Related by context. All words. (Click for frequent words.) 65 Growth Rate SGR 57 doc fix 55 Medicare reimbursement 54 Medicare reimbursements 53 MedPac 53 Medicare 51 MedPAC recommendations 51 LTCH PPS 51 PAYGO rules 50 Medically Needy Program 50 MedPAC 50 Social Security COLAs 49 Social Security actuaries 49 Doc Fix 49 adjustments COLAs 49 System IPPS 49 progressive indexing 49 IBNR levy 49 Mcare 49 Balanced Budget Act 49 PAYGO 48 Dr. Plested 48 Medi Cal reimbursements 48 Rohack 48 MPIG 48 Insure Missouri 47 Physician Fee 47 Medi Cal reimbursement 47 MCare 47 Medicare Physician Fee 47 SGR 47 paygo rules 47 Social Security COLA 47 Mcare abatement 47 Modernization Act MMA 47 JGTRRA 46 distributional effects 46 nondefense discretionary spending 46 healthinsurance 46 Medi caid 46 reauthorizing SCHIP 46 USPSTF recommendations 46 PPACA 46 Dr. Rohack 46 Pete Stark D-Calif. 46 RVUs 45 living adjustment COLA 45 repealing ObamaCare 45 J. James Rohack 45 fiscally unsound 45 DirigoChoice 45 MCARE 45 adjustment COLA 45 MIPPA 45 COLAs 45 Mcare Fund 45 HCPCS codes 45 CongressDaily reports 45 Medigap policies 45 Assistance Percentage 45 Copays 45 EUTF 45 Loss Ratio MLR 45 chairman Glenn Hackbarth 45 DSH payments 44 Assistance Percentage FMAP 44 Medicare reimburses 44 EMR adoption 44 uninsured Tennesseans 44 COBRA subsidy 44 CBO predicts 44 malpractice tort reform 44 PLADs 44 fiscally unsustainable 44 LTCHs 44 MassHealth Basic 44 Dirigo Choice 44 Payment Advisory 44 deductibles copays 44 HSCRC 44 Privatizing Social Security 44 COLA 44 Affordable Care Act 44 Comparative effectiveness 44 AMT patch 44 MPFS 44 Gann Limit 44 Grandfathered plans 44 EMTALA 44 Medigap supplemental coverage 44 Reichard CQ HealthBeat 43 CPT code 43 Medicaid reimbursement 43 Outpatient Prospective Payment 43 copayments 43 MO HealthNet 43 Disproportionate Share Hospital 43 PEBB 43 FEHB 43 actuarial soundness 43 IHCIA 43 congressional scorekeepers 43 Rivlin Domenici 43 SSI SSP 43 AHCCCS eligibility 43 Unfunded Liability 43 Deficit Reduction Act 43 ABX1 1 43 avoidable hospitalizations 43 Medicare Modernization Act 43 Fernando Mendez Villamil 43 Dr. James Rohack 43 CQ HealthBeat reports 43 paygo 43 Obamacare 43 Single payer 43 Medically Needy 43 CSRS retirees 43 FEHBP 43 MAEP formula 43 employers PRSI 43 Elective abortions 43 capitation 43 CASE HOSPICE SUPPLIES 42 economywide 42 Economist Arthur Laffer 42 Medicare Advantage PFFS 42 Government Pension Offset 42 PEEHIP 42 ISMIE 42 COMPETES Act 42 Susan Besio 42 noninflationary 42 FMAP 42 Prevailing wage 42 Nina Owcharenko 42 TIPRA 42 imbalanced ledger 42 outlier payments 42 BadgerCare Basic 42 Inclusionary housing 42 COBRA premiums 42 Levelized Energy Adjustment Clause 42 actuarially justified 42 Medicare Advantage 42 MBT surcharge 42 TennCare Bredesen 42 TABOR refunds 42 frivolous malpractice lawsuits 42 CAHs 42 Wyden Gregg 42 unnecessary readmissions 42 Medicaid 42 TMLT 42 COE quota 42 PPRS 42 AMT exemption 42 Occupational Privilege Tax 42 Medicaid DSH 42 repeal Obamacare 42 Workers comp 42 deductible coinsurance 42 Magnuson Stevens Act 42 repealers already 42 Gainsharing 42 Interest accrues 42 Educational Adequacy 42 FMAP extension 42 MILC program 42 PPF levy 