Fed Regist. 1982 Dec 30;47(251):58260-9.
These regulations implement section 952 of the Omnibus Reconciliation Act of 1980 (Pub. L. 96-499), which conditions Medicare reimbursement for the cost of services performed under certain contracts upon compliance with prescribed criteria. If a contract between a provider and a subcontractor covers services valued at or costing $10,000 or more over a 12-month period, Medicare reimbursement cannot be made for the services unless the contract includes a clause allowing the Secretary of Health and Human Services and the Comptroller General access to the contract and to the subcontractor's books, documents, and records necessary to verify the costs of the contract. The clause in the contract must also permit similar access top any subcontract between the subcontractor and a related organization of the subcontractor when the subcontract is worth or costs $10,000 or more over a 12-month period. These regulations specify the criteria and procedures that the Department will use to obtain access to affected books, documents, and records. The purpose of the legislation and these proposed regulations is to permit the Secretary and Comptroller General to make an accurate determination of the reasonable costs under these contracts.
这些规定实施了1980年《综合预算协调法》（公法96 - 499）第952条，该条规定，在某些合同下提供服务的费用若要获得医疗保险报销，需符合规定标准。如果供应商与分包商之间的合同涵盖12个月内价值或成本达1万美元或以上的服务，除非合同包含一项条款，允许卫生与公众服务部部长及总审计长查阅合同以及分包商的账簿、文件和记录，以核实合同成本，否则医疗保险不能为这些服务报销。合同中的该条款还必须允许在分包合同价值或成本在12个月内达1万美元或以上时，类似地查阅分包商与其相关组织之间的任何分包合同。这些规定明确了部门获取相关账簿、文件和记录时将采用的标准和程序。立法及这些拟议规定的目的是允许部长和总审计长准确确定这些合同下的合理成本。
