42 U.S.C. § 1393 — Applications; single State agency designa-

Page 2891 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 1394 shall be available for such grants during such year and the next two fiscal years, and sums ap- propriated pursuant thereto for the fiscal year ending June 30, 1967, shall be available for such grants during such year and the succeeding fis- cal year. Any such grant to a State, which shall not exceed 75 per centum of the cost of the plan- ning and related activities involved, may be used by it to determine what action is needed to combat mental retardation in the State and the resources available for this purpose, to develop public awareness of the mental retardation problem and of the need for combating it, to co- ordinate State and local activities relating to the various aspects of mental retardation and its prevention, treatment, or amelioration, and to plan other activities leading to comprehen- sive State and community action to combat mental retardation. (Aug. 14, 1935, ch. 531, title XVII, § 1702, as added Pub. L. 88–156, § 5, Oct. 24, 1963, 77 Stat. 275; amended Pub. L. 89–97, title II, § 211(b), July 30, 1965, 79 Stat. 356.) Editorial Notes AMENDMENTS 1965—Pub. L. 89–97 inserted provision making appro- priations for fiscal year ending June 30, 1966, available for grants during such fiscal year and the next two fis- cal years and the appropriation for fiscal year ending June 30, 1967, available for grants during such fiscal year and the succeeding fiscal year. § 1393. Applications; single State agency designa- tion; essential planning services; plans for expenditure; final activities report and other necessary reports; records; accounting In order to be eligible for a grant under sec- tion 1392 of this title, a State must submit an application therefor which— (1) designates or establishes a single State agency, which may be an interdepartmental agency, as the sole agency for carrying out the purposes of this subchapter; (2) indicates the manner in which provision will be made to assure full consideration of all aspects of services essential to planning for comprehensive State and community action to combat mental retardation, including services in the fields of education, employment, reha- bilitation, welfare, health, and the law, and services provided through community pro- grams for and institutions for the mentally re- tarded; (3) sets forth its plans for expenditure of such grant, which plans provide reasonable as- surance of carrying out the purposes of this subchapter; (4) provides for submission of a final report of the activities of the State agency in car- rying out the purposes of this subchapter, and for submission of such other reports, in such form and containing such information, as the Secretary may from time to time find nec- essary for carrying out the purposes of this subchapter and for keeping such records and affording such access thereto as he may find necessary to assure the correctness and verification of such reports; and (5) provides for such fiscal control and fund accounting procedures as may be necessary to assure proper disbursement of and accounting for funds paid to the State under this sub- chapter. (Aug. 14, 1935, ch. 531, title XVII, § 1703, as added Pub. L. 88–156, § 5, Oct. 24, 1963, 77 Stat. 275.) § 1394. Payments to States; adjustments; ad- vances or reimbursement; installments; con- ditions Payment of grants under this subchapter may be made (after necessary adjustment on account of previously made underpayments or overpay- ments) in advance or by way of reimbursement, and in such installments and on such conditions, as the Secretary may determine. (Aug. 14, 1935, ch. 531, title XVII, § 1704, as added Pub. L. 88–156, § 5, Oct. 24, 1963, 77 Stat. 276.) SUBCHAPTER XVIII—HEALTH INSURANCE FOR AGED AND DISABLED Executive Documents EX. ORD. NO. 13890. PROTECTING AND IMPROVING MEDICARE FOR OUR NATION’S SENIORS Ex. Ord. No. 13890, Oct. 3, 2019, 84 F.R. 53573, provided: By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered as follows: SECTION 1. Purpose. The proposed Medicare for All Act of 2019, as introduced in the Senate [S. 1129, 116th Con- gress, 1st Session] (‘‘Medicare for All’’) would destroy our current Medicare program, which enables our Na- tion’s seniors and other vulnerable Americans to re- ceive affordable, high-quality care from providers of their choice. Rather than upend Medicare as we know it, my Administration will protect and improve it. America’s seniors are overwhelmingly satisfied with their Medicare coverage. The vast majority of seniors believe that the program delivers high-quality health outcomes. Medicare empowers seniors to choose their own providers and the type of health insurance that works best for them, whether it is fee-for-service (FFS) Medicare, in which the Federal Government pays for covered services, or Medicare Advantage (MA), in which Medicare dollars are used to purchase qualified private health insurance. ‘‘Medicare for All’’ would take away the choices currently available within Medi- care and centralize even more power in Washington, harming seniors and other Medicare beneficiaries. Throughout their lives, workers and their employers have contributed their own money to the Medicare Trust Fund. It would be a mistake to eliminate Ameri- cans’ healthcare choices and to force them into a new system that is effectively a Government takeover of their healthcare. ‘‘Medicare for All’’ would not only hurt America’s seniors, it would also eliminate health choices for all Americans. Instead of picking the health insurance that best meets their needs, Americans would generally be subject to a single, Government-run system. Private insurance for traditional health services, upon which millions of Americans depend, would be prohibited. States would be hindered from offering the types of in- surance that work best for their citizens. The Sec- retary of Health and Human Services (Secretary) would have the authority to control and approve health ex- penditures; such a system could create, among other problems, delays for patients in receiving needed care. To pay for this system, the Federal Government would compel Americans to pay more in taxes. No one—nei- ther seniors nor any American—would have the same options to choose their health coverage as they do now. Instead of ending the current Medicare program and eliminating health choices for all Americans, my Ad- ministration will continue to protect and improve