42 Medically Needy program 42 Domenici Rivlin 42 Disability Lifeline 42 CPT codes 42 HITECH ACT 42 Donald Palmisano 41 GAMC 41 defunding Obamacare 41 FICA taxes 41 MLRs 41 Trimmed Mean PCE 41 MILC 41 PAYG installments 41 PEPFAR reauthorization 41 Clintoncare 41 MinnesotaCare 41 meas ures 41 Comparative Effectiveness 41 BEP formula 41 Commission MedPAC 41 Credit Card Reform Act 41 eVAT 41 Duty Entitlement Passbook Scheme 41 Sam Zell saddled 41 Van Ribbink 41 McCaskill Corker 41 Supports CLASS Act 41 Inclusionary zoning 41 Electronic Prescribing 41 debit card interchange 41 MILC payments 41 MICRA 41 nonhospital providers 41 elective cosmetic procedures 41 unbalanced uncoordinated 41 Proposition #âÑ# 41 GPU4 41 PDRP 41 SCHIP 41 NHRPL 41 Enacted Budget 41 ProvenCare 41 MHPAEA 41 malpractice premiums 41 PAYGO rule 41 Alternative Minimum Tax 41 Shared Responsibility Model 41 Stelly Plan 41 actuarially sound 41 pacemaker ICD 41 Inpatient Prospective Payment 41 spokesperson Peter Ashkenaz 41 malpractice payouts 41 BadgerCare Plus Basic 41 RUG IV 41 lapsation 41 General Assistance Unemployable 41 regressivity 41 Surgeons AAPS 41 FRS# accounting standard 41 chargemaster 41 IPPS 41 Medigap supplemental insurance 41 symptomatic hyponatremia 41 casemix 41 Medi Cal beneficiaries 41 inhaled albuterol 41 Accountable Care Organizations 41 HGH Finchem 41 copayment 41 Expanding SCHIP 41 RX Acculink 41 Copayments 41 microsimulation model 41 FRBM Act 41 Cheaper Medicines Bill 41 National Coverage Determination 41 SCHIP reauthorization 41 disinflationary trend 41 Longevity Bonus 41 PTNS treatments 41 coinsurance 41 CBO 41 PFFS plans 41 Longevity Bonus Program 41 actuarially 41 LTACs 41 Mastercard Visa accepted 41 Act NDAA 41 FICA withholding 41 Medicaid reimbursements 41 redefaults 40 Medical Education ACGME 40 PayGo 40 EGTRRA 40 Austin Frakt 40 VHAP 40 burdensome mandates 40 Ted Epperly 40 limiting itemized deductions 40 unstable unbalanced uncoordinated 40 Tax Extenders Act 40 premiums copays 40 perverse incentives 40 MS DRGs 40 Denti Cal 40 Disproportionate Share 40 SCHIP Extension 40 MaineCare 40 ObamaCare 40 COBRA subsidies 40 uninsured Coloradans 40 PBGF 40 Medco PLAN 40 Polypharmacy 40 Edney CongressDaily 40 Medi Cal recipients 40 Medicare Advantage enrollees 40 Physician Payment 40 Medicaid Disproportionate Share 40 RRIF withdrawals 40 NTUF BillTally 40 Tubal ligation 40 Prospective Payment 40 Cohn CongressDaily 40 # drams 40 MPSERS 40 medicare 40 Virtual colonoscopies 40 gainful employment rule 40 constitutional amendment HJR 40 DRGs 40 nonsecurity discretionary spending 40 uninsurance 40 Paygo 40 pregnancies Mishell 40 ratio MLR 40 EOBR mandate 40 nonpartisan CBO 40 MinnesotaCare enrollees 40 Hyde Amendment 40 Medicaid RACs 40 Paul Ryan R-Wisc. 40 FERS retirees 40 prescriber surveys 40 CAFE Practices 40 Biomass Crop Assistance Program 40 legislatively mandated 40 copays deductibles 40 restrictive formularies 40 actuarially unsound 40 Woolhandler 40 hysteroscopic sterilization 40 filing Form #X 40 Medicade 40 copayments deductibles 40 HH PPS 40 Health HITECH Act 40 NCLB reauthorization 40 Chernew 40 Reporting Initiative PQRI 40 dieting fads 40 FRBM targets 40 dissaving 40 