intermediate care, maintenance of effort in public institutions

intermediate care, maintenance of effort in public institutionsSec. 299. Section 1905(d) (3) of the Social Security Act, as added by Public Law 92–223, is amended to read as follows: “(3) the State or political subdivision responsible for the operation of such institution has agreed that the non-Federal expenditures in any calendar quarter prior to January 1, 1975, with respect to services furnished to patients in such institution (or distinct part thereof) in the State will not, because of payments made under this title, be reduced below the average amount expended for such services in such institution in the four quarters immediately preceding the quarter in which the State in which such institution is located elected to make such services available under its plan approved under this title.”