42 U.S.C. 1395x: Definitions

2022

• Pub. L. 117–328, §4124(b)(1)(B), which directed amendment of "Section 1861(s)(2)(B)" by inserting "or intensive outpatient services" after "partial hospitalization services", without specifying the name of the Act being amended, was executed to this section, which is section 1861… (Consolidated Appropriations Act, 2023) Law text · (s)
• Pub. L. 117–328, §4134(a)(1), inserted ", and items and services furnished on or after January 1, 2024, related to the administration of intravenous immune globulin," after "globulin". (Consolidated Appropriations Act, 2023) Law text · (s)
• Pub. L. 117–328, §4133(a)(1)(A)(ii), which directed the substitution of "; and" for period at end, was executed by substituting "; and" for semicolon at end to reflect the probable intent of Congress. (Consolidated Appropriations Act, 2023) Law text · (s)
• Pub. L. 117–328, §4121(a)(1), added subpar. (II). (Consolidated Appropriations Act, 2023) Law text · (s)
• Pub. L. 117–328, §4133(a)(1)(A), added subpar. (JJ). (Consolidated Appropriations Act, 2023) Law text · (s)
• Pub. L. 117–328, §4121(b)(1), substituted ", by a clinical social worker (as defined in subsection (hh)(1)), by a marriage and family therapist (as defined in subsection (lll)(2)), or by a mental health counselor (as defined in subsection (lll)(4))" for "or by a clinical social … (Consolidated Appropriations Act, 2023) Law text · (aa)
• Pub. L. 117–328, §4124(b)(4)(A)(i), added subpar. (D). (Consolidated Appropriations Act, 2023) Law text · (aa)
• Pub. L. 117–328, §4124(b)(4)(A)(ii), substituted "through (D)" for "through (C)". (Consolidated Appropriations Act, 2023) Law text · (aa)
• Pub. L. 117–328, §4121(b)(2), inserted ", marriage and family therapist, or mental health counselor" after "social worker". (Consolidated Appropriations Act, 2023) Law text · (dd)
• Pub. L. 117–328, §4124(b)(2)(A), inserted "; intensive outpatient services" after "Partial hospitalization services" in heading. (Consolidated Appropriations Act, 2023) Law text · (ff)
• Pub. L. 117–328, §4124(a), inserted "for an individual determined (not less frequently than monthly) by a physician to have a need for such services for a minimum of 20 hours per week" after "prescribed by a physician". (Consolidated Appropriations Act, 2023) Law text · (ff)
• Pub. L. 117–328, §4124(b)(2)(B), added par. (4). (Consolidated Appropriations Act, 2023) Law text · (ff)
• Pub. L. 117–328, §4134(a)(2), inserted "furnished before January 1, 2024," after "but not including items or services". (Consolidated Appropriations Act, 2023) Law text · (zz)
• Pub. L. 117–328, §4121(a)(2), added subsec. (lll). (Consolidated Appropriations Act, 2023) Law text · (lll)
• Pub. L. 117–328, §4133(a)(1)(B), added subsec. (mmm). (Consolidated Appropriations Act, 2023) Law text · (mmm)

2020

• Pub. L. 116–260, §125(a)(1)(A), inserted before period at end of concluding provisions "or a rural emergency hospital (as defined in subsection (kkk)(2))". (Consolidated Appropriations Act, 2021) Law text · (e)
• Pub. L. 116–136, §3708(c)(1)(A), in introductory provisions, inserted ", a nurse practitioner or a clinical nurse specialist (as those terms are defined in subsection (aa)(5)), or a physician assistant (as defined in subsection (aa)(5))" after "care of a physician" and ", a nurse pract… (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (m)
• Pub. L. 116–136, §3708(c)(1)(B), inserted ", a nurse practitioner, a clinical nurse specialist, or a physician assistant" after "physician". (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (m)
• Pub. L. 116–136, §3708(c)(2), inserted ", nurse practitioners or clinical nurse specialists (as those terms are defined in subsection (aa)(5)), certified nurse-midwives (as defined in subsection (gg)), or physician assistants (as defined in subsection (aa)(5))" after "physicians" an… (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (o)
• Pub. L. 116–136, §3713(a), inserted ", and COVID–19 vaccine and its administration" after "influenza vaccine and its administration". (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (s)
• Pub. L. 116–260, §125(d)(1), inserted "rural emergency hospital," after "critical access hospital,". (Consolidated Appropriations Act, 2021) Law text · (u)
• Pub. L. 116–260, §407(a)(4)(A), struck out subpar. (C) which read as follows: "Any entity that is certified as a hospice program shall be subject to a standard survey by an appropriate State or local survey agency, or an approved accreditation agency, as determined by the Secret… (Consolidated Appropriations Act, 2021) Law text · (dd)
• Pub. L. 116–136, §3708(c)(3), inserted ", nurse practitioner or clinical nurse specialist (as those terms are defined in subsection (aa)(5)), certified nurse-midwife (as defined in subsection (gg)), or physician assistant (as defined in subsection (aa)(5))" after "attending physici… (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (kk)
• Pub. L. 116–260, §117(a), inserted concluding provisions. (Consolidated Appropriations Act, 2021) Law text · (iii)
• Pub. L. 116–260, §125(a)(1)(B), added subsec. (kkk). (Consolidated Appropriations Act, 2021) Law text · (kkk)

2018

• Pub. L. 115–271, §2005(a), added subpar. (HH). (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act" or the "SUPPORT for Patients and Communities Act) Law text · (s)
• Pub. L. 115–123, §51006(a)(1), substituted ", the nurse" for "or nurse" and inserted ", or the physician assistant (as defined in such subsection)" after "subsection (aa)(5))". (Bipartisan Budget Act of 2018) Law text · (dd)
• Pub. L. 115–271, §2002(a)(1), substituted "paragraph (2)," for "paragraph (2) and" and inserted "and the furnishing of a review of any current opioid prescriptions (as defined in paragraph (4))," after "upon the agreement with the individual,". (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act" or the "SUPPORT for Patients and Communities Act) Law text · (ww)
• Pub. L. 115–271, §2002(a)(2), added subpar. (N) and redesignated former subpar. (N) as (O). (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act" or the "SUPPORT for Patients and Communities Act) Law text · (ww), (O)
• Pub. L. 115–271, §2002(a)(3), added par. (4). (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act" or the "SUPPORT for Patients and Communities Act) Law text · (ww)
• Pub. L. 115–123, §51008(a)(1), struck out "physician-supervised" after "means a" and inserted "under the supervision of a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsectio… (Bipartisan Budget Act of 2018) Law text · (eee)
• Pub. L. 115–123, §51008(a)(2)(A), substituted "Secretary;" for "Secretary." (Bipartisan Budget Act of 2018) Law text · (eee)
• Pub. L. 115–123, §51008(a)(2)(B), substituted "a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (aa)(5))" for "a physician". (Bipartisan Budget Act of 2018) Law text · (eee)
• Pub. L. 115–123, §51008(a)(3), struck out "physician-supervised" after " means a" and inserted "under the supervision of a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subse… (Bipartisan Budget Act of 2018) Law text · (eee)
• Pub. L. 115–123, §51004, added cls. (vii) and (viii). (Bipartisan Budget Act of 2018) Law text · (eee), (viii)
• Pub. L. 115–123, §51008(b), struck out "physician-supervised" after "means a" and inserted "under the supervision of a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as those terms are defined in subsection (… (Bipartisan Budget Act of 2018) Law text · (fff)
• Pub. L. 115–271, §2002(b), added subpars. (G) and (H) and redesignated former subpar. (G) as (I). (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act" or the "SUPPORT for Patients and Communities Act) Law text · (hhh)
• Pub. L. 115–271, §2005(b), added subsec. (jjj). (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act" or the "SUPPORT for Patients and Communities Act) Law text · (jjj)

2016

• Pub. L. 114–255, §5012(c)(3), inserted "and home infusion therapy (as defined in subsection (iii)(i))" after "furnished to an inpatient of a hospital" in concluding provisions. (21st Century Cures Act) Law text · (m)
• Pub. L. 114–255, §5012(a)(1), added subpar. (GG). (21st Century Cures Act) Law text · (s)
• Pub. L. 114–255, §5012(a)(2), added subsec. (iii). (21st Century Cures Act) Law text · (iii)

2015

• Pub. L. 114–113, §504(b)(2), inserted "and applicable disposable devices (as defined in section 1395m(s)(2) of this title)" after "durable medical equipment". (Consolidated Appropriations Act, 2016) Law text · (m)
• Pub. L. 114–40 inserted "and eye tracking and gaze interaction accessories for speech generating devices furnished to individuals with a demonstrated medical need for such accessories" after "appropriate organizations)". (Steve Gleason Act of 2015) Law text · (n)
• Pub. L. 114–10 amended par. (7) generally. Prior to amendment, par. (7) read as follows: (Medicare Access and CHIP Reauthorization Act of 2015) Law text · (o)
• Pub. L. 114–27 inserted before semicolon at end ", including such renal dialysis services furnished on or after January 1, 2017, by a renal dialysis facility or provider of services paid under section 1395rr(b)(14) of this title to an individual with acute kidney injury (as defin… (Trade Preferences Extension Act of 2015) Law text · (s)

2014

• Pub. L. 113–185 added subpar. (C). (Improving Medicare Post-Acute Care Transformation Act of 2014" or the "IMPACT Act of 2014) Law text · (dd)

2012

• Pub. L. 112–96, §3201(a), substituted "fiscal years 2001 through 2012" for "a subsequent fiscal year" in cl. (iv) and added cl. (v). (Middle Class Tax Relief and Job Creation Act of 2012) Law text · (v)
• Pub. L. 112–96, §3201(b)(1), substituted "and (beginning with respect to cost reporting periods beginning during fiscal year 2013) for covered skilled nursing services described in section 1395yy(e)(2)(A) of this title furnished by hospital providers of extended care services (as… (Middle Class Tax Relief and Job Creation Act of 2012) Law text · (v)
• Pub. L. 112–96, §3201(b)(2), substituted "reduced by—" for "reduced by 30 percent of such amount otherwise allowable; and" and added subcls. (I) and (II). (Middle Class Tax Relief and Job Creation Act of 2012) Law text · (v)
• Pub. L. 112–96, §3201(b)(3), substituted "such section—" for "such section shall not be reduced." and added subcls. (I) to (IV). (Middle Class Tax Relief and Job Creation Act of 2012) Law text · (v)
• Pub. L. 112–96, §3201(c), added subpar. (W). (Middle Class Tax Relief and Job Creation Act of 2012) Law text · (v)

2011

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

2010

• Pub. L. 111–148, §6402(g)(2), which directed amendment by inserting "that the Secretary determines is commensurate with the volume of the billing of the home health agency" before semicolon "at the end", was executed by making the insertion before "; and" to reflect the probable … (Patient Protection and Affordable Care Act) Law text · (o)
• Pub. L. 111–148, §4103(a)(2), substituted "subsections (ww)(1) and (hhh)" for "subsection (ww)(1)" in cls. (i) and (ii). (Patient Protection and Affordable Care Act) Law text · (s)
• Pub. L. 111–148, §4103(a)(1), added subpar. (FF). (Patient Protection and Affordable Care Act) Law text · (s)
• Pub. L. 111–148, §10501(i)(2)(A), amended subpar. (A) generally. Prior to amendment, subpar. (A) read as follows: "services of the type described in subparagraphs (A) through (C) of paragraph (1) and services described in subsections (qq) and (vv); and". (Patient Protection and Affordable Care Act) Law text · (aa)
• Pub. L. 111–148, §5502(a)(1), which directed general amendment of subpar. (A), was repealed by Pub. L. 111–148, §10501(i)(1). (Patient Protection and Affordable Care Act) Law text · (aa)
• Pub. L. 111–152, §1301(b), inserted "other than in an individual's home or in an inpatient or residential setting" before period at end. (Health Care and Education Reconciliation Act of 2010) Law text · (ff)
• Pub. L. 111–152, §1301(a), added cl. (iii) and redesignated former cl. (iii) as (iv). (Health Care and Education Reconciliation Act of 2010) Law text · (ff), (iv)
• Pub. L. 111–148, §4104(a)(1), inserted "; preventive services" after "services" in heading. (Patient Protection and Affordable Care Act) Law text · (ddd)
• Pub. L. 111–148, §4104(a)(2), substituted "not described in subparagraph (A) or (C) of paragraph (3)" for "not otherwise described in this subchapter". (Patient Protection and Affordable Care Act) Law text · (ddd)
• Pub. L. 111–148, §4104(a)(3), added par. (3). (Patient Protection and Affordable Care Act) Law text · (ddd)
• Pub. L. 111–148, §4103(b), added subsec. (hhh). (Patient Protection and Affordable Care Act) Law text · (hhh)
• Pub. L. 111–148, §10402(b), amended subpar. (G) generally. Prior to amendment, subpar. (G) read as follows: (Patient Protection and Affordable Care Act) Law text · (hhh)

