Oct 27, 2016 | Uncategorized
Bill Summaryn Colorado Stat. 10-16-123 (new rev. eff. 1/1/17)nnHOUSE SPONSORSHIPn Buck and Ginal,n SENATE SPONSORSHIPn Kefalas and Martinez Humenik,nnUnder current law, health benefit plans issued, amended, or renewed in this state cannot require in-person health care delivery for a person covered under the plan who resides in a county with 150,000 or fewer residents if the care can be appropriately delivered through telemedicine and the county has the technology necessary for care delivery via telemedicine.nnStarting January 1, 2016, the bill removes the population restrictions and precludes a health benefit plan from requiring in-person care delivery when telemedicine is appropriate, regardless of the geographic location of the health care provider and the recipient of care. A provider need not demonstrate that a barrier to in-person care exists for coverage of telemedicine under a health benefit plan to apply.nnIn addition, carriers:nn! Must reimburse providers who deliver care through telemedicine on the same basis that the carrier is responsible for coverage of services delivered in person;n! Cannot charge deductible, copayment, or coinsurance amounts that are not equally imposed on all terms and services covered under the health benefit plan; andn! Cannot impose an annual or lifetime dollar maximum that applies separately to telemedicine services.
Oct 27, 2016 | Uncategorized
Reminder, ACA Section 1557 Compliance Began Sunday, October 16th!nnAll practices – regardless of practice size – are required to post the non-discrimination notice and taglines. Follow theses easy steps to ensure your practice is compliant.nnPost Notice of Nondiscriminationn- Download PDF.n- Enter practice name.n- Print/post in office.n- Post PDF to your website.nnArrange for a Language Assistance Providern- Download list of language assistance providers.n- Select a provider.n- Establish a relationship.nnMake a Tag Lines Postern- Identify the top 15 languages in your state.n- Download the example PDF.n- Enter practice name & language assistance provider phone. Download language verbiage and copy into template.n- Print/post in clinic.nnEstablish Civil Rights Grievance Proceduren- Only required for covered entities with 15 or more employees.n- Designate a Civil Rights Grievance Officer.n- Put Civil Rights Grievance Procedure in place and document.nnComplete Online Attestationn- Go to OCR attestation portal.n- Submit Assurance of Compliance.nnThis is required for all practices receiving government funding (ie. Medicare Parts A, C & D [NOT B], Medicaid, Meaningful Use, etc.)
Oct 19, 2016 | Uncategorized
CMS Provider Education Message:nnOn October 14, HHS finalized its policy implementing the Merit-Based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (APM) incentive payment provisions in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), collectively referred to as the Quality Payment Program. The new Quality Payment Program will gradually transform Medicare payments for more than 600,000 clinicians across the country, and is a major step in improving care across the entire health care system.nnThe final rule with comment period offers a fresh start for Medicare by centering payments around the care that is best for the patients, providing more options to clinicians for innovative care and payment approaches, and reducing administrative burden to give clinicians more time to spend with their patients, instead of on paperwork.nnAccompanying the announcement is a new Quality Payment Program website, which will explain the new program and help clinicians easily identify the measures most meaningful to their practice or specialty.nnFor More Information:nFinal Rule and Executive SummarynPress ReleasenFact SheetnQuality Payment Program website
Oct 19, 2016 | Uncategorized
ColoradoCare’s proponents claim that Amendment 69 will be good for our active duty and retired military. But that’s not what Colorado’s veterans think! The Pueblo Chieftan published a letter from two decorated retired Colorado veterans, who are opposing the dangerous tax burdens and uncertain health coverage contained in Amendment 69. Read their letter here.nnWith the health care system set up by ColoradoCare, veterans and active duty military members will still receive their care through TRICARE and VA benefits, not through ColoradoCare. But despite no benefits from the new system, Colorado’s military families would still be forced to pay their share of a huge new income tax hike! That could mean a retired colonel eligible for Medicare benefits would pay a $6,000 annual premium for ColoradoCare, with no health care benefits!nnAmendment 69 is dangerous for all Coloradans, but especially for our military families. We only have a few weeks to defeat Amendment 69.nn
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The Denver Post‘s recent editorial on Amendment 69 starts off with a bang:nn”Should Amendment 69 find itself embedded in the Colorado Constitution, and fail even half as dramatically as it could — and we cannot imagine how it could succeed — it would take navigating circles of hell in a wooden dingy to correct the damage.”nnFrom the giant tax hikes that would affect not only workers’ bottom lines but also the ability of Colorado’s small businesses to grow, to the 21-member board of politicians that would control your health coverage, the Post urges a “resounding ‘no’ on Amendment 69.”This is a huge boost of momentum to our effort to stop ColoradoCare from becoming law, Thomas.nnBut ballots were mailed to voters today — there’s just not much time left to make sure we have the votes to defeat this dangerous measure. Can you chip in $15 today?
