%PDF-1.5 % 177 0 obj <> endobj 190 0 obj <>/Filter/FlateDecode/ID[<8432BDEF36A5AA4D8D8394D988B52153>]/Index[177 18]/Info 176 0 R/Length 71/Prev 22782/Root 178 0 R/Size 195/Type/XRef/W[1 2 1]>>stream hbbd``b` -f@y"vA KH>stream hb```Tl^ʰ!9??*``X  DPZ/۩NHs20D0dCX E endstream endobj 178 0 obj <>/Metadata 11 0 R/PageLayout/OneColumn/Pages 175 0 R/StructTreeRoot 15 0 R/Type/Catalog>> endobj 179 0 obj <>/Font<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 180 0 obj <>stream hSۊ0=.|% ]hCلBȃwf,9%a 9x4gftf4dB0 |f;g2/isgR+GT/'{Xlܙ4')!Uyz.+ױ֟[qb Տ5Q+:;eVD^?x{*wprLw_ض>stream HSMoA qu&g&HBd*Q$tc{iRz<~ob6 ./&cFb -l#AQxx'޺`n%zp7CVq.{;GpZtu諱OWGzMd֢މn+Z~XGєCCǂs디pl]7;)F'B/hh$a$ 8 aLspiשׂ:@T '_hkM?(!T^2bVe^~BZ$wֳJaf]mJDDJ>_C3į>Ly~&=nd?׷M<|9h_U7ڹnyЩwHIq{Է(1ó̀Ur(ΪO |+9QD~fm{ It/XL{A6d_'7 endstream endobj 182 0 obj <>stream H|T0+h7qҦA*&EiR-z<ϱjL̼7oͮ }HMuP^V˜I#WRi.U" N*#شMtf(4A29z?̣bʝTT%U,(ldu-, hG|15u3)ۊ2z:W##5(3QT'\J5k Uhj&Jpl*6 ٕŪ{D\L['$tb^||6ɪ}e%߲5CZu[XȾEKCߣÈ,؈MΒB YՔM3 Ų [ۛu\;P34|d97Cԣߧ!*]Y!_v[ A>ĉp/0 'v֭5qC+G/# 2=m7,VOtǼB+q$-;1V)fP`0xRoYe' [1s?|C>stream HtTn0+H Ɏ@k ` [rd &[ѿάHz0Mqu׵r'_QY4O"{6L18K?oi>}3)k9Hb-tθv̶5Qv_1]bJwg!~r_یjog=II_Pjlmn򻎲iLun"73YaL4#dytIi endstream endobj 184 0 obj <>stream HtTn0+R,El ݄dɶ\Ȣ5eAc8]2{f0I(&ZoLmuбA7ow{U[Xn"0% gN<l wwZyɠ D8h:RX6l:ΛN!fjaY1:TH*45{$,U~Nܱ-ȃO41,&\]Jagyh u.{i4roQurG.;E񏠛/KgCへu*<,irn^2 AcO0f-O%+&]N,Qwkn/J 7XTռھLzd'HBqE rq<@I0}ഭ?}.~i;i%SD\qSwrX'qyJ:+ ݋C4[P *NN:kYvß}_ hECb 7+'.9"`+×{7 ~3.ݿlKy=FmLJ ot'4T8*$ʴQ*0 7u Y endstream endobj 185 0 obj <>stream H|Tn@ +xi X "Pȩ9=RH#ߗ^-pHn ]T)O )\Pes0lLm3C]c`SJ\gQO 5h L| "CSSSg4WA24^mGT4? .LU5 Nb8tMJ:=ʌG5\EH̠c?U Qt*b <͑y5@5ҞJ>7_t[M@(?f.àĚgE!o? ᪁RGGTyALL%Iڊ zl.)[A[9Bֿ?6er+CûL[2Rb0"u33/òl_^ nWu$Xc ڰZg;=[A~K> PYΓEIm2O]E` endstream endobj 186 0 obj <>stream H|TˎP ++L j.,Z $Ǿـ1o&݁q8̶ t+LS |\].b<OIk/9uIĕ rgFۨ 0 c]؈?