Browse Arkansas Code titles and sections
10 U.S.C. § 1074i — Reimbursement for certain travel ex-
Federal law — U.S. Code and appendices · legal_authorities
Page 1067
TITLE 10—ARMED FORCES
§ 1074i
(2) The term ‘‘immediate dependent’’ means
a dependent described in subparagraph (A),
(B), (C), or (D) of section 1072(2) of this title.
(Added Pub. L. 106–398, § 1 [[div. A], title VII,
§ 706(a)(1)], Oct. 30, 2000, 114 Stat. 1654, 1654A–175;
amended Pub. L. 115–232, div. A, title VIII,
§ 809(a), Aug. 13, 2018, 132 Stat. 1840; Pub. L.
118–31, div. A, title XVIII, § 1801(a)(11), Dec. 22,
2023, 137 Stat. 684.)
Editorial Notes
AMENDMENTS
2023—Subsec. (c)(1). Pub. L. 118–31, § 1801(a)(11), sub-
stituted ‘‘section 2732 of title 14’’ for ‘‘section 491 of
title 14’’.
2018—Subsec. (c)(1). Pub. L. 115–232 substituted ‘‘sec-
tion 7271, 8291, or 9271’’ for ‘‘section 3741, 6241, or 8741’’.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF 2018 AMENDMENT
Amendment by Pub. L. 115–232 effective Feb. 1, 2019,
with provision for the coordination of amendments and
special rule for certain redesignations, see section 800
of Pub. L. 115–232, set out as a note preceding section
3001 of this title.
EFFECTIVE DATE
Pub. L. 106–398, § 1 [[div. A], title VII, § 706(b)], Oct. 30,
2000, 114 Stat. 1654, 1654A–175, provided that: ‘‘Section
1074h of title 10, United States Code, shall apply with
respect to medical and dental care provided on or after
the date of the enactment of this Act [Oct. 30, 2000].’’
§ 1074i. Reimbursement for certain travel ex-
penses
(a) IN GENERAL.—In any case in which a cov-
ered beneficiary is referred by a primary care
physician to a specialty care provider who pro-
vides services more than 100 miles from the loca-
tion in which the primary care provider provides
services to the covered beneficiary, the Sec-
retary of Defense shall provide travel and trans-
portation allowances as specified in re
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Page 1067
TITLE 10—ARMED FORCES
§ 1074i
(2) The term ‘‘immediate dependent’’ means
a dependent described in subparagraph (A),
(B), (C), or (D) of section 1072(2) of this title.
(Added Pub. L. 106–398, § 1 [[div. A], title VII,
§ 706(a)(1)], Oct. 30, 2000, 114 Stat. 1654, 1654A–175;
amended Pub. L. 115–232, div. A, title VIII,
§ 809(a), Aug. 13, 2018, 132 Stat. 1840; Pub. L.
118–31, div. A, title XVIII, § 1801(a)(11), Dec. 22,
2023, 137 Stat. 684.)
Editorial Notes
AMENDMENTS
2023—Subsec. (c)(1). Pub. L. 118–31, § 1801(a)(11), sub-
stituted ‘‘section 2732 of title 14’’ for ‘‘section 491 of
title 14’’.
2018—Subsec. (c)(1). Pub. L. 115–232 substituted ‘‘sec-
tion 7271, 8291, or 9271’’ for ‘‘section 3741, 6241, or 8741’’.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF 2018 AMENDMENT
Amendment by Pub. L. 115–232 effective Feb. 1, 2019,
with provision for the coordination of amendments and
special rule for certain redesignations, see section 800
of Pub. L. 115–232, set out as a note preceding section
3001 of this title.
EFFECTIVE DATE
Pub. L. 106–398, § 1 [[div. A], title VII, § 706(b)], Oct. 30,
2000, 114 Stat. 1654, 1654A–175, provided that: ‘‘Section
1074h of title 10, United States Code, shall apply with
respect to medical and dental care provided on or after
the date of the enactment of this Act [Oct. 30, 2000].’’
§ 1074i. Reimbursement for certain travel ex-
penses
(a) IN GENERAL.—In any case in which a cov-
ered beneficiary is referred by a primary care
physician to a specialty care provider who pro-
vides services more than 100 miles from the loca-
tion in which the primary care provider provides
services to the covered beneficiary, the Sec-
retary of Defense shall provide travel and trans-
portation allowances as specified in regulations
prescribed under section 464 of title 37 for the
covered beneficiary and, when accompaniment
by an adult is necessary, for a parent or guard-
ian of the covered beneficiary or another mem-
ber of the covered beneficiary’s family who is at
least 21 years of age.
