Page:United States Statutes at Large Volume 102 Part 1.djvu/770

 102 STAT. 732

42 USC 1395x note. 42 USC 1395b-l note.

consumer protection.

42 USC 1395// note.

PUBLIC LAW 100-360—JULY 1, 1988

nursing care and home health aide services shall be considered to be provided or needed on an 'intermittent' basis if they are provided or needed less than 7 days each week and, in the case they are provided or needed for 7 days each week, if they are provided or needed for a period of up to 38 consecutive days.". (b) EFFECTIVE DATE.—The amendment made by subsection (a) shall apply to services furnished in cases of initial periods of home health services beginning on or after January 1, 1990. SEC. 207. RESEARCH ON LONG-TERM CARE SERVICES FOR MEDICARE BENEFICIARIES.

(a) IN GENERAL.—The Secretary of Health and Human Services, from the funds appropriated under subsection 0)), shall provide for research on issues relating to the deliverjr and financing of longterm care services for medicare beneficiaries. Such research shall include research into at least the following areas: (1) The financial characteristics of medicare beneficiaries who receive or need long-term care services, including whether such beneficiaries are eligible for medicaid benefits for such services. (2) How the financial and other characteristics of medicare beneficiaries affect their utilization of institutional and noninstitutional long-term care services. (3) How relatives of medicare beneficiaries are affected financially and in other ways because the beneficiaries require or receive long-term care services. (4) The quality of long-term care services (in community-based and custodial settings) gind how the provision of long-term care services may reduce expenditures for acute health care services. (5) The effectiveness of, and need for, State and Federal consumer protections which assure adequate access to and protect the rights of medicare beneficiaries who are provided longterm care services (other than in a nursing facility). (b) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated, in equal parts from the Federal Hospital Insurance Trust Fund and from the Federal Supplementary Medical Insurance Trust Fund, $5,000,000 for each of fiscal years 1989, 1990, 1991, 1992, and 1993 to carry out the research described in subsection (a). (c) LONG-TERM CARE SERVICES DEFINED.—In this section, the term "long-term care services" includes nursing home care, home care, community-based services, and custodial care. (d) REPORTS.—The Secretary of Health and Human Services shall submit interim reports by December 1, 1990, and by December 1, 1992, and a final report by June 1, 1994, concerning the demonstration projects conducted under this section. SEC. 208. STUDY OF ADULT DAY CARE SERVICES.

(a) SURVEY OF CURRENT ADULT DAY CARE SERVICES.—The Secretary of Health and Human Services shall conduct a survey of adult day care services in the United States to collect information concerning— (1) the scope of such services and the extent of their availability; (2) the characteristics of entities providing such services; (3) licensure, certification, and other quality standards that are applied to those providing such services; (4) the cost and financing of such services; and (5) the characteristics of the people who use such services.

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