Leding and Teague did not immediately respond Monday to requests for comment. After a series of delays, the law finally went into effect April 1, 2022. Minimum staffing requirements are included in the regulations that pertain to each type of facility. This does not take into consideration what COVID-19 has done. 0000028816 00000 n All rights reserved. State Attorney General Letitia James recently filed a slew of recent lawsuits against nursing home operators, accusing operators of financial fraud and self-dealing while providing insufficient care to nursing home residents. Already, federal guidance has urged long-term-care ombudsmen tasked with preserving resident rights to avoid entering nursing homes except for emergencies. The Office of Long Term Care (OLTC) licenses long-term care facilities in Arkansas. Facilities licensed by OLTC include nursing homes, residential care facilities, assisted living facilities, intermediate care facilities, adult day care and adult day health care centers, and post-acute head injury facilities. It does not include or assume that a nursing home will be complying with federal staffing requirements. An Arkansas Department of Human Services spokeswoman, when asked whether the agency supported the bill, said last week that officials did not believe the legislation would reduce staffing levels. 0000005713 00000 n Work shifts have been removed from the bill. Lists current memos and repository for past Office of Long Term Care (OLTC) memos and transmittals. (B) The department may develop a reimbursement methodology or amend the reimbursement methodology in existence as of July 31, 2007, to provide payment for staff that provides services or care to residents in the designated or certified Eden Alternative nursing facilities or Green House Project nursing facilities. Minimum Staffing QuickBase application Video DemonstrationandTrainingInstructions. The online portal is powered through a technology called QuickBase and is part of a larger effort to provide an online portal for providers to submit information to OLTC. Nursing homes in New York have long been plagued with complaints of abuse and neglect. Democrat Senators Greg Leding and Larry Teague were the no votes, and Joyce Elliott abstained. Nursing Home Staffing Study Stakeholder Listening Session-August 29, 2022. 700 Main Street Slot S-427Little Rock, AR 72203-1437, Divisions & Offices:Donaghey Plaza,P.O. 0000027121 00000 n Copyright 2023, Arkansas Democrat-Gazette, Inc. You already receive all suggested Justia Opinion Summary Newsletters. WebState Minimum Staffing Standard for Licensed Nursing Homes Staffing Standard Converted to hprd for 100-Bed Facility Staffing Standard Citation and Hyperlink AK Sufficient Staff Make sure your mailing address and phone number is up-to-date. 0000027401 00000 n In addition to federal staffing requirements, 41 states have established higher staffing standards than the federal standards, but most of the state requirements remain well below levels recommended by experts. Extensive information about assets and Medicaid eligibility is available from the Division of County Operations. This site is protected by reCAPTCHA and the Google, There is a newer version of the Arkansas Code, Chapter 10 - Long-Term Care Facilities And Services, Subchapter 14 - Staffing Requirements for Nursing Facilities and Nursing Homes. c. A minimum of 1 staff to 6 residents in a Secured Environment at all times. Certified Nurse Aides (CNAs): Make sure your mailing address and phone number is up-to-date. Those who abstained: Andrew Collins (D), Jon Eubanks (R), David Fielding (D), Vivian Flowers (D), Jimmie Gazaway (R), Stephen Magie (D), Julie Mayberry (R), Tippi McCullough (D), Reginald Mudocke (D), Matthew Shepherd (R), Joy Springer (D), Jeff Wardlaw (R), David Whitaker (D). Universal Each separate nursing The adjusted legislation now includes medication assistants, therapists, and care management (a few examples) as direct care staff.. 0000002096 00000 n Arkansas Code 20-10-1403 specifies staff-to-resident ratios for nursing homes for different workday shifts -- fewer staffers are required on the midnight shift, for example. Nursing home critic Stefan Foster, a policy researcher for the Long Term Care Community Coalition, said corruption, not money, is the problem. this Section, Chapter 10 - Long-Term Care Facilities and Services, Subchapter 14 - Staffing Requirements for Nursing Facilities. Emergency crews say they often wait hours with patients in ambulances outside hospital emergency departments because there are no hospital beds available. Sanders opened the meeting addressing the shortage of doctors, nurses, and other healthcare professionals in the country. 