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LTC 164-2013 Federal Sequester Impacts/•, OFFICE OF THE CITY MANAGER NO. LTC # 164-2013 LETTER TO COMMISSION TO: Mayor Matti Herrera Bower and FROM: Jimmy L. Morales, City Manager DATE: May 7, 2013 SUBJECT: Federal Sequester Impacts on E hers of thetrity Commission Meal Sites within the City The purpose of this Letter to Commission (LTC) is to provide you with a summary report on the impact of the federal sequestration on elder meal sites operating within our City. On Wednesday, May 1 Little Havana Activities & Nutrition Center and Jewish Community Services of South Florida were notified that their awards from the Alliance for Aging, which locally distributes the State Formula funds for the Older American Act programs, would experience immediate reductions effective Monday, May 6 as a result of the federal sequester. These sequester cuts target the State Formula Grant Programs under the Older Americans Act. The Act provides federal funding for a variety of community programs including: • Title III - Supportive Services and Senior Centers Program • Title 111 -C1: Congregate Nutrition Services • Title III -C2: Home Delivered Nutrition Services • Title III -D: Disease Prevention and Health Promotion Services • Title III -E: National Family Caregiver Support Program Attached you will find the Administration for Community Living Estimates of Sequester Impact for State Formula Grant Programs Under the Older Americans Act which explains the sequester formula and delineates the impacts by state and program. While the Alliance for Aging announced the amount of cuts each provider will experience to their existing contracts, the determination as to how the cuts would materialize would be left to each provider. Little Havana Activities & Nutrition Center advised us that they approached the cuts in a manner so as to impact the fewest people possible. Jewish Community Services applied the reductions equitably among affected programs. As to the congregate meal sites, the projected impacts are: Sequester Impacts on Elder Meal Sites May 7, 2013 Page 2 Attached, you will find an expanded chart that summarizes the immediate impacts as well as forecasts the cuts into FY 14 for the elder congregate meal sites. While Little Havana Activities & Nutrition Center says its home delivered meals will not be impacted, Jewish Community Services reports that 422 fewer meals will be delivered to Miami Beach residents as a result of a $2,533 sequestration reduction. This will impact between 10 to15 homebound seniors. Little Havana Activities & Nutrition Center has advised us that they have begun outreach to various entities, including governmental agencies such as Miami -Dade County, in hopes of reducing the financial deficit created by the sequester cuts. If you have any questions or need any additional information, please feel free to contact me. C: Executive Staff Maria Ruiz, Director, Office of Community Services JLM /KGB /MLR 343 5,692.50 34.5 8,970 $ 59,959.50 24 3,960 24 6,240.00 $ 39,624.00 17 1,523 17 4420 $ Americans 8 1,066 8 2080 $ 11,689.60 Act 670 Rebecca Towers LHANC 115 $ 6.35 Not Provided 30% 12,911.40 $ 36,147.38 22,766 9 142,816.56 AA- Older Americans Council Towers Act South LHANC 80 $ 6.35 Not Provided 30% $ 25,146.00 AA- Older Americans South Shore Act Community Center JCS 50 -60 $ 5.62 $ 6,850.00 1,523 $ 8,559.26 AA- Older Americans Federation Towers JCS 35 $ 5.62 $ 6,850.00 