42 U.S.C. 1395ss: Certification of medicare supplemental health insurance policies

2015

• Pub. L. 114–10 added subsec. (z). (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (z)

2010

• Pub. L. 111–148, §3210(b), substituted "(w), and (y)" for ", and (w)". (Patient Protection and Affordable Care Act) Law text · (o)
• Pub. L. 111–148, §3210(a), added subsec. (y). (Patient Protection and Affordable Care Act) Law text · (y)

2008

• Pub. L. 110–233, §104(b)(3), added par. (4). (Genetic Information Nondiscrimination Act of 2008) Law text · (o)
• Pub. L. 110–275 added par. (5). (Medicare Improvements for Patients and Providers Act of 2008) Law text · (o)
• Pub. L. 110–233, §104(a), added subpars. (E) and (F). (Genetic Information Nondiscrimination Act of 2008) Law text · (s), (F)
• Pub. L. 110–233, §104(b)(1), added subsec. (x). (Genetic Information Nondiscrimination Act of 2008) Law text · (x)
• Pub. L. 110–233, §104(b)(2), added par. (4). (Genetic Information Nondiscrimination Act of 2008) Law text · (x)

2007

• Pub. L. 110–161 substituted "The Secretary may" for "(A) The Comptroller General shall periodically, not less often than once every 3 years," and struck out "and to the Secretary" after "State involved" and subpar. (B) which read as follows: "The Secretary may independently perform … (Consolidated Appropriations Act, 2008) Law text · (r)

2003

• Pub. L. 108–173, §736(e)(1), substituted "plan, a medicare supplemental policy" for "plan a medicare supplemental policy". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
• Pub. L. 108–173, §736(e)(2), substituted "to the best of the issuer's or seller's knowledge" for "to the best of the issuer or seller's knowledge". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
• Pub. L. 108–173, §104(b)(2)(A), inserted "a prescription drug plan under part D or" after "but does not include". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (g)
• Pub. L. 108–173, §736(e)(3), substituted "medicare supplemental policies" for "medicare supplement policies". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (g)
• Pub. L. 108–173, §104(b)(2)(B), substituted "subsections (p), (v), and (w)" for "subsection (p)". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (o)
• Pub. L. 108–173, §736(e)(4), substituted "; and" for ", and" at end. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (p)
• Pub. L. 108–173, §736(e)(5), substituted "preexisting" for "pre-existing". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (s)
• Pub. L. 108–173, §104(a)(2)(A), designated existing provisions as subcl. (I), substituted "Subject to subclause (II), only" for "Only", and added subcl. (II). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (s)
• Pub. L. 108–173, §104(a)(2)(B), inserted "and subject to subsection (v)(1)" after "subparagraph (B)(vi)". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (s)
• Pub. L. 108–173, §104(a)(1), added subsec. (v). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (v)
• Pub. L. 108–173, §104(b)(1), added subsec. (w). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (w)

2000

• Pub. L. 106–554, §1(a)(6) [title VI, §618(a)(1)], in concluding provisions, substituted "seeks to enroll under the policy during the period specified in subparagraph (E)" for ", subject to subparagraph (E), seeks to enroll under the policy not later than 63 days after the date of… (Consolidated Appropriations Act, 2001) Law text · (s)
• Pub. L. 106–554, §1(a)(6) [title VI, §618(a)(2)], added subpar. (E) and struck out former subpar. (E) which read as follows: (Consolidated Appropriations Act, 2001) Law text · (s)
• Pub. L. 106–554, §1(a)(6) [title VI, §618(b)], added subpar. (F). (Consolidated Appropriations Act, 2001) Law text · (s)

