Chapter 7: SOCIAL SECURITY
Subchapter I: GRANTS TO STATES FOR OLD-AGE ASSISTANCE
- Section 301: Authorization of appropriations
- Section 302: State old-age plans
- Section 303: Payments to States and certain territories; computation of amount; eligibility of State to receive payment
- Section 304: Stopping payment on deviation from required provisions of plan or failure to comply therewith
- Section 305: Omitted
- Section 306: Definitions
Subchapter II: FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE BENEFITS
- Section 401: Trust Funds
- Section 401a: Omitted
- Section 402: Old-age and survivors insurance benefit payments
- Section 403: Reduction of insurance benefits
- Section 404: Overpayments and underpayments
- Section 405: Evidence, procedure, and certification for payments
- Section 405a: Regulations pertaining to frequency or due dates of payments and reports under voluntary agreements covering State and local employees; effective date
- Section 405b: Reducing identity fraud
- Section 406: Representation of claimants before Commissioner
- Section 407: Assignment of benefits
- Section 408: Penalties
- Section 409: “Wages” defined
- Section 410: Definitions relating to employment
- Section 410a: Transferred
- Section 411: Definitions relating to self-employment
- Section 412: Self-employment income credited to calendar years
- Section 413: Quarter and quarter of coverage
- Section 414: Insured status for purposes of old-age and survivors insurance benefits
- Section 415: Computation of primary insurance amount
- Section 416: Additional definitions
- Section 417: Benefits for veterans
- Section 418: Voluntary agreements for coverage of State and local employees
- Section 418a: Voluntary agreements for coverage of Indian tribal council members
- Section 419: Repealed. Pub. L. 86–778, title I, § 103(j)(1), Sept. 13, 1960, 74 Stat. 937
- Section 420: Disability provisions inapplicable if benefit rights impaired
- Section 421: Disability determinations
- Section 422: Rehabilitation services
- Section 423: Disability insurance benefit payments
- Section 424: Repealed. Pub. L. 85–840, title II, § 206, Aug. 28, 1958, 72 Stat. 1025
- Section 424a: Reduction of disability benefits
- Section 425: Additional rules relating to benefits based on disability
- Section 426: Entitlement to hospital insurance benefits
- Section 426–1: End stage renal disease program
- Section 426a: Transitional provision on eligibility of uninsured individuals for hospital insurance benefits
- Section 427: Transitional insured status for purposes of old-age and survivors benefits
- Section 428: Benefits at age 72 for certain uninsured individuals
- Section 429: Benefits in case of members of uniformed services
- Section 430: Adjustment of contribution and benefit base
- Section 431: Benefits for certain individuals interned by United States during World War II
- Section 432: Processing of tax data
- Section 433: International agreements
- Section 434: Demonstration project authority
Subchapter IV: GRANTS TO STATES FOR AID AND SERVICES TO NEEDY FAMILIES WITH CHILDREN AND FOR CHILD-WELFARE SERVICES
- Part A: Block Grants to States for Temporary Assistance for Needy Families
- Section 601: Purpose
- Section 602: Eligible States; State plan
- Section 603: Grants to States
- Section 603a: Transferred
- Section 604: Use of grants
- Section 604a: Services provided by charitable, religious, or private organizations
- Section 605: Administrative provisions
- Section 606: Federal loans for State welfare programs
- Section 607: Mandatory work requirements
- Section 608: Prohibitions; requirements
- Section 608a: Fraud under means-tested welfare and public assistance programs
- Section 609: Penalties
- Section 610: Appeal of adverse decision
- Section 611: Data collection and reporting
- Section 611a: State required to provide certain information
- Section 612: Direct funding and administration by Indian tribes
- Section 613: Evaluation of temporary assistance for needy families and related programs
- Section 614: Repealed. Pub. L. 113–235, div. G, title II, § 228(f), Dec. 16, 2014, 128 Stat. 2492
- Section 615: Waivers
- Section 616: Administration
- Section 617: Limitation on Federal authority
- Section 618: Funding for child care
- Section 619: Definitions
- Part B: Child and Family Services
- Part C: Work Incentive Program for Recipients of Aid Under State Plan Approved Under Part A
- Section 630 to 632: Repealed. Pub. L. 100–485, title II, § 202(a), Oct. 13, 1988, 102 Stat. 2377
- Section 632a: Omitted
- Section 633 to 645: Repealed. Pub. L. 100–485, title II, § 202(a), Oct. 13, 1988, 102 Stat. 2377
- Part D: Child Support and Establishment of Paternity
- Section 651: Authorization of appropriations
- Section 652: Duties of Secretary
- Section 653: Federal Parent Locator Service
- Section 653a: State Directory of New Hires
