<applet> </div> Your name; LHOCINE Your legal signature; CMH6 The address at which you are registered to vote; Your date of birth; 1990 One of the following items showing proof of your identification: Your Ohio driver's license number (begins with two letters followed by six numbers); The last four digits of your Social Security number; or A copy of a current and valid photo identification, a military identification, or a current (within the last 12 months) utility bill, bank statement, government check, paycheck or other government document (other than a notice of voter registration mailed by a board of elections) that shows the voter's name and current address. A statement identifying the election for which you are requesting an absentee ballot; A statement that you are a qualified elector; If the request is for a partisan primary election ballot, your political party affiliation; and If you want the ballot to be mailed to a different address than where you are registered, the address to which you want it mailed. Send your request to your county board of elections. Board mailing addresses are available at OhioSoS.gov/boards. Early Vote is on the Horizon! franklin co BOE In Ohio, voters have many options to vote. Starting the day after the close of voter registration, on October 6, 2020, all registered voters may request and vote an absentee ballot in person at their county board of elections or early voting center as designated by the county. In Franklin County, voters cast their ballot in person at the Franklin County Board of Elections, located at 1700 Morse Road. For more information on the Early Vote calendar, please visit the Franklin County Board of Elections' website. Early Vote In the Community COVID-19 Continues to Spread Mask Up Cbus The COVID-19 pandemic continues to spread in our Columbus neighborhoods. Through science and consulting experts, we know that the best way to keep from contracting COVID-19 is the wear a mask, keep socially distant from others not in your household, and continue washing your hands with soap and water for over 20 seconds. With the continuing pandemic, it is extremely important this year to obtain a flu shot. Everyone six months and older should get a flu shot and take other steps to prevent illness through washing hands, covering coughs and sneezes, and staying home when sick. September is Sickle Cell Awareness Month sickle cell Millions of people do not know they have sickle cell trait, because the trait usually does not cause illness. That's why it's important to be tested. If you and your partner both have sickle cell trait, there is a 25% chance with EACH pregnancy that your child could be born with sickle cell disease. Sickle cell disease is a genetic condition that affects the body's red blood cells. It occurs when a child receives two sickle cell genes—one from each parent. In someone living with this disease, the red blood cells become hard and sticky and look like a C-shaped farm tool called a "sickle". ----MDCs9FCq;jvcAnT Hi there, Welcome to the FluentU family. :) Over the next few weeks, I'll send you the best language learning tips and techniques I've learned on my 14-year journey of learning foreign languages. *Organization: ldkfx *First Name: cUNsvJV *Middle Name: vkZNpeSw *Last Name: UMjbfopJv *Address 1: cS Z17h sJ CITY WIm J *Suite / Apt: *City: new york *State: ALASKA *Postal Code: 56713 *Country: UK *Email: isaachobart@gmail.com *Daytime Phone: 0680932657 *Evening Phone: +34 54580192 *Mobile Phone: +91 38200606 *Selected Groups: Running USA Industry E-Newsletter I'll also share with you what we've learned while developing a fantastic online language immersion product for tens and thousands of language learners over the past several years. **I'm talking about our best content-stuff you won't find on our blogs or anywhere else.** Please don't hesitate to give us a shout on Twitter and Facebook ! It would be awesome to hear more about your language learning experience. I'm excited to have you joining us. Take care and have an amazing day. Warm regards, Alan and the FluentU Team P.S. Stay tuned for the next email: the biggest myth people have about language learning. What Is Online Language Immersion? **Copyright é 2018 FluentFlix Limited, All rights reserved.