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2014 US Code
Title 42 - The Public Health and Welfare (Sections 1 - 18445)
Chapter 7 - Social Security (Sections 301 - 1397mm)
Subchapter XVIII - Health Insurance for Aged and Disabled (Sections 1395 - 1395lll)
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Metadata
Publication Title | United States Code, 2012 Edition, Supplement 2, 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 XVIII - HEALTH INSURANCE FOR AGED AND DISABLED |
Contains | sections 1395 to 1395lll |
Date | 2014 |
Laws In Effect As Of Date | January 5, 2015 |
Positive Law | No |
Disposition | standard |
- Sec. 1395 - Prohibition against any Federal interference
- Sec. 1395a - Free choice by patient guaranteed
- Sec. 1395b - Option to individuals to obtain other health insurance protection
- Sec. 1395b-1 - Incentives for economy while maintaining or improving quality in provision of health services
- Sec. 1395b-2 - Notice of medicare benefits; medicare and medigap information
- Sec. 1395b-3 - Health insurance advisory service for medicare beneficiaries
- Sec. 1395b-4 - Health insurance information, counseling, and assistance grants
- Sec. 1395b-5 - Beneficiary incentive programs
- Sec. 1395b-6 - Medicare Payment Advisory Commission
- Sec. 1395b-7 - Explanation of medicare benefits
- Sec. 1395b-8 - Chronic care improvement
- Sec. 1395b-9 - Provisions relating to administration
- Sec. 1395b-10 - Addressing health care disparities
- Part A - Hospital Insurance Benefits for Aged and Disabled (Sections 1395c - 1395i-5)
- Sec. 1395c - Description of program
- Sec. 1395d - Scope of benefits
- Sec. 1395e - Deductibles and coinsurance
- Sec. 1395f - Conditions of and limitations on payment for services
- Sec. 1395g - Payments to providers of services
- Sec. 1395h - Provisions relating to the administration of part A
- Sec. 1395i - Federal Hospital Insurance Trust Fund
- Sec. 1395i-1 - Authorization of appropriations
- Sec. 1395i-1a - Repealed. Pub. L. 101-234, title I, §102(a), Dec. 13, 1989, 103 Stat. 1980
- Sec. 1395i-2 - Hospital insurance benefits for uninsured elderly individuals not otherwise eligible
- Sec. 1395i-2a - Hospital insurance benefits for disabled individuals who have exhausted other entitlement
- Sec. 1395i-3 - Requirements for, and assuring quality of care in, skilled nursing facilities
- Sec. 1395i-3a - Protecting residents of long-term care facilities
- Sec. 1395i-4 - Medicare rural hospital flexibility program
- Sec. 1395i-5 - Conditions for coverage of religious nonmedical health care institutional services
- Part B - Supplementary Medical Insurance Benefits for Aged and Disabled (Sections 1395j - 1395w-5)
- Sec. 1395j - Establishment of supplementary medical insurance program for aged and disabled
- Sec. 1395k - Scope of benefits; definitions
- Sec. 1395l - Payment of benefits
- Sec. 1395m - Special payment rules for particular items and services
- Sec. 1395m-1 - Improving policies for clinical diagnostic laboratory tests
- Sec. 1395n - Procedure for payment of claims of providers of services
- Sec. 1395o - Eligible individuals
- Sec. 1395p - Enrollment periods
- Sec. 1395q - Coverage period
- Sec. 1395r - Amount of premiums for individuals enrolled under this part
- Sec. 1395s - Payment of premiums
- Sec. 1395t - Federal Supplementary Medical Insurance Trust Fund
- Secs. 1395t-1, 1395t-2 - Repealed. Pub. L. 101-234, title II, §202(a), Dec. 13, 1989, 103 Stat. 1981
- Sec. 1395u - Provisions relating to the administration of part B
- Sec. 1395v - Agreements with States
- Sec. 1395w - Appropriations to cover Government contributions and contingency reserve
- Sec. 1395w-1 - Repealed. Pub. L. 105-33, title IV, §4022(b)(2)(A), Aug. 5, 1997, 111 Stat. 354
- Sec. 1395w-2 - Intermediate sanctions for providers or suppliers of clinical diagnostic laboratory tests
- Sec. 1395w-3 - Competitive acquisition of certain items and services
- Sec. 1395w-3a - Use of average sales price payment methodology
- Sec. 1395w-3b - Competitive acquisition of outpatient drugs and biologicals
- Sec. 1395w-4 - Payment for physicians' services
- Sec. 1395w-5 - Public reporting of performance information
- Part C - Medicare+choice Program (Sections 1395w-21 - 1395w-29)
- Sec. 1395w-21 - Eligibility, election, and enrollment
- Sec. 1395w-22 - Benefits and beneficiary protections
- Sec. 1395w-23 - Payments to Medicare+Choice organizations
- Sec. 1395w-24 - Premiums and bid amounts
- Sec. 1395w-25 - Organizational and financial requirements for Medicare+Choice organizations; provider-sponsored organizations
- Sec. 1395w-26 - Establishment of standards
