42 U.S.C. 1395cc: Agreements with providers of services; enrollment processes

2022

• Pub. L. 117–328 inserted ", or intensive outpatient services (as described in section 1395x(ff)(4) of this title)" after "partial hospitalization services (as described in section 1395x(ff)(1) of this title)". (Consolidated Appropriations Act, 2023) Law text · (e)

2020

• Pub. L. 116–260, §125(b)(1)(A), inserted "rural emergency hospitals," after "critical access hospitals,". (Consolidated Appropriations Act, 2021) Law text · (a)
• Pub. L. 116–260, §125(b)(2)(A)(i)(I), substituted ", critical access hospital, or rural emergency hospital" for "or critical access hospital" in introductory provisions. (Consolidated Appropriations Act, 2021) Law text · (a)
• Pub. L. 116–260, §125(b)(2)(A)(i)(II), inserted ", critical access hospital, or rural emergency hospital" after "hospital". (Consolidated Appropriations Act, 2021) Law text · (a)
• Pub. L. 116–260, §125(b)(2)(A)(ii)(I), substituted ", critical access hospitals, and rural emergency hospitals" for "and critical access hospitals" in introductory provisions. (Consolidated Appropriations Act, 2021) Law text · (a)
• Pub. L. 116–260, §125(b)(2)(A)(ii)(II), substituted ", critical access hospital, or rural emergency hospital" for "or critical access hospital". (Consolidated Appropriations Act, 2021) Law text · (a)
• Pub. L. 116–260, §125(b)(2)(A)(ii)(III), inserted ", critical access hospital, or rural emergency hospital" after "hospital". (Consolidated Appropriations Act, 2021) Law text · (a)
• Pub. L. 116–260, §125(b)(1)(B)(i), inserted "rural emergency hospital," after "critical access hospital,". (Consolidated Appropriations Act, 2021) Law text · (a)
• Pub. L. 116–260, §125(b)(1)(B)(ii), inserted "rural emergency hospital," after "critical access hospital," wherever appearing. (Consolidated Appropriations Act, 2021) Law text · (a)
• Pub. L. 116–260, §125(b)(1)(B)(iii), inserted "rural emergency hospitals," after "critical access hospitals," in two places. (Consolidated Appropriations Act, 2021) Law text · (a)

2018

• Pub. L. 115–182 substituted "under chapter 17" for "under section 603". Amendment was executed by making the substitution for "under section 1703", which appeared in text after the substitution of "section 1703" for "section 603" pursuant to Pub. L. 102–83. See 1991 Amendment not… (John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018" or the "VA MISSION Act of 2018) Law text · (a)
• Pub. L. 115–271 added par. (3). (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act" or the "SUPPORT for Patients and Communities Act) Law text · (e)

2016

• Pub. L. 114–255, §17004(b)(2)(A)(i), substituted "requirements in accordance with paragraph (5)" for "requirements in accordance with paragraph (4)", "moratoria in accordance with paragraph (7)" for "moratoria in accordance with paragraph (5)", and "paragraph (9)" for "paragraph … (21st Century Cures Act) Law text · (j)
• Pub. L. 114–255, §17004(a)(1), in heading, inserted "; nonpayment" at end. (21st Century Cures Act) Law text · (j)
• Pub. L. 114–255, §17004(a)(2), added subpar. (C). (21st Century Cures Act) Law text · (j)
• Pub. L. 114–255, §17004(b)(2)(A)(ii), redesignated par. (8), relating to compliance programs, as (9). (21st Century Cures Act) Law text · (j), (9)

2015

• Pub. L. 114–42, §2(1)–(3)(A), redesignated subpar. (W), relating to maintaining and providing access to documentation, as (X). (Notice of Observation Treatment and Implication for Care Eligibility Act" or the "NOTICE Act) Law text · (a), (X)
• Pub. L. 114–42, §2(3)(B), (4), added subpar. (Y). (Notice of Observation Treatment and Implication for Care Eligibility Act" or the "NOTICE Act) Law text · (a)

