ࡱ> #` `bjbjmm .`:::::::Nb|NJ'h^HHHH###&&&&&&&$(h+`&:##&::HH' :H:H&& ::H P\IZ ,ed'0J'CHz+z+Xz+:!D#l%###&& ###J'NNN_RfD[NNNRfNNN::::::  STATEREGULATIONSEXCEPTIONSAlabamaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician.  STATEREGULATIONSEXCEPTIONSAlaskaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. The Alaska State Medical Board Regulations, 112 AAC 40.480 state the following: EXEMPTIONS. (b) Nothing in this chapter regulates, restricts, or alters the functions of a person traditionally employed in an office by a physician in a position not regulated by the State Medical Board under Alaska Statutes 08.64. Patient care tasks cannot be delegated by a RN. Medical assistants cannot do anything supervised by a nurse. A medical doctor must be present in the building at all times. Certain intravenous procedures may be delegable to a medical assistant by a physician if: 1) the degree of supervision is greater than for other less advanced procedures; 2) the delegation is confirmed in writing by the physician; 3) the medical assistant has specific documented training in IV procedures; 4) the medical assistant is competent in the procedures; and 5) the malpractice insurance carrier does not object.  STATEREGULATIONSEXCEPTIONSArizonaMedical assistants assist in the medical practice under the supervision of a physician, physicians assistant, or nurse practitioner, and perform delegated procedures commensurate with the MAs education and training. In addition to the medical procedures in subsection (A) of the Commission on Accreditation of Allied Health Education Program's, "Standards and Guidelines for an Accredited Educational Program for the Medical Assistant, a medical assistant may administer the following under the direct supervision of a physician or physician assistant: 1. Whirlpool treatments 2. Diathermy treatments 3. Electronic galvation stimulation treatments 4. Ultrasound therapy 5. Massage therapy 6. Traction treatments 7. Transcutaneous Nerve Stimulation unit treatments 8. Hot and cold pack treatments 9. Small volume nebulizer treatments 10. Taking body fluid specimens 11. Administering injections  STATEREGULATIONSEXCEPTIONSArkansasMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSCaliforniaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. A supervising physician and surgeon at a "community clinic" licensed under Health and Safety Code section 1204(a) may, at his or her discretion, in consultation with the nurse practitioner, nurse midwife, or physician assistant provide written instructions to be followed by a medical assistant in the performance of tasks or supportive services. The written instructions may provide that the supervisory function for the medical assistant in performing these tasks or supportive services may be delegated to the nurse practitioner, nurse midwife, or physician assistant and that those tasks may be performed when the supervising physician and surgeon is not on site. Medical assistants who draw blood in California are required to be certified. Medical assistants may not place the needle or start and disconnect the infusion tube of an IV. Medical assistants are not allowed to administer medications or injections into the IV line. Medical assistants are not allowed to inject anesthetic agents. Medical assistants are allowed to perform nasal smears only if the procedure is limited to the opening of the nasal cavity. With regard to having access to the keys of the narcotic medication cabinet, the supervising physician or podiatrist should be questioned about this access. Medical assistants are not allowed to chart pupillary responses. Medical assistants may not insert a urine catheter. Medical assistants cannot independently perform telephone triage. The injection of collagen is not within the medical assistants scope of practice. Medical assistants are not legally authorized to use lasers to remove hair, wrinkles, scars, moles, or other blemishes. Medical assistants are not legally authorized to administer chemotherapy or make an assessment of the patient. Medical assistants are not legally authorized to apply orthopedic splints. They can only remove casts, splints, and other external devices. Medical assistants are not allowed to interpret the results of skin tests. Medical assistants may not call in new prescriptions or any prescriptions that have changes. Medical assistants may administer influenza vaccinations in a clinic or physicians office setting after receiving appropriate training and dosage verification; however, if the shot is being provided at a local governmental or private, nonprofit agency the vaccine shall be administered only by a physician, a registered nurse, or a licensed vocational nurse acting within the scope of their professional practice acts. Medical assistants must be licensed (licensed phlebotomist) in order to perform blood extraction with a needle.  STATEREGULATIONSEXCEPTIONSColoradoMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. Section 12-36-106(3)(L) of the Colorado Medical Practice Act states: (3) Nothing in this section shall be construed to prohibit, or to require a license under this article with respect to any of the following acts: (L) The rendering of services under the personal and responsible direction and supervision of a person licensed under the laws of this state to practice medicine, but nothing in this exemption shall be deemed to extend the scope of any license, and this exemption shall not apply to persons otherwise qualified to practice medicine but not licensed to [do] so in this state.  STATEREGULATIONSEXCEPTIONSConnecticutMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician.Medical assistants are NOT allowed to perform radiography or medication administration by any route (including oxygen, immunizations, and tuberculin testing). The professional judgment piece of any regulated profession, e.g., assessment, diagnosing, planning, and evaluation of clients or their care, can never be delegated to a medical assistant. Physicians may not delegate injections to medical assistants. STATEREGULATIONSEXCEPTIONSDelawareMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSDistrict of ColumbiaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician.  STATEREGULATIONSEXCEPTIONSFloridaUnder the direct supervision and responsibility of a licensed physician, a medical assistant may undertake the following duties: 1.Perform aseptic procedures 2.Take vital signs 3.Prepare patients for the physician's care 4.Perform venipunctures and nonintravenous injections 5.Observe and report patients' signs or symptoms. 