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Prohibition against any Federal interference. 1395a. Free choice by patient guaranteed. 1395b. Option to individuals to obtain other health insurance protection.

1395b-1. Incentives for economy while maintaining or improving quality in the provision of health services.

(a) Payments or reimbursement of physiclans, organizations, or institutions engaged in experiments; basis.

(b) Waiver of certain payment or reimbursement requirements; advice and recommendations of specialists preceding experimentation.

PART A.-HOSPITAL INSURANCE BENEFITS FOR THE AGED

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1395q.

Coverage period.

1395г.

Amounts of premiums.

1395s.

1395t.

1395u. 1395v.

Payment of premiums.

Federal Supplementary Medical Insurance Trust
Fund.

Use of carriers for administration of benefits.
State agreements for coverage of eligible indi-
viduals who are receiving money payments
under public assistance programs or are eligible
for medical assistance.

1395w. Appropriations to cover Government contributions and contingency reserve.

PART C.-MISCELLANEOUS PROVISIONS

1395x. Definitions.

hospital

1395y. 1395z.

(e) Payment for inpatient hospital services prior to notification of noneligibility. (f) Payment for certain emergency hospital services furnished outside the United States.

Payment to providers of services.

Use of public agencies or private organizations
to facilitate payment to providers of services.
Federal Hospital Insurance Trust Fund.
Same; authorization of appropriations.

PART B.-SUPPLEMENTARY MEDICAL INSURANCE BENEFITS
FOR THE AGED

13951. Establishment of supplementary medical insur

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1395aa.

1395bb.

1395cc. 1395dd.

(a) Spell of illness.

(b) Inpatient hospital services.

(c) Inpatient psychiatric hospital services. (d) Inpatient tuberculosis hospital services. (e) Hospital.

(f) Psychiatric hospital.
(g) Tuberculosis hospital.
(h) Extended care services.

(1) Post-hospital extended care services. (1) Extended care facility.

(k) Utilization review.

(1) Agreements for transfer between extended care facilities and hospitals.

(m) Home health services.

(n) Post-hospital home health services. (0) Home health agency.

(p) Outpatient physical therapy services.

(q) Physicians' services.

(r) Physician.

(s) Medical and other health services. (t) Drugs and biologicals.

(u) Provider of services.

(v) Reasonable costs; semi-private accom

modations.

(w) Arrangements for certain services.

(x) State and United States.

(y) Post-hospital extended care in Christian Science extended care facilities. Exclusions from coverage.

Consultation with State agencies and other organizations to develop conditions of participation for providers of services.

Use of State agencies to determine compliance by providers of services with conditions of participation.

Effect of accreditation.

Agreements with providers of services. Health Insurance Benefits Advisory Council. (a) Creation; composition; appointment of members; Chairman; representative activities and interests; terms of office; special advisory professional or technical committees; compensation and travel expenses; meetings.

(b) Functions of Council; annual reports to Secretary and Congress.

(c) Technical assistance; availability of assistance and data.

1395ee. Repealed.

of

1395ff.

(f) Payment for purchase of durable medical

1395m. Limitation on home health services.

1395n. Procedure for payment of claims of providers of

services.

Determinations; appeals.

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13950. Eligible individuals.

1395p. Enrollment periods.

(a) Generally; regulations.

1395jj.

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§ 301. Appropriation.

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State plans for medical assistance. (a) Contents.

(b) Approval by Secretary.

assistance

(c) Same; reduction of aid or
under State plans under other sub-
chapters.

(d) Modification; certification requirements.

1396b. Payment to States.

(a) Computation of amount.
(b) Quarterly expenditures to exceed aver-
age of total expenditures for each
quarter of fiscal year ending June 30,
1965.

(c) Federal medical assistance percentage;
Federal share of State medical expenses
during fiscal year ending June 30, 1965.
(d) Estimates of amount of State entitle-
ment; installments; adjustments; over-
payment; obligated appropriations.
(e) Comprehensive care and services for eli-
gible individuals by July 1, 1975.

(f) Limitation on Federal participation in
medical assistance.

