An Act to amend title II of the Social Security Act to permit the payment of the lumpsum death payment to pay the burial and memorial services expenses and related expenses for an insured individual whose body is unavailable for burial
PL 92-223 (H.R.10604), enacted 12/28/1971

802 
PUBLIC LAW 92-223-DEC. 28, 1971 
[85 STAT. 
Short title. 
(b) The Secretary of the Army in making the determination 
reqmred by subsection (a) of this section shall charge to the owner of 
any such bridge or structure an amount equal to the net value to such 
owner of any direct and special benefits accruing to the owner from 
any improvement or addition to or betterment of the bridge or struc-
ture, including any expectable decrease in repair, maintenance, or 
operating expense. 
SEC. 14. This Act may be cited as the "River Basin Monetary 
Authorization Act of 1971". 
Approved December 23, 1971. 
December 28, 1971 
[H. R. 10604] 
Public Law 92-223 
AN ACT 
To amend title II of the Social Security Act to permit the payment of the lump-
sum death payment to pay the burial and memorial services expenses and 
related expenses for an insured individual whose body is unavailable for burial. 
Social Security 
Act, amendments. 
74 Stat. 947. 
42 u s e 402. 
Memorial serv-
ice expenses. 
Effective date. 
70 Stat. 819. 
42 u s e 401. 
Be it enacted hy the Senate and House of Representatives 
of the 
United States of America in Congress assembled, That (a) the second 
sentence of section 202(i) of the Social Security Act is amended by 
striking out "or" at the end of clause (2), by renumbering clause (8) 
as clause (4), and by inserting after clause (2) the following new 
clause: 
" (3) if the body of such insured individual is not available for 
burial but expenses were incurred with respect to such individual 
in connection with a memorial service, a memorial marker, a site 
for the marker, or any other item of a kind for which expenses 
are customarily incurred in connection with a death and such 
expenses have been paid, to any person or persons, equitably 
entitled thereto, to the extent and m the proportions that he or 
they shall have paid such expenses; or", 
(b) The second sentence of section 202(i) of such Act is further 
amended by striking out "clauses (1) and (2)" in the clause renum-
bered as clause (4) by subsection (a) and inserting in lieu thereof 
"clauses (1), (2),and (3)". 
SEC. 2. The amendments made by the first section of this Act shall be 
effective only in the case of lump-sum death payments under title I I 
of the Social Securitv Act made with respect to deaths which occur 
after December 31,1970. 
85 STAT. ] 
PUBLIC LAW 92-223-DEC. 28, 1971 
803 
IMPROVEMEXT OF WORK INCENTIVE 
PROGRAM 
SEC. 3. (a)(1) Section 402(a) (15) of the Social Security Act is 
amended to read as follows: "(15) provide (A) for the development 
of a program, for each appropriate relative and dependent child receiv-
ing aid under the plan and for each appropriate individual (living in 
the same home as a relative and child receiving such aid) whose needs 
are taken into account in making the determination under clause (7), 
for preventing or reducing the incidence of births out of wedlock and 
otherwise strengthening family life, and for implementing such pro-
gram by assuring that m all appropriate cases family planning serv-
ices are offered to them, but acceptance of family planning services 
provided under the plan shall be voluntary on the part of such mem-
bers and individuals and shall not be a prerequisite to eligibility for 
or the receipt of any other service under the plan; and (B) to the 
extent that services provided under this clause or clause (14) are 
furnished by the staff of the State agency or the local agency admin-
istering the State plan in each of the political subdivisions of the 
State, for the establishment of a single organizational unit in such 
State or local agency, as the case may be, responsible for the furnish-
ing of such services;". 
