An Act to provide a 7-percent increase in social security benefits beginning with March 1974 and an additional 4-percent increase beginning with June 1974, to provide increases in supplemental security income benefits, and for other purposes.
PL 93-233 (H.R.11333), enacted 12/31/1973

87 STAT. ] 
PUBLIC LAW 93-233-DEC. 31, 1973 
9'47 
Public Law 93-233 
AN ACT 
To provide a 7-pei'cent increase in social security benefits beginning witli Marcli 
1974 and an additional 4-i)ercent increase beginning with June lf)74, to provide 
increases in supplemental security income benefits, and for other i>uriK)ses. 
Be it enacted by the /Senate and Home of RepreHevtatloeii of the 
United States of America in Congress assembled, 
I N T E R I M COST-OF-LIVING INCREASES I N SOCIAL SECURITY BENEFITS 
SECTION 1. (a) Section 201(a) (1) of Public Law l)3-()6 is amended 
by striking out "the percentage by which" and all that follows and 
inserting in lieu thereof the following: "7 per centum/'. 
(b) Section 201(a) (2) of Public Law 98-()6 is amended— 
(1) by striking out "May 1974" each place it appears and 
inserting in lieu thereof "February 1974"; and 
(2) by striking out "January 1975" each place it appears and 
inserting in lieu thereof "June 1974". 
(c) Section 201(b) of Public Law 93-66 is amended to read as 
follows: 
"(b) The increase in social security benefits authorized under this 
section shall be provided, and anj^ determinations by the Secretary in 
connection with the provision of such increase in benefits shall be 
made, in the manner prescribed in section 215 (i) of the Social Security 
Act for the implementation of cost-of-living inci'eases authorized 
under title I I of such Act, except that— 
"(1) the amount of such increase shall be 7 per centum, 
"(2) in the case of any individual entitled to monthly insur-
ance benefits payable pursuant to section 202(e) of such Act for 
February 1974 (without the application of section 202(j) (1) or 
223(b) of such Act), including such benefits based on a primary 
insurance amount determined under section 215(a)(3) of such 
Act as amended by this section, such increase shall be determined 
without regard to j)aragraph (2) (1^) of such section 202(e), and 
"(3) in the case of any individual entitled to monthly insur-
ance benefits payable pui-suant to section 202(f) of such Act for 
February 1974 (without the application of section 202(j) (1) or 
223(b) of such Act), inchuling such l)enefits based on a primary 
insurance amount determined under section 215(a) (3) of such 
Act as amended by this section, such increase shall be determined 
without regard to paragraph (3) (B) of such section 202(f),". 
(d) Section 201(c) (2) of Public Law 93-66 is amended by striking 
out "May 1974" and inserting in lieu thereof "Febi'uary 1974", 
(e) Section 201(d) of Public Law 93-66 is amended by striking out 
"December 1974" each place it appeai-s and inserting in lieu thereof 
"May 1974". 
(f) Section 202(e) of the Social Security Act is amended by adding 
at the end thereof the following new paragraph: 
"(7) In the case of an individual entitled to monthly insurance 
benefits payable under this section for any month prior to Januaiy 
1973 whose benefits were not redetermined imder section 102(g) of 
the Social Security Amendments of 1972, such benefits shall not be re-
determined pui'suant to such section, but shall be increased pursuant to 
any general benefit increase (as defined in section 215 (i) (3)) or any 
increase in benefits made under or pursuant to section 215 (i), includ-
ing for this purpose the increase i)rovided effective for March 1974, 
as though such redetermination had been made." 
December 31, 1973 
[H. R. 11333] 
Social security 
benefits, increase. 
Ante, 
p. 152. 
Post, p. 952. 
Infra. 
42 u s e 402,423. 
Post, p. 948, 
Ante, 
p. 152. 
81 Stat. 829. 
86 Stat. 1338. 
42 u s e 402 
note. 
86 Stat. 412, 
42 u s e 415. 
948 
PUBLIC LAW 93-233-DEC. 31, 1973 
[87 STAT. 
81 Stat. 830. 
42 u s e 402. 
86 Stat. 1338. 
42 u s e 402 
note. 
86 Stat. 412. 
42 u s e 415. 
Post, p. 952. 
86 Stat, 1333. 
Effective date. 
53 Stat. 1362. 
42 u s e 401. 
42 u s e 402, 
423. 
86 Stat. 1338. 
(g) Section 202(f) of the Social Security Act is amended by adding 
at the end thereof the following new paragraph : 
"(8) In the case of an individual entitled to monthly insurance 
benefits payable under this section for any month prior to January 
1973 whose benefits were not redetermined under section 102(g) of 
the Social Security Amendments of 1972, such benefits shall not be 
redetermined pursuant to such section, but shall be increased pursuant 
to any general benefit increase (as defined in section 215(i) (3) or any 
increase in benefits made under or pursuant to section 215 (i), includ-
ing for this purpose the increase provided effective for March 1974, 
as though sucn redetermination had been made." 
(h) (1) Section 215(a) (3) of the Social Security Act is amended by 
striking out "$8.50*- and inserting in lieu thereof "$9.00". 
(2) The amendment made by paragraph (1) shall be effective with 
respect to benefits payable for months after February 1974. 
(i) In tho case of an individual to whom monthly benefits are ])ay-
able under title I I of the Social Security Act for February 1974 (with-
out the application of section 202(j) (1) or 223(b) of such Act), and 
to whom section 202 (m) of such Act is applicable for such month, 
such section shall continue to be applicable to such benefits for the 
months of March through May 1974 for which such individual remains 
tlie only individual entitled to a monthly benefit on the basis of the 
wages and self-employment income of the deceased insured individual. 
86 Stat. 406. 
42 u s e 415. 
ELEVEX-PERCEXT INCREASE I X SOCIAL SECURITY BENEFITS 
SEC. 2. (a) Section 215(a) of the Social Security Act is amended 
by striking out the table and inserting in lieu thereof the following; 
" T A B L E F O R D E T E R M I N I N G P R I M A R Y I N S U R A N C E A M O U N T A N D 
M A X I M U M 
" I 
(Primary insurance Iteiielit 
under 11)39 Ael, as 
modified) 
"If 
an 
individual's 
pri-
mary insurance benefit (as 
determined under SHV)see. 
(d)) 
i s -
" A t least— 
„ 
$16. 21 
16.86 
17.61 
18.41 
19.25 
20.01 
20.66 
21.29 
21.80 
22.2!) 
22.69 
23.09 
23.45 
23.77 
24.21 
24.61 
26.01 
26.49 
26.93 
26.41 
lUil noi more 
than— 
.$16. 20 
16.84 
17.60 
18.40 
19.24 
20.00 
20.64 
21.28 
21.88 
22.28 
22.68 
23.08 
23.44 
23.76 
24.20 
24.60 
25.00 
26.48 
26.92 
26.40 
26.94 
F A M I L Y 
B E N E F I T S 
n 
(Primary 
insurance 
amount 
effective for 
September 
1972) 
Or his pri-
mary insur-
ance amount 
(as deter-
mined under 
subsec. 
(c)) 
i s -
$84.50 
85.80 
87.80 
89.40 
91.00 
92.90 
94. 60 
96. 20 
98.10 
99.80 
101.40 
103.00 
104.90 
106.70 
108.80 
110.30 
112.10 
114. 20 
116.00 
117.90 
119.70 
nr 
(Average monthly wage) 
Or his average monthly 
wage (as determined under 
subsee. (b)) is— 
At least— 
$77 
79 
81 
82 
84 
86 
88 
90 
91 
93 
96 
97 
98 
100 
102 
103 
106 
107 
108 
110 
But not 
more than— 
.$76 
78 
80 
81 
83 
86 
87 
89 
90 
92 
94 
96 
97 
99 
101 
102 
104 
106 
107 
109 
113 
IV 
(Primary 
insurance 
amount) 
The amount 
referred 
to in the 
pTeceding 
paragraphs 
of this 
subsection 
shall be— 
.$93.80 
96.30 
97.50 
99.30 
101.10 
103.20 
105.10 
108.80 
108.90 
110.80 
112.60 
114.40 
116.50 
118.50 
120.80 
122.50 
124.50 
126.80 
128.80 
130.90 
132.90 
V 
(Maximum 
family 
benefits) 
And the 
maximum 
amount of 
benefits pay-
able (as pro-
vided in 
sec. 203(a)) 
on the basis 
of his wages 
and self-
employment 
income shall 
be— 
$140.80 
143.00 
146.30 
149.00 
151.70 
154.80 
157.70 
160. 20 
163.40 
166.20 
169.00 
171. 60 
174.80 
177. 80 
181.20 
183.80 
186.80 
190.20 
193.20 
196.40 
199.40 
87 STAT.] 
PUBLIC L
A
W 93-233-DEC. 31, 1973 
949 
'TABLE FOE DETERMINING PRIMAHY INSURANCE AMOUNT AND MAXIMUM 
FAMILY BENEFITS—Continued 
" I 
(Primary insurance benefit 
under 1939 Act, as 
modified) 
"If 
an 
individual's 
pri-
mary insurance benefit (a? 
determined under subsec. 
(d)) 
i s -
"At least— 
$26.95 
27.47 
28.01 
28.69 
29.26 
29.69 
30.37 
30.93 
31.37' 
32.01 
32.61 
33.21 
33.89 
34.51 
35.01 
35.81 
36.41 
37.09 
37.61 
38.21 
39.13 
39.69 
40.34 
41.13 
41.77 
42.45 
43.21 
43.77 
44.45 
44.89 
But not more 
tiian— 
$27.46 
28.00 
28.68 
29.25 
29.68 
30.36 
30.92 
31.36 
32.00 
32.60 
33.20 
33.88 
34.50 
35.00 
35.80 
36.40 
37.08 
37.60 
38.20 
39.12 
39.68 
40.33 
41.12 
41.76 
42.44 
43.20 
43.76 
44.44 
44.88 
45.60 
II 
(Primary 
Insurance 
amount 
effective for 
September 
1972) 
Or his pri-
mary insur-
ance amount 
(as deter-
mined under 
subsec. 
( 0 ) 
i s -
$121. 40 
123.30 
125.10 
127.10 
128.80 
130.50 
132.50 
134.30 
136.00 
138.00 
139.70 
141.60 
143.40 
145.20 
147.20 
148.80 
150.90 
152.70 
154.40 
156.40 
158.20 
159.80 
161.80 
163.60 
165.50 
167.30 
169.40 
171.00 
172.70 
174.80 
176.60 
178.10 
180.20 
182.00 
183.90 
185.70 
187.50 
189. 50 
191.10 
193.10 
194.90 
196.60 
198.60 
200.30 
202.00 
204.00 
205.80 
207.90 
209.40 
211.20 
213.30 
215.00 
217.00 
218.70 
220.40 
222.40 
224.20 
226.20 
227.80 
229.60 
231.60 
233.30 
235.40 
236.90 
238.60 
240.30 
242.20 
243.80 
245.40 
247.40 
248.90 
III 
(Average monthly wage) 
Or his average monthly 
wage (as determined under 
subsec. 
At least— 
$114 
119 
123 
128 
133 
137 
142 
147 
151 
156 
161 
165 
170 
175 
179 
184 
189 
194 
198 
203 
208 
212 
217 
222 
226 
231 
236 
240 
245 
250 
254 
259 
264 
268 
273 
278 
282 
287 
292 
296 
301 
306 
310 
315 
320 
324 
329 
334 
338 
343 
348 
352 
357 
362 
366 
371 
376 
380 
385 
390 
394 
399 
404 
408 
413 
418 
422 
427 
432 
437 
441 
(b)) i s -
But not 
more than— 
$118 
122 
127 
132 
136 
141 
146 
150 
155 
160 
164 
169 
174 
178 
183 
188 
193 
197 
202 
207 
211 
216 
221 
225 
230 
235 
239 
244 
249 
253 
258 
263 
267 
272 
277 
281 
286 
291 
295 
300 
305 
309 
314 
319 
323 
328 
333 
337 
342 
347 
351 
356 
361 
365 
370 
375 
379 
384 
389 
393 
398 
403 
407 
412 
417 
421 
426 
431 
436 
440 
445 
IV 
(Primary 
insurance 
amount) 
The amount 
referred 
to in the 
preceding 
paragraphs 
of this 
subsection 
shall be— 
$134.80 
136.90 
138.90 
141.10 
143.00 
144.90 
147.10 
149.10 
151.00 
153.20 
156.10 
157.20 
159.20 
161.20 
163.40 
165.20 
167.50 
169.50 
171.40 
173.70 
175.70 
177.40 
179.60 
181.60 
183.80 
185.80 
188.10 
189.90 
191.70 
194.10 
196.10 
197.70 
200.10 
202.10 
204.20 
206.20 
208. 20 
210.40 
212.20 
214.40 
216.40 
218. 30 
220.60 
222.40 
224. 30 
226.50 
228.50 
230.80 
232.50 
234.50 
236.80 
238.70 
240.90 
242.80 
244.70 
246.90 
248.90 
251.10 
252.90 
254.90 
267.10 
269.00 
261.30 
263.00 
264.90 
266.80 
268.90 
270.70 
272.40 
274.70 
276.30 
V 
(Maximum 
family 
benefits) 
And the 
maximum 
amount of 
benefits pay-
able (as pro-
vided in 
sec. 203(a)) 
on the basis 
of his wages 
and self-
employment 
income shall 
be— 
$202. 20 
205.40 
208.40 
211.70 
214.60 
217.40 
220.70 
223.70 
226.50 
229.80 
232.70 
235.80 
238.90 
241.80 
245.10 
247.80 
251.40 
254.40 
257.10 
260.60 
263.60 
266.10 
269.40 
272.40 
276.70 
278.70 
282.20 
286.20 
292.10 
296.80 
302.60 
308.40 
313.10 
319. C
O 
324.80 
329.50 
335.40 
341.30 
345.90 
351.70 
357.60 
362.40 
368.20 
374.10 
378.80 
384.70 
390.60 
395.20 
401.00 
406.90 
411.50 
417.40 
423.30 
428.00 
433.80 
439.60 
444.50 
450.30 
456.10 
460.80 
466.70 
472.60 
477.20 
483.10 
488.90 
493.60 
499.40 
505.30 
511.20 
513.50 
616.50 
950 
PUBLIC L
A
W 93-233-DEC. 31, 1973 
[87 STAT. 
