%PDF-1.5
%
1 0 obj
<<
/Pages 2 0 R
/Metadata 3 0 R
/Outlines 4 0 R
>>endobj
3 0 obj
<<
/Type /Metadata
/Length 3156
/Subtype /XML
>>
stream
application/pdf
uuid:00bed6fe-69fc-4ef7-8c4c-284d4e8a3ea8
uuid:04a04d19-3307-42e5-8c92-ff34bf768357
PDF-XChange Printer Lite 2012 (5.0 build 264) [Windows 7 Ultimate Professional (Build 7601: Service Pack 1)]
2015-04-09T13:18:45-10:00
2015-04-09T13:20:36-10:00
endstream
endobj
13 0 obj
<<
/Length 9308
>>
stream
q
/GS0 gs BT
/RelativeColorimetric ri/CS0 cs 0 0 0 scn 0 Tc 0 Tw/F0 1 Tf 10.743825 0 0 10.743825 279.359985 135.360001 Tm
[(O)19(ff)-24(i)42(c)-40(er)36(s)]TJ
-13.582 -1.162 Td
[(P)16(re)19(s)-20(id)21(e)-24(nt )22(- )-19(Ro)28(bert S)24(lo)18(an)26(, MD)26(, Pr)35(e)16(s)-30(i)22(dent-E)21(le)22(ct \226 S)24(co)23(tt)-24( M)41(c)-40(C)32(aff)-21(r)43(e)26(y)-40(, MD)]TJ
-2.346 -1.139 Td
[(Im)22(m)-17(ed)26(iate )17(P)15(a)16(st Pr)15(e)26(s)-20(id)31(e)-24(nt)21( \226)-16( )28(W)22(alton Shi)31(m)-17(, )-24(MD)30(,)18( S)24(ecretar)26(y )-22(-)23( Th)15(om)32(a)16(s )-22(K)17(os)23(a)16(s)-30(a,)21( M)28(D)]TJ
.201 -1.139 Td
[(T)-18(r)22(e)-24(a)16(su)-34(r)44(er \226 )15(B)15(ra)19(nd)26(on Le)29(e)-24(,)28( MD)18( )-24( )18( E)24(xe)25(cu)23(tiv)21(e)-24( )18(D)17(ire)29(cto)24(r )-19(\226 C)18(hri)41(s)-30(t)28(o)-24(p)16(he)-28(r)23( Fl)21(an)26(ders,)-17( D)20(O)]TJ
/F1 1 Tf 11.6781 0 0 11.6781 70.080002 682.320007 Tm
[(TO)27(:)]TJ
ET
q
70.08 678.96 122.4 -13.92 re
W* n
BT
11.6781 0 0 11.6781 70.080002 668.159973 Tm
[(CO)29(M)20(M)-15(ITTE)18(E )17(O)15(N)15( )16(F)-21(INA)17(N)15(CE)]TJ
ET
Q
.42 0 .427 scn
70.08 666.72 122.16 -0.72 re
f
BT
0 0 0 scn 11.6781 0 0 11.6781 70.080002 653.76001 Tm
[(Rep)17(. )18(S)-31(ylvia )18(Lu)-25(k)25(e, )19(Cha)-16(i)29(r)]TJ
0 -1.213 Td
[(Rep)17(. )18(Sc)-28(ot)18(t )21(Y)-23(.)22( Nish)-19(i)19(m)19(ot)17(o, Vice Chair)]TJ
0 -2.446 Td
[(D)15(AT)25(E: )-2808(Th)26(u)-35(r)19(sd)22(ay, )19(Ap)-26(r)19(il)15( )16(9)-23(,)20( 2015)]TJ
0 -1.213 Td
[(TI)18(M)20(E: )-2888(2:00 )19(P.)18(M)20(.)]TJ
0 -1.233 Td
[(PL)-32(A)29(CE)-30(:)49( )-2455(Co)30(n)-35(f)25(e)-22(r)19(en)20(c)-17(e )24(R)-27(oo)20(m 30)19(8)]TJ