(2) Section 402(a) (19) (A) of such Act is amended to read as 
follows: 
" (A) that every individual, as a condition of eligibility for aid 
under this part, shall register for manpower services, training, 
and employment as provided by regulations of the Secretary of 
Labor, unless such individual is— 
"(i) a child who is under age 16 or attending school full 
time; 
" (ii) a person who is ill, incapacitated, or of advanced age; 
"(iii) a person so remote from a work incentive project 
that his effective participation is precluded; 
"(iv) a person whose presence in the home is required 
because of illness or incapacity of another member of the 
household; 
"(v) a mother or other i-elative of a child under the age 
of six who is caring for the child; or 
"(vi) the mother or other female caretaker of a child, 
if the father or another adult male relative is in the home 
and not excluded by clause (i), (ii), (iii), or (iv) of this 
subparagraph (unless he has failed to register as required 
by this subparagraph, or has been found by the Secretary 
of Labor under section 433(g) to have refused without good 
81 Stat. 877. 
42 u s e 602. 
81 Stat. 881. 
Registration. 
81 Stat. 890. 
81 Stat. 885. 
42 u s e 633. 
75-432 O - 72 - 53 
804 
PUBLIC LAW 92-223-DEC. 28, 1971 
[85 STAT. 
81 Stat. 890. 
42 u s e 602. 
Infra, 
Ante, p. 803. 
Post, p. 806. 
42 use 630. 
Post, p. 807. 
cause to participate under a work incentive program or 
accept employment as described in subparagraph (F) of 
this paragraph); 
and that any individual referred to in clause (v) shall be 
advised of her option to register, if she so desires, pursuant to 
this paragraph, and shall be informed of the child care services 
(if any) which will be available to her in the event she should 
decide so to register;". 
(3) Section 402(a) (19) (B) of such Act is amended by striking out 
"by reason of such referral" and inserting in lieu thereof "by reason 
of such registration or the individual's certification to the Secretary 
of Labor under subparagraph (G) of this paragraph,". 
(4) Section 402(a) (19) (C) of such Act is amended by striking out 
"20 per centum" and inserting in lieu thereof "10 per centum". 
(5) Section 402 (a) (19) of such Act is further amended by striking 
out subparagraph (E). 
(6) (i) The parenthetical clause in section 402(a) (19) (F) of such 
Act IS amended by striking out "referred to the Secretary of Labor 
pursuant to subparagraph (A) (i) and (ii) and section 407(b)(2)" 
and inserting in lieu thereof "certified to the Secretary of Labor 
pursuant to subparagraph (G)". 
(ii) Section 402(a) (19) (F) of such Act is further amended by 
adding "and" after the semicolon at the end of clause (iv) thereof. 
(7) Section 402(a) (19) of suoh Act is amended by adding at the 
end thereof the following new subparagraph: 
"(G) that the State agency will have in effect a special 
program which (i) will be administered by a separate 
administrative unit and the employees of which will, to the 
maximum extent feasible, perform services only in connection 
with the administration of such program, (ii) will provide 
(through arrangements with others or otherwise) 
for 
individuals who have been registered pursuant to subpara-
graph (A), in accordance with the order of priority listed in 
section 433(a), such health, vocational rehabilitation, coun-
seling, child care, and other social and supportive services as 
are necessary to enable such individuals to accept employment 
or receive manpower training provided under part C, and 
will, when arrangements have been made to provide neces-
sary supportive services, including child care, certify to the 
Secretary of Labor those individuals who are ready for 
employment or training under part C, (iii) will participate 
in the development of operational and employability plans 
under section 433(b); and (iv) provides for purposes of 
42 u s e 630. 
Ante, p. 803. 
85 STAT. ] 
PUBLIC LAW 92-223-DEC. 28, 1971 
805 
clause (ii), that, when more than one kind of child care is 
available, the mother may choose the type, but she may not 
refuse to accept child care services if they are available;". 
(8) Section 403 of such Act is amended by adding at the end thereof 
federal assist-
,-, ^ J T, 
' 
1 
,' 
ance, computa-
the foliowmg new subsection: 
tion. 
