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The Act revises requirements for conditions of participation in section 1861(j), including training for nurse aides, uniform admission and service standards, criminal background checks for employees providing direct patient care, patient participation in facility operations, and access for state long-term care ombudsmen to facilities, residents, and records. It also requires changes in clinical records and assessments, effective from September 30, 1987 for intermediate care facility 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does the Act’s short title state?","Question",{"text":112,"@type":113},"The Act may be cited as the “Nursing Home Quality Reform Act of 1986.”","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which areas of the Social Security Act are amended for Medicare and Medicaid participation standards?",{"text":117,"@type":113},"It amends provisions relating to participation standards for skilled nursing facilities and intermediate care facilities, including conditions of participation under section 1861(j).",{"name":119,"@type":110,"acceptedAnswer":120},"When do the amendments apply to intermediate care facility services?",{"text":121,"@type":113},"The amendment applies to intermediate care facility services furnished on or after September 30, 1987.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},322281,1790088253,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},549758146520,"https://ap-avatar.wpscdn.com/avatar/80002397d8c0411e94?_k=1775819394049821470","C3  \nTo amend the Social Security Act with respect to the standards for participationof skilled nursing facilities and intermediate care facilities under the medicareand medicaid programs,to amend the Older Americans Act of 1965 withrespect to the ombudsman program,and for other purposes.  \nIN THE SENATE OF THE UNITED STATES  \nJUNE 26(legislative day JUNE 23),1986  \nMr.HEINZ(for himself and Mr.GLENN)introduced the following bill;which wasread twice and referred to the Committee on Finance  \n# A BILL\n\nTo amend the Social Security Act with respect to the standardsfor participation of skilled nursing facilities and intermediatecare facilities under the medicare and medicaid programs,toamend the Older Americans Act of 1965 with respect tothe ombudsman program,and for other purposes.  \n1Be it enacted by the Senate and House of Representa-2 tives of the United States of America in Congress assembled,3 SECTION 1.SHORT TITLE.  \n4This Act may be cited as the \"Nursing Home Quality5 Reform Act of 1986”.  \n1 TITLE I—MEDICARE AND MEDICAID2PROGRAMS  \n3 SEC.101.REQUIRING MEDICAID INTERMEDIATE CARE FACILI-4TIES TO MEET MEDICARE SKILLED NURSING5FACILITY REQUIREMENTS.  \n6(a)IN GENERAL.—The first sentence of section 1905(c)7 of the Social Security Act(42 U.S.C.1396d(c)is amended8 by striking\"which(1)\"and and inserting in lieu thereof9\"which meets the requirements of section 1861(j)for a skilled10 nursing facility,except that with respect to an institution for11 mental diseases such term means an institution which(1)”.12(b)EFFECTIVE DATE.—The amendment made by sub-13 section (a)shall apply to intermediate care facility services14 furnished on or after September 30,1987.  \n15 SEC.102.CHANGES IN CONDITIONS OF PARTICIPATION.  \n16(a)IN GENERAL.—Section 1861(j)of the Social Securi-17 ty Act(42 U.S.C.1395x(j)is amended—  \n18(1)by striking paragraph (2)and inserting in lieu19thereof the following:  \n20\"(2)provides for the establishment,adherence to,  \n21and periodic review of adequate policies and procedures  \n22for the management of the facility,which assure that—  \n23“(A)an overall plan and budget that meets  \n24the requirements of subsection (z)is in effect,  \nPublic Laws : 99th Congress / 2nd Session / 1986  \n3  \n1  \n\"(B)all nurse aides or nurse assistants pro-viding direct patient care have completed a State-approved training program in a State-accreditedinstitution,  \n2  \n3  \n4  \n“(C)except as required by a State case man-agement or preadmission screening program,nodifferent standards are applied to the admission,transfer,discharge,and service on the basis ofany patient's source of payment,  \n5  \n6  \n7  \n8  \n9  \n10  \n“(D)all employees providing direct patientcare have cleared an appropriate criminal back-ground check,  \n11  \n12  \n\"(E)patients regularly participate in deci-sionmaking in the facility's operations and have amechanism for the presentation of patient con-cerns,and  \n13  \n14  \n15  \n16  \n\"(F)representatives of the State office oflong-term care ombudsman (established under sec-tion 307(a)(12)of the Older Americans Act of1965)have access to the facility and its residents,and,with the permission of a patient or patient'slegal guardian,have access to review the patient'smedical and social records;\";  \n17  \n18  \n19  \n20  \n21  \n22  \n23  \n24(2)by striking paragraph (5)and inserting in lieu  \n25thereof the following:  \nCHS LibraryC2-07-137500 Secu!ity Bivd3altimore.Marylanc 21244  \n4  \n1“(5)(A)maintains clinical records on all patients,2and  \n3\"(B)provides for accurate assessments of each4patient—  \n“(i)that are performed—  \n5  \n“(1)upon admission,periodically,andwhenever there is a change in patient status,and  \n6  \n7  \n8  \n“(II)by a professional registered nursewho has received appropriate training forthis purpose,and  \n9  \n10  \n11  \n“(ii)the results of which are recorded andmaintained in a standard format in the clinicalrecords of the patient;\";  \n12  \n13  \n14  \n(3)by striking paragraphs(8)and (10);  \n15  \n16(4)by redesignating paragraphs (9)","cbCaiePy5WE23fzh","https://ap.wps.com/l/cbCaiePy5WE23fzh","pdf",1313546,32,"English","# SECTION 1. SHORT TITLE\n## TITLE I - MEDICARE AND MEDICAID PROGRAMS\n## SEC. 101. REQUIRING MEDICAID INTERMEDIATE CARE FACILITIES TO MEET MEDICARE SKILLED NURSING FACILITY REQUIREMENTS\n## SEC. 102. CHANGES IN CONDITIONS OF PARTICIPATION","[{\"question\":\"What does the Act’s short title state?\",\"answer\":\"The Act may be cited as the “Nursing Home Quality Reform Act of 1986.”\"},{\"question\":\"Which areas of the Social Security Act are amended for Medicare and Medicaid participation standards?\",\"answer\":\"It amends provisions relating to participation standards for skilled nursing facilities and intermediate care facilities, including conditions of participation under section 1861(j).\"},{\"question\":\"When do the amendments apply to intermediate care facility services?\",\"answer\":\"The amendment applies to intermediate care facility services furnished on or after September 30, 1987.\"}]","Nursing Home Quality Reform Act of 1986 - An Act to amend the Social Security Act and the Older Americans Act - SECTION 1 SHORT TITLE | PDF",1789962310,81]