Fed Regist. 1980 Dec 19;45(246):83701-4.
This memorandum established policies and procedures to limit Federal financial support for the construction of hospitals in overbedded areas. The policy for Federal hospitals is that no new or replacement hospitals will be built in an overbedded area unless suitable, existing, non-Federal facilities cannot reasonably be acquired through purchase or lease. The policy for non-Federal facilities is that no Federal grants, loans, loan subsidies, or loan guarantees will be provided for hospital construction or renovation in an overbedded area, unless the proposed project is consistent with an approved local hospital facility plan or the Secretary of Health and Human Services (HHS) determines that it is necessary. In addition, legislation and regulations will be proposed to revise the current Medicare and Medicaid reimbursement policies for costs related to hospital construction or renovation. Finally, legislation will be proposed to revise Federal tax exempt bond financing for hospital construction and renovation in overbedded areas. This memorandum also prescribes agency responsibilities and procedures for implementing these policies.
本备忘录制定了政策和程序，以限制联邦政府对床位过剩地区医院建设的财政支持。联邦医院的政策是，除非无法通过购买或租赁合理获得合适的现有非联邦设施，否则不会在床位过剩地区新建或更换医院。非联邦设施的政策是，除非拟议项目符合经批准的地方医院设施规划，或卫生与公众服务部部长（HHS）确定有必要，否则不会为床位过剩地区的医院建设或翻新提供联邦赠款、贷款、贷款补贴或贷款担保。此外，还将提出立法和法规，以修订当前医疗保险和医疗补助对医院建设或翻新相关费用的报销政策。最后，将提出立法，以修订联邦免税债券对床位过剩地区医院建设和翻新的融资规定。本备忘录还规定了各机构实施这些政策的职责和程序。
