786 Income limits and copayments for the subsidized child care program

Income Limits and Copayments for the Subsidized Child Care Program

[36 Pa.B. 2238]

   The purpose of this notice is to increase the income limits codified at 55 Pa. Code Chapter 3041, Appendix B (relating to subsidized child day care eligibility) under 55 Pa. Code § 3041.107(b) (relating to availability and use of the Federal Poverty Income Guidelines). This increase is effective May 1, 2006.

   Section 3041.107(b) of 55 Pa. Code requires the Department of Public Welfare to update the copayment schedule in 55 Pa. Code Chapter 3041, Appendix B to reflect changes in the Federal Poverty Income Guidelines (FPIG). Effective May 1, 2006, the income guidelines for the subsidized child care program are increased due to increases in the FPIG. The copayment schedule is adjusted to reflect the increases. Chapter 3041, Appendix B of 55 Pa. Code also establishes the family copayment levels according to the family's computed annual income and lists the weekly family copayment based on the annual family income.

ESTELLE B. RICHMAN,
Secretary

   Fiscal Note:  14-NOT-474. No fiscal impact; (8) recommends adoption.

APPENDIX B

COPAYMENT CHART

FAMILY COPAYMENT SCALE

(BASED ON THE 2006 FEDERAL POVERTY INCOME GUIDELINES)

