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21 U.S.C. § 862b — Sanctioning for testing positive for con-

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

21 U.S.C. § 862b — Sanctioning for testing positive for con-

Page 871 TITLE 21—FOOD AND DRUGS § 862b defined in that section) or any State program carried out under that Act [7 U.S.C. 2011 et seq.]. (f) Rule of interpretation Nothing in this section shall be construed to deny the following Federal benefits: (1) Emergency medical services under title XIX of the Social Security Act [42 U.S.C. 1396 et seq.]. (2) Short-term, noncash, in-kind emergency disaster relief. (3)(A) Public health assistance for immuni- zations. (B) Public health assistance for testing and treatment of communicable diseases if the Secretary of Health and Human Services de- termines that it is necessary to prevent the spread of such disease. (4) Prenatal care. (5) Job training programs. (6) Drug treatment programs. (Pub. L. 104–193, title I, § 115, Aug. 22, 1996, 110 Stat. 2180; Pub. L. 105–33, title V, § 5516(a), Aug. 5, 1997, 111 Stat. 620; Pub. L. 110–234, title IV, § 4115(c)(2)(C), May 22, 2008, 122 Stat. 1109; Pub. L. 110–246, § 4(a), title IV, § 4115(c)(2)(C), June 18, 2008, 122 Stat. 1664, 1871; Pub. L. 113–79, title IV, § 4030(n), Feb. 7, 2014, 128 Stat. 814.) Editorial Notes REFERENCES IN TEXT The Social Security Act, referred to in subsecs. (a)(1), (b)(1), (e)(1), and (f)(1), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Part A of title IV of the Act is classified gen- erally to part A (§ 601 et seq.) of subchapter IV of chap- ter 7 of Title 42, The Public Health and Welfare. Title XIX of the Act is classified generally to subchapter XIX (§ 1396 et seq.) of chapter 7 of Title 42. For complete classification of this Act to the Code, see section 1305 of Title 42 and Tables. The Food and Nutrition Act of 2008, referred to in subsecs. (a)(2), (b)(2), and (e)(2), is Pub. L. 88–525, Aug. 31, 1964, 78 Stat. 703, which is

