Page:United States Statutes at Large Volume 91.djvu/1242

 91 STAT. 1208 Effective date. Regulations.

PUBLIC LAW 95-142—OCT. 25, 1977 (c)(1) The amendments made by subsection (a) shall be effective on the first day of the first calendar quarter which begins more than six months after the date of enactment of this Act. (2) The Secretary of Health, Education, and Welfare shall issue the regulations required under subsection (b) within ninety days after the date of enactment of this Act. P A Y M E N T FOR INSTITUTIONAL CARE BEYOND DATE DETERMINED MEDICALLY NECESSARY

Ante, p. 1185.

SEC. 22. (a) Section 1158 of the Social Security Act is amended— (1) by inserting "and subsection (d) " in subsection (a) after "section 1159"; and (2) by adding after subsection (c) (as added by section 5(d) (1) of this Act) the following new subsection: "(d) In any case in which a Professional Standards Review Organization disapproves (under subsection (a)) of inpatient hospital services or posthospital extended care services, payment may be made for such services furnished before the second day after the day on which the provider received notice of such disapproval, or, if such organization determines that more time is required in order to arrange postdischarge care, payment may be made for such services furnished before the fourth day after the day on which the provider received notice of such disapproval.". Effective date. (b) The amendments made by subsection (a) shall be effective on 42 USC 1320C-7 the date of enactment of this Act. note.

PAYMENT UNDER THE MEDICARE PROGRAM FOR CERTAIN HOSPITAL SERVICES PROVIDED I N V E T E R A N S ' ADMINISTRATION HOSPITALS

42 USC 1395f.

SEC. 23. (a) Section 1814(c) of the Social Security Act is amended by inserting "or subsection (j) " after "subsection (d)". (b) Section 1814 of such Act is further amended by adding at the end thereof the following new subsection: .. t

42 USC 1395t. 42 USC 426.

,1";-'IN-

"Payment for Certain Hospital Services Provided in Veterans' Administration Hospitals

"(j)(1) Payments shall also be made to any hospital operated by the Veterans' Administration for inpatient hospital services furnished in a calendar year by the hospital, or under arrangements (as defined in section 1861(w)) with it, to an individual entitled to hospital benefits under section 226 even though the hospital is a Federal provider of services if (A) the individual was not entitled to have the services furnished to him free of charge by the hospital, (B) the individual was admitted to the hospital in the reasonable belief on the part of the admitting authorities that the individual was a person who was entitled to have the services furnished to him free of charge, (C) the authorities of the hospital, in admitting the individual, and the individual, acted in good faith, and (D) the services were furnished during a period ending with the close of the day on which the authorities operating the hospital first became aware of the fact that the individual was not entitled to have the services furnished to him by the hospital free of charge, or (if later) ending with the first day on which it was medically feasible to remove the individual from the hospital by discharging him therefrom or transferring him to a hospital which has in effect an agreement under this title.

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