Title 42 — The Public Health and Welfare
Chapter 7. Social Security
642 sections
Subchapter I — Grants to States for Old-Age Assistance
Subchapter II — Federal Old-Age, Survivors, and Disability Insurance Benefits
- 401Trust Funds
- 401aOmitted
- 402Old-age and survivors insurance benefit payments
- 403Reduction of insurance benefits
- 404Overpayments and underpayments
- 405Evidence, procedure, and certification for payments
- 405aRegulations pertaining to frequency or due dates of payments and reports under voluntary agreements covering State and local employees; effective date
- 405bReducing identity fraud
- 406Representation of claimants before Commissioner
- 407Assignment of benefits
- 408Penalties
- 409“Wages” defined
- 410Definitions relating to employment
- 410aTransferred
- 411Definitions relating to self-employment
- 412Self-employment income credited to calendar years
- 413Quarter and quarter of coverage
- 414Insured status for purposes of old-age and survivors insurance benefits
- 415Computation of primary insurance amount
- 416Additional definitions
- 417Benefits for veterans
- 418Voluntary agreements for coverage of State and local employees
- 418aVoluntary agreements for coverage of Indian tribal council members
- 419Repealed. Pub. L. 86–778, title I, § 103(j)(1)
- 420Disability provisions inapplicable if benefit rights impaired
- 421Disability determinations
- 422Rehabilitation services
- 423Disability insurance benefit payments
- 424Repealed. Pub. L. 85–840, title II, § 206
- 424aReduction of disability benefits
- 425Additional rules relating to benefits based on disability
- 426Entitlement to hospital insurance benefits
- 426–1End stage renal disease program
- 426aTransitional provision on eligibility of uninsured individuals for hospital insurance benefits
- 427Transitional insured status for purposes of old-age and survivors benefits
- 428Benefits at age 72 for certain uninsured individuals
- 429Benefits in case of members of uniformed services
- 430Adjustment of contribution and benefit base
- 431Benefits for certain individuals interned by United States during World War II
- 432Processing of tax data
- 433International agreements
- 434Demonstration project authority
Subchapter III — Grants to States for Unemployment Compensation Administration
Part A — Block Grants to States for Temporary Assistance for Needy Families
- 601Purpose
- 602Eligible States; State plan
- 603Grants to States
- 603aTransferred
- 604Use of grants
- 604aServices provided by charitable, religious, or private organizations
- 605Administrative provisions
- 606Federal loans for State welfare programs
- 607Mandatory work requirements
- 608Prohibitions; requirements
- 608aFraud under means-tested welfare and public assistance programs
- 609Penalties
- 610Appeal of adverse decision
- 611Data collection and reporting
- 611aState required to provide certain information
- 612Direct funding and administration by Indian tribes
- 613Evaluation of temporary assistance for needy families and related programs
- 614Repealed. Pub. L. 113–235, div. G, title II, § 228(f)
- 615Waivers
- 616Administration
- 617Limitation on Federal authority
- 618Funding for child care
- 619Definitions
Subpart 1 — stephanie tubbs jones child welfare services program
- 620Repealed. Pub. L. 109–288, § 6(a)
- 621Purpose
- 622State plans for child welfare services
- 623Allotments to States
- 624Payment to States
- 625Limitations on authorization of appropriations
- 626Research, training, or demonstration projects
- 627Kinship navigators
- 628Payments to Indian tribal organizations
- 628aTransferred
- 628bNational random sample study of child welfare
- 628cGrants to States to enhance collaboration between State child welfare and juvenile justice systems
- 628dEffective implementation of the Indian Child Welfare Act of 1978
Subpart 2 — promoting safe and stable families
- 629Purpose
- 629aDefinitions
- 629bState plans
- 629cAllotments to States
- 629dPayments to States
- 629eEvaluations; research; technical assistance
- 629fAuthorization of appropriations; reservation of certain amounts
- 629gDiscretionary and targeted grants
- 629hEntitlement funding for State courts to assess and improve handling of proceedings relating to foster care and adoption
- 629iState partnership planning and demonstration grants to support meaningful relationships between foster children and the incarcerated parents of the children
