This blog tracks aging and disability news. Legislative information is provided via GovTrack.us.
In the right sidebar and at the page bottom, bills in the categories of Aging, Disability, Medicare, Medicaid, and Social Security are tracked.
Clicking on the bill title will connect to GovTrack updated bill status.
Monday, April 4, 2011
Extenuating Circumstances When Screening Applicants with Disabilities
HUD states "it has recently come to the attention" of HUD that people with disabilities"face additional challenges during screening procedures [for public housing and housing choice vouchers] due to poor credit histories often exacerbated by outstanding medical costs related to their disability."
Disability advocates have been aware of this for many years so we're delighted that HUD also now knows about it.
HUD's letter reminds PHAs that "discretion can and should be applied when determining admissions and occupancy policies." It further states that HUD "encourages PHAs to consider extenuating circumstances when screening applicants with disabilities."
While HUD's "reminder" is very welcomed, disability advocates should remember that under the disability laws b 504, Fair Housing Act, and ADA,reasonable accommodations and reasonable modifications of policies are mandatory. The failure to consider the above "extenuating circumstances" as a basis for a reasonable accommodation for a person with a disability is a civil rights violation! A policy that blocks such accommodation is also a violation.
The "poor credit history" is only one barrier. Other barriers have also prevented people with disabilities from receiving federal housing benefits - past criminal histories, especially pre-disability; needed extra rooms for durable medical equipment or for live-in personal assistants; mandatory inclusion of costs for meals in 202/811s. We strongly recommend that the reasonable accommodation route be used for all of these barriers.
While the above HUD memo was written by an Assistant Secretary for Public Housing, the same proscriptions apply to all federally funded housing and to other housing subject to the Fair Housing Act.
Steve Gold, The Disability Odyssey continues
Back issues of other Information Bulletins are available online at http://www.stevegoldada.com with a searchable Archive at this site divided into different subjects.
Information Bulletins are also posted on my blog located at http://stevegoldada.blogspot.com/
Friday, January 7, 2011
HUD and HHS Announce Joint Effort to Assist Persons with Disabilities to Move from Institutions to Independence
U.S. Housing and Urban Development
(HUD) Secretary Shaun Donovan and Health and Human Services (HHS)
Secretary Kathleen Sebelius announced today a joint partnership between
the two agencies to help nearly 1,000 non-elderly Americans with
disabilities leave nursing homes or other healthcare facilities to live
independently. This is the first time two federal agencies are
offering a combination of rental assistance, health care and other
supportive services targeted to this population. HUD is providing $7.5 million in rental assistance vouchers that will help nearly 1,000 individuals with disabilities rent private apartments. Public housing authorities in 15 states will administer the rental subsidies and will work with state human service agencies to identify eligible individuals who could benefit from the program. For a local breakdown of the funding announced today, visit HUD's Web site.
Individuals receiving rental assistance through the program will also receive health and social supports that will enable them to live independently. These supports are provided through the HHS Centers for Medicare and Medicaid's "Money Follows the Person" (MFP) grant program, which allows individuals who qualify for Medicaid-funded nursing home or other institutional care to receive supports - such as in-home nursing and personal care services - while living in the community instead. In places where the MFP program is not available, services will be provided by a state-sponsored institutional transitional program comparable to MFP that includes dedicated supportive services.
As part of President Obama's Year of Community Living initiative, HUD and HHS launched a joint effort to provide housing support for non-elderly persons with disabilities who are currently receiving long-term care in institutional settings. The interagency collaboration is intended to allow persons with disabilities to live productive independent lives in their communities rather than in institutions.
"The Obama administration is committed to helping Americans with disabilities live independent lives. Housing is a critical piece of the equation when it comes to transitioning out of institutions," said Donovan. "Coordinating this effort with the Department of Health and Human Services is an important step in ensuring that more Americans with disabilities will have the housing and support they need to fully participate in community life."
"Through our collaboration with the Department of Housing and Urban Development, I know that we will be able to dramatically change peoples' lives," said Sebelius. "Individuals with disabilities can have a life in the community that serves their needs and supports them in leading productive, meaningful lives."
