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10 U.S.C. § 1110a — Notification of certain individuals regarding options for enrollment under Medicare part B

Federal law — U.S. Code and appendices · legal_authorities

10 U.S.C. § 1110a — Notification of certain individuals regarding options for enrollment under Medicare part B

**(a) In General.—** (1) As soon as practicable, the Secretary of Defense shall notify each individual described in subsection (b)— (A) that the individual is no longer eligible for health care benefits under the TRICARE program under this chapter; and (B) of options available for enrollment of the individual in the supplementary medical insurance program under part B of title XVIII of the Social Security Act ([42 U.S.C. 1395j](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395j&num=0&edition=prelim) et seq.). (2) In carrying out this subsection, the Secretary of Defense shall— (A) establish procedures for identifying individuals described in subsection (b); and (B) consult with the Secretary of Health and Human Services to accurately identify and notify such individuals. **(b) Individuals Described.—** An individual described in this subsection is an individual who is— (1) a covered beneficiary; (2) entitled to benefits under part A of title XVIII of the Social Security Act ([42 U.S.C. 1395c](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395c&num=0&edition=prelim)) under section 226(b) or section 226A of such Act ([42 U.S.C. 426(b)](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section426/b&num=0&edition=prelim) and 426–1); and (3) eligible to enroll in the supplementary medical insurance program under part B of such title ([42 U.S.C. 1395j](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395j&num=0&edition=prelim) et seq.).

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Stable record: federal_law:legal_authorities:record_usc_5f6b791ce737133a4426445f
Source file: Laws/federal/codes/united-states-code/title-10/section-1110a-notification-of-certain-individuals-regarding-options-for-enrollment-und--1c45c64222.md
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Source location: Title 10, Chapter 55, § 1110a; chapter-055-medical-and-dental-care.md

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**(a) In General.—** (1) As soon as practicable, the Secretary of Defense shall notify each individual described in subsection (b)— (A) that the individual is no longer eligible for health care benefits under the TRICARE program under this chapter; and (B) of options available for enrollment of the individual in the supplementary medical insurance program under part B of title XVIII of the Social Security Act ([42 U.S.C. 1395j](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395j&num=0&edition=prelim) et seq.). (2) In carrying out this subsection, the Secretary of Defense shall— (A) establish procedures for identifying individuals described in subsection (b); and (B) consult with the Secretary of Health and Human Services to accurately identify and notify such individuals. **(b) Individuals Described.—** An individual described in this subsection is an individual who is— (1) a covered beneficiary; (2) entitled to benefits under part A of title XVIII of the Social Security Act ([42 U.S.C. 1395c](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395c&num=0&edition=prelim)) under section 226(b) or section 226A of such Act ([42 U.S.C. 426(b)](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section426/b&num=0&edition=prelim) and 426–1); and (3) eligible to enroll in the supplementary medical insurance program under part B of such title ([42 U.S.C. 1395j](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395j&num=0&edition=prelim) et seq.).

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1395c — Prohibition against any Federal interference

Nothing in this subchapter shall be construed to authorize any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided, or over the selection, tenure, or compensation of any officer or employee of any institution, agency, or person providing health services; or to exercise any supervision or control over the administration or operation of any such institution, agency, or person.

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1305 — Short title of chapter

This chapter may be cited as the “Social Security Act”.

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1395j — Conditions of and limitations on payment for services

**(a) Requirement of requests and certifications** Except as provided in subsections (d) and (g) and in [section 1395mm of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395mm&num=0&edition=prelim), payment for services furnished an individual may be made only to providers of services which are eligible therefor under [section 1395cc of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395cc&num=0&edition=prelim) and only if— (1) written request, signed by such individual, except in cases in which the Secretary finds it impracticable for the individual to do so, is filed for such payment in such form, in such manner, and by such person or persons as the Secretary may by regulation prescribe, no later than the close of the period ending 1 calendar year after the date of service; (2) a physician, or, in the case of services described in subparagraph (B), a physician, or a nurse practitioner, a clinical nurse specialist, or a physician assistant (as those terms are defined in [section 1395x(aa)(5) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395x/aa/5&num=0&edition=prelim)) who does not have a direct or indirect employment relationship with the facility but is working in collaboration with a physician,,11 So in original. or, in the case of services described in subparagraph (C), a physician, a nurse practitioner or clinical nurse specialist (as such terms are defined in [section 1395x(aa)(5) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395x/aa/5&num=0&edition=prelim)) who is working in accordance with State law, or a physician assistant (as defined in [section 1395x(aa)(5) of this title](https://usc

Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1395j

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Federal law — U.S. Code and appendices · legal_authorities

10 U.S.C. § 1110a — Notification of certain individuals re-

Page 1171 TITLE 10—ARMED FORCES § 1110a (A) any electronic health record maintained by the Secretary for a member of an armed force under the jurisdiction of the Secretary of a military department is updated with the in- formation specified in such paragraph with re- spect to the member; (B) any collection, storage, or use of such in- formation is conducted through means involv- ing such cyber protections as the Secretary determines necessary to safeguard the per- sonal information of the member; and (C) the system established under such para- graph is interoperable and compatible with the electronic health record system known as ‘‘MHS GENESIS’’, or such successor system. (b) PROCEDURES FOR MEDICAL AND ADMINISTRA- TIVE EXEMPTIONS FROM ANTHRAX VACCINE IMMU- NIZATION PROGRAM.—(1) The Secretary shall es- tablish uniform procedures under which mem- bers of the armed forces may be exempted from participating in the anthrax vaccine immuniza- tion program for either administrative or med- ical reasons. (2) The Secretaries of the military depart- ments shall provide for notification of all mem- bers of the armed forces of the procedures estab- lished pursuant to paragraph (1). (c) SYSTEM FOR MONITORING ADVERSE REAC- TIONS TO ANTHRAX VACCINE.—(1) The Secretary shall establish a system for monitoring adverse reactions of members of the armed forces to the anthrax vaccine. That system shall include the following: (A) Independent review of Vaccine Adverse Event Reporting System reports. (B) Periodic surveys of personnel to whom the vaccine is administered. (C) A continuing longitudinal study of a pre- identified group of members of the armed forces (including men and women and mem- bers from all services). (D) Active surveillance of a sample of mem- bers to w

Source: Supplied 2024 U.S. Code historical extraction · 10 U.S.C. § 1110a

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1395c — Description of program

Page 2928 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 1395b–10 (A) are from entities that manufacture pharmaceutical, biotechnology, medical de- vice, or diagnostic products that are covered or for which coverage is being sought under this subchapter; and (B) are with respect to coverage, coding, or payment under this subchapter for such products. (2) Application The second sentence of subsection (c)(2) shall apply to the ombudsman under subpara- graph (A) in the same manner as such sentence applies to the Medicare Beneficiary Ombuds- man under subsection (c). (e) Funding for implementation of beneficiary enrollment simplification For purposes of carrying out the provisions of and the amendments made by section 120 of divi- sion CC of the Consolidated Appropriations Act, 2021, the Secretary shall provide for the transfer, from the Federal Hospital Insurance Trust Fund under section 1395i of this title and the Federal Supplementary Medical Insurance Trust Fund under section 1395t of this title (in such propor- tion as the Secretary determines appropriate), to the Centers for Medicare & Medicaid Services Program Management Account, of $2,000,000 for each of fiscal years 2021 through 2030, to remain available until expended. (Aug. 14, 1935, ch. 531, title XVIII, § 1808, as added and amended Pub. L. 108–173, title IX, §§ 900(a), (b), 923(a), Dec. 8, 2003, 117 Stat. 2369, 2393; Pub. L. 114–255, div. A, title IV, § 4010, Dec. 13, 2016, 130 Stat. 1185; Pub. L. 116–260, div. CC, title I, § 120(b), Dec. 27, 2020, 134 Stat. 2955.) Editorial Notes REFERENCES IN TEXT Section 120 of division CC of the Consolidated Appro- priations Act, 2021, referred to in subsec. (e), is section 120 of div. CC of Pub. L. 116–260, which amended this section and sections

Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1395c

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1395j — Establishment of supplementary medical