- 629kReduction of administrative burden
- 629lPublic access to State plans
Subpart 3 — common provisions
Part C — Work Incentive Program for Recipients of Aid Under State Plan Approved Under Part A
Part D — Child Support and Establishment of Paternity
- 651Authorization of appropriations
- 652Duties of Secretary
- 653Federal Parent Locator Service
- 653aState Directory of New Hires
- 654State plan for child and spousal support
- 654aAutomated data processing
- 654bCollection and disbursement of support payments
- 655Payments to States
- 655aProvision for reimbursement of expenses
- 656Support obligation as obligation to State; amount; discharge in bankruptcy
- 657Distribution of collected support
- 658Repealed. Pub. L. 105–200, title II, § 201(f)(1)
- 658aIncentive payments to States
- 659Consent by United States to income withholding, garnishment, and similar proceedings for enforcement of child support and alimony obligations
- 659aInternational support enforcement
- 660Civil action to enforce child support obligations; jurisdiction of district courts
- 661, 662Repealed. Pub. L. 104–193, title III, § 362(b)(1)
- 663Use of Federal Parent Locator Service in connection with enforcement or determination of child custody in cases of parental kidnaping of child
- 664Collection of past-due support from Federal tax refunds
- 665Allotments from pay for child and spousal support owed by members of uniformed services on active duty
- 666Requirement of statutorily prescribed procedures to improve effectiveness of child support enforcement
- 667State guidelines for child support awards
- 668Encouragement of States to adopt civil procedure for establishing paternity in contested cases
- 669Collection and reporting of child support enforcement data
- 669aNonliability for financial institutions providing financial records to State child support enforcement agencies in child support cases
- 669bGrants to States for access and visitation programs
Part E — Federal Payments for Foster Care, Prevention, and Permanency
- 670Congressional declaration of purpose; authorization of appropriations
- 671State plan for foster care and adoption assistance
- 672Foster care maintenance payments program
- 673Adoption and guardianship assistance program
- 673aInterstate compacts
- 673bAdoption and legal guardianship incentive payments
- 673cRepealed. Pub. L. 109–239, § 4(c)
- 674Payments to States
- 675Definitions
- 675aAdditional case plan and case review system requirements
- 676Administration
- 677John H. Chafee Foster Care Program for Successful Transition to Adulthood
- 678Rule of construction
- 679Collection of data relating to adoption and foster care
- 679aNational Adoption Information Clearinghouse
- 679bAnnual report
- 679cPrograms operated by Indian tribal organizations
Part F — Job Opportunities and Basic Skills Training Program
Subchapter V — Maternal and Child Health Services Block Grant
- 701Authorization of appropriations; purposes; definitions
- 702Allotment to States and Federal set-aside
- 703Payments to States
- 703aOmitted
- 704Use of allotment funds
- 704aOmitted
- 704bNonavailability of allotments after close of fiscal year
- 705Application for block grant funds
- 706Administrative and fiscal accountability
- 707Criminal penalty for false statements
- 708Nondiscrimination provisions
- 709Administration of Federal and State programs
- 710Sexual risk avoidance education
- 711Maternal, infant, and early childhood home visiting programs
- 711aEmergency assistance to families through home visiting programs
- 712Services to individuals with a postpartum condition and their families
- 713Personal responsibility education
- 714 to 716Omitted
- 721 to 728Repealed. Pub. L. 90–248, title II, § 240(e)(1)
- 729 to 731Omitted
Subchapter VI — Coronavirus Relief, Fiscal Recovery, and Critical Capital Projects Funds
Subchapter VII — Administration
- 901Social Security Administration
- 901aRepealed. Aug. 28, 1950, ch. 809
- 902Commissioner; Deputy Commissioner; other officers
- 903Social Security Advisory Board
- 904Administrative duties of Commissioner
- 905, 905aTransferred
- 906Training grants for public welfare personnel
- 907Repealed. Pub. L. 103–296, title I, § 108(a)(2)
- 907aNational Commission on Social Security
- 908Omitted
- 909Delivery of benefit checks
- 910Recommendations by Board of Trustees to remedy inadequate balances in Social Security trust funds
