Page:United States Statutes at Large Volume 91.djvu/1237

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PUBLIC LAW 95-000—MMMM. DD, 1977

91 STAT. 1203

PUBLIC LAW 95-142—OCT. 25, 1977

evaluating, and making recommendations with respect to, all aspects (including the availability, administration, provision, reimbursement procedures, and cost) of the delivery of home health and other in-home services authorized to be provided under titles X VIII, X IX, and X X of the Social Security Act. (b) Such report shall include an evaluation of the coordination of such services provided under the different titles, and shall also include recommendations for changes in regulations and legislation with respect to— (1) the scope and definition of such services provided under such titles; (2) the requirements for an individual to be eligible to receive such services under such titles; (3) the standards for certification of providers of such services under such titles and (as appropriate) the uniformity of such standards for the programs under the different titles; (4) procedures for control of utilization and assurance of quality of such services under such titles, including (as appropriate) the licensing and accreditation of agencies providing such services, a certificate of need program with respect to the offering of such services, and the development and use of norms and standards for review of the utilization and quality of such services; (5) methods of reimbursement for such services, including (A) methods of comparing costs incurred by different providers of such services in order to determine the reasonableness of such costs and (B) methods which provide for more uniform reimbursement "5 procedures under titles X VIII and X IX of the Social Security Act; and (6) the prevention of fraud and abuse in the delivery of such services under such titles, the reasons for such recommendations, an analysis of the impact of implementing such recommendations on the cost of such services and the demand for such services, and the methods of financing any recommended increased provision of such services under such titles. (c) In developing the report the Secretary shall consult with professional organizations, experts, and individual health professionals in the field of home health and other in-home services and with providers, private insurers, and consumers of such services.

42 USC 1395, 1396, 1397. Evaluation. Legislative recommendations.

Consultation.

ESTABLISHMENT OF UNIFORM REPORTING SYSTEMS FOR DIFFERENT TYPES OP H E A L T H SERVICES FACILITIES AND ORGANIZATIONS; M A K I N G OF REPORTS UNDER MEDICARE AND MEDICAID PROGRAMS I N ACCORDANCE W I T H SUCH SYSTEMS

SEC. 19. (a) Part A of title X I of this Social Security Act is amended by inserting after section 1120 the following new section: "UNIFORM

REPORTING

SYSTEMS

FOR

HEALTH

SERVICES

FACILITIES

AND

ORGANIZATIONS

"SEC. 1121. (a) For the purposes of reporting the cost of services provided by, of planning, and of measuring and comparing the efficiency of and effective use of services in, hospitals, skilled nursing facilities, intermediate care facilities, home health agencies, health maintenance organizations, and other types of health services facili-

Establishment, regulations. 42 USC 1320a.