:root{color:#243630;font-synthesis:none;--ink:#243630;--muted:#57665f;--teal:#14594f;--line:#d7ded7;--paper:#fffefa;--soft:#eef2ed;--amber:#755416;background:#faf9f5;font-family:Arial,Helvetica,sans-serif;line-height:1.55}*{box-sizing:border-box}body{margin:0}a{color:var(--teal);text-underline-offset:4px}a:hover{text-decoration-thickness:2px}button,input,select{font:inherit}button,a,input,select{touch-action:manipulation}button{cursor:pointer}button:disabled{cursor:default;opacity:.6}button,input,select{min-height:44px}button{border:1px solid var(--teal);background:var(--teal);color:#fff;border-radius:4px;padding:10px 18px;font-weight:600}button.secondary{color:var(--teal);background:0 0;border-color:#b7c7be}button.quiet{color:var(--teal);background:0 0;border-color:#0000;text-decoration:underline}button:hover{filter:brightness(.94)}:focus-visible{outline-offset:3px;outline:3px solid #a46020}h1,h2,h3,p{margin-top:0}h1,h2{letter-spacing:-.025em;font-family:Georgia,Times New Roman,serif;font-weight:400;line-height:1.15}h1{margin-bottom:14px;font-size:clamp(2.2rem,4.4vw,3.1rem)}h3{font-size:1.05rem;line-height:1.4}p{margin-bottom:1rem}small,.small{font-size:.83rem}ul,ol{padding-left:1.4rem}li+li{margin-top:.45rem}.skip-link{z-index:100;background:#fff;padding:12px;position:absolute;top:-100px;left:12px}.skip-link:focus{top:12px}.review-strip{letter-spacing:.11em;background:#e9e3d7;align-items:center;gap:18px;padding:7px max(24px,50vw - 592px);font-size:.7rem;font-weight:700;display:flex}.review-strip span{letter-spacing:.01em;font-weight:400}.site-header{justify-content:space-between;align-items:center;gap:20px;max-width:1232px;margin:auto;padding:25px 24px;display:flex}.wordmark{color:var(--ink);align-items:center;gap:13px;font-family:Georgia,serif;font-size:1.7rem;line-height:1.1;text-decoration:none;display:flex}.wordmark small{text-transform:uppercase;letter-spacing:.18em;color:var(--muted);margin-top:8px;font:.68rem Arial,sans-serif;display:block}.brand-mark{border:1px solid #78998d;justify-content:center;align-items:center;width:48px;height:48px;font-size:1.7rem;display:flex}.brand-mark span{align-self:flex-end;margin-bottom:10px;margin-left:-3px;font-size:1rem}.main-nav{border-top:1px solid var(--line);border-bottom:1px solid var(--line);gap:30px;padding:0 max(24px,50vw - 592px);display:flex;overflow-x:auto}.main-nav a{white-space:nowrap;color:var(--muted);padding:14px 0;font-size:.86rem;text-decoration:none}.main-nav a[aria-current=page]{color:var(--teal);box-shadow:inset 0 -3px var(--teal);font-weight:700}main{max-width:1232px;margin:auto;padding:32px 24px 70px}.eyebrow{text-transform:uppercase;letter-spacing:.16em;color:var(--teal);margin-bottom:13px;font-size:.7rem;font-weight:700}.intro{max-width:750px;margin:0 0 28px}.intro p{color:var(--muted);max-width:650px;font-size:1.02rem}.scope-chip{border:1px solid var(--line);color:var(--muted);padding:4px 9px;font-size:.75rem;display:inline-block}.assessment-grid{grid-template-columns:minmax(0,1fr) 290px;gap:32px;display:grid}.form-panel{background:var(--paper);border:1px solid var(--line);border-radius:5px;overflow:hidden}.step-nav{border-bottom:1px solid var(--line);background:var(--soft);margin:0;padding:0;list-style:none;display:flex}.step-nav li{flex:1;margin:0}.step-nav button{width:100%;color:var(--muted);background:0 0;border:0;border-radius:0;min-height:64px;padding:12px 6px;font-size:.76rem;font-weight:400;line-height:1.3}.step-nav button span{margin-bottom:4px;font-size:.7rem;display:block}.step-nav