title: Historical and contemporary issues in nursing home reform.
abstract: Historical developments leading to the enactment of nursing home reform legislation (P.L. 100-203) were discussed. The results of the nursing home component of a nationwide University of Illinois at Chicago study of public mental retardation/developmental disabilities spending were also presented. Approximately 51,000 individuals with mental retardation and related conditions resided in nursing homes in 1989. The cost of their care was approximately $900 million annually. Within the first 12 months of the enactment of P.L. 100-203, 46 states had requested an extension to the original mandated services deadline imposed under that legislation. Under P.L. 100-203 guidelines, state agencies estimated that nearly 40% of all nursing home residents with mental retardation might need to be relocated to alternative settings. Implementation issues were also discussed.
authors.affiliation: Public Health Services, University of Illinois, Chicago 60608.
authors.forename: D
authors.initials: D
authors.lastname: Mitchell
authors.forename: D
authors.initials: D
authors.lastname: Braddock
mesh_terms: D004608:Eligibility Determination / Q000331:legislation & jurisprudence; D006801:Humans; D008607:Intellectual Disability / Q000628:therapy*; D008484:Medicaid / Q000331:legislation & jurisprudence*; D009735:Nursing Homes / Q000331:legislation & jurisprudence*; D010343:Patient Admission; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence*; D014481:United States