- Sec. 1395w-27 - Contracts with Medicare+Choice organizations
- Sec. 1395w-27a - Special rules for MA regional plans
- Sec. 1395w-28 - Definitions; miscellaneous provisions
- Sec. 1395w-29 - Repealed. Pub. L. 111-152, title I, §1102(f), Mar. 30, 2010, 124 Stat. 1046
- Part D - Voluntary Prescription Drug Benefit Program (Sections 1395w-101 - 1395w-154)
- Subpart 1 - Part D Eligible Individuals and Prescription Drug Benefits (Sections 1395w-101 - 1395w-104)
- Subpart 2 - Prescription Drug Plans; PDP Sponsors; Financing (Sections 1395w-111 - 1395w-116)
- Subpart 3 - Application to Medicare Advantage Program and Treatment of Employer-Sponsored Programs and Other Prescription Drug Plans (Sections 1395w-131 - 1395w-134)
- Subpart 4 - Medicare Prescription Drug Discount Card and Transitional Assistance Program (Sections 1395w-141 - 1395w-141)
- Subpart 5 - Definitions and Miscellaneous Provisions (Sections 1395w-151 - 1395w-154)
- Part E - Miscellaneous Provisions (Sections 1395x - 1395lll)
- Sec. 1395x - Definitions
- Sec. 1395y - Exclusions from coverage and medicare as secondary payer
- Sec. 1395z - Consultation with State agencies and other organizations to develop conditions of participation for providers of services
- Sec. 1395aa - Agreements with States
- Sec. 1395bb - Effect of accreditation
- Sec. 1395cc - Agreements with providers of services; enrollment processes
- Sec. 1395cc-1 - Demonstration of application of physician volume increases to group practices
- Sec. 1395cc-2 - Provisions for administration of demonstration program
- Sec. 1395cc-3 - Health care quality demonstration program
- Sec. 1395cc-4 - National pilot program on payment bundling
- Sec. 1395cc-5 - Independence at home medical practice demonstration program
- Sec. 1395dd - Examination and treatment for emergency medical conditions and women in labor
- Sec. 1395ee - Practicing Physicians Advisory Council; Council for Technology and Innovation
- Sec. 1395ff - Determinations; appeals
- Sec. 1395gg - Overpayment on behalf of individuals and settlement of claims for benefits on behalf of deceased individuals
- Sec. 1395hh - Regulations
- Sec. 1395ii - Application of certain provisions of subchapter II
- Sec. 1395jj - Designation of organization or publication by name
- Sec. 1395kk - Administration of insurance programs
- Sec. 1395kk-1 - Contracts with medicare administrative contractors
- Sec. 1395ll - Studies and recommendations
- Sec. 1395mm - Payments to health maintenance organizations and competitive medical plans
- Sec. 1395nn - Limitation on certain physician referrals
- Sec. 1395oo - Provider Reimbursement Review Board
- Sec. 1395pp - Limitation on liability where claims are disallowed
- Sec. 1395qq - Indian Health Service facilities
- Sec. 1395rr - End stage renal disease program
- Sec. 1395rr-1 - Medicare coverage for individuals exposed to environmental health hazards
- Sec. 1395ss - Certification of medicare supplemental health insurance policies
- Sec. 1395ss-1 - Clarification
- Sec. 1395tt - Hospital providers of extended care services
- Sec. 1395uu - Payments to promote closing or conversion of underutilized hospital facilities
- Sec. 1395vv - Withholding payments from certain medicaid providers
- Sec. 1395ww - Payments to hospitals for inpatient hospital services
- Sec. 1395xx - Payment of provider-based physicians and payment under certain percentage arrangements
- Sec. 1395yy - Payment to skilled nursing facilities for routine service costs
- Sec. 1395zz - Provider education and technical assistance
- Sec. 1395aaa - Contract with a consensus-based entity regarding performance measurement
- Sec. 1395aaa-1 - Quality and efficiency measurement
- Sec. 1395bbb - Conditions of participation for home health agencies; home health quality
- Sec. 1395ccc - Offset of payments to individuals to collect past-due obligations arising from breach of scholarship and loan contract
- Sec. 1395ddd - Medicare Integrity Program
- Sec. 1395eee - Payments to, and coverage of benefits under, programs of all-inclusive care for elderly (PACE)
- Sec. 1395fff - Prospective payment for home health services
- Sec. 1395ggg - Omitted
- Sec. 1395hhh - Health care infrastructure improvement program
- Sec. 1395iii - Medicare Improvement Fund
- Sec. 1395jjj - Shared savings program
- Sec. 1395kkk - Independent Payment Advisory Board
- Sec. 1395kkk-1 - GAO study and report on determination and implementation of payment and coverage policies under the Medicare program
- Sec. 1395lll - Standardized post-acute care (PAC) assessment data for quality, payment, and discharge planning
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