WHAT THE LAW DOINCongress, in plain words

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

42 U.S.C. 1395iii: Medicare Improvement Fund

Created in 2008 by the Supplemental Appropriations Act, 2008 (Public Law 110-252). Changed by 34 later laws. 4 new laws this Congress changed it.

This Congress

  • H.R. 6500 Continuing Appropriations and Extensions Act, 2027 · became law · changed (b)
  • H.R. 7148 Consolidated Appropriations Act, 2026 · became law · changed (b)
  • H.R. 5371 Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 · became law · changed (b)
  • H.R. 1968 Full-Year Continuing Appropriations and Extensions Act, 2025 · became law · changed (b)

How it got here

2024

  • Pub. L. 118–158 substituted "$1,251,000,000" for "$3,197,000,000". (American Relief Act, 2025) Law text · (b)
  • Pub. L. 118–83 substituted "2026, $3,197,000,000" for "2022, $0". (Continuing Appropriations and Extensions Act, 2025) Law text · (b)
  • Pub. L. 118–42 substituted "$0" for "$2,197,795,056". (Consolidated Appropriations Act, 2024) Law text · (b)
  • Pub. L. 118–35 substituted "$2,197,795,056" for "$2,250,795,056". (Further Additional Continuing Appropriations and Other Extensions Act, 2024) Law text · (b)

2023

  • Pub. L. 118–31 substituted "$2,250,795,056" for "$466,795,056". (National Defense Authorization Act for Fiscal Year 2024) Law text · (b)
  • Pub. L. 118–22 substituted "$466,795,056" for "$180,000,000". (Further Continuing Appropriations and Other Extensions Act, 2024) Law text · (b)

2022

  • Pub. L. 117–328 substituted "$180,000,000" for "$7,278,000,000". (Consolidated Appropriations Act, 2023) Law text · (b)
  • Pub. L. 117–229 substituted "$7,278,000,000" for "$7,308,000,000". (Further Continuing Appropriations and Extensions Act, 2023) Law text · (b)
  • Pub. L. 117–180 substituted "$7,308,000,000" for "$7,500,000,000". (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (b)
  • Pub. L. 117–159 substituted "fiscal year 2022, $7,500,000,000" for "fiscal year 2021, $5,000,000". (Bipartisan Safer Communities Act) Law text · (b)
  • Pub. L. 117–103 substituted "$5,000,000" for "$99,000,000". (Consolidated Appropriations Act, 2022) Law text · (b)
  • Pub. L. 117–86 substituted "$99,000,000" for "$101,000,000". (Further Additional Extending Government Funding Act) Law text · (b)

2021

  • Pub. L. 117–71 substituted "fiscal year 2021, $101,000,000." for "fiscal year 2021, $69,000,000." (Protecting Medicare and American Farmers from Sequester Cuts Act) Law text · (b)
  • Pub. L. 117–70 substituted "$56,000,000" for "$69,000,000". (Further Extending Government Funding Act) Law text · (b)
  • Pub. L. 117–43 substituted "$69,000,000" for "$165,000,000". (Extending Government Funding and Delivering Emergency Assistance Act) Law text · (b)

2020

  • Pub. L. 116–260 substituted "$165,000,000" for "$0". (Consolidated Appropriations Act, 2021) Law text · (b)

2018

  • Pub. L. 115–123 substituted "$0" for "$220,000,000". (Bipartisan Budget Act of 2018) Law text · (b)

2017

  • Pub. L. 115–63 substituted "during and after fiscal year 2021, $220,000,000" for "during and after fiscal year 2021, $270,000,000". (Disaster Tax Relief and Airport and Airway Extension Act of 2017) Law text · (b)

2016

  • Pub. L. 114–255 substituted "$270,000,000" for "$140,000,000". (21st Century Cures Act) Law text · (b)
  • Pub. L. 114–198 substituted "during and after fiscal year 2021, $140,000,000" for "during and after fiscal year 2020, $0". (Comprehensive Addiction and Recovery Act of 2016) Law text · (b)

2015

  • Pub. L. 114–115 substituted "$0" for "$5,000,000". (Patient Access and Medicare Protection Act) Law text · (b)
  • Pub. L. 114–113 substituted "$5,000,000" for "$205,000,000". (Consolidated Appropriations Act, 2016) Law text · (b)
  • Pub. L. 114–60 substituted "$205,000,000" for "$0". (Protecting Affordable Coverage for Employees Act) Law text · (b)
  • Pub. L. 114–10 substituted "$0" for "$195,000,000". (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (b)

2014

  • Pub. L. 113–185, §3(e)(1), substituted "Medicare Improvement Fund" for "Transitional Fund for Sustainable Growth Rate (SGR) Reform" in section catchline. (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text
  • Pub. L. 113–82, §3(1), substituted "Transitional Fund for Sustainable Growth Rate (SGR) Reform" for "Medicare Improvement Fund" in section catchline. Law text
  • Pub. L. 113–185, §3(e)(2), amended subsec. (a) generally. Prior to amendment, text read as follows: "The Secretary shall establish under this subchapter a Transitional Fund for Sustainable Growth Rate (SGR) Reform (in this section referred to as the 'Fund') which shall be available to … (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (a)
  • Pub. L. 113–82, §3(2), amended subsec. (a) generally. Prior to amendment, text read as follows: "The Secretary shall establish under this subchapter a Medicare Improvement Fund (in this section referred to as the 'Fund') which shall be available to the Secretary to make improvements under the origi… Law text · (a)
  • Pub. L. 113–185, §3(e)(3), substituted "during and after fiscal year 2020, $195,000,000." for "during or after 2017, $0." (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (b)
  • Pub. L. 113–93 substituted "$0" for "$2,300,000,000". (Protecting Access to Medicare Act of 2014) Law text · (b)
  • Pub. L. 113–82, §3(3), substituted "during or after 2017, $2,300,000,000." for "during— Law text · (b)
  • Pub. L. 113–185, §3(e)(4), substituted "from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund in such proportion as the Secretary determines appropriate." for "from the Federal Supplementary Medical Insurance Trust Fund." (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (b)
  • Pub. L. 113–82, §3(4), substituted "from the Federal Supplementary Medical Insurance Trust Fund." for "from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund in such proportion as the Secretary determines appropriate." Law text · (b)

2013

  • Pub. L. 112–240 added subpars. (A) and (B) and struck out former subpars. (A) to (C) which read as follows: (American Taxpayer Relief Act of 2012) Law text · (b)

2010

  • Pub. L. 111–148, which directed substitution of "$0" for "$22,290,000,000", was executed by making the substitution for "$20,740,000,000" to reflect the probable intent of Congress and the intervening amendment by Pub. L. 111–118, §1011(b)(1)(A). See 2009 Amendment note below. (Patient Protection and Affordable Care Act) Law text · (b)
  • Pub. L. 111–309 substituted "$275,000,000" for "$550,000,000". (Medicare and Medicaid Extenders Act of 2010) Law text · (b)

2009

  • Pub. L. 111–5, §4103(b)(1), inserted "medicare" before "fee-for-service program under" and "including, but not limited to, an increase in the conversion factor under section 1395w–4(d) of this title to address, in whole or in part, any projected shortfall in the conversion factor for 2… (American Recovery and Reinvestment Act of 2009) Law text · (a)
  • Pub. L. 111–5, §4103(b)(2)(A), substituted "during—" for "during fiscal year 2014, $2,290,000,000 and, in addition for services furnished during fiscal years 2014 through 2017, $19,900,000,000." and added subpars. (A) and (B). (American Recovery and Reinvestment Act of 2009) Law text · (b)
  • Pub. L. 111–118, §1011(b)(1)(A), substituted "$20,740,000,000" for "$22,290,000,000". (Department of Defense Appropriations Act, 2010) Law text · (b)
  • Pub. L. 111–118, §1011(b)(1)(B)–(3), added subpar. (B) and redesignated former subpar. (B) as (C). (Department of Defense Appropriations Act, 2010) Law text · (b), (C)
  • Pub. L. 111–5, §4103(b)(2)(B), added par. (4). (American Recovery and Reinvestment Act of 2009) Law text · (b)

2008

  • Pub. L. 110–379 substituted "$2,290,000,000" for "$2,220,000,000". (QI Program Supplemental Funding Act of 2008) Law text · (b)
  • Pub. L. 110–275 inserted "and, in addition for services furnished during fiscal years 2014 through 2017, $19,900,000,000" before period at end. (Medicare Improvements for Patients and Providers Act of 2008) Law text · (b)

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.