Fed Regist. 1991 Aug 21;56(162):41454-5.
These final regulations reflect section 12201(b) of Public Law 99-272 (the Consolidated Omnibus Budget Reconciliation Act of 1985, enacted April 7, 1986). Section 12201(b) permits Federal administration of optional State supplementary payments to individuals in medical facilities that receive little XIX (Medicaid) funds at a level exceeding 50 percent of the cost of their care (Medicaid facilities). Currently, the regulations prohibit Federal administration of optional State supplementary payments to a person who, throughout any month, is in a Medicaid facility. Under these regulations States will have the option of having the Social Security Administration (SSA) administer optional State supplementary payments to these individuals. States will be limited to one State supplementary payment level variation for residents of Medicaid facilities (Federal living arrangement "D").
这些最终法规反映了公法99 - 272（1986年4月7日颁布的《1985年综合预算协调法案》）第12201(b)条的规定。第12201(b)条允许联邦政府向在医疗设施中接受很少第十九类（医疗补助）资金且其护理费用超过50%由该资金支付的个人（医疗补助设施）发放州补充金。目前，法规禁止联邦政府向在任何一个月内始终处于医疗补助设施中的个人发放州补充金。根据这些法规，各州将可以选择由社会保障管理局（SSA）向这些个人发放州补充金。对于医疗补助设施的居民（联邦居住安排“D”），各州只能有一个州补充金水平的变化。
