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UNOFFICIAL 1700.1-33 an institution for tuberculosis is determined by its overall character as that of a facility established and maintained primarily for the care and treatment of tuberculosis, whether or not it is licensed as such. “Institution or institutional facility” means an establishment that furnishes (in single or multiple facilities) food, shelter, and some treatment or services to four or more individuals unrelated to the proprietor. “Institutionalized individual” means an individual who is or is likely to be an inpatient at a medical facility receiving nursing facility level of care, or an inpatient at a nursing facility for a continuous period of institutionalization, or a beneficiary of home and community based services. “Insufficient experience” means that a provider's base year cost report indicates that the provider delivered less than one hundred days of care at a particular acuity level in the base year. “Insurance affordability program” means a program that is one of the following: (1) A State Medicaid program under title XIX of the Social Security Act. (2) A State children's health insurance program (CHIP) under title XXI of the Social Security Act. (3) A State basic health program established under section 1331 of the Affordable Care Act. (4) A program that makes coverage in a qualified health plan through the Exchange with advance payments of the premium tax credit established under section 36B of the Internal Revenue Code available to qualified individuals. (5) A program that makes available coverage in a qualified health plan through the Exchange with cost-sharing reductions established under section 1402 of the Affordable Care Act. “Intellectual disability” means significantly subaverage general intellectual functioning resulting