The funding announced today is being provided through HUD's Rental Assistance for Non-Elderly Persons with Disabilities Program. It is part of the $40 million HUD made available April 2010 to public housing authorities across the U.S. to fund approximately 5,300 rental assistance vouchers for non-elderly persons with disabilities to promote independent living for this community. Public housing authorities applied for funding under two categories.
Last October, HUD awarded $33 million to support a first round of 4,300 vouchers, making it possible for non-elderly individuals with disabilities and their families to access affordable housing in communities that meet their housing needs and so avoid potential institutionalization. Today's announcement is for the second round funding to provide 948 vouchers targeted for non-elderly individuals with disabilities currently living in institutional settings, such as nursing homes, but who could move into a community with assistance.
These vouchers will augment work already being done by HHS' Centers for Medicare & Medicaid Services (CMS) through its Money Follows the Person (MFP) rebalancing demonstration program. Now in its fourth year, the MFP program has made it possible for almost 12,000 individuals to live more independent lives by providing necessary supports and services in the community. Twenty-nine states and the District of Columbia are currently participating in the MFP program and CMS is expecting a new round of grant applications on January 7th.
State Medicaid agencies and local human service organizations will link eligible families to local public housing authorities that will administer voucher distribution. To improve the connections between the housing authorities and Medicaid agencies, HUD and HHS have launched the Housing Capacity Building Initiative for Community Living Project to assist seniors and individuals with chronic conditions who are at risk of institutionalization or who currently receive care in institutional settings, in finding appropriate housing in order to live more independent lives.
The Community Living Initiative is an outgrowth of the 1999 landmark Supreme Court ruling in Olmstead v. L.C. In that case, the Court ruled that the Americans with Disabilities Act (ADA) protects a person with a disability from being unnecessarily institutionalized. The Court said that such forced institutionalization can lead to isolation and segregation of individuals with disabilities and be a serious and pervasive form of discrimination.
Wednesday, January 5, 2011
Outrage: Choice Between Home and Medical Marijuana Cancer Treatment - AARP Bulletin
by: Michelle Diament | from: AARP Bulletin
In October, the Las Vegas, N.M., resident received a letter indicating that he would no longer be eligible for the federal housing voucher that helps cover his $400-a-month rent. The reason: Though Jones' use of medical marijuana is permitted in New Mexico, the drug is not legal at the federal level, wrote Gilbert Almanza Jr., executive director of the San Miguel County Section 8 Housing Program.
Jones appealed the decision, saying he didn't know what he would do without the voucher. He worried that he would be forced to live in a nursing facility.
Full Article
Friday, April 9, 2010
5,300 Housing Vouchers for Non-Elderly Persons with Disabilities
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Many of you remember the Information Bulletin issued on 6/30/09 announcing that HUD had issued a "Proposed Notice" - $30 million for 4,000 housing vouchers for non-elderly disabled persons.
HUD received 175 comments! Terrific response. Many of you wrote HUD! Many (not all) of the problems in the Proposed Notice have been eliminated or modified.
On April 7, 2009, HUD and CMS issued a joint release announcing a Notice of Funding Availability (NOFA). The number of vouchers that will be available has increased to 5,300 and they're putting up $40 million. Here is web address for the NOFA:
http://portal.hud.gov/portal/page/portal/HUD/program_offices/administration/grants/fundsavail/nednofa.pdf
These vouchers will be awarded on a competitive basis. Your Public Housing Authority must apply for these in order to receive them. Now the fun really begins. You - advocates for persons with disabilities - must make sure your Public Housing Authority applies before July 7, 2010. HUD plans to announce the winners in October, 2010.
There are two categories of vouchers - Category 1 for 4,300 for persons with disabilities, and Category 2 for 1,000 persons with disabilities in institutions who want to live in the community but cannot afford to without a voucher. Public housing authorities can apply for both categories; maximum number of vouchers for housing authorities relates to the number of baseline units it already has, i.e., larger housing authorities can apply for more vouchers than smaller authorities, as well as other "threshold requirements."
Non-elderly disabled family means the head, spouse or sole member of the family is under 62 and the person with a disability. Can your housing authority identify such families on their waiting list?
A housing authority can use Category 1 funding for people in institutions as long as it establishes a preference under its housing choice voucher program. Category 2 funding is only for families transitioning from an institution to the community. For people who might be "at risk" of going into an institution, HUD states that "PHAs are encouraged to establish a preference for families at risk of institutionalization for Category 1...."
