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42 U.S.C. § 1396v — References to laws directly affecting medicaid program

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

42 U.S.C. § 1396v — References to laws directly affecting medicaid program

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Source location: Title 42, Chapter 7, § 1396v; chapter-007-social-security.md

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**(a) Authority or requirements to cover additional individuals** For provisions of law which make additional individuals eligible for medical assistance under this subchapter, see the following: (1) **AFDC** (A) Section 602(a)(32) 11 See References in Text note below. of this title (relating to individuals who are deemed recipients of aid but for whom a payment is not made). (B) Section 602(a)(37) 1 of this title (relating to individuals who lose AFDC eligibility due to increased earnings). (C) Section 606(h) 1 of this title (relating to individuals who lose AFDC eligibility due to increased collection of child or spousal support). (D) Section 682(e)(6) 1 of this title (relating to certain individuals participating in work supplementation programs). (2) **SSI** (A) [Section 1382(e) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1382/e&num=0&edition=prelim) (relating to treatment of couples sharing an accommodation in a facility). (B) [Section 1382h of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1382h&num=0&edition=prelim) (relating to benefits for individuals who perform substantial gainful activity despite severe medical impairment). (C) [Section 1383c(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1383c/b&num=0&edition=prelim) (relating to preservation of benefit status for disabled widows and widowers who lost SSI benefits because of 1983 changes in actuarial reduction formula). (D) [Section 1383c(c) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1383c/c&num=0&edition=prelim) (relating to individuals who lose eligibility for SSI benefits due to entitlement to child’s insurance benefits under [section 402(d) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section402/d&num=0&edition=prelim)). (E) [Section 1383c(d) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1383c/d&num=0&edition=prelim) (relating to individuals who lose eligibility for SSI benefits due to entitlement to early widow’s or widower’s insurance benefits under section 402(e) or (f) of this title). (3) **Foster care and adoption assistance** — Sections 672(h) and 673(b) of this title (relating to medical assistance for children in foster care and for adopted children). (4) **Refugee assistance** — [Section 1522(e)(5) of title 8](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title8-section1522/e/5&num=0&edition=prelim) (relating to medical assistance for certain refugees). (5) **Miscellaneous** (A) Section 230 of Public Law 93–66 (relating to deeming eligible for medical assistance certain essential persons). (B) Section 231 of Public Law 93–66 (relating to deeming eligible for medical assistance certain persons in medical institutions). (C) Section 232 of Public Law 93–66 (relating to deeming eligible for medical assistance certain blind and disabled medically indigent persons). (D) Section 13(c) of Public Law 93–233 (relating to deeming eligible for medical assistance certain individuals receiving mandatory State supplementary payments). (E) Section 503 of Public Law 94–566 (relating to deeming eligible for medical assistance certain individuals who would be eligible for supplemental security income benefits but for cost-of-living increases in social security benefits). (F) Section 310(b)(1) of Public Law 96–272 (relating to continuing medicaid eligibility for certain recipients of Department of Veterans Affairs pensions). **(b) Additional State plan requirements** For other provisions of law that establish additional requirements for State plans to be approved under this subchapter, see the following: (1) [Section 1382g of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1382g&num=0&edition=prelim) (relating to requirement for operation of certain State supplementation programs). (2) Section 212(a) of Public Law 93–66 (relating to requiring mandatory minimum State supplementation of SSI benefits program).

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

42 U.S.C. § 704 — Use of allotment funds

**(a) Covered services** Except as otherwise provided under this section, a State may use amounts paid to it under [section 703 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section703&num=0&edition=prelim) for the provision of health services and related activities (including planning, administration, education, and evaluation and including payment of salaries and other related expenses of National Health Service Corps personnel) consistent with its application transmitted under [section 705(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section705/a&num=0&edition=prelim). **(b) Restrictions** Amounts described in subsection (a) may not be used for— (1) inpatient services, other than inpatient services provided to children with special health care needs or to high-risk pregnant women and infants and such other inpatient services as the Secretary may approve; (2) cash payments to intended recipients of health services; (3) the purchase or improvement of land, the purchase, construction, or permanent improvement (other than minor remodeling) of any building or other facility, or the purchase of major medical equipment; (4) satisfying any requirement for the expenditure of non-Federal funds as a condition for the receipt of Federal funds; (5) providing funds for research or training to any entity other than a public or nonprofit private entity; or (6) payment for any item or service (other than an emergency item or service) furnished— (A) by an individual or entity during the period when such individual or entity is excluded under this subchapter or subchapter XVIII, XIX, or XX pursuant to section 1320a–7, 1320a–7a, 1320c–5, or 1395u(j)(2) of this title, or (B) at the medical direct

