PUBLIC L\W 95-292—JUNE 13, 1978 which the Sccretary determines is appropriate and feasible in order to carry out this paragraph in an effective and efficient manner. " (7) For purposes of this title, the term 'home dialysis supplies and equipment' means medically necessary supplies and equipment (including supportive equipment) required by an individual suffering from end-stage renal disease in connection with renal dialysis carried out in his home (as defined in regulations), including obtaining, installing, and maintaining such equipment. "(8) For purposes of this title, the term 'self-care home dialysis support services', to the extent permitted in regulation, means— "(A) periodic monitoring of the patient's home adaptation, including visits by qualified provider or facility personnel (as defined in regulations), so long as this is done in accordance vrith a plan prepared and periodically reviewed by a professional team (as defined in regulations) including the individual's physician; "(B) installation and maintenance of dialysis equipment; "(C) testing and appropriate treatment of the water; and "(D) such additional supportive services as the Secretary finds appropriate and desirable. "(9) For purposes of this title, the term 'self-care dialysis unit' means a renal dialysis facility or a distinct part of such facility or of a provider of services, which has been approv^ed by the Secretary to make self-dialysis services, as defined by the Secretary in regulations, available to individuals who have been trained for self-dialysis. A selfcare dialysis unit must, at a minimum, furnish the services, e(]uipment and supplies needed for self-care dialysis, have patient-staff ratios which are appropriate to self-dialysis (allowing for such appropriate lesser degree of ongoing medical supervision and assistance of ancillary personnel than is required for full care maintenance dialysis), and meet such other requirements as the Secretary may presciibe with respect to the quality and cost-effectiveness of services. " (c)(1)(A) For the purpose of assuring effective and efficient administration of the benefits provided under this section, the Secretary shall establish, in accordance with such criteria as he finds appropriate, renal disease network areas, such network organizations (including a coordinating council, an executive committee of such council, and a medical review board, for each network area) as he finds necessary to accomplish such purpose, and a national end stage renal disease medical information system. The Secretary may by regulations provide for such coordination of network planning and quality assurance activities and such exchange of data and information among agencies with responsibilities for health planning and quality assurance activities under Federal law as is consistent with the economical and efficient administration of this section and with the responsibilities established for network organizations under this section. "(B) At least one patient representative shall serve as a member of each coordinating council and executive committee. "(C) The Secretary shall, in regulations, prescribe requirements with respect to membership in network organizations by individuals (and the relatives of such individuals)(i) who have an ownership or control interest in a facility or provider which furnishes services leferred to in section 1861(s)(2)(F), or (ii) who have received remuneration from any such facility or provider in excess of such amounts as constitute reasonable compensation for services (including time and effort relative to the provision of professional medical services) or goods supplied to such facility or provider; and such requirements shall provide for the definition, disclosure, and, to the maximum
92 STAT. 311
Definitions,
,
Network organizations,
Regulations,
Regulations,
42 USC 1395x.
Conflicts of interest.
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