1,066 Act $ 5,990.92 AA- Older Americans Stella Marls LHANC 14 $ 6.35 Not Provided 29% Act $ 4,253.87 • 299 $ 80,097.43 Note: 165 service dates remaining in FY 13 effective 5/13/13; 260 service days in FY14 Data Sources: Little Havana Activities & Nutrition Center, Jewish Community Services of South Florida, Inc. 343 5,692.50 34.5 8,970 $ 59,959.50 24 3,960 24 6,240.00 $ 39,624.00 17 1,523 17 4420 $ 24,840.40 8 1,066 8 2080 $ 11,689.60 4.06 670 4.06 1055.6 $ 6,703.06 87.56 12,911.40 87.56 22,766 9 142,816.56 Sequester Impact on Miami Beach Elder Congregate Meal Sites Administration for Community Living Estimates of Sequester Impact for State Formula Grant Programs Under the Older Americans Act • The Office of Management and Budget (OMB) calculates that sequestration requires an annual reduction of 5.0 percent for non - exempt non - defense discretionary programs and 5.1 percent for non - exempt non - defense mandatory programs. • The law requires that every program be cut equally. It is not possible for the Administration for Community Living (ACL) to decide to take all the cuts in one area in an attempt to avoid cuts in another program. • For state formula grant programs, the 5.0 percent cut is applied at the program level by taking the FY 2013 Continuing Resolution (CR) level (FY 2012 enacted plus 0.612 percent) and then reducing it for the sequester. • State by state impacts can only be calculated by reducing the total resources available for a program and then running the statutory state allocation formula. • The statutory factors used to determine the allocations — such as funding level, population, hold harmless, minimum allotments and guaranteed growth — vary across programs and result in variations among states in the magnitude of the reductions. • The following information provides additional details on the key factors impacting state allocations for each program. Older Americans Act, Title III — State and Community Programs This includes each part of the Title III programs listed below, calculated separately: Title III -B Supportive Services and Senior Centers Program Title III -C1 Congregate Nutrition Services Title III -C2 Horne Delivered Nutrition Services Title III -D Disease Prevention and Health Promotion Services Title III -E National Family Caregiver Support Program Key Elements: 1. Proportionate share of the national total of individuals 60 and older (for Part E, number of individuals 70 and older). 2. .Minimum allotment levels according to Section 304(a)(3)(D). a. 50 States, District of Columbia, and Puerto Rico -- Y2%(0.005). b. Guam and the Virgin Islands - - 1 /4%(0.0025). c. American Samoa and the Northern Mariana Islands -- 1/16 % (0.000625). Hold harmless level and guaranteed growth hold harmless according to Section 304(a)(3)(D)(i) and Section 304(a)(3)(D)(ii). a. Hold harmless is equal to the FY 2006 allotment levels for each state. (Section 304(a)(3)(13)(i)). b. Guaranteed growth hold harmless level (Section 304(a)(3)(D)(ii)) for each state (including territories) — this was satisfied in FY 2006, so for FY 2013, it is the same as the state's FY 2006 allotment level. Older Americans Act, Title VII — Vulnerable Elder Rights Protection Activities This includes each Chapter of the Title VII programs listed below, calculated separately: Title VII Chapter 2 Ombudsman Program Title VII Chapter 3 Prevention of Elder Abuse Key Element 1. Proportionate share of the national total of individuals 60 and older. 