5.467 -1.213 Td
[(State)20( Cap)-27(i)29(tol)]TJ
-5.467 -2.446 Td
[(FR)-27(O)15(M)20(:)38( D)20(r.)31( Ch)-27(r)19(is )20(Fla)-16(n)-15(de)24(rs)17(, E)29(x)-17(e)18(cu)-32(t)25(iv)16(e Dir)16(ec)-29(t)35(or)]TJ
0 -1.213 Td
[( )-2773( )-2774(Laur)21(en Zi)19(rbel,)17( )16(Govern)24(men)-18(t)25( Re)-23(l)19(ati)23(on)-38(s)]TJ
/F2 1 Tf 0 -2.466 Td
[(Re)-23(: )17(SB3)16(04)19( - )17(R)-17(EL)24(AT)-29(I)17(N)-21(G )23(T)-15(O)16( H)16(E)18(AL)-21(TH, )17(E)18(stablish)-24(i)16(ng t)24(he)-30( )26(M)-16(a)-16(t)37(erna)-16(l)]TJ
0 -1.213 Td
[( )22( )-18( )22( M)24(o)-42(r)25(ta)20(lit)20(y R)-17(e)-27(vi)27(ew Panel)]TJ
0 -2.446 Td
[(Po)26(siti)17(on)-15(: Str)37(o)-22(ngly)18( S)17(u)-23(ppo)26(rt)]TJ
/F1 1 Tf 0 -2.446 Td
[(H)-17(aw)-16(ai)15(i)29( )-24(M)20(edic)-31(al )20(A)-21(s)21(s)-19(o)17(ciati)18(on )-27(s)21(u)-25(pp)20(o)-23(r)19(ts t)15(h)-25(i)19(s)-19( me)-17(asu)-25(r)19(e a)-18(n)-15(d wou)-34(l)39(d)-25( li)19(ke to)-19( )-44(t)35(h)-35(ank)-21( the )-20(commi)33(t)15(te)16(e )-16(Ch)25(a)-21(ir)]TJ
0 -1.213 Td
[(for )-90(heari)26(n)-25(g )-73(th)17(is )-95(im)24(p)-15(or)20(t)25(a)-21(nt)18( )-84(b)-15(ill.)25( )-104( )-84(AC)-18(O)15(G)15( )-104(and)-31( )-84(D)15(O)-18(H)-17( )-54(me)-23(t)25( )-104(an)21(d)-35( )-84(ag)-20(r)19(eed)-19( )-104(t)15(o )-97(th)17(e)-22( )-84(amendments )-84(m)19(a)-21(de)24( )-104(in)]TJ
0 -1.213 Td
[(H)-17(o)18(u)-15(se )-87(He)-29(alt)49(h)-35( )-104(Com)-21(m)18(i)29(tt)30(ee. )-88(H)-17(M)20(A )-111(vo)-31(l)39(u)-25(n)-15(t)15(ee)20(re)20(d )-122(to)18( )-84(b)-35(e )-116(t)25(he )-94(c)-27(o)17(n)-15(tr)24(ac)-18(to)17(r )-115(t)15(o )-137(ad)22(minis)21(ter)21( )-104(the )-126(M)20(at)16(er)16(n)-15(al)]TJ
0 -1.233 Td
[(M)21(ort)20(ality review pan)-32(el)17(.)22( )-24( HMA)23( used t)23(o)-33( )26(c)-27(onduct )-24(t)35(h)-35(e M)18(ater)21(nal)-29( )26(M)-15(or)20(t)25(a)-41(li)15(ty)15( re)-17(vi)20(ew be)-15(f)15(ore )15(we )-21(ra)17(n)-15( out)]TJ
0 -1.213 Td