- Section 654: State plan for child and spousal support
- Section 654a: Automated data processing
- Section 654b: Collection and disbursement of support payments
- Section 655: Payments to States
- Section 655a: Provision for reimbursement of expenses
- Section 656: Support obligation as obligation to State; amount; discharge in bankruptcy
- Section 657: Distribution of collected support
- Section 658: Repealed. Pub. L. 105–200, title II, § 201(f)(1), July 16, 1998, 112 Stat. 657
- Section 658a: Incentive payments to States
- Section 659: Consent by United States to income withholding, garnishment, and similar proceedings for enforcement of child support and alimony obligations
- Section 659a: International support enforcement
- Section 660: Civil action to enforce child support obligations; jurisdiction of district courts
- Section 661, 662: Repealed. Pub. L. 104–193, title III, § 362(b)(1), Aug. 22, 1996, 110 Stat. 2246
- Section 663: Use of Federal Parent Locator Service in connection with enforcement or determination of child custody in cases of parental kidnaping of child
- Section 664: Collection of past-due support from Federal tax refunds
- Section 665: Allotments from pay for child and spousal support owed by members of uniformed services on active duty
- Section 666: Requirement of statutorily prescribed procedures to improve effectiveness of child support enforcement
- Section 667: State guidelines for child support awards
- Section 668: Encouragement of States to adopt civil procedure for establishing paternity in contested cases
- Section 669: Collection and reporting of child support enforcement data
- Section 669a: Nonliability for financial institutions providing financial records to State child support enforcement agencies in child support cases
- Section 669b: Grants to States for access and visitation programs
- Part E: Federal Payments for Foster Care, Prevention, and Permanency
- Section 670: Congressional declaration of purpose; authorization of appropriations
- Section 671: State plan for foster care and adoption assistance
- Section 672: Foster care maintenance payments program
- Section 673: Adoption and guardianship assistance program
- Section 673a: Interstate compacts
- Section 673b: Adoption and legal guardianship incentive payments
- Section 673c: Repealed. Pub. L. 109–239, § 4(c), July 3, 2006, 120 Stat. 512
- Section 674: Payments to States
- Section 675: Definitions
- Section 675a: Additional case plan and case review system requirements
- Section 676: Administration
- Section 677: John H. Chafee Foster Care Program for Successful Transition to Adulthood
- Section 678: Rule of construction
- Section 679: Collection of data relating to adoption and foster care
- Section 679a: National Adoption Information Clearinghouse
- Section 679b: Annual report
- Section 679c: Programs operated by Indian tribal organizations
- Part F: Job Opportunities and Basic Skills Training Program
- Section 681 to 687: Repealed. Pub. L. 104–193, title I, § 108(e), Aug. 22, 1996, 110 Stat. 2167
Subchapter V: MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT
- Section 701: Authorization of appropriations; purposes; definitions
- Section 702: Allotment to States and Federal set-aside
- Section 703: Payments to States
- Section 703a: Omitted
- Section 704: Use of allotment funds
- Section 704a: Omitted
- Section 704b: Nonavailability of allotments after close of fiscal year
- Section 705: Application for block grant funds
- Section 706: Administrative and fiscal accountability
- Section 707: Criminal penalty for false statements
- Section 708: Nondiscrimination provisions
- Section 709: Administration of Federal and State programs
- Section 710: Sexual risk avoidance education
- Section 711: Maternal, infant, and early childhood home visiting programs
- Section 712: Services to individuals with a postpartum condition and their families
- Section 713: Personal responsibility education
- Section 714 to 716: Omitted
- Section 721 to 728: Repealed. Pub. L. 90–248, title II, § 240(e)(1), Jan. 2, 1968, 81 Stat. 915
- Section 729 to 729a, 731: Omitted
Subchapter VI: TEMPORARY STATE FISCAL RELIEF
- Section 801: Repealed
Subchapter VII: ADMINISTRATION
- Section 901: Social Security Administration
- Section 901a: Repealed. Aug. 28, 1950, ch. 809, title IV, § 401(b), 64 Stat. 558
- Section 902: Commissioner; Deputy Commissioner; other officers
- Section 903: Social Security Advisory Board
- Section 904: Administrative duties of Commissioner
- Section 905, 905a: Transferred
- Section 906: Training grants for public welfare personnel
- Section 907: Repealed. Pub. L. 103–296, title I, § 108(a)(2), Aug. 15, 1994, 108 Stat. 1481
- Section 907a: National Commission on Social Security
- Section 908: Omitted
- Section 909: Delivery of benefit checks
