225 Ibid.226 Maryland Health Care Commission, News Release (April 4, 2001), available at http://www.dhmh.state.md.us/publ-rel/html/disclo~1.htm, accessed May 19, 2005.227 U.S. Census Bureau, Table 1: Annual Estimates of the Population for Counties of Texas: April 1, 2000 to July 1,2004, available at http://www.census.gov/popest/counties/tables/CO-EST2004-01-48.xls, accessed June 8, 2005.228 Kaiser Family Foundation, State Health Facts, Texas: Distribution of Total Population by Federal Poverty Level,State Data 2002-2003, U.S. 2003, available at http://www.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&area=Texas&category=Demographics+and+the+Economy&subcategory=People+in+Poverty&topic=Distribution+by+FPL, accessed March 11, 2005.229 Kaiser Family Foundation, State Health Facts, Texas: Population Distribution by Insurance Status, State Data2002-2003, U.S. 2003, available at http://www.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&area=Texas&category=Health+Coverage+%26+Uninsured&subcategory=Insurance+Status&topic=Distribution+by+Insurance+Status, accessed March 11, 2005.230 Kaiser Family Foundation, State Health Facts, Texas: Medicaid Eligibility, 2004, available athttp://www.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&area=Texas&category=Medicaid+%6+SCHIP&subcategory=Medicaid+Eligibility, accessed March 11, 2005; and E-mail from Anne Dunkelberg toKristie Kimbell, “Re: FPL Question,” March 24, 2005.231 Kaiser Family Foundation, State Health Facts, Texas: Income Eligibility Levels for Children under Medicaid, asa Percent of Federal Poverty Level, 2004, available at http://www.statehealthfacts.org/cgibin/healthfacts.cgi?action=profile&area=Texas&category=Medicaid+%26+SCHIP&subcategory=Children%27s+Medicaid+and+SCHIP+Eligibility&topic=Income+Eligibility%2d%2d+Medicaid, accessed March 11, 2005.232 Kaiser Family Foundation, State Health Facts, Texas: Federal Matching Rate (FMAP) for Medicaid, available athttp://www.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&area=Texas&category=Medicaid+%26+SCHIP&subcategory=Medicaid+Spending&topic=Federal+Matching+Rate+%28FMAP%29, accessed March 11,2005.233 Anne Dunkelberg, Center for Public Policy Priorities, Medicaid and State Budgets: A Case Study of Texas(Kaiser Commission on Medicaid and the Uninsured, March 2002, p. 18), available at http://www.cppp.org/files/6/getfile.pdf, accessed April 25, 2005.234 Texas Legislative Budget Board, Fiscal Note for SB1839, Enrolled Version, 77th Legislative Session (May 26,2001), available at http://www.capitol.state.tx.us/cgi-bin/tlo/textframe.cmd?LEG=77&SESS=R&CHAMBER=S&BILLTYPE=B&BILLSUFFIX=01839&VERSION=5&TYPE=F, accessed April 27, 2005.235 Kaiser Family Foundation, State Health Facts, Texas: Medicaid Spending, available athttp://www.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&area=Texas&category=Medicaid+%26+SCHIP&subcategory=Medicaid+Spending, accessed March 11, 2005.236 Kaiser Commission on Medicaid and the Uninsured, Medicaid Benefits, as of January 2003, available athttp://www.kff.org/medicaidbenefits/state-TX.cfm, accessed March 11, 2005.237 Texas Health and Human Services Commission, Texas Medicaid in Perspective, 5th ed. (2004, p. 2-8), availableat http://www.hhsc.state.tx.us/medicaid/reports/PB5/PinkBookTOC.html, accessed April 4, 2005.238 Texas Health and Human Services Commission, “FY 05 Federal Alloc LAR” (Excel spreadsheet, January 2005).239 Texas Health and Human Services Commission, Children’s Health Insurance Program, available athttp://www.hhsc.state.tx.us/chip/index.html, accessed April 4, 2005.240 Anne Dunkelberg and Molly O’Malley, Children’s Medicaid and SCHIP in Texas: Tracking the Impact ofBudget Cuts (Kaiser Commission on Medicaid and the Uninsured, July 2004, p. 2), available at http://www.kff.org/medicaid/7132.cfm, accessed April 18, 2005.C-38
241 Centers for Medicare and Medicaid Services, A Profile of Medicaid: Chartbook 2000 (p. 72), available athttp://www.cms.hhs.gov/charts/medicaid/2Tchartbk.pdf, accessed November 14, 2004.242 Texas Health and Human Services Commission, CHIP Assets Test Policy: Summary of Final Rules, available athttp://www.hhsc.state.tx.us/chip/reports/042304_AssetTestPolicySum.html, accessed June 8, 2005.243 Texas Health and Human Services Commission, A Consumer Guide to Better Healthcare: Your 2004 Road Mapto Understanding the Health Care System in Texas, pp. 47-50, available at http://www.hhsc.state.tx.us/chip/reports/ConsumerGuideEnglish.pdf, accessed November 30, 2004.244 Kaiser Family Foundation, State Health Facts, Texas: Managed Care & Health Insurance, available athttp://www.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&category=Managed+Care+%26+Health+Insurance&subcategory=&topic=&link_category=&link_subcategory=&link_topic=&welcome=0&area=Texas¬es=show&printerfriendly=0#pagetopic8, accessed March 11, 2005.245 Texas Department of Insurance, Texas Health Insurance Risk Pool Expansion Options (January 2005, pp. 3, 4),available at http://www.tdi.state.tx.us/general/pdf/lhlRiskPoolRept.pdf, accessed May 20, 2005.246 Ibid., p. 4, appendices.247 Ibid., pp. 4, 5, 16.248 Texas Department of Insurance, Working Together for a Healthy Texas, Interim Report, State Planning GrantProject (September 2004, pp. 43, 49, 53-54), available at http://www.tdi.state.tx.us/general/PDF/spgint04.pdf,accessed April 4, 2005.249 Texas Department of Insurance, Rules, Subchapter D, Health Group Cooperatives, available athttp://www.tdi.state.tx.us/commish/rules/0811AA-059.html, accessed April 4, 2005.250 Texas Department of Insurance, Listing of Coalition and Purchasing Cooperatives (March 23, 2005), available athttp://www.tdi.state.tx.us/company/lhcoop_lst_incl.html, accessed April 26, 2005.251 Texas Department of Insurance, Biennial Report of the Texas Department of Insurance to the 79th TexasLegislature (December 2004, Section D, Issue 9), available at http://www.tdi.state.tx.us/commish/reports/finalbie05.html#thrs, accessed April 4, 2005.252 Texas Department of Insurance, Working Together for a Healthy Texas, Interim Report, State Planning GrantProject (September 2004, pp. 51-52), available at http://www.tdi.state.tx.us/general/PDF/spgint04.pdf, accessedApril 26, 2005.253 Kaiser Family Foundation, State Health Facts, Texas: Medicaid Managed Care Enrollees as a Percent of StateMedicaid Enrollees, 2003, available at http://www.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&area=Texas&category=Medicaid+%26+SCHIP&subcategory=Medicaid+Managed+Care&topic=MC+Enrollment+as+a+%25+of+Total+Enrollment, accessed March 11, 2005.254 Texas Health and Human Services Commission, Texas Medicaid in Perspective, 5th ed. (2004, p. 3-13), availableat http://www.hhsc.state.tx.us/medicaid/reports/PB5/PinkBookTOC.html, accessed March 13, 2005.255 State Coverage Initiatives, Medicaid HIPP, available at http://www.statecoverage.net/hipp.htm, accessed March14, 2005.256 State Coverage Initiatives, Medicaid TMA, available at http://www.statecoverage.net/tma.htm, accessed March14, 2005.257 Paper commissioned by the Task Force on Access to Health Care in Texas, website available athttp://www.utsystem.edu/hea/taskforce/homepage.htm.258 Kaiser Family Foundation, State Health Facts, Florida: Distribution of Total Population by Federal PovertyLevel, State Data 2002-2003, U.S. 2003, available at http://www.statehealthfacts.org/cgi-bin/healthfacts.cgi?action=profile&area=Florida&category=Demographics+and+the+Economy&subcategory=People+in+Poverty&topic=Distribution+by+FPL, accessed April 17, 2005.C-39
