Page:United States Statutes at Large Volume 88 Part 2.djvu/939

 88

STAT.

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PUBLIC LAW 93-641-JAN. 4, 1975

2255

ors, and other health institution payors) be based on justified and documented differences in the costs of operation of health service institutions made possible by the actions of such purchasers. "(4) A classification system for health services institutions. syslem^'^'''^"°" Such classification system shall quantitatively describe and proup health services institutions of the various types. Factors included in such classification system shall include— " (A) the number of beds operated by an institution; " (B) the geographic location of an institution; " (C) the operation of a postgraduate physician training program by an institution; and " (D) the complexity of services provided by an institution. "(5) A uniform system for the reporting by health services Reporting sysinstitutions of— " (A) the aggregate cost of operation and the aggregate volume of services, as calculated in accordance with the system established by the Secretary under paragraph (1); " (B) the costs and volume of services at various cost centers, and subcost centers, as calculated in accordance with the system established by the Secretary under paragraph (2); and "(C) rates, by category of patient and class of purchaser, as calculated in accordance with the system established by the Secretary under paragraph (3). Such system shall provide for an appropriate application of such system in the different types of institutions (including hospitals, nursing homes, and other types of health services institutions) and different sizes of such institutions. " C E X T E R S FOR H E A L T H

PLANNING

"SEC. 1534. (a) For the purposes of assisting the Secretary in carrying out this title, providing such technical and consulting assistance as health systems agencies and State Agencies may from time to time require, conducting research, studies and analyses of health planning and resources development, and developing health planning approaches, methodologies, policies, and standards, the Secretary shall by grants or contracts, or both, assist public or private nonprofit entities in meeting the costs of planning and developing new centers, and operating existing and new centers, for multidisciplinary health planning development and assistance. To the extent practicable, the Secretary shall provide assistance under this section so that at least five such centers will be in operation by June 30, 1976. "(b)(1) No grant or contract may be made under this section for planning or developing a center unless the Secretary determines that when it is operational it will meet the requirements listed in paragraph (2) and no grant or contract may be made under this section for operation of a center unless the center meets such requirements. "(2) The requirements referred to in paragraph (1) are as follows: " (A) There shall be a full-time director of the center who possesses a demonstrated capacity for substantial accomplishment and leadership in the field of health planning and resources development, and there shall be such additional professional staff as may be appropriate. " (B) The staff of the center shall represent a diversity of relevant disciplines.

42 USC soon-s.

Requirements.

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