2008

• Pub. L. 110–275, §125(b)(2), in third sentence after par. (9), substituted "and (ii) is accredited by a national accreditation body recognized by the Secretary under section 1395bb(a) of this title, or is accredited by or approved by a program of the country in which such institution i… (Medicare Improvements for Patients and Providers Act of 2008) Law text · (e)
• Pub. L. 110–275, §143(b)(5), struck out third sentence in concluding provisions, which read as follows: "The term 'outpatient physical therapy services' also includes speech-language pathology services furnished by a provider of services, a clinic, rehabilitation agency, or by a public… (Medicare Improvements for Patients and Providers Act of 2008) Law text · (p)
• Pub. L. 110–275, §143(b)(6), inserted ", outpatient speech-language pathology services," after "physical therapy services". (Medicare Improvements for Patients and Providers Act of 2008) Law text · (s)
• Pub. L. 110–275, §153(b)(3)(B), inserted ", and, for items and services furnished on or after January 1, 2011, renal dialysis services (as defined in section 1395rr(b)(14)(B) of this title)" before semicolon at end. (Medicare Improvements for Patients and Providers Act of 2008) Law text · (s)
• Pub. L. 110–275, §101(a)(1)(A), added subpar. (BB). (Medicare Improvements for Patients and Providers Act of 2008) Law text · (s)
• Pub. L. 110–275, §144(a)(1)(A), added subpars. (CC) and (DD). (Medicare Improvements for Patients and Providers Act of 2008) Law text · (s), (DD)
• Pub. L. 110–275, §152(b)(1)(A), added subpar. (EE). (Medicare Improvements for Patients and Providers Act of 2008) Law text · (s)
• Pub. L. 110–275, §182(b), in concluding provisions, inserted "On and after January 1, 2010, no compendia may be included on the list of compendia under this subparagraph unless the compendia has a publicly transparent process for evaluating therapies and for identifying potential… (Medicare Improvements for Patients and Providers Act of 2008) Law text · (t)
• Pub. L. 110–355 substituted "4-year period" for "3-year period" in cl. (i) of concluding provisions. (Health Care Safety Net Act of 2008) Law text · (aa)
• Pub. L. 110–275, §143(a), added par. (2) and redesignated former pars. (2) and (3) as (3) and (4), respectively. (Medicare Improvements for Patients and Providers Act of 2008) Law text · (ll)
• Pub. L. 110–275, §101(b)(1)(A), inserted "body mass index," after "weight", struck out ", and an electrocardiogram" after "blood pressure", and inserted "and end-of-life planning (as defined in paragraph (3)) upon the agreement with the individual" after "paragraph (2)". (Medicare Improvements for Patients and Providers Act of 2008) Law text · (ww)
• Pub. L. 110–275, §101(b)(1)(B), added subpars. (M) and (N). (Medicare Improvements for Patients and Providers Act of 2008) Law text · (ww), (N)
• Pub. L. 110–275, §101(b)(1)(C), added par. (3). (Medicare Improvements for Patients and Providers Act of 2008) Law text · (ww)
• Pub. L. 110–275, §101(a)(1)(B), added subsec. (ddd). (Medicare Improvements for Patients and Providers Act of 2008) Law text · (ddd)
• Pub. L. 110–275, §144(a)(1)(B), added subsecs. (eee) and (fff). (Medicare Improvements for Patients and Providers Act of 2008) Law text · (eee), (fff)
• Pub. L. 110–275, §152(b)(1)(B), added subsec. (ggg). (Medicare Improvements for Patients and Providers Act of 2008) Law text · (ggg)

2007

• Pub. L. 110–173 added subsec. (ccc). (Medicare, Medicaid, and SCHIP Extension Act of 2007) Law text · (ccc)

2006

• Pub. L. 109–171, §5112(a)(1), added subpar. (AA). (Deficit Reduction Act of 2005) Law text · (s)
• Pub. L. 109–171, §6001(f)(1), inserted "(or its successor publications)" after "United States Pharmacopoeia-Drug Information". (Deficit Reduction Act of 2005) Law text · (t)
• Pub. L. 109–171, §5004(b), substituted "section 1395l(t)(8)(B)" for "section 1395l(t)(5)(B)" in introductory provisions. (Deficit Reduction Act of 2005) Law text · (v)
• Pub. L. 109–171, §5004(a), added subpar. (V). (Deficit Reduction Act of 2005) Law text · (v)
• Pub. L. 109–171, §5114(a)(1), substituted "and services described in subsections (qq) and (vv); and" for ", and" in subpar. (A) and "section 330" for "sections 329, 330, and 340" in subpar. (B) and inserted "by the center or by a health care professional under contract with the cen… (Deficit Reduction Act of 2005) Law text · (aa)
• Pub. L. 109–171, §5114(b), struck out "(other than subsection (h))" after "section 330". (Deficit Reduction Act of 2005) Law text · (aa), (ii)
• Pub. L. 109–171, §5112(b), added subpar. (L). (Deficit Reduction Act of 2005) Law text · (ww)
• Pub. L. 109–171, §5112(a)(2), added subsec. (bbb). (Deficit Reduction Act of 2005) Law text · (bbb)

2003

• Pub. L. 108–173, §901(b), added subsec. (d). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (d)
• Pub. L. 108–173, §303(i)(2), inserted "(or would have been so included but for the application of section 1395w–3b of this title)" after "included in the physicians' bills". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (s)
• Pub. L. 108–173, §736(b)(11), substituted ", but" for "; and but". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (s)
• Pub. L. 108–173, §611(d)(2), inserted "and services described in subsection (ww)(1)" after "services which would be physicians' services". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (s)
• Pub. L. 108–173, §611(d)(2), inserted "and services described in subsection (ww)(1)" after "services which would be physicians' services". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (s)
• Pub. L. 108–173, §611(a), added subpar. (W). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (s)
• Pub. L. 108–173, §612(a), added subpar. (X). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (s)
• Pub. L. 108–173, §613(a), added subpar. (Y). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (s)
• Pub. L. 108–173, §642(a)(1), added subpar. (Z). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (s)
• Pub. L. 108–173, §415(b), inserted ", subject to section 1395m(l)(14) of this title," after "but". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (s)
• Pub. L. 108–173, §736(b)(3), inserted closing parenthesis after "as defined in section 1395ww(d)(5)(D)(iii) of this title". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (v)
• Pub. L. 108–173, §414(f)(2), formerly §414(g)(2), as renumbered by Pub. L. 111–68, realigned margins. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (v)
• Pub. L. 108–173, §736(c)(4), realigned margins. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (v)
• Pub. L. 108–173, §736(b)(12), struck out second comma after "(as defined in subsection (hh)(1)),". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (aa)
• Pub. L. 108–173, §512(c), inserted "and services described in section 1395d(a)(5) of this title" before comma at end. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (dd)
• Pub. L. 108–173, §408(a), inserted "or nurse practitioner (as defined in subsection (aa)(5))" after "the physician (as defined in subsection (r)(1))". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (dd)
• Pub. L. 108–173, §946(a), added subpars. (D) and (E). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (dd), (E)
• Pub. L. 108–173, §926(b)(1), substituted "hospice care and post-hospital extended care services" for "hospice services" and inserted before period at end "and, in the case of individuals who are likely to need post-hospital extended care services, the availability of such servic… (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (ee)
• Pub. L. 108–173, §736(a)(10), made technical amendment to heading. (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (mm)
• Pub. L. 108–173, §736(a)(11), substituted "critical access hospital" for "rural primary care hospital". (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (tt), (2)
• Pub. L. 108–173, §611(b), added subsec. (ww). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (ww)
• Pub. L. 108–173, §612(b), added subsec. (xx). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (xx)
• Pub. L. 108–173, §613(b), added subsec. (yy). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (yy)
• Pub. L. 108–173, §642(a)(2), added subsec. (zz). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (zz)
• Pub. L. 108–173, §706(b), added subsec. (aaa). (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (aaa)

2000

• Pub. L. 106–554, §1(a)(6) [title I, §112(a)], substituted "(including drugs and biologicals which are not usually self-administered by the patient)" for "(including drugs and biologicals which cannot, as determined in accordance with regulations, be self-administered)". (Consolidated Appropriations Act, 2001) Law text · (s), (B)
• Pub. L. 106–554, §1(a)(6) [title I, §113(a)], struck out provisions limiting application to drugs furnished within 12 months after the date of the transplant procedure for drugs furnished before 1995, to within 18 months after the date of the transplant procedure for drugs furnis… (Consolidated Appropriations Act, 2001) Law text · (s)
• Pub. L. 106–554, §1(a)(6) [title I, §102(a)], added subpar. (U). (Consolidated Appropriations Act, 2001) Law text · (s)
• Pub. L. 106–554, §1(a)(6) [title I, §105(a)], added subpar. (V). (Consolidated Appropriations Act, 2001) Law text · (s)
• Pub. L. 106–554, §1(a)(6) [title IV, §430(b)], inserted "(including contrast agents)" after "only such drugs". (Consolidated Appropriations Act, 2001) Law text · (t)
• Pub. L. 106–554, §1(a)(6) [title V, §502(a)], struck out "2001," after "2000," and inserted at end "With respect to cost reporting periods beginning during fiscal year 2001, the update to any limit under this subparagraph shall be the home health market basket index." (Consolidated Appropriations Act, 2001) Law text · (v)
• Pub. L. 106–554, §1(a)(6) [title V, §541(1)], struck out "and" at end. (Consolidated Appropriations Act, 2001) Law text · (v)
• Pub. L. 106–554, §1(a)(6) [title V, §541(2)], substituted "during fiscal year 2000" for "during a subsequent fiscal year" and ", and" for period at end. (Consolidated Appropriations Act, 2001) Law text · (v)
• Pub. L. 106–554, §1(a)(6) [title V, §541(3)], added cl. (iv). (Consolidated Appropriations Act, 2001) Law text · (v)
• Pub. L. 106–554, §1(a)(6) [title IV, §431(a)], substituted "entity that—" for "entity—", added cls. (i) to (iii), and struck out former cls. (i) and (ii) which read as follows: (Consolidated Appropriations Act, 2001) Law text · (ff)
• Pub. L. 106–554, §1(a)(6) [title I, §101(a)], substituted "2 years" for "3 years". (Consolidated Appropriations Act, 2001) Law text · (nn), (2)
• Pub. L. 106–554, §1(a)(6) [title I, §103(a)(1)], substituted "Screening colonoscopy" for "In the case of an individual at high risk for colorectal cancer, screening colonoscopy". (Consolidated Appropriations Act, 2001) Law text · (pp)
• Pub. L. 106–554, §1(a)(6) [title I, §103(a)(2)], substituted "An" for "In paragraph (1)(C), an". (Consolidated Appropriations Act, 2001) Law text · (pp)
• Pub. L. 106–554, §1(a)(6) [title I, §102(b)], added subsec. (uu). (Consolidated Appropriations Act, 2001) Law text · (uu)
• Pub. L. 106–554, §1(a)(6) [title I, §105(b)], added subsec. (vv). (Consolidated Appropriations Act, 2001) Law text · (vv)

