Federal · Title 42 — Public Health and Welfare

42 U.S.C. § 426a: Transitional provision on eligibility of uninsured individuals for hospital insurance benefits

Civil

What this law says, in plain English

This statute establishes eligibility criteria for uninsured individuals aged 65 and older to receive hospital insurance benefits, including residency, citizenship, and coverage history requirements.

Read the full statutory text
has attained the age of 65, attained such age before 1968, or (B) has not less than 3 quarters of coverage (as defined in this subchapter or section 228e( l ) of title 45), whenever acquired, for each calendar year elapsing after 1966 and before the year in which he attained such age, is not, and upon filing application for monthly insurance benefits under section 402 of this title would not be, entitled to hospital insurance benefits under section 426 of this title , and is not certifiable as a qualified railroad retirement beneficiary under section 228s–2 of title 45 , is a resident of the United States (as defined in section 410(i) of this title ), and is (A) a citizen of the United States or (B) an alien lawfully admitted for permanent residence who has resided in the United States (as so defined) continuously during the 5 years immediately preceding the month in which he files application under this section, and has filed an application under this section in such manner and in accordance with such other requirements as may be prescribed in regulations of the Secretary, is, at the beginning of the first month in which he meets the requirements of subsection (a), a member of any organization referred to in section 410(a)(17) 1 of this title, 1 See References in Text note below. has, prior to the beginning of such first month, been convicted of any offense listed in section 402(u) of this title , or at the beginning of such first month is covered by an enrollment in a health benefits plan under chapter 89 of title 5, was so covered on February 16, 1965 , or could have been so covered for such first month if he or some other person had availed himself of opportunities to enroll in a health benefits plan under such chapter and to continue such enrollment (but this subparagraph shall not apply unless he or such other person was a Federal employee at any time after February 15, 1965 ). payments made or to be made during such fiscal year from such Trust Fund under part A of subchapter XVIII of this chapter with respect to individuals who are entitled to hospital insurance benefits under section 426 of this title solely by reason of this section, the additional administrative expenses resulting or expected to result therefrom, and any loss in interest to such Trust Fund resulting from the payment of such amounts,

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