CHAPTER 7 — Social Security
641 sections.
SUBCHAPTER I — GRANTS TO STATES FOR OLD-AGE ASSISTANCE 6 sections
- § 301. — Authorization of appropriations
- § 302. — State old-age plans
- § 303. — Payments to States and certain territories; computation of amount; eligibility of State to receive payment
- § 304. — Stopping payment on deviation from required provisions of plan or failure to comply therewith
- § 305. — Omitted
- § 306. — Definitions
SUBCHAPTER II — FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE BENEFITS 42 sections
- § 401. — Trust Funds
- § 401a. — Omitted
- § 402. — Old-age and survivors insurance benefit payments
- § 403. — Reduction of insurance benefits
- § 404. — Overpayments and underpayments
- § 405. — Evidence, procedure, and certification for payments
- § 405a. — Regulations pertaining to frequency or due dates of payments and reports under voluntary agreements covering State and local employees; effective date
- § 405b. — Reducing identity fraud
- § 406. — Representation of claimants before Commissioner
- § 407. — Assignment of benefits
- § 408. — Penalties
- § 409. — “Wages” defined
- § 410. — Definitions relating to employment
- § 410a. — Transferred
- § 411. — Definitions relating to self-employment
- § 412. — Self-employment income credited to calendar years
- § 413. — Quarter and quarter of coverage
- § 414. — Insured status for purposes of old-age and survivors insurance benefits
- § 415. — Computation of primary insurance amount
- § 416. — Additional definitions
- § 417. — Benefits for veterans
- § 418. — Voluntary agreements for coverage of State and local employees
- § 418a. — Voluntary agreements for coverage of Indian tribal council members
- § 419. — Repealed. Pub. L. 86–778, title I, § 103(j)(1), Sept. 13, 1960, 74 Stat. 937
- § 420. — Disability provisions inapplicable if benefit rights impaired
- § 421. — Disability determinations
- § 422. — Rehabilitation services
- § 423. — Disability insurance benefit payments
- § 424. — Repealed. Pub. L. 85–840, title II, § 206, Aug. 28, 1958, 72 Stat. 1025
- § 424a. — Reduction of disability benefits
- § 425. — Additional rules relating to benefits based on disability
- § 426. — Entitlement to hospital insurance benefits
- § 426–1. — End stage renal disease program
- § 426a. — Transitional provision on eligibility of uninsured individuals for hospital insurance benefits
- § 427. — Transitional insured status for purposes of old-age and survivors benefits
- § 428. — Benefits at age 72 for certain uninsured individuals
- § 429. — Benefits in case of members of uniformed services
- § 430. — Adjustment of contribution and benefit base
- § 431. — Benefits for certain individuals interned by United States during World War II
- § 432. — Processing of tax data
- § 433. — International agreements
- § 434. — Demonstration project authority
SUBCHAPTER III — GRANTS TO STATES FOR UNEMPLOYMENT COMPENSATION ADMINISTRATION 6 sections
SUBCHAPTER IV — GRANTS TO STATES FOR AID AND SERVICES TO NEEDY FAMILIES WITH CHILDREN AND FOR CHILD-WELFARE SERVICES 96 sections
Part A — Block Grants to States for Temporary Assistance for Needy Families 23 sections
- § 601. — Purpose
- § 602. — Eligible States; State plan
- § 603. — Grants to States
- § 603a. — Transferred
- § 604. — Use of grants
- § 604a. — Services provided by charitable, religious, or private organizations
- § 605. — Administrative provisions
- § 606. — Federal loans for State welfare programs
- § 607. — Mandatory work requirements
- § 608. — Prohibitions; requirements
- § 608a. — Fraud under means-tested welfare and public assistance programs
- § 609. — Penalties
- § 610. — Appeal of adverse decision
- § 611. — Data collection and reporting
- § 611a. — State required to provide certain information
- § 612. — Direct funding and administration by Indian tribes
- § 613. — Evaluation of temporary assistance for needy families and related programs
- § 614. — Repealed. Pub. L. 113–235, div. G, title II, § 228(f), Dec. 16, 2014, 128 Stat. 2492
- § 615. — Waivers
- § 616. — Administration
- § 617. — Limitation on Federal authority
- § 618. — Funding for child care
- § 619. — Definitions
Part B — Child and Family Services 26 sections
subpart 1 — stephanie tubbs jones child welfare services program 13 sections
- § 620. — Repealed. Pub. L. 109–288, § 6(a), Sept. 28, 2006, 120 Stat. 1244
- § 621. — Purpose
- § 622. — State plans for child welfare services
- § 623. — Allotments to States
- § 624. — Payment to States
- § 625. — Limitations on authorization of appropriations
- § 626. — Research, training, or demonstration projects
- § 627. — Kinship navigators
- § 628. — Payments to Indian tribal organizations
- § 628a. — Transferred
- § 628b. — National random sample study of child welfare
