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2018 US Code
Title 42 - The Public Health and Welfare
Chapter 7 - Social Security
Subchapter XI - General Provisions, Peer Review, and Administrative Simplification
| Publication Title | United States Code, 2018 Edition, 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-3 |
| Date | 2018 |
| Laws In Effect As Of Date | January 14, 2019 |
| Positive Law | No |
| Disposition | standard |
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Part A - General Provisions
(Sections 1301 - 1320b-25)
- Sec. 1301 - Definitions
- Sec. 1301-1 - Omitted
- Sec. 1301a - Omitted
- Sec. 1302 - Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals
- Sec. 1303 - Separability
- Sec. 1304 - Reservation of right to amend or repeal
- Sec. 1305 - Short title of chapter
- Sec. 1306 - Disclosure of information in possession of Social Security Administration or Department of Health and Human Services
- Sec. 1306a - Public access to State disbursement records
- Sec. 1306b - State data exchanges
- Sec. 1306c - Restriction on access to the Death Master File
- Sec. 1307 - Penalty for fraud
- Sec. 1308 - Additional grants to Puerto Rico, Virgin Islands, Guam, and American Samoa; limitation on total payments
- Sec. 1309 - Amounts disregarded not to be taken into account in determining eligibility of other individuals
- Sec. 1310 - Cooperative research or demonstration projects
- Sec. 1311 - Public assistance payments to legal representatives
- Sec. 1312 - Medical care guides and reports for public assistance and medical assistance
- Sec. 1313 - Assistance for United States citizens returned from foreign countries
- Sec. 1314 - Public advisory groups
- Sec. 1314a - Measurement and reporting of welfare receipt
- Sec. 1314b - National Advisory Committee on the Sex Trafficking of Children and Youth in the United States
- Sec. 1315 - Demonstration projects
- Sec. 1315a - Center for Medicare and Medicaid Innovation
- Sec. 1315b - Providing Federal coverage and payment coordination for dual eligible beneficiaries
- Sec. 1316 - Administrative and judicial review of public assistance determinations
- Sec. 1317 - Appointment of the Administrator and Chief Actuary of the Centers for Medicare & Medicaid Services
- Sec. 1318 - Alternative Federal payment with respect to public assistance expenditures
- Sec. 1319 - Federal participation in payments for repairs to home owned by recipient of aid or assistance
- Sec. 1320 - Approval of certain projects
- Sec. 1320a - Uniform reporting systems for health services facilities and organizations
- Sec. 1320a-1 - Limitation on use of Federal funds for capital expenditures
- Sec. 1320a-1a - Transferred
- Sec. 1320a-2 - Effect of failure to carry out State plan
- Sec. 1320a-2a - Reviews of child and family services programs, and of foster care and adoption assistance programs, for conformity with State plan requirements
- Sec. 1320a-3 - Disclosure of ownership and related information; procedure; definitions; scope of requirements
- Sec. 1320a-3a - Disclosure requirements for other providers under part B of Medicare
- Sec. 1320a-4 - Issuance of subpenas by Comptroller General
- Sec. 1320a-5 - Disclosure by institutions, organizations, and agencies of owners, officers, etc., convicted of offenses related to programs; notification requirements; "managing employee" defined
- Sec. 1320a-6 - Adjustments in SSI benefits on account of retroactive benefits under subchapter II
- Sec. 1320a-6a - Interagency coordination to improve program administration
- Sec. 1320a-7 - Exclusion of certain individuals and entities from participation in Medicare and State health care programs
- Sec. 1320a-7a - Civil monetary penalties
- Sec. 1320a-7b - Criminal penalties for acts involving Federal health care programs
- Sec. 1320a-7c - Fraud and abuse control program
- Sec. 1320a-7d - Guidance regarding application of health care fraud and abuse sanctions
- Sec. 1320a-7e - Health care fraud and abuse data collection program
- Sec. 1320a-7f - Coordination of medicare and medicaid surety bond provisions
- Sec. 1320a-7g - Funds to reduce medicaid fraud and abuse
- Sec. 1320a-7h - Transparency reports and reporting of physician ownership or investment interests
- Sec. 1320a-7i - Reporting of information relating to drug samples
- Sec. 1320a-7j - Accountability requirements for facilities
- Sec. 1320a-7k - Medicare and Medicaid program integrity provisions
- Sec. 1320a-7l - Nationwide program for national and State background checks on direct patient access employees of long-term care facilities and providers
- Sec. 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
- Sec. 1320a-7n - Disclosure of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse
- Sec. 1320a-8 - Civil monetary penalties and assessments for subchapters II, VIII and XVI
- Sec. 1320a-8a - Administrative procedure for imposing penalties for false or misleading statements