'TABLE FOR DETERMINING PRIMARY INSURANCE AMOUNT AND MAXIMUM 
FAMILY BENEFITS—Continued 
" I 
(Primary insurance benefit 
under 1939 Act, as 
modified) 
"If 
an 
individual's 
pri-
mary insurance benefit (as 
determined under subsec. 
(d)) 
i s -
"At least— 
B u t n o t more 
than— 
I I 
(Primary 
insurance 
amount 
eflective for 
September 
1972) 
Or liis pri-
mary insur-
ance amount 
(as deter-
mined under 
subsec. 
(c)) 
i s -
$250.60 
262.60 
254.10 
255.80 
257.40 
269.40 
260.90 
262.60 
264.50 
266.10 
267.80 
269.70 
271.20 
272.90 
274.60 
276.40 
278.10 
279.80 
281.70 
283.20 
284.90 
286.80 
288.40 
290.10 
291.50 
293.10 
294.60 
296.20 
297.60 
299.20 
300.60 
302.20 
303.60 
305.30 
306.80 
308.30 
309.80 
311.30 
312.80 
314.40 
315.90 
317.40 
318.90 
320.40 
321.90 
323.40 
325.00 
326.60 
328.00 
329.60 
331.00 
332.00 
332.90 
334.10 
335.30 
336.50 
337.70 
338.90 
340.10 
341.30 
342.50 
343.70 
344.90 
346.10 
347.30 
348.50 
349.70 
350.90 
352.10 
353.30 
354.50 
I I I 
(Average monthly wage) 
Or his average monthly 
wage (as determined under 
subsec. (b)) is— 
-
At least— 
$446 
461 
466 
460 
465 
469 
474 
479 
483 
488 
493 
497 
502 
607 
511 
516 
521 
525 
530 
535 
539 
544 
549 
554 
557 
561 
564 
568 
571 
575 
578 
582 
585 
589 
592 
596 
599 
603 
606 
610 
613 
617 
621 
624 
628 
631 
635 
638 
642 
645 
649 
653 
657 
661 
666 
671 
676 
681 
686 
691 
696 
701 
706 
711 
716 
721 
726 
731 
736 
741 
746 
But not 
more than— 
$460 
454 
469 
464 
468 
473 
478 
482 
487 
492 
496 
501 
506 
510 
515 
520 
524 
529 
534 
538 
543 
548 
553 
556 
560 
563 
567 
570 
574 
577 
581 
584 
.588 
591 
595 
598 
602 
605 
609 
612 
616 
620 
623 
627 
630 
634 
637 
641 
644 
648 
652 
656 
660 
665 
670 
675 
680 
685 
690 
695 
700 
705 
710 
715 
720 
725 
730 
735 
740 
745 
750 
I V 
(Primary 
insurance 
amount) 
T h e amount 
referred 
to in the 
preceding 
paragraphs 
of this 
subsection 
shall be— 
$278.20 
280.30 
282.10 
284.00 
285.80 
288.00 
289.60 
291.50 
293.60 
295.40 
297.30 
299.40 
301.10 
303.00 
304.90 
306.90 
308.70 
310.60 
312.70 
314.40 
316.30 
318.40 
320.20 
322.10 
323.60 
325.40 
327.10 
328.80 
330.40 
332.20 
333.70 
335.50 
337.00 
338.90 
340.60 
342.30 
343.90 
345.60 
347.30 
349.00 
350.70 
352.40 
354.00 
355.70 
357.40 
359.00 
360.80 
362.60 
364.10 
365.90 
367.50 
368.60 
369.60 
370.90 
372. 20 
373.60 
374.90 
376.20 
,377.60 
378.90 
380.20 
381.60 
382.90 
384.20 
385.60 
386.90 
388.20 
389.50 
390.90 
392.20 
393.50 
V 
(Maximum 
family 
benefits) 
A n d the 
maximum 
amount of 
benefits pay-
able (as pro-
vided in 
sec. 203(a)) 
on the basis 
of his wages 
and self-
employment 
income shall 
b e -
$519.40 
521.70 
624.60 
527.50 
630.00 
532.80 
535.80 
538.20 
541.20 
544.10 
546.40 
549.30 
552.20 
554.60 
557.50 
560.50 
562.70 
565.70 
568.60 
571.00 
573.90 
576. 80 
579. 80 
581. 50 
583.90 
585.70 
588.00 
589.80 
592.00 
593.90 
.'596.10 
597.90 
600.30 
602.00 
604.40 
606.10 
608.60 
610.30 
612.50 
614.40 
616.70 
619.10 
620.80 
623.20 
625.30 
628.40 
631.30 
634.40 
637.20 
640.30 
643.10 
645.00 
646.70 
649.10 
651.40 
653.70 
656.10 
658.40 
660.70 
663.10 
665.40 
667. 70 
670.00 
672.40 
674.70 
677.00 
679.40 
681.70 
684.00 
686.40 
688.70 
87 STAT.] 
PUBLIC L
A
W 93-233-DEC. 31, 1973 
951 
"TABLE FOR DETERMINING PRIMARY INSURANCE AMOUNT AND MAXIMUM 
FAMILY BENEFITS—Continued 
"I 
(Primary insurance benefit 
under 1939 Act, as 
modified) 
"If 
an 
individual's 
pri-
mary insurance benefit (ab 
determined under subsec 
(d)) 
i s -
"At least— 
v ' " ; 
, 
' " 
}> ft-
, 
•- 
.• - 
i 
' 
• 
But not more 
than— 
II 
(Primary 
insurance 
amount 
effective for 
September 
1972) 
Or his pri-
mary insur-
ance amoimt 
(as deter-
mined under 
subsec. 
( 0 ) 
i s -
$355.50 
356.50 
357.50 
358.50 
359.50 
360.50 
361.50 
362.50 
363.50 
364.50 
365.50 
366.50 
367.60 
368.60 
369.50 
370.60 
371.60 
372.60 
373.60 
374.60 
376.50 
376.60 
377.50 
378.60 
379.50 
380.50 
381.60 
382.60 
383.60 
384.60 
385.60 
386.50 
387.60 
388.60 
389.60 
390.60 
391.50 
392.60 
393.60 
394.60 
396.60 
396.80 
397.60 
898.60 
399.50 
400.50 
401.60 
402.60 
403.60 
404.60 
III 
(Average monthly wage) 
Or his average monthly 
wage (as determined under 
subsec. (b)) is— 
At least— 
$751 
756 
761 
766 
771 
776 
781 
786 
791 
796 
801 
806 
811 
816 
821 
826 
831 
836 
841 
846 
851 
856 
861 
866 
871 
876 
881 
886 
891 
896 
901 
906 
911 
916 
921 
926 
931 
936 
941 
946 
961 
956 
961 
966 
971 
976 
981 
986 
991 
996 
1,001 
1,006 
1,011 
1,016 
1,021 
1,026 
1,031 
1,036 
1,041 
1,046 
1,061 
1,066 
1,061 
1,066 
1,071 
1,076 
1,081 
1,086 
1,091 
1,096 
But not 
more than— 
$755 
760 
765 
770 
775 
780 
786 
790 
795 
800 
805 
810 
815 
820 
825 
830 
835 
840 
846 
860 
865 
860 
865 
870 
875 
880 
885 
890 
895 
900 
906 
910 
916 
920 
925 
930 
935 
940 
945 
950 
955 
960 
966 
970 
975 
980 
986 
990 
996 
1,000 
1,005 
1,010 
1,015 
1,020 
1,025 
1,030 
1,036 
1,040 
1,045 
1,060 
1,065 
1,060 
1,065 
1,070 
1,076 
1,080 
1,086 
1,090 
1,096 
1,100 
IV 
(Primary 
insxu-anee 
amount) 
The amouftt 
referred 
to in the 
preceding 
paragraphs 
of this 
subsection 
shall be— 
$394.70 
395.80 
396.90 
398.00 
399.10 
400.20 
401.30 
402.40 
403.50 
404.60 
405.80 
406.90 
408.00 
409.10 
410.20 
411.30 
412.40 
413.60 
414.60 
416.70 
416.90 
418.00 
419.10 
420.20 
421.30 
422.40 
423.60 
424.60 
425.70 
426.80 
428.00 
429.10 
430.20 
431.30 
432.40 
433.50 
434.60 
435.70 
436.80 
437.90 
439.10 
440.20 
441.30 
442.40 
443.60 
444.60 
445.70 
446.80 
447.90 
449.00 
460.00 
451.00 
452.00 
453. C
O 
464.00 
456.00 
456.00 
457.00 
458.00 
469.00 
460.00 
461.00 
462.00 
463.00 
464.00 
465.00 
466.00 
467.00 
468.00 
469.00 
V 
(Maximum 
family 
benefits) 
And the 
maximum 
amount of 
benefits pay-
able (as pro-
vided in 
sec. 203(a)) 
on the basis 
of his wages 
and self-
employment 
income shall 
b e -
$690.70 
692.60 
694.60 
696.50 
698.50 
700.30 
702.30 
704.20 
706.20 
708.10 
710.10 
712.00 
714.00 
715.90 
717.90 
719.80 
721.80 
723.70 
725.70 
727.50 
729.50 
731.40 
733.40 
735.30 
737.30 
739.20 
741.20 
743.10 
745.10 
747.00 
749.00 
750.90 
752.90 
754.70 
756.70 
758.60 
760.60 
762.50 
764.50 
766.40 
768.40 
770.30 
772.30 
774.20 
776.20 
778.00 
780.00 
781.90 
783.90 
785.80 
787.50 
789.30 
791.00 
792.80 
794.50 
796.30 
798.00 
799.80 
801.50 
803.30 
805.00 
806.80 
808.50 
810.30 
812.00 
813.80 
815.60 
817.30 
819.00 
820.80." 
952 
PUBLIC LAW 93-233-DEC. 31, 1973 
[87 STAT. 
86 
42 
428. 
Stat. 
use 
Infra. 
Repeal 
86 
42 
note 
Stat 
use 
411. 
427, 
412. 
427 
Effective date 
53 Stat. 1362; 
86 Stat. 1367. 
42 
74 use 
Stat. 
401. 
947; 
85 Stat. 802. 
42 u s e 
86 
42 
note 
86 
Stat. 
use 
Stat. 
42 u s e 
402. 
416. 
%is 
••-> 
412. 
415. 
Post, 
p. 953. 
Infra. 
Supra. 
86 Stat. 417. 
42 u s e 430. 
(b) (1) Effective June 1, 1974, sections 227 and 228 of the Social 
Security Act are amended by striking out "$58.00" wherever it appears 
and inserting in lieu thereof "the larger of $64.40 or the amount most 
recently established in lieu thereof under section 215 (i)", and by 
striking out "$29.00*' wherever it appears and inserting in lieu thereof 
"the larger of $32.20 or the amount most recently established in lieu 
thereof under section 215 (i)". 
(2) Section 202(a)(4) of Public Law 92-336 is hereby repealed. 
(c) The amendment made by subsections (a) and (b) shall apply 
with respect to monthly benefits under title II of the Social Security 
Act for months after May 1974, and with respect to lump-sum death 
payments under section 202(i) of such Act in the case of deaths 
occurring after such month. 
(d) Section 202(a) (3) of Public Law 92-336 is amended by strik-
ing out "January 1, 1975" in subparagraphs (A), (B), and (C) and 
inserting in lieu thereof in each instance "June 1,1974". 
MODIFICATION OF COST-OF-LIVING BENEFIT INCREASE PROVISIONS 
SEC. 3. (a) Clause (i) of section 215(i)(l)(A) of the Social 
Security Act is amended to read as follows: "(i) the calendar quarter 
ending on March 31 in each year after 1974, or". 