1396c. Operation of State plans. 1396d. Definitions.

(a) Medical assistance.

(b) Federal medical assistance percentage; State percentage.

1396e. Advisory Council on Medical Assistance; creation; composition; appointment of members; Chairman; representative activities and interests; majority representation of consumers; terms of office; special advisory professional or technical committees; compensation and travel expenses; meetings.

1396f.

Observance of religious beliefs.

1396g. State programs for licensing of administrators of nursing homes.

(a) Nature of State program.

(b) Licensing by State agency or board representative of concerned professions and institutions.

(c) Functions and duties of State agency or board.

(d) Waiver of standards other than good character or suitability standards. (e) Authorization of appropriations; limitation of grants.

(f) National Advisory Council on Nursing Home Administration; creation; composition; appointment of members; Chairman; representation of interests; functions and duties; compensation and travel expenses; technical sistance; availability of assistance and data; termination date.

(g) Definitions.

as

CHAPTER REFERRED TO IN OTHER SECTIONS This chapter is referred to in title 5 sections 8141, 8311, 8505; title 25 section 639; title 26 section 1402.

SUBCHAPTER I.-GRANTS TO STATES FOR OLD-AGE ASSISTANCE AND MEDICAL ASSISTANCE FOR THE AGED

AMENDMENTS

1960-Pub. L. 86-778, title VI, § 601(a), Sept. 13, 1960, 74 Stat. 987, included medical assistance for the aged in the heading of the subchapter.

SUBCHAPTER REFERRED TO IN OTHER SECTIONS This subchapter is referred to in sections 428, 1301, 1306, 1308, 1309, 1311, 1315, 1316, 1317, 1318, 1319, 1320a, 1382, 1395v, 1396a, 1396b, 1396d of this title; title 31 section 665.

For the purpose (a) of enabling each State, as far as practicable under the conditions in such State, to furnish financial assistance to aged needy individuals, (b) of enabling each State, as far as practicable under the conditions in such State, to furnish medical assistance on behalf of aged individuals who are not recipients of old-age assistance but whose income and resources are insufficient to meet the costs of necessary medical services, and (c) of encouraging each State, as far as practicable under the conditions in such State, to furnish rehabilitation and other services to help individuals referred to in clause (a) or (b) to attain or retain capability for self-care, there is authorized to be appropriated for each fiscal year a sum sufficient to carry out the purposes of this subchapter. The sums made available under this section shall be used for making payments to States which have submitted, and had approved by the Secretary of Health, Education, and Welfare (hereinafter referred to as the "Secretary"), State plans for oldage assistance, or for medical assistance for the aged, or for old-age assistance and medical assistance for the aged. (Aug. 14, 1935, ch. 531, title I, § 1, 49 Stat. 620; 1946 Reorg. Plan No. 2, § 4, eff. July 16, 1946, 11 F.R. 7873, 60 Stat. 1095; Aug. 28, 1950, ch. 809, title III, pt. 6, § 361(a), 64 Stat. 558; 1953 Reorg. Plan No. 1, §§ 5, 8, eff. Apr. 11, 1953, 18 F.R. 2053, 67 Stat. 631; Aug. 1, 1956, ch. 836, title III, § 311(a), 70 Stat. 848; Sept. 13, 1960, Pub. L. 86-778, title VI, § 601(b), 74 Stat. 987; July 25, 1962, Pub. L. 87-543, title I, § 104 (c) (1), 76 Stat. 185.)

AMENDMENTS

1962-Pub. L. 87-543 eliminated from clause (a) the provision relating to the purpose of encouraging each State, as far as practicable under the conditions in the State, to help aged needy individuals attain self-care, and added clause (c) incorporating the eliminated provision.

1960-Pub. L. 86-778 authorized appropriations for the purpose of enabling each State, as far as practicable under the conditions in such State, to furnish medical assistance on behalf of aged individuals who are not recipients of old-age assistance but whose income and resources are insufficient to meet the costs of necessary medical services.