- § 628c. — Grants to States to enhance collaboration between State child welfare and juvenile justice systems
- § 628d. — Effective implementation of the Indian Child Welfare Act of 1978
subpart 2 — promoting safe and stable families 12 sections
- § 629. — Purpose
- § 629a. — Definitions
- § 629b. — State plans
- § 629c. — Allotments to States
- § 629d. — Payments to States
- § 629e. — Evaluations; research; technical assistance
- § 629f. — Authorization of appropriations; reservation of certain amounts
- § 629g. — Discretionary and targeted grants
- § 629h. — Entitlement funding for State courts to assess and improve handling of proceedings relating to foster care and adoption
- § 629i. — State partnership planning and demonstration grants to support meaningful relationships between foster children and the incarcerated parents of the children
- § 629k. — Reduction of administrative burden
- § 629l. — Public access to State plans
subpart 3 — common provisions 1 sections
Part C — Work Incentive Program for Recipients of Aid Under State Plan Approved Under Part A 3 sections
Part D — Child Support and Establishment of Paternity 26 sections
- § 651. — Authorization of appropriations
- § 652. — Duties of Secretary
- § 653. — Federal Parent Locator Service
- § 653a. — State Directory of New Hires
- § 654. — State plan for child and spousal support
- § 654a. — Automated data processing
- § 654b. — Collection and disbursement of support payments
- § 655. — Payments to States
- § 655a. — Provision for reimbursement of expenses
- § 656. — Support obligation as obligation to State; amount; discharge in bankruptcy
- § 657. — Distribution of collected support
- § 658. — Repealed. Pub. L. 105–200, title II, § 201(f)(1), July 16, 1998, 112 Stat. 657
- § 658a. — Incentive payments to States
- § 659. — Consent by United States to income withholding, garnishment, and similar proceedings for enforcement of child support and alimony obligations
- § 659a. — International support enforcement
- § 660. — Civil action to enforce child support obligations; jurisdiction of district courts
- §§ 661, 662. — Repealed. Pub. L. 104–193, title III, § 362(b)(1), Aug. 22, 1996, 110 Stat. 2246
- § 663. — Use of Federal Parent Locator Service in connection with enforcement or determination of child custody in cases of parental kidnaping of child
- § 664. — Collection of past-due support from Federal tax refunds
- § 665. — Allotments from pay for child and spousal support owed by members of uniformed services on active duty
- § 666. — Requirement of statutorily prescribed procedures to improve effectiveness of child support enforcement
- § 667. — State guidelines for child support awards
- § 668. — Encouragement of States to adopt civil procedure for establishing paternity in contested cases
- § 669. — Collection and reporting of child support enforcement data
- § 669a. — Nonliability for financial institutions providing financial records to State child support enforcement agencies in child support cases
- § 669b. — Grants to States for access and visitation programs
Part E — Federal Payments for Foster Care, Prevention, and Permanency 17 sections
- § 670. — Congressional declaration of purpose; authorization of appropriations
- § 671. — State plan for foster care and adoption assistance
- § 672. — Foster care maintenance payments program
- § 673. — Adoption and guardianship assistance program
- § 673a. — Interstate compacts
- § 673b. — Adoption and legal guardianship incentive payments
- § 673c. — Repealed. Pub. L. 109–239, § 4(c), July 3, 2006, 120 Stat. 512
- § 674. — Payments to States
- § 675. — Definitions
- § 675a. — Additional case plan and case review system requirements
- § 676. — Administration
- § 677. — John H. Chafee Foster Care Program for Successful Transition to Adulthood
- § 678. — Rule of construction
- § 679. — Collection of data relating to adoption and foster care
- § 679a. — National Adoption Information Clearinghouse
- § 679b. — Annual report
- § 679c. — Programs operated by Indian tribal organizations
Part F — Job Opportunities and Basic Skills Training Program 1 sections
SUBCHAPTER V — MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT 20 sections
- § 701. — Authorization of appropriations; purposes; definitions
- § 702. — Allotment to States and Federal set-aside
- § 703. — Payments to States
- § 703a. — Omitted
- § 704. — Use of allotment funds
- § 704a. — Omitted
- § 704b. — Nonavailability of allotments after close of fiscal year
- § 705. — Application for block grant funds
- § 706. — Administrative and fiscal accountability
- § 707. — Criminal penalty for false statements
- § 708. — Nondiscrimination provisions
- § 709. — Administration of Federal and State programs
- § 710. — Sexual risk avoidance education
- § 711. — Maternal, infant, and early childhood home visiting programs
