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§ 401.12 Rates for unlisted services and drugs or medications not prescribed routinely.

Laboratory or other special services for which rates are not specifically prescribed in this part and drugs and medications other than those prescribed routinely shall be paid for at rates based on the cost of materials, personal services and equipment involved as determined by the Superintendent: Provided, That such rates shall be comparable to pertinent rates prescribed in this part.

§ 401.13 Patients referred by District of Columbia and local governmental authorities; rates.

(a) In-patients who are referred and certified to the hospital by the District of Columbia as indigent resident patients of the District shall not be required to pay for their hospitalization. In such cases, the District of Columbia will make payment to the hospital for such patients at the rate approved by the Bureau of the Budget as the reimbursable rate for in-patient treatment and care payable by the District of Columbia to Freedmen's Hospital part-pay resident in-patients of the District who are referred and certified to the hospital by the District of Columbia shall pay charges as indicated by the District for their hospitalization, which charge shall include all X-ray, laboratory, and other special services. In such cases the District will pay the full amount approved by the Bureau of the Budget and the amount collected from the part-pay patient by the hospital will be refunded to the District of Columbia on a quarterly basis.

(b) Out-patients determined to be indigent residents of the District of Columbia shall not be required to pay for clinic services, prescriptions filled, X-ray, laboratory, and other special services. In such cases the District of Columbia will make payment to the hospital for such patients at the rate approved by the Bureau of the Budget as the reimbursable rate for out-patient treatment and care payable by the District of Columbia to Freedmen's Hospital.

(c) The Superintendent of Freedmen's Hospital is authorized, with the

approval of the Surgeon General of the Public Health Service or his designee, to enter into arrangements for periods not in excess of one year with non-Federal governmental agencies under which such agencies will reimburse the hospital for the care of persons living in the community area of service of the hospital and referred by such agencies as indigent or part-pay patients. Such arrangements may provide for rates which, on the effective date of any such arrangements, are not less than any one of the following: (1) The rates applicable to the care of persons referred by the District of Columbia pursuant to paragraphs (a) and (b) of this section; (2) the full-pay patient rates specified in §§ 401.7, 401.9, 401.10, and related provisions of this part; or (3) the higheset rate such agency has agreed to pay to other hospitals in the District of Columbia for similar services, or in the absence of any such agreement, the highest rate payable by such agency to other hospitals for such services.

[19 F.R. 2637, May 7, 1954, as amended at 24 F.R. 5335, July 1, 1959]

§ 401.14 Bureau of Employees' Compensation beneficiaries; rates.

Federal employees who are beneficiaries of the Bureau of Employees' Compensation, Department of Labor, shall not be charged for hospitalization and other services which they receive at the hospital pursuant to the authorization and request of said Bureau.

§ 401.15 Modification of rates.

(a) In those cases where it is found that a patient must be hospitalized for a long term and in which the patient or his responsible representative is found, upon investigation, to be unable to pay for care for the full period of hospitalization required, the Superintendent is authorized to reduce the rates otherwise payable in accordance with §§ 401.6 and 401.7 or to continue to render hospital services at no charge. Reduced rates shall not go into effect until after the first 14 days of hospitalization. The Superintendent shall establish the effective date of the reduced rate in each case.

(b) Where a responsible nonprofit organization undertakes to pay for the hospitalization of its members or for the medical care of dependents of members of the uniformed services pursuant to section 201 of the Dependents' Medical Care Act (37 U.S.C. 411), the Superintendent, with the approval of the Surgeon General of the Public Health Service or his designee may, without regard to the schedule set for in § 401.6, enter into a contract with such organization to establish a rate which will take into consideration administrative economies in the operation of the hospital resulting from such undertaking provided that such rate shall not in any event be less than 95 percent of the rate applicable to full-pay patients in accordance with § 401.7.

