Page:United States Statutes at Large Volume 86.djvu/1466

 1424

PUBLIC LAW 92-603-OCT. 30, 1972

[86 STAT.

with guidelines established by the Secretary) that a lump-sum payment would be more ecjonomical than the anticipated period of rental payments. Such experiments may also provide for incentives to beneficiaries (including waiver of the 20 percent coinsurance amount 42 USC 1395Z applicable under section 1833 of the Social Security Act) to purchase than the reasonable charge for new equipment. (c) The Secretary is authorized, at such time as he deems appropriate, to implement on a nationwide basis any such reimbursement procedures which he finds to be workable, desirable and economical and which are consistent with the purposes of this section. 81 Stat. 850. (d) Section 1833(f) of the Social Security Act is amended— (1) by striking out "with respect to purchases of inexpensive equipment (as determined by the Secretary)" and inserting in lieu thereof " (A) ", and (2) by inserting before the period at the end thereof the following: ", and (B) with respect to purchases of used equipment the Secretary is authorized to waive the 20 percent coinsurance amount applicable under subsection (a) whenever the purchase price of such equipment is at least 25 percent less than the reasonable charge for comparable new equipment." (3) by inserting " (1) " after " (f) " and by adding after paragraph (1) the following new paragraph: "(2) I n the case of rental of durable medical equipment, the Secretary may, pursuant to agreements made with suppliers of such equipment, establish any reimbursement procedures (including payment on a lump-sum basis in lieu of prolonged rental payments) which he finds to be equitable, economical, and feasible." UNIFORM STANDARDS FOR S K I L L E D N U R S IX G F A C I L I T I E S TINDER MEDICARE A N D MEDICAID
 * used equipment whenever the purchase price is at least 25 percent less

42 USC 1396a.

yinte, p. 1412.

gj,c. 246. (a) Section 1902(a) (28) of the Social Security Act is amended to read as follows: "(28) provide that any skilled nursing facility receiving payments under such plan must satisfy all of the requirements contained in section 1861(j), except that the exclusion contained therein with respect to institutions which are primarily for the care and treatment of mental diseases and tuberculosis shall not apply for purposes of this title;" (b) Section 1861(j) of such Act, as amended by section 234.(d) of this Act, is further amended— (1) by striking out "and" at the end of paragraph (10); (2) by redesignating paragraph (11) as paragraph (15); (3) by inserting after paragraph (10) the following new paragraphs: "(11) supplies full and complete information to the Secretary or his delegate as to the identity (A) of each person who has any direct or indirect ownership interest of 10 per centum or more in such skilled nursing facility or who is the owner (in whole or in part) of any mortgage, deed of trust, note, or other obligation secured (in whole or in part) by such skilled nursing facility or any of the property or assets of such skilled nursing facility, (B) in case a skilled nursing facility is organized as a corporation, of each officer and director of the corporation, and (C) in case a skilled nursing facility is organized as a partnership, of each partner; and promptly reports any changes which would affect the current accuracy of the information so required to be supplied;

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