- § 711a. — Emergency assistance to families through home visiting programs
- § 712. — Services to individuals with a postpartum condition and their families
- § 713. — Personal responsibility education
- §§ 714 to 716. — Omitted
- §§ 721 to 728. — Repealed. Pub. L. 90–248, title II, § 240(e)(1), Jan. 2, 1968, 81 Stat. 915
- §§ 729 to 731. — Omitted
SUBCHAPTER VI — CORONAVIRUS RELIEF, FISCAL RECOVERY, AND CRITICAL CAPITAL PROJECTS FUNDS 6 sections
- § 801. — Coronavirus relief fund
- § 802. — Coronavirus State fiscal recovery fund
- § 803. — Coronavirus local fiscal recovery fund
- § 804. — Coronavirus capital projects fund
- § 805. — Local assistance and Tribal consistency fund
- § 806. — Rescission of funds declined by States, territories, or other governmental entities
SUBCHAPTER VII — ADMINISTRATION 16 sections
- § 901. — Social Security Administration
- § 901a. — Repealed. Aug. 28, 1950, ch. 809, title IV, § 401(b), 64 Stat. 558
- § 902. — Commissioner; Deputy Commissioner; other officers
- § 903. — Social Security Advisory Board
- § 904. — Administrative duties of Commissioner
- §§ 905, 905a. — Transferred
- § 906. — Training grants for public welfare personnel
- § 907. — Repealed. Pub. L. 103–296, title I, § 108(a)(2), Aug. 15, 1994, 108 Stat. 1481
- § 907a. — National Commission on Social Security
- § 908. — Omitted
- § 909. — Delivery of benefit checks
- § 910. — Recommendations by Board of Trustees to remedy inadequate balances in Social Security trust funds
- § 911. — Budgetary treatment of trust fund operations
- § 912. — Office of Rural Health Policy
- § 913. — Duties and authority of Secretary
- § 914. — Office of Women’s Health
SUBCHAPTER VIII — SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS 14 sections
- § 1001. — Basic entitlement to benefits
- § 1002. — Qualified individuals
- § 1003. — Residence outside the United States
- § 1004. — Disqualifications
- § 1005. — Benefit amount
- § 1006. — Applications and furnishing of information
- § 1007. — Representative payees
- § 1008. — Overpayments and underpayments
- § 1009. — Hearings and review
- § 1010. — Other administrative provisions
- § 1010a. — Optional Federal administration of State recognition payments
- § 1011. — Penalties for fraud
- § 1012. — Definitions
- § 1013. — Appropriations
SUBCHAPTER IX — EMPLOYMENT SECURITY ADMINISTRATIVE FINANCING 11 sections
- § 1101. — Employment security administration account
- § 1102. — Transfers between Federal unemployment account and employment security administration account
- § 1103. — Amounts transferred to State accounts
- § 1104. — Unemployment Trust Fund
- § 1105. — Extended unemployment compensation account
- § 1106. — Unemployment compensation research program
- § 1107. — Personnel training
- § 1108. — Advisory Council on Unemployment Compensation
- § 1109. — Federal Employees Compensation Account
- § 1110. — Borrowing between Federal accounts
- § 1111. — Data exchange standardization for improved interoperability
SUBCHAPTER X — GRANTS TO STATES FOR AID TO BLIND 7 sections
SUBCHAPTER XI — GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE SIMPLIFICATION 128 sections
Part A — General Provisions 89 sections
- § 1301. — Definitions
- § 1301–1. — Omitted
- § 1301a. — Omitted
- § 1302. — Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals
- § 1303. — Separability
- § 1304. — Reservation of right to amend or repeal
- § 1305. — Short title of chapter
- § 1306. — Disclosure of information in possession of Social Security Administration or Department of Health and Human Services
- § 1306a. — Public access to State disbursement records
- § 1306b. — State data exchanges
- § 1306c. — Restriction on access to the Death Master File
- § 1307. — Penalty for fraud
- § 1308. — Additional grants to Puerto Rico, Virgin Islands, Guam, and American Samoa; limitation on total payments
- § 1309. — Amounts disregarded not to be taken into account in determining eligibility of other individuals
- § 1310. — Cooperative research or demonstration projects
- § 1311. — Public assistance payments to legal representatives
- § 1312. — Medical care guides and reports for public assistance and medical assistance
- § 1313. — Assistance for United States citizens returned from foreign countries
- § 1314. — Public advisory groups
- § 1314a. — Measurement and reporting of welfare receipt
- § 1314b. — National Advisory Committee on the Sex Trafficking of Children and Youth in the United States
- § 1315. — Demonstration projects
- § 1315a. — Center for Medicare and Medicaid Innovation
- § 1315b. — Providing Federal coverage and payment coordination for dual eligible beneficiaries
- § 1316. — Administrative and judicial review of public assistance determinations