button[aria-current=step]{background:var(--paper);color:var(--teal);box-shadow:inset 0 3px var(--teal);font-weight:700}.step-content{padding:28px 30px}.step-content h2{margin-bottom:7px;font-size:1.65rem}.step-description{color:var(--muted);margin-bottom:24px;font-size:.87rem}.fields{grid-template-columns:repeat(2,minmax(0,1fr));gap:20px;display:grid}.field{min-width:0}.field.full,fieldset.full{grid-column:1/-1}.field label,.field-label{margin-bottom:7px;font-size:.87rem;font-weight:600;display:block}.field input,.field select{width:100%;color:var(--ink);background:#fff;border:1px solid #9aaca1;border-radius:3px;padding:9px 10px;font-size:.92rem}.field select{padding-right:22px}.field small{color:var(--muted);margin-top:6px;font-size:.76rem;line-height:1.45;display:block}fieldset{border:1px solid var(--line);min-width:0;margin:0;padding:18px}legend{padding:0 7px;font-size:.9rem;font-weight:600}.lab-fields{grid-template-columns:1.2fr 1fr 1fr;gap:12px;display:grid}.form-actions{border-top:1px solid var(--line);flex-wrap:wrap;justify-content:space-between;gap:10px;padding:20px 30px;display:flex}.form-actions .group{flex-wrap:wrap;gap:10px;display:flex}.aside-section{border-top:2px solid var(--teal);margin-bottom:28px;padding-top:16px}.aside-section h2{margin-bottom:12px;font-size:1.2rem}.aside-section p,.aside-section li{color:var(--muted);font-size:.83rem}.aside-section ol{padding-left:18px}.aside-section .plain{padding:0;list-style:none}.answer-list{max-height:380px;font-size:.8rem;overflow:auto}.answer-list div{border-bottom:1px solid var(--line);padding:7px 0}.answer-list dt{color:var(--muted)}.answer-list dd{overflow-wrap:anywhere;margin:2px 0 0}.privacy-note{color:var(--muted);gap:8px;margin:14px 0;font-size:.76rem;display:flex}.result{background:var(--paper);border:1px solid var(--line);border-top:4px solid var(--teal);margin:28px 0 0;padding:28px;scroll-margin-top:12px}.result h2{margin-bottom:14px;font-size:2rem}.result h3{margin:24px 0 10px}.result .action{font-size:1.12rem}.result .status{letter-spacing:.06em;text-transform:uppercase;color:var(--teal);font-size:.74rem;font-weight:700}.result ul{font-size:.94rem}.notice{background:#f3eddf;border-left:3px solid #91713b;margin:20px 0;padding:15px 18px;font-size:.88rem}.notice p:last-child{margin-bottom:0}.result .regimen{border-top:1px solid var(--line);padding:15px 0}.regimen h4{margin:0 0 7px}.regimen p{margin:4px 0;font-size:.89rem}.dose{font-variant-numeric:tabular-nums;font-weight:700}.result-footer{border-top:1px solid var(--line);color:var(--muted);margin-top:24px;padding-top:16px;font-size:.78rem}.result-actions{flex-wrap:wrap;gap:10px;margin:22px 0;display:flex}.prose{max-width:800px}.prose h2{margin-top:34px;font-size:1.75rem}.prose h3{margin-top:25px}.reference-list{padding:0;list-style:none}.reference-list li{border-top:1px solid var(--line);padding:18px 0}.reference-list a{font-weight:600}.reference-list small{color:var(--muted);margin-top:6px;display:block}.site-footer{border-top:1px solid var(--line);max-width:1184px;color:var(--muted);grid-template-columns:1fr 1fr;gap:20px;margin:auto;padding:30px 0;font-size:.8rem;display:grid}.site-footer strong{color:var(--ink);font:1.15rem Georgia,serif}.site-footer p{margin-top:8px}.footer-links{flex-wrap:wrap;justify-content:flex-end;align-items:flex-start;gap:6px 20px;display:flex}.footer-links a{align-items:center;min-height:44px;display:inline-flex}.footer-note{grid-column:1/-1;font-size:.73rem}.statistics{border:1px