Source: https://www.law.cornell.edu/uscode/text/42/1396r%E2%80%933
Timestamp: 2019-12-13 15:58:06
Document Index: 456671017

Matched Legal Cases: ['§ 1396', '§ 1396', '§ 1396', '§\u202f1396', '§\u202f1922', '§\u202f1919', '§\u202f9516', '§\u202f1922', '§\u202f4211', '§\u202f411', '§\u202f8433', '§\u202f8433', '§\u202f8433', '§\u202f411', '§\u202f8433', '§\u202f8433', '§\u202f9516', '§\u202f4217', '§\u202f9516', '§\u202f4211']

42 U.S. Code § 1396r–3 - Correction and reduction plans for intermediate care facilities for mentally retarded | US Law | LII / Legal Information Institute
U.S. Code › Title 42 › Chapter 7 › Subchapter XIX › § 1396r–3
42 U.S. Code § 1396r–3 - Correction and reduction plans for intermediate care facilities for mentally retarded
§ 1396r–3.
Correction and reduction plans for intermediate care facilities for mentally retarded
(a) Written plans to remedy substantial deficiencies; time for submissionIf the Secretary finds that an intermediate care facility for the mentally retarded has substantial deficiencies which do not pose an immediate threat to the health and safety of residents (including failure to provide active treatment), the State may elect, subject to the limitations in this section, to—
(b) Conditions for approval of reduction plansAs conditions of approval of any reduction plan submitted pursuant to subsection (a)(2), the State must—
provide assurances that the requirements of subsection (c) shall be met with respect to the reduction plan.
(c) Contents of reduction planThe reduction plan must—
(6) provide that the ratio of qualified staff to residents at the affected facility (or the part thereof) which is subject to the reduction plan will be the higher of—
the ratio which was in effect at the time that the finding of substantial deficiencies (referred to in subsection (a)) was made; and
(7) provide for the protection of the interests of employees affected by actions under the reduction plan, including—
If the Secretary approves more than 15 reduction plans under this section in any fiscal year, any reduction plans approved in addition to the first 15 such plans approved, must be for a facility (or part thereof) for which the costs of correcting the substantial deficiencies (referred to in subsection (a)) are $2,000,000 or greater (as demonstrated by the State to the satisfaction of the Secretary).
If the Secretary, at the conclusion of the 6-month plan of correction described in subsection (a)(1), determines that the State has substantially failed to correct the deficiencies described in subsection (a), the Secretary may terminate the facility’s provider agreement in accordance with the provisions of section 1396i(b) of this title.
(2) In the case of a reduction plan described in subsection (a)(2), if the Secretary determines, at the conclusion of the initial 6-month period or any 6-month interval thereafter, that the State has substantially failed to meet the requirements of subsection (c), the Secretary shall—
terminate the facility’s provider agreement in accordance with the provisions of section 1396i(b) of this title; or
(Aug. 14, 1935, ch. 531, title XIX, § 1922, formerly § 1919, as added Pub. L. 99–272, title IX, § 9516(a), Apr. 7, 1986, 100 Stat. 213; renumbered § 1922 and amended Pub. L. 100–203, title IV, §§ 4211(a)(2), 4212(e)(5), Dec. 22, 1987, 101 Stat. 1330–182; amended Pub. L. 100–360, title IV, § 411(l)(6)(E), July 1, 1988, 102 Stat. 804; Pub. L. 100–647, title VIII, § 8433(a), Nov. 10, 1988, 102 Stat. 3804.)
1988—Subsec. (a). Pub. L. 100–647, § 8433(a)(1), inserted “(including failure to provide active treatment)” after “residents” in introductory provisions.
Subsec. (c)(5). Pub. L. 100–647, § 8433(a)(2), inserted “, and to provide active treatment for,” after “safety of”.
Subsec. (e)(1), (2)(A). Pub. L. 100–360, § 411(l)(6)(E), substituted “1396i(b)” for “1396i(c)”.
Subsec. (f). Pub. L. 100–647, § 8433(a)(3), substituted “by January 1, 1990” for “within 3 years after the effective date of final regulations implementing this section”.
Pub. L. 100–647, title VIII, § 8433(b), Nov. 10, 1988, 102 Stat. 3805, provided that:
“The amendments made by subsection (a) [amending this section] shall become effective on the date of the enactment of this Act [Nov. 10, 1988], and shall apply to any proceeding where there has not yet been a final determination by the Secretary (as defined for purposes of judicial review) as of the date of the enactment of this Act.”
Pub. L. 99–272, title IX, § 9516(b), Apr. 7, 1986, 100 Stat. 215, provided that:
The amendment made by this section [enacting this section] shall become effective on the date of the enactment of this Act [Apr. 7, 1986].
The Secretary of Health and Human Services shall issue a notice of proposed rulemaking with respect to section 1919 of the Social Security Act [42 U.S.C. 1396r–3] within 60 days after the date of the enactment of this Act, and shall allow a period of 30 days for comment thereon prior to promulgating final regulations implementing such section.”
Pub. L. 100–203, title IV, § 4217, Dec. 22, 1987, 101 Stat. 1330–220, provided that:
Not later than 30 days after the date of enactment of this Act [Dec. 22, 1987], the Secretary of Health and Human Services shall promulgate final regulations to implement the amendments made by section 9516 of the Consolidated Omnibus Budget Reconciliation Act of 1985 [enacting this section].
The regulations promulgated under paragraph (1) shall be effective as if promulgated on the date of enactment of the Consolidated Omnibus Budget Reconciliation Act of 1985 [Apr. 7, 1986].”
Pub. L. 99–272, title IX, § 9516(c), Apr. 7, 1986, 100 Stat. 215, as amended by Pub. L. 100–203, title IV, § 4211(l), Dec. 22, 1987, 101 Stat. 1330–207, directed Secretary of Health and Human Services to submit a report to Congress on implementation and results of this section, such report to be submitted not later than 30 months after the effective date of final regulations promulgated to implement this section.