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Page 871 TITLE 21—FOOD AND DRUGS § 862b defined in that section) or any State program carried out under that Act [7 U.S.C. 2011 et seq.]. (f) Rule of interpretation Nothing in this section shall be construed to deny the following Federal benefits: (1) Emergency medical services under title XIX of the Social Security Act [42 U.S.C. 1396 et seq.]. (2) Short-term, noncash, in-kind emergency disaster relief. (3)(A) Public health assistance for immuni- zations. (B) Public health assistance for testing and treatment of communicable diseases if the Secretary of Health and Human Services de- termines that it is necessary to prevent the spread of such disease. (4) Prenatal care. (5) Job training programs. (6) Drug treatment programs. (Pub. L. 104–193, title I, § 115, Aug. 22, 1996, 110 Stat. 2180; Pub. L. 105–33, title V, § 5516(a), Aug. 5, 1997, 111 Stat. 620; Pub. L. 110–234, title IV, § 4115(c)(2)(C), May 22, 2008, 122 Stat. 1109; Pub. L. 110–246, § 4(a), title IV, § 4115(c)(2)(C), June 18, 2008, 122 Stat. 1664, 1871; Pub. L. 113–79, title IV, § 4030(n), Feb. 7, 2014, 128 Stat. 814.) Editorial Notes REFERENCES IN TEXT The Social Security Act, referred to in subsecs. (a)(1), (b)(1), (e)(1), and (f)(1), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Part A of title IV of the Act is classified gen- erally to part A (§ 601 et seq.) of subchapter IV of chap- ter 7 of Title 42, The Public Health and Welfare. Title XIX of the Act is classified generally to subchapter XIX (§ 1396 et seq.) of chapter 7 of Title 42. For complete classification of this Act to the Code, see section 1305 of Title 42 and Tables. The Food and Nutrition Act of 2008, referred to in subsecs. (a)(2), (b)(2), and (e)(2), is Pub. L. 88–525, Aug. 31, 1964, 78 Stat. 703, which is classified generally to chapter 51 (§ 2011 et seq.) of Title 7, Agriculture. For complete classification of this Act to the Code, see Short Title note set out under section 2011 of Title 7 and Tables. CODIFICATION Pub. L. 110–234 and Pub. L. 110–246 made identical amendments to this section. The amendments by Pub. L. 110–234 were repealed by section 4(a) of Pub. L. 110–246. Section was enacted as part of the Personal Responsi- bility and Work Opportunity Reconciliation Act of 1996, and not as part of the Controlled Substances Act which comprises this subchapter. AMENDMENTS 2014—Subsec. (a)(2). Pub. L. 113–79, § 4030(n)(1), sub- stituted ‘‘supplemental nutrition assistance program (as defined in section 3 of the Food and Nutrition Act of 2008 (7 U.S.C. 2012)) or any State program carried out under that Act’’ for ‘‘food stamp program (as defined in section 3(l) of the Food Stamp Act of 1977) or any State program carried out under the Food Stamp Act of 1977’’. Subsec. (b)(2). Pub. L. 113–79, § 4030(n)(2), substituted ‘‘supplemental nutrition assistance program (as defined in section 3 of the Food and Nutrition Act of 2008 (7 U.S.C. 2012)), or any State program carried out under that Act’’ for ‘‘food stamp program (as defined in sec- tion 3(l) of the Food Stamp Act of 1977), or any State program carried out under the Food Stamp Act of 1977’’. Subsec. (e)(2). Pub. L. 113–79, § 4030(n)(3), substituted ‘‘section 3 of the Food and Nutrition Act of 2008 (7 U.S.C. 2012), when referring to the supplemental nutri- tion assistance program (as defined in that section) or any State program carried out under that Act’’ for ‘‘section 3(s) of the Food Stamp Act of 1977, when refer- ring to the food stamp program (as defined in section 3(l) of the Food Stamp Act of 1977) or any State pro- gram carried out under the Food Stamp Act of 1977’’. 2008—Subsecs. (a)(2), (b)(2). Pub. L. 110–246, § 4115(c)(2)(C)(i), substituted ‘‘section 3(l)’’ for ‘‘section 3(h)’’. Subsec. (e)(2). Pub. L. 110–246, § 4115(c)(2)(C), sub- stituted ‘‘section 3(s)’’ for ‘‘section 3(m)’’ and ‘‘section 3(l)’’ for ‘‘section 3(h)’’. 1997—Subsec. (d)(2). Pub. L. 105–33 substituted ‘‘a con- viction if the conviction is for conduct’’ for ‘‘convic- tions’’. Statutory Notes and Related Subsidiaries CHANGE OF NAME References to the food stamp program established under the Food Stamp Act of 1977, now known as the Food and Nutrition Act of 2008, considered to refer to the supplemental nutrition assistance program estab- lished under that Act, see section 4002(c) of Pub. L. 110–246, set out as a note under section 2012 of Title 7, Agriculture. EFFECTIVE DATE OF 2008 AMENDMENT Amendment of this section and repeal of Pub. L. 110–234 by Pub. L. 110–246 effective May 22, 2008, the date of enactment of Pub. L. 110–234, except as other- wise provided, see section 4 of Pub. L. 110–246, set out as an Effective Date note under section 8701 of Title 7, Agriculture. Amendment by section 4115(c)(2)(C) of Pub. L. 110–246 effective Oct. 1, 2008, see section 4407 of Pub. L. 110–246, set out as a note under section 1161 of Title 2, The Con- gress. EFFECTIVE DATE OF 1997 AMENDMENT Pub. L. 105–33, title V, § 5518(d), Aug. 5, 1997, 111 Stat. 621, provided that: ‘‘The amendments made by this chapter to a provision of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 [Pub. L. 104–193] that have not become part of another stat- ute [chapter 1 (§§ 5501–5518) of subtitle F of title V of Pub. L. 105–33, amending this section, sections 601 to 603, 604 to 608, 609 to 611, and 612 to 617 of Title 42, The Public Health and Welfare, and provisions set out as notes under section 612c of Title 7, Agriculture, and sections 601 and 613 of Title 42] shall take effect as if the amendments had been included in the provision at the time the provision became law.’’ EFFECTIVE DATE Section effective July 1, 1997, with transition rules relating to State options to accelerate such date, rules relating to claims, actions, and proceedings com- menced before such date, rules relating to closing out of accounts for terminated or substantially modified programs and continuance in office of Assistant Sec- retary for Family Support, and provisions relating to termination of entitlement under AFDC program, see section 116 of Pub. L. 104–193, as amended, set out as an Effective Date note under section 601 of Title 42, The Public Health and Welfare. § 862b. Sanctioning for testing positive for con- trolled substances Notwithstanding any other provision of law, States shall not be prohibited by the Federal Government from testing welfare recipients for Page 872 TITLE 21—FOOD AND DRUGS § 863 1 So in original. Probably should be ‘‘marihuana,’’. use of controlled substances nor from sanc- tioning welfare recipients who test positive for use of controlled substances. (Pub. L. 104–193, title IX, § 902, Aug. 22, 1996, 110 Stat. 2347.) Editorial Notes CODIFICATION Section was enacted as part of the Personal Responsi- bility and Work Opportunity Reconciliation Act of 1996, and not as part of the Controlled Substances Act which comprises this subchapter. § 863. Drug paraphernalia (a) In general It is unlawful for any person— (1) to sell or offer for sale drug para- phernalia; (2) to use the mails or any other facility of interstate commerce to transport drug para- phernalia; or (3) to import or export drug paraphernalia. (b) Penalties Anyone convicted of an offense under sub- section (a) of this section shall be imprisoned for not more than three years and fined under title 18. (c) Seizure and forfeiture Any drug paraphernalia involved in any viola- tion of subsection (a) of this section shall be subject to seizure and forfeiture upon the con- viction of a person for such violation. Any such paraphernalia shall be delivered to the Adminis- trator of General Services, General Services Ad- ministration, who may order such paraphernalia destroyed or may authorize its use for law en- forcement or educational purposes by Federal, State, or local authorities. (d) ‘‘Drug paraphernalia’’ defined The term ‘‘drug paraphernalia’’ means any equipment, product, or material of any kind which is primarily intended or designed for use in manufacturing, compounding, converting, concealing, producing, processing, preparing, in- jecting, ingesting, inhaling, or otherwise intro- ducing into the human body a controlled sub- stance, possession of which is unlawful under this subchapter. It includes items primarily in- tended or designed for use in ingesting, inhaling, or otherwise introducing marijuana,1 cocaine, hashish, hashish oil, PCP, methamphetamine, or amphetamines into the human body, such as— (1) metal, wooden, acrylic, glass, stone, plas- tic, or ceramic pipes with or without screens, permanent screens, hashish heads, or punc- tured metal bowls; (2) water pipes; (3) carburetion tubes and devices; (4) smoking and carburetion masks; (5) roach clips: meaning objects used to hold burning material, such as a marihuana ciga- rette, that has become too small or too short to be held in the hand; (6) miniature spoons with level capacities of one-tenth cubic centimeter or less; (7) chamber pipes; (8) carburetor pipes; (9) electric pipes; (10) air-driven pipes; (11) chillums; (12) bongs; (13) ice pipes or chillers; (14) wired cigarette papers; or (15) cocaine freebase kits. (e) Matters considered in determination of what constitutes drug paraphernalia In determining whether an item constitutes drug paraphernalia, in addition to all other logi- cally relevant factors, the following may be con- sidered: (1) instructions, oral or written, provided with the item concerning its use; (2) descriptive materials accompanying the item which explain or depict its use; (3) national and local advertising concerning its use; (4) the manner in which the item is dis- played for sale; (5) whether the owner, or anyone in control of the item, is a legitimate supplier of like or related items to the community, such as a li- censed distributor or dealer of tobacco prod- ucts; (6) direct or circumstantial evidence of the ratio of sales of the item(s) to the total sales of the business enterprise; (7) the existence and scope of legitimate uses of the item in the community; and (8) expert testimony concerning its use. (f) Exemptions This section shall not apply to— (1) any person authorized by local, State, or Federal law to manufacture, possess, or dis- tribute such items; or (2) any item that, in the normal lawful course of business, is imported, exported, transported, or sold through the mail or by any other means, and traditionally intended for use with tobacco products, including any pipe, paper, or accessory. (Pub. L. 91–513, title II, § 422, as added and amended Pub. L. 101–647, title XXIV, § 2401(a)–(c), Nov. 29, 1990, 104 Stat. 4858, 4859; Pub. L. 106–310, div. B, title XXXVI, § 3614, Oct. 17, 2000, 114 Stat. 1230.) Editorial Notes CODIFICATION The text of section 857(b) to (f) of this title, which was transferred to subsecs. (b) to (f) of this section by Pub. L. 101–647, § 2401(b), was based on Pub. L. 99–570, title I, § 1822(b)–(f), Oct. 27, 1986, 100 Stat. 3207–51; Pub. L. 100–690, title VI, § 6485, Nov. 18, 1988, 102 Stat. 4384. AMENDMENTS 2000—Subsec. (d). Pub. L. 106–310 inserted ‘‘meth- amphetamine,’’ after ‘‘PCP,’’ in introductory provi- sions. 1990—Subsec. (b). Pub. L. 101–647, § 2401(c)(1), sub- stituted ‘‘fined under title 18’’ for ‘‘fined not more than $100,000’’. Pub. L. 101–647, § 2401(b), redesignated subsec. (b) of section 857 of this title as subsec. (b) of this section. See Codification note above. Subsecs. (c) to (e). Pub. L. 101–647, § 2401(b), redesig- nated subsecs. (c) to (e) of section 857 of this title as