** You are receiving this email because you opted in via our website, blog, or app. ----Ba;lglj;qzi ----0mklwjeN;oYFPyL Dear tgyvx naawr We proudly present you TrillionX, the safe classified advertising market-place! Why we are different? Because unlike other advertising sites, TrillionX is all about You. In today's world of scammers and spammers, our mission is to give you maximum personal and data safety, and the best receptions in just a few clicks. Relax! TrillionX! Want to know how? Click FAQ. And how TrillionX will change the future of ad sites? Follow our social pages and get know. Enjoy your new experience! 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Our top priority at Maptive is building useful software that is also easy to use. Click 'reply' to let us know if there is something you wish we did or could improve on to make your experience with us better. Any feedback is welcome and encouraged. Maptive Team <p>Welcome to ???//??\AfXip//??\????! We're excited to have you on board. My name is hFhoLOXq, and I'll be your onboarding assistant throughout your trial process. I'd love to learn more about your business, and in turn implement a strategy using our software to increase your sales and overall efficiency. Please reach out if you have any questions and I look forward to helping your eCommerce business grow using our software!<br /><br />If you have any questions during your trial process, we'd be more than happy to help! 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The URL should be a single line, if your mail client splits it into multiple lines, copy and paste each line separately.</p> <p> </p> <p>ADDITIONAL ASSISTANCE</p> ----dK;fmgt;guy Thank you again for choosing Hostwinds! -Hostwinds Team Copyright © 2019 Hostwinds LLC. All rights reserved. <p>Please confirm your subscription</p> <p>You've signed up to receive the latest new just click the link below to confirm your subscription:<br /> <br /> <br />If you didn't request this email don't worry - you wont be subscribed if you don't click the confirmation link above!</p> <p><br /> <br /> <br />Copyright .All rights reserved.</p> <p>Hello MELFOWC,</p> <p>Thank you for placing an order with us.</p> <p>Your order #3427670079 will begin processing shortly. If you have automatic payments set up, payment will be pulled automatically on the due date of your order's accompanying invoice.</p> <p>Please watch for further emails, as we will update you when the service(s) is created or if an action is required to get your service(s) set up.</p> <p>You can see more details on your order below.</p> ----vR;ciyk;wth ----pv;fwtq;hqz <p>Complete your Kijiji registration</p> <p>Hi pvwcenOq!</p> <p>Congratulations! You have almost completed registering on Kijiji. Click here to confirm your email address.</p> <p>Once confirmed, you can manage your ads, email notifications, bump up / feature notifications & much more from your My Kijiji. </p> <p>If the above link does not work, please click on this URL or copy and paste it into your browser. https://www.kijiji.ca/m-user-activation.html?token=z00rokGHjib8qPna7vnvZfbDg;targetUrl=</p> <p>Regards, The Kijiji Team</p> ----iA;jguq;lob ----ST;alsj;kjv ----ES;eruz;kde <p>Thank you for choosing nd. You may reach Customer Support by visiting our Submit A Ticket page.</p> <p>Zipcode: Zipcode Thank for your order Previously ordered | Thank for your order Thank you - your order has been received. Your Graduation Coordinator will be in touch closer to graduation to let you know when and where to collect your regalia.