Page:United States Statutes at Large Volume 86.djvu/1424

 1382

PUBLIC LAW 92-603-OCT. 30, 1972

[86 STAT.

Jiionth, except that for this purpose any such individual shall be deemed eligible for medical assistance under such State plan if (in addition to meeting such other requirements as are or may be imposed under the State plan) the income of any such individual as determined 42 USC 1396b. in accordance with section 1908(f) (after deducting such individual's 42 USC 1381. payment under title X VI, and incurred expenses for medical care as 26 USC 213. defined in section 213 of the Internal Revenue Code of 1954) is not in excess of the standard for medical assistance established under the State plan as in effect on January 1, 1972." Effective date. (2) The amendment made by this subsection shall become effective on January 1, 1974. P A Y M E N T U N D E R MEDICARE TO I N D IV I D U A L S COVERED BY FEDERAL E M P L O Y E E S H E A L T H B E N E F I T S PROGRAM

79 Stat. 325; ^ ^ruse^l 3 95

5 USC 8901.

SFC. 210. Section 1862 of the Social Security Act is amended by adding at the end thereof the following new subsection: "(c) No payment may be made under this title with respect to any item or service furnished to or on behalf of any individual on or after January 1, 1975, if such item or service is covered under a health benefits plan in which such individual is enrolled under chapter 89 of title 5, United States Code, unless prior to the date on which such item or service is so furnished the Secretary shall have determined and certified that such plan or the Federal employees health benefits program under chapter 89 of such title 5 has been modified so as to assure that— "(1) there is available to each Federal employee or annuitant enrolled in such plan, upon becoming entitled to benefits under part A or B, or both parts A and B of this title, in addition to the health benefits plans available before he becomes so entitled, one or more health benefits plans which offer protection supplementing the protection he has under this title, and "(2) the Government or such plan will make available to such Federal employee or annuitant a contribution in an amount at least equal to the conti-ibution which the Government makes toward the health insurance of any employee or annuitant enrolled for high option coverage under the Government-wide plans established under chapter 89 of such title 5, with such contribution being in the form of (A) a contribution toward the supplementary protection referred to in paragraph (1), (B) a payment to or on behalf of such employee or annuitant to offset the cost to him of his coverage under this title, or (C) a combination of such contribution and such payment.'' P A Y M E N T U N D E R MEDICARE FOR CERTAIN I N P A T I E N T H O S P I T A L A N D RELATED P H Y S I C I A N S ' SERVICES F U R N I S H E D OUTSIDE THE UNITED STATES

42 USC i395f.

SEC. 211. (a) Section 1814(f) of the Social Security Act is amended to read as follows: ''Payment for (^ertain Inpatient Hospital Services Furnished Outside the Ignited States

"(f)(1) Payment shall be made for inpatient hospital services furnished to an individual entitled to hospital insurance benefits under Ante. p. 1371. section 226 by a hospital located outside the United States, or under 42 USC 1395X. arrangements (as defined in section 1861(w)) with it, if— " (A) such individual is a resident of the United States, and " (B) such hospital was closer to, or substantially more acces-

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