6. Administer basic first aid 7.Assist with patient examinations or treatments 8.Operate office medical equipment 9.Collect routine laboratory specimens as directed by the physician 10.Administer medication as directed by the physician 11.Perform basic laboratory procedures 12.Perform office procedures including all general administrative duties required by the physician 13.Perform dialysis procedures, including home dialysis The medical assistant may not use radiation or otherwise practice radiologic technology or any of the duties of a radiologist assistant on a human being unless he or she is the holder of a certificate and is operating under the direct supervision or general supervision of a licensed practitioner in each particular case. STATEREGULATIONSEXCEPTIONSGeorgiaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician.Medical assistants who perform point of care testing in Georgia are required to be certified. STATEREGULATIONSEXCEPTIONSHawaiiMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. Section 453-2(H) of the Hawaii Statutes exempts from medical licensure requirements the rendering of services: by any physician, support personnel, or any physician's assistant when such services are rendered under the direction and control of a physician licensed in this State......Any physician who employs or directs such personnel and physician's assistant shall retain full professional and personal responsibility for any act which constitutes the practice of medicine when performed by such personnel or physician's assistant. The board of medical examiners shall, in conformity with chapter 92, promulgate rules and regulations regarding standards of medical education and training governing physician support personnel and physician's assistants, such standards to equal but not be limited by existing national educational and training standards......  STATEREGULATIONSEXCEPTIONSIdahoMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. Idaho Medical Practice Act 54-1804 states: Unlicensed practicePenalties and remedies relating to unlicensed practice. (1) Under the circumstances described and subject in each cast to the limitations stated, the following persons, though not holding a license to practice medicine in this state, may engage in activities included in the practice of medicine: (g) A person administering a remedy, diagnostic procedure or advice as specifically directed by a physician.  STATEREGULATIONSEXCEPTIONSIllinoisMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. Section 1285.335. Physician Delegation of Authority (f) Nothing in this Section shall be construed to limit the delegation of tasks or duties by a physician licensed to practice medicine in all its branches to a licensed practical nurse, a registered professional nurse, or other personnel including, but not limited to, certified nursing assistants or medical assistants. (Section 54.5 of the Act) Medication administration can be delegated only to a registered nurse or a licensed practical nurse.  STATEREGULATIONSEXCEPTIONSIndianaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. According to 25-22.5-1-2, Section 2(r) of the Indiana statutes, the provisions relating to the unlawful or unauthorized practice of medicine or osteopathic medicine shall not apply: to any employee, including a physicians assistant, of a physician or group of physicians who performs an act, duty or function which is customarily within the specific area of practice of the employing physician or group of physicians, if the act, duty or function is perfumed under the direct supervision of the employing physician or a physician of the employing group within whose area of practice the act, duty or function falls.....  STATEREGULATIONSEXCEPTIONSIowaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician.   STATEREGULATIONSEXCEPTIONSKansasMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. Section 65-2872(g) of the Kansas Healing Arts Act states that the practice of the healing arts shall not be construed to include the following persons: (g) Persons whose professional services are performed under the supervision or by order or referral from a practitioner who is licensed under this act STATEREGULATIONSEXCEPTIONSKentuckyMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician STATEREGULATIONSEXCEPTIONSLouisianaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks, which are directed and supervised by the physician. The Louisiana Physician Assistants Practice Act, Section 1360.27(B), reads as follows: Nothing herein shall prohibit or limit the authority of physicians to employ auxiliary personnel not recognized under this part. Medical assistants must be licensed (licensed phlebotomist) in order to perform blood extraction with a needle. STATEREGULATIONSEXCEPTIONSMaineMedical assistants work under the direct control and in the personal presence of physicians or surgeons, and are allowed to perform those tasks which are directed and supervised by the physician or surgeon. The delegating/supervising physician is present on the premises at the time the activities are performed. Chapter 48, Section 3270-A of the Maine statutes contains the following language: Further, nothing in this chapter shall be construed as prohibiting a physician or surgeon from delegating to his employees certain activities relating to medical care and treatment now being carried out by custom and usage when such activities are under the direct control of and in the personal presence of the physician or surgeon. The physician delegating such activities......shall be deemed legally liable for such activities of such persons, and such persons shall in this relationship be construed as the physician's agent.  STATEREGULATIONSEXCEPTIONSMarylandMedical assistants work under the on-site supervision of a delegating physician who is present at the site and able to be immediately available in person during the performance of a delegated act. 10.32.12 .04 Scope of Delegation. A. A physician may not delegate to an assistant technical acts which are exclusively limited to any individual required to be licensed, certified, registered, or otherwise recognized pursuant to any provision of the Health Occupations Article and the Education Article, Annotated Code of Maryland. B. A physician may delegate technical acts consistent with national standards in the medical community and the approved policies and procedures of the sites for the delivery of health services in the following categories: (1) Surgical technical acts that the delegating physician directly orders while present, scrubbed, and personally performing the surgery in the same surgical field; and (2) Nonsurgical technical acts while the assistant is under the physicians direct supervision or on-site supervision if the assistant performs the act in accordance with procedures of the site. C. At sites included in Health-General Article, Sections 19-114 and 19-3B-01(b), Annotated Code of Maryland, or any unit of those sites, a physician may delegate technical acts in compliance with State regulations and the policies, procedures, and supervisory structures of those sites. D. At sites not included in Health-General Article, Sections 19-114 and 19-3B-01(b), Annotated Code of Maryland, when providing the following specified levels of supervision, a physician may delegate to an assistant technical acts which include but are not limited to: (1) Without on-site supervision: (a) Patient preparation for physician examination; (b) Patient history interview; (c) Collecting and processing specimens, such as performing phlebotomy and inoculating culture media; (d) Preparation