Morris County Hospital Healthcare Partnership Program 600 N. Washington Street Council Grove, KS 66846

Number of Persons 2021 150% of 200% of in the family Poverty 2021 2021 Guideline Guideline Guideline

1 12,880 19,320 25,760 2 17,420 26,130 34,840 3 21,960 32,940 43,920 4 26,500 39,750 53,000 5 31,040 46,560 62,080 6 35,580 53,370 71,160 7 40,120 60,180 80,240 8 44,660 66,990 89,320

Level of Assistance: 100% 50% 25%

For families with more than 8 persons, add $4,480 for each additional person.

Prepared by: Approved by: Approved: 2-20-08 Ron Christenson, CFO MCH Board of Trustees Date 7732 Federal Register/Vol. 86, No. 19/Monday, February 1, 2021/Notices that have engineered sharps injury 21 CFR 880.6860, 880.6870, and United States for vaccinations that are protections as described in the 880.6880, including devices that already either: Needlestick Safety and Prevention Act, have FDA marketing authorization and (i) Piston syringes in I ml or 3 ml Public Law 106—430,114 Stat. 1901 those that do not have FDA marketing sizes that allow for the controlled and (Nov. 6, 2000) and Occupational Safety authorization but are intended for the precise flow of liquid as described by 21 and Health Administration (OSHA) same uses, or are authorized by FDA CFR 880.5860, that are compliant with standard 29 CFR 1910.1030, Blondborne under section 564 of the FD&CAct for ISO 7886—1:2017and use only Current Pathogens.” purposes of decontamination Good Manufacturing Practices (CGMP) A copy of the Notice of the March 25 7. Disinfecting devices intended to processes; or Designation, including the above kill pathogens and other kinds of (ii) Hypodermic single lumen needles modifications and those included in the microorganisms by chemical means or between 1” and 1.5” and 22 to 25 gauge June 30, 2020 and July 30, 2020 notices physical means, including those defined between 1” and 1.5” and 22 to 25 gauge is provided below end also can be found in 21 CFR 876.1500. 880.6992, and that have engineered sharps injury on HHSs website. 892.1570 and other sanitizing and protections as described in the Needlesrick Safety and Prevention Act, Notice of Designation of Scarce disinfecting products suitable for use in a clinical setting Public Law 106—430,114 Stat. 1901 Materials or Threatened Materials (Nov. 8. Medical gowns or apparel, e.g., 6, 2000) and OSHA standard 29 Health or medical resources, or any of surgical gowns or isolation gowns CFR 1910.1030, Bloodborne Pathogens.” their essential components, determined 9. Personal protective equipment Authority: The authority for this Notice is by the Secretary of HHS to be needed to (PPE) coveralls. e.g., Tvvek Suits Executive Order 13910 and section 102 of the respond to thc spread of COVID—19and 10. Face masks, including acy masks Defense Production Act of 3950,50 U.s.c. which are, or are likely to be, in short that cover the user’s nose and mouth 4512. as amended. supply (scarce materials) or the supply and may or flay not meet fluid barrier Norris Corhran, by of which ‘could be threatened or filtration efficiency levels Act cog Secretary, Department of Health end hoarding (threatened materials). 11. Surgical masks, including masks Human Services. Designated scarce materials or that covers the user’s nose and mouth IFRDoc. 2021—02102 Filed 1—29—23 845 aml threatened materials are subject to and provides a physical barrier to fluids BILLING CODE 415G.-fl—P periodic review by the Secretary. and particulate materials The following are materials 12. PPE face shields, including those designated to section 102 of pursuant defined at 21 CFR 878.4040 and those DEPARTMENT OF HEALTH AND the Defense Production Act (50 u.s.c. intended for the same purpose HUMANSERVICES 4512) and Executive Order 13190 of 13. PPE gloves or surgical gloves, March 23, 2020 (Preventing Hoarding of including those defined at 21 CFR Office of the Secretary Health and Medical Resources to 880.6250 (exam gloves) and 878.4460 Respond to the Spread of COVID—lo)as Annual Update of the HHS Poverty (surgical glovesl and such gloves Guidelines scarce materials or threatened materials: intended for the same purposes 1. N—95Filtering Facepiece 14, Ventilators, anesthesia gas AGENCY: Department of Health and Respirators, including devices that are Human Services. disposable half-face-piece non-powered machines modified for use as air-purifying particulate respirators ventilators, and positive pressure ACTION:Notice. devices modified for use as intended for use to cover the nose and breathing ventilators (collectively referred to as SUMMARY:This notice provides an mouth of the wearer to help reduce ‘‘ventilators’’), veatilator tubing update of the Department of Health and