www.caledonianrecord.com Open in urlscan Pro
192.104.183.109  Public Scan

URL: https://www.caledonianrecord.com/news/national/parents-of-disabled-children-sue-indiana-over-medicaid-changes-addressing-1-billio...
Submission: On May 29 via manual from US — Scanned from US

Form analysis 20 forms found in the DOM

POST https://www.caledonianrecord.com/users/logout/

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</form>

GET /search/

<form id="site-search-446749" aria-label="Site search" action="/search/" method="GET">
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    <input id="site-search-446749-term" name="q" title="Site search" type="text" placeholder="Search..." class="form-control" autocomplete="off">
    <input type="submit" class="hide" value="Search">
    <span class="input-group-btn">
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        <span id="site-search-button-446749" class="hidden-xs hidden-sm sr-only">Search</span>
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  <div class="clearfix"></div>
</form>

POST https://www.caledonianrecord.com/users/logout/

<form method="post" action="https://www.caledonianrecord.com/users/logout/" id="user-logout-form-446776"><input type="hidden" name="referer_url"
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</form>

GET /weather/

<form action="/weather/" class="zip-update-form form-inline" method="get">
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  <input class="btn btn-primary" type="submit" value="GO">
</form>

GET /search/

<form id="site-search-446747" aria-label="Site search" action="/search/" method="GET">
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    <span class="input-group-btn">
      <button id="site-search-446747-btn" class="btn btn-link" aria-label="Submit Site Search" type="submit">
        <span id="site-search-button-446747" class="hidden-xs hidden-sm sr-only">Search</span>
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POST /users/admin/list/

<form method="post" data-uuid="7200e67f-1943-5acc-8613-bede58ded7b5" class="save-list-7200e67f-1943-5acc-8613-bede58ded7b5-form save-asset-to-list" action="/users/admin/list/">
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POST /users/admin/list/

<form method="post" data-uuid="4e0a1bc8-8993-5ab5-b059-177cc6a0aeed" class="save-list-4e0a1bc8-8993-5ab5-b059-177cc6a0aeed-form save-asset-to-list" action="/users/admin/list/">
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POST /tncms/counter/editorial/4e0a1bc8-8993-5ab5-b059-177cc6a0aeed/?

<form id="reaction-form" onsubmit="return" data-uuid="4e0a1bc8-8993-5ab5-b059-177cc6a0aeed" method="post" action="/tncms/counter/editorial/4e0a1bc8-8993-5ab5-b059-177cc6a0aeed/?">
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POST /users/admin/list/

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POST /tncms/comment/post/

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  <div class="modal-footer clearfix">
    <div class="btn-group pull-left">
      <button type="button" class="btn btn-default" data-dismiss="modal">Cancel</button>
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    <div class="btn-group pull-right">
      <button type="submit" class="btn btn-primary" data-loading-text="<span class='fas tnt-spinner tnt-spin'></span> Posting">Post comment</button>
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    <div class="media comment preview">
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        <p>Your comment has been submitted.</p>
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      <div class="comment-body media-body">
        <div class="comment-user">
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          <img class="avatar img-responsive" src="" alt="">
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        <div class="comment-heading  media-heading">
          <strong class="username">anonymous</strong>
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        <div class="comment-text">
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POST /news/national/parents-of-disabled-children-sue-indiana-over-medicaid-changes-addressing-1-billion-shortfall/article_4e0a1bc8-8993-5ab5-b059-177cc6a0aeed.html

<form id="commentReport" method="post" action="/news/national/parents-of-disabled-children-sue-indiana-over-medicaid-changes-addressing-1-billion-shortfall/article_4e0a1bc8-8993-5ab5-b059-177cc6a0aeed.html">
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  <input type="hidden" name="comment_id" value="">
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  </div>
  <div class="modal-footer clearfix">
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    <div class="btn-group pull-right">
      <button class="btn btn-danger" type="submit" data-loading-text="<span class='fas tnt-spinner tnt-spin'></span> Reporting">Report Abuse</button>
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  <template id="commentReportErrorTemplate" class="template error">
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      <p>There was a problem reporting this.</p>
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  </template>
</form>

POST /tncms/comment/subscribe/

<form id="commentSubscribe" method="post" action="/tncms/comment/subscribe/">
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    <input type="hidden" name="app" value="editorial">
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      <div class="subscribe"> Get an email notification whenever someone contributes to the discussion </div>
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    <div class="modal-footer clearfix">
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</form>

POST /tncms/mailinglist/signup/

<form id="mailinglist-form-520997" class="mailinglist-form form-validate" action="/tncms/mailinglist/signup/" method="post">
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        <h4 class="mailinglist-title">Breaking News</h4>
        <p>Breaking News alerts from The Caledonian-Record news team.</p>
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        <p>The latest business news from the Northeast Kingdom, North Country and beyond.</p>
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        <h4 class="mailinglist-title">Editor's Picks</h4>
        <p>Stories we think you'll like - Editor's Picks from The Caledonian-Record</p>
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        <p>The most read stories of the week from www.caledonianrecord.com.</p>
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    <div class="mailinglist-btn-container col-sm-6">
      <button class="mailinglist-save btn btn-primary btn-block">Sign up<svg class="tnt-svg tnt-spinner tnt-w-16 tnt-spin" style="display: none; margin-left: 5px;" aria-hidden="true" data-prefix="fas" data-icon="spinner" role="presentation"
          xmlns="https://www.w3.org/2000/svg" viewBox="0 0 512 512" data-fa-i2svg="">
          <path fill="currentColor"
            d="M304 48c0 26.51-21.49 48-48 48s-48-21.49-48-48 21.49-48 48-48 48 21.49 48 48zm-48 368c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48-21.49-48-48-48zm208-208c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48-21.49-48-48-48zM96 256c0-26.51-21.49-48-48-48S0 229.49 0 256s21.49 48 48 48 48-21.49 48-48zm12.922 99.078c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48c0-26.509-21.491-48-48-48zm294.156 0c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48c0-26.509-21.49-48-48-48zM108.922 60.922c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48-21.491-48-48-48z">
          </path>
        </svg></button>
    </div>
    <div class="mailinglist-btn-container col-sm-6">
      <a class="btn btn-default btn-block" href="https://www.caledonianrecord.com/users/admin/mailinglist/" rel="nofollow">Manage your lists</a>
    </div>
  </div>
</form>