1999

• Pub. L. 106–113, §1000(a)(6) [title III, §304(a)], amended par. (7) generally. Prior to amendment, par. (7) read as follows: "provides the Secretary on a continuing basis with a surety bond in a form specified by the Secretary and in an amount that is not less than $50,000; and". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (o)
• Pub. L. 106–113, §1000(a)(6) [title II, §221(b)(1)(A)], substituted ", (3), or (4)" for "or (3)". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (p)
• Pub. L. 106–113, §1000(a)(6) [title II, §221(b)(1)(B)], inserted "for purposes of subsection (p)(1) and" after "but only". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (r)
• Pub. L. 106–113, §1000(a)(6) [title II, §227(a)], inserted before semicolon at end "plus such additional number of months (if any) provided under section 1395k(b) of this title". (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 III, §321(k)(7)], substituted semicolon for period at end. (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 III, §303(a)], added cl. (ix) and redesignated former cl. (ix) as (x). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (v), (x)
• Pub. L. 106–113, §1000(a)(6) [title II, §201(k)], substituted "and until the first date that the prospective payment system under section 1395l(t) of this title is implemented" for "and during fiscal year 2000 before January 1, 2000". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (v), (II)
• Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(8)], substituted semicolon for comma at end and realigned margins. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (aa)
• Pub. L. 106–113, §1000(a)(6) [title V, §521], added par. (3). (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (ee)
• Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(9)(B)], which directed substitution of "or" for "of", was executed by making the substitution for "of" the second time appearing to reflect the probable intent of Congress. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (ss)
• Pub. L. 106–113, §1000(a)(6) [title III, §321(k)(9)(A)], substituted "owned" for "owed". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (ss)

1998

• Pub. L. 105–277, §5101(b), in subcl. (III) struck out "or" at end, in subcl. (IV) inserted "and before October 1, 1998," after "1997," and substituted ", or" for period at end, and added subcl. (V). (Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 1999) Law text · (v)
• Pub. L. 105–277, §5101(a)(1), inserted "subject to clause (viii)(I)," before "the Secretary" in introductory provisions. (Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 1999) Law text · (v)
• Pub. L. 105–277, §5101(a)(2), inserted "subject to clauses (viii)(II) and (viii)(III)" after "1994". (Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 1999) Law text · (v)
• Pub. L. 105–277, §5101(a)(3), added cl. (viii). (Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 1999) Law text · (v)
• Pub. L. 105–277, §5101(d)(1), added cl. (ix). (Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 1999) Law text · (v)

1997

• Pub. L. 105–33, §4201(c)(1), substituted "critical access" for "rural primary care" in pars. (1) and (2). (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4511(a)(2)(B), substituted "subsection (s)(2)(K)" for "clauses (i) or (iii) of subsection (s)(2)(K)". (Balanced Budget Act of 1997) Law text · (b)
• Pub. L. 105–33, §4454(a)(1)(A), in fifth sentence after par. (9), substituted "includes a religious nonmedical health care institution (as defined in subsection (ss)(1))," for "includes a Christian Science sanatorium operated, or listed and certified, by the First Church of Christ, Sci… (Balanced Budget Act of 1997) Law text · (e)
• Pub. L. 105–33, §4201(c)(1), substituted "critical access" for "rural primary care" in last sentence. (Balanced Budget Act of 1997) Law text · (e)
• Pub. L. 105–33, §4432(b)(5)(D)(i), substituted "paragraphs (3), (6), and (7)" for "paragraphs (3) and (6)" in introductory provisions. (Balanced Budget Act of 1997) Law text · (h)
• Pub. L. 105–33, §4432(b)(5)(D)(ii), inserted ", or by others under arrangements with them made by the facility" after "skilled nursing facilities". (Balanced Budget Act of 1997) Law text · (h)
• Pub. L. 105–33, §4612(a), inserted at end of closing provisions "For purposes of paragraphs (1) and (4), the term 'part-time or intermittent services' means skilled nursing and home health aide services furnished any number of days per week as long as they are furnished (combined) less… (Balanced Budget Act of 1997) Law text · (m)
• Pub. L. 105–33, §4105(b)(1), inserted before semicolon in first sentence ", and includes blood-testing strips and blood glucose monitors for individuals with diabetes without regard to whether the individual has Type I or Type II diabetes or to the individual's use of insulin (as deter… (Balanced Budget Act of 1997) Law text · (n)
• Pub. L. 105–33, §4312(b)(1)(D), inserted at end of closing provisions "The Secretary may waive the requirement of a surety bond under paragraph (7) in the case of an agency or organization that provides a comparable surety bond under State law." (Balanced Budget Act of 1997) Law text · (o)
• Pub. L. 105–33, §4312(b)(1)(A)–(C), added par. (7) and redesignated former par. (7) as (8). (Balanced Budget Act of 1997) Law text · (o), (8)
• Pub. L. 105–33, §4312(e)(2), inserted at end of closing provisions "The Secretary may waive the requirement of a surety bond under paragraph (4)(A)(v) in the case of a clinic or agency that provides a comparable surety bond under State law." (Balanced Budget Act of 1997) Law text · (p)
• Pub. L. 105–33, §4312(e)(1), inserted "and provides the Secretary on a continuing basis with a surety bond in a form specified by the Secretary and in an amount that is not less than $50,000," after "as the Secretary may find necessary,". (Balanced Budget Act of 1997) Law text · (p)
• Pub. L. 105–33, §4513(a), struck out "demonstrated by x-ray to exist" following "(to correct a subluxation". (Balanced Budget Act of 1997) Law text · (r)
• Pub. L. 105–33, §§4511(a)(2)(A)(i), 4512(a), struck out "(I) in a hospital, skilled nursing facility, or nursing facility (as defined in section 1396r(a) of this title), (II) as an assistant at surgery, or (III) in a rural area (as defined in section 1395ww(d)(2)(D) of this ti… (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4511(a)(1), amended cl. (ii) generally. Prior to amendment, cl. (ii) read as follows: "services which would be physicians' services if furnished by a physician (as defined in subsection (r)(1) of this section) and which are performed by a nurse practitioner (… (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4511(a)(2)(A)(ii), struck out cls. (iii) and (iv) which read as follows: (Balanced Budget Act of 1997) Law text · (s), (iv)
• Pub. L. 105–33, §4103(a)(1), struck out "and" at end of subpars. (N) and (O) and added subpar. (P). (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4104(a)(1)(A), added subpar. (R). (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4105(a)(1)(A), added subpar. (S). (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4557(a), added subpar. (T). (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4106(a)(1)(A), struck out "and" at end. (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4102(c), inserted "and screening pelvic exam" after "screening pap smear". (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4106(a)(1)(B)–(D), added par. (15) and redesignated former pars. (15) and (16) as (16) and (17), respectively. (Balanced Budget Act of 1997) Law text · (s)
• Pub. L. 105–33, §4201(c)(1), substituted "critical access" for "rural primary care". (Balanced Budget Act of 1997) Law text · (u)
• Pub. L. 105–33, §4312(b)(2)(A), substituted "the surety bond requirement described in subsection (o)(7) and the financial security requirement described in subsection (o)(8)" for "the financial security requirement described in subsection (o)(7)". (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4312(b)(2)(B), substituted "the surety bond requirement described in subsection (o)(7) and the financial security requirement described in subsection (o)(8) apply" for "the financial security requirement described in subsection (o)(7) applies". (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4602(a)(5), struck out closing provisions which read as follows: "of the mean of the labor-related and nonlabor per visit costs for free standing home health agencies." (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4602(a)(1), (2), inserted "of the mean of the labor-related and nonlabor per visit costs for freestanding home health agencies" before comma at end and realigned margins. (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4602(a)(1), (3), substituted "of such mean," for ", or" at end and realigned margins. (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4602(a)(1), (4), inserted "and before October 1, 1997," after "July 1, 1987,", substituted "of such mean, or" for comma at end, and realigned margins. (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4602(a)(5), added subcl. (IV). (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4604(b), substituted "service is furnished" for "agency is located". (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4602(b), inserted ", or on or after July 1, 1997, and before October 1, 1997" after "July 1, 1996". (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4601(a), added cl. (iv). (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4602(c), added cls. (v) to (vii). (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4404(a)(1), struck out "and (if applicable) a return on equity capital" after "capital indebtedness" and substituted "provider of services" for "hospital or skilled nursing facility", "clause (iii)" for "clause (iv)", and "the historical cost of the asset, as … (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4404(a)(2), (3), redesignated cls. (iii) and (iv) as (ii) and (iii), respectively, and struck out former cl. (ii) which read as follows: "Such regulations shall provide for recapture of depreciation in the same manner as provided under the regulations… (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4522, substituted "through 1999 and during fiscal year 2000 before January 1, 2000" for "through 1998". (Balanced Budget Act of 1997) Law text · (v), (II)
• Pub. L. 105–33, §4201(c)(1), substituted "critical access" for "rural primary care". (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4451, added subpar. (T). (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4531(a)(1), added subpar. (U). (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4432(b)(5)(E), inserted "subsections (a) through (c) of" before "section 1395yy of this title". (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4320, added par. (8). (Balanced Budget Act of 1997) Law text · (v)
• Pub. L. 105–33, §4201(c)(1), substituted "critical access" for "rural primary care" wherever appearing. (Balanced Budget Act of 1997) Law text · (w)
• Pub. L. 105–33, §4454(a)(1)(B)(i), substituted "Extended care in religious nonmedical health care institutions" for "Post-hospital extended care in Christian Science skilled nursing facilities" in heading. (Balanced Budget Act of 1997) Law text · (y)
• Pub. L. 105–33, §4454(a)(1)(B)(iii), which directed the amendment of this subsec. by inserting "consistent with section 1395i–5 of this title" before the period, was executed by making the insertion in par. (1) to reflect the probable intent of Congress. (Balanced Budget Act of 1997) Law text · (y)
• Pub. L. 105–33, §4454(a)(1)(B)(ii), substituted "includes a religious nonmedical health care institution (as defined in subsection (ss)(1))," for "includes a Christian Science sanatorium operated, or listed and certified, by the First Church of Christ, Scientist, Boston, Massachusetts,". (Balanced Budget Act of 1997) Law text · (y)
• Pub. L. 105–33, §4205(d)(3)(A), in second sentence of concluding provisions inserted before period at end "if it is determined, in accordance with criteria established by the Secretary in regulations, to be essential to the delivery of primary care services that would otherwise be … (Balanced Budget Act of 1997) Law text · (aa)
• Pub. L. 105–33, §4205(d)(1), (2), in cl. (i) of first sentence of concluding provisions substituted "Bureau of the Census) and in which there are insufficient numbers of needed health care practitioners (as determined by the Secretary), and that, within the previous 3-year period, has been designat… (Balanced Budget Act of 1997) Law text · (aa)
• Pub. L. 105–33, §4205(b)(1), amended subpar. (I) generally. Prior to amendment, subpar. (I) read as follows: "has appropriate procedures for review of utilization of clinic services to the extent that the Secretary determines to be necessary and feasible;". (Balanced Budget Act of 1997) Law text · (aa)
• Pub. L. 105–33, §4511(d), designated existing provisions as subpar. (A), substituted "The term 'physician assistant' and the term 'nurse practitioner' mean, for purposes of this subchapter, a physician assistant or nurse practitioner who performs" for "The term 'physician assistant… (Balanced Budget Act of 1997) Law text · (aa)
• Pub. L. 105–33, §4205(c)(1), inserted before period at end ", or if the facility has not yet been determined to meet the requirements (including subparagraph (J) of the first sentence of paragraph (2)) of a rural health clinic". (Balanced Budget Act of 1997) Law text · (aa)
• Pub. L. 105–33, §4312(d)(4), inserted concluding provisions. (Balanced Budget Act of 1997) Law text · (cc)
• Pub. L. 105–33, §4312(d)(1)–(3), added subpar. (I) and redesignated former subpar. (I) as (J). (Balanced Budget Act of 1997) Law text · (cc), (J)
• Pub. L. 105–33, §4444(a), added subpar. (I). (Balanced Budget Act of 1997) Law text · (dd)
• Pub. L. 105–33, §4445(1), substituted "subparagraphs (A), (C), and (H)" for "subparagraphs (A), (C), (F), and (H)". (Balanced Budget Act of 1997) Law text · (dd)
• Pub. L. 105–33, §4445(2), in concluding provisions, inserted "or, in the case of a physician described in subclause (I), under contract with" after "employed by". (Balanced Budget Act of 1997) Law text · (dd)
• Pub. L. 105–33, §4446(1), inserted "or (C)" after "subparagraph (A)" in two places. (Balanced Budget Act of 1997) Law text · (dd)
• Pub. L. 105–33, §4446(2), added subpar. (C). (Balanced Budget Act of 1997) Law text · (dd)
• Pub. L. 105–33, §4321(a)(1), inserted before period at end ", including the availability of home health services through individuals and entities that participate in the program under this subchapter and that serve the area in which the patient resides and that request to be lis… (Balanced Budget Act of 1997) Law text · (ee)
• Pub. L. 105–33, §4321(a)(2), added subpar. (H). (Balanced Budget Act of 1997) Law text · (ee)
• Pub. L. 105–33, §4201(c)(2), amended heading and text of subsec. (mm) generally. Prior to amendment, text read as follows: (Balanced Budget Act of 1997) Law text · (mm)
• Pub. L. 105–33, §4102(a), substituted "Screening pap smear; screening pelvic exam" for "Screening pap smear" in heading, designated existing provisions as par. (1), inserted "or vaginal" after "cervical" in two places, substituted "3 years, or during the preceding year in the case of … (Balanced Budget Act of 1997) Law text · (nn)
• Pub. L. 105–33, §4103(a)(2), added subsec. (oo). (Balanced Budget Act of 1997) Law text · (oo)
• Pub. L. 105–33, §4104(a)(1)(B), added subsec. (pp). (Balanced Budget Act of 1997) Law text · (pp)
• Pub. L. 105–33, §4105(a)(1)(B), added subsec. (qq). (Balanced Budget Act of 1997) Law text · (qq)
• Pub. L. 105–33, §4106(a)(2), added subsec. (rr). (Balanced Budget Act of 1997) Law text · (rr)
• Pub. L. 105–33, §4454(a)(1)(C), added subsec. (ss). (Balanced Budget Act of 1997) Law text · (ss)
• Pub. L. 105–33, §4611(b), added subsec. (tt). (Balanced Budget Act of 1997) Law text · (tt)