- § 1317. — Appointment of the Administrator and Chief Actuary of the Centers for Medicare & Medicaid Services
- § 1318. — Alternative Federal payment with respect to public assistance expenditures
- § 1319. — Federal participation in payments for repairs to home owned by recipient of aid or assistance
- § 1320. — Approval of certain projects
- § 1320a. — Uniform reporting systems for health services facilities and organizations
- § 1320a–1. — Limitation on use of Federal funds for capital expenditures
- § 1320a–1a. — Transferred
- § 1320a–2. — Effect of failure to carry out State plan
- § 1320a–2a. — Reviews of child and family services programs, and of foster care and adoption assistance programs, for conformity with State plan requirements
- § 1320a–3. — Disclosure of ownership and related information; procedure; definitions; scope of requirements
- § 1320a–3a. — Disclosure requirements for other providers under part B of Medicare
- § 1320a–4. — Issuance of subpenas by Comptroller General
- § 1320a–5. — Disclosure by institutions, organizations, and agencies of owners, officers, etc., convicted of offenses related to programs; notification requirements; “managing employee” defined
- § 1320a–6. — Adjustments in SSI benefits on account of retroactive benefits under subchapter II
- § 1320a–6a. — Interagency coordination to improve program administration
- § 1320a–7. — Exclusion of certain individuals and entities from participation in Medicare and State health care programs
- § 1320a–7a. — Civil monetary penalties
- § 1320a–7b. — Criminal penalties for acts involving Federal health care programs
- § 1320a–7c. — Fraud and abuse control program
- § 1320a–7d. — Guidance regarding application of health care fraud and abuse sanctions
- § 1320a–7e. — Health care fraud and abuse data collection program
- § 1320a–7f. — Coordination of medicare and medicaid surety bond provisions
- § 1320a–7g. — Funds to reduce medicaid fraud and abuse
- § 1320a–7h. — Transparency reports and reporting of physician ownership or investment interests
- § 1320a–7i. — Reporting of information relating to drug samples
- § 1320a–7j. — Accountability requirements for facilities
- § 1320a–7k. — Medicare and Medicaid program integrity provisions
- § 1320a–7l. — Nationwide program for national and State background checks on direct patient access employees of long-term care facilities and providers
- § 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
- § 1320a–7n. — Disclosure of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse
- § 1320a–8. — Civil monetary penalties and assessments for subchapters II, VIII and XVI
- § 1320a–8a. — Administrative procedure for imposing penalties for false or misleading statements
- § 1320a–8b. — Attempts to interfere with administration of this chapter
- § 1320a–9. — Demonstration projects
- § 1320a–10. — Effect of failure to carry out State plan
- § 1320b. — Repealed. Pub. L. 93–647, § 3(e)(1), Jan. 4, 1975, 88 Stat. 2349
- § 1320b–1. — Notification of Social Security claimant with respect to deferred vested benefits
- § 1320b–2. — Period within which certain claims must be filed
- § 1320b–3. — Applicants or recipients under public assistance programs not to be required to make election respecting certain veterans’ benefits
- § 1320b–4. — Nonprofit hospital or critical access hospital philanthropy
- § 1320b–5. — Authority to waive requirements during national emergencies
- § 1320b–6. — Exclusion of representatives and health care providers convicted of violations from participation in social security programs
- § 1320b–7. — Income and eligibility verification system
- § 1320b–8. — Hospital protocols for organ procurement and standards for organ procurement agencies
- § 1320b–9. — Improved access to, and delivery of, health care for Indians under subchapters XIX and XXI
- § 1320b–9a. — Child health quality measures
- § 1320b–9b. — Adult health quality measures
- § 1320b–10. — Prohibitions relating to references to Social Security or Medicare
- § 1320b–11. — Blood donor locator service
- § 1320b–12. — Research on outcomes of health care services and procedures
- § 1320b–13. — Social security account statements
- § 1320b–14. — Outreach efforts to increase awareness of the availability of medicare cost-sharing and subsidies for low-income individuals under subchapter XVIII
- § 1320b–15. — Protection of social security and medicare trust funds
- § 1320b–16. — Public disclosure of certain information on hospital financial interest and referral patterns
- § 1320b–17. — Cross-program recovery of overpayments from benefits
- § 1320b–18. — Repealed. Pub. L. 108–203, title II, § 210(b)(3), Mar. 2, 2004, 118 Stat. 517
- § 1320b–19. — The Ticket to Work and Self-Sufficiency Program
- § 1320b–20. — Work incentives outreach program
- § 1320b–21. — State grants for work incentives assistance to disabled beneficiaries