1999

• Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(13)], struck out "or" after "; but does not include". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (g)
• Pub. L. 106–170, §205(a)(1), inserted "or paragraph (6)" after "this paragraph". (Ticket to Work and Work Incentives Improvement Act of 1999) Law text · (q)
• Pub. L. 106–170, §205(a)(2), added par. (6). (Ticket to Work and Work Incentives Improvement Act of 1999) Law text · (q)
• Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(14)], inserted "section" after "(as defined in" in introductory provisions. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (s)
• Pub. L. 106–113, §1000(a)(6) [title V, §501(a)(2)(A)], inserted ", subject to subparagraph (E)," after "in the case of an individual described in subparagraph (B) who" in concluding provisions. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (s)
• Pub. L. 106–113, §1000(a)(6) [title V, §536(a)(1)], inserted before period at end "or the individual is 65 years of age or older and is enrolled with a PACE provider under section 1395eee of this title, and there are circumstances that would permit the discontinuance of the i… (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (s)
• Pub. L. 106–113, §1000(a)(6) [title V, §536(a)(2)], inserted "any PACE provider under section 1395eee of this title," after "demonstration project authority,". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (s)
• Pub. L. 106–113, §1000(a)(6) [title V, §536(a)(3)], inserted "or in a PACE program under section 1395eee of this title" after "part C" and substituted "such plan or such program" for "such plan". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (s)
• Pub. L. 106–113, §1000(a)(6) [title V, §501(a)(2)(B)], added subpar. (E). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (s)

1998

• Pub. L. 105–362 struck out par. (6) which read as follows: "The Secretary shall report to the Congress in March 1989 and in July 1990 on actions States have taken in adopting standards equal to or more stringent than the NAIC Model Transition Regulation or the amended NAIC Model Reg… (Federal Reports Elimination Act of 1998) Law text · (l)

1997

• Pub. L. 105–33, §4003(a)(1)(A), inserted "(including an individual electing a Medicare+Choice plan under section 1395w–21 of this title)" after "part B of this subchapter" in introductory provisions. (Balanced Budget Act of 1997) Law text · (d)
• Pub. L. 105–33, §4003(a)(1)(B), inserted "in the case of an individual not electing a Medicare+Choice plan" after "(II)" and inserted "or in the case of an individual electing a Medicare+Choice plan, a medicare supplemental policy with knowledge that the policy duplicates … (Balanced Budget Act of 1997) Law text · (d)
• Pub. L. 105–33, §4031(c), inserted ", a policy described in clause (v)," after "Medicare supplemental policy". (Balanced Budget Act of 1997) Law text · (d)
• Pub. L. 105–33, §4003(a)(2), inserted "(including any Medicare+Choice plan)" after "health insurance policies". (Balanced Budget Act of 1997) Law text · (d)
• Pub. L. 105–33, §4003(a)(3), inserted "or a Medicare+Choice plan or" after "does not include" the first place appearing. (Balanced Budget Act of 1997) Law text · (g)
• Pub. L. 105–33, §4002(j)(2), struck out ", during the period beginning on the date specified in subsection (p)(1)(C) of this section and ending on December 31, 1995," after "Omnibus Budget Reconciliation Act of 1986, or". (Balanced Budget Act of 1997) Law text · (g)
• Pub. L. 105–33, §4032(a)(1), inserted before period at end "plus the 2 plans described in paragraph (11)(A)". (Balanced Budget Act of 1997) Law text · (p)
• Pub. L. 105–33, §4032(a)(2), added par. (11). (Balanced Budget Act of 1997) Law text · (p)
• Pub. L. 105–33, §4031(b)(1), substituted "subparagraphs (C) and (D)" for "subparagraph (C)". (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4031(b)(2), added subpar. (D). (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4031(a)(3), added par. (3). Former par. (3) redesignated (4). (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4031(a)(1), (2), substituted "requirements of this subsection" for "requirements of paragraphs (1) and (2)" and redesignated par. (3) as (4). (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4031(a)(2), redesignated par. (3) as (4). (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4003(b), added subsec. (u). (Balanced Budget Act of 1997) Law text · (u)