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

21 U.S.C. § 862b — Sanctioning for testing positive for controlled substances

Notwithstanding any other provision of law, States shall not be prohibited by the Federal Government from testing welfare recipients for use of controlled substances nor from sanctioning welfare recipients who test positive for use of controlled substances.

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

42 U.S.C. § 1396 — Medicaid and CHIP Payment and Access Commission

**(a) Establishment** There is hereby established the Medicaid and CHIP Payment and Access Commission (in this section referred to as “MACPAC”). **(b) Duties** (1) **Review of access policies for all States and annual reports** — MACPAC shall— (A) review policies of the Medicaid program established under this subchapter (in this section referred to as “Medicaid”) and the State Children’s Health Insurance Program established under subchapter XXI (in this section referred to as “CHIP”) affecting access to covered items and services, including topics described in paragraph (2); (B) make recommendations to Congress, the Secretary, and States concerning such access policies; (C) by not later than March 15 of each year (beginning with 2010), submit a report to Congress containing the results of such reviews and MACPAC’s recommendations concerning such policies; and (D) by not later than June 15 of each year (beginning with 2010), submit a report to Congress containing an examination of issues affecting Medicaid and CHIP, including the implications of changes in health care delivery in the United States and in the market for health care services on such programs. (2) **Specific topics to be reviewed** — Specifically, MACPAC shall review and assess the following: (A) *Medicaid and CHIP payment policies* — Payment policies under Medicaid and CHIP, including— (i) the factors affecting expenditures for the efficient provision of items and services in different sectors, including the process for updating payments to medical, dental, and health professionals, hospitals, residential and long-term care providers, providers of home and community based services, Federally-qualified health centers and rural health clinics, managed care entities, and providers of ot