1956 Act Aug. 1, 1956, eliminated the specific appropriation for the fiscal year ending June 30, 1956, and inserted provisions relating to attainment of self-care by individuals.

1950-Act Aug. 28, 1950, § 361 (a), substituted "Federal Security Administrator (hereinafter referred to as the 'Administrator')" for "Social Security Board established by subchapter I of this chapter (hereinafter referred to as the 'Board')".

EFFECTIVE DATE OF 1960 AMENDMENT

Section 604 of Pub. L. 86-778 provided that: "The amendments made by section 601 of this Act [to this section and sections 302, 303 (a), (b) (2) (B), 304 and 306 of this title] shall take effect October 1, 1960, and the amendments made by section 602 [to section 1308 of this title] shall be effective with respect to fiscal years ending after 1960."

SHORT TITLE OF 1962 AMENDMENT

Section 1 of Pub. L. 87-543 provided in part that Pub. L. 87-543, which enacted sections 609, 727, 728, 1314, 1315 and 1381-1385 of this title, amended sections 301-303, 306, 601-609, former sections 721-723 and 726, sections 906, 1201-1203, 1206, 1301, 1308, 1309, 1311, 1313, 1351-1353 and 1355 of this title, repealed section 1202a

of this title and provisions set out as notes under sections 1202a and 1308 of this title, and enacted provisions set out as notes under sections 301-303, 306, 601, 603, 606, 608, 609, 722, 1202, 1308 and 1383 of this title, may be cited as the "Public Welfare Amendments of 1962."

SHORT TITLE OF 1960 AMENDMENT

Section 1 of Pub. L. 86-778 provided that Pub. L. 86-778, which enacted sections 726 and 1312 of this title and sections 3125 and 3308 of Title 26, Internal Revenue Code, amended this section and sections 302-304, 306, 401, 401a, 402, 403, 405, 408-411, 413-416, 418, 422, 423, 501, 701, 702, 704, 711, 712, 714, former sections 721 and 722, sections 1101-1104, 1202, 1301, 1308, 1321-1324, 1361, 1363, 1364, 1367, 1371, and 1400c of this title, sections 1402, 1403, 3121, 3301, 3302, 3305, 3306, 6205, 6413, 7213, and 7701 of Title 26, section 49d of Title 29, Labor, sections 228a, 228c, and 228e of Title 45, Railroads, and section 1421h of Title 48, Territories and Insular Possessions, repealed section 419 of this title, and enacted provisions set out as notes under sections 301, 302, 401, 402, 403, 405, 410, 411, 413-418, 422, 423, 701, 1101, 1202, 1202a, 1301, 1321, 1362, 1363 and 1364 of this title, under sections 1402, 3121, 3301, 3304, 3305, and 3306 of Title 26, and under section 49d of Title 29, may be cited as the "Social Security Amendments of 1960."

SHORT TITLE OF 1956 AMENDMENT

Section 1 of act Aug. 1, 1956, provided that act Aug. 1, 1956, which enacted sections 401a, 423, former section 424, sections 425, 906, and 1310 of this title, and section 3113 of Title 26, Internal Revenue Code of 1954, amended sections 301-303, 401, 402, 403, 405, 409-411, 413-416, 418, 421, 422, 601-603, 606, former section 721 (a), sections 1201-1203, 1301, 1308, and 1351-1353 of this title, sections 1401, 1402, 3101, 3102, 3111, and 3121 of Title 26, Internal Revenue Code of 1954, and sections 228 and 228e of Title 45, Railroads, and amended note to section 1426 of Title 26, Internal Revenue Code of 1939 and to section 3121 of Title 26, Internal Revenue Code of 1954, shall be popularly known as the "Social Seurity Amendments of 1956".

SHORT TITLE OF 1950 AMENDMENT

Section 1 of act Aug. 28, 1950, provided that act Aug. 28, 1950, which amended this chapter and chapter 9 of Title 26, Internal Revenue Code of 1939, should be popularly known as the "Social Security Act Amendments of 1950". For distribution of act Aug. 28, 1950, see Tables Volume.