"(c) Notwithstanding any other provision of this Act, the Federal g.^'g^*^*' "^' 
share of assistance payments under this part shall be reduced with 
42 use 603. 
respect to any State for any fiscal year after June 30, 1973, by one 
percentage point for each percentage point by which the number of 
individuals certified, under the program of such State established pur-
suant to section 402(a) (19) (G), to the local employment office of the 
^"'^' ^'^^^^^ 
State as being ready for employment or training under part C, is less 
" ""'' ' " 
than 15 per centum of the average number of individuals in such State 
who. during such year, are required to be registered pursuant to section 
402(a) (19) (A)." 
(9) Section 403 of such Act is amended by addins; after subsection 
supportive 
/ \ A 
£ ^^ 
• 
U 
J.' 
services, appro-
(c) the following new subsection: 
priation. 
"(d)(1) Notwithstanding subparagraph (A) of subsection (a)(3) 
the rate specified in such subparagraph shall be 90 per centum 
(rather than 75 per centum) with respect to social and supportive 
services provided pursuant to section 402 (a) (19) (G). 
"(2) Of the sums authorized by section 401 to be appropriated for 
^o stat. 848. 
the fiscal year ending June 30, 1973, not more than $750,000,000 shall 
^^ ^^^ ^°^-
be appropriated to the Secretary for payments with respect to services 
to which paragraph (1) applies." 
(10) Section 407(b) (2) (A) of such Act is amended by striking out 
l\ sta^ 882. 
"referred" and inserting in lieu thereof "certified". 
(11) Section 407(c) of such Act is amended by striking out "refer 
such father" and inserting in lieu thereof "certify such father". 
(b) (1) The first sentence of section 430 of the Social Security Act 
J 
J us^c Ito'. 
is amended by striking out "special work projects" and inserting in 
lieu thereof "public service employment". 
(2) Section 431 of such Act is amended (1) by inserting " ( a ) " 
immediately after "SEC. 431,", and (2) by adding at the end thereof the 
following new subsections: 
"(b) Of the amounts expended from funds appropriated pursuant 
to subsection (a) for any fiscal year (commencing with the fiscal year 
ending June 30, 1973), not less than 331/^ per centum thereof shall 
be expended for carrying out the program of on-the-job training 
referred to in section 432(b) (1) (B) and for carrying out the program 
^°^'' P- ^°^-
of public service employment referred to in section 432(b) (3). 
"(c) Of the sums appropriated pursuant to subsection (a) to carry 
Funds, distri-
out the provisions of this part for any fiscal year (commencing with 
the fiscal year ending June 30, 1973), not less than 50 percent shall 
be allotted among the States in accordance with a formula under 
which each State receives (from the total available for such allotment) 
an amount which bears the same ratio to such total as— 
"(1) in the case of the fiscal year ending June 30, 1973, and 
the fiscal year ending June 30, 1974, the average number of recip-
ients of aid to families with dependent children in such State 
during the month of January last preceding the commencement 
of such fiscal year bears to the average number of such recipients 
during such month in all the States; and 
"(2) in the case of the fiscal year ending June 30, 1975, or in 
the case of any fiscal year thereafter, the average number of 
individuals in such State who, during the month of January last 
preceding the commencement of such fiscal year, are registered 
pursuant to section 402(a) (19) (A) bears to the average number 
bution. 
806 
PUBLIC LAW 92-223-DEC. 28, 1971 
[85 STAT. 
81 Stat. 884. 
42 u s e 632. 
Labor Market 
Advisory Council, 
establishment. 
Ante, p. 803. 
Restriction. 
81 Stat. 885. 
42 u s e 633. 
Ante, p. 804. 
Priority. 
of individuals in all States who, during such month, are so reg-
istered." 
(3) (A) (i) Clause (1) of section 432(b) of such Act is amended—• 
(I) by inserting " ( A ) " immediately after "(1)"; and 
(II) by striking out "and utilizing" and inserting in lieu thereof 
"and (B) a program utilizing". 