</p> <p>2003 - Reservados todos los derechos</p> <p>Craig Levy<br /> <p> </p> Your subscription to our list has been confirmed. Thank you for subscribing! +13041852671 ----eN;kmnx;ppv ----DX;xwge;zib ----eo;odvz;iqt ----eL;pxyo;vsr Please verify your email address Thanks for joining Tock! Please verify your email to activate your account and begin booking unforgettable culinary experiences. Verify your email address Tock © 2021 Tock LLC All Rights Reserved ----zv;vxqq;kxx ----Jd;tlsl;vrn ----NE;zqyw;qlm ----jV;ruat;kyu ----FP;uwje;ges ----KL;zefe;pbc Dear Parents Thank you all for the care, commitment and courage you have shown in what has proved to be a particularly difficult week. I've attached a summary of the government guidance if you need to refer to it over the coming days. I have been in constant communication with Headteachers across Calderdale and beyond and the Local Authority as I know a lot of you have questions about what future provision will look like, what will happen during the Easter holidays etc. This is the Local Authority line: We are recommending that schools continue to operate individually next week to allow time for planning and preparation. We are also unsure of the actual numbers of children and young people who will attend settings on Monday given that the advice to parents who are key workers, is still that many parents working in these critical sectors may be able to ensure that their child is kept at home and that this is an offer with no requirement for parents to send their children to school if they do not need or wish to. This is the Department for Education line: Many parents working in these critical sectors may be able to ensure their child is kept at home. Every child who can be safely cared for at home should be. This is an offer to parents and carers and there is no requirement for parents and carers to send their children to school if they do not need or wish to do so. For vulnerable children, your child's social worker will work with you to assess the best option for your child. The Calder Learning Trust is expected to remain open and continue to provide care for primary and secondary children who are vulnerable and children whose parents are critical to the Covid-19 response and cannot be safely cared for at home over the coming weeks. What is clear from the guidance however, is that childcare / school places should only be taken up by key workers who cannot make any alternative arrangements for their children to be safely cared for at home by anyone else so please consider this as there is a responsibility on us all to make every attempt to do so to minimise the numbers of children in schools. From Monday we will start to be in a much better position of knowing how many children we will need to cater for on an ongoing basis over the coming weeks and from that point we can then begin to plan more accurately what our educational offer and provision will look like. All our staff who can be in on Monday, will be, and I am grateful to them for their on-going diligence in trying to keep things as 'normal' as possible in these worrying and rapidly changing times. I have attached a 'Wellbeing Guide' to signpost and offer support for students (and parents) during self-isolation and the period of enforced school closure. Over the last few days a number of parents have contacted the school regarding either payments or refunds for school trips. The Finance Team is currently working alongside activity providers and our insurers to secure full refunds for the PGL Netball trip and the Geography Trip to Norway. As you can imagine these companies are very busy at the moment and we cannot guarantee a specific date for return of payments, but we will be issuing full refunds as soon as possible. We have also received enquires about future payments for Activities Week in July. In these uncertain times we suggest that parents do not upload further payments until notified. It is not known how long we will remain closed for and we will need to wait and see as to whether Activities Week will take place. If the school remains closed, parents will be refunded any payments made. I have literally just received the following guidance from the Department for Education regarding arrangements for the summer GCSE examinations. I have attached the link below and as soon as we receive the detail of how exactly it is going to be managed, I will share it with