Fed Regist. 1983 Feb 23;48(37):7593-6.
We propose to amend the 1978 Medicaid regulations on intermediate care facility services for the mentally retarded and persons with related conditions to correct the definition of "persons with related conditions". This definition, because of an inadvertent error in 1978, is currently tied to the definition of developmental disability in the Developmental Disabilities Assistance and Bill of Rights Act (DDABRA) as amended in 1978. The DDABRA, as amended, covers the mentally ill. The 1978 regulations intended to make "no substantive change" to prior Medicaid regulations which did not cover the mentally ill. The cross-reference to the DDABRA produced the unintended result of incorporating into Medicaid regulations the revision to the definition of the developmentally disabled created by the 1978 amendments to the DDABRA and may tend to cause confusion about the kind of care that is covered by the Medicaid program. Therefore, a correction of this drafting error is necessary. To avoid results of this kind in the future this proposal would establish a Medicaid definition of conditions related to mental retardation that would meet specific needs of the Medicaid program and would be independent of the definition of developmental disability in the DDABRA.
我们提议修订1978年关于为智障人士及相关病症患者提供中级护理机构服务的医疗补助法规，以纠正“相关病症患者”的定义。由于1978年的一个疏忽错误，该定义目前与1978年修订的《发育障碍援助和权利法案》（DDABRA）中发育障碍的定义相关联。修订后的DDABRA涵盖了精神疾病患者。1978年的法规旨在对先前不涵盖精神疾病患者的医疗补助法规“不做实质性更改”。对DDABRA的交叉引用产生了意外结果，即将1978年DDABRA修正案对发育障碍定义的修订纳入了医疗补助法规，这可能会导致对医疗补助计划所涵盖的护理类型产生混淆。因此，有必要纠正这一起草错误。为避免今后出现此类结果，本提案将确立一个与智障相关病症的医疗补助定义，该定义将满足医疗补助计划的特定需求，并且独立于DDABRA中发育障碍的定义。