Oct 19, 2016 | Uncategorized
The Centers for Medicare & Medicaid Services (CMS) invites you to join a webinar on October 26 at 2:00 PM ET, on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) final rule with comment period. The webinar will provide an overview of the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) incentive payment provisions under MACRA, collectively referred to as the Quality Payment Program.nnWebinar DetailsnnQuality Payment Program OverviewnnDate: Wednesday, October 26, 2016nTime: 2:00 to 3:00 PM ETnRegister: https://engage.vevent.com/rt/cms/index.jsp?seid=530nSpace for this webinar is limited. Register now to secure your spot. After you register, you will receive an email message with a dial-in number and webinar link. Please note, you will not be able to share your participant information because it will be unique to you.nnQuality Payment Program Final Rule MLN Connects® Call — November 15nnDate: Tuesday, November 15, 2016nTime: 1:30 to 3:00 PM ETnRegister: MLN Connects Event RegistrationnTarget Audience: Medicare Part B Fee-For-Service clinicians, office managers and administrators; state and national associations that represent healthcare providers; and other stakeholders.nSpace may be limited, register early. During this call, learn about the provisions in the recently released final rule; participants should review the rule prior to the call. A question and answer session will follow the presentation.nnFor More InformationnnTo learn more about the final rule and the Quality Payment Program, view the following resources:n
nSubmit a Formal CommentnnCMS encourages the public to submit comments on the MACRA final rule. Comments are due 60 days after the date of filing for public inspection, and can be submitted in several ways, including:n
Oct 14, 2016 | Uncategorized
A final rule released today (Oct. 14, 2016) by the Centers for Medicare and Medicaid Services (CMS) details the final regulations for implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), the historic Medicare reform law that repealed the Sustainable Growth Rate (SGR) formula last year.
Oct 13, 2016 | Uncategorized
Colorado’s mail voting system means that the first ballots of the 2016 election will reach voters’ mailboxes in just one week. That means we’re almost out of time to make sure every voter has the FACTS about Amendment 69 and the untested experimental health care debacle that it would enshrine in our state’s constitution. We need your strong support during this final sprint toward Election Day.nnYou already know that Amendment 69 would likely mean employers fleeing Colorado, a huge tax increase on workers and a completely untested health care system. ColoradoCare would mean a panel of unaccountable politicians deciding treatment options and raising taxes without TABOR limitations. The dangers of Amendment 69 are clear. There isn’t much time to defeat this dangerous amendment. Colorado voters deserve to know the truth about Amendment 69 before they vote.nnBigger is not always better and Amendment 69 is too BIG for Colorado! Opposition to Amendment 69 continues to grow!nn
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- It is costly. The $25 billion tax increase would essentially DOUBLE the size of the current state budget. Employers would have a new 6.67 percent payroll tax, and all workers would pay another 3.33 percent payroll tax.
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- It hits business owners and sole proprietors disproportionally. These Coloradans would pay both sides of the tax – that’s 10 percent in new employment taxes. On top of that, there would be an additional 10 percent tax on all non-payroll income.
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- It is unaccountable. While supported by your tax dollars, Amendment 69 is specifically designed to operate outside state government and TABOR limitations, run by a 21-member board elected by plan “members.” This board would bear the sole ability to decide coverage, negotiate prices and reimbursement rates and raise taxes when the initial $25 billion in annual revenue proves insufficient and would have no accountability to the governor or legislature.
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- It would limit health care choice, access and quality. A government run system like this makes Colorado less attractive to providers. We fear our best providers would leave the state and that it would be hard to attract new providers to practice here.
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- Workers and their families face uncertainty about coverage. Today, workers know what their plan covers – and what it doesn’t. There are no specifics about what the Amendment 69 plan would cover, and those decisions are left to the 21-member board.