[(of )-16(f)15(und)-18(s)-19(.)32( )-24(U)15(nder)25( )-24(th)17(e propose)19(d am)19(endme)24(nt)20(s,)15( w)-19(h)-15(ic)22(h)-15( )-24(w)17(ere)19( ag)-22(r)19(eed to)-20( b)-29(y DO)27(H)-17(, DO)21(H)-17( w)-19(ou)20(ld )-24(use )-30(t)25(h)-25(e)]TJ
/F2 1 Tf 0 -1.213 Td
[($10,)19(000)]TJ
/F1 1 Tf 3.329 0 Td
[( )17(to c)17(on)25(t)15(ra)17(c)-27(t)25( wi)-20(t)35(h)-35( )16(HM)-22(A to)22( c)18(o)-33(n)15(du)20(c)-27(t)25( m)24(at)16(er)17(nal )16(d)-15(eat)22(h)-35( )26(re)20(v)-18(i)19(ew)-17(s.)]TJ
ET
70.08 353.04 38.88 -0.72 re
f
1 1 0 scn
70.08 336.96 455.52 -14.4 re
f
BT
0 0 0 scn/F2 1 Tf 11.6781 0 0 11.6781 70.080002 325.920013 Tm
[(Hawaii)22( )-204(i)16(s)-31( )-184(on)-15(e )-211(of)18( )-204(on)21(ly )-204(13 )-206(state)22(s)-31( )-184(w)-15(it)22(h)-23(ou)21(t )-176(a )-210(mult)23(i-d)25(i)16(s)-31(cipli)18(na)24(ry)17( )-204(pr)32(o)-22(fe)-21(ss)-22(i)16(on)20(al)17( )-184(p)-23(an)19(e)-17(l )-198(t)17(o )-191(r)25(e)-27(vie)-18(w)]TJ
ET
70.08 324.48 455.52 -0.72 re
f
1 1 0 scn
70.08 322.56 132.48 -14.16 re
f
BT
0 0 0 scn 11.6781 0 0 11.6781 70.080002 311.519989 Tm
[(preg)-21(na)25(n)27(cy)-18(-r)31(e)-37(l)26(a)-26(t)17(e)-27(d )-387(d)27(e)-37(at)19(h)17(s.)]TJ
/F1 1 Tf 11.344 0 Td
[( )-373(M)20(at)16(er)16(na)23(l)-21( )-374(m)19(or)21(ta)16(lity )-364(re)21(v)-18(i)19(ew)-37( )-374(pane)15(ls )-380(ar)18(e )-366(esse)-24(nt)17(i)19(al )-386(t)15(o )-427(i)29(m)19(p)-15(ro)20(v)-28(i)29(n)-15(g)]TJ
ET
70.08 310.32 132.48 -0.72 re
f
BT
11.6781 0 0 11.6781 70.080002 297.359985 Tm
[(preg)21(n)-15(an)21(cy)21( )-84(ca)-18(r)19(e )-76(for )-62(al)18(l )-79(pa)24(tie)18(nt)20(s )-74(and)-31( )-64(it )-64(is )-70(t)25(h)-25(ought )-56(that )-80(up )-87(t)25(o)-23( )-64(half)22( )-84(of )-72(a)-21(l)29(l)-21( )-84(m)19(ate)-18(r)19(n)-35(al )-40(d)-15(eaths)-32( )-64(m)19(ay )-72(b)-15(e)]TJ
0 -1.213 Td
[(preven)22(ta)16(bl)18(e)]TJ
/F3 1 Tf 4.912 0 Td
(.)Tj
/F2 1 Tf .555 0 Td
[(We )-95(k)-30(no)20(w)-15( )-104(t)17(ha)-19(t )-76(revi)15(e)-17(w)-15( )-94(panel)23(s )-115(wor)18(k)]TJ
/F1 1 Tf 14.756 0 Td
[(: )-57(u)-25(n)-15(li)28(k)-15(e )-76(ove)-15(r)19(all )-87(U)15(nit)17(e)-22(d )-52(S)-41(t)35(a)-21(t)25(es )-87(da)24(ta )-90(wi)-26(t)35(h)-15( )-84(r)-21(i)29(s)-19(i)19(n)-25(g)]TJ
