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M. <br />There are many ways to bring about this expansion. Some local agencies may be <br />able to add whole or fractional positions, to begin or extern convenience -haur <br />clinics, or to sort additional contract physician hours or aitreach <br />efforts. Programs seeking resources to begin Norplant services may consider <br />using expansion funds for that purpose. The funds may also be used to support <br />sterilizations for females or males. Division of MCH Regional Office staff are <br />available to assist you and should be contacted if FY92 Contract Addendum item <br />are affected. These expansion funds may not be used to replace other types of <br />funds. <br />As local, state and federal governments struggle to meet demands for services <br />with reduced budgets, our pr=j + has absorbed FY92 reductions in Title X and <br />has identified resaaxces that can be used to offset other possible FY92 budget <br />cuts that might jeoparcLIze expansion. For these reasors, t`�.a present <br />funds truly represent new monies rather than replacements for dollars cut <br />elsewhere. We are pleased you have the opportunity to use these furls to <br />expand services and better meet the needs of your patient population. <br />Please contact IIii staff in the appropriate Regional Office, or one of us, <br />with any questions. <br />Arm F. Wolfe, M.D. <br />Margie Rose, M.P.H. <br />EMM Staff <br />Administrative Ccnsvltants <br />_ i 191 <br />