![]() Department of Health, Education & Welfare, 479 F. The government also pointed out it could not release physician-identifying data because it had been perma nently enjoined in Florida Medical Ass'n v. Because the reques ted information-the physician-identifying data in par ticular-would reveal individual physicians' annual in comes from Medicare, the government objected to the release of the requested data as a "clearly unwarranted invasion of personal privacy," making the information exempt from disclosure under FOIA Exemption 6. Using the information petitioner requested and the fee schedules CMS publishes, a person could determine an individual physician's annual income from Medicare reimbursement. Petitioner's request seeks, as described above, the diagnosis, the type and place of service, and the UPIN of the physician who performed the service. 10, 2010) (listing petitioner's re gions of coverage as, inter alia, Chicago Area, Puget Sound Area, and Washington D.C. 552, seeking certain data from Medicare claims records submitted by physicians in Illinois, Washington, the District of Colum bia, Maryland, and Virginia during 2004. Petitioner brought this action under the Free dom of Information Act (FOIA), 5 U.S.C. Petitioner is a "nonprofit consumer information and service resource" that offers, inter alia, a "guide to top doctors." See Consumers' Checkbook, (last visited Mar. As relevant here, CMS has "data elements include the diagnosis, the type and place of service and the Unique Physician Identifying Number (UPIN) of the physician who performed the services." Pet. Incident to enrolling providers and suppliers, and to making payments for health services rendered to benefi ciaries, CMS maintains certain information about Medi care providers and suppliers, the diagnoses they have made, and the procedures they have performed for which they have claimed Medicare reimbursement. Based on a variety of factors, CMS determines and publishes fee schedules detailing the amounts it will pay any provider or supplier in a given area to perform various procedures. 1395k, 1395l (entitlement to and payment of benefits). 1395a(a) ("Any individual entitled to insurance benefits under may obtain health services from any * * * person qualified to participate under this sub chapter.") 42 U.S.C. 424.510 (pro vider and supplier enrollment procedures) 42 U.S.C. ![]() 424.505 (provider and sup plier enrollment requirement) 42 C.F.R. Medicare benefi ciaries choose to obtain health services from those pro viders and suppliers (including physicians), and CMS makes payments to those providers and suppliers for those services. Rather, CMS is responsible for enrolling health care providers and suppliers in Medicare. As the court of appeals recognized, "hile CMS has certain responsibilities to promote quality healthcare for Medi care beneficiaries, it is not authorized to 'exercise any supervision or control over the practice of medicine or the manner in which medical services are provided.'" Pet. ![]() Centers for Medicare & Medicaid Services (CMS), What Is Medicare?, Apr. "Medicare is health insurance for people age 65 or older" or who have certain disabilities or health con ditions. The jurisdiction of this Court is in voked under 28 U.S.C. On August 13, 2009, the Chief Justice extended the time within which to file a petition for a writ of certiorari to and including October 30, 2009, and the petition was filed on that date. A petition for re hearing was denied on J(Pet. The judgment of the court of appeals was entered on Janu(Pet. The opinion of the court of appeals (Pet. 552(b)(6), because those particular records would, as a factual matter, reveal the physicians' per sonal income but would not be useful in assessing the administration of Medicare.ĭEPARTMENT OF HEALTH AND HUMAN SERVICES, ET AL. 552, as a "clearly unwarranted invasion of personal privacy," 5 U.S.C. Whether the court of appeals correctly determined that certain records of Medicare reimbursements to par ticular physicians were exempt from disclosure under the Freedom of Information Act, 5 U.S.C. ON PETITION FOR A WRIT OF CERTIORARI TO THE UNITED STATES COURT OF APPEALS FOR THE DISTRICT OF COLUMBIA CIRCUITīRIEF FOR THE FEDERAL RESPONDENTS IN OPPOSITIONĮLENA KAGAN Solicitor General Counsel of Record TONY WEST Assistant Attorney General LEONARD SCHAITMAN STEVE FRANK Attorneys Department of Justice Washington, D.C. ![]() In the Supreme Court of the United StatesĬONSUMERS' CHECKBOOK, CENTER FOR THE STUDY OF SERVICES, PETITIONERĭEPARTMENT OF HEALTH & HUMAN SERVICES, ET AL.
0 Comments
![]() Still, instead of saying no, Isadora took the dragon with her to school. Yes, it didn't spit out fire, instead tons of pink and glitter, but it did grow and it did make a terrible terrible mess. However, then she makes a dragon and I just knew that was a terrible idea. What a fun idea, I would have loved to do that when I was little as well. Yes, Isadora should learn to stand up for herself, that is very important, BUT, Mirabelle is older than Isadora and shouldn't abuse that fact and persuade Isadora to do things that Isadora may not want to do.