of specimens for selected tests including: (i) Pregnancy tests, (ii) Dipstick and microscopic urinalysis, and (iii) Microbiology (rapid streptococcal testing and throat cultures); (e) Laboratory tests that the physician is satisfied the assistant is qualified to perform under State and CLIA regulations; (f) Clinical tests such as: (i) Application of tuberculin skin tests, (ii) Electrocardiography, (iii) Administering basic pulmonary function (g) Transmitting prescriptions to a pharmacy; (h) Providing sample packets of medication, selected by a physician who is physically present at the time of selection, to patients as directed by the delegating physician and in conformance with Health Occupations Article, Section 12-102(a), (d), and (f), Annotated Code of Maryland; and (i) Preparing and administering oral drugs; tests, and (ii) Electrocardiography, (iii) Administering basic pulmonary functioning tests, and (iv) Visual field tests; (2) With on-site supervision: (a) Preparing and administering injections limited to intradermal, subcutaneous, and intramuscular (deltoid, gluteal, vastus lateralis) to include small amounts of local anesthetics; (b) Establishing a peripheral intravenous line; and (c) Injecting fluorescein-like dyes for retinal angiography. (3) With direct supervision, injecting intravenous drugs or contrast materials. E. A physician may not delegate to an assistant acts which include but are not limited to: (1) Conducting physical examinations; (2) Administering any form of anesthetic agent or agent of conscious sedation other than topical anesthetics or small amounts of local anesthetics; (3) Initiating independently any form of treatment, exclusive of cardiopulmonary resuscitation; (4) Dispensing medications; (5) Giving medical advice without the consult of a physician; and (6) Providing physical therapy.  STATEREGULATIONSEXCEPTIONSMassachusettsMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks, which are directed and supervised by the physician. Chapter 243 of the Code of Massachusetts Regulations, Section 2.07(4) states: A full licensee may permit a skilled professional or nonprofessional assistant to perform services in a manner consistent with accepted medical standards and appropriate to the assistants skill. Physicians are not permitted to delegate injections to medical assistants in those clinics that are licensed by the state. STATEREGULATIONSEXCEPTIONSMichigan333.16215 of the Michigan Public Health Code: (1) A licensee who holds a license other than a health profession subfield license may delegate to a licensed or unlicensed individual who is otherwise qualified by education, training, or experience the performance of selected acts, tasks, or functions where the acts, tasks, or functions fall within the scope of practice of the licensee's profession and will be performed under the licensee's supervision. An act, task, or function shall not be delegated under this section which, under standards of acceptable and prevailing practice, requires the level of education, skill, and judgment required of a licensee under this article.  STATEREGULATIONSEXCEPTIONSMinnesotaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. Medical assistants are delegated clinical duties by physicians. They are not delegated nursing duties by a registered nurse. Background study by the state is required. Any individual disqualified from having direct patient contact as a result of the background study will not be able to participate in a clinical placement in a Minnesota licensed healthcare facility. STATEREGULATIONSEXCEPTIONSMississippiMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSMissouriMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSMontanaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. Onsite supervision of medical assistants is required for certain procedures. STATEREGULATIONSEXCEPTIONSNebraskaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. According to Nebraska Revised Statute 38-2218 (3), the Nurse Practice Act does not prohibit: (3) Auxiliary patient care services provided by persons carrying out duties under the direction of a licensed practitioner.  STATEREGULATIONSEXCEPTIONSNevadaThe medical assistant must be employed by the physician or physician assistant, so independent contractors or employees of somebody other than the physician or physician may not act as medical assistant. The medical assistant must be directed and supervised by the physician or physician assistant in assistance to him or her, so medical assistants may not act independently of a physician or physicians assistant. The medical assistant may not perform any task for which licensure would otherwise be required. A medical assistant may not perform any task that is within the scope of practice of any licensed or registered profession such as medicine, nursing, pharmacy, optometry, dentistry, physical therapy, a mental health profession, and any other similar profession.Except for the administration of an immunization or vaccination, the MA cannot perform or provide any invasive procedure upon or injection into the body of the patient unless the physician or physician assistant: Has previously examined the patient; Has determined that the patient has a medical condition for which the physician or physician assistant has determined a course or plan of treatment; Directs and supervises the service performed or provided by the medical assistant. The MA may not administer any prescription drugs. MAs may not give injections. MAs may not administer an inhaled drug. MAs may not apply prescription ophthalmic or otic drops. MAs may not insert prescription suppositories. MAs may not start IVs. MAs may not apply or provide prescription drugs to the body of a patient by any other means. The MA cannot administer: Chemotherapy Corticosteroids or other injected anti-inflammatory drugs unless by subcutaneous or intramuscular injection Anesthetics that would render the patient unconscious or semi-conscious Botulinum neurotoxin Collagen and other cosmetic or dermal fillers Drugs intended to interfere with or block neural function except for topical or local anesthetics used to temporarily relieve pain or facilitate another medical procedure; Any other drug where the therapeutic outcome is dependent upon the placement, quantity, or technique uniquely within the discretion, training, and judgment of a physician or physician assistant. STATEREGULATIONSEXCEPTIONSNew HampshireMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician.  STATEREGULATIONSEXCEPTIONSNew JerseyMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician.1) To perform an injection, MA must be certified 2) May not inject certain substances, including any substance related to allergenic testing or treatment; controlled dangerous substances; local anesthetics; experimental drugs including any drug not having approval of the Food and Drug Administration (FDA); or any drug used as an antineoplastic chemotherapeutic agent other than corticosteroids. 