1996

• Pub. L. 104–191, §271(a)(1), substituted "clause (i)(II)" for "clause (i)". (Health Insurance Portability and Accountability Act of 1996) Law text · (d)
• Pub. L. 104–191, §271(a)(2), added cls. (iv) to (viii). (Health Insurance Portability and Accountability Act of 1996) Law text · (d)
• Pub. L. 104–191, §271(b)(1), substituted "with respect to" for "with respect to (i)" and struck out before period at end ", (ii) the sale or issuance of a policy or plan described in subparagraph (A)(i)(I) (other than a medicare supplemental policy to an individual entitled to an… (Health Insurance Portability and Accountability Act of 1996) Law text · (d)
• Pub. L. 104–191, §271(b)(2), struck out subpar. (D) which provided for development of statements for various types of health insurance policies sold or issued to persons entitled to health benefits under this subchapter regarding extent to which benefits payable under those polic… (Health Insurance Portability and Accountability Act of 1996) Law text · (d)

1994

• Pub. L. 103–432, §171(c)(1)(B), in closing provisions substituted "on and after the effective date specified in subsection (p)(1)(C)" for "after the effective date of the NAIC or Federal standards with respect to the policy". · (a)
• Pub. L. 103–432, §171(c)(1)(A), substituted "1991 NAIC Model Regulation or 1991 Federal Regulation" for "NAIC standards or the Federal standards". · (a)
• Pub. L. 103–432, §171(e)(2), substituted "subparagraph (F)" for "subsection (F)" in last sentence. · (b)
• Pub. L. 103–432, §171(c)(4), substituted "the Secretary determines" for "the the Secretary determines" in introductory provisions. · (b)
• Pub. L. 103–432, §171(c)(2), in last sentence substituted "Each report" for "The report", "fail to meet the standards and requirements" for "fail to meet the standards", "compliance, information regarding" for "compliance, and information regarding", and "Commissioners may specify" for "Commissione… · (b)
• Pub. L. 103–432, §171(a)(1), made technical amendment to Pub. L. 101–508, §4351. See 1990 Amendment notes below. · (b), (c)
• Pub. L. 103–432, §171(d)(1)(D), struck out at end "This subsection shall not apply to such a seller until such date as the Secretary publishes a list of the standardized benefit packages that may be offered consistent with subsection (p) of this section." · (d)
• Pub. L. 103–432, §171(d)(1)(C), designated third sentence as cl. (iii), substituted "clause (i) with respect to the sale of a medicare supplemental policy" for "the previous sentence", and struck out "and the statement under such subparagraph indicates on its face that the sale of the policy will n… · (d)
• Pub. L. 103–432, §171(d)(1)(B), designated second sentence as cl. (ii) and substituted "Whoever violates clause (i)" for "Whoever violates the previous sentence". · (d)
• Pub. L. 103–432, §171(d)(1)(A), designated first sentence as cl. (i) and amended it generally. Prior to amendment, first sentence read as follows: "It is unlawful for a person to sell or issue a health insurance policy to an individual entitled to benefits under part A of this subchapter or enrolle… · (d)
• Pub. L. 103–432, §171(d)(2)(A), struck out "65 years of age or older" before "may be eligible". · (d)
• Pub. L. 103–432, §171(d)(2)(B), (C), substituted "has a medicare supplemental policy" for "has another medicare supplemental policy" and "sale of a medicare supplemental policy" for "sale of such a policy". · (d)