-20.222 -1.233 Td
[(m)19(at)26(er)20(n)-15(al)18( )-194(de)24(ath )-185(r)19(ates,)17( )-184(th)18(e )-173(U)15(ni)18(te)17(d )-182(Ki)15(ng)24(dom)18( )-174(and )-175(t)25(h)-25(e )-156(s)-19(ta)16(t)25(e )-176(o)-23(f)15( )-184(Cali)16(f)15(o)-33(r)29(n)-15(ia)21( )-185(have )-170(de)30(c)-27(r)19(ease)17(d)-15( )-184(t)35(h)-15(eir)]TJ
0 -1.213 Td
[(m)19(at)26(er)20(n)-15(al)18( )-254(m)19(o)-23(rta)25(lity )-228(b)-15(y)-17( )-224(id)17(en)-23(t)35(if)20(y)-17(in)18(g )-253(m)19(issed)-31( )-224(o)17(p)-15(por)18(t)25(u)-25(n)-15(it)34(ies )-240(and )-237(re)19(m)19(e)-22(di)18(able )-237(f)15(ac)-18(tors)]TJ
34.3 0 Td
[(in)18( )-254(ca)22(s)-19(es )-211(of)]TJ
-34.3 -1.213 Td
[(m)19(at)26(er)20(n)-15(al)18( )-314(d)-25(ea)21(th)17(. )-312(F)-31(i)19(ndin)18(gs)-28( )-304(fr)26(om )-318(r)19(eview )-282(p)-35(a)29(n)-15(el)17(s)-29( )-284(gu)-24(i)29(d)-15(e )-296(the )-306(c)-17(re)16(ati)19(on )-326(of )-322(t)25(re)16(a)-21(t)35(men)-28(t)25( )-314(p)-25(r)19(o)-33(t)35(oc)-20(ol)18(s,)]TJ
0 -1.233 Td
[(educ)16(ati)23(on)-38( )-64(c)-27(am)28(p)-15(aig)19(ns )-81(a)29(nd )-87(st)15(andar)17(d)-35(i)29(z)-15(at)16(ion )-76(of )-50(p)-25(r)19(egna)31(n)-25(cy )-68(c)-37(ar)28(e. )-74(SB304)-16( )-44(c)-27(r)19(e)-22(ate)22(s )-75(th)17(is)15( )-84(m)18(u)-15(ch )-56(n)-15(ee)16(d)-15(ed)]TJ
0 -1.213 Td
[(re)17(view )-27(p)-15(an)-26(el,)24( )-24(m)18(ad)-26(e )-36(u)15(p)-15( )-34(of)]TJ
/F2 1 Tf 10.789 0 Td
[(vo)20(lu)18(n)-23(t)17(eer)]TJ
/F1 1 Tf 4.316 0 Td
[(healt)36(h )-42(pr)21(ov)-31(i)39(d)-25(er)30(s)-19( )-44(an)24(d)-35( o)-27(th)18(e)-22(r)19( )-44(m)19(em)26(b)-15(ers )-36(at )-30(ver)18(y)]TJ
/F2 1 Tf 18.496 0 Td
[(mini)18(mal )-51(c)-32(o)18(st)]TJ
/F1 1 Tf -33.601 -1.233 Td
[(to)18( )-134(t)15(h)-15(e )-136(State)18( )-144(f)15(o)-23(r)19( )-144(a )-135(p)-15(ar)17(t)25(-ti)41(me)-23( )-124(ad)-26(m)19(i)19(n)-25(i)19(s)-19(t)35(rative )-143(assist)19(an)21(t. )-110( )-144(We )-126(a)-21(r)29(e)-22( )-124(coll)30(ab)-26(or)20(at)17(i)29(n)-35(g )-133(wi)24(th )-154(t)35(h)-35(e )-96(S)-31(t)25(a)-21(t)35(e)-22( )-124(of)]TJ