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

42 U.S.C. § 1396 — Medicaid and CHIP Payment and Access

Page 4009 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 1396 of the enactment of this Act [Oct. 6, 2014], the Sec- retary shall develop and report to Congress on a stra- tegic plan for collecting or otherwise accessing data on race and ethnicity for purposes of specifying quality measures and resource use and other measures under subsections (c) and (d) of section 1899B of the Social Se- curity Act, as added by subsection (a), and, as the Sec- retary determines appropriate, other similar provisions of, including payment adjustments under, title XVIII of such Act (42 U.S.C. 1395 et seq.).’’ SUBCHAPTER XIX—GRANTS TO STATES FOR MEDICAL ASSISTANCE PROGRAMS § 1396. Medicaid and CHIP Payment and Access Commission (a) Establishment There is hereby established the Medicaid and CHIP Payment and Access Commission (in this section referred to as ‘‘MACPAC’’). (b) Duties (1) Review of access policies for all States and annual reports MACPAC shall— (A) review policies of the Medicaid pro- gram established under this subchapter (in this section referred to as ‘‘Medicaid’’) and the State Children’s Health Insurance Pro- gram established under subchapter XXI (in this section referred to as ‘‘CHIP’’) affecting access to covered items and services, includ- ing topics described in paragraph (2); (B) make recommendations to Congress, the Secretary, and States concerning such access policies; (C) by not later than March 15 of each year (beginning with 2010), submit a report to Congress containing the results of such re- views and MACPAC’s recommendations con- cerning such policies; and (D) by not later than June 15 of each year (beginning with 2010), submit a report to Congress containing an examination of issues affecting Medicaid and CHIP, includ- ing the impli

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

7 U.S.C. § 2011 — Congressional declaration of policy

It is declared to be the policy of Congress, in order to promote the general welfare, to safeguard the health and well-being of the Nation’s population by raising levels of nutrition among low-income households. Congress finds that the limited food purchasing power of low-income households contributes to hunger and malnutrition among members of such households. Congress further finds that increased utilization of food in establishing and maintaining adequate national levels of nutrition will promote the distribution in a beneficial manner of the Nation’s agricultural abundance and will strengthen the Nation’s agricultural economy, as well as result in more orderly marketing and distribution of foods. To alleviate such hunger and malnutrition, a supplemental nutrition assistance program is herein authorized which will permit low-income households to obtain a more nutritious diet through normal channels of trade by increasing food purchasing power for all eligible households who apply for participation.

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

7 U.S.C. § 2011 — Congressional declaration of policy

Page 1226 TITLE 7—AGRICULTURE §§ 2009ee to 2009ee–3 SUBCHAPTER X—SEARCH GRANTS FOR SMALL COMMUNITIES §§ 2009ee to 2009ee–3. Repealed. Pub. L. 110–234, title VI, § 6002(b), May 22, 2008, 122 Stat. 1162, and Pub. L. 110–246, § 4(a), title VI, § 6002(b), June 18, 2008, 122 Stat. 1664, 1923 Section 2009ee, Pub. L. 107–171, title VI, § 6301, May 13, 2002, 116 Stat. 421, defined terms. Section 2009ee–1, Pub. L. 107–171, title VI, § 6302, May 13, 2002, 116 Stat. 422, related to SEARCH grant pro- gram. See section 1926 of this title. Section 2009ee–2, Pub. L. 107–171, title VI, § 6303, May 13, 2002, 116 Stat. 424, related to annual report on projects. Section 2009ee–3, Pub. L. 107–171, title VI, § 6304, May 13, 2002, 116 Stat. 424, related to funding. Editorial Notes CODIFICATION Pub. L. 110–234 and Pub. L. 110–246 repealed this sub- chapter. Pub. L. 110–234 was repealed by section 4(a) of Pub. L. 110–246. Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF REPEAL Repeal of this subchapter and repeal of Pub. L. 110–234 by Pub. L. 110–246 effective May 22, 2008, the date of enactment of Pub. L. 110–234, see section 4 of Pub. L. 110–246, set out as an Effective Date note under section 8701 of this title. CHAPTER 51—SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM Sec. 2011. Congressional declaration of policy. 2012. Definitions. 2012a. Publicly operated community health centers. 2013. Establishment of supplemental nutrition as- sistance program. 2014. Eligible households. 2014a. Notice of change in State of residence of cer- tified household. 2015. Eligibility disqualifications. 2016. Issuance and use of program benefits. 2016a. EBT benefit fraud prevention. 2017. Value of allotment. 2018. Approval of retail food stores and wholesale