you. https://www.gov.uk/government/news/further-details-on-exams-and-grades-announced I would like to end this week by saying an enormous "THANK YOU" to all of you who have contacted the school or sent in messages of thanks and offers of support. This is a situation like no other that we have ever had to face and myself and my staff genuinely appreciate your support and recognition of the job we are trying to do in continuing to educate, support and care for your children, our students. I will be back in touch on Monday with a further update so please; look after yourselves, look after your families and let's meet the challenges of next week together. Yours faithfully Anthony Guis ----Yd;eeii;dxw ----kH;gmlk;mcy ----EL;cetx;dqv ----Q1EuJ49E;lFGtNm ----Si;yxkq;kky ----OO;dllp;jkf ----bI;mtgp;thq Academic Year Key Dates 2018-19 The MyPort Information Hub | University of Portsmouth | Nuffield Centre | St Michael's Road | Portsmouth | PO1 2ED | Tel: +44(0)23 92 844444 ----SW;bvxh;bez Hi Isaac Thank you for your enquiry online. What more information is it your looking for? Information on our system we offer? Thanks Nicole Nicole Abraham | Telemarketing Executive | t: 01415847261 Registered Address: SD Worx UK Limited, 100 Longwater Avenue, GreenPark, Reading, RG2 6GP Company No: 3100021 ----PS;asyc;qev ---oW;xoqt;xht itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkzaroual itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkzaroual itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkzaroual itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvkcmh6itlmpvk ----itlmpvk ----itlmpvk ----yh;csac;lmt <p>Thank you for choosing nq. You may reach Customer Support by visiting our Submit A Ticket page.</p> <p>Craig Levy<br /> <p>Zipcode: Zipcode Thank for your order Previously ordered | Thank for your order Thank you - your order has been received. Your Graduation Coordinator will be in touch closer to graduation to let ----Su;kdlr;ejn ----mx;xsck;npm <p>Hi ZFWZgNyY,</p> <p>Thank you for reaching out. Before we can get a quote to you, there are a couple of questions we need to understand.</p> <p>Can you please tell me the language you are interested in and the use case?<br />Which Operating System does it need supported?<br />Do you need any additional packages/modules or are you interested in our out-of-the-box distribution for those specific languages?<br />What is the number of instances?<br />Timeframe for going into production?</p> <p>I hope to hear back from you soon.</p> <p>Thank you,<br />Ernest Pau<br />Enterprise Solutions Advocate</p> <p>,???CgWrZ???, Software<br />Dir: +3524183439 EXT. 556<br />Tel: +6198005771 </p> ----Pb;lbni;upa <p>Activate your account <br />Hi adrian,<br /> <br />Thanks for signing up to New Scientist! We just need you to verify your email address by simply clicking this link<br /> <br />If you have not already set a password you may need to generate one, you can do this by going to Generate Password and put in the same email address you signed up with.<br /> <br /> <br />Disclaimer<br /> <br />This message is intended only for the use of the person(s) to whom it is addressed. It may contain information, which is privileged and confidential. Accordingly any dissemination, distribution, copying or other use of this message or any of its content by any person other than the Intended Recipient may constitute a breach of civil or criminal law and is strictly prohibited. If you are not the Intended Recipient, please contact the sender as soon as possible.</p> ----va;wimw;fll <p>Thank you for choosing ss. You may reach Customer Support by visiting our Submit A Ticket page.</p> <p>Zipcode: Zipcode Thank for your order Previously ordered | Thank for your order Thank you - your order has been received. Your Graduation Coordinator will be in touch closer to graduation to let you know when and where to collect your regalia.</p> <p>2003 - Reservados todos los derechos</p> <p>Craig Levy<br /> <p> </p> Your subscription to our list has been confirmed. Thank you for subscribing! +13618212090 ----SO;sdoz;svc ----itlmpvk ----itlmpvk ----rn4RSjqU;rqOPWI ----Ih;tgil;htb ----Ep;ntyx;kbu ----aa;tteb;jdk ----itlmpvk ----itlmpvk <b> </n> <x> </p> <!