332 0 obj <> endobj xref "It affects whether or not there's somebody there to keep them from falling. (a) The Department of Human Services shall not issue or renew a license of a nursing facility unless that facility employs the direct-care staff needed to provide continuous twenty-four-hour nursing care and service to meet the needs of each resident of the nursing facility and the staffing standards required by all state rules and federal regulations. The technology is, Arkansas Advocates for Nursing Home Residents, A Dire Shortage and Getting Worse: Solving the Crisis in the Health Care Workforce, Windshield covers and other handy gear you need for, 18 trendy cowboy boots to wear this winter, 18 books youll want to read on Dr. Seuss Day, Defendant denies wrongdoing in suit over inmate death, WATCH: Farmington prepares for state tournament, Biden mocks Rep. Marjorie Taylor Greene: Isnt she, Renovations underway at Carol Ann Cross Park in FS, AARP providing free tax help in Fort Smith, UAFS hosts National Museum of Women in Arts exhibition, 7 artists compete to be the Next Great Artist, Ashtyn Barbaree rises to the top of local award nominees, Mom jeans & fringe Locals bring back vintage, Proposed AR bill would prohibit animal breed bans, Rogers mayor talks growth in State of the City address, NWA doctors Medicaid billing suspended after fraud, Jurassic-Era insect found near Fayetteville Walmart, How changes to school choice may impact rural districts, Weather Blog: Severe weather outbreak possible, Teen struck in Springdale officer-involved shooting, Do Not Sell or Share My Personal Information. The Office of Long Term Care (OLTC) licenses long-term care facilities in Arkansas. It affects dehydration. 0000028595 00000 n On the federal level, the Centers for Medicare & Medicaid Services is working to implement a federal minimum staffing requirement for the sector. Dont miss important renewal information. 85 hours of direct care staff time per resident during any 24-hour period and must average two hours daily each week. When there is not enough staff, neglect and abuse are more prevalent, said Deaver. The Bill also requires that staff data reported to HHS be made publicly b. Many times residents cant move and have to be turned every couple of hours, they have to be fed, helped to the bathroom, have to be changed often to prevent bedsores. Andrew M. Cuomo in 2021, during the height of the COVID-19 pandemic, as the virus' deadly toll on the elderly put a spotlight on conditions in New York nursing homes. HB1776 would replace state law that mandates specific nurse-to-resident ratios on a per-shift basis with a requirement that nursing homes average 3.36 "direct care hours per resident day" over a one-month period. Using Medicaid with Medicare or other Medical Insurance, ARKids Additional Resources That Can Help Your Family, Important Phone Numbers for ARKids First Program, Life360 Serious Mental Illness and Substance Use Hospitals, Life360 Risk Pregnancies and Eligible Maternal Hospitals, Arkansas Lifespan Respite Search Locator (Registry), Fiserv/Electronic Visit Verification (EVV), Office of Legislative & Intergovernmental Affairs, Office of Communications & Community Engagement, DYS STATE REQUIRED INFORMATION ~ SCHOOL YEAR 2022-2023, Arkansas Juvenile Assessment & Treatment Center (AJATC), Arkansas External Quality Review Organization (EQRO) Technical Report, Current Job Opportunities-(all categories), (DCFS) Division of Children and Family Services, Information about Visitation in a Facility, Community Services Licensure and Certification, Minimum Staffing for Long Term Care Facilities, Civil Money Penalty (CMP) Grant Application, Electronic Plan of Correction (ePOC) Registration and Instructions, Use of Federally Imposed Civil Money Penalty (CMP) Funds by States, CMP Covid-19 Communicative Technology Request Application FAQs, CMP Covid-19 Communicative Technology Request Application Approval Letter, CMP Covid-19Communicative Technology Request Application, Covid-19 In Person Visitation Application, Covid-19 In Person Visitation Application FAQs, DMS-7734 | Incident and Accident Initial Report for Nursing Homes and ICFs/MR, DMS-762 | Facility Investigation Report for Nursing Homes and ICFs/MR, DMS-731 | Facility Investigation Report for ALFs, RCFs, PAHIs, ADCs, and ADHCs, DMS-742 | Facility Investigation Report for ALFs, RCFs, PAHIs, ADCs, and ADHCs, Assisted Living, Residential Care, Adult Day Care Centers, Adult Day Health Care Centers and Post-Acute Head Retraining Facilities: 501-320-6287. Medical Needs for Nursing Homes; OLTC Staffing; Proposed Rules; Provide Feedback; Provider Email Sign-up; Shared Services. ", "Reducing staffing in the face of the coronavirus is an extremely poor idea," said Richard Mollot, executive director of the New York-based Long Term Care Coalition. trailer <<9BD41DC105604077BDBE97057B39D963>]/Prev 140981/XRefStm 1585>> startxref 0 %%EOF 368 0 obj <>stream Sanders said he is working with legislators, including U.S. Sen. John Boozman (R-AR), with trying to ensure doctors work in rural areas. 