html {
    font-family: sans-serif;
    -ms-text-size-adjust: 100%;
    -webkit-text-size-adjust: 100%
}

body {
    margin: 0
}


footer, header {
    display: block
}

/**,:after,:before {
    -webkit-box-sizing: inherit;
    box-sizing: inherit
}*/

body {
    background-color: #fff;
    color: #1b1b1b;
    overflow-x: hidden
}

.container-fluid {
    padding-left: 0;
    padding-right: 0;
}

.row {
    margin-right: 0;
    margin-left: 0;
}


a {
    text-decoration: underline;
    color: #005B94;
}

a:hover {
    color: #112e51;
}

a:visited {
    color: #691f74;
}

.page-header {
    margin-top: 0;
}

.skip-link {
    left: 50%;
    -webkit-transform: translateX(-50%);
    -ms-transform: translateX(-50%);
    transform: translateX(-50%);
    z-index: 50;
    background: #444;
    background: rgba(0,0,0,0.6);
    font-size: 0.94em;
    line-height: 1.7em;
    padding: 1px 10px 2px;
    border-radius: 0 0 10px 10px;
    border-bottom-width: 0;
    outline: 0;
}
.visually-hidden {
    position: absolute !important;
    overflow: hidden;
    clip: rect(1px,1px,1px,1px);
    width: 1px;
    height: 1px;
    word-wrap: normal;
}


img {
    border: 0
}

/* AHRQ Global Styles */

#global-footer h1, #global-footer h2,
#global-footer h3, #global-footer h4,
#global-footer h5 {
    font-family: "Public Sans Semibold",sans-serif;
}

#global-footer h6 {
    font-family: "Source Sans Pro",sans-serif;
}

#global-footer h1, #global-footer h2,
#global-footer h3, #global-footer h4,
#global-footer h5, #global-footer h6  {
    font-weight: 600;
}


#global-footer h1, #global-footer h2,
#global-footer h3, #global-footer h4,
#global-footer h5, #global-footer h6 {
    line-height: 1.3em;
}

#global-footer h2, #global-footer h3, #global-footer h4 {
    padding-bottom: 30px;
}

#global-footer h5, #global-footer h6 {
    padding-bottom: 20px;
}

#global-footer h1 {
    font-size: 40px;
}

#global-footer h2 {
    font-size: 30px;
}

#global-footer h3 {
    font-size: 24px;
}

#global-footer h4 {
    font-size: 20px;
}

#global-footer h5 {
    font-size: 15px;
}

#global-footer h6 {
    font-size: 13px;
}


/** USWDS Banner **/

#uswds-usa-banner .banner-hhs {
    margin-top: -2px;
}

#uswds-usa-banner.usa-banner-bg {
    background-color: #f1f1f1;
}

#uswds-usa-banner .usa-banner__header-text {
    margin-bottom: 0;
}

#uswds-usa-banner .usa-accordion-text-color {
    color: #323a45;
}

#uswds-usa-banner .usa-banner__header-text a {
    color: #323a45;
}

#uswds-usa-banner .usa-banner__header-text a:visited {
    color: #323a45;
}

#uswds-usa-banner .usa-accordion-text-color {
    color: #323a45;
}

/** PRIMARY HEADERS **/

#primary-header {
    border-bottom: solid 2px #005B94;
}

#primary-header.header {
    width: 100%;
}

#primary-header.row-side-margins {
    margin-right: 0px;
    margin-left: 0px;
}

#primary-header.header .row-bottom-margin {
    margin-bottom: 1em;
}

#primary-header.header .logo-hhs,.header .logo-ahrq {
    float: left;
}

#primary-header.header .logo-ahrq {
    width: 40%;
}

#primary-header.header .logo-hhs {
    font-size: 13px;
}

#primary-header .primary-header-wrapper .logo-ahrq img {
    width: 80%;
    padding: 5px 0;
}

/** PRIMARY HEADER: UTILITY NAV **/
#primary-header.header #utility-nav {
    float: right;
    padding-top: 15px;
}

#primary-header #utility-nav li {
    float: left;
    list-style: none;
    width: auto;
    padding: 0px 5px;
    font-size: 14px;
    font-family: "Source Sans Pro",sans-serif;
}

#primary-header #utility-nav li a {
    text-decoration: none;
    color: #323a45;
}