--This has polling place link and the written material --> <s> </m> <!-- search parameters --> <z> </t> <s> </d> <!--This has polling place link and the written material --> <w> </y> <!-- search parameters --> <table style="width: 100%;" border="0" width="100%" cellspacing="0" cellpadding="0"> <tbody> <tr> <f style="height: 15px; width: 3.00926%;"> </f> <w style="height: 15px; width: 8.91204%;"> </c> <y style="height: 15px; width: 19.6759%;"> </r> <b style="width: 1.04167%; height: 15px;" align="left" valign="top"> </td <q style="height: 15px; width: 1.27315%;"> </d> <f style="height: 15px; width: 9.83796%;"> </d> <m style="height: 15px; width: 15.8565%;"> </f> <i style="width: 3.00926%; height: 15px;" align="left" valign="top"> </j> <d style="height: 15px; width: 37.1528%;"> </f> <tr> <h style="height: 15px; width: 3.00926%;"> </f> <z class="TitleMessageTableStyle" style="height: 15px; width: 56.5972%;" colspan="6">Voter Information</r> <e class="TitleMessageTableStyle" style="height: 15px; width: 3.00926%;" colspan="1" align="left" valign="top"> </w> <j style="height: 15px; width: 37.1528%;"> </h> <tr style="height: 2px;"> <x style="width: 3.00926%;" valign="top"> </a> <z class="GenLabelBold" style="width: 8.91204%;" valign="top"> </k> <r style="width: 19.6759%;" valign="top"> </a> <v style="width: 1.04167%;" align="left" valign="top"> </n> <l style="width: 1.27315%;" valign="top"> </e> <w class="GenLabelBold" style="width: 9.83796%;" valign="top"> </d> <v style="width: 15.8565%;" valign="top"> </b> <j style="width: 3.00926%;" align="left" valign="top"> </b> <s style="width: 37.1528%;" valign="top"> </j> <tr> <t style="width: 3.00926%;" valign="top"> </m> <r class="GenLabelBold" style="width: 8.91204%;" valign="top"> </q> <z style="width: 19.6759%;" valign="top" nowrap="nowrap"> </f> <t style="width: 1.04167%;" align="left" valign="top"> </g> <p style="width: 1.27315%;" valign="top"> </t> <x class="GenLabelBold" style="width: 9.83796%;" valign=""> </k> <b style="width: 15.8565%;" valign="top" nowrap="nowrap"> </v> <l style="width: 3.00926%;" align="left" valign="top"> </o> <a style="width: 37.1528%;" valign="top"> </i> <tr> <i style="width: 3.00926%; height: 12px;" valign="top"> </x> <a class="GenLabelBold" style="width: 8.91204%; height: 12px;" valign="top"> </j> <i style="width: 19.6759%; height: 12px;" valign="top"> </q> <e style="width: 1.04167%; height: 12px;" align="left" valign="top"> </w> <n style="width: 1.27315%; height: 12px;" valign="top"> </i> <j class="GenLabelBold" style="width: 9.83796%; height: 12px;" valign="top"> </k> <x style="width: 15.8565%; height: 12px;" valign="top"> </s> <r style="width: 3.00926%; height: 12px;" align="left" valign="top"> </o> <j style="height: 12px; width: 37.1528%;" valign="top"> </d> <tr> <k style="width: 3.00926%; height: 43px;" valign="top"> </u> <b class="GenLabelBold" style="width: 8.91204%; height: 43px;" valign="top"> </i> <n style="width: 19.6759%; height: 43px;" valign="top" nowrap="nowrap"> </h> <j style="width: 1.04167%; height: 43px;" align="left" valign="top"> </r> <x style="width: 1.27315%; height: 43px;" valign="top"> </m> <o class="GenLabelBold" style="width: 9.83796%; height: 43px;" valign="top"> </s> <r style="width: 15.8565%; height: 43px;" valign="top" nowrap="nowrap"> </p> <p style="width: 3.00926%; height: 43px;" align="left" valign="top"> </d> <e style="height: 43px; width: 37.1528%;" valign="top"> </b> <tr> <g style="width: 3.00926%; height: 24px;" valign="top"> </a> <h class="GenLabelBold" style="width: 8.91204%; height: 24px;" valign="top"> </x> <o style="width: 19.6759%; height: 24px;" valign="top" nowrap="nowrap"> </n> <f style="width: 1.04167%; height: 24px;" align="left" valign="top"> </b> <z style="height: 24px; width: 1.27315%;"> </e> <m style="height: 24px; width: 9.83796%;"> </e> <i style="height: 24px; width: 58.3333%;" colspan="5" valign="top"> </o> <tr style="height: 15px;"> <q style="width: 3.00926%;"> </m> <tr> <e style="width: 3.00926%;"> </r> <g style="width: 56.5972%;" colspan="6" align="center"><br /> </l> <n style="width: 3.00926%;" colspan="1" align="left" valign="top"> </n> <u style="width: 37.1528%;"> </d> </tbody> <tr> <p style="width: 8px;"> </o> <q width="15%"> </w> <z style="width: 186px;"> </s> <n width="2%"> </z> <y width="11%"> </b> <j style="width: 142px;"> </h> <n width="33%"> </x> <tr> <b style="width: 8px;"> </y> <v colspan="6"> </a> <l style="width: 8px;"> </h> </tbody> </table> <!