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Appendix ATask Force Members and St
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Hector Balcazar, Ph.D.Regional Dean
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Charles Haley, M.D., M.S.Medical Di
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Michael McKinney, M.D.Senior Execut
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M. Roy Wilson, M.D.PresidentTexas T
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Appendix BMedicaid and the State Ch
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services. There are two broad types
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Mandatory and Optional Covered Popu
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• Nurse-midwife services;• Fede
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Disproportionate Share Hospital Pro
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March 13, 2001, that limited the am
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year from FFY 2002-2004, $4.05 bill
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Medicaid beneficiaries. Section 191
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started in 2001 and 2002 to curb in
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urban and with fewer than 250,000 p
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Protection Act of 2000 and the Medi
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orientation). Recipients of Supplem
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enrollee is assigned a primary care
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Table 7. Texas Medicaid Policy Chan
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Table 8. Texas SCHIP Policy Changes
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families (through the employer’s
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share of the match must come from t
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Reinstating the Medically Needy Spe
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Endnotes1 Texas Health and Human Se
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35 Powers, Pyles, Sutter, and Vervi
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73 Office of Management and Budget,
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113 TexCare, Children’s Health In
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150 Lyndon B. Johnson School of Pub
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States by Groupings with Current El
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Medicaid and the State Children’s
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Graduate Medical Education ProgramA
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needs, however, there is a shortage
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- Page 82 and 83: Encouraged by these low rates, Cong
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- Page 88 and 89: Hospital Cost Containment — Maryl
- Page 90 and 91: dollar spent. 237 Texas spent almos
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- Page 96 and 97: pay the premiums for Medicaid benef
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- Page 102 and 103: The federal share for CHP+ is 65 pe
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- Page 110 and 111: Status ReportMaineCare Program Expa
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- Page 116 and 117: Endnotes191 Deborah Chollet, Issue
- Page 120 and 121: 259 Kaiser Family Foundation, State
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- Page 124 and 125: 325 Kaiser Family Foundation, State
- Page 126 and 127: 361 State Coverage Initiatives, Sta
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- Page 130 and 131: An Analysis of Reform Options Devel
- Page 132 and 133: ReferencesAdvantage Insurance and F
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- Page 136 and 137: Kaiser Family Foundation. Demograph
- Page 138 and 139: State Coverage Initiatives. Profile
- Page 140 and 141: Appendix DLocal Initiatives to Expa
- Page 142 and 143: with more coordinated services that
- Page 144 and 145: FinancingSources of revenue include
- Page 146 and 147: AdministrationThe Health and Hospit
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- Page 150 and 151: different benefit plans are offered
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- Page 154 and 155: management programs. I-Care promote
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- Page 160 and 161: Benefits and ServicesEnrollees can
- Page 162 and 163: EligibilityAs of 2005, enrollment i
- Page 164 and 165: etween $23 and $120 per month. Ther
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Coordination - When health care age
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subsidized initiatives offer exposu
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arriers, two health plans attempted
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xxi Simmons, Sandy Coe, Gionfriddo,
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Table 1 (Continued). Local Care Ini
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Table 2 (Continued). Local Coverage
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Appendix EEducation and Health:A Re
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The human capital approach suggests
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etween standardized test scores (St
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INTRODUCTIONEducation plays a wide
