Fed Regist. 1994 Jun 22;59(119):32086-127.
We are revising requirements for Medicare participating hospitals by adding the following: A hospital must provide inpatient hospital services to individuals who have health coverage provided by either the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) or the Civilian Health and Medical Program of the Veterans Administration (CHAMPVA), subject to limitations provided by regulations that require the hospital to collect the beneficiary's cost-share and accept payment from the CHAMPUS/CHAMPVA programs as payment in full. A hospital must provide inpatient hospital services to military veterans (subject to the limitations provided in 38 CFR 17.50 ff.) and accept payment from the Department of Veterans Affairs as payment in full. A hospital must give each Medicare beneficiary (or his or her representative) at or about the time of admission, a written statement of his or her rights concerning discharge from the hospital. A hospital (including a rural primary care hospital) with an emergency department must provide, upon request and within the capabilities of the hospital or rural primary care hospital, an appropriate medical screening examination, stabilizing treatment and/or an appropriate transfer to another medical facility to any individual with an emergency medical condition, regardless of the individual's eligibility for Medicare. The statute provides for the termination of a provider's agreement for violation of any of these provisions. These revisions implement sections 9121 and 9122 of the Consolidated Omnibus Budget Reconciliation Act of 1985 (as amended by section 4009 of the Omnibus Budget Reconciliation Act of 1987), section 233 of the Veteran's Benefit Improvement and Health Care Authorization Act of 1986, sections 9305(b)(1) and 9307 of the Omnibus Budget Reconciliation Act of 1986, sections 6003(g)(3)(D)(xiv), 6018 and 6211 of the Omnibus Budget Reconciliation Act of 1989, and sections 4008(b), 4027(a), and 4027(k)(3) of the Omnibus Budget Reconciliation Act of 1990.
我们正在修订对参与医疗保险的医院的要求，增加以下内容：医院必须为那些拥有由军队医疗和民事计划（CHAMPUS）或退伍军人事务部的民事医疗计划（CHAMPVA）提供的医疗保险的个人提供住院医院服务，但需遵守法规规定的限制，这些法规要求医院收取受益人的费用分摊部分，并接受CHAMPUS/CHAMPVA计划的付款作为全额付款。医院必须为退伍军人提供住院医院服务（受38 CFR 17.50及后续条款规定的限制），并接受退伍军人事务部的付款作为全额付款。医院必须在入院时或入院前后，向每位医疗保险受益人（或其代表）提供一份关于其出院权利的书面声明。设有急诊科的医院（包括农村初级保健医院）必须应要求并在医院或农村初级保健医院的能力范围内，为任何患有紧急医疗状况的个人提供适当的医疗筛查检查、稳定治疗和/或将其转至另一医疗机构，无论该个人是否符合医疗保险资格。该法规规定，若违反上述任何条款，将终止提供者协议。这些修订实施了1985年《综合预算协调法案》第9121和9122节（经1987年《综合预算协调法案》第4009节修订）、1986年《退伍军人福利改善和医疗保健授权法案》第233节、1986年《综合预算协调法案》第9305(b)(1)和9307节、1989年《综合预算协调法案》第6003(g)(3)(D)(xiv)、6018和6211节，以及1990年《综合预算协调法案》第4008(b)、4027(a)和4027(k)(3)节。