POST https://www.caledonianrecord.com/users/signup/

<form id="user-register-form" class="user-login-form" role="form" method="post" action="https://www.caledonianrecord.com/users/signup/" novalidate="novalidate"><input name="referer_url" type="hidden" value="/">
  <div class="alert alert-danger critical-error hide">
    <p>Account processing issue - the email address may already exist</p>
  </div>
  <fieldset>
    <legend class="sr-only">User information</legend>
    <div class="form-group">
      <label for="input-username" class="control-label hide"> Username (Optional) </label>
      <div class="input-container">
        <input id="input-username" class="form-control" type="text" name="screen_name" value="" data-check-url="https://www.caledonianrecord.com/users/check/" placeholder="Username (Optional)" data-toggle="tooltip" data-placement="top" title=""
          data-original-title=" This is the name that will be used to identify you within the system. Choose wisely!
">
        <span class="sr-only"> This is the name that will be used to identify you within the system. Choose wisely! </span>
      </div>
    </div>
    <div class="form-group row">
      <label for="input-firstname" class="control-label hide">
        <span class="text-danger">*</span> First name </label>
      <div class="input-container col-xs-6">
        <input id="input-firstname" class="form-control first_last_names" type="text" name="first_name" value="" required="" placeholder="First name" aria-required="true">
      </div>
      <label for="input-lastname" class="control-label hide">
        <span class="text-danger">*</span> Last name </label>
      <div class="input-container col-xs-6">
        <input id="input-lastname" class="form-control first_last_names" type="text" name="last_name" value="" required="" placeholder="Last name" aria-required="true">
        <span class="help-block">Your real name will be displayed next to your photo for comments, blog posts, and more!</span>
      </div>
    </div>
    <div class="form-group">
      <label for="input-email" class="control-label hide"><span class="text-danger">*</span> Email Address</label>
      <div class="input-container">
        <input id="input-email" class="form-control" type="email" name="email" value="" placeholder="Email Address" data-toggle="tooltip" data-placement="top" title="" required=""
          data-original-title="Your email address will be used to confirm your account. We won't share it with anyone else." aria-required="true">
        <span class="sr-only">Your email address will be used to confirm your account. We won't share it with anyone else.</span>
      </div>
    </div>
    <div class="form-group">
      <label for="input-password" class="control-label hide"><span class="text-danger">*</span> Password</label>
      <div class="input-container">
        <input id="input-password" class="form-control" type="password" name="password" autocomplete="off" placeholder="Password" data-toggle="tooltip" data-placement="top" title="" required=""
          data-original-title="Create a password that only you will remember. If you forget it, you'll be able to recover it using your email address." aria-required="true">
        <span class="sr-only">Create a password that only you will remember. If you forget it, you'll be able to recover it using your email address.</span>
      </div>
    </div>
    <div class="form-group">
      <label for="input-confirm-password" class="control-label hide"><span class="text-danger">*</span> Confirm Password</label>
      <div class="input-container">
        <input id="input-confirm-password" class="form-control" type="password" name="password_verify" autocomplete="off" placeholder="Confirm Password" data-toggle="tooltip" data-placement="top" title="" required=""
          data-original-title="Confirm your password." aria-required="true">
        <span class="sr-only">Confirm your password.</span>
      </div>
    </div>
  </fieldset>
  <fieldset>
    <legend class="sr-only">Mailing lists</legend>
    <div class="form-group mailing-lists">
      <label class="control-label">Join our mailing lists</label>
      <div class="input-container">
        <div class="checkbox">
          <label>
            <input type="checkbox" name="lists[]" value="d1d9c01e-ad30-11e6-9dfb-1bc0062c98bc" checked=""> Daily Headlines<span class="help-block">
              <p>Today's top headlines from the Caledonian-Record.</p>
            </span></label>
        </div>
        <div class="checkbox">
          <label>
            <input type="checkbox" name="lists[]" value="d7bd0ed0-61d5-11e9-aac9-8f5cca58b1e1" checked=""> Breaking News<span class="help-block">
              <p>Breaking News alerts from The Caledonian-Record news team.</p>
            </span></label>
        </div>
        <div class="checkbox">
          <label>
            <input type="checkbox" name="lists[]" value="e3b5058a-fff5-11e9-ac8f-17f77e190e9c" checked=""> Business Week<span class="help-block">
              <p>The latest business news from the Northeast Kingdom, North Country and beyond.</p>
            </span></label>
        </div>
        <div class="checkbox">
          <label>
            <input type="checkbox" name="lists[]" value="e0b8108c-9806-11ed-be69-1f33ed5e2006" checked=""> Classifieds and Ads<span class="help-block">
              <p>Recent Advertisements from our partners.</p>
            </span></label>
        </div>
      </div>
    </div>
  </fieldset>
  <div class="form-group">
    <label for="tncms_captcha_response" class="sr-only">CAPTCHA</label>
    <div class="input-container text-center">
      <div id="tn-vk-modal-signup" class="tn-vk-container" data-subscription-recaptcha=""></div>
    </div>
  </div>
  <div class="user-register-submit form-group">
    <div class="input-container text-center">
      <button type="submit" class="btn btn-lg btn-primary">Create Account</button>
    </div>
  </div>
</form>

POST https://www.caledonianrecord.com/users/login/

<form id="access-modal-login-form" class="user-login-form" role="form" method="post" action="https://www.caledonianrecord.com/users/login/">
  <div class="alert alert-danger critical-error hide">
    <p>Invalid password or account does not exist</p>
  </div><input type="hidden" name="referer_url" value="https://www.caledonianrecord.com/news/national/parents-of-disabled-children-sue-indiana-over-medicaid-changes-addressing-1-billion-shortfall/article_4e0a1bc8-8993-5ab5-b059-177cc6a0aeed.html">
  <div class="user-login-username form-group">
    <label for="user-username" class="control-label hide">Email Address</label>
    <div class="input-container">
      <input id="user-username" class="form-control" name="username" type="text" value="" placeholder="Email Address" required="">
    </div>
  </div>
  <div class="user-login-password form-group">
    <label for="user-password" class="control-label hide">Password</label>
    <div class="input-group">
      <input id="user-password" class="form-control" name="password" type="password" autocomplete="off" required="" placeholder="Password">
      <div id="user-password-toggle" class="input-group-addon password-toggle" title="Toggle password visibility">
        <svg class="tnt-svg tnt-eye tnt-w-18" aria-hidden="true" data-prefix="fas" data-icon="eye" role="presentation" xmlns="https://www.w3.org/2000/svg" viewBox="0 0 576 512" data-fa-i2svg="">
          <path fill="currentColor"
            d="M572.52 241.4C518.29 135.59 410.93 64 288 64S57.68 135.64 3.48 241.41a32.35 32.35 0 0 0 0 29.19C57.71 376.41 165.07 448 288 448s230.32-71.64 284.52-177.41a32.35 32.35 0 0 0 0-29.19zM288 400a144 144 0 1 1 144-144 143.93 143.93 0 0 1-144 144zm0-240a95.31 95.31 0 0 0-25.31 3.79 47.85 47.85 0 0 1-66.9 66.9A95.78 95.78 0 1 0 288 160z">
          </path>
        </svg>
      </div>
    </div>
  </div>
  <div class="user-login-remember form-group row">
    <div class="input-container col-xs-6">
    </div>
    <div class="col-xs-6 text-right forgot-wrapper">
      <a id="open-modal-forgot" class="" rel="nofollow" href="https://www.caledonianrecord.com/users/forgot/?referer_url=https%3A%2F%2Fwww.caledonianrecord.com%2Fnews%2Fnational%2Fparents-of-disabled-children-sue-indiana-over-medicaid-changes-addressing-1-billion-shortfall%2Farticle_4e0a1bc8-8993-5ab5-b059-177cc6a0aeed.html">
                           Forgot your password?
                        </a>
    </div>
  </div>
  <div class="user-login-submit form-group">
    <div class="input-container text-center">
      <button type="submit" class="btn btn-lg btn-primary">Log In</button>
    </div>
  </div>
  <div class="text-center form-group">
    <a id="open-modal-instant-login" class="btn btn-sm btn-default btn-instant-login" rel="nofollow" href="https://www.caledonianrecord.com/users/instant-login/?referer_url=https%3A%2F%2Fwww.caledonianrecord.com%2Fnews%2Fnational%2Fparents-of-disabled-children-sue-indiana-over-medicaid-changes-addressing-1-billion-shortfall%2Farticle_4e0a1bc8-8993-5ab5-b059-177cc6a0aeed.html">
                        Email me a log in link
                    </a>
  </div>
</form>

POST https://www.caledonianrecord.com/users/forgot/

<form id="user-modal-forgot-form" role="form" method="post" action="https://www.caledonianrecord.com/users/forgot/">
  <input type="hidden" name="referer_url" value="https://www.caledonianrecord.com/news/national/parents-of-disabled-children-sue-indiana-over-medicaid-changes-addressing-1-billion-shortfall/article_4e0a1bc8-8993-5ab5-b059-177cc6a0aeed.html">
  <div class="user-login-username form-group">
    <label for="forgot-username" class="sr-only">Email or Screen Name</label>
    <input id="forgot-username" class="form-control" name="username" type="text" placeholder="Email or Screen Name" value="" required="">
  </div>
  <div class="form-group">
    <label for="g-recaptcha-response-1" class="sr-only">CAPTCHA</label>
    <div class="input-container text-center">
      <div id="tn-vk-modal-forgot" class="tn-vk-container" data-subscription-recaptcha=""></div>
    </div>
  </div>
  <div class="user-login-submit form-group">
    <div class="text-center">
      <button type="submit" class="btn btn-primary">Reset Password</button>
    </div>
  </div>
</form>