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of children with chronic health con
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Implications. Given the current pre
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DiabetesPrevalence. Diabetes in chi
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Limitations. The cross-sectional de
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chronic lung disease, cystic fibros
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significant differences between tho
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Table 1. Prevalence of Selected Chr
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findings of lower test scores are b
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al (McKewen et al., 1998) report a
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Section 3. School-Based Interventio
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mathematics, science and oral expre
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Table 4. Summary of Research Findin
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etween SES and health is a dose-res
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Self-Rated Health. Evidence accumul
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economic hardship. One of the skill
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Education also improves the stabili
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sex in the expectation of a more pr
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TABLE 6. SUMMARY OF EXPLANATIONS FO
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According to the Census 2000 data,
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Policy Reports Recommendations (Tot
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Section 2. Recommendations on Schoo
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Childhood ConditionsSchool-based Pr
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Childhood ConditionsDiabetes (n=11)
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eduction in reading test scores com
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Table 10. Estimates of the Cost of
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National Asthma Education and Preve
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REFERENCESAck, M., Miller, I., & We
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Elo, I. T., & Preston, S. H. (1996)
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Kaemingk, K. L., Pasvogel, A. E., G
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Miller, D. S., & Miller, T. Q. (199
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Ross, C. E., & Wu, C. L. (1996). Ed
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Williams, D. R. (1990). Socioeconom
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SAMPLE, DESIGN, & INTERVENTIONACHIE
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SAMPLE, DESIGN, & INTERVENTIONStudy
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SAMPLE, DESIGN, & INTERVENTIONACHIE
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SAMPLE, DESIGN, & INTERVENTIONACHIE
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SAMPLE, DESIGN, & INTERVENTIONACHIE
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SAMPLE, DESIGN, & INTERVENTIONACHIE
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SAMPLE, DESIGN, & INTERVENTIONACHIE
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SAMPLE, DESIGN, & INTERVENTIONACHIE
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SICKLE CELL ANEMIAArmstrong(1996)SA
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SAMPLE, DESIGN, & INTERVENTIONACHIE
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SAMPLE, DESIGN, & INTERVENTIONSickl
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SAMPLE, DESIGN, & INTERVENTIONhemog
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SAMPLE, DESIGN, & INTERVENTIONACHIE
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SAMPLE, DESIGN, & INTERVENTIONStudy
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Curriculum Content: Statute §28.00
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• HEALTH PROMOTING ENVIRONMENTSch
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• COORDINATION/IMPLEMENTATIONCoor
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Education and Health: A Review and
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Appendix FState Regulation of Healt
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coverage they offer. 14 By 2004 onl
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poor health may make coverage more
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account for most, or even much, of
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More active state intervention in t
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Table 3 (GAO Appendix IV) shows whi
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Appendix GEmergency and Trauma Care
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The treatment of shock prior to sur
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the EMS needs in rural areas of the
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Level IV trauma centers should be a
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Table 2. Trends in Trauma Severity,
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the hospitals were on diversion or
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Representative Delisi was successfu
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Mental Health Access ChallengesCare
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fhttp://www.techproservices.net/his
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oohttp://www.saveourers.org/reports
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Appendix HBrief: Consulate ClinicDe
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In addition, the roundtable discuss
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clinic(s) affiliated with medical s
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Appendix ICommon Abbreviations
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HMOHRQOLHRSAICF/MRIHCTAIOMISSLBBLIU
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Appendix JPresentersDate/Location:
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Appendix KProvider Taxes: A Differe
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were previously categorized as char