The Public Health and Welfare

Authorization of appropriations

State old-age plans

Stopping payment on deviation from required provisions of plan or failure to comply therewith

Trust Funds

Overpayments and underpayments

Regulations pertaining to frequency or due dates of payments and reports under voluntary agreements covering State and local employees; effective date

Reducing identity fraud

Representation of claimants before Commissioner

Assignment of benefits

Penalties

“Wages” defined

Definitions relating to self-employment

Self-employment income credited to calendar years

Quarter and quarter of coverage

Insured status for purposes of old-age and survivors insurance benefits

Additional definitions

Benefits for veterans

Voluntary agreements for coverage of State and local employees

Voluntary agreements for coverage of Indian tribal council members

Disability provisions inapplicable if benefit rights impaired

Disability determinations

Disability insurance benefit payments

Reduction of disability benefits

Additional rules relating to benefits based on disability

Entitlement to hospital insurance benefits

End stage renal disease program

Transitional provision on eligibility of uninsured individuals for hospital insurance benefits

Transitional insured status for purposes of old-age and survivors benefits

Benefits at age 72 for certain uninsured individuals

Benefits in case of members of uniformed services

Adjustment of contribution and benefit base

Benefits for certain individuals interned by United States during World War II

Processing of tax data

International agreements

Demonstration project authority

Use of available funds

Payments to States; computation of amounts

State laws

Judicial review

Demonstration projects

Grants to States for reemployment services and eligibility assessments

Purpose

Eligible States; State plan

Grants to States

Use of grants

Services provided by charitable, religious, or private organizations

Administrative provisions

Federal loans for State welfare programs

Mandatory work requirements

Prohibitions; requirements

Fraud under means-tested welfare and public assistance programs

Penalties

Appeal of adverse decision

Data collection and reporting

State required to provide certain information

Direct funding and administration by Indian tribes

Evaluation of temporary assistance for needy families and related programs

Waivers

Administration

Limitation on Federal authority

Funding for child care

Definitions

Authorization of appropriations

Duties of Secretary

Federal Parent Locator Service

State Directory of New Hires

State plan for child and spousal support

Automated data processing

Collection and disbursement of support payments

Provision for reimbursement of expenses

Support obligation as obligation to State; amount; discharge in bankruptcy

Distribution of collected support

Incentive payments to States

Consent by United States to income withholding, garnishment, and similar proceedings for enforcement of child support and alimony obligations

International support enforcement

Civil action to enforce child support obligations; jurisdiction of district courts

Use of Federal Parent Locator Service in connection with enforcement or determination of child custody in cases of parental kidnaping of child

Collection of past-due support from Federal tax refunds

Allotments from pay for child and spousal support owed by members of uniformed services on active duty

Requirement of statutorily prescribed procedures to improve effectiveness of child support enforcement

State guidelines for child support awards

Encouragement of States to adopt civil procedure for establishing paternity in contested cases

Collection and reporting of child support enforcement data

Nonliability for financial institutions providing financial records to State child support enforcement agencies in child support cases

Grants to States for access and visitation programs

Congressional declaration of purpose; authorization of appropriations

State plan for foster care and adoption assistance

Foster care maintenance payments program

Adoption and guardianship assistance program

Interstate compacts

Adoption and legal guardianship incentive payments

Payments to States

Definitions

Additional case plan and case review system requirements

Administration

John H. Chafee Foster Care Program for Successful Transition to Adulthood

Rule of construction

Collection of data relating to adoption and foster care

National Adoption Information Clearinghouse

Annual report

Programs operated by Indian tribal organizations

Authorization of appropriations; purposes; definitions

Allotment to States and Federal set-aside

Payments to States

Use of allotment funds

Nonavailability of allotments after close of fiscal year

Application for block grant funds

Administrative and fiscal accountability

Criminal penalty for false statements

Nondiscrimination provisions

Administration of Federal and State programs

Sexual risk avoidance education

Maternal, infant, and early childhood home visiting programs

Emergency assistance to families through home visiting programs

Services to individuals with a postpartum condition and their families

Personal responsibility education

Coronavirus relief fund

Coronavirus State fiscal recovery fund

Coronavirus local fiscal recovery fund

Coronavirus capital projects fund

Local assistance and Tribal consistency fund

Rescission of funds declined by States, territories, or other governmental entities

