4

licensed or regulated by the State (or, if there is no State law providing for such licensing and regulation

by the State, by the municipality or other political subdivision in which the facility is located), for the accommodation of elderly persons who are not acutely ill and not in need of hospital care but who require skilled nursing care and related medical services, in which such nursing care and medical services are prescribed by, or are performed under the general direction of, persons licensed to provide such care or services in accordance with the laws of the State where the facility is located.

"(B) The term 'intermediate care facility' means a

facility of a private nonprofit corporation or association licensed or regulated by the State (or, if there is no State law providing for such licensing and regulation by the State, by the municipality or other political subdivision in which the facility is located, for the accom

modation of elderly persons who, because of incapacitating infirmities, require minimum but continuous care

but are not in need of continuous medical or nursing

services.

22 "(4) The Secretary shall not insure any mortgage 23 under this section covering any project which includes an 24 intermediate care facility, nursing care facility, or combined 25 intermediate care and nursing care facility unless he has

5

1 received from the State agency designated in accordance with 2 section 604 (a) (1) of the Public Health Service Act for the 3 State in which the project is to be located a certification that 4 (A) there is a need for such facility, and (B) there are in 5 force in such State or in the municipality or other political 6 subdivision of the State in which the facility is to be located 7 reasonable minimum standards of licensure and methods of

operation governing it. No such mortgage shall be insured 9 under this section unless the Secretary has received such

10

assurance as he may deem satisfactory from the State agency 11 that such standards will be applied and enforced with respect 12 to any such facility.

13 "(5) In prescribing regulations with respect to the 14 insurance of mortgages under this section covering projects which include facilities of the type referred to in paragraph

15

16

17

(4), the Secretary shall consult with the Secretary of Health,

Education, and Welfare concerning any health and medical 18 considerations that may be pertinent thereto."

DEMONSTRATION PROGRAM

SEC. 3. (a) The Secretary of Housing and Urban Development is authorized, under terms and conditions prescribed by him, to make grants to public bodies and private nonprofit organizations for the planning and construction of multipurpose facilities to demonstrate the utility and feasibility of such facilities in meeting the special needs of elderly

6

1 persons for adequate housing and readily available medical

2 and related services. For the purpose of this section, a “multi

3

purpose facility" is a carefully planned complex of connected 4 or closely related structures consisting of dwelling units, in5 termediate care facilities, nursing care facilities, and hospital 6 facilities conforming to such standards and criteria as the 7 Secretary, in consultation with the Secretary of Health, 8 Education, and Welfare, shall prescribe.

9 (b) In the administration of the demonstration program 10 authorized by this section, the Secretary shall accord a prefer11 ence or priority to projects making maximum utilization of 12 existing public or private nonprofit health care facilities. 13 Wherever practicable assistance provided under this section 14 with respect to any multipurpose facility shall be coordi15 nated with, and supplemental to, other assistance programs 16 administered by the Secretary or the Secretary of Health, 17 Education, and Welfare.

18 (c) Advances and progress payments may be made

19

pursuant to any contract to make grants under this section 20 without regard to the provisions of section 3648 of the Re

21 vised Statutes.

(d) To finance grants under this section, there is author

23 ized to be appropriated $25,000,000 for each of the fiscal

24

years 1972, 1973, and 1974. Any amount appropriated pur

7

1 suant to this subsection shall remain available until ex

2 pended, and any amount so authorized but not appropriated

3 for any fiscal year may be appropriated for any subsequent 4 fiscal year."

92D CONGRESS 1ST SESSION

S. 1671

IN THE SENATE OF THE UNITED STATES

APRIL 29, 1971

Mr. SPARKMAN (by request) introduced the following bill; which was read twice and referred to the Committee on Banking, Housing and Urban Affairs

A BILL

To amend laws relating to savings and loan associations, to broaden their mortgage credit powers, and for other purposes.

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 3 That this Act may be cited as the "Housing Institutions Mod4 ernization Act of 1971".

8

SEC. 101. Section 5 of the Home Owners' Loan Act of

9 1933 is amended (1) by striking out in paragraph (1) of

10 subsection (b) "and all of which shall have the same priority