2011

• Pub. L. 112–40, §261(a)(3)(A), substituted "quality improvement" for "utilization and quality control peer review" in cls. (i) and (ii). Law text · (a)
• Pub. L. 112–40, §261(a)(3)(D), substituted "quality improvement" for "peer review" in subpars. (A) and (B). Law text · (a)

2010

• Pub. L. 111–148, §6406(b)(1), which directed amendment by striking out "and" at end, could not be executed because of the intervening amendment by Pub. L. 111–148, §3005(1)(A). See Amendment note below. (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §3005(1)(A), struck out "and" after "services," in concluding provisions. (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §6406(b)(2), which directed amendment by substituting "; and" for period at end, could not be executed because of the intervening amendment by Pub. L. 111–148, §3005(1)(B). See Amendment note below. (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §3005(1)(B), substituted ", and" for period at end. (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §6406(b)(3), added subpar. (W) relating to maintaining and providing access to documentation. Subpar. (W) was added after subpar. (W) relating to reporting quality data to the Secretary to reflect the probable intent of Congress, notwithstanding directory languag… (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §3005(1)(C), added subpar. (W) relating to reporting quality data to the Secretary. Subpar. (W) was added after subpar. (V) to reflect the probable intent of Congress, notwithstanding directory language adding subpar. at the end of par. (1). (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §6401(a)(1), inserted at end "Such process shall include screening of providers and suppliers in accordance with paragraph (2), a provisional period of enhanced oversight in accordance with paragraph (3), disclosure requirements in accordance with paragraph (4), … (Patient Protection and Affordable Care Act) Law text · (j)
• Pub. L. 111–148, §6401(a)(3), added par. (2). Former par. (2) redesignated (8). (Patient Protection and Affordable Care Act) Law text · (j)
• Pub. L. 111–148, §10603(a), redesignated cls. (ii) to (iv) as (i) to (iii), respectively, substituted "clause (ii)" for "clause (iii)" in cl. (i), and struck out former cl. (i) which read as follows: "Except as provided in clause (iii), the Secretary shall impose a fee on each in… (Patient Protection and Affordable Care Act) Law text · (j)
• Pub. L. 111–192, §103(b), added subpar. (E) and redesignated former subpar. (E) as (F). (Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010) Law text · (j), (F)
• Pub. L. 111–148, §6401(a)(3), added par. (3). (Patient Protection and Affordable Care Act) Law text · (j)
• Pub. L. 111–152, §1304, added par. (4) and redesignated former par. (4) as (5). Former par. (5) redesignated (6). (Health Care and Education Reconciliation Act of 2010) Law text · (j), (5)
• Pub. L. 111–148, §6401(a)(3), added pars. (4) and (5). (Patient Protection and Affordable Care Act) Law text · (j), (5)
• Pub. L. 111–192, §103(c)(1), substituted "medicare" for "past-due" in heading. (Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010) Law text · (j)
• Pub. L. 111–152, §1304(1), redesignated par. (5) as (6). Former par. (6) redesignated (7). (Health Care and Education Reconciliation Act of 2010) Law text · (j)
• Pub. L. 111–148, §6401(a)(3), added par. (6). (Patient Protection and Affordable Care Act) Law text · (j)
• Pub. L. 111–192, §103(c)(2), substituted "amount described in subparagraph (B)(ii) due from such" for "past-due obligations described in subparagraph (B)(ii) of an". (Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010) Law text · (j)
• Pub. L. 111–192, §103(c)(3), substituted "an amount that is more than the amount required to be paid" for "a past-due obligation". (Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010) Law text · (j)
• Pub. L. 111–152, §1304(1), redesignated par. (6) as (7). Former par. (7) redesignated (8). (Health Care and Education Reconciliation Act of 2010) Law text · (j)
• Pub. L. 111–148, §6401(a)(3), added par. (7). (Patient Protection and Affordable Care Act) Law text · (j)
• Pub. L. 111–152, §1304(1), redesignated par. (7) as (8) relating to compliance programs. (Health Care and Education Reconciliation Act of 2010) Law text · (j)
• Pub. L. 111–148, §6401(a)(2), as amended by Pub. L. 111–148, §10603(b), redesignated par. (2) as (8). (Patient Protection and Affordable Care Act) Law text · (j)
• Pub. L. 111–148, §3005(2), added subsec. (k). (Patient Protection and Affordable Care Act) Law text · (k)