Weekly Family Size: 1 Family Size: 2 Family Size: 3

Co-pay Annual Income Annual Income Annual Income

$5.00 Less than:   $7,800 Less than: $11,200 Less than: $12,600

$10.00   $7,800.01   $9,800 $11,200.01 $13,200 $12,600.01 $14,600

$15.00   $9,800.01 $11,800 $13,200.01 $15,200 $14,600.01 $16,600

$20.00 $11,800.01 $13,800 $15,200.01 $17,200 $16,600.01 $18,600

$25.00 $13,800.01 $15,800 $17,200.01 $19,200 $18,600.01 $20,600

$30.00 $15,800.01 $17,800 $19,200.01 $21,200 $20,600.01 $22,600

$35.00 $17,800.01 $19,800 $21,200.01 $23,200 $22,600.01 $24,600

$40.00 $19,800.01 $21,800 $23,200.01 $25,200 $24,600.01 $26,600

$45.00 $21,800.01 $23,030 $25,200.01 $27,200 $26,600.01 $28,600

$50.00 $27,200.01 $29,200 $28,600.01 $30,600

$55.00 $29,200.01 $31,020 $30,600.01 $32,600

$60.00 $32,600.01 $34,600

$65.00 $34,600.01 $36,600

$70.00 $36,600.01 $38,600

$75.00 $38,600.01 $39,010

200% FPIG $19,600 200% FPIG $26,400 200% FPIG $33,200

Weekly Family Size: 4 Family Size: 5 Family Size: 6

Co-pay Annual Income Annual Income Annual Income

$5.00 Less than: $14,000 Less than: $15,400 Less than: $16,800

$10.00 $14,000.01 $16,000 $15,400.01 $17,400 $16,800.01 $18,800

$15.00 $16,000.01 $18,000 $17,400.01 $19,400 $18,800.01 $20,800

$20.00 $18,000.01 $20,000 $19,400.01 $21,400 $20,800.01 $22,800

$25.00 $20,000.01 $22,000 $21,400.01 $23,400 $22,800.01 $24,800

$30.00 $22,000.01 $24,000 $23,400.01 $25,400 $24,800.01 $26,800

$35.00 $24,000.01 $26,000 $25,400.01 $27,400 $26,800.01 $28,800

$40.00 $26,000.01 $28,000 $27,400.01 $29,400 $28,800.01 $30,800

$45.00 $28,000.01 $30,000 $29,400.01 $31,400 $30,800.01 $32,800

$50.00 $30,000.01 $32,000 $31,400.01 $33,400 $32,800.01 $34,800

$55.00 $32,000.01 $34,000 $33,400.01 $35,400 $34,800.01 $36,800

$60.00 $34,000.01 $36,000 $35,400.01 $37,400 $36,800.01 $38,800

$65.00 $36,000.01 $38,000 $37,400.01 $39,400 $38,800.01 $40,800

$70.00 $38,000.01 $40,000 $39,400.01 $41,400 $40,800.01 $42,800

$75.00 $40,000.01 $42,000 $41,400.01 $43,400 $42,800.01 $44,800

$80.00 $42,000.01 $44,000 $43,400.01 $45,400 $44,800.01 $46,800

$85.00 $44,000.01 $46,000 $45,400.01 $47,400 $46,800.01 $48,800

$90.00 $46,000.01 $47,000 $47,400.01 $49,400 $48,800.01 $50,800

$95.00 $49,400.01 $51,400 $50,800.01 $52,800

$100.00 $51,400.01 $53,400 $52,800.01 $54,800

$105.00 $53,400.01 $54,990 $54,800.01 $56,800

$110.00 $56,800.01 $58,800

$115.00 $58,800.01 $60,800

$120.00 $60,800.01 $62,800

$125.00 $62,800.01 $62,980

200% FPIG $40,000 200% FPIG $46,800 200% FPIG $53,600

Weekly Family Size: 7 Family Size: 8 Family Size: 9

Co-pay Annual Income Annual Income Annual Income

$5.00 Less than: $18,200 Less than: $19,600 Less than: $21,000

$10.00 $18,200.01 $20,200 $19,600.01 $21,600 $21,000.01 $23,000

$15.00 $20,200.01 $22,200 $21,600.01 $23,600 $23,000.01 $25,000

$20.00 $22,200.01 $24,200 $23,600.01 $25,600 $25,000.01 $27,000

$25.00 $24,200.01 $26,200 $25,600.01 $27,600 $27,000.01 $29,000

$30.00 $26,200.01 $28,200 $27,600.01 $29,600 $29,000.01 $31,000

$35.00 $28,200.01 $30,200 $29,600.01 $31,600 $31,000.01 $33,000

$40.00 $30,200.01 $32,200 $31,600.01 $33,600 $33,000.01 $35,000

$45.00 $32,200.01 $34,200 $33,600.01 $35,600 $35,000.01 $37,000

$50.00 $34,200.01 $36,200 $35,600.01 $37,600 $37,000.01 $39,000

$55.00 $36,200.01 $38,200 $37,600.01 $39,600 $39,000.01 $41,000

$60.00 $38,200.01 $40,200 $39,600.01 $41,600 $41,000.01 $43,000

$65.00 $40,200.01 $42,200 $41,600.01 $43,600 $43,000.01 $45,000

$70.00 $42,200.01 $44,200 $43,600.01 $45,600 $45,000.01 $47,000

$75.00 $44,200.01 $46,200 $45,600.01 $47,600 $47,000.01 $49,000

$80.00 $46,200.01 $48,200 $47,600.01 $49,600 $49,000.01 $51,000

$85.00 $48,200.01 $50,200 $49,600.01 $51,600 $51,000.01 $53,000

$90.00 $50,200.01 $52,200 $51,600.01 $53,600 $53,000.01 $55,000

$95.00 $52,200.01 $54,200 $53,600.01 $55,600 $55,000.01 $57,000

$100.00 $54,200.01 $56,200 $55,600.01 $57,600 $57,000.01 $59,000

$105.00 $56,200.01 $58,200 $57,600.01 $59,600 $59,000.01 $61,000

$110.00 $58,200.01 $60,200 $59,600.01 $61,600 $61,000.01 $63,000

$115.00 $60,200.01 $62,200 $61,600.01 $63,600 $63,000.01 $65,000

$120.00 $62,200.01 $64,200 $63,600.01 $65,600 $65,000.01 $67,000

$125.00 $64,200.01 $66,200 $65,600.01 $67,600 $67,000.01 $69,000

$130.00 $66,200.01 $68,200 $67,600.01 $69,600 $69,000.01 $71,000

$135.00 $68,200.01 $70,200 $69,600.01 $71,600 $71,000.01 $73,000

$140.00 $70,200.01 $70,970 $71,600.01 $73,600 $73,000.01 $75,000

$145.00 $73,600.01 $75,600 $75,000.01 $77,000

$150.00 $75,600.01 $77,600 $77,000.01 $79,000

$155.00 $77,600.01 $78,960 $79,000.01 $81,000

$160.00 $81,000.01 $83,000

$165.00 $83,000.01 $85,000

$170.00 $85,000.01 $86,950

200% FPIG $60,400 200% FPIG $67,200 200% FPIG $74,000

Weekly Family Size: 10 Family Size: 11 Family Size: 12

Co-pay Annual Income Annual Income Annual Income

$5.00 Less than: $22,400 Less than: $23,800 Less than: $25,200

$10.00 $22,400.01 $24,400 $23,800.01 $25,800 $25,200.01 $27,200

$15.00 $24,400.01 $26,400 $25,800.01 $27,800 $27,200.01 $29,200

$20.00 $26,400.01 $28,400 $27,800.01 $29,800 $29,200.01 $31,200

$25.00 $28,400.01 $30,400 $29,800.01 $31,800 $31,200.01 $33,200

$30.00 $30,400.01 $32,400 $31,800.01 $33,800 $33,200.01 $35,200

$35.00 $32,400.01 $34,400 $33,800.01 $35,800 $35,200.01 $37,200

$40.00 $34,400.01 $36,400 $35,800.01 $37,800 $37,200.01 $39,200

$45.00 $36,400.01 $38,400 $37,800.01 $39,800 $39,200.01 $41,200

$50.00 $38,400.01 $40,400 $39,800.01 $41,800 $41,200.01 $43,200

$55.00 $40,400.01 $42,400 $41,800.01 $43,800 $43,200.01 $45,200

$60.00 $42,400.01 $44,400 $43,800.01 $45,800 $45,200.01 $47,200

$65.00 $44,400.01 $46,400 $45,800.01 $47,800 $47,200.01 $49,200

$70.00 $46,400.01 $48,400 $47,800.01 $49,800 $49,200.01 $51,200

$75.00 $48,400.01 $50,400 $49,800.01 $51,800 $51,200.01 $53,200

$80.00 $50,400.01 $52,400 $51,800.01 $53,800 $53,200.01 $55,200

$85.00 $52,400.01 $54,400 $53,800.01 $55,800 $55,200.01 $57,200

$90.00 $54,400.01 $56,400 $55,800.01 $57,800 $57,200.01 $59,200

$95.00 $56,400.01 $58,400 $57,800.01 $59,800 $59,200.01 $61,200

$100.00 $58,400.01 $60,400 $59,800.01 $61,800 $61,200.01 $63,200

$105.00 $60,400.01 $62,400 $61,800.01 $63,800 $63,200.01 $65,200

$110.00 $62,400.01 $64,400 $63,800.01 $65,800 $65,200.01 $67,200

$115.00 $64,400.01 $66,400 $65,800.01 $67,800 $67,200.01 $69,200

$120.00 $66,400.01 $68,400 $67,800.01 $69,800 $69,200.01 $71,200

$125.00 $68,400.01 $70,400 $69,800.01 $71,800 $71,200.01 $73,200

$130.00 $70,400.01 $72,400 $71,800.01 $73,800 $73,200.01 $75,200

$135.00 $72,400.01 $74,400 $73,800.01 $75,800 $75,200.01 $77,200

$140.00 $74,400.01 $76,400 $75,800.01 $77,800 $77,200.01 $79,200

$145.00 $76,400.01 $78,400 $77,800.01 $79,800 $79,200.01 $81,200

$150.00 $78,400.01 $80,400 $79,800.01 $81,800 $81,200.01 $83,200

$155.00 $80,400.01 $82,400 $81,800.01 $83,800 $83,200.01 $85,200