- § 1320b–22. — Grants to develop and establish State infrastructures to support working individuals with disabilities
- § 1320b–23. — Pharmacy benefit managers transparency requirements
- § 1320b–24. — Consultation with Tribal Technical Advisory Group
- § 1320b–25. — Reporting to law enforcement of crimes occurring in federally funded long-term care facilities
- § 1320b–26. — Funding for providers relating to COVID–19
Part B — Peer Review of Utilization and Quality of Health Care Services 17 sections
- § 1320c. — Purpose
- § 1320c–1. — Definition of quality improvement organization
- § 1320c–2. — Contracts with quality improvement organizations
- § 1320c–3. — Functions of quality improvement organizations
- § 1320c–4. — Right to hearing and judicial review
- § 1320c–5. — Obligations of health care practitioners and providers of health care services; sanctions and penalties; hearings and review
- § 1320c–6. — Limitation on liability
- § 1320c–7. — Application of this part to certain State programs receiving Federal financial assistance
- § 1320c–8. — Authorization for use of certain funds to administer provisions of this part
- § 1320c–9. — Prohibition against disclosure of information
- § 1320c–10. — Annual reports
- § 1320c–11. — Exemptions for religious nonmedical health care institutions
- § 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
- § 1320c–13. — Repealed. Pub. L. 103–432, title I, § 156(a)(1), Oct. 31, 1994, 108 Stat. 4440
- §§ 1320c–14 to 1320c–19. — Omitted
- § 1320c–20. — Repealed. Pub. L. 97–35, title XXI, § 2113(k), Aug. 13, 1981, 95 Stat. 795
- §§ 1320c–21, 1320c–22. — Omitted
Part C — Administrative Simplification 10 sections
- § 1320d. — Definitions
- § 1320d–1. — General requirements for adoption of standards
- § 1320d–2. — Standards for information transactions and data elements
- § 1320d–3. — Timetables for adoption of standards
- § 1320d–4. — Requirements
- § 1320d–5. — General penalty for failure to comply with requirements and standards
- § 1320d–6. — Wrongful disclosure of individually identifiable health information
- § 1320d–7. — Effect on State law
- § 1320d–8. — Processing payment transactions by financial institutions
- § 1320d–9. — Application of HIPAA regulations to genetic information
Part D — Comparative Clinical Effectiveness Research 4 sections
Part E — Price Negotiation Program To Lower Prices for Certain High-Priced Single Source Drugs 8 sections
- § 1320f. — Establishment of program
- § 1320f–1. — Selection of negotiation-eligible drugs as selected drugs
- § 1320f–2. — Manufacturer agreements
- § 1320f–3. — Negotiation and renegotiation process
- § 1320f–4. — Publication of maximum fair prices
- § 1320f–5. — Administrative duties and compliance monitoring
- § 1320f–6. — Civil monetary penalties
- § 1320f–7. — Limitation on administrative and judicial review
SUBCHAPTER XII — ADVANCES TO STATE UNEMPLOYMENT FUNDS 4 sections
- § 1321. — Eligibility requirements for transfer of funds; reimbursement by State; application; certification; limitation
- § 1322. — Repayment by State; certification; transfer; interest on loan; credit of interest on loan
- § 1323. — Repayable advances to Federal unemployment account
- § 1324. — “Governor” defined
SUBCHAPTER XIII — RECONVERSION UNEMPLOYMENT BENEFITS FOR SEAMEN 1 sections
SUBCHAPTER XIV — GRANTS TO STATES FOR AID TO PERMANENTLY AND TOTALLY DISABLED 5 sections
SUBCHAPTER XV — UNEMPLOYMENT COMPENSATION FOR FEDERAL EMPLOYEES 3 sections
SUBCHAPTER XVI — SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND DISABLED 23 sections
Part A — Determination of Benefits 12 sections
- § 1382. — Eligibility for benefits
- § 1382a. — Income; earned and unearned income defined; exclusions from income
- § 1382b. — Resources
- § 1382c. — Definitions
- § 1382d. — Rehabilitation services for blind and disabled individuals
- § 1382e. — Supplementary assistance by State or subdivision to needy individuals
- § 1382f. — Cost-of-living adjustments in benefits
- § 1382g. — Payments to State for operation of supplementation program
- § 1382h. — Benefits for individuals who perform substantial gainful activity despite severe medical impairment
- § 1382i. — Medical and social services for certain handicapped persons
- § 1382j. — Attribution of sponsor’s income and resources to aliens
- § 1382k. — Repealed. Pub. L. 97–123, § 2(h), Dec. 29, 1981, 95 Stat. 1661
Part B — Procedural and General Provisions 9 sections
- § 1383. — Procedure for payment of benefits
- § 1383a. — Penalties for fraud
- § 1383b. — Administration
- § 1383c. — Eligibility for medical assistance of aged, blind, or disabled individuals under State’s medical assistance plan
- § 1383d. — Outreach program for children
