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spec: Amounts in your IRA , including earnings , generally are not taxed until distributed to you . It also made it difficult for blind persons brought up on different systems to communicate . Ukrainian Orthodox Patriarch Filaret told journalists in Kyiv that Aleksii 's appeal for all Orthodox congregations in Ukraine to unite under pro-Moscow Kyiv Metropolitan Vladimir was an effort to resubjugate Ukraine . It is difficult for the Committee to understand how the payment of a Medicaid DSH payment adjustment to a facility that has no Medicaid inpatients can be justified on statutory or policy grounds . The FOIA 's 10-day deadline , which has been meaningless to most agencies , has been doubled to 20 working days . The duration of the grant is up to two years . All these things have made it difficult for new telephony card vendors to come into existence and easy for the limited vendors that do exist to maintain their markets without much change . In addition , the rules have become very complex and difficult for the IRS to administer and for taxpayers to comply with , and sometimes require taxpayers to rearrange asset ownership to comply with the rules . The rate of change today makes it difficult for everyone to keep up to date on the new technologies . Second , we determined if States maintained registries on various health care workers .