Īt first the magic is pretty fun, I love the idea of them changing themselves to tiny format and then have fun with the slide and the doll house. I was happy to see her again, though my happiness quickly disappeared when she did some not so good things in this book. In this one we see Mirabelle, Isadora's niece, visit for half-term. I was very much curious on how Isadora would get into trouble and how her parents (and school) would react. I just love the Isadora Moon series, they are cute, sugary, glittery, and fun. Isadora get in trouble! Yep, our sweet Isadora gets into big big trouble in this book!Īt first I thought I already read this book when I was at Library #1, but then I found out I hadn't read it. If Isadora had truly learned her lesson, she would have stood up to her cousin and honored her promise to her parents and done "the right thing" and stayed, literally, grounded Yet, Isadora’s cousin convinces Isabelle to take one last flight on the magic dragon before it disappears. I thought it was all handled well, including the eventual confession and consequences, but the ending just blew it, IMO, as it completely undermines the whole message that was just conveyed! :-( Isadora’s parents are, IMO, quite gracious and understanding, but do ground Isabella for a spell, including no flying. They aren’t doing anything truly awful, but Isadora’s conscience is pricked and she knows better… but goes along with the schemes, anyway. Muncaster deftly portrays the thoughts and emotions of a “good kid” who feels roped into trouble-making by a bad influence-in this case, her cousin. This was a four-star for me, until the last few pages. there are definitely some elements that fit well for this season.)Īw, darn. (The books are not centered around Halloween and could be read any time of year, but since Isadora's father is a vampire and they live in a castle, etc. I've read the series out-of-order but hope to get to the rest of them in the next few weeks as they are perfect for someone like me who loves a bit of Halloween fun without the scary-factor. The stories are well-written, the characters all feel well-drawn. The illustrations are full of the most darling details that always make me smile. I adore these Isadora Moon books! They are so charming and fun. Además que tenga ilustraciones es bastante útil porque en general a los peques les gusta verlas, y así agiliza la lectura. Considero muy importante que las editoriales se curren las ediciones y el libro sea bonito estéticamente hablando, aunque lo importante sea la historia en sí, pero sobre todo si hablamos de libros que son más bien para niños/as. Los colores que predominan son el rosa y el negro, y en sí los libros son muy llamativos porque tiene muchas ilustraciones y un montón de detalles, así que es fácil que llame la atención a los niños si lo ven en las librerías. La verdad es que la edición de estos libros es una pasada. ![]() Estos libros me recuerdan un montón a los de Los Cinco de Enid Blyton, no sé si alguien sabrá de cuales hablo, pero es un estilo similar: una serie de personajes que cada libro narra una historia distinta. It’s great practice for those that don’t want too much “idioms” at first but want a longer book for bridge reading.Uno de los motivos por los que empecé a leer estos libros es porque de vez en cuando me gusta leer cosas de este estilo, historias muy ligeras y cortas que se leen en una hora como mucho. At first I thought it would appeal to girls only but after my little one read it, I’ve found it will appeal to boys too so try to ignore the pink.Įach book is a quick read. These are not scary at all (if you’re thinking about the vampire part). The stories are about a girl who is half vampire half fairy and the first book is when she has to decide what school she wants to go to: fairy or vampire. This set is translated from the English set Isadora Moon. ![]() The language is easy to understand as is the story. Each book is probably about 3000-4000 characters with Zhuyin (that’s an estimate). This is a cute set of books great for readers that know Zhuyin. ![]() Then click the blue "Roll" button to perform the roll.įinally, the Dice Roller includes a list of your last ten rolls (including those performed in the text chat box), allowing you to quickly re-roll any of those previous rolls. There are a couple of options when you are using Roll20: you can type in a command like /r 1d20 for a straight d20 roll, or you can of course add modifiers like /r 1d20+4 if you want to add bonuses to your roll. Discover the benefits of a Roll20 subscription, including dynamic lighting, shared content, increased upload storage, and more. Just choose the type of dice to roll, the number of dice to roll, any additional modifiers to add, and enable other features such as exploding dice as appropriate. Roll20 is free and has a really smart and intuitive online RPG dice roller system, in my opinion. If you're interested in creating new assets (tokens, maps, or modules) for sale through the Marketplace, we have all the info you need on our Become a Creator page. If you want to perform a more advanced roll (such as adding a modifier, exploding dice, etc.), there's a section with more advanced options. You can quickly perform a basic roll by just clicking on any of the d4 to d20 dice buttons along the top of the Dice Roller window. Please disable all add-ons/extensions and anti-virus programs. Step 2: Ensure that there are no extensions/addons interfering with Roll20. Please check if these issues persist when using both Chrome and Firefox. The window will open on the tabletop, ready to use at any point. Step 1: Make sure to use the right browser. ![]() To open the Dice Roller, just hover over the t d20 icon on the