POST https://www.caledonianrecord.com/users/instant-login/

<form id="instant-login-form" class="form-horizontal" role="form" method="post" action="https://www.caledonianrecord.com/users/instant-login/">
  <div class="form-group">
    <div class="col-xs-12">
      <label for="instant-login-email" class="sr-only">Account Email</label>
      <input id="instant-login-email" class="form-control" name="email" type="email" value="" required="" placeholder="Account Email">
    </div>
  </div>
  <div class="form-group">
    <label for="tncms_captcha_response" class="sr-only">CAPTCHA</label>
    <div class="input-container text-center">
      <div id="tn-vk-modal-instant-login" class="tn-vk-container" data-subscription-recaptcha=""></div>
    </div>
  </div>
  <div class="user-login-link-submit form-group">
    <div class="text-center">
      <button type="submit" class="btn btn-primary">Send Email</button>
    </div>
  </div>
</form>

GET https://www.caledonianrecord.com/tncms/subscription/services/

<form id="service-promo-fetch" class="text-left service-promo-open form-horizontal" role="form" method="get" action="https://www.caledonianrecord.com/tncms/subscription/services/">
  <fieldset class="col-xs-12">
    <input type="hidden" name="serviceid" value="">
    <div class="form-group">
      <label for="promo" class="sr-only">Enter Promo Code</label>
    </div>
    <div class="form-group">
      <div class="input-group col-sm-8 col-sm-push-2">
        <input type="text" class="form-control" name="promoCode" placeholder="Enter Promo Code" value="">
        <span class="input-group-btn">
          <button type="submit" class="btn btn-primary">Redeem</button>
        </span>
      </div>
    </div>
  </fieldset>
</form>

POST /tncms/subscription/buy_paypal/

<form id="tncms-paypal-super-purchase" action="/tncms/subscription/buy_paypal/" method="post" class="hide">
  <input name="referrer_url" type="hidden" value="/news/national/parents-of-disabled-children-sue-indiana-over-medicaid-changes-addressing-1-billion-shortfall/article_4e0a1bc8-8993-5ab5-b059-177cc6a0aeed.html">
  <input name="service_id" type="hidden" value="">
  <input name="rate_id" type="hidden" value="">
  <input name="email" type="hidden" value="">
  <input name="password" type="password" value="">
  <input name="password_verify" type="password" value="">
  <input name="postal-postcode" type="hidden" value="">
  <input name="postal-country" type="hidden" value="">
  <input name="postal_code" type="hidden" value="">
  <input name="country" type="hidden" value="">
</form>