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nWith Amendment 69, it actually feels good to say NO.nn
Oct 5, 2016 | Uncategorized
Professional Liability InsurancennThe latest release for CAQH ProView includes improvements to the Professional Liability Insurance (PLI) screen. Based on feedback from practice managers and participating organizations, changes to this section will help providers enter PLI information accurately, reducing follow-up and making the credentialing process smoother and faster.nnChanges to this section will include:n
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- A new required question will be added to the PLI screen: “Are you covered under a professional liability insurance policy?”
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- Providers who indicate that they are not covered under a PLI policy will be required to upload supporting documentation.
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- When updating a PLI record already in CAQH ProView, a new “Renew” button will enable providers or practice managers to quickly copy information from a previous PLI record into a new record. They will then be prompted to input an updated Effective Date and Expiration Date.
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- Providers will be prompted to upload a current Certificate of Insurance or PLI face sheet, documentation that is required by many health plans during the credentialing process.
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- This section will also include improved instructional text and expanded “Help” information.
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nStandardizing Practice Location AddressesnnCAQH ProView is making additional improvements to ensure that provider data entered is accurate. The United States Postal Service standardized format will be applied to ensure practice addresses are accurate and complete per USPS address standards. This feature will prompt providers to review, and correct if necessary, their practice location addresses prior to attestation. Per the USPS format, all addresses will appear IN ALL CAPITAL LETTERS.nnSystem Improvements Released August 1nnThe Employment Information screens within CAQH ProView have been updated, making them easier to use. Additionally, some fields that were previously optional are now required, enabling healthcare providers to submit more complete profiles that require less follow-up work and reducing requests for additional information from health plans and other organizations. Healthcare providers may wish to allow additional time during the next re-attestation to complete these fields. These changes to CAQH ProView do NOT affect a provider’s status in CAQH ProView or the ability for authorized participating organizations to view data.n
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- Employment Information Screen: Providers are able to enter their employment history, and clearly see if they have omitted any relevant information. The following changes have been implemented:n
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- At least one employment record is required.
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- A summary screen displays the provider’s employment history. Any gaps greater than six months which require an explanation are automatically highlighted.
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- A drop-down menu with predefined options is available to select the appropriate reason for any gaps in employment.
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- A confirmation pop-up window appears if more than one employment record is marked as a current employer.
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- The “Help” information has been expanded throughout the Employment Information screens.
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- Required Fields: Select fields that were optional are now required. The following fields are required:n
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- Professional IDs section:n
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- DEA State (for each DEA number entered into CAQH ProView).
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- Education section:n
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- Did you complete your professional education at this school?
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- If yes, Completion Date.
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- Professional Training section:n
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- End Date.
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- Did you complete the training program at this institution?
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- If yes, Completion Date.
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- Specialties section:n
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- Does your board certification have an expiration date?
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- If yes, board certification expiration date.
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- If yes, board certification re-certification date.
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- Practice Location section:n
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- Provider’s start date.
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- Do you have an organization (Type 2) NPI?
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- If yes, NPI Type 2.
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- Gender Limitations.
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- If yes, Gender Limitations Type.
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- Are there any age limitations?