wearer exposure to pathogenic Human Services (HHS) poverty biological airborne particulates connectors, and ventilator accessories as are FDA’s guidelines to account for last ca)endar 2. Other Filtering Facepiece those terms described in March 2020 Enforcement Policy for year’s increase in prices as measured by Respirators (e.g.. those designated as the Consumer Price Index. N99, N100. R95, R99, MOO, or P95, P99, Ventilators and Accessories and Other DATES: Applicable: January 23, 2021 P100), including disposable Respiratory Devices During the single-use, unless an office administering a half-mask respiratory protec:ive devices Coronavirus Disease 2019 (COVID—19) program using the guidelines specifies a that cover the user’s airway (nose and Public Health Emergency located at https.J/www.fda.gov/medio!1 36318! different effective date for that mouthl and offer protection from particular program. particulate materials at or greater than download. ADDRESSES: Office of an N95 filtration efficiency level per 42 15. Laboratory reagents and materials the Assistant CFR 84.181. used for isolation of viral genetic Secretary for Planning and Evaluation, Room 404E, 3. Elastomeric. air-purifying material and testing, such as transport Humphrey Building, respirators and appropriate particulate media, collection swabs, test kits and Department of Health and Human filters/cartridges reagents specific to those kits, and Services, Washington, DC 20201, 4. Powered Air Purifying Respirators consumables such as plastic pipette tips FOR FURTHERINFORMATIONCONTACT: For (PAPR) and plastic tubes information about how the guidelines 5. Portable Ventilators. including 16. Dnig products currently are used or how income is defined in a portable devices intended to recommended by the NIH COVJD—i9 particular program, contact the Federal, mechanically control or assist patient Treatment Guidelines Panel, including state, or local office that is responsible breathing by delivering a predetermined (as of July 30. 2020) remdesivir and for that program. For information about percentage of oxygen in the breathing dexamethasone poverty figures for immigration forms, gas 17. Alcohol-based (over 60 percent) the Hill-Burton (Jncompensated 6. Sterilization services for any device hand sanitizer and rubs. Services Program, and the number of as defined in section 201(h) of the 18. Syringes and hypodermic needles people in poverty, use the specific Federal Food, Drug. and Cosmetic Act (whether distributed separately or telephone numbers and adthesses given (FD&CAct) and sterilizers as defined in attached together) generally used in the below. Federal Register/Vol. 86, No, 19/Monday, February 1, 2021 /Notices 7733

For general questions about the differences between family sizes. In rare 2021 POVERTY GUIDELINES FOR poverty guidelines themselves, contact circumstances, the rounding and HAWAII Kendall Swenson, Office of the standardizing adjustments in the Assistant Secretary for Planning and formula result in small decreases in the Persons in familymousehold Evaluation, Room 404E.3, Humphrey poverty guidelines for some household guideI Building, Department of Health and sizes even “hen the inflation factor is 1 $14,820 Human Services, Washington, DC not In where the year-to- negative. cases 2 20,040 795—7309—or 20202—telephone: (202) year change in inflation is not negative 3 25,260 visit http://aspe,hhs.gov/povertyL and the rounding and standardizing 4 30,480 For information about the percentage adjustments in the formula result in 5 35,700 multiple of the poverty guidelines to be reductions to the guidelines from the 6 40,920 used on immigration forms such as previous year for some household sizes, 7 ‘ 46,140 USCIS Form 1—864,Affidavit of Support, the guidelines for the affected 8 51,360 contact U.S. Citizenship and household sizes are fixed at the prior Immigration Services at 1—800—375— year’s guidelines. As in prior years, For families/households with more 5283. You also may visit https:/I these 2021 guidelines are roughly equal than 8 persons, add $5,220 for each www’.usci.gov/i-864. to the poverty thresholds for calendar additional person. For information about the Hill-Burton year 2020 which the Census Bureau Separate poverty guideline figures for Uncompensated Services Program (free expects to publish in final form in Alaska and Hawaii reflect Office of or reduced-fee health care services at September 2021. Economic Opportunity administrative certain hospitals and other facilities for practice beginning in the 1965—1970 persons meeting eligibility criteria The poverty guidelines continue to be period. (Note that the Census Bureau involving the poverty guidelines), derived from the