POST /tncms/subscription/buy/

<form id="form-super-purchase" class="form-horizontal spreedly-initialized" role="form" action="/tncms/subscription/buy/" method="post" data-taxable="false" data-location-required="true" onsubmit="submitPaymentFormSpreedly(); return false"
  novalidate="novalidate">
  <input type="hidden" name="referrer_url" value="/news/national/parents-of-disabled-children-sue-indiana-over-medicaid-changes-addressing-1-billion-shortfall/article_4e0a1bc8-8993-5ab5-b059-177cc6a0aeed.html">
  <input type="hidden" name="service_id" value="">
  <input type="hidden" name="rate_name" value="">
  <input type="hidden" name="rate_id" value="">
  <input type="hidden" name="rate_price" value="">
  <input type="hidden" name="tnpay-token" id="tnpay-token-super-purchase"><input type="hidden" id="voight-kampf-super-purchase" name="recaptcha_token" value=""><input type="hidden" name="promoCode" value="">
  <fieldset id="form-signup-super-purchase" class="col-xs-12 not-logged-in purchase-standard" style="display: block;">
    <legend>What's your email address?</legend>
    <div class="form-group">
      <label for="email-super-purchase" class="control-label sr-only">Email</label>
      <input id="email-super-purchase" type="email" name="email" class="form-control" placeholder="Email" data-required="" data-required-logged-out="" required="" aria-required="true">
    </div>
    <div class="form-group">
      <div class="row">
        <div class="col-xs-6">
          <label for="password-super-purchase" class="sr-only">Password</label>
          <input id="password-super-purchase" type="password" name="password" class="form-control" placeholder="Password" data-required="" data-required-logged-out="" required="" aria-required="true">
        </div>
        <div class="col-xs-6">
          <label for="password-verify-super-purchase" class="sr-only">Confirm password</label>
          <input id="password-verify-super-purchase" type="password" name="password_verify" class="form-control" placeholder="Confirm password">
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset id="form-gift-to-super-purchase" class="col-xs-12 purchase-gift">
    <legend>Who is this gift for?</legend>
    <div class="form-group">
      <div class="row">
        <div class="col-xs-12 col-md-6">
          <label for="field-recipient-name-super-purchase" class="control-label sr-only">Recipient name</label>
          <input id="field-recipient-name-super-purchase" class="form-control" type="text" name="recipient_name" placeholder="Recipient name" data-required="" required="" aria-required="true">
        </div>
        <div class="col-xs-12 col-md-6">
          <label for="field-recipient-email-super-purchase" class="control-label sr-only">Recipient email</label>
          <input id="field-recipient-email-super-purchase" class="form-control" type="email" name="recipient_email" placeholder="Recipient email" data-required="" required="" aria-required="true">
        </div>
      </div>
    </div>
    <div class="form-group">
      <div class="row">
        <div id="gift-message" class="col-xs-12">
          <label for="field-gift-message-super-purchase" class="control-label sr-only">Optional message for the recipient</label>
          <textarea id="field-gift-message-super-purchase" class="form-control" name="message" rows="4" placeholder="Optional message for the recipient"></textarea>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset id="form-gift-from-super-purchase" class="col-xs-12 purchase-gift">
    <legend>Who is this gift from?</legend>
    <div id="purchaser-info" class="form-group-flex">
      <div id="purchaser-name">
        <label for="field-purchaser-name-super-purchase" class="control-label sr-only">Purchaser name</label>
        <input id="field-purchaser-name-super-purchase" class="form-control" type="text" name="purchaser_name" placeholder="Purchaser name" data-required="" required="" aria-required="true">
      </div>
      <div id="purchaser-email">
        <label for="field-purchaser-email-super-purchase" class="control-label sr-only">Purchaser email</label>
        <input id="field-purchaser-email-super-purchase" class="form-control" type="email" name="purchaser_email" placeholder="Purchaser email" data-required="" required="" aria-required="true">
      </div>
    </div><template id="purchaser-zip-template">
      <div id="purchaser-zip">
        <label for="field-purchaser-zip-super-purchase" class="control-label sr-only">Purchaser zip code</label>
        <input id="field-purchaser-zip-super-purchase" class="form-control" type="text" name="purchaser_zip" placeholder="Purchaser zip code" data-required="" required="">
      </div>
    </template>
  </fieldset>
  <fieldset id="form-gift-deliver-super-purchase" class="col-xs-12 purchase-gift">
    <legend>Delivery date</legend>
    <div class="form-group">
      <div class="row">
        <div class="col-xs-12">
          <label for="field-gift-date-super-purchase" class="control-label sr-only">Delivery date</label>
        </div>
        <div class="col-xs-12">
          <input id="field-gift-date-super-purchase" class="form-control" name="delivery_date" type="date" value="2024-05-28">
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset id="form-billing-location-super-purchase" class="col-xs-12 tnt-tax-detail tnt-required">
    <legend> What's your billing location? </legend>
    <div class="form-group-flex">
      <div id="billing-address">
        <label for="field-postal-address-super-purchase" class="control-label sr-only"> Address </label>
        <input id="field-postal-address-super-purchase" type="text" name="postal-address" class="form-control" placeholder="Address">
      </div>
      <div id="billing-city">
        <label for="field-postal-city-super-purchase" class="control-label sr-only"> City </label>
        <input id="field-postal-city-super-purchase" type="text" name="postal-city" class="form-control" placeholder="City">
      </div>
    </div>
    <div class="form-group-flex">
      <div id="billing-state">
        <label for="field-postal-state-super-purchase" class="control-label sr-only"> State </label>
        <select id="field-postal-state-super-purchase" class="form-control" name="postal-state" placeholder="State">
          <option value="AL">Alabama</option>
          <option value="AK">Alaska</option>
          <option value="AZ">Arizona</option>
          <option value="AR">Arkansas</option>
          <option value="CA">California</option>
          <option value="CO">Colorado</option>
          <option value="CT">Connecticut</option>
          <option value="DE">Delaware</option>
          <option value="FL">Florida</option>
          <option value="GA">Georgia</option>
          <option value="HI">Hawaii</option>
          <option value="ID">Idaho</option>
          <option value="IL">Illinois</option>
          <option value="IN">Indiana</option>
          <option value="IA">Iowa</option>
          <option value="KS">Kansas</option>
          <option value="KY">Kentucky</option>
          <option value="LA">Louisiana</option>
          <option value="ME">Maine</option>
          <option value="MD">Maryland</option>
          <option value="MA">Massachusetts</option>
          <option value="MI">Michigan</option>
          <option value="MN">Minnesota</option>
          <option value="MS">Mississippi</option>
          <option value="MO">Missouri</option>
          <option value="MT">Montana</option>
          <option value="NE">Nebraska</option>
          <option value="NV">Nevada</option>
          <option value="NH">New Hampshire</option>
          <option value="NJ">New Jersey</option>
          <option value="NM">New Mexico</option>
          <option value="NY">New York</option>
          <option value="NC">North Carolina</option>
          <option value="ND">North Dakota</option>
          <option value="OH">Ohio</option>
          <option value="OK">Oklahoma</option>
          <option value="OR">Oregon</option>
          <option value="PA">Pennsylvania</option>
          <option value="RI">Rhode Island</option>
          <option value="SC">South Carolina</option>
          <option value="SD">South Dakota</option>
          <option value="TN">Tennessee</option>
          <option value="TX">Texas</option>
          <option value="UT">Utah</option>
          <option value="VT" selected="">Vermont</option>
          <option value="VA">Virginia</option>
          <option value="WA">Washington</option>
          <option value="DC">Washington D.C.</option>
          <option value="WV">West Virginia</option>
          <option value="WI">Wisconsin</option>
          <option value="WY">Wyoming</option>
          <option value="PR">Puerto Rico</option>
          <option value="VI">US Virgin Islands</option>
          <option value="AA">Armed Forces Americas</option>
          <option value="AP">Armed Forces Pacific</option>
          <option value="AE">Armed Forces Europe</option>
          <option value="MP">Northern Mariana Islands</option>
          <option value="MH">Marshall Islands</option>
          <option value="AS">American Samoa</option>
          <option value="FM">Federated States of Micronesia</option>
          <option value="GU">Guam</option>
          <option value="PW">Palau</option>
          <option value="AB">Alberta, Canada</option>
          <option value="BC">British Columbia, Canada</option>
          <option value="MB">Manitoba, Canada</option>
          <option value="NB">New Brunswick, Canada</option>
          <option value="NL">Newfoundland, Canada</option>
          <option value="NS">Nova Scotia, Canada</option>
          <option value="NT">Northwest Territories, Canada</option>
          <option value="NU">Nunavut, Canada</option>
          <option value="ON">Ontario, Canada</option>
          <option value="PE">Prince Edward Island, Canada</option>
          <option value="QC">Quebec, Canada</option>
          <option value="SK">Saskatchewan, Canada</option>
          <option value="YT">Yukon Territory, Canada</option>
        </select>
      </div>
      <div id="billing-postcode">
        <label for="field-postal-postcode-super-purchase" class="control-label sr-only"> Zip Code </label>
        <input id="field-postal-postcode-super-purchase" type="text" name="postal-postcode" maxlength="7" class="form-control" placeholder="Zip code" required="" aria-required="true">
      </div>
      <div id="billing-country">
        <label for="field-postal-country-super-purchase" class="control-label sr-only"> Country </label>
        <select id="field-postal-country-super-purchase" name="postal-country" class="form-control">
          <option value="US" selected="">United States of America</option>
          <option value="VI">US Virgin Islands</option>
          <option value="UM">United States Minor Outlying Islands</option>
          <option value="CA">Canada</option>
          <option value="MX">Mexico, United Mexican States</option>
          <option value="BS">Bahamas, Commonwealth of the</option>
          <option value="CU">Cuba, Republic of</option>
          <option value="DO">Dominican Republic</option>
          <option value="HT">Haiti, Republic of</option>
          <option value="JM">Jamaica</option>
          <option value="AF">Afghanistan</option>
          <option value="AL">Albania, People's Socialist Republic of</option>
          <option value="DZ">Algeria, People's Democratic Republic of</option>
          <option value="AS">American Samoa</option>
          <option value="AD">Andorra, Principality of</option>
          <option value="AO">Angola, Republic of</option>
          <option value="AI">Anguilla</option>
          <option value="AQ">Antarctica (the territory South of 60 deg S)</option>
          <option value="AG">Antigua and Barbuda</option>
          <option value="AR">Argentina, Argentine Republic</option>
          <option value="AM">Armenia</option>
          <option value="AW">Aruba</option>
          <option value="AU">Australia, Commonwealth of</option>
          <option value="AT">Austria, Republic of</option>
          <option value="AZ">Azerbaijan, Republic of</option>
