42 U.S.C. 1396d: Definitions

2024

• Pub. L. 118–42, §205(c)(4), substituted "the last numbered paragraph" for "paragraph (30)" in concluding provisions. (Consolidated Appropriations Act, 2024) Law text · (a)
• Pub. L. 118–42, §205(c)(3), made technical amendment to directory language of Pub. L. 117–328, §5122(a)(1). See 2022 Amendment note below. (Consolidated Appropriations Act, 2024) Law text · (a)
• Pub. L. 118–42, §201(a)(1), substituted "beginning on October 1, 2020," for "for the period beginning October 1, 2020, and ending September 30, 2025,". (Consolidated Appropriations Act, 2024) Law text · (a)
• Pub. L. 118–42, §209(a)(1), added par. (31) and redesignated former par. (31) as (32). (Consolidated Appropriations Act, 2024) Law text · (a), (32)
• Pub. L. 118–42, §201(a)(2), substituted "if such State certifies, not less than every 5 years and to the satisfaction of the Secretary," for "for the period specified in such paragraph, if before the beginning of such period the State certifies to the satisfaction of the Secretary". (Consolidated Appropriations Act, 2024) Law text · (ee)
• Pub. L. 118–42, §209(a)(2), added subsec. (jj). (Consolidated Appropriations Act, 2024) Law text · (jj)

2022

• Pub. L. 117–328, §5122(a)(1), as amended by Pub. L. 118–42, §205(c)(3), in subd. (A) following par. (32), inserted ", or, at the option of the State, for an individual who is an eligible juvenile (as defined in section 1396a(nn)(2) of this title), while such individual is an inmate of … (Consolidated Appropriations Act, 2023) Law text · (a)
• Pub. L. 117–328, §5121(b), in subd. (A) following par. (31), inserted ", or in the case of an eligible juvenile described in section 1396a(a)(84)(D) of this title with respect to the screenings, diagnostic services, referrals, and targeted case management services required under such section" after… (Consolidated Appropriations Act, 2023) Law text · (a)
• Pub. L. 117–169, §11405(a)(3)(A)–(C), substituted "(5) in the case of" for "and (5) in the case of", "services described in subsection (a)(13)(A), and prohibits cost-sharing for such services" for "services and vaccines described in subparagraphs (A) and (B) of subsection (a)(13), and … Law text · (b)
• Pub. L. 117–169, §11405(a)(3)(D), inserted ", and (6) during the first 8 fiscal quarters beginning on or after the effective date of this clause, in the case of a State which, as of August 16, 2022, provides medical assistance for vaccines described in subsection (a)(13)(B) and thei… Law text · (b)
• Pub. L. 117–328, §5101(b)(1), struck out "Temporary" before "increase in FMAP" in heading. (Consolidated Appropriations Act, 2023) Law text · (ff)
• Pub. L. 117–328, §5101(b)(2), struck out "subject to section 1308(g)(7)(C) of this title," before "for the period beginning December 21, 2019," and substituted "September 30, 2027," for "December 23, 2022". (Consolidated Appropriations Act, 2023) Law text · (ff)
• Pub. L. 117–229, §103(1), substituted "December 23, 2022" for "December 16, 2022". (Further Continuing Appropriations and Extensions Act, 2023) Law text · (ff)
• Pub. L. 117–180 substituted "December 16" for "December 13". (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (ff)
• Pub. L. 117–103, §201(a)(1), inserted "and for the period beginning January 1, 2022, and ending December 13, 2022" after "and ending December 3, 2021,". (Consolidated Appropriations Act, 2022) Law text · (ff)
• Pub. L. 117–328, §5101(b)(3), substituted "beginning December 21, 2019" for "for the period beginning December 21, 2019, and ending December 23, 2022". (Consolidated Appropriations Act, 2023) Law text · (ff)
• Pub. L. 117–229, §103(2), substituted "December 23, 2022" for "December 16, 2022". (Further Continuing Appropriations and Extensions Act, 2023) Law text · (ff)
• Pub. L. 117–180 substituted "December 16" for "December 13". (Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023) Law text · (ff)
• Pub. L. 117–103, §201(a)(2), substituted "December 13, 2022" for "March 11, 2022". (Consolidated Appropriations Act, 2022) Law text · (ff)
• Pub. L. 117–86 substituted "March 11, 2022" for "February 18, 2022". (Further Additional Extending Government Funding Act) Law text · (ff)

2021

• Pub. L. 117–2, §9811(a)(1), added cls. (E) and (F). (American Rescue Plan Act of 2021) Law text · (a)
• Pub. L. 117–2, §9815, inserted "; for the 8 fiscal year quarters beginning with the first fiscal year quarter beginning after March 11, 2021, the Federal medical assistance percentage shall also be 100 per centum with respect to amounts expended as medical assistance for services which… (American Rescue Plan Act of 2021) Law text · (b)
• Pub. L. 117–2, §9814(1), substituted "(hh), and (ii)" for "and (hh)". (American Rescue Plan Act of 2021) Law text · (b)
• Pub. L. 117–2, §9811(b)(1), substituted "(ff), and (hh)" for "and (ff)". (American Rescue Plan Act of 2021) Law text · (b)
• Pub. L. 117–43 substituted "December 3, 2021" for "September 30, 2021" in two places. (Extending Government Funding and Delivering Emergency Assistance Act) Law text · (ff)
• Pub. L. 117–2, §9814(2), substituted "subject to subsections (hh) and (ii)" for "subject to subsection (hh)" in introductory provisions. (American Rescue Plan Act of 2021) Law text · (ff)
• Pub. L. 117–2, §9811(b)(2), inserted ", subject to subsection (hh)" after "or (z)(2)" in introductory provisions. (American Rescue Plan Act of 2021) Law text · (ff)
• Pub. L. 117–70 substituted "February 18, 2022" for "December 3, 2021". (Further Extending Government Funding Act) Law text · (ff)
• Pub. L. 117–2, §9811(b)(3), added subsec. (hh). (American Rescue Plan Act of 2021) Law text · (hh)
• Pub. L. 117–2, §9814(3), added subsec. (ii). (American Rescue Plan Act of 2021) Law text · (ii)