[23 F.R. 1900, Mar. 21, 1958; 24 F.R. 5335, July 1, 1959]

INDEX

Public health, hospitals, and child welfare services, regulations respecting:

42 Parts 1-81: Public Health Service.

42 Part 200: Children's Bureau

42 Parts 300-304: Saint Elizabeths Hospital, Washington, D.C.
42 Parts 400, 401: Freedmen's Hospital, Washington, D. C.

A

Adenovirus vaccine; standards for production, requirements, etc., 42 §§ 73.110-
73.115

Air pollution control; grants and contracts for research, training projects, etc.,
42 Part 56

Aircraft:

Foreign quarantine regulations, 42 Part 71

Aircraft subject to quarantine inspection, 42 §§ 71.46-71.49
Arrival at ports under control of United States:

General requirements; inspection, controls, examination of persons,
restrictions, etc., 42 §§ 71.61-71.73

Specific requirements respecting certain diseases (cholera, plague,
smallpox, typhus, and yellow fever), 42 §§ 71.81-71.91

Food, drinking water, disposal of wastes, 42 §§ 71.602, 71.603
Foreign ports, measures at, 42 §§ 71.11, 71.12

Importations (brushes, birds, animals, etiological agents, etc.), 42

§§ 71.151-71.157

Disinfection of imports, 42 § 71.72

Landing; place, emergency, etc., 42 §§ 71.501-71.506

Pratique, 42 §§ 71.126-71.128

Radio report of disease on board, 42 § 71.31(b)

Sanitary inspection and pest control, 42 §§ 71.101-71.109

Sanitary treatment, special, 42 § 71.505

Interstate quarantine regulations, 42 Part 72

Equipment and facilities, sanitary; operation, maintenance, etc., re-
quirements, 42 §§ 72.146-72.150, 72.152, 72.153, 72.155

Discharge of wastes, 42 § 72.155

Food and food-handling operations; inspection, storage, utensils, fa-
cilities, etc., 42 §§ 72.151, 72.161-72.174

Servicing areas; inspection, waste disposal, watering equipment, etc.,
42 §§ 72.131-72.142

Shipments; birds, brushes, etiologic agents, etc., 42 §§ 72.21-72.25
Travel restrictions of persons infected with communicable diseases, 42
§§ 72.11-72.15

Water; source, equipment, use, drinking water standards, etc., 42
§§ 72.101-72.103, 72.136-72.139, 72.148, 72.201-72.204

Airports; special foreign quarantine regulations relating to, 42 §§ 71.601-71.700
Cholera and plague; persons unloading aircraft, quarantine measures, 42
§ 71.608

Food, drinking water, disposal of wastes, 42 §§ 71.602, 71.603

International airports, designation of, 42 § 71.609

International Sanitary Regulations, excerpts from, 42 § 71.700

Sanitary airports, designations of, 42 §§ 71.604, 61.607

Yellow fever areas; sanitary requirements, 42 § 71.605

Aliens, medical care and examination of aliens applying for visa, arriving in
United States, and in connection with determination of their admis-
sibility into United States, 42 Part 34

Certificates and notifications, 42 §§ 34.7-34.10

Foreign quarantine regulations, applicability of, 42 § 34.12

46053-60-18

Page 249

American Red Cross personnel; medical care, 42 § 32.116
Animals:

Importation of cats, dogs, and monkeys; foreign quarantine regulations,
42 §§ 71.154, 71.155

Use in production of vaccines, etc., 42 §§ 73.38, 73.100, 73.110
Antitoxins; production licenses, inspection, standards, etc., 42 Part 73
Armed Services:

Detail duty of commissioned officers of Public Health Service with Army,
Air Force, Navy, or Coast Guard; use of titles, wearing of decorations,
leave, 42 §§ 21.13, 21.95, 21.251-21.253

Exemptions from certain foreign and interstate quarantine regulations,
42 §§ 71.47, 72.14

Arsenicals, trivalent organic; production licenses, inspection, standards, 42
Part 73

Articles produced by patients in course of curative treatment, disposition of, 42
§§ 35.31-35.35

Autopsies, performance of, at Public Health Service hospitals and stations, 42
§ 35.16

B

Bactericidal treatment (sterilization) of utensils or equipment; methods, 42
§ 72.4

Bills of health; quarantine measures at foreign ports, 42 § 71.11

Biologic products (viruses, serums, toxins, antitoxins, arsenicals, etc.), 42
Part 73

Definitions, 42 § 73.1

Establishments:

Foreign establishments; licenses, importations, 42 §§ 73.20-73.24
Inspection, 42 §§ 73.3, 73.30-73.32