People in institutions - Category 2 folks - are not the natural constituencies of local public housing authorities. Also, most likely, people in institutions are not even on a public housing authority's waiting list. Therefore, some creative effort must be focused on this category. The HUD "Response to Public Comments," which is at the above web address, explains what housing authorities can do to address this issue.
Disability advocates should be contacting their State Medicaid officials immediately. Your State Medicaid officials know if there is a State agency that can apply directly for Category 2 vouchers. If there is, make sure this is actually happening. If there is no such State agency, then your State Medicaid officials (MFP and others) must quickly develop a relationship with local Public Housing Agencies! This will probably be a new venture for your State Medicaid officials and the Public Housing Agencies.
We do not expect your Housing Authorities to welcome you (or even your State Medicaid agency) with great enthusiasm because applying for these vouchers will take work, effort and time. Volunteer to help them.
In a number of States, we do not expect your State Medicaid officials to welcome you, because they have been so long not in the business of freeing persons with disabilities from institutions that such efforts are not part of their culture. Yikes, free people. What a novel idea.
Yes, nothing comes easy! You have 90 days. The clock is running. There are disability advocates throughout the country who will help you. Let's us know if you need assistance.
Also, please keep a record of who you contacted, what dates, what they said, etc. We will collect it after 7/7/10.
Steve Gold, The Disability Odyssey continues
Back issues of other Information Bulletins are available online at http://www.stevegoldada.com with a searchable Archive at this site divided into different subjects.
To contact Steve Gold directly, write to stevegoldada@cs.com or call 215-627-7100.
HHS, HUD PARTNER TO ALLOW RENTAL ASSISTANCE TO SUPPORT INDEPENDENT LIVING FOR NON-ELDERLY PERSONS WITH DISABILITIES
As part of President Obama’s Year of Community Living initiative, HHS and HUD collaborated to provide housing support for non-elderly persons with disabilities to live productive independent lives in their communities rather than in institutional settings. HUD is offering approximately $40 million to public housing authorities across the country to fund approximately 5,300 Housing Choice Vouchers for non-elderly persons with disabilities, allowing them to live independently. HHS will use its network of state Medicaid agencies and local human service organizations to link eligible individuals and their families to local housing agencies who will administer voucher distribution.
The vouchers will augment work already being done by the Centers for Medicare & Medicaid Services (CMS) through its Medicaid Money Follows the Person (MFP) grant program. Originally set to expire next year, the “Patient Protection and Affordable Care Act of 2010” extended the MFP program through 2016 with an additional appropriation of over $2 billion. The Act also cut to three months, from the previous six months, the amount of time a person must be in an institution to qualify for help making the transition to community life.
“This number of vouchers to this community is a major milestone for HUD,” said Donovan. “I am pleased that two federal agencies have combined efforts to give these individuals the independence they so desperately want and deserve.”
“This commitment by HHS and HUD to directly link housing support to these individuals will be of immeasurable value not only to them, but to the communities in which they will be living,” said Sebelius. “Individuals with disabilities have so much to contribute to the quality of life in our communities when given the freedom and opportunity to do so.”
Of the 5,300 vouchers set aside as part of this program, up to 1,000 will be specifically targeted for non-elderly individuals with disabilities currently living in institutions but who could move into the community with assistance (Category II). The remaining 4,300 (Category I) can be used for this purpose also, but are targeted for use by non-elderly individuals with disabilities and their families in the community to allow them to access affordable housing that adequately meets their needs.
In addition, HUD is encouraging housing authorities to establish a selection preference to make some or all of their Category I allocation available to individuals with disabilities and their families who, without housing assistance, are at risk of institutionalization. Housing authorities have 90 days to submit their applications to HUD. HUD expects to have funding awards ready late fall 2010.
“Many of these individuals are low-income and can not afford market rates for housing. For a number of Americans, these vouchers, along with Medicaid home and community-based services, are essential supports that make the President’s vision for community living possible,” Sebelius noted.
The Year of Community Living is an outgrowth of a 1999 Supreme Court decision in Olmstead v. L.C., in which the court ruled that under the Americans with Disabilities Act (ADA) unnecessarily institutionalizing a person with a disability who, with proper support, can live in the community can amount to discrimination. In its ruling, the Court said that institutionalization severely limits the person’s ability to interact with family and friends, to work and to make a life for him or herself.