(b) Clause (ii) of section 215(i)(l)(B) of such Act is amended 
by striking out "in which a law" and all that follows and inserting in 
lieu thereof "if in the year prior to such year a law has been enacted 
providing a general benefit increase under this title or if in such prior 
year such a general benefit increase becomes effective; and". 
(c) Section 215(i) (2) (A) (i) of such Act is amended by striking 
out "1974" and inserting in lieu thereof "1975", and by striking out 
"and to subparagraph (E) of this paragraph". 
(d) Section 215 (i) (2) (A) (ii) of sucn Act is amended— 
(1) bv striking out "such base quarter" and inserting in lieu 
thereof "the base quarter in any year"; 
(2) by striking out "January of the next calendar year" and 
inserting in lieu thereof "June of sucli year"; and 
(3) by striking out" (subject to subparagraph (E))". 
(e) Section 215(i) (2) (B) of such Act is amended by striking 
out "December" each place it appears and inserting in lieu thereof 
"May", and by striking out "(subject to subparagraph (E))". 
(f) Section 215(i) (2) (C) (ii) of such Act is amended by striking 
out "on or before Aujrust 15 of such calendar vear" and inserting in 
lieu thereof "within 30 davs after tl^e close of such quarter". 
(g) Section 215(i) (2) (D) of such Act is amended by striking out 
"on or before November 1 of such calendar year" and inserting in lieu 
tliereof "Avithin 45 days after the close of such quarter". 
(h) Section 215(i) (2) of such Act is amended by striking out sub-
paratrraph (E). 
(i) For purposes of section 203(f) (8), so much of section 215 (i) (1) 
(B) as follows the semicolon, and section 230(a) of the Social Security 
Act, the increase in benefits provided bv section 2 of thi's Act shall be 
considered an increase under section 215 (i) of the Social Security Act. 
(j) (1) Section 230(a) of such Act is amended— 
(A) by striking out "with the fii-st month of tlie calendar year" 
and inserting in lieu thereof "witli the June"; and 
(B) by striking out " (along with the publication of such benefit 
increase as required by section 215(i) (2) ( D ) ) " and by striking 
out "(unless such increase in benefits is prevented from becoming 
effective by section 215 (i) (2) (E))". 
87 STAT. ] 
PUBLIC LAW 93-233-.DEC. 31, 1973 
953 
86 Stat. 417. 
Ante, 
p. 952. 
(2) Section 230(c) of such Act is amended by striking out "the 
42 stat! 430! 
fe-st month" and inserting in lieu thereof "the June". 
(k) (1) Section 203(f) (8) (A) of such Act is amended to read as 
H use 403 
follows: 
"(A) Whenever the Secretary pursuant to section 215(i) 
increases benefits effective with the month of June following a cost-
of-living computation quarter he shall also determine and publish 
in the Federal Register on or before November 1 of the calendar 
year in which such quarter occurs a new exempt amount which 
shall be effective (unless such new exempt amount is prevented 
from becoming effective by subparagraph (C) of this paragraph) 
with respect to any individual's taxable year which ends after the 
calendar year in which such benefit increase is effective (or, in the 
case of an individual who dies during the calendar year after 
the calendar year in which the benefit increase is effective, with 
respect to such individual's taxable year which ends, upon his 
death, during such year).". 
(2) Section 203(f) (8) (B) of such Act is amended by striking out 
"no later than August 15 of such year" and insertiiig in lieu thereof 
"within 30 days after the close of the base quarter (as defined in section 
215(i) (1) (A)) in such year". 
(3) Section 203(f)(8)(C) is amended by striking out "or pro-
viding a general benefit increase under this title (as defined in section 
215(i)(3))". 
SUPPLEMENTAL 
SECURITY INCOME 
BENEFITS 
Ante, 
p. 154. 
86 Stat. 1466; 
SEC. 4. (a) (1) Section 210(c) of Public Law 93-66 is amended by 
striking out "June 1974" and inserting in lieu thereof "December 
1973". 
(2) Section 211(a)(1)(A) of Public Law 93-66 is amended by 
striking out "($780 in the case of any period prior to July 1974)". 
(b) Effective with respect to payments for months after June 1974— 
(1) section 1611(a)(1)(A) and section 1611(b)(1) of the 
Social Security Act (as enacted by section 301 of the Social Secu-
rity Amendments of 1972 and amended by section 210 of Public 
Law 93-66) are each amended by striking out "$1,680" and insert- ^^^^ 
^^^ 
ing in lieu thereof "$1,752"; 
* 
"42\s"c 1382. 
(2) section 1611(a)(2)(A) and section 1611(b)(2) of such 
Act (as so enacted and amended) are each amended by striking 
out "$2,520" and inserting in lieu thereof "$2,628"; and 
(3) section 211(a) (1) (A) of Public Law 93-66 (as amended 
bv subsection (a) (2) of this section) is amended by striking out 
"$840" and inserting in lieu thereof "$876". 
INCREASE I N EARNINGS BASE 
SEC. 5. (a)(1) Section 209(a)(8) of the Social Security Act is 
^"'''^^ ' " ' 
amended by striking out "$12,600" and inserting in lieu thereof 
"$13,200". 
(2) Section 211(b) (1) (H) of such Act is amended by striking out 
*'$12,600" and inserting in lieu thereof "$13,200". 
(3) Sections 213(a) (2) (ii) and 213(a) (2) (iii) of such Act are 
each amended by striking out "$12,600" and inserting in lieu thereof 
"$13,200". 
(4) Section 215(e)(1) of such Act is amended by striking out 
*'$12,600" and inserting in lieu thereof "$13,200". 
954 
PUBLIC LAW 93-233-DEC. 31, 1973 
[87 STAT. 
Ante, 
p. 153. 
(b)(1) ScH'tion l-l-():^(b)(l) (H) of the Intonuil Keveime Code of 
1954 (relating to definition of self-employment income) is amended 
by striking out "$12,600" and inserting in lieu thereof "$18,200". 
(2) Effective with respect to remuneration j)aid after 1973, section 
3121 (a) (1) of such Code is amended by striking out the dollar amount 
each place it appears therein and inserting in lieu thereof "$13,200". 
(3) Effective with respect to remuneration paid after 1973, the 
second sentence of section 3122 of such Code is amended by striking 
out the dollar amount and inserting in lieu thereof "$13,200". 
(4) Effective with respect to remuneration paid after 1973, section 
3125 of such Code is amended by striking out the dollar amount each 
place it appears in subsections (a), (b), and (c) and inserting in lieu 
thereof "$13,200". 
(5) Section 6413(c) (1) of such Code (relating to special refunds of 
employment taxes) is amended by striking out "$12,600" each place 
it appears and inserting in lieu thereof "$13,200". 
(6) Section 6413(c)(2)(A) of such Code (relating to refunds of 
employment taxes in the case of Federal employees) is amended by 
striking out "$12,600" and inserting in lieu thereof "$13,200". 
(7) Effective with respect to taxable years beginning after 1973, 
section 6654(d) (2) (B) (ii) of such Code (relating to failure by indi-
vidual to pay estimated income tax) is amended bv striking out the 
dollar amount and inserting in lieu thereof "$13,200". 
(c) Section 230(c) of the Social Security Act is amended by 
striking out "$12,600^' and inserting in lieu thereof "$13,200". 
(d) Paragraphs (2)(C), (3)(C), (4) (C), and (7) (C) of section 
203(b) of Public Law 92-336 are each amended by striking out 
"$12,600" and inserting in lieu thereof "$13,200". 
Effective date. 
(g^ ^j^g amendments made by this section, except subsection (a) (4) ,
• 
shall apply only with respect to remuneration paid after, and taxable 
years beginning after, 1973. The amendments made by subsection 
(a) (4) shall apply with respect to calendar years after 1973. 
(f) The amendments made by this section to provisions of the 
Social Security Act, the Internal Revenue Code of 1954, and Public 
49 Stat. 620. 
42 u s e 1305. 
6
8
A Stat. 3. 
Law 92-336 shall be deemed to be made to such provisions as amended 
26 use 1 et 
by section 203 of Public Law 93-66. 
seqf. 
-
^ 
86 Stat. 406. 
Ante.p- 
153. 
CHAXGES I X TAX 
SCHEDULES 
86 Stat. 1362. 
26 u s e 3101. 
SEC. 6. (a) (1) Section 3101(a) of the Internal Revenue Code of 1954 
(relating to rate of tax on employees for purposes of old-age, survivors, 
and disability insurance) is amended by striking out paragraphs (4) 
through (6) and inserting in lieu thereof the following: 
"(4) with respect to wages received during the calendar year 
1973, the rate shall be 4.85 percent; 
"(5) with respect to wages received during the calendar years 
1974 through 2010, the rate shall be 4.95 percent; and 
"(6) witn respect to wages received after December 31, 2010, 
the rate shall be 5.95 percent." 
(2) Section 3111(a) of such Code (relating to rate of tax on 
employers for purposes of old-age, survivors, and disability insurance) 
IS amended by striking out paragraphs (4) through (6) and inserting 
in lieu thereof the following: 
" (4) with respect to wages paid during the calendar year 1973, 
the rate shall be 4.85 percent; 
"(5) with respect to wages paid during the calendar years 
1974 through 2010, the rate shall be 4.95 percent; and 
"(6) with respect to wages paid after December 31, 2010, the 
rate shall be 5.95 percent.". 
87 STAT. ] 
PUBLIC LAW 93-233-DEC. 31, 1973 
955 
86 Stat. 1363. 
(b) (1) Section 1401(b) of such Code (relating to rate of tax on 
°° ^'gc i40i 
sell-employment income for purposes of hospital insurance) is 
amended by striking out paragraphs (2) through (5) and inserting 
in lieu thereof the following: 
"(2) in the case of any taxable year beginning after Decem-
ber 31, 1972, and before January 1, 1974, the tax shall be equal 
to 1.0 percent of the amount of the self-employment income for 
such taxable year; 
"(3) in the case of any taxable year beginning after Decem-
ber 31, 1973, and before January 1, 1978, the tax shall be equal 
to 0.90 percent of the amount of the self-employment income 
for such taxable year; 
"(4) in the case of any taxable year beginning after Decem-
ber 31, 1977, and before January 1, 1981, the tax shall be equal 
to 1.10 percent of the amount of the self-employment income for 
such taxable year; 
"(5) in the case of any taxable year beginning after Decem-
ber 31, 1980, and before January 1, 1986, the tax shall be equal 
to 1.35 percent of the amount of the self-employment income 
for such taxable year; and 
"(6) in the case of any taxable year beginning after Decem-
ber 31, 1985, the tax shall be equal to 1.50 percent of the self-
employment income for such taxable year." 
(2) Section 3101(b) of such Code (relating to rate of tax on 
employees for purposes of hospital insurance) is amended by strik-
ing out paragraphs (2) through (5) and inserting in lieu thereof 
the following: 
"(2) with respect to wages received diu'ing the calendar year 
1973, the rate shall be 1.0 percent; 
"(3) with respect to wages received during the calendar years 
1974 through 1977, the rate shall be 0.90 percent; 
"(4) with respect to wages received during the calendar years 
1978 through 1980, the rate shall be 1.10 percent; 
"(5) w^ith respect to Avages received during the calendar years 
1981 through 1985, the rate shall be 1.35 percent; and 
"(6) with respect to wages received after December 31, 1985, 
the rate shall be 1.50 percent.". 
(3) Section 3111(b) of such Code (relating to rate of tax on 
employers for purposes of hospital insurance) is amended by striking 
out paragraphs (2) through (5) and inserting in lieu thereof the 
following: 
''(2) with respect to wages paid during the calendar year 1973, 
the rate shall be Lo percent; 
"(3) with respect to wages paid during the calendar years 
1974 through 1977, the rate shall be 0.90 percent; 
" (4) wdth respect to wages paid during the calendar years 1978 
through 1980, the rate shall be 1.10 percent; 
"(5) with respect to wages paid during the calendar years 1981 
through 1985, the rate shall be 1.35 percent; and 
"(6) with respect to wages paid after Decembei- 31, 1985, the 
rate shall be 1.50 percent.". 
(c) The amendment made by subsection (b)(1) shall apply only 
Effective date. 
with respect to taxable years beginning after December 31, 1973. The 
remaining amendments made by this section shall apply only with 
respect to remuneration paid after December 31,1973. 
ALLOCATION TO DISABILITY INSURANCE TRUST 
FUND 
SEC. 7. (a) Section 201(b)(1) of the Social Security Act is 
^6 stat. i364. 
amended by striking out " ( E ) " and all that follows down through 
"
^
^ ^^^ '*°^' 
86 Stat. 1364. 
42 u s e 401. 
956 
PUBLIC LAW 93-233-DEC. 31, 1973 
[87 STAT. 
