An Act to amend title XVIII of the Social Security Act to modify the nursing service requirement and certain other requirements which an institution must meet in order to qualify as a hospital thereunder so as to make such requirements more realistic insofar as they apply to smaller institutions
PL 91-690 (H.R.19470), enacted 01/12/1971

2074 
PUBLIC LAW 91-690-JAN. 12, 1971 
[84 STAT. 
January 12, 1971 
[H. R. 19470] 
Public Law 91-690 
AN ACT 
To amend title XVIII of the Social Security Act to modify the nursing service 
requirement and certain other requirements which an institution must 
meet in order to qualify as a hospital thereunder so as to make such re^ 
quirements more realistic insofar as they apply to smaller institutions. 
Nursing service 
requirements, 
modification. 
79 Stat. 315. 
42 u s e 139SX. 
Be it enacted hy the Senate and House of Representatives 
of the 
United States of America in Congress assembled^ That section 1861 
(e) (5) of the Social Security Act is amended by adding immediately 
after the semicolon at the end thereof the following: "except that 
until January 1,1976, the Secretary is authorized to waive the require-
ment of this paragraph for any one-year period with respect, to any 
institution, insofar as such requirement relates to the provision of 
twenty-four-hour nursing service rendered or supervised by a regis-
tered professional nurse (except that in any event a registered pro-
fessional nurse must be present on the premises to render or supervise 
the nursing service provided, during at least the regular daytime 
shift), where immediately preceding such one-year period he finds 
that— 
"(A) such institution is located in a rural area and the supply 
of hospital services in such area is not sufficient to meet the needs 
of individuals residing therein, 
"(B) the failure of such institution to qualify as a hospital 
would seriously reduce the availability of such services to such 
individuals, and 
"(C) such institution has made and continues to make a good 
faith effort to comply with this paragraph, but such compliance 
is impeded by the lack of qualified nursing personnel in such 
area;". 
Approved January 12, 1971. 
January 12, 1971 
[H. R. 17917] 
Public Law 91-691 
AN ACT 
To amend the Internal Revenue Code of 1954 with respect to the period of 
qualification of certain union-negotiated pension plans. 
Taxes. 
Union-negoti-
ated pension 
plans, qualifica-
tion period. 
78 Stat. 57. 
26 u s e 401. 
Effective date. 
Be it enacted hy the Senate and House of Representatives 
of the 
United States of America in Congress assembled^ That (a) section 
401 (i) of the Internal Revenue Code of 1954 (relating to certain 
union-negotiated pension plans) is amended— 
(1) by striking out "Multiemployer" in the heading, and 
(2) by striking out paragraph (1) and inserting in lieu thereof 
the following: 
"(1) such trust was created pursuant to a collective bargain-
ing agreement between employee representatives and one or more 
employers,", 
(b) The amendments made by subsection (a) shall apply to taxable 
years beginning after December 31,1953, and ending after August 16, 
1954, but only with respect to contributions made after December 31, 
1954. 
Approved January 12, 1971.