(b) ALLOWABLE TRAVEL AND TRANSPORTATION
UNDER EXCEPTIONAL CIRCUMSTANCES.—The Sec-
retary of Defense may provide travel and trans-
portation allowances as specified in the regula-
tions referred to in subsection (a) for travel of
members of the armed forces on active duty and
their dependents, and accompaniment, to a spe-
cialty care provider not otherwise authorized by
subsection (a) under such exceptional cir-
cumstances as the Secretary considers appro-
priate for purposes of this section.
(c) OUTREACH
PROGRAM
AND
TRAVEL
REIM-
BURSEMENT FOR FOLLOW-ON SPECIALTY CARE AND
RELATED
SERVICES.—The Secretary concerned
shall ensure that an outreach program is imple-
mented for each member of the uniformed serv-
ices who incurred a combat-related disability
and is entitled to retired or retainer pay, or
equivalent pay, so that—
(1) the progress of the member is closely
monitored; and
(2) the member receives the travel reim-
bursement authorized by subsection (a) when-
ever the member requires follow-on specialty
care, services, or supplies.
(d) DEFINITIONS.—In this section:
(1) The term ‘‘specialty care provider’’ in-
cludes a dental specialist.
(2) The term ‘‘dental specialist’’ means an
oral surgeon, orthodontist, prosthodontist, pe-
riodontist, endodontist, or pediatric dentist,
and includes such other providers of dental
care and services as determined appropriate by
the Secretary of Defense.
(3) The term ‘‘combat-related disability’’ has
the meaning given that term in section 1413a
of this title.
(Added Pub. L. 106–398, § 1 [[div. A], title VII,
§ 758(a)], Oct. 30, 2000, 114 Stat. 1654, 1654A–199;
amended Pub. L. 107–107, div. A, title VII, § 706,
Dec. 28, 2001, 115 Stat. 1163; Pub. L. 108–136, div.
A, title VII, § 712, Nov. 24, 2003, 117 Stat. 1530;
Pub. L. 110–181, div. A, title XVI, § 1632(a), (b),
Jan. 28, 2008, 122 Stat. 458, 459; Pub. L. 111–84,
div. A, title VI, § 634, Oct. 28, 2009, 123 Stat. 2363;
Pub. L. 113–66, div. A, title VI, § 621(d), Dec. 26,
2013, 127 Stat. 784.)
Editorial Notes
AMENDMENTS
2013—Subsec. (a). Pub. L. 113–66, § 621(d)(1), sub-
stituted ‘‘travel and transportation allowances as spec-
ified in regulations prescribed under section 464 of title
37’’ for ‘‘reimbursement for reasonable travel ex-
penses’’.
Subsec. (b). Pub. L. 113–66, § 621(d)(2), substituted ‘‘AL-
LOWABLE TRAVEL AND TRANSPORTATION UNDER EXCEP-
TIONAL CIRCUMSTANCES.—The Secretary of Defense may
provide travel and transportation allowances as speci-
fied in the regulations referred to in subsection (a) for’’
for ‘‘REIMBURSEMENT FOR TRAVEL UNDER EXCEPTIONAL
CIRCUMSTANCES.—The Secretary of Defense may pro-
vide reimbursement for reasonable travel expenses of’’.
2009—Subsec. (a). Pub. L. 111–84, § 634(b), inserted ‘‘of
Defense’’ after ‘‘the Secretary’’.
Subsecs. (b) to (d). Pub. L. 111–84, § 634(a), added sub-
sec. (b) and redesignated former subsecs. (b) and (c) as
(c) and (d), respectively.
2008—Subsecs. (b), (c). Pub. L. 110–181, § 1632(a), added
subsec. (b) and redesignated former subsec. (b) as (c).
Subsec. (c)(3). Pub. L. 110–181, § 1632(b), added par. (3).
2003—Pub. L. 108–136 inserted ‘‘(a) IN GENERAL.—’’ be-
fore ‘‘In any case’’ and added subsec. (b).
2001—Pub. L. 107–107 inserted before period at end
‘‘and, when accompaniment by an adult is necessary,
for a parent or guardian of the covered beneficiary or
another member of the covered beneficiary’s family
who is at least 21 years of age’’.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF 2008 AMENDMENT
Pub. L. 110–181, div. A, title XVI, § 1632(c), Jan. 28,
2008, 122 Stat. 459, provided that: ‘‘Subsection (b) of sec-
tion 1074i of title 10, United States Code, as added by
subsection (a)(2), shall apply with respect to travel de-
scribed in subsection (a) of such section that occurs on
or after January 1, 2008, for follow-on specialty care,
services, or supplies.’’