3) To qualify as a certified medical assistant an individual must be a graduate of a post-secondary medical assisting program accredited by CAHEA (The Committee on Allied Health Education and Accreditation of the American Medical Association), or its successor, ABHES (Accrediting Bureau of Health Education Schools), or its successor, or any accrediting agency recognized by the U.S. Department of Education. The MA must also maintain current certification from the Certifying Board of the American Association of Medical Assistants (AAMA), the National Center for Competency Testing (NCCT) or registration from the American Medical Technologists (AMT) or any other recognized certifying body approved by the Board. STATEREGULATIONSEXCEPTIONSNew MexicoMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician Section 61-6-16(6)(3) of the New Mexico statutes indicates that: this subsection shall not limit or prevent any physician from delegating to a qualified person any acts, tasks or functions which are otherwise permitted by law or established by custom, except the dispensing of dangerous drugs. 1. The medical assistant may not dispense dangerous drugs. STATEREGULATIONSEXCEPTIONSNew YorkMedical assistants may not: 1. Counsel patients regarding care or treatment or engage in any activity that could be construed as the diagnosis or treatment of a patient. Perform telephone triage. Telephone original prescriptions of any kind or 5-day emergency prescription narcotics to a pharmacy. Apply casts and braces Remove sutures and casts Administering or drawing up any type of medication (such as immunization) Medical assistants may do the following ONLY if educated and trained to perform the procedure and the education and training is documented in the employees personnel file: Take blood Draw blood Put patients into exam rooms Prepare instruments for office procedures Hand instruments to the physician during office proceduresUnlicensed medical assistants may not perform invasive acts. Unlicensed medical assistants may not diagnose or treat a patient. A license is required to administer an intravenous, intramuscular, Intradermal, or subcutaneous injection. STATEREGULATIONSEXCEPTIONSNorth CarolinaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. Unlicensed personnel, such as medical assistants, who are accountable to and supervised by the licensed nurse may not be delegated any tasks with unpredictable outcomes or which require the judgment of a licensed nurse. The licensed nurse may not delegate activities, such as medication administration or teaching and counseling of clients, to unlicensed personnel such as medical assistants. If the physician has total responsibility/ accountability for the role of the medical office assistant, the nursing laws and standards do not apply to this physician-assistant relationship.  STATEREGULATIONSEXCEPTIONSNorth DakotaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSOhio4731-23-02 Delegation of medical tasks. Prior to a physicians delegation of the performance of a medical task, that physician shall determine each of the following: (1) That the task is within that physicians authority; (2) That the task is indicated for the patient; (3) The appropriate level of supervision; (4) That no law prohibits the delegation; (5) That the person to whom the task will be delegated is competent to perform that task; and, (6) That the task itself is one that should be appropriately delegated when considering the following factors: (a) That the task can be performed without requiring the exercise of judgment based on medical knowledge; (b) That results of the task are reasonably predictable; (c) That the task can safely be performed according to exact, unchanging directions; (d) That the task can be performed without a need for complex observations or critical decisions; (e) That the task can be performed without repeated medical assessments; and, (f) That the task, if performed improperly, would not present life threatening consequences or the danger of immediate and serious harm to the patient. (C) When a physician delegates the administration of drugs, that physician shall provide on-site supervision, except in the following situations: (1) When the physician has transferred responsibility for the on-site supervision of the unlicensed person who is administering the drug to another physician and that physician has knowingly accepted that responsibility on a patient-by-patient basis; or (2) In the routine administration of a topical drug, such as a medicated shampoo. 4731-23-03 Delegation of tasks; Prohibitions (B) A physician shall not delegate a task to an unlicensed person if the task is beyond that persons competence. In a hospital, as defined in section  HYPERLINK "http://codes.ohio.gov/orc/3727.01" \o "3727.01" 3727.01 of the Revised Code, or an ambulatory care center affiliated with the hospital (if the center meets the same credentialing, quality assurance, and utilization review standards as the hospital) wherein unlicensed persons are employed or otherwise authorized by the governing authority of the institution to perform specific medical tasks, one factor the physician shall take into account is the policies by which the employer or the governing authority of the institution seeks to ensure that competent persons will be performing the delegated tasks. (C) A physician shall not delegate a medical task that is not within the authority of that physician or is beyond the physicians training, expertise, or normal course of practice. (D) A physician shall not transfer his or her responsibility for supervising an unlicensed person in the performance of a delegated medical task, except to another physician who has knowingly accepted that responsibility. (E) A physician shall not authorize or permit an unlicensed person to whom a medical task is delegated to delegate the performance of that task to another person. (F) Except as provided in divisions (D)(4) to (D)(8) of section  HYPERLINK "http://codes.ohio.gov/orc/4731.053" \o "4731.053" 4731.053 of the Revised Code, a physician shall not delegate to an unlicensed person the administration of anesthesia, controlled substances, or drugs administered intravenously. (G) The supervising physician retains responsibility for the manner in which the delegated task is carried out.  