42 U.S.C. 1395f: Conditions of and limitations on payment for services

2024

• Pub. L. 118–158 substituted "ending on March 31, 2025" for "ending on December 31, 2024". (American Relief Act, 2025) Law text · (a)
• Pub. L. 118–42 substituted "2033" for "2032". (Consolidated Appropriations Act, 2024) Law text · (i), (iii)

2022

• Pub. L. 117–328, §4113(f), substituted "and, in the case that such emergency period ends before December 31, 2024, during the period beginning on the first day after the end of such emergency period described in such section 1320b–5(g)(1)(B) of this title and ending on Dec… (Consolidated Appropriations Act, 2023) Law text · (a)
• Pub. L. 117–103, §306, inserted ", and during the 151-day period beginning on the first day after the end of such emergency period" after "section 1320b–5(g)(1)(B) of this title". (Consolidated Appropriations Act, 2022) Law text · (a)
• Pub. L. 117–328, §4162, substituted "2032" for "2031". (Consolidated Appropriations Act, 2023) Law text · (i), (iii)
• Pub. L. 117–103, §312, substituted "2031" for "2030". (Consolidated Appropriations Act, 2022) Law text · (i), (iii)

2020

• Pub. L. 116–136, §3708(a)(4), in fourth sentence of concluding provisions, inserted "or no later than 6 months after March 27, 2020, for purposes of documentation for certification and recertification made under paragraph (2) by a nurse practitioner, clinical nurse specialist, or physi… (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (a)
• Pub. L. 116–136, §3708(a)(3), in third sentence of concluding provisions, inserted ", nurse practitioner, clinical nurse specialist, or physician assistant" after "physician". (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (a)
• Pub. L. 116–136, §3708(a)(2), in second sentence of concluding provisions, substituted "With respect to the certification" for "With respect to the physician certification" and "which prohibit a physician, nurse practitioner, clinical nurse specialist, or physician assistant who" for "which prohibi… (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (a)
• Pub. L. 116–136, §3708(a)(1)(A), in introductory provisions, inserted ", a nurse practitioner or clinical nurse specialist (as such terms are defined in section 1395x(aa)(5) of this title) who is working in accordance with State law, or a physician assistant (as defined in section 1… (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (a)
• Pub. L. 116–136, §3708(a)(1)(B), inserted ", a nurse practitioner, a clinical nurse specialist, or a physician assistant (as the case may be)" after "reviewed by a physician" and after "care of a physician" and substituted ", and, in the case of a certification made by a physicia… (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (a)
• Pub. L. 116–136, §3706, designated existing provisions as subcl. (I), substituted "subject to subclause (II), a hospice" for "a hospice", and added subcl. (II). (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (a)
• Pub. L. 116–260, §404, substituted "2030" for "2025". (Consolidated Appropriations Act, 2021) Law text · (i), (iii)
• Pub. L. 116–260, §407(b), inserted "(or, for fiscal year 2024 and each subsequent fiscal year, 4 percentage points)" before period at end. (Consolidated Appropriations Act, 2021) Law text · (i)

2018

• Pub. L. 115–123, §51002(a), inserted "For purposes of documentation for physician certification and recertification made under paragraph (2) on or after January 1, 2019, and made with respect to home health services furnished by a home health agency, in addition to using documentation … (Bipartisan Budget Act of 2018) Law text · (a)
• Pub. L. 115–123, §51006(a)(2), inserted "or a physician assistant" after "a nurse practitioner". (Bipartisan Budget Act of 2018) Law text · (a)

2015

• Pub. L. 114–10, §411(d)(1)(A), substituted "clauses (iv) and (vi)," for "clause (iv),,". (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (i)
• Pub. L. 114–10, §411(d)(1)(B), substituted "clauses (iv) and (vi)," for "clause (iv),". (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (i)
• Pub. L. 114–10, §411(d)(1)(C), substituted "Subject to clause (vi), after determining" for "After determining" in introductory provisions. (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (i)
• Pub. L. 114–10, §411(d)(1)(D), added cl. (vi). (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (i)
• Pub. L. 114–10, §411(d)(2), substituted "clauses (iv) and (vi) of paragraph (1)(C)" for "paragraph (1)(C)(iv)". (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (i)

2014

• Pub. L. 113–185, §3(c)(2), inserted "(and, in the case of clause (ii), before October 6, 2014)" after "2011" in introductory provisions. (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (a)
• Pub. L. 113–185, §3(c)(1), (3), added subpar. (E). (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (a)
• Pub. L. 113–185, §3(d), substituted "(B)(i) Except as provided in clause (ii), for purposes" for "(B) For purposes" and added cls. (ii) and (iii). (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (i)

2010

• Pub. L. 111–148, §6404(a)(1)(B), inserted at end of concluding provisions "In applying paragraph (1), the Secretary may specify exceptions to the 1 calendar year period specified in such paragraph." (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §3108(a)(2), substituted "clinical nurse specialist, or physician assistant" for "or clinical nurse specialist" in concluding provisions. (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §6404(a)(1)(A), substituted "period ending 1 calendar year after the date of service;" for "period of 3 calendar years following the year in which such services are furnished (deeming any services furnished in the last 3 calendar months of any calendar year to have … (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §6405(b)(1), as amended by Pub. L. 111–148, §10604, inserted ", or, in the case of services described in subparagraph (C), a physician enrolled under section 1395cc(j) of this title," after "in collaboration with a physician," in introductory provisions. (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §3108(a)(1), substituted ", a clinical nurse specialist, or a physician assistant (as those terms are defined in section 1395x(aa)(5) of this title)" for "or clinical nurse specialist" in introductory provisions. (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §10605(a), inserted ", or a nurse practitioner or clinical nurse specialist (as those terms are defined in section 1395x(aa)(5) of this title) who is working in collaboration with the physician in accordance with State law, or a certified nurse-midwife (as define… (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §6407(a)(1), substituted "such services are or were furnished" for "and such services are or were furnished" and inserted ", and, in the case of a certification made by a physician after January 1, 2010, prior to making such certification the physician must document that the physic… (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §3132(b), added subpar. (D). (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §3132(a)(2)(A)(i), inserted "(before the first fiscal year in which the payment revisions described in paragraph (6)(D) are implemented)" after "subsequent fiscal year" in introductory provisions. (Patient Protection and Affordable Care Act) Law text · (i)
• Pub. L. 111–148, §3132(a)(2)(A)(ii), inserted "(before the first fiscal year in which the payment revisions described in paragraph (6)(D) are implemented), subject to clause (iv)," after "subsequent fiscal year". (Patient Protection and Affordable Care Act) Law text · (i)
• Pub. L. 111–148, §3132(a)(2)(B), added cl. (iii). (Patient Protection and Affordable Care Act) Law text · (i)
• Pub. L. 111–148, §3401(g), added cl. (iv). (Patient Protection and Affordable Care Act) Law text · (i)
• Pub. L. 111–148, §10319(f)(1), substituted "0.3" for "0.5". (Patient Protection and Affordable Care Act) Law text · (i)
• Pub. L. 111–148, §10319(f)(2), substituted "0.3" for "0.5" in introductory provisions. (Patient Protection and Affordable Care Act) Law text · (i)
• Pub. L. 111–148, §3401(g), added cl. (v). (Patient Protection and Affordable Care Act) Law text · (i)
• Pub. L. 111–148, §3004(c)(2), added par. (5). Former par. (5) redesignated (6). (Patient Protection and Affordable Care Act) Law text · (i)
• Pub. L. 111–148, §3132(a)(1)(B), added par. (6). Former par. (6) redesignated (7). (Patient Protection and Affordable Care Act) Law text · (i)
• Pub. L. 111–148, §3004(c)(1), redesignated par. (5) as (6). (Patient Protection and Affordable Care Act) Law text · (i)
• Pub. L. 111–148, §3132(a)(1)(A), redesignated par. (6) as (7). (Patient Protection and Affordable Care Act) Law text · (i)

2009

• Pub. L. 111–5, §4102(d)(1)(B), inserted at end of concluding provisions "For purposes of applying paragraph (3), there shall be taken into account incentive payments, and payment adjustments under subsection (b)(3)(B)(ix) or (n) of section 1395ww of this title." (American Recovery and Reinvestment Act of 2009) Law text · (b)
• Pub. L. 111–5, §4102(d)(1)(A), inserted ", subject to section 1395ww(d)(3)(B)(ix)(III) of this title," before "the Secretary may provide" in introductory provisions. (American Recovery and Reinvestment Act of 2009) Law text · (b)
• Pub. L. 111–5, §4102(a)(2)(A), substituted "the subsequent paragraphs of this subsection" for "paragraph (2)". (American Recovery and Reinvestment Act of 2009) Law text · (l)
• Pub. L. 111–5, §4102(a)(2)(B), (b)(2), added pars. (3) to (5). (American Recovery and Reinvestment Act of 2009) Law text · (l)

2003

• Pub. L. 108–173, §736(a)(1)(A), (c)(2)(A), in concluding provisions, substituted "leave home and" for "leave home," in sixth sentence and struck out "The certification regarding terminal illness of an individual under paragraph (7) shall be based on the physician's or medical director'… (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (a)
• Pub. L. 108–173, §736(a)(1)(B)(i), inserted "based on the physician's or medical director's clinical judgment regarding the normal course of the individual's illness" before ", and" in concluding provisions. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (a)
• Pub. L. 108–173, §408(b), inserted "(which for purposes of this subparagraph does not include a nurse practitioner)" after "attending physician (as defined in section 1395x(dd)(3)(B) of this title)". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (a)
• Pub. L. 108–173, §736(a)(1)(B)(ii), inserted "based on such clinical judgment" before semicolon at end. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (a)
• Pub. L. 108–173, §736(a)(2), inserted comma after "1395e" in introductory provisions. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (b)
• Pub. L. 108–173, §512(b), added par. (4). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (i)
• Pub. L. 108–173, §946(b), added par. (5). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (i)
• Pub. L. 108–173, §405(g)(2), designated existing provisions as par. (1), substituted "Except as provided in paragraph (2), the amount" for "The amount", and added par. (2). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (l)
• Pub. L. 108–173, §405(a)(1), inserted "equal to 101 percent of" before "the reasonable costs". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (l)

2000

• Pub. L. 106–554, §1(a)(6) [title V, §507(a)(1)(B)], inserted at end "Any absence of an individual from the home attributable to the need to receive health care treatment, including regular absences for the purpose of participating in therapeutic, psychosocial, or medical treatment in a… (Consolidated Appropriations Act, 2001) Law text · (a)
• Pub. L. 106–554, §1(a)(6) [title V, §507(a)(1)(A)], which directed amendment of subsec. (a) by striking out in the last sentence ", and that absences of the individual from home are infrequent or of relatively short duration, or are attributable to the need to receive medical treatment", was execut… (Consolidated Appropriations Act, 2001) Law text · (a)
• Pub. L. 106–554, §1(a)(6) [title III, §322(a)(1)], inserted at end "The certification regarding terminal illness of an individual under paragraph (7) shall be based on the physician's or medical director's clinical judgment regarding the normal course of the individual's illness." (Consolidated Appropriations Act, 2001) Law text · (a)
• Pub. L. 106–554, §1(a)(6) [title III, §321(e)], substituted a semicolon for period at end. (Consolidated Appropriations Act, 2001) Law text · (a)
• Pub. L. 106–554, §1(a)(6) [title III, §321(a)], inserted ", plus, in the case of fiscal year 2001, 5.0 percentage points" before semicolon. (Consolidated Appropriations Act, 2001) Law text · (i)

1997

• Pub. L. 105–33, §4615(a), inserted "(other than solely venipuncture for the purpose of obtaining a blood sample)" after "skilled nursing care". (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §§4443(b)(2)(A), 4448, in concluding provisions, substituted "at the beginning of the period" for " not later than 2 days after hospice care is initiated (or, if each certify verbally not later than 2 days after hospice care is initiated, not later than 8 days … (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4443(b)(2)(B), substituted "60-day" for "30-day" and substituted a period for ", and" at end. (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4443(b)(2)(C), struck out cl. (iii) which read as follows: "in a subsequent extension period, the medical director or physician described in clause (i)(II) recertifies at the beginning of the period that the individual is terminally ill;". (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4201(c)(1), (3)(A), substituted "critical access" for "rural primary care" in two places and "96 hours" for "72 hours". (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4603(c)(1), substituted "1395ww, and 1395fff of this title" for "and 1395ww of this title" in introductory provisions. (Balanced Budget Act of 1997) Law text · (b)
• Pub. L. 105–33, §4201(c)(1), substituted "critical access" for "rural primary care" in two places in introductory provisions. (Balanced Budget Act of 1997) Law text · (b)
• Pub. L. 105–33, §4441(a), struck out "and" at end of subcl. (V), added subcl. (VI), and redesignated former subcl. (VI) as (VII). (Balanced Budget Act of 1997) Law text · (i)
• Pub. L. 105–33, §4442(a), added subpar. (D). (Balanced Budget Act of 1997) Law text · (i)
• Pub. L. 105–33, §4441(b), added par. (3). (Balanced Budget Act of 1997) Law text · (i)
• Pub. L. 105–33, §4201(c)(3)(B), amended heading and text of subsec. (l) generally. Prior to amendment, text read as follows: (Balanced Budget Act of 1997) Law text · (l)

1994

• Pub. L. 103–432, §106(b)(1)(A), struck out "and with respect to post-hospital extended care services furnished after such day of a continuous period of such services as may be prescribed in or pursuant to regulations" after "continuous period of such services", "or skilled nursing f… · (a)
• Pub. L. 103–432, §102(a)(3), substituted "the individual may reasonably be expected to be discharged or transferred to a hospital within 72 hours after admission to the rural primary care hospital." for "such services were required to be immediately furnished on a temporary, inpatie… · (a)
• Pub. L. 103–432, §110(d)(1), substituted "September 30, 1990," for "September 30, 1990,,". · (i)
• Pub. L. 103–432, §102(d), substituted "January 1, 1996" for "January 1, 1993". · (l)

1993

• Pub. L. 103–66 substituted "increased by—" and subcls. (I) to (VI) for "increased by the market basket percentage increase (as defined in section 1395ww(b)(3)(B)(iii) of this title) otherwise applicable to discharges occurring in the fiscal year." · (i)

1991

• Pub. L. 102–54 substituted "Department of Veterans Affairs" for "Veterans' Administration" in heading and par. (1) and "Secretary of Veterans Affairs" for "Veterans' Administration" in par. (2). · (h)

1990

• Pub. L. 101–508, §4006(b), added cl. (iii). · (a)
• Pub. L. 101–508, §4008(i)(3), substituted "January 1, 1981" for "October 1, 1983" in subpar. (B) substituted "37th month" for "seventh month" in sentence following subpar. (B), and inserted at end provisions setting forth procedures to be followed by Secretary at end of 36-month per… · (b)
• Pub. L. 101–508, §4008(m)(3)(A), substituted "on or after January 1, 1990, and on or before September 30, 1990," for "during fiscal year 1990". · (i)

1989

• Pub. L. 101–239, §6028(2), substituted "a physician, nurse practitioner, or clinical nurse specialist (as the case may be) makes" for "a physician makes" in first sentence of concluding provisions. · (a)
• Pub. L. 101–239, §6028(1), substituted "a physician, or, in the case of services described in subparagraph (B), a physician, or a nurse practitioner or clinical nurse specialist who does not have a direct or indirect employment relationship with the facility but is working in collab… · (a)
• Pub. L. 101–234 repealed Pub. L. 100–360, §104(d)(2)(A), (B), 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), (6)
• Pub. L. 101–239, §6005(b), substituted "certify in writing, not later than 2 days after hospice care is initiated (or, if each certify verbally not later than 2 days after hospice care is initiated, not later than 8 days after such care is initiated)," for "certify, not later … · (a)
• Pub. L. 101–234 repealed Pub. L. 100–360, §104(d)(2)(C), 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. · (a)
• Pub. L. 101–239, §6003(g)(3)(B)(ii), added par. (8). · (a)
• Pub. L. 101–239, §6003(g)(3)(B)(iii)(I), inserted ", other than a rural primary care hospital providing inpatient rural primary care hospital services," after "providing hospice care" in introductory provisions. · (b)
• Pub. L. 101–234 repealed Pub. L. 100–360, §104(d)(2)(D), 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, §6005(a)(1), inserted "and except as otherwise provided in this paragraph" after "section 1395e(a)(4) of this title". · (i)
• Pub. L. 101–239, §6005(a)(2), added subpar. (C) and struck out former subpar. (C) which read as follows: "With respect to care and services furnished on or after October 1, 1986, the Secretary shall, not less often than annually, review and make appropriate adjustments to the pay… · (i)
• Pub. L. 101–239, §6003(g)(3)(B)(iii)(II), added subsec. (l). · (l)

1988

• Pub. L. 100–360, §104(d)(2)(A), (B), struck out "post-hospital" after "in the case of" and ", for any of the conditions with respect to which he was receiving inpatient hospital services (or services which would constitute inpatient hospital services if the institution met the re… · (a)
• Pub. L. 100–360, §104(d)(2)(A), struck out "post-hospital" before "extended care services" in two places. · (a)
• Pub. L. 100–360, §104(d)(2)(C), added cl. (iii) which read as follows: "in a subsequent extension period, the medical director or physician described in clause (i)(II) recertifies at the beginning of the period that the individual is terminally ill;". · (a)
• Pub. L. 100–360, §104(d)(2)(D), substituted "equal to 100 percent" for "equal to 60 percent" and "plus 100 percent" for "plus 80 percent" and struck out "two-thirds of" after "based on". · (d)

1987

• Pub. L. 100–203, §4024(a), inserted two sentences at end clarifying "confined to his home" for purposes of par. (2)(C). · (a)
• Pub. L. 100–203, §4008(b)(1), substituted "aggregate rate of increase from October 1, 1983, to the most recent date for which annual data are available" for "rate of increase for the previous three-year period". · (b)
• Pub. L. 100–203, §4062(d)(1)(A), substituted "Section 1395m(a)(1)(B) of this title" for "Subsection (k)(1)(B) of this section". · (j)
• Pub. L. 100–203, §4062(d)(1)(B), substituted "the amount described in section 1395m(a)(1) of this title." for a dash and former pars. (1) and (2) which read as follows: · (k)

1986

• Pub. L. 99–272, §9123(b)(1), amended subpar. (B) generally. Prior to amendment, subpar. (B) read as follows: "Notwithstanding subparagraph (A), the rate of payment per day for routine home care furnished during fiscal year 1985 shall be $53.17." · (i)
• Pub. L. 99–272, §9123(b)(2), substituted "1986" for "1985". · (i)

1984

• Pub. L. 98–369, §2354(b)(1), as amended by Pub. L. 98–617, §3(a)(3), in concluding provisions, substituted "contractual" for "contractural". · (a)
• Pub. L. 98–369, §2336(b), inserted before period at end of third sentence ", except that such prohibition shall not apply with respect to a home health agency which is a sole community home health agency (as determined by the Secretary)". · (a)
• Pub. L. 98–369, §2336(a), inserted sentence at end that for purposes of the preceding sentence, service by a physician as an uncompensated officer or director of a home health agency shall not constitute having a significant ownership interest in, or a significant financial or contractual relations… · (a)
• Pub. L. 98–369, §2335(a)(4), in concluding provisions, substituted "or (D)" for "(D), or (E)". · (a)
• Pub. L. 98–369, §2335(a)(1), redesignated subpars. (C) to (E) as (B) to (D), respectively, and struck out former subpar. (B) which provided that payment could be made only if a physician certified, in the case of inpatient tuberculosis hospital services, that such services… · (a)
• Pub. L. 98–369, §2335(a)(2), struck out "and inpatient tuberculosis hospital services" after "psychiatric hospital services". · (a)
• Pub. L. 98–369, §2335(a)(3), redesignated pars. (6) to (8) as (5) to (7), respectively, and struck out former par. (5) which had provided that payment would be made only if, in the case of inpatient tuberculosis hospital services, the services were those which the records of … · (a)
• Pub. L. 98–369, §2321(a)(1), inserted in provisions preceding par. (1) "and other than a home health agency with respect to durable medical equipment" after "hospice care". · (b)
• Pub. L. 98–369, §2308(b)(2)(A), inserted ", or by another provider which demonstrates to the satisfaction of the Secretary that a significant portion of its patients are low-income (and requests that payment be made under this paragraph),". · (b)
• Pub. L. 98–369, §2354(c)(1)(A), amended directory language of Pub. L. 96–449, §903(a)(4), resulting in no change in text. See 1980 Amendment note below. · (b)
• Pub. L. 98–617, §1(a), designated existing provisions as subpar. (A) and added subpars. (B) and (C). · (i)
• Pub. L. 98–369, §2321(f), added subpar. (B) and redesignated former subpars. (B) and (C) as (C) and (D), respectively. · (j)
• Pub. L. 98–369, §2321(a)(2), added subsec. (k). · (k)
• Pub. L. 98–617, §3(b)(1), inserted ", or by another home health agency which demonstrates to the satisfaction of the Secretary that a significant portion of its patients are low-income (and requests that payment be made under this paragraph)," after "public home health agency" and "… · (k)

1983

• Pub. L. 98–21, §602(b), inserted "(or would be if section 1395ww of this title did not apply)" after "section 1395x(v)(1)(D) of this title". · (g)
• Pub. L. 98–21, §602(c), substituted "the amount that would be payable for such services under subsection (b) and section 1395ww of this title" for "the reasonable costs for such services". · (h)
• Pub. L. 97–448 inserted "made" before "for bereavement counseling". · (i)
• Pub. L. 98–90, §1(1), struck out "located in a region (as defined by the Secretary)" after "a hospice program" and "for the region" after " 'the cap amount' ". · (i)
• Pub. L. 98–90, §1(2), amended subpar. (B) generally, substituting provisions establishing a hospice reimbursement cap amount of $6,500, indexed by the medical care component of the Consumer Price Index, for provisions which had established a cap of 40% of the estimated regional a… · (i)
• Pub. L. 98–21, §601(d)(2), added subsec. (j) by transferring and redesignating provisions formerly classified to subsec. (d) of section 1395ww of this title. · (j)
• Pub. L. 98–21, §601(d)(1), substituted "subsection (b)" for "section 1395f(b) of this title". · (j)

1982

• Pub. L. 97–248, §122(c)(1), added par. (8). · (a)
• Pub. L. 97–248, §101(c)(1), substituted "sections 1395e and 1395ww" for "section 1395e" in provisions preceding par. (1), and substituted "until the first day of the seventh month beginning after the date the Secretary determines and notifies the Governor of the State" for "until the S… · (b)
• Pub. L. 97–248, §122(c)(2)(A), inserted "(other than a hospice program providing hospice care)" after "The amount paid to any provider of services". · (b)
• Pub. L. 97–248, §122(c)(2)(B), added subsec. (i). · (i)

1981

• Pub. L. 97–35, §2122(a)(1), substituted "needs or needed skilled nursing care on an intermittent basis or physical or speech therapy or, in the case of an individual who has been furnished home health services based on such a need and who no longer has such a need for such care o… · (a)
• Pub. L. 97–35, §2121(b), struck out subpar. (F) which provided that in the case of alcohol detoxification facility services, such services were required on an inpatient basis (based upon an examination by such certifying physician made prior to initiation of alcohol detoxificatio… · (a)

1980

• Pub. L. 96–499, §930(e), inserted provision at end of subsec. (a) authorizing the Secretary to prescribe regulations to prohibit significantly interested physicians from performing the physician certification required by par. (2) for home health services. · (a)
• Pub. L. 96–499, §930(f), substituted "home health services" for "post-hospital home health services" and "physical, occupational, or speech" for "physical or speech" and deleted ", for any of the conditions with respect to which he was receiving inpatient hospital services (or se… · (a)
• Pub. L. 96–499, §936(b), inserted "or because of the severity of the dental procedure" and substituted "such services" for "such dental services". · (a)
• Pub. L. 96–499, §931(b), added subpar. (F). · (a)
• Pub. L. 96–499, §903(a)(1), inserted "except as provided in paragraph (3),". · (b)
• Pub. L. 96–499, §903(a)(4), as amended by Pub. L. 98–369, §2354(c)(1)(A), added par. (3). · (b)
• Pub. L. 96–499, §941(b), substituted "subsection (h)" for "subsection (j)". · (c)
• Pub. L. 96–499, §941(a), struck out subsecs. (h) and (i) and redesignated subsec. (j) as (h). · (h), (i), (j)

1978

• Pub. L. 95–292 inserted "and as further limited by section 1395rr(b)(2)(B) of this title" after "section 1395x(v) of this title". · (b)

1977

• Pub. L. 95–142, §23(a), inserted reference to subsec. (j) of this section. · (c)
• Pub. L. 95–142, §23(b), added subsec. (j). · (j)

1976

• Pub. L. 94–437 substituted "Subject to section 1395qq of this title, no payment" for "No payment". · (c)

1973

• Pub. L. 93–233, §18(k)(1), substituted "the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth, the individual, because of his underlying medical condition and clinical status, requires hospitalization in connection with the provisi… · (a)
• Pub. L. 93–233, §18(k)(2), inserted reference to subpar. (E) of par. (2). · (a)

1972

• Pub. L. 92–603, §§226(c)(1), 227(b)(1), inserted reference to subsec. (g) of this section and section 1395mm of this title in provisions preceding par. (1). · (a)
• Pub. L. 92–603, §281(e), placed a 3-year time limitation on the time within which a written request for payment is filed, with provision for reduction of the limit to 1 year. · (a)
• Pub. L. 92–603, §§234(g)(1), 247(a), 278(a)(1), substituted "because the individual needs or needed on a daily basis skilled nursing care (provided directly by or requiring the supervision of skilled nursing personnel) or other skilled rehabilitation services, which as a practica… · (a)
• Pub. L. 92–603, §234(g)(1), substituted reference to par. (9) of section 1395x(e) of this title for reference to par. (8) of section 1395x(e) of this title. · (a)
• Pub. L. 92–603, §256(a), added subpar. (E). · (a)
• Pub. L. 92–603, §278(a)(2), substituted "skilled nursing facility" for "extended care facility". · (a)
• Pub. L. 92–603, §§238(a), 278(a)(3), inserted ", including any finding made in the course of a sample or other review of admissions to the institution" after "as described in section 1395x(k)(4) of this title" in the parenthetical provisions covering the finding not made by the comm… · (a)
• Pub. L. 92–603, §233(a), substituted pars. (1) and (2) for provisions describing the amount payable as the reasonable cost determined under section 1395x(v) of this title. · (b)
• Pub. L. 92–603, §211(a), designated existing provisions as par. (2), added pars. (1), (3), and (4), and in par. (2) as so redesignated inserted provisions covering individuals physically present at a place within Canada while traveling without unreasonable delay by the most direct rout… · (f)
• Pub. L. 92–603, §227(b)(2), added subsec. (g). · (g)
• Pub. L. 92–603, §§228(a), 278(b)(4), (17), added subsec. (h) and substituted "skilled nursing facility" for "extended care facility". · (h)
• Pub. L. 92–603, §228(a), added subsec. (i). · (i)

1968

• Pub. L. 90–248, §§126(a)(5), 129(c)(5)(B), struck out references to former subpars. (E) and (F) in last sentence. · (a)
• Pub. L. 90–248, §126(a)(1), (2), struck out subpar. (A) which provided that there be a physician's certification of medical necessity for admissions to hospitals other than psychiatric or tuberculosis institutions, and redesignated subpars. (B) to (E) as (A) to (D), respec… · (a)
• Pub. L. 90–248, §129(c)(5)(A), struck out subpar. (F) which provided that there be a physician's certification for services furnished to outpatients. · (a)
• Pub. L. 90–248, §126(a)(3), (4), added par. (3) and redesignated former pars. (3) to (6) as (4) to (7), respectively. · (a)
• Pub. L. 90–248, §129(c)(6)(A), struck out reference to outpatient hospital diagnostic services from provisions requiring payment for emergency hospital services. · (d)
• Pub. L. 90–248, §143(c), designated existing provisions as par. (1), inserted "in a calendar year" after "furnished" in first sentence of par. (1), added subpar. (C) to par. (1), and added pars. (2) and (3). · (d)