2008

• Pub. L. 110–275 substituted "section through the operation of subsection (g) or (ll)(2) of section 1395x" for "section through the operation of section 1395x(g)" in two places, substituted "defined)," for "defined) or", and inserted ", or (through the operation of section 1395x(ll)(… (Medicare Improvements for Patients and Providers Act of 2008) Law text · (e)

2003

• Pub. L. 108–173, §936(a)(1), inserted "; enrollment processes" in section catchline. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text
• Pub. L. 108–173, §236(a)(1), substituted "part C, with a PACE provider under section 1395eee or 1396u–4 of this title, or" for "part C or", struck out "(i)" before "with a risk-sharing contract", struck out "and (ii)" before "which does not have a contract", inserted "(or, in the… (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (a)
• Pub. L. 108–173, §505(b), added subpar. (T). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (a)
• Pub. L. 108–173, §506(a), added subpar. (U). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (a)
• Pub. L. 108–173, §947(a)(1), added subpar. (V). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (a)
• Pub. L. 108–173, §736(a)(13), realigned margins. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (b)
• Pub. L. 108–173, §947(a)(2), added par. (4). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (b)
• Pub. L. 108–173, §932(b), (c)(1), designated existing provisions as subpar. (A) and added subpars. (B) and (C). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (h)
• Pub. L. 108–173, §936(a)(2), added subsec. (j). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (j)

2000

• Pub. L. 106–554 inserted "during a period in which the resident is provided covered post-hospital extended care services (or, for services described in section 1395x(s)(2)(D) of this title, that are furnished to such an individual without regard to such period)" after "ski… (Consolidated Appropriations Act, 2001) Law text · (a)

1999

• Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(11)(A)], substituted comma for semicolon at end. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (a)
• Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(11)(B)], struck out "and" at end. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (a)
• Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(11)(C)], substituted comma for semicolon at end. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (a)
• Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(12)(A)], substituted comma for semicolon at end. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (a)
• Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(12)(B)], inserted ", and" at end. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (a)

1997

• Pub. L. 105–33, §4714(b)(1), designated existing provisions as cl. (i) and inserted before comma at end ", and (ii) not to impose any charge that is prohibited under section 1396a(n)(3) of this title". (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4201(c)(1), substituted "critical access" for "rural primary care". (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4511(a)(2)(D), substituted "section 1395x(s)(2)(K) of this title" for "section 1395x(s)(2)(K)(i) or 1395x(s)(2)(K)(iii) of this title". (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4432(b)(5)(F), designated existing provisions as cl. (i), redesignated former cls. (i) and (ii) as subcls. (I) and (II), respectively, and added cl. (ii). (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4201(c)(1), substituted "critical access" for "rural primary care" in two places. (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4201(c)(1), substituted "critical access" for "rural primary care" in introductory provisions of subpars. (I) and (N) and in subpar. (N)(i). (Balanced Budget Act of 1997) Law text · (a), (N)
• Pub. L. 105–33, §4002(e), struck out "in the case of hospitals and skilled nursing facilities," before "to accept as payment in full for", "inpatient hospital and extended care" after "to accept as payment in full for", and "(in the case of hospitals) or limits (in the case of sk… (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4321(b), added subpar. (S). Subpar. (S) was added after subpar. (R) to reflect the probable intent of Congress, notwithstanding directory language adding subpar. at the end of par. (1). (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4541(a)(3), which directed the amendment of subsec. (a)(2)(A)(ii) by inserting the following at the end "In the case of services described in section 1395l(a)(8) of this title or section 1395l(a)(9) of this title for which payment is made under part B under secti… (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4523(b), which directed the amendment of subsec. (a)(2)(A)(ii) by inserting the following at the end "In the case of items and services for which payment is made under part B under the prospective payment system established under section 1395l(t) of this title, clause (ii) of the f… (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4201(c)(1), substituted "critical access" for "rural primary care" wherever appearing. (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4302(a), added subpar. (D). (Balanced Budget Act of 1997) Law text · (b)
• Pub. L. 105–33, §4002(d)(1), inserted "1395w–25(i)," after "1395l(s)," and ", Medicare+Choice organization," after "provider of services" in introductory provisions. (Balanced Budget Act of 1997) Law text · (f)
• Pub. L. 105–33, §4641(a), substituted "in a prominent part of the individual's current medical record" for "in the individual's medical record". (Balanced Budget Act of 1997) Law text · (f)
• Pub. L. 105–33, §4002(d)(2), inserted "or a Medicare+Choice organization" after "section 1395l(a)(1)(A) of this title". (Balanced Budget Act of 1997) Law text · (f)
• Pub. L. 105–12 added par. (4). (Assisted Suicide Funding Restriction Act of 1997) Law text · (f)