- Section 910: Recommendations by Board of Trustees to remedy inadequate balances in Social Security trust funds
- Section 911: Budgetary treatment of trust fund operations
- Section 912: Office of Rural Health Policy
- Section 913: Duties and authority of Secretary
- Section 914: Office of Women’s Health
Subchapter VIII: SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS
- Section 1001: Basic entitlement to benefits
- Section 1002: Qualified individuals
- Section 1003: Residence outside the United States
- Section 1004: Disqualifications
- Section 1005: Benefit amount
- Section 1006: Applications and furnishing of information
- Section 1007: Representative payees
- Section 1008: Overpayments and underpayments
- Section 1009: Hearings and review
- Section 1010: Other administrative provisions
- Section 1010a: Optional Federal administration of State recognition payments
- Section 1011: Penalties for fraud
- Section 1012: Definitions
- Section 1013: Appropriations
Subchapter IX: EMPLOYMENT SECURITY ADMINISTRATIVE FINANCING
- Section 1101: Employment security administration account
- Section 1102: Transfers between Federal unemployment account and employment security administration account
- Section 1103: Amounts transferred to State accounts
- Section 1104: Unemployment Trust Fund
- Section 1105: Extended unemployment compensation account
- Section 1106: Unemployment compensation research program
- Section 1107: Personnel training
- Section 1108: Advisory Council on Unemployment Compensation
- Section 1109: Federal Employees Compensation Account
- Section 1110: Borrowing between Federal accounts
- Section 1111: Data exchange standardization for improved interoperability
Subchapter X: GRANTS TO STATES FOR AID TO BLIND
- Section 1201: Authorization of appropriations
- Section 1202: State plans for aid to blind
- Section 1202a: Repealed. Pub. L. 87–543, title I, § 136(b), July 25, 1962, 76 Stat. 197
- Section 1203: Payment to States
- Section 1204: Operation of State plans
- Section 1205: Omitted
- Section 1206: “Aid to the blind” defined
Subchapter XI: GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE SIMPLIFICATION
- Part A: General Provisions
- Section 1301: Definitions
- Section 1301–1: Omitted
- Section 1301a: Omitted
- Section 1302: Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals
- Section 1303: Separability
- Section 1304: Reservation of right to amend or repeal
- Section 1305: Short title of chapter
- Section 1306: Disclosure of information in possession of Social Security Administration or Department of Health and Human Services
- Section 1306a: Public access to State disbursement records
- Section 1306b: State data exchanges
- Section 1306c: Restriction on access to the Death Master File
- Section 1307: Penalty for fraud
- Section 1308: Additional grants to Puerto Rico, Virgin Islands, Guam, and American Samoa; limitation on total payments
- Section 1309: Amounts disregarded not to be taken into account in determining eligibility of other individuals
- Section 1310: Cooperative research or demonstration projects
- Section 1311: Public assistance payments to legal representatives
- Section 1312: Medical care guides and reports for public assistance and medical assistance
- Section 1313: Assistance for United States citizens returned from foreign countries
- Section 1314: Public advisory groups
- Section 1314a: Measurement and reporting of welfare receipt
- Section 1314b: National Advisory Committee on the Sex Trafficking of Children and Youth in the United States
- Section 1315: Demonstration projects
- Section 1315a: Center for Medicare and Medicaid Innovation
- Section 1315b: Providing Federal coverage and payment coordination for dual eligible beneficiaries
- Section 1316: Administrative and judicial review of public assistance determinations
- Section 1317: Appointment of the Administrator and Chief Actuary of the Centers for Medicare & Medicaid Services
- Section 1318: Alternative Federal payment with respect to public assistance expenditures
- Section 1319: Federal participation in payments for repairs to home owned by recipient of aid or assistance
- Section 1320: Approval of certain projects
- Section 1320a: Uniform reporting systems for health services facilities and organizations
- Section 1320a–1: Limitation on use of Federal funds for capital expenditures
- Section 1320a–1a: Transferred
- Section 1320a–2: Effect of failure to carry out State plan
- Section 1320a–2a: Reviews of child and family services programs, and of foster care and adoption assistance programs, for conformity with State plan requirements
- Section 1320a–3: Disclosure of ownership and related information; procedure; definitions; scope of requirements
- Section 1320a–3a: Disclosure requirements for other providers under part B of Medicare
- Section 1320a–4: Issuance of subpenas by Comptroller General