Peachcare 40 across theboard 40 drug reimportation 40 Healthcare Disparities 40 Competitive Bidding Program 40 Owerbach 40 Tort reform 40 Andrea Sisko 40 IUC regime 40 Expensing options 40 PCMH model 40 rockbottom levels 40 Cheaper Medicines Act 40 CHAMPVA 40 subsidized COBRA 40 Medicare recipients 40 Dirigo Health 40 Single Spine Pay 40 categoricals 39 Magnuson Stevens 39 Missaelides 39 IPAB 39 nondefense discretionary 39 Reschovsky 39 Windfall Elimination Provision 39 MediKids 39 HealthChoice 39 AEO# reference case 39 Mo HealthNet 39 ConfiDent R 39 NCOIL model 39 distributional consequences 39 VEETC 39 IMF conditionalities 39 GDP CZK #bn 39 generic biologic 39 rebasing 39 Jessica Santillo spokeswoman 39 Rescissions 39 Polk HealthCare 39 Bariatric surgery 39 Marion VAMC 39 Fee Schedule 39 comparative effectiveness 39 inpatient EHR 39 Heil CongressDaily 39 RPIX 39 PPFAC 39 cyclically adjusted 39 Taxation JCT 39 mandatory COOL 39 ICD implantation 39 GraniteCare 39 nonhomesteaded properties 39 MRMIB 39 AMT fix 39 Julianne Bowler 39 Stupak Pitts Amendment 39 Self Sufficiency Standard 39 carryback provision 39 elective cosmetic surgery 39 Maloney DN.Y. 39 POMV 39 Sustinet 39 accommodative monetary stance 39 D-Mont. 39 preventable readmissions 39 phaseouts 39 RIte Care 39 PACE PACENET 39 Kate Coler 39 Preferred Provider Organizations 39 Parliamentarian Alan Frumin 39 copay 39 capitated 39 CRDP 39 Ashish K. Jha 39 HSAs HRAs 39 Social Secu rity 39 Surgeon Doug Elenz 39 Liability Reform 39 Medicare beneficiaries 39 Patient Centered Outcomes 39 MFN tariff 39 Adjustment Clause 39 Patent expirations 39 Medicaid Extenders 39 skyrocketing malpractice 39 enacting tort reform 39 MassHealth Medicaid 39 AHCCCS 39 ProviderOne 39 Copay 39 imposing unfunded mandates 39 Medicare enrollees 39 Barbara Krolak 39 Mike Enzi R-Wyo. 39 ESHB 39 LTCH 39 Dorgan Grassley 39 MCare fund 39 NYPIUA 39 Dole Shalala commission 39 budgetary gimmicks 39 Bowles Simpson 39 Medicare donut hole 39 Congressional Budget Office 39 STAR rebate checks 39 Balloon angioplasty 39 Deductibles 39 Surgical excision 39 Care GAMC 39 HEOA 39 Norman CQ HealthBeat 39 TennCare recipients 39 single payer 39 Joseph Stiglitz Nobel laureate 39 PTNS 39 XLIF procedure 39 ACCME 39 Catfood Commission 39 Keystone Exams 39 inclusionary zoning ordinance 39 Carey CQ HealthBeat 39 Nortel remedial 39 Supports CLASS 39 Bruce Bodaken 39 barrier Calonge 39 PEHP 39 Medicare Advantage premiums 39 Minor edits 39 formula 39 TriZetto Facets 39 biennia 39 Laffer Curve 39 Carrierwave TM technology 39 venous thromboembolism prophylaxis 38 follows :) 38 Cheaper Medicines 38 Accountable Care Organizations ACOs 38 FDAAA 38 superannuation surcharge 38 McCarran Ferguson 38 stimulation PTNS 38 Tir Mynydd 38 ACGME 38 maximum Pell Grant 38 balloon aortic valvuloplasty 38 Deficit Reduction 38 FRBMA 38 reimporting drugs 38 By Amy Klamper 38 FYs 38 avoidable readmissions 38 Gramm Rudman Hollings 38 Medi Cal 38 Healthcare Effectiveness 38 prudent layperson 38 Windows logon passwords 38 FFEL Program 38 IowaCare 38 indexation allowance 38 Prescription Advantage 38 Anne Dunkelberg 38 national pharmacare 38 RUGs 38 SIFT Tax 38 jantri rates 38 ESEA reauthorization 