1996

• Pub. L. 104–191 added subpar. (R). (Health Insurance Portability and Accountability Act of 1996) Law text · (a)

1994

• Pub. L. 103–432, §147(e)(7), substituted "section 1395x(s)(2)(K)(i) or 1395x(s)(2)(K)(iii) of this title" for "section 1395x(s)(2)(K)(i) of this title". · (a)
• Pub. L. 103–432, §156(a)(2)(E), struck out ", with respect to items and services furnished in connection with obtaining a second opinion required under section 1320c–13(c)(2) of this title (or a third opinion, if the second opinion was in disagreement with the first opinion)," af… · (a)
• Pub. L. 103–432, §106(b)(1)(B), substituted "long-stay cases in a hospital" for "long-stay cases in a hospital or skilled nursing facility", "such hospital" for "such hospital or facility" in two places, "period of such services" for "period of such services or for post-hospital extend… · (d)
• Pub. L. 103–432, §160(d)(2), substituted "1395l(s)" for "1395l(r)" in introductory provisions. · (f)
• Pub. L. 103–296 inserted before period at end ", except that, in so applying such sections and in applying section 405(l) of this title thereto, any reference therein to the Commissioner of Social Security or the Social Security Administration shall be considered a reference to the … · (h)

1991

• Pub. L. 102–83 substituted "section 1713 of title 38" for "section 613 of title 38". · (a)
• Pub. L. 102–83 substituted "section 1703 of title 38" for "section 603 of title 38". · (a)
• Pub. L. 102–54 substituted "Secretary of Veterans Affairs" for "Administrator of Veterans' Affairs". · (a)

1990

• Pub. L. 101–508, §4008(m)(3)(G)[(F)](i), substituted ")," for comma at end. · (a)
• Pub. L. 101–508, §4008(m)(3)(G)[(F)](ii), substituted "paragraph (3)(A)," for "paragraph (4)(A);". · (a)
• Pub. L. 101–508, §4157(c)(2), inserted "services described by section 1395x(s)(2)(K)(i) of this title, certified nurse-midwife services, qualified psychologist services, and" after "and other than". · (a)
• Pub. L. 101–508, §4008(b)(3)(B), inserted "and to meet the requirements of such section" after "section 1395dd of this title". · (a)
• Pub. L. 101–508, §4153(d)(1), substituted "catheters, catheter supplies, ostomy bags, and supplies related to ostomy care" for "ostomy supplies". · (a)
• Pub. L. 101–508, §4206(a)(1), added subpar. (Q). · (a)
• Pub. L. 101–508, §4162(b)(2), substituted "include—" and pars. (1) and (2) for "include a clinic, rehabilitation agency, or public health agency if, in the case of a clinic or rehabilitation agency, such clinic or agency meets the requirements of section 1395x(p)(4)(A) of this title (o… · (e)
• Pub. L. 101–508, §4206(a)(2), added subsec. (f). · (f)

