An Act to enable the District of Columbia to receive Federal financial assistance under title XIX of the Social Security Act for a medical assistance program, and for other purposes
PL 90-227 (H.R.10964), enacted 12/27/1967

744 
PUBLIC LAW 90-227-DEC. 27, 1967 
[81 STAT. 
Separability 
clause. 
SEC. 1102. If any provision of or any amendment made by this Act 
or the application thereof to any person or circimistance is held in-
valid, the other provisions of or other amendments made by this Act 
and the apj)lication of such provisions and amendments to other 
persons or circumstances shall not be affected thereby. 
Approved December 27, 1967, 3:05 p.m. 
Public Law 90-227 
December 27, 1967 
AN A C T 
[H. R. 10964] 
PJIQ enable the District of Columbia to receive Federal financial assistance under 
title XIX of the Social Security Act for a medical assistance program, and for 
other purposes. 
District of 
Columbia, medical 
assistance pro-
gram. Federal aid. 
79 Stat. 343. 
42 u s e 1396. 
Establishment. 
Definitions. 
Be it enacted hy the Senate and House of Representatives 
of the 
United States of America in Congress assenibled^ That (a) the Com-
missioner of the District of Columbia (hereafter in this Act referred 
to as the "Commissioner") may submit under title X I X of the Social 
Security Act to the Secretary of Health, Education, and Welfare 
(hereafter in this Act referred to as the "Secretary") a plan for medi-
cal assistance (and any modifications of such plan) to enable the Dis-
trict of Columbia to receive Federal financial assistance under such 
title for a medical assistance program established by the Commis-
sioner under such plan. 
(b) (1) Notwithstanding any other provision of law, the Commis-
sioner may take such action as may be necessary to submit such plan 
to the Secretary and to establish and carry out such medical assistance 
program, except that in prescribing the standards for determining 
eligibility for and the extent of medical assistance under the District 
of Columbia's plan for medical assistance, the Commissioner may not 
(except to the extent required by title X I X of the Social Security 
Act)— 
(A) prescribe maximum income levels for recipients of medical 
assistance under such plan which exceed (i) the title X I X maxi-
mum income levels if such levels are in effect, or (ii) the Com-
missioner's maximum income levels for the local medical assist-
ance program if there are no title X I X maximum income levels 
in effect; or 
(B) prescribe criteria which would permit an individual or 
family to be eligible for such assistance if such individual or 
family would be ineligible, solely by reason of his or its resources, 
for medical assistance both under the plan of the State of 
Maryland approved under title X I X of the Social Security Act 
and under the plan of the State of Virginia approved under such 
title. 
(2) For purposes of subparagraph (A) of paragraph (1) of this 
subsection— 
(A) the term "title X I X maximum income levels" means any 
maximum income levels which may be specified by title X I X of 
the Social Security Act for recipients of medical assistance under 
State plans approved under that title; 
(B) the term "the Commissioner's maximum income levels for 
the local medical assistance program" means the maximum income 
levels prescribed for recipients of medical assistance under the 
District of Columbia's medical assistance program in effect in the 
fiscal year ending June 30, 1967; and 
(C) during any of the first four calendar quarters in which 
medical assistance is provided under such plan there shall be 
Bl STAT.] 
PUBLIC LAW 90-2to-DEC. 28, 1967 
745 
deemed to be no title X I X maximum income levels in effect if the 
title X I X maximum income levels in effect during such quarter 
are higher than the Commissioner's maximum income levels for 
the local medical assistance program. 
SEC. 2. The Commissioner may enter into an agreement (and any 
modifications of such agreement) with the Secretary under section 
1843 of the Social Security Act pursuant to which (1) eligible indi-
viduals (as defined in section 1836 of the Social Security Act) who are 
eligible to receive medical assistance under the District of Columbia's 
plan for medical assistance approved under title X I X of the Social 
Security Act will be enrolled in the supplementary medical insurance 
program established under part B of title X V I I I of the Social Security 
Act, and (2) provisions will be made for payment of the monthly pre-
miums of such individuals for such program. 
Approved December 27, 1967, 3:05 p.m. 
79 Stat. 3:l2, 
304. 
42 u s e 1395, 
1395o. 
79 Stat. 343. 
12 u s e 1396. 
42 u s e 1395J-
1395w. 
Public Law 90-228 
AN A C T 
December 2«, 1967 
To amend title 10, United States Code, relating to the authorized strengths by 
[H. R. 10242] 
grade for medical and dental oflBcers on active duty in the Army, Navy, and 
Air Force. 
Be It enacted hy the Senate and House of Rej)resentatlves 
of the 
United States of America in Congress assembled. That title 10, United 
States Code, is amended as follows: 
(1) The first sentence of section 3202(a) is amended by ...^^^^...^^ 
", except as provided in subsections (e) and (f),"' after "basis, is". 
(2) Section 3202 is amended by adding the following new subsec-
tions at the end: 
" (e) The authorized strengths of the Armv in Officers in the Mediciil 
Corps and Dental Corps in grades below brigadier general shall be 
based on the needs of the Army, as determined by the Secretary under 
regulations to be prescribed by the Secretary of Defense. 
"(f) In determining the authorized strength of the Army under 
subsection (a), the strengths authorized for the Medical Corps and 
Dental Corps shall be excluded." 
(3) Chapter 545 is amended as follows: 
(A) by adding the following new section at the end: 
^§ 5793. Authorized strengths in grade and promotions of Medical 
Corps and Dental Corps officers 
"Notwithstanding any other provisions of this title, the authorized 
strengths of officers of the Medical Corps and Dental Corps in grades 
below rear admiral, and the selection and promotion of those officers 
to such grades, shall be based on the needs of the Navy, as determined 
by the Secretary under regulations to be prescribed by the Secre-
tary of Defense."; and 
(B) by inserting the following item in the analysis: 
"Sec. 5793. Authorized strengths in grade and promotions of Medical Corps 
and Dental Corps oflScers." 
(4) The first sentence of section 8202(a) is amended by inserting 
", except as provided in subsections (e) and (f)," after "basis, is". 
(5) Section 8202 is amended by adding the following new subsec-
tions at the end: 
"(e) The authorized strengths of tlje Air Force in officers who are 
designated as medical or dental officers of the Air Force in grades 
below brigadier general shall be based on the needs of the Air Force, 
Armed Forces. 
Medical and 
Dental eorps of-
insertinir ficers. 
70A Stat. 172. 
Army. 
Navy. 
70A Stat. 345. 
10 u s e 5751-
5792. 
Air Force. 
70A Stat. 498.