#primary-header #utility-nav li a:hover {
    color: #0071bc;
    text-decoration: underline;
}

#primary-header #utility-nav li:after {
    content: " | ";
    padding-left: 10px;
}

#primary-header #utility-nav ul li:last-child:after {
    content: "";
}

#primary-header #utility-nav .utility-envelope {
    margin-top: -3px;
}

#primary-header #utility-nav .hide-me {
    display: block;
}

/** FOOTER **/
footer {
    color: #fff !important;
    width: 100%;
    margin-top: 10px;
}

#global-footer #top-button-container {
    display: block;
    clear: none;
    display: block;
    position: relative;
    margin-left: auto;
    margin-right: auto;
    float: right;
    padding-top: 30px;
    padding-bottom: 30px;
}

#global-footer #top-button {
    color: #005B94;
    display: block;
    font: 20px "Source Sans Pro",sans-serif;
    margin-top: -30px;
    position: absolute;
    right: 0;
    text-decoration: none;
}

#footer1 {
    background: #005B94;
    padding-top: 30px;
    padding-bottom: 30px;
}

#footer1 img {
    max-width: 100%;
}

#footer1 ul {
    padding: 0;
}

#footer1 .usa-sr-only {
    position: absolute;
    left: -999em
}

#footer1 .primary-regular {
    font-family: "Source Sans Pro",sans-serif;
    font-weight: 400;
    font-size: 17px;
    line-height: 1.5em;
}

#footer1 .primary-small {
    font-family: "Source Sans Pro",sans-serif;
    font-weight: 400;
    font-size: 14px;
    line-height: 1.8em;
}

#footer1 p.email {
    max-width: 350px;
}

#footer1 .col-md.offset-col-1 {
    margin-left: 10px;
}

#footer1 h4 {
    padding-bottom: 10px;
}

#footer1 .email-input {
    display: inline-block;
}

#footer1 .email-update-button,
#footer1 .email-update-button:hover,
#footer1 .email-update-button.email-update-button--hover {
    background: #CFCFCF;
    color: #005B94;
}

#footer1 .email-update-button {
    margin-left: 10px;
}

#footer1 .email-update-button:hover {
    border-bottom: 0;
    text-decoration: none;
}

#footer2 {
    background: #00476b;
    padding-top: 15px;
    padding-bottom: 15px;
    font-family: "Source Sans Pro",sans-serif;
    font-weight: 400;
    font-size: 16px;
    line-height: 26px;
    color: #fff;
}

#footer2 a {
    color: #fff;
    font-size: 18px;
    text-decoration: none;
}

#footer2 a:hover {
    text-decoration: underline;
}

#footer2 li {
    list-style: none;
    width: auto;
    padding: 10px 0;
}

#footer2 li:nth-child(5) {
    display: none;
}

#footer2 .footer-border {
    border-left: 2px solid #fff;
    margin-top: 15px;
    margin-bottom: -15px;
}

#footer1 h4,
#footer2 h4 {
    font-size: 18px;
    line-height: 1.5em;
}


@media (max-width:575px) {
    #uswds-usa-banner .usa-banner__header-flag {
        float: none;
    }

    #uswds-usa-banner.usa-banner .row-mobile-offset {
        margin-left: 3px;
    }

    .row-mobile-offset {
        margin-left: 5px;
    }

    #uswds-usa-banner .txt-gov-banner {
        width: 80%;
        margin-top: -3px;
    }

    #uswds-usa-banner .usa-banner__header {
        min-height: 1rem;
        margin-left: 2vw;
        margin-right: 2vw;
    }

    #uswds-usa-banner .usa-banner__header-text {
        font-size: .59853rem;
    }

    #uswds-usa-banner .img-icon {
        width: 5%;
        margin-top: -10px;
    }

    #primary-header.header .logo-ahrq {
        width: 35%;
    }

    #primary-header div#utility-nav {
        display: none;
    }

    #global-footer .row-side-margins {
        margin-left: 0;
        margin-right: 0;
    }