֍U'VByCf"-`s"o$o0o61 ]Vtn ~_c_4BZf Hp#U+m'/V#h|,4m}*ת\]<\b5V*[\ ~CBO]J endstream endobj 187 0 obj <>stream HtTn@sܭjg68HQ R}C=8Pp;6j=~ޛ-G?G>]Jz4O֧f76im,33\hS_YF;Mkٞp8j˨|ҼrBoJN61[YBm#N Mz{zz;yCFYF{xM  u?;!vP,3𤩻~-\imm@usK y_aS( e&|0Q9c{%B~¢y! qyYWv`+TcJR*)cTzd3ijYA30Q3JW 8 Lo&s P_3}iN/sFn'VR(զ AIPĘwuQZCu;;bZn$K I#Ϥ߅]4SZ2H&}dC/*Md!#@tџx[(~츺KE!:kW]ퟮϒʏqOKo2+fHi7' EW]K endstream endobj 188 0 obj <>stream HSn0 (Kn C `@QؔJ1;3vu<{HυΰTV zGʘO8Ϲ4j_ikYwq/k〨 M]n_YVTueeJɐ<~J q'Fl8n͖Yw.e:]]yW`#[a1JM,و$-;|N>`KnTk|"8z̀? WԈcG`npYJİ`%18Fꪼ~ݬZXaRUK]חrUO( endstream endobj 189 0 obj <>stream Hb``$WR~  |@T # 2 S/`M.(*(%8H8c- fԉd9@6_IjH9(3=DR1%?)U!$5X3/9 ($5j%V*'&*r"(,!!0b;CҢ2(ɘ I8/ endstream endobj 1 0 obj <>/Font<>>>/Rotate 0/StructParents 1/Type/Page>> endobj 2 0 obj <>stream HWnH}W#5hyvbmhCLoݺDY +d/UN[\:/Z7mr7wM6;i⇳XEH?/7T76M[͂>O:oM~uu!Pų z.ꫛ"PZB QD3]yzw}i臉Zd=nMGB`[LBoSNbO6^S7IXM=O34U[hlїGSOJa z" 0X+2m qT^!-e)6%G6 R2+|pdNW;;ٽ^T[7*p':=ܟ],9GEAIhfh㕵umQ݌$˴2H>C\Ãj7^;~o6Dղ+WY$gPb[ьJ)?\_io|hUvLh-$| :uj qx[GqYyC/, (Fh9RL\q&ݸ^q>GY9 I5ǖDugMdIJJ2_ScF׾YþY_F\H!YÇDx >H> >#_Q8}4cc_ϫ$SuQ=!4CW4mq@J:Yfu~1xɖj.wWc(z^87T6P rx}S{%^L 5xߒ6`xלB)ur-attV&m55$4n:FGs[fM4wWvxuRntp++♨҃j.TϯxV@);RWv;SDTrJ f":[S*R]1Kq?TV04P<Q~q7[z -tS?$ Z>LV Ԏ]DN5=CV٘3Iёs\"6ehO}d{OBHbx0>0@$S+Xyӳ.TGL* ::Μ+<ov3[[3lףh'Ihum8=1hWNkwK.kk*05 fN1Msh 1)pN]>et, SIQ{ hl /6Nn(hQ,=]e$z PS&LE|jz鬱5^Bٍ]0h7]!0`O`S&c8A@TYX2BfR,X@u(ϭ0/V09lE:[4eАcƲX &e,bi\G&KNz8.0TFo =V+FQQ|$c( /u߼Y,̹A%t4ނfuF 0(aHlG X)K8{E2_Y7ʩǚZڦQlЦZeeq(#T~w<ɵ$xivrn*Eh,Wo"\b-@h㽥P;ZjIxZ\N`V0_]7LRɼ:Xb1=+Jp((fCu| wMᶍjgo8hhmClǮ6to_s!fӖ}e4H7Gɢ4'$+Iuo}%=,OHU0D:<&[ºQ8{ mԪQhtuc'k@ G "|>#҂ITR+S#"HDQ@6Z룥 ev͢gB]V>e$K}vB޽vY%4Q66]|[u2N:H@=-תW66WOU;*Ƕ=i/ILOLRq}F}=*/ F5TOf$@X sah2B3P29VE)A~]UٛFL&#X֎d(zQYTb;u+5FJRErCldݬ&zVڒC}Odr vbfZvs9C\uOMkv~d5bc3nj:bG.&5f;::CK\vlặ]["4|t#{铛|Z.ڄP깨ORa-|m6C|١K o)֞ \ݦ"z|a:bP Ev'X+턷)ĝc hg:t-' Hhf3pg~'{ #Cb;r!m#vE142?Ea4ZO0[8@=$hh!(w xg]ZUTd7m trCW,>h.O/{j~GSiZ')#:[EǒPjKNE0b'|"fk:5?B֗tLwW|gTu_o\)0G=fC!oR;:=9c6Y59s$ǖ vJicx GLz>+7E/4rDh33lZ ) endstream endobj 3 0 obj <>/Font<>>>/Rotate 0/StructParents 2/Type/Page>> endobj 4 0 obj <>stream HWnH+HbwbYfH4'O E[Eæ3ZKJ4`IU:__=ۛ4+ՋWef|EYwW]Ǒ6I\sNšNo\E?