• Pub. L. 103–432, §171(d)(2)(D), substituted "has a medicare supplemental policy" for "has another policy". · (d)
• Pub. L. 103–432, §171(d)(2)(E), amended subcl. (III) generally. Prior to amendment, subcl. (III) read as follows: "Subclause (I) also shall not apply if a State medicaid plan under subchapter XIX of this chapter pays the premiums for the policy, or pays less than an ind… · (d)
• Pub. L. 103–432, §171(d)(3)(A), substituted "(i) the sale or issuance of a group policy" for "the selling of a group policy" and added cls. (ii) and (iii). · (d)
• Pub. L. 103–432, §171(d)(3)(B), added subpar. (D). · (d)
• Pub. L. 103–432, §171(k)(1), struck out before period at end ", if such policy expires not more than 12 months after the date on which the duplicate copy is mailed". · (d)
• Pub. L. 103–432, §171(k)(2), added subpar. (E). · (d)
• Pub. L. 103–432, §171(j)(2), added par. (3). · (f)
• Pub. L. 103–432, §171(f)(1), substituted "an eligible organization (as defined in section 1395mm(b) of this title) if the policy or plan provides benefits pursuant to a contract under section 1395mm of this title or an approved demonstration project described in section 603(c) of th… · (g)
• Pub. L. 103–432, §171(c)(3), substituted "Secretary" for "Panel". · (g)
• Pub. L. 103–432, §171(a)(1), made technical amendment to Pub. L. 101–508, §4351. See 1990 Amendment note below. · (o)
• Pub. L. 103–432, §171(a)(1), made technical amendment to Pub. L. 101–508, §4351. See 1990 Amendment note below. · (p)
• Pub. L. 103–432, §171(a)(2)(A), in introductory provisions, substituted "changes the revised NAIC Model Regulation (described in subsection (m)) to incorporate" for "promulgates", and in closing provisions, struck out "(such limitations, language, definitions, format, and standar… · (p)
• Pub. L. 103–432, §171(a)(2)(B), substituted "make the changes in the revised NAIC Model Regulation" for "promulgate NAIC standards", "a regulation" for "limitations, language, definitions, format, and standards described in clauses (i) through (iv) of such subparagraph (in this s… · (p)
• Pub. L. 103–432, §171(a)(2)(C), substituted "1991 NAIC Model Regulation or 1991 Federal Regulation" for "NAIC standards or the Federal standards". · (p)
• Pub. L. 103–432, §171(a)(2)(D), substituted "1991 NAIC Model Regulation or 1991 Federal Regulation" for "NAIC or Federal standards". · (p), (E)
• Pub. L. 103–432, §171(a)(2)(D), substituted "1991 NAIC Model Regulation or 1991 Federal Regulation" for "NAIC or Federal standards" in introductory provisions. · (p)
• Pub. L. 103–432, §171(a)(2)(E), substituted "paragraph (4)(B)" for "paragraph (5)(B)". · (p)
• Pub. L. 103–432, §171(a)(2)(G), substituted "applicable 1991 NAIC Model Regulation or 1991 Federal Regulation" for "applicable standards" wherever appearing. · (p)
• Pub. L. 103–432, §171(a)(2)(F), inserted "or paragraph (6)" after "subparagraph (B)". · (p)
• Pub. L. 103–432, §171(a)(2)(H), substituted "described in clauses (i) through (iii) of paragraph (1)(A)" for "in regard to the limitation of benefits described in paragraph (4)". · (p)
• Pub. L. 103–432, §171(a)(2)(I), substituted "policyholders" for "policyholder". · (p)
• Pub. L. 103–432, §171(a)(2)(J), substituted "on and after the effective date specified in paragraph (1)(C) (but subject to paragraph (10)), in violation of the applicable 1991 NAIC Model Regulation or 1991 Federal Regulation insofar as such regulation relates to the requirements of … · (p)