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- If yes, Age Minimum and Age Maximum
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Oct 5, 2016 | Uncategorized
nnNew Plan InformationnOn October 31, 2016, Hewlett Packard Enterprises (HPE) will assume fiscal agent operations on behalf of Health First Colorado (Colorado’s Medicaid program) and Child Health Plan Plus (CHP+). These operations include the transition to the Colorado interChange (a new claims payment system) and a new provider Web Portal.nnClaims Payment DelaysnDuring the transition to the new Colorado interChange, there will be a delay in payments for ALL providers. The length of delay will depend on the type of claim you’re submitting. The Department recognizes that payment delays can create challenges for providers, which is why we’re providing this information now so you can plan accordingly. Unfortunately, these delays are unavoidable and no exceptions can be made.nnFind more detail about these dates on the Provider Resources web page.nnPaper pharmacy or medical claims (i.e. all paper claims)n
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- The last day Xerox will accept paper claims is 10/7/16
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- These claims will be processed (as usual) and paid the week of 10/11/16 or 10/18/16 (as usual)
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- Claims that don’t make this deadline will be held and processed on or after 10/31/16
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- If you only submit paper claims, you will not receive another payment until the week of 11/7/16
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nElectronic medical claims (and encounters)n
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- The last day Xerox will accept electronic medical claims is 10/21/16
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- These claims will be processed (as usual) and paid the week of 10/24/16 (as usual)
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- Claims that don’t make this deadline will be denied and will need to be resubmitted on or after 10/31/16
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- If you only submit electronic medical claims, you will not receive another payment until the week of 11/7/16
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nElectronic pharmacy claims (and encounters)n
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- The last day Xerox will accept electronic pharmacy claims is 10/30/16
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- Claims submitted before 10/21/16 will be processed and paid (as usual)
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- Claims submitted between 10/22/16 and 10/28/16 will be paid the week of 11/7/16 (one-week delay)
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- Claims submitted 10/29/16 or 10/30/16 will be paid the week of 11/7/16 (as usual)
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- Claims submitted on or after 10/31/26 will be processed and paid (as usual)
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nProvider IDs and Portal LoginsnYour Provider ID number will be changing. Starting on October 31, 2016, claims must be submitted using your new provider ID number. Your new provider ID number will be sent out via email on October 15, 2016.nnYour provider Web Portal login information will be changing. The new provider Web Portal will be launching on October 31, 2016. You will receive additional instructions for Web Portal registration when you receive your new Provider ID on October 15, 2016.nnNote: You will NOT need the password you used to submit your application for revalidation/enrollment or your 5-digit application tracking number.nnYour batch claims submitter MUST apply for a new Trading Partner ID (TPID). To avoid any delay in claims submission, ensure your submitter starts their Trading Partner enrollment soon. Your submitter can learn more information about applying for a new TPID on the EDI Support web page.nnImportant Dates and Training OpportunitiesnPlease visit the Provider Resources web page for a list of important dates, training availability for the new provider Web Portal, and additional information.
Oct 5, 2016 | Uncategorized
Demigods…nWe want and seek the best in ourselves and in others. nnOur own demigodery often clouds our vision.nStay tuned for more Todd’s Tips!nn
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About R. Todd Welter • MS, CPCnFounder and President of Welter Healthcare Partners
nMr. Welter has over 25 years of healthcare industry experience assisting physicians and other providers, hospitals and other facilities with the business side of medicine. Through strategic planning and analysis, Mr. Welter’s main focus is to strategically increase revenues and profitability in this radically changing health care environment.
Mr. Welter has a Masters Degree in Organizational Leadership from Regis University in Denver where he has had an appointment as affiliate faculty in the School for Professional Studies for over ten years. In addition, Mr. Welter holds a faculty appointment at the University of Denver’s University College. In the Health Care Leadership program he teaches Macro Economics in Health Care and Innovative Strategies and Change in Health Care to graduate students.
Oct 5, 2016 | Uncategorized
Amendment 69 will create a first-of-its-kind, untested, government run health care system that will not work as intended.n
nNo other state in the country has a health care system in place like the one proposed in Amendment 69 so there is no model to look to for how this will play out in Colorado. Vermont explored a similar plan but its governor, a single payer champion, ultimately pulled the plug on his own proposal stating, “In my judgment, the potential economic disruption and risks would be too great to small businesses, working families and the state’s economy.”n
Is ColoradoCare FREE Health Care?n
nOf course not!nnIt’s clear to anyone who has studied the bill that Amendment 69 is not only not free — it would cost Colorado’s economy way too much!nnThe measure would give Colorado the highest income tax rate in the country, would sacrifice our health care coverage to a panel of politicians and would DOUBLE the size of state government!nnColorado cannot afford the risks associated with Amendment 69!nnThis article originally posted on ColoradansforColoradans.com.
Sep 23, 2016 | Uncategorized
It is, after all, a service industry and a very very big one. To be so we need and have customers. Customers provide value to us in return for the services we provide to them. In turn, we are also a customer seeking services, providing value in return for it. It is the latter that is often lost and therefore not used to proper advantage in the noise of the moving parts of this two-trillion dollar industry.
nStay tuned for more Todd’s Tips!nn
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About R. Todd Welter • MS, CPCnFounder and President of Welter Healthcare Partners
nMr. Welter has over 25 years of healthcare industry experience assisting physicians and other providers, hospitals and other facilities with the business side of medicine. Through strategic planning and analysis, Mr. Welter’s main focus is to strategically increase revenues and profitability in this radically changing health care environment.
