Page:United States Statutes at Large Volume 91.djvu/1241

 PUBLIC LAW 95-142—OCT. 25, 1977 such patients receiving such type of services in that quarter in those facilities or institutions for which a satisfactory and valid showing was not made for that calendar quarter. "(6) The Secretary shall submit to Congress, not later than sixty days after the end of such calendar quarter, a report on— "(A) his determination as to whether or not each showing, made under paragraph (1) by a State with respect to the calendar quarter, has been found to be satisfactory under such paragraph; "(B) his review (through onsite surveys and otherwise) under paragraph (2) of the validity of showings previously submitted by a State; and "(C) any reduction in the Federal medical assistance percentage he has imposed on a State because of its submittal under paragraph (1) of an unsatisfactory or invalid showing.", (b) Section 1902(a) (26) of the Social Security Act is amended by inserting after "social service personnel" the following: ", or, in the case of skilled nursing facilities, composed of physicians or registered nurses and other appropriate health and social service personnel". (c)(1) Except as provided in paragraph (2), the amendments made by this section shall be effective on October 1, 1977, and the Secretary of Health, Education, and Welfare shall promptly adjust payments made to States under section 1903 of the Social Security Act to reflect the changes made by such amendments. (2) The amount of any reduction in the Federal medical assistance percentage of a State, otherwise required to be imposed under section 1903(g)(1) of the Social Security Act because of an unsatisfactory or invalid showing made by the State with respect to a calendar quarter beginning on or after January 1, 1977, shall be determined under such section as amended by this section. Subparagraph (B) of paragraph (4) of section 1905(g) of such Act, as added by this section, shall apply to any showing; made by a State under such section with respect to a calendar quarter beginning on or after January 1, 1977.

91 STAT. 1207

Report to Congress.

42 USC 1396a.

Effective date. 42 USC 1396b note. Payments, adjustment. 42 USC 13961).

PROTECTION OF P A T I E N T FUNDS

SEC. 21. (a) Section 1861(j) of the Social Security Act is amended by striking out "and" at the end of paragraph (13) and inserting immediately after such paragraph (13) the following new paragraph: "(14) establishes and maintains a system that (A) assures a full and complete accounting of its patients' personal funds, and (B) includes the use of such separate account for such funds as will preclude any commingling of such funds with facility funds or with the funds of any person other than another such patient; and", (b) The Secretary of Health, Education, and Welfare shall, by regulation, define those costs which may be charged to the personal funds of patients in skilled nursing facilities who are individuals receiving benefits under the provisions of title X VIII, or under a State plan approved under the provisions of title X IX, of the Social Security Act, and those costs which are to be included in the reasonable cost or reasonable chargre for extended care services as determined under the provisions of title X VIII, or for skilled nursing and intermediate care facility services as determined under the provisions of title X IX, of such Act.

Accounting system, establishment. 42 USC 1395x.

Costs, definition. 42 USC 1395x note.

42 USC 1395, 1396.

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