A bill to require automatic sprinkler systems in all skilled nursing facilities and intermediate care facilities as a condition of certification under the medicare, medicaid, and Veterans' Administration programs, and to authorize loans and grants to assist such facilities in purchasing and installing such systems.

Amends Titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require automatic sprinkler systems in all skilled nursing facilities and intermediate care facilities certified for participation in the Medicare or Medicaid programs. Requires sprinkler systems for such facilities in any program under the jurisdiction of the Veterans' Administration.

Allows the Secretary of Health, Education, and Welfare to waive this requirement only when the installation of complete sprinkler systems would constitute an unreasonable hardship. Authorizes the Secretary to make loans to such facilities to assist them in financing part or all of the cost of purchasing and installing automatic sprinkler systems. Authorizes the Secretary to make grants for such installation under specified circumstances.