(ii) Clause (3) of section 432(b) of such Act is amended by strik-
ing out "special work projects" and inserting in lieu thereof "public 
service employment". 
(B) Section 432(d) of such Act is amended to read as follows: 
"(d) In providing the manpower training and employment serv-
ices and opportunities required by this part, the Secretary of Labor 
shall, to the maximum extent feasible, assure that such services and 
opportunities are provided by using all authority available to him 
under this or any other Act. In order to assure that the services and 
opportunities so required are provided, the Secretary of Labor shall 
use the funds appropriated to him under this part to provide pro-
grams required by this part through such other Act, to the same extent 
and under the same conditions (except as regards the Federal match-
ing percentage) as if appropriated under such other Act and, in mak-
ing use of the programs of other Federal, State, or local agencies 
(public or private), the Secretary of Labor may reimburse such 
agencies for services rendered to persons under this part to the extent 
such services and opportunities are not otherwise available on a non-
reimbursable basis." 
(C) Section 432 of such Act is further amended by adding at the end 
thereof the following new subsection: 
"(f)(1) The Secretary of Labor shall establish in each State, 
municipality, or other appropriate geographic area with a significant 
number of persons registered pursuant to section 402(a) (19) (A) a 
Labor Market Advisory Council the function of which will be to 
identify and advise the Secretary of the types of jobs available or 
likely to become available in the area served by the Council; except 
that if there is already located in any area an appropriate body to 
perform such function, the Secretary may designate such body as the 
Labor Market Advisory Council for such area. 
"(2) Any such Council shall include representatives of industry, 
labor, and public service employers from the area to be served by 
the Council. 
"(3) The Secretary shall not conduct, in any area, institutional 
training under any program established pursuant to subsection (b) 
of any type which is not related to jobs of the type which are or are 
likely to become available in such area as determined by the Secretary 
after taking into account information provided by the Labor Market 
Advisory Council for such area." 
(4) (A) Section 433(a) of such Act is amended— 
(i) by striking out "referred to him by a State, pursuant to 
section 402" and inserting in lieu thereof "certified to him by a 
State, pursuant to section 402(a) (19) (G)"; and 
(ii) by adding at the end thereof the following new sentence: 
"The Secretary, m carrying out such program for individuals cer-
tified to him under section 402'(a) (19) (G), shall accord priority 
to such individuals in the following order, taking into account 
employability potential: first, unemployed fathers; second, moth-
ers, whether or not required to register pursuant to section 402(a) 
(19) (A), who volunteer for participation under a work incentive 
program; third, other mothers, and pregnant women, registered 
pursuant to section 402(a) (19) (A), who are under 19 years of 
fourth, dependent children and relatives who have attained 
Post, p. 808. 
85 STAT. ] 
PUBLIC LAW 92-223-DEC. 28, 1971 
807 
age 16 and who are not in school or engaged in work or manpower 
training; and fifth, all other individuals so certified to him." 
(B) Section 433(b) of siioh Act is amended to read as follows: 
statewide opera-
"(b).(1) For each State the Secretary shall develop jointly with ''"gTstS^sss. 
the administrative unit of such State administering the special pro- 
42 use 633. 
gram referred to in section 402(a) (19) (G) a statewide operational 
^"'^' P- ^°'*-
plan. 
"(2) The statewide operational plan shall prescribe how the work 
incentive program established by this part will be operated at the local 
level, and shall indicate (i) for each area within the State the number 
and type of positions which will be provided for training, for on-the-
job training, and for public service employment, (ii) the manner in 
which information provided by the Labor Market Advisory Council 
(established pursuant to section 432(f)) for any such area will be 
Ante, p. soe. 
utilized in the operation of such program, and (iii) the particular 
State agency or administrative unit thereof which will be responsible 
for each of the various activities and functions to be performed under 
such program. Any such operational plan for any State must be ap-
proved by the Secretary, the administrative unit of such State adminis-
tering the special program referred to in section 402(a) (19) (G), and 
the regional joint committee (established pursuant to section 439) for 
the area in which such State is located. 