1996

• Pub. L. 104–299 substituted "section 330 (other than subsection (h))" for "section 329, 330, or 340". (Health Centers Consolidation Act of 1996) Law text · (aa)
• Pub. L. 104–299 which directed amendment of subcl. (I) by substituting "section 330 (other than subsection (h))" for "section 329, 330, or 340", was executed to subcl. (II) to reflect the probable intent of Congress. (Health Centers Consolidation Act of 1996) Law text · (aa)

1994

• Pub. L. 103–432, §102(g)(4)(A), substituted "inpatient hospital services, inpatient rural primary care hospital services" for "inpatient hospital services". · (a)
• Pub. L. 103–432, §102(g)(4)(B), substituted "hospital or rural primary care hospital" for "hospital". · (a)
• Pub. L. 103–432, §147(f)(3), made technical amendment to Pub. L. 101–508, §4157(a). See 1990 Amendment note below. · (b)
• Pub. L. 103–432, §147(f)(3), made technical amendment to Pub. L. 101–508, §4157(a). See 1990 Amendment note below. · (b)
• Pub. L. 103–432, §147(e)(4), substituted "clauses (i) or (iii) of subsection (s)(2)(K)" for "subsection (s)(2)(K)(i)". · (b)
• Pub. L. 103–432, §104, substituted "physician, except that a patient receiving qualified psychologist services (as defined in subsection (ii)) may be under the care of a clinical psychologist with respect to such services to the extent permitted under State law;" for "physician;". · (e)
• Pub. L. 103–432, §146(b)(1), substituted "or occupational therapy or speech-language pathology services" for ", occupational, or speech therapy". · (h)
• Pub. L. 103–432, §146(b)(2), substituted "or occupational therapy or speech-language pathology services" for ", occupational, or speech therapy". · (m)
• Pub. L. 103–432, §147(f)(6)(B)(ii), substituted "and a covered osteoporosis drug (as defined in subsection (kk)), but excluding other drugs" for "but excluding drugs". · (m)
• Pub. L. 103–432, §146(b)(3), substituted "speech-language pathology services" for "speech pathology services" after "term 'outpatient physical therapy services' also includes" in third sentence of closing provisions. · (p)
• Pub. L. 103–432, §147(e)(1), made an amendment identical to that made by Pub. L. 101–508, §4161(a)(5)(A), substituting "subsection (aa)(5)" for "subsection (aa)(3)" and "subsection (aa)(6)" for "subsection (aa)(4)". · (s)
• Pub. L. 103–432, §147(f)(6)(B)(iii)(I), inserted "and" at end. · (s)
• Pub. L. 103–432, §147(f)(6)(B)(iii)(II), redesignated subpar. (P) as (O) and struck out former subpar. (O) which read as follows: "a covered osteoporosis drug and its administration (as defined in subsection (jj) of this section) furnished on or after January 1, 1991, and on… · (s), (P)
• Pub. L. 103–432, §145(b), inserted "and including diagnostic mammography if conducted by a facility that has a certificate (or provisional certificate) issued under section 354 of the Public Health Service Act" after "necessary". · (s)
• Pub. L. 103–432, §158(a)(1), substituted "and determined using the survey of the most recent available wages and wage-related costs of hospitals" for "as of such date to hospitals". · (v)
• Pub. L. 103–432, §147(f)(4)(A), in last sentence of closing provisions, substituted "approval as such a clinic" for "certification as such a clinic" and "Secretary's approval or disapproval" for "the Secretary's approval or disapproval of the certification". · (aa)
• Pub. L. 103–432, §147(e)(5), substituted "this subchapter" for "this chapter". · (aa)
• Pub. L. 103–432, §146(b)(4), substituted "speech-language pathology services" for "speech pathology services". · (cc)
• Pub. L. 103–432, §146(b)(5), substituted "therapy, or speech-language pathology services" for "therapy or speech-language pathology". · (dd)
• Pub. L. 103–432, §107(a), inserted ", including hospice services," after "post-hospital services". · (ee)
• Pub. L. 103–432, §147(f)(6)(E), redesignated subsec. (jj), defining "covered osteoporosis drug", as (kk). · (jj)
• Pub. L. 103–432, §147(f)(6)(A), (B)(i), amended subsec. (jj), defining "covered osteoporosis drug", in introductory provisions, by striking out "a bone fracture related to" before "post-menopausal osteoporosis" and substituting "individual by a home health agency if" for "individual if", and in par… · (jj)
• Pub. L. 103–432, §147(f)(6)(E), redesignated subsec. (jj), defining "covered osteoporosis drug", as (kk). · (kk)
• Pub. L. 103–432, §146(a), added subsec. (ll). · (ll)

1993

• Pub. L. 103–66, §13565, substituted "subchapter, but only in the case of drugs furnished—" and cls. (i) to (v) for "subchapter, within 1 year after the date of the transplant procedure;". · (s)
• Pub. L. 103–66, §13566(b), substituted "dialysis" for "home dialysis" and realigned margin. · (s)
• Pub. L. 103–66, §13553(a), added subpar. (Q). · (s)
• Pub. L. 103–66, §13553(b), designated existing provisions as par. (1), inserted "and paragraph (2)", and added par. (2). · (t)
• Pub. L. 103–66, §13503(c)(1), amended subpar. (B) generally. Prior to amendment, subpar. (B) read as follows: "Such regulations in the case of extended care services furnished by proprietary facilities shall include provision for specific recognition of a reasonable return on equ… · (v)
• Pub. L. 103–66, §13564(b)(1), struck out ", with appropriate adjustment for administrative and general costs of hospital-based agencies" after "discipline specific basis". · (v)
• Pub. L. 103–66, §13564(a)(2), substituted "thereafter (but not for cost reporting periods beginning on or after July 1, 1994, and before July 1, 1996)" for "thereafter". · (v)
• Pub. L. 103–66, §13521, substituted "fiscal years 1992 through 1998" for "fiscal year 1992, 1993, 1994, or 1995". · (v)
• Pub. L. 103–66, §13522, substituted "fiscal years 1991 through 1998" for "fiscal years 1991, 1992, 1993, 1994, or 1995". · (v)
• Pub. L. 103–66, §13556(a), added subpar. (D). · (aa)
• Pub. L. 103–66, §13554(a), substituted a period for ", and performs services in the area of management of the care of mothers and babies throughout the maternity cycle." · (gg)

1990

• Pub. L. 101–508, §4157(a)(1), as amended by Pub. L. 103–432, §147(f)(3), struck out "(including clinical psychologist (as defined by the Secretary))" after "the hospital or by others". · (b)
• Pub. L. 101–508, §4157(a)(2), as amended by Pub. L. 103–432, §147(f)(3), substituted ", services described by subsection (s)(2)(K)(i), certified nurse-midwife services, qualified psychologist services, and services of a certified registered nurse anesthetist; and" for "and anesthesi… · (b)
• Pub. L. 101–508, §4152(a)(2), inserted at end "With respect to a seat-lift chair, such term includes only the seat-lift mechanism and does not include the chair." · (n)
• Pub. L. 101–508, §4161(a)(1), inserted "and Federally qualified health center services" after "clinic services". · (s)
• Pub. L. 101–508, §4161(a)(5)(A), substituted "subsection (aa)(5)" for "subsection (aa)(3)". · (s)
• Pub. L. 101–597 substituted "health professional shortage area" for "health manpower shortage area". · (s)
• Pub. L. 101–508, §4161(a)(5)(A), substituted "subsection (aa)(5)" for "subsection (aa)(3)". · (s)
• Pub. L. 101–508, §4161(a)(5)(A), substituted "subsection (aa)(5)" for "subsection (aa)(3)" and "subsection (aa)(6)" for "subsection (aa)(4)". · (s)
• Pub. L. 101–508, §4161(a)(5)(A), substituted "subsection (aa)(5)" for "subsection (aa)(3)" and "subsection (aa)(6)" for "subsection (aa)(4)". · (s)
• Pub. L. 101–508, §4155(a)(3), added cl. (iii). Former cl. (iii) redesignated (iv). · (s)
• Pub. L. 101–508, §4155(a)(2), redesignated cl. (iii) as (iv). · (s)
• Pub. L. 101–508, §4156(a)(1), added subpar. (O). · (s)
• Pub. L. 101–508, §4201(d)(1), added subpar. (P). · (s)
• Pub. L. 101–508, §4153(b)(2)(A), inserted ", and including one pair of conventional eyeglasses or contact lenses furnished subsequent to each cataract surgery with insertion of an intraocular lens" after "such devices". · (s)
• Pub. L. 101–508, §4163(a)(1), added par. (13). · (s)
• Pub. L. 101–508, §4008(h)(2)(A)(i), substituted "the costs (including the costs of services required to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident eligible for benefits under this subchapter) of such facilities" for "… · (v)
• Pub. L. 101–508, §4207(d)(1), formerly §4027(d)(1), as renumbered by Pub. L. 103–432, §160(d)(4), amended cl. (iii) generally. Prior to amendment, cl. (iii) read as follows: "In establishing limits under this subparagraph, the Secretary shall— · (v)
• Pub. L. 101–508, §4151(a)(1), inserted before period at end ", by 15 percent for payments attributable to portions of cost reporting periods occurring during fiscal year 1991, and by 10 percent for payments attributable to portions of cost reporting periods occurring durin… · (v)
• Pub. L. 101–508, §4151(b)(1)(D), added subcl. (II). Former subcl. (II) redesignated (III). · (v)
• Pub. L. 101–508, §4151(b)(1)(A), substituted "Subclauses (I) and (II)" for "Subclause (I)" and "costs of hospital outpatient services provided by any hospital" for "capital-related costs of any hospital". · (v)
• Pub. L. 101–508, §4151(a)(2), substituted "section 1395ww(d)(5)(D)(iii) of this title or a rural primary care hospital (as defined in subsection (mm)(1))" for "section 1395ww(d)(5)(D)(iii) of this title)". · (v)
• Pub. L. 101–508, §4151(b)(1)(C), redesignated former subcl. (II) as (III). Former subcl. (III) redesignated (IV). · (v)
• Pub. L. 101–508, §4151(b)(1)(B), substituted "subclauses (I) and (II)" for "subclause (I)" and "the costs reflected" for "capital-related costs reflected". · (v)
• Pub. L. 101–508, §4151(b)(1)(C), redesignated subcl. (III) as (IV). · (v)
• Pub. L. 101–508, §4161(a)(2)(A), inserted "and Federally qualified health center services" after "clinic services" in heading. · (aa)
• Pub. L. 101–508, §4161(a)(5)(B), substituted "paragraph (5)" for "paragraph (3)". · (aa)
• Pub. L. 101–597 substituted "health professional shortage area" for "health manpower shortage area" in second sentence. · (aa)
• Pub. L. 101–508, §4161(b)(1), inserted at end "If a State agency has determined under section 1395aa(a) of this title that a facility is a rural health clinic and the facility has applied to the Secretary for certification as such a clinic, the Secretary shall notify the facility of the the Secreta… · (aa)
• Pub. L. 101–508, §4161(a)(2)(C), added par. (3). Former par. (3) redesignated (5). · (aa)
• Pub. L. 101–508, §4161(a)(2)(B), which directed amendment of par. (3) by substituting "the previous provisions of this subsection" for "paragraphs (1) and (2)", could not be executed because the words "paragraphs (1) and (2)" did not appear after amendment by Pub. L. 101–508, §4155(d). See below. · (aa)
• Pub. L. 101–508, §4155(d), substituted "The term 'physician assistant', the term 'nurse practitioner', and the term 'clinical nurse specialist' mean, for purposes of this chapter, a physician assistant, nurse practitioner, or clinical nurse specialist who performs" for "The term 'physician assistan… · (aa)
• Pub. L. 101–508, §4161(a)(2)(B), (C), added par. (4) and redesignated former pars. (3) and (4) as (5) and (6), respectively. · (aa)
• Pub. L. 101–508, §4161(b)(2), added par. (7). · (aa)
• Pub. L. 101–508, §4162(a), designated existing provision as subpar. (A), substituted "outpatients or by a community mental health center (as defined in subparagraph (B))," for "outpatients", and added subpar. (B). · (ff)
• Pub. L. 101–508, §4163(a)(2), added subsec. (jj) defining "screening mammography". · (jj)
• Pub. L. 101–508, §4156(a)(2), added subsec. (jj) defining "covered osteoporosis drug". · (jj)