- § 1383e. — Treatment referrals for individuals with alcoholism or drug addiction condition
- § 1383f. — Annual report on program
- § 1384. — Omitted
- § 1385. — Omitted
SUBCHAPTER XVII — GRANTS FOR PLANNING COMPREHENSIVE ACTION TO COMBAT MENTAL RETARDATION 4 sections
- § 1391. — Authorization of appropriations
- § 1392. — Availability of funds during certain fiscal years; limitation on amount; utilization of grant
- § 1393. — Applications; single State agency designation; essential planning services; plans for expenditure; final activities report and other necessary reports; records; accounting
- § 1394. — Payments to States; adjustments; advances or reimbursement; installments; conditions
SUBCHAPTER XVIII — HEALTH INSURANCE FOR AGED AND DISABLED 141 sections
Part A — Hospital Insurance Benefits for Aged and Disabled 16 sections
- § 1395c. — Description of program
- § 1395d. — Scope of benefits
- § 1395e. — Deductibles and coinsurance
- § 1395f. — Conditions of and limitations on payment for services
- § 1395g. — Payments to providers of services
- § 1395h. — Provisions relating to the administration of part A
- § 1395i. — Federal Hospital Insurance Trust Fund
- § 1395i–1. — Authorization of appropriations
- § 1395i–1a. — Repealed. Pub. L. 101–234, title I, § 102(a), Dec. 13, 1989, 103 Stat. 1980
- § 1395i–2. — Hospital insurance benefits for uninsured elderly individuals not otherwise eligible
- § 1395i–2a. — Hospital insurance benefits for disabled individuals who have exhausted other entitlement
- § 1395i–3. — Requirements for, and assuring quality of care in, skilled nursing facilities
- § 1395i–3a. — Protecting residents of long-term care facilities
- § 1395i–4. — Medicare rural hospital flexibility program
- § 1395i–5. — Conditions for coverage of religious nonmedical health care institutional services
- § 1395i–6. — Hospice program survey and enforcement procedures
Part B — Supplementary Medical Insurance Benefits for Aged and Disabled 24 sections
- § 1395j. — Establishment of supplementary medical insurance program for aged and disabled
- § 1395k. — Scope of benefits; definitions
- § 1395l. — Payment of benefits
- § 1395m. — Special payment rules for particular items and services
- § 1395m–1. — Improving policies for clinical diagnostic laboratory tests
- § 1395n. — Procedure for payment of claims of providers of services
- § 1395o. — Eligible individuals
- § 1395p. — Enrollment periods
- § 1395q. — Coverage period
- § 1395r. — Amount of premiums for individuals enrolled under this part
- § 1395s. — Payment of premiums
- § 1395t. — Federal Supplementary Medical Insurance Trust Fund
- §§ 1395t–1, 1395t–2. — Repealed. Pub. L. 101–234, title II, § 202(a), Dec. 13, 1989, 103 Stat. 1981
- § 1395u. — Provisions relating to the administration of part B
- § 1395v. — Agreements with States
- § 1395w. — Appropriations to cover Government contributions and contingency reserve
- § 1395w–1. — Repealed. Pub. L. 105–33, title IV, § 4022(b)(2)(A), Aug. 5, 1997, 111 Stat. 354
- § 1395w–2. — Intermediate sanctions for providers or suppliers of clinical diagnostic laboratory tests
- § 1395w–3. — Competitive acquisition of certain items and services
- § 1395w–3a. — Use of average sales price payment methodology
- § 1395w–3b. — Competitive acquisition of outpatient drugs and biologicals
- § 1395w–4. — Payment for physicians’ services
- § 1395w–5. — Public reporting of performance information
- § 1395w–6. — Empowering beneficiary choices through continued access to information on physicians’ services
Part C — Medicare+Choice Program 10 sections
- § 1395w–21. — Eligibility, election, and enrollment
- § 1395w–22. — Benefits and beneficiary protections
- § 1395w–23. — Payments to Medicare+Choice organizations
- § 1395w–24. — Premiums and bid amounts
- § 1395w–25. — Organizational and financial requirements for Medicare+Choice organizations; provider-sponsored organizations
- § 1395w–26. — Establishment of standards
- § 1395w–27. — Contracts with Medicare+Choice organizations
- § 1395w–27a. — Special rules for MA regional plans
- § 1395w–28. — Definitions; miscellaneous provisions
- § 1395w–29. — Repealed. Pub. L. 111–152, title I, § 1102(f), Mar. 30, 2010, 124 Stat. 1046
Part D — Voluntary Prescription Drug Benefit Program 23 sections
subpart 1 — part d eligible individuals and prescription drug benefits 4 sections
subpart 2 — prescription drug plans; pdp sponsors; financing 10 sections
- § 1395w–111. — PDP regions; submission of bids; plan approval
- § 1395w–112. — Requirements for and contracts with prescription drug plan (PDP) sponsors
- § 1395w–113. — Premiums; late enrollment penalty
- § 1395w–114. — Premium and cost-sharing subsidies for low-income individuals
- § 1395w–114a. — Medicare coverage gap discount program
- § 1395w–114b. — Manufacturer rebate for certain drugs with prices increasing faster than inflation