38 grandfathering provision 38 PRAs 38 health care 38 deductibles copayments 38 recissions 38 MediShield 38 donut hole gap 38 prescribe buprenorphine 38 inpatient hospitalization 38 Czech cbanker 38 Comparative Effectiveness Research 38 COBRA continuation 38 Lischko 38 economically ruinous 38 Katherine Baicker 38 Glenn Hackbarth 38 SustiNet 38 Gramm Rudman 38 interestrate 38 gainsharing 38 Health Reimbursement Account 38 Dr. Steffie Woolhandler 38 Overregulation 38 uninsureds 38 HOMESTAR program 38 Orderly Growth Initiative 38 DEFICIT REDUCTION CBO 38 jantri 38 gastroenterologists endocrinologists 38 ConnPACE 38 Nunn McCurdy 38 troop withdrawal timelines 38 Education Affordability Reconciliation 38 Lifetime Savings Accounts 38 Readmissions 38 poorer Washingtonians 38 postoperative mortality 38 Prescription Advantage Program 38 concurrent receipt 38 HMOS 38 fee maxima 38 Cigna 4Q Profit 38 Bratara called 38 Physician Quality 38 Personal Consumption Expenditures 38 amendment HJR 38 Regular checkups 38 bienniums 38 QRMC 38 copays 38 CPP QPP 38 millage rollback 38 Pell Grant scholarships 38 multifactor productivity 38 MediGap 38 Stupak Pitts amendment 38 CMU Promise 38 Milk Income Loss 38 TEUC 38 PHC4 38 WOPR 38 medication nonadherence 38 DocSite 38 fiscally unwise 38 Loan Repayment Program 38 HECM Standard 38 lumbar spinal fusion 38 fiscally sustainable 38 Continuing Resolution 38 AB8 38 creativity GoldenPalace.com 38 nonsurgical procedure 38 Tax Extenders Bill 38 OASDI 38 MEDICAID 38 structural imbalances 38 nonhomestead property 38 FERS retirement 38 unobligated stimulus 38 Hometown Matters 38 advanceable 38 Spotted owl 38 COBRA Consolidated Omnibus 38 paycheck withholdings 38 QOF indicators 38 indexation 38 preretirement income 38 malabsorptive 38 Keynesian theory 38 KPERS 38 Cheaper Medicines Law 38 Increasing Adoptions Act 38 Stupak Amendment 38 nonsurgical treatments 38 Denticare 38 Doha Declaration 38 Revenue Estimating Conference 38 lifetime maximums 38 HCRA 38 fiscals #-# 38 perioperative mortality 38 Ines Franck director 38 POCD 38 SAFETEA 38 Election ACRE 38 earmark moratorium 38 consultant Robert Laszewski 38 PASS ID 38 Equalized Assessed Valuation 38 PMPM 38 thirds supermajority requirement 38 Isotope shortage 38 Pareto optimality 38 Standardized testing 38 Avalere estimate 38 FAS #R Share 38 Subtitle B 38 By Otto Kreisher 38 PMBs 38 Lambrew 38 Malpractice suits 38 Head Start reauthorization 38 bandits shoving 38 CPT Codes 38 Social Se curity 38 Medicare Competitive Bidding 38 By Greta Wodele 38 Gawrylow 38 Shingles vaccine 38 Vigersky 38 thresholds indexed 38 PGBC takes 38 medigap 38 discourage frivolous lawsuits 38 WisconsinCare 38 intercarrier compensation 38 unvouchered expense 38 COLA freezes 38 Streamlined Procedures Act 38 formulary 38 PAMTA 38 Ted Gayer 38 BadgerCare Plus Core 38 PTNS therapy 37 epoetin therapy 37 TMRS 37 Act MIPPA 37 copayments coinsurance 37 AMT 37 Prescription Drug Benefit 37 HPHC 37 RRIF withdrawal 37 Consolidated Omnibus Budget 37 SWHCS 37 e prescribing 37 Program FEHBP 37 Orszag 37 these inequities Jarris 37 EHR Incentive Program 37 Indians Earn Rs.