Mr. Welter has a Masters Degree in Organizational Leadership from Regis University in Denver where he has had an appointment as affiliate faculty in the School for Professional Studies for over ten years. In addition, Mr. Welter holds a faculty appointment at the University of Denver’s University College. In the Health Care Leadership program he teaches Macro Economics in Health Care and Innovative Strategies and Change in Health Care to graduate students.
Sep 23, 2016 | Uncategorized
Accounting, Bookkeeping, and Financial Controls are now available at Welter Healthcare Partners!nnOur clients’ financial success is our number one priority! We understand that having up-to-date and accurate financial information is critical to running a successful business. More so, understanding the financials allows for good and thoughtful execution of ideas.nnWe offer personalized accounting services designed to help you identify opportunities for increased profitability and growth. Our experienced team of accountants and bookkeepers, superior customer service and overall financial management knowledge, allow our clients and business owners to focus on what they do best—being successful in their chosen field!n
We work in a variety of industries including:
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- Healthcare and Physician Practices
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- Energy
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- Direct to Customer Service Organizations
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- Financial Services
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- Marketing and Graphic Design
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We will work with you to customize a package of accounting services and solutions based on your specific needs, including:
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- Accounting Software Selection and Implementation
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- Accounting Clean Up for books that are inaccurate or not current
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- Financial and Business Consulting
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- Financial Analysis including cash flow, budgeting and forecasting
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- Financial Reporting (P&L’s that are actionable!)
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- Full Bookkeeping Services including A/P, A/R, journal entries, etc.
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- Payroll Services
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- Sales Tax Services
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- 401k and other benefit management and distributions
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- Monthly reconciliation of bank statements and credit card statements
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- Maintenance of business, payroll, and vendor files
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- Prepare and issue annual 1096/1099 to vendors
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- Coordination with your tax accountant for annual tax preparation
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Sep 2, 2016 | Uncategorized
Ensure Your Practice is Compliant! The ACA requires you to! Contact Welter Healthcare Partners today for a Coding and Documentation Audit!
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More than three dozen just-released audits reveal how some private Medicare plans overcharged the government for the majority of elderly patients they treated, often by overstating the severity of certain medical conditions, such as diabetes and depression.nnThe Center for Public Integrity recently obtained, through a Freedom of Information Act lawsuit, the federal audits of 37 Medicare Advantage programs. These audits have never before been made public, and though they reveal overpayments from 2007 — money that has since been paid back — many plans are still appealing the findings.nnMedicare Advantage is a privately run alternative to standard Medicare; it has been growing in popularity and now enrolls more than 17 million seniors. In 2014, Medicare paid the health plans more than $160 billion.nnBut there’s growing controversy over the accuracy of billings, which are based on a formula called a risk score; it is designed to pay Medicare Advantage plans higher rates for sicker patients and less for people in good health. In a series of articles published in 2014, the Center for Public Integrity reported that overspending tied to inflated risk scores has cost taxpayers tens of billions of dollars in recent years.nnIn May, a Government Accountability Office report called for “fundamental improvements” to curb excess charges linked to faulty risk scores. In addition, at least half a dozen health-industry insiders have filed whistleblower lawsuits that accuse Medicare Advantage insurers of manipulating risk scores to boost profits.n
CLICK HERE TO READ MORE
nThis article originally posted on NPR.org.