$160.00 $82,400.01 $84,400 $83,800.01 $85,800 $85,200.01 $87,200

$165.00 $84,400.01 $86,400 $85,800.01 $87,800 $87,200.01 $89,200

$170.00 $86,400.01 $88,400 $87,800.01 $89,800 $89,200.01 $91,200

$175.00 $88,400.01 $90,400 $89,800.01 $91,800 $91,200.01 $93,200

$180.00 $90,400.01 $92,400 $91,800.01 $93,800 $93,200.01 $95,200

$185.00 $92,400.01 $94,400 $93,800.01 $95,800 $95,200.01 $97,200

$190.00 $94,400.01 $94,940 $95,800.01 $97,800 $97,200.01 $99,200

$195.00 $97,800.01 $99,800 $99,200.01 $101,200

$200.00 $99,800.01 $101,800 $101,200.01 $103,200

$205.00 $101,800.01 $102,930 $103,200.01 $105,200

$210.00 $105,200.01 $107,200

$215.00 $107,200.01 $109,200

$220.00 $109,200.01 $110,920

200% FPIG $80,800 200% FPIG $87,600 200% FPIG $94,400

Weekly Family Size: 13 Family Size: 14 Family Size: 15

Co-pay Annual Income Annual Income Annual Income

$5.00 Less than: $26,600 Less than: $28,000 Less than: $29,400

$10.00 $26,600.01 $28,600 $28,000.01 $30,000 $29,400.01 $31,400

$15.00 $28,600.01 $30,600 $30,000.01 $32,000 $31,400.01 $33,400

$20.00 $30,600.01 $32,600 $32,000.01 $34,000 $33,400.01 $35,400

$25.00 $32,600.01 $34,600 $34,000.01 $36,000 $35,400.01 $37,400

$30.00 $34,600.01 $36,600 $36,000.01 $38,000 $37,400.01 $39,400

$35.00 $36,600.01 $38,600 $38,000.01 $40,000 $39,400.01 $41,400

$40.00 $38,600.01 $40,600 $40,000.01 $42,000 $41,400.01 $43,400

$45.00 $40,600.01 $42,600 $42,000.01 $44,000 $43,400.01 $45,400

$50.00 $42,600.01 $44,600 $44,000.01 $46,000 $45,400.01 $47,400

$55.00 $44,600.01 $46,600 $46,000.01 $48,000 $47,400.01 $49,400

$60.00 $46,600.01 $48,600 $48,000.01 $50,000 $49,400.01 $51,400

$65.00 $48,600.01 $50,600 $50,000.01 $52,000 $51,400.01 $53,400

$70.00 $50,600.01 $52,600 $52,000.01 $54,000 $53,400.01 $55,400

$75.00 $52,600.01 $54,600 $54,000.01 $56,000 $55,400.01 $57,400

$80.00 $54,600.01 $56,600 $56,000.01 $58,000 $57,400.01 $59,400

$85.00 $56,600.01 $58,600 $58,000.01 $60,000 $59,400.01 $61,400

$90.00 $58,600.01 $60,600 $60,000.01 $62,000 $61,400.01 $63,400

$95.00 $60,600.01 $62,600 $62,000.01 $64,000 $63,400.01 $65,400

$100.00 $62,600.01 $64,600 $64,000.01 $66,000 $65,400.01 $67,400

$105.00 $64,600.01 $66,600 $66,000.01 $68,000 $67,400.01 $69,400

$110.00 $66,600.01 $68,600 $68,000.01 $70,000 $69,400.01 $71,400

$115.00 $68,600.01 $70,600 $70,000.01 $72,000 $71,400.01 $73,400

$120.00 $70,600.01 $72,600 $72,000.01 $74,000 $73,400.01 $75,400

$125.00 $72,600.01 $74,600 $74,000.01 $76,000 $75,400.01 $77,400

$130.00 $74,600.01 $76,600 $76,000.01 $78,000 $77,400.01 $79,400

$135.00 $76,600.01 $78,600 $78,000.01 $80,000 $79,400.01 $81,400

$140.00 $78,600.01 $80,600 $80,000.01 $82,000 $81,400.01 $83,400

$145.00 $80,600.01 $82,600 $82,000.01 $84,000 $83,400.01 $85,400

$150.00 $82,600.01 $84,600 $84,000.01 $86,000 $85,400.01 $87,400

$155.00 $84,600.01 $86,600 $86,000.01 $88,000 $87,400.01 $89,400

$160.00 $86,600.01 $88,600 $88,000.01 $90,000 $89,400.01 $91,400

$165.00 $88,600.01 $90,600 $90,000.01 $92,000 $91,400.01 $93,400

$170.00 $90,600.01 $92,600 $92,000.01 $94,000 $93,400.01 $95,400

$175.00 $92,600.01 $94,600 $94,000.01 $96,000 $95,400.01 $97,400

$180.00 $94,600.01 $96,600 $96,000.01 $98,000 $97,400.01 $99,400

$185.00 $96,600.01 $98,600 $98,000.01 $100,000 $99,400.01 $101,400

$190.00 $98,600.01 $100,600 $100,000.01 $102,000 $101,400.01 $103,400

$195.00 $100,600.01 $102,600 $102,000.01 $104,000 $103,400.01 $105,400

$200.00 $102,600.01 $104,600 $104,000.01 $106,000 $105,400.01 $107,400

$205.00 $104,600.01 $106,600 $106,000.01 $108,000 $107,400.01 $109,400

$210.00 $106,600.01 $108,600 $108,000.01 $110,000 $109,400.01 $111,400

$215.00 $108,600.01 $110,600 $110,000.01 $112,000 $111,400.01 $113,400

$220.00 $110,600.01 $112,600 $112,000.01 $114,000 $113,400.01 $115,400

$225.00 $112,600.01 $114,600 $114,000.01 $116,000 $115,400.01 $117,400

$230.00 $114,600.01 $116,600 $116,000.01 $118,000 $117,400.01 $119,400

$235.00 $116,600.01 $118,600 $118,000.01 $120,000 $119,400.01 $121,400

$240.00 $118,600.01 $118,910 $120,000.01 $122,000 $121,400.01 $123,400

$245.00 $122,000.01 $124,000 $123,400.01 $125,400

$250.00 $124,000.01 $126,000 $125,400.01 $127,400

$255.00 $126,000.01 $126,900 $127,400.01 $129,400

$260.00 $129,400.01 $131,400

$265.00 $131,400.01 $133,400

$270.00 $133,400.01 $134,890

200% FPIG $101,200 200% FPIG $108,000 200% FPIG $114,800

Weekly Family Size: 16 Family Size: 17 Family Size: 18

Co-pay Annual Income Annual Income Annual Income

$5.00 Less than: $32,800 Less than: $34,200 Less than: $35,600

$10.00 $32,800.01 $34,800 $34,200.01 $36,200 $35,600.01 $37,600

$15.00 $34,800.01 $36,800 $36,200.01 $38,200 $37,600.01 $39,600

$20.00 $36,800.01 $38,800 $38,200.01 $40,200 $39,600.01 $41,600

$25.00 $38,800.01 $40,800 $40,200.01 $42,200 $41,600.01 $43,600

$30.00 $40,800.01 $42,800 $42,200.01 $44,200 $43,600.01 $45,600

$35.00 $42,800.01 $44,800 $44,200.01 $46,200 $45,600.01 $47,600

$40.00 $44,800.01 $46,800 $46,200.01 $48,200 $47,600.01 $49,600

$45.00 $46,800.01 $48,800 $48,200.01 $50,200 $49,600.01 $51,600

$50.00 $48,800.01 $50,800 $50,200.01 $52,200 $51,600.01 $53,600

$55.00 $50,800.01 $52,800 $52,200.01 $54,200 $53,600.01 $55,600

$60.00 $52,800.01 $54,800 $54,200.01 $56,200 $55,600.01 $57,600

$65.00 $54,800.01 $56,800 $56,200.01 $58,200 $57,600.01 $59,600

$70.00 $56,800.01 $58,800 $58,200.01 $60,200 $59,600.01 $61,600

$75.00 $58,800.01 $60,800 $60,200.01 $62,200 $61,600.01 $63,600

$80.00 $60,800.01 $62,800 $62,200.01 $64,200 $63,600.01 $65,600

$85.00 $62,800.01 $64,800 $64,200.01 $66,200 $65,600.01 $67,600

$90.00 $64,800.01 $66,800 $66,200.01 $68,200 $67,600.01 $69,600

$95.00 $66,800.01 $68,800 $68,200.01 $70,200 $69,600.01 $71,600

$100.00 $68,800.01 $70,800 $70,200.01 $72,200 $71,600.01 $73,600

$105.00 $70,800.01 $72,800 $72,200.01 $74,200 $73,600.01 $75,600

$110.00 $72,800.01 $74,800 $74,200.01 $76,200 $75,600.01 $77,600

$115.00 $74,800.01 $76,800 $76,200.01 $78,200 $77,600.01 $79,600

$120.00 $76,800.01 $78,800 $78,200.01 $80,200 $79,600.01 $81,600

$125.00 $78,800.01 $80,800 $80,200.01 $82,200 $81,600.01 $83,600

$130.00 $80,800.01 $82,800 $82,200.01 $84,200 $83,600.01 $85,600

$135.00 $82,800.01 $84,800 $84,200.01 $86,200 $85,600.01 $87,600

$140.00 $84,800.01 $86,800 $86,200.01 $88,200 $87,600.01 $89,600

$145.00 $86,800.01 $88,800 $88,200.01 $90,200 $89,600.01 $91,600

$150.00 $88,800.01 $90,800 $90,200.01 92,200 $91,600.01 $93,600

$155.00 $90,800.01 $92,800 $92,200.01 $94,200 $93,600.01 $95,600

$160.00 $92,800.01 $94,800 $94,200.01 $96,200 $95,600.01 $97,600

$165.00 94,800.01 $96,800 $96,200.01 $98,200 97,600.01 $99,600

$170.00 $96,800.01 $98,800 $98,200.01 $100,200 $99,600.01 $101,600

$175.00 $98,800.01 $100,800 $100,200.01 $102,200 $101,600.01 $103,600

$180.00 $100,800.01 $102,800 $102,200.01 $104,200 $103,600.01 $105,600