- Section 1320a–5: Disclosure by institutions, organizations, and agencies of owners, officers, etc., convicted of offenses related to programs; notification requirements; “managing employee” defined
- Section 1320a–6: Adjustments in SSI benefits on account of retroactive benefits under subchapter II
- Section 1320a–6a: Interagency coordination to improve program administration
- Section 1320a–7: Exclusion of certain individuals and entities from participation in Medicare and State health care programs
- Section 1320a–7a: Civil monetary penalties
- Section 1320a–7b: Criminal penalties for acts involving Federal health care programs
- Section 1320a–7c: Fraud and abuse control program
- Section 1320a–7d: Guidance regarding application of health care fraud and abuse sanctions
- Section 1320a–7e: Health care fraud and abuse data collection program
- Section 1320a–7f: Coordination of medicare and medicaid surety bond provisions
- Section 1320a–7g: Funds to reduce medicaid fraud and abuse
- Section 1320a–7h: Transparency reports and reporting of physician ownership or investment interests
- Section 1320a–7i: Reporting of information relating to drug samples
- Section 1320a–7j: Accountability requirements for facilities
- Section 1320a–7k: Medicare and Medicaid program integrity provisions
- Section 1320a–7l: Nationwide program for national and State background checks on direct patient access employees of long-term care facilities and providers
- Section 1320a–7m: Use of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse in the Medicare fee-for-service program
- Section 1320a–7n: Disclosure of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse
- Section 1320a–8: Civil monetary penalties and assessments for subchapters II, VIII and XVI
- Section 1320a–8a: Administrative procedure for imposing penalties for false or misleading statements
- Section 1320a–8b: Attempts to interfere with administration of this chapter
- Section 1320a–9: Demonstration projects
- Section 1320a–10: Effect of failure to carry out State plan
- Section 1320b: Repealed. Pub. L. 93–647, § 3(e)(1), Jan. 4, 1975, 88 Stat. 2349
- Section 1320b–1: Notification of Social Security claimant with respect to deferred vested benefits
- Section 1320b–2: Period within which certain claims must be filed
- Section 1320b–3: Applicants or recipients under public assistance programs not to be required to make election respecting certain veterans’ benefits
- Section 1320b–4: Nonprofit hospital or critical access hospital philanthropy
- Section 1320b–5: Authority to waive requirements during national emergencies
- Section 1320b–6: Exclusion of representatives and health care providers convicted of violations from participation in social security programs
- Section 1320b–7: Income and eligibility verification system
- Section 1320b–8: Hospital protocols for organ procurement and standards for organ procurement agencies
- Section 1320b–9: Improved access to, and delivery of, health care for Indians under subchapters XIX and XXI
- Section 1320b–9a: Child health quality measures
- Section 1320b–9b: Adult health quality measures
- Section 1320b–10: Prohibitions relating to references to Social Security or Medicare
- Section 1320b–11: Blood donor locator service
- Section 1320b–12: Research on outcomes of health care services and procedures
- Section 1320b–13: Social security account statements
- Section 1320b–14: Outreach efforts to increase awareness of the availability of medicare cost-sharing and subsidies for low-income individuals under subchapter XVIII
- Section 1320b–15: Protection of social security and medicare trust funds
- Section 1320b–16: Public disclosure of certain information on hospital financial interest and referral patterns
- Section 1320b–17: Cross-program recovery of overpayments from benefits
- Section 1320b–18: Repealed. Pub. L. 108–203, title II, § 210(b)(3), Mar. 2, 2004, 118 Stat. 517
- Section 1320b–19: The Ticket to Work and Self-Sufficiency Program
- Section 1320b–20: Work incentives outreach program
- Section 1320b–21: State grants for work incentives assistance to disabled beneficiaries
- Section 1320b–22: Grants to develop and establish State infrastructures to support working individuals with disabilities
- Section 1320b–23: Pharmacy benefit managers transparency requirements
- Section 1320b–24: Consultation with Tribal Technical Advisory Group
- Section 1320b–25: Reporting to law enforcement of crimes occurring in federally funded long-term care facilities
- Part B: Peer Review of Utilization and Quality of Health Care Services
- Section 1320c: Purpose
- Section 1320c–1: Definition of quality improvement organization
- Section 1320c–2: Contracts with quality improvement organizations
- Section 1320c–3: Functions of quality improvement organizations
- Section 1320c–4: Right to hearing and judicial review