          <option value="BH">Bahrain, Kingdom of</option>
          <option value="BD">Bangladesh, People's Republic of</option>
          <option value="BB">Barbados</option>
          <option value="BY">Belarus</option>
          <option value="BE">Belgium, Kingdom of</option>
          <option value="BZ">Belize</option>
          <option value="BJ">Benin, People's Republic of</option>
          <option value="BM">Bermuda</option>
          <option value="BT">Bhutan, Kingdom of</option>
          <option value="BO">Bolivia, Republic of</option>
          <option value="BA">Bosnia and Herzegovina</option>
          <option value="BW">Botswana, Republic of</option>
          <option value="BV">Bouvet Island (Bouvetoya)</option>
          <option value="BR">Brazil, Federative Republic of</option>
          <option value="IO">British Indian Ocean Territory (Chagos Archipelago)</option>
          <option value="VG">British Virgin Islands</option>
          <option value="BN">Brunei Darussalam</option>
          <option value="BG">Bulgaria, People's Republic of</option>
          <option value="BF">Burkina Faso</option>
          <option value="BI">Burundi, Republic of</option>
          <option value="KH">Cambodia, Kingdom of</option>
          <option value="CM">Cameroon, United Republic of</option>
          <option value="CV">Cape Verde, Republic of</option>
          <option value="KY">Cayman Islands</option>
          <option value="CF">Central African Republic</option>
          <option value="TD">Chad, Republic of</option>
          <option value="CL">Chile, Republic of</option>
          <option value="CN">China, People's Republic of</option>
          <option value="CX">Christmas Island</option>
          <option value="CC">Cocos (Keeling) Islands</option>
          <option value="CO">Colombia, Republic of</option>
          <option value="KM">Comoros, Union of the</option>
          <option value="CD">Congo, Democratic Republic of</option>
          <option value="CG">Congo, People's Republic of</option>
          <option value="CK">Cook Islands</option>
          <option value="CR">Costa Rica, Republic of</option>
          <option value="CI">Cote D'Ivoire, Ivory Coast, Republic of the</option>
          <option value="CY">Cyprus, Republic of</option>
          <option value="CZ">Czech Republic</option>
          <option value="DK">Denmark, Kingdom of</option>
          <option value="DJ">Djibouti, Republic of</option>
          <option value="DM">Dominica, Commonwealth of</option>
          <option value="EC">Ecuador, Republic of</option>
          <option value="EG">Egypt, Arab Republic of</option>
          <option value="SV">El Salvador, Republic of</option>
          <option value="GQ">Equatorial Guinea, Republic of</option>
          <option value="ER">Eritrea</option>
          <option value="EE">Estonia</option>
          <option value="ET">Ethiopia</option>
          <option value="FO">Faeroe Islands</option>
          <option value="FK">Falkland Islands (Malvinas)</option>
          <option value="FJ">Fiji, Republic of the Fiji Islands</option>
          <option value="FI">Finland, Republic of</option>
          <option value="FR">France, French Republic</option>
          <option value="GF">French Guiana</option>
          <option value="PF">French Polynesia</option>
          <option value="TF">French Southern Territories</option>
          <option value="GA">Gabon, Gabonese Republic</option>
          <option value="GM">Gambia, Republic of the</option>
          <option value="GE">Georgia</option>
          <option value="DE">Germany</option>
          <option value="GH">Ghana, Republic of</option>
          <option value="GI">Gibraltar</option>
          <option value="GR">Greece, Hellenic Republic</option>
          <option value="GL">Greenland</option>
          <option value="GD">Grenada</option>
          <option value="GP">Guadaloupe</option>
          <option value="GU">Guam</option>
          <option value="GT">Guatemala, Republic of</option>
          <option value="GN">Guinea, Revolutionary People's Rep'c of</option>
          <option value="GW">Guinea-Bissau, Republic of</option>
          <option value="GY">Guyana, Republic of</option>
          <option value="HM">Heard and McDonald Islands</option>
          <option value="VA">Holy See (Vatican City State)</option>
          <option value="HN">Honduras, Republic of</option>
          <option value="HK">Hong Kong, Special Administrative Region of China</option>
          <option value="HR">Hrvatska (Croatia)</option>
          <option value="HU">Hungary, Hungarian People's Republic</option>
          <option value="IS">Iceland, Republic of</option>
          <option value="IN">India, Republic of</option>
          <option value="ID">Indonesia, Republic of</option>
          <option value="IR">Iran, Islamic Republic of</option>
          <option value="IQ">Iraq, Republic of</option>
          <option value="IE">Ireland</option>
          <option value="IL">Israel, State of</option>
          <option value="IT">Italy, Italian Republic</option>
          <option value="JP">Japan</option>
          <option value="JO">Jordan, Hashemite Kingdom of</option>
          <option value="KZ">Kazakhstan, Republic of</option>
          <option value="KE">Kenya, Republic of</option>
          <option value="KI">Kiribati, Republic of</option>
          <option value="KP">Korea, Democratic People's Republic of</option>
          <option value="KR">Korea, Republic of</option>
          <option value="KW">Kuwait, State of</option>
          <option value="KG">Kyrgyz Republic</option>
          <option value="LA">Lao People's Democratic Republic</option>
          <option value="LV">Latvia</option>
          <option value="LB">Lebanon, Lebanese Republic</option>
          <option value="LS">Lesotho, Kingdom of</option>
          <option value="LR">Liberia, Republic of</option>
          <option value="LY">Libyan Arab Jamahiriya</option>
          <option value="LI">Liechtenstein, Principality of</option>
          <option value="LT">Lithuania</option>
          <option value="LU">Luxembourg, Grand Duchy of</option>
          <option value="MO">Macao, Special Administrative Region of China</option>
          <option value="MK">Macedonia, the former Yugoslav Republic of</option>
          <option value="MG">Madagascar, Republic of</option>
          <option value="MW">Malawi, Republic of</option>
          <option value="MY">Malaysia</option>
          <option value="MV">Maldives, Republic of</option>
          <option value="ML">Mali, Republic of</option>
          <option value="MT">Malta, Republic of</option>
          <option value="MH">Marshall Islands</option>
          <option value="MQ">Martinique</option>
          <option value="MR">Mauritania, Islamic Republic of</option>
          <option value="MU">Mauritius</option>
          <option value="YT">Mayotte</option>
          <option value="FM">Micronesia, Federated States of</option>
          <option value="MD">Moldova, Republic of</option>
          <option value="MC">Monaco, Principality of</option>
          <option value="MN">Mongolia, Mongolian People's Republic</option>
          <option value="MS">Montserrat</option>
          <option value="MA">Morocco, Kingdom of</option>
          <option value="MZ">Mozambique, People's Republic of</option>
          <option value="MM">Myanmar</option>
          <option value="NA">Namibia</option>
          <option value="NR">Nauru, Republic of</option>
          <option value="NP">Nepal, Kingdom of</option>
          <option value="AN">Netherlands Antilles</option>
          <option value="NL">Netherlands, Kingdom of the</option>
          <option value="NC">New Caledonia</option>
          <option value="NZ">New Zealand</option>
          <option value="NI">Nicaragua, Republic of</option>
          <option value="NE">Niger, Republic of the</option>
          <option value="NG">Nigeria, Federal Republic of</option>
          <option value="NU">Niue, Republic of</option>
          <option value="NF">Norfolk Island</option>
          <option value="MP">Northern Mariana Islands</option>
          <option value="NO">Norway, Kingdom of</option>
          <option value="OM">Oman, Sultanate of</option>
          <option value="PK">Pakistan, Islamic Republic of</option>
          <option value="PW">Palau</option>
          <option value="PS">Palestinian Territory, Occupied</option>
          <option value="PA">Panama, Republic of</option>
          <option value="PG">Papua New Guinea</option>
          <option value="PY">Paraguay, Republic of</option>
          <option value="PE">Peru, Republic of</option>
          <option value="PH">Philippines, Republic of the</option>
          <option value="PN">Pitcairn Island</option>
          <option value="PL">Poland, Polish People's Republic</option>
          <option value="PT">Portugal, Portuguese Republic</option>
          <option value="PR">Puerto Rico</option>
          <option value="QA">Qatar, State of</option>
          <option value="RE">Reunion</option>
          <option value="RO">Romania, Socialist Republic of</option>
          <option value="RU">Russian Federation</option>
          <option value="RW">Rwanda, Rwandese Republic</option>
          <option value="WS">Samoa, Independent State of</option>
          <option value="SM">San Marino, Republic of</option>
          <option value="ST">Sao Tome and Principe, Democratic Republic of</option>
          <option value="SA">Saudi Arabia, Kingdom of</option>
          <option value="SN">Senegal, Republic of</option>
          <option value="CS">Serbia and Montenegro</option>
          <option value="SC">Seychelles, Republic of</option>
          <option value="SL">Sierra Leone, Republic of</option>
          <option value="SG">Singapore, Republic of</option>
          <option value="SK">Slovakia (Slovak Republic)</option>
          <option value="SI">Slovenia</option>
          <option value="SB">Solomon Islands</option>
          <option value="SO">Somalia, Somali Republic</option>
          <option value="ZA">South Africa, Republic of</option>
          <option value="GS">South Georgia and the South Sandwich Islands</option>
          <option value="ES">Spain, Spanish State</option>
          <option value="LK">Sri Lanka, Democratic Socialist Republic of</option>
          <option value="SH">St. Helena</option>
          <option value="KN">St. Kitts and Nevis</option>
          <option value="LC">St. Lucia</option>
          <option value="PM">St. Pierre and Miquelon</option>
          <option value="VC">St. Vincent and the Grenadines</option>
          <option value="SD">Sudan, Democratic Republic of the</option>
          <option value="SR">Suriname, Republic of</option>
          <option value="SJ">Svalbard &amp; Jan Mayen Islands</option>
          <option value="SZ">Swaziland, Kingdom of</option>
          <option value="SE">Sweden, Kingdom of</option>
          <option value="CH">Switzerland, Swiss Confederation</option>
          <option value="SY">Syrian Arab Republic</option>
          <option value="TW">Taiwan, Province of China</option>
          <option value="TJ">Tajikistan</option>
          <option value="TZ">Tanzania, United Republic of</option>
          <option value="TH">Thailand, Kingdom of</option>
          <option value="TL">Timor-Leste, Democratic Republic of</option>
          <option value="TG">Togo, Togolese Republic</option>
          <option value="TK">Tokelau (Tokelau Islands)</option>
          <option value="TO">Tonga, Kingdom of</option>
          <option value="TT">Trinidad and Tobago, Republic of</option>
          <option value="TN">Tunisia, Republic of</option>
          <option value="TR">Turkey, Republic of</option>
          <option value="TM">Turkmenistan</option>
          <option value="TC">Turks and Caicos Islands</option>
          <option value="TV">Tuvalu</option>
          <option value="UG">Uganda, Republic of</option>
          <option value="UA">Ukraine</option>
          <option value="AE">United Arab Emirates</option>
          <option value="GB">United Kingdom of Great Britain &amp; N. Ireland</option>