TRANSFER OF FUNCTIONS

All functions of the Federal Security Administrator were transferred to the Secretary of Health, Education, and Welfare and all agencies of the Federal Security Agency were transferred to the Department of Health, Education, and Welfare by section 5 of 1953 Reorg. Plan No. 1, set out in the Appendix to Title 5, Government Organization and Employees. The Federal Security Agency and the office of Administrator were abolished by section 8 of 1953 Reorg. Plan No. 1.

"Federal Security Administrator" was substituted for "Social Security Board established by sections 901, 902904 of this title (hereinafter referred to as the 'Board')" by 1946 Reorg. Plan No. 2. See note under section 902 of this title.

DECLARATION OF PURPOSE OF TITLE III OF ACT AUG. 1, 1956

Section 300 of act Aug. 1, 1956, provided that: "It is the purpose of this title [adding sections 906 and 1310 of this title, and amending sections 301, 302 (a) (11), 303 (a), 601, 602 (a) (13), 603 (a), 606, 1201, 1202 (a) (13), 1203 (a), 1301 (a) (1), 1308, 1351, 1352 (a) (12), and 1353 (a) of this title] (a) to promote the health of the Nation by assisting States to extend and broaden their provisions for meeting the costs of medical care for persons eligible for public assistance by providing for separate matching of assistance expenditures for medical care, (b) to promote the well-being of the Nation by encouraging the States to place greater emphasis on helping to strengthen family life and helping needy families and individuals attain the maximum economic and personal independence of which they are capable,

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(c) to assist in improving the administration of public assistance programs (1) through making grants and contracts, and entering into jointly financed cooperative arrangements, for research or demonstration projects and (2) through Federal-State programs of grants to institutions and traineeships and fellowships so as to provide training of public welfare personnel, thereby securing more adequately trained personnel, and (d) to improve aid to dependent children."

DEFINITION OF "SECRETARY"

Section 201 of Pub. L. 87-543 provided that: "As used in this Act and in the provisions of the Social Security Act amended by this act [see Short Title note under this section], the term 'Secretary', unless the context otherwise requires, means the Secretary of Health, Education, and Welfare."

Section 709 of Pub. L. 86-778 provided that: "As used in this Act and the provisions of the Social Security Act amended by this Act [see Short Title note under this section] the term 'Secretary', unless the context otherwise requires, means the Secretary of Health, Education, and Welfare."

CROSS REFERENCES

Railway labor, see notes under section 151 of Title 45, Railroads.

§ 302. State old-age and medical assistance plans. (a) Contents.

A State plan for old-age assistance, or for medical assistance for the aged, or for old-age assistance and medical assistance for the aged must

(1) provide that it shall be in effect in all political subdivisions of the State, and, if administered by them, be mandatory upon them;

(2) provide for financial participation by the State;

(3) either provide for the establishment or designation of a single State agency to administer the plan, or provide for the establishment or designation of a single State agency to supervise the administration of the plan;

(4) provide for granting an opportunity for a fair hearing before the State agency to any individual whose claim for assistance under the plan is denied or is not acted upon with reasonable promptness;

(5) provide (A) such methods of administration (including methods relating to the establishment and maintenance of personnel standards on a merit basis, except that the Secretary shall exercise no authority with respect to the selection, tenure of office, and compensation of any individual employed in accordance with such methods) as are found by the Secretary to be necessary for the proper and efficient operation of the plan, and (B) for the training and effective use of paid subprofessional staff, with particular emphasis on the full-time or part-time employment of recipients and other persons of low income, as community service aides, in the administration of the plan and for the use of nonpaid or partially paid volunteers in a social service volunteer program in providing services to applicants and recipients and in assisting any advisory committees established by the State agency;

(6) provide that the State agency will make such reports, in such form and containing such information, as the Secretary may from time to time require, and comply with such provisions as

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the Secretary may from time to time find necessary to assure the correctness and verification of such reports;

(7) provide safeguards which restrict the use or disclosure of information concerning applicants and recipients to purposes directly connected with the administration of the State plan;

