. On page 25444, after Table 23b entitled ``Proposed National 60- Day Episode Amounts Updated by the Estimated Home Health Market Basket Update for CY 2008, Before Case-Mix Adjustment, Wage Index Adjustment Based on the Site of Service for the Beneficiary or Applicable Payment Adjustment for Episodes Beginning and Ending in CY 2008,'' in the first column, in the first full paragraph, in lines 14 through 43, the sentence ``Therefore, to calculate an episode's prospective payment amount * * *'' and ending with the sentence ``The resulting amount is the national case-mix and wage adjusted national standardized 60-day episode payment rate for that particular episode'' is corrected to read as follows: ``To calculate an episode's prospective payment amount, take the non-adjusted national standardized 60-day episode payment rate and multiply it by the appropriate case-mix weight from Table 5 of this rule. Next, multiply the case-mix adjusted national standardized 60-day episode payment by the labor portion (77.082 percent); multiply this result by the appropriate wage index factor listed in Addendum A or B to wage-adjust the 60-day episode payment. Next multiply the case-mix adjusted national standardized 60-day episode payment by 22.918 percent to compute the non-labor portion. Add this result to the wage-adjusted labor portion to get the case-mix and wage adjusted national 60-day episode payment without NRS. Calculate the NRS amount by multiplying the episode's NRS weight (taken from Table 11 of this proposed rule) by the NRS conversion factor. This adjusted NRS payment is added to the case-mix and wage-adjusted national standardized 60-day episode payment. The resulting amount is the case-mix and wage-adjusted national standardized 60-day episode payment rate including NRS for that particular episode.''

   11. On page 25447, in the 12th line, the figure ``0.22198'' is corrected to read ``0.22918''.

   12. On page 25459, in Addendum A,

       1. In the first column, in line 29, the Wage Index for ``Massachusetts'' the figure ``1.0661'' is corrected to read ``1.1662''.

       2. In the second column, in line 15, the superscript ``1'' which appears after ``New Jersey'' is deleted.

       3. In the third column, in lines 17 through 22, the footnote ``1'' at the end of Addendum A, the sentence ``All counties within the State are classified as rural. No short-term acute care hospitals are located in the area(s)'' is corrected to read as follows: ``There are no short- term, acute care hospitals located in rural area(s) in Massachusetts from which to calculate a wage index for CY 2008.''

       (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare--Hospital Insurance; and Program No. 93.774, Medicare-- Supplementary Medical Insurance Program)

       Dated: June 12, 2007. Ann C. Agnew, Executive Secretary to the Department.

       [FR Doc. 07-2987 Filed 6-13-07; 11:55 am]

       BILLING CODE 4120-01-P