$185.00 $102,800.01 $104,800 $104,200.01 $106,200 $105,600.01 $107,600

$190.00 $104,800.01 $106,800 $106,200.01 $108,200 $107,600.01 $109,600

$195.00 $106,800.01 $108,800 $108,200.01 $110,200 $109,600.01 $111,600

$200.00 $108,800.01 $110,800 $110,200.01 $112,200 $111,600.01 $113,600

$205.00 $110,800.01 $112,800 $112,200.01 $114,200 $113,600.01 $115,600

$210.00 $112,800.01 $114,800 $114,200.01 $116,200 $115,600.01 $117,600

$215.00 $114,800.01 $116,800 $116,200.01 $118,200 $117,600.01 $119,600

$220.00 $116,800.01 $118,800 $118,200.01 $120,200 $119,600.01 $121,600

$225.00 $118,800.01 $120,800 $120,200.01 $122,200 $121,600.01 $123,600

$230.00 $120,800.01 $122,800 $122,200.01 $124,200 $123,600.01 $125,600

$235.00 $122,800.01 $124,800 $124,200.01 $126,200 $125,600.01 $127,600

$240.00 $124,800.01 $126,800 $126,200.01 $128,200 $127,600.01 $129,600

$245.00 $126,800.01 $128,800 $128,200.01 $130,200 $129,600.01 $131,600

$250.00 $128,800.01 $130,800 $130,200.01 $132,200 $131,600.01 $133,600

$255.00 $130,800.01 $132,800 $132,200.01 $134,200 $133,600.01 $135,600

$260.00 $132,800.01 $134,800 $134,200.01 $136,200 $135,600.01 $137,600

$265.00 $134,800.01 $136,800 $136,200.01 $138,200 $137,600.01 $139,600

$270.00 $136,800.01 $138,800 $138,200.01 $140,200 $139,600.01 $141,600

$275.00 $138,800.01 $140,800 $140,200.01 $142,200 $141,600.01 $143,600

$280.00 $140,800.01 $142,800 $142,200.01 $144,200 $143,600.01 $145,600

$285.00 $142,800.01 $142,880 $144,200.01 $146,200 $145,600.01 $147,600

$290.00 $146,200.01 $148,200 $147,600.01 $149,600

$295.00 $148,200.01 $150,200 $149,600.01 $151,600

$300.00 $150,200.01 $150,870 $151,600.01 $153,600

$305.00 $153,600.01 $155,600

$310.00 $155,600.01 $157,600

$315.00 $157,600.01 $158,860

200% FPIG $121,600 200% FPIG $128,400 200% FPIG $135,200

Weekly Family Size: 19 Family Size: 20 Family Size: 21

Co-pay Annual Income Annual Income Annual Income

$5.00 Less than: $37,000 Less than: $38,400 Less than: $39,800

$10.00 $37,000.01 $39,000 $38,400.01 $40,400 $39,800.01 $41,800

$15.00 $39,000.01 $41,000 $40,400.01 $42,400 $41,800.01 $43,800

$20.00 $41,000.01 $43,000 42,400.01 $44,400 $43,800.01 $45,800

$25.00 $43,000.01 $45,000 $44,400.01 $46,400 $45,800.01 $47,800

$30.00 $45,000.01 $47,000 $46,400.01 $48,400 $47,800.01 $49,800

$35.00 $47,000.01 $49,000 $48,400.01 $50,400 $49,800.01 $51,800

$40.00 $49,000.01 $51,000 $50,400.01 $52,400 $51,800.01 $53,800

$45.00 $51,000.01 $53,000 $52,400.01 $54,400 $53,800.01 $55,800

$50.00 $53,000.01 $55,000 $54,400.01 $56,400 $55,800.01 $57,800

$55.00 $55,000.01 $57,000 $56,400.01 $58,400 $57,800.01 $59,800

$60.00 $57,000.01 $59,000 $58,400.01 $60,400 $59,800.01 $61,800

$65.00 $59,000.01 $61,000 $60,400.01 $62,400 $61,800.01 $63,800

$70.00 $61,000.01 $63,000 $62,400.01 $64,400 $63,800.01 $65,800

$75.00 $63,000.01 $65,000 $64,400.01 $66,400 $65,800.01 $67,800

$80.00 $65,000.01 $67,000 $66,400.01 $68,400 $67,800.01 $69,800

$85.00 $67,000.01 $69,000 $68,400.01 $70,400 $69,800.01 $71,800

$90.00 $69,000.01 $71,000 $70,400.01 $72,400 $71,800.01 $73,800

$95.00 $71,000.01 $73,000 $72,400.01 $74,400 $73,800.01 $75,800

$100.00 $73,000.01 $75,000 $74,400.01 $76,400 $75,800.01 $77,800

$105.00 $75,000.01 $77,000 $76,400.01 $78,400 $77,800.01 $79,800

$110.00 $77,000.01 $79,000 $78,400.01 $80,400 $79,800.01 $81,800

$115.00 $79,000.01 $81,000 $80,400.01 $82,400 $81,800.01 $83,800

$120.00 $81,000.01 $83,000 $82,400.01 $84,400 $83,800.01 $85,800

$125.00 $83,000.01 $85,000 $84,400.01 $86,400 $85,800.01 $87,800

$130.00 $85,000.01 $87,000 $86,400.01 $88,400 $87,800.01 $89,800

$135.00 $87,000.01 $89,000 $88,400.01 $90,400 $89,800.01 $91,800

$140.00 $89,000.01 $91,000 $90,400.01 $92,400 $91,800.01 $93,800

$145.00 $91,000.01 $93,000 $92,400.01 $94,400 $93,800.01 $95,800

$150.00 $93,000.01 $95,000 $94,400.01 $96,400 $95,800.01 $97,800

$155.00 $95,000.01 $97,000 $96,400.01 $98,400 $97,800.01 $99,800

$160.00 $97,000.01 $99,000 $98,400.01 $100,400 $99,800.01 $101,800

$165.00 $99,000.01 $101,000 $100,400.01 $102,400 $101,800.01 $103,800

$170.00 $101,000.01 $103,000 $102,400.01 $104,400 $103,800.01 $105,800

$175.00 $103,000.01 $105,000 $104,400.01 $106,400 $105,800.01 $107,800

$180.00 $105,000.01 $107,000 $106,400.01 $108,400 $107,800.01 $109,800

$185.00 $107,000.01 $109,000 $108,400.01 $110,400 $109,800.01 $111,800

$190.00 $109,000.01 $111,000 $110,400.01 $112,400 $111,800.01 $113,800

$195.00 $111,000.01 $113,000 $112,400.01 $114,400 $113,800.01 $115,800

$200.00 $113,000.01 $115,000 $114,400.01 $116,400 $115,800.01 $117,800

$205.00 $115,000.01 $117,000 $116,400.01 $118,400 $117,800.01 $119,800

$210.00 $117,000.01 $119,000 $118,400.01 $120,400 $119,800.01 $121,800

$215.00 $119,000.01 $121,000 $120,400.01 $122,400 $121,800.01 $123,800

$220.00 $121,000.01 $123,000 $122,400.01 $124,400 $123,800.01 $125,800

$225.00 $123,000.01 $125,000 $124,400.01 $126,400 $125,800.01 $127,800

$230.00 $125,000.01 $127,000 $126,400.01 $128,400 $127,800.01 $129,800

$235.00 $127,000.01 $129,000 $128,400.01 $130,400 $129,800.01 $131,800

$240.00 $129,000.01 $131,000 $130,400.01 $132,400 $131,800.01 $133,800

$245.00 $131,000.01 $133,000 $132,400.01 $134,400 $133,800.01 $135,800

$250.00 $133,000.01 $135,000 $134,400.01 $136,400 $135,800.01 $137,800

$255.00 $135,000.01 $137,000 $136,400.01 $138,400 $137,800.01 $139,800

$260.00 $137,000.01 $139,000 $138,400.01 $140,400 $139,800.01 $141,800

$265.00 $139,000.01 $141,000 $140,400.01 $142,400 $141,800.01 $143,800

$270.00 $141,000.01 $143,000 $142,400.01 $144,400 $143,800.01 $145,800

$275.00 $143,000.01 $145,000 $144,400.01 $146,400 $145,800.01 $147,800

$280.00 $145,000.01 $147,000 $146,400.01 $148,400 $147,800.01 $149,800

$285.00 $147,000.01 $149,000 $148,400.01 $150,400 $149,800.01 $151,800

$290.00 $149,000.01 $151,000 $150,400.01 $152,400 $151,800.01 $153,800

$295.00 $151,000.01 $153,000 $152,400.01 $154,400 $153,800.01 $155,800

$300.00 $153,000.01 $155,000 $154,400.01 $156,400 $155,800.01 $157,800

$305.00 $155,000.01 $157,000 $156,400.01 $158,400 $157,800.01 $159,800

$310.00 $157,000.01 $159,000 $158,400.01 $160,400 $159,800.01 $161,800

$315.00 $159,000.01 $161,000 $160,400.01 $162,400 $161,800.01 $163,800

$320.00 $161,000.01 $163,000 $162,400.01 $164,400 $163,800.01 $165,800

$325.00 $163,000.01 $165,000 $164,400.01 $166,400 $165,800.01 $167,800

$330.00 $165,000.01 $166,850 $166,400.01 $168,400 $167,800.01 $169,800

$335.00 $168,400.01 $170,400 $169,800.01 $171,800

$340.00 $170,400.01 $172,400 $171,800.01 $173,800

$345.00 $172,400.01 $174,400 $173,800.01 $175,800

$350.00 $174,400.01 $174,840 $175,800.01 $177,800

$355.00 $177,800.01 $179,800

$360.00 $179,800.01 $181,800

$365.00 $181,800.01 $182,830

200% FPIG $142,000 200% FPIG $148,800 200% FPIG $155,600

[Pa.B. Doc. No. 06-786. Filed for public inspection May 5, 2006, 9:00 a.m.]