"(3) The Secretary shall develop an employability plan for each 
suitable person certified to him pursuant to section 402(a) (19) (G) 
which shall describe the education, training, work experience, and 
orientation which it is determined that such person needs to complete 
in order to enable him to become self-supporting." 
(C) (i) Section 433(e)(1) of such Act is amended by striking 
out "special work projects" and inserting in lieu thereof "public serv-
ice employment". 
(ii) Section 433(e)(2)(A) of such Act is amended to read as 
follows: 
"(A) for the payment by the Secretary to each employer, with 
respect to public service employment performed by any indi-
vidual for such employer, of an amount not exceeding 100 per-
cent of the cost of providing such employment to such individual 
during the first year of such employment, an amount not exceed-
ing 75 percent of the cost of providing such employment to such 
individual during the second year of such employment, and an 
amount not exceeding 50 percent of the cost of providing such 
employment to such individual during the third year of such 
employment;", 
(iii) Section 433(e)(2)(B) of such Act is amended by striking 
out "on special work projects of" and inserting in lieu thereof "in 
public service employment for". 
(iv) Section 433(e) (3) of such ilct is hereby repealed. 
Repeal. 
(D) Section 433(f) of such Act is amended by striking out "any 
of the programs established by this part" and inserting in lieu thereof 
"section 432(b) (3)". 
(E) Section 433 (g) of such Act is amended— 
(i) by striking out "referred to the Secretary of Labor pur-
suant to section 402(a) (19) (A) (i) and (ii)" and inserting in lieu 
thereof "certified to the Secretary of Labor pursuant to section 
402(a) (19) (G)''; and 
(ii) by striking out "which referred such individual" and 
inserting in lieu thereof "which certified such individual". 
(F) Section 433 (h) of such Act is amended by striking out "special 
work projects" and inserting in lieu thereof "public service employ-
ment". 
42 use 632. 
808 
PUBLIC LAW 92-223-DEC. 28, 1971 
[85 STAT. 
Transportation 
allowance. 
81 Stat. 887. 
42 u s e 634. 
42 use 635. 
42 u s e 636. 
42 u s e 638. 
Regulations. 
42 u s e 639. 
Ante, p. 807. 
42 u s e 641. 
42 u s e 642. 
(G) Section 434 of such Act is amended— 
(i) by inserting " ( a ) " immediately after "SEC. 434."; and 
(ii) by adding at the end thereof the following new subsection: 
"(b) The Secretary of Labor is also authorized to pay, to any 
member of a family participating in manpower training under this 
part, allowances for transportation and other costs incurred by such 
member, to the extent such costs are necessary to and directly related 
to the participation by such member in such training." 
(5) (A) Section 435(a) of such Act is amended by striking out 
"80 per centum" and inserting in lieu thereof "90 per centum". 
(B) Section 435(b) of such Act is amended by striking out "; 
except that with respect to special work projects under the program 
established by section 432(b) (3), the costs of carrying out this part 
shall include only the costs of administration", 
(6) Section 436(b) of such Act is amended by striking out "by 
the Secretary after consultation with" and inserting in lieu thereof 
"jointly by him and". 
(7) Section 438 of such Act is amended by striking out "projects 
under". 
(8) Section 439 of such Act is amended to read as follows: 
"SEC. 439. The Secretary and the Secretary of Health, Education, 
and Welfare shall, not later than July 1, 1972, issue regulations to 
carry out the purposes of this part. Such regulations shall provide 
for the establishment, jointly by the Secretary and the Secretary of 
Health, Education, and Welfare, of (1) a national coordination com-
mittee the duty of which shall be to establish uniform reporting and 
similar requirements for the administration of this part, and (2) a 
regional coordination committee for each region which shall be re-
sponsible for review and approval of statewide operational plans 
developed pursuant to section 433 (b)." 