• Pub. L. 103–432, §171(a)(2)(D), substituted "1991 NAIC Model Regulation or 1991 Federal Regulation" for "NAIC or Federal standards". · (p)
• Pub. L. 103–432, §171(a)(2)(K), added subpar. (D). · (p)
• Pub. L. 103–432, §171(a)(2)(L), substituted "consistent with paragraph (1)(A)(i)" for "consistent with this subsection". · (p)
• Pub. L. 103–432, §171(b)(1), substituted "paragraph (4)" for "paragraph (2)". · (q)
• Pub. L. 103–432, §171(b)(2), substituted "issuer of the replacement policy" for "the succeeding issuer". · (q)
• Pub. L. 103–432, §171(d)(4), made technical amendment to the reference to subchapter XIX of this chapter to correct reference to corresponding provision of original act. · (q), (B)
• Pub. L. 103–432, §171(e)(1)(A), (E), in introductory provisions substituted "or renewed (or otherwise provide coverage after the date described in subsection (p)(1)(C))" for "or sold" and inserted at end of closing provisions "For the purpose of calculating the refund or credit requ… · (r)
• Pub. L. 103–432, §171(e)(1)(C), substituted "Commissioners)" for "Commissioners,". · (r)
• Pub. L. 103–432, §171(e)(1)(B), inserted "for periods after the effective date of these provisions" after "the policy can be expected". · (r)
• Pub. L. 103–432, §171(e)(1)(D), inserted before period at end ", treating policies of the same type as a single policy for each standard package". · (r)
• Pub. L. 103–432, §171(e)(1)(F)–(I), substituted "by standard package" for "by policy number" in first sentence and "until 12 months following issue" for "with respect to the first 2 years in which it is in effect" in second sentence, struck out "in order to apply paragraph (1)(B)… · (r)
• Pub. L. 103–432, §171(e)(1)(J), substituted "calendar year" for "policy year" wherever appearing. · (r), (D)
• Pub. L. 103–432, §171(e)(1)(K), substituted "October" for "February", "disallowance" for "disllowance", "loss ratios" for "loss-ratios" in two places, and "loss ratio" for "loss-ratio". · (r)
• Pub. L. 103–432, §171(e)(1)(L), substituted "fails to provide refunds or credits as required in paragraph (1)(B)" for "issues a policy in violation of the loss ratio requirements of this subsection" and "policy issued for which such failure occurred" for "such violation". · (r)
• Pub. L. 103–432, §171(e)(1)(M), substituted "to the policyholder or, in the case of a group policy, to the certificate holder" for "to policyholders". · (r)
• Pub. L. 103–432, §171(g)(1), (2), substituted "in the case of an individual for whom an application is submitted prior to or" for "for which an application is submitted" and "as of the first day on which the individual is 65 years of age or older and is enrolled for benefits unde… · (s)
• Pub. L. 103–432, §171(g)(3), substituted "before the policy became effective" for "before it became effective". · (s)
• Pub. L. 103–432, §171(h)(1)(A), (B), substituted "If a medicare supplemental policy meets the 1991 NAIC Model Regulation or 1991 Federal Regulation" for "If a policy meets the NAIC Model Standards". · (t)
• Pub. L. 103–432, §171(h)(1)(C), inserted "or agreements" after "contracts". · (t)
• Pub. L. 103–432, §171(h)(1)(D), substituted "standards in the 1991 NAIC Model Regulation or 1991 Federal Regulation" for "NAIC standards". · (t), (F)
• Pub. L. 103–432, §171(h)(1)(E), inserted "the issuer" before "is subject to a civil money penalty" in concluding provisions. · (t)