Social Security Administration

Commissioner; Deputy Commissioner; other officers

Social Security Advisory Board

Administrative duties of Commissioner

Training grants for public welfare personnel

National Commission on Social Security

Delivery of benefit checks

Recommendations by Board of Trustees to remedy inadequate balances in Social Security trust funds

Budgetary treatment of trust fund operations

Office of Rural Health Policy

Duties and authority of Secretary

Office of Women’s Health

Basic entitlement to benefits

Qualified individuals

Residence outside the United States

Disqualifications

Benefit amount

Applications and furnishing of information

Representative payees

Overpayments and underpayments

Hearings and review

Other administrative provisions

Optional Federal administration of State recognition payments

Penalties for fraud

Definitions

Appropriations

Employment security administration account

Transfers between Federal unemployment account and employment security administration account

Amounts transferred to State accounts

Unemployment Trust Fund

Extended unemployment compensation account

Unemployment compensation research program

Personnel training

Advisory Council on Unemployment Compensation

Federal Employees Compensation Account

Borrowing between Federal accounts

Data exchange standardization for improved interoperability

Authorization of appropriations

State plans for aid to blind

Operation of State plans

“Aid to the blind” defined

Definitions

Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals

Separability

Reservation of right to amend or repeal

Short title of chapter

Disclosure of information in possession of Social Security Administration or Department of Health and Human Services

Public access to State disbursement records

State data exchanges

Restriction on access to the Death Master File

Penalty for fraud

Amounts disregarded not to be taken into account in determining eligibility of other individuals

Cooperative research or demonstration projects

Public assistance payments to legal representatives

Medical care guides and reports for public assistance and medical assistance

Assistance for United States citizens returned from foreign countries

Public advisory groups

Measurement and reporting of welfare receipt

National Advisory Committee on the Sex Trafficking of Children and Youth in the United States

Demonstration projects

Center for Medicare and Medicaid Innovation

Providing Federal coverage and payment coordination for dual eligible beneficiaries

Administrative and judicial review of public assistance determinations

Appointment of the Administrator and Chief Actuary of the Centers for Medicare & Medicaid Services

Alternative Federal payment with respect to public assistance expenditures

Federal participation in payments for repairs to home owned by recipient of aid or assistance

Approval of certain projects

Uniform reporting systems for health services facilities and organizations

Limitation on use of Federal funds for capital expenditures

Effect of failure to carry out State plan

Reviews of child and family services programs, and of foster care and adoption assistance programs, for conformity with State plan requirements

Disclosure of ownership and related information; procedure; definitions; scope of requirements

Disclosure requirements for other providers under part B of Medicare

Issuance of subpenas by Comptroller General

Disclosure by institutions, organizations, and agencies of owners, officers, etc., convicted of offenses related to programs; notification requirements; “managing employee” defined

Adjustments in SSI benefits on account of retroactive benefits under subchapter II

Interagency coordination to improve program administration

Exclusion of certain individuals and entities from participation in Medicare and State health care programs

Civil monetary penalties

Criminal penalties for acts involving Federal health care programs

Fraud and abuse control program

Guidance regarding application of health care fraud and abuse sanctions

Health care fraud and abuse data collection program

Coordination of medicare and medicaid surety bond provisions

Funds to reduce medicaid fraud and abuse

Transparency reports and reporting of physician ownership or investment interests

Reporting of information relating to drug samples

Accountability requirements for facilities

Medicare and Medicaid program integrity provisions

Nationwide program for national and State background checks on direct patient access employees of long-term care facilities and providers

Use of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse in the Medicare fee-for-service program

Disclosure of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse

Civil monetary penalties and assessments for subchapters II, VIII and XVI

Administrative procedure for imposing penalties for false or misleading statements

