42 USC Sec. 1320a 01/08/2008
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XI - GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE
Part A - General Provisions
Sec. 1320a. Uniform reporting systems for health services
facilities and organizations
(a) Establishment; criteria for regulations; requirements for
For the purposes of reporting the cost of services provided by,
of planning, and of measuring and comparing the efficiency of and
effective use of services in, hospitals, skilled nursing
facilities, intermediate care facilities, home health agencies,
health maintenance organizations, and other types of health
services facilities and organizations to which payment may be made
under this chapter, the Secretary shall establish by regulation,
for each such type of health services facility or organization, a
uniform system for the reporting by a facility or organization of
that type of the following information:
(1) The aggregate cost of operation and the aggregate volume of
(2) The costs and volume of services for various functional
accounts and subaccounts.
(3) Rates, by category of patient and class of purchaser.
(4) Capital assets, as defined by the Secretary, including (as
appropriate) capital funds, debt service, lease agreements used
in lieu of capital funds, and the value of land, facilities, and
(5) Discharge and bill data.
The uniform reporting system for a type of health services facility
or organization shall provide for appropriate variation in the
application of the system to different classes of facilities or
organizations within that type and shall be established, to the
extent practicable, consistent with the cooperative system for
producing comparable and uniform health information and statistics
described in section 242k(e)(1) of this title. In reporting under
such a system, hospitals shall employ such chart of accounts,
definitions, principles, and statistics as the Secretary may
prescribe in order to reach a uniform reconciliation of financial
and statistical data for specified uniform reports to be provided
to the Secretary.
(b) Monitoring, etc., of systems by Secretary
The Secretary shall -
(1) monitor the operation of the systems established under
subsection (a) of this section;
(2) assist with and support demonstrations and evaluations of
the effectiveness and cost of the operation of such systems and
encourage State adoption of such systems; and
(3) periodically revise such systems to improve their
effectiveness and diminish their cost.
(c) Availability of information to appropriate agencies and
The Secretary shall provide information obtained through use of
the uniform reporting systems described in subsection (a) of this
section in a useful manner and format to appropriate agencies and
organizations, including health systems agencies (designated under
section 300l-4 (!1) of this title) and State health planning and
development agencies (designated under section 300m (!1) of this
title), as may be necessary to carry out such agencies' and
(Aug. 14, 1935, ch. 531, title XI, Sec. 1121, as added Pub. L. 95-
142, Sec. 19(a), Oct. 25, 1977, 91 Stat. 1203.)
REFERENCES IN TEXT
Section 300l-4 of this title, referred to in subsec. (c), was
repealed effective Jan. 1, 1987, by Pub. L. 99-660, title VII, Sec.
701(a), Nov. 14, 1986, 100 Stat. 3799.
Section 300m of this title, referred to in subsec. (c), was in
the original a reference to section 1521 of act July 1, 1944, which
was repealed effective Jan. 1, 1987, by Pub. L. 99-660, title VII,
Sec. 701(a), Nov. 14, 1986, 100 Stat. 3799. Pub. L. 101-354, Sec.
2, Aug. 10, 1990, 104 Stat. 410, enacted section 1503 of act July
1, 1944, which is classified to section 300m of this title.
A prior section 1320a, act Aug. 14, 1935, ch. 531, title XI, Sec.
1121, as added Jan. 2, 1968, Pub. L. 90-248, title II, Sec. 250(a),
81 Stat. 920, provided for assistance in the form of institutional
services in intermediate care facilities, the subsecs. providing as
follows: subsec. (a), modification of certain plans to include such
benefit; subsec. (b), eligible individuals; subsec. (c), payments
and Federal medical assistance percentage; subsec. (d), conditions,
limitations, rights, and obligations applicable to modified plans;
and subsec. (e), definition of "intermediate care facility", which
is covered in section 1396d(c) of this title, prior to repeal by
Pub. L. 92-223, Sec. 4(c), Dec. 28, 1971, 85 Stat. 810.
Section was additionally amended by Pub. L. 92-603, title II,
Sec. 278(a)(24), Oct. 30, 1972, 86 Stat. 1453, without reference to
the earlier repeal of this section by Pub. L. 92-223.
TIME PERIODS FOR ESTABLISHMENT OF UNIFORM REPORTING SYSTEMS;
CONSULTATIONS WITH INTERESTED PARTIES
Section 19(c)(1) of Pub. L. 95-142 directed Secretary of Health,
Education, and Welfare to establish the systems described in
subsec. (a) of this section only after consultation with interested
parties and for hospitals, skilled nursing facilities, and
intermediate care facilities, not later than the end of the one
year period beginning on Oct. 25, 1977, and for other types of
health services facilities and organizations, not later than the
end of the two-year period beginning on Oct. 25, 1977.
(!1) See References in Text note below.