2020

• Pub. L. 116–127, §6004(a)(1)(A), (B), designated existing provisions as subpar. (A) and inserted "and" at end. (Families First Coronavirus Response Act) Law text · (a)
• Pub. L. 116–136 struck out "that are approved, cleared, or authorized under section 360(k), 360c, 360e or 360bbb–3 of title 21" after "that causes COVID–19". (Coronavirus Aid, Relief, and Economic Security Act" or the "CARES Act) Law text · (a)
• Pub. L. 116–127, §6004(a)(1)(C), added subpar. (B). (Families First Coronavirus Response Act) Law text · (a)
• Pub. L. 116–159, §2601(a)(1), substituted "subject to paragraphs (2) and (3)" for "subject to paragraph (2)" and realigned margins. (Continuing Appropriations Act, 2021 and Other Extensions Act) Law text · (a)
• Pub. L. 116–260, §210(a)(1), added par. (30) and redesignated former par. (30) as (31). (Consolidated Appropriations Act, 2021) Law text · (a), (31)
• Pub. L. 116–127, §6004(a)(3)(D), inserted at end "Notwithstanding the first sentence of this subsection, the Federal medical assistance percentage shall be 100 per centum with respect to (and, notwithstanding any other provision of this subchapter, available for) medical assistance pro… (Families First Coronavirus Response Act) Law text · (b)
• Pub. L. 116–260, §402(f)(1), inserted "or who is enrolled under part B for the purpose of coverage of immunosuppressive drugs under section 1395o(b) of this title" after "under section 1395i–2a of this title)". (Consolidated Appropriations Act, 2021) Law text · (p)
• Pub. L. 116–127, §6008(c), inserted before period at end "and section 6008 of the Families First Coronavirus Response Act, except that in applying such treatments to the increases in the Federal medical assistance percentage under section 6008 of the Families First Coronavirus Respons… (Families First Coronavirus Response Act) Law text · (cc)
• Pub. L. 116–159, §2601(a)(2), added par. (3). (Continuing Appropriations Act, 2021 and Other Extensions Act) Law text · (ee)
• Pub. L. 116–260, §210(a)(2), added subsec. (gg). (Consolidated Appropriations Act, 2021) Law text · (gg)

2019

• Pub. L. 116–59, §1302(1), substituted "(aa), and (ff)" for "and (aa)". (Continuing Appropriations Act, 2020, and Health Extenders Act of 2019) Law text · (b)
• Pub. L. 116–94 amended subsec. (ff) generally. Prior to amendment, text read as follows: "Notwithstanding subsection (b) or (z)(2), the Federal medical assistance percentage for Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa shall be equal to 1… (Further Consolidated Appropriations Act, 2020) Law text · (ff)
• Pub. L. 116–69 substituted "December 20, 2019" for "November 21, 2019". (Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019) Law text · (ff)
• Pub. L. 116–59, §1302(2), added subsec. (ff). (Continuing Appropriations Act, 2020, and Health Extenders Act of 2019) Law text · (ff)

2018

• Pub. L. 115–271, §5052(a)(1), in subd. (B) following par. (30), inserted "(except in the case of services provided under a State plan amendment described in section 1396n(l) of this title)" before period at end. (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 · (a)
• Pub. L. 115–271, §1012(a), inserted at end "In the case of a woman who is eligible for medical assistance on the basis of being pregnant (including through the end of the month in which the 60-day period beginning on the last day of her pregnancy ends), who is a patient in an institution for mental… (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 · (a)
• Pub. L. 115–271, §1006(b)(2), added par. (29) and redesignated former par. (29) as (30). (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 · (a), (30)
• Pub. L. 115–271, §1006(b)(3), added subsec. (ee). (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 · (ee)

2016

• Pub. L. 114–255 substituted "(A) effective January 1, 1973" for "effective January 1, 1973" and inserted before semicolon at end ", and, (B) for individuals receiving services described in subparagraph (A), early and periodic screening, diagnostic, and treatment services (as define… (21st Century Cures Act) Law text · (a)

2012

• Pub. L. 112–96, §3204(a)(1)(A), substituted "the State's regular FMAP shall be increased by 50 percent of the number of percentage points by which the State's regular FMAP for such fiscal year is less than the Federal medical assistance percentage determined for the State for th… (Middle Class Tax Relief and Job Creation Act of 2012) Law text · (aa)
• Pub. L. 112–141 substituted "25 percent (or 50 percent in the case of fiscal year 2013)" for "25 percent". (Moving Ahead for Progress in the 21st Century Act" or the "MAP-21) Law text · (aa)
• Pub. L. 112–96, §3204(a)(1)(B), substituted "State's regular FMAP for such fiscal year shall be increased by 25 percent of the number of percentage points by which the State's regular FMAP for such fiscal year is less than the Federal medical assistance percentage received by the State during the p… (Middle Class Tax Relief and Job Creation Act of 2012) Law text · (aa)
• Pub. L. 112–96, §3204(a)(2)(A), substituted "State's regular FMAP for the fiscal year" for "Federal medical assistance percentage determined for the State for the fiscal year without regard to this subsection, subsection (y), subsection (z), and section 10202 of the Patient Prot… (Middle Class Tax Relief and Job Creation Act of 2012) Law text · (aa)
• Pub. L. 112–96, §3204(a)(2)(B), substituted "State's regular FMAP for the fiscal year" for "Federal medical assistance percentage determined for the State for the fiscal year without regard to this subsection, subsection (y), subsection (z), and section 10202 of the Patient Prot… (Middle Class Tax Relief and Job Creation Act of 2012) Law text · (aa)
• Pub. L. 112–96, §3204(a)(3), (4), added par. (3) and redesignated former par. (3) as (4). (Middle Class Tax Relief and Job Creation Act of 2012) Law text · (aa), (4)