Toolbar, then click Adv. More advanced rolling options can be toggled with the options along the top and bottom row, including GM rolls, Exploding Dice, Compounding Exploding Dice, and Penetrating Dice. In google hangouts, you see all of the other players in little thumbnails in the bottom of the screen. Once active, roll the dice size and number (up to 5) can be rolled with a single click. The Quick Roller activates when you hover over the just click on the t in the Tool Bar. ![]() If the power adapter or cable appears damaged, discontinue use immediately. Do not force the power adapter into a power outlet. Only use the included power adapter with your Device. Read all safety instructions for any accessories before using with your Device. In limited circumstances, use of third-party accessories may void your Device’s limited warranty. Use of third-party accessories may impact your Device’s performance. For example, do not install your Device near any heat sources such as space heaters, heater vents, radiators, stoves, or other things that produce heat. Don't expose your Device to steam, extreme heat or cold. Clean the Device with a soft cloth that is slightly damp with water and a touch of rubbing alcohol be careful not to wipe it with anything abrasive or to use any harsh chemicals. Only handle your Device with clean hands. To avoid risk of electric shock, do not touch your Device or any wires connected to your Device during a lightning storm. Use only accessories supplied with the Device to power your Device. If the Device or adapter appear damaged, discontinue use immediately. Do not attempt to dry your Device or adapter with an external heat source, such as a microwave oven or a hair dryer. If your Device or adapter gets wet, carefully unplug all cables without getting your hands wet and wait for the Device and adapter to dry completely before plugging them in again. FAILURE TO FOLLOW THESE SAFETY INSTRUCTIONS COULD RESULT IN FIRE, ELECTRIC SHOCK, OR OTHER INJURY OR DAMAGE.ĭo not expose your Device or adapter to liquids. ![]() What you are describing does not hold true in Asheville, Boone, Blowing Rock, Charlotte, or the coastal areas. I'm not that familiar with the Durham area, but perhaps you are surrounded by cheap, dorm-style housing. I have no idea if building technology is more advanced in places like CA or FL, but I really don't think the northeast or middle Atlantic has anything on NC. Standards are CLEARLY much higher, at least in the under $2 mio. One of the biggest surprises I experienced when we moved to NC from an expensive NYC suburb was how much better-maintained the older homes were and how much more attractive the new homes were. The only homes on slab I see are in price ranges where radiant heat would be unusual, regardless of location. It's neither a new technology nor something that's difficult to get done in NC. It's annoying, but not regional.Īlthough radiant heat is not the norm, we have two homes in NC (one built in the 50's, one new) with radiant in-floor heat in some areas. I think wanting to stick with what they know is very, very typical of builders in general - it's not specific to NC. Meghane - I don't think that's a fair assessment of NC builders at all. And I don't expect that to change until the good ole boys are all retired. It's not like I'm in the boondocks.Īnyway, while it's probably partly the expense of separate AC and heating systems, the biggest factor is that the building industry is stuck in 1980. And I live in Durham, ya know, near Duke, UNC, NC State, NC Central, Merideth College, Peace College, etc. ![]() Someone actually asked me what that machine was AS I WAS CUTTING THE GRASS. Then you should have seen me with my electric plug-in mower. You would have thought I made my countertops out of horse manure with the looks I got. Basements are very rare because of drainage issues associated with clay.Ībout 5 years ago I had concrete countertops in my kitchen. We DO have a lot of slab built homes- it costs extra to get a crawlspace. Tile the area of the floor covered with thin-set. Dont clean the trowel by banging it on the mat. Then turn the trowel over and rake the thin-set to a 1/4-inch uniform depth. It's just that there is such a network of good ole boys in the building industry that they are still building stick homes. With the flat side of a 3/8-inch notched trowel, apply thin-set over an area of the mat. If you were moving to the mountains you'd probably run heat from late August through April. It isn't *that* hot here and we do actually run the heat from October through March. Having moved to NC from MD 9 years ago, my guess is that things change VERY slowly here. He's been in love with technology since his earliest memories of writing simple computer programs with his grandfather, but his tech writing career took shape back in 2007 when he joined the Lifehacker team as their very first intern. Jason has over a decade of experience in publishing and has penned thousands of articles during his time at LifeSavvy, Review Geek, How-To Geek, and Lifehacker. Prior to that, he was the Founding Editor of Review Geek. Prior to his current role, Jason spent several years as Editor-in-Chief of LifeSavvy, How-To Geek's sister site focused on tips, tricks, and advice on everything from kitchen gadgets to home improvement. He oversees the day-to-day operations of the site to ensure readers have the most up-to-date information on