          <option value="UY">Uruguay, Eastern Republic of</option>
          <option value="UZ">Uzbekistan</option>
          <option value="VU">Vanuatu</option>
          <option value="VE">Venezuela, Bolivarian Republic of</option>
          <option value="VN">Viet Nam, Socialist Republic of</option>
          <option value="WF">Wallis and Futuna Islands</option>
          <option value="EH">Western Sahara</option>
          <option value="YE">Yemen</option>
          <option value="ZM">Zambia, Republic of</option>
          <option value="ZW">Zimbabwe</option>
        </select>
      </div>
    </div>
  </fieldset>
  <fieldset id="form-location-super-purchase" class="col-xs-12 delivery-location-required" hidden="">
    <legend>What's your delivery address?</legend>
    <div class="form-group tnt-tax-detail">
      <label>
        <input id="same-info-super-purchase" class="same-info" type="checkbox" name="same_info">
        <b style="position:relative;top:-2px;padding-left:10px;">Copy billing location</b>
      </label>
    </div>
    <div class="form-group">
      <label for="address-super-purchase" class="control-label sr-only">Address</label>
      <input id="address-super-purchase" type="text" name="address" class="form-control" placeholder="Address">
    </div>
    <div class="form-group">
      <label for="municipality-super-purchase" class="control-label sr-only">City</label>
      <input id="municipality-super-purchase" type="text" name="municipality" class="form-control" placeholder="City">
    </div>
    <div class="form-group">
      <div class="row">
        <div class="col-xs-7 col-md-4">
          <label for="region-super-purchase" class="control-label sr-only">State</label>
          <select id="region-super-purchase" class="form-control" name="region" placeholder="State">
            <option value="AL">Alabama</option>
            <option value="AK">Alaska</option>
            <option value="AZ">Arizona</option>
            <option value="AR">Arkansas</option>
            <option value="CA">California</option>
            <option value="CO">Colorado</option>
            <option value="CT">Connecticut</option>
            <option value="DE">Delaware</option>
            <option value="FL">Florida</option>
            <option value="GA">Georgia</option>
            <option value="HI">Hawaii</option>
            <option value="ID">Idaho</option>
            <option value="IL">Illinois</option>
            <option value="IN">Indiana</option>
            <option value="IA">Iowa</option>
            <option value="KS">Kansas</option>
            <option value="KY">Kentucky</option>
            <option value="LA">Louisiana</option>
            <option value="ME">Maine</option>
            <option value="MD">Maryland</option>
            <option value="MA">Massachusetts</option>
            <option value="MI">Michigan</option>
            <option value="MN">Minnesota</option>
            <option value="MS">Mississippi</option>
            <option value="MO">Missouri</option>
            <option value="MT">Montana</option>
            <option value="NE">Nebraska</option>
            <option value="NV">Nevada</option>
            <option value="NH">New Hampshire</option>
            <option value="NJ">New Jersey</option>
            <option value="NM">New Mexico</option>
            <option value="NY">New York</option>
            <option value="NC">North Carolina</option>
            <option value="ND">North Dakota</option>
            <option value="OH">Ohio</option>
            <option value="OK">Oklahoma</option>
            <option value="OR">Oregon</option>
            <option value="PA">Pennsylvania</option>
            <option value="RI">Rhode Island</option>
            <option value="SC">South Carolina</option>
            <option value="SD">South Dakota</option>
            <option value="TN">Tennessee</option>
            <option value="TX">Texas</option>
            <option value="UT">Utah</option>
            <option value="VT" selected="">Vermont</option>
            <option value="VA">Virginia</option>
            <option value="WA">Washington</option>
            <option value="DC">Washington D.C.</option>
            <option value="WV">West Virginia</option>
            <option value="WI">Wisconsin</option>
            <option value="WY">Wyoming</option>
            <option value="PR">Puerto Rico</option>
            <option value="VI">US Virgin Islands</option>
            <option value="AA">Armed Forces Americas</option>
            <option value="AP">Armed Forces Pacific</option>
            <option value="AE">Armed Forces Europe</option>
            <option value="MP">Northern Mariana Islands</option>
            <option value="MH">Marshall Islands</option>
            <option value="AS">American Samoa</option>
            <option value="FM">Federated States of Micronesia</option>
            <option value="GU">Guam</option>
            <option value="PW">Palau</option>
            <option value="AB">Alberta, Canada</option>
            <option value="BC">British Columbia, Canada</option>
            <option value="MB">Manitoba, Canada</option>
            <option value="NB">New Brunswick, Canada</option>
            <option value="NL">Newfoundland, Canada</option>
            <option value="NS">Nova Scotia, Canada</option>
            <option value="NT">Northwest Territories, Canada</option>
            <option value="NU">Nunavut, Canada</option>
            <option value="ON">Ontario, Canada</option>
            <option value="PE">Prince Edward Island, Canada</option>
            <option value="QC">Quebec, Canada</option>
            <option value="SK">Saskatchewan, Canada</option>
            <option value="YT">Yukon Territory, Canada</option>
          </select>
        </div>
        <div class="col-xs-5 col-md-3">
          <label for="postal-code-super-purchase" class="control-label sr-only">Zip code</label>
          <input id="postal-code-super-purchase" type="text" name="postal_code" maxlength="6" class="form-control" placeholder="Zip code">
        </div>
      </div>
    </div>
    <div class="form-group">
      <div class="row">
        <div class="col-xs-7">
          <label for="select-country-super-purchase" class="control-label sr-only">Country</label>
          <div class="input-container">
            <select id="select-country-super-purchase" name="country" class="form-control">
              <option value="US" selected="">United States of America</option>
              <option value="VI">US Virgin Islands</option>
              <option value="UM">United States Minor Outlying Islands</option>
              <option value="CA">Canada</option>
              <option value="MX">Mexico, United Mexican States</option>
              <option value="BS">Bahamas, Commonwealth of the</option>
              <option value="CU">Cuba, Republic of</option>
              <option value="DO">Dominican Republic</option>
              <option value="HT">Haiti, Republic of</option>
              <option value="JM">Jamaica</option>
              <option value="AF">Afghanistan</option>
              <option value="AL">Albania, People's Socialist Republic of</option>
              <option value="DZ">Algeria, People's Democratic Republic of</option>
              <option value="AS">American Samoa</option>
              <option value="AD">Andorra, Principality of</option>
              <option value="AO">Angola, Republic of</option>
              <option value="AI">Anguilla</option>
              <option value="AQ">Antarctica (the territory South of 60 deg S)</option>
              <option value="AG">Antigua and Barbuda</option>
              <option value="AR">Argentina, Argentine Republic</option>
              <option value="AM">Armenia</option>
              <option value="AW">Aruba</option>
              <option value="AU">Australia, Commonwealth of</option>
              <option value="AT">Austria, Republic of</option>
              <option value="AZ">Azerbaijan, Republic of</option>
              <option value="BH">Bahrain, Kingdom of</option>
              <option value="BD">Bangladesh, People's Republic of</option>
              <option value="BB">Barbados</option>
              <option value="BY">Belarus</option>
              <option value="BE">Belgium, Kingdom of</option>
              <option value="BZ">Belize</option>
              <option value="BJ">Benin, People's Republic of</option>
              <option value="BM">Bermuda</option>
              <option value="BT">Bhutan, Kingdom of</option>
              <option value="BO">Bolivia, Republic of</option>
              <option value="BA">Bosnia and Herzegovina</option>
              <option value="BW">Botswana, Republic of</option>
              <option value="BV">Bouvet Island (Bouvetoya)</option>
              <option value="BR">Brazil, Federative Republic of</option>
              <option value="IO">British Indian Ocean Territory (Chagos Archipelago)</option>
              <option value="VG">British Virgin Islands</option>
              <option value="BN">Brunei Darussalam</option>
              <option value="BG">Bulgaria, People's Republic of</option>
              <option value="BF">Burkina Faso</option>
              <option value="BI">Burundi, Republic of</option>
              <option value="KH">Cambodia, Kingdom of</option>
              <option value="CM">Cameroon, United Republic of</option>
              <option value="CV">Cape Verde, Republic of</option>
              <option value="KY">Cayman Islands</option>
              <option value="CF">Central African Republic</option>
              <option value="TD">Chad, Republic of</option>
              <option value="CL">Chile, Republic of</option>
              <option value="CN">China, People's Republic of</option>
              <option value="CX">Christmas Island</option>
              <option value="CC">Cocos (Keeling) Islands</option>
              <option value="CO">Colombia, Republic of</option>
              <option value="KM">Comoros, Union of the</option>
              <option value="CD">Congo, Democratic Republic of</option>
              <option value="CG">Congo, People's Republic of</option>
              <option value="CK">Cook Islands</option>
              <option value="CR">Costa Rica, Republic of</option>
              <option value="CI">Cote D'Ivoire, Ivory Coast, Republic of the</option>
              <option value="CY">Cyprus, Republic of</option>
              <option value="CZ">Czech Republic</option>
              <option value="DK">Denmark, Kingdom of</option>
              <option value="DJ">Djibouti, Republic of</option>
              <option value="DM">Dominica, Commonwealth of</option>
              <option value="EC">Ecuador, Republic of</option>
              <option value="EG">Egypt, Arab Republic of</option>
              <option value="SV">El Salvador, Republic of</option>
              <option value="GQ">Equatorial Guinea, Republic of</option>
              <option value="ER">Eritrea</option>
              <option value="EE">Estonia</option>
              <option value="ET">Ethiopia</option>
              <option value="FO">Faeroe Islands</option>
              <option value="FK">Falkland Islands (Malvinas)</option>
              <option value="FJ">Fiji, Republic of the Fiji Islands</option>
              <option value="FI">Finland, Republic of</option>
              <option value="FR">France, French Republic</option>
              <option value="GF">French Guiana</option>
              <option value="PF">French Polynesia</option>
              <option value="TF">French Southern Territories</option>
              <option value="GA">Gabon, Gabonese Republic</option>
              <option value="GM">Gambia, Republic of the</option>
              <option value="GE">Georgia</option>
              <option value="DE">Germany</option>
              <option value="GH">Ghana, Republic of</option>
              <option value="GI">Gibraltar</option>
              <option value="GR">Greece, Hellenic Republic</option>
              <option value="GL">Greenland</option>
              <option value="GD">Grenada</option>
              <option value="GP">Guadaloupe</option>