Weekly	Family Size: 1		Family Size: 2		Family Size: 3
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$7,800	Less than:	$11,200	Less than:	$12,600
$10.00	$7,800.01	$9,800	$11,200.01	$13,200	$12,600.01	$14,600
$15.00	$9,800.01	$11,800	$13,200.01	$15,200	$14,600.01	$16,600
$20.00	$11,800.01	$13,800	$15,200.01	$17,200	$16,600.01	$18,600
$25.00	$13,800.01	$15,800	$17,200.01	$19,200	$18,600.01	$20,600
$30.00	$15,800.01	$17,800	$19,200.01	$21,200	$20,600.01	$22,600
$35.00	$17,800.01	$19,800	$21,200.01	$23,200	$22,600.01	$24,600
$40.00	$19,800.01	$21,800	$23,200.01	$25,200	$24,600.01	$26,600
$45.00	$21,800.01	$23,030	$25,200.01	$27,200	$26,600.01	$28,600
$50.00			$27,200.01	$29,200	$28,600.01	$30,600
$55.00			$29,200.01	$31,020	$30,600.01	$32,600
$60.00					$32,600.01	$34,600
$65.00					$34,600.01	$36,600
$70.00					$36,600.01	$38,600
$75.00					$38,600.01	$39,010
	200% FPIG	$19,600	200% FPIG	$26,400	200% FPIG	$33,200


Weekly	Family Size: 4		Family Size: 5		Family Size: 6
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$14,000	Less than:	$15,400	Less than:	$16,800
$10.00	$14,000.01	$16,000	$15,400.01	$17,400	$16,800.01	$18,800
$15.00	$16,000.01	$18,000	$17,400.01	$19,400	$18,800.01	$20,800

$20.00	$18,000.01	$20,000	$19,400.01	$21,400	$20,800.01	$22,800
$25.00	$20,000.01	$22,000	$21,400.01	$23,400	$22,800.01	$24,800
$30.00	$22,000.01	$24,000	$23,400.01	$25,400	$24,800.01	$26,800
$35.00	$24,000.01	$26,000	$25,400.01	$27,400	$26,800.01	$28,800
$40.00	$26,000.01	$28,000	$27,400.01	$29,400	$28,800.01	$30,800
$45.00	$28,000.01	$30,000	$29,400.01	$31,400	$30,800.01	$32,800
$50.00	$30,000.01	$32,000	$31,400.01	$33,400	$32,800.01	$34,800
$55.00	$32,000.01	$34,000	$33,400.01	$35,400	$34,800.01	$36,800
$60.00	$34,000.01	$36,000	$35,400.01	$37,400	$36,800.01	$38,800
$65.00	$36,000.01	$38,000	$37,400.01	$39,400	$38,800.01	$40,800
$70.00	$38,000.01	$40,000	$39,400.01	$41,400	$40,800.01	$42,800
$75.00	$40,000.01	$42,000	$41,400.01	$43,400	$42,800.01	$44,800
$80.00	$42,000.01	$44,000	$43,400.01	$45,400	$44,800.01	$46,800
$85.00	$44,000.01	$46,000	$45,400.01	$47,400	$46,800.01	$48,800
$90.00	$46,000.01	$47,000	$47,400.01	$49,400	$48,800.01	$50,800
$95.00			$49,400.01	$51,400	$50,800.01	$52,800
$100.00			$51,400.01	$53,400	$52,800.01	$54,800
$105.00			$53,400.01	$54,990	$54,800.01	$56,800
$110.00					$56,800.01	$58,800
$115.00					$58,800.01	$60,800
$120.00					$60,800.01	$62,800
$125.00					$62,800.01	$62,980
	200% FPIG	$40,000	200% FPIG	$46,800	200% FPIG	$53,600


Weekly	Family Size: 7		Family Size: 8		Family Size: 9
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$18,200	Less than:	$19,600	Less than:	$21,000
$10.00	$18,200.01	$20,200	$19,600.01	$21,600	$21,000.01	$23,000
$15.00	$20,200.01	$22,200	$21,600.01	$23,600	$23,000.01	$25,000
$20.00	$22,200.01	$24,200	$23,600.01	$25,600	$25,000.01	$27,000
$25.00	$24,200.01	$26,200	$25,600.01	$27,600	$27,000.01	$29,000
$30.00	$26,200.01	$28,200	$27,600.01	$29,600	$29,000.01	$31,000
$35.00	$28,200.01	$30,200	$29,600.01	$31,600	$31,000.01	$33,000
$40.00	$30,200.01	$32,200	$31,600.01	$33,600	$33,000.01	$35,000
$45.00	$32,200.01	$34,200	$33,600.01	$35,600	$35,000.01	$37,000
$50.00	$34,200.01	$36,200	$35,600.01	$37,600	$37,000.01	$39,000
$55.00	$36,200.01	$38,200	$37,600.01	$39,600	$39,000.01	$41,000
$60.00	$38,200.01	$40,200	$39,600.01	$41,600	$41,000.01	$43,000
$65.00	$40,200.01	$42,200	$41,600.01	$43,600	$43,000.01	$45,000
$70.00	$42,200.01	$44,200	$43,600.01	$45,600	$45,000.01	$47,000
$75.00	$44,200.01	$46,200	$45,600.01	$47,600	$47,000.01	$49,000
$80.00	$46,200.01	$48,200	$47,600.01	$49,600	$49,000.01	$51,000
$85.00	$48,200.01	$50,200	$49,600.01	$51,600	$51,000.01	$53,000
$90.00	$50,200.01	$52,200	$51,600.01	$53,600	$53,000.01	$55,000
$95.00	$52,200.01	$54,200	$53,600.01	$55,600	$55,000.01	$57,000

$100.00	$54,200.01	$56,200	$55,600.01	$57,600	$57,000.01	$59,000
$105.00	$56,200.01	$58,200	$57,600.01	$59,600	$59,000.01	$61,000
$110.00	$58,200.01	$60,200	$59,600.01	$61,600	$61,000.01	$63,000
$115.00	$60,200.01	$62,200	$61,600.01	$63,600	$63,000.01	$65,000
$120.00	$62,200.01	$64,200	$63,600.01	$65,600	$65,000.01	$67,000
$125.00	$64,200.01	$66,200	$65,600.01	$67,600	$67,000.01	$69,000
$130.00	$66,200.01	$68,200	$67,600.01	$69,600	$69,000.01	$71,000
$135.00	$68,200.01	$70,200	$69,600.01	$71,600	$71,000.01	$73,000
$140.00	$70,200.01	$70,970	$71,600.01	$73,600	$73,000.01	$75,000
$145.00			$73,600.01	$75,600	$75,000.01	$77,000
$150.00			$75,600.01	$77,600	$77,000.01	$79,000
$155.00			$77,600.01	$78,960	$79,000.01	$81,000
$160.00					$81,000.01	$83,000
$165.00					$83,000.01	$85,000
$170.00					$85,000.01	$86,950
	200% FPIG	$60,400	200% FPIG	$67,200	200% FPIG	$74,000


