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Public Law 89-97
89th Congress, H. R. 6675

July 30, 1965

An Act

79 STAT. 286.

To provide a hospital insurance program for the aged under the Social Security

Act with a supplementary medical benefits program and an expanded program of medical assistance, to increase benefits under the Old-Age, Survivors, and Disability Insurance System, to improve the Federal-State public assistance programs, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act, with Social Security the following table of contents, may be cited as