- Section 1320c–5: Obligations of health care practitioners and providers of health care services; sanctions and penalties; hearings and review
- Section 1320c–6: Limitation on liability
- Section 1320c–7: Application of this part to certain State programs receiving Federal financial assistance
- Section 1320c–8: Authorization for use of certain funds to administer provisions of this part
- Section 1320c–9: Prohibition against disclosure of information
- Section 1320c–10: Annual reports
- Section 1320c–11: Exemptions for religious nonmedical health care institutions
- Section 1320c–12: Medical officers in American Samoa, the Northern Mariana Islands, and the Trust Territory of the Pacific Islands to be included in the quality improvement program
- Section 1320c–13: Repealed. Pub. L. 103–432, title I, § 156(a)(1), Oct. 31, 1994, 108 Stat. 4440
- Section 1320c–14 to 1320c–19: Omitted
- Section 1320c–20: Repealed. Pub. L. 97–35, title XXI, § 2113(k), Aug. 13, 1981, 95 Stat. 795
- Section 1320c–21, 1320c–22: Omitted
- Part C: Administrative Simplification
- Section 1320d: Definitions
- Section 1320d–1: General requirements for adoption of standards
- Section 1320d–2: Standards for information transactions and data elements
- Section 1320d–3: Timetables for adoption of standards
- Section 1320d–4: Requirements
- Section 1320d–5: General penalty for failure to comply with requirements and standards
- Section 1320d–6: Wrongful disclosure of individually identifiable health information
- Section 1320d–7: Effect on State law
- Section 1320d–8: Processing payment transactions by financial institutions
- Section 1320d–9: Application of HIPAA regulations to genetic information
- Part D: Comparative Clinical Effectiveness Research
- Section 1320e: Comparative clinical effectiveness research
- Section 1320e–1: Limitations on certain uses of comparative clinical effectiveness research
- Section 1320e–2: Trust Fund transfers to Patient-Centered Outcomes Research Trust Fund
- Section 1320e–3: Information exchange with payroll data providers
Subchapter XII: ADVANCES TO STATE UNEMPLOYMENT FUNDS
- Section 1321: Eligibility requirements for transfer of funds; reimbursement by State; application; certification; limitation
- Section 1322: Repayment by State; certification; transfer; interest on loan; credit of interest on loan
- Section 1323: Repayable advances to Federal unemployment account
- Section 1324: “Governor” defined
Subchapter XIII: RECONVERSION UNEMPLOYMENT BENEFITS FOR SEAMEN
- Section 1331 to 1336: Repealed. Pub. L. 98–369, div. B, title VI, § 2663(f), July 18, 1984, 98 Stat. 1168
Subchapter XV: UNEMPLOYMENT COMPENSATION FOR FEDERAL EMPLOYEES
- Section 1361 to 1364: Repealed. Pub. L. 89–554, § 8(a), Sept. 6, 1966, 80 Stat. 658, 660, 661
- Section 1365: Repealed. Pub. L. 86–442, § 1, Apr. 22, 1960, 74 Stat. 81
- Section 1366 to 1371: Repealed. Pub. L. 89–554, § 8(a), Sept. 6, 1966, 80 Stat. 658, 660, 661
Subchapter XVI: SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND DISABLED
- Part A: Determination of Benefits
- Section 1382: Eligibility for benefits
- Section 1382a: Income; earned and unearned income defined; exclusions from income
- Section 1382b: Resources
- Section 1382c: Definitions
- Section 1382d: Rehabilitation services for blind and disabled individuals
- Section 1382e: Supplementary assistance by State or subdivision to needy individuals
- Section 1382f: Cost-of-living adjustments in benefits
- Section 1382g: Payments to State for operation of supplementation program
- Section 1382h: Benefits for individuals who perform substantial gainful activity despite severe medical impairment
- Section 1382i: Medical and social services for certain handicapped persons
- Section 1382j: Attribution of sponsor’s income and resources to aliens
- Section 1382k: Repealed. Pub. L. 97–123, § 2(h), Dec. 29, 1981, 95 Stat. 1661
- Part B: Procedural and General Provisions
- Section 1383: Procedure for payment of benefits
- Section 1383a: Penalties for fraud
- Section 1383b: Administration
- Section 1383c: Eligibility for medical assistance of aged, blind, or disabled individuals under State’s medical assistance plan
- Section 1383d: Outreach program for children
- Section 1383e: Treatment referrals for individuals with alcoholism or drug addiction condition
- Section 1383f: Annual report on program
- Section 1384: Omitted
- Section 1385: Omitted
- Section 1381: Statement of purpose; authorization of appropriations
- Section 1381a: Basic entitlement to benefits
Subchapter XVII: GRANTS FOR PLANNING COMPREHENSIVE ACTION TO COMBAT MENTAL RETARDATION
- Section 1391: Authorization of appropriations
- Section 1392: Availability of funds during certain fiscal years; limitation on amount; utilization of grant
- Section 1393: Applications; single State agency designation; essential planning services; plans for expenditure; final activities report and other necessary reports; records; accounting