ޮ>-^|yB/*{TRlZʨ͙jg";S;3Km#53Dj^~m.޿-fP2U=L" Wzw,f->fޟAcm C/i&~ tK'V) [?W4wלo`]v 3F=F'1u;^TF1F:N*Z #8R/Ͻr*\<#B̳?K'| n* KOl+D,7"˪0y9Srŧi>Eoڊȱiټ=;PD2 汸nV= Ն | RX4S h 0$@ .h-~m٩K5ܬ>j_}ϭAcopa0՘nP@P͊W^#^~ r4RA6-nЉ_}WZ#?p-~( Bt\$E8s"rG50p=Q+7I%qTo7{G aCdC#60xY? & MqV_7ѥhEW ]BbI 'ynq^6÷ nt|-nSFJ2AF:9\IWI+8Uo:O Gb.EB..0@Z±J!:-eGA-[sڭl,"QFzuk~h؆S Vn903b. ۑ8TWLNnj7\bn仢iZhivyAN-9!'[wm\5RDHS#wWfq[@r(!`JI27cVCUQo(`[hX]7^TLMetu)xςaf#@9<>$K]>GZ#+zbqaKRsŤ*ESS[+%6z7+J%C) >[ݖ;A dpǤ3P; <(j:/itaHje1au<]L|j G=Y`l%@grKQRXsEd2FQF`ktGi誦4Sڟ*5%TL8Uv8UmaJ=4}\ 4Ñ#$p2XMvUlVUekxgvXGÇLjgjJi`^1ު t3.Hg,@Иn&dgAkeC;xiu ޯ :'K K'sJ#c}Ls)/CKQ!&>$84S&aI:9r@۪^7qb5 dVu:Jt|pڷ%0\5sI. k#ȱ8#'N˾$QDqle*8;/˸ǏuuqԄVqW,&:=Ə q.ŭr19Khe;S%AGWOk~ i yI&SdisTk Qm.󬎢^xWȻ:y!iV 9(p{"!nƺxЌΖ#.Xv g1TGӑ]v`.TZ\`${> وMg yw98Jk+?MI |=_:*+Ǎ,/'5XeU"S.&ڂIh|/`{4ꄒgVs! m arZyӞeaRZ,DP]t5] qҶ.ArU.]Ehs ^ qsNX f/ g:)< VffQQV'n` L endstream endobj 5 0 obj <>/Font<>>>/Rotate 0/StructParents 3/Type/Page>> endobj 6 0 obj <>stream HWnH+H -g89Дi"Mgj.-*JYV/UU:g./*byYU0>?/$*Q0ƈ$|_?Vb,ţ}qɫU/__Lh<E$B!h*eFbVPJHıabo1[A7~G?P^=V7#X AEdbs\W[OJ++a_V9< VYNMMiϪǠ@%20jF[YFiO˝ k  GtOC^ӎ_hn/SE22^h|WK^{7p|^g# .F78٩8{m}#30H\c Otnx\Cl"4eCK;XN AYYyyh2 &H:$uނ̪dl+օ&h*j d^H%K*5jzҥS?045眪wy^f%߆6r!espD γϔs~+m*k D#mv׍-"mdrH[Me˪[yW,&В pLⷂ$!Ъ.M"ΕX%Sċ}pAg!"_ z"CNY;Ɯ#HnTI ӓCHo̤1 j0q=9ĩ iROd\Z(u w&b6{SKXΙ':νX8=<;k-^@VF9ٝU_`䪐Ѷ,n䚍}G8FzȵA18lavVa1̫ Fژ;sL"#-ޗ {ܦJ{g'6;NSU,n]EY: c22{:Q} fXX"EPZ2ȁv؁ľFP5Jm:ef\RSAPn*gl nma"ju,F՘xX:D=:[n(ݡiG&hXſ7@ZhϮG'5OP?o)6W?¹j1lah=VU_( :d}YomXW`XvT+ju7tVW I5B)1]Q:Po5-id{54Y~Y=23O7Ooֳ|=z+ D&|)mK#JfL깦.*Yk'Q+&$sODm8)mLKtj! e2KH½Uv>X Mq1/4ݱI$~M=.x38L+Ny:Ukp3s\ulXG 2jS -F^/bw]ت(:pbYAfR: t;ŪƿmЇ 6=Ұd]^9VRj$ k> `TW*]P+Ys:H$nQst05r}!{%9r'冧z#mϓcyȽVa{<%m9֏^Sf7` endstream endobj 7 0 obj <>/Font<>>>/Rotate 0/StructParents 4/Type/Page>> endobj 8 0 obj <>stream HWn8+г(IhDbdēX*M^ʖ"TfCy}y> N([}pڶEy_-u0oڶY`>ou D¨cXVn/+4mfANOݲ.eSgWOL2Tֳ %S,)| H"-Rf^gWP <_}<#|) Y^n)Dpwȫ%c,~5\zr_ WIW _ h|%O0‘k~if-"b,JCіgCa)=íNMQUC*ED k'PjX˷yϕƢ.hHw^Gz0&4v5DSCD7m=nv+hDbeDa}nDr d0N%s;iTSLiJh hfx  hV(' | n=p+kZ$΄'3|Mq}}FJ8S<9#rKİ3 i fq:qqUuKTN<5F TvhJNd4RDccQ,-AۆD;Vetod'ej*E:j&AJ?