(9) Section 441 of such Act is amended— 
(A) by inserting " ( a ) " immediately after "SEC. 441."; and 
(B) by adding immediately after the last sentence thereof the 
following sentence: "Nothing in this section shall be construed as 
authorizing the Secretary to enter into any contract with any 
organization after June 1, 1970, for the dissemination by such 
organization of information about programs authorized to be 
carried on under this part." 
(10) Section 442 of such Act is amended to read as follows: 
TECHNICAL ASSISTANCE FOR PROVIDERS OF EMPLOYMENT OR TRAINING 
42 u s e 632. 
42 u s e 643. 
42 u s e 644. 
Ante, pp. 803, 
804. 
"SEC. 442. The Secretary is authorized to provide technical assist-
ance to providers of employment or training to enable them to partici-
pate in the establishment and operation of programs authorized to be 
established by section 432 (b)." 
(11) Section 443 of such Act is amended by striking out "20 per 
centum" wherever it appears therein and inserting in lieu thereof 
"10 per centum". 
(12) (A) Section 444(a) of such Act is amended by striking out 
"referred" each place it appears and inserting in lieu thereof 
"certified". 
(B) Section 444(c) (1) of such Act is amended by striking out "sec-
tion 402(a) (15) and section 402(a) (19) ( F ) " and inserting in lieu 
thereof "section 402(a) (19)". 
(C) Section 444(d) of such Act is amended (i) by striking out "a 
special work project" and inserting in lieu thereof "public service 
employment"; (ii) by striking out "project" at the end of the first 
sentence and inserting in lieu thereof "employment"; and (iii) by 
85 STAT. ] 
PUBLIC LAW 92-223-DEC. 28, 1971 
809 
striking out "referred to the Secretary by such agency under such sec-
tion 402(a) (15)" and inserting in lieu thereof "certified to the 
Secretary by such agency under section 402(a) (19) (G)". 
(c) The amendments made by this section shall, except as other-
wise specified herein, take effect on July 1,1972. 
Ante, p. 804. 
Effective date. 
INCLUSION UNDER MEDICAID OF CARE IN INTERMEDIATE CARE FACILITIES 
SEC. 4. (a)(1) Section 1905(a) of the Social Security Act as 
amended— 
(A) by striking out "and" at the end of clause (14), 
(B) by striking out the semicolon at the end of clause (15) and 
inserting in lieu thereof "; and", and 
(C) by inserting after clause (15) the following new clause: 
"(16) intermediate care facility services (other than such serv-
ices in an institution for tuberculosis or mental diseases) for 
individuals who are determined, in accordance with section 
1902(a) (31) (A), to be in need of such care;". 
(2) Section 1905 of such Act is amended by adding at the end 
thereof the following new subsections: 
"(c) For purposes of this title the term 'intermediate care facility' 
means an institution which (1) is licensed under State law to provide, 
on a regular basis, health-related care and services to individuals who 
do not require the decree of care and treatment which a hospital or 
skilled nursing home is designed to provide, but who because of their 
mental or physical condition require care and services (above the level 
of room and board) which can be made available to them only through 
institutional facilities, (2) meets such standards prescribed by the Sec-
retary as he finds appropriate for the proper provision of such care, 
and (3) meets such standards of safety and sanitation as are estab-
lished under regulation of the Secretary in addition to those applicable 
to nursing homes under State law. The term 'intermediate care facility' 
also includes any skilled nursing home or hospit-al which meets the 
requirements of the preceding sentence. The term 'intermediate care 
facility' also includes a Christian Science sanatorium operated, or 
listed and certified, by the First Church of Christ, Scientist, Boston, 
Massachusetts, but only with respect to institutional services deemed 
appropriate by the State. With respect to services furnished to individ-
uals under age 65, the term 'intermediate care facility' shall not 
include, except as provided in subsection (d), any public institution or 
distinct part thereof for mental diseases or mental defects. 