1989

• Pub. L. 101–234, §301(b)(4), (d)(1), amended subcl. (III) identically substituting "fiscal year)" for "fiscal year))" before "of such reviews," at end. · (a)
• Pub. L. 101–239, §6003(g)(3)(D)(xii)(I), inserted "rural primary care hospitals," after "hospitals,". · (a)
• Pub. L. 101–239, §6003(g)(3)(D)(xii)(II), inserted "and in the case of rural primary care hospitals which provide rural primary care hospital services" after "payment may be made under this subchapter". · (a)
• Pub. L. 101–239, §6018(a)(1), amended subpar. (I) generally. Prior to amendment, subpar. (I) read as follows: "in the case of a hospital and in the case of a rural primary care hospital, to comply with the requirements of section 1395dd of this title to the extent applicable,". · (a)
• Pub. L. 101–239, §6003(g)(3)(D)(xii)(III), inserted "and in the case of a rural primary care hospital" after "hospital". · (a)
• Pub. L. 101–239, §6003(g)(3)(D)(xii)(IV), substituted "hospitals and rural primary care hospitals" for "hospitals" in introductory provisions and "hospital or rural primary care hospital," for "hospital," in cl. (i). · (a)
• Pub. L. 101–239, §6018(a)(2), added cls. (iii) and (iv). · (a), (iv)
• Pub. L. 101–239, §6112(e)(3), added subpar. (P). · (a)
• Pub. L. 101–234, §201(a), repealed Pub. L. 100–360, §§201(b), (d), 202(h)(1), and provided that the provisions of law amended or repealed by such sections are restored or revived as if such sections had not been enacted, see 1988 Amendment notes below. · (a)
• Pub. L. 101–239, §6017, redesignated cl. (i) as subpar. (B) and struck out cl. (ii) which authorized charges for items or services more expensive than determined to be necessary and which have not been requested by the individual to the extent that such costs in the second fiscal… · (a)
• Pub. L. 101–239, §6003(g)(3)(D)(xiii)(I), substituted "hospital, rural primary care hospital," for "hospital," wherever appearing. · (a), (B)
• Pub. L. 101–239, §6003(g)(3)(D)(xiii)(II), substituted "facilities, rural primary care hospitals," for "facilities" in two places. · (a)
• Pub. L. 101–234, §101(a), repealed Pub. L. 100–360, §104(d)(5), and provided that the provisions of law amended or repealed by such section are restored or revived as if such section had not been enacted, see 1988 Amendment note below. · (d)
• Pub. L. 101–239, §6020, added subsec. (i). · (i)

1988

• Pub. L. 100–360, §411(c)(2)(C)(i), as added by Pub. L. 100–485, §608(d)(19)(A), struck out "and" at end. · (a)
• Pub. L. 100–360, §411(c)(2)(C)(ii), as added by Pub. L. 100–485, §608(d)(19)(A), substituted ", and" for period at end. · (a)
• Pub. L. 100–360, §411(c)(2)(A)(i), substituted cls. (i) and (ii) for "with a risk-sharing contract under section 1395mm of this title". · (a)
• Pub. L. 100–360, §201(d), substituted "section 1395l(d)(1) of this title" for "section 1395l(c) of this title" in second sentence. · (a)
• Pub. L. 100–360, §411(g)(1)(D), substituted "section 1395m(a)(1)(B) of this title" for "section 1395m(a)(2) of this title" in last sentence. · (a)
• Pub. L. 100–360, §202(h)(1), inserted "1395m(c)," after "1395l(b)," and "and in the case of covered outpatient drugs, applicable coinsurance percent (specified in section 1395m(c)(2)(C) of this title) of the lesser of the actual charges for the drugs or the payment limit (established under section … · (a)
• Pub. L. 100–360, §201(b), inserted at end "A provider of services may not impose a charge under the first sentence of this subparagraph for services for which payment is made to the provider pursuant to section 1395l(c) of this title (relating to catastrophic benefits)." · (a)
• Pub. L. 100–360, §411(j)(5), made technical correction to directory language of Pub. L. 100–203, §4097(b), see 1987 Amendment note below. · (a)
• Pub. L. 100–360, §104(d)(5), as amended by Pub. L. 100–485, §608(d)(3)(F), struck out "post-hospital" before "extended care services". · (d)
• Pub. L. 100–485, §608(f)(1), struck out subsec. (f) which provided for termination or decertification and alternatives thereto. · (f)
• Pub. L. 100–360, §411(i)(4)(C)(vi), added Pub. L. 100–203, §4085(i)(28), see 1987 Amendment note below. · (g)

