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To get them that help , the Federal Government needs more reliable needs assessments at the state and local levels to guide the expansion of particular types , or modalities , of drug treatment . At the state and local level , 55 Governors were consulted , as well as the National Governors Association , U.S. Conference of Mayors , and National Association of Counties . a comprehensive resource that serves well as both a ready reference tool and , most importantly , as a guide to those embarking on substantive research in this complex subject area ... Unfortunately , despite growing evidence of the effectiveness of this modest form of intervention , most primary care settings , emergency rooms , and trauma centers around the country do not integrate the SBIR program with medical care . In this Further Notice of Proposed Rulemaking , the Commission sought comment on the input values that will be used in the national cost model to determine non-rural carriers ' forward-looking costs to provide supported services . National Center for the Study of Adult Learning and Literacy : Draws on numerous scholars and experts to investigate the practice of educational programs around the country that serve adults with limited literacy and English language skills . In this second stage of the cost model proceeding , the Commission sought additional comment on the input values that will be used in the engineering cost model to determine non-rural carriers ' forward-looking costs to provide supported services .