Summary: H.R.4739 — 99th Congress (1985-1986)All Information (Except Text)

There is one summary for H.R.4739. Bill summaries are authored by CRS.

Shown Here:
Introduced in House (05/01/1986)

Medicare Adult Day Care Amendments of 1986 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to provide for the establishment of adult day care programs providing certain health services to chronically-impaired adults in a group setting outside their homes for up to 100 days on a less than 24-hour basis. Requires providers of such services to have a multidisciplinary group of health care personnel conduct a written assessment of the status of each chronically-impaired adult before the adult's admission to the program and thereafter periodically develop a coordinate an individualized treatment plan for, and with the cooperation of, the adult.

Defines a "chronically-impaired adult" as an individual 18 years of age or older who has a physical, emotional, or mental impairment which, but for the provision of adult day care, would require the provision of care in a hospital, skilled nursing, or intermediate care facility.

Makes deductibles inapplicable to adult day care, requiring only the payment of a specified coinsurance amount.

Directs the Secretary of Health and Human Services to issue regulations regarding adult day care programs. Requires the Secretary to adopt the standards established by the National Institute of Adult Day Care as the minimum standards for qualifying as a provider of such care.