(8) provide that all individuals wishing to make application for assistance under the plan shall have opportunity to do so, and that such assistance shall be furnished with reasonable promptness to all eligible individuals;

(9) provide, if the plan includes assistance for or on behalf of individuals in private or public institutions, for the establishment or designation of a State authority or authorities which shall be responsible for establishing and maintaining standards for such institutions;

(10) If the State plan includes old-age assistance

(A) provide that the State agency shall, in determining need for such assistance, take into consideration any other income and resources of an individual claiming old-age assistance, as well as any expenses reasonably attributable to the earning of any such income; except that, in making such determination, (i) the State agency may disregard not more than $7.50 per month of any income and (ii) of the first $80 per month of additional income which is earned the State agency may disregard not more than the first $20 thereof plus one-half of the remainder;

(B) include reasonable standards, consistent with the objectives of this subchapter, for determining eligibility for and the extent of such assistance; and

(C) provide a description of the services (if any) which the State agency makes available to applicants for and recipients of such assistance to help them attain self-care, including a description of the steps taken to assure, in the provision of such services, maximum utilization of other agencies providing similar or related services;

(11) if the State plan includes medical assistance for the aged

(A) provide for inclusion of some institutional and some noninstitutional care and services;

(B) provide that no enrollment fee, premium, or similar charge will be imposed as a condition of any individual's eligibilty for medical assistance for the aged under the plan;

(C) provide for inclusion, to the extent required by regulations prescribed by the Secretary, of provisions (conforming to such regulations) with respect to the furnishing of such assistance to individuals who are residents of the State but are absent therefrom;

(D) include reasonable standards, consistent with the objectives of this subchapter, for determining eligibility for and the extent of such assistance; and

(E) provide that no lien may be imposed against the property of any individual prior to his death on account of medical assistance for

the aged paid or to be paid on his behalf under the plan (except pursuant to the judgment of a court on account of benefits incorrectly paid on behalf of such individual), and that there shall be no adjustment or recovery (except, after the death of such individual and his surviving spouse, if any, from such individual's estate) of any medical assistance for the aged correctly paid on behalf of such individual under the plan;

(12) if the State plan includes assistance to or in behalf of individuals who are patients in institutions for mental diseases

(A) provide for having in effect such agreements or other arrangements with State authorities concerned with mental diseases, and, where appropriate, with such institutions, as may be necessary for carrying out the State plan, including arrangements for joint planning and for development of alternate methods of care, arrangements providing assurance of immediate readmittance to institutions where needed for individuals under alternate plans of care, and arrangements providing for access to patients and facilites, for furnishing information, and for making reports;

(B) provide for an individual plan for each such patient to assure that the institutional care provided to him is in his best interests, including, to that end, assurances that there will be initial and periodic review of this medical and other needs, that he will be given appropriate medical treatment within the institution, and that there will be a periodic determination of his need for continued treatment in the institution;

(C) provide for the development of alternate plans of care, making maximum utilization of available resources, for recipients who would otherwise need care in such institutions, including appropriate medical treatment and other assistance: for services referred to in section 303 (a) (4) (A) (i) and (ii) of this title which are appropriate for such recipients and for such patients; and for methods of administration necessary to assure that the responsibilities of the State agency under the State plan with respect to such recipients and such patients will be effectively carried out; and

(D) provide methods of determining the reasonable cost of institutional care for such patients; and

(13) if the State plan includes assistance to or in behalf of patients in public institutions for mental diseases, show that the State is making satisfactory progress toward developing and implementing a comprehensive mental health program, including provision for utilization of community mental health centers, nursing homes, and other alternatives to care in public institutions for mental diseases.

(b) Approval by Secretary.

The Secretary shall approve any plan which fulfills the conditions specified in subsection (a) of this section, except that he shall not approve any plan

which imposes as a condition of eligibility for assistance under the plan

(1) an age requirement of more than sixty-five years; or

(2) any residence requirement which (A) in the case of applicants for old-age assistance, excludes any resident of the State who has resided therein five years during the nine years immediately preceding the application for old-age assistance and has resided therein continuously for one year immediately preceding the application, and (B) in the case of applicants for medical assistance for the aged, excludes any individual who resides in the State; or (3) any citizenship requirement which excludes any citizen of the United States.