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

7 U.S.C. § 2012 — Definitions

As used in this chapter, the term: **(a)** “Access device” means any card, plate, code, account number, or other means of access, including point of sale devices, that can be used, alone or in conjunction with another access device, to obtain payments, allotments, benefits, money, goods, or other things of value, or that can be used to initiate a transfer of funds under this chapter. **(b)** “Allotment” means the total value of benefits a household is authorized to receive during each month. **(c)** “Allowable medical expenses” means expenditures for (1) medical and dental care, (2) hospitalization or nursing care (including hospitalization or nursing care of an individual who was a household member immediately prior to entering a hospital or nursing home), (3) prescription drugs when prescribed by a licensed practitioner authorized under State law and over-the-counter medication (including insulin) when approved by a licensed practitioner or other qualified health professional, (4) health and hospitalization insurance policies (excluding the costs of health and accident or income maintenance policies), (5) medicare premiums related to coverage under title XVIII of the Social Security Act [[42 U.S.C. 1395](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395&num=0&edition=prelim) et seq.], (6) dentures, hearing aids, and prosthetics (including the costs of securing and maintaining a seeing eye dog), (7) eye glasses prescribed by a physician skilled in eye disease or by an optometrist, (8) reasonable costs of transportation necessary to secure medical treatment or services, and (9) maintaining an attendant, homemaker, home health aide, housekeeper, or child care services due to age, infirmity, or illness. **(d) Benefit.—** The term “benefi

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

7 U.S.C. § 2012 — Definitions

Page 1232 TITLE 7—AGRICULTURE § 2012 istration of the food stamp program. The provisions of the Food Stamp Act of 1964, as amended [this chapter prior to amendment by Pub. L. 95–113], which are rel- evant to current regulations of the Secretary governing the food stamp program, shall remain in effect until such regulations are revoked, superseded, amended, or modified by regulations issued pursuant to the Food Stamp Act of 1977. Coupons issued pursuant to the Food Stamp Act of 1964, as amended, and in general use as of the effective date of the Food Stamp Act of 1977 [Oct. 1, 1977], shall continue to be usable to purchase food, and all other liabilities of the Secretary, States, and applicant or participating households, under the Food Stamp Act of 1964, as amended, shall continue in force until finally resolved or terminated by administrative or judicial action, or otherwise. ‘‘(b) Pending proceedings under the Food Stamp Act of 1964, as amended, shall not be abated by reason of any provision of the Food Stamp Act of 1977, but shall be disposed of pursuant to the applicable provisions of the Food Stamp Act of 1964, as amended, in effect prior to the effective date of the Food Stamp Act of 1977 [Oct. 1, 1977]. ‘‘(c) Appropriations made available to carry out the Food Stamp Act of 1964, as amended, shall be available to carry out the provisions of the Food Stamp Act of 1977. ‘‘(d) [Repealed. Pub. L. 97–375, title I, § 103(a), Dec. 1, 1982, 96 Stat. 1819.]’’ [References to the food stamp program established under the Food and Nutrition Act of 2008 considered to refer to the supplemental nutrition assistance program established under that Act, see section 4002(c) of Pub. L. 110–246, set out as a note under section 2012 of this title.] DEFIN

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