- § 1395w–114c. — Manufacturer discount program
- § 1395w–114d. — Selected drug subsidy program
- § 1395w–115. — Subsidies for part D eligible individuals for qualified prescription drug coverage
- § 1395w–116. — Medicare 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 4 sections
subpart 4 — medicare prescription drug discount card and transitional assistance program 1 sections
subpart 5 — definitions and miscellaneous provisions 4 sections
Part E — Miscellaneous Provisions 55 sections
- § 1395x. — Definitions
- § 1395y. — Exclusions from coverage and medicare as secondary payer
- § 1395z. — Consultation with State agencies and other organizations to develop conditions of participation for providers of services
- § 1395aa. — Agreements with States
- § 1395bb. — Effect of accreditation
- § 1395cc. — Agreements with providers of services; enrollment processes
- § 1395cc–1. — Demonstration of application of physician volume increases to group practices
- § 1395cc–2. — Provisions for administration of demonstration program
- § 1395cc–3. — Health care quality demonstration program
- § 1395cc–4. — National pilot program on payment bundling
- § 1395cc–5. — Independence at home medical practice demonstration program
- § 1395cc–6. — Opioid use disorder treatment demonstration program
- § 1395cc–7. — Extension of Acute Hospital Care at Home initiative
- § 1395dd. — Examination and treatment for emergency medical conditions and women in labor
- § 1395ee. — Practicing Physicians Advisory Council; Council for Technology and Innovation
- § 1395ff. — Determinations; appeals
- § 1395gg. — Overpayment on behalf of individuals and settlement of claims for benefits on behalf of deceased individuals
- § 1395hh. — Regulations
- § 1395ii. — Application of certain provisions of subchapter II
- § 1395jj. — Designation of organization or publication by name
- § 1395kk. — Administration of insurance programs
- § 1395kk–1. — Contracts with medicare administrative contractors
- § 1395kk–2. — Expanding availability of Medicare data
- § 1395ll. — Studies and recommendations
- § 1395mm. — Payments to health maintenance organizations and competitive medical plans
- § 1395nn. — Limitation on certain physician referrals
- § 1395oo. — Provider Reimbursement Review Board
- § 1395pp. — Limitation on liability where claims are disallowed
- § 1395qq. — Indian Health Service facilities
- § 1395rr. — End stage renal disease program
- § 1395rr–1. — Medicare coverage for individuals exposed to environmental health hazards
- § 1395ss. — Certification of medicare supplemental health insurance policies
- § 1395ss–1. — Clarification
- § 1395tt. — Hospital providers of extended care services
- § 1395uu. — Payments to promote closing or conversion of underutilized hospital facilities
- § 1395vv. — Withholding payments from certain medicaid providers
- § 1395ww. — Payments to hospitals for inpatient hospital services
- § 1395xx. — Payment of provider-based physicians and payment under certain percentage arrangements
- § 1395yy. — Payment to skilled nursing facilities for routine service costs
- § 1395zz. — Provider education and technical assistance
- § 1395aaa. — Contract with a consensus-based entity regarding performance measurement
- § 1395aaa–1. — Quality and efficiency measurement
- § 1395bbb. — Conditions of participation for home health agencies; home health quality
- § 1395ccc. — Offset of payments to individuals to collect past-due obligations arising from breach of scholarship and loan contract
- § 1395ddd. — Medicare Integrity Program
- § 1395eee. — Payments to, and coverage of benefits under, programs of all-inclusive care for elderly (PACE)
- § 1395fff. — Prospective payment for home health services
- § 1395ggg. — Omitted
- § 1395hhh. — Health care infrastructure improvement program
- § 1395iii. — Medicare Improvement Fund
- § 1395jjj. — Shared savings program
- § 1395kkk. — Repealed. Pub. L. 115–123, div. E, title XI, § 52001(a), Feb. 9, 2018, 132 Stat. 298
- § 1395kkk–1. — Repealed. Pub. L. 115–123, div. E, title XI, § 52001(b)(2), Feb. 9, 2018, 132 Stat. 298
- § 1395lll. — Standardized post-acute care (PAC) assessment data for quality, payment, and discharge planning
- § 1395mmm. — Limiting Medicare coverage of certain individuals
SUBCHAPTER XIX — GRANTS TO STATES FOR MEDICAL ASSISTANCE PROGRAMS 58 sections
- § 1396. — Medicaid and CHIP Payment and Access Commission
- § 1396–1. — Appropriations
- § 1396a. — State plans for medical assistance
- § 1396b. — Payment to States
- § 1396b–1. — Payment adjustment for health care-acquired conditions
- § 1396c. — Operation of State plans
- § 1396d. — Definitions
- § 1396e. — Enrollment of individuals under group health plans
- § 1396e–1. — Premium assistance