1990

• Pub. L. 101–508, §4353(a)(1), struck out "Voluntary" at beginning of section catchline.
• Pub. L. 101–508, §4353(a)(2), designated existing provisions as par. (1) and added par. (2). · (a)
• Pub. L. 101–508, §4207(k)(1), formerly §4027(k)(1), as renumbered by Pub. L. 103–432, §160(d)(4), struck out "(k)(4)," after "subsections (k)(3)," in third sentence. · (a)
• Pub. L. 101–508, §4353(c)(5), inserted at end "The report required under subsection (F) shall include information on loss ratios of policies sold in the State, frequency and types of instances in which policies approved by the State fail to meet the standards of this paragraph, acti… · (b)
• Pub. L. 101–508, §4353(b)(1), (2), substituted "the Secretary" for "Supplemental Health Insurance Panel (established under paragraph (2))" in introductory provisions and for "the Panel" in concluding provisions. · (b)
• Pub. L. 101–508, §4207(k)(1), formerly §4027(k)(1), as renumbered by Pub. L. 103–432, §160(d)(4), which directed the amendment of third sentence of par. (1) by striking out "(k)(4)," was executed by making the deletion after "subsections (k)(3)," in concluding provisions to reflect the probable int… · (b)
• Pub. L. 101–508, §4358(b)(2)(A), inserted before semicolon at end ", except as otherwise provided by subparagraph (H)". · (b)
• Pub. L. 101–508, §4353(b)(3), inserted "and enforcement" after "application". · (b)
• Pub. L. 101–508, §4351(1), formerly §4351(a)(1), as renumbered and amended by Pub. L. 103–432, §171(a)(1), substituted "through (5)" for "through (4)". · (b)
• Pub. L. 101–508, §4355(b), substituted for semicolon at end ", and that a copy of each such policy, the most recent premium for each such policy, and a listing of the ratio of benefits provided to premiums collected for the most recent 3-year period for each such policy issued or… · (b)
• Pub. L. 101–508, §4353(b)(3), inserted "and enforcement" after "application". · (b)
• Pub. L. 101–508, §4353(c)(1)–(3), added subpar. (F). · (b)
• Pub. L. 101–508, §4355(c), which directed amendment of par. (1) by adding at the end thereof a new subpar. (G), was executed by adding the new subpar. (G) immediately after subpar. (F) to reflect the probable intent of Congress. · (b)
• Pub. L. 101–508, §4358(b)(2)(B)–(D), added subpar. (H). · (b)
• Pub. L. 101–508, §4353(b)(4), amended par. (2) generally. Prior to amendment, par. (2) read as follows: · (b)
• Pub. L. 101–508, §4357(a)(1), inserted "or the requirement described in subsection (s)" after "paragraph (3)" in introductory provisions. · (c)
• Pub. L. 101–508, §4355(a)(2), struck out at end "For purposes of paragraph (2), policies issued as a result of solicitations of individuals through the mails or by mass media advertising (including both print and broadcast advertising) shall be deemed to be individual policies." · (c)
• Pub. L. 101–508, §4358(b)(1), inserted before semicolon at end "(except as otherwise provided by subsection (t))". · (c)
• Pub. L. 101–508, §4355(a)(1), amended par. (2) generally. Prior to amendment, par. (2) read as follows: "can be expected (as estimated for the entire period for which rates are computed to provide coverage, on the basis of incurred claims experience and earned premiums for such peri… · (c)
• Pub. L. 101–508, §4351(2), formerly §4351(a)(2), as renumbered and amended by Pub. L. 103–432, §171(a)(1), added par. (5). · (c)
• Pub. L. 101–508, §4354(a)(1), substituted "It is unlawful for a person to sell or issue" for "Whoever knowingly sells", "duplicates health benefits" for "substantially duplicates health benefits", ". Whoever violates the previous sentence shall be fined" for ", shall be fined", "… · (d)
• Pub. L. 101–508, §4354(a)(2), amended subpar. (B) generally. Prior to amendment, subpar. (B) read as follows: "For purposes of this paragraph, benefits which are payable to or on behalf of an individual without regard to other health benefit coverage of such individual, shall not… · (d)
• Pub. L. 101–508, §4353(d)(1), struck out at end "For purposes of this paragraph, a medicare supplemental policy shall be deemed to be approved by the commissioner or superintendent of insurance of a State if— · (d)
• Pub. L. 101–508, §4356(a), inserted before period at end of first sentence "and does not include a policy or plan of a health maintenance organization or other direct service organization which offers benefits under this subchapter, including such services under a contract under und… · (g)
• Pub. L. 101–508, §4351(3), formerly §4351(a)(3), as renumbered and amended by Pub. L. 103–432, §171(a)(1), added subsecs. (o) and (p). · (o), (p)
• Pub. L. 101–508, §4352, added subsec. (q). · (q)
• Pub. L. 101–508, §4354(b), added par. (5). · (q)
• Pub. L. 101–508, §4355(a)(3), added subsec. (r). · (r)
• Pub. L. 101–508, §4357(a)(2), added subsec. (s). · (s)
• Pub. L. 101–508, §4358(a), added subsec. (t). · (t)

