APPENDIX A
Legislative Mandate for IOM Studies
OLDER AMERICANS ACT AMENDMENTS OF 1992
[Public Law 102–375, September 30, 1992 (106 Stat. 1195)]
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TITLE II—ADMINISTRATION
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SEC. 212. STUDY ON BOARD AND CARE FACILITY QUALITY.
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ARRANGEMENT FOR STUDY COMMITTEE.—The Secretary of Health and Human Services shall enter into an arrangement, in accordance with subsection (d), to establish a study committee described in subsection (c) to conduct a study through the Institute of Medicine of the National Academy of Sciences on the quality of board and care facilities for older individuals (as defined in section 102 of the Older Americans Act of 1965 (42 U.S.C. 3001 et seq.)) and the disabled.
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SCOPE OF STUDY.—The study shall include—
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an examination of existing quality, health, and safety requirements for board and care facilities and the enforcement of such requirements for their adequacy and effectiveness, with special attention to their effectiveness in promoting good personal care;
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an examination of, and recommendations with respect to, the appropriate role of Federal, State, and local governments in assuring the health and safety of residents of board and care facilities; and
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specific recommendations to the Congress and the Secretary, by not later than 20 months after the date of the enactment of this Act, concerning the establishment of minimum national standards for the quality, health, and safety of residents of such facilities and the enforcement of such standards.
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COMPOSITION OF STUDY COMMITTEE.—The study committee shall be composed of members as appointed from among the following:
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NATIONAL ACADEMY OF SCIENCES.—The members of the National Academy of Sciences with experience in long-term care. The members so appointed shall include—
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physicians;
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experts on the administration of drugs to older individuals, and disabled individuals receiving long-term care services; and
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experts on the enforcement of life-safety codes in long-term care facilities.
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RESIDENTS.—Residents of board and care facilities (including privately owned board and care facilities), and rep-
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