'SvJiich wa^es" and iusertijig in lien thereof the followino-: "(E) 1.1 
per centum of the wages (as so defined) paid after December 81,1972, 
and before January 1, 1974, and so reported, (F) 1.15 per centum of 
the wag-es (as so defined) paid after December 31, 1973, and before 
January 1,1978. and so reported, (G) 1.2 per centum of the wages (as 
so defined) paid after December 31,1977, and before January 1,1981, 
and so reported, (H) 1.3 per centum of the wages (as so defined) 
paid after December 31, 1980, and before January 1, 1986, and so 
reported, (I) 1.4 per centum of the wages (as so defined) paid after 
December 31, 1985, and before January 1, 2011, and so reported, and 
(J) 1.7 per centum of the wages (as so defined) paid after Decem-
ber 81,2010, and so reported, which wages". 
(b) Section 201 (b) (2) of such Act is amended by striking out " ( E ) " 
and all that follows down through "which self-employment income" 
and inserting in lieu thereof the following: "(E) 0.795 of 1 per 
centum of the amount of self-employment income (as so defined) so 
reported for any taxable year beginning after December 81, 1972, and 
before January 1,1974, (F) 0.815 of 1 per centum of the amount of self-
employment income (as so defined) as reported for any taxable year 
beginning after December 31, 1973, and before January 1, 1978, (G) 
0.850 of 1 per centum of the amount of self-employment income (as so 
defined) so reported for any taxable year beginning after Decem-
ber 31, 1977, and before January 1,1981, (H) 0.920 of 1 per centum of 
the amount of self-employment income (as so defined) so reported 
for any taxable year beginning after December 31, 1980, and before 
January 1, 1986, (I) 0.990 of 1 per centum of the amount of self-
emploj^ment income (as so defined) so reported for any taxable year 
beginning after December 31, 1985, and before January 1, 2011, and 
(J) 1 per centum of the amount of self-employment income (as so 
defined) so reported for any taxable year beginning after December 31, 
2010, which self-employment income". 
KLIGIBIOTY OF SUPPLKMEXTAL SECFRITY INCOME RECiriEXTS FOR FOOD 
STAMPS 
^nfe, p. 246. 
^j,(._ j^_ (a)(1) Sectiou 8(e) of the Food Stamp Act of 1964 is 
amended effective only for the 6-month period beginning January 1. 
86 Stat. 1
^
3
2
9
. 
1974 to read as it did before amendment by Public Law 92-603 and 
5te. 
Public Law 93-86, but with the addition of the following new sen-
Ante,p. 221. 
tcuce at the end thereof: "For the 6-month period beginning Janu-
ary 1, 1974 no individual, who receives supplemental secvirity income 
42 use 1381. 
benefits under title XVI of the Social Security Act, State supple-
'" """ ' "" 
mentary payments described in section 1616 of such Act, or payments 
of the type referred to in section 212(a) of Public Law 93-66, shall be 
considered to be a member of a household or an elderly person for 
purposes of this Act for any month during such period, if. for such 
month, such individual resides in a State which provides State sup-
plementary payments (A) of the type described in section 1616(a) of 
the Social Security Act, and (B) the level of which has been found 
by the Secretary of Health, Education, and Welfare to have been 
specifically increased so as to include the bonus value of food stamps.". 
Ante, p. 246. 
^g) Sectiou 3 (b) of PubUc Law 93-86 shall not be effective for the 
6-nionth period beginning January 1,1974. 
(b) (1) Section 4(c) of Public Law 93-86 shall not be effective for 
the 6-month period beginning January 1, 1974. 
(2) The last sentence of section 416 of the Act of October 31, 1949 
f^f^t^t. ^1,492. 
(.^s added by section 411 (g) of Public Law^ 92-608) shall not be effec-
tive for the 6-month period beginning January 1, 1974. 
(8) For the 6-month peiiod beginning January 1, 1974, no individ-
ual, who receives supplemental security income benefits under title 
42 use 1382e 
Ante, p. 155. 
7 use 1431. 
87 STAT. ] 
PUBLIC LAW 93-233-DEC. 31, 1973 
9E;7 
XVI of the Social Security Act, State supplementary payments 
s^ stat^. ^i46s. 
described in section 1616 of such Act, or payments of the type referred 
42 use i382e. 
to in section 212(a) of Public Law 93-66, shall be considered to be 
Ante, p. iss. 
a member of a household for any purpose of the food distribution 
program for families under section 32 of Public Law 74-320, section 
yVsc^euc' 
416 of the Agricultural Act of 1949, or any other law, for any month 
86 stat. 1492; 
during such period, if, for such month, such individual resides in a ^'1'®' P- ^^'^•' 
State which provides State supplementary payments (A) of the type 
described in section 1616(a) of the Social Security Act, and (B) the 
level of which has been found by the Secretary of Health, Education, 
and Welfare to have been specifically increased so as to include the 
bonus value of food stamps. 
(c) For purposes of tne last sentence of section 3(e) of the Food 
Stamp Act of 1964 (as amended by subsection (a) of this section) and 
^"^^' ^- ^^^' 
subsections (b) (3) and (f) of this section, the level of State supple-
mentary payment under section 1616(a) shall be found by the Secre-
tary to have been specifically increased so as to include the bonus value 
of food stamps (1) only if, prior to October 1, 1973, the State has 
entered into an agreement with the Secretary or taken other positive 
steps which demonstrate its intention to provide supplementary pay-
ments under section 1616(a) at a level which is at least equal to the 
maximum level which can be determined under section 401(b) (1) of 
the Social Security Amendments of 1972 and which is such that the 
^2 u'sc us^e 
limitation on State fiscal liability under section 401 does result in a note. 
reduction in the amount which would otherwise be payable to the 
Secretary by the State, and (2) only with respect to such months as 
the State may, at its option, elect. 
(d) Section 401(b) (1) of the Social Security Amendments of 1972 
is amended by striking out everything after the word "exceed" and 
inserting in lieu thereof: "a payment level modification (as defined in 
paragraph (2) of this subsection) with respect to such plans." 
(e) The amendment made by subsection (d) shall be effective only 
Effective date. 
for the 6-month period beginning January 1, 1974, except that such 
amendment shall not during such period, be effective in any State 
which provides supplementary payments of the type described in sec-
tion 1616(a) of the Social Security Act the level of which has been 
found by the Secretary to have been specifically increased so as to 
include the bonus value of food stamps. 
INDIVIDUALS DEEMED TO BE DISABLED UNDER T H E SUPPLEMENTAL SECURITY 
INCOME PROGRAM 
SEC. 9. Section 1614(a) (3) of the Social Security Act is amended— 
^ l'^^^ l^^^;^ 
(1) by striking out the last sentence of subparagraph (A); and 
(2) by inserting at the end thereof the following new 
subparagraph: 
"(E) Notwithstanding the provisions of subparagraphs (A) 
through (D), an individual shall also be considered to be disabled 
for purposes of this title if he is permanently and totally disabled 
as defined under a State plan approved under title XIV or X V I 86^stat^\"484^' 
as in effect for October 1972 and received aid under such plan (on 
42 use 1351, 
the basis of disability) for December 1973 (and for at least one is^i. 
month prior to July 1973), so long as he is continuously disabled 
as so defined.". 
SUPPLEMENTAL SECURITY INCOME RECIPIENT LIVING I N AID TO FAMILIES 
W I T H DEPENDENT CHILDREN 
HOUSEHOLD 
SEC. 10. (a) Section 212(a) (3) (A) of Public Law 93-66 is amended 
^"'^' ^ ^55-
by striking out "subparagraph (D)" and inserting in lieu thereof 
"subparagraphs (D) and (E)". 
958 
PUBLIC LAW 93-233-DEC. 31, 1973 
[87 STAT. 
Family total 
income regula-
tions. 
Ante, 
p. 155. 
42 u s e 601. 
86 Stat. 1484, 
1465. 
42 u s e 301, 
1201, 1351, 1381. 
76 Stat. 192. 
42 u s e 1315. 
86 Stat. 1465. 
42 u s e 1381 and 
note. 
(b) Section 212(a) (3) of Public Law 93-66 is amended by adding 
at the end thereof the following new subparagraph: 
"(E) (i) In the case of an individual who, for December 1973 lived 
as a member of a family unit other members of which received aid 
(in the form of money payments) under a State plan of a State 
approved under part A of title IV of the Social Security Act, such 
State at its option, may (subject to clause (ii)) reduce such individ-
ual's December 1973 income (as determined under subparagraph (B)) 
to such extent as may be necessary to cause the supplementary pay-
ment (referred to in paragraph (2)) payable to such individual for 
January 1974 or any month thereafter to be reduced to a level designed 
to assure that the total income of such individual (and of the members 
of such family unit) for any month after December 1973 does not 
exceed the total income of such individual (and of the members of 
such family unit) for December 1973. 
" (ii) The amount of the reduction (under clause (i)) of any individ-
ual's December 1978- income shall not be in an amount which would 
cause the supplementary payment (referred to in paragraph (2)) 
payable to such individual to be reduced below the amount of such 
supplementary payment which woi|ild be payable to such individual 
if he had, for the month of December 1973 not lived in a family, 
meml)ers of which were receiving aid under part A of title IV of the 
Social Security Act, and had had no income for such month other 
than that received as aid or assistance under a State plan approved 
under title I, X, XIV, or XVI of the Social Security Act."' 
CON'TIXIJATIOX OF ("?:RT.VIX DKMONISTRATION PROJECTS 
SEC. 11. (a) If any State (other than the Commonwealth of Puerto 
Kico, the Virgin Islands, or (juain) lias any experimental, pilot, or 
demonstration project (referred to in section 1115 of the Social 
Security Act)— 
(1) which (prior to October 1,1973) has been approved by the 
Secretary of Health, Education, and Welfare (hereinafter in 
this section refei-red to as the "Secretary"), for a period which 
ends on or after December 31. 1973, as being a project with respect 
to which the authority conferred upon him by subsection (a) or 
(b) of such section 1115 will be exercised, and 
(2) with respect to the costs of which Federal financial par-
ticipation would (except for the provisions of this section) be 
denied or reduced on account of the enactment of section 301 of 
the Social Security Amendments of 1972, 
then, for any period (after December 31, 1973) with respect to which 
such project is approved by the Secretary, Federal financial partici-
pati(m in the costs of such project shall be continued in like manner 
as if— 
(3) such section 301 had not been enacted, and 
(4) such State (for the month of January 1974 and any month 
thereafter) continued to have in effect the State plan (approved 
under title XVI) which w^as in effect for the month of October 
1973, or the State plans (approved under titles I, X, and XIV of 
the Social Security Act) which were in effect for such month, 
as the case may be. 
(b) With respect to individuals— 
(1) who are participants in any project to which the provi-
sions of subsection (a) are applicable, and 
(2) with respect to whom supplemental security income benefits 
are (or would, except for their participation in such project, 
be) payable under title XVI of the Social Security Act, or who 
meet the requirements for aid or assistance under a State plan 
Ante, p. 157. 
87 STAT. ] 
PUBLIC LAW 93-233-DEC. 31, 1973 
959 
approved undei- title L X, XIV, or XVI of the Social Security 
Act of tlie State in which such project is conducted (as such State ^^^^ ^^^^- ^'*^'*' 
plan was in effect for,)uly 1973), 
42 use 301, 
the Secretary may waive such requirements of title XVI of such Act 1201, 1351, issi. 
(as enacted by section 301 of the Social Security Amendments of 
1972) to such extent as he determines to be necessary to the successful 
se stat. i465. 
'
'
,
.
«
,
.
, 
"^ 
42 u s e 1381 and 
operation 01 such project. 
note. 
(c) In the case of any State which has entered into an agreement 
with the Secretary under section 1616 of the Social Security Act (or 
which is deemed, under section 212(d) of Public Law 93-66, to have 
entered into such an agreement), then, of the costs of any project of 
such State with respect to which there is (solely by reason of the pro-
visions of subsection (a)) Federal financial participation, the non-
Federal share thereof shall— 
(1)' be paid, from time to time, to such State by the Secretary, 
and 
(2) shall, for purposes of section 1616 (d) of the Social Security 
Act and section 401 of the Social Security Amendments of 1972, ^^gg^'^'- ^'*^'*' 
be treated in like manner as if such non-Federal share were sup- 
42 use i382e, 
plementary payments made by the Secretary on behalf of such i382enote. 
State pursuant to such agreement. 
St)CIAL SERVICES REGULATIONS 
POSTrOXEl) 
SEC. 12. (a) Subject to subsection (b), no regulation and iio modifi-
cation of any regulation, promulgated by the Secretary of Health, 
Education, and Welfare (hereinafter referred to as the "Secretary") 
after January 1, 1973, shall be etfective for any period which begins 
prior to January 1, 1975, if (and insofar as) such regulation or modi-
fication of a regulation pertains (directly or indirectly) to the provi-
sions of law contained in sections 3(a)(4)(A), 402(a) (19) (G). 
403(a)(3)(A), 603(a)(1)(A), 1003(a)(3)(A), 1403(a)(3)(A), or 
1603(a) (4) (A), of the Social Security Act. 