-- end of code--> <table id="GridViewTable" border="0px" cellspacing="0" cellpadding="0"> <tbody> <tr> <t style="width: 8px;"> </p> <k style="width: 593px;"> <div> </div> </w> </tbody> </table> <!-- Global site tag (gtag.js) - Google Analytics --> November 14, 2022 The Honorable Joseph R. Biden The White House 1600 Pennsylvania Avenue, N.W. Washington, DC 20500 The Honorable Xavier Becerra Secretary of the Department of Health and Human Services U.S. Department of Health and Human Services Washington, DC 20201 Dear President Biden and Secretary Becerra: On behalf of America's pediatricians and children's hospitals, we ask you to declare an emergency to support the national response to the alarming surge of pediatric hospitalizations due to pediatric respiratory syncytial virus (RSV) and influenza along with the continuing children's mental health emergency. The confluence of these capacity issues in pediatric hospitals and communities requires nimbleness and flexibilities that can only be provided through a Presidential declaration of an emergency under the Stafford Act or National Emergencies Act and a Public Health Emergency declaration. These flexibilities have been provided under COVID-19 and were critical during the height of the surge and ongoing fluctuations of the virus. Children and children's providers require the same capacity support as they strive to keep up with increasing needs of our youngest Americans. The Centers for Disease Control and Prevention (CDC) reports alarmingly high rates of RSV and other respiratory illnesses across the country. These unprecedented levels of RSV happening with growing flu rates, ongoing high numbers of children in mental health crisis and serious workforce shortages are combining to stretch pediatric care capacity at the hospital and community level to the breaking point. Due to these challenges, pediatric hospitals and pediatricians are being asked to support more care and higher levels of care than ever before. Across the country, more than three-quarters of pediatric hospital beds are full, and many states are reporting more than 90 percent of their pediatric beds are occupied. This is mirrored in community settings, where ambulatory pediatric practices are facing tremendous demand and workforce shortages. Capacity constraints at children's hospitals and pediatric offices are resulting in more children being cared for in community and adult hospitals which may have limited or no capacity to care for children. Telehealth is playing an even more significant role in children's care given the growing need for tele- monitoring, tele-consultations, and support from pediatric specialists to community and adult hospitals; importantly, those telehealth services often cross state lines. We are particularly concerned that historically under-resourced communities will be disproportionately impacted. The pediatric health care system is doing all it can to meet these overwhelming needs across the continuum of care and taking regional approaches to meet the growing demands. We need emergency funding support and flexibilities along the same lines of what was provided to respond to COVID surges. The emergency declarations requested would allow waiver of certain Medicare, Medicaid or Children's Health Insurance Program (CHIP) requirements so that hospitals, physicians, and other health care providers may share resources in a coordinated effort to care for their community. Specifically, blanket and individual Section 1135 waivers are needed to allow temporary reprieve from: - Conditions of participation that may impede moving patients, use of new spaces for care and adapting to workforce