TABLE OF CONTENTS OF TITLE[2]Sec. 1801. Prohibition against any Federal interference Show Sec. 1802. Free choice by patient guaranteed Sec. 1803. Option to individuals to obtain other health insurance protection Sec. 1804. Notice of Medicare benefits: Medicare and Medigap information Sec. 1805. Medicare payment advisory commission Sec. 1806. Explanation of Medicare benefits Sec. 1807. Chronic care improvement Sec. 1808. Provisions relating to administration Sec. 1809. Addressing health care disparities Part A—Hospital Insurance Benefits for the Aged and Disabled Sec. 1811. Description of program Sec. 1812. Scope of benefits Sec. 1813. Deductibles and coinsurance Sec. 1814. Conditions of and limitations on payment for services Sec. 1815. Payment to providers of services Sec. 1816. Provisions relating to the administration of Part A Sec. 1817. Federal hospital insurance trust fund Sec. 1818. Hospital insurance benefits for uninsured elderly individuals not otherwise eligible Sec. 1818A. Hospital insurance benefits for disabled individuals who have exhausted other entitlement Sec. 1819. Requirements for, and assuring quality of care in, skilled nursing facilities Sec. 1820. Medicare rural hospital flexibility program Sec. 1821. Conditions for coverage of religious nonmedical health care institutional services Part B—Supplementary Medical Insurance Benefits for the Aged and Disabled Sec. 1831. Establishment of supplementary medical insurance program for the aged and the disabled Sec. 1832. Scope of benefits Sec. 1833. Payment of benefits Sec. 1834. Special payment rules for particular items and services Sec. 1834A. Improving policies for clinical diagnostic laboratory tests Sec. 1835. Procedure for payment of claims of providers of services Sec. 1836. Eligible individuals Sec. 1837. Enrollment periods Sec. 1838. Coverage period Sec. 1839. Amounts of premiums Sec. 1840. Payment of premiums Sec. 1841. Federal supplementary medical insurance trust fund Sec. 1842. Provisions relating to the administration of Part B Sec. 1843. State agreements for coverage of eligible individuals who are receiving money payments under public assistance programs or are eligible for medical assistance Sec. 1844. Appropriations to cover Government contributions and contingency reserve [Sec. 1845. Repealed.] Sec. 1846. Intermediate sanctions for providers or suppliers of clinical diagnostic laboratory tests Sec. 1847. Competitive acquisition of certain items and services Sec. 1847A. Use of average sales price payment methodology Sec. 1847B. Competitive acquisition of outpatient drugs and biologicals Sec. 1848. Payment for physicians’ services Part C—Medicare+Choice Program Sec. 1851. Eligibility, election, and enrollment Sec. 1852. Benefits and beneficiary protections Sec. 1853. Payments to Medicare+Choice organizations Sec. 1854. Premiums and Premium Amounts Sec. 1855. Organizational and financial requirements for Medicare+Choice organizations; provider–sponsored organizations Sec. 1856. Establishment of standards Sec. 1857. Contracts with Medicare+Choice organizations Sec. 1858. Special Rules for MA Regional Plans Sec. 1859. Definitions; miscellaneous provisions Part D—Voluntary Prescription Drug Benefit Program Subpart 1—Part D Eligible Individuals and Prescription Drug Benefits Sec. 1860D-1. Eligibility, enrollment, and information Sec. 1860D-2. Prescription drug benefits Sec. 1860D-3. Access to a choice of qualified prescription drug coverage Sec. 1860D-4. Beneficiary protections for qualified prescription drug coverage Subpart 2—Prescription Drug Plans; PDP Sponsors; Financing Sec. 1860D-11. PDP regions; submission of bids; plan approval Sec. 1860D-12. Requirements for and contracts with prescription drug plan (PDP) sponsors Sec. 1860D-13. Premiums; late enrollment penalty Sec. 1860D-14. Premium and cost-sharing subsidies for low-income individuals Sec. 1860D-14A. Medicare coverage gap discount program Sec. 1860D-15. Subsidies for Part D eligible individuals for qualified prescription drug coverage Sec. 1860D-16. Medicare prescription drug account in the federal supplementary medical insurance trust fund Subpart 3—Application to Medicare Advantage Program and Treatment of Employer-Sponsored Programs and Other Prescription Drug Plans Sec. 1860D-21. Application to Medicare advantage program and related managed care programs Sec. 1860D-22. Special rules for employer-sponsored programs Sec. 1860D-23. State pharmaceutical assistance programs Sec. 1860D-24. Coordination requirements for plans providing prescription drug coverage Subpart 4—Medicare Prescription Drug Discount Card and Transitional Assistance Program Sec. 1860D-31. Medicare prescription drug discount card and transitional assistance program Subpart 5—Definitions and Miscellaneous Provisions Sec. 1860D-41. Definitions; treatment of references to provisions in Part C Sec. 1860D-42. Miscellaneous provisions Sec. 1860D-43. Condition for coverage of drugs under this part Part E—Miscellaneous Provisions Sec. 1861. Definitions of services, institutions, etc. Sec. 1862. Exclusions from coverage and Medicare as