Census Bureau’s poverty thresholds—the version of the contact the Health Resources and current official poverty thresholds; they poverty measure used for statistical Services Administration Information are not derived from the Census purposes—have never had separate Center at 1—800—638—0742. You also Bureau’s Supplemental Poverty Measure figures for Alaska and Hawaii.) The may visit https://www.hz-so.gov/get (SPM). poverty guidelines are not defined for health-care/offordoble/hill-burton/ The following guideline figures Puerto Rico or other outlying index,htrol. represent annual income, jurisdictions. Encases in which a For information about the number of Federal program using the poverty people in poverty, visit the Poverty 2021 POVERTy GUIDELtNES FOR THE guidelines serves any of those section of the Census Bureau’s website 48 CoNTiGuous STATES AND THE jurisdictions, the Federal office that https:J/wcvw.census.gov/topics/ administers the program is at DISTRICT OF COLUMBIA generally income-poverty/poverty.html or contact responsible for deciding whether to use the Census Bureau’s Customer Service the contiguous-states-and-DC guidelines Center at 1—800—923—8282(toll-free) or Persons in family/household guid:Iin for those jurisdictions or to follow some visit https://ask.census.gov for further other procedure. information. 1 $12,880 Due to confusing legislative language 2 17,420 SUPPLEMENTARYINFORMATION: dating back to 1972. the poverty 3 21,960 guidelines sometimes have been Background 4 26,500 mistakenly referred to as the “0MB” Section 673(2) of the Omnibus Budget 5 31,040 (Office of Management and Budget) Reconciliation Act (OBRA) of 1981 (42 6 35,580 poverty guidelines or poverty line. In U.S.C. 9902(2)) requires the Secretary of 7 40,120 fact, 0MB has never issued the the Department of Health and Human 8 44,660 guidelines; the guidelines are issued Sen’ices to update the poverty each year by the Department of Health guidelines at Leastannually, adjusting For families/households with more and Human Services. The poverty them on the basis of the Consumer Price than 8 persons, add 54.540 for each guidelines maybe formally referenced Index for All Urban Coosumers (CPI—U). additional person. as the poverty guidelines updated The poverty guidelines are used as an periodically in the Federal Register by eligibility criterion by Medicaid and a 2021 POvERTY GUIDELINESFOR the U.S. Department of Health and number of other Federal programs. The ALASK4 Human Services under the authority of poverty guidelines issued here are a 42 U.S.C. 9902(2).” simplified version of the poverty Some federal programs use a Persons in family/household thresholds that the Census Bureau uses percentage multiple of the guidelines to prepare its estimates of the number of (for example, 123 percent or 185 percent individuals and families in poverty. 1 $16,090 of the guidelines), as noted in relevant As required by law, this update is 2 21.770 authorizing legislation or program accomplished by increasing the latest 3 27,450 regulations. Non-Federal organizations published Census Bureau poverty 4 33,130 that use the poverty guidelines under thresholds by the relevant percentage 5 38,810 their own authority in non-Federally- change in the Consumer Price Index for 6 ‘4,490 funded activities aIso may choose to use 7 50,170 All Urban Consumers (CPI—(Jj.The a percentage multiple of the guidelines. guidelines in this 2021 notice reflect the 55,850 The poverty guidelines do not make a 1.2 percent price increase between distinction between farm and non-farm calendar years 2019 and 2020. After this For families/households with more families, or between aged and non-aged inflation adjustment, the guidelines are than 8 persons, add $5,680 for each units, (Only the Census Bureau poverty rounded and adjusted to standardize the additional person. thresholds have separate figures for aged 7734 Federal Register/Vol. 86, No. 19/Monday, February 1, 2021/Notices and non-aged one-person and two- 2021. Pursuant 10 Section 60.13 of 36 VERMONT person nails.) CFR part 60, comments are being Bennington County This notice not provide concerning of does accepted the significance Norton,Julius and Sophia, House, ‘income” or 300 definitions of such terms as the nominated properties under the Pleasant St., Bennington. 