Attempts to interfere with administration of this chapter

Demonstration projects

Effect of failure to carry out State plan

Notification of Social Security claimant with respect to deferred vested benefits

Period within which certain claims must be filed

Applicants or recipients under public assistance programs not to be required to make election respecting certain veterans’ benefits

Nonprofit hospital or critical access hospital philanthropy

Authority to waive requirements during national emergencies

Exclusion of representatives and health care providers convicted of violations from participation in social security programs

Income and eligibility verification system

Hospital protocols for organ procurement and standards for organ procurement agencies

Improved access to, and delivery of, health care for Indians under subchapters XIX and XXI

Child health quality measures

Adult health quality measures

Prohibitions relating to references to Social Security or Medicare

Blood donor locator service

Research on outcomes of health care services and procedures

Social security account statements

Outreach efforts to increase awareness of the availability of medicare cost-sharing and subsidies for low-income individuals under subchapter XVIII

Protection of social security and medicare trust funds

Public disclosure of certain information on hospital financial interest and referral patterns

Cross-program recovery of overpayments from benefits

The Ticket to Work and Self-Sufficiency Program

Work incentives outreach program

State grants for work incentives assistance to disabled beneficiaries

Grants to develop and establish State infrastructures to support working individuals with disabilities

Pharmacy benefit managers transparency requirements

Consultation with Tribal Technical Advisory Group

Reporting to law enforcement of crimes occurring in federally funded long-term care facilities

Funding for providers relating to COVID–19

Purpose

Definition of quality improvement organization

Right to hearing and judicial review

Obligations of health care practitioners and providers of health care services; sanctions and penalties; hearings and review

Limitation on liability

Application of this part to certain State programs receiving Federal financial assistance

Authorization for use of certain funds to administer provisions of this part

Prohibition against disclosure of information

Annual reports

Exemptions for religious nonmedical health care institutions

Medical officers in American Samoa, the Northern Mariana Islands, and the Trust Territory of the Pacific Islands to be included in the quality improvement program

Definitions

General requirements for adoption of standards

Standards for information transactions and data elements

Timetables for adoption of standards

Requirements

General penalty for failure to comply with requirements and standards

Wrongful disclosure of individually identifiable health information

Effect on State law

Processing payment transactions by financial institutions

Application of HIPAA regulations to genetic information

Comparative clinical effectiveness research

Limitations on certain uses of comparative clinical effectiveness research

Trust Fund transfers to Patient-Centered Outcomes Research Trust Fund

Information exchange with payroll data providers

Establishment of program

Selection of negotiation-eligible drugs as selected drugs

Manufacturer agreements

Negotiation and renegotiation process

Publication of maximum fair prices

Administrative duties and compliance monitoring

Civil monetary penalties

Limitation on administrative and judicial review

Eligibility requirements for transfer of funds; reimbursement by State; application; certification; limitation

Repayment by State; certification; transfer; interest on loan; credit of interest on loan

Repayable advances to Federal unemployment account

“Governor” defined

Authorization of appropriations

State plans for aid to permanently and totally disabled

Operation of State plans

Definitions

Statement of purpose; authorization of appropriations

Basic entitlement to benefits

Eligibility for benefits

Income; earned and unearned income defined; exclusions from income

Resources

Definitions

Supplementary assistance by State or sub­division to needy individuals

Cost-of-living adjustments in benefits

Payments to State for operation of supplementation program

Benefits for individuals who perform substantial gainful activity despite severe medical impairment

Medical and social services for certain handicapped persons

Attribution of sponsor’s income and resources to aliens

Procedure for payment of benefits

Penalties for fraud

Administration

Eligibility for medical assistance of aged, blind, or disabled individuals under State’s medical assistance plan

Outreach program for children

Treatment referrals for individuals with alcoholism or drug addiction condition

Annual report on program

Authorization of appropriations

Availability of funds during certain fiscal years; limitation on amount; utilization of grant