1989

• Pub. L. 101–234, §101(a), repealed Pub. L. 100–360, §104(d)(4)(A), 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)(D)(x)(I), inserted at end "The term 'hospital' does not include, unless the context otherwise requires, a rural primary care hospital (as defined in subsection (mm)(1))." · (e)
• Pub. L. 101–234, §101(a), repealed Pub. L. 100–360, §104(d)(4)(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 note below. · (e)
• Pub. L. 101–234, §201(a), repealed Pub. L. 100–360, §104(d)(4)(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. · (i)
• Pub. L. 101–234, §201(a), repealed Pub. L. 100–360, §206(a), 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. · (m)
• Pub. L. 101–239, §6112(e)(1), amended par. (5) generally. Prior to amendment, par. (5) read as follows: "medical supplies (other than drugs and biologicals) and durable medical equipment, while under such a plan;". · (m)
• Pub. L. 101–239, §6141(a)(1), substituted ", including a laboratory that is part of" for "which is independent of a physician's office, a laboratory not independent of a physician's office that has a volume of clinical diagnostic laboratory tests exceeding 5,000 per year," in provision… · (s)
• Pub. L. 101–239, §6113(b)(2)(A), substituted "subsection (hh)(2)" for "subsection (hh)". · (s)
• Pub. L. 101–239, §6114(a)(1), struck out "and" at end. · (s)
• Pub. L. 101–234, §201(a), repealed Pub. L. 100–360, §202(a)(1), 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. · (s)
• Pub. L. 101–239, §6114(a)(2), added cl. (ii), redesignated former cl. (ii) as (iii), and substituted "to services described in clause (i) or (ii)" for "to such services" in cl. (iii). · (s)
• Pub. L. 101–239, §6113(b)(1), added subpar. (N). · (s)
• Pub. L. 101–239, §6131(a)(2), inserted "with inserts" after "custom molded shoes" in introductory provisions. · (s)
• Pub. L. 101–234, §201(a), which repealed Pub. L. 100–360, §204(a)(1)(B)–(D), and directed that the provisions of law amended or repealed by such section are restored or revived as if such section had not been enacted, was executed by striking out par. (13) as added by Pub. L. 100–3… · (s)
• Pub. L. 101–239, §6115(a)(1)(A), (B), (D), added par. (14). Former par. (14) redesignated (15). · (s)
• Pub. L. 101–234, §201(a), which repealed Pub. L. 100–360, §204(a)(1)(A), and directed that the provisions of law amended or repealed by such section are restored or revived as if such section had not been enacted, was not executed in view of intervening redesignation of par. (14) as (15) by Pub. L.… · (s)
• Pub. L. 101–239, §6115(a)(1)(C), redesignated par. (14) as (15). Former par. (15) redesignated (16). · (s)
• Pub. L. 101–234, §201(a), which repealed Pub. L. 100–360, §204(a)(1)(A), and directed that the provisions of law amended or repealed by such section are restored or revived as if such section had not been enacted, was not executed in view of intervening redesignation of par. (15) as (16) by Pub. L.… · (s)
• Pub. L. 101–239, §6141(a)(2), (3), added subpar. (A) and designated existing provisions as subpar. (B). · (s)
• Pub. L. 101–239, §6115(a)(1)(C), redesignated par. (15) as (16). · (s)
• Pub. L. 101–234, §201(a), repealed Pub. L. 100–360, §202(a)(2), 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. · (t)
• Pub. L. 101–239, §6003(g)(3)(C)(i), inserted "rural primary care hospital," after "hospital,". · (u)
• Pub. L. 101–234, §201(a), repealed Pub. L. 100–360, §203(e)(1), 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. · (u)
• Pub. L. 101–234, §101(a), repealed Pub. L. 100–360, §104(d)(4)(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. · (v)
• Pub. L. 101–239, §6110, designated existing provisions as cl. (i) and added cl. (ii). · (v)
• Pub. L. 101–234, §101(a), repealed Pub. L. 100–360, §104(d)(4)(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. · (v), (3)
• Pub. L. 101–239, §6003(g)(3)(D) (x)(II), inserted "rural primary care hospital," after "hospital,". · (w)
• Pub. L. 101–239, §6003(g)(3)(D) (x)(III), substituted "hospital or rural primary care hospital" for "hospital" in six places. · (w)
• Pub. L. 101–234, §101(a), repealed Pub. L. 100–360, §104(d)(4)(E), 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. · (y)
• Pub. L. 101–239, §6213(b), substituted "(as defined in paragraph (3)), by" for "(as defined in paragraph (3)), or by" and inserted "or by a clinical social worker (as defined in subsection (hh)(1))," after "Secretary)". · (aa)
• Pub. L. 101–239, §6213(c), in second sentence substituted "designated by the chief executive officer of the State and certified by the Secretary as an area with a shortage of personal health services, or that is designated by the Secretary" for "designated by the Secretary", "secti… · (aa)
• Pub. L. 101–239, §6213(a), added subpar. (J) and redesignated former subpar. (J) as (K). · (aa), (K)
• Pub. L. 101–239, §6114(d), added par. (4). · (aa)
• Pub. L. 101–239, §6113(b)(2)(B), inserted "; clinical social worker services" after "social worker" in heading, redesignated existing provisions as par. (1), redesignated former pars. (1) to (3) as subpars. (A) to (C), respectively, in subpar. (C), redesignated former subpars. (A) and… · (hh)
• Pub. L. 101–239, §6113(a), struck out "on-site at a community mental health center (as such term is used in the Public Health Service Act), and such services that are necessarily furnished off-site (other than at an off-site office of such psychologist) as part of a treatment plan bec… · (ii)
• Pub. L. 101–234, §201(a), repealed Pub. L. 100–360, §§203(b), 204(a)(2), 205(b), 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. · (jj)
• Pub. L. 101–239, §6003(g)(3)(A), added subsec. (mm). · (mm)
• Pub. L. 101–239, §6116(a)(1), added par. (3). · (mm)
• Pub. L. 101–239, §6115(a)(2), added subsec. (nn). · (nn)

1988

• Pub. L. 100–360, §104(d)(4)(A), struck out subsec. (a) which defined "spell of illness". · (a)
• Pub. L. 100–360, §411(l)(1)(B)(i), (ii), redesignated and amended Pub. L. 100–203, §4201(d)(1), see 1987 Amendment note below. · (a)
• Pub. L. 100–360, §104(d)(4)(B), substituted "and paragraph (7) of this subsection" for "paragraph (7) of this subsection, and subsection (i) of this section" in introductory provisions, struck out second sentence which read as follows: "For purposes of subsection (a)(2), such term incl… · (e)
• Pub. L. 100–360, §104(d)(4)(C), struck out subsec. (i) which defined "post-hospital extended care services". · (i)
• Pub. L. 100–360, §206(a), inserted at end "For purposes of paragraphs (1) and (4) and sections 1395f(a)(2)(C) and 1395n(a)(2)(A) of this title, nursing care and home health aide services shall be considered to be provided or needed on an 'intermittent' basis if they are provided or nee… · (m)
• Pub. L. 100–360, §411(l)(1)(C), as added by Pub. L. 100–485, §608(d)(27)(B), added Pub. L. 100–203, §4201(d)(5), see 1987 Amendment note below. · (n)
• Pub. L. 100–360, §411(l)(1)(B)(iii), added Pub. L. 100–203, §4201(d)(2), see 1987 Amendment note below. · (n)
• Pub. L. 100–360, §411(d)(1)(B)(i), inserted "; except that such term does not include such equipment furnished by a supplier who has used, for the demonstration and use of specific equipment, an individual who has not met such minimum training standards as the Secretary may establish with respect t… · (n)
• Pub. L. 100–647, §8424(a), inserted at end "Nothing in this subsection shall be construed as requiring, with respect to outpatients who are not entitled to benefits under this subchapter, a physical therapist to provide outpatient physical therapy services only to outpatients who are u… · (p)
• Pub. L. 100–360, §411(g)(3)(H), inserted a comma before "year" in provisions immediately preceding par. (13). · (s)
• Pub. L. 100–360, §411(h)(5)(A), amended Pub. L. 100–203, §4074(a), see 1987 Amendment note below. · (s)
• Pub. L. 100–360, §202(a)(1), amended subpar. (J) generally, substituting "covered outpatient drugs (as defined in subsection (t) of this section); and" for former provision which related to prescription drugs used in immunosuppressive therapy. · (s)
• Pub. L. 100–360, §411(h)(6), amended Pub. L. 100–203, §4076(a), see 1987 Amendment note below. · (s)
• Pub. L. 100–485, §608(d)(23)(B), substituted "nursing facility (as defined in section 1396r(a) of this title)" for "intermediate care facility (as defined in section 1396d(c) of this title)". · (s)
• Pub. L. 100–360, §411(h)(7)(A), made technical amendment to directory language of Pub. L. 100–203, §4077(b)(1), see 1987 Amendment note below. · (s)
• Pub. L. 100–360, §411(h)(2), inserted ", subject to section 4071(b) of the Omnibus Budget Reconciliation Act of 1987," before "influenza vaccine". · (s)
• Pub. L. 100–360, §411(h)(3)(A), inserted "subject to section 4072(e) of the Omnibus Budget Reconciliation Act of 1987," in introductory provisions. · (s)
• Pub. L. 100–360, §204(a)(1)(B)–(D), added par. (13) relating to screening mammography (as defined in subsection (kk) of this section). Former par. (13) redesignated (14). · (s)
• Pub. L. 100–360, §204(a)(1)(A), redesignated par. (13) as (14). Former par. (14) redesignated (15). · (s)
• Pub. L. 100–360, §411(i)(4)(C)(iii), amended directory language of Pub. L. 100–203, §4085(i)(11), to correct an error, see 1987 Amendment note below. · (s)
• Pub. L. 100–360, §204(a)(1)(A), redesignated par. (14) as (15). · (s)
• Pub. L. 100–360, §411(i)(4)(C)(iii), amended directory language of Pub. L. 100–203, §4085(i)(11), to correct an error, see 1987 Amendment note below. · (s)
• Pub. L. 100–360, §202(a)(2), designated existing provisions as par. (1), inserted "and paragraph (2)", and added pars. (2) to (4) defining "covered outpatient drug" and "covered home IV drug". · (t)
• Pub. L. 100–360, §203(e)(1), inserted "home intravenous drug therapy provider," after "hospice program,". · (u)
• Pub. L. 100–360, §104(d)(4)(D), struck out "post-hospital" before "extended care services" in four places. · (v)
• Pub. L. 100–360, §411(d)(5)(A), substituted "verified" for "audited" in subcls. (I) and (II) and inserted at end "In the case of a home health agency that refuses to provide data, or deliberately provides false data, respecting wages for purposes of this clause upon the requ… · (v)
• Pub. L. 100–360, §104(d)(4)(D), struck out "post-hospital" before "extended care services". · (v), (3)
• Pub. L. 100–360, §104(d)(4)(E)(i), substituted "Extended care" for "Post-hospital extended care" in heading. · (y)
• Pub. L. 100–360, §104(d)(4)(E)(ii), struck out "(except for purposes of subsection (a)(2))" after "Massachusetts, but only". · (y)
• Pub. L. 100–360, §104(d)(4)(E)(i), (iii), (iv), struck out "post-hospital" before "extended care services" in two places, substituted "year" for "spell of illness" and "spell" wherever each appeared, and substituted "45 days" for "30 days". · (y)
• Pub. L. 100–360, §104(d)(4)(E)(i), (iii), (v), struck out "post-hospital" before "extended care services" and substituted "year" for "spell of illness", "the coinsurance amount established under section 1395e(a)(3)(C) of this title for each day before the 46th day" for "one-eighth o… · (y)
• Pub. L. 100–360, §104(d)(4)(E)(vi), struck out par. (4) which provided that certain determinations about services provided by an institution described in par. (1) be made under regulations. · (y)
• Pub. L. 100–360, §411(i)(3), added Pub. L. 100–203, §4084(c)(1), see 1987 Amendment note below. · (bb)
• Pub. L. 100–360, §411(h)(1)(B)(i), inserted heading. · (ff)
• Pub. L. 100–360, §411(h)(1)(B)(ii), substituted "furnished by a hospital to its outpatients" for "hospital-based or hospital-affiliated (as defined by the Secretary)". · (ff)
• Pub. L. 100–360, §411(h)(4)(D), amended Pub. L. 100–203, §4073(c), see 1987 Amendment note below. · (gg)
• Pub. L. 100–360, §411(h)(5)(B), amended Pub. L. 100–203, §4074(b), see 1987 Amendment note below. · (hh)
• Pub. L. 100–647, §8423(a), inserted "on-site" before "at a community mental health center" and ", and such services that are necessarily furnished off-site (other than at an off-site office of such psychologist) as part of a treatment plan because of the inability of the individual fu… · (ii)
• Pub. L. 100–360, §411(h)(7)(E), (F), redesignated and amended Pub. L. 100–203, §4077(b)(4), see 1987 Amendment note below. · (ii)
• Pub. L. 100–485, §608(d)(6)(A), inserted heading. · (jj)
• Pub. L. 100–360, §203(b), added subsec. (jj) relating to home intravenous drug therapy services. · (jj)
• Pub. L. 100–360, §204(a)(2), added subsec. (kk) relating to screening mammography. · (kk)
• Pub. L. 100–360, §205(b), added subsec. (ll) relating to in-home care furnished to chronically dependent individual. · (ll)

