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1 (c) The Secretary shall not insure a mortgage under

2 this section unless

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(1) with respect to a hospital (A) the hospital shall be planned and operated so that not more than 50 per centum of the total patient days during any year ́shall customarily be assigned to the categories of chronic

convalescent and rest, drug and alcoholic, epileptic, mentally deficient, mental, nervous and mental, and tuberculosis; and (B) the Secretary shall have received from the State agency designated in accordance with section 604 (a) (1) of the Public Health Service Act for the

State in which the hospital would be located (i) a certification that there is a need for such hospital, and there are in force in such State or the political subdivision of the State in which the hospital would be located reason

able minimum standards of licensing and for methods of operation for hospitals and (ii) such assurance as he may deem satisfactory from the State agency that such standards will be applied and enforced with respect to

any hospital located in the State for which mortgage in

surance is provided under this section; and

(2) with respect to a nursing home or intermediate

care facility (A) the Secretary shall have received from

the State agency designated in accordance with section

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604 (a) (1) of the Public Health Service Act for the

State in which the nursing home or intermediate care

facility would be located, a certification that there is a need for such nursing home, or facility, and there are in force in such State or the political subdivision of the State in which the nursing home or intermediate care facility would be located reasonable minimum standards for licensing and for methods of operation for nursing or intermediate care facilities; and (B) the Secretary has received such assurance as he may deem satisfactory from the State agency that such standards will be ap

plied and enforced with respect to any nursing home or intermediate care facility located in the State for which mortgage insurance is provided under this section.

(d) The Secretary shall prescribe such regulations as 16 may be necessary to carry out this section, after consulting 17 with the Secretary of Health, Education, and Welfare with 18 respect to any health or medical aspects of the program 19 under this section which may be involved in such regula20 tions.

21 (e) The activities and functions provided for in this 22 section with respect to the insurance of mortgages covering 23 hospitals shall be carried out by the agencies involved so as to encourage programs that undertake responsibility to 25 provide comprehensive health care, including outpatient and

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1 preventive care, as well as hospitalization, to a defined

2 population.

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SUPPLEMENTAL PROJECT LOANS

SEC. 504. (a) The Secretary is authorized to insure a 5 supplemental project loan (including advances) with respect 6 to a multifamily project or health facility covered by a mortinsured under this title or under the National Housing

7 gage

8 Act, or covered by a mortgage held by the Secretary, or with

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respect to a cooperative housing project purchased from the 10 Federal Government by a nonprofit corporation or trust if 11 the property is covered by an uninsured mortgage represent12 ing a part of the purchase price. Such loan may be made

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(1) to cover operating losses, where the Secretary determines that the taxes, interest on the original mort

gage debt covering the project, mortgage insurance premiums, hazard insurance premiums, and the expense of maintenance and operation of the project during the first two years following completion of the project exceed the income of such project;

(2) to finance repairs, improvements, or additions to such project and, where a health facility is involved, to finance the purchase, installation, or repair of major equipment to be used in the operation of the facility; and

(3) to finance purchases and resales of cooperative

memberships, but such loan shall be made on the condi

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tion and agreement of the mortgagor of the coopera

tive housing project that on resales of membership, the

downpayments by the new members shall not be proportionately less than those made on the original sales of such memberships.

(b) A loan covering operating losses shall

(1) be limited to a term not exceeding the unex

pired term of the original mortgage; and

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(2) be in an amount not exceeding the operating

loss, as determined by the Secretary.

(c) A loan financing repairs, improvements, additions, or equipment shall

(1) be limited to 90 per centum (98 per centum in the case of a cooperative mortgagor) of the Secretary's estimate of the cost of such repairs, improvements, additions, and equipment; except that where the

project is covered by an insured mortgage, such amount when added to the outstanding balance of the mortgage

covering the project, shall not exceed the maximum

mortgage amount prescribed under the section of this title providing mortgage insurance for the type of project involved; and

(2) have a maturity satisfactory to the Secretary but not to exceed (in the case of a project or facility

covered by a mortgage) the remaining term of the mort

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gage, except that in the case of a cooperative housing project covered by an uninsured mortgage the loan may,

in the discretion of the Secretary, have a maturity date

up to ten years in excess of the remaining term of the uninsured mortgage.

(d) A loan to a cooperative to finance the purchase and 7 resale of memberships shall—

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(1) be limited to an amount which when added to the outstanding balance of the mortgage covering the project does not exceed the maximum mortgage

amount prescribed under the section of this title providing mortgage insurance for the type of project involved; and

(2) have a maturity satisfactory to the Secretary, but not to exceed the remaining term of the mortgage covering the project.

(e) The Secretary is further authorized to insure under 18 this section a loan made with respect to a health facility, 19 without regard to whether such facility is covered by a mort20 gage (insured or uninsured), in order to finance such 21 repairs, improvements, or additions, and the purchase, instal22 lation, or repair of such equipment to be used in its opera23 tion, as may be necessary for the facility to meet the appli24 cable requirements imposed by title XVIII of the Social

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