%:zr8G˨4rc[^pDBk'I(ÌȹoVpdPofE;u%t&v9j)̉ڭIPEE--.n)#)Jm jp&&x*%F n47}lGt @/62(#R MmԆ垴&ej >t%ޚݞ@Mf"8Hdc![04Xs#Td@Y#T[I2PC; ME<x-hݵc%;3S Un4p~qK+ۜwHSbvYdKsUȪJnVm뱣O;Twϥ]`;ftSu|:w > 1 endstream endobj 9 0 obj <>stream h_T7 ſJı?Z"UiSUaf5J{BDeԷϽq~N=6+rzMҒ$qy$QR 2ZOESJ-#GtD,ՎHfUI3^eDATDzEDQsRƐ [Q\;k[sdH񄣫XMy )%ddsĖRT$OQӊ8:x:9"xsAQ^͈UZ5A ҼB8u^(Q{N! ԩ YΖ2iBF2`y xڔoJRp|B XBIESO喐bĆ/sx??Kdŧ(䊻ݻ{4;%'v8?;m/<ޝm_oogC͔gotC|q1W[268VVF*yJ^%Wɫ5yF^#p(ϣ)yJgyFgyFg9yx}WX9cUqcXƢE,Y*G~jQY K])+UiZgڙneZNcژ.aZ_ڷ-J[(mQڢEɢE/ Zm.aG"6`s7 6m`S=I|wo^ѯb|qaxޟo{j:޼;mo/O7Oۏ?^`{>stream hބm$1 C[Qkɒ%A"W{IH i~3,Q=r Rr7䊚B D!ż^KfC5 sd-e'Y/нĹ vK5 nDQCR\路$K̋~VR~R~ry?r>stream 2015-11-02T16:03:51-05:00 2015-11-02T16:03:50-05:00 2015-11-02T16:03:51-05:00 Acrobat PDFMaker 10.1 for Word uuid:670bda6b-ac25-4c76-9995-bd259c6c9391 uuid:1118c176-fac4-45c3-9fe5-05332f13aeb9 12 application/pdf Administrator Adobe PDF Library 10.0 D:20151102210345 American Medical Association endstream endobj 12 0 obj <>stream h247U0Pw/+Q0L)64)Ic0i &Ad~HeA~@bzj@"] endstream endobj 13 0 obj <>stream hl1 @ ࿒MZ "z6^88 /VK@lrWѸt|$I03.[VoM51PXonl)uTaFK a!Fª4& s(E]A*n<'Qω$=ɠG_<(#EݾJ/ endstream endobj 14 0 obj <>/Filter/FlateDecode/ID[<8432BDEF36A5AA4D8D8394D988B52153>]/Info 176 0 R/Length 80/Root 178 0 R/Size 177/Type/XRef/W[1 2 1]>>stream hbb&Fm&s@H0X0 :D & !P ce`%F8w4 %  r endstream endobj startxref 116 %%EOF 11 0 obj <>stream 2015-11-03T15:00:47-05:00 2015-11-02T16:03:50-05:00 2015-11-03T15:00:47-05:00 Acrobat PDFMaker 10.1 for Word uuid:670bda6b-ac25-4c76-9995-bd259c6c9391 uuid:a8a5acf0-170b-4299-8c94-0b6400d1988a 12 application/pdf Sign-On Letter to House Leadership on Decision to Implement Meaningful Use Stage 3 meaningful use HITECH stage 3 stage 2 MU HITECH Act Adobe PDF Library 10.0 meaningful use, HITECH, stage 3, stage 2, MU, HITECH Act D:20151102210345 