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There appears to be some things in the statute that would require training and there appears to be other things where the institution has a compliance responsibility . At the moment , he could probably get elected to almost any office in the country . Philip wrote back that he would like nothing better , only he had already an engagement to spend Christmas with friends in the country , and he did not see how he could break it . Nor is there any indication in the statute 's legislative history about congressional intention . The show will explore why the state of Washington has the highest rate of breast cancer in the country and will look at how medical experts are helping cancer patients live longer and healthier than the national average . The Agency invalidated the August 7 , 1982 recertification with respect to another patient in this facility because the physician 's rubber stamped signature was not initialed as required by Action Transmittal 80-68 . To ensure that the Medicaid program is paying for active treatment rather than care which is merely custodial , the regulations require IMDs providing inpatient hospital services not only to be accredited by JCAH but also to meet conditions of participation for psychiatric hospitals under Medicare ( as spelled out in the statute ) including special staffing requirements . The final violation cited by the Agency in this facility was for a patient for whom no recertification was performed . " It enables the lab to perform unique physiology studies using H2S and may be the only one in the country . The State argued that a two calendar month deadline is more easily remembered and , therefore , more easily enforced than the 60 day deadline set out in the statute . The Agency cited five patients in this facility as having untimely and invalid updates of their plans of care . He is a leader in operating one of the best research centers in the country , " the judges said . The Agency found two violations in this facility . In the entrance to the Alta Museum , you find a glass box on a desk which invites attention . Level two is an appeal which is called in the statute the area administrator and that is going to be a different person according to the context in which the grievance was filed . Spring is a little way off in the north of England where the author lives , but there are definite signs that the winter is nearly over .