1987

• Pub. L. 100–203, §4201(d)(1), formerly §4201(d), as redesignated and amended by Pub. L. 100–360, §411(l)(1)(B)(i), (ii), substituted "facility described in section 1395i–3(a)(1) of this title or subsection (y)(1)" for "skilled nursing facility". · (a)
• Pub. L. 100–203, §4009(e)(1), inserted "(including clinical psychologist (as defined by the Secretary))" before "under arrangements". · (b)
• Pub. L. 100–203, §4085(i)(9), substituted "and anesthesia" for ", anesthesia" and "certified registered nurse" for "certified certified registered nurse". · (b)
• Pub. L. 100–203, §4039(b)(2), substituted "Council on Podiatric Medical Education of the American Podiatric Medical Association" for "Council on Podiatry Education of the American Podiatry Association". · (b)
• Pub. L. 100–203, §4009(f), inserted "with respect to whom payment may be made under this subchapter" after "patient". · (e)
• Pub. L. 100–203, §4085(i)(10), made technical amendment to heading. · (g)
• Pub. L. 100–203, §4201(a)(1), amended subsec. generally, substituting provision defining "skilled nursing facility" as having the meaning given such term in section 1395i–3(a) of this title for provision defining "skilled nursing facility" as, except for purposes of subsec. (a)(2) of t… · (j)
• Pub. L. 100–203, §4201(d)(2), (5), as added by Pub. L. 100–360, §411(l)(1)(B)(iii), and Pub. L. 100–360, §411(l)(1)(C), as added by Pub. L. 100–485, §608(d)(27)(B), made similar amendments, resulting in the substitution of "subsection (e)(1) of this section or section 1395i–3(a)(1) of … · (n)
• Pub. L. 100–203, §4021(a), inserted "the conditions of participation specified in section 1395bbb(a) of this title and" after "meets". · (o)
• Pub. L. 100–203, §4039(b)(1), substituted "subsections (k), (m), (p)(1), and (s) of this section and sections 1395f(a), 1395k(a)(2)(F)(ii), and 1395n of this title" for "subsection (s) of this section", and struck out "; and for the purposes of subsections (k), (m), and (p)(1) of th… · (r)
• Pub. L. 100–203, §4085(i)(11), substituted in closing provisions "which would not be included under subsection (b) if it were furnished to an inpatient of a hospital." for "which—" before par. (15) and struck out pars. (15) and (16). · (s)
• Pub. L. 100–203, §4064(e)(1), inserted "a laboratory not independent of a physician's office that has a volume of clinical diagnostic laboratory tests exceeding 5,000 per year" in provisions preceding par. (13). · (s)
• Pub. L. 100–203, §4070(b)(1), inserted "and partial hospitalization services incident to such services" before semicolon. · (s)
• Pub. L. 100–203, §4074(a), as amended by Pub. L. 100–360, §411(h)(5)(A), inserted "or by a clinical social worker (as defined in subsection (hh))" after "clinical psychologist (as defined by the Secretary)", and substituted "incident to such clinical psychologist's services o… · (s)
• Pub. L. 100–203, §4075(a), substituted "prescription drugs used in immunosuppressive therapy" for "immunosuppressive drugs". · (s)
• Pub. L. 100–203, §4076(a), as amended by Pub. L. 100–360, §411(h)(6), inserted "(I)" and substituted ", (II) as an assistant at surgery, or (III) in a rural area (as defined in section 1395ww(d)(2)(D) of this title) that is designated, under section 332(a)(1)(A) of the Public … · (s)
• Pub. L. 100–203, §4073(a), added subpar. (L). · (s)
• Pub. L. 100–203, §4077(b)(1), as amended by Pub. L. 100–360, §411(h)(7)(A), added subpar. (M). · (s)
• Pub. L. 100–203, §4071(a), inserted "and influenza vaccine and its administration" before semicolon. · (s)
• Pub. L. 100–203, §4072(a), added par. (12). Former par. (12) redesignated (13). · (s)
• Pub. L. 100–203, §4072(a)(1), redesignated pars. (12) and (13) as (13) and (14), respectively. Former par. (14) redesignated (15). · (s), (14)
• Pub. L. 100–203, §4085(i)(11), as amended by Pub. L. 100–360, §411(i)(4)(C)(iii), struck out par. (15) which read as follows: "would not be included under subsection (b) of this section if it were furnished to an inpatient of a hospital; or". · (s)
• Pub. L. 100–203, §4072(a)(1), redesignated par. (14) as (15). Former par. (15) redesignated (16). · (s)
• Pub. L. 100–203, §4085(i)(11), as amended by Pub. L. 100–360, §411(i)(4)(C)(iii), struck out par. (16) which read as follows: "is furnished under arrangements referred to in such paragraph (2)(C) unless furnished in the hospital or in other facilities operated by or under the super… · (s)
• Pub. L. 100–203, §4072(a)(1), redesignated par. (15) as (16). · (s)
• Pub. L. 100–203, §4201(b)(1), inserted at end "Notwithstanding the previous sentence, such regulations with respect to skilled nursing facilities shall take into account (in a manner consistent with subparagraph (A) and based on patient-days of services furnished) the costs of su… · (v)
• Pub. L. 100–203, §4026(a)(1), added cl. (iii). · (v)
• Pub. L. 100–203, §4065(a), added subpar. (S). · (v)
• Pub. L. 100–203, §4085(i)(12), made technical amendments to references in original act which appear in text as references to "subsection (p)" and "subsection (g)". · (v)
• Pub. L. 100–203, §4077(a)(1), substituted "physician assistant or a nurse practitioner (as defined in paragraph (3)), or by a clinical psychologist (as defined by the Secretary)," for "physician assistant or by a nurse practitioner". · (aa)
• Pub. L. 100–203, §4085(i)(13), made technical amendment to heading. · (bb)
• Pub. L. 100–203, §4084(c)(1), as added by Pub. L. 100–360, §411(i)(3), inserted at end "Such term also includes, as prescribed by the Secretary, an anesthesiologist assistant." · (bb)
• Pub. L. 100–203, §4078, inserted provision at end relating to location requirements in case of physical therapy, occupational therapy, and speech pathology services. · (cc)
• Pub. L. 100–203, §4085(i)(14), made technical amendment to heading. · (ee)
• Pub. L. 100–203, §4070(b)(2), added subsec. (ff). · (ff)
• Pub. L. 100–203, §4073(c), as amended by Pub. L. 100–360, §411(h)(4)(D), added subsec. (gg). · (gg)
• Pub. L. 100–203, §4074(b), as amended by Pub. L. 100–360, §411(h)(5)(B), added subsec. (hh). · (hh)
• Pub. L. 100–203, §4077(b)(4), formerly §4077(b)(5), as redesignated and amended by Pub. L. 100–360, §411(h)(7)(E), (F), added subsec. (ii). · (ii)

1986

• Pub. L. 99–509, §9320(f), inserted before the semicolon at end ", anesthesia services provided by a certified registered nurse anesthetist". · (b)
• Pub. L. 99–509, §9305(c)(1), inserted "(A)" after "(6)" and cl. (B). · (e)
• Pub. L. 99–509, §9337(d)(1), added subsec. (g). · (g)
• Pub. L. 99–272, §9219(b)(1)(B), substituted "as his home" for "at his home". · (n)
• Pub. L. 99–509, §9336(a), amended cl. (4) generally. Prior to amendment, cl. (4) read as follows: "a doctor of optometry who is legally authorized to practice optometry by the State in which he performs such function, but only with respect to services related to the condition of aph… · (r)
• Pub. L. 99–509, §9337(d)(2), inserted "and outpatient occupational therapy services". · (s)
• Pub. L. 99–509, §9335(c)(1), added subpar. (J). · (s)
• Pub. L. 99–509, §9338(a), added subpar. (K). · (s)
• Pub. L. 99–509, §9320(b), added par. (11) and redesignated former pars. (11) to (14) as (12) to (15), respectively. · (s)
• Pub. L. 99–272, §9107(b)(2), substituted "any cost reporting period shall be equal to" for "any fiscal period shall not exceed one and one-half times" and "the period" for "such fiscal period". · (v)
• Pub. L. 99–272, §9219(b)(3)(A), inserted "on the basis of" after "(during such period)" in provisions following subcl. (III). · (v)
• Pub. L. 99–509, §9315(a), inserted "(i)" after "(L)", struck out "the 75th percentile of such costs per visit for free standing home health agencies, or, in the judgment of the Secretary, such lower percentile or such comparable or lower limit (based on or related to the mean of … · (v)
• Pub. L. 99–272, §9110(a)(1), inserted ", except as provided in clause (iv)," after "such regulations shall provide". · (v)
• Pub. L. 99–272, §9110(a)(2), added cl. (iv). · (v)
• Pub. L. 99–272, §9107(b)(1), added subpar. (P). · (v)
• Pub. L. 99–272, §9202(i)(1), added subpar. (Q). · (v)
• Pub. L. 99–509, §9313(a)(2), added subpar. (R). · (v)
• Pub. L. 99–509, §9337(d)(3), inserted "(including through the operation of subsection (g))" after "subsection (p)". · (v)
• Pub. L. 99–509, §9320(c), added subsec. (bb). · (bb)
• Pub. L. 99–509, §9305(c)(2), added subsec. (ee). · (ee)