Weekly	Family Size: 10		Family Size: 11		Family Size: 12
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$22,400	Less than:	$23,800	Less than:	$25,200
$10.00	$22,400.01	$24,400	$23,800.01	$25,800	$25,200.01	$27,200
$15.00	$24,400.01	$26,400	$25,800.01	$27,800	$27,200.01	$29,200
$20.00	$26,400.01	$28,400	$27,800.01	$29,800	$29,200.01	$31,200
$25.00	$28,400.01	$30,400	$29,800.01	$31,800	$31,200.01	$33,200
$30.00	$30,400.01	$32,400	$31,800.01	$33,800	$33,200.01	$35,200
$35.00	$32,400.01	$34,400	$33,800.01	$35,800	$35,200.01	$37,200
$40.00	$34,400.01	$36,400	$35,800.01	$37,800	$37,200.01	$39,200
$45.00	$36,400.01	$38,400	$37,800.01	$39,800	$39,200.01	$41,200
$50.00	$38,400.01	$40,400	$39,800.01	$41,800	$41,200.01	$43,200
$55.00	$40,400.01	$42,400	$41,800.01	$43,800	$43,200.01	$45,200
$60.00	$42,400.01	$44,400	$43,800.01	$45,800	$45,200.01	$47,200
$65.00	$44,400.01	$46,400	$45,800.01	$47,800	$47,200.01	$49,200
$70.00	$46,400.01	$48,400	$47,800.01	$49,800	$49,200.01	$51,200
$75.00	$48,400.01	$50,400	$49,800.01	$51,800	$51,200.01	$53,200
$80.00	$50,400.01	$52,400	$51,800.01	$53,800	$53,200.01	$55,200
$85.00	$52,400.01	$54,400	$53,800.01	$55,800	$55,200.01	$57,200
$90.00	$54,400.01	$56,400	$55,800.01	$57,800	$57,200.01	$59,200
$95.00	$56,400.01	$58,400	$57,800.01	$59,800	$59,200.01	$61,200
$100.00	$58,400.01	$60,400	$59,800.01	$61,800	$61,200.01	$63,200
$105.00	$60,400.01	$62,400	$61,800.01	$63,800	$63,200.01	$65,200
$110.00	$62,400.01	$64,400	$63,800.01	$65,800	$65,200.01	$67,200
$115.00	$64,400.01	$66,400	$65,800.01	$67,800	$67,200.01	$69,200
$120.00	$66,400.01	$68,400	$67,800.01	$69,800	$69,200.01	$71,200
$125.00	$68,400.01	$70,400	$69,800.01	$71,800	$71,200.01	$73,200
$130.00	$70,400.01	$72,400	$71,800.01	$73,800	$73,200.01	$75,200

$135.00	$72,400.01	$74,400	$73,800.01	$75,800	$75,200.01	$77,200
$140.00	$74,400.01	$76,400	$75,800.01	$77,800	$77,200.01	$79,200
$145.00	$76,400.01	$78,400	$77,800.01	$79,800	$79,200.01	$81,200
$150.00	$78,400.01	$80,400	$79,800.01	$81,800	$81,200.01	$83,200
$155.00	$80,400.01	$82,400	$81,800.01	$83,800	$83,200.01	$85,200
$160.00	$82,400.01	$84,400	$83,800.01	$85,800	$85,200.01	$87,200
$165.00	$84,400.01	$86,400	$85,800.01	$87,800	$87,200.01	$89,200
$170.00	$86,400.01	$88,400	$87,800.01	$89,800	$89,200.01	$91,200
$175.00	$88,400.01	$90,400	$89,800.01	$91,800	$91,200.01	$93,200
$180.00	$90,400.01	$92,400	$91,800.01	$93,800	$93,200.01	$95,200
$185.00	$92,400.01	$94,400	$93,800.01	$95,800	$95,200.01	$97,200
$190.00	$94,400.01	$94,940	$95,800.01	$97,800	$97,200.01	$99,200
$195.00			$97,800.01	$99,800	$99,200.01	$101,200
$200.00			$99,800.01	$101,800	$101,200.01	$103,200
$205.00			$101,800.01	$102,930	$103,200.01	$105,200
$210.00					$105,200.01	$107,200
$215.00					$107,200.01	$109,200
$220.00					$109,200.01	$110,920
	200% FPIG	$80,800	200% FPIG	$87,600	200% FPIG	$94,400


Weekly	Family Size: 13		Family Size: 14		Family Size: 15
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$26,600	Less than:	$28,000	Less than:	$29,400
$10.00	$26,600.01	$28,600	$28,000.01	$30,000	$29,400.01	$31,400
$15.00	$28,600.01	$30,600	$30,000.01	$32,000	$31,400.01	$33,400
$20.00	$30,600.01	$32,600	$32,000.01	$34,000	$33,400.01	$35,400
$25.00	$32,600.01	$34,600	$34,000.01	$36,000	$35,400.01	$37,400
$30.00	$34,600.01	$36,600	$36,000.01	$38,000	$37,400.01	$39,400
$35.00	$36,600.01	$38,600	$38,000.01	$40,000	$39,400.01	$41,400
$40.00	$38,600.01	$40,600	$40,000.01	$42,000	$41,400.01	$43,400
$45.00	$40,600.01	$42,600	$42,000.01	$44,000	$43,400.01	$45,400
$50.00	$42,600.01	$44,600	$44,000.01	$46,000	$45,400.01	$47,400
$55.00	$44,600.01	$46,600	$46,000.01	$48,000	$47,400.01	$49,400
$60.00	$46,600.01	$48,600	$48,000.01	$50,000	$49,400.01	$51,400
$65.00	$48,600.01	$50,600	$50,000.01	$52,000	$51,400.01	$53,400
$70.00	$50,600.01	$52,600	$52,000.01	$54,000	$53,400.01	$55,400
$75.00	$52,600.01	$54,600	$54,000.01	$56,000	$55,400.01	$57,400
$80.00	$54,600.01	$56,600	$56,000.01	$58,000	$57,400.01	$59,400
$85.00	$56,600.01	$58,600	$58,000.01	$60,000	$59,400.01	$61,400
$90.00	$58,600.01	$60,600	$60,000.01	$62,000	$61,400.01	$63,400
$95.00	$60,600.01	$62,600	$62,000.01	$64,000	$63,400.01	$65,400
$100.00	$62,600.01	$64,600	$64,000.01	$66,000	$65,400.01	$67,400
$105.00	$64,600.01	$66,600	$66,000.01	$68,000	$67,400.01	$69,400
$110.00	$66,600.01	$68,600	$68,000.01	$70,000	$69,400.01	$71,400
$115.00	$68,600.01	$70,600	$70,000.01	$72,000	$71,400.01	$73,400

