Source: https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395i-5&num=0&edition=prelim
Timestamp: 2020-04-03 21:28:50
Document Index: 755349365

Matched Legal Cases: ['§ 1395', '§1395', '§1821', '§4454', '§706', '§706', '§706', '§4454']

[USC02] 42 USC 1395i-5: Conditions for coverage of religious nonmedical health care institutional services
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42 USC 1395i-5: Conditions for coverage of religious nonmedical health care institutional services Text contains those laws in effect on April 2, 2020
§1395i–5. Conditions for coverage of religious nonmedical health care institutional services
Subject to subsections (c) and (d), payment under this part may be made for inpatient hospital services or post-hospital extended care services furnished an individual in a religious nonmedical health care institution and for home health services furnished an individual by a religious nonmedical health care institution only if-
(1) the individual has an election in effect for such benefits under subsection (b); and
(2) the individual has a condition such that the individual would qualify for benefits under this part for inpatient hospital services, extended care services, or home health services, respectively, if the individual were an inpatient or resident in a hospital or skilled nursing facility, or receiving services from a home health agency, that was not such an institution.
(A) A written statement, signed by the individual (or such individual's legal representative), that-
(B) A statement that the receipt of nonexcepted medical services shall constitute a revocation of the election and may limit further receipt of services described in subsection (a).
(A) the next election may not become effective until the date that is 1 year after the date of most recent previous revocation, and
The term "excepted medical treatment" means medical care or treatment (including medical and other health services)-
(C) Trigger level
Subject to adjustment under paragraph (3)(B), the "trigger level" for a year is the unadjusted trigger level described in clause (ii).
(ii) Unadjusted trigger level
The "unadjusted trigger level" for-
(I) fiscal year 1998, is $20,000,000, or
(II) a succeeding fiscal year is the amount specified under this clause for the previous fiscal year increased by the percentage increase in the consumer price index for all urban consumers (all items; United States city average) for the 12-month period ending with July preceding the beginning of the fiscal year.
At the beginning of each fiscal year (beginning with fiscal year 1999), the Secretary shall submit to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate an annual report on coverage and expenditures for services described in subsection (a) under this part and under State plans under subchapter XIX. Such report shall include-
(1) level of expenditures described in subsection (c)(1) for the previous fiscal year and estimated for the fiscal year involved;
(2) trends in such level; and
(3) facts and circumstances of any significant change in such level from the level in previous fiscal years.
(Aug. 14, 1935, ch. 531, title XVIII, §1821, as added Pub. L. 105–33, title IV, §4454(a)(2), Aug. 5, 1997, 111 Stat. 428 ; amended Pub. L. 108–173, title VII, §706(a), Dec. 8, 2003, 117 Stat. 2339 .)
2003-Subsec. (a). Pub. L. 108–173, §706(a)(1), inserted "and for home health services furnished an individual by a religious nonmedical health care institution" after "religious nonmedical health care institution" in introductory provisions.
Subsec. (a)(2). Pub. L. 108–173, §706(a)(2), substituted ", extended care services, or home health services" for "or extended care services" and inserted ", or receiving services from a home health agency," after "skilled nursing facility".
Pub. L. 105–33, title IV, §4454(d), Aug. 5, 1997, 111 Stat. 431 , provided that: "The amendments made by this section [enacting this section and amending sections 1320a–1, 1320c–11, 1395x, 1396a, and 1396g of this title] shall take effect on the date of the enactment of this Act [Aug. 5, 1997] and shall apply to items and services furnished on or after such date. By not later than July 1, 1998, the Secretary of Health and Human Services shall first issue regulations to carry out such amendments. Such regulations may be issued so they are effective on an interim basis pending notice and opportunity for public comment. For periods before the effective date of such regulations, such regulations shall recognize elections entered into in good faith in order to comply with the requirements of section 1821(b) of the Social Security Act [42 U.S.C. 1395i–5(b)]."