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Option A: "business as usual"-no adaptation of the Directive with the modular concept only permitted in National transport, restrictions of 40 tonnes on the maximum weight limit of two vehicle combinations in international transport, 44 tonnes allowed only on combined transport when carrying the 40ft ISO container, the 45ft container overhanging the rear of the semi-trailer by around 12 cms and only permitted in national transport, no harmonised requirements on the size of a fully loaded vehicle Option B: adapt the Directive to: permit the modular concept to circulate between Member States with harmonised restrictions and maximum limits defined in the Directive. Those restrictions could include some or all of the following: the combination's use, i.e. on designated routes only, the level of road pricing, the vehicle combination's technical standards, standards for the driver and limitations regarding the concept's maximum load. The contractor shall stipulate what those requirements may be and what is reasonable and assess the impact of different scenarios; permit the 44tonne two vehicle combination in international transport when using a six-axle combination or for carrying all types of Intermodal Loading Units ILUs ; in combined transport operations; permit the maximum dimensions of a loaded vehicle or vehicle combination to increase albeit provided certain technical characteristics and or vehicle safety equipments are utilised Option C: as option B but with some or all specification limits and or restrictions defined by Member States individually or by adjacent Member States together. The Directive would therefore allow Member States room for manoeuvre as to what restrictions they place on the use of the modular concept and any bigger or heavier vehicle or vehicle combination. Option D: as option B but including certain non-modular vehicle combinations. The study shall assess the cost implications and the benefits and consequences of these options. In particular assessment shall be made of the effect of adjustments to the Directive on modal shift from other transport modes. The consortium will critically assess and evaluate all the factors that must be taken into account. The range of factors to be considered is not limited to those described above but can include others that the consortium thinks are relevant. However at least the factors described must be fully evaluated. The consortium will generate likely options for the development and application of the modular concept and the other features described above. 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These men are coming directly from Mexico rather than from South Texas. There is also significantly less migrant housing available in Illinois and most migrants are now living communally in smaller living arrangements. CHP is fully committed to serving the migrant population and has grown and flourished in the years since it was first founded in 1991. CHP operates a nursing voucher model and currently provides care to 7, 600 migrant and seasonal farmworkers throughout the state of Illinois. There are more than 80 private providers throughout Illinois contracted by CHP to provide medical, dental, diagnostic or pharmacy services on an hourly basis. CHP operates five nurse-managed health clinics that serve migrant and seasonal farmworkers and their families. These clinics place a great deal of emphasis on outreach, health promotion, and case management. CHP offers all medical and dental services according to a sliding fee scale. However, the vast majority of patients qualify to pay a modest, voluntary co-pay for doctor visits, diagnostic services and prescription medicines. In addition to the private providers and the 5 nurse-staffed clinics, CHP has developed a large network of promotores de salud. The promotores visit migrant labor camps, farms and nurseries to enroll workers and families in programs, provide health education and advocacy, and even conduct research and administer surveys on-site. CHP has augmented its base funding with a number of grants to provide auxiliary services. Additionally, the program participates in a number of national and regional initiatives to expand available services, including the Health Disparities Diabetes Collaborative. The voucher model of care does not always fit into conventional ideas about the provision of quality health care. However, evidence from CHP and other voucher programs around the country show that this model of care can be very effective, particularly for rural, homeless, and isolated populations. s.

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