solid var(--line);border-left:3px solid var(--teal);background:var(--soft);align-items:center;gap:28px;margin-bottom:30px;padding:12px 18px;font-size:.8rem;display:flex}.statistics strong{color:var(--ink);margin:0 6px;font:1.5rem Georgia,serif;display:inline-block}.statistics small{color:var(--muted);font-size:.7rem}.state-utility label{text-transform:uppercase;letter-spacing:.08em;color:var(--muted);font-size:.68rem;display:block}.state-utility select{max-width:220px;color:var(--ink);background:0 0;border:0;border-bottom:1px solid #8da597;padding:3px 22px 3px 0;font-size:.83rem}.resource-grid{grid-template-columns:repeat(2,minmax(0,1fr));gap:24px;display:grid}.resource-item{border-top:1px solid var(--line);padding:20px 0}.resource-item p{font-size:.87rem}.resource-item small{color:var(--muted);display:block}.empty-state{background:var(--soft);padding:24px}.print-only{display:none}.muted{color:var(--muted)}.error{color:#963821;font-size:.85rem}table{border-collapse:collapse;width:100%;font-size:.88rem}td,th{text-align:left;border-bottom:1px solid var(--line);vertical-align:top;padding:12px}th{background:var(--soft)}.table-scroll{overflow:auto}@media (width<=850px){.assessment-grid{grid-template-columns:minmax(0,1fr)}.context-aside{grid-template-columns:1fr 1fr;gap:20px;display:grid}.answer-list{max-height:none}.site-footer{margin:0 24px}.statistics{flex-wrap:wrap;gap:16px}.resource-grid{grid-template-columns:1fr}}@media (width<=540px){main{padding:24px 18px 40px}.site-header{gap:10px;padding:20px 18px}.wordmark{gap:9px;font-size:1.3rem}.brand-mark{width:38px;height:42px}.wordmark small{letter-spacing:.1em;font-size:.58rem}.state-utility select{max-width:135px;font-size:.75rem}.state-utility label{font-size:.6rem}.main-nav{gap:22px;padding:0 18px}.review-strip{gap:9px;padding:7px 18px;font-size:.6rem}.review-strip span{font-size:.64rem}.fields{grid-template-columns:1fr;gap:18px}.step-content{padding:22px 18px}.step-nav button{min-height:66px;font-size:.65rem}.form-actions{padding:18px}.form-actions button{padding:10px 13px;font-size:.82rem}.lab-fields{grid-template-columns:1fr 1fr}.lab-fields .field:first-child{grid-column:1/-1}.context-aside{display:block}.statistics{gap:6px 16px;padding:10px 12px;font-size:.72rem}.statistics strong{font-size:1.25rem}.statistics .stats-label{width:100%}.intro{margin-bottom:20px}.intro p{font-size:.94rem}.scope-chip{font-size:.7rem}.result{padding:22px 18px}.result h2{font-size:1.7rem}.site-footer{grid-template-columns:1fr;margin:0 18px;padding:24px 0}.footer-links{justify-content:flex-start}.result-actions button{flex-grow:1}.step-content h2{font-size:1.5rem}}@media (prefers-reduced-motion:reduce){*{scroll-behavior:auto!important;transition:none!important;animation:none!important}}@media print{body{color:#000;background:#fff;font-size:10pt}.site-header,.main-nav,.site-footer,.review-strip,.form-panel,.context-aside,.statistics,.privacy-note,.result-actions,.skip-link,.intro,.state-utility{display:none!important}main{max-width:none;padding:0}.assessment-grid{display:block}.result{border:0;margin:0;padding:0;display:block}.result h2{font-size:20pt}.result h3{break-after:avoid;font-size:12pt}.result .regimen,li{break-inside:avoid}.print-only{display:block}.result a{color:#000}.print-answers{columns:2;font-size:8pt}.print-answers div{break-inside:avoid;margin-bottom:6px}.print-answers dt{font-weight:700}.print-answers dd{margin:0}.notice{background:#fff;border:1px solid #aaa}.result-footer{font-size:8pt}.prose{max-width:none}a[href^=http]:after{content:" (" attr(href) ")";overflow-wrap:anywhere;font-size:8pt}}@page{size:A4;margin:16mm}.secondary-stat{display:block}@media print{.result [role=status]{display:none}}.step-nav button:hover{filter:none;color:var(--teal);background:#e2eae3}.step-nav button[aria-current=step]:hover{background:var(--paper);color:var(--teal)}.step-nav button:focus-visible{outline-offset:-4px}.required-label,.test-methods{color:var(--muted);font-size:.82em;font-weight:400}.sr-only{clip:rect(0,0,0,0);white-space:nowrap;border:0;width:1px;height:1px;margin:-1px;padding:0;position:absolute;overflow:hidden}.site-header{justify-content:flex-start;gap:32px}#jurisdiction-utility{margin-left:auto}.header-statistic{border-left:1px solid var(--line);color:var(--muted);padding-left:28px;font-size:.78rem}.header-statistic strong{color:var(--ink);font-variant-numeric:tabular-nums}.header-statistic>span{margin-top:2px;font-size:.72rem;display:block}.header-statistic a{padding:2px 0;display:inline-block}.assessment-grid{max-width:900px;display:block}.context-aside{margin-top:12px;display:block}.assessment-notes{border-top:1px solid var(--line);color:var(--muted);font-size:.84rem}.assessment-notes summary{cursor:pointer;color:var(--ink);min-height:44px;padding:14px 0}.assessment-notes summary:focus-visible{outline-offset:2px;outline:3px solid #a46020}.assessment-notes .answer-list{columns:2;max-height:none}.assessment-notes .answer-list div{break-inside:avoid}.gestation-field{border:0;min-width:0;padding:0}.gestation-field legend{margin-bottom:7px;padding:0;font-size:.87rem}.gestation-inputs{grid-template-columns:1fr 1fr;gap:12px;display:grid}.gestation-inputs label{color:var(--muted);margin-bottom:4px;font-size:.76rem;font-weight:400}.gestation-field>small{margin-top:6px;font-size:.76rem;line-height:1.45;display:block}@media (width>=541px){.gestation-field .gestation-inputs{padding-top:0;position:relative}.gestation-inputs label{position:absolute;top:48px}.gestation-field>small{margin-top:27px}}@media (width<=850px){.site-header{flex-wrap:wrap;gap:14px 24px}.header-statistic{padding-left:20px}#jurisdiction-utility{margin-left:auto}}@media (width<=540px){.site-header{grid-template-columns:1fr auto;gap:14px 10px;display:grid}.wordmark{grid-column:1}.header-statistic{border-left:0;padding-left:0;font-size:.74rem}#surveillance-summary{border-top:1px solid var(--line);grid-area:2/1/auto/-1;padding-top:10px}#jurisdiction-utility{grid-area:1/2}.assessment-notes .answer-list{columns:1}}@media print{.assessment-notes{display:none!important}}:root{--ink:#25272b;--muted:#5b6068;--teal:#30343b;--line:#cdd0d5;--paper:#fff;--soft:#eceef0;color:var(--ink);background:#f0f1f2}h1,h2{letter-spacing:-.035em;font-family:Arial,Helvetica,sans-serif;font-weight:700}h1{font-size:clamp(1.85rem,3.3vw,2.25rem)}h2{font-size:1.6rem}button,.field input,.field select{border-radius:2px}:focus-visible{outline-color:#9a5c16}.review-strip{color:#3e4249;background:#e3e5e8}.site-header{color:#fff;background:#191b1f;gap:24px;max-width:none;padding:26px max(24px,50vw - 592px)}.wordmark{letter-spacing:-.04em;color:#fff;gap:10px;font-family:Arial,Helvetica,sans-serif;font-size:1.5rem;font-weight:700}.brand-mark{background:0 0;border:0;border-radius:50%;flex-shrink:0;width:44px;height:44px;display:block}.header-statistic{color:#d5d8de;border-color:#767b84;padding-left:24px}.header-statistic strong{color:#fff}.header-statistic a{color:#e9ebef}.state-utility