    #footer1 > .row {
        padding-left: 3vw;
        padding-right: 3vw;
    }

    #footer1 h4 {
        font-size: 16px;
    }

    #footer1 .primary-regular {
        font-size: 15px;
    }

    #footer1 .side-row-margins {
        margin-left: 0;
    }

    #footer1 .mobile-col-offset {
        margin-left: 30px;
    }

    #footer1 .header-mobile-top-spacing {
        margin-top: 40px;
    }

/*    #footer1 img.img-spacing {
        margin-left: 20px !important;
    }*/

    #footer1 .init-pad img {
        display: inline-block;
        margin-right: 20px;
    }

    #footer1 .email-input {
        max-width: 12rem;
        width: 12rem;
    }

    #footer1 .email-update-button {
        width: 7rem !important;
        max-width: 7rem !important;
    }

    #footer1 .usa-search__submit-text {
        position: static;
    }

    #footer2 {
        font-size: 14px;
    }

    #footer2 > .row {
        padding-left: 3vw;
        padding-right: 3vw;
    }

    #footer2 a {
        font-size: 14px;
    }

    #footer2 li {
        padding: 0;
    }

    #footer2 ul,#footer2 ul.clearfix {
        padding-left: 0;
    }

    #footer2 .left-margin {
        margin-left: 0;
    }

    #footer2 .pad-left {
        padding-left: 10px;
    }

    #footer2 .left-div {
        float: left;
    }

    #footer2 .div-width-partial {
        width: 50%;
    }

    #footer2 .div-width-full {
        width: 100%;
    }

    #footer2 .footer-border {
        border-top: 2px solid #fff;
        border-left: 0;
        margin-bottom: 20px;
    }
}

@media (min-width:576px) {
    #footer1 .email-input {
        max-width: 12rem;
        width: 12rem;
    }

    #footer2 .left-margin {
        margin-left: 0;
    }

    #footer2 .pad-left {
        padding-left: 10px;
    }

    #footer2 .left-div {
        float: left;
    }

    #footer2 .div-width-partial {
        width: 50%;
    }

    #footer2 .div-width-full {
        width: 100%;
    }

    #footer2 .footer-border {
        border-top: 2px solid #fff;
        border-left: 0;
        margin-bottom: 20px;
    }
}

@media (min-width:576px) and (max-width:975px) {
    #uswds-usa-banner .usa-banner__header {
        margin-left: 2vw;
        margin-right: 2vw;
    }

    #uswds-usa-banner.usa-banner .row-mobile-offset {
        margin-left: 3px;
    }

    #primary-header.header .logo-ahrq {
        width: 35%;
        padding-bottom: 10px;
        margin-left: 2vw;
        margin-right: 2vw;
    }
}

@media (min-width:575px) and (max-width:1023px)  {
    #footer1 > .row {
        padding-left: 5vw;
        padding-right: 5vw;
    }

    #footer2 > .row {
        padding-left: 5vw;
        padding-right: 5vw;
    }
}

@media (min-width:768px) {

    #uswds-usa-banner .txt-gov-banner {
        width: auto;
    }

    #uswds-usa-banner .usa-banner__header-text {
        font-size: 14px;
    }

    .img-icon {
        width: auto;
    }


    .row-mobile-offset {
        margin-left: 5px;
    }

    #uswds-usa-banner .usa-banner__header-text {
        font-size: 14px;
    }

    #primary-header.header .logo-ahrq {
        width: 35%;
    }

    #footer1 .mobile-col-offset {
        margin-left: 20px;
    }

    #footer1 .side-row-margins {
        margin-left: 0;
    }

    #footer1 .header-mobile-top-spacing {
        margin-top: 40px;
    }

    #footer1 .email-input {
        max-width: 14rem;
        width: 14rem;
    }

    #footer2 li {
        padding: 10px 0;
    }

    #footer2 .left-margin {
        margin-left: 0;
    }

    #footer2 .pad-left {
        padding-left: 10px;
    }

    #footer2 .div-width-partial {
        width: 50%;
    }

    #footer2 .div-width-full {
        width: 100%;
    }

    #footer2 .footer-border {
        border-top: 2px solid #fff;
        border-left: 0;
        margin-bottom: 20px;
    }
}

@media (min-width:0) and (max-width:975px) {
    #primary-header div#utility-nav {
        display: none;
    }
}

@media (max-width:991px) {
    #footer2 ul {
        padding: 0;
    }
}

@media (min-width:976px) and (max-width:992px) {
    #primary-header.header .logo-ahrq {
        width: 35% !important;
    }
}

