Page:United States Statutes at Large Volume 86.djvu/1467

 86 STAT. ]

1425

PUBLIC LAW 92-603-OCT. 30, 1972

"(12) cooperates in an effective program which provides for a regular program of independent medical evaluation and audit of the patients in the f acility^ to the extent required by the programs in which the facility paiticipates (including medical evaluation of each patient's need for skilled nursing facility care); "(13) meets such provisions of the Life Safety Code of the National Fire Protection Association (21st edition, 1967) as are applicable to nursing homes; except that the Secretary may waive, for such periods as he deems appropriate, specific provisions of such Code which if rigidly applied would result in unreasonable hardship upon a nursing home, but only if such waiver will not adversely affect the health and safety of the patients; except that the provisions of such Code shall not apply in any State if the Secretary finds that in such State there is in effect a fire and safety code, imposed by State law, which adequately protects patients in nursing facilities; and" and (4) by adding at the end of paragraph (15) (as redesignated by paragraph (2) of this subsection) the following new sentence: "Notwithstanding any other provision of law, all information concerning skilled nursing facilities required by this subsection to be filed with the Secretary shall be made available to Federal or State employees for purposes consistent with the effective administration of programs established under titles X VIII and X IX of this Act." (c) The amendments made by this section shall be effective July 1, 1973. LEVEL OF CARE REQUIREMENTS TOR

SKILLED N U R S IX G HOME

42 USC 1395, 1396. Effective date.

SERVICES

SEC. 247. (a) Section 1814(a)(2)(C) of the Social Security Act is amended by striking out everything which appears before " ( o r services" and inserting in lieu thereof the following: " (C) in the case of post hospital extended care services, such services are or were required to be ariven because the individual needs or needed on a daily basis skilled nursing care (provided directly by or requiring the supervision of skilled nursing personnel) or other skilled rehabilitation sendees, which as a practical matter can only be provided in a skilled nursing facility on an inpatient basis, for any of the conditions with respect to which he was receiving inpatient hospital sendees". (b) Section 1905 of the Social Security Act, as amended by section 212 of this Act, is further amended by adding at the end thereof the following new subsection: "(f) For purposes of this title, the term 'skilled n u m n g facility services' means services which are or were required to be.given an individual who needs or needed on a daily basis skilled nursing care (provided directly by or requiring the supervision of skilled nursing personnel) or other skilled I'ehabilitation services which as a practical matter can only be provided in a skilled nursing facility on an inpatient basis." (c) The amendments made by this section shall be effective with respect to services furnished after December 31, 1972.

42 USC 1395f.

Ante, p. 1384. "Skilled nursing facility services. "

Effective date.

M O D i n C A T I O N OF MEDICARE'S 1 4 - D A Y TRANSFER REQUIREMENT FOR EXTENDED CARE BENEFITS 42 USC 139Sx.

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