Fed Regist. 1982 Oct 1;47(191):43644-8.
We are revising Medicaid regulations to provide the conditions under which States may impose liens against the real property of certain individuals receiving Medicaid benefits in intermediate care and skilled nursing facilities. These individuals are those who the State determines, after notice to the individual and opportunity for a hearing, are unlikely to be discharged from the facility and return to their homes. These regulations also specify the conditions under which States may recover the amount of Medicaid payments made on behalf of individuals through foreclosure on liens on an individual's property, or adjustments or recoveries from their estate. These regulations implement Section 132 of Pub. L. 97-248, the Tax Equity and Fiscal Responsibility Act of 1982. The purpose of this provision is to permit States to recover the cost of Medicaid payments from an individual's property, and thereby reduce the public cost of supporting that individual in a long term care facility.
我们正在修订医疗补助计划法规，以规定各州在何种情况下可对某些在中级护理和专业护理机构中领取医疗补助福利的个人的不动产设置留置权。这些个人是指经州政府在通知本人并给予听证机会后认定不太可能从机构出院并返回家中的人。这些法规还规定了各州在何种情况下可通过对个人财产留置权进行止赎、或从其遗产中进行调整或追回，来收回代表个人支付的医疗补助款项数额。这些法规实施了1982年《税收公平与财政责任法》（公法97 - 248）第132条。该条款的目的是允许各州从个人财产中收回医疗补助支付成本，从而降低在长期护理机构中赡养该个人的公共成本。