Applications; single State agency designation; essential planning services; plans for expenditure; final activities report and other necessary reports; records; accounting

Payments to States; adjustments; advances or reimbursement; installments; conditions

Prohibition against any Federal interference

Free choice by patient guaranteed

Agreements with States

Contract with a consensus-based entity regarding performance measurement

Quality and efficiency measurement

Option to individuals to obtain other health insurance protection

Effect of accreditation

Conditions of participation for home health agencies; home health quality

Incentives for economy while maintaining or improving quality in provision of health services

Notice of medicare benefits; medicare and medigap information

Health insurance advisory service for medicare beneficiaries

Health insurance information, counseling, and assistance grants

Medicare Payment Advisory Commission

Explanation of medicare benefits

Chronic care improvement

Provisions relating to administration

Addressing health care disparities

Description of program

Agreements with providers of services; enrollment processes

Demonstration of application of physician volume increases to group practices

Provisions for administration of demonstration program

Health care quality demonstration program

National pilot program on payment bundling

Independence at home medical practice demonstration program

Opioid use disorder treatment demonstration program

Extension of Acute Hospital Care at Home initiative

Offset of payments to individuals to collect past-due obligations arising from breach of scholarship and loan contract

Scope of benefits

Examination and treatment for emergency medical conditions and women in labor

Medicare Integrity Program

Deductibles and coinsurance

Payments to, and coverage of benefits under, programs of all-inclusive care for elderly (PACE)

Conditions of and limitations on payment for services

Determinations; appeals

Prospective payment for home health services

Payments to providers of services

Overpayment on behalf of individuals and settlement of claims for benefits on behalf of deceased individuals

Regulations

Health care infrastructure improvement program

Federal Hospital Insurance Trust Fund

Application of certain provisions of sub­chapter II

Medicare Improvement Fund

Authorization of appropriations

Hospital insurance benefits for uninsured elderly individuals not otherwise eligible

Hospital insurance benefits for disabled individuals who have exhausted other entitlement

Requirements for, and assuring quality of care in, skilled nursing facilities

Protecting residents of long-term care facilities

Medicare rural hospital flexibility program

Conditions for coverage of religious nonmedical health care institutional services

Hospice program survey and enforcement procedures

Establishment of supplementary medical insurance program for aged and disabled

Designation of organization or publication by name

Shared savings program

Scope of benefits; definitions

Administration of insurance programs

Contracts with medicare administrative contractors

Expanding availability of Medicare data

Studies and recommendations

Standardized post-acute care (PAC) assessment data for quality, payment, and discharge planning

Special payment rules for particular items and services

Limiting Medicare coverage of certain individuals

Improving policies for clinical diagnostic laboratory tests

Procedure for payment of claims of providers of services

Limitation on certain physician referrals

Eligible individuals

Provider Reimbursement Review Board

Limitation on liability where claims are disallowed

Coverage period

Indian Health Service facilities

Amount of premiums for individuals enrolled under this part

End stage renal disease program

Medicare coverage for individuals exposed to environmental health hazards

Payment of premiums

Certification of medicare supplemental health insurance policies

Clarification

Federal Supplementary Medical Insurance Trust Fund

Hospital providers of extended care services

Payments to promote closing or conversion of underutilized hospital facilities

Agreements with States

Withholding payments from certain medicaid providers

Appropriations to cover Government contributions and contingency reserve

Intermediate sanctions for providers or suppliers of clinical diagnostic laboratory tests

Use of average sales price payment methodology

Competitive acquisition of outpatient drugs and biologicals

Public reporting of performance information

Empowering beneficiary choices through continued access to information on physicians’ services

Eligibility, election, and enrollment

Benefits and beneficiary protections

Payments to Medicare+Choice organizations

Premiums and bid amounts

Organizational and financial requirements for Medicare+Choice organizations; provider-sponsored organizations

Establishment of standards

Contracts with Medicare+Choice organizations

Definitions; miscellaneous provisions

Definitions

Payment of provider-based physicians and payment under certain percentage arrangements