- 911Budgetary treatment of trust fund operations
- 912Office of Rural Health Policy
- 913Duties and authority of Secretary
- 914Office of Women’s Health
Subchapter VIII — Special Benefits for Certain World War Ii Veterans
- 1001Basic entitlement to benefits
- 1002Qualified individuals
- 1003Residence outside the United States
- 1004Disqualifications
- 1005Benefit amount
- 1006Applications and furnishing of information
- 1007Representative payees
- 1008Overpayments and underpayments
- 1009Hearings and review
- 1010Other administrative provisions
- 1010aOptional Federal administration of State recognition payments
- 1011Penalties for fraud
- 1012Definitions
- 1013Appropriations
Subchapter IX — Employment Security Administrative Financing
- 1101Employment security administration account
- 1102Transfers between Federal unemployment account and employment security administration account
- 1103Amounts transferred to State accounts
- 1104Unemployment Trust Fund
- 1105Extended unemployment compensation account
- 1106Unemployment compensation research program
- 1107Personnel training
- 1108Advisory Council on Unemployment Compensation
- 1109Federal Employees Compensation Account
- 1110Borrowing between Federal accounts
- 1111Data exchange standardization for improved interoperability
Subchapter X — Grants to States for Aid to Blind
Part A — General Provisions
- 1301Definitions
- 1301–1Omitted
- 1301aOmitted
- 1302Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals
- 1303Separability
- 1304Reservation of right to amend or repeal
- 1305Short title of chapter
- 1306Disclosure of information in possession of Social Security Administration or Department of Health and Human Services
- 1306aPublic access to State disbursement records
- 1306bState data exchanges
- 1306cRestriction on access to the Death Master File
- 1307Penalty for fraud
- 1308Additional grants to Puerto Rico, Virgin Islands, Guam, and American Samoa; limitation on total payments
- 1309Amounts disregarded not to be taken into account in determining eligibility of other individuals
- 1310Cooperative research or demonstration projects
- 1311Public assistance payments to legal representatives
- 1312Medical care guides and reports for public assistance and medical assistance
- 1313Assistance for United States citizens returned from foreign countries
- 1314Public advisory groups
- 1314aMeasurement and reporting of welfare receipt
- 1314bNational Advisory Committee on the Sex Trafficking of Children and Youth in the United States
- 1315Demonstration projects
- 1315aCenter for Medicare and Medicaid Innovation
- 1315bProviding Federal coverage and payment coordination for dual eligible beneficiaries
- 1316Administrative and judicial review of public assistance determinations
- 1317Appointment of the Administrator and Chief Actuary of the Centers for Medicare & Medicaid Services
- 1318Alternative Federal payment with respect to public assistance expenditures
- 1319Federal participation in payments for repairs to home owned by recipient of aid or assistance
- 1320Approval of certain projects
- 1320aUniform reporting systems for health services facilities and organizations
- 1320a–1Limitation on use of Federal funds for capital expenditures
- 1320a–1aTransferred
- 1320a–2Effect of failure to carry out State plan
- 1320a–2aReviews of child and family services programs, and of foster care and adoption assistance programs, for conformity with State plan requirements
- 1320a–3Disclosure of ownership and related information; procedure; definitions; scope of requirements
- 1320a–3aDisclosure requirements for other providers under part B of Medicare
- 1320a–4Issuance of subpenas by Comptroller General
- 1320a–5Disclosure by institutions, organizations, and agencies of owners, officers, etc., convicted of offenses related to programs; notification requirements; “managing employee” defined
- 1320a–6Adjustments in SSI benefits on account of retroactive benefits under subchapter II
- 1320a–6aInteragency coordination to improve program administration
- 1320a–7Exclusion of certain individuals and entities from participation in Medicare and State health care programs
- 1320a–7aCivil monetary penalties
- 1320a–7bCriminal penalties for acts involving Federal health care programs
- 1320a–7cFraud and abuse control program
- 1320a–7dGuidance regarding application of health care fraud and abuse sanctions