0 -1.213 Td
[(H)-17(aw)-16(ai)15(i)29( D)20(e)-22(pa)23(rt)33(m)19(e)-22(nt)37( of Hea)-15(l)19(th)17( \(DOH\))19( o)23(n)-35( )26(this)-20( )16(bi)17(ll.)]TJ
0 -2.446 Td
[(D)15(espite)26( )-44(ad)21(v)-28(ances )-40(in)18( )-44(m)19(ed)24(i)19(c)-17(al )-20(c)-37(ar)17(e, the )-46(U)-18(.S. )-41(m)19(a)-31(t)25(e)-22(rn)21(a)-21(l morta)19(l)-21(i)29(ty )-56(co)-20(nt)27(inu)-31(es )-35(to)18( )-44(r)19(ise )-22(an)-26(d )-32(we )-27(ar)20(e )-56(t)25(h)-25(e)]TJ
ET
1 1 1 scn
149.04 764.4 341.52 -54.72 re
f
q
155.76 760.8 193.68 -12.24 re
W* n
BT
0 0 0 scn/F4 1 Tf 10.743825 0 0 10.743825 155.759995 751.200012 Tm
[(H)-108(A)-58(W)-106(A)-78(I)-102(I)-61( )-103(M)-77(E)-93(D)-108(I)-51(C)-108(A)-79(L)-89( )-122(A)-57(S)-94(S)-92(O)-93(C)-88(I)-72(A)-88(T)-119(I)-61(O)-93(N)]TJ
ET
Q
BT
0 0 0 scn/F5 1 Tf 8.87535 0 0 8.87535 155.759995 740.400024 Tm
[(1360 )30(S. )33(B)-33(er)19(e)16(ta)24(ni)18(a)16( Str)16(e)16(et)24(, )16(Su)-27(i)32(te)24( 2)-26(0)16(0, Ho)27(nol)24(u)-34(l)32(u, )32(Haw)20(ai)18(i)62( 9)-36(6)16(8)16(14)]TJ
0 -1.163 Td
[(Pho)20(ne \()23(8)15(08)-28(\) )41(53)20(6)-34(-)63(7702)-26( )16( )58(F)-29(a)16(x)40( \()15(8)-34(0)16(8\) )27(5)16(28-)22(2)16(37)19(6)-34( )28( )16( ww)22(w.)20(hma)42(onl)21(i)32(ne)19(.n)-26(et)]TJ
ET
q
64.32 771.12 67.2 -66.48 re
W* n
67.2 0 0 66.48 64.32 704.64 cm
/Im0 Do
Q
Q
endstream
endobj
14 0 obj
<<
/Filter /FlateDecode
/Length 251
>>
stream
xeMN09/Pc;v~$0 rĂ%KN#Wi==6 5)J,YjGt8{^V
ֱ)N$oDԧ"ڰkdEU~&Pjf,X^e.X:j/4-hE+,Wsifc;78[~ megI
endstream
endobj
22 0 obj
<<
/Width 484
/Filter [/FlateDecode /DCTDecode]
/Height 480
/Length 30019
/Subtype /Image
/ColorSpace /DeviceGray
/BitsPerComponent 8
>>
stream
xڥu\6:R#
R#*%"%Rҝ# )t)9{9=a`yZ^kfq x 7? 6!1=FD$,DD7/Y8? !ff!bf{(籈0'0 >m";$woܼ{꾠mju"v{B9hp
t
CBKG#Q1q/^+(*)z^SK[GWWנа I?S2sr
+*kj::{z'&gf76wvgK5
@JG py 3w}KOG_zͩGqh:;HSxʴ{C+KQx2~#s>G6X!a_z;r3&|뉣B|XcG!cMjݩ
)h)wWoK
!߶ovAQ^鵔ZY:眃^
^ҏڠu6j?=8 EQd>GQ1 z(^JL/䘟3vs2h!}a:yeq17V8+K9Cgoa=OcGkhvL>]TbPpE·(3@R%'Ekփtk0I%H'1F,oο8)]ñm9U`>Rn/AXM:q]'gseN\'@vi͘$Emרɵ#!ާNkXQs88ƳP-~K7}]wOeR+עLMh4Mn>qpE̎ӬB0iN>~+4蓱ĥ } aFbV5S