STATEREGULATIONSEXCEPTIONSOklahomaMedical assistants work under the direct supervision and control of a licensed physician and are allowed to perform those tasks which are directed and supervised by the physician. The Oklahoma Allopathic Medical and Surgical Licensure and Supervision Act, Title 59, Section 492, E, states: Nothing in the Oklahoma Allopathic Medical and Surgical Licensure and Supervision Act shall prohibit service rendered by a physician's trained assistant, if such service is rendered under the supervision and control of a licensed physician, or the service of any other person duly licensed or certified by the state to practice the healing arts. STATEREGULATIONSEXCEPTIONSOregonMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSPennsylvaniaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSRhode IslandMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSSouth CarolinaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. The physician must be onsite and readily available to the medical assistant if needed. Section 40-47-30(5) of the Medical Practice Laws of South Carolina states: A licensed physician is not prohibited from delegating tasks to unlicensed personnel in his employ and on his premises if: (a) the task is delegated directly to unlicensed personnel by the physician and not through another licensed practitioner; (b) the task is of a routine nature involving neither the special skill of a licensed person nor significant risk to the patient if improperly done; (c) the task is performed while the physician is present on the premises and in such close proximity as to be readily available to the unlicensed person if needed; (d) the task does not involve the verbal transmission of a physician's order or prescription to a licensed person if the licensed person requires the order or prescription to be in writing; and (e) the unlicensed person wears an appropriate badge denoting to any patient his status. The unlicensed person shall wear a clearly legible identification badge or other adornment at least one inch by three inches in size bearing the persons first name at a minimum and staff position. The identification badge must be worn in a manner so that it is clearly visible to patients at all times. STATEREGULATIONSEXCEPTIONSSouth DakotaMedical assistants assist in all aspects of medical practice under the responsibility and  HYPERLINK "http://doh.sd.gov/Boards/Nursing/medasst.aspx" \l "direct#direct"  HYPERLINK "http://doh.sd.gov/Boards/Nursing/medasst.aspx" \l "direct#direct" direct supervision of a person licensed to practice medicine in the State of South Dakota. A medical assistant assists with patient care management, executes administrative and clinical procedures, and performs managerial and supervisory functions over unlicensed personnel. Direct supervision of a medical assistant means supervision of all activities performed by the medical assistant. Should the physician be unable to provide on-site supervision, supervision by a properly supervised physicians assistant, nurse practitioner, or nurse midwife shall satisfy the medical assistant acts direct supervision requirements. Registration required. No person may practice as a medical assistant unless he or she is registered with the Board of Medical and Osteopathic Examiners. Applicants for registration must have graduated from an accredited school and meet other qualifications as established by the Board of Medical and Osteopathic Examiners and the Board of Nursing. The medical assistant may report diagnostic lab findings to patients only after appropriate interpretation by the physician. The medical assistant may only provide education information to the patient and may not perform health teaching or counseling. The medical assistant may perform EKGs and glucose testing. The medical assistant may not administer medications which require calculation of a dose. The medical assistant may only distribute pre-printed information to a patient on medications and inhalers. The medical assistant may not perform irrigations for ostomy/stoma care. The medical assistant may apply ace bandages and splints to extremities. The medical assistant may only perform suprapubic catheterizations involving an established fistula. The Medical Assistant Scope of Practice does not include injection of insulin, arterial withdrawal of blood (but does include venous withdrawal of blood), administration of medications by unit dose (which means medication prepared in the exact amount, in an individual packet, for a specific patient). Skin testing performed by intradermal and by the scratch technique are appropriate for a medical assistant. Medical assistants are permitted to administer medications from either a single or multi dose vial as along as the supervising physician assures appropriate training, competence, and assumes ultimate responsibility for administration of such drugs. Medical assistants are permitted to telephone prescriptions to a pharmacy pursuant to their supervising physicians written or verbal order. Certified medical assistants are permitted to administer medications by inhalation route as long as the supervising physician assures appropriate training, competence, and assumes ultimate responsibility for administration of such drugs.  STATEREGULATIONSEXCEPTIONSTennesseeMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSTexas Medical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSUtahMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSVermontMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSVirginiaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. Section 54.1-2901. Exceptions and exemptions generally. A. The provisions of this chapter shall not prevent or prohibit: 6. Any practitioner licensed or certified by the Board from delegating to personnel supervised by him, such activities or functions as are nondiscretionary and do not require the exercise of professional judgment for their performance and which are usually or customarily delegated to such persons by practitioners of the healing arts, if such activities or functions are authorized by and performed for such practitioners of the healing arts and responsibility for such activities or functions is assumed by such practitioners of the healing. Prescriber may authorize the administration of controlled substances by personnel who have been properly trained to assist a doctor of medicine or osteopathic medicine, provided the method does not include intravenous, intrathecal, or epidural administration and the prescriber remains responsible for such administration. The Regulations Governing the Practice of Medicine, Osteopathy, Podiatry, and Chiropractic of the Virginia Board of Medicine state the following: 18VAC85-20-29. Practitioner responsibility. A. A practitioner shall not: 1. Knowingly allow subordinates to jeopardize patient safety or provide patient care outside of the subordinates scope of practice or area of responsibility. Practitioners shall delegate patient care only to subordinates who are properly trained and supervised.  