Page:United States Statutes at Large Volume 89.djvu/405

 PUBLIC LAW 94-63—JULY 29, 1975 " (E) the center has made or will make and Avill continue to make every reasonable effort to collect appropriate reimbursement for its costs in providing health services to pereons who are entitled to insurance benefits under title X VIII of the Social Security Act, to medical assistance under a State plan approved under title X IX of such Act, or to assistance for medical expenses under any other public assistance program or private health insurance program; "(F) the center (i) has prepared a schedule of fees or payments for the provision of its services designed to cover its reasonable costs of operation and a corresponding schedule of discounts to be applied to the payment of such fees or payments, which discounts are adjusted on the basis of the patient's ability to pay, (ii) has made and will continue to make every reasonable effort (I) to secure from patients payment for services in accordance with such schedules, and (II) to collect reimbursement for health services to persons described in subparagraph (E) on the basis of the full amount of fees and payments for such services without application of any discount, and (iii) has submitted to the Secretary such reports as he may require to determine compliance with this subparagraph; "(G) the center has established a governing board which (i) is composed of individuals a majority of whom are being served by the center and who, as a group, represent the individuals being served by the center, and (ii) meets at least once a month, establishes general policies for the center (including the selection of services to be provided by the center and a schedule of hours during which services will be provided), approves the center's annual budget, and approves the selection of a director for the center; " (H) the center has developed, in accordance with regulations of the Secretary, (i) an overall plan and budget that meets the requirements of section 1861(z) of the Social Security Act, and (ii) an effective procedure for compiling and reporting to the Secretary such statistics and other information as the Secretary may require relating to (I) the costs of its operations, (II) the patterns of use of its services, (III) the availability, accessibility, and acceptability of its services, and (IV) such other matters relating to operations of the applicant as the Secretary may, by regulation, require; " (I) the center will review periodically its catchment area to (i) insure that the size of such area is such that the services to be provided through the center (including any satellite) are available and accessible to the residents of the area promptly and as appropriate, (ii) insure that the boundaries of such area conform, to the extent practicable, to relevant boundaries of political subdivisions, school districts, and Federal and State health and social service programs, and (iii) insure that the boundaries of such area eliminate, to the extent possible, barriers to access to the services of the center, including barriers resulting from the area's physical characteristics, its residential patterns, its economic and social groupings, and available transportation; and " (J) in the case of a center which serves a population including a substantial proportion of individuals of limited Englishspeaking ability, the center has (i) developed a plan and made arrangements responsive to the needs of such population for

89 STAT. 345

42 USC 1395. 42 USC 1396. Fee schedule.

Governing board

42 USC 1395x.

Review.

Limited Englishspeaking individuals.

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