1987

• Pub. L. 100–203, §4097(a), substituted "1988" for "1986" and inserted "and for any direct or administrative costs incurred as a result of review functions added with respect to a subsequent fiscal year" after "inflation". · (a)
• Pub. L. 100–203, §4012(a), added subpar. (O). · (a)
• Pub. L. 100–203, §4062(d)(4), inserted at end "Notwithstanding the first sentence of this subparagraph, a home health agency may charge such an individual or person, with respect to covered items subject to payment under section 1395m(a) of this title, the amount of any deduction… · (a)
• Pub. L. 100–93, §8(d)(1), redesignated par. (4) as (3) and struck out former par. (3) which read as follows: "The Secretary may refuse to enter into or renew an agreement under this section with a provider of services if any person who has a direct or indirect ownership or control i… · (a)
• Pub. L. 100–203, §4097(b), as amended by Pub. L. 100–360, §411(j)(5), amended cl. (ii) generally. Prior to amendment, cl. (ii) read as follows: "shall not be less in the aggregate for hospitals, facilities, and agencies for a fiscal year than the amounts the Secretary determi… · (a)
• Pub. L. 100–93, §8(d)(1)(B), redesignated par. (4) as (3). · (a)
• Pub. L. 100–93, §8(d)(2), amended subsec. (b) generally, substituting pars. (1) to (3) for former pars. (1) to (5). · (b)
• Pub. L. 100–93, §8(d)(3), (4), substituted "the Secretary has terminated or has refused to renew an agreement under this subchapter with a provider of services" for "an agreement filed under this subchapter by a provider of services has been terminated by the Secretary" and inserted… · (c)
• Pub. L. 100–203, §4212(e)(4), redesignated par. (3) as (2) and struck out former par. (2) which read as follows: "In the case of a skilled nursing facility participating in the programs established by this subchapter and subchapter XIX of this chapter, the Secretary may enter into a… · (c)
• Pub. L. 100–203, §4212(e)(4), redesignated par. (3) as (2). · (c)
• Pub. L. 100–93, §8(d)(3), (4), substituted "the Secretary has terminated or has refused to renew an agreement under this subchapter with a provider of services" for "an agreement filed under this subchapter by a provider of services has been terminated by the Secretary" and inserted "or nonrenewal"… · (c)
• Pub. L. 100–203, §4085(i)(28), as added by Pub. L. 100–360, §411(i)(4)(C)(vi), substituted "money penalty" for "monetary penalty" in first sentence and amended second sentence generally. Prior to amendment, second sentence read as follows: "Such a penalty shall be imposed in the same m… · (g)
• Pub. L. 100–203, §4085(i)(17), substituted "inconsistent with an arrangement under subsection (a)(1)(H) or in violation of the requirement for such an arrangement" for "for a hospital outpatient service for which payment may be made under part B of this subchapter and such bill or request violates … · (g)
• Pub. L. 100–93, §8(d)(5), added subsec. (h). · (h)