STATEREGULATIONSEXCEPTIONSWashingtonMedical assistants (also referred to as Health Care Assistants) must be supervised by a "delegator". The delegator may be a physician (MD or DO), a podiatrist, or an Advanced Registered Nurse Practitioner (ARNP) with prescriptive ability. Delegators must be physically present and immediately available during the administration of injections; however, they need not be present during the withdrawal of blood. Individuals who are not licensed must be certified as a health care assistant in order to legally perform invasive procedures. The Health Care Assistant Law in Washington grants limited authority, under appropriate supervision, to administer skin tests and subcutaneous, intradermal, intramuscular, and intravenous injections and to perform minor invasive procedures to withdraw blood. ( HYPERLINK "http://www.wssma.org/hcalaw.php" http://www.wssma.org/hcalaw.php) Assistants who perform venous and capillary invasive procedures for blood withdrawal require a high school education and the ability to read and write in English; on the job training and instruction; and they must practice and observe under a qualified trainer and all training must be documented. Assistants who perform arterial invasive procedures for blood withdrawal require a high school education, with additional education in anatomy, physiology, concepts of asepsis, and microbiology; the ability to read and write in English; and they must practice and observe under a qualified trainer and all training must be documented. Assistants who perform intramuscular, intradermal (including skin tests), subcutaneous, and intramuscular injections for diagnostic agents must have nine hundred hours of formal education at the post secondary level to include anatomy, physiology, basic pharmacology, concepts of asepsis, and microbiology; and they must possess the ability to read and write in English and a basic knowledge of mathematics. Specified practical training is also required. They must have formal training and instruction in ethics, patient confidentiality, procedures of injections and medications, terminology, medical practices and safety. Specified practical training is required. Assistants who perform intravenous injections for therapeutic agents must have two academic years of formal education at the post secondary level to include anatomy, physiology, pharmacological principles and medication administration, chemistry, mathematics, concepts of asepsis, and microbiology. They must possess the ability to read and write in English and a basic knowledge of mathematics. They must have formal training and instruction in ethics, patient confidentiality, procedures of injections and medications, terminology, medical practices and safety. Specified practical training is required. Assistants who perform hemodialysis must have a high school education or equivalent, the ability to read, write, and converse in English, and understand basic math including the use of fractions and decimal points. Formal training and instruction required. Training must be provided by a licensed health care practitioner and must be a minimum of six weeks in didactic and supervised clinical instruction. Simulated practice and practical training required. 7 hours of AIDS education training required. It is the responsibility of the delegator to assure that the health care assistant is appropriately trained. STATEREGULATIONSEXCEPTIONSWest VirginiaMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. STATEREGULATIONSEXCEPTIONSWisconsinMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician. Medical assistants must meet guidelines established by state statutes regarding caregiver background check information prior to participating in any clinical placement. Those individuals who receive a negative report are not permitted to work with patients in a licensed health care or medical facility. STATEREGULATIONSEXCEPTIONSWyomingMedical assistants work under the direct supervision of physicians and are allowed to perform those tasks which are directed and supervised by the physician.  '(Jjk 2 3 ǹӮvj\vRE:h;0h |CJaJh;0h |@CJaJh *@CJaJh;0h *5CJ\aJh;0h *CJ\aJh;0h *CJaJh;0h_jCJaJh;0h_j5CJaJh;0huCJaJh;0hP CJaJh;0hX@NCJaJh;0h<5CJ\aJhKrh<CJ\aJh;0h<CJaJh;0h4 CJaJh;0h%ph5CJaJh;0h%phCJaJ (aP$d$*$Ifa$gdI4Rkd$$IflF,,"X@  t06    44 la $Ifgd%phgd%ph `hcZZZ $IfgdX;gd_jkdu$$IflF,,"X@  t06    44 la $Ifgd< qhWWWNhh $Ifgd |$d$*$Ifa$gd | $IfgdX;kd$$IflF,,"X@  t06    44 la { $ % , ` a e " # $ B I J ] $%wEIKjo߾h;0hN9CJaJh;0h5CJaJh;0h!CJaJh;0h%ph5CJaJh;0h%phCJaJh;0hRCJaJh;0hP CJaJh;0h_jCJaJh;0hX;CJaJh;0hI4RCJaJ9 { ! " # $ * 6 WRII $Ifgd%phgd%phkd_$$IflF,,"X@  t06    44 la h$If^hgdR & F$IfgdX;6 A B J %whXXXXXXdd$If[$\$gd!kd$$IflF,,"X@  t06    44 la $Ifgd%ph JjXSgd_jkdI$$IflF,,"X@  t06    44 la $Ifgd%phdd$If[$\$gd! 89]HIDEuufffWh;0hI4RCJaJmH sH h;0hRCJaJmH sH h;0hX"CJaJmH sH h;0hHCJaJmH sH h;0hH5CJ\aJh;0hHCJ\aJh;0hHCJaJh;0hH5CJaJh;0hR5CJ\aJh;0hRCJ\aJh;0hRCJaJh;0h_j5CJaJh;0h_jCJaJhkd$$IflF,,"X@  t06    44 la $IfgdX;qlccc $IfgdHgd_jkd3$$IflF,,"X@  t06    44 laHIFqh__hRRRR & F$IfgdH $IfgdH $IfgdHkd$$IflF,,"X@  t06    44 la _kR)* & F$IfgdH hijkQR())*MNbdȹȉ}rfXrMh;0hCJaJh;0hh5CJ\aJh;0hhCJ\aJh;0hhCJaJh;0h_j5CJaJh;0h_jCJaJh;0hq8CJaJh;0hH"CJaJh;0hH"CJaJmH sH h;0hq8CJaJmH sH h;0hHCJaJh;0hHCJaJmH sH h;0hI4RCJaJmH sH h;0hCJaJmH sH qlccc $IfgdX;gd_jkd$$IflF,,"X@  t06    44 lacd=>qh_______h $Ifgdh $IfgdX;kd$$IflF,,"X@  t06    44 la d ' ( !!!"""="F"h"ǼuuuҼj^SHh;0hdGCJaJh;0heCJaJh;0h%ph5CJaJh;0h!CJaJh;0hX"CJaJh;0hlCJaJh;0hR5CJ\aJh;0hRCJ\aJh;0hRCJaJh;0hH5CJaJh;0hHCJaJh;0h_jCJaJh;0hhcCJaJh;0hX@NCJaJh;0h~<CJaJh;0h~<@CJaJJE< $IfgdHgdHkd$$IflF,,"X@  t06    44 la$ 0d$*$Ifa$gdX@N $Ifgdh $IfgdX; "!!h_RR & F$IfgdH $IfgdRkd|$$IflF2,"`>  t06    44 la $IfgdH!"""%"1"<"d_VVV $Ifgd%phgd%phkd$$IflF2,"`>  t06    44 la & F$Ifgd;<"="F"""qh_V $IfgddG $Ifgde $Ifgd%phkdf$$IflF,,"X@  t06    44 lah""""""##<#\#]#######$$$$$% % %6%9%U%W%_%`%%%%%%%%%%%ø|qqfqfqfqfqfqfqfqfqfqfqfqfh;0h:dCJaJh;0hCCJaJh;0h%ph5CJaJh;0h%phCJaJh;0h;5CJ\aJh;0h;CJ\aJh;0h;CJaJh;0hhCJaJh;0hh5CJaJh;0heCJaJh;0hdGCJaJh;0hdG5CJ\aJh;0hdGCJ\aJ("""""#qlccc $Ifgdc*gd%phkd$$IflF,,"X@  t06    44 la######qh_hh $Ifgdh $Ifgdc*kdP$$IflF,,"X@  t06    44 la######qlccc $Ifgd%phgd%phkd$$IflF,,"X@  t06    44 la###d$$$$%6%qhXHHHHHdd$If[$\$gdHdd$If[$\$gdC $Ifgd%phkd:$$IflF,,"X@  t06    44 la6%U%%%%-&W&&&8( & F $Ifgd"6 $Ifgd%phdd$If[$\$gdH %%%-&0&W&Z&&&&& '''7(9(:(W(X((((])^)|))))) *!*"*-ɾ߳wkw`Sh;0h |@CJaJh;0hhCJaJh;0h_j5CJaJh;0h_jCJaJh;0h |5CJ\aJh;0h |CJ\aJh;0h |CJaJh;0hH5CJaJh;0hHCJaJh;0h;CJaJh;0h"6CJaJh;0hX"CJaJh;0h%phCJaJh;0h:dCJaJh;0hCCJaJ 8(9(:(@(L(W(qlccc $IfgdHgdHkd$$IflF,,"X@  t06    44 laW(X(`((\)qhh_ $Ifgd | $IfgdHkd$ $$IflF,,"X@  t06    44 la\)])^)d)p){)qlccc $IfgdX;gd_jkd $$IflF,,"X@  t06    44 la{)|))!*"*---qhhhWhh$d$*$Ifa$gd | $IfgdX;kd $$IflF,,"X@  t06    44 la--------F.s..!0"0%0C0L0n0000|2}22222223 3/3O3P33ǹӬǹӈ|qeWqh;0hN5CJ\aJh;0hNCJ\aJh;0hNCJaJh;0h'XN6CJaJh;0h'XNCJaJh;0h-CJaJh;0hH3o5@CJaJh;0hH3o@CJaJh;0hH3o5CJ\aJh;0hH3oCJ\aJh;0hH3oCJaJh;0h_j5CJaJh;0h_jCJaJh;0h |CJaJ!------qlccc $IfgdX;gd_jkd $$IflF,,"X@  t06    44 la---G.H.!0"0#0qhWWWNE $IfgdH3o $Ifgd"L&$d$*$Ifa$gdH3o $IfgdX;kd $$IflF,,"X@  t06    44 la#0$0%0+070B0qlccc $IfgdX;gd_jkdm $$IflF,,"X@  t06    44 laB0C0L0001!1|2qhTTT@@ x$If[$\$gd'XN xx$If[$\$gd'XN $IfgdX;kd $$IflF,,"X@  t06    44 la|2}2~222222223hcgd_jkdW $$IflF,,"X@  t06    44 la $IfgdX; 33 33666qhTCh: $IfgdY$d$*$Ifa$gd8[ xx$If[$\$gdN $IfgdX;kd $$IflF,,"X@  t06    44 la3`456666;6@6b6666666667 7+7K7L7778÷ìÇ||pb|WJh;0h9F@CJaJh;0hLFCJaJh;0hZ5CJ\aJh;0hZCJ\aJh;0hZCJaJh;0hc*CJaJh;0h8[5CJ\aJh;0h8[CJ\aJh;0h8[CJaJh;0h_j5CJaJh;0h_jCJaJh;0h4CJaJh;0h4@CJaJh;0h8[@CJaJh;0hN@CJaJ6666#6/6:6hcZZZ $IfgdX;gd_jkdA $$IflF,,"X@  t06    44 la $IfgdN:6;6@666666qhTKhhh $Ifgd8[ xx$If[$\$gd8[ $IfgdX;kd $$IflF,,"X@  t06    44 la666667qlccc $IfgdX;gd_jkd+$$IflF,,"X@  t06    44 la77 777@8qhTK:$d$*$Ifa$gd9F $IfgdZ xx$If[$\$gdZ $IfgdX;kd$$IflF,,"X@  t06    44 la@88888888_Zgd_jkd$$IflF,,"X@  t06    44 la $IfgdX; $Ifgd9F88889#9C9D9999999 : :g:h:i:C;D;g;;;;;;;E<<<=깭|qfqXXh;0h9e5CJ\aJh;0hH"CJaJh;0hq8CJaJh;0hp^_@CJaJh;0hp^_CJaJh;0h9eCJaJh;0hrj5CJ\aJh;0hrjCJ\aJh;0hrjCJaJh;0h9F5CJ\aJh;0h9FCJ\aJh;0h_j5CJaJh;0h_jCJaJh;0h9FCJaJ88999qh_h $Ifgd9F $IfgdX;kd$$IflF,,"X@  t06    44 la999999qlccc $IfgdX;gd_jkd$$IflF,,"X@  t06    44 la999h:i:C;D;;qh__N_h$d$*$Ifa$gdp^_ $Ifgdp^_ $IfgdX;kdt$$IflF,,"X@  t06    44 la;;;;;;qlccc $IfgdX;gd_jkd$$IflF,,"X@  t06    44 la;;;==|?