Page:United States Statutes at Large Volume 81.djvu/893

 81 STAT. ]

PUBLIC LAW 90-248-JAN. 2, 1968

859

institution that meets the requirements of subsection (e)(1) or (j)(l) of this section". (e) The amendments made by this section shall apply with respect to services furnished after March 31, 1968. GENERAL E N R O L L M E N T PERIOD U N D E R TITLE

XVIII

SEC. 145. (a) Section 1837(b)(1) of the Social Security Act is amended to read as follows: "(1) No individual may enroll for the first time under this part unless he does so in a general enrollment period (as provided in subsection (e)) which begins within 3 years after the close of the first enrollment period during which he could have enrolled under this part." (b) Section 1837(e) of such Act is amended to read as follows: "(e) There shall be a general enrollment period, after the period described in subsection (c), during the period beginning on January 1 and ending on March 31 of each year beginning with 1969." (c) Section 1838(b) of such Act is amended by— (1) striking out in paragraph (1) the following: ", during a general enrollment period described in section 1837(e),"; and (2) striking out "December 31 of the year" and inserting in lieu thereof "the calendar quarter following the calendar quarter". (d) Section 1839(b)(2) of such Act is amended to read as follows: "(2) The Secretary shall, during December 1968 and of each year thereafter, determine and promulgate the dollar amount (whether or not such dollar amount was applicable for premiums for any prior month) which shall be applicable for premiums for months occurring in the 12-month period commencing July 1 in each succeeding year. Such dollar amount shall be such amount as the Secretary estimates to be necessary so that the aggregate premiums for such 12-month period will equal one-half of the total of the benefits and administrative costs which he estimates will be payable from the Federal Supplementary Medical Insurance Trust Fund for such 12-month period. In estimating aggregate benefits payable for any period, the Secretary shall include an appropriate amount for a contingency margin. Whenever the Secretary, pursuant to the preceding sentence, promulgates the dollar amount which shall be applicable for premiums for any period, he shall, at the time such promulgation is announced, issue a public statement setting forth the actuarial assumptions and bases employed by him in arriving at the amount of premiums so promulgated." (e) The amendments made by subsections (a), (b), and (c) shall become effective April 1, 1968. Notwithstanding the provisions of section 2 of Public Law 90-97, the amendments made by subsection (d) shall become effective December 1, 1968.

79 Stat. 304. 42 USC 1395p.

^2 USC i395q

^2 USC i395r.

^"'®' P- 249-

E L I M I N A T I O N OF SPECIAL REDUCTION I N ALLOWABLE DAYS OF I N P A T I E N T H O S P I T A L SERVICES FOR P A T I E N T S I N TUBERCULOSIS H O S P I T A L S

S E C 146. (a) Section 1812(c) of the Social Security Act (as amended by section 138 of this Act) is further amended— (1) by striking out "a psychiatric hospital or a tuberculosis hospital" and inserting in lieu thereof "a psychiatric hospital", (2) by striking out "and inpatient tuberculosis hospital services", and (3) by striking out "or tuberculosis". (b) The amendments made by subsection (a) shall apply with respect to payment for services furnished after December 31, 1967.

'^"'°' P- ^54.

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