As a result of the Olmstead ruling, HHS issued guidance to states on how to make their Medicaid programs more responsive to people living with disabilities who wish to reside in the least restrictive setting. Today’s announcement is yet another step in HHS’s 10-year effort to achieve that goal.
HUD Funds Available Announcement
Thursday, March 18, 2010
Tenant Based Rental Assistance, Housing and Olmstead. Information Bulletin # 303 (3/10)
The HOME Investment Partnership program allocates federal housing funds both to State housing agencies and to local participating jurisdictions. The amount of federal funds depends on the population size. This program has existed since 1992.
State and local recipients have discretion regarding how to allocate these funds:
(1) homebuyer assistance
(2) homeowner rehabilitation
(3) construction, rehabilitation or acquisition for rental units
(4) Tenant-Based Rental Assistance (TBRA).
TBRA is a rental subsidy which is like housing vouchers/Section 8 vouchers.
A TBRA could be used to help people leave institutions - IF the State decided to use its HOME funds for this purpose. It's that simple!!!
Here's how your State HOME agency used its HOME funds since 1992 only with regards to TBRA.
The number of people who received a TBRA are:
Alabama 0
Alaska 197
Arizona 708
Arkansas 4,127
California. 1,428
Colorado 484
Connecticut. 463
Delaware 0
D. C. 1,811
Florida. 1,884
Georgia. 86
Hawaii. 807
Idaho 0
Illinois 97
Indiana 295
Iowa. 1,981
Kansas 11,762
Kentucky 11,292
Louisiana 397
Maine. 608
Maryland 95
Massachus 420
Michigan 1,661
Minnesota 0
Mississippi 2,693
Missouri 4,276
Montana. 708
Nebraska 0
Nevada. 0
New Hampshire. 0
New Jersey. 6,355
New Mexico 3,973
New York 383
North Carolina. 1,754
North Dakota. 10,258
Ohio 2,729
Oklahoma 229
Oregon 11,573
Pennsylvania 11
Rhode Island 16
South Carolina. 2,583
South Dakota. 280
Tennessee 0
Texas 6,571
Utah 216
Vermont 0
Virginia. 7
Washington. 9,790
West Virginia 0
Wisconsin 1,976
Wyoming 0
Steve Gold, The Disability Odyssey continues
Back issues of other Information Bulletins are available online at
http://www.stevegoldada.com with a searchable Archive at this site divided into different subjects.
To contact Steve Gold directly, write to stevegoldada@cs.com or call 215-627-7100.
Saturday, March 13, 2010
HUD's Failure to Enforce Accessibility in the HOME Investment Partnership program
Many of you remember the struggles the disability advocates had with HUD in late 90s/early 2000s with regards to HUD's failure to enforce of Section 504 of the Rehabilitation Act of 1973 which required accessibility of Public Housing Authorities' housing. As a result of your efforts, including complaints you filed, HUD finally conducted a number of compliance reviews and signaled the clear duty of PHAs to have at least 5% of public housing units accessible for people with mobility disabilities and another 1% for people with hearing and visual impairments.
Well folks, it's about time HUD conducted similar enforcement with regards to the $22 billion of federal funds that have been allocated throughout the country via the federal HOME Investment Partnership. Nearly 350,000 rental units have used HOME funds for new construction, rehabilitation and/or acquisition.
National data shows that about 45% of these rental units are occupied by families whose incomes are less than 30% of the average median income and another 40% whose incomes are between 30-50% of the AMI. The lowest-income people are primarily in HOME's rental units.
Wouldn't it be great if low-income people with disabilities were renting these units? Wouldn't it be terrific if HUD had conducted accessibility HOME compliance reviews? Hmm, we might even have a lot more accessible units available for low-income people with disabilities.
Here's where you can find HOME information in your state. Go to http://www.hud.gov/offices/cpd/affordablehousing/reports/#npr, click on Dashboard Reports and then your State. You can then see which "participating jurisdiction" you are in. Click on the pdf file. You will then find a chart which provides cumulative information (since 1992) regarding the total number of units completed and the percentage that are rental (HOME also funds Homebuyers and Homeowner).
