Federal

Title 42 — Public Health and Welfare

8,465 sections, each with the official text and a plain-English explanation of what it means for you.

• § 13902 — Transferred
• § 1391 — Authorization of appropriations
• § 13911 — Transferred
• § 1392 — Availability of funds during certain fiscal years; limitation on amount; utilization of grant
• § 13921 — Transferred
• § 13925 — Transferred
• § 1393 — Applications; single State agency designation; essential planning services; plans for expenditure; final activities report and other necessary reports; records; accounting
• § 13931 — Transferred
• § 1394 — Payments to States; adjustments; advances or reimbursement; installments; conditions
• § 13941 — Transferred
• § 13942 — Transferred
• § 13943 — Transferred
• § 1395 — Prohibition against any Federal interference
• § 13951 — Transferred
• § 1395a — Free choice by patient guaranteed
• § 1395aa — Agreements with States
• § 1395aaa — Contract with a consensus-based entity regarding performance measurement
• § 1395aaa–1 — Quality and efficiency measurement
• § 1395b — Option to individuals to obtain other health insurance protection
• § 1395b–1 — Incentives for economy while maintaining or improving quality in provision of health services
• § 1395b–10 — Addressing health care disparities
• § 1395b–2 — Notice of medicare benefits; medicare and medigap information
• § 1395b–3 — Health insurance advisory service for medicare beneficiaries
• § 1395b–4 — Health insurance information, counseling, and assistance grants
• § 1395b–5 — Beneficiary incentive programs
• § 1395b–6 — Medicare Payment Advisory Commission
• § 1395b–7 — Explanation of medicare benefits
• § 1395b–8 — Chronic care improvement
• § 1395b–9 — Provisions relating to administration
• § 1395bb — Effect of accreditation
• § 1395bbb — Conditions of participation for home health agencies; home health quality
• § 1395c — Description of program
• § 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
• § 1395ccc — Offset of payments to individuals to collect past-due obligations arising from breach of scholarship and loan contract
• § 1395d — Scope of benefits
• § 1395dd — Examination and treatment for emergency medical conditions and women in labor
• § 1395ddd — Medicare Integrity Program
• § 1395e — Deductibles and coinsurance
• § 1395ee — Practicing Physicians Advisory Council; Council for Technology and Innovation
• § 1395eee — Payments to, and coverage of benefits under, programs of all-inclusive care for elderly (PACE)
• § 1395f — Conditions of and limitations on payment for services
• § 1395ff — Determinations; appeals
• § 1395fff — Prospective payment for home health services
• § 1395g — Payments to providers of services
• § 1395gg — Overpayment on behalf of individuals and settlement of claims for benefits on behalf of deceased individuals
• § 1395ggg — Omitted
• § 1395h — Provisions relating to the administration of part A
• § 1395hh — Regulations
• § 1395hhh — Health care infrastructure improvement program
• § 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
• § 1395ii — Application of certain provisions of sub­chapter II
• § 1395iii — Medicare Improvement Fund
• § 1395j — Establishment of supplementary medical insurance program for aged and disabled
• § 1395jj — Designation of organization or publication by name
• § 1395jjj — Shared savings program
• § 1395k — Scope of benefits; definitions
• § 1395kk — Administration of insurance programs
• § 1395kk–1 — Contracts with medicare administrative contractors
• § 1395kk–2 — Expanding availability of Medicare data
• § 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
• § 1395l — Payment of benefits
• § 1395ll — Studies and recommendations
• § 1395lll — Standardized post-acute care (PAC) assessment data for quality, payment, and discharge planning
• § 1395m — Special payment rules for particular items and services
• § 1395m–1 — Improving policies for clinical diagnostic laboratory tests
• § 1395mm — Payments to health maintenance organizations and competitive medical plans
• § 1395mmm — Limiting Medicare coverage of certain individuals
• § 1395n — Procedure for payment of claims of providers of services
• § 1395nn — Limitation on certain physician referrals
• § 1395o — Eligible individuals
• § 1395oo — Provider Reimbursement Review Board
• § 1395p — Enrollment periods
• § 1395pp — Limitation on liability where claims are disallowed
• § 1395q — Coverage period
• § 1395qq — Indian Health Service facilities
• § 1395r — Amount of premiums for individuals enrolled under this part
• § 1395rr — End stage renal disease program
• § 1395rr–1 — Medicare coverage for individuals exposed to environmental health hazards
• § 1395s — Payment of premiums
• § 1395ss — Certification of medicare supplemental health insurance policies
• § 1395ss–1 — Clarification
• § 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
• § 1395tt — Hospital providers of extended care services
• § 1395u — Provisions relating to the administration of part B
• § 1395uu — Payments to promote closing or conversion of underutilized hospital facilities
• § 1395v — Agreements with States
• § 1395vv — Withholding payments from certain medicaid providers
• § 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–101 — Eligibility, enrollment, and information
• § 1395w–102 — Prescription drug benefits
• § 1395w–103 — Access to a choice of qualified prescription drug coverage
• § 1395w–104 — Beneficiary protections for qualified prescription drug coverage
• § 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
• § 1395w–131 — Application to Medicare Advantage program and related managed care programs
• § 1395w–132 — Special rules for employer-sponsored programs
• § 1395w–133 — State Pharmaceutical Assistance Programs
• § 1395w–134 — Coordination requirements for plans providing prescription drug coverage
• § 1395w–141 — Medicare prescription drug discount card and transitional assistance program
• § 1395w–151 — Definitions; treatment of references to provisions in part C
• § 1395w–152 — Miscellaneous provisions
• § 1395w–153 — Condition for coverage of drugs under this part
• § 1395w–154 — Improved Medicare prescription drug plan and MA–PD plan complaint system
• § 1395w–2 — Intermediate sanctions for providers or suppliers of clinical diagnostic laboratory tests
• § 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
• § 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
• § 1395ww — Payments to hospitals for inpatient hospital services
• § 1395x — Definitions
• § 1395xx — Payment of provider-based physicians and payment under certain percentage arrangements
• § 1395y — Exclusions from coverage and medicare as secondary payer
• § 1395yy — Payment to skilled nursing facilities for routine service costs
• § 1395z — Consultation with State agencies and other organizations to develop conditions of participation for providers of services
• § 1395zz — Provider education and technical assistance
• § 1396 — Medicaid and CHIP Payment and Access Commission
• § 1396–1 — Appropriations
• § 13961 — Transferred
• § 13962 — Transferred
• § 13963 — Transferred
• § 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