WHAT THE LAW DOINCongress, in plain words

The law › Title 42, The Public Health and Welfare › Chapter 7

42 U.S.C. 1395e: Deductibles and coinsurance

Created in 1965 by Public Law 89-97. Changed by 10 later laws. No bill we track in this Congress changes it.

8 other sections of the Code cite this one, including 5 U.S.C. 8904, 38 U.S.C. 1710, 42 U.S.C. 1395f, 42 U.S.C. 1395l, 42 U.S.C. 1395x.

This Congress

No bill we track in the 119th Congress changes this section.

    How it got here

    1997

    • Pub. L. 105–33 substituted "critical access" for "rural primary care" wherever appearing. (Balanced Budget Act of 1997) Law text

    1994

    • Pub. L. 103–432, §102(g)(2), substituted "inpatient hospital services or inpatient rural primary care hospital services" for "inpatient hospital services" in introductory provisions and in subpar. (B). · (a)
    • Pub. L. 103–432, §102(g)(2), substituted "inpatient hospital services or inpatient rural primary care hospital services" for "inpatient hospital services". · (b)
    • Pub. L. 103–432, §102(g)(3), substituted "inpatient hospital services, inpatient rural primary care hospital services" for "inpatient hospital services". · (b)

    1989

    • Pub. L. 101–234 repealed Pub. L. 100–360, §102, subject to an exception for blood deduction, and provided that the provisions of law amended or repealed by such section are restored or revived as if such section had not been enacted, see 1988 Amendment notes below. · (a), (b)

    1988

    • Pub. L. 100–360, §102(1), amended pars. (1) to (3) generally, revising and reorganizing former pars. (1)(A), (B), (2), and (3), as par. (1), consisting of subpars. (A) to (D), and pars. (2) and (3), each consisting of subpars. (A) and (B). · (a)
    • Pub. L. 100–360, §411(b)(1)(H)(ii), added Pub. L. 100–203, §4002(f)(3), see 1987 Amendment note below. · (b)
    • Pub. L. 100–360, §102(2), struck out par. (3) which related to application of deductible. · (b)

    1987

    • Pub. L. 100–203, §4002(f)(3), as added by Pub. L. 100–360, §411(b)(1)(H)(ii), substituted "Secretary's best estimate of the payment-weighted average of the applicable percentage increases (as defined in section 1395ww(b)(3)(B) of this title) which are applied" for "applicable percen… · (b)

    1986

    • Pub. L. 99–509 amended subsec. (b) generally. Prior to amendment, subsec. (b) read as follows: · (b)
    • Pub. L. 99–272 substituted "September 15" for "October 1". · (b)

    1982

    • Pub. L. 97–248 added par. (4). · (a)

    1981

    • Pub. L. 97–35 substituted "any inpatient hospital services or post-hospital extended care services furnished during the succeeding calendar year. Such inpatient hospital deductible shall be equal to $45" for "any spell of illness beginning during the succeeding calendar year. Such i… · (b)

    1968

    • Pub. L. 90–248, §137(b), designated existing provisions as subpar. (A) and added subpar. (B) and the exception provision that the reduction for any day shall not exceed the charges for that day. · (a)
    • Pub. L. 90–248, §135(a), made the three pint deductible applicable also to equivalent quantities of packed red blood cells, as defined by the Secretary under regulations. · (a)
    • Pub. L. 90–248, §129(c)(3), struck out par. (2) which provided for reduction of amount payable for outpatient hospital diagnostic services furnished an individual during a diagnostic study, and redesignated pars. (3) and (4) as (2) and (3), respectively. · (a)
    • Pub. L. 90–248, §129(c)(4)(A), (B), struck out diagnostic studies from application of inpatient hospital deductible. · (b), (2)

    Text, outline and history from the official U.S. Code (2024 edition) on GovInfo, published by the Office of the Law Revision Counsel. Changes made after that edition appear under This Congress.