              <option value="GU">Guam</option>
              <option value="GT">Guatemala, Republic of</option>
              <option value="GN">Guinea, Revolutionary People's Rep'c of</option>
              <option value="GW">Guinea-Bissau, Republic of</option>
              <option value="GY">Guyana, Republic of</option>
              <option value="HM">Heard and McDonald Islands</option>
              <option value="VA">Holy See (Vatican City State)</option>
              <option value="HN">Honduras, Republic of</option>
              <option value="HK">Hong Kong, Special Administrative Region of China</option>
              <option value="HR">Hrvatska (Croatia)</option>
              <option value="HU">Hungary, Hungarian People's Republic</option>
              <option value="IS">Iceland, Republic of</option>
              <option value="IN">India, Republic of</option>
              <option value="ID">Indonesia, Republic of</option>
              <option value="IR">Iran, Islamic Republic of</option>
              <option value="IQ">Iraq, Republic of</option>
              <option value="IE">Ireland</option>
              <option value="IL">Israel, State of</option>
              <option value="IT">Italy, Italian Republic</option>
              <option value="JP">Japan</option>
              <option value="JO">Jordan, Hashemite Kingdom of</option>
              <option value="KZ">Kazakhstan, Republic of</option>
              <option value="KE">Kenya, Republic of</option>
              <option value="KI">Kiribati, Republic of</option>
              <option value="KP">Korea, Democratic People's Republic of</option>
              <option value="KR">Korea, Republic of</option>
              <option value="KW">Kuwait, State of</option>
              <option value="KG">Kyrgyz Republic</option>
              <option value="LA">Lao People's Democratic Republic</option>
              <option value="LV">Latvia</option>
              <option value="LB">Lebanon, Lebanese Republic</option>
              <option value="LS">Lesotho, Kingdom of</option>
              <option value="LR">Liberia, Republic of</option>
              <option value="LY">Libyan Arab Jamahiriya</option>
              <option value="LI">Liechtenstein, Principality of</option>
              <option value="LT">Lithuania</option>
              <option value="LU">Luxembourg, Grand Duchy of</option>
              <option value="MO">Macao, Special Administrative Region of China</option>
              <option value="MK">Macedonia, the former Yugoslav Republic of</option>
              <option value="MG">Madagascar, Republic of</option>
              <option value="MW">Malawi, Republic of</option>
              <option value="MY">Malaysia</option>
              <option value="MV">Maldives, Republic of</option>
              <option value="ML">Mali, Republic of</option>
              <option value="MT">Malta, Republic of</option>
              <option value="MH">Marshall Islands</option>
              <option value="MQ">Martinique</option>
              <option value="MR">Mauritania, Islamic Republic of</option>
              <option value="MU">Mauritius</option>
              <option value="YT">Mayotte</option>
              <option value="FM">Micronesia, Federated States of</option>
              <option value="MD">Moldova, Republic of</option>
              <option value="MC">Monaco, Principality of</option>
              <option value="MN">Mongolia, Mongolian People's Republic</option>
              <option value="MS">Montserrat</option>
              <option value="MA">Morocco, Kingdom of</option>
              <option value="MZ">Mozambique, People's Republic of</option>
              <option value="MM">Myanmar</option>
              <option value="NA">Namibia</option>
              <option value="NR">Nauru, Republic of</option>
              <option value="NP">Nepal, Kingdom of</option>
              <option value="AN">Netherlands Antilles</option>
              <option value="NL">Netherlands, Kingdom of the</option>
              <option value="NC">New Caledonia</option>
              <option value="NZ">New Zealand</option>
              <option value="NI">Nicaragua, Republic of</option>
              <option value="NE">Niger, Republic of the</option>
              <option value="NG">Nigeria, Federal Republic of</option>
              <option value="NU">Niue, Republic of</option>
              <option value="NF">Norfolk Island</option>
              <option value="MP">Northern Mariana Islands</option>
              <option value="NO">Norway, Kingdom of</option>
              <option value="OM">Oman, Sultanate of</option>
              <option value="PK">Pakistan, Islamic Republic of</option>
              <option value="PW">Palau</option>
              <option value="PS">Palestinian Territory, Occupied</option>
              <option value="PA">Panama, Republic of</option>
              <option value="PG">Papua New Guinea</option>
              <option value="PY">Paraguay, Republic of</option>
              <option value="PE">Peru, Republic of</option>
              <option value="PH">Philippines, Republic of the</option>
              <option value="PN">Pitcairn Island</option>
              <option value="PL">Poland, Polish People's Republic</option>
              <option value="PT">Portugal, Portuguese Republic</option>
              <option value="PR">Puerto Rico</option>
              <option value="QA">Qatar, State of</option>
              <option value="RE">Reunion</option>
              <option value="RO">Romania, Socialist Republic of</option>
              <option value="RU">Russian Federation</option>
              <option value="RW">Rwanda, Rwandese Republic</option>
              <option value="WS">Samoa, Independent State of</option>
              <option value="SM">San Marino, Republic of</option>
              <option value="ST">Sao Tome and Principe, Democratic Republic of</option>
              <option value="SA">Saudi Arabia, Kingdom of</option>
              <option value="SN">Senegal, Republic of</option>
              <option value="CS">Serbia and Montenegro</option>
              <option value="SC">Seychelles, Republic of</option>
              <option value="SL">Sierra Leone, Republic of</option>
              <option value="SG">Singapore, Republic of</option>
              <option value="SK">Slovakia (Slovak Republic)</option>
              <option value="SI">Slovenia</option>
              <option value="SB">Solomon Islands</option>
              <option value="SO">Somalia, Somali Republic</option>
              <option value="ZA">South Africa, Republic of</option>
              <option value="GS">South Georgia and the South Sandwich Islands</option>
              <option value="ES">Spain, Spanish State</option>
              <option value="LK">Sri Lanka, Democratic Socialist Republic of</option>
              <option value="SH">St. Helena</option>
              <option value="KN">St. Kitts and Nevis</option>
              <option value="LC">St. Lucia</option>
              <option value="PM">St. Pierre and Miquelon</option>
              <option value="VC">St. Vincent and the Grenadines</option>
              <option value="SD">Sudan, Democratic Republic of the</option>
              <option value="SR">Suriname, Republic of</option>
              <option value="SJ">Svalbard &amp; Jan Mayen Islands</option>
              <option value="SZ">Swaziland, Kingdom of</option>
              <option value="SE">Sweden, Kingdom of</option>
              <option value="CH">Switzerland, Swiss Confederation</option>
              <option value="SY">Syrian Arab Republic</option>
              <option value="TW">Taiwan, Province of China</option>
              <option value="TJ">Tajikistan</option>
              <option value="TZ">Tanzania, United Republic of</option>
              <option value="TH">Thailand, Kingdom of</option>
              <option value="TL">Timor-Leste, Democratic Republic of</option>
              <option value="TG">Togo, Togolese Republic</option>
              <option value="TK">Tokelau (Tokelau Islands)</option>
              <option value="TO">Tonga, Kingdom of</option>
              <option value="TT">Trinidad and Tobago, Republic of</option>
              <option value="TN">Tunisia, Republic of</option>
              <option value="TR">Turkey, Republic of</option>
              <option value="TM">Turkmenistan</option>
              <option value="TC">Turks and Caicos Islands</option>
              <option value="TV">Tuvalu</option>
              <option value="UG">Uganda, Republic of</option>
              <option value="UA">Ukraine</option>
              <option value="AE">United Arab Emirates</option>
              <option value="GB">United Kingdom of Great Britain &amp; N. Ireland</option>
              <option value="UY">Uruguay, Eastern Republic of</option>
              <option value="UZ">Uzbekistan</option>
              <option value="VU">Vanuatu</option>
              <option value="VE">Venezuela, Bolivarian Republic of</option>
              <option value="VN">Viet Nam, Socialist Republic of</option>
              <option value="WF">Wallis and Futuna Islands</option>
              <option value="EH">Western Sahara</option>
              <option value="YE">Yemen</option>
              <option value="ZM">Zambia, Republic of</option>
              <option value="ZW">Zimbabwe</option>
            </select>
          </div>
        </div>
        <div class="col-xs-5">
          <label for="phone-super-purchase" class="control-label sr-only">Phone</label>
          <input id="phone-super-purchase" type="tel" name="phone" class="form-control" placeholder="Phone number">
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset id="form-payment-tax-detail" class="tnt-tax-detail col-xs-12">
    <div class="form-group-flex tax-result">
      <div id="tax-subtotal-container"> Subtotal: <span class="tax-subtotal"></span>
      </div>
      <div id="tax-total-container"> Total: <span class="tax-total"></span>
      </div>
    </div>
  </fieldset>
  <fieldset id="form-payment-super-purchase" class="col-xs-12">
    <legend>How would you like to pay?</legend>
    <div id="tn-pay-method-select-super-purchase" class="form-group" hidden="">
      <template id="tn-pay-method-card-template-super-purchase">
        <a class="btn btn-lg btn-block btn-default wallet-btn wallet-show-card" title="">
                        <span class="tn-cc-lg" data-cc=""></span>
                        <span class="tn-cc-text">
                            <span class="tn-cc-heading"><span class="tn-cc-ending-in">Ending in <span class="tn-cc-last-four"></span></span>
                            <span class="tn-cc-label text-muted"></span> <small class="tn-cc-exp"></small>
                        </span>
                    </span></a>
      </template>
      <div id="tn-pay-method-card-data-super-purchase" hidden="">
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    </div>
    <div id="tn-pay-manual-entry-super-purchase">
      <div class="form-group">
        <label for="tnpay-name-super-purchase" class="sr-only">Name on card</label>
        <input id="tnpay-name-super-purchase" type="text" class="form-control" name="tnpay-name" placeholder="Name on card" required="" aria-required="true">
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      <div class="form-group">
        <label for="spreedly-number-super-purchase" class="sr-only">Credit card</label>
        <div id="spreedly-number-super-purchase" class="form-control"></div>
        <div id="tn-pay-cards-super-purchase" class="tn-pay-cards pull-right">
          <span data-cc="american_express" title="American Express" class="allow_announce"><svg enable-background="new 0 0 780 500" height="22" viewBox="0 0 780 500" width="34" xmlns="http://www.w3.org/2000/svg">
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FILE - The Indiana Statehouse appears on May 5, 2017, in Indianapolis. Mothers
of two children with disabilities are suing an Indiana agency in federal court
over changes to Medicaid attendant care services they say violate the Americans
with Disabilities Act, Friday, May 17, 2024.