}?~??qhhhWhhh$d$*$Ifa$gd { $IfgdX;kd^$$IflF,,"X@  t06    44 la==|?}?~??????@Z@o@p@y@@@NNNNNNNNǻǰǓrcrWL@h;0h3CJ\aJh;0h3CJaJh;0h_j5CJaJh;0h3B*CJaJphh;0h {B*CJaJph#h;0h {5B*CJ\aJph h;0h35B*CJaJphh;0hO3*CJ\aJh;0hO3*CJaJh;0hM5CJaJh;0hMCJaJh;0h_jCJaJh;0h9eCJaJh;0h {@CJaJh;0h {CJaJ??????qlccc $Ifgdagd%phkd$$IflF,,"X@  t06    44 la???p@y@@@AABqhh_VV___ $Ifgd { $Ifgd3 $IfgdakdH$$IflF,,"X@  t06    44 la BBFCGC D D*E+E8F9FZF[FFFFFGGQGRGgGhGGGGG[H\HxH $Ifgd3xHyHHHHHHHII?J@JlJwJyJJJJJJJ K KKKKK6L7L $Ifgd37LLLLL M MMMNNNN`NaNNNNN $Ifgd { $Ifgd3NNNNNNqlccc $IfgdX;gd_jkd$$IflF,,"X@  t06    44 laNNNQOROSOTOgPqh_VVVE$d$*$Ifa$gd3 $IfgdR $Ifgd3 $IfgdX;kd2$$IflFc,"X@  t06    44 laNNTOOgPhPiPsPwPzPPPPQ QSSSSSST%T&TTTTTUU«|qeWqLLqh;0h;CJaJh;0h$+5CJ\aJh;0h$+CJ\aJh;0h$+CJaJh;0h CJaJh;0h @CJaJh;0hzCJaJh;0h_j5CJaJh;0h_jCJaJh;0h35CJaJh;0hRCJaJh;0h @CJaJh;0h3@CJaJh;0h3CJaJh;0h35CJ\aJgPhPPPPPPQhcgd_jkd$$IflFc,"X@  t06    44 la $IfgdX;QQ Q:QSSSqhWWNh $IfgdY $d$*$Ifa$gd $IfgdX;kd$$IflF,,"X@  t06    44 laSSSSSSqlccc $IfgdX;gd_jkd$$IflF,,"X@  t06    44 laSSSTTUqhhhh $IfgdX;kd$$IflF,,"X@  t06    44 laUUUUVVqlccc $IfgdX;gd_jkd{$$IflF,,"X@  t06    44 laVVVVVqhWh$d$*$Ifa$gdX6 $IfgdX;kd$$IflF,,"X@  t06    44 laUVV@V`VaVVVVVVW(W)WWWWWWWWXXXXXYY_Y:Z;Z>Z\ZcZgZxZZZ [-[.[/[4[E[[[ \\c\ݸݸݫ蔈|h;0h_jCJ\aJh;0hu6CJ\aJh;0h+CJ\aJh;0hY CJaJh;0hX6@CJaJh;0h;CJaJh;0hX65CJ\aJh;0hX6CJ\aJh;0hX6CJaJh;0h_jCJaJh;0h_j5CJaJ0VVVVVVqlccc $IfgdX;gd_jkde$$IflF,,"X@  t06    44 laVVVWWqhWh$d$*$Ifa$gdX6 $IfgdX;kd$$IflF,,"X@  t06    44 laWWWWWWqlccc $IfgdX;gd_jkdO$$IflF,,"X@  t06    44 laWWWXXqhhh $IfgdX;kd$$IflF,,"X@  t06    44 laXXXXXXqlccc $IfgdX;gd_jkd9$$IflF,,"X@  t06    44 laXXX`YaY:Z;ZZDZPZ[Zqlccc $IfgdX;gd_jkd#$$IflF,,"X@  t06    44 la[Z\ZcZ/[0[\\k]@^qhhhhhh[ & F $IfgdPN $IfgdX;kd$$IflF,,"X@  t06    44 lac\f\x\\\i]j]k]?^@^c^d^^^K_L_M_`/c1cOc]cccccccddKdkdld&iDiOiqiźůůůź󊘺~peh;0hyCJaJh;0h_j5CJ\aJh;0h_jCJ\aJh;0huMZ5CJ\aJh;0huMZCJaJh;0h_j5CJaJh;0hCJaJh;0h_jCJaJh;0hPNCJaJh;0h+CJaJh;0haxCJ\aJh;0hu6CJ\aJh;0huMZCJ\aJ$@^e^^M_````5a}aaalb/c & F$IfgdPN & F $IfgdPN & F $IfgdPN /c0c1c7cCcNcqlccc $IfgdX;gd_jkd $$IflF,,"X@  t06    44 laNcOc]cccccqhhhWh$d$*$Ifa$gd} $IfgdX;kd$$IflF,,"X@  t06    44 laccddddqlccc $IfgdX;gd_jkd$$IflF,,"X@  t06    44 ladd)dd$iqhhh $IfgdX;kdl$$IflF,,"X@  t06    44 la$i%i&i,i8iCiqlccc $IfgdX;gd_jkd$$IflF,,"X@  t06    44 laCiDiOiiikkkSkqhWWFhhh$d$*$Ifa$gdy$d$*$Ifa$gdE/ $IfgdX;kdV$$IflF,,"X@  t06    44 laqiiiiiikk8kRkUksk|kfngnnnUoWouoooo{peZeOCh;0hWCJ\aJh;0hWCJaJh;0hydCJaJh;0h)CJaJh;0h1CJaJh;0h~CJaJh;0h_j5CJaJh;0h_jCJaJh;0h!wCJaJh;0hE/CJaJh;0hy@CJaJh;0hE/@CJaJh;0hy@CJaJh;0hyCJaJh;0hy5CJ\aJh;0hyCJ\aJSkTkUk[kgkrkqlccc $IfgdX;gd_jkd$$IflF,,"X@  t06    44 larksk|kkk'lAllllqh___RRRR & F $Ifgd~ $Ifgd~ $IfgdX;kd@$$IflF,,"X@  t06    44 la l!m"mmmmn,ngnnnnnUo $If^gd) $Ifgd) & F $Ifgd~ $Ifgd~ & F $Ifgd~ UoVoWo]oiotoqlccc $IfgdX;gd_jkd$$IflF,,"X@  t06    44 latouoo"p#pqqqqmrnrorqhhhhhhhhhh $IfgdX;kd*$$IflF,,"X@  t06    44 la oo!p"p7pTppppqqqqqqqqqrrMrlrorprqrrrrrr9s=s[s_s`sѬ{peh;0h%phCJaJh;0hCJaJh;0h%ph5CJaJh;0hQ@<5CJ\aJh;0hQ@<CJ\aJh;0hQ@<CJaJh;0h_j5CJaJh;0h_jCJaJh;0hW5>*CJaJh;0hCJaJh;0h!CJaJh;0hWCJaJh;0hW5CJ\aJ"orprqrwrrrqlccc $IfgdX;gd_jkd$$IflF,,"X@  t06    44 larrr:s;sqhhh $IfgdX;kd$$IflF,,"X@  t06    44 la;stnttt!uqhUUUUUUU$dd$If[$\$a$gdQ $Ifgd%phkd$$IflF,,"X@  t06    44 la !uuu3vvv8wwbx`yyyy|}w~N $Ifgd%ph $IfgdQ$dd$If[$\$a$gdQ`syywzxzzzzzZ[€ ABdegh淬{ncWch;0hX;5CJaJh;0hX;CJaJh;0h>>@CJaJh;0hQ@<5CJ\aJh;0hQ@<CJ\aJh;0hQ@<CJaJh;0h_j5CJaJh;0h_jCJaJh;0h%phCJaJ h;0hQ0JCJaJmH sH %jh;0hQCJUaJmH sH h;0hQCJaJh;0hQCJaJmH sH €ȀԀ߀qlccc $IfgdX;gd_jkds $$IflF,,"X@  t06    44 la߀efqhh_h $Ifgdb $IfgdX;kd $$IflF,,"X@  t06    44 lafghnzqlccc $IfgdX;gdX;kd]!$$IflF,,"X@  t06    44 la+,qhWh$d$*$Ifa$gd $IfgdX;kd!$$IflF,,"X@  t06    44 laσЃ*+.LY{%Ggh…Åƅ5634ŹŮŹŮŹŮ|obWh;0h) CJaJh;0h) @CJaJh;0h~@CJaJh;0h@CJaJh;0h~CJaJh;0h5CJ\aJh;0hCJ\aJh;0hCJaJh;0hX;5CJaJh;0hX;CJaJh;0hvCJaJh;0h 5CJ\aJh;0h CJ\aJh;0h CJaJ",-.4@Kqlccc $IfgdX;gdX;kdG"$$IflF,,"X@  t06    44 laKLYqhWh$d$*$Ifa$gd $IfgdX;kd"$$IflF<,"n:  t06    44 la qlccc $IfgdX;gdX;kd1#$$IflF<,"n:  t06    44 la%Åąqhhh $IfgdX;kd#$$IflF,,"X@  t06    44 laąŅƅ̅؅qlccc $IfgdX;gdX;kd$$$IflF,,"X@  t06    44 la4qhhhhhh $IfgdX;kd$$$IflF,,"X@  t06    44 laŋЋqlccc $Ifgd%phgd%phkd%$$IflF,,"X@  t06    44 laы݋ދ89،ٌNOİİxi^S^Dh;0h%phB*CJaJphh;0hCJaJh;0hSCJaJh;0hB*CJaJph#h;0hw5B*CJ\aJphN4 h;0hw>*B*CJaJph)jh;0hw>*B*CJUaJph&jh;0hwB*CJUaJphh;0hwB*CJaJphh;0hwCJaJh;0h%ph5CJaJh;0h%phCJaJh;0hX;CJaJЋыދMNOqh[NNhA & F$Ifgdw d$If\$gdw d$If[$gdw $Ifgd%phkdz%$$IflF,,"X@  t06    44 la'(=>;<ɓړ 9=fh̔Δϔ;CD34<=˖̖ӖԖїڗۗδh;0hW CJaJh;0hX;CJaJh;0hS5CJaJh;0hSCJaJh;0h%phCJaJh;0hPGB*CJaJphh;0hwCJaJh;0h ea5CJaJh;0h eaCJaJh;0h eaB*CJaJph1(><ϔ;4 h$If^hgdw & F$IfgdwŗЗqlccc $IfgdSgdSkd%$$IflF,,"X@  t06    44 laЗїۗyzqhhh $IfgdSkdd&$$IflF,,"X@  t06    44 laxy|Ø>?B`de$,Nnoɚʚ͚ĸĢ}ĸė}rĭf}[fh;0hDH:CJaJh;0hX;5CJaJh;0h CJaJh;0h;05CJ\aJh;0h;0CJ\aJh;0h;0CJaJh;0hCJaJh;0hX;CJaJh;0hS5CJaJh;0hSCJaJh;0h) CJaJh;0hW CJaJh;0hW 5CJ\aJh;0hW CJ\aJ#z{|qlccc $IfgdSgdSkd&$$IflF,,"X@  t06    44 la?@qhhh $IfgdSkdN'$$IflF,,"X@  t06    44 la@ABHT_qlccc $IfgdSgdSkd'$$IflF,,"X@  t06    44 la_`eqhhh $IfgdSkd8($$IflF,,"X@  t06    44 la #qlccc $IfgdX;gdX;kd($$IflF,,"X@  t06    44 la#$,ʚ˚qhhh $IfgdX;kd")$$IflF,,"X@  t06    44 la˚͚̚Ӛߚqlccc $IfgdX;gdX;kd)$$IflF,,"X@  t06    44 la˛ ./rqh__V_VI & F $IfgdK $IfgdQ $IfgdQ $IfgdX;kd *$$IflF,,"X@  t06    44 la7ʛ˛ ./9qr鷝s\K<-"h;0hX;CJaJh;0hKB*CJaJphh;0htB*CJaJph h;0hX;CJOJQJ^JaJ,h;0hQ5B*CJOJQJ^JaJph)h;0hQB*CJOJQJ^JaJph)h;0hQB*CJOJQJ^JaJph3h;0hQ0J5B*CJOJQJ\^JaJph3h;0h;00J5B*CJOJQJ\^JaJph/h;0h;05B*CJOJQJ\^JaJph,h;0h;05B*CJOJQJ^JaJph rs2OWXYZVQgdX;kd*$$IflF,,"X@  t06    44 la $IfgdQ $IfgdQ $IfgdQrsw͟012OVWXZxR۪ncXLXAX6h;0hifCJaJh;0hxRCJaJh;0hX;5CJaJh;0hX;CJaJh;0hQCJaJ)h;0h2}B*CJOJQJ^JaJph h;0hQCJOJQJ^JaJ*h;0hQ0J5CJOJQJ\^JaJ3h;0hQ0J5B*CJOJQJ\^JaJph-h;0hQ0JB*CJOJQJ^JaJph)h;0hQB*CJOJQJ^JaJphh;0hQB*CJaJphZ`lwxhkd*$$IflFb,"= t06    44 la $IfgdX; RVnwhnԤդ֤#$ ; AklЮҮ @Ӵ꩞ꩄxmah;0h;0CJ\aJh;0h;0CJaJh;0hX;5CJaJh;0hxRB*CJaJphh;0hX;CJaJh;0hPGCJaJh;0hxRCJaJh;0h? ;0JCJaJ#jk+h;0h? ;CJUaJjh;0h? ;CJUaJh;0CJaJh;0hifCJaJh;0h? ;CJaJ#$tl6cЮѮҮd_gdX;kd`,$$IflFb,"= t06    44 la & F $IfgdxR Үخh_ $Ifgd;0kd,$$IflF,,"X@  t06    44 la $IfgdX;@A eg@G\]_`źтvha h;0hX;h;0hKr5CJ\aJh;0hKrCJ\aJh;0hKrCJaJh<CJaJh;0hpOoCJaJh;0hPG5CJ\aJh;0hPGCJ\aJh;0hPGCJaJh;0hX;5CJaJh;0hX;CJaJh;0h@CJaJh;0h;0CJaJh;0h;05CJ\aJqlccc $IfgdX;gdX;kdJ-$$IflF,,"X@  t06    44 laǯefgqh___h $IfgdPG $IfgdX;kd-$$IflF,,"X@  t06    44 laqlccc $IfgdX;gdX;kd4.$$IflF,,"X@  t06    44 la]^qh_h $IfgdKr $IfgdX;kd.$$IflF,,"X@  t06    44 la^_`qlgdT,5kd/$$IflF,,"X@  t06    44 la,1h/ =!"#$% s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5`5> 5#v`#v> #v:Vl t65`5> 5s$$If!vh5`5> 5#v`#v> #v:Vl t65`5> 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh55! 5#v#v! #v:Vl t65X5@ 5s$$If!vh55! 