1986

• Pub. L. 99–509, §9353(e)(1)(A), designated existing provisions as cl. (i) and in cl. (i), as so designated, redesignated former cls. (i) to (iii) as subcls. (I) to (III), and added cl. (ii). · (a)
• Pub. L. 99–272, §9402(a), redesignated cl. (iv) as (iii) and in cl. (iii), as so redesignated, substituted "1986" for "1982", and struck out former cl. (iii) which provided that the cost of such agreement to the hospital shall not be less than amount which reflects the rates per review established … · (a)
• Pub. L. 99–509, §9343(c)(2), struck out "inpatient hospital" after "hospitals which provide" and substituted "a patient" for "an inpatient". · (a)
• Pub. L. 99–509, §9320(h)(2), inserted ", and other than services of a certified registered nurse anesthetist" after "section 1395y(a)(14) of this title". · (a)
• Pub. L. 99–514 redesignated subpar. (I) relating to agreement not to charge for certain items and services as subpar. (K). · (a)
• Pub. L. 99–272, §9403(b), added subpar. (I) relating to agreement not to charge for certain items or services. · (a)
• Pub. L. 99–272, §9121(a), added subpar. (I) relating to compliance with the requirements of section 1395dd of this title. · (a)
• Pub. L. 99–272, §9122(a), added subpar. (J). · (a)
• Pub. L. 99–514 redesignated subpar. (I) relating to agreement not to charge for certain items and services as subpar. (K). · (a)
• Pub. L. 99–576 added subpar. (L). · (a)
• Pub. L. 99–509, §9305(b)(1), added subpar. (M). · (a)
• Pub. L. 99–509, §9332(e)(1), added subpar. (N). · (a)
• Pub. L. 99–272, §9401(b)(2)(F), inserted ", with respect to items and services furnished in connection with obtaining a second opinion required under section 1320c–13(c)(2) of this title (or a third opinion, if the second opinion was in disagreement with the first opinion)," afte… · (a)
• Pub. L. 99–509, §9353(e)(1)(B), added par. (4). · (a)
• Pub. L. 99–509, §9337(c)(2), inserted "(or meets the requirements of such section through the operation of section 1395x(g) of this title)" in two places, and inserted "or (through the operation of section 1395x(g) of this title) with respect to the furnishing of outpatient occupationa… · (e)
• Pub. L. 99–509, §9343(c)(3), added subsec. (g). · (g)

1984

• Pub. L. 98–369, §2354(b)(33), inserted a comma at end. · (a)
• Pub. L. 98–369, §2347(a)(2), repealed amendment made by Pub. L. 98–21, §602(l)(1). See 1983 Amendment note below. · (a)
• Pub. L. 98–369, §2347(a)(1), substituted "maintain an agreement with a professional standards review organization (if there is such an organization in existence in the area in which the hospital is located) or with a utilization and quality control peer review organization which has a contract with… · (a)
• Pub. L. 98–369, §2315(d), substituted "(b), (c), or (d)" for "(c) or (d)". · (a)
• Pub. L. 98–369, §2323(b)(3), substituted "section 1395x(s)(10)(A) of this title" for "section 1395x(s)(10) of this title". · (a)
• Pub. L. 98–369, §2321(c), inserted "or which are durable medical equipment furnished as home health services" after "part B". · (a)
• Pub. L. 98–369, §2303(f), inserted "and with respect to clinical diagnostic laboratory tests" after "section 1395x(s)(10) of this title". · (a)
• Pub. L. 98–369, §2354(b)(34), realigned margin. · (b)
• Pub. L. 98–369, §2335(d)(1), substituted "(including inpatient psychiatric hospital services)" for "(including tuberculosis hospital services and inpatient psychiatric hospital services)". · (b)
• Pub. L. 98–369, §2348(a), substituted "more than 30 days after such effective date" for "after the calendar year in which such termination is effective". · (b)
• Pub. L. 98–369, §2335(d)(2), substituted "(including inpatient psychiatric hospital services)" for "(including inpatient tuberculosis hospital services and inpatient psychiatric hospital services)". · (d)

1983

• Pub. L. 98–21, §602(l)(2), inserted provision at end of par. (1) that in the case of a hospital which has an agreement in effect with an organization described in subparagraph (F), which organization's contract with the Secretary under part B of subchapter XI terminates on or after … · (a)
• Pub. L. 98–21, §602(l)(1), which provided that, effective Oct. 1, 1984, subpar. (F) is amended by substituting "(with an organization" for "(if there is such an organization", was repealed by Pub. L. 98–369, §2347(a)(2), effective July 18, 1984. · (a)
• Pub. L. 98–21, §602(f)(1), added subpars. (F) to (H). · (a)
• Pub. L. 97–448, §309(b)(11), inserted a comma after "1395e(a)(1)". · (a)
• Pub. L. 97–448, §309(a)(5), amended directory language of Pub. L. 97–248, §122(g)(5), to correct an error, and did not involve any change in text. See 1982 Amendment note below. · (a)
• Pub. L. 98–21, §602(f)(2), inserted "and except with respect to inpatient hospital costs with respect to which amounts are payable under section 1395ww(d) of this title" after "(except with respect to emergency services)" in provision preceding subcl. (I). · (a)