- § 1396f. — Observance of religious beliefs
- § 1396g. — State programs for licensing of administrators of nursing homes
- § 1396g–1. — Required laws relating to medical child support
- § 1396h. — State false claims act requirements for increased State share of recoveries
- § 1396i. — Certification and approval of rural health clinics and intermediate care facilities for mentally retarded
- § 1396j. — Indian Health Service facilities
- § 1396k. — Assignment, enforcement, and collection of rights of payments for medical care; establishment of procedures pursuant to State plan; amounts retained by State
- § 1396l. — Hospital providers of nursing facility services
- § 1396m. — Withholding of Federal share of payments for certain medicare providers
- § 1396n. — Compliance with State plan and payment provisions
- § 1396o. — Use of enrollment fees, premiums, deductions, cost sharing, and similar charges
- § 1396o–1. — State option for alternative premiums and cost sharing
- § 1396p. — Liens, adjustments and recoveries, and transfers of assets
- § 1396q. — Application of provisions of subchapter II relating to subpoenas
- § 1396r. — Requirements for nursing facilities
- § 1396r–1. — Presumptive eligibility for pregnant women
- § 1396r–1a. — Presumptive eligibility for children
- § 1396r–1b. — Presumptive eligibility for certain breast or cervical cancer patients
- § 1396r–1c. — Presumptive eligibility for family planning services
- § 1396r–2. — Information concerning sanctions taken by State licensing authorities against health care practitioners and providers
- § 1396r–3. — Correction and reduction plans for intermediate care facilities for mentally retarded
- § 1396r–4. — Adjustment in payment for inpatient hospital services furnished by disproportionate share hospitals
- § 1396r–5. — Treatment of income and resources for certain institutionalized spouses
- § 1396r–6. — Extension of eligibility for medical assistance
- § 1396r–7. — Repealed. Pub. L. 105–33, title IV, § 4713(a), Aug. 5, 1997, 111 Stat. 509
- § 1396r–8. — Payment for covered outpatient drugs
- § 1396s. — Program for distribution of pediatric vaccines
- § 1396t. — Home and community care for functionally disabled elderly individuals
- § 1396u. — Community supported living arrangements services
- § 1396u–1. — Assuring coverage for certain low-income families
- § 1396u–2. — Provisions relating to managed care
- § 1396u–3. — State coverage of medicare cost-sharing for additional low-income medicare beneficiaries
- § 1396u–4. — Program of all-inclusive care for elderly (PACE)
- § 1396u–5. — Special provisions relating to medicare prescription drug benefit
- § 1396u–6. — Medicaid Integrity Program
- § 1396u–7. — State flexibility in benefit packages
- § 1396u–8. — Health opportunity accounts
- § 1396v. — References to laws directly affecting medicaid program
- § 1396w. — Asset verification through access to information held by financial institutions
- § 1396w–1. — Medicaid Improvement Fund
- § 1396w–2. — Authorization to receive relevant information
- § 1396w–3. — Enrollment simplification and coordination with State health insurance exchanges
- § 1396w–3a. — Requirements relating to qualified prescription drug monitoring programs and prescribing certain controlled substances
- § 1396w–4. — State option to provide coordinated care through a health home for individuals with chronic conditions
- § 1396w–4a. — State option to provide coordinated care through a health home for children with medically complex conditions
- § 1396w–5. — Addressing health care disparities
- § 1396w–6. — State option to provide qualifying community-based mobile crisis intervention services
- § 1396w–7. — Supporting access to a continuum of crisis response services under Medicaid and CHIP
- § 1396w–8. — Collection and reporting of comprehensive data for specified populations
SUBCHAPTER XX — BLOCK GRANTS AND PROGRAMS FOR SOCIAL SERVICES AND ELDER JUSTICE 0 sections
SUBCHAPTER XXI — STATE CHILDREN’S HEALTH INSURANCE PROGRAM 13 sections
- § 1397aa. — Purpose; State child health plans
- § 1397bb. — General contents of State child health plan; eligibility; outreach
- § 1397cc. — Coverage requirements for children’s health insurance
- § 1397dd. — Allotments
- § 1397ee. — Payments to States
- § 1397ff. — Process for submission, approval, and amendment of State child health plans
- § 1397gg. — Strategic objectives and performance goals; plan administration
- § 1397hh. — Annual reports; evaluations
- § 1397ii. — Miscellaneous provisions
- § 1397jj. — Definitions
- § 1397kk. — Phase-out of coverage for nonpregnant childless adults; conditions for coverage of parents
- § 1397ll. — Optional coverage of targeted low-income pregnant women through a State plan amendment
- § 1397mm. — Grants to improve outreach and enrollment