1984

• Pub. L. 98–369, §2335(b)(1), struck out subsec. (d) which defined "inpatient tuberculosis hospital services" as inpatient hospital services furnished to an inpatient of a tuberculosis hospital. · (d)
• Pub. L. 98–369, §2335(b)(2), struck out "or tuberculosis unless it is a tuberculosis hospital (as defined in subsection (g) of this section) or" before "unless it is a psychiatric hospital" in provisions following par. (9). · (e)
• Pub. L. 98–369, §2340(a), struck out par. (5) which provided that "psychiatric hospital" meant an institution which was accredited by the Joint Commission on Accreditation of Hospitals, and struck out "if the institution is accredited by the Joint Commission on Accreditation of Hospita… · (f)
• Pub. L. 98–369, §2335(b)(1), struck out subsec. (g) which defined "tuberculosis hospital". · (g)
• Pub. L. 98–369, §2335(b)(3), in provisions following par. (15), struck out "or tuberculosis" after "treatment of mental diseases". · (j)
• Pub. L. 98–369, §2354(b)(18), substituted "provision for" for "provision of". · (j)
• Pub. L. 98–369, §2354(b)(19), substituted "an institution" for "a nursing home". · (j)
• Pub. L. 98–369, §2321(e)(1), which directed the substitution of "and durable medical equipment" for ", and the use of medical applicances" was executed by making the substitution for ", and the use of medical appliances" as the probable intent of Congress. · (m)
• Pub. L. 98–369, §2321(e)(3), added subsec. (n). · (n)
• Pub. L. 98–369, §2341(a), substituted "paragraph (1) or (3) of subsection (r)" for "subsection (r)(1)". · (p)
• Pub. L. 98–369, §2342(a), substituted "by a physician as so defined) or by a qualified physical therapist and is periodically reviewed by a physician (as so defined)" for ", and is periodically reviewed, by a physician (as so defined)". · (p)
• Pub. L. 98–617, §3(b)(7), substituted "under subsections (k), (m), and (p)(1) of this section and sections 1395f(a), 1395k(a)(2)(F)(ii), and 1395n of this title" for "under subsections (k) and (m) and sections 1395f(a) and 1395n of this title" before "is consistent with the policy". · (r)
• Pub. L. 98–369, §2341(c), substituted "for the purposes of subsections (k), (m), and (p)(1) of this section" for "for the purposes of subsections (k) and (m) of this section", and substituted "sections 1395f(a), 1395k(a)(2)(F)(ii), and 1395n of this title but only if" for "sections 1395f(a) and 139… · (r)
• Pub. L. 98–369, §2322(a), designated existing provisions as cl. (i) and added cl. (ii). · (s)
• Pub. L. 98–369, §2324(a), added subpar. (I). · (s)
• Pub. L. 98–369, §2321(e)(2), struck out provision which included iron lungs, oxygen tents, etc. with durable medical equipment. See subsec. (n) of this section. · (s)
• Pub. L. 98–369, §2323(a), designated existing provisions as subpar. (A) and added subpar. (B). · (s)
• Pub. L. 98–369, §2354(b)(20), struck out "or" before "home health agency". · (u)
• Pub. L. 98–369, §2354(b)(21)(A), realigned margin of subpar. (B). · (v)
• Pub. L. 98–369, §2354(b)(21)(B), realigned margins of subpar. (C). · (v)
• Pub. L. 98–369, §2354(b)(22), inserted a dash after "but only if". · (v)
• Pub. L. 98–369, §2354(b)(21)(B), realigned margin of subpar. (D). · (v)
• Pub. L. 98–369, §2354(b)(21)(C), inserted a comma after "section 1395k(a)(2)(B)(i) of this title". · (v)
• Pub. L. 98–369, §2319(a)(1), struck out cl. (i) which directed that such regulations provide that any determination of reasonable cost with respect to services provided by hospital-based skilled nursing facilities be made on the basis of a single standard based on the reasonablen… · (v)
• Pub. L. 98–369, §2354(b)(23), as amended by Pub. L. 98–617, §3(a)(4), substituted "use" for "uses". · (v)
• Pub. L. 98–369, §2354(b)(24), substituted "by the Secretary, or upon request by the Comptroller General" for "to the Secretary, or upon request to the Comptroller General". · (v), (ii)
• Pub. L. 98–369, §2318(a), (b), designated existing provisions as cl. (i), substituted therein "as defined in clause (ii)" for "provided in an emergency room", and added cl. (ii). · (v)
• Pub. L. 98–369, §2314(a), added subpar. (O). · (v)
• Pub. L. 98–369, §2354(b)(25), substituted "semi-private" for "semiprivate" after "furnished in". · (v)
• Pub. L. 98–369, §2319(a)(2), added subpar. (D). · (v)
• Pub. L. 98–369, §2354(b)(26), substituted "paragraph (1)" for "subparagraph (1)". · (z)
• Pub. L. 98–369, §2354(b)(27), substituted "utilization" for "ultilization". · (aa)
• Pub. L. 98–369, §2354(b)(28), substituted "self-administered" for "self administered". · (cc)
• Pub. L. 98–369, §2321(e)(4), substituted "and durable medical equipment" for ", appliances, and equipment, including the purchase or rental of equipment". · (cc)
• Pub. L. 98–369, §2354(b)(29), substituted "standards established" for "standard establishment". · (cc)
• Pub. L. 98–369, §2343(a), inserted "except as otherwise provided in paragraph (5),". · (dd)
• Pub. L. 98–369, §2343(b), added par. (5). · (dd)

1983

• Pub. L. 98–21, §602(d)(1), substituted "the amount otherwise payable under part A with respect to" for "on the basis of the reasonable cost of" in provisions following subcl. (III). · (v)
• Pub. L. 98–21, §602(d)(2), substituted "the amount that would be taken into account with respect to" for "an amount equal to the reasonable cost of". · (v)
• Pub. L. 98–21, §602(d)(3), struck out "the equivalent of the reasonable cost of" after "only". · (v)
• Pub. L. 98–21, §602(d)(4), substituted "the amount otherwise payable under this subchapter for such bed and board furnished in semiprivate accommodations" for "the reasonable cost of such bed and board furnished in semiprivate accommodations (determined pursuant to paragraph (1))". · (v)
• Pub. L. 97–448 amended directory language of Pub. L. 97–248, §109(b)(2), to correct typographical error, and did not involve any change in text. See 1982 Amendment note below. · (v)
• Pub. L. 98–21, §607(d), designated existing provisions as subpar. (A) and added subpar. (B). · (z)
• Pub. L. 98–21, §607(b)(2), substituted "$600,000 (or such lesser amount as may be established by the State under section 1320a–1(g)(1) of this title in which the hospital is located)" for "$100,000". · (z)

1982

• Pub. L. 97–248, §128(d)(2), substituted "(i) may" for "may (i),". · (e)
• Pub. L. 97–248, §114(b), added subpar. (H). · (s)
• Pub. L. 97–248, §122(d)(1), inserted "hospice program," after "home health agency,". · (u)
• Pub. L. 97–248, §102(a), struck out provisions that this subparagraph would not apply to any skilled nursing facility that either was a distinct part of or directly operated by a hospital or was in a close, formal satellite relationship with a participating hospital, and in the c… · (v)
• Pub. L. 97–248, §148(b), substituted "quality control and peer review organization" for "Professional Standards Review Organization". · (v)
• Pub. L. 97–248, §109(b)(1), struck out "(I)" and ", or (II) which determines the amount payable by the home health agency on the basis of a percentage of the agency's reimbursement or claim for reimbursement for services furnished by the agency". · (v)
• Pub. L. 97–248, §127(1), amended directory language of Pub. L. 96–499, §952, by inserting "(a)" after "952", and did not involve any change in text. See 1980 Amendment note below. · (v)
• Pub. L. 97–248, §103(a), substituted provisions that cost regulations may not provide for any inpatient routine salary cost differential as a reimbursable cost for hospitals and skilled nursing facilities for provisions that such regulations would provide that an inpatient routin… · (v)
• Pub. L. 97–248, §101(a)(2), struck out cl. (i) which provided that the Secretary, in determining the amount of the payments that could be made under this subchapter with respect to routine operating costs for the provision of general inpatient hospital services, could not recogni… · (v)
• Pub. L. 97–248, §105(a), inserted "free standing" after "costs per visit for". · (v)
• Pub. L. 97–248, §106(a), added subpar. (M). · (v)
• Pub. L. 97–248, §107(a), added subpar. (N). · (v)
• Pub. L. 97–248, §101(d), redesignated existing provisions as subpar. (A) and added subpar. (B). · (v)
• Pub. L. 97–248, §108(a)(2), added subpar. (C). · (v)
• Pub. L. 97–248, §109(b)(2), as amended by Pub. L. 97–448, §309(a)(4), inserted "and for payments under certain percentage arrangements". · (v)
• Pub. L. 97–248, §122(d)(2), substituted "home health agency, or hospice program" for "or home health agency". · (w)
• Pub. L. 97–248, §148(b), substituted "quality control and peer review organization" for "Professional Standards Review Organization". · (w)
• Pub. L. 97–248, §128(a)(1), substituted "inpatient" for "outpatient" in provisions following subpar. (H). · (cc)
• Pub. L. 97–248, §122(d)(3), added subsec. (dd). · (dd)

1981

• Pub. L. 97–35, §2121(c), struck out "detoxification facility," after "home health agency,". · (u)
• Pub. L. 97–35, §2102(a)(1), substituted "there is not an excess of hospital beds in such hospital and (subject to clause (iv)) there is not an excess of hospital beds in the area of such hospital" for "the hospital had (during the immediately preceding calendar year) an averag… · (v)
• Pub. L. 97–35, §2114, substituted "the Secretary or such agent as the Secretary may designate" for "an organization or agency with review responsibility as is otherwise provided for under part A of subchapter XI of this chapter" in provision preceding subcl. (I). · (v)
• Pub. L. 97–35, §2102(a)(2), substituted provisions that the determination under cl. (i) of this subparagraph, in the case of a public hospital, whether or not there is an excess of hospital beds in the area of such hospital, be made on the basis of only the public hospitals w… · (v)
• Pub. L. 97–35, §2141(a), added subpar. (J). · (v)
• Pub. L. 97–35, §2142(a), added subpar. (K). · (v)
• Pub. L. 97–35, §2143(a), added subpar. (L). · (v)
• Pub. L. 97–35, §2144(a), designated existing provisions as cl. (i) and added cl. (ii). · (v)
• Pub. L. 97–35, §2193(c)(9), substituted "subchapter XIX" for "subchapter V or XIX". · (w)
• Pub. L. 97–35, §2121(d), struck out subsec. (bb) which defined "alcohol detoxification facility services" and "detoxification facility". · (bb)