42 use 303,602. 
(b) (1) The provisions of subsection (a) shall not be applicable to 1353 1383. 
' 
any regulation relating to "scope of programs", if such regulation is 
identical (except as provided in the succeeding sentence) to the pro-
visions of section 221.0 of the regulations (relating to social services) 
proposed by the Secretary and published in the Federal Register on 
May 1,1973. There shall be deleted from the first sentence of subsection 
(b) of such section 221.0 the phrase "meets all the applicable 
45 CFR 221.0. 
requirements of this pait and". 
(2) The provisions of subsection (a) shall not be applicable to any 
regulation relating to "limitations on total amount of Federal funds 
payable to States for services", if such regulation is identical (except 
as provided in the succeeding sentence) to the provisions of section 
221.55 of the regulations so proposed and published on May 1, 1973. 
There shall be deleted from subsection (d) (1) of such section 221.55 
the phrase "(as defined under day care services for children)"; and, 
in lieu of the sentence contained in subsection (d) (5) of such section 
221.55, there shall be inserted the following: "Services provided to a 
child who is under foster care in a foster family home (as defined in 
section 408 of the Social Security Act) or in a childcare institution gi^stat^sso^'s 
(as defined in such section), or while awaiting placement in such a 
42 use eo's. 
home or institution, but only if such services are needed by such child 
because he is under foster care.". 
(3) The provisions of subsection (a) shall not be applicable to 
any regulation relating to "rates and amounts of Federal financial 
participation for Puerto Eico, the Virgin Islands, and Guam", if such 
regulation is identical to the provisions of section 221.56 of the 
regulations so proposed and published on May 1,1973. 
45 eFR 221.56. 
45 e F R 221.5,5. 
892. 
42 u s e 601. 
960 
PUBLIC LAW 93-233-.DEC. 31, 1973 
[87 STAT. 
(4) The provisions of subsection (a) shall not be construed to pre-
clude the Secretary from making any modification in any regulation 
(described in subsection (a)) if such modification is technically 
necessai'V to take account of the enactment of section 301 or 302 
1/78.^*^*" ^'*^^' 
of ^^^ Social Security Amendments of 1972. 
42 use 1381 
(c) Notwithstanding the provisions of section 553(d) of title 5, 
and note, 801 and ]Tj^ited States Code, an}^ regulation described in subsection (b) may 
Publications in becouie effective upon the date of its publication in the Federal 
Federal Register. 
Rpo'ister 
80 Stat. 383. 
'=' 
MEDICAL ELIGIBILITY FOR SUPPLEMENTAL SECURITY INCOME RECIPIENTS 
Beneficiaries 
SEC. 13. (a) (1) Section 1901 of the Social Security Act (as amended 
86^str^\39o^' 
^y Public Law 92-603) is amended by striking out "permanently and 
42'usc 1396. 
totally disabled" and inserting "disabled" in lieu thereof. 
79 Stat. 334.^ 
(2) Section 1902(a) (5) of such Act is amended by— 
42 use 1396a. 
^ ,^^ Striking out "to administer the plan," and inserting in lieu 
thereof "to administer or to supervise the administration of the 
plan;" and by striking out "to supervise the administration of 
the plan" and inserting "to administer or to supervise the ad-
ministration of the plan" in lieu thereof; and 
(B) striking out "XVI (insofar as it relates to the aged)" and 
42 use 1381. 
inserting "XVI (insofar as it relates to the aged) if the State 
is eligible to participate in the State plan program established 
under title XVI, or by the agency or agencies administering the 
supplemental security income program established under title 
XVI or the State plan approved under part A of title IV if the 
State is not eligible to participate in the State plan program estab-
lished under title XVI" in lieu thereof. 
(3) Section 1902(a) (10) of such Act is amended to read as follows: 
"(10) provide— 
"(A) for making medical assistance available to all indi-
viduals receivi)ig aid or assistance under any plan of the 
State approved under title I, X, XIV. or XVI, or part A of 
42 use 301, 
title IV, or witli respect to whom supplemental security 
601.' 
' 
' 
income benefits are being paid under title X V I ; 
"(B) that the medical assistance made available to any 
individual desci'ibed in clause (A)— 
"(i) shall not be leps in amount, duration, or scope 
than the medical assistance made available to any other 
such individual, and 
"(ii) shall not be less in amount, duration, or scope 
than the medical assistance made available to individuals 
not described in clause (A) ; and 
"(C) if medical assistance is included for any group of 
individuals who are not described in clause (A) and who 
do not meet the income and resources requirements of the 
appropriate State plan, or the supplemental security income 
program under title XVI. as the case may be, as determined 
in accordance with standards jorescribed by the Secretary— 
"(i) for making medical assistance available to all 
individuals who would, except for income and resources, 
be eligible for aid or assistance under any such State plan 
or to have paid with resnect to them supplemental secu-
rity income benefits under title XVI, and who have 
insufficient (as determined in accordance with compa-
rable standards) income and resources to meet the costs 
of necessary medical and remedial care and services, and 
87 STAT. ] 
PUBLIC LAW 93-233-DEC. 31, 1973 
961 
"(ii) that the medical assistance made nvailablo to all 
individuals not described in clause (A) shall be equal 
in amount, duration, and scope; 
except that (1) the making available of the services described 
ill paragraph (4), ( U ) , or (16) of section 11)05(a) to individuals 
^^ use laeed. 
meeting the age requirements prescribed therein shall not, by 
reason of this paragraph (10). recpiire the nuiking available of 
any such services, oi' the making available of such services of the 
same amount, duration, and scope, to individuals of any other 
ages, (IT) the making available of supplementary medical insur-
ance benefits \nider part B of title X V I I I to individuals eligible 
"
^
^ use i395j. 
therefor (either pursuant to an agreement entered into under 
section 1848 or by reason of the payment of ])remiums under such 
'^^ use i395v. 
title by the State agency on behalf of such individuals), or pro-
vision for meeting paii: or all of the cost of deductibles, cost 
shai'ing, or similar charges undei* part B of title X V I I I for 
individuals eligible for benefits under such part, shall not, by 
reason of this paragraph (10). require the nuiking available of 
any such benefits, or the making available of services of the same 
amount, duration, and scope, to any other individuals, and ( H I ) 
the making available of medical assistance equal in amoimt. dura-
tion, and scope to the medical assistance made available to individ-
uals described in clause (A) to any classification of individuals 
approved by the Secretary Avith respect to Avhom there is 
being paid, or who are eligible, or would be eligible if they were 
not in a medical institution, to have paid with respect to them, a 
State supplementary payment shall not, by reason of this para-
graph (10), require the making available of any such assistance, 
or the making available of such assistance of the same amount, 
duration, and scope, to. any other individuals not described in 
clause (A);". 
(4) Section 1902(a) (13) (B) of such Act is amended by striking out 
42 ulc S a . 
"the State's plan approved under title I, X. XIV, or XVT, or pait A 
of title IV" and inserting "any plan of the State approved under title 
T, X, XIV, or XVI. or part A of title IV. or Mnth respect to whom uol^iTsf^usi, 
supplemental security income benefits are being paid under title XVI" eoi.' 
in lieu thereof. 
(5) Section 1902 (a) (U) (A) of such Act is amended by striking ' ^e stat. usi. 
out "a State plan approved under title I. X. XIV. oi' XVT. or part A 
of title TV, or who meet the income and resources re(piii'ements of the 
one of such State plans which is appropriate'' and inserting "any plan 
of the State approved under title I. X. XIV. or XVT. or part A of title 
TV. or with respect to whom supplemental security income benefits 
are being paid under title XVI, or who meet the income and resources 
recpdi-ements of the appropriate State plan, or the supplemental 
securitv income program under title XVT. as the case may be. and 
individuals with respect to whom there is being paid, or who are 
eligible, or would be eligible if they were not in a medical institution, 
to have paid with respect to them, a State supplementary payment 
and are eligible for medical assistance equal in amount, duration, and 
scope to the medical assistance made available to individuals described 
inparairraph (10) (A)"inlieuthereof. 
(6) Section 1902(a) (14) (B) of such Act is amended by— 
(A) inserting "(other than individuals with respect to whom 
there is being paid, or who are eligible or would be eligible if they 
wei-e not in a medical institution, to have paid with respe<*t to 
them, a State supplementary payment and are eligible for medical 
assistance equal in amount, duration, and scope to the medical 
assistance made available to individuals descriWd in paragraph 
(10) (A))-' immodiatelj^ after "with ivspect to individuals"; 
22-150 0 - 7 5 - 6 3 
962 
PUBLIC L
A
W 93-233-DEC. 31, 1973 
[87 STAT. 
(B) inserting "and with respect to whom supplemental secu-
4
2 use 1381. 
rity income benefits are not being paid under title XVI" imme-
diately after "any such State plan"; 
(C) striking out "the one of such State plans Avhich is appro-
priate" and inserting "the appropriate State plan, or the supple-
mental security income program under title XVI, as the case 
may be," in lieu thereof; and 
(D) striking out "or who, after December 31,1973, are included 
under the State plan for medical assistance pursuant to section 
1902(a) (10) (B) approved under title XIX". 
II use u96a. 
(T) Section 1902(a) (17) of such Act is amended by— 
(A) striking out "the State's plan approved under title I, X, 
XIV, or XVI, or part A of title IV" and inserting "any plan of 
the State approved under title I, X, XIV, or XVI, or part A of 
i2ol^f35i^°i38i 
*
^
^
^
® ^^' ^^^ ^^^^ respect to whom supplemental security income 
601.' 
' 
' 
benefits are not being paid under title XVI" in lieu thereof; 
(B) striking out "if he met the requirements as to need" and 
inserting "except for income and resources" in lieu thereof; 
(C) striking out "a State plan approved under title I, X, XIV, 
: 
or XVI, or part A of title IV" and mserting "any plan of the State 
approved under title I, X, XIV, or XVI, or part A of title IV, or 
to have paid with respect to him supplemental security income 
benefits under title XVI" in lieu thereof; and 
(D) striking out "and amount of such aid or assistance under 
such plan" and inserting "such aid, assistance, or benefits" in lieu 
thereof. 
(8) Sections 19q2(a)(17) and 1902(a) (18) are each amended by 
striking out "is blind or permanently and totally disabled" and in-
serting "(with respect to States eligible to participate in the State 
l^rogram established under title XVI), is blind or permanently and 
totally disabled, or is blind or disabled as defined in section 1614 (with 
respect to States which are not eligible to participate in such pro-
gram )" in lieu thereof. 
(9) Section 1902(a) (20) (C) of such Act is amended by inserting 
4
2 use 803. 
«^ section 603(a)(1)(A) (i) and (ii)," immediately after "section 
!^ y
^
"
" ^.'l':. 
^(^) (*) (^) (i) and (ii)". 
(10) Section 1902(f) of such Act is amended by— 
(A) inserting "not eligible to participate in the State plan 
program established under title XVI" immediately after "State" 
the first time it appears therein; 
(B) striking out "such individual's payment under title XVI" 
and inserting "any supplemental security income payment and 
State supplementary payment made with respect to such individ-
ual" in lieu thereof; 
(C) striking out "as defined in section 213 of the Internal 
Revenue Code of 1954" and inserting "as recognized under State 
law" in lieu thereof; and 
(D) inserting at the end thereof the following new sentences: 
"In States which provide medical assistance to individuals pur-
suant to clause (10) (C) of subsection (a) of this section, an indi-
vidual who is eligible for medical assistance by reason of the 
requirements of this section concerning the deduction of incurred 
medical expenses from income shall be considered an individual 
eligible for medical assistance under clause (10) (A) of that sub-
section if that individual is, or is eligible to be (1) an individual 
with respect to whom there is payable a State supplementary pay-
ment on the basis of which similarly situated individuals are 
eligible to receive medical assistance equal in amount, duration, 
and scope to that provided to individuals eligible under clause 
86 Stat. 1381. 
42 use 1396a. 
87 STAT. ] 
PUBLIC LAW 93-233-DEC. 31, 1973 
9(53 
86 Stat. 1465. 
42 u s e 1381. 
42 u s e 1396b. 
(10) (A), or (2) an eligible individual or eligible spouse, as deiined 
in title XVI, with respect to whom supplemental security income 
benefits are payable; otherwise that individual shall be considered 
to be an individual eligible for medical assistance under clause 
(10) (C) of that subsection. In States which do not provide medi-
cal assistance to individuals pursuant to clause (10) (C) of that 
subsection, an individual who is eligible for medical assistance by 
-
reason of the requirements of this section concerning the deduc-
tion of incurred medical expenses from income shall be considered 
an individual eligible for medical assistance under clause (10) (A) 
of that subsection.". 