everything from operating systems to gadgets. Jason Fitzpatrick is the Editor-in-Chief of How-To Geek. ![]() Search for an application in the App Store on your iPad 1, for example, and the App Store app will tell you that the app can't be downloaded because it requires a device running iOS 7 (or 8, or 9), and therefore can't be installed on your iPad.even if there was an iOS 5 version of the app at some point in the past. On the surface, this is a perfectly sensible thing for Apple to do: why would they ever want you to download older, buggier, and potentially less secure software when there's an updated version available? When you're on an older device, however, this means an app may not be compatible with your old version of iOS. The way Apple has the App Store configured, you are always directed towards the newest version of an application. Many people abandon these old-but-still-functioning devices not because they're upset about missing out on the new iOS features, but because it's such a pain to download apps to them. While getting stuck on older software is par for the course, it can be frustrating. With every new wave of iOS hardware, a little bit of the legacy hardware is left behind. ![]() The iPhone 4 is stuck at iOS 7.1.2, for example, and the first-gen iPad is stuck all the way back at iOS 5.1.1. Although Apple does a pretty admirable job dragging old hardware along for each iOS update, every train has a final stop. What's the Deal With Old Versions of iOS and New Apps?Īs of the publication of this article, we're currently on iOS 9 and, in a short few months, iOS 10 will roll out to the public. ![]() Please note that both the Be a Musician game and Be a Hero game require the use of device gyroscope and accelerometer, gameplay for these games is therefore not supported on certain devices which do not have this functionality built in. The Android device must also have a minimum of 1GB RAM memory and 1.5GHz processor. For Android, the app is available for users using Android 4.1 or higher.For iOS, the app is available for users using iOS 9 or higher.Q: Which devices can I download the The Happy Meal® App app to?Ī: The Happy Meal® App app is currently available to download in both the Google Play store and the Apple App store. Q: Can I play The Happy Meal® App when I'm not connected to the internet?Ī: You don't have to be connected to the internet to play The Happy Meal® App, but you will need to be connected to Wi-Fi, or have enabled data use during app set-up, to install the app and receive content updates. Q: How long does the app take to download?Ī: Depending on your device and connection, it should only take a few minutes. It’s best to download The Happy Meal® App when you are connected to Wi-Fi in order to avoid any additional costs. Q: Are there any charges for downloading the app?Ī: There will be no extra download charges if you are using Wi-Fi, but you may incur them if you’re using your own data. There are no banners, interstitials, or any other form of third party content visible. Q: Is there any third party advertising in the app?Ī: No. Q: How can I give my feedback on the app?Ī: We're grateful for all your feedback, which you can give us in the app store. Our experts test games and activities with kids and their parents to make sure that, in addition to being fun, they encourage the development of useful skills. Q: How are the games and activities on the app tested?Ī: All of our games and activities are independently tested and rated by our child development experts. We don't ask for or capture any personal details. Questions about Happy Meal® App Q: Are my child’s details being stored by McDonald’s?Ī: No, The Happy Meal® App is totally anonymous. The app is free to use (except for any data charges that may apply). No personal data will be collected from you or your child via the app. ![]() FAQ You can find information on how to restrict the content your child can see and access: On iTunes: On Google Play: For information on how to require a password for app purchases and for leaving reviews on the iTunes App Store: To setup password protection on your Google Play account: If, at any time, you decide to start selling new types of seed, make sure to get the approval by submitting another service sample for that type of seed to your Department of Agriculture. Once your seeds have been approved in the testing process, your application will also be approved. Typically, only certain types of seeds will incur a charge to be tested, outside of what you will pay for your actual seed license. This standardized test ensures that your seeds meet certain standards of quality set by your state. Seventy-nine nursery/greenhouses in South Dakota grow. Typically, during the seed license application process, you’ll need to submit a service sample to your state’s Department of Agriculture. Industry Facts In 2016, there were 458 nursery licenses issued to businesses selling nursery stock. That keeps you from having to scramble each year to renew, but make sure you stay on top of having your license renewed when the time does come, and having another inspection if necessary. Many states, like Georgia, approve seed licenses for three years. Check with your state business license board, as you may need other types of business licenses, permits & tax documents, such as a nursery-plant dealer license. Without one, you risk being fined or even having your business shut