1980

• Pub. L. 96–499, §948(a)(1), provided that par. (4) was not to apply to services provided in a hospital by a physician where the hospital had a teaching program approved as specified in par. (6) if the hospital elected to receive payment for reasonable costs of such services and all … · (b)
• Pub. L. 96–499, §930(k), substituted "subsection (i)" for "subsections (i) and (n)" in text preceding par. (1) and in text following par. (9). · (e)
• Pub. L. 96–499, §949, in text following par. (9), inserted provision defining "hospital" as a facility of fifty beds or less located in an area determined by the Secretary to meet definition relating to a rural area described in subpar. (A) of par. (5) and prescribing exceptions to such definition. · (e)
• Pub. L. 96–499, §950, substituted "30 days" for "14 days" in three places and struck out former cl. (B) which related to admission to skilled nursing facilities within 28 days after hospital discharge of an individual unable to be admitted to such facilities within 14 days because of a… · (i)
• Pub. L. 96–499, §915(a), substituted "such edition (as is specified by the Secretary in regulations) of the Life Safety Code of the National Fire Protection Association" for "the Life Safety Code of the National Fire Protection Association (23rd edition, 1973)". · (j)
• Pub. L. 96–499, §951(b), inserted "(of which at least two must be physicians described in subsection (r)(1) of this section)" after "two or more physicians". · (k)
• Pub. L. 96–499, §930(l), inserted "who has successfully completed a training program approved by the Secretary" after "health aide". · (m)
• Pub. L. 96–499, §930(m), struck out subsec. (n) which defined "post-hospital home health services". · (n)
• Pub. L. 96–499, §930(n)(2), in provisions following par. (7), struck out provision that "home health agency" was not to include a private organization which was not a nonprofit organization exempt from Federal income taxation under section 501 of title 26 unless it were licensed pursua… · (o)
• Pub. L. 96–499, §930(n)(1), added par. (7). · (o)
• Pub. L. 96–499, §936(a), amended cl. (2) generally to expand definition of "physician" to include doctors of dental surgery or dental medicine acting within the scope of their licenses. · (r)
• Pub. L. 96–499, §951(a), substituted provisions relating to doctors of podiatric medicine for provisions relating to doctors of podiatry and surgical chiropody. · (r)
• Pub. L. 96–499, §937(a), substituted "services related to the condition of aphakia" for "establishing the necessity for prosthetic lenses". · (r)
• Pub. L. 96–499, §938(a), added subpar. (G). · (s)
• Pub. L. 96–611, §1(a)(1), added par. (10) and redesignated former pars. (10) to (13) as (11) to (14), respectively. · (s)
• Pub. L. 96–499, §933(c), inserted "comprehensive outpatient rehabilitation facility," after "nursing facility". · (u)
• Pub. L. 96–499, §931(c), inserted "detoxification facility,". · (u)
• Pub. L. 96–499, §902(a)(1), added subpar. (G). · (v)
• Pub. L. 96–499, §930(p), added subpar. (H). · (v)
• Pub. L. 96–499, §952(a), formerly §952, as redesignated by Pub. L. 97–248, §127(1), added subpar. (I). · (v)
• Pub. L. 96–499, §933(d), which purported to substitute "skilled nursing facility, comprehensive outpatient rehabilitation facility," for "extended care facility," was executed by inserting "comprehensive outpatient rehabilitation facility," after "skilled nursing facility," as the prob… · (z)
• Pub. L. 96–611, §1(b)(3), inserted reference to items and services described in subsection (s)(10) of this section. · (aa)
• Pub. L. 96–499, §931(d), added subsec. (bb). · (bb)
• Pub. L. 96–499, §933(e), added subsec. (cc). · (cc)

1978

• Pub. L. 95–292 added subpar. (F). · (s)

1977

• Pub. L. 95–142, §3(a)(2), substituted provisions relating to compliance with requirements of section 1320a–3 of this title, for provisions relating disclosure of ownership, corporate status, etc., information to the Secretary or his delegate. · (j)
• Pub. L. 95–142, §21(a), struck out "; and" after "nursing facilities". · (j)
• Pub. L. 95–142, §21(a), added par. (14). · (j)
• Pub. L. 95–210, §1(g), (h), added subpar. (E) of par. (2) and in provisions following par. (9) inserted ", a rural health clinic," after "independent of a physician's office". · (s)
• Pub. L. 95–216 inserted "(which may include a power-operated vehicle that may be appropriately used as a wheelchair, but only where the use of such a vehicle is determined to be necessary on the basis of the individual's medical and physical condition and the vehicle meets such safe… · (s)
• Pub. L. 95–142, §19(b)(1), added subpar. (F). · (v)
• Pub. L. 95–142, §5(m), inserted "part B of this subchapter or under" after "or entitled to have payment made for such services under". · (w)
• Pub. L. 95–210, §1(d), added subsec. (aa). · (aa)

1975

• Pub. L. 94–182, §102, substituted "January 1, 1979" for "January 1, 1976". · (e)
• Pub. L. 94–182, §106(a), substituted "23d edition, 1973" for "21st edition, 1967". · (j)
• Pub. L. 94–182, §112(a)(1), designated existing provisions as par. (1) and added par. (2). · (w)

1972

• Pub. L. 92–603, §278(a)(4), substituted "skilled nursing facility" for "extended care facility" and "a" for "an". · (a)
• Pub. L. 92–603, §§227(a), 276(a), redesignated existing second sentence of subsec. (b) as par. (6) and in subsec. (b)(6) as so designated inserted reference to services in a hospital or osteopathic hospital by an intern or resident-in-training in the field of podiatry, approved by t… · (b)
• Pub. L. 92–603, §227(a), added par. (7). · (b)
• Pub. L. 92–603, §211(b), inserted reference to section 1395f(f) of this title in the provisions preceding par. (1), inserted reference to sections 1395f(f)(2) of this title after "For purposes of sections 1395f(d) and 1395n(b) of this title (including determination of whether an indivi… · (e)
• Pub. L. 92–603, §234(a), added par. (8). Former par. (8) redesignated (9). · (e)
• Pub. L. 92–603, §§234(a), 244(c), redesignated former par. (8) as (9) and struck out provisions requiring that other requirements not be higher than the comparable requirements prescribed for the accreditation of hospitals by the Joint Commission on Accreditation of Hospitals. · (e)
• Pub. L. 92–603, §234(b), (c), inserted reference to par. (9) of subsec. (e) of this section. · (f), (g)
• Pub. L. 92–603, §278(a)(5), substituted "skilled nursing facility" for "extended care facility", "skilled nursing facilities" for "extended care facilities" and "a" for "an". · (h)
• Pub. L. 92–603, §§248, 278(a)(6), (b)(10), extended the class of persons qualifying to be deemed as having been an inpatient in a hospital immediately before transfer therefrom by designating as clause (A) the existing requirement that the person have been admitted to the skilled nursi… · (i)
• Pub. L. 92–603, §278(a)(7), substituted "skilled nursing facility" for "extended care facility" in provisions preceding par. (1). · (j)
• Pub. L. 92–603, §234(d), added par. (10). Former par. (10) redesignated par. (11) by section 234(d)(2) of Pub. L. 92–603 and again redesignated par. (15) by section 246(b)(2) of Pub. L. 92–603. · (j)
• Pub. L. 92–603, §246(b)(3), added pars. (11) to (13). · (j)
• Pub. L. 92–603, §§234(d), 246(b)(2), (4), 265, 267, 278(b)(13), redesignated former par. (10) as (11), amended par. (11) as thus redesignated by inserting provisions that the Secretary shall not require as a condition of participation that medical social services be furnished in an… · (j)
• Pub. L. 92–603, §§237(c), 278(a)(8), inserted provisions authorizing the Secretary to utilize the procedures established under subchapter XIX of this chapter if such procedures were determined to be superior in their effectiveness and substituted "skilled nursing facility" for "extende… · (k)
• Pub. L. 92–603, §278(a)(9), substituted "skilled nursing facility" for "extended care facility" and "a" for "an". · (l)
• Pub. L. 92–603, §278(a)(10), substituted "skilled nursing facility" for "extended care facility". · (m)
• Pub. L. 92–603, §278(a)(11), substituted "skilled nursing facility" for "extended care facility" and "a" for "an". · (n)
• Pub. L. 92–603, §234(e), added par. (5) and redesignated former par. (5) as (6). · (o), (6)
• Pub. L. 92–603, §§251(a)(1), (b)(1), 283(a), inserted provisions covering physical therapy services of a licensed physical therapist other than under an arrangement with and under the supervision of a provider of services, clinic, rehabilitation agency, or public health agency, inserte… · (p)
• Pub. L. 92–603, §227(f), substituted "subsection (b)(6)" for "the last sentence of subsection (b)" in parenthetical phrase. · (q)
• Pub. L. 92–603, §§211(c)(2), 256(b), 264(a), 273(a), inserted "or (C) the certification required by section 1395x(a)(2)(E) of this title," inserted provision so as to include doctors in one of the specified arts legally authorized to practice such art in the country in which inpatient … · (r)
• Pub. L. 92–603, §252(a), inserted "(including colostomy bags and supplies directly related to colostomy care)" after "organ". · (s)
• Pub. L. 92–603, §§227(d)(1), 278(a)(12), substituted "skilled nursing facility, or home health agency, or, for purposes of sections 1395(g) and 1395n(e) of this title, a fund." for "extended care facility, or home health agency.". · (u)
• Pub. L. 92–603, §§223(a), (b), (c), (d), 227(c)(1), (2), (3), (4), 249(b), 278(b)(11), inserted definition of the costs of services, inserted provision that the regulation for the establishment of limits on the direct or indirect overall incurred costs or incurred costs of specific … · (v)
• Pub. L. 92–603, §278(a)(13), substituted "skilled nursing facility" for "extended care facility". · (v)
• Pub. L. 92–603, §223(f), added par. (4). Former par. (4) redesignated (6). · (v)
• Pub. L. 92–603, §251(c), added par. (5). · (v)
• Pub. L. 92–603, §§223(f), 251(c), redesignated former par. (4) as (6). · (v)
• Pub. L. 92–603, §§221(c)(4), 223(b), 251(c), added par. (7). · (v)
• Pub. L. 92–603, §278(a)(14), (15), substituted "skilled nursing facility" for "extended care facility" and "a" for "an". · (w), (y)
• Pub. L. 92–603, §§234(b), 278(b)(6), added subsec. (z) and substituted "skilled nursing facility" for "extended care facility". · (z)

1971

• Pub. L. 91–690 authorized the Secretary, until January 1, 1976, to waive the requirement relating to the provision of 24 hour nursing service rendered or supervised by a registered professional nurse. · (e)

1968

• Pub. L. 90–248, §129(c)(9)(C), inserted reference to section 1395n(b) in first and third sentences and inserted "or diagnostic services" after "hospital services" in third sentence. · (e)
• Pub. L. 90–248, §143(a), in second sentence after par. (8), changed definition of hospitals for purposes of making payments for emergency hospital services by deleting provision that hospital meet requirements of pars. (1) to (4), by requiring that such hospitals have full-time nursing services, be… · (e)
• Pub. L. 90–248, §§129(c)(10), 133(b), struck out definition of "outpatient hospital diagnostic services" and inserted definition of "outpatient physical therapy services", respectively. · (p)
• Pub. L. 90–248, §127(a), added cl. (3). · (r)
• Pub. L. 90–248, §144(a)–(c), struck out "(unless they would otherwise constitute inpatient hospital services, extended care services, or home health services)" after "items or services" in text preceding par. (1), inserted after "hospital" in sentence following par. (9) "which, for pur… · (s)
• Pub. L. 90–248, §129(a), designated existing provisions as subpars. (A) and (B) and added subpar. (C). · (s)
• Pub. L. 90–248, §133(a), added subpar. (D). · (s)
• Pub. L. 90–248, §134(a), included in medical and other health services diagnostic X-ray tests furnished in the patient's home under the supervision of a physician if the tests meet such health and safety conditions as the Secretary finds necessary. · (s)
• Pub. L. 90–248, §132(a), provided that payments may be made with respect to expenses incurred in the purchase as well as in the rental of durable medical equipment. · (s)
• Pub. L. 90–248, §144(d), inserted "other than in institution that meets the requirements of subsection (e)(1) or (j)(1) of this section". · (s)
• Pub. L. 90–248, §129(b), added pars. (12) and (13) which excluded from the diagnostic services referred to in par. (2)(C) (other than physician's services) certain items or service. · (s), (13)
• Pub. L. 90–248, §129(c)(11), substituted "1395e(a)(3)" for "1395e(a)(4)". · (y)

1966

• Pub. L. 89–713 inserted provisions which required that, in the case of extended care services furnished by proprietary facilities, the regulations include provision for specific recognition of a reasonable return on equity capital and which placed a limitation on the rate of return … · (v)