Inspectors, duties, etc., 42 §§ 73.30, 73.32

Prior to licensing, 42 § 73.3

Licenses for, 42 §§ 73.2-73.4, 73.20-73.22

Standards; requirements, 42 §§ 73.35-73.38

Animals used in production of biologic products, 42 § 73.38
Construction, equipment and care, 42 § 73.37

Cultures, 42 § 73.36

Records, 42 § 73.36

Samples, 42 § 73.36

Importations:

Samples to accompany each importation, 42 § 73.24

Smallpox vaccine; importation prohibited, 42 § 73.23

Inspection of establishments, 42 §§ 73.3, 73.30-73.32

Labels for products; standards, 42 §§ 73.50-73.55

Licenses:

Foreign establishments and products; requirements, 42 §§ 73.20-73.22
Procedure; applications for licenses, issuance, revocation, changes,
hearings, etc., 42 §§ 73.2-73.15

Products:

Domestic establishments; form of license, 42 § 73.5

Inspection of establishments and examination of products prior

to licensing, 42 § 73.3

Product licenses, 42 § 73.5

Products under development, 42 § 73.7

Review Board, 42 § 73.11

Short-supply products; initial processing at other than licensed
establishments, 42 § 73.15

Examination prior to licensing, 42 § 73.3

Licensing. See Licenses.

Importations:

Samples required, 42 § 73.24

Smallpox vaccine prohibited, 42 § 73.23

Standards for. See Standards.

Biologic products, 42 Part 73—Continued

Standards for establishments; responsibility, maintenance, production re-
quirements, etc., 42 §§ 73.35-73.38

Standards for products, 42 §§ 73.50-73.306

Adenovirus vaccine, additional standards for; production, general re-
quirements, methods, 42 §§ 73.110-73.115

Potency test, 42 § 73.113

Safety tests, 42 § 73.112

Arsenicals, trivalent organic, additional standards for; composition,
containers, labels, tests, 42 §§ 73.90-73.96

Blood, whole (human); collection, requirements, processing, labeling,
etc., 42 §§ 73.300-73.306

General, 42 §§ 73.70-73.79

Combinations, permissible, 42 § 73.74

Container and closure, 42 § 73.75

Dating period:

Date of manufacture, 42 § 73.78

Products in cold storage, 42 § 73.79

Diluents, 42, § 73.72

Ingredients, 42 § 73.72

Potency, standards of; antitoxins, 42 § 73.77

Preservatives, 42 § 73.72

Serums, total solids in, 42 § 73.73

Standard units or samples, 42 § 73.76

Tests, 42 § 73.71

Prior to release, 42 § 73.70

Labels; container labels, names on labels, outside label, etc., 42 §§ 73.50-

73.55

Exports, 42 § 73.55

Poliomyelitis vaccine, additional standards for; production, general re-
quirements, methods, 42 §§ 73.100-73.105

Potency test, 42 § 73.103

Safety test, 42 § 73.102

Birds, psittacine; quarantine regulations respecting importation or shipment
of, 42 §§ 71.152, 71.153, 72.22

Blood, whole (human); collection, requirements, processing, labeling, etc., 42
§§ 73.300-73.306

Boards; Public Health Service:

Biologic products, safety, purity, etc.; review boards for determination
of, 42 § 73.11

Investigation of charges against commissioned officers, boards of; powers,
functions, etc., 42 §§ 21.281-21.322

Medical review boards; establishment, powers, and duties, 42 §§ 21.161-
21.163, 21.191, 21.192

Retirement boards, commissioned officers; powers, duties, etc., 42 §§ 21.172-
21.177, 21.182-21.184

Border quarantine, entry of persons, things, and conveyances by land transit;
inspection, quarantine measures to prevent spread of communicable dis-
eases, etc., 42 §§ 71.136-71.141

Burial payments for Public Health Service commissioned officers and their
dependents, 42 §§ 21.331, 21.333

Busses:

Border quarantine regulations, 42 §§ 71.136–71.141

Interstate quarantine regulations; health and sanitation requirements, etc.,
42 Part 72

C

Cancer, prevention, control, and eradication of; grants to States for, 42 Part 51
Cats, importation of; foreign quarantine regulations, 42 §§ 71.154, 71.155
Certificates:

Interstate quarantine inspection, issuance and posting of certificates of, 42
§ 72.181

Release of vessels and aircraft from quarantine, certificate of (pratique),

42 §§ 71.121-71.128

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