Medicare and Medicaid Amendments of 1980

Summary

Amends part B (Professional Standards Review) of title XI of the Social Security Act to permit an organization qualified for conditional designation as a Professional Standards Review Organization to include health care practitioners, other than physicians and osteopaths, who hold independent hospital admitting privileges, if invited to become members by the organization. Includes as members of the advisory group for each statewide Professional Standards Review Council at least one registered professional nurse and doctor of dental surgery. Includes one registered professional nurse, one doctor of dental surgery, and one health practioner other than a physician in the National Professional Standards Review Council. Establishes an advisory committee to the National Professional Standards Review Council to be made up of representatives of health care practitioners other than physicians. Amends title XVIII (Medicare) of the Social Security Act to authorize hospitals which have less than a 60 percent occupancy rate and which have been granted a certificate of need for the provision of long-term care services to enter agreements under which their inpatient hospital facilities may be used to furnish services which if furnished by a skilled nursing facility would constitute post-hospital extended care services. Amends title XIX (Medicaid) of the Act to provide coverage for skilled nursing facility services and intermediate care facility services furnished by a hospital which has in effect such an agreement under title XVIII. Amends part A (General Provisions) of title XI of the Act to require, as a condition for payment to any State under titles V (Maternal and Child Health and Crippled Children's Services) or XIX of the Act for costs incurred in the performance of audits of entities which also provide services under title XVIII, that such audits be coordinated with audits of entities performed for purposes of title XVIII.

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Documents

3 official files

• Reported to House amended, Part II

  summary · EN · 23 April 1980

  Open at official source

• Reported to House amended, Part I

  summary · EN · 5 November 1979

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• Introduced in House

  summary · EN · 8 May 1979

  Open at official source

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