secondary payer Sec. 1863. Consultation with State agencies and other organizations to develop conditions of participation for providers of services Sec. 1864. Use of State agencies to determine compliance by providers of services with conditions of participation Sec. 1865. Effect of accreditation Sec. 1866. Agreements with providers of services; enrollment processes Sec. 1866A. Demonstration of application of physician volume increases to group practices Sec. 1866B. Provisions for administration of demonstration program Sec. 1866C. Health care quality demonstration program Sec. 1866D. National pilot program on payment bundling Sec. 1866E. Independence at home medical practice demonstration program Sec. 1866F. Opioid use disorder treatment demonstration program Sec. 1867. Examination and treatment for emergency medical conditions and women in labor Sec. 1868. Practicing physicians advisory council; council for technology and innovation Sec. 1869. Determinations; Appeals Sec. 1870. Overpayment on behalf of individuals and settlement of claims for benefits on behalf of deceased individuals Sec. 1871. Regulations Sec. 1872. Application of certain provisions of Title II Sec. 1873. Designation of organization or publication by name Sec. 1874. Administration Sec. 1874A. Contracts with medicare administrative contractors Sec. 1875. Studies and recommendations Sec. 1876. Payments to health maintenance organizations and competitive medical plans Sec. 1877. Limitation on certain physician referrals Sec. 1878. Provider reimbursement review board Sec. 1879. Limitation on liability of beneficiary where medicare claims are disallowed Sec. 1880. Indian health service facilities Sec. 1881. Medicare coverage for end stage renal disease patients Sec. 1881A. Medicare coverage for individuals exposed to environmental health hazards Sec. 1882. Certification of medicare supplemental health insurance policies Sec. 1883. Hospital providers of extended care services Sec. 1884. Payments to promote closing and conversion of underutilized hospital facilities Sec. 1885. Withholding of payments for certain medicaid providers Sec. 1886. Payment to hospitals for inpatient hospital services Sec. 1887. Payment of provider–based physicians and payment under certain percentage arrangements Sec. 1888. Payment to skilled nursing facilities for routine service costs Sec. 1889. Provider education and technical assistance Sec. 1890. Contract with a consensus-based entity regarding performance measurement Sec. 1890A. Quality and efficiency measurement Sec. 1891. Conditions of participation for home health agencies; Home health quality Sec. 1892. Offset of payments to individuals to collect past-due obligations arising from breach of scholarship and loan contract Sec. 1893. Medicare integrity program Sec. 1894. Payments to, and coverage of benefits under, programs of all–inclusive care for the elderly (PACE) Sec. 1895. Prospective payment for home health services Sec. 1896. Medicare subvention for military retirees Sec. 1897. Health care infrastructure improvement program Sec. 1898. medicare improvement fund Sec. 1899. Shared savings program Sec. 1899A. Independent Medicare Advisory Board. Sec. 1899B. Standardized Post-Acute Care (PAC) Assessment Data for Quality, Payment, and Discharge Planning [1] Title XVIII of the Social Security Act is administered by the Centers for Medicare and Medicaid Services. Title XVIII appears in the United States Code as §§1395-1395lll, subchapter XVIII, chapter 7, Title 42. Regulations of the Secretary of Health and Human Services relating to Title XVIII are contained in chapter IV, Title 42, and in subtitle A, Title 45, Code of Federal Regulations. See Vol. II, 31 U.S.C. 3716(c)(3)(D), with respect to the application of administrative offset provisions to medicare provider or supplier payments; P.L. 78-410, §353(i)(3) and (n), with respect to clinical laboratories; P.L. 88-352, §601, for prohibition against discrimination in Federally assisted programs; P.L. 89-73, §§203 and 422(c), with respect to consultation with respect to programs and services for the aged; P.L. 93-288, §312(d), with respect to exclusion from income and resources of certain Federal major disaster and emergency assistance; P.L. 97-248, §119, with respect to private sector review initiative and restriction against recovery from beneficiaries; P.L. 98-369, §2355, with respect to waivers for social health maintenance organizations; P.L. 99-177, §257(b)(3) and (c)(3), with respect to the calculation of the baseline; P.L. 99-272, §9220, with respect to extension, terms, conditions, and period of approval of the extension of On Lok waiver; and §9215, with respect to the extension of certain medicare health services demonstration projects; P.L. 99-319, §105, with respect to systems requirements; P.L. 99-509, §9339(d) with respect to State standards for directors of clinical laboratories; §9342 with respect to Alzheimer’s disease demonstration projects; §9353(a)(4) with respect to a small-area analysis; and §9412 with respect to the waiver authority for chronically mentally ill and frail