Sep 2, 2016 | Uncategorized
Credentialing processes are generally outdated, burdensome and plagued with delays, according to a new survey on the state of today’s medical credentialing processes. It was found that 1 in 3 healthcare organizations are not satisfied with the credentialing experience.nnThe SkillSurvey survey of nearly 500 healthcare industry leaders was intended to discover the impact credentialing delays and inefficiencies have on a healthcare organization’s bottom line. Notably, more than half of all U.S. states now recognize negligent credentialing as a reason for litigation against healthcare organizations, according to information from SkillSurvey.nn”As our study shows, the traditional credentialing process is outdated and slow. While waiting to be fully credentialed, top medical talent sits on the bench, negatively affecting the hospital revenue cycle,” Ray Bixler, president and CEO of SkillSurvey, said in a statement. “Our survey shows that one in three job applicants are not satisfied with their credentialing experience. Credentialing is long overdue for an upgrade.”nnHere are four additional survey findings.nn1. Two in three credentialing processes (67 percent) are taking longer than five to six weeks to credential a clinician.nn2. Sixty-two percent of respondents said it takes from one to three weeks for peer references to respond to traditional credentialing requests.nn3. Half of respondents report it takes one to two weeks to verify a hospital affiliation.nn4. Nine in 10 organizations believe it is critical to continue improving the applicant onboarding experience within the credentialing process.nnThis article was originally posted on BeckersHospitalReview.com.nn
Sep 2, 2016 | Uncategorized
Or is it? We can’t help patients, cure disease or fix trauma without a healthy practice.nnMany providers have sought the perceived safe harbor of hospital employment. That is OK for some, a good idea for others but, in my experience, a huge mistake for most. It is also my experience that the reason used to make the mistake is, at the end of the day, bookkeeping or the lack of it being done properly. Private practice is a business and, when run successfully with good operations, good and honest information and analysis, and well thought–through strategic decision–making, the last and worst option is hospital system employment.nn
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About R. Todd Welter • MS, CPCnFounder and President of Welter Healthcare Partners
nMr. Welter has over 25 years of healthcare industry experience assisting physicians and other providers, hospitals and other facilities with the business side of medicine. Through strategic planning and analysis, Mr. Welter’s main focus is to strategically increase revenues and profitability in this radically changing health care environment.
Mr. Welter has a Masters Degree in Organizational Leadership from Regis University in Denver where he has had an appointment as affiliate faculty in the School for Professional Studies for over ten years. In addition, Mr. Welter holds a faculty appointment at the University of Denver’s University College. In the Health Care Leadership program he teaches Macro Economics in Health Care and Innovative Strategies and Change in Health Care to graduate students.
Sep 2, 2016 | Uncategorized
Z56.6 — Other physical and mental strain related to worknnZ56.5 — Uncongenial work environmentnnZ56.3 — Stressful work schedulennZ56.4 — Discord with boss and workmates
Aug 23, 2016 | Uncategorized
Are there advantages of a single payer system? Some say there are.nnI happen to not be one of them. Rather we really desperately need more payers, more choice, more competition, more access and a lot more imagination.nn nn
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About R. Todd Welter • MS, CPCnFounder and President of Welter Healthcare Partners
nMr. Welter has over 25 years of healthcare industry experience assisting physicians and other providers, hospitals and other facilities with the business side of medicine. Through strategic planning and analysis, Mr. Welter’s main focus is to strategically increase revenues and profitability in this radically changing health care environment.
Mr. Welter has a Masters Degree in Organizational Leadership from Regis University in Denver where he has had an appointment as affiliate faculty in the School for Professional Studies for over ten years. In addition, Mr. Welter holds a faculty appointment at the University of Denver’s University College. In the Health Care Leadership program he teaches Macro Economics in Health Care and Innovative Strategies and Change in Health Care to graduate students.
Aug 23, 2016 | Uncategorized
A07.1 – Giardiasis [lambliasis]nnY93.01 – Activity, hikingnnY92.828 – Stream as the place of occurrence of the external cause
Aug 23, 2016 | Uncategorized
Welter Healthcare Partners strongly believes that transparent competition among payers and providers regarding value and cost is the only way to make the delivery of health care more effective and efficient.
nColorado’s Amendment 69 does nothing to address either issue. Amendment 69 is an incredibly expensive attempt to fix what is not working, but in the process will eliminate all of the things that do work, and do work well. Why would we go backward only to regain ground we have already traveled? Amendment 69 is a baby and the bathwater approach to very complex, multifactorial societal issues affecting costs, infrastructure, taxes, the attraction, education and distribution of providers, how, why and by whom health care is consumed, etc. The backers of Amendment 69 have yet to publish a comprehensive plan to do this.nnWe need more competition, not less! We urge a vote no on 69. In doing so we should also prevent the mega–mergers which we are facing with Anthem and CIGNA, Aetna and Humana. Competition is a good thing, transparency is a good thing; we should move in the direction of both and we should do so expeditiously.n
Click here for more information on Amendment 69 and to endorse NO!
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