US Code Title 42 Section 1320a

CITE

    42 USC Sec. 1320a                                           01/08/2008

EXPCITE

    TITLE 42 - THE PUBLIC HEALTH AND WELFARE
    CHAPTER 7 - SOCIAL SECURITY
    SUBCHAPTER XI - GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE
                     SIMPLIFICATION
    Part A - General Provisions

HEAD

    Sec. 1320a. Uniform reporting systems for health services
      facilities and organizations

STATUTE

    (a) Establishment; criteria for regulations; requirements for
      hospitals
      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 facilities and organizations to which payment may be made
    under this chapter, the Secretary shall establish by regulation,
    for each such type of health services facility or organization, a
    uniform system for the reporting by a facility or organization of
    that type of the following information:
        (1) The aggregate cost of operation and the aggregate volume of
      services.
        (2) The costs and volume of services for various functional
      accounts and subaccounts.
        (3) Rates, by category of patient and class of purchaser.
        (4) Capital assets, as defined by the Secretary, including (as
      appropriate) capital funds, debt service, lease agreements used
      in lieu of capital funds, and the value of land, facilities, and
      equipment.
        (5) Discharge and bill data.
    The uniform reporting system for a type of health services facility
    or organization shall provide for appropriate variation in the
    application of the system to different classes of facilities or
    organizations within that type and shall be established, to the
    extent practicable, consistent with the cooperative system for
    producing comparable and uniform health information and statistics
    described in section 242k(e)(1) of this title. In reporting under
    such a system, hospitals shall employ such chart of accounts,
    definitions, principles, and statistics as the Secretary may
    prescribe in order to reach a uniform reconciliation of financial
    and statistical data for specified uniform reports to be provided
    to the Secretary.
    (b) Monitoring, etc., of systems by Secretary
      The Secretary shall -
        (1) monitor the operation of the systems established under
      subsection (a) of this section;
        (2) assist with and support demonstrations and evaluations of
      the effectiveness and cost of the operation of such systems and
      encourage State adoption of such systems; and
        (3) periodically revise such systems to improve their
      effectiveness and diminish their cost.
    (c) Availability of information to appropriate agencies and
      organizations
      The Secretary shall provide information obtained through use of
    the uniform reporting systems described in subsection (a) of this
    section in a useful manner and format to appropriate agencies and
    organizations, including health systems agencies (designated under
    section 300l-4 (!1) of this title) and State health planning and
    development agencies (designated under section 300m (!1) of this
    title), as may be necessary to carry out such agencies' and
    organizations' functions.

SOURCE

    (Aug. 14, 1935, ch. 531, title XI, Sec. 1121, as added Pub. L. 95-
    142, Sec. 19(a), Oct. 25, 1977, 91 Stat. 1203.)

REFERENCES IN TEXT

      Section 300l-4 of this title, referred to in subsec. (c), was
    repealed effective Jan. 1, 1987, by Pub. L. 99-660, title VII, Sec.
    701(a), Nov. 14, 1986, 100 Stat. 3799.
      Section 300m of this title, referred to in subsec. (c), was in
    the original a reference to section 1521 of act July 1, 1944, which
    was repealed effective Jan. 1, 1987, by Pub. L. 99-660, title VII,
    Sec. 701(a), Nov. 14, 1986, 100 Stat. 3799. Pub. L. 101-354, Sec.
    2, Aug. 10, 1990, 104 Stat. 410, enacted section 1503 of act July
    1, 1944, which is classified to section 300m of this title.

PRIOR PROVISIONS

      A prior section 1320a, act Aug. 14, 1935, ch. 531, title XI, Sec.
    1121, as added Jan. 2, 1968, Pub. L. 90-248, title II, Sec. 250(a),
    81 Stat. 920, provided for assistance in the form of institutional
    services in intermediate care facilities, the subsecs. providing as
    follows: subsec. (a), modification of certain plans to include such
    benefit; subsec. (b), eligible individuals; subsec. (c), payments
    and Federal medical assistance percentage; subsec. (d), conditions,
    limitations, rights, and obligations applicable to modified plans;
    and subsec. (e), definition of "intermediate care facility", which
    is covered in section 1396d(c) of this title, prior to repeal by
    Pub. L. 92-223, Sec. 4(c), Dec. 28, 1971, 85 Stat. 810.
      Section was additionally amended by Pub. L. 92-603, title II,
    Sec. 278(a)(24), Oct. 30, 1972, 86 Stat. 1453, without reference to
    the earlier repeal of this section by Pub. L. 92-223.
       TIME PERIODS FOR ESTABLISHMENT OF UNIFORM REPORTING SYSTEMS;
                   CONSULTATIONS WITH INTERESTED PARTIES
      Section 19(c)(1) of Pub. L. 95-142 directed Secretary of Health,
    Education, and Welfare to establish the systems described in
    subsec. (a) of this section only after consultation with interested
    parties and for hospitals, skilled nursing facilities, and
    intermediate care facilities, not later than the end of the one
    year period beginning on Oct. 25, 1977, and for other types of
    health services facilities and organizations, not later than the
    end of the two-year period beginning on Oct. 25, 1977.

FOOTNOTE

    (!1) See References in Text note below.