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2013 US Code
Title 42 - The Public Health and Welfare
Chapter 7 - SOCIAL SECURITY (§§ 301 - 1397mm)
Subchapter XI - GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE SIMPLIFICATION (§§ 1301 - 1320e-2)
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Publication Title | United States Code, 2012 Edition, Supplement 1, Title 42 - THE PUBLIC HEALTH AND WELFARE |
Category | Bills and Statutes |
Collection | United States Code |
SuDoc Class Number | Y 1.2/5: |
Contained Within | Title 42 - THE PUBLIC HEALTH AND WELFARE CHAPTER 7 - SOCIAL SECURITY SUBCHAPTER XI - GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE SIMPLIFICATION |
Contains | sections 1301 to 1320e-2 |
Date | 2013 |
Laws in Effect as of Date | January 16, 2014 |
Positive Law | No |
Disposition | standard |
- Part A - General Provisions (§§ 1301 - 1320b-25)
- 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 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-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-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 (§§ 1320c - 1320c-22)
- 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 (§§ 1320d - 1320d-9)
- 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 (§§ 1320e - 1320e-2)
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