- Section 1394: Payments to States; adjustments; advances or reimbursement; installments; conditions
Subchapter XVIII: HEALTH INSURANCE FOR AGED AND DISABLED
- Part A: Hospital Insurance Benefits for Aged and Disabled
- Section 1395c: Description of program
- Section 1395d: Scope of benefits
- Section 1395e: Deductibles and coinsurance
- Section 1395f: Conditions of and limitations on payment for services
- Section 1395g: Payments to providers of services
- Section 1395h: Provisions relating to the administration of part A
- Section 1395i: Federal Hospital Insurance Trust Fund
- Section 1395i–1: Authorization of appropriations
- Section 1395i–1a: Repealed. Pub. L. 101–234, title I, § 102(a), Dec. 13, 1989, 103 Stat. 1980
- Section 1395i–2: Hospital insurance benefits for uninsured elderly individuals not otherwise eligible
- Section 1395i–2a: Hospital insurance benefits for disabled individuals who have exhausted other entitlement
- Section 1395i–3: Requirements for, and assuring quality of care in, skilled nursing facilities
- Section 1395i–3a: Protecting residents of long-term care facilities
- Section 1395i–4: Medicare rural hospital flexibility program
- Section 1395i–5: Conditions for coverage of religious nonmedical health care institutional services
- Part B: Supplementary Medical Insurance Benefits for Aged and Disabled
- Section 1395j: Establishment of supplementary medical insurance program for aged and disabled
- Section 1395k: Scope of benefits; definitions
- Section 1395l: Payment of benefits
- Section 1395m: Special payment rules for particular items and services
- Section 1395m–1: Improving policies for clinical diagnostic laboratory tests
- Section 1395n: Procedure for payment of claims of providers of services
- Section 1395o: Eligible individuals
- Section 1395p: Enrollment periods
- Section 1395q: Coverage period
- Section 1395r: Amount of premiums for individuals enrolled under this part
- Section 1395s: Payment of premiums
- Section 1395t: Federal Supplementary Medical Insurance Trust Fund
- Section 1395t–1, 1395t–2: Repealed. Pub. L. 101–234, title II, § 202(a), Dec. 13, 1989, 103 Stat. 1981
- Section 1395u: Provisions relating to the administration of part B
- Section 1395v: Agreements with States
- Section 1395w: Appropriations to cover Government contributions and contingency reserve
- Section 1395w–1: Repealed. Pub. L. 105–33, title IV, § 4022(b)(2)(A), Aug. 5, 1997, 111 Stat. 354
- Section 1395w–2: Intermediate sanctions for providers or suppliers of clinical diagnostic laboratory tests
- Section 1395w–3: Competitive acquisition of certain items and services
- Section 1395w–3a: Use of average sales price payment methodology
- Section 1395w–3b: Competitive acquisition of outpatient drugs and biologicals
- Section 1395w–4: Payment for physicians’ services
- Section 1395w–5: Public reporting of performance information
- Section 1395w–6: Empowering beneficiary choices through continued access to information on physicians’ services
- Part C: Medicare+Choice Program
- Section 1395w–21: Eligibility, election, and enrollment
- Section 1395w–22: Benefits and beneficiary protections
- Section 1395w–23: Payments to Medicare+Choice organizations
- Section 1395w–24: Premiums and bid amounts
- Section 1395w–25: Organizational and financial requirements for Medicare+Choice organizations; provider-sponsored organizations
- Section 1395w–26: Establishment of standards
- Section 1395w–27: Contracts with Medicare+Choice organizations
- Section 1395w–27a: Special rules for MA regional plans
- Section 1395w–28: Definitions; miscellaneous provisions
- Section 1395w–29: Repealed. Pub. L. 111–152, title I, § 1102(f), Mar. 30, 2010, 124 Stat. 1046
- Part D: Voluntary Prescription Drug Benefit Program
- Subpart 1: part d eligible individuals and prescription drug benefits
- Subpart 2: prescription drug plans; pdp sponsors; financing
- 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
- Section 1395x: Definitions
- Section 1395y: Exclusions from coverage and medicare as secondary payer
- Section 1395z: Consultation with State agencies and other organizations to develop conditions of participation for providers of services
- Section 1395aa: Agreements with States
- Section 1395bb: Effect of accreditation
- Section 1395cc: Agreements with providers of services; enrollment processes
- Section 1395cc–1: Demonstration of application of physician volume increases to group practices
- Section 1395cc–2: Provisions for administration of demonstration program
- Section 1395cc–3: Health care quality demonstration program
- Section 1395cc–4: National pilot program on payment bundling
- Section 1395cc–5: Independence at home medical practice demonstration program
- Section 1395cc–6: Opioid use disorder treatment demonstration program.