Exclusions from coverage and medicare as secondary payer

Payment to skilled nursing facilities for routine service costs

Consultation with State agencies and other organizations to develop conditions of participation for providers of services

Provider education and technical assistance

Medicaid and CHIP Payment and Access Commission

Appropriations

State plans for medical assistance

Payment adjustment for health care-acquired conditions

Operation of State plans

Definitions

Premium assistance

Observance of religious beliefs

State programs for licensing of administrators of nursing homes

Required laws relating to medical child support

State false claims act requirements for increased State share of recoveries

Certification and approval of rural health clinics and intermediate care facilities for mentally retarded

Indian Health Service facilities

Assignment, enforcement, and collection of rights of payments for medical care; establishment of procedures pursuant to State plan; amounts retained by State

Hospital providers of nursing facility services

Withholding of Federal share of payments for certain medicare providers

Compliance with State plan and payment provisions

Use of enrollment fees, premiums, deductions, cost sharing, and similar charges

State option for alternative premiums and cost sharing

Liens, adjustments and recoveries, and transfers of assets

Application of provisions of subchapter II relating to subpoenas

Requirements for nursing facilities

Presumptive eligibility for pregnant women

Presumptive eligibility for children

Presumptive eligibility for certain breast or cervical cancer patients

Presumptive eligibility for family planning services

Information concerning sanctions taken by State licensing authorities against health care practitioners and providers

Correction and reduction plans for intermediate care facilities for mentally retarded

Adjustment in payment for inpatient hospital services furnished by disproportionate share hospitals

Treatment of income and resources for certain institutionalized spouses

Extension of eligibility for medical assistance

Payment for covered outpatient drugs

Home and community care for functionally disabled elderly individuals

Community supported living arrangements services

Assuring coverage for certain low-income families

Provisions relating to managed care

State coverage of medicare cost-sharing for additional low-income medicare beneficiaries

Program of all-inclusive care for elderly (PACE)

Special provisions relating to medicare prescription drug benefit

Medicaid Integrity Program

State flexibility in benefit packages

Health opportunity accounts

References to laws directly affecting medicaid program

Asset verification through access to information held by financial institutions

Medicaid Improvement Fund

Authorization to receive relevant information

Enrollment simplification and coordination with State health insurance exchanges

Requirements relating to qualified prescription drug monitoring programs and prescribing certain controlled substances

State option to provide coordinated care through a health home for individuals with chronic conditions

State option to provide coordinated care through a health home for children with medically complex conditions

Addressing health care disparities

State option to provide qualifying community-based mobile crisis intervention services

Supporting access to a continuum of crisis response services under Medicaid and CHIP

Collection and reporting of comprehensive data for specified populations

Purposes of division; authorization of appropriations

Payments to States

Purpose; State child health plans

Allotments

General contents of State child health plan; eligibility; outreach

State reporting requirements

Coverage requirements for children’s health insurance

Limitation on use of grants; waiver

Allotments

Administrative and fiscal accountability

Payments to States

Additional grants

Process for submission, approval, and amendment of State child health plans

Demonstration projects to address health professions workforce needs

Strategic objectives and performance goals; plan administration

Program for early detection of certain medical conditions related to environmental health hazards

Annual reports; evaluations

Additional funding for aging and disability services programs

Miscellaneous provisions

Definitions

Definitions

General provisions

Phase-out of coverage for nonpregnant childless adults; conditions for coverage of parents

Optional coverage of targeted low-income pregnant women through a State plan amendment

Enhancement of long-term care

Grants to improve outreach and enrollment

Adult protective services functions and grant programs

Long-term care ombudsman program grants and training

Provision of information regarding, and evaluations of, elder justice programs

Report

Rule of construction

Purposes

Social impact partnership application

Awarding social impact partnership agreements

Feasibility study funding

Evaluations

Federal Interagency Council on Social Impact Partnerships

Commission on Social Impact Partnerships

Limitation on use of funds

No Federal funding for credit enhancements

Availability of funds

Website

Regulations

Definitions

Funding