GUIDANCE
ON
AUTHORITY
TO
PROVIDE
TRAVEL
AND
TRANSPORTATION ALLOWANCES
FOR SPECIALTY CARE
UNDER EXCEPTIONAL CIRCUMSTANCES
Pub. L. 118–159, div. A, title VII, § 706, Dec. 23, 2024, 138
Stat. 1944, provided that: ‘‘Not later than one year after
Page 1068
TITLE 10—ARMED FORCES
§ 1074j
the date of the enactment of this Act [Dec. 23, 2024], the
Secretary of Defense shall issue guidance with respect
to the authority of the Secretary under section 1074i(b)
of title 10, United States Code.’’
§ 1074j. Sub-acute care program
(a) ESTABLISHMENT.—The Secretary of Defense
shall establish an effective, efficient, and inte-
grated sub-acute care benefits program under
this chapter (hereinafter referred to in this sec-
tion as the ‘‘program’’). Except as otherwise pro-
vided in this section, the types of health care
authorized under the program shall be the same
as those provided under section 1079 of this title.
The Secretary, after consultation with the other
administering Secretaries, shall promulgate reg-
ulations to carry out this section.
(b) BENEFITS.—(1) The program shall include a
uniform skilled nursing facility benefit that
shall be provided in the manner and under the
conditions described in section 1861 (h) and (i) of
the Social Security Act (42 U.S.C. 1395x (h) and
(i)), except that the limitation on the number of
days of coverage under section 1812 (a) and (b) of
such Act (42 U.S.C. 1395d (a) and (b)) shall not be
applicable under the program. Skilled nursing
facility care for each spell of illness shall con-
tinue to be provided for as long as medically
necessary and appropriate.
(2) In this subsection:
(A) The term ‘‘skilled nursing facility’’ has
the meaning given such term in section 1819(a)
of
the
Social
Security
Act
(42
U.S.C.
1395i–3(a)).
(B) The term ‘‘spell of illness’’ has the mean-
ing given such term in section 1861(a) of such
Act (42 U.S.C. 1395x(a)).
(3) The program shall include a comprehen-
sive, part-time or intermittent home health care
benefit that shall be provided in the manner and
under the conditions described in section 1861(m)
of the Social Security Act (42 U.S.C. 1395x(m)).
(4) The Secretary of Defense may take such
actions as are necessary to ensure that there is
an effective transition in the furnishing of part-
time or intermittent home health care benefits
for covered beneficiaries who were receiving
such benefits before the establishment of the
program under this section. The actions taken
under this paragraph may include the continu-
ation of such benefits on an extended basis for
such time as the Secretary determines appro-
priate.
(Added Pub. L. 107–107, div. A, title VII,
§ 701(a)(1), Dec. 28, 2001, 115 Stat. 1158; amended
Pub. L. 108–375, div. A, title VII, § 713, Oct. 28,
2004, 118 Stat. 1985.)
Editorial Notes
AMENDMENTS
2004—Subsec. (b)(4). Pub. L. 108–375 added par. (4).
§ 1074k. Long-term care insurance
Provisions regarding long-term care insurance
for members and certain former members of the
uniformed services and their families are set
forth in chapter 90 of title 5.
(Added Pub. L. 107–107, div. A, title VII,
§ 701(f)(1), Dec. 28, 2001, 115 Stat. 1161.)
§ 1074l. Notification to Congress of hospitaliza-
tion of combat wounded members
(a) NOTIFICATION
REQUIRED.—The Secretary
concerned shall provide notification of the hos-
pitalization of any member of the armed forces
evacuated from a theater of combat and admit-
ted to any military medical treatment facility
to the appropriate Members of Congress.
(b) APPROPRIATE MEMBERS.—In this section,
the term ‘‘appropriate Members of Congress’’,
with respect to the member of the armed forces
about whom notification is being made, means
the Senators representing the State, and the
Member, Delegate, or Resident Commissioner of
the House of Representatives representing the
district, that includes the member’s home of
record or a different location as provided by the
member.
(c) CONSENT OF MEMBER REQUIRED.—The noti-
fication under subsection (a) may be provided
only with the consent of the member of the
armed forces about whom notification is to be
made. In the case of a member who is unable to
provide consent, information and consent may
be provided by next of kin.