1989

• Pub. L. 101–234, §203(a)(1)(A), substituted "subsections (k)(3), (k)(4), (m), and (n)" for "subsection (k)(3)". · (a), (b)
• Pub. L. 101–234, §203(a)(1)(B)(i), inserted "except as provided in subsection (m)," before "subsection (g)(2)(A)". · (k)
• Pub. L. 101–234, §203(a)(1)(B)(ii), substituted "subsections (l), (m), and (n)" for "subsection (l)". · (k)
• Pub. L. 101–234, §203(a)(1)(C), added subsecs. (m) and (n). · (m), (n)

1988

• Pub. L. 100–360, §221(d)(1), substituted "Subject to subsection (k)(3), such" for "Such". · (a)
• Pub. L. 100–360, §221(d)(2), substituted "(subject to subsection (k)(3), for so long as" for "(for so long as" in concluding provisions. · (b)
• Pub. L. 100–360, §221(a)(1), substituted "through (4)" for "and (3)". · (b)
• Pub. L. 100–360, §221(b)(2), (3), added subpar. (C). Former subpar. (C) redesignated (D). · (b)
• Pub. L. 100–360, §221(b)(1), substituted "(A), (B), and (C)" for "(A) and (B)". · (b)
• Pub. L. 100–360, §221(b)(2), redesignated former subpars. (C) and (D) as (D) and (E), respectively. · (b), (E)
• Pub. L. 100–360, §221(f), substituted "appointed by the Secretary" for "appointed by the President". · (b)
• Pub. L. 100–360, §221(e), added par. (3). · (b)
• Pub. L. 100–360, §411(i)(1)(B), added Pub. L. 100–203, §4081(b)(2)(A), see 1987 Amendment note below. · (c)
• Pub. L. 100–360, §411(i)(1)(B), redesignated Pub. L. 100–203, §4081(b)(2)(B)–(D), see 1987 Amendment note below. · (c)
• Pub. L. 100–360, §411(i)(1)(C)(i), substituted "claim form" for "claims form" in two places and "such notice" for "such claims form". · (c)
• Pub. L. 100–360, §411(i)(1)(C)(ii), inserted "under the policy" after "payment determination". · (c)
• Pub. L. 100–360, §411(i)(1)(C)(iii), substituted "payment covered by such policy" for "appropriate payment". · (c)
• Pub. L. 100–360, §221(a)(2), added par. (4). · (c)
• Pub. L. 100–360, §428(b)(1), substituted "shall be fined under title 18 or imprisoned not more than 5 years, or both, and, in addition to or in lieu of such a criminal penalty, is subject to a civil money penalty of not to exceed $5,000 for each such prohibited act" for "shall be guilt… · (d)
• Pub. L. 100–360, §428(b)(2), added par. (5). · (d)
• Pub. L. 100–360, §221(c), designated existing provision as par. (1) and added pars. (2) and (3). · (e)
• Pub. L. 100–360, §221(d)(3), added subsecs. (k) and (l). · (k), (l)

1987

• Pub. L. 100–203, §4081(b)(1)(A), amended subpar. (B) generally. Prior to amendment, subpar. (B) read as follows: "includes a requirement equal to or more stringent than the requirement described in subsection (c)(2) of this section; and". · (b)
• Pub. L. 100–203, §4081(b)(1)(B), (C), added subpar. (D). · (b)
• Pub. L. 100–203, §4081(b)(2)(A), as added by Pub. L. 100–360, §411(i)(1)(B), inserted "(or, with respect to paragraph (3), the issuer of the policy)" in introductory provisions. · (c)
• Pub. L. 100–203, §4081(b)(2)(B)–(D), formerly §4081(b)(2), as redesignated by Pub. L. 100–360, §411(i)(1)(B), added par. (3). · (c)
• Pub. L. 100–93 substituted "knowingly and willfully" for "knowingly or willfully". · (d)