- 1320a–7eHealth care fraud and abuse data collection program
- 1320a–7fCoordination of medicare and medicaid surety bond provisions
- 1320a–7gFunds to reduce medicaid fraud and abuse
- 1320a–7hTransparency reports and reporting of physician ownership or investment interests
- 1320a–7iReporting of information relating to drug samples
- 1320a–7jAccountability requirements for facilities
- 1320a–7kMedicare and Medicaid program integrity provisions
- 1320a–7lNationwide program for national and State background checks on direct patient access employees of long-term care facilities and providers
- 1320a–7mUse of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse in the Medicare fee-for-service program
- 1320a–7nDisclosure of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse
- 1320a–8Civil monetary penalties and assessments for subchapters II, VIII and XVI
- 1320a–8aAdministrative procedure for imposing penalties for false or misleading statements
- 1320a–8bAttempts to interfere with administration of this chapter
- 1320a–9Demonstration projects
- 1320a–10Effect of failure to carry out State plan
- 1320bRepealed. Pub. L. 93–647, § 3(e)(1)
- 1320b–1Notification of Social Security claimant with respect to deferred vested benefits
- 1320b–2Period within which certain claims must be filed
- 1320b–3Applicants or recipients under public assistance programs not to be required to make election respecting certain veterans’ benefits
- 1320b–4Nonprofit hospital or critical access hospital philanthropy
- 1320b–5Authority to waive requirements during national emergencies
- 1320b–6Exclusion of representatives and health care providers convicted of violations from participation in social security programs
- 1320b–7Income and eligibility verification system
- 1320b–8Hospital protocols for organ procurement and standards for organ procurement agencies
- 1320b–9Improved access to, and delivery of, health care for Indians under subchapters XIX and XXI
- 1320b–9aChild health quality measures
- 1320b–9bAdult health quality measures
- 1320b–10Prohibitions relating to references to Social Security or Medicare
- 1320b–11Blood donor locator service
- 1320b–12Research on outcomes of health care services and procedures
- 1320b–13Social security account statements
- 1320b–14Outreach efforts to increase awareness of the availability of medicare cost-sharing and subsidies for low-income individuals under subchapter XVIII
- 1320b–15Protection of social security and medicare trust funds
- 1320b–16Public disclosure of certain information on hospital financial interest and referral patterns
- 1320b–17Cross-program recovery of overpayments from benefits
- 1320b–18Repealed. Pub. L. 108–203, title II, § 210(b)(3)
- 1320b–19The Ticket to Work and Self-Sufficiency Program
- 1320b–20Work incentives outreach program
- 1320b–21State grants for work incentives assistance to disabled beneficiaries
- 1320b–22Grants to develop and establish State infrastructures to support working individuals with disabilities
- 1320b–23Pharmacy benefit managers transparency requirements
- 1320b–24Consultation with Tribal Technical Advisory Group
- 1320b–25Reporting to law enforcement of crimes occurring in federally funded long-term care facilities
- 1320b–26Funding for providers relating to COVID–19
Part B — Peer Review of Utilization and Quality of Health Care Services
- 1320cPurpose
- 1320c–1Definition of quality improvement organization
- 1320c–2Contracts with quality improvement organizations
- 1320c–3Functions of quality improvement organizations
- 1320c–4Right to hearing and judicial review
- 1320c–5Obligations of health care practitioners and providers of health care services; sanctions and penalties; hearings and review
- 1320c–6Limitation on liability
- 1320c–7Application of this part to certain State programs receiving Federal financial assistance
- 1320c–8Authorization for use of certain funds to administer provisions of this part
- 1320c–9Prohibition against disclosure of information
- 1320c–10Annual reports
- 1320c–11Exemptions for religious nonmedical health care institutions
- 1320c–12Medical officers in American Samoa, the Northern Mariana Islands, and the Trust Territory of the Pacific Islands to be included in the quality improvement program
- 1320c–13Repealed. Pub. L. 103–432, title I, § 156(a)(1)
- 1320c–14 to 1320c–19Omitted