# 37 Botax 37 Sobanet 37 PMPM basis 37 PELL grants 37 dreaded donut hole 37 CICA Handbook Sections 37 unhappiness Norquist 37 Angoff 37 AgJOBS 37 laparoscopic technique 37 NAR Yun 37 FACT CHECK Barbour 37 CEHE 37 reforecast 37 Title VIII 37 ACESA 37 SELIC 37 Mareane 37 FSAs HSAs 37 BUDGET DIRECTOR Peter Orszag 37 Medicare Medicaid 37 non sedating antihistamines 37 Formularies 37 deductibles 37 Personal Injury Protection 37 CBPP 37 Medicare Advantage HMOs 37 accounts HSAs 37 Health care 37 non urea fertilizers 37 nongroup 37 EWTD 37 Animi 3 37 supermajority requirement 37 PEBP 37 Norio Miyagawa 37 glaring inequity 37 aseptic loosening 37 Brad Dayspring spokesman 37 homestead exclusions 37 Prop 1F 37 Conscience Clause 37 FairTax 37 Heleman 37 MediCal 37 kyphoplasty 37 XLIF 37 inpatient rehabilitation facilities 37 ViziLite Plus exam 37 reversionary bonus 37 Guides Concerning 37 setting Koffenberger 37 coronary bypasses 37 NZ Superannuation 37 implantable cardiac defibrillators ICDs 37 reimbursement 37 Californians foretells skyrocketing 37 Medically Indigent Program 37 noncovered 37 NQF endorsed 37 PERS TRS 37 Medicaid caseloads 37 NREG scheme 37 DEPB rates 37 DEFAC 37 composite fillings 37 NBPTS certification 37 budgetary surpluses 37 Durom Cup 37 Accountable Care 37 gradualist approach 37 unsubsidized COBRA 37 Healthcare Identifiers Bill 37 PEIA Finance 37 unfunded actuarial liability 37 Sen. Linda Berglin 37 MaineCare recipients 37 CAMR 37 wealthier Medicare beneficiaries 37 ERRP 37 Multiemployer 37 Kotlikoff 37 supplemental Medigap 37 preventable hospitalizations 37 Anti Dumping Agreement 37 Real disposable incomes 37 Carmen Balber consumer 37 EHR Incentive Programs 37 Dental implants 37 Medicaid recipients 37 Ms. Ignagni 37 paygo rule 37 CRONA 37 Statutory Sick Pay 37 Reimportation 37 Walgreen 2Q 37 Pecquet 37 Rich Umbdenstock president 37 osteoporotic compression fractures 37 HIPAA Privacy Rule 37 Amgen Epogen 37 pensionable salary 37 STILL LOW 37 NASPER 37 CBO crunches 37 Gentle EVER 37 Propositions 1A 1F 37 AHQA 37 A1c levels 37 Enumerated Powers Act 37 HDHP 37 allowance COLA 37 healthplan 37 Adequate yearly 37 reauthorizing NCLB 37 COX 2s 37 http:/www.calculatedriskblog.com/ shows 37 GPhA 37 FACT CHECK Shaky 37 Stupak amendment 37 Arbitration Fairness Act 37 nonpension retirement benefits 37 payroll withholdings 37 allowable copays 37 reformed GST 37 worms weasels 37 CRP signup 37 reevaluations 37 Guide Pyramid 37 PRRB 37 stumpage fees 37 Charlene Frizzera 37 Director Douglas Elmendorf 37 PAY GO 37 paycheck deductions 37 minumum wage 37 Minimum Wage Advisory 37 Belshé 37 reimbursement arrangements HRAs 37 nonsecurity spending 37 Commissioner Astrue 37 CARFA 37 Buy cheap kamagra 37 statutory PAYGO 37 inpatient hospitalizations 37 Act ESEA 37 immunosuppressive therapies 37 FSP EITF #-#-# [002] 37 Charge ADC 37 Strategic Redeployment 37 ROCKY MOUNTAIN NURSES HOME 37 CardioNet MCOT TM 37 FAPRI 37 Gratuity Act 37 expansionary stance 37 SCHIP reauthorization bill 37 Physician Payments Sunshine 37 ZIRP zero 37 Carbofed products 37 countercyclical payments 37 HDHPs 37 progressivity 37 Brailer 37 mechanism APM 37 reauthorize SCHIP 37 nonbinding blueprints 37 marketbasket 37 CRBSIs 37 CRP acreage 37 Scandlen 37 Stephanie Ariganello 37 