(Added Pub. L. 110–181, div. A, title XVI,
§ 1617(a)(1), Jan. 28, 2008, 122 Stat. 449; amended
Pub. L. 115–232, div. A, title VII, § 720, Aug. 13,
2018, 132 Stat. 1817.)
Editorial Notes
AMENDMENTS
2018—Subsec. (a). Pub. L. 115–232 substituted ‘‘admit-
ted to any military medical treatment facility’’ for
‘‘admitted to a military treatment facility within the
United States’’.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF 2008 AMENDMENT
Pub. L. 110–181, div. A, title XVI, § 1617(a)(2), Jan. 28,
2008, 122 Stat. 449, provided that: ‘‘The notification re-
quirement under section 1074l(a) of title 10, United
States Code, as added by paragraph (1), shall apply be-
ginning 60 days after the date of the enactment of this
Act [Jan. 28, 2008].’’
§ 1074m. Mental health assessments for members
of the armed forces deployed in support of a
contingency operation
(a) MENTAL
HEALTH
ASSESSMENTS.—(1) The
Secretary of Defense shall provide a person-to-
person mental health assessment for each mem-
ber of the armed forces who is deployed in sup-
port of a contingency operation as follows:
(A) Once during the period beginning 120
days before the date of the deployment.
(B) Once during each 180-day period during
which a member is deployed.
(C) Subject to paragraph (3) and subsection
(d), once during the period beginning on the
date of redeployment from the contingency
operation and ending on the date that is 21
days after the date on which the post-deploy-
ment leave of the member terminates.
(D) Subject to subsection (d), not less than
once annually—
(i) beginning 21 days after the date on
which the post-deployment leave of the
member terminates; or
Cross-references
Connections may be documented source relationships, shared citations or nearby passages. Each explains its basis; a connection alone does not establish applicability to your situation.
Federal law — U.S. Code and appendices · legal_authorities
**(a) In General.—** Except as provided by subsection (b), in any case in which a covered beneficiary is referred by a primary care physician to a specialty care provider who provides services more than 100 miles from the location in which the primary care provider provides services to the covered beneficiary, the Secretary of Defense shall provide travel and transportation allowances as specified in regulations prescribed under [section 464 of title 37](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title37-section464&num=0&edition=prelim) for the covered beneficiary and, when accompaniment by an adult is necessary, for a parent or guardian of the covered beneficiary or another member of the covered beneficiary’s family who is at least 21 years of age.
**(b) Special Rules for Certain Members and Dependents.—**
(1) The Secretary of Defense may provide travel and transportation allowances as specified in the regulations referred to in subsection (a) for travel of members of the armed forces on active duty and their dependents, and accompaniment, to a specialty care provider not otherwise authorized by subsection (a) under such exceptional circumstances as the Secretary considers appropriate for purposes of this section.
(2) With respect to members of the armed forces on active duty and their dependents, the Secretary shall administer subsection (a) by substituting “75 miles” for “100 miles”.
**(c) Outreach Program and Travel Reimbursement for Follow-on Specialty Care and Related Services.—** The Secretary concerned shall ensure that an outreach program is implemented for each member of the uniformed services who incurred a combat-related disability and is entitled to retired or retainer pay, or equivalent pay, so that—
(1) the progress of the member is
Source: Supplied U.S. Code snapshot — release unconfirmed · 10 U.S.C. § 1074i
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Basic freedom of choice** Any individual entitled to insurance benefits under this subchapter may obtain health services from any institution, agency, or person qualified to participate under this subchapter if such institution, agency, or person undertakes to provide him such services.
**(b) Use of private contracts by medicare beneficiaries**
(1) **In general** — Subject to the provisions of this subsection, nothing in this subchapter shall prohibit a physician or practitioner from entering into a private contract with a medicare beneficiary for any item or service—
(A) for which no claim for payment is to be submitted under this subchapter, and
(B) for which the physician or practitioner receives—
(i) no reimbursement under this subchapter directly or on a capitated basis, and
(ii) receives no amount for such item or service from an organization which receives reimbursement for such item or service under this subchapter directly or on a capitated basis.
(2) **Beneficiary protections**
(A) *In general* — Paragraph (1) shall not apply to any contract unless—
(i) the contract is in writing and is signed by the medicare beneficiary before any item or service is provided pursuant to the contract;
(ii) the contract contains the items described in subparagraph (B); and
(iii) the contract is not entered into at a time when the medicare beneficiary is facing an emergency or urgent health care situation.