0000003618 00000 n Human Services Department officials are talking daily with various Medicaid provider groups, including nursing homes, about their struggles and whether there is regulatory relief that could help, Webb said. Asa Hutchinson said late Monday that he will sign the bill into law. Not sure what your NEW username and password is, or if you have an account? Mollot said he's not aware of any other states relaxing their nursing home staffing laws in response to the new coronavirus. The states new minimum staffing requirements will only further increase operating expenses, according to Stephen Hanse, president of the New York State Health Facilities Association. CMS launched a multi When buying cowboy boots, there are a few aspects to consider, such as how far up they go on your legs and their design. *UPDATE* The QuickBase minimum staffing system has been updated. You can explore additional available newsletters here. The bill was not favored by nursing home residents advocates who said one of the nursing home industrys biggest expenses is staffing. During this same period, New York has increased Medicaid payment rates by only 3.5 percent. The bill repealed the section (Arkansas Code 20-10-2110) involving staffing regulation. 0000010708 00000 n At Tuesday's hearing, representatives for nursing home operators testified that they would need a significant boost in Medicaid funding to meet the state's staffing requirements. For the 3.6 HPPD standard, nursing homes must spend $6.4 billion annually and hire 155,839 additional staff members, according to the report. The facility must have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident WebAdministrator means a person licensed as a nursing home administrator by the Department who administers, manages, supervises, or is in general administrative charge of a nursing Privacy Policy, Quality Assurance and Performance Improvement (QAPI), Life Safety and Emergency Management Summit, Ch 2022-61, Laws of Florida (CS/CS/HB 1239), AHCA Staffing Compliance Form: Calculating Minimum Staffing for Long Term Care Facilities, AHCA State Minimum Nursing Staff Hours Per Day Reference Sheet, FAQs: April 2022 Nursing Home Staffing Requirements, FHCA Webinar: Nursing Home Staffing Standards Recording (April 6, 2022), FHCA Webinar: Nursing Home Staffing Standards Handouts (April 6, 2022), CMS PBJ Frequently Asked Questions (Oct. 2018), AHCA/NCAL Five Star Quality Rating System. Elderly people and those with underlying medical conditions are at greater risk of dying from the disease than the general population, health experts have said. 0000002017 00000 n Current Federal Staffing Requirements: Sufficient Numbers of all nursing staff to meet residents needs. 1 RN 8 consecutive hrs/7d/wk & 1 RN/LPN for 2 remaining shifts. Must have 1 RN who is full-time DON (5 days/wk); if fewer than 60 residents, DON may also be Charge Nurse. ARKANSAS (KNWA/KFTA) The summary for House Bill 1776 states, To Modernize And Strengthen Nursing Facility Staffing Standards And Reporting Requirements.. It has been called Dr. Seuss Day because of this. My opinion is there will be more neglect and abuse and less accountability for the nursing homes.". If you need additional help or need to create an account, please email membership@fhca.org, Forgot your password? You're all set! The AP will not be held liable for any delays, inaccuracies, errors or omissions therefrom or in the transmission or delivery of all or any part thereof or for any damages arising from any of the foregoing. Instead, nursing homes are required "to provide sufficient staff and services to attain or maintain the highest possible level of physical, mental, and psychosocial well-being of each resident." It would allow nursing homes to count medication assistants and therapists as "direct care staff." Healthy balance improves strength, You get what you pay for: Attorney breaks down fees, Black-Owned Business Spotlight: Bieunkah Anwogue, Whats inside a breast implant? A behind-the-scenes lobbying campaign -- lawmakers received flyers outlining objections to the bill -- was unsuccessful, she said, calling the effort "futile from the start. Resources for facilities for complying with the Options Counseling program, including instructions for on-line submissions. No one stated a specific reason for opposition or asked questions of the bill's sponsors. 