Page 3018 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 1395j (I) a range of remedies to apply to hos- pice programs under the conditions de- scribed in paragraphs (1) through (4); and (II) appropriate procedures for appeal- ing determinations relating to the impo- sition of such remedies. Remedies developed pursuant to the pre- ceding sentence shall include the remedies specified in subparagraph (B). (ii) Conditions of imposition of remedies Not later than October 1, 2022, the Sec- retary shall develop and implement spe- cific procedures with respect to the condi- tions under which each of the remedies de- veloped under clause (i) is to be applied, including the amount of any fines and the severity of each of these remedies. Such procedures shall be designed so as to mini- mize the time between identification of de- ficiencies and imposition of these remedies and shall provide for the imposition of in- crementally more severe fines for repeated or uncorrected deficiencies. (B) Specified remedies The remedies specified in this subpara- graph are the following: (i) Civil money penalties in an amount not to exceed $10,000 for each day of non- compliance by a hospice program with the requirements specified in section 1395x(dd) of this title. (ii) Suspension of all or part of the pay- ments to which a hospice program would otherwise be entitled under this sub- chapter with respect to items and services furnished by a hospice program on or after the date on which the Secretary deter- mines that remedies should be imposed pursuant to paragraphs (1) and (2). (iii) The appointment of temporary man- agement to oversee the operation of the hospice program and to protect and assure the health and safety of the individuals under the care of the program while im-

Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1395j

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 426 — Entitlement to hospital insurance benefits

**(a) Individuals over 65 years** Every individual who— (1) has attained age 65, and (2) (A) is entitled to monthly insurance benefits under [section 402 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section402&num=0&edition=prelim), would be entitled to those benefits except that he has not filed an application therefor (or application has not been made for a benefit the entitlement to which for any individual is a condition of entitlement therefor), or would be entitled to such benefits but for the failure of another individual, who meets all the criteria of entitlement to monthly insurance benefits, to meet such criteria throughout a month, and, in conformity with regulations of the Secretary, files an application for hospital insurance benefits under part A of subchapter XVIII, (B) is a qualified railroad retirement beneficiary, or (C) (i) would meet the requirements of subparagraph (A) upon filing application for the monthly insurance benefits involved if medicare qualified government employment (as defined in [section 410(p) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section410/p&num=0&edition=prelim)) were treated as employment (as defined in [section 410(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section410/a&num=0&edition=prelim)) for purposes of this subchapter, and (ii) files an application, in conformity with regulations of the Secretary, for hospital insurance benefits under part A of subchapter XVIII, shall be entitled to hospital insurance benefits under part A of subchapter XVIII for each month for which he meets the condition specified in paragraph (2), beginning with the first month after June 1966 for which he meet

Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 426

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 426 — Entitlement to hospital insurance benefits

Page 2093 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 426 ‘‘(ii) TERMINATION AFTER 36 MONTHS.— ‘‘(I) IN GENERAL.—For purposes of section 225(c)(7) of the Social Security Act [42 U.S.C. 425(c)(7)] (added by this subsection), the first month of enti- tlement beginning after 180 days after the date of the enactment of this Act [Aug. 15, 1994] shall be treated as the individual’s first month of entitle- ment to such benefits. ‘‘(II) CONCURRENT BENEFICIARIES CURRENTLY UNDER TREATMENT.—In any case in which the indi- vidual is also entitled to benefits under title XVI [42 U.S.C. 1381 et seq.] and, as of 180 days after the date of the enactment of this Act, such individual is undergoing treatment required under section 1611(e)(3) of the Social Security Act [42 U.S.C. 1382(e)(3)] (as in effect immediately before the date of the enactment of this Act), the Secretary of Health and Human Services shall notify such indi- vidual of the provisions of section 225(c)(7) of the Social Security Act (added by this subsection) not later than 180 days after the date of the enactment of this Act. ‘‘(III) CONCURRENT BENEFICIARIES NOT CURRENTLY UNDER TREATMENT.—In any case in which the indi- vidual is also entitled to benefits under title XVI but, as of 180 days after the date of the enactment of this Act, such individual is not undergoing treat- ment described in subclause (II), section 225(c)(7) (added by this subsection) shall apply only with re- spect to benefits for months after the month in which treatment required under section 1611(e)(3) of the Social Security Act (as amended by subsection (b)) is available, as determined under regulations of the Secretary of Health and Human Services, and the Secretary notifies such individual of the avail- ability of such treat

Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 426

Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 426. This identifies an authority to review, not proof of applicability.