(11) Section 1903(a) (1) of such Act is amended by striking out 
^9 stat^. 3
4
9
^
^
^ 
"individuals who are recipients of money payments under a State plan 
approved under title I, X, XIV, or XVI, or part A of title IV" and 
inserting "individuals who are eligible for medical assistance under the 
plan and (A) are receiving aid or assistance under any plan of the 
State approved under title I, X, XIV, or XVI, or part A of title IV, ^^o^ usc^ 30i. ^
^ 
or with respect to whom supplemental security income benefits are goi.' 
being paid under title XVI, or (B) with respect to whom there is being 
paid a State supplementary payment and are eligible for medical 
assistance equal in amount, duration, and scope to the medical assistance 
made available to individuals described in section 1902(a) (10) (A)" 
in lieu thereof. 
(12) Section 1903 (f) (4) of such Act is amended to read as follows: 
"(4) The limitations on payment imposed by the preceding provi-
sions of this subsection shall not apply with respect to any amount 
expended by a State as medical assistance for any individual— 
"(A) who is receiving aid or assistance under any plan of the 
\ 
State approved under title I, X, XIV or XVI, or part A of title 
IV, or with respect to whom supplemental security income benefits 
are being paid under title XVI, or 
"(B) who is not receiving such aid or assistance, and with 
respect to whom such benefits are not being paid, but (i) is eligible 
to receive such aid or assistance, or to have such benefits paid 
with respect to him, or (ii) would be eligible to receive such aid 
or assistance, or to have such benefits paid with respect to him if 
he were not in a medical institution, or 
"(C) with respect to whom there is being paid, or who is 
eligible, or would be eligible if he were not in a medical institution, 
to have paid with respect to him, a State supplementary payment 
and is eligible for medical assistance equal in amoimt, duration, 
and scope to the medical assistance made available to individuals 
described in section 1902(a) (10) (A), but only if the income of 
42 use i396a. 
such individual (as determined under section 1612, but without 
^^ ^'^'-35fP 
regard to subsection (b) thereof) does not exceed 300 percent 
of the supplemental security income benefit rate established by 
section 1611(b)(1), 
at the time of the provision of the medical assistance giving rise to 
such expenditure." 
(18) The matter before clause (i) in section 1905(a) of such Act 
^^ use i396d. 
is amended by striking out "individuals not receiving aid or assistance 
under the State's plan approved under title I, X, XIV, or XVI, or 
part A of title IV" and inserting "individuals (other than individuals 
with respect to whom there is being paid, or who are eligible, or would 
be eligible if they were not in a medical institution, to have paid with 
respect to them a State supplementary payment and are eligible for 
medical assistance equal in amount, duration, and scope to the medical 
assistance made available to individuals described in section 1902(a) 
(10) (A)) not receiving aid or assistance under any plan of the State 
42 u s e 1382a. 
42 u s e 1382. 
964 
PUBLIC LAW 93-233-13EC. 31, 1973 
[87 STAT. 
i2ol"i'3^sf°l38i 
approved under title I, X, XIV, or XVI, or part A of title IV, and 
601.' 
' 
' With respect to M'hom supplemental security income benefits are not 
being paid under title X V P in lieu thereof. 
42usci.395d. 
(14) Section 1905(a) (iv) of such Act is amended by inserting 
"with respect to States eligible to participate in the State plan pro-
gram established under title XVI," at the end thereof. 
(15) Section 1905 (a) (v) of such Act is amended by striking out "or" 
and inserting "with respect to States eligible to participate in the 
State plan program established under title XVI," in lieu thereof. 
(16) Section 1905(a) (vi) of such Act is amended by inserting "or" 
at the end thereof. 
(17) Section 1905(a) of such Act is further amended by inserting 
immediately after clause (vi) the following new clause: 
"(vii) blind or disabled as defined in section 1614, with respect 
to States not eligible to participate in the State plan program 
established under title XVI,". 
: . 
(18) Section 1905 of such Act is amended by inserting at the end 
thereof the following new subsections: 
" (j) The term 'State supplementary payment' means any cash pay-
ment made by a State on a regular basis to an individual who is 
receiving supplemental security income benefits under title XVI or 
who would but for his income be eligible to receive such benefits, as 
assistance based on need in supplementation of such benefits (as deter-
mined by the Secretary), but only to the extent that such payments 
' 
are made with respect to an individual with respect to whom supple-
mental security income benefits are payable under title XVI, or would 
but for his income be payable under that title, 
"(k) Increased supplemental security income benefits payable pur-
Ante, p. 154. 
suaut to scctiou 211 of Public Law 93-66 shall not be considered 
supplemental security income benefits payable under title XVI.". 
Technical Clarification and Modification of Medicaid Eligibility and 
Federal Title X I X Matching Under Public Law 93-66 
Ante, p. 159. 
^^ ^^^ ^^^ Ckusc (2) (A) of scctlou 231 of Public Law 93-66 is 
amended by— 
(i) inserting "received or" immediately before "would", and 
(ii) striking out "or" at the end thereof and inserting "and" in 
X - 
lieu thereof. 
(B) Clause (2) (B) of that section is amended by— 
(i) striking out "was", and 
(ii) striking out "need for care in such institution, considered 
to be eligible for aid or assistance under a State plan (referred 
to in subparagraph (A)) for purposes of determining his eligi-
bility" and inserting "status as described in subparagraph (A), 
was included as an individual eligible" in lieu thereof. 
Ante, p. 160. 
(2) Tlic first sentencc of section 232 of Public Law 93-66 is amended 
by— 
(A) striking out "(under the provisions of subparagraph (B) 
of such section)", 
(B) striking out "to be a person described as being a person who 
'would, if needy, be eligible for aid or assistance under any such 
State plan' in subparagraph (B) (i) of such section" and insert-
42 use 1396. 
jng "for pui'poses of title X I X to be an individual who is blind 
or disabled within the meaning of section 1614(a) of the Social 
42 use 1382c. 
Sccurity Act" in lieu thereof, and 
(C) inserting ", and the other conditions of eligibility contained 
' 
in the plan of the State approved under title X I X (as it was in 
effect in December 1973)" before the period at the end thereof. 
Ante, 
p. 155. 
87 STAT. ] 
PUBLIC LAW 93-233-DEC. 31, 1973 
965 
Medicaid Eligibility for Individuals Receiving Mandatory 
State Supplementary Payments 
~ 
(c) In addition to other requirements imposed by law as conditions 
for the approval of any State plan under title X I X of the Social 
Security Act, there is hereby imposed (effective January 1, 1974) the 86^stIt^\*/26^' 
requirement (and each such State plan shall be deemed to require) 
42 use 1396. 
that medical assistance under such plan shall be provided to any 
individual— 
(1) for any month for which there (A) is payable with respect 
to such individual a supplementary payment pursuant to an agree-
ment entered into between the State and the Secretary of Health, 
Education, and Welfare under section 212(a) of Public Law 
93-66, and (B) would be payable with respect to such individual 
such a supplementary payment, if the amount of the supple-
mentary payments payable pursuant to such agreement were estab-
lished without regard to paragraph (3) (A) (ii) of such section 
212(a), and 
(2) in like manner, and subject to the same terms and condi-
tions, as medical assistance is provided under such plan to individ-
uals with respect to whom benefits are payable for such month 
under the supplementary security income program established 
by title XVI of the Social Security Act. 
Federal matching under title X I X of the Social Security Act shall be 
available for the medical assistance furnished to individuals who are 
eligible for such assistance under this subsection. 
Effective 
Dates 
(d) The amendments made by subsection (a) shall be effective with 
respect to payments under section 1903 of the Social Security Act for 
^2 use i396b. 
calendar quarters commencing after December 31,1973. 
86 Stat. 1465. 
42 u s e 1381. 
42 u s e 1382e. 
PAYMENTS TO SUBSTANDARD FACILITIES UNDER MEDICAID 
SEC. 14. Section 1616 of the Social Security Act is amended by add-
ing at the end thereof the following new subsection: 
"(e) Payments made under this title with respect to an individual 
shall be reduced by an amount equal to the amount of any supplemen-
tary payment (as described in subsection (a)) or other payment made 
by a State (or political subdivision thereof) which is made for or on 
account of any medical or any other type of remedial care provided by 
an institution to such individual as an inpatient of such institution in 
the case of any State which has a plan approved under title X I X of 
this Act if such care is (or could be) provided under a State plan 
approved under title X I X of this Act by an institution certified under 
such title XIX.". 
PAYMENT FOR SERVICES OF PHYSICIANS RENDERED I N A TEACHING HOSPITAL 
SEC. 15. (a) (1) Notwithstanding any other provision of law, the 
provisions of section 1861(b) of the Social Security Act, shall, subject 
^^ "^^ UQSX. 
to subsection (b) of this section, for the period with respect to which 
this paragraph is applicable, be administered as if paragraph (7) of 
such section read as follows: 
"(7) a physician where the hospital has a teaching program 
approved as specified in paragraph (6), if (A) the hospital elects 
to receive any payment due under this title for reasonable costs of 
such services, and (B) all physicians in such hospital agree 
not to bill charges for professional services rendered in such 
hospital to individuals covered under the insurance program 
established by this title.". 
966 
PUBLIC LAW 93-233-DEC. 31, 1973 
[87 STAT. 
86 Stat. 1406. 
42 u s e 1395k. 
42 u s e 1395X. 
42 u s e 1395. 
Study. 
42 u s e 1396. 
Reports to con-
gressional corn-
Analysis, sub-
mittal to congres-
sional committees 
(2) Notwithstaiicliiig any other provision of law, the provisions of 
section 1832(a) (2) (B) (i) of the Social Security Act, shall, subject 
to subsection (b) of this section, for the period with respect to which 
tJiis paragrapli is applicable, be administered as if subclanse I I of 
such section read as follows: 
"(II) a physician to a patient in a hospital which has a 
teaching program approved as specified in paragraph (6) 
of section 1861(b) (including services in conjunction with 
the teaching programs of such hospital whether or not such 
patient is an inpatient of such hospital), where the conditions 
specified in paragraph (7) of such section are met, and". 
(b) The provisions of subsection (a) shall not be deemed to render 
improper any determination of payment under title X V I I I of the 
Social Secui"ity Act for any service provided prior to the enactment of 
this Act. 
(c)(1) The Secretary of Health, Education, and Welfare shall 
arrange for the conduct of a study or studies concerning (A) appro-
priate and equitable methods of reimbursement for pliysicians' services 
under titles X V I I I and X I X of the Social Security Act in hospitals 
which have a teaching program approved as specified in section 
1861 (b) (6) of such Act, (B) the extent to which funds expended under 
such titles are supporting the training of medical specialties which 
are in excess supply, (C) how such funds could be expended in ways 
which support more rational distribution of physician manpower 
both geographically and by specialty, (I)) the extent to which such 
funds support or encourage teaching programs which tend to dispro-
portionately attract foreign medical graduates, and (E) the existing 
and appropriate role that part of such funds which are expended to 
meet in whole or in part the cost of salaries of interns and residents in 
teaching programs api^roved as specified in section 1861(b)(6) of 
such Act. 
(2) The studies required by paragraph (1) shall be the subject of 
an interim report thereon submitted not later than December 1, 1971, 
and a final report not later than July 1, 1975. Such reports shall be 
submitted to the Secretary, the Committee on Finance of the Senate, 
and the Committee on Ways and Means of the House of Representa-
tives, simultaneously. 
(3) The Secretary shall I'equest the National Academy of Sciences 
to conduct such studies under an arrangement under which the actual 
expenses incurred by such Academy in conducting such studies will 
be paid by the Secretary. If the National Academy of Sciences is 
willing to do so, the Secretary shall enter into such an arrangement 
with such Academy forthe conduct of such studies. 
(4) If the National Academy of Sciences is unwilling to conduct 
rhe studies required under this section, under such an arrangement 
with the Secretary, then the Secretary shall enter into a similar 
arrangement with other appropriate nonprofit private groups or 
associations under which such groups or associations shall conduct 
such studies and prepare and submit the reports thereon as provided 
in paragraph (2). 
(5) The Social Security Administration shall study the interim 
report called for in paragraph (2) and shall submit its analysis of 
such interim repoi't to the Committee on Finance of the Senate and 
the Committee on Ways and Means of the House of Representatives 
not later than March 1, 1975, The Social Security Administration 
shall study and submit its analysis of the final report to the Com-
mittee on Finance of the Senate and the Committee on Ways and 
Means of the House of Representatives by October 1, 1975. 
87 STAT.] 
PUBLIC LAW 9 3 - 2 3 3 - D E C . 31, 1973 
9(37 
Effective dates. 
(d) The provisions of subsection (a) shall apply with respect to 
cost accounting periods beginning after June 30, 1973, and prior to 
January 1, 1975, except that if the Secretary of Health, Education, 
and Welfare determines that additional time is required to prepare 
the report required by subsection (c), he may, by regulation, extend 
the applicability of the provisions of subsection (a) to cost accounting 
periods beginning after June 30,1975. 