- 1320c–20Repealed. Pub. L. 97–35, title XXI, § 2113(k)
- 1320c–21, 1320c–22Omitted
Part C — Administrative Simplification
- 1320dDefinitions
- 1320d–1General requirements for adoption of standards
- 1320d–2Standards for information transactions and data elements
- 1320d–3Timetables for adoption of standards
- 1320d–4Requirements
- 1320d–5General penalty for failure to comply with requirements and standards
- 1320d–6Wrongful disclosure of individually identifiable health information
- 1320d–7Effect on State law
- 1320d–8Processing payment transactions by financial institutions
- 1320d–9Application of HIPAA regulations to genetic information
Part D — Comparative Clinical Effectiveness Research
Part E — Price Negotiation Program To Lower Prices for Certain High-Priced Single Source Drugs
- 1320fEstablishment of program
- 1320f–1Selection of negotiation-eligible drugs as selected drugs
- 1320f–2Manufacturer agreements
- 1320f–3Negotiation and renegotiation process
- 1320f–4Publication of maximum fair prices
- 1320f–5Administrative duties and compliance monitoring
- 1320f–6Civil monetary penalties
- 1320f–7Limitation on administrative and judicial review
Subchapter XII — Advances to State Unemployment Funds
Subchapter XIII — Reconversion Unemployment Benefits for Seamen
Subchapter XIV — Grants to States for Aid to Permanently and Totally Disabled
Subchapter XV — Unemployment Compensation for Federal Employees
Subchapter XVI — Supplemental Security Income for Aged, Blind, and Disabled
Part A — Determination of Benefits
- 1382Eligibility for benefits
- 1382aIncome; earned and unearned income defined; exclusions from income
- 1382bResources
- 1382cDefinitions
- 1382dRehabilitation services for blind and disabled individuals
- 1382eSupplementary assistance by State or subdivision to needy individuals
- 1382fCost-of-living adjustments in benefits
- 1382gPayments to State for operation of supplementation program
- 1382hBenefits for individuals who perform substantial gainful activity despite severe medical impairment
- 1382iMedical and social services for certain handicapped persons
- 1382jAttribution of sponsor’s income and resources to aliens
- 1382kRepealed. Pub. L. 97–123, § 2(h)
Part B — Procedural and General Provisions
- 1383Procedure for payment of benefits
- 1383aPenalties for fraud
- 1383bAdministration
- 1383cEligibility for medical assistance of aged, blind, or disabled individuals under State’s medical assistance plan
- 1383dOutreach program for children
- 1383eTreatment referrals for individuals with alcoholism or drug addiction condition
- 1383fAnnual report on program
- 1384Omitted
- 1385Omitted
Subchapter XVII — Grants for Planning Comprehensive Action to Combat Mental Retardation
- 1391Authorization of appropriations
- 1392Availability of funds during certain fiscal years; limitation on amount; utilization of grant
- 1393Applications; single State agency designation; essential planning services; plans for expenditure; final activities report and other necessary reports; records; accounting
- 1394Payments to States; adjustments; advances or reimbursement; installments; conditions
Subchapter XVIII — Health Insurance for Aged and Disabled
- 1395Prohibition against any Federal interference
- 1395aFree choice by patient guaranteed
- 1395bOption to individuals to obtain other health insurance protection
- 1395b–1Incentives for economy while maintaining or improving quality in provision of health services
- 1395b–2Notice of medicare benefits; medicare and medigap information
- 1395b–3Health insurance advisory service for medicare beneficiaries
- 1395b–4Health insurance information, counseling, and assistance grants
- 1395b–5Beneficiary incentive programs
- 1395b–6Medicare Payment Advisory Commission
- 1395b–7Explanation of medicare benefits
- 1395b–8Chronic care improvement
- 1395b–9Provisions relating to administration
- 1395b–10Addressing health care disparities
Part A — Hospital Insurance Benefits for Aged and Disabled
- 1395cDescription of program
- 1395dScope of benefits
- 1395eDeductibles and coinsurance
- 1395fConditions of and limitations on payment for services
- 1395gPayments to providers of services
- 1395hProvisions relating to the administration of part A
- 1395iFederal Hospital Insurance Trust Fund
- 1395i–1Authorization of appropriations
- 1395i–1aRepealed. Pub. L. 101–234, title I, § 102(a)