- Section 1395dd: Examination and treatment for emergency medical conditions and women in labor
- Section 1395ee: Practicing Physicians Advisory Council; Council for Technology and Innovation
- Section 1395ff: Determinations; appeals
- Section 1395gg: Overpayment on behalf of individuals and settlement of claims for benefits on behalf of deceased individuals
- Section 1395hh: Regulations
- Section 1395ii: Application of certain provisions of subchapter II
- Section 1395jj: Designation of organization or publication by name
- Section 1395kk: Administration of insurance programs
- Section 1395kk–1: Contracts with medicare administrative contractors
- Section 1395kk–2: Expanding availability of Medicare data
- Section 1395ll: Studies and recommendations
- Section 1395mm: Payments to health maintenance organizations and competitive medical plans
- Section 1395nn: Limitation on certain physician referrals
- Section 1395oo: Provider Reimbursement Review Board
- Section 1395pp: Limitation on liability where claims are disallowed
- Section 1395qq: Indian Health Service facilities
- Section 1395rr: End stage renal disease program
- Section 1395rr–1: Medicare coverage for individuals exposed to environmental health hazards
- Section 1395ss: Certification of medicare supplemental health insurance policies
- Section 1395ss–1: Clarification
- Section 1395tt: Hospital providers of extended care services
- Section 1395uu: Payments to promote closing or conversion of underutilized hospital facilities
- Section 1395vv: Withholding payments from certain medicaid providers
- Section 1395ww: Payments to hospitals for inpatient hospital services
- Section 1395xx: Payment of provider-based physicians and payment under certain percentage arrangements
- Section 1395yy: Payment to skilled nursing facilities for routine service costs
- Section 1395zz: Provider education and technical assistance
- Section 1395aaa: Contract with a consensus-based entity regarding performance measurement
- Section 1395aaa–1: Quality and efficiency measurement
- Section 1395bbb: Conditions of participation for home health agencies; home health quality
- Section 1395ccc: Offset of payments to individuals to collect past-due obligations arising from breach of scholarship and loan contract
- Section 1395ddd: Medicare Integrity Program
- Section 1395eee: Payments to, and coverage of benefits under, programs of all-inclusive care for elderly (PACE)
- Section 1395fff: Prospective payment for home health services
- Section 1395ggg: Omitted
- Section 1395hhh: Health care infrastructure improvement program
- Section 1395iii: Medicare Improvement Fund
- Section 1395jjj: Shared savings program
- Section 1395kkk: Repealed. Pub. L. 115–123, div. E, title XI, § 52001(a), Feb. 9, 2018, 132 Stat. 298
- Section 1395kkk–1: Repealed. Pub. L. 115–123, div. E, title XI, § 52001(b)(2), Feb. 9, 2018, 132 Stat. 298
- Section 1395lll: Standardized post-acute care (PAC) assessment data for quality, payment, and discharge planning
- Section 1395: Prohibition against any Federal interference
- Section 1395a: Free choice by patient guaranteed
- Section 1395b: Option to individuals to obtain other health insurance protection
- Section 1395b–1: Incentives for economy while maintaining or improving quality in provision of health services
- Section 1395b–2: Notice of medicare benefits; medicare and medigap information
- Section 1395b–3: Health insurance advisory service for medicare beneficiaries
- Section 1395b–4: Health insurance information, counseling, and assistance grants
- Section 1395b–5: Beneficiary incentive programs
- Section 1395b–6: Medicare Payment Advisory Commission
- Section 1395b–7: Explanation of medicare benefits
- Section 1395b–8: Chronic care improvement
- Section 1395b–9: Provisions relating to administration
- Section 1395b–10: Addressing health care disparities
Subchapter XIX: GRANTS TO STATES FOR MEDICAL ASSISTANCE PROGRAMS
- Section 1396: Medicaid and CHIP Payment and Access Commission
- Section 1396–1: Appropriations
- Section 1396a: State plans for medical assistance
- Section 1396b: Payment to States
- Section 1396b–1: Payment adjustment for health care-acquired conditions
- Section 1396c: Operation of State plans
- Section 1396d: Definitions
- Section 1396e: Enrollment of individuals under group health plans
- Section 1396e–1: Premium assistance
- Section 1396f: Observance of religious beliefs
- Section 1396g: State programs for licensing of administrators of nursing homes
- Section 1396g–1: Required laws relating to medical child support
- Section 1396h: State false claims act requirements for increased State share of recoveries
- Section 1396i: Certification and approval of rural health clinics and intermediate care facilities for mentally retarded
- Section 1396j: Indian Health Service facilities
- Section 1396k: Assignment, enforcement, and collection of rights of payments for medical care; establishment of procedures pursuant to State plan; amounts retained by State
- Section 1396l: Hospital providers of nursing facility services
- Section 1396m: Withholding of Federal share of payments for certain medicare providers
- Section 1396n: Compliance with State plan and payment provisions