label{color:#d5d8de}.state-utility select{color:#fff;background:#191b1f;border:1px solid #767b84;border-radius:2px;padding:8px 24px 8px 10px}.main-nav{background:#191b1f;border-top:0;border-bottom:4px solid #858b95;gap:28px}.main-nav a{color:#d5d8de;padding:13px 0;font-size:.81rem}.main-nav a[aria-current=page]{color:#fff;box-shadow:inset 0 -2px #e1e3e7}.main-nav a:hover{color:#fff}.site-header :focus-visible,.main-nav :focus-visible{outline-color:#e1e3e7}.main-nav a:focus-visible{outline-offset:-2px}main{max-width:980px;padding:40px 34px 54px}.intro{max-width:none;margin-bottom:28px}.intro p{font-size:.94rem}.intro .eyebrow,.eyebrow{letter-spacing:.12em;font-family:ui-monospace,SFMono-Regular,Consolas,monospace;font-size:.69rem}.intro .eyebrow{color:var(--teal);margin-bottom:12px}.intro h1{margin-bottom:12px}.assessment-grid{max-width:none}.form-panel{border-radius:3px}.step-nav{background:#fff;gap:8px;padding:12px 16px}.step-nav button{text-align:left;border-radius:2px;align-items:center;gap:7px;min-height:44px;padding:7px 4px;font-size:.72rem;display:flex}.step-nav button span{border:1px solid var(--line);border-radius:2px;flex-shrink:0;place-items:center;width:23px;height:23px;margin:0;font:.65rem ui-monospace,SFMono-Regular,Consolas,monospace;display:inline-grid}.step-nav button[aria-current=step],.step-nav button[aria-current=step]:hover{color:var(--teal);box-shadow:none;background:#fff}.step-nav button[aria-current=step] span{background:var(--teal);color:#fff;border-color:var(--teal)}.step-nav button:hover{background:var(--soft);filter:none}.step-content{border-left:3px solid var(--teal);padding:28px 30px}.step-content h2{letter-spacing:-.025em;font-size:1.35rem}.step-description{font-size:.83rem}.fields{gap:22px 26px}.field label,.gestation-field legend{font-size:.83rem}.field input,.field select{border-color:#91969f}fieldset{border-color:var(--line);padding:18px}legend{font-size:.86rem}.gestation-field{padding:0}.form-actions{padding:20px 30px}.form-actions button{font-size:.85rem}.assessment-notes{background:0 0}.result{border-radius:3px}.result h2{font-size:1.75rem}.site-footer{max-width:912px;margin:0 auto;padding:28px 0}.site-footer strong{letter-spacing:-.025em;font:700 1rem Arial,Helvetica,sans-serif}@media (width<=980px){.site-footer{margin:0 34px}}@media (width<=850px){.site-header{gap:18px 24px}.header-statistic{padding-left:20px}}@media (width<=540px){.site-header{gap:14px 10px;padding:20px 18px}.wordmark{gap:8px;font-size:1.2rem}.brand-mark{width:36px;height:36px}.header-statistic{border:0;padding-left:0}#surveillance-summary{border-color:#767b84}.state-utility select{max-width:120px;padding-left:7px;font-size:.72rem}.main-nav{gap:20px;padding:0 18px}main{padding:26px 18px 40px}.intro .eyebrow{font-size:.61rem}.step-nav{gap:3px;padding:9px 7px}.step-nav button{text-align:center;flex-direction:column;justify-content:flex-start;gap:5px;min-height:66px;padding:5px 1px;font-size:.63rem}.step-nav button span{width:22px;height:22px}.step-content{border-left:0;padding:22px 18px}.fields{gap:20px}.form-actions{padding:18px}.form-actions button{font-size:.8rem}.site-footer{margin:0 18px}}@media print{:root{background:#fff}main{max-width:none;padding:0}.result{border:0;border-radius:0}.result h2{font-size:20pt}}.step-nav{flex-wrap:wrap;gap:10px}.step-nav li{flex:none}.step-nav button{white-space:nowrap;width:auto;padding:7px 12px}.step-nav li[data-priority-step] button{text-underline-offset:5px;text-decoration:underline #858b95}.pathway-guide{color:var(--muted);margin:-8px 0 23px;font-size:.77rem}.pathway-guide p{margin:0}.priority-symbol{color:var(--teal);margin-right:5px;font-size:.65rem}.field[data-priority] input,.field[data-priority] select{background:#fdfdfd;border-color:#626974;box-shadow:0 0 0 3px #e2e5ea,0 3px 9px #30343b14}.field label[data-priority]:after{content:" ◆";color:var(--teal);vertical-align:middle;font-size:.65em}button.guide-link{min-height:44px;color:var(--teal);font-size:inherit;background:0 0;border:0;margin-left:6px;padding:4px 0;text-decoration:underline;display:inline}@media (width<=540px){.step-nav{gap:4px 7px;padding:9px 10px}.step-nav button{text-align:left;flex-direction:row;justify-content:flex-start;align-items:center;gap:6px;min-height:44px;padding:7px 9px;font-size:.7rem}}@media print{.pathway-guide{display:none}}button.secondary{border-color:var(--line)}.prose p,.prose li{color:#42464e}.recommendation-core{color:#fff;break-inside:avoid;background:#25282e;border:1px solid #191b1f;border-radius:3px;margin:22px 0 26px;padding:22px 24px;box-shadow:0 4px 14px #191b1f12}.result .recommendation-core h3{color:#d5d8de;text-transform:uppercase;letter-spacing:.1em;margin:0 0 10px;font-size:.72rem}.result .recommendation-core .action{margin:0;font-size:1.12rem;font-weight:600;line-height:1.6}@media (width<=540px){.recommendation-core{padding:18px}}@media print{.recommendation-core{color:#000;box-shadow:none;background:#fff;border:2px solid #000;padding:14px 16px}.result .recommendation-core h3{color:#000}}.information-mode{border:0;border-bottom:1px solid var(--line);background:#eceef0;border-radius:0;gap:4px;padding:12px 16px;display:flex}.information-mode button{color:var(--ink);background:0 0;border-color:#0000;padding:9px 16px;font-size:.83rem}.information-mode button[aria-pressed=true]{color:#fff;background:#30343b;box-shadow:0 1px 3px #191b1f20}.mode-description{color:var(--muted);max-width:700px;margin:10px 0 16px;font-size:.8rem}.information-details{border-top:1px solid var(--line);border-bottom:1px solid var(--line);grid-column:1/-1;padding:0 2px}.information-details summary{cursor:pointer;min-height:48px;padding:13px 0;font-size:.86rem;font-weight:600}.information-details[open]{padding-bottom:18px}.detail-count{color:var(--muted);margin-left:10px;font-size:.72rem;font-weight:400}.result-detail-link{color:var(--muted);font-size:.83rem}@media (width<=540px){.information-mode{padding:9px 10px}.information-mode button{flex:1;padding:9px 10px;font-size:.78rem}}@media print{.information-mode,.mode-description,.result-detail-link{display:none!important}}.wordmark a{color:inherit;align-items:center;min-height:44px;text-decoration:none;display:inline-flex}.footer-project{border-top:1px solid var(--line);grid-column:1/-1;padding-top:12px;font-size:.76rem}.footer-project p{margin:5px 0}.screening-figure{margin:22px 0 10px}.screening-image-link{border:1px solid var(--line);background:#fff;padding:10px;display:block}.screening-figure img{width:100%;height:auto;display:block}.screening-figure figcaption{color:var(--muted);margin-top:12px;font-size:.76rem;line-height:1.6}.figure-links{flex-wrap:wrap;gap:4px 24px;font-size:.83rem;display:flex}.figure-links a{align-items:center;min-height:44px;display:inline-flex}.figure-description{border-block:1px solid var(--line);margin:14px 0 28px;font-size:.86rem}.figure-description summary{cursor:pointer;min-height:44px;padding:11px 0;font-weight:600}.figure-description p{margin:12px 0}