American Medical Association endstream endobj 195 0 obj <> endobj 196 0 obj <>/Filter/FlateDecode/ID[<8432BDEF36A5AA4D8D8394D988B52153><06643456ABECBD4499C8C723D8339E0A>]/Index[11 1 195 2]/Info 195 0 R/Length 22/Prev 116/Root 178 0 R/Size 197/Type/XRef/W[1 2 0]>>stream hbb `b:` ] endstream endobj startxref 28060 %%EOF 11 0 obj <>stream 2015-11-03T15:02:17-05:00 2015-11-02T16:03:50-05:00 2015-11-03T15:02:17-05:00 Acrobat PDFMaker 10.1 for Word uuid:670bda6b-ac25-4c76-9995-bd259c6c9391 uuid:e3cc95d4-b353-4cc0-b4d2-2b7a438fd4c6 12 application/pdf Sign-On Letter to Senate Leadership on Decision to Implement Meaningful Use Stage 3 meaningful use HITECH stage 3 stage 2 MU HITECH Act Adobe PDF Library 10.0 meaningful use, HITECH, stage 3, stage 2, MU, HITECH Act D:20151102210345 American Medical Association endstream endobj 197 0 obj <> endobj 198 0 obj <>/Filter/FlateDecode/ID[<8432BDEF36A5AA4D8D8394D988B52153><7051D7F6E2794C47A89664C3F7168864>]/Index[11 1 197 2]/Info 197 0 R/Length 22/Prev 28060/Root 178 0 R/Size 199/Type/XRef/W[1 2 0]>>stream hbb̻ t  endstream endobj startxref 33312 %%EOF 11 0 obj <>stream 2015-11-03T15:07:10-05:00 2015-11-02T16:03:50-05:00 2015-11-03T15:07:10-05:00 Acrobat PDFMaker 10.1 for Word uuid:670bda6b-ac25-4c76-9995-bd259c6c9391 uuid:ac8b2a12-64f7-42e3-9c61-0403a7cbd0a2 12 application/pdf Sign-On Letter to Senate Leadership on Decision to Implement Meaningful Use Stage 3 meaningful use HITECH stage 3 stage 2 MU HITECH Act interoperability EHR electronic health records Adobe PDF Library 10.0 meaningful use, HITECH, stage 3, stage 2, MU, HITECH Act, interoperability, EHR, electronic health records D:20151102210345 American Medical Association endstream endobj 199 0 obj <> endobj 200 0 obj <>/Filter/FlateDecode/ID[<8432BDEF36A5AA4D8D8394D988B52153>]/Index[11 1 199 2]/Info 199 0 R/Length 22/Prev 33312/Root 178 0 R/Size 201/Type/XRef/W[1 2 0]>>stream hbbl`bjab` ` >8 endstream endobj startxref 38809 %%EOF