- 1395i–2Hospital insurance benefits for uninsured elderly individuals not otherwise eligible
- 1395i–2aHospital insurance benefits for disabled individuals who have exhausted other entitlement
- 1395i–3Requirements for, and assuring quality of care in, skilled nursing facilities
- 1395i–3aProtecting residents of long-term care facilities
- 1395i–4Medicare rural hospital flexibility program
- 1395i–5Conditions for coverage of religious nonmedical health care institutional services
- 1395i–6Hospice program survey and enforcement procedures
Part B — Supplementary Medical Insurance Benefits for Aged and Disabled
- 1395jEstablishment of supplementary medical insurance program for aged and disabled
- 1395kScope of benefits; definitions
- 1395lPayment of benefits
- 1395mSpecial payment rules for particular items and services
- 1395m–1Improving policies for clinical diagnostic laboratory tests
- 1395nProcedure for payment of claims of providers of services
- 1395oEligible individuals
- 1395pEnrollment periods
- 1395qCoverage period
- 1395rAmount of premiums for individuals enrolled under this part
- 1395sPayment of premiums
- 1395tFederal Supplementary Medical Insurance Trust Fund
- 1395t–1, 1395t–2Repealed. Pub. L. 101–234, title II, § 202(a)
- 1395uProvisions relating to the administration of part B
- 1395vAgreements with States
- 1395wAppropriations to cover Government contributions and contingency reserve
- 1395w–1Repealed. Pub. L. 105–33, title IV, § 4022(b)(2)(A)
- 1395w–2Intermediate sanctions for providers or suppliers of clinical diagnostic laboratory tests
- 1395w–3Competitive acquisition of certain items and services
- 1395w–3aUse of average sales price payment methodology
- 1395w–3bCompetitive acquisition of outpatient drugs and biologicals
- 1395w–4Payment for physicians’ services
- 1395w–5Public reporting of performance information
- 1395w–6Empowering beneficiary choices through continued access to information on physicians’ services
Part C — Medicare+Choice Program
- 1395w–21Eligibility, election, and enrollment
- 1395w–22Benefits and beneficiary protections
- 1395w–23Payments to Medicare+Choice organizations
- 1395w–24Premiums and bid amounts
- 1395w–25Organizational and financial requirements for Medicare+Choice organizations; provider-sponsored organizations
- 1395w–26Establishment of standards
- 1395w–27Contracts with Medicare+Choice organizations
- 1395w–27aSpecial rules for MA regional plans
- 1395w–28Definitions; miscellaneous provisions
- 1395w–29Repealed. Pub. L. 111–152, title I, § 1102(f)
Subpart 1 — part d eligible individuals and prescription drug benefits
Subpart 2 — prescription drug plans; pdp sponsors; financing
- 1395w–111PDP regions; submission of bids; plan approval
- 1395w–112Requirements for and contracts with prescription drug plan (PDP) sponsors
- 1395w–113Premiums; late enrollment penalty
- 1395w–114Premium and cost-sharing subsidies for low-income individuals
- 1395w–114aMedicare coverage gap discount program
- 1395w–114bManufacturer rebate for certain drugs with prices increasing faster than inflation
- 1395w–114cManufacturer discount program
- 1395w–114dSelected drug subsidy program
- 1395w–115Subsidies for part D eligible individuals for qualified prescription drug coverage
- 1395w–116Medicare Prescription Drug Account in the Federal Supplementary Medical Insurance Trust Fund
Subpart 3 — application to medicare advantage program and treatment of employer-sponsored programs and other prescription drug plans
Subpart 4 — medicare prescription drug discount card and transitional assistance program
Subpart 5 — definitions and miscellaneous provisions
Part E — Miscellaneous Provisions
- 1395xDefinitions
- 1395yExclusions from coverage and medicare as secondary payer
- 1395zConsultation with State agencies and other organizations to develop conditions of participation for providers of services
- 1395aaAgreements with States
- 1395bbEffect of accreditation
- 1395ccAgreements with providers of services; enrollment processes
- 1395cc–1Demonstration of application of physician volume increases to group practices
- 1395cc–2Provisions for administration of demonstration program
- 1395cc–3Health care quality demonstration program
- 1395cc–4National pilot program on payment bundling
- 1395cc–5Independence at home medical practice demonstration program
- 1395cc–6Opioid use disorder treatment demonstration program