1982

• Pub. L. 97–248, §128(d)(4), inserted "of section 1395y(a) of this title". · (a)
• Pub. L. 97–248, §144, added subpar. (E). · (a)
• Pub. L. 97–248, §122(g)(5), as amended by Pub. L. 97–448, §309(a)(5), substituted "(a)(3), or (a)(4)" for "or (a)(3)". · (a)
• Pub. L. 97–248, §128(a)(5), in provisions preceding par. (1), struck out "(and in the case of a skilled nursing facility, prior to the end of the term specified in subsection (a)(1) of this section)" after "may be terminated". · (b)
• Pub. L. 97–248, §122(g)(6), inserted "or hospice care" after "home health services". · (b)

1981

• Pub. L. 97–35 struck out provision following subpar. (D) which provided that an agreement with a skilled nursing facility be for a term not exceeding 12 months with the exception that the Secretary could extend the time in specified situations. · (a)

1980

• Pub. L. 96–611 inserted provision that a provider of services may not impose a charge under clause (ii) of the first sentence of this subparagraph with respect to items and services described in section 1395x(s)(10) of this title for which payment is made under part B of this sub… · (a)
• Pub. L. 96–272 added par. (3). · (c)
• Pub. L. 96–499 added subsec. (f). · (f)

1978

• Pub. L. 95–292 provided for computation of and charging of coinsurance amounts for items and services furnished individuals with end stage renal disease on the basis established by the Secretary. · (a)

1977

• Pub. L. 95–142, §15(a), added subpar. (D). · (a)
• Pub. L. 95–142, §8(b)(1), added par. (3). · (a)
• Pub. L. 95–142, §3(b), designated existing provisions as subcl. (i) and added subcl. (ii). · (b)
• Pub. L. 95–142, §13(b)(3), substituted "of a quality which fails to meet professionally recognized standards of health care" for "harmful to individuals or to be of a grossly inferior quality", and struck out provisions relating to approval by an appropriate program review team. · (b)
• Pub. L. 95–142, §8(b)(2), added cl. (G). · (b)
• Pub. L. 95–210 substituted "section 1396i(a) of this title" for "section 1396i of this title". · (c)

1972

• Pub. L. 92–603, §§227(d)(2), 249A(b), 278(a)(17), (b)(18), 281(c), substituted "Any provider of services (except a fund designated for purposes of section 1395f(g) and section 1395n(e) of this title)" for "Any provider of services", "skilled nursing facility" for "extended care faci… · (a)
• Pub. L. 92–603, §223(e), designated existing provisions as cl. (i) and added cl. (ii). · (a)
• Pub. L. 92–603, §223(g)(2), substituted "this subparagraph" for "clause (iii) of the preceding sentence". · (a)
• Pub. L. 92–603, §223(g)(1), added subpar. (D). · (a)
• Pub. L. 92–603, §§229(b), 249A(c), 278(a)(17), inserted "(and in the case of an extended care facility, prior to the end of the term specified in subsection (a)(1) of this section)" in provision preceding par. (1), in par. (2), added cls. (D) to (F), and in par. (3), substituted "(incl… · (b)
• Pub. L. 92–603, §249A(d), designated existing provisions as par. (1) and added par. (2). · (c)
• Pub. L. 92–603, §278(a)(17), substituted "skilled nursing facility" for "extended care facility" and "a" for "an". · (d)

1968

• Pub. L. 90–248, §129(c)(12)(A)(i), (ii), substituted "or (a)(3)" for ", (a)(2), or (a)(4)" in cl. (i), and deleted "or, in the case of outpatient hospital diagnostic services, for which payment is made under part A" in cl. (ii). · (a)
• Pub. L. 90–248, §129(c)(12)(B), substituted "1395e(a)(2)" for "1395e(a)(3)". · (a)
• Pub. L. 90–248, §135(b), authorized a provider of services to charge for blood in accordance with its customary practices, included, in addition to whole blood for which a provider of services may charge, equivalent quantities of packed red blood cells, and provided that blood furnished an individu… · (a)
• Pub. L. 90–248, §133(c), added subsec. (e). · (e)