Page:United States Statutes at Large Volume 100 Part 1.djvu/412

 100 STAT. 376

Medicare.

38 USC 610.

PUBLIC LAW 99-272—APR. 7, 1986

paragraph to agree to pay an amount to the United States in order to be furnished such services shall be liable to the United States, in the case of each visit in which such services are furnished to the veteran, for an amount equal to 20 percent of the estimated average cost (during the calendar year in which the services are furnished) of an outpatient visit in a Veterans' Administration facility. Such estimated average cost shall be determined by the Administrator. "(C) A veteran may not be required to make a payment under this paragraph for services furnished under this subsection during any 90-day period to the extent that such payment would cause the total amount paid by the veteran under this paragraph for medical services furnished during that period and under section 610(f) of this title for hospital and nursing home care furnished during that period to exceed the amount of the inpatient Medicare deductible in effect on the first day of such 90-day period. "(D) This subsection does not apply with respect to home health services under this subsection to the extent that such services are for improvements and structural alterations. "(E) For the purposes of this paragraph, the term 'inpatient Medicare deductible' means the amount of the inpatient hospital deductible in effect under section 1813(b) of the Social Security Act (42 U.S.C. 1395e(b)). "(F) Amounts collected or received by the Veterans' Administration under this paragraph shall be deposited in the Treasury as miscellaneous receipts.". (3) Subsection (g) of such section is amended to read as follows: "(g)(1) The Administrator may furnish medical services which the Administrator determines are needed to a veteran— "(A) who is a veteran of the Mexican border period or of World War I; or "(B) who is in receipt of increased pension or additional compensation or allowances based on the need of regular aid and attendance or by reason of being permanently housebound (or who, but for the receipt of retired pay, would be in receipt of such pension, compensation, or allowance). "(2) As part of medical services furnished to a veteran under paragraph (1) of this subsection, the Administrator may furnish to the veteran home health services under the terms and conditions set forth in subsection (f) of this section. "(3) In addition to furnishing medical services under this subsection through Veterans' Administration facilities, the Administrator may furnish such services in accordance with section 603 of this title.". (4) Subsection (i) of such section is amended by adding at the end the following: "(6) To any veteran who is in receipt of pension under section 521 of this title.", (c)

38 USC 622.

INCOME THRESHOLDS FOR CERTAIN

NON-SERVICE-CONNECTED

CARE.—(1) Section 622 is amended to read as follows: "§ 622. Determination of inability to defray necessary expenses; income thresholds "(a)(1) For the purpose^^f section 6i0(a)(l)(l) of this title, a veteran shall be considered to be unable to defray the expenses of necessary care if—

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