$120.00	$70,600.01	$72,600	$72,000.01	$74,000	$73,400.01	$75,400
$125.00	$72,600.01	$74,600	$74,000.01	$76,000	$75,400.01	$77,400
$130.00	$74,600.01	$76,600	$76,000.01	$78,000	$77,400.01	$79,400
$135.00	$76,600.01	$78,600	$78,000.01	$80,000	$79,400.01	$81,400
$140.00	$78,600.01	$80,600	$80,000.01	$82,000	$81,400.01	$83,400
$145.00	$80,600.01	$82,600	$82,000.01	$84,000	$83,400.01	$85,400
$150.00	$82,600.01	$84,600	$84,000.01	$86,000	$85,400.01	$87,400
$155.00	$84,600.01	$86,600	$86,000.01	$88,000	$87,400.01	$89,400
$160.00	$86,600.01	$88,600	$88,000.01	$90,000	$89,400.01	$91,400
$165.00	$88,600.01	$90,600	$90,000.01	$92,000	$91,400.01	$93,400
$170.00	$90,600.01	$92,600	$92,000.01	$94,000	$93,400.01	$95,400
$175.00	$92,600.01	$94,600	$94,000.01	$96,000	$95,400.01	$97,400
$180.00	$94,600.01	$96,600	$96,000.01	$98,000	$97,400.01	$99,400
$185.00	$96,600.01	$98,600	$98,000.01	$100,000	$99,400.01	$101,400
$190.00	$98,600.01	$100,600	$100,000.01	$102,000	$101,400.01	$103,400
$195.00	$100,600.01	$102,600	$102,000.01	$104,000	$103,400.01	$105,400
$200.00	$102,600.01	$104,600	$104,000.01	$106,000	$105,400.01	$107,400
$205.00	$104,600.01	$106,600	$106,000.01	$108,000	$107,400.01	$109,400
$210.00	$106,600.01	$108,600	$108,000.01	$110,000	$109,400.01	$111,400
$215.00	$108,600.01	$110,600	$110,000.01	$112,000	$111,400.01	$113,400
$220.00	$110,600.01	$112,600	$112,000.01	$114,000	$113,400.01	$115,400
$225.00	$112,600.01	$114,600	$114,000.01	$116,000	$115,400.01	$117,400
$230.00	$114,600.01	$116,600	$116,000.01	$118,000	$117,400.01	$119,400
$235.00	$116,600.01	$118,600	$118,000.01	$120,000	$119,400.01	$121,400
$240.00	$118,600.01	$118,910	$120,000.01	$122,000	$121,400.01	$123,400
$245.00			$122,000.01	$124,000	$123,400.01	$125,400
$250.00			$124,000.01	$126,000	$125,400.01	$127,400
$255.00			$126,000.01	$126,900	$127,400.01	$129,400
$260.00					$129,400.01	$131,400
$265.00					$131,400.01	$133,400
$270.00					$133,400.01	$134,890
	200% FPIG	$101,200	200% FPIG	$108,000	200% FPIG	$114,800


Weekly	Family Size: 16		Family Size: 17		Family Size: 18
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$32,800	Less than:	$34,200	Less than:	$35,600
$10.00	$32,800.01	$34,800	$34,200.01	$36,200	$35,600.01	$37,600
$15.00	$34,800.01	$36,800	$36,200.01	$38,200	$37,600.01	$39,600
$20.00	$36,800.01	$38,800	$38,200.01	$40,200	$39,600.01	$41,600
$25.00	$38,800.01	$40,800	$40,200.01	$42,200	$41,600.01	$43,600
$30.00	$40,800.01	$42,800	$42,200.01	$44,200	$43,600.01	$45,600
$35.00	$42,800.01	$44,800	$44,200.01	$46,200	$45,600.01	$47,600
$40.00	$44,800.01	$46,800	$46,200.01	$48,200	$47,600.01	$49,600
$45.00	$46,800.01	$48,800	$48,200.01	$50,200	$49,600.01	$51,600
$50.00	$48,800.01	$50,800	$50,200.01	$52,200	$51,600.01	$53,600

$55.00	$50,800.01	$52,800	$52,200.01	$54,200	$53,600.01	$55,600
$60.00	$52,800.01	$54,800	$54,200.01	$56,200	$55,600.01	$57,600
$65.00	$54,800.01	$56,800	$56,200.01	$58,200	$57,600.01	$59,600
$70.00	$56,800.01	$58,800	$58,200.01	$60,200	$59,600.01	$61,600
$75.00	$58,800.01	$60,800	$60,200.01	$62,200	$61,600.01	$63,600
$80.00	$60,800.01	$62,800	$62,200.01	$64,200	$63,600.01	$65,600
$85.00	$62,800.01	$64,800	$64,200.01	$66,200	$65,600.01	$67,600
$90.00	$64,800.01	$66,800	$66,200.01	$68,200	$67,600.01	$69,600
$95.00	$66,800.01	$68,800	$68,200.01	$70,200	$69,600.01	$71,600
$100.00	$68,800.01	$70,800	$70,200.01	$72,200	$71,600.01	$73,600
$105.00	$70,800.01	$72,800	$72,200.01	$74,200	$73,600.01	$75,600
$110.00	$72,800.01	$74,800	$74,200.01	$76,200	$75,600.01	$77,600
$115.00	$74,800.01	$76,800	$76,200.01	$78,200	$77,600.01	$79,600
$120.00	$76,800.01	$78,800	$78,200.01	$80,200	$79,600.01	$81,600
$125.00	$78,800.01	$80,800	$80,200.01	$82,200	$81,600.01	$83,600
$130.00	$80,800.01	$82,800	$82,200.01	$84,200	$83,600.01	$85,600
$135.00	$82,800.01	$84,800	$84,200.01	$86,200	$85,600.01	$87,600
$140.00	$84,800.01	$86,800	$86,200.01	$88,200	$87,600.01	$89,600
$145.00	$86,800.01	$88,800	$88,200.01	$90,200	$89,600.01	$91,600
$150.00	$88,800.01	$90,800	$90,200.01	92,200	$91,600.01	$93,600
$155.00	$90,800.01	$92,800	$92,200.01	$94,200	$93,600.01	$95,600
$160.00	$92,800.01	$94,800	$94,200.01	$96,200	$95,600.01	$97,600
$165.00	94,800.01	$96,800	$96,200.01	$98,200	97,600.01	$99,600
$170.00	$96,800.01	$98,800	$98,200.01	$100,200	$99,600.01	$101,600
$175.00	$98,800.01	$100,800	$100,200.01	$102,200	$101,600.01	$103,600
$180.00	$100,800.01	$102,800	$102,200.01	$104,200	$103,600.01	$105,600
$185.00	$102,800.01	$104,800	$104,200.01	$106,200	$105,600.01	$107,600
$190.00	$104,800.01	$106,800	$106,200.01	$108,200	$107,600.01	$109,600
$195.00	$106,800.01	$108,800	$108,200.01	$110,200	$109,600.01	$111,600
$200.00	$108,800.01	$110,800	$110,200.01	$112,200	$111,600.01	$113,600
$205.00	$110,800.01	$112,800	$112,200.01	$114,200	$113,600.01	$115,600
$210.00	$112,800.01	$114,800	$114,200.01	$116,200	$115,600.01	$117,600
$215.00	$114,800.01	$116,800	$116,200.01	$118,200	$117,600.01	$119,600
$220.00	$116,800.01	$118,800	$118,200.01	$120,200	$119,600.01	$121,600
$225.00	$118,800.01	$120,800	$120,200.01	$122,200	$121,600.01	$123,600
$230.00	$120,800.01	$122,800	$122,200.01	$124,200	$123,600.01	$125,600
$235.00	$122,800.01	$124,800	$124,200.01	$126,200	$125,600.01	$127,600
$240.00	$124,800.01	$126,800	$126,200.01	$128,200	$127,600.01	$129,600
$245.00	$126,800.01	$128,800	$128,200.01	$130,200	$129,600.01	$131,600
$250.00	$128,800.01	$130,800	$130,200.01	$132,200	$131,600.01	$133,600
$255.00	$130,800.01	$132,800	$132,200.01	$134,200	$133,600.01	$135,600
$260.00	$132,800.01	$134,800	$134,200.01	$136,200	$135,600.01	$137,600
$265.00	$134,800.01	$136,800	$136,200.01	$138,200	$137,600.01	$139,600
$270.00	$136,800.01	$138,800	$138,200.01	$140,200	$139,600.01	$141,600
$275.00	$138,800.01	$140,800	$140,200.01	$142,200	$141,600.01	$143,600
$280.00	$140,800.01	$142,800	$142,200.01	$144,200	$143,600.01	$145,600

$285.00	$142,800.01	$142,880	$144,200.01	$146,200	$145,600.01	$147,600
$290.00			$146,200.01	$148,200	$147,600.01	$149,600
$295.00			$148,200.01	$150,200	$149,600.01	$151,600
$300.00			$150,200.01	$150,870	$151,600.01	$153,600
$305.00					$153,600.01	$155,600
$310.00					$155,600.01	$157,600
$315.00					$157,600.01	$158,860
	200% FPIG	$121,600	200% FPIG	$128,400	200% FPIG	$135,200