50100006180 “family’ as there is considerable National Register criteria for evaluation, VIRGINIA variation of these terms among programs Before including your address, phone that use the poverty guidelines. The numher, email address, or other Lunenburg County or governing each legislation regulations personal identifying information in your Voodburn, 673 Mcherrin River Rd.. Chaso program define these terms and comment, you should be aware that City vicinity, SG100006177 determine how the orogram applies the your entire comment—including your Williamsburg Independent City poverty guidelines. In cases where personal identift’ing information—may College Terrace Historic District, 600 and 700 legislation or regulations do not be made publicly available at any time. establish these definitions, the entity blks. of College Ter. and Richmond Rd., While you can ask us in your comment Wililamsburg, 50100006176 that administers or funds the program is to withhold your personal identifying Additional has been responsible to define such terms as information from public review, we documentation received for the following resources: “income” and “family.” Therefore cannot guarantee that we will be able to questions such as net or gross income, do so. counted or excluded income, or household size should be directed to the Nominations submitted by State or Clayton County entity that administers or funds the Tribal Historic Preservation Officers: McGregor Commercial Historic District program. DISTRICT OF COLUMBIA (Additional Documentation]. (ova ‘s Main Street Commercial Architecture MPS), A Norri.c Cochran, District of Columbia and 1st SIs. between Main and intersection Acting Secretary, Department of Health and Annie’s Paramount Steakhousc, 1519 and of’\ and 1st Sts., McGregor, AD02001033 1-lamar, Services. 1609—1611 17th St NW, Washington, Keokuk County IFRDoe. 2021—01969Filed 1—29—21.8:45 am] SGI 00006178 Saints Peter and Paul Roman Catholic BILLING CODE 4150—G5—P GEORGIA Church Historic District (Additional Documentation), 30748—30832 St., Fulton County 242nd Harper vicinity. A086002277 Sperry & Hutcl,i,,son company Warehouse, DEPARTMENT OF THE INTERIOR A request for removal has been made 2181 Sylvan Rd.! East Point, SGI000061B4 for the following resource: IOWA NEVADA [NPS—WASO—NRNHL—DTS#—31404; Henry County PPWOCRADIO,PCUOORP14R50000) Elko County Schantz, Christian K. and Margaret (Rich), Lamoille Organization Fork of House and Carpontry Shop. 116 West 2nd Camp, Right National Register of Historic Places; Lamoille Creek, end of FS Rd. 122, Ruby St.. Wayland, 50100006173 Notification of Pending Nominations Mountains Ranger District, Humboldt— and Related Actions Scott County Toiyabe NF, Lamoille vicinity, OT07000553 AGENCY:National Park Service, Interior. WOC Broadcasting Center, 805 Brady St., Davenporl, 501 00006171 Authority: Section 60.13 of 36 CFR part 60. ACTION:Notice. MISSISSIPPI Dated: January 21, 2021 SUMMARY:The Service is National Park Sherry A. Frear, soliciting electronic comments on the Hinds County Chief National Register of Historic Places! Falk, Meyer and Genevieve, 2037 significance of properties nominated House, Notional Historic Londmorks Program, before January 16, zozl,for listing or Eastbnumne P1., Jackson, 50100006163 FR Doc 2D21—02DS6Filed 1—29—21; 8:45 am] related actions in the National Register Lafayette County of Historic Places. BILLING CODE 4312—52—P Abbeville Colored School, Vest side of Cty. DATES: Comments should be submitted Rd. 115 Abbev:lle vicinity. 50100006175 electronically by February 16, 2021. MISSOURI INTERNATIONAL TRADE ADDRESSES: Comments are encouraged COMMISSION to be submitted electronically to Cole County tVationol Register SubmissionsBi ).B, Bruns Shoe Co. Building, 627 West [Investigation Nos. 7o1—TA—528—529and nps.gov t’ith the subject line “Public McCarty St.. Jefferson City, 50100006167 731—TA—1264—1268 (Review)] Comment on .” If you Certain Uncoated Paper From Goodwill Building. 4140 Forest Park Ave., St Brazil, China, Indonesia, and have no access to email you may send Australia, Louis, 50100006165 Portugal; Institution of them via U.S. Postal Service and all Five-Year Reviews other carriers to the National Register of 01110 Historic Places, National Park Service. AIIOBCounty AGENCY: United States International 1849 C Street NW, MS 7228. TM.Sealts Cornpmy Warehouse Buildiog. Trade Commission. lVashing:on, DC 20240. The 330 North Central Ave., Linia, ACTION: Notice, SUPPLEMENTARYINFORMATION:The SC100006179 properties listed in this notice are being SUMMARY:The Commission hereby gives PENNSYLVANIA considered for listing or related actions notice that it has instituted reviews in the National Register of Historic Allegheny County pursuant to the Tariff Act of 1930 (“the Places. Noniinations for their Riverview Park, Roughly bounded by Woods Act”), as amended, to determine consideration were received by the Run Ave., Mairdale Ave., Perrysville Ave., whether revocation of the National Park Service before January 16, and Kilhuck St., Pittsburgh, 50100006181 countervailing duty orders on certain