Once you get that information, you can figure out what number of HOME's rental units in your area must comply with the 5%/1%/1% accessibility mandate. With this information, you can talk with your "participating jurisdiction" public officials who administer the HOME funds. If you have any problem finding out who they are, just telephone your regional HUD officials and ask them. Even if HUD officials do not know whether Section 504 has been complied with in the HOME program, they do know the local and state officials who have received $22 billion.
Now the fun begins. Visit the HOME administrators and ask for the addresses of the accessible units. If they do not know or refuse to provide it, file a complaint with HUD! Yes, ten years later we're back to HUD, except this time it's regarding HUD's failure to ensure HOME recipients comply with Section 504. We had some success with forcing HUD to monitor public housing and now we'll push HUD to monitor HOME funds.
Steve Gold, The Disability Odyssey continues
Back issues of other Information Bulletins are available online at http://www.stevegoldada.com with a searchable Archive at this site divided into different subjects.
To contact Steve Gold directly, write to stevegoldada@cs.com or call 215-627-7100.
Thursday, February 18, 2010
Come on HUD, Free People from Nursing Homes
Information Bulletin # 301 (2/2010)
Ah, the hopes raised by a new HUD administration. Early last year, Congress provided funds for 4,000 Mainstream Vouchers for Non-Elderly People with Disabilities. New Secretary of HUD, Shaun. L. Donovan, met with ADAPT and agreed with ADAPT that 1,000 of these vouchers should be used to help disabled people move out of nursing homes.
On June 22, 2009, HUD issued a "Proposed Notice" in the Federal Register. Comments were due by July 14, 2009. A number of you responded with comments.
Before any of these 4,000 vouchers can be used, HUD must publish in the Federal Register a Notice of Financial Availability (NOFA) so that Public Housing Authorities and others can submit competitive bids for these vouchers. Yes, another Federal Register publication. After that occurs, HUD must review the bids and then allocate the vouchers.
How many people will die before one voucher is used? How many people with disabilities will develop bed sores in nursing facilities? Urinary tract and other infections in these institutions? How many people in what President Obama called "the year of community living" exist in nursing homes waiting for these vouchers?
Hmm. Why has it taken more than SEVEN months and still NO NOFA? Doesn't HUD understand that there are people unnecessarily institutionalized solely because they cannot afford to rent an apartment without the rental assistance of a voucher? Doesn't HUD and the White House realize there are actual cost savings from using the vouchers and having people live in the community? Doesn't anyone in the White House or HUD have a relative in a nursing facility who wants to get out? Don't they understand how dangerous nursing facilities are?
Here is one excuse we've heard - approval of the NOFA is "in process at OMB." Well, tell Secretary Donovan to at least pretend that these vouchers and ending discrimination against people with disabilities is a HUD priority. Tell him to get his butt down to OMB and tell them he's not leaving until these vouchers get out of OMB! If he needs company at OMB, let us know!
Send HUD an email - Shaun.L.Donovan@hud.gov to "Free Our People."
Steve Gold, The Disability Odyssey continues
Back issues of other Information Bulletins are available online at http://www.stevegoldada.com with a searchable Archive at this site divided into different subjects.
To contact Steve Gold directly, write to stevegoldada@cs.com or call 215-627-7100.
Saturday, January 23, 2010
Sharp Expansion of HUD’s “Moving-To-Work”Demonstration Raises Serious Concerns — Center on Budget and Policy Priorities
Image via Wikipedia
A proposal before Congress would sharply expand HUD’s Moving-to-Work (MTW) demonstration. Unless important limitations are added, this expansion would reduce the number of families receiving housing assistance by shifting funds out of the Section 8 housing voucher program. It also would expose more low-income families to risky policies than is necessary to test innovative approaches, and allow local policies to diverge to a degree that could weaken housing assistance programs.
The proposal is part of the Section 8 Voucher Reform Act (SEVRA), which overall is an important, well-crafted measure containing significant improvements to the voucher program and other federal rental assistance programs; the House Financial Services Committee approved the bill in July 2009. SEVRA includes a provision that would allow up to 80 state and local housing agencies to participate in the Moving-to-Work demonstration program (compared to 30 today) and rename it the Housing Innovation Program (HIP).