- Sec. 1320a-8b - Attempts to interfere with administration of this chapter
- Sec. 1320a-9 - Demonstration projects
- Sec. 1320a-10 - Effect of failure to carry out State plan
- Sec. 1320b - Repealed. Pub. L. 93-647, §3(e)(1), Jan. 4, 1975, 88 Stat. 2349
- Sec. 1320b-1 - Notification of Social Security claimant with respect to deferred vested benefits
- Sec. 1320b-2 - Period within which certain claims must be filed
- Sec. 1320b-3 - Applicants or recipients under public assistance programs not to be required to make election respecting certain veterans' benefits
- Sec. 1320b-4 - Nonprofit hospital or critical access hospital philanthropy
- Sec. 1320b-5 - Authority to waive requirements during national emergencies
- Sec. 1320b-6 - Exclusion of representatives and health care providers convicted of violations from participation in social security programs
- Sec. 1320b-7 - Income and eligibility verification system
- Sec. 1320b-8 - Hospital protocols for organ procurement and standards for organ procurement agencies
- Sec. 1320b-9 - Improved access to, and delivery of, health care for Indians under subchapters XIX and XXI
- Sec. 1320b-9a - Child health quality measures
- Sec. 1320b-9b - Adult health quality measures
- Sec. 1320b-10 - Prohibitions relating to references to Social Security or Medicare
- Sec. 1320b-11 - Blood donor locator service
- Sec. 1320b-12 - Research on outcomes of health care services and procedures
- Sec. 1320b-13 - Social security account statements
- Sec. 1320b-14 - Outreach efforts to increase awareness of the availability of medicare cost-sharing and subsidies for low-income individuals under subchapter XVIII
- Sec. 1320b-15 - Protection of social security and medicare trust funds
- Sec. 1320b-16 - Public disclosure of certain information on hospital financial interest and referral patterns
- Sec. 1320b-17 - Cross-program recovery of overpayments from benefits
- Sec. 1320b-18 - Repealed. Pub. L. 108-203, title II, §210(b)(3), Mar. 2, 2004, 118 Stat. 517
- Sec. 1320b-19 - The Ticket to Work and Self-Sufficiency Program
- Sec. 1320b-20 - Work incentives outreach program
- Sec. 1320b-21 - State grants for work incentives assistance to disabled beneficiaries
- Sec. 1320b-22 - Grants to develop and establish State infrastructures to support working individuals with disabilities
- Sec. 1320b-23 - Pharmacy benefit managers transparency requirements
- Sec. 1320b-24 - Consultation with Tribal Technical Advisory Group
- Sec. 1320b-25 - Reporting to law enforcement of crimes occurring in federally funded long-term care facilities
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Part B - Peer Review of Utilization and Quality of Health Care Services
(Sections 1320c - 1320c-22)
- Sec. 1320c - Purpose
- Sec. 1320c-1 - Definition of quality improvement organization
- Sec. 1320c-2 - Contracts with quality improvement organizations
- Sec. 1320c-3 - Functions of quality improvement organizations
- Sec. 1320c-4 - Right to hearing and judicial review
- Sec. 1320c-5 - Obligations of health care practitioners and providers of health care services; sanctions and penalties; hearings and review
- Sec. 1320c-6 - Limitation on liability
- Sec. 1320c-7 - Application of this part to certain State programs receiving Federal financial assistance
- Sec. 1320c-8 - Authorization for use of certain funds to administer provisions of this part
- Sec. 1320c-9 - Prohibition against disclosure of information
- Sec. 1320c-10 - Annual reports
- Sec. 1320c-11 - Exemptions for religious nonmedical health care institutions
- Sec. 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
- Sec. 1320c-13 - Repealed. Pub. L. 103-432, title I, §156(a)(1), Oct. 31, 1994, 108 Stat. 4440
- Secs. 1320c-14 to 1320c-19 - Omitted
- Sec. 1320c-20 - Repealed. Pub. L. 97-35, title XXI, §2113(k), Aug. 13, 1981, 95 Stat. 795
- Secs. 1320c-21, 1320c-22 - Omitted
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Part C - Administrative Simplification
(Sections 1320d - 1320d-9)
- Sec. 1320d - Definitions
- Sec. 1320d-1 - General requirements for adoption of standards
- Sec. 1320d-2 - Standards for information transactions and data elements
- Sec. 1320d-3 - Timetables for adoption of standards
- Sec. 1320d-4 - Requirements
- Sec. 1320d-5 - General penalty for failure to comply with requirements and standards
- Sec. 1320d-6 - Wrongful disclosure of individually identifiable health information
- Sec. 1320d-7 - Effect on State law
- Sec. 1320d-8 - Processing payment transactions by financial institutions
- Sec. 1320d-9 - Application of HIPAA regulations to genetic information
- + Part D - Comparative Clinical Effectiveness Research (Sections 1320e - 1320e-3)
Disclaimer: These codes may not be the most recent version. United States may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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