5#v#v! #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5n5: 5#vn#v: #v:Vl t65n5: 5s$$If!vh5n5: 5#vn#v: #v:Vl t65n5: 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5=55#v=#v#v:Vl t65=55DyK  http://www.wssma.org/hcalaw.phpyK @http://www.wssma.org/hcalaw.phps$$If!vh5=55#v=#v#v:Vl t65=55s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5s$$If!vh5X5@ 5#vX#v@ #v:Vl t65X5@ 5@@@ NormalCJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k(No Listj@j %ph Table Grid7:V0<^@< %ph Normal (Web) 6U@6 %ph Hyperlink >*B*ph*W@!* wStrong5\B'1B vPComment ReferenceCJaJ<B< vP Comment TextCJaJ@jAB@ vPComment Subject5\HbH vP Balloon TextCJOJQJ^JaJFVqF X"FollowedHyperlink >*B*phHOH 'XN bulletlistdd[$\$ B*phTOT Q articletextdd[$\$CJOJQJ^JaJ`O` Q titleheadingsdd[$\$5B* OJQJ\^Jph@u.X@. QEmphasis6]` ({!"#$*6ABJ%wJj H I F_kR)*cd=>"%1<=Fd6U-W8 9 : @ L W X ` \!]!^!d!p!{!|!!!"""%%%%%%%%%%G&H&!("(#($(%(+(7(B(C(L((()!)|*}*~********++ ++......#./.:.;.@..........// ///@0000000001111111111h2i2C3D33333333355|7}7~777777777p8y88899::F;G; < <*=+=8>9>Z>[>>>>>??Q?R?g?h?????[@\@x@y@@@@@@@AA?B@BlBwByBBBBBBB C CCCCC6D7DDDDD E EEEFFFF`FaFFFFFFFFFFFFQGRGSGTGgHhHHHHHHII I:IKKKKKKKKKKLLMMMMNNNNNNNNNNNNNOOOOOOOOOPPPPPPPPP`QaQ:R;RRDRPR[R\RcR/S0STTkU@VeVVMWXXXX5Y}YYYlZ/[0[1[7[C[N[O[][[[[[[\\\\\)\\$a%a&a,a8aCaDaOaaacccScTcUc[cgcrcsc|ccc'dAdddd!e"eeeef,fgfffffUgVgWg]gigtgugg"h#hiiiimjnjojpjqjwjjjjj:k;klnlll!mmm3nnn8oobp`qqqqtuwvwNxxxxxxxxxxxye{f{g{h{n{z{{{{+|,|-|.|4|@|K|L|Y|||||} }}}%}}}}}}}}}}~~4ŃЃуރMNO(><ό;4ŏЏяۏyz{|?@ABHT_`e #$,ʒ˒̒͒Ӓߒ˓ ./rs2OWXYZ`lwx$tl6cЦѦҦئǧefg]^_b000 0 0 0 0 00 0 0 00 0 0 0 0 000000  0 0 00 0 00 0 0 0 0 0 0000000000000 0 00 0 0 0 0 0 0 0 00 0 0 0 0 000  0 0 0 0 0 0 0 0 0 0  0  0  0  0  0 0 0 00 0 0 0 0 0000000000 0 0 00 0 0 0 0 0  0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 00 0 0 00 0 0 0 0 00000000000000 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0000 0 0 00 0 0 0 0 0000 0 0 00 0 0 0 0 0000000 000 0 00 0 0 0 0 0000 0 0 00 0 0 0 0 00 000 0 00 0 0 0 0 0000 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0000 0 0 00 0 0 0 0 00000 0 0 00 0 0 0 0 0 00000000000000000000000000000000000000000000000000000000000000000000000000000000 0 00 0 0 0 0 000000 0 0 00 0 0 0 0 000 0 0 00 0 0 0 0 00 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0000 0 0 00 0 0 0 0 00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 000 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 00000 0 0 00 0 0 0 0 000 0 0 0 0 000 0V 0V 0V 0V 0V 00000 0 00 0 0 0 0 0 00000000 0 00 0 0 0 0 0 0 0 00 0 0 0 0 000000000000000000 000000000 0 00 0 0 0 0 00 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0000 0 0 00 0 0 0 0 0000  0 0 0 0 0 0 0 0 0 0  0  0  0  0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 00000 0000000 0 00 0 0 0 0 00000 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 000 0 0 00 0 0 0 0 0 0 0 0 ({!"#$*6ABJ%wJj H I F_kR)*cd=>"%1<=Fd6U-W8 9 : @ L W X ` \!]!^!d!p!{!|!!!"""%%%%%%%%%%G&H&!("(#($(%(+(7(B(C(L((()!)|*}*~********++ ++......#./.:.;.@..........// ///@0000000001111111111h2i2C3D33333333355|7}7~777777777p8y88899::F;G; < <*=+=8>9>Z>[>>>>>??Q?R?g?h?????[@\@x@y@@@@@@@AA?B@BlBwByBBBBBBB C CCCCC6D7DDDDD E EEEFFFF`FaFFFFFFFFFFFFQGRGSGTGgHhHHHHHHII I:IKKKKKKKKKKLLMMMMNNNNNNNNNNNNNOOOOOOOOOPPPPPPPPP`QaQ:R;RRDRPR[R\RcR/S0STTkU@VeVVMWXXXX5Y}YYYlZ/[0[1[7[C[N[O[][[[[[[\\\\\)\\$a%a&a,a8aCaDaOaaacccScTcUc[cgcrcsc|c!e"egfffffUgVgWg]gigtgugg"hojpjqjwjjjjj:k;klnlll!mmm3nnn8oobp`qqqqtuwvwNxxxxxxxxxxxye{f{g{h{n{z{{{{+|,|-|.|4|@|K|L|Y|||||} }}}%}}}}}}}}}}~ŃЃуރMNO(><ό;4ŏЏяۏyz{|?@ABHT_`e #$,ʒ˒̒͒Ӓߒ˓ /s2OWXYZ`lwx$tl6cЦѦئǧg]^_b0000000000000000000000 0 0 00000000000000000000000000000000000 0000000 0 0 0 0 0 0 0 0 0 0  0  0  0  0  0 00000000000000000000000 0 0 0 0  0 0 0 0000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 0 0 0 0 0 0 0 0 0 0 0 0 0 000000000000000000000000000000000000000@0@0A 0`@0@0@0@0@0B 0B 0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0K00@0hK00K00K00K00K00K00K00K00K00K00K00K00K00K00@0K00K00@0K00K00K00K00@0@0@0@0@0@0@0@0@0K0h2@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0K02@0@0@0@0@0@0@0@0@0@0@0@0@0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0 @ 0 @ 0 @ 0 @ 0 @0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0I00K00:J:` h@0K03<`fK00K00K00K00@ 0@0@0@0@0@0@0@0@0@0@0@0@0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0 dh"%-38=NUc\qio`srR@`Z_chkpv{ 6 !<""###6%8(W(\){)--#0B0|236:667@8899;;??BxH7LNNgPQSSUVVVWWXX?@ABCDEGFHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrst''II ) ) EE_ _ =!=!!!%%K(K( + +?.?.//11113377FF I I%I%IKKMMNNNNOOPPbRbR\[\[(\(\```NaNa{c{cggjj_k_kxx{{X|X|$}$}}}݃݃33ڏڏdd++˛˛ƧƧb  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEGFHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrst=-*urn:schemas-microsoft-com:office:smarttags PlaceType=.*urn:schemas-microsoft-com:office:smarttags PlaceNameB^*urn:schemas-microsoft-com:office:smarttagscountry-region9t*urn:schemas-microsoft-com:office:smarttagsState9u*urn:schemas-microsoft-com:office:smarttagsplace |utututututututututututu^u^ututututututututututututututututututututututu.-ututututututututututututututututututututututbb## 9 9 ]!]!%(%(**....003377FFHHMMOOPPTT0[0[[[%a%aVgVgpjpjAAdde++,ɒ̒̒CCYYnwѦѦƧƧǧǧff@G\bb2hLAX( W( Uf@hc5d`;)?VAQliBL.dJT$9{Pj:[Vu V8F,\f(gvr7vjxm sPw`tY1rz ^`.^`.pp^p`.@ @ ^@ `.^`.^`.^`.^`.PP^P`.^`B*CJOJQJ^Jo(ph. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`B*CJOJQJ^Jo(ph. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h ^`o(hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.h ^`o(hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.h ^`o(hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.h^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh ^`o(hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.h ^`o(hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h ^`o(hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.^`CJOJQJ^Jo(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h ^`o(hH.^`o(.h $ $ ^$ `o(hH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.h ^`o(hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.,\:[V W2hXw`t1rzdJ V9{P7vjVA(g)?`;QliB@hc5m s                                                                                         =         B                                  0;3n[7 ddSX Q;3 dd8Wn[7 ddte? n[7 dd0 A(Fn[7 ddhb Z dd& `g G9U$X`9dd8%zV-@} dd1m G ddn[7;\k>6S ddfCB'X ddA(F+{G>G`Pm GB'X dd`g GS" JB'X ddN75O0 1oR1i dd6Sn[7 dd8W8%PB'X Z{_ ddZx[{_n[7 ddqU` Z dd>G`#kb+{G`IGd;0eU$dd:mf#kbFhX Q dd1i ddS+ mhb ddoNdd"?rn[7 ddrEs1oR dd4yB'X dd@};q. t P W Y 9erj<X6"6QCZ2}}4 H"X""L& *O3*;024T,5u6q8N9{9DH:? ;X;Q@<~<"BSC9FLFdGX@NPN'XNIcORI4RxRSbnYuMZ2[8[p^_ eahc:d\d0eif%ph:jlH3opOoqtjuyuHzR~PG~+) Kr~eax@y1!w, _jHWAuW {ydE/-_:D<{n; ltp!!^4w N52e3Sbc*zG?aYMvP |N$+hK >>R%)v?' ("#$*6ABJ% I %1<=F8 9 : @ L W X ` \!]!^!d!p!{!|!!%%%%%%%%%"(#($(%(+(7(B(C(L(~******++ +....#./.:.;.@.......// /000000001111111111D333333333~777777777p8FFFFFFFFhHHHHHHII IKKKKKKKKKLMMMMNNNNNNNNNNNNNOOOOOOOOOPPPPPPPPP;RRDRPR[R\RcRkU/[0[1[7[C[N[O[][[[[\\\\\)\\$a%a&a,a8aCaDaOacScTcUc[cgcrcsc|cgfUgVgWg]gigtgugg"hojpjqjwjjjjj:k;k?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry F0hIZData /1Table+WordDocument.SummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q