BASIS OF MEDICARE PAYMENT FOR SERVICES PROVIDED BY AGENCIES AND 
PROVIDERS 
SEC. 16. In the administration of titles V, XVIII, and ^IX. of the 
Social Security Act, the amount payable under such title to any 
^2 use 701, 
provider of services on account of services provided by such hospital, ^^^^' ^^^^' 
skilled nursing facility, or home health agency shall be determined 
(for any period with respect to which the amendments made by 
section 233 of Public Law 92-603 would, except for the provisions of 
^^ stat. lui. 
this section, be applicable) in like manner as if the date contained in 
the first and second sentences of subsection (f) of such section 233 
were December 31, 1973, rather than December 31, 1972. 
POSTPONEMENT ON EFFECTIVE DATE OF CERTAIN REQUIREMENTS IMPOSED 
W I T H RESPECT TO PAYMENT FOR PHYSICAL THERAPY SERVICES 
--
SEC. 17. (a) In the administration of title X V I I I of the Social 
Security Act, the amount payable thereunder with respect to physical 
therapy and other services referred to in section 1861 (v) (5) (A) of 
such Act (as added by section 151(c) of the Social Security Amend-
ments of 1972) shall be determined (for the period with respect to 
^^ use uVs^x 
which the amendment made by such section 151(c) would, except for 
the provisions of this section, be applicable) in like manner as if the 
"December 31, 1972", which appears in such subsection (d)(3) of 
such section 151, read "the month in which there are promulgated, by 
the Secretary of Health, Education, and Welfare, final regulations 
implementing the provisions of section 1861 (v) (5) of the Social 
Security Act". 
CLERICAL AND CONFORMING AMENDMENTS TO SOCIAL SECURITY ACT 
In 
General 
Inclusion of All Wage Level Increases in Automatic Adjustment of 
Earnings Test 
SEC 18. (a) Section 203(f) (8) (B) (ii) of the Social Security Act is 
amended by— 
(1) striking out "contribution and benefit base" and inserting 
"exempt amount" in lieu thereof; and 
(2) striking out "section 230(a)" and inserting "subparagraph 
(A)" in lieu thereof. 
Inclusion in Old-Age Insurance Benefit in Certain Cases of Delayed 
Retirement 
(b) Section 202 (w) of such Act is amended by inserting at the end 
^^ ^*|^-1^^^-
thereof the following new paragraph: 
"(5) If an individual's primary insurance amount is determined 
under paragraph (3) of section 215(a) and, as a result of this sub- 
^e stat^. 1333. 
section, he would be entitled to a higher old-age insurance benefit if 
his primary insurance amount were determined under section 215(a) 
without regard to such paragraph, such individual's old-age insurance 
86 Stat. 134:1. 
42 u s e 403. 
42 u s e 415. 
86 Stat. 1465. 
Ante, p. 154. 
42 u s e 1381. 
968 
PUBLIC L
A
W 93-233-DEC. 31, 1973 
[87 STAT. 
benefit based upon his primary insurance amount determined under 
such paragraph shall be increased by an amount equal to the difference 
between such benefit and the benefit to which he would be entitled if 
his primary insurance amount were determined under such section 
without regard to such paragraph." 
Elimination of Benefits at Age 72 for Uninsured Individuals 
- 
Receiving Supplemental Security Income Benefits 
4
2 use 428d. 
^^^ Section 228(d) of such Act is amended by inserting "and such 
individual is not an individual with respect to whom supplemental 
security income benefits are payable pursuant to title XVI or section 
211 of Public Law 93-66 for the following month, nor shall such bene-
fit be paid for such month if such individual is an individual with 
respect to whom supplemental security income benefits are payable 
pursuant to title XVI or section 211 of Public Law 93-66 for such 
month, unless the Secretary determines that such benefits are not pay-
able with respect to such individual for the month following such 
month" immediately before the period at the end thereof. 
Limitations on Eligibility Determinations Under Resources 
Tests of State Plans 
8
6 Stat. 1466. 
(d) Soction 1611 of such Act (as amended by Public Law 92-60a) 
is amended by striking out subsection (g) and inserting in lieu thereof 
the following new subsection: 
" (g) In the case of any individual or any individual and his spouse 
(as the case may be) who— 
"(1) received aid or assistance for December 1973 under a plan 
j//g Stat. 1484, 
of a State approved under title I, X, XIV, or XVI, 
4
2 use 301, 
"(2) has, since December 31, 1973, continuously resided in the 
1201, 1351, 1381. 
State under the plan of which he or they received such aid or 
assistance for December 1973, and 
" (3) has, since December 31,1973, continuously been (except for 
periods not in excess of six consecutive months) an eligible 
individual or eligible spouse with respect to whom supplemental 
security income benefits are payable, 
the resources of such individual or such individual and his spouse (as 
the case may be) shall be deemed not to exceed the amount specified in 
sections 1611(a) (1) (B) and 1611(a) (2) (B) during any period that 
the resources of such individualor individuals and his spouse (as the 
case may be) does not exceed the maximum amount of resources speci-
fied in the State plan, as in effect for October 1972, under which he or 
they received such aid or assistance for December 1973." 
Limitations on Eligibility and Benefit Determinations Under Income 
Tests of State Plans for Aid to the Blind 
(e) Section 1611 of such Act is amended by striking out subsection 
(h) and inserting in lieu thereof the following new subsection: 
"(hj In determining eligibility for, and the amount of, benefits 
payable under this section in the case of any individual or any indi-
vidual and his spouse (as the case may be) who— 
"(1) received aid or assistance for December 1978 under a 
plan of a State approyed under title X or XVI, 
"(2) is blind under the definition of that term in the plan, as 
in effect for October 1972, under which he or they received such 
aid or assistance for December 1978, 
87 STAT. ] 
PUBLIC LAW 93-233-DEC. 31, 1973 
969 
"(3) has, since December 31, 1973, continuously resided in the 
^ 
^ 
State under the plan of which he or they received such aid or 
assistance for December 1973, and 
"(4) has, since December 31, 1973, continuously been (except 
for periods not in excess of six consecutive months) an eligible 
individual or an eligible spouse with respect to whom supple-
mental security income benefits are payable, 
there shall be disregarded an amount equal to the greater of (A) the 
maximum amount of any earned or unearned income which could have 
been disregarded under the State plan, as in effect for October 1972, 
under which he or they received such aid or assistance for December 
1973, and (B) the amount which would be required to be disregarded 
under section 1612 without application of this subsection." 
Correction of Erroneous Designations and Cross-Ref erences 
42 u s e 426. 
(f)(1) Section 226 of such Act is amended by— 
_ 
se st^at^. m i . 
(A) redesignating subsection (a)(1) as subsection (a); 
(B) redesignating clauses (A) and (B) of subsection (a), as 
redesignated by this subsection, as clauses (1) and (2), respec-
tively ; and 
(C) redesignating subsection (f) (as added by section 201 
(b) (5) of the Social Security Amendments of 1972 and redesign-
ated by section 299L of that Act) and the subsection (f) (as 
enacted by section 101 of the Social Security Amendments of 
1965 and redesignated by section 201 (b) (5) of the Social Security 
Amendments of 1972) as subsections (h) and (i), respectively; 
and by inserting such subsections (h) and (i) (as so redesignated) 
immediately after subsection (g) of such section. 
(2) Section 226(h)(1)(A) of such Act, as redesignated by this 
subsection, is amended by striking out "and 202(e) (5), and the term 
'age 62' in sections" ancl inserting ", 202(e) (5)," in lieu thereof. 
(3) Section 226(h)(1)(B) of such Act, as redesignated by this 
subsection, is amended by striking out "shall" and inserting "and the 
phrase 'before he attained age 60' in the matter following subpara-
graph (G) of section 202(f) (1) shall each" in lieu thereof. 
(4) Paragraphs (2) and (3) of section 226(h) of such Act, as redes-
ignated by this subsection, are each amended by striking out " (a) (2)" 
and inserting "b" in lieu thereof. 
Initial Payments to Presumptively Disabled Individuals Unrecover-
able Only if Individual Is Ineligible Because Not Disabled 
86 Stat. 1475. 
42 u s e 1383. 
(g) Section 1631(a) (4) (B) of such Act is amended by inserting 
"solely because such individual is determined not to be disabled" im-
mediately before the period at the end thereof. 
Technical Correction of Limitation on Fiscal Liability of States for 
Optional Supplementation 
(h) (1) Section 401(a) (1) of the Social Security Amendments of 
1972 is amended by— 
se stat. i485. 
(A) inserting ", other than fiscal year 1974," immediately after note."^*^ ^^^^^ 
"any fiscal year"; and 
(iB) inserting ", and the amount payable for fiscal year 1974 
pursuant to such agreement or agreements shall not exceed one-
half of the non-Federal share of such expenditures" immediately 
before the period of the end thereof. 
(2) Section 401(c)(1) of such Act is amended by inserting "ex- 
*^ ^'°'' ^'^^''• 
eluding" immediately before "expenditures authorized under section 
1119". 
. 
970 
PUBLIC LAW 93-233-DEC. 31, 1973 
[87 STAT. 
Modification of Transitional Administrative Provisions 
86 Stat. 1487. 
42 u s e 1382e 
(i) Section 402 of the Social Security Amendments of 1972 is 
note. 
amended by— 
(1) striking out "XVI" the first time that it appears therein 
and inserting " 
VI" in lieu thereof; 
(2) inserting "the third and fourth quarters in the fiscal year 
ending June 30, 1974, and" immediately after "with respect to 
expenditures for"; and 
(3) inserting "the third and fourth quarters of the fiscal year 
ending June 30, 1974, and any quarter of" immediately after 
"during such poition of". 
Inclusion of Title VI in Limitation on Grants to States for 
Social Services 
42 use i326h 
(J) Section 1130(a) of such Act is amended by inserting "603(a) 
(1)," immediately after "403(a) (3),". 
Clarification of Coverage of Hospitalization for Dental Services 
(k) (1) Section 1814(a) (2) (E) of such Act (as amended by Public 
42 use ugVf 
^^'^^^' 92-603) is amended to read as follows: _ 
"(E) in the case of inpatient hospital services in connection 
with the care, treatment, filling, removal, or replacement of teeth 
or structures directly supporting teeth, the individual, because of 
his underlying medical condition and clinical status, requires 
hospitalization in connection with the provision of such dental 
services;". 
(2) The last sentence of section 1814(a) is amended by striking out 
"or (D)" and inserting " (D), or ( E ) " in lieu thereof. 
42 use i395y. 
(3) Sectlou 1862(a) (12) of such Act is amended by striking out "a 
dental procedure" and all that follows thereafter, and inserting "the 
provision of such dental services if the, individual, because of his 
underlying medical condition and clinical status, requires hospitaliza-
tion in connection with the provision of such services; or" in lieu 
1 liereof. 
Continuation of State Agreements for Coverage of 
Certain Individuals 
Eff^c^twe^dat^'. 
(^) Section 1843(b) of such Act is amended by adding at the end 
thereof the following: "Effective January 1, 1974, and subject to 
42 u^c u96a 
scctiou 1902(f), the Secretary shall, at the request of any State not 
eligible to participate in the State plan program established under 
42 use 1381. 
^j^jg XVI, continue in effect the agreement entered into under this 
section with such State subject to such modifications as the Secretary 
may by regulations provide to take account of the termination of any 
jilans of such State approved under titles I, X, XIV, and X V I and 
the establishment of the supplemental security income program under 
title XVI.". 
Technical Improvement of Provisions Governing Disposition of HMO 
Savings 
42 use isgLm 
(^) 
Section 1876 (a) (3) (A) (ii) of such Act is amended by striking 
out ", with the apportionment of savings being proportional to the 
losses absorbed and not yet offset". 
42 u s e 301 
1201, 1351. 
86 Stat. 1460. 
42 u s e 1396a. 
87 STAT. ] 
PUBLIC LAW 93-233-DEC. 31, 1973 
971 
Technical Improvement of Provisions Governing Allowable HMO 
Premium Charges 
^ 
(n) The last sentence of section 1876(g) (2) of such Act is amended 
se stat. i40i. 
, 
^ 
'' 
^^'^ ^ ' 
42 u s e 1395mm. 
by— 
(1) inserting "of its premium rate or other charges" immedi-
ately after "portion"; 
(2) striking out "may" and inserting "shall"; 
(3) striking out "(i)"; and 
(4) striking out "less (ii) the actuarial value of other charges 
made in lieu of such deductible and coinsurance". 
Applications for Assistance on Behalf of Deceased Individuals 
(o) Section 1902(a) (34) of the Social Security Act (as amended by 
Public Law 92-603) is amended by inserting " (or application was made 
s^ sta^ i446^ 
on his behalf in the case of a deceased individual)" immediately after 
"he made application". 
Expansion of Intermediate Care Facility Ownership Disclosure 
Kequirements 
(p) Section 1902(a) (35) (A) of such Act is amended by inserting 
"or who is the owner (in whole or in part) of any mortgage, deed of 
trust, note, or other obligation secured (in whole or in part) by such 
intermediate care facility or any of the property or assets of such inter-
mediate care facility" immediately after "intermediate care facility". 