(c) Limitation on number of plans.

Nothing in this subchapter shall be construed to permit a State to have in effect with respect to any period more than one State plan approved under this subchapter. (Aug. 14, 1935, ch. 531, title I, § 2, 49 Stat. 620; Aug. 10, 1939, ch. 666, title I, § 101, 53 Stat. 1360; 1946 Reorg. Plan No. 2, § 4, eff. July 16, 1946, 11 F.R. 7873, 60 Stat. 1095; Aug. 28, 1950, ch. 809, title III, pt. 1, § 301(a), (b), pt. 6, § 361(c), (d), 64 Stat. 548, 558; 1953 Reorg. Plan No. 1, §§ 5, 8, eff. Apr. 11, 1953, 18 F. R. 2053, 67 Stat. 631; Aug. 1, 1956, ch. 836, title III, § 311 (b), 70 Stat. 848; Aug. 28, 1958, Pub. L. 85-840, title V, § 510, 72 Stat. 1051; Sept. 13, 1960, Pub. L. 86-778, title VI, § 601(b), 74 Stat. 987; July 25, 1962, Pub. L. 87-543, title I, §§ 106(a) (1), 157, 76 Stat. 188, 207; July 30, 1965, Pub. L. 89-97, title II, § 221(a) (3), title IV, § 403 (a), 79 Stat. 357, 418; Jan. 2, 1968, Pub. L. 90-248, title II, §§ 210(a) (1), 213(a) (1), 81 Stat. 895, 898.)

AMENDMENTS

1968 Subsec. (a) (5). Pub. L. 90-248, § 210(a)(1), designated existing provisions as subpar. (A) and added subpar. (B).

Subsec. (a) (10) (A) (i). Pub. L. 90-248, § 213(a) (1), increased from $5 to $7.50 limitation on amount of any income which the State may disregard in making its determination of need.

1965 Subsec. (a) (10) (A). Pub. L. 89-97, § 403 (a), placed a ceiling of $5 on the amount of any income which the state may disregard in making its determination of need and substituted "$80" and "$20" for "$50" and "$10" respectively.

Subsec. (a) (12), (13). Pub. L. 89-97, § 221 (a) (3), added clauses (12) and (13).

1962 Subsec. (a) (10) (A). Pub. L. 87-543 added, "as well as any expenses reasonably attributable to the earning of any such income" and the exception provision. 1960 Subsec. (a). Pub. L. 86-778 inserted provisions relating to plans for medical assistance, and required plans that include old-age assistance to include reasonable standards, consistent with the objectives of this subchapter, for determining eligibility for and the extent of such assistance.

Subsec. (b). Pub. L. 86-778 substituted "eligibility for assistance under the plan" for "eligibility for old-age assistance under the plan" in the opening provisions, eliminated provisions from cl. (1) which permitted the plan to impose an age requirement of as much as 70 years until Jan. 1, 1940, and inserted provisions in cl. (2) requiring the Secretary to disapprove any plan, in the case of applicants for medical assistance for the aged, which excludes any individual who resides in the State. Subsec. (c). Pub. L. 86-778 added subsec. (c). 1958 Subsec. (a). Pub. L. 85-840 inserted provisions in cl. (11) requiring the State plan to include a description of the steps taken to assure, in the provision of such services, maximum utilization of other agencies providing similar or related services.

1956

Subsec. (a). Act Aug. 1, 1956, added clause (11). 1950 Subsec. (a). Act Aug. 28, 1950, substituted in clause (4) "provide for *** with reasonableness" for "provide for granting to any individual, whose claim for old-age assistance is denied, an opportunity for a fair hearing before such State agency", and added clauses (9) and (10).