2010

• Pub. L. 111–148, §2304, inserted "or the care and services themselves, or both" before "(if provided in or after" in introductory provisions. (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §10201(c)(1), inserted "or 1396a(a)(10)(A)(i)(IX)" after "section 1396a(a)(10)(A)(i)(VIII)". (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §2001(a)(5)(C), added cl. (xiv). (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §2001(e)(2)(A), added cl. (xv). (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §2303(a)(4)(A), added cl. (xvi). (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §2402(d)(2)(B), added cl. (xvii). (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §4107(a)(1), added cl. (D). (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §4106(a), amended par. (13) generally. Prior to amendment, par. (13) read as follows: "other diagnostic, screening, preventive, and rehabilitative services, including any medical or remedial services (provided in a facility, a home, or other setting) recommended by… (Patient Protection and Affordable Care Act) Law text · (a)
• Pub. L. 111–148, §2301(a)(1), added par. (28) and redesignated former par. (28) as (29). (Patient Protection and Affordable Care Act) Law text · (a), (29)
• Pub. L. 111–148, §10201(c)(2), inserted ", (z)," before "and (aa)" in first sentence. (Patient Protection and Affordable Care Act) Law text · (b)
• Pub. L. 111–148, §4106(b), substituted ", (4)" for "and (4)" and inserted before period at end of first sentence ", and (5) in the case of a State that provides medical assistance for services and vaccines described in subparagraphs (A) and (B) of subsection (a)(13), and prohibits cost-sharing for … (Patient Protection and Affordable Care Act) Law text · (b)
• Pub. L. 111–148, §2006(1), substituted "subsections (y) and (aa)" for "subsection (y)" in first sentence. (Patient Protection and Affordable Care Act) Law text · (b)
• Pub. L. 111–148, §2005(c)(1), substituted "shall be 55 percent" for "shall be 50 per centum" in first sentence. (Patient Protection and Affordable Care Act) Law text · (b)
• Pub. L. 111–148, §2001(a)(3)(A), inserted "subsection (y) and" before "section 1396u–3(d) of this title" in first sentence. (Patient Protection and Affordable Care Act) Law text · (b)
• Pub. L. 111–148, §2301(a)(2), added par. (3). (Patient Protection and Affordable Care Act) Law text · (l)
• Pub. L. 111–148, §2302(a)(1), substituted "subparagraphs (B) and (C)" for "subparagraph (B)". (Patient Protection and Affordable Care Act) Law text · (o)
• Pub. L. 111–148, §2302(a)(2), added subpar. (C). (Patient Protection and Affordable Care Act) Law text · (o)
• Pub. L. 111–148, §2001(a)(3)(B), added subsec. (y). (Patient Protection and Affordable Care Act) Law text · (y)
• Pub. L. 111–152, §1201(1)(B), added par. (1) and struck out former par. (1). Prior to amendment, par. (1) related to the amount of increase for the Federal medical assistance percentage. (Health Care and Education Reconciliation Act of 2010) Law text · (y)
• Pub. L. 111–152, §1201(1)(A), redesignated subcl. (II) as par. (5) of subsec. (z). (Health Care and Education Reconciliation Act of 2010) Law text · (y)
• Pub. L. 111–148, §10201(c)(3)(A), inserted "includes inpatient hospital services," after "100 percent of the poverty line, that". (Patient Protection and Affordable Care Act) Law text · (y)
• Pub. L. 111–148, §10201(c)(3)(B), substituted "as of December 1, 2009" for "on March 23, 2010". (Patient Protection and Affordable Care Act) Law text · (y)
• Pub. L. 111–148, §10201(c)(4), added subsec. (z). (Patient Protection and Affordable Care Act) Law text · (z)
• Pub. L. 111–152, §1201(2)(A), substituted "December 31, 2015" for "September 30, 2019". (Health Care and Education Reconciliation Act of 2010) Law text · (z)
• Pub. L. 111–152, §1201(2)(A), substituted "paragraph (3)" for "subsection (y)(1)(B)(ii)(II)". (Health Care and Education Reconciliation Act of 2010) Law text · (z)
• Pub. L. 111–152, §1201(2)(B), added par. (2) and struck out former par. (2), which read as follows: (Health Care and Education Reconciliation Act of 2010) Law text · (z)
• Pub. L. 111–152, §1201(2)(C), redesignated par. (5) as (3), struck out heading, and substituted "A State is" for "For purposes of the table in subclause (I), a State is". (Health Care and Education Reconciliation Act of 2010) Law text · (z)
• Pub. L. 111–152, §1201(2)(B), struck out par. (3), which read as follows: "Notwithstanding subsection (b) and paragraphs (1) and (2) of this subsection, the Federal medical assistance percentage otherwise determined under subsection (b) with respect to all or any portion of a fiscal year that begin… (Health Care and Education Reconciliation Act of 2010) Law text · (z)
• Pub. L. 111–152, §1201(2)(B), struck out par. (4) which read as follows: "The increase in the Federal medical assistance percentage for a State under paragraphs (1), (2), or (3) shall apply only for purposes of this subchapter and shall not apply with respect to— (Health Care and Education Reconciliation Act of 2010) Law text · (z)
• Pub. L. 111–152, §1201(2)(C), redesignated par. (5) as (3). (Health Care and Education Reconciliation Act of 2010) Law text · (z)
• Pub. L. 111–152, §1201(1)(A), redesignated subsec. (y)(1)(B)(ii)(II) as subsec. (z)(5) and realigned margins. (Health Care and Education Reconciliation Act of 2010) Law text · (z)
• Pub. L. 111–148, §2006(2), added subsec. (aa). (Patient Protection and Affordable Care Act) Law text · (aa)
• Pub. L. 111–148, §10201(c)(5), substituted "without regard to this subsection, subsection (y), subsection (z), and section 10202 of the Patient Protection and Affordable Care Act" for "without regard to this subsection and subsection (y)" wherever appearing. (Patient Protection and Affordable Care Act) Law text · (aa), (2)
• Pub. L. 111–148, §4107(a)(2), added subsec. (bb). (Patient Protection and Affordable Care Act) Law text · (bb)
• Pub. L. 111–148, §10201(c)(6), added subsec. (cc). (Patient Protection and Affordable Care Act) Law text · (cc)
• Pub. L. 111–152, §1202(b), added subsec. (dd). (Health Care and Education Reconciliation Act of 2010) Law text · (dd)

2008

• Pub. L. 110–275, §112, inserted "or, effective beginning with January 1, 2010, whose resources (as so determined) do not exceed the maximum resource level applied for the year under subparagraph (D) of section 1395w–114(a)(3) of this title (determined without regard to the life i… (Medicare Improvements for Patients and Providers Act of 2008) Law text · (p)
• Pub. L. 110–275, §118(a), inserted at end "The Secretary shall provide for the translation of such application form into at least the 10 languages (other than English) that are most often used by individuals applying for hospital insurance benefits under section 426 or 426–1 of t… (Medicare Improvements for Patients and Providers Act of 2008) Law text · (p)

2006

• Pub. L. 109–171 inserted at end "Such term excludes any child eligible for medical assistance only by reason of section 1396a(a)(10)(A)(ii)(XIX) of this title." (Deficit Reduction Act of 2005) Law text · (u)

2004

• Pub. L. 108–357, §712(a)(1)(A), added par. (27) and redesignated former par. (27) as (28). (American Jobs Creation Act of 2004) Law text · (a), (28)
• Pub. L. 108–357, §712(a)(1)(B), added subsec. (x). (American Jobs Creation Act of 2004) Law text · (x)

2000

• Pub. L. 106–354, §2(a)(4), added cl. (xiii). (Breast and Cervical Cancer Prevention and Treatment Act of 2000) Law text · (a)
• Pub. L. 106–554, §1(a)(6) [title VIII, §802(d)(1)], in last sentence, substituted "the State's available allotment under section 1397dd of this title" for "the State's allotment under section 1397dd of this title (not taking into account reductions under section 1397dd(d)(2) of this ti… (Consolidated Appropriations Act, 2001) Law text · (b)
• Pub. L. 106–354, §2(c), in first sentence, struck out "and" before "(3)" and inserted before period at end ", and (4) the Federal medical assistance percentage shall be equal to the enhanced FMAP described in section 1397ee(b) of this title with respect to medical assistance provided to individuals… (Breast and Cervical Cancer Prevention and Treatment Act of 2000) Law text · (b)
• Pub. L. 106–554, §1(a)(6) [title VII, §709(a)], added par. (5). (Consolidated Appropriations Act, 2001) Law text · (p)
• Pub. L. 106–554, §1(a)(6) [title IX, §911(a)(2)], added par. (6). (Consolidated Appropriations Act, 2001) Law text · (p)
• Pub. L. 106–554, §1(a)(6) [title VIII, §802(d)(2)], struck out "and section 1397dd(d) of this title" before period at end. (Consolidated Appropriations Act, 2001) Law text · (u)

1999

• Pub. L. 106–170, §201(a)(2)(C), added cl. (xii). (Ticket to Work and Work Incentives Improvement Act of 1999) Law text · (a)
• Pub. L. 106–113, §1000(a)(6) [title VI, §608(aa)(3)], substituted "1396a(a)(31) of this title" for "1396a(a)(31)(A) of this title". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (a)
• Pub. L. 106–113, §1000(a)(6) [title VI, §605(a)], inserted "(other than expenditures under section 1396r–4 of this title)" after "with respect to expenditures" in last sentence. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
• Pub. L. 106–113, §1000(a)(6) [title VI, §608(l)], substituted "83 per centum," for "83 per centum,,". (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (b)
• Pub. L. 106–113, §1000(a)(6) [title VI, §608(m)], substituted "an entity" for "a entity" in introductory provisions. (Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 2000) Law text · (l)
• Pub. L. 106–169, §121(c)(5)(A), redesignated subsec. (v), related to independent foster care adolescent, as (w). (Foster Care Independence Act of 1999) Law text · (v)
• Pub. L. 106–169, §121(a)(2), added subsec. (v), related to independent foster care adolescent. (Foster Care Independence Act of 1999) Law text · (v)
• Pub. L. 106–170, §201(a)(2)(B), added subsec. (v). (Ticket to Work and Work Incentives Improvement Act of 1999) Law text · (v)
• Pub. L. 106–169, §121(c)(5), redesignated subsec. (v) as (w) and substituted "1396a(a)(10)(A)(ii)(XVII)" for "1396a(a)(10)(A)(ii)(XV)". (Foster Care Independence Act of 1999) Law text · (w)

1997

• Pub. L. 105–33, §4702(a)(1), added par. (25). Former par. (25) redesignated (26). (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4802(a)(1), added par. (26). Former par. (26) redesignated (27). (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4702(a)(1)(B), redesignated par. (25) as (26) and substituted comma for period at end. (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4802(a)(1)(B), redesignated par. (26) as (27). (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–100, §162(1), inserted "for the State for a fiscal year, and that do not exceed the amount of the State's allotment under section 1397dd of this title (not taking into account reductions under section 1397dd(d)(2) of this title) for the fiscal year reduced by the amount of … Law text · (b)
• Pub. L. 105–33, §4911(a)(1), inserted at end "Notwithstanding the first sentence of this subsection, in the case of a State plan that meets the condition described in subsection (u)(1), with respect to expenditures described in subsection (u)(2)(A) or subsection (u)(3) the Federal medical assistanc… (Balanced Budget Act of 1997) Law text · (b)
• Pub. L. 105–33, §4732(b), substituted "Subject to section 1396u–3(d) of this title, the term" for "The term". (Balanced Budget Act of 1997) Law text · (b)
• Pub. L. 105–33, §4725(b)(1), in first sentence, substituted ", (2)" for "and (2)" and inserted before period ", and (3) for purposes of this subchapter and subchapter XXI, the Federal medical assistance percentage for the District of Columbia shall be 70 percent". (Balanced Budget Act of 1997) Law text · (b)
• Pub. L. 105–33, §4712(d)(1), inserted "including requirements of the Secretary that an entity may not be owned, controlled, or operated by another entity," after "such a grant,". (Balanced Budget Act of 1997) Law text · (l)
• Pub. L. 105–33, §4711(c)(1), substituted "amount determined in section 1396a(a)(13)(B) of this title" for "amount described in section 1396a(a)(13)(D) of this title" in concluding provisions. (Balanced Budget Act of 1997) Law text · (o)
• Pub. L. 105–33, §4714(a)(2), inserted "(subject to section 1396a(n)(2) of this title)" after "means" in introductory provisions. (Balanced Budget Act of 1997) Law text · (p)
• Pub. L. 105–33, §4702(a)(2), added subsec. (t). (Balanced Budget Act of 1997) Law text · (t)
• Pub. L. 105–33, §4911(a)(2), added subsec. (u). (Balanced Budget Act of 1997) Law text · (u)
• Pub. L. 105–100, §162(2)(A), substituted "the fourth sentence of subsection (b)" for "paragraph (2)". Law text · (u)
• Pub. L. 105–100, §162(2)(B), substituted "subparagraph (B)" for "subparagraph (C), but not in excess, for a State for a fiscal year, of the amount described in subparagraph (B) for the State and fiscal year". Law text · (u)
• Pub. L. 105–100, §162(2)(C), added subpar. (B) and struck out former subpars. (B) and (C) which read as follows: Law text · (u), (C)
• Pub. L. 105–100, §162(2)(D), substituted "described in this paragraph" for "described in this subparagraph" and "March 31, 1997" for "April 15, 1997". Law text · (u)
• Pub. L. 105–100, §162(2)(E), added par. (4). Law text · (u)

1996

• Pub. L. 104–299 substituted "section 254b of this title" for "section 254b, 254c, 256, or 256a of this title". (Health Centers Consolidation Act of 1996) Law text · (l), (ii)

1994

• Pub. L. 103–296 substituted "Commissioner of Social Security" for "Secretary". · (j), (q)

1993

• Pub. L. 103–66, §13603(e)(1)–(3), added cl. (xi). · (a)
• Pub. L. 103–66, §13601(a)(1), struck out "including personal care services (A) prescribed by a physician for an individual in accordance with a plan of treatment, (B) provided by an individual who is qualified to provide such services and who is not a member of the individual's fami… · (a)
• Pub. L. 103–66, §13605(a), inserted before semicolon at end ", and without regard to whether or not the services are performed in the area of management of the care of mothers and babies throughout the maternity cycle". · (a)
• Pub. L. 103–66, §13603(e)(4), amended par. (19) generally, inserting reference to TB-related services described in section 1396a(z)(2)(F) of this title. · (a)
• Pub. L. 103–66, §13601(a)(2), struck out "and" at end. · (a)
• Pub. L. 103–66, §13601(a)(4), redesignated par. (23) as (22). Former par. (22) redesignated (25). · (a)
• Pub. L. 103–66, §13601(a)(4), redesignated par. (24) as (23). Former par. (23) redesignated (22). · (a)
• Pub. L. 103–66, §13601(a)(5), added par. (24). Former par. (24) redesignated (23). · (a)
• Pub. L. 103–66, §13601(a)(3), which directed amendment of par. (24) by substituting semicolon for comma at end, was executed by substituting semicolon for period at end to reflect the probable intent of Congress. · (a)
• Pub. L. 103–66, §13601(a)(4), redesignated par. (22) as (25), transferred such par. to appear after par. (23), and substituted period for semicolon at end. · (a)
• Pub. L. 103–66, §13631(f)(2)(B), in concluding provisions, inserted "or by an urban Indian organization receiving funds under title V of the Indian Health Care Improvement Act for the provision of primary health services" before ". In applying clause". · (l)
• Pub. L. 103–66, §13631(f)(2)(A), substituted "256, or 256a" for "or 256". · (l)
• Pub. L. 103–66, §13606(a)(1), struck out "or" at end. · (l)
• Pub. L. 103–66, §13631(f)(2)(A), substituted "256, or 256a" for "or 256" in subcl. (II). · (l)
• Pub. L. 103–66, §13606(a)(2), (3), realigned margin and substituted a comma for semicolon at end. · (l)
• Pub. L. 103–66, §13606(a)(4), (5), added cl. (iv). · (l)
• Pub. L. 103–66, §13631(g)(1)(A), inserted "and, with respect to immunizations under subparagraph (B)(iii), in accordance with the schedule referred to in section 1396s(c)(2)(B)(i) of this title for pediatric vaccines" after "child health care". · (r)
• Pub. L. 103–66, §13631(g)(1)(B), inserted "(according to the schedule referred to in section 1396s(c)(2)(B)(i) of this title for pediatric vaccines)" after "appropriate immunizations". · (r)

1990

• Pub. L. 101–508, §4722, inserted at end "No service (including counseling) shall be excluded from the definition of 'medical assistance' solely because it is provided as a treatment service for alcoholism or drug dependency." · (a)
• Pub. L. 101–508, §4402(d)(2), inserted at end "The payment described in the first sentence may include expenditures for medicare cost-sharing and for premiums under part B of subchapter XVIII for individuals who are eligible for medical assistance under the plan and (A) are receiving aid or assista… · (a)
• Pub. L. 101–508, §4713(b), added cl. (x). · (a)
• Pub. L. 101–508, §4704(e)(1), repealed Pub. L. 101–239, §6402(c)(1). See 1989 Amendment note below. · (a)
• Pub. L. 101–508, §4721(a), substituted "services including personal care services" for "services" and added subpars. (A) to (D). · (a)
• Pub. L. 101–508, §4719(a), inserted before semicolon at end ", including any medical or remedial services (provided in a facility, a home, or other setting) recommended by a physician or other licensed practitioner of the healing arts within the scope of their practice under State … · (a)
• Pub. L. 101–508, §4711(a)(1), which directed amendment of par. (22) by striking "and" at end, could not be executed because the word did not appear. · (a)
• Pub. L. 101–508, §4712(a)(1), inserted "and" after semicolon at end. · (a)
• Pub. L. 101–508, §4711(a)(2), (3), which directed amendment of subsec. (a) by redesignating par. (23) as (24) and adding a new par. (23), was executed by adding the new par. (23), there being no former par. (23). · (a)
• Pub. L. 101–508, §4712(a)(2), (3), which directed amendment of subsec. (a) by redesignating par. (24) as (25) and adding a new par. (24), was executed by adding the new par. (24), there being no former par. (24). · (a)
• Pub. L. 101–508, §4755(a)(1)(A), inserted "or in another inpatient setting that the Secretary has specified in regulations" after "section 1395x(f) of this title". · (h)
• Pub. L. 101–508, §4704(c)(1), substituted "patient" for "outpatient". · (l)
• Pub. L. 101–508, §4704(d)(2), which directed amendment of subpar. (B) by inserting "and includes an outpatient health program or facility operated by a tribe or tribal organization under the Indian Self-Determination Act (Public Law 93–638)." after and below cl. (ii), was execute… · (l)
• Pub. L. 101–508, §4704(c)(2), substituted "entity" for "facility" in introductory provisions. · (l)
• Pub. L. 101–508, §4704(c)(3), (d)(1), added cl. (ii), redesignated former cl. (ii) as (iii), and substituted comma for period at end of cl. (iii). · (l), (iii)
• Pub. L. 101–508, §4601(a)(2), substituted "age of 19" for "age of 7 (or any age designated by the State that exceeds 7 but does not exceed 8)". · (n)
• Pub. L. 101–508, §4717, inserted "and for which payment may otherwise be made under subchapter XVIII" after "section 1395d(d)(2)(A) of this title". · (o)
• Pub. L. 101–508, §4705(a)(1), struck out "a State which elects not to provide medical assistance for hospice care, but provides medical assistance for skilled nursing or intermediate care facility services with respect to" after "In the case of" in introductory provisions. · (o)
• Pub. L. 101–508, §4705(a)(3), (4), in concluding provisions, substituted "the additional amount described in section 1396a(a)(13)(D) of this title" for "the amounts allocated under the plan for room and board in the facility, in accordance with the rates established under section 1396a(a)(13) of th… · (o)
• Pub. L. 101–508, §4705(a)(2), substituted "nursing facility or intermediate care facility for the mentally retarded" for "skilled nursing or intermediate care facility". · (o), (C)
• Pub. L. 101–508, §4501(e)(1)(A), which directed amendment of subpar. (B) by inserting ", except as provided in paragraph (2)(D)" after "supplementary social security income program", was executed by inserting the new language after "supplemental security income program" to reflec… · (p)
• Pub. L. 101–508, §4501(a)(1), inserted "and" at end of cl. (ii), substituted "100 percent." for "95 percent, and" in cl. (iii), and struck out cl. (iv) which read as follows: "January 1, 1992, is 100 percent." · (p)
• Pub. L. 101–508, §4501(a)(2), substituted "95 percent, and" for "90 percent," in cl. (iii) and "100 percent." for "95 percent, and" in cl. (iv) and struck out cl. (v) which read as follows: "January 1, 1993, is 100 percent." · (p)
• Pub. L. 101–508, §4501(e)(1)(B), added subpar. (D). · (p)
• Pub. L. 101–508, §4501(c)(2), inserted at end "In the case of any State which is providing medical assistance to its residents under a waiver granted under section 1315 of this title, the Secretary shall require the State to meet the requirement of section 1396a(a)(10)(E) of this ti… · (p)
• Pub. L. 101–508, §4501(c)(1), inserted "or 1396a(a)(10)(E)(iii) of this title" after "subparagraph (B)". · (p)

1989

• Pub. L. 101–239, §6404(a)(2), substituted "subsection (l)(1)" for "subsection (l)" in two places. · (a)
• Pub. L. 101–239, §6404(a)(3), added cl. (C) relating to Federally-qualified health center services. · (a)
• Pub. L. 101–239, §6402(c)(1), which directed addition of cl. (C) relating to ambulatory services, was repealed by Pub. L. 101–508, §4704(e)(1). · (a)
• Pub. L. 101–239, §6403(d)(2), amended cl. (B) generally. Prior to amendment, cl. (B) read as follows: "effective July 1, 1969, such early and periodic screening and diagnosis of individuals who are eligible under the plan and are under the age of 21 to ascertain their physical or… · (a)
• Pub. L. 101–239, §6405(a), added par. (21) and redesignated former par. (21) as (22). · (a), (22)
• Pub. L. 101–239, §6404(b), designated existing provisions as par. (1), redesignated former cls. (1) and (2) as (A) and (B), respectively, and added par. (2). · (l)
• Pub. L. 101–239, §6408(d)(4)(B), inserted ", but not including an individual entitled to such benefits only pursuant to an enrollment under section 1395i–2a of this title" after "section 1395i–2 of this title". · (p)
• Pub. L. 101–239, §6408(d)(4)(A)(i), amended subpar. (A) generally. Prior to amendment, subpar. (A) read as follows: "Premiums under subchapter XVIII of this chapter (including under part B and, if applicable, under section 1395i–2 of this title)." · (p)
• Pub. L. 101–239, §6408(d)(4)(A)(ii), substituted "section 1395i–2 or 1395i–2a" for "section 1395i–2". · (p)
• Pub. L. 101–234, §201(b)(1), substituted "Deductibles" for "Subject to paragraph (4), deductibles" and "section 1395e of this title and section 1395l(b) of this title)" for "section 1395e of this title, section 1395l(b) of this title, and section 1395m(c)(1) of this title". · (p)
• Pub. L. 101–234, §201(b)(2), redesignated par. (5) as (4) and struck out former par. (4) which read as follows: "In a State which provides medical assistance for prescribed drugs under subsection (a)(12) of this section, instead of providing to qualified medicare beneficiaries,… · (p), (5)
• Pub. L. 101–239, §6403(c), inserted at end "The Secretary shall, not later than July 1, 1990, and every 12 months thereafter, develop and set annual participation goals for each State for participation of individuals who are covered under the State plan under this subchapter in early a… · (r)
• Pub. L. 101–239, §6403(a), added subsec. (r). · (r)
• Pub. L. 101–239, §6408(d)(2), added subsec. (s). · (s)

1988

• Pub. L. 100–647, §8434(b)(3), substituted "in the case of medicare cost-sharing with respect to a qualified medicare beneficiary" for "in the case of a qualified medicare beneficiary" in introductory provisions. · (a)
• Pub. L. 100–485, §303(b)(2), added cl. (ix). · (a)
• Pub. L. 100–360, §411(k)(4), substituted "described in clause (A) if" for "described in subparagraph (A) if". · (a)
• Pub. L. 100–360, §411(h)(4)(E), amended Pub. L. 100–203, §4073(d)(1), see 1987 Amendment note below. · (a)
• Pub. L. 100–360, §411(k)(14)(A), added subsec. (i). · (i)
• Pub. L. 100–485, §401(d)(2), added subsec. (m). · (m)
• Pub. L. 100–360, §411(k)(8)(A), made clarifying amendment to directory language of Pub. L. 100–203, §4114, see 1987 Amendment note below. · (o)
• Pub. L. 100–360, §411(k)(8)(B), struck out "only" after "For purposes of this subchapter" and substituted "immune deficiency syndrome (AIDS)" for "immunodeficiency syndrome". · (o)
• Pub. L. 100–485, §608(f)(3), realigned the margin of par. (3). · (o)
• Pub. L. 100–647, §8434(a), redesignated subpars. (C) and (D) as (B) and (C), respectively, and struck out former subpar. (B) which read: "who, but for section 1396a(a)(10)(E) of this title, is not eligible for medical assistance under the plan,". · (p)
• Pub. L. 100–360, §301(a)(2), struck out "and the election of the State" after "1396a(a)(10)(E) of this title". · (p)
• Pub. L. 100–360, §301(c)(1), as amended by Pub. L. 100–485, §608(d)(14)(E)(i), substituted "paragraph (2)" for "paragraph (2)(A)". · (p)
• Pub. L. 100–360, §301(c)(2), as amended by Pub. L. 100–485, §608(d)(14)(E)(ii), substituted "twice" for "(except as provided in paragraph (2)(B))". · (p)
• Pub. L. 100–647, §8434(b)(4), substituted "paragraph (1)(B)" for "paragraph (1)(C)". · (p)
• Pub. L. 100–360, §301(b)(1), as amended by Pub. L. 100–485, §608(d)(14)(A), substituted "shall be at least the percent provided under subparagraph (B) (but not more than 100 percent)" for "may not exceed a percentage (not more than 100 percent)". · (p)
• Pub. L. 100–360, §301(c)(3)(A), which directed amendment of subpar. (A) by striking "(2)(A)" and inserting "(2)", was repealed by Pub. L. 100–485, §608(d)(14)(E)(iii). · (p)
• Pub. L. 100–360, §301(b)(2), which directed amendment of subpar. (A) by inserting "(i)" after "(2)(A)", was repealed by Pub. L. 100–485, §608(d)(14)(B). · (p)
• Pub. L. 100–360, §301(b)(2), formerly §301(b)(3), as renumbered and amended by Pub. L. 100–485, §608(d)(14)(B)–(D)(ii), added subpar. (B) and struck out former subpar. (B) which read as follows: "In the case of a State that provides medical assistance to individuals not described… · (p)
• Pub. L. 100–360, §301(c)(3)(B), which directed amendment of par. (2) by striking subpar. (B), was repealed by Pub. L. 100–485, §608(d)(14)(E)(iii). · (p)
• Pub. L. 100–360, §301(b)(2), formerly §301(b)(3), as renumbered and amended by Pub. L. 100–485, §608(d)(14)(B), (C), (D)(i), (iii), added subpar. (C). · (p)
• Pub. L. 100–360, §301(d)(1), as added by Pub. L. 100–485, §608(d)(14)(G)(ii), inserted "without regard to whether the costs incurred were for items and services for which medical assistance is otherwise available under the plan" after "qualified medicare beneficiary" in introductory… · (p)
• Pub. L. 100–360, §301(d)(2), formerly §301(d)(1), as renumbered by Pub. L. 100–485, §608(d)(14)(G)(i), substituted "under subchapter XVIII of this chapter (including under part B and, if applicable, under section 1395i–2 of this title)" for "under part B and (if applicable) under… · (p)
• Pub. L. 100–360, §301(d)(3), formerly §301(d)(2), as renumbered by Pub. L. 100–485, §608(d)(14)(G)(i), amended subpar. (B) generally. Prior to amendment, subpar. (B) read as follows: "Deductibles and coinsurance described in section 1395e of this title." · (p)
• Pub. L. 100–360, §301(d)(3), formerly §301(d)(2), as renumbered and amended by Pub. L. 100–485, §608(d)(14)(F), (G)(i), amended subpar. (C) generally. Prior to amendment, subpar. (C) read as follows: "The annual deductible described in section 1395l(b) of this title." · (p)
• Pub. L. 100–360, §301(d)(4), formerly §301(d)(3), as renumbered by Pub. L. 100–485, §618(d)(14)(G)(i), added par. (4). · (p)
• Pub. L. 100–360, §301(g)(2), as amended by Pub. L. 100–485, §608(d)(14)(J), added par. (5). · (p)

1987

• Pub. L. 100–203, §4211(f), struck out "skilled" before "nursing". · (a)
• Pub. L. 100–203, §4211(h)(6)(A), struck out "skilled" before "nursing" in cl. (A). · (a)
• Pub. L. 100–203, §4103(a), designated existing provisions as cl. (A) and added cl. (B). · (a)
• Pub. L. 100–203, §4105(a), inserted provision including services furnished to an eligible individual who does not reside in a permanent dwelling or have a fixed home or mailing address. · (a)
• Pub. L. 100–203, §4211(h)(6)(B), substituted "and nursing facility services" for ", skilled nursing facility services, and intermediate care facility services". · (a)
• Pub. L. 100–203, §4211(h)(6)(C), substituted "services in an intermediate care facility for the mentally retarded (other than" for "intermediate care facility services (other than such services". · (a)
• Pub. L. 100–203, §4073(d)(1), as amended by Pub. L. 100–360, §411(h)(4)(E), substituted "(as defined in section 1395x(gg) of this title)" for "(as defined in subsection (m) of this section)". · (a)
• Pub. L. 100–203, §4211(e)(1), amended subsec. (c) generally. Prior to amendment, subsec. (c) defined "intermediate care facility". · (c)
• Pub. L. 100–203, §4211(e)(2), substituted "intermediate care facility for the mentally retarded" for "intermediate care facility" and "means an" for "may include services in a public", and in par. (3) inserted "in the case of a public institution" after "(3)". · (d)
• Pub. L. 100–203, §4211(e)(3), struck out "skilled" before "nursing" in four places and before "rehabilitation". · (f)
• Pub. L. 100–203, §4211(e)(4), struck out subsec. (i) which provided that for purposes of this subchapter "skilled nursing facility" also includes any institution which is located in a State on an Indian reservation and is certified by the Secretary as being a qualified skilled nursing … · (i)
• Pub. L. 100–203, §4073(d)(2), struck out subsec. (m) which defined "nurse-midwife". See section 1395x(gg) of this title. · (m)
• Pub. L. 100–203, §4101(c)(1), substituted "has not attained the age of 7 (or any age designated by the State that exceeds 7 but does not exceed 8)" for "is under 5 years of age". · (n)
• Pub. L. 100–203, §4114, as amended by Pub. L. 100–360, §411(k)(8)(A), designated existing provisions as subpar. (A), substituted "Subject to subparagraph (B), the" for "The", and added subpar. (B). · (o)
• Pub. L. 100–203, §4118(p)(8), struck out "nonfarm" before "official". · (p)

1986

• Pub. L. 99–509, §9403(g)(3), inserted "or, in the case of a qualified medicare beneficiary described in subsection (p)(1), if provided after the month in which the individual becomes such a beneficiary" after "makes application for assistance". · (a)
• Pub. L. 99–272, §9505(a)(1), added par. (18). Former par. (18) redesignated (19). · (a)
• Pub. L. 99–514, §1895(c)(3)(A), added par. (19). Former par. (19) redesignated (20). · (a)
• Pub. L. 99–272, §9505(a)(1)(B), redesignated former par. (18) as (19). · (a)
• Pub. L. 99–509, §9408(c)(1), added par. (20). Former par. (20) redesignated (21). · (a)
• Pub. L. 99–514, §1895(c)(3)(A)(ii), redesignated former par. (19) as (20). · (a)
• Pub. L. 99–509, §9408(c)(1)(B), redesignated former par. (20) as (21). · (a)
• Pub. L. 99–272, §9501(a), added subpar. (C). · (n)
• Pub. L. 99–272, §9511(a), inserted "(or such earlier date as the State may designate)" after "September 30, 1983". · (n)
• Pub. L. 99–272, §9505(a)(2), added subsec. (o). · (o)
• Pub. L. 99–509, §9435(b)(2), added par. (3). · (o)
• Pub. L. 99–509, §9403(b), (d), added subsec. (p). · (p)
• Pub. L. 99–509, §9404(b), added subsec. (q). · (q)

1984

• Pub. L. 98–369, §2335(f), substituted "mental diseases" for "tuberculosis or mental diseases" in subd. (B) following par. (18). · (a)
• Pub. L. 98–369, §2373(b)(17), substituted "clause (vi)" for "clauses (vi)" and "well-being" for "well being" in last sentence. · (a)
• Pub. L. 98–369, §2335(f), substituted "mental diseases" for "tuberculosis or mental diseases". · (a)
• Pub. L. 98–369, §2335(f), substituted "mental diseases" for "tuberculosis or mental diseases". · (a)
• Pub. L. 98–369, §2373(b)(15), inserted a semicolon before "(B)". · (a)
• Pub. L. 98–369, §2371(a), amended par. (9) generally, inserting "furnished by or under the direction of a physician, without regard to whether the clinic itself is administered by a physician". · (a)
• Pub. L. 98–369, §2335(f), substituted "mental diseases" for "tuberculosis or mental diseases". · (a), (15)
• Pub. L. 98–369, §2373(b)(16), substituted "the nurse-midwife" for "he" in two places. · (a)
• Pub. L. 98–369, §2373(b)(18), substituted "section 1301(a)(8)(B) of this title" for "subparagraph (B) of section 1301(a)(8) of this title". · (b)
• Pub. L. 98–369, §2373(b)(19), substituted "the institution meets" for "which meet". · (d)
• Pub. L. 98–369, §2340(b), amended subpar. (A) generally. Prior to amendment, subpar. (A) read as follows: "inpatient services which are provided in an institution which is accredited as a psychiatric hospital by the Joint Commission on Accreditation of Hospitals;". · (h)
• Pub. L. 98–369, §2373(b)(20), substituted "the nurse" for "he" in two places. · (m)
• Pub. L. 98–369, §2361(b), added subsec. (n). · (n)

1982

• Pub. L. 97–248, §137(b)(17), struck out "or any reasonable category of such individuals," after "as the State may choose,". · (a)
• Pub. L. 97–248, §137(b)(18), added cl. (viii). · (a)
• Pub. L. 97–248, §136(c), substituted "the Northern Mariana Islands, and American Samoa" for "and the Northern Mariana Islands". · (b)
• Pub. L. 97–248, §137(f), redesignated cls. (i) and (ii) as subcls. (I) and (II), respectively, and redesignated cls. (A) and (B) as cls. (i) and (ii), respectively. · (h)

1981

• Pub. L. 97–35, §2172(b), in cl. (i), inserted "or, at the option of the State, under the age of 20, 19, or 18 as the State may choose, or any reasonable category of such individuals," and in cl. (ii), struck out reference to section 606(a)(2) of this title. · (a)
• Pub. L. 97–35, §2162(a)(2), inserted reference to Northern Mariana Islands. · (b)

1980

• Pub. L. 96–499, §965(a)(1)(B), (C), added par. (17) and redesignated former par. (17) as (18). · (a), (18)
• Pub. L. 96–473 substituted "clause (1)" for "clauses (1)". · (c)
• Pub. L. 96–499, §965(a)(2), added subsec. (m). · (m)

1978

• Pub. L. 95–292 added cl. (4) to first sentence relating to a requirement that intermediate care facilities meet section 1395x(j)(14) of this title with respect to protection of patients' personal funds, and inserted reference to that cl. (4) in provisions covering intermediate care fac… · (c)

1977

• Pub. L. 95–210, §2(a), designated existing provisions as cl. (A) and added cl. (B). · (a)
• Pub. L. 95–210, §2(b), added subsec. (l). · (l)

1976

• Pub. L. 94–437 inserted provision requiring that the Federal medical assistance percentage be 100 per centum for services received through an Indian Health Service facility. · (b)

1973

• Pub. L. 93–233, §13(a)(13), substituted in introductory text "individuals (other than individuals with respect to whom there is being paid, or who are eligible or would be eligible if they were not in a medical institution, to have paid with respect to them a State supplementary paymen… · (a)
• Pub. L. 93–233, §13(a)(14), inserted "with respect to States eligible to participate in the State plan program established under subchapter XVI," after "blind,". · (a)
• Pub. L. 93–233, §13(a)(15), substituted "with respect to States eligible to participate in the State plan program established under subchapter XVI," for "or". · (a)
• Pub. L. 93–233, §13(a)(16), inserted "or" at end of text. · (a)
• Pub. L. 93–233, §13(a)(17), added cl. (vii). · (a)
• Pub. L. 93–233, §18(x)(7), substituted "under age 21, as defined in subsection (h); and" for "under 21, as defined in subsection (e);". · (a)
• Pub. L. 93–233, §18(y)(2), struck out "; except that the Secretary shall promulgate such percentage as soon as possible after July 30, 1965, which promulgation shall be conclusive for each of the six quarters in the period beginning January 1, 1966, and ending with the close of June 30… · (b)
• Pub. L. 93–233, §18(x)(8), substituted "skilled nursing facility" for "skilled nursing home" wherever appearing. · (c)
• Pub. L. 93–233, §18(w), substituted "(i) involve active treatment" for ", involves active treatment (i)"; struck out "pursuant to subchapter XVIII of this chapter" after "may be prescribed"; and substituted "(ii)" for "(ii) which", respectively. · (h)
• Pub. L. 93–233, §18(x)(10), substituted "paragraph (1)" for "paragraph (e)(1)". · (h)
• Pub. L. 93–233, §18(x)(9), redesignated subsec. (h) as added by Pub. L. 92–603, §299L(b), and relating to skilled nursing facility, as subsec. (i). · (i)
• Pub. L. 93–233, §13(a)(18), added subsecs. (j) and (k). · (j), (k)

1972

• Pub. L. 92–603, §299B(c), in text following redesignated subsec. (a)(17) substituted "as otherwise provided in paragraph (16)," for "that". · (a)
• Pub. L. 92–603, §§278(a)(21), 299E(b), substituted "skilled nursing facility" for "skilled nursing home" and added cl. (C). · (a)
• Pub. L. 92–603, §§278(a)(22), 280, substituted "skilled nursing facility" for "skilled nursing home" and inserted "furnished by a physician (as defined in section 1395x(r)(1) of this title)" after "physicians' services". · (a)
• Pub. L. 92–603, §§278(a)(23), 297(a), substituted "skilled nursing facility" for "skilled nursing home" and inserted reference to intermediate care facility services. · (a)
• Pub. L. 92–603, §299B(a), added par. (16) and redesignated existing pars. (15) and (16) as (17) and (15), respectively. · (a)
• Pub. L. 92–603, §299L(a), inserted provision defining "intermediate care facility" with respect to any institution located in a State on an Indian reservation. · (c)
• Pub. L. 92–603, §299, inserted provisions relating to reduction of non-Federal expenditures in any calendar quarter prior to January 1, 1975. · (d)
• Pub. L. 92–603, §212(a), added subsec. (e). · (e)
• Pub. L. 92–603, §247(b), added subsec. (f). · (f)
• Pub. L. 92–603, §275(a), added subsec. (g). · (g)
• Pub. L. 92–603, §299L(b), added subsec. (h) relating to skilled nursing facility. · (h)
• Pub. L. 92–603, §299B(b), added subsec. (h) relating to inpatient psychiatric hospital services for individuals under age 21. · (h)

1971

• Pub. L. 92–223, §4(a)(1)(C), added cl. (16). · (a)
• Pub. L. 92–223, §4(a)(2), added subsecs. (c) and (d). · (c), (d)

1968

• Pub. L. 90–248, §230, inserted ", and with respect to physicians' or dentists' services, at the option of the State, to individuals not receiving aid or assistance under the State's plan approved under subchapter I, X, XIV, XVI, or part A of subchapter IV" after "for individuals" in te… · (a)
• Pub. L. 90–248, §233(b), inserted provision deeming, for purposes of cl. (vi) of the preceding sentence, a person as essential to another individual if such person is the spouse of and is living with such individual, the needs of such person are taken into account in determining the amount of aid o… · (a)
• Pub. L. 90–248, §241(f)(6), inserted "part A of" before "subchapter IV". · (a)
• Pub. L. 90–248, §233(a), added cl. (vi). · (a)
• Pub. L. 90–248, §302(a), designated existing provisions as cl. (A) and added cl. (B). · (a)
• Pub. L. 90–248, §248(e), substituted in cl. (2) of first sentence "50" for "55". · (b)