- 1395cc–7Extension of Acute Hospital Care at Home initiative
- 1395ddExamination and treatment for emergency medical conditions and women in labor
- 1395eePracticing Physicians Advisory Council; Council for Technology and Innovation
- 1395ffDeterminations; appeals
- 1395ggOverpayment on behalf of individuals and settlement of claims for benefits on behalf of deceased individuals
- 1395hhRegulations
- 1395iiApplication of certain provisions of subchapter II
- 1395jjDesignation of organization or publication by name
- 1395kkAdministration of insurance programs
- 1395kk–1Contracts with medicare administrative contractors
- 1395kk–2Expanding availability of Medicare data
- 1395llStudies and recommendations
- 1395mmPayments to health maintenance organizations and competitive medical plans
- 1395nnLimitation on certain physician referrals
- 1395ooProvider Reimbursement Review Board
- 1395ppLimitation on liability where claims are disallowed
- 1395qqIndian Health Service facilities
- 1395rrEnd stage renal disease program
- 1395rr–1Medicare coverage for individuals exposed to environmental health hazards
- 1395ssCertification of medicare supplemental health insurance policies
- 1395ss–1Clarification
- 1395ttHospital providers of extended care services
- 1395uuPayments to promote closing or conversion of underutilized hospital facilities
- 1395vvWithholding payments from certain medicaid providers
- 1395wwPayments to hospitals for inpatient hospital services
- 1395xxPayment of provider-based physicians and payment under certain percentage arrangements
- 1395yyPayment to skilled nursing facilities for routine service costs
- 1395zzProvider education and technical assistance
- 1395aaaContract with a consensus-based entity regarding performance measurement
- 1395aaa–1Quality and efficiency measurement
- 1395bbbConditions of participation for home health agencies; home health quality
- 1395cccOffset of payments to individuals to collect past-due obligations arising from breach of scholarship and loan contract
- 1395dddMedicare Integrity Program
- 1395eeePayments to, and coverage of benefits under, programs of all-inclusive care for elderly (PACE)
- 1395fffProspective payment for home health services
- 1395gggOmitted
- 1395hhhHealth care infrastructure improvement program
- 1395iiiMedicare Improvement Fund
- 1395jjjShared savings program
- 1395kkkRepealed. Pub. L. 115–123, div. E, title XI, § 52001(a)
- 1395kkk–1Repealed. Pub. L. 115–123, div. E, title XI, § 52001(b)(2)
- 1395lllStandardized post-acute care (PAC) assessment data for quality, payment, and discharge planning
- 1395mmmLimiting Medicare coverage of certain individuals
Subchapter XIX — Grants to States for Medical Assistance Programs
- 1396Medicaid and CHIP Payment and Access Commission
- 1396–1Appropriations
- 1396aState plans for medical assistance
- 1396bPayment to States
- 1396b–1Payment adjustment for health care-acquired conditions
- 1396cOperation of State plans
- 1396dDefinitions
- 1396eEnrollment of individuals under group health plans
- 1396e–1Premium assistance
- 1396fObservance of religious beliefs
- 1396gState programs for licensing of administrators of nursing homes
- 1396g–1Required laws relating to medical child support
- 1396hState false claims act requirements for increased State share of recoveries
- 1396iCertification and approval of rural health clinics and intermediate care facilities for mentally retarded
- 1396jIndian Health Service facilities
- 1396kAssignment, enforcement, and collection of rights of payments for medical care; establishment of procedures pursuant to State plan; amounts retained by State
- 1396lHospital providers of nursing facility services
- 1396mWithholding of Federal share of payments for certain medicare providers
- 1396nCompliance with State plan and payment provisions
- 1396oUse of enrollment fees, premiums, deductions, cost sharing, and similar charges
- 1396o–1State option for alternative premiums and cost sharing
- 1396pLiens, adjustments and recoveries, and transfers of assets
- 1396qApplication of provisions of subchapter II relating to subpoenas
- 1396rRequirements for nursing facilities
- 1396r–1Presumptive eligibility for pregnant women
- 1396r–1aPresumptive eligibility for children
- 1396r–1bPresumptive eligibility for certain breast or cervical cancer patients
- 1396r–1cPresumptive eligibility for family planning services