"(d) The term 'intermediate care facility services' may include 
services in a public institution (or distinct part thereof) for the men-
tally retarded or persons with related conditions if— 
"(1) the primary purpose of such institution (or distinct part 
thereof) is to provide health or rehabilitative services for men-
tally retarded individuals and which meet such standards as may 
be prescribed by the Secretary; 
"(2) the mentally retarded individual with respect to whom a 
request for payment is made under a plan approved under this 
title is receiving active treatment under such a program; and 
" (3) the State or political subdivision responsible for the opera-
tion of such institution has agreed that the non-Federal expendi-
tures with respect to patients in such institution (or distinct part 
thereof) will not be reduced because of payments made under this 
title." 
(b) Section 1902 (a) of such Act is amended— 
(1) by striking out "and" at the end of paragraph (29); 
(2) by striking out the period at the end of paragraph (30) and 
inserting in lieu thereof "; and"; and 
79 Stat. 351. 
42 u s e 1396d. 
Infra, 
"Intermediate 
care facility." 
"Intermediate 
care facility 
services." 
79 Stat. 344; 
51 Stat. 911. 
42 u s e 1396a. 
810 
PUBLIC LAW 92-224-DEC. 29, 1971 
[85 STAT. 
ro'fessr.Tnar^e 
^^^ b j Inserting aftoF paragraph (30) the following new para-
view program. 
g r a p n ', 
"(31) provide (A) for a regular program of independent pro-
fessional review (including medical evaluation of each patient's 
need for intermediate care) and a written plan of service prior to 
admission or authorization of benefits in an intermediate care 
facility which provides more than a minimum level of health care 
services as determined under regulations of the Secretary; (B) 
for periodic on-site inspections to be made in all such intermediate 
care facilities (if the State plan includes care in such institutions) 
within the State by one or more independent professional review 
teams (composed of physicians or registered nurses and other 
appropriate health and social service personnel) of (i) the care 
being provided in such intermediate care facilities to persons 
receiving assistance under the State plan, (ii) with respect to each 
of the patients receiving such care, the adequacy of the services 
available in particular intermediate care facilities to meet the 
current health needs and promote the maximum physical well-
being of patients receiving care in such facilities, (iii) the neces-
sity and desirability of the continued placement of such patients 
in such facilities, and (iv) the feasibility of meeting their health 
care needs through alternative institutional or non-institutional 
services; and (C) for the making by such team or teams of full 
and complete reports of the findings resulting from such inspec-
tions, together with any recommendations to the State agency 
administering or supervising the administration of the State 
plan." 
sf^slat' 920 
(^) Section 1121 of such Act is repealed. 
42 usV 1320a. 
(d) The amendments made by this section shall become effective 
Effective date. 
January 1.1972. 
SEC. 5. Section 1007 of the Social Security Amendments of 1969, as 
fo f^^^'A?c^'. 
amended, is further amended by striking out "1972" where it appears 
42 u s e 415 note. 
. 
' . 
. 
. 
P ut ^hrn^^ 
° 
^ 
and msertmg m lieu thereoi "1973". 
Approved December 28, 1971. 
Public Law 92-224 
AN ACT 
December 29,1971 
[H. R. 6065] 
To amend section 903(c) (2) of the Social Security Act, and for otlier purposes. 
Be it enacted Ijy the Senate and House of Representatives 
of the 
Employment 
United States of America 
hi Congress assembled, That section 903 
tTanSetfr! 
(c)(2) 
of the Social Security Act 
(42 U.S.C. 1103(c)(2)). is 
gency unemploy- 
a U i e n d c d 
uon! ''°"^^"^^" 
(1) by striking out "fourteen preceding fiscal years," in sub-
82 Stat. 447. 
paragraph (D) of the first sentence and inserting in lieu thereof 
"twenty-four preceding fiscal years,";