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

42 U.S.C. § 1396s — Program for distribution of pediatric vaccines

**(a) Establishment of program** (1) **In general** — In order to meet the requirement of [section 1396a(a)(62) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1396a/a/62&num=0&edition=prelim), each State shall establish a pediatric vaccine distribution program (which may be administered by the State department of health), consistent with the requirements of this section, under which— (A) each vaccine-eligible child (as defined in subsection (b)), in receiving an immunization with a qualified pediatric vaccine (as defined in subsection (h)(8)) from a program-registered provider (as defined in subsection (c)) on or after October 1, 1994, is entitled to receive the immunization without charge for the cost of such vaccine; and (B) (i) each program-registered provider who administers such a pediatric vaccine to a vaccine-eligible child on or after such date is entitled to receive such vaccine under the program without charge either for the vaccine or its delivery to the provider, and (ii) no vaccine is distributed under the program to a provider unless the provider is a program-registered provider. (2) **Delivery of sufficient quantities of pediatric vaccines to immunize federally vaccine-eligible children** (A) *In general* — The Secretary shall provide under subsection (d) for the purchase and delivery on behalf of each State meeting the requirement of [section 1396a(a)(62) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1396a/a/62&num=0&edition=prelim) (or, with respect to vaccines administered by an Indian tribe or tribal organization to Indian children, directly to the tribe or organization), without charge to the State, of such quantities of qualified pediatric vaccin

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

1 U.S.C. § 106 — Printing bills and joint resolutions

Every bill or joint resolution in each House of Congress shall, when such bill or resolution passes either House, be printed, and such printed copy shall be called the engrossed bill or resolution as the case may be. Said engrossed bill or resolution shall be signed by the Clerk of the House or the Secretary of the Senate, and shall be sent to the other House, and in that form shall be dealt with by that House and its officers, and, if passed, returned signed by said Clerk or Secretary. When such bill, or joint resolution shall have passed both Houses, it shall be printed and shall then be called the enrolled bill, or joint resolution, as the case may be, and shall be signed by the presiding officers of both Houses and sent to the President of the United States. During the last six days of a session such engrossing and enrolling of bills and joint resolutions may be done otherwise than as above prescribed, upon the order of Congress by concurrent resolution.

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

42 U.S.C. § 602 — Eligible States; State plan

**(a) In general** As used in this part, the term “eligible State” means, with respect to a fiscal year, a State that, during the 27-month period ending with the close of the 1st quarter of the fiscal year, has submitted to the Secretary a plan that the Secretary has found includes the following: (1) **Outline of family assistance program** (A) *General provisions* — A written document that outlines how the State intends to do the following: (i) Conduct a program, designed to serve all political subdivisions in the State (not necessarily in a uniform manner), that provides assistance to needy families with (or expecting) children and provides parents with job preparation, work, and support services to enable them to leave the program and become self-sufficient. (ii) Require a parent or caretaker receiving assistance under the program to engage in work (as defined by the State) once the State determines the parent or caretaker is ready to engage in work, or once the parent or caretaker has received assistance under the program for 24 months (whether or not consecutive), whichever is earlier, consistent with [section 607(e)(2) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section607/e/2&num=0&edition=prelim). (iii) Ensure that parents and caretakers receiving assistance under the program engage in work activities in accordance with [section 607 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section607&num=0&edition=prelim). (iv) Take such reasonable steps as the State deems necessary to restrict the use and disclosure of information about individuals and families receiving assistance under the program attributable to funds provided by the Federal Government. (v) Establi

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

42 U.S.C. § 1383c — Penalties for fraud

**(a) In general** Whoever— (1) knowingly and willfully makes or causes to be made any false statement or representation of a material fact in any application for any benefit under this subchapter, (2) at any time knowingly and willfully makes or causes to be made any false statement or representation of a material fact for use in determining rights to any such benefit, (3) having knowledge of the occurrence of any event affecting (A) his initial or continued right to any such benefit, or (B) the initial or continued right to any such benefit of any other individual in whose behalf he has applied for or is receiving such benefit, conceals or fails to disclose such event with an intent fraudulently to secure such benefit either in a greater amount or quantity than is due or when no such benefit is authorized, (4) having made application to receive any such benefit for the use and benefit of another and having received it, knowingly and willfully converts such benefit or any part thereof to a use other than for the use and benefit of such other person, or (5) conspires to commit any offense described in any of paragraphs (1) through (3), shall be fined under title 18, imprisoned not more than 5 years, or both, except that in the case of a person who receives a fee or other income for services performed in connection with any determination with respect to benefits under this subchapter (including a claimant representative, translator, or current or former employee of the Social Security Administration), or who is a physician or other health care provider who submits, or causes the submission of, medical or other evidence in connection with any such determination, such person shall be guilty of a felony and upon conviction thereof shall be fined under title 18, or impr