@media (min-width:976px) {
    #primary-header.header .logo-ahrq {
        width: 100%;
    }
}

@media (min-width:992px) {
    #uswds-usa-banner .usa-banner__header-text {
        font-size: 14px;
    }

    .img-icon {
        width: auto;
    }

    .row-mobile-offset {
        margin-left: 0px;
    }

    #uswds-usa-banner .usa-banner__header-text {
        font-size: 14px;
    }

    #primary-header .logo-ahrq {
        margin-bottom: 0;
        width: 100%;
    }

    #primary-header div#utility-nav {
        display: block;
    }

    #footer1 .mobile-col-offset {
        margin-left: 0;
    }

    #footer1 .header-mobile-top-spacing {
        margin-top: 0;
    }

    #footer1 .f1-div-width {
        width: 33%;
    }

    #footer1 .div-float {
        float: left;
    }

    #footer1 .side-row-margins {
        margin-left: 0;
    }

    #footer1 .init-pad {
        padding-left: 0;
    }

/*    #footer1 .img-spacing {
        margin-left: 5px !important;
    }*/

    #footer1 .init-pad img {
        display: inline-block;
        margin-right: 5px;
    }

    #footer1 .email-input {
        max-width: 12rem;
        width: 12rem;
    }

    #footer1 .email-update-button {
        width: 7rem;
        max-width: 7rem;
    }

    #footer1 .usa-search__submit-text {
        position: static;
    }

    #footer2 {
        line-height: 16px;
    }

    #footer2 a {
        font-size: 13px;
    }

    #footer2 .pad-left {
        padding-left: 0;
    }

    #footer2 .div-width-partial {
        width: 16%;
    }

    #footer2 .div-width-full {
        width: 25%;
    }

    #footer2 .footer-border {
        border-left: 2px solid #fff;
        border-top: 0;
        margin-bottom: 20px;
    }
}

@media (min-width:1024px) {
    #primary-header .primary-header-wrapper {
        padding-left: 5vw;
        padding-right: 5vw;
    }

    #uswds-usa-banner.usa-banner .offset-lg-1 {
        margin-left: 5vw;
    }

    #footer1 > .row {
        padding-left: 5vw;
        padding-right: 5vw;
    }

    #footer2 > .row {
        padding-left: 3vw;
        padding-right: 5vw;
    }
}


@media (min-width:1200px) {
    #uswds-usa-banner .usa-banner__header-text {
        font-size: 14px;
    }

    .img-icon {
        width: auto;
    }

    .row-mobile-offset {
        margin-left: 0px;
    }

    #uswds-usa-banner .usa-banner__header-text {
        font-size: 14px;
    }

    #primary-header div#utility-nav {
        display: block;
    }

    #footer1 .side-row-margins {
        margin-left: 0;
        margin-right: 0;
    }

    #footer1 h4 {
        font-size: 18px;
    }

    #footer1 .primary-regular {
        font-size: 17px;
    }

    #footer1 .mobile-col-offset {
        margin-left: 0;
    }

    #footer1 .header-mobile-top-spacing {
        margin-top: 0;
    }

    #footer1 .f1-div-width {
        width: 33%;
    }

    #footer1 .div-float {
        float: left;
    }

    #footer1 .init-pad {
        padding-left: 0;
    }

/*    #footer1 img.img-spacing {
        margin-left: 40px !important;
    }*/

    #footer1 .init-pad img {
        display: inline-block;
        margin-right: 40px;
    }

    #footer1 .email-input {
        max-width: 14rem;
        width: 14rem;
    }

    #footer2 {
        line-height: 26px;
    }

    #footer2 a {
        font-size: 18px;
    }

    #footer2 .left-margin {
        margin-left: 0;
    }

    #footer2 .pad-left {
        padding-left: 0;
    }

    #footer2 .div-width-partial {
        width: 15%;
    }

    #footer2 .div-width-full {
        width: 30%;
    }

    #footer2 .footer-border {
        border-left: 2px solid #fff;
        border-top: 0;
        margin-bottom: 20px;
    }

}

@media (min-width:1800px) {
    #primary-header.header .logo-ahrq {
        width: 100%;
    }
}

@media only screen and (min-width:975px) {
    .hide-on-desktop,.utility-mobile {
        display: none;
    }
}