1939 Subsec. (a). Act Aug. 10, 1939, amended subsec. (a) generally commencing with cl. (5).

EFFECTIVE DATE OF 1968 AMENDMENT

Section 210(b) of Pub. L. 90-248 provided that: "Each of the amendments made by subsection (a) [to sections 302(a) (5), 602(a) (5), 1202(a) (5), 1352(a) (5), 1382(a) (5) and 1396a (a) (4) of this title] shall become effective July 1, 1969, or, if earlier (with respect to a State's plan approved under title [subchapter] I, X, XIV, XVI, or XIX, or part A of title IV [of this chapter]) on the date as of which the modification of the State plan to comply with such amendment is approved."

EFFECTIVE DATE OF 1965 AMENDMENT

Section 403 (a) of Pub. L. 89-97 provided that the amendment of subsec. (a) (10) (A) of this section by said section was effective October 1, 1965.

Section 221(e) of Pub. L. 89-97 provided that: "The amendments made by this section [to this section and sections 303, 306, 1206, 1355, 1382, 1383, and 1385 of this title] shall apply in the case of expenditures made after December 31, 1965, under a State plan approved under title I, X, XIV, or XVI of the Social Security Act [subchapter I, X, XIV, or XVI of this Chapter]."

EFFECTIVE DATE OF 1962 AMENDMENT

Section 202 (a) of Pub. L. 87-543 provided that: "The amendments made by sections 102(b)(1), 103, 106, and 134 [adding section 602(a)(13) and amending sections 302 (a) (10) (A), 602(a) (7), 607(3), former section 723 (a) and sections 1202 (a) (8) and 1352(a) (8) of this title] shall become effective July 1, 1963."

EFFECTIVE DATE OF 1960 AMENDMENT Amendment of section by Pub. L. 86-778 effective Oct. 1, 1960, see section 604 of Pub. L. 86-778, set out as a note under section 301 of this title.

EFFECTIVE DATE OF 1958 AMENDMENT Amendment of subsec. (a) (11) of this section by Pub. L. 85-840 effective Oct. 1, 1958, see section 512 of Pub. L. 85-840, set out as a note under section 303 of this title.

EFFECTIVE DATE OF 1956 AMENDMENT Section 314 [315] of act Aug. 1, 1956, provided that: "The amendments made by sections 311(b), 312(b), 313 (b), and 314 (b) [to sections 302 (a) (11), 602 (a) (13), 1202 (a) (13), and 1352 (a) (12) of this title] shall become effective July 1, 1957."

EFFECTIVE DATE OF 1950 AMENDMENT

Section 301 (c) of act Aug. 28, 1950, provided that the amendment of subsection (a) shall take effect as of July 1, 1951.

SHORT TITLE OF 1968 AMENDMENT

Section 1 of Pub. L. 90-248 provided that Pub. L. 90-248, which enacted sections 429, 610, 620-626, 630-644, 908, 1319-1320a, 1395b-1, and 1396e-1396g of this title, amended sections 302-304, 401-406, 409-411, 413, 415418, 421-423, 424a, 425, 426, 426a, 427, 428, 601-604, 606-608, 622, 701-715, 729, 907, 1202–1204, 1306, 1308— 1311, 1313-1318, 1352-1354, 1361, 1382, 1383, 1395d1395f, 13951, 1395k, 13951, 1395n, 1395p-1395y, 1395aa, 1395cc, 1395dd, 1395gg, 1395ll, 1396a, 1396b, and 1396d of this title sections 1401, 1402, 3101, 3111, 3121, 3122, 3125, 3306, 6051, and 6413 of Title 26, and sections 228e and 228s-2 of Title 45, repealed sections 721-728, 1317, and 1395ee of this title, enacted provisions set out as notes under sections 242b, 302, 303, 402-405, 409, 410, 413, 415, 416, 418, 423, 424a, 427, 601-603, 607, 609, 620. 622, 626, 633, 701, 705, 1301, 1308, 1319, 1395c-1395f, 13951-13951, 1395n, 1395p, 1395u, 1395x, 1395aa, 1395dd, 1396a, 1396b, 1396d, and 1396g of this title, and amended provisions set out as notes under sections 603 and 608 of this title and sections 1401, 1402, 3121, and 6051

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