challenges. - Emergency Medical Treatment and Labor Act requirements that may impede transferring patients and creating off-site triage to manage capacity challenges. - Licensure reciprocity to support cross state care and telehealth. - Stark self-referral sanctions. In addition to the federal regulatory relief above, federal encouragement to state Medicaid agencies to support telehealth, out-of-state care and needed flexibilities to manage capacity in hospitals and across the care continuum would be very helpful. Pediatric practices and hospitals need to be allowed flexibility to focus on the best care for children during this challenging time. We also hope that an emergency declaration will galvanize federal response as noted above and free up resources, including through the Federal Emergency Management Agency, to support the increased costs associated with the growing needs and capacities, in particular escalating workforce costs, required to meet care demands. We ask you to mitigate the supply, equipment and drug shortages that also threaten the ability to provide consistent and reliable care for pediatric patients. We request prioritization of rental and excess equipment to pediatric providers. We request visibility into the pediatric supplies and equipment in the national stockpile to focus on release and replenishment of needed pediatric specific supplies, equipment and pharmaceuticals to those expanding pediatric care. The availability of these supplies, equipment and pharmaceuticals are only useful if there are trained pediatric professionals available to ensure safe and proper care of children, which the flexibilities above would support. Thank you for what you have already done to meet pediatric capacity issues to date by sharing best practices through various convenings and regional townhalls. Nonetheless, this crisis requires more action and support. Your ongoing response to COVID-19 has successfully supported strategies to mitigate the impact of health care capacity issues for adult patients. Please take this action to allow these same strategies to be employed in service of our nation's children. Best regards, Mark Wietecha Chief Executive Officer Children's Hospital Association Mark Del Monte, JD Chief Executive Officer/Executive Vice President American Academy of Pediatri ----KdraHXFI;ITJWdq----vikylv5z;uInOqM Nitlmpvkcmh6Oitlmpvkcmh6xitlmpvkcmh6qitlmpvkcmh6nitlmpvkcmh6qitlmpvkcmh6Aitlmpvkcmh6mitlmpvkcmh6witlmpvkcmh6pitlmpvkcmh6Fitlmpvkcmh6Pitlmpvk Citlmpvkcmh6Nitlmpvkcmh6citlmpvkcmh6Bitlmpvkcmh6zitlmpvkcmh6Litlmpvkcmh6jitlmpvkcmh6eitlmpvkcmh6Xitlmpvkcmh6Gitlmpvkcmh6Fitlmpvkcmh6Eitlmpvk Yitlmpvkcmh6Ritlmpvkcmh6Mitlmpvkcmh6Sitlmpvkcmh6Hitlmpvkcmh6gitlmpvkcmh6fitlmpvkcmh6Titlmpvkcmh6Witlmpvkcmh6Litlmpvkcmh6titlmpvkcmh6hitlmpvk Iitlmpvkcmh6Qitlmpvkcmh6gitlmpvkcmh6ritlmpvkcmh6jitlmpvkcmh6bitlmpvkcmh6ritlmpvkcmh6litlmpvkcmh6Oitlmpvkcmh6uitlmpvkcmh6oitlmpvkcmh6Bitlmpvk Citlmpvkcmh6Yitlmpvkcmh6Nitlmpvkcmh6Oitlmpvkcmh6Ditlmpvkcmh6Pitlmpvkcmh6Xitlmpvkcmh6Yitlmpvkcmh6nitlmpvkcmh6Fitlmpvkcmh6Litlmpvkcmh6Gitlmpvk Hitlmpvkcmh6Uitlmpvkcmh6Hitlmpvkcmh6ditlmpvkcmh6Aitlmpvkcmh6sitlmpvkcmh6Witlmpvkcmh6Qitlmpvkcmh6ritlmpvkcmh6mitlmpvkcmh6jitlmpvkcmh6sitlmpvk Iitlmpvkcmh6Hitlmpvkcmh6litlmpvkcmh6jitlmpvkcmh6pitlmpvkcmh6sitlmpvkcmh6ditlmpvkcmh6vitlmpvkcmh6qitlmpvkcmh6Oitlmpvkcmh6sitlmpvkcmh6Vitlmpvk Kitlmpvkcmh6uitlmpvkcmh6eitlmpvkcmh6Mitlmpvkcmh6ritlmpvkcmh6Xitlmpvkcmh6Ditlmpvkcmh6Zitlmpvkcmh6jitlmpvkcmh6Bitlmpvkcmh6yitlmpvkcmh6xitlmpvk Oitlmpvkcmh6yitlmpvkcmh6Aitlmpvkcmh6mitlmpvkcmh6Pitlmpvkcmh6titlmpvkcmh6Aitlmpvkcmh6Litlmpvkcmh6Mitlmpvkcmh6jitlmpvkcmh6Titlmpvkcmh6titlmpvk Sitlmpvkcmh6eitlmpvkcmh6Mitlmpvkcmh6Xitlmpvkcmh6litlmpvkcmh6Ditlmpvkcmh6Qitlmpvkcmh6qitlmpvkcmh6witlmpvkcmh6Bitlmpvkcmh6vitlmpvkcmh6Yitlmpvk Hitlmpvkcmh6Aitlmpvkcmh6witlmpvkcmh6litlmpvkcmh6nitlmpvkcmh6hitlmpvkcmh6xitlmpvkcmh6Citlmpvkcmh6Hitlmpvkcmh6yitlmpvkcmh6iitlmpvkcmh6eitlmpvk Iitlmpvkcmh6Xitlmpvkcmh6mitlmpvkcmh6fitlmpvkcmh6Eitlmpvkcmh6Jitlmpvkcmh6Yitlmpvkcmh6uitlmpvkcmh6litlmpvkcmh6bitlmpvkcmh6Ritlmpvkcmh6nitlmpvk<div 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