- 1396r–2Information concerning sanctions taken by State licensing authorities against health care practitioners and providers
- 1396r–3Correction and reduction plans for intermediate care facilities for mentally retarded
- 1396r–4Adjustment in payment for inpatient hospital services furnished by disproportionate share hospitals
- 1396r–5Treatment of income and resources for certain institutionalized spouses
- 1396r–6Extension of eligibility for medical assistance
- 1396r–7Repealed. Pub. L. 105–33, title IV, § 4713(a)
- 1396r–8Payment for covered outpatient drugs
- 1396sProgram for distribution of pediatric vaccines
- 1396tHome and community care for functionally disabled elderly individuals
- 1396uCommunity supported living arrangements services
- 1396u–1Assuring coverage for certain low-income families
- 1396u–2Provisions relating to managed care
- 1396u–3State coverage of medicare cost-sharing for additional low-income medicare beneficiaries
- 1396u–4Program of all-inclusive care for elderly (PACE)
- 1396u–5Special provisions relating to medicare prescription drug benefit
- 1396u–6Medicaid Integrity Program
- 1396u–7State flexibility in benefit packages
- 1396u–8Health opportunity accounts
- 1396vReferences to laws directly affecting medicaid program
- 1396wAsset verification through access to information held by financial institutions
- 1396w–1Medicaid Improvement Fund
- 1396w–2Authorization to receive relevant information
- 1396w–3Enrollment simplification and coordination with State health insurance exchanges
- 1396w–3aRequirements relating to qualified prescription drug monitoring programs and prescribing certain controlled substances
- 1396w–4State option to provide coordinated care through a health home for individuals with chronic conditions
- 1396w–4aState option to provide coordinated care through a health home for children with medically complex conditions
- 1396w–5Addressing health care disparities
- 1396w–6State option to provide qualifying community-based mobile crisis intervention services
- 1396w–7Supporting access to a continuum of crisis response services under Medicaid and CHIP
- 1396w–8Collection and reporting of comprehensive data for specified populations
- 1396w–9State studies and HHS report on costs of providing maternity, labor, and delivery services
Division A — Block Grants to States for Social Services
- 1397Purposes of division; authorization of appropriations
- 1397aPayments to States
- 1397bAllotments
- 1397cState reporting requirements
- 1397dLimitation on use of grants; waiver
- 1397eAdministrative and fiscal accountability
- 1397fAdditional grants
- 1397gDemonstration projects to address health professions workforce needs
- 1397hProgram for early detection of certain medical conditions related to environmental health hazards
- 1397iAdditional funding for aging and disability services programs
Division B — Elder Justice
Subpart a — elder justice coordinating council and advisory board on elder abuse, neglect, and exploitation
Subpart b — elder abuse, neglect, and exploitation forensic centers
Part II — Programs To Promote Elder Justice
Division C — Social Impact Demonstration Projects
- 1397nPurposes
- 1397n–1Social impact partnership application
- 1397n–2Awarding social impact partnership agreements
- 1397n–3Feasibility study funding
- 1397n–4Evaluations
- 1397n–5Federal Interagency Council on Social Impact Partnerships
- 1397n–6Commission on Social Impact Partnerships
- 1397n–7Limitation on use of funds
- 1397n–8No Federal funding for credit enhancements
- 1397n–9Availability of funds
- 1397n–10Website
- 1397n–11Regulations
- 1397n–12Definitions
- 1397n–13Funding
Subchapter XXI — State Children’s Health Insurance Program
- 1397aaPurpose; State child health plans
- 1397bbGeneral contents of State child health plan; eligibility; outreach
- 1397ccCoverage requirements for children’s health insurance
- 1397ddAllotments
- 1397eePayments to States
- 1397ffProcess for submission, approval, and amendment of State child health plans
- 1397ggStrategic objectives and performance goals; plan administration
- 1397hhAnnual reports; evaluations
- 1397iiMiscellaneous provisions
- 1397jjDefinitions
- 1397kkPhase-out of coverage for nonpregnant childless adults; conditions for coverage of parents
- 1397llOptional coverage of targeted low-income pregnant women through a State plan amendment
- 1397mmGrants to improve outreach and enrollment