An act to amend title XIX of the Social Security Act to prohibit transfers or discharges of residents of nursing facilities as a result of a voluntary withdrawal from participation in the Medicaid program

8 Pages·1999·0.28 MB·English

by  United States. Congress. Senate

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Calendar No. 38
106thcongress H. R. 540
1stSession
IN THE SENATE OF THE UNITED STATES
March11,1999
Received;readtwiceandplacedonthecalendar
AN AI- CT
To amend title XIX of the Social Security Act to prohibit
transfers or discharges of residents of nursing facilities
as a result ofavoluntary'withdrawal from participation
intheMedicaidProgram.
^
1 BeitenactedbytheSenateandHouseofJRepresenta-
2 tivesoftheUnitedStatesofAmericainCongressassembled,
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2
1 SECTION1.SHORTTITLE. - L
2 ThisAct maybe cited as the '•Nursiiio'Home Resi-
3 dentProtectionAmendmentsof1999'".
4 SEC.2.RESTRICTIONSONTRANSFERSORDISCHARGESOF
5 NURSINGFACILITYRESIDENTSINTHECASE
6 OF VOLUNTARY WITHDRAWAL FROM PAR-
7 TICIPATION UNDER THE MEDICAID PRO-
8 GRAM.
9 (a) Ix Gexeral.—Section 1919(c)(2) ofthe Social
10 SecurityAct (42 U.S.C. 1396r(c)(2)) isamendedbyadd-
11 ing-attheendthefollo^^^ngnewsubparagraph:
12 "(F) COXTIXUING RIGHTS IX CASE OF
13 VOLUXTARY \MTHDRAWAL FRO.M PiU^TICIPA-
14 TIOX.
—
15 "(i) Ix GEXERAL. In the case of a
16 nursing facility that voluntarilyA\ithdraws
17 from participation in a State plan under
18 this title but continues to pro^^de services
19 ofthetypepro\idedbynursingfacilities
20 "(I) the facility's voluntarv-with-
21 drawal from participation is not an
22 acceptable basis for the transfer or
23 discharge of residents of the facility
24 who were residing in the facility on
25 thedaybeforetheeffectivedateofthe
26 withdrawal (including those residents
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1 who were not entitled to medical a.s-
2 sistance!asofsuchday);
3 "(II) the piwisions of this sec-
4 tion continue to apply to such resi-
5 dentsuntil thedate oftheirdischarg:e
6 fromthefacility;and
7 "(III) inthecaseofeachindivid-
8 ual who begfins residence in the facil-
9 ity after the effective date of such
10 Avithdrawal, the facility shall provide
11 noticeorallyand in aprominentman-
12 ner in wTiting- on a separate pag-e at
13 the time the individual beg:ins resi-
14 dence ofthe information described in
15 clause (ii) and shall obtain from each
16 such individual at such time an ac-
17 knowledgmentofreceiptofsuchinfor-
18 mation that is in writing, signed by
19 the individual, and separate from
20 other documents sigfiied by such indi-
21 vidual.
22 Nothinginthissubparagraph shallbecon-
23 strued as affecting any requirement of a
24 participation agreement that a nursingfa-
25 cility provide advance notice to the State
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4
1 or the Secretan-, or both, of its intention
2 toterminatetheaoreement.
3 "(ii) IxFOR.^LVTI()^• for new kesi-
—
4 DEXTS. Theinformation describedinthis
5 clauseforaresidentisthefolloAnng-:
6 "(I) Thefacihtyisnotparticipat-
7 ing: in the progi'am under this title
8 ^^^thresi)ecttothat resident.
9 "(II) Thefacilitymaytransferor
10 discharge the resident from the facil-
11 ityat suchtime astheresidentisun-
12 abletopaythechargesofthefacility,
13 eventhoughtheresidentmayhavebe-
14 come eligible for medical assistance
15 fornursingfacilityser\icesunderthis
16 title.
17 "(hi) COXTIXUATIOX OF PAYMEXTS
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18 AXD o^^:RSIGIIT authority. Not\\'ith-
19 standing any other pro\ision of this title,
20 with respect to the residents described in
21 clause (i)(I), a participation ag:i"eement of
22 a facility described in clause (i) is deemed
23 tocontinue in effectundersuch plan after
24 theeffectivedateofthefacility'svoluntaiy
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—
1 witlidrawal from participation under the
2 StateplanforI ])iir])osesof
3 "(I) receiAing: pa.Miients under
4 the State plan for nursing- facility
5 servicespro\idedtosuchresidents;
6 "(11) maintaining- compliance
7 A\ith all applicable requirements of
8 thistitle; and
9 "(III) continuing* to apply the
10 sur\'ey, certification, and enforcement
11 authority pro^^ded under subsections
12 (g:) and (h) (includinginvoluntary'ter- .
13 mination ofa participation agreement
14 deemedcontinuedunderthisclause).
15 "(iv) No .NPPLK'ATIOX TO XEW RESI-
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16 DEXTS. This paragraph (other than sub-
17 clause (III) ofclause (i)) shallnotapplyto
18 an indi\idualwhobegfinsresidence in afa-
19 eility on or after the effective date ofthe
20 withdrawal from ])articipation under this
21 subparagraph.".
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22 (b) Effeotia^ Date. The amendment made by
23 subsection (a) appliestovoluntan'withdrawalsfrompar-
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1 tieipationocciimiig-onorafterthedateoftheeiiaetmeiit
2 ofthisAct.
Passed the House of Rejjresentatives ]\Iarch 10.
1999.
Attest: JEFFTR.\NDAHL,
Clerk.
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