(B) *Items required to be included in contract* — Any contract to provide items and services to which paragraph (1) applies shall clearly indicate to the medicare beneficiary that by signing such contract the beneficiary—
(i) agrees not to submit a claim (or to request that the physician or practitioner submit a claim) under t
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1395d
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Federal law — U.S. Code and appendices · legal_authorities
Page 2931
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 1395d
such services entered into an agreement under sec-
tion 1866 of the Social Security Act [42 U.S.C.
1395cc] and (ii) the hospital’s plan for utilization re-
view, as provided for in section 1861(k) of such Act
[42 U.S.C. 1395x(k)], has, in accordance with section
1814 of such Act [42 U.S.C. 1395f], been applied to the
services furnished such individual, or
‘‘(B) 20 days in any spell of illness, if the hospital
did not meet the conditions of clauses (i) and (ii) of
subparagraph (A).
‘‘(c)(1) The amounts payable in accordance with sub-
section (a) with respect to inpatient hospital services
shall, subject to paragraph (2) of this subsection, be
paid from the Federal Hospital Insurance Trust Fund in
amounts equal to 60 percent of the hospital’s reason-
able charges for routine services furnished in the ac-
commodations occupied by the individual or in semi-
private accommodations (as defined in section 1861(v)(4)
of the Social Security Act [42 U.S.C. 1395x(v)(4)]) which-
ever is less, plus 80 percent of the hospital’s reasonable
charges for ancillary services. If separate charges for
routine and ancillary services are not made by the hos-
pital, reimbursement may be based on two-thirds of the
hospital’s reasonable charges for the services received
but not to exceed the charges which would have been
made if the patient had occupied semi-private accom-
modations (as so defined). For purposes of the pre-
ceding provisions of this paragraph, the term ‘routine
services’ shall mean the regular room, dietary, and
nursing services, minor medical and surgical supplies
and the use of equipment and facilities for which a sep-
arate charge is not customarily made; the term ‘ancil-
lary services’ shall mean th
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1395d
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Grants** The Secretary of Health and Human Services (in this section referred to as the “Secretary”) shall make grants to States, with approved State regulatory programs under [section 1395ss of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395ss&num=0&edition=prelim), that submit applications to the Secretary that meet the requirements of this section for the purpose of providing information, counseling, and assistance relating to the procurement of adequate and appropriate health insurance coverage to individuals who are eligible to receive benefits under this subchapter (in this section referred to as “eligible individuals”). The Secretary shall prescribe regulations to establish a minimum level of funding for a grant issued under this section.
**(b) Grant applications**
(1) In submitting an application under this section, a State may consolidate and coordinate an application that consists of parts prepared by more than one agency or department of such State.
(2) As part of an application for a grant under this section, a State shall submit a plan for a State-wide health insurance information, counseling, and assistance program. Such program shall—
(A) establish or improve upon a health insurance information, counseling, and assistance program that provides counseling and assistance to eligible individuals in need of health insurance information, including—
(i) information that may assist individuals in obtaining benefits and filing claims under this subchapter and subchapter XIX of this chapter;
(ii) policy comparison information for medicare supplemental policies (as described in [section 1395ss(g)(1) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395ss/g/1
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1395i
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Federal law — U.S. Code and appendices · legal_authorities
Page 2966
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 1395i
amendments to agreements under section 1816 [42
U.S.C. 1395h] and contracts under section 1842 of the So-
cial Security Act [42 U.S.C. 1395u], and regulations, to
such extent as may be necessary to implement the
amendments made by subsections (a) and (b) [amending
this section] on a timely basis.’’
REPLACEMENT
OF AGENCY, ORGANIZATION, OR CARRIER
PROCESSING MEDICARE CLAIMS; NUMBER
OF AGREE-
MENTS
AND
CONTRACTS
AUTHORIZED
FOR
FISCAL
YEARS 1985 THROUGH 1993
Pub. L. 98–369, div. B, title III, § 2326(a), July 18, 1984,
98 Stat. 1087, as amended by Pub. L. 98–617, § 3(a)(2),
Nov. 8, 1984, 98 Stat. 3295; Pub. L. 99–509, title IX,
§ 9321(b), Oct. 21, 1986, 100 Stat. 2016; Pub. L. 101–239,
title VI, § 6215(a), Dec. 19, 1989, 103 Stat. 2252; Pub. L.