premature institutionalization 37 www.hospitalcompare.hhs.gov 37 drug depresses breathing 37 Retiree Drug 37 Nominal GDP 37 unallotments 37 pocket maximums 37 Counter cyclical 37 pensionable salaries 37 coincident CI 37 KidsCare 37 Plans SIPs 37 MS DRG 37 Kyoto Protocal 37 PAAD 37 BillTally 37 Martinez R Fla 37 Plan HDHP 37 CAH designation 37 Commercial Advertising Loudness 37 Total OnBoarding ™ 37 Policy CAP 37 IRFs 37 internal circadian clocks 37 Amitabh Chandra 37 ineligible dependents 37 Lingle Aiona Administration 37 via intradermal injections 37 debit interchange 37 Renewable Fuels Standard 37 OCERS 37 AgriStability 37 CSRS annuity 37 EPSDT 37 CFR pt 37 malpractice judgments 37 Councilman Doug Marmie 37 unsustainable 37 Blue Shield HMO 37 Tenncare 37 Arveschoug Bird 37 liberal Progressive Caucus 37 Steffie Woolhandler 37 Tricare 37 accounts HRAs 37 unfunded accrued 36 Leaded petrol 36 Chairman Dirk Dedeaux 36 TABOR Amendment 36 stomach stapling surgeries 36 Uwe Reinhardt 36 Credit VEETC 36 hip resurfacing arthroplasty 36 Mark Zandi 36 FEDVIP 36 PEIA 36 MEDICARE AND 36 Continuing Resolutions 36 S CHIP 36 uncharted waters Potter 36 decoupling mechanism 36 unemplyment 36 nonworking spouses 36 KidsCare Parents 36 Medi CareFirst 36 System OPPS 36 Shrinking budgets 36 Career Ladder 36 vertebral compression fractures VCFs 36 prebate 36 gfs.bern showed 36 implant stents 36 Medical Injury Compensation 36 Radiation Exposure Safety 36 eub2 36 Health Reimbursement Arrangement 36 uninsurables 36 RealAge Test 36 Reimbursement Rates 36 legislated wage 36 Paul Ryan R-Wis. 36 empower unaccountable bureaucrats 36 Tariff Policy 36 Cheap generic levitra 36 UNFCCC Kyoto Protocol 36 PAYT 36 actuarially equivalent 36 tamper resistant pads 36 MMSEA 36 Education 36 KidCare enrollment 36 nonelderly 36 DMEPOS 36 Concurrent Receipt 36 Thannikary 36 Passenger Rail Investment 36 cenvat 36 preventive checkups 36 systemic corticosteroid 36 RVAT 36 Sentencing Reform Act 36 America COMPETES Act 36 calling #-#-MEDICARE #-#-#-# 36 NJ FamilyCare 36 BPOL tax 36 multimillion dollar inheritances 36 CQ HealthBeat 36 COMPETES 36 premiums 36 Dual eligibles 36 GIPSA rule 36 ACHP 36 Nominal incomes 36 Accountable Care Organization 36 Groceries Order 36 bonus malus system 36 CBAE 36 Enzi Barrasso 36 TABOR 36 McCAIN Said Obama 36 FEHBP enrollees 36 Fairness Act 36 intraocular lens 36 Celestica TCOO 36 Head Start grantees 36 recoup overpayments 36 VBID 36 procyclical effects 36 Antidumping duties 36 expansionary monetary policy 36 indapamide 36 counterinsurgency doctrine COIN 36 monthly prebate 36 Reduce 36 Proration 36 nonpartisan scorekeeper 36 rescissions 36 NSAID therapy 36 Critical Patch 36 DMEPOS supplier 36 CENTRAL Soil moisture 36 goldilocks economy 36 Deficit Charge 36 wage indexation 36 creeping privatization 36 bottlenecks constraining 36 Medicare Part 36 defund ObamaCare 36 EU Roaming Regulation 36 Marriage Penalty 36 wages Ecton 36 Institute FAPRI 36 inverted curve 36 WFP Sheeran 36 bill 36 Minimum Wage Act 36 CHAMPUS 36 staffing ratios 36 Quinn amendatory veto 36 unfunded obligations 36 filers earning 36 mandatory unpaid furloughs 36 Bulk billing 36 statewide unadjusted jobless 36 Cal PERS