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§ 225g. —  Financing provisions.



[Laws in effect as of January 7, 2003]
[Document not affected by Public Laws enacted between
  January 7, 2003 and December 19, 2003]
[CITE: 24USC225g]

 
                     TITLE 24--HOSPITALS AND ASYLUMS
 
                  CHAPTER 4--SAINT ELIZABETHS HOSPITAL
 
     SUBCHAPTER III--MENTAL HEALTH SERVICE FOR DISTRICT OF COLUMBIA
 
Sec. 225g. Financing provisions


(a) Authorization of appropriations

    There are authorized to be appropriated for grants by the Secretary 
of Health and Human Services to the District of Columbia comprehensive 
mental health system, $30,000,000 for fiscal year 1988, $24,000,000 for 
fiscal year 1989, $18,000,000 for fiscal year 1990, and $12,000,000 for 
fiscal year 1991.

(b) Federal agencies; payments to District of costs for treatment of 
        certain patients; responsibility of U.S. for service costs

    (1) Beginning on October 1, 1987, and in each subsequent fiscal 
year, the appropriate Federal agency is directed to pay the District of 
Columbia the full costs for the provision of mental health diagnostic 
and treatment services for the following types of patients:
        (A) Any individual referred to the system pursuant to a Federal 
    statute or by a responsible Federal agency.
        (B) Any individual referred to the system for emergency 
    detention or involuntary commitment after being taken into custody 
    (i) as a direct result of the individual's action or threat of 
    action against a Federal official, (ii) as a direct result of the 
    individual's action or threat of action on the grounds of the White 
    House or of the Capitol, or (iii) under chapter 9 of title 21 of the 
    District of Columbia Code.
        (C) Any individual referred to the system as a result of a 
    criminal proceeding in a Federal court (including an individual 
    admitted for treatment, observation, and diagnosis and an individual 
    found incompetent to stand trial or found not guilty by reason of 
    insanity). The preceding provisions of this paragraph apply to any 
    individual referred to the system (or to Saint Elizabeths Hospital) 
    before or after November 8, 1984.

    (2) The responsibility of the United States for the cost of services 
for individuals described in paragraph (1) shall not affect the 
treatment responsibilities to the District of Columbia under the 
Interstate Compact on Mental Health.

(c) Financial responsibility during coordination period

    (1) During the service coordination and the financial transition 
periods, the District of Columbia shall gradually assume a greater share 
of the financial responsibility for the provision of mental health 
services provided by the system to individuals not described in 
subsection (b) of this section.
    (2) Omitted

(d) Shared responsibility for capital improvements

    Subject to section 225b(f)(2) of this title, capital improvements to 
facilities at Saint Elizabeths Hospital authorized during the service 
coordination period shall be the shared responsibility of the District 
and the Federal Government in accordance with Public Law 83-472.

(e) Unassigned liabilities; sole responsibility of Federal Government

    Pursuant to the financial audit under section 225b(f) of this title, 
any unassigned liabilities of the Hospital shall be assumed by and shall 
be the sole responsibility of the Federal Government.

(f) Audit to determine liability of Federal Government for accrued 
        annual leave balances; authorization of appropriations

    (1) After the service coordination period, the Secretary shall 
conduct an audit, under generally accepted accounting procedures, to 
identify the liability of the Federal Government for accrued annual 
leave balances for those employees assumed by the District under the 
system implementation plan.
    (2) There is authorized to be appropriated for payment by the 
Federal Government to the District an amount equal to the liability 
identified by such audit.

(g) Authority; District; collection of costs for mental health services

    Nothing in this subchapter shall affect the authority of the 
District of Columbia under any other statute to collect costs billed by 
the District of Columbia for mental health services, except that payment 
for the same costs may not be collected from more than one party.

(h) Responsibility of United States for certain claims

    The Government of the United States shall be solely responsible 
for--
        (1) all claims and causes of action against Saint Elizabeths 
    Hospital that accrue before October 1, 1987, regardless of the date 
    on which legal proceedings asserting such claims were or may be 
    filed, except that the United States shall, in the case of any tort 
    claim, only be responsible for any such claim against the United 
    States that accrues before October 1, 1987, and the United States 
    shall not compromise or settle any claim resulting in District 
    liability without the consent of the District, which consent shall 
    not be unreasonably withheld; and
        (2) all claims that result in a judgment or award against Saint 
    Elizabeths Hospital before October 1, 1987.

(Pub. L. 98-621, Sec. 9, Nov. 8, 1984, 98 Stat. 3377.)

                       References in Text

    Public Law 83-472, referred to in subsec. (d), is act July 2, 1954, 
ch. 457, 68 Stat. 434, as amended, known as the Departments of Labor, 
and Health, Education, and Welfare Appropriation Act, 1955. Certain 
provisions of this Act relating to Saint Elizabeths Hospital and 
appearing at 68 Stat. 443, were repealed by section 10(d)(2) of Pub. L. 
98-621 effective Oct. 1, 1987. For complete classification of this Act 
to the Code, see Tables.

                          Codification

    Subsec. (c)(2) of this section amended section 502 of the District 
of Columbia Self-Government and Governmental Reorganization Act (Pub. L. 
93-198, title V, Dec. 24, 1973, 87 Stat. 813), which is not classified 
to the Code.

                  Section Referred to in Other Sections

    This section is referred to in section 225b of this title.



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