WHAT THE LAW DOINCongress, in plain words

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

42 U.S.C. 1396o-1: State option for alternative premiums and cost sharing

Created in 2006 by the Deficit Reduction Act of 2005 (Public Law 109-171). Changed by 6 later laws. 2 bills in this Congress would change it.

This Congress

  • H.R. 10476 Glaucoma Vision Act of 2026 · introduced · would change (b)
  • H.R. 6182 Find It Early Act · introduced · would change (b)

How it got here

2022

  • Pub. L. 117–169 added cl. (xiv). Law text · (b)

2021

  • Pub. L. 117–2, §9811(a)(3)(B)(i), substituted "any service" for "any visit". (American Rescue Plan Act of 2021) Law text · (b)
  • Pub. L. 117–2, §9811(a)(3)(B)(ii), added cls. (xii) and (xiii). (American Rescue Plan Act of 2021) Law text · (b), (xiii)

2020

  • Pub. L. 116–127 added cl. (xi). (Families First Coronavirus Response Act) Law text · (b)

2010

  • Pub. L. 111–148, §2102(b), substituted ", (i), or (j)" for "or (i)". (Patient Protection and Affordable Care Act) Law text · (a)
  • Pub. L. 111–148, §4107(c)(2), inserted ", and counseling and pharmacotherapy for cessation of tobacco use by pregnant women (as defined in section 1396d(bb) of this title)" after "complicate the pregnancy". (Patient Protection and Affordable Care Act) Law text · (b)

2009

  • Pub. L. 111–5, §5006(a)(2)(A), added cl. (vii). (American Recovery and Reinvestment Act of 2009) Law text · (b)
  • Pub. L. 111–5, §5006(a)(2)(B), added cl. (x). (American Recovery and Reinvestment Act of 2009) Law text · (b)

2006

  • Pub. L. 109–432, §405(a)(3)(A), substituted "subsection (g) or (i) of section 1396o" for "section 1396o(g)" in second sentence. (Tax Relief and Health Care Act of 2006) Law text · (a)
  • Pub. L. 109–432, §405(a)(1)(A), inserted "but subject to paragraph (2)," after "1396a(a)(10)(B) of this title," and "and non-emergency services furnished in a hospital emergency department for which cost sharing may be imposed under subsection (e)" after "subsection (c)". (Tax Relief and Health Care Act of 2006) Law text · (a)
  • Pub. L. 109–432, §405(a)(1)(B), (C), added par. (2) and redesignated former par. (2) as (3). (Tax Relief and Health Care Act of 2006) Law text · (a), (3)
  • Pub. L. 109–432, §405(a)(2)(A), struck out ", subject to subsections (c)(2) and (e)(2)(A)" after "involved" in introductory provisions. (Tax Relief and Health Care Act of 2006) Law text · (b), (2)
  • Pub. L. 109–432, §405(a)(4)(A), substituted "child welfare services are made available under part B of subchapter IV on the basis of being a child in foster care" for "aid or assistance is made available under part B of subchapter IV to children in foster care". (Tax Relief and Health Care Act of 2006) Law text · (b)
  • Pub. L. 109–432, §405(a)(3)(B)(i), added cl. (vi). (Tax Relief and Health Care Act of 2006) Law text · (b)
  • Pub. L. 109–432, §405(a)(4)(B), substituted "child welfare services are made available under part B of subchapter IV on the basis of being a child in foster care or" for "aid or assistance is made available under part B of subchapter IV to children in foster care". (Tax Relief and Health Care Act of 2006) Law text · (b)
  • Pub. L. 109–432, §405(a)(3)(B)(ii), added cl. (ix). (Tax Relief and Health Care Act of 2006) Law text · (b)
  • Pub. L. 109–171, §6042(a), added subsec. (c). (Deficit Reduction Act of 2005) Law text · (c)
  • Pub. L. 109–432, §405(a)(2)(B), substituted "most (or more) cost effective" for "least (or less) costly effective" in introductory provisions. (Tax Relief and Health Care Act of 2006) Law text · (c)
  • Pub. L. 109–432, §405(a)(2)(C), substituted "be imposed under subsection (a) due to the application of" for "otherwise be imposed under". (Tax Relief and Health Care Act of 2006) Law text · (c)
  • Pub. L. 109–432, §405(a)(2)(D), substituted "not subject to cost sharing under subsection (a) due to the application of paragraph (1)(B)" for "otherwise not subject to cost sharing due to the application of subsection (b)(3)(B)". (Tax Relief and Health Care Act of 2006) Law text · (c)
  • Pub. L. 109–432, §405(a)(1)(D), inserted "under subsection (a)(2)(B) or" after "cost sharing applied". (Tax Relief and Health Care Act of 2006) Law text · (c)
  • Pub. L. 109–171, §6043(a), added subsec. (e). (Deficit Reduction Act of 2005) Law text · (e)
  • Pub. L. 109–432, §405(a)(2)(E), substituted "Individuals with family income between 100 and 150 percent of the poverty line" for "For poorest beneficiaries" in heading and "under subsection (b)(1)(B)(ii)" for "under subsection (b)(1)" in text. (Tax Relief and Health Care Act of 2006) Law text · (e)
  • Pub. L. 109–432, §405(a)(1)(E), inserted "who is not described in subparagraph (B)" after "in subsection (b)(1)". (Tax Relief and Health Care Act of 2006) Law text · (e)
  • Pub. L. 109–432, §405(a)(2)(F), substituted "described in subsection (a)(2)(A) or who is not subject to cost sharing under subsection (b)(3)(B) with respect to non-emergency services described in paragraph (1)" for "who is otherwise not subject to cost sharing under subsection (b… (Tax Relief and Health Care Act of 2006) Law text · (e)
  • Pub. L. 109–432, §405(a)(2)(G), inserted "or section 1396o of this title" after "subsection (a)". (Tax Relief and Health Care Act of 2006) Law text · (e)
  • Pub. L. 109–432, §405(a)(1)(D), inserted "under subsection (a)(2)(B) or" after "cost sharing applied". (Tax Relief and Health Care Act of 2006) Law text · (e)
  • Pub. L. 109–432, §405(a)(5), struck out "the physician determines" after "a hospital that". (Tax Relief and Health Care Act of 2006) Law text · (e)

Text, outline and history from the official U.S. Code (2024 edition) on GovInfo, published by the Office of the Law Revision Counsel. Changes made after that edition appear under This Congress.