Page:United States Statutes at Large Volume 86.djvu/1434

 1392

PUBLIC LAW 92-603-OCT. 30, 1972

42 USC 1395.

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42 USC 1305.

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42 USC i395j,

1396

[86 STAT.

the teaching activities and patient care which residents, interns, and supervisino- physicians render in connection with a graduate medical education program in a patient facility would result in more equitable and economical patient care arrangements without adversely affecting the quality of such care; " (E) to determine whether coverage of intermediate care facility services antl homemaker services would provide suitable alternatives to posthospital benefits presently provided under title X VIII of the Social Security Act; such experiment and demonstration projects may include: " (i) counting each day of care in an intermediate care facility as one day of care in a skilled nursing facility, if such care was for a condition for which the individual was hospitalized, "(ii) covering the services of homemakers for a maximum of 21 days, if institutional services are not medically appropriate, "(iii) determining whether such coverage would reduce long-range costs by reducing the lengths of stay in hospitals and skilletl nursing facilities, and "(iv) establishing alternative eligibility requirements and determining the probable cost of applying each alternative, if the project suggests that such extension of coverage would be desirable; " (F) to determine whether, and if so which type of, fixed price or performance incentive contract would have the effect of inducing to the greatest degree effective, efficient, and economical performance of agencies and organizations making payment under agreements or contracts with the Secretary for health care and services under health programs established by the Social Security Act; " (G) to determine under what circumstances payment for services would be appropriate and the most appropriate, equitable, and noninflationary methods and amounts of reimbursement under health care programs established by the Social Security Act for services, which are performed independently by an assistant to a physician, including a nurse practitioner (whether or not performed in the office of or at a place at which such physician is physically present), and— " (i) which such assistant is legally authorized to perform by the State or political subdivision wherein such services are performed, and " (ii) for which such physician assumes full legal and ethical responsibility as to the necessity, propriety, and quality thereof; " (H) to establish an experimental program to provide day-care services, which consist of such personal care, supervision, and services as the Secretary shall by regulation prescribe, for individuals eligible to enroll in the supplemental medical insurance program established under part B of title X VIII and title X IX of the Social Security Act, in day-care centers which meet such standards as the Secretary shall by regulation establish; and " (I) to determine whether the services of clinical psychologists may be made more generally available to persons eligible for services under titles X VIII and X IX of this Act in a manner consistent with quality of care and equitable and efficient administration.

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