elderly; P.L. 99-660, Title IV, with respect to professional review activities; P.L. 100-203, §4008(d)(3), with respect to a report regarding hospital outlier payments; P.L. 100-204, §724(d), with respect to furnishing information to the United States Commission on Improving the Effectiveness of the United Nations; and §725(b), with respect to the detailing of Government personnel; P.L. 100-235, §§5–8, with respect to responsibilities of each Federal agency for computer systems security and privacy; P.L. 100-383, §§105(f)(2) and 206(d)(2), with respect to exclusions from income and resources of certain payments to certain individuals; P.L. 100-581, §§501, 502(b)(1), and 503, with respect to exclusion from income and resources of certain judgment funds; P.L. 100-647, §8411, with respect to treatment of certain nursing education programs; P.L. 100-690, §5301(a)(1)(C) and (d)(1)(B), with respect to benefits of drug traffickers and possessors; P.L. 100-713, §712, with respect to the provision of services in Montana; P.L. 101-121, with respect to the amounts collected by the Secretary of Health and Human Services under the authority of title IV of the Indian Health Care Improvement Act; P.L. 101-239, §6025, with respect to a dentist’s serving as hospital medical director; §6205(a)(1)(A) and (a)(2), with respect to recognition of costs of certain hospital-based nursing schools; P.L. 104-191, §261, with respect to purpose of administrative simplification; P.L. 106-554, §1(a)(6) [122], with respect to cancer prevention and treatment demonstrations for ethnic and racial minorities; and [128] with respect to a lifestyle modification program demonstration; P.L. 110-275, §186, with respect to a demonstration project to improve care to previously uninsured; P.L. 111-148, §1103, with respect to immediate information that allows consumers to identify affordable coverage options; §2602, with respect to providing Federal coverage and payment coordination for dual eligible beneficiaries; P.L. 111-240, §4241, with respect to the use of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse in the medicare fee-for-service program; P.L. 111-309, §206, with respect to funding for claims reprocessing; and P.L. 112-240, §609 (b), with respect to a strategy for providing data for performance improvement in a timely manner to applicable providers under the medicare program and §643, with respect to a commission on long-term care. See Vol. II, P.L. 114–10, §104, with respect to requirement on Secretary to make publicly available information about physicians and other eligible professionals on items and services furnished to medicare beneficiaries under this title; §106(b), with respect to requirements on Secretary to establish metric and mechanisms to promote electronic health records systems and interoperability; §106(d) for a rule of construction regarding health providers and malpractice and liability claims. See Vol. II, P.L. 114–255, §17003, with respect to required update to “Welcome to Medicare” package and information gathering by the Secretary of HHS. See Vol. II, P.L. 115–123, §50353, with respect to required HHS study on long-term, chronic condition cost drivers to the Medicare program. See Vol. II, P.L. 115–245, §§506, 507, for limitations on funds appropriated for the administration of Title XVIII programs. See Vol. II, P.L. 115–271, §6032, with respect to study and report to Congress regarding Medicare and Medicaid payment and coverage policies that may be viewed as potential obstacles to effective response to the opioid crisis; §6094, with respect to another technical expert study and report to Congress on reducing surgical setting opioid use and data collection on perioperative opioid use. [2] This table of contents does not appear in the law. What is Social Security quizlet?Social Security: A federal program that taxes workers to provide income support to the elderly. (It is paid according to their lifetime earnings, and it is not based on current financial need like social welfare programs)
Why was Social Security created quizlet?Social insurance, as conceived by President Roosevelt, would address the permanent problem of economic security for the elderly by creating a work-related, contributory system in which workers would provide for their own future economic security through taxes paid while employed.
What was the Social Security Act quizlet?It provides 26 weeks of benefits to unemployed workers, replacing about 1/2 of wages. There is a max to how much they will provide. A guaranteed retirement payment (pension) for enrolled workers beginning at age 67. Eligibility is based on prior contributions to the government, usually in the form of payroll taxes.
How does Social Security work quizlet?The program is based on contributions that workers make into the system. While you're employed, you pay into Social Security; you receive benefits later on, when it's your turn to retire. Contributions take the form of the Federal Insurance Contributions Act (FICA) taxes that are withheld from most paychecks.
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