Despite its name, MTW is not focused primarily on supporting employment. MTW allows HUD to grant sweeping waivers of a wide range of federal statutes and regulations to agencies that administer voucher and public housing programs in order to test experimental policies. It also allows HUD to establish special funding formulas for MTW agencies and to permit them to shift funds between the voucher program and public housing.
SEVRA’s MTW provision would constitute a fundamental and far reaching change to federal housing policy, as the expanded demonstration could affect close to 1 million vouchers and public housing units — about 30 percent of the total nationally.
Continue Reading
Tuesday, September 22, 2009
“SEVRA” Housing Voucher Reform Bill Would Update and Streamline Program — Center on Budget and Policy Priorities
The Section 8 Voucher Reform Act (SEVRA), which the House Financial Services Committee approved in July and the full House will likely consider this fall, contains a series of important, carefully crafted measures to strengthen the housing voucher program. Most significantly, it would help and encourage state and local housing agencies to assist more needy families within the available funds, an important improvement at a time of rising poverty and homelessness. In addition, the bill would reduce administrative burdens for housing agencies and private owners, strengthen work supports, and provide more flexible and effective assistance to low-income families.
Read More
Download Report PDF
Saturday, August 8, 2009
2008 Mainstream Voucher Recipients- Information Bulletin #292 (8/09)
Wednesday, July 8, 2009
H.R. 3117: To provide enhanced voucher rental assistance for residents of certain federally assisted... (GovTrack.us)
Monday, November 10, 2008
Funding Awards: Elderly & Disabled Housing
Monday, October 27, 2008
Pet Ownership for the Elderly and Persons With Disabilities; Final Rule
Friday, October 10, 2008
Section 202 Demonstration Pre-Development Grant Program
Monday, September 29, 2008
Final Fair Market Rents for Fiscal Year 2009 for the Housing Choice Voucher Program
Tuesday, September 16, 2008
Steve Gold's Information Bulletin # 259 (9/08) - Unnecessary Institutionalization & Public Housing
Thursday, August 21, 2008
Public Housing Evaluation and Oversight
First, this proposed rule would amend HUD's Public Housing Assessment System (PHAS) regulations for the purposes of:
- consolidating the regulations governing assessment of a PHA's program in one part of the Code of Federal Regulations (CFR);
- revising certain PHAS regulations based on the Department's experience with PHAS since it was established as the new system for evaluating a PHA in 1998; and
- updating certain PHAS procedures to reflect recent changes in public housing operations from conversion by PHAs to asset management, including updating and revising the PHAS scoring.
PHAS is designed to improve the delivery of services in public housing and to enhance trust in the public housing system among PHAs, public housing residents, and the general public, by providing a management tool for effectively and fairly measuring the performance of a PHA in essential housing operations of its projects, based on standards that are uniform and verifiable. The changes proposed by this rule are intended to enhance the efficiency and utility of PHAS.
Second, the proposed rule would establish, in a separate part of the CFR, the regulations that would specify:
- the actions or inactions by which a PHA would be determined to be in substantial default,
- the procedures for a PHA to respond to such a determination or finding, and
- the sanctions available to HUD to address and remedy substantial default by a PHA.
To date, such regulations have been included in the PHAS regulations, but the actions or inactions that constitute substantial default are not limited to failure to comply with PHAS regulations. Accordingly, the proposed regulations applicable to substantial default are more appropriately codified in a separate CFR part.
This proposed rule is also publishing the scoring processes for each of the PHAS scoring categories as appendices to part 902. Although these scoring processes are proposed as appendices, it is also possible that, at the final rule stage, they will be published as separate notices as has been HUD's practice to this point.
Comment Due Date: October 20, 2008.Tuesday, August 5, 2008
Streamlining Public Housing Programs
SUMMARY:
This proposed rule would support HUD's overall objective to streamline the regulations governing public housing programs and to facilitate the transition of public housing agencies (PHAs) to asset management. In general, this proposed rule would streamline portions of the public housing regulations, and more closely align the regulatory framework of public housing with other federally subsidized housing programs, providing PHAs greater flexibility within the parameters of current law. This proposed rule offers general principles and basic guidelines for PHAs to follow, rather than overly prescriptive measures, thus allowing PHAs to operate projects more efficiently as PHAs move toward asset management.
DATES: Comment Due Date: October 6, 2008.




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