2. General minimum allotment levels according to Section 703(a)(2)(B). a. 50 States, District of Columbia, and Puerto Rico -- 1 /2%(0.005). b. Guam and the Virgin. Islands - - 1 /4%(0.0025). c. American Samoa and the Northern Mariana Islands -- 1/16 % (0.000625). 3. Hold harmless level according to Section 703(a)(2)(C)(i) and Section 703(a)(2)(C)(ii). a. Ombudsman hold harmless level for each state (excluding territories: Guam, Virgin Islands, American Samoa, and the Northern Mariana Islands is equal to the FY 2000 allotment levels for each state. (Section 703(a)(2)(C)(i)). b. Elder Abuse hold harmless level for each state ( excluding territories: Guam,, Virgin Islands, American Samoa, and the Northern Mariana Islands which is equal to the FY 2000 allotment levels for each state. (Section 703(a)(2)(C)(ii)). Older Americans Act, Section 311— Nutrition Services Incentive Program Key Elements 1. Proportionate share of the national total of meals served in the prior fiscal year. Home and Community -Based Supportive Services State IFY 2013 Estimate ° Change +/- FY 2012 Alabama $5,371,511 - 3.59% Alaska $1,735,983 -4.79% Arizona $6,534,046 - 11.78% Arkansas $3,480,232 -0,63% California $34,373,799 - 5.22% Colorado $4,130,145 - 15.46% Connecticut $4,378,215 -0.59% Delaware $1,735,983 -4.79% District of Columbia $1,735,983 - 4.79% Florida $25,112,020 -4.22% Georgia $7,862,319 - 13.76% Hawaii $1,735,983 -4.79% Idaho $1,735,983 -4.79% Illinois $14,438,743 - 0.59% Indiana $6,886,309 - 3,14% Iowa $4,235,607 -0.59% Kansas $3,412,547 -0.59% Kentucky $4,713,151 -4.73% Louisiana $4,767,454 -0.59% Maine $1,735,983 -4.79% Maryland $5,822,698 - 4.82% Massachusetts $8,160,407 -0.59% Michigan $11,188,957 - 2.84% Minnesota $5,467,048 - 4.83% Mississippi $3,253,301 -0.59% Missouri $7,076,210 -0.59% Montana $1,735,983 - 4.79% Nebraska $2,281,327 -0.59% Nevada $2,446,789 -13.71% New Hampshire $1,735,983 - 4.79% New Jersey $10,202,102 - 0.59% New Mexico $2,053,933 - 10.63% New York $24,139,406 - 0.59% North Carolina $9,313,359 -11.91% North Dakota $1,735,983 - 4.79% Ohio $13,734,862 -0.59% Oklahoma $4,252,911 - 0.59% Oregon $4,109,849 - 10.50% Pennsylvania $17,773,931 -0.59% Rhode Island $1,735,983 -4.79% South Carolina $4,763,124 - 12.50% South Dakota $1,735,983 -4.79% Tennessee $6,720,124 - 7.99% Texas $20,205,519 - 10.32% Utah $1,855,700 - 12,42% Vermont $1,735,983 - 4.79% Virginia $7,818,313 - 7.67% Washington $6,411,797 - 11.16% West Virginia $2,757,088 -0.59% Wisconsin $6,352,489 - 2.42% Wyoming $1,735,983 -4.79% American Samoa $469,516 -0.59% Guam $867,991 - 4.79% Northern Mariana Islands $216,998 - 4.79% Puerto Rico $4,349,002 - 4.09 Vir in Islands $867,991 - 4.79% Congregate Nutrition Services State IFY 2013 Estimate o Change +/- FY 2012 Alabama $6,072,418 - 9.19% Alaska $2,077,361 - 4.79% Arizona $8,210,315 - 7.63% Arkansas $4,163,564 -0.94% California $39,990,129 -8.12% Colorado $5,460,503 - 6.87% Connecticut $5,241,452 0.00% Delaware $2,077,361 -4.79% District of Columbia $2,077,361 -4.79% Florida $28,731,849 -8.69% Georgia $10,107,384 -7.62% Hawaii $2,077,361 - 4.79% Idaho $2,077,361 -4.79% Illinois $17,286,541 0.00% Indiana $8,105,861 -5.00% Iowa $5,081,501 0.00% Kansas $4,089,903 0.00% Kentucky $5,570,252 -6.18% Louisiana $5,645,998 -1.54% Maine $2,077,361 -4.79% Maryland $6,728,019 -8,36% Massachusetts $9,780,267 0.00% Michigan $12,926,499 - 6.47 Minnesota $6,398,439 -7.19% Mississippi $3,891,114 0.00% Missouri $8,467,047 0.00% Montana $2,077,361 - 4,79% Nebraska $2,738,802 0.00% Nevada $3,138,756 -717% New Hampshire $2,077,361 -4.79% New Jersey $12,190,488 0.00% New Mexico $2,534,649 -8.10% New York $28,963,855 0.00 North Carolina $11,649,351 -8.19% North Dakota $2,077,361 -4.79% Ohio $16,393,785 0.00% Oklahoma $5,080,736 -0.23% Oregon $5,081,006 - 7.80% Pennsylvania $21,279,716 0.00% Rhode Island $2,077,361 -4.79% South Carolina $6,023,728 -7.80% South Dakota $2,077,361 - 4.79% Tennessee $8,016,043 -8.55% Texas $24,971,132 -7.65% Utah $2,354,117 -7.42% Vermont $2,077,361 -4.79% Virginia $9,323,168 -8.26% Washington $8,024,852 -7.36% West Virginia $3,305,947 0.00% Wisconsin $7,586,993 -2.89% Wyoming $2,077,361 - 4.79% American Samoa $594,843 0.00% Guam $1,038,680 -4.79% Northern Mariana Islands $259,670 - 4.79 Puerto Rico $4,928,425 -9.44% Virgin Islands $1,038,680 -4.79% Home- Delivered Nutrition Services State FY 3 Estimate o Change +/- FY 2012 Alabama $3,191,841 - 5.38% Alaska $1,025,885 - 4.79% Arizona $4,315,582 - 3.75% Arkansas $2,004,393 -5.47% California $21,019,987 -4.26% Colorado $2,870,200 -2.96% Connecticut $2,413,322 -5.88% Delaware $1,025,885 -4.79% District of Columbia $1,025,885 -4.79% Florida $15,102,303 -4.86% Georgia $5,312,738 -3.74% Hawaii $1,025,885 -4.79% Idaho $1,025,885 - 4,79% Illinois $7,786,284 -5.23% Indiana $4,080,631 - 5.20% Iowa $2,114,386 -5.77% Kansas $1,796,165 -5.25% Kentucky $2,842,618 - 5.09% Louisiana $2,756,516 - 4.71% Maine $1,032,933 -4.91% Maryland $3,536,444 -4.52% Massachusetts $4,358,642 -5.23% Michigan $6,614,056 -5.14% Minnesota $3,324,156 - 4.42% Mississippi $1,849,430 - 5.39% Missouri $4,004,304 -5.38% Montana $1,025,885 -4.79% Nebraska $1,170,665 -5.28% Nevada $1,649,822 - 3.90% New Hampshire $1,025,885 -4.79% New Jersey $5,675,371 -5.72% New Mexico $1,332,286 -4.25% New York $12,553,783 - 5.66% North Carolina $6,123,241 -4.34% North Dakota $1,025,885 -4.79% Ohio $7,818,059 -5.38% Oklahoma $2,429,422 -5.43% Oregon $2,670,726 - 3.93% Pennsylvania $9,193,131 - 5.83% Rhode Island $1,025,885 -4.79% South Carolina $3,166,248 -3.93% South Dakota $1,025,885 - 4.79% Tennessee $4,213,467 -4.71% Texas $13,125,560 -3,78% Utah $1,237,393 - 3.54% Vermont $1,025,885 -4.79% Virginia $4,900,531 -4.41% Washington $4,218,098 -3.47% West Virginia $1,437,847 -5.86% Wisconsin $3,742,705 - 5.04% Wyoming $1,025,885 -4.79% American Samoa $136,498 0,00% Guam $512,943 -4.79% Northern Mariana Islands $128,236 -4.79% Puerto Rico $2,590,525 -5.64% Virgin Islands $512,943 - 4.79% Nutrition Services Incentive Program State Estimate o Change +/. FY 2012 Alabama $2,792,368 - 4.81% Alaska $354,327 -4.81% Arizona $2,016,497 -4.81% Arkansas $2,511,121 -4.81% California $12,352,820 -4.81% Colorado $1,427,352 -4.81% Connecticut $1,372,498 - 4.81% Delaware $677,758 -4.80% District of Columbia $481,153 - 4.80% Florida $6,842,387 -4.81% Georgia $2,635,541 -4.81% Hawaii $460,002 -4.81% Idaho $693,534 -4.81% Illinois $6,570,596 -4.81% Indiana $1,702,256 -4.81% Iowa $2,018,124 - 4.81% Kansas $2,136,522 -4.81% Kentucky $1,743,715 - 4.81% Louisiana $3,119,607 -4.81% Maine $599,387 -4.80% Maryland $1,569,377 -4.81% Massachusetts $5,706,192 - 4.81% Michigan $6,908,895 - 4.81% Minnesota $1,862,114 -4.81% Mississippi $1,299,840 - 4.81% Missouri $3,874,796 -4.81% Montana $1,143,871 -4.81% Nebraska $1,112,782 - 4.81% Nevada $1,004,984 -4.81% New Hampshire $1,123,577 - 4.81% New Jersey $3,491,377 -4.81% New Mexico $1,918,202 - 4.81% New York $14,646,213 -4.81% North Carolina $3,170,710 -4.81% North Dakota $775,361 - 4.81% Ohio $5,431,852 - 4.81% Oklahoma $2,224,980 -4.81 % Oregon $1,707,035 -4.81% Pennsylvania $6,770,504 - 4.81% Rhode Island $427,630 -4.81% South Carolina $1,513,481 -4.81% South Dakota $919,484 -4.81% Tennessee $1,595,436 -4.81% Texas $11,498,874 -4.81% Utah $1,302,773 - 4.81% Vermont $742,473 -4.81% Virginia $2,171,168 -4.81% Washington $1,993,159 -4.81% West Virginia $1,578,159 -4.81% Wisconsin $2,559,984 - 4.81% Wyoming $755,360 - 4.80% Guam $353,418 - 4.81% Northern Mariana Islands $55,354 -4.80% Puerto Rico $2,754,171 -4.81% Virgin Islands $171,422 - 4.80% Note: FY 2013 Estimates include both cash payments and amounts received as commodities. Preventive Health Services State Estimate o ange +/_ FY 2012 Alabama $314,038 -5.37% Alaska $99,093 -5.38% Arizona $382,003 -5.37% Arkansas $199,436 -5.37% California $2,009,612 -5.37% Colorado $241,463 - 5.37% Connecticut $246,178 -5.37% Delaware $99,093 -5.38% District of Columbia $99,093 -5.38% Florida $1,468,137 - 5.37% Georgia $459,658 -5.37% Hawaii $99,093 -5.38% Idaho $99,093 -5.38% Illinois $792,863 -5.37% Indiana $402,598 - 5.37% Iowa $218,916 -5.37% Kansas $180,690 -5.37% Kentucky $275,548 - 5.37% Louisiana $278,722 -5.37% Maine $99,285 -5.37% Maryland $340,415 -5.37% Massachusetts $438,739 - 5.37% Michigan $654,146 -5.37% Minnesota $319,623 - 5.37% Mississippi $184,983 -5.37% Missouri $398,949 - 5.37% Montana $99,093 -5.38% Nebraska $117,729 -5.37% Nevada $143,048 -5.37% New Hampshire $99,093 -5.38% New Jersey $585,292 - 5.37% New Mexico $120,080 - 5.37% New York $1,297,560 -5.37% North Carolina $544,492 5.37% North Dakota $99,093 -5.38% Ohio $787,883 -5.37% Oklahoma $242,648 - 5.37% Oregon $240,276 -5.37% Pennsylvania $960,068 -5.37% Rhode Island $99,093 -5.38% South Carolina $278,469 -5.37% South Dakota $99,093 -5.38% Tennessee $392,882 -5.37% Texas $1,181,286 -5.37% Utah $108,491 - 5.38% Vermont $99,093 -5.38% Virginia $457,086 -5.37% Washington $374,856 -5.37% West Virginia $144,344 -5.37% Wisconsin $368,972 -5.37% Wyoming $99,093 -5.38% American Samoa $12,386 -5.38% Guam $49,547 -5.37% Northern Mariana Islands $12,386 - 5.38% Puerto Rico $254,258 -5.37% Virgin Islands $49,547 -5.37% Family Caregiver Support Services State IFY 2013 Estimate %Change +/. FY 2012 Alabama $2,230,222 - 516% Alaska $726,824 -4.79% Arizona $3,076,923 -2.76% Arkansas $1,429,936 - 4.92% California $14,776,253 -4.31% Colorado $1,864,920 - 3.19% Connecticut $1,757,231 -6.27% Delaware $726,824 -4.79% District of Columbia $726,824 -4.79% Florida $11,578,338 -4.08% Georgia $3,433,529 -3.21% Hawaii $726,824 -4.79% Idaho $726,824 -4.79% Illinois $5,565,079 -5,66% Indiana $2,890,821 -5.35% Iowa $1,614,605 -6.34% Kansas $1,325,859 -5.84% Kentucky $1,959,014 -4.90% Louisiana $1,896,137 -4.78% Maine $726,824 -5.17% Maryland $2,409,046 -4.56% Massachusetts $3,149,755 -5.95% Michigan $4,673,444 -5.54% Minnesota $2,400,691 -4.79% Mississippi $1,292,029 - 5.25% Missouri $2,889,788 - 5.25% Montana $726,824 - 4.79% Nebraska $875,783 -6.15% Nevada $1,069,675 -2,39% New Hampshire $726,824 - 4.79% New Jersey $4,115,274 -6.08% New Mexico $913,247 -3,84% New York $9,103,402 -5.95% North Carolina $4,185,351 -4.02% North Dakota $726,824 -4.79% Ohio $5,654,855 -5.73% Oklahoma $1,729,889 - 5.08% Oregon $1,828,278 -4.20% Pennsylvania $6,907,112 - 6.40% Rhode Island $726,824 - 4.79% South Carolina $2,113,866 -3.23% South Dakota $726,824 -4.79% Tennessee $2,879,234 -4.23% Texas $8,847,637 -3.58% Utah $856,375 -3.60% Vermont $726,824 -4.79% Virginia $3,305,493 - 4.06% Washington $2,820,408 - 3.53% West Virginia $1,012,676 -6.17% Wisconsin $2,721,244 -5.76% Wyoming $726,824 -4.79% American Samoa $90,853 -4.79% Guam $363,412 - 4.79% Northern Mariana Islands $90,853 -4.79% Puerto Rico $1,854,211 -3.61% Virgin Islands $363,412 - 4.79% Long -Term Care Ombudsman Program State FY 2013 Estimate a Change +/- FY 2012 Alabama $246,744 -5.74% Alaska $79,302 - 5.16% Arizona $333,614 -4,12% Arkansas $154,949 -5.83% California $1,624,943 -4.63% Colorado $221,880 -3.34% Connecticut $186,561 -6.24% Delaware $79,302 -5.16% District of Columbia $79,302 - 5.16% Florida $1,167,477 -5.23% Georgia $410,699 -4.11% Hawaii $79,302 -5.16% Idaho $79,302 - 5.16% Illinois $601,915 -5.59% Indiana $315,452 - 5.57% Iowa $163,452 -6.14% Kansas $138,852 -5.62% Kentucky $219,747 -5.45% Louisiana $213,091 - 5.07% Maine $79,850 -5.28% Maryland $273,383 - 4.89% Massachusetts $336,943 -5.59% Michigan $511,297 -5.50% Minnesota $256,973 -4.79% Mississippi $142,969 -5.75% Missouri $309,551 -5.74% Montana $79,302 -5.16% Nebraska $90,498 - 5.64% Nevada $127,539 - 4.27% New Hampshire $79,302 -5.16% New Jersey $438,732 -6,08% New Mexico $102,992 -4.61% New York $970,465 -6.03% North Carolina $473,355 -4.71% North Dakota $79,302 -5.16% Ohio $604,372 - 5.74% Oklahoma $187,805 - 5,80% Oregon $206,459 -4.30% Pennsylvania $710,671 -6,19% Rhode Island $79,302 -5.16% South Carolina $244,766 -4.30% South Dakota $79,302 -5.16% Tennessee $325,720 -5.08% Texas $1,014,666 - 4.15% Utah $95,656 - 3.91% Vermont $79,302 -5.16% Virginia $378,834 -4.78% Washington $326,078 -3.84% West Virginia $111,152 - 6,22% Wisconsin $289,328 -5.40% Wyoming $79,302 -5.16% American Samoa $9,913 -5.16% Guam $39,651 -5.16% Northern Mariana Islands $9,913 - 5.16% Puerto Rico $200,259 - 6.00% Virgin Islands $39,651 -5,16% Prevention of Elder Abuse and Neglect state FY 2013 Estimate % Change +/. FY 2012 Alabama $76,215 -1.56% Alaska $23,829 -5.16% Arizona $89,953 - 12.59% Arkansas $48,157 -1.04% California $471,074 -6.52% Colorado $59,825 - 11.87% Connecticut $59,907 0.00% Delaware $23,829 -5.16% District of Columbia $23,829 -5,16% Florida $344,252 -5.51% Georgia $110,737 - 12.58% Hawaii $23,829 -5.16% Idaho $23,829 - 5.16% Illinois $197,384 0.00% Indiana $98,224 - 0.58% Iowa $55,927 0.00% Kansas $45,843 0.00% Kentucky $66,595 -3.12% Louisiana $68,518 0.00% Maine $23,829 -5.16% Maryland $78,087 - 8.14% Massachusetts $109,606 0.00% Michigan $160,862 0.00% Minnesota $76,347 -4.35% Mississippi $45,198 0.00% Missouri $97,643 0.00% Montana $23 -5.16% Nebraska $29,770 0.00% Nevada $34,388 - 12.72% New Hampshire $23,829 -5.16% New Jersey $143,950 0.00% New Mexico $27,769 - 13.04% New York $318,066 0.00% North Carolina $127,631 - 13.12% North Dakota $23,829 - 5.16% Ohio $197,185 0.00% Oklahoma $60,208 0.00% Oregon $55,668 - 12.75% Pennsylvania $242,944 0.00% Rhode Island $23,829 - 5.16% South Carolina $65,996 - 12.75% South Dakota $23,829 -5.16% Tennessee $91,810 -9.53% Texas $273,584 - 12.61% Utah $25,791 - 12.40% Vermont $23,829 - 5.16% Virginia $102,145 - 13,18% Washington $87,920 - 12.33% West Vir inia $36,736 0.00% Wisconsin $90,309 -0.16% Wyoming $23,829 - 5.16% American Samoa $2,979 -5.16% Guam $11,914 - 5.17 Northern Mariana Islands $2,979 -5.16% Puerto Rico $53,996 - 14.30% Virgin Islands $11,914 - 5.17%