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5b~re are many ways to bring about this expansion. S~me local agencies may be <br />able to add whole or fractional positions, to begin or ~ convenience-hour <br />clinics, or to sn~port additional c~tract physician bouts or outreach <br />efforts. Prc~zams seeking resoalnoes to begin Norplant services may oonsider <br />using expansion funds for that purpose. 7he funds may also be used to support <br />stmrilizations for fen~les or males. Division of Mf~ Regional Office staff are <br />avmilable to assist you and should be contacted if FY92 Contract Ad~t_~erdum items <br />are affects1_. ~hese expansion fur~ may not be used to replace other types of <br />funds. <br /> <br />As loc~!, state and federal gove~_nts struggle to .m~t demand~ for servioes <br />with ~ k%~ets, ~ proc3ra~ ha~ absorbed FY92 reductions ir1 Title X ard <br />b~ iderfcified ~ that cmn be used to offset other possible FY92 budget <br />cuts that might jeopardize expansion. For these ~,' the present expansion <br />funds truly represent new monies rather than replacements for dollars cut <br /> <br />expard services and bet?~r r~t the ~ of your patient p~ation. <br /> <br />Please contact ~ staff in the appropriata P~gional office, or one of us, <br />with any questions. <br /> <br />Attad ,,,ent <br /> <br />cc: Ann F. Wolfe, M.D. <br /> Margie Rose, M.P.H. <br /> ~ Staff <br /> Admi~'{ ~crative Consultants <br /> <br /> <br />