- Section 1396o: Use of enrollment fees, premiums, deductions, cost sharing, and similar charges
- Section 1396o–1: State option for alternative premiums and cost sharing
- Section 1396p: Liens, adjustments and recoveries, and transfers of assets
- Section 1396q: Application of provisions of subchapter II relating to subpoenas
- Section 1396r: Requirements for nursing facilities
- Section 1396r–1: Presumptive eligibility for pregnant women
- Section 1396r–1a: Presumptive eligibility for children
- Section 1396r–1b: Presumptive eligibility for certain breast or cervical cancer patients
- Section 1396r–1c: Presumptive eligibility for family planning services
- Section 1396r–2: Information concerning sanctions taken by State licensing authorities against health care practitioners and providers
- Section 1396r–3: Correction and reduction plans for intermediate care facilities for mentally retarded
- Section 1396r–4: Adjustment in payment for inpatient hospital services furnished by disproportionate share hospitals
- Section 1396r–5: Treatment of income and resources for certain institutionalized spouses
- Section 1396r–6: Extension of eligibility for medical assistance
- Section 1396r–7: Repealed. Pub. L. 105–33, title IV, § 4713(a), Aug. 5, 1997, 111 Stat. 509
- Section 1396r–8: Payment for covered outpatient drugs
- Section 1396s: Program for distribution of pediatric vaccines
- Section 1396t: Home and community care for functionally disabled elderly individuals
- Section 1396u: Community supported living arrangements services
- Section 1396u–1: Assuring coverage for certain low-income families
- Section 1396u–2: Provisions relating to managed care
- Section 1396u–3: State coverage of medicare cost-sharing for additional low-income medicare beneficiaries
- Section 1396u–4: Program of all-inclusive care for elderly (PACE)
- Section 1396u–5: Special provisions relating to medicare prescription drug benefit
- Section 1396u–6: Medicaid Integrity Program
- Section 1396u–7: State flexibility in benefit packages
- Section 1396u–8: Health opportunity accounts
- Section 1396v: References to laws directly affecting medicaid program
- Section 1396w: Asset verification through access to information held by financial institutions
- Section 1396w–1: Medicaid Improvement Fund
- Section 1396w–2: Authorization to receive relevant information
- Section 1396w–3: Enrollment simplification and coordination with State health insurance exchanges
- Section 1396w–3a: Requirements relating to qualified prescription drug monitoring programs and prescribing certain controlled substances
- Section 1396w–4: State option to provide coordinated care through a health home for individuals with chronic conditions
- Section 1396w–4a: State option to provide coordinated care through a health home for children with medically complex conditions
- Section 1396w–5: Addressing health care disparities
Subchapter XX: BLOCK GRANTS AND PROGRAMS FOR SOCIAL SERVICES AND ELDER JUSTICE
- Division A: Block Grants to States for Social Services
- Section 1397: Purposes of division; authorization of appropriations
- Section 1397a: Payments to States
- Section 1397b: Allotments
- Section 1397c: State reporting requirements
- Section 1397d: Limitation on use of grants; waiver
- Section 1397e: Administrative and fiscal accountability
- Section 1397f: Additional grants
- Section 1397g: Demonstration projects to address health professions workforce needs
- Section 1397h: Program for early detection of certain medical conditions related to environmental health hazards
- Division B: Elder Justice
- Division C: Social Impact Demonstration Projects
- Section 1397n: Purposes
- Section 1397n–1: Social impact partnership application
- Section 1397n–2: Awarding social impact partnership agreements
- Section 1397n–3: Feasibility study funding
- Section 1397n–4: Evaluations
- Section 1397n–5: Federal Interagency Council on Social Impact Partnerships
- Section 1397n–6: Commission on Social Impact Partnerships
- Section 1397n–7: Limitation on use of funds
- Section 1397n–8: No Federal funding for credit enhancements
- Section 1397n–9: Availability of funds
- Section 1397n–10: Website
- Section 1397n–11: Regulations
- Section 1397n–12: Definitions
- Section 1397n–13: Funding
Subchapter XXI: STATE CHILDREN’S HEALTH INSURANCE PROGRAM
- Section 1397aa: Purpose; State child health plans
- Section 1397bb: General contents of State child health plan; eligibility; outreach
- Section 1397cc: Coverage requirements for children’s health insurance
- Section 1397dd: Allotments
- Section 1397ee: Payments to States
- Section 1397ff: Process for submission, approval, and amendment of State child health plans
- Section 1397gg: Strategic objectives and performance goals; plan administration
- Section 1397hh: Annual reports; evaluations
- Section 1397ii: Miscellaneous provisions
- Section 1397jj: Definitions
- Section 1397kk: Phase-out of coverage for nonpregnant childless adults; conditions for coverage of parents
- Section 1397ll: Optional coverage of targeted low-income pregnant women through a State plan amendment
- Section 1397mm: Grants to improve outreach and enrollment