Technical Modification of Extended Medicaid Eligibility for AFDC 
Recipients 
(q) Section 1902(e) of such Act is amended to read as follows: 
"(e) Notwithstanding any other provision of this title, effective 
January 1, 1974, each State plan approved under this title must 
provide that each family which was receiving aid pursuant to a 
plan of the State approved under part A of title IV in at least 3 of the 
6 months immediately preceding the month in which such family 
became ineligible for such aid because of increased hours of, or 
increased income from, employment, shall, while a member of such 
family is employed, remain eligible for assistance under the plan 
approved under this title (as though the family was receiving aid 
under the plan approved under part A of title IV) for 4 calendar 
months beginning with the month in which such family became 
ineligible for aid under the plan approved under part A of title IV 
because of income and resources or hours of work limitations contained 
in such plan.". 
Limitation on Payments to States for Expenditures in Relation to 
Disabled Individuals Eligible for Medicare 
(r) (1) Section 1903 (a) (1) of such Act is amended by inserting "and ^2 use i396b. 
disabled individuals entitled to hospital insurance benefits under title 
X V I I I " immediately after "individuals sixty-five years of age or 
older". 
^ (2) Section 1903(b) (2) of such Act is amended by inserting "and 
disabled individuals entitled to hospital insurance benefits under title 
X V I I I " immediately after "individuals aged 65 or over". 
86 Stat. 1381. 
42 u s e 1396a. 
972 
PUBLIC LAW 93-233-DEC. 31, 1973 
[87 STAT. 
Federal Payment for Cost of Inspecting Institutions Limited 
to Expenses Incurred During Covered Period 
selta!*UM^' 
(s) Section 1903(a)_(4) of such Act is amended by striking out 
42 use 1396b. 
"sums expended" and inserting "sums expended with respect to costs 
incurred" in lieu thereof. 
Federal Payment for Family Planning Expenditures Not 
Limited to Administrative Costs 
(t) Section 1903 (a) (5) of such Act is amended by striking out " (as 
found necessary by the Secretary for the proper and efficient adminis-
tration of the plan)". 
Exception to Limitation on Payments to States for Expenditures in 
Relation to Individuals Eligible for Medicare 
(u) Section 1903 (b) (2) of such Act is amended by inserting ", other 
than amounts expended under provisions of the plan of such State 
required by section 1902(a) (34)" immediately before the period at 
/ 
the end thereof. 
Utilization Eeview by Medical Personnel Associated With 
> 
. 
an Institution 
86 Stat. 1379. 
86 Stat. 1461. 
42 u s e 1396d. 
(v) Section 1903(g) (1) (C) of such Act is amended by striking out 
"and who are not employed by" and by inserting "or, except in the case 
of hospitals, employed by the institution" immediately after "any 
such institution". 
, 
Authority To Prescribe Standards Under Title X I X for Active 
Treatment of Mental Illness 
(w) Section 1905(h) (1) (B) of such Act is amended by— 
(1) striking out ", involves active treatment (i)" and inserting 
"(i) involve active treatment" in lieu thereof, 
(2) striking out "pursuant to title XVIII", and 
(3) striking out "(ii) which" and inserting "(ii)" in lieu 
thereof. 
79 Stat. 344. 
42 u s e 1396a. 
79 Stat. 349. 
Correction of Erroneous Designations and Cross References 
(x) (1) Section 1902(a) (13) (C) of such Act is amended by strik-
ing out "(14)" and inserting "(16)" in lieu thereof. 
(2) Section 1902(a) (33) (A) of such Act is amended by striking 
out "last sentence" and inserting "penultimate sentence" in lieu thereof. 
(3) Section 1902(a) of such Act is amended by— 
(A) striking out the period at the end of paragraph (35) and 
inserting "; and" in lieu thereof; and 
(B) redesignating paragraph (37) as paragraph (36). 
(4) Sections 1902(a) (21), (24), and (26) (B), and the last sentence 
of section 1902(d), of such Act are each amended by striking out 
"nursing home" and "nursing homes" each time that they appear 
therein and inserting "nursing facility" and "nursing facilities", 
respectively, in lieu thereof. 
(5) Section 1903(a) of such Act is amended by striking out "and 
section 1117" in the first parenthetical phrase. 
(6) Section 1903(b) of such Act is amended by redesignating para-
graphs (2) and (3) as paragraphs (1) and (2), respectively. 
87 STAT. ] 
PUBLIC LAW 93-233-DEC. 31, 1973 
973 
(7) Section 1905(a) (16) of such Act is amended bv striking out 
"under 21, as defined in subsection (e);" and inserting "under age 21, 
as defined in subsection (h); and" in lieu thereof. 
(8) Section 1905 (c) of such Act is amended by striking out "skilled 
nursing home" each time that it appears therein and inserting "skilled 
nursing facility" in lieu thereof. 
(9) Section 1905 of such Act is amended by redesignating subsection 
(h) (which was enacted by section 299L(b) of the Social Security 
Amendments of 1972) as subsection (i). 
(10) Section 1905(h) (2) is amended by striking out "(e) (1)" and 
inserting " (1)" in lieu thereof. 
Deletion of Obsolete Provisions 
(y) (1) Section 1903 of such Act is amended by— 
(A) striking out subsection (c) ; 
(B) striking out "(a), (b), and (c)" in subsection (d) and 
inserting "(a) and (b)" in lieu thereof. 
(2) Section 1905(b) of such Act is amended by striking out every-
thing after "section 1110(a)(8)" and inserting a period in lieu 
thereof. 
(3) Section 1908 of such Act is amended by striking out the last 
sentence of subsection (d) and subsections (e) and (f), and redesig-
nating subsection (g) as subsection (e). 
Determination of Amount of Exclusion for Disapproved Capital 
Expenditures by Institutions Reimbursed on Fixed Fee or Nego-
tiated Rate Basis 
(z) The last sentence of section 1122(d) (1) of such Act is amended 
by inserting "or a fixed fee or negotiated rate" immediately after 
"per capita" each time that it appears therein. 
Technical Improvement of Authority To Include Expenses Related 
to Capital Expenditures in Certain Cases 
(z-1) Section 1122(d) (2) of such Act is amended by striking out 
"include" the last time that it appears therein and inserting "exclude" 
in lieu thereof. 
86 Stat. 1460. 
42 u s e 1396(1. 
85 Stat. 809; 
86 Stat. 1464. 
86 Stat. 1461. 
79 
Stat. 349. 
42 
use 1396b. 
42 
use 1396d. 
42 
use 1396g. 
86 
Stat. 1386. 
42 
use 1320a.l. 
Conforming Amendments to Title X I of the Social Security Act 
(z-2) (1) Title X I of the Social Security Act is amended— 
(A) in section 1101(a)(1), by— 
(i) striking out "I.", "X,". "XIV,", and "XVI,", and 
(ii) by adding at the end of such section 1101 (a) the 
following new sentence: "In the case of Puerto Rico, the 
Virgin Islands, and Guam, titles I, X, and XIV, and title 
XVI (as in effect without regard to the amendment made by 
section 301 of the Social Security Amendments of 1972) shall 
continue to apply, and the term 'State' when used in such 
titles (but not in title XVI as in effect pursuant to such 
amendment after December 31, 1973) includes Puerto Rico, 
the Virgin Islands, and Guam.", 
(B) in section 1115. by— 
(i) inserting (in the matter preceding subsection (a)) 
"VI," immediately after "title I,", 
(ii) inserting (in subsection (a)) "602," immediately after 
"402,", and 
(iii) inserting (in subsection (b)) "603," immediately 
after "403,", and 
^ 
42 
use 1301, 
42 
use 
301, 
1201, 
1351, 1381, 
86 
Stat. 1465. 
42 
use 1315. 
42 u s e 1395f. 
974 
PUBLIC LAW 93-233-DEC. 31, 1973 
[87 STAT. 
BiltT9iT'' 
(C) in section 1116, b y -
42 use 1316 
(i) inserting (in subsection (a)(1)) "VI," immediately 
after "title I,", 
(ii) inserting (in subsection (a)(3)) "604," immediately 
after "404,", 
-'' 
(iii) inserting (in subsection (b)) "VI," immediately after 
"title I,", and 
(iv) inserting (in subsection (d)) "VI," immediately after 
"title I,". 
Effective date. 
^2) The amendments made by this subsection shall be effective on 
and after January 1,1974. 
Effective Dates 
(z-3)(l) The amendments made by subsections (g), (h), (j), and 
(1) shall be effective January 1,1974. 
(2) The amendments made by subsection (k) shall be effective with 
respect to admissions subject to the provisions of section 1814(a) (2) 
of the Social Security Act which occur after December 31, 1972. 
(3) The amendments made by subsections (m) and (n) shall be 
effective with respect to services provided after June 30,1973. 
(4) The amendments made by subsections (o) and (u) shall be 
effective July 1,1973. 
, 
^ 
MODinCATIOX o r PRO 
VISION'S ESTABLISHIXG SUPPLEMEXTAL SECURITY 
IXCOME PROGRAM 
SEC. 19. (a) Section 303(c) of the Social Security Amendments of 
86 Stat. 1484. 
i()72 ig amended to read as follows: 
^^25 use 639 
,,^^^ Section 9 of the Act of April 19, 1950 (64 Stat. 47) is 
amended to read as follows: 
" 'SEC. 9. Beginning Avith the quarter commencing July 1. 1950. the 
Secretary of the Treasury shall pay quarterly to each State (from 
sums made available for making payments to the States under section 
403(a) of the Social Security Act) an amount, in addition to the 
amount prescribed to be paid to such State under sucli section, equal 
to 80 per centum of the total amoimt of contributions by the State 
toward expenditures during the preceding quarter by the State, under 
the State plan appi'oved under the Social Security Act for aid to de-
pendent children to Xavajo and Hopi Indians residing within the 
boundaries of the State on reservations or on allotted or trust lands, 
Avith respect to AA'hom ijayments are made to the State by the United 
States under section 403(a) of the Social Security Act, not counting 
so much of such expenditure to any individual for any month as 
exceeds the limitations prescribed in such section.'." 
(b) Notwithstanding the provisions of section 301 of the Social 
Security Amendments of 1972, the Secretary of Health, Education, 
and Welfare shall make payments to the 50 States and the District of 
Columbia after December 31, 1973, in accordance Avitli the provisions 
of the Social Security Act as in effect prior to January 1, 1974, for 
(1) activities carried out through the close of December 31,1973, under 
42 use 301, 
gtate plans approved under title I, X, XIV, or XVI, of such Act, and 
201,1351,1381. 
^2) administrative activities carried out after December 31, 1973, 
which such Secretary determines are necessary to bring to a close 
actiA'ities carried out under such State plans. 
PROVISIONS RELATING TO UNEMPLOYMENT COMPENSATION 
SEC. 20. Section 203(2) of the Federal-State Extended T^nemploy-
26 use 3
'
3
°
0
4 
meiit Compensation Act of 1970 is amended by adding at the end 
42 u s e 603. 
86 Stat. 1465. 
42 use 1381. 
87 STAT.] 
PUBLIC L
A
W 93-234-DEC. 31, 1973 
975 
thereof the following new sentence: "Effective with respect to compen-
sation for weeks of unemployment beginning before April 1,1974, and 
beginning after December 31,1973 (or, if later, the date established 
pursuant to State law), the State may by law provide that the deter-
mination of whether there has been a State 'on' or 'off' indicator 
be^nning or ending any extended benefit period shall be made under 
this subsection as if paragraph (1) did not contain subparagraph 
(A) thereof.". 
Approved December 31, 1973. 
Public Law 93-234 
A
N ACT 
To expand the national flood insurance program by substantially increasing 
limits of coverage and total amount of insurance authorized to be outstanding 
and by requiring known 
flood-prone 
communities to participate in the pro-
gram, and for other purposes. 
Be it enacted hy the Senate and House of Representatives of the 
United States of America in Congress assembled^ That this Act may 
be cited as the "Flood Disaster Protection Act of 1973". 
December 31, 1973 
[H. R. 8449] 
Flood Disaster 
Protection Act of 
1973. 
FINDINGS AND DECLARATION OF PURPOSE 
SEC. 2. (a) The Congress finds that— 
(1) annual losses throughout the Nation from floods and mud-
slides are increasing at an alarming rate, largely as a result of 
the accelerating development of, and concentration of population 
in, areas of flood and mudslide hazards; 
(2) the availability of Federal loans, grants, guaranties, 
insurance, and other forms of financial assistance are often 
determining factors in the utilization of land and the location 
and construction of public and of private industrial, commercial, 
and residential facilities; 
(3) property acquired or constructed with grants or other 
Federal assistance may be exposed to risk of loss through floods, 
thus frustrating the purpose for which such assistance was 
extended; 
(4) Federal instrumeiitalities insure or otherwise provide 
financial protection to banking and credit institutions whose assets 
include a substantial number of mortgage loans and other indebt-
edness secured by property exposed to loss and damage from 
floods and mudslides;