103–432, title I, § 159(a), Oct. 31, 1994, 108 Stat. 4443, pro-
vided that: ‘‘During each fiscal year (beginning with
fiscal year 1985 and ending with fiscal year 1993), the
Secretary of Health and Human Services may enter
into not more than two agreements under section 1816
of the Social Security Act [42 U.S.C. 1395h], and not
more than two contracts under section 1842 of such Act
[42 U.S.C. 1395u], on the basis of competitive bidding,
without regard to the nominating process under section
1816(a) of such Act or cost reimbursement provisions
under sections 1816(c) or 1842(c) of such Act during the
term of the agreement. Such procedure may be used
only for the purpose of replacing an agency or organiza-
tion or carrier which over a 2-year period of time has
been in the lowest 20th percentile of agencies and orga-
nizations or carriers having agreements or contracts
under the respective section, as measured by the Sec-
retary’s cost and performance criter
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1395i
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment** The Secretary shall establish a manufacturer discount program (in this section referred to as the “program”). Under the program, the Secretary shall enter into agreements described in subsection (b) with manufacturers and provide for the performance of the duties described in subsection (c).
**(b) Terms of agreement**
(1) **In general**
(A) *Agreement* — An agreement under this section shall require the manufacturer to provide, in accordance with this section, discounted prices for applicable drugs of the manufacturer that are dispensed to applicable beneficiaries on or after January 1, 2025.
(B) *Clarification* — Nothing in this section shall be construed as affecting—
(i) the application of a coinsurance of 25 percent of the negotiated price, as applied under paragraph (2)(A) of [section 1395w–102(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395w–102/b&num=0&edition=prelim), for costs described in such paragraph; or
(ii) the application of the copayment amount described in paragraph (4)(A) of such section, with respect to costs described in such paragraph.
(C) *Timing of agreement*
(i) *Special rule for 2025* — In order for an agreement with a manufacturer to be in effect under this section with respect to the period beginning on January 1, 2025, and ending on December 31, 2025, the manufacturer shall enter into such agreement not later than March 1, 2024.
(ii) *2026 and subsequent years* — In order for an agreement with a manufacturer to be in effect under this section with respect to plan year 2026 or a subsequent plan year, the manufacturer shall enter into such agreement not later than a calendar quarter or semi-annual deadline established by the Secretary.
(2)
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1395x
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Federal law — U.S. Code and appendices · legal_authorities
Page 3523
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 1395x
Revenue Code of 1986 with respect to the man-
ufacturer.
(d) Definition of manufacturer
In this section, the term ‘‘manufacturer’’ has
the
meaning
given
such
term
in
section
1395w–114a(g)(5) of this title.
(Aug. 14, 1935, ch. 531, title XVIII, § 1860D–43, as
added Pub. L. 111–148, title III, § 3301(a), Mar. 23,
2010, 124 Stat. 461; amended Pub. L. 111–152, title
I, § 1101(b)(1), Mar. 30, 2010, 124 Stat. 1037; Pub. L.
117–169, title I, §§ 11001(b)(1)(G)(i), 11201(e)(7),
Aug. 16, 2022, 136 Stat. 1853, 1892.)
Editorial Notes
REFERENCES IN TEXT
Section 5000D(c)(1) of the Internal Revenue Code of
1986, referred to in subsec. (c)(2), is classified to section
5000D(c)(1) of Title 26, Internal Revenue Code.
AMENDMENTS
2022—Subsec. (a)(1). Pub. L. 117–169, § 11201(e)(7)(A)(i),
added par. (1) and struck out former par. (1) which read
as follows: ‘‘participate in the Medicare coverage gap
discount program under section 1395w–114a of this
title;’’.
Subsec. (a)(2). Pub. L. 117–169, § 11201(e)(7)(A)(ii),
added par. (2) and struck out former par. (2) which read
as follows: ‘‘have entered into and have in effect an
agreement described in subsection (b) of such section
with the Secretary; and’’.
Subsec. (a)(3). Pub. L. 117–169, § 11201(e)(7)(A)(iii), sub-
stituted ‘‘section 1395w–114a of this title’’ for ‘‘such sec-
tion’’.
Subsec. (b). Pub. L. 117–169, § 11201(e)(7)(B), added sub-
sec. (b) and struck out former subsec. (b). Prior to
amendment, text read as follows: ‘‘Subsection (a) shall
apply to covered part D drugs dispensed under this part
on or after January 1, 2011.’’
Subsec. (c). Pub. L. 117–169, § 11001(b)(1)(G)(i), des-
ignated existing provisions as par. (1) and inserted
heading, sub
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1395x
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 1395x. This identifies an authority to review, not proof of applicability.