Weekly	Family Size: 19		Family Size: 20		Family Size: 21
Co-pay	Annual Income		Annual Income		Annual Income
$5.00	Less than:	$37,000	Less than:	$38,400	Less than:	$39,800
$10.00	$37,000.01	$39,000	$38,400.01	$40,400	$39,800.01	$41,800
$15.00	$39,000.01	$41,000	$40,400.01	$42,400	$41,800.01	$43,800
$20.00	$41,000.01	$43,000	42,400.01	$44,400	$43,800.01	$45,800
$25.00	$43,000.01	$45,000	$44,400.01	$46,400	$45,800.01	$47,800
$30.00	$45,000.01	$47,000	$46,400.01	$48,400	$47,800.01	$49,800
$35.00	$47,000.01	$49,000	$48,400.01	$50,400	$49,800.01	$51,800
$40.00	$49,000.01	$51,000	$50,400.01	$52,400	$51,800.01	$53,800
$45.00	$51,000.01	$53,000	$52,400.01	$54,400	$53,800.01	$55,800
$50.00	$53,000.01	$55,000	$54,400.01	$56,400	$55,800.01	$57,800
$55.00	$55,000.01	$57,000	$56,400.01	$58,400	$57,800.01	$59,800
$60.00	$57,000.01	$59,000	$58,400.01	$60,400	$59,800.01	$61,800
$65.00	$59,000.01	$61,000	$60,400.01	$62,400	$61,800.01	$63,800
$70.00	$61,000.01	$63,000	$62,400.01	$64,400	$63,800.01	$65,800
$75.00	$63,000.01	$65,000	$64,400.01	$66,400	$65,800.01	$67,800
$80.00	$65,000.01	$67,000	$66,400.01	$68,400	$67,800.01	$69,800
$85.00	$67,000.01	$69,000	$68,400.01	$70,400	$69,800.01	$71,800
$90.00	$69,000.01	$71,000	$70,400.01	$72,400	$71,800.01	$73,800
$95.00	$71,000.01	$73,000	$72,400.01	$74,400	$73,800.01	$75,800
$100.00	$73,000.01	$75,000	$74,400.01	$76,400	$75,800.01	$77,800
$105.00	$75,000.01	$77,000	$76,400.01	$78,400	$77,800.01	$79,800
$110.00	$77,000.01	$79,000	$78,400.01	$80,400	$79,800.01	$81,800
$115.00	$79,000.01	$81,000	$80,400.01	$82,400	$81,800.01	$83,800
$120.00	$81,000.01	$83,000	$82,400.01	$84,400	$83,800.01	$85,800
$125.00	$83,000.01	$85,000	$84,400.01	$86,400	$85,800.01	$87,800
$130.00	$85,000.01	$87,000	$86,400.01	$88,400	$87,800.01	$89,800
$135.00	$87,000.01	$89,000	$88,400.01	$90,400	$89,800.01	$91,800
$140.00	$89,000.01	$91,000	$90,400.01	$92,400	$91,800.01	$93,800
$145.00	$91,000.01	$93,000	$92,400.01	$94,400	$93,800.01	$95,800
$150.00	$93,000.01	$95,000	$94,400.01	$96,400	$95,800.01	$97,800
$155.00	$95,000.01	$97,000	$96,400.01	$98,400	$97,800.01	$99,800
$160.00	$97,000.01	$99,000	$98,400.01	$100,400	$99,800.01	$101,800
$165.00	$99,000.01	$101,000	$100,400.01	$102,400	$101,800.01	$103,800
$170.00	$101,000.01	$103,000	$102,400.01	$104,400	$103,800.01	$105,800

$175.00	$103,000.01	$105,000	$104,400.01	$106,400	$105,800.01	$107,800
$180.00	$105,000.01	$107,000	$106,400.01	$108,400	$107,800.01	$109,800
$185.00	$107,000.01	$109,000	$108,400.01	$110,400	$109,800.01	$111,800
$190.00	$109,000.01	$111,000	$110,400.01	$112,400	$111,800.01	$113,800
$195.00	$111,000.01	$113,000	$112,400.01	$114,400	$113,800.01	$115,800
$200.00	$113,000.01	$115,000	$114,400.01	$116,400	$115,800.01	$117,800
$205.00	$115,000.01	$117,000	$116,400.01	$118,400	$117,800.01	$119,800
$210.00	$117,000.01	$119,000	$118,400.01	$120,400	$119,800.01	$121,800
$215.00	$119,000.01	$121,000	$120,400.01	$122,400	$121,800.01	$123,800
$220.00	$121,000.01	$123,000	$122,400.01	$124,400	$123,800.01	$125,800
$225.00	$123,000.01	$125,000	$124,400.01	$126,400	$125,800.01	$127,800
$230.00	$125,000.01	$127,000	$126,400.01	$128,400	$127,800.01	$129,800
$235.00	$127,000.01	$129,000	$128,400.01	$130,400	$129,800.01	$131,800
$240.00	$129,000.01	$131,000	$130,400.01	$132,400	$131,800.01	$133,800
$245.00	$131,000.01	$133,000	$132,400.01	$134,400	$133,800.01	$135,800
$250.00	$133,000.01	$135,000	$134,400.01	$136,400	$135,800.01	$137,800
$255.00	$135,000.01	$137,000	$136,400.01	$138,400	$137,800.01	$139,800
$260.00	$137,000.01	$139,000	$138,400.01	$140,400	$139,800.01	$141,800
$265.00	$139,000.01	$141,000	$140,400.01	$142,400	$141,800.01	$143,800
$270.00	$141,000.01	$143,000	$142,400.01	$144,400	$143,800.01	$145,800
$275.00	$143,000.01	$145,000	$144,400.01	$146,400	$145,800.01	$147,800
$280.00	$145,000.01	$147,000	$146,400.01	$148,400	$147,800.01	$149,800
$285.00	$147,000.01	$149,000	$148,400.01	$150,400	$149,800.01	$151,800
$290.00	$149,000.01	$151,000	$150,400.01	$152,400	$151,800.01	$153,800
$295.00	$151,000.01	$153,000	$152,400.01	$154,400	$153,800.01	$155,800
$300.00	$153,000.01	$155,000	$154,400.01	$156,400	$155,800.01	$157,800
$305.00	$155,000.01	$157,000	$156,400.01	$158,400	$157,800.01	$159,800
$310.00	$157,000.01	$159,000	$158,400.01	$160,400	$159,800.01	$161,800
$315.00	$159,000.01	$161,000	$160,400.01	$162,400	$161,800.01	$163,800
$320.00	$161,000.01	$163,000	$162,400.01	$164,400	$163,800.01	$165,800
$325.00	$163,000.01	$165,000	$164,400.01	$166,400	$165,800.01	$167,800
$330.00	$165,000.01	$166,850	$166,400.01	$168,400	$167,800.01	$169,800
$335.00			$168,400.01	$170,400	$169,800.01	$171,800
$340.00			$170,400.01	$172,400	$171,800.01	$173,800
$345.00			$172,400.01	$174,400	$173,800.01	$175,800
$350.00			$174,400.01	$174,840	$175,800.01	$177,800
$355.00					$177,800.01	$179,800
$360.00					$179,800.01	$181,800
$365.00					$181,800.01	$182,830
	200% FPIG	$142,000	200% FPIG	$148,800	200% FPIG	$155,600

786 Income limits and copayments for the subsidized child care program

Income Limits and Copayments for the Subsidized Child Care Program

[36 Pa.B. 2238]

APPENDIX B

COPAYMENT CHART

FAMILY COPAYMENT SCALE

(BASED ON THE 2006 FEDERAL POVERTY INCOME GUIDELINES)

[Pa.B. Doc. No. 06-786. Filed for public inspection May 5, 2006, 9:00 a.m.]

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