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

26 U.S.C. § 162 — Trade or business expenses

**(a) In general** There shall be allowed as a deduction all the ordinary and necessary expenses paid or incurred during the taxable year in carrying on any trade or business, including— (1) a reasonable allowance for salaries or other compensation for personal services actually rendered; (2) traveling expenses (including amounts expended for meals and lodging other than amounts which are lavish or extravagant under the circumstances) while away from home in the pursuit of a trade or business; and (3) rentals or other payments required to be made as a condition to the continued use or possession, for purposes of the trade or business, of property to which the taxpayer has not taken or is not taking title or in which he has no equity. For purposes of the preceding sentence, the place of residence of a Member of Congress (including any Delegate and Resident Commissioner) within the State, congressional district, or possession which he represents in Congress shall be considered his home, but amounts expended by such Members within each taxable year for living expenses shall not be deductible for income tax purposes. For purposes of paragraph (2), the taxpayer shall not be treated as being temporarily away from home during any period of employment if such period exceeds 1 year. The preceding sentence shall not apply to any Federal employee during any period for which such employee is certified by the Attorney General (or the designee thereof) as traveling on behalf of the United States in temporary duty status to investigate or prosecute, or provide support services for the investigation or prosecution of, a Federal crime. **(b) Charitable contributions and gifts excepted** No deduction shall be allowed under subsection (a) for any contribution or gift which would be al

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

42 U.S.C. § 671 — State plan for foster care and adoption assistance

**(a) Requisite features of State plan** In order for a State to be eligible for payments under this part, it shall have a plan approved by the Secretary which— (1) provides for foster care maintenance payments in accordance with [section 672 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section672&num=0&edition=prelim), adoption assistance in accordance with [section 673 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section673&num=0&edition=prelim), and, at the option of the State, services or programs specified in subsection (e)(1) of this section for children who are candidates for foster care or who are pregnant or parenting foster youth and the parents or kin caregivers of the children, in accordance with the requirements of that subsection; (2) provides that the State agency responsible for administering the program authorized by subpart 1 of part B of this subchapter shall administer, or supervise the administration of, the program authorized by this part; (3) provides that the plan shall be in effect in all political subdivisions of the State, and, if administered by them, be mandatory upon them; (4) provides that the State shall assure that the programs at the local level assisted under this part will be coordinated with the programs at the State or local level assisted under parts A and B of this subchapter, under division A 11 See References in Text note below. of subchapter XX of this chapter, and under any other appropriate provision of Federal law; (5) provides that the State will, in the administration of its programs under this part, use such methods relating to the establishment and maintenance of personnel standards on a merit basis as are found by the Secretary to be nece

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

42 U.S.C. § 1382h — Cost-of-living adjustments in benefits

**(a) Increase of dollar amounts** Whenever benefit amounts under subchapter II are increased by any percentage effective with any month as a result of a determination made under [section 415(i) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section415/i&num=0&edition=prelim)— (1) each of the dollar amounts in effect for such month under subsections (a)(1)(A), (a)(2)(A), (b)(1), and (b)(2) of [section 1382 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1382&num=0&edition=prelim), and subsection (a)(1)(A) of section 211 of Public Law 93–66, as specified in such subsections or as previously increased under this section, shall be increased by the amount (if any) by which— (A) the amount which would have been in effect for such month under such subsection but for the rounding of such amount pursuant to paragraph (2), exceeds (B) the amount in effect for such month under such subsection; and (2) the amount obtained under paragraph (1) with respect to each subsection shall be further increased by the same percentage by which benefit amounts under subchapter II are increased for such month, or, if greater (in any case where the increase under subchapter II was determined on the basis of the wage increase percentage rather than the CPI increase percentage), the percentage by which benefit amounts under subchapter II would be increased for such month if the increase had been determined on the basis of the CPI increase percentage, (and rounded, when not a multiple of $12, to the next lower multiple of $12), effective with respect to benefits for months after such month. **(b) Publication in Federal Register of new dollar amounts** The new dollar amounts to be in effect under [section 1382 of

Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1382h

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

42 U.S.C. § 606 — Federal loans for State welfare programs

**(a) Loan authority** (1) **In general** — The Secretary shall make loans to any loan-eligible State, for a period to maturity of not more than 3 years. (2) **Loan-eligible State** — As used in paragraph (1), the term “loan-eligible State” means a State against which a penalty has not been imposed under [section 609(a)(1) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section609/a/1&num=0&edition=prelim). **(b) Rate of interest** The Secretary shall charge and collect interest on any loan made under this section at a rate equal to the current average market yield on outstanding marketable obligations of the United States with remaining periods to maturity comparable to the period to maturity of the loan. **(c) Use of loan** A State shall use a loan made to the State under this section only for any purpose for which grant amounts received by the State under [section 603(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section603/a&num=0&edition=prelim) may be used, including— (1) welfare anti-fraud activities; and (2) the provision of assistance under the State program to Indian families that have moved from the service area of an Indian tribe with a tribal family assistance plan approved under [section 612 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section612&num=0&edition=prelim). **(d) Limitation on total amount of loans to State** The cumulative dollar amount of all loans made to a State under this section during fiscal years 1997 through 2003 shall not exceed 10 percent of the State family assistance grant. **(e) Limitation on total amount of outstanding loans** The total dollar amount of loans outstanding under this section may not exceed $1,

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

42 U.S.C. § 1382 — Statement of purpose; authorization of appropriations

For the purpose of establishing a national program to provide supplemental security income to individuals who have attained age 65 or are blind or disabled, there are authorized to be appropriated sums sufficient to carry out this subchapter.

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