down. Whether you plan to sell seed through wholesale or retail, or whether you plan to work as a landscaper, you need a seed license. ![]() This should bring you peace of mind: you know that any seeds you sell your customers will be top-grade if they’re approved by the state. ![]() It’s the objective of every state’s Department of Agriculture to test the seeds that are sold and distributed to ensure they’re disease-free and that they meet the state’s quality requirements. Whether you plan to sell and ship only in your state, or to other states, having a seed business license is absolutely mandatory! Why You Need a Seed License For small businesses who plan to sell seeds of any kind–whether it’s small seed packets or wholesale grass seed–you need to have a seed license in order to operate legally in any state. ![]() AirPods (3rd generation) charging case also works with the Apple Watch charger or Lightning connector. Wireless charging requires a Qi‑certified wireless charger.
![]() “The Legislature has decided our enthusiasm for incarceration has outstripped our willingness to pay for it,” San Diego County Superior Court Judge David Danielsen said. Supporters of the changes say county prosecutors and judges now will have to take into account the financial burden their sentencing decisions create because more criminals will stay in the community for their punishment. That is more than the state spends on the University of California and California State University systems combined. The corrections department now draws $9.8 billion from the state’s general fund, or 11.4 percent of this year’s spending plan. In almost all cases, voters and lawmakers made the changes without a way to pay for the extra prison space or guards required to house the additional inmates, a scenario that left the state paying more for corrections while it cuts money for higher education, health care and other services.Ĭalifornia’s adult prison population has grown from about 97,000 in 1990 to nearly 161,000 today, while the cost of incarceration during that timeframe has risen from $20,562 per inmate to $49,190. That change set terms of incarceration by law rather than allowing a parole board to decide on a case-by-case basis when convicts should be released.Ĭalifornia’s prison population has exploded over the past two decades as voters and lawmakers approved numerous tough-on-crime measures, including life sentences for those convicted of a third felony and extended sentences for using a gun or belonging to a gang. The county expects more than 10,000 extra inmates or people on probation in the first year of the realignment plan.Ĭriminal justice experts call California’s shift the most sweeping corrections development in the state since lawmakers adopted determinate sentencing in 1977. Los Angeles County Sheriff Lee Baca, who runs the nation’s largest jail system, has said he has 4,500 spare beds and is confident he can handle _ at least initially _ the influx of new inmates. That dynamic could lead to more inmates being released early, as counties cope with the influx expected to peak over the next four years. While the length of sentences is to remain the same, jails in many counties are overcrowded and release inmates after they have served a fraction of their time. Those convicted of sex crimes or violent offenses will continue to be sentenced to state prison. The realignment will not affect inmates in state prison today, but rather will apply to those convicted after this week. Instead, nearly 26,000 convicts who would previously have gone to state prison are expected to serve their time in county jails where, proponents say, they will be closer to home, jobs and rehabilitation programs and so will be less likely to commit new crimes after they are released. Realignment means judges will no longer sentence non-violent, lower-level offenders to state prison for crimes such as auto theft, burglary, grand theft, forgery, counterfeiting and drug possession for sale. ![]() We have to do something, and this is the most viable plan that I have been able to put together.” But we can’t sit still and let the courts release 30,000 serious prisoners. “It’s bold, it’s difficult and it will continuously change as we learn from experience. “This is a bold vision of a different relationship between the state and local government,” Gov. The move is designed to reduce the state’s corrections costs so more money can go toward public education and other services while also reducing California’s prison population to accommodate a federal court order. But others say California’s counties can provide better rehabilitation and job training services that can only improve on the state’s recidivism record, in which nearly seven of every 10 ex-convicts are returned to state prison after committing a new crime. Some prosecutors and county sheriffs predict rising crime and other dire outcomes from what amounts to the most radical change in the prison system in decades. The so-called “prison realignment” beginning Saturday will transfer the state’s responsibility for lower-level drug offenders, thieves and other convicts to county jurisdictions. ![]() California’s correctional system is about to undergo an overhaul that could save money and reduce recidivism but also might lead to thousands of criminals spending significantly less time behind bars or in the parole office. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |