42 U.S.C. 1395k: Scope of benefits; definitions

2022

• Pub. L. 117–328 inserted "and intensive outpatient services" after "partial hospitalization services". (Consolidated Appropriations Act, 2023) Law text · (a)

2011

• Pub. L. 112–40 substituted "quality improvement" for "quality control and peer review". Law text · (a)

2008

• Pub. L. 110–275 substituted ", outpatient" for "and outpatient" and inserted ", and outpatient speech-language pathology services (other than services to which the second sentence of section 1395x(p) of this title applies through the application of section 1395x(ll)(2) of this ti… (Medicare Improvements for Patients and Providers Act of 2008) Law text · (a)

2000

• Pub. L. 106–554 redesignated subsec. (c) as (b) and struck out former subsec. (b), which related to extension of coverage of immunosuppressive drugs for individuals who would exhaust benefits under section 1395x(s)(2)(J)(v) of this title in a year during the 5-year period beginni… (Consolidated Appropriations Act, 2001) Law text · (b), (c)

1999

• Pub. L. 106–113 added subsec. (b) and redesignated former subsec. (b) as (c). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b), (c)

1997

• Pub. L. 105–33, §4603(c)(2)(B)(ii), substituted "subparagraphs (E) and (F) of section 1395u(b)(6) of this title;" for "section 1395u(b)(6)(E) of this title;". (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4432(b)(5)(B), substituted "(2) and section 1395u(b)(6)(E) of this title;" for "(2);". (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4511(c), substituted "but only if no facility or other provider charges or is paid any amounts with respect to the furnishing of such services" for "provided in a rural area (as defined in section 1395ww(d)(2)(D) 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)

1990

• Pub. L. 101–508, §4153(a)(2)(A)(i), substituted "subparagraph (G) or subparagraph (I)" for "subparagraph (G)". · (a), (B)
• Pub. L. 101–508, §4157(b), amended cl. (iii) generally. Prior to amendment, cl. (iii) related to services of a certified registered nurse anesthetist. · (a)
• Pub. L. 101–508, §4155(b)(1), added cl. (iv). · (a)
• Pub. L. 101–508, §4161(a)(3)(A), designated existing provisions as cl. (i) and added cl. (ii). · (a)
• Pub. L. 101–508, §4153(a)(2)(A)(ii)–(iv), added subpar. (I). · (a)
• Pub. L. 101–508, §4162(b)(1), added subpar. (J). · (a)

1989

• Pub. L. 101–234, §201(a), repealed Pub. L. 100–360, §§203(a), 205(a), 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 added subpar. (H). · (a)
• Pub. L. 101–234, §101(a), repealed Pub. L. 100–360, §104(d)(3), 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. · (b)

1988

• Pub. L. 100–360, §205(a)(2), inserted sentence at end relating to in-home care provided to a chronically dependent individual on any day. · (a)
• Pub. L. 100–360, §205(a)(1), designated existing provisions as cl. (i) and added cl. (ii) relating to in-home care for a chronically dependent individual. · (a)
• Pub. L. 100–360, §203(a), inserted "and home intravenous drug therapy services" before semicolon at end. · (a)
• Pub. L. 100–360, §411(h)(7)(B), struck out Pub. L. 100–203, §4077(b)(2), see 1987 Amendment note below. · (a)
• Pub. L. 100–360, §411(h)(4)(A), struck out Pub. L. 100–203, §4073(b)(1), see 1987 Amendment note below. · (a)
• Pub. L. 100–360, §411(g)(2)(E), added Pub. L. 100–203, §4063(e)(2), see 1987 Amendment note below. · (a)
• Pub. L. 100–360, §411(i)(4) (C)(vi), added Pub. L. 100–203, §4085(i)(22)(A), see 1987 Amendment note below. · (a)
• Pub. L. 100–360, §104(d)(3), substituted "definitions of 'medical and other health services' and" for "definitions of 'spell of illness', 'medical and other health services', and". · (b)

1987

• Pub. L. 100–203, §4062(d)(2)(A), inserted "(other than items described in subparagraph (G))" after "services". · (a)
• Pub. L. 100–203, §4062(d)(2)(B), inserted "(other than items described in subparagraph (G))" after "health services". · (a)
• Pub. L. 100–203, §4077(b)(2), which directed the addition of cl. (iv) relating to qualified psychologist services, was repealed by Pub. L. 100–360, §411(h)(7)(B). · (a)
• Pub. L. 100–203, §4073(b)(1), which directed the addition of cl. (iv) relating to certified nurse-midwife services, was repealed by Pub. L. 100–360, §411(h)(4)(A). · (a)
• Pub. L. 100–203, §4063(e)(2), as added by Pub. L. 100–360, §411(g)(2)(E), inserted "(including intraocular lens in cases described in section 1395l(i)(2)(A)(iii) of this title)" after "services" in two places. · (a)
• Pub. L. 100–203, §4085(i)(22)(A), as added by Pub. L. 100–360, §411(i)(4)(C)(vi), substituted "payment on an assignment-related basis" for "an assignment described in section 1395u(b)(3)(B)(ii) of this title" in concluding provisions. · (a)
• Pub. L. 100–203, §4062(d)(2)(C), added subpar. (G). · (a)

1986

• Pub. L. 99–509, §9320(d), added cl. (iii). · (a)
• Pub. L. 99–509, §9337(a), amended subpar. (C) generally. Prior to amendment, subpar. (C) read as follows: "outpatient physical therapy services, other than services to which the next to last sentence of section 1395x(p) of this title applies;". · (a)
• Pub. L. 99–509, §9343(e)(1), inserted "standard overhead" in cl. (i) and concluding provisions of cl. (ii). · (a)

1984

• Pub. L. 98–369, §2341(b), substituted "paragraph (1), (2), or (3) of section 1395x(r) of this title" for "section 1395x(r)(1) of this title". · (a)
• Pub. L. 98–369, §2354(b)(6), substituted "organization" for "Organization". · (a)

1982

• Pub. L. 97–248 substituted "quality control and peer review organization (having a contract with the Secretary" for "Professional Standards Review Organization (designated, conditionally or otherwise,". · (a)

1980

• Pub. L. 96–499, §930(g), struck out restriction on home health services of 100 visits during a calendar year. · (a)
• Pub. L. 96–499, §948(a)(2), substituted "where the conditions specified in paragraph (7) of such section are met" for ", unless either clause (A) or (B) of paragraph (7) of such section is met". · (a)
• Pub. L. 96–499, §933(a), added subpar. (E). · (a)
• Pub. L. 96–499, §934(a), added subpar. (F). · (a)

1977

• Pub. L. 95–210, §1(a)(1), substituted "subparagraphs (B) and (D) of paragraph (2)" for "paragraph (2)(B)". · (a)
• Pub. L. 95–210, §1(a)(2), added subpar. (D). · (a)

1972

• Pub. L. 92–603, §227(e)(1), inserted provisions relating to medical and other health services performed by a physician to a patient in a hospital which has an approved teaching program. · (a)
• Pub. L. 92–603, §251(a)(4), inserted ", other than services to which the next to last sentence of section 1395x(p) of this title applies". · (a)

1968

• Pub. L. 90–248, §129(c)(6)(B), inserted "and the services for which payment may be made pursuant to section 1395n(b)(2) of this title" after "hospital". · (a)
• Pub. L. 90–248, §133(d), added subpar. (C). · (a)