 * Michael Conroy - staff, ASSOCIATED PRESS

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AP


PARENTS OF DISABLED CHILDREN SUE INDIANA OVER MEDICAID CHANGES ADDRESSING $1
BILLION SHORTFALL


MOTHERS OF TWO CHILDREN WITH DISABILITIES ARE SUING AN INDIANA AGENCY IN FEDERAL
COURT OVER CHANGES TO MEDICAID ATTENDANT CARE SERVICES THEY SAY VIOLATE THE
AMERICANS WITH DISABILITIES ACT

 * By ISABELLA VOLMERT - Associated Press
 * May 17, 2024
 * May 17, 2024 Updated May 17, 2024
 * 0

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FILE - The Indiana Statehouse appears on May 5, 2017, in Indianapolis. Mothers
of two children with disabilities are suing an Indiana agency in federal court
over changes to Medicaid attendant care services they say violate the Americans
with Disabilities Act, Friday, May 17, 2024.

Michael Conroy - staff, ASSOCIATED PRESS


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INDIANAPOLIS (AP) — Parents of two children with disabilities are suing an
Indiana agency in federal court over changes to attendant care services they say
violate the Americans with Disabilities Act and federal Medicaid laws.

A state agency overseeing Medicaid has reimbursed parents, guardians and spouses
for home care for years.

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Starting July 1, the state will no longer reimburse family members or guardians.
The changes were proposed as a part of a cost-savings plan after the agency —
the Family and Social Services Administration or FSSA — underestimated its
Medicaid expenditures through July 2025 by nearly $1 billion.





Families of children who require constant medical attention in particular say
the transition is mismanaged. The lawsuit alleges children’s health and well
being is at risk and asks the court to order the state to continue reimbursing
parents and guardians.

“This is a legally complex case about medically complex children,” the complaint
filed Friday said.

A spokesperson for the FSSA did not immediately respond to an emailed request
for comment. The state has said the attendant care services are where the
Medicaid program is “most acutely seeing an unanticipated growth in spending.”

The American Civil Liberties Union of Indiana and Indiana Disability Rights are
representing the families and the Indiana Protection and Advocacy Services
Commission in the lawsuit.





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Families of children with a variety of complex medical needs have spoken out
against the changes since they were first proposed in January. The complaint
says the Medicaid payments help rural families who are far from facilities with
trained personnel and are a financial necessity for parents unable to work while
caring for their children.

Parents must provide constant care including feedings through a gastronomy tube,
operating a ventilator, monitoring seizure activity and administering
medications, the complaint says.

The FSSA has said it will work with families to find alternate care options, but
the lawsuit alleges the new reimbursements rates are not sufficient.

The complaint said the changes could result in some children who need constant
medical attention being placed in an “institutional environment," especially if
their parent must return to work to pay for the care. The lawsuit says parents
of children with such disabilities often prefer to care directly for their child
to suit their individual needs.

The mothers named in the suit care for a 6-year-old boy with rare genetic
disorder called cri-du-chat syndrome and a 10-year-old who has hypoxic-ischemic
encephalopathy, a type of brain damage.

According to the lawsuit, both children experience routine seizures that require
constant monitoring on top of other assistance. The 10-year-old was placed for a
period of time in a pediatric nursing home but had a “horrendous experience."

The lawsuit says the risk of being placed in institutions violates the Americans
with Disabilities Act requirement that state and local governments offer
services in people’s homes and communities.






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Copyright 2024 The Associated Press. All rights reserved. This material may not
be published, broadcast, rewritten or redistributed without permission.

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 * Legal Proceedings
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