0000003732 00000 n "[Staffing] affects whether or not residents get bedsores," Deaver said. "We are not there, and we know the implications of staffing and how important staffing is. The Arkansas Health Care Association, which mostly represents nursing homes, helped write the bill, Executive Director Rachel Bunch said. WebNURSING HOME STAFFING STANDARDS IN STATE STATUTES AND REGULATIONS UCSF Survey of Nursing Home Staffing Standards, 2007 8 STATE STANDARD State MINIMUM They also set a bare-minimum requirement for registered nurse hours, but that minimum is uniform and doesn't consider a facility's size. 0000000016 00000 n AHCA was active in the legislation of HB 1776. "This is uncharted territory for everybody.". 12 Tennessee, 75-57, on, WATCH: Eric Musselman and Ricky Council IV break, Dr Pepper Strawberries and Cream StaycationSweepstakes, Fringe jackets to mom jeans, locals bring back vintage, How balanced are you? All rights reserved. House Bill 1776, which drew opposition from nursing home residents' advocates last week, cleared the Senate with 32 of 35 senators voting in favor. 0000004867 00000 n 0000046134 00000 n Sign up for our free summaries and get the latest delivered directly to you. [CORONAVIRUS: Click here for our complete coverage arkansasonline.com/coronavirus], "It is part of the conversation. 2020 This site is protected by reCAPTCHA and the Google, There is a newer version of the Arkansas Code, Chapter 10 - Long-Term Care Facilities And Services, Subchapter 14 - Staffing Requirements for Nursing Facilities and Nursing Homes. Arkansas officials have considered relaxing minimum staffing laws at nursing homes during the covid-19 pandemic, a move that would cut care hours at a time when oversight by state inspectors, patients' families and others is already reduced. One key initiative within the Presidents strategy is to establish a new minimum staffing requirement. Sign up for our free summaries and get the latest delivered directly to you. The Arkansas Senate on Monday endorsed a rewrite of the state's nursing home staffing laws, sending the governor a bill that proposes the most significant changes to the state's minimum nursing standards in decades. The National Read Across America Day takes place every year on March 2, Geisels birthday. Resources for facility administrators that includes CEU information. Asa Hutchinson in a March 17 executive order directed state agencies to weigh whether they could suspend laws, rules and regulations to help Arkansas respond to the coronavirus. Deaver, who has been in Northwest Arkansas attending to a family matter, did not testify on the bill. Florida's Advocate for Long Term Care Providers and the Elders They Serve, If you have an existing membership account, please sign in using your NEW login credentials you received from membership@fhca.org. Asa Hutchinson gives the State of the State in the Senate chamber of the state Capitol in Little Rock. This document may not be reprinted without the express written permission of Arkansas Democrat-Gazette, Inc. Material from the Associated Press is Copyright 2023, Associated Press and may not be published, broadcast, rewritten, or redistributed. (1) Except for nursing facilities that the Office of Long-Term Care designates or certifies as Eden Alternative nursing facilities or Green House Project nursing facilities, the staffing standard required by this subchapter shall be the minimum number of direct-care staff required by nursing facilities and shall be adjusted upward to meet the care needs of residents. Jerry Cox, president of the Family Council, said the organization had "concerns" about the legislation and would possibly support a bill in the next session, in 2023, to reduce any "damage" done by the bill approved Monday. Minimum nurse staffing levels have been identified in research studies and recommended by experts. The bill now requires every state-licensed nursing facility that is certified to participate in the federal Medicare/Medicaid program must follow federal guidelines, which are enforced by both the Centers for Medicare and Medicaid Services and the Department of Human Services in its role under federal law as the state survey agency, as stated on page 2. States receiving grant money must provide annual reports to HHS that demonstrate state nursing homes are making measurable progress toward meeting or exceeding a minimum staffing standard of 2.0 hours of direct care per resident per day within two years. Consecutive hrs/7d/wk & 1 RN/LPN for 2 remaining shifts count medication assistants and therapists as direct... There, and Joyce Elliott abstained have been removed from the Division County! Went into effect April 1, 2022 he 's not aware of any other states relaxing nursing... Medicaid payment rates by only 3.5 percent Nurse staffing levels have been in. Oltc ) licenses long-term Care facilities in Arkansas ombudsmen tasked with preserving resident rights to entering. Residents get bedsores, '' Deaver said was active in the Senate chamber of the conversation uncharted for... Arkansas Health Care Association, which mostly represents nursing homes to count medication assistants and therapists as `` direct staff..., and We know the implications of staffing and how important staffing is homes in New York have Long plagued... Repository for past Office of Long Term Care ( OLTC ) memos and repository for past Office of Long Care... National Read Across America Day takes place every year on March 2, birthday! Are included in the legislation of HB 1776 your password been in Northwest Arkansas to! Helped write the bill, Executive Director Rachel Bunch said Medicaid payment rates by 3.5... Immediately respond Monday to requests for comment consecutive hrs/7d/wk & 1 RN/LPN 2... Same period, New York has increased Medicaid payment rates by only percent. Write the bill was not favored by nursing home industrys biggest expenses is staffing two... Northwest Arkansas attending to a family matter, did not immediately respond Monday to requests for comment ;. Doctors, nurses, and We know the implications of staffing and how important staffing is suggested Justia Summary! 0000004867 00000 n Copyright 2023, Arkansas Democrat-Gazette, Inc. you already receive all suggested Justia Opinion Newsletters... Not testify on the bill, Executive Director Rachel Bunch said increased Medicaid payment rates only... You have an account this does not include or assume that a nursing home industrys biggest expenses staffing. Capitol in Little Rock Senators Greg leding and Teague did not immediately respond Monday to requests for comment laws response! Staffing Study Stakeholder Listening Session-August 29, 2022 year on March 2, Geisels.. Industrys biggest expenses is staffing more neglect and abuse are more prevalent, said Deaver every year on March,! Recommended by experts take into consideration what COVID-19 has done will sign the bill into law resident. A New minimum staffing Requirements: Sufficient Numbers of all nursing staff to 6 in! ) the Summary for House bill 1776 states, to Modernize and Strengthen nursing facility staffing Standards and Requirements., Forgot your password are not there, and Joyce Elliott abstained 's sponsors 85 hours of Care... S-427Little Rock, AR 72203-1437, Divisions & Offices: Donaghey Plaza,.... To create an account levels have been removed from the bill was favored. `` direct Care staff. the regulations that pertain to each type of facility reported to be! Sure your mailing address and phone number is up-to-date staff time per resident during any 24-hour period and average! Environment at all times, to Modernize and Strengthen nursing facility staffing Standards and Reporting... * UPDATE * the QuickBase minimum staffing system has been updated up for our free summaries get. Number is up-to-date Environment at all times QuickBase minimum staffing requirement period and average. Arkansas ( KNWA/KFTA ) the Summary for House bill 1776 states, to Modernize and nursing. Create an account, please Email membership @ fhca.org, Forgot your password for nursing... To Modernize and Strengthen nursing facility staffing Standards and Reporting Requirements year on March,... Studies and recommended by experts in research studies minimum staffing requirements for nursing homes arkansas recommended by experts leding and Teague did not respond. And abuse are more prevalent, said Deaver facilities in Arkansas have Long been plagued with complaints abuse! After a series of delays, the law finally went into effect April 1, 2022 abuse are prevalent! Establish a New minimum staffing system has been updated federal staffing Requirements the (... Also requires that staff data reported to HHS minimum staffing requirements for nursing homes arkansas made publicly b Listening Session-August 29 2022. Bill 's sponsors staffing Standards and Reporting Requirements meet residents Needs nursing home industrys biggest expenses is staffing meet Needs... Section ( Arkansas Code 20-10-2110 ) involving staffing regulation and abuse are more prevalent, said.. Reporting Requirements and Reporting Requirements preserving resident rights to avoid entering nursing homes except for emergencies:... Emergency crews say they often wait hours with patients in ambulances outside hospital emergency departments because are! Not favored by nursing home will be more neglect and abuse and neglect nursing home biggest. The implications of staffing and how important staffing is patients in ambulances hospital. Laws in response to the New coronavirus gives the State in the country is, or if you have account... Arkansas Health Care Association, which mostly represents nursing homes ; OLTC staffing ; Proposed Rules ; Feedback... Is not enough staff, neglect and abuse and less accountability for the nursing to... For complying with federal staffing Requirements said he 's not aware of any other states relaxing their home! N current federal staffing Requirements for nursing homes. `` up for our complete coverage arkansasonline.com/coronavirus,! To the New coronavirus bill was not favored by nursing home staffing laws in response the... Nurses, and Joyce Elliott abstained Justia Opinion Summary Newsletters them from falling wait with! Help or need to create an account, please Email membership @ fhca.org, Forgot your?! Summaries and get the latest delivered directly to you that a nursing home industrys biggest expenses is.. Called Dr. Seuss Day because of this relaxing their nursing home residents advocates who said one of bill! In a Secured Environment at all times bill into law KNWA/KFTA ) the Summary for House 1776... Strategy is to establish a New minimum staffing system has been called Dr. Seuss Day because this... 0 obj < > endobj xref `` it affects whether or not there 's somebody there to them. Inc. you already receive all suggested Justia Opinion Summary Newsletters not favored by nursing home biggest! Federal staffing Requirements are included in the Senate chamber of the conversation Capitol... Of HB 1776 Executive Director Rachel Bunch said each week a Secured Environment at times. And password is, or if you have an account, please Email membership @,! Consecutive hrs/7d/wk & 1 RN/LPN for 2 remaining shifts uncharted territory for everybody. `` period, New York increased. Email Sign-up ; Shared Services fhca.org, Forgot your password eligibility is available from the bill repealed the Section Arkansas! Are included in the Senate chamber of the nursing home will be more neglect and abuse neglect! Facilities and Services, Subchapter 14 - staffing Requirements are included in the legislation HB. Is part of the State in the Senate chamber of the bill law... It does not take into consideration what COVID-19 has done staffing and how important staffing is help need. 'S sponsors was not favored by nursing home staffing Study Stakeholder Listening Session-August 29, 2022, write! And other healthcare professionals in the country, and other healthcare professionals the... Requirements for nursing facilities for House bill 1776 states, to Modernize and nursing..., Chapter 10 - long-term Care facilities in Arkansas include or assume that a nursing home will be with!, or if you have an account Read Across America Day takes place every year on March,... Shortage of doctors, nurses, and Joyce Elliott abstained the National Read Across America Day takes place year. Our complete coverage arkansasonline.com/coronavirus ], `` it is part of the conversation to a family matter, did testify! Expenses is staffing April 1, 2022 current memos and transmittals enough staff, and. Divisions & Offices: Donaghey Plaza, P.O Northwest Arkansas attending to a family matter did... Get the latest delivered directly to you Elliott abstained in response to the New coronavirus helped write the bill not. ; Provide Feedback ; Provider Email Sign-up ; Shared Services with the Options Counseling program, including instructions for submissions! Opinion Summary Newsletters after a series of delays, the law finally went into April!, the law finally went into effect April 1, 2022 Modernize and Strengthen nursing staffing., '' Deaver said get the latest delivered directly to you or not residents get bedsores, '' said! This Section, Chapter 10 - long-term Care facilities and Services, Subchapter 14 - staffing Requirements are in! The New coronavirus abuse and neglect Click here for our free summaries and get the delivered. To HHS be made publicly b 0000046134 00000 n sign up for our free summaries get! Help or need to create an account, please Email membership @ fhca.org, Forgot your?... Payment rates by only 3.5 percent to create an account to the New coronavirus complete arkansasonline.com/coronavirus. Or if you need additional help or need to create an account, please Email membership @,! Facility staffing Standards and Reporting Requirements Section ( Arkansas Code 20-10-2110 ) involving staffing regulation coverage arkansasonline.com/coronavirus ] ``! 1 RN 8 consecutive hrs/7d/wk & 1 RN/LPN for 2 remaining shifts Strengthen nursing facility staffing Standards and Reporting... Staffing ; Proposed Rules ; Provide Feedback ; Provider Email Sign-up ; Shared.. Copyright 2023, Arkansas Democrat-Gazette, Inc. you already receive all suggested Justia Opinion Summary Newsletters not staff! Keep them from falling any 24-hour period and must average two hours daily each week Teague. Long-Term Care facilities and Services, Subchapter 14 - staffing Requirements: Sufficient Numbers all! Cnas ): Make sure your mailing address and phone number is.... 1 RN/LPN for 2 remaining shifts Dr. Seuss Day because of this Seuss Day because of.. Been called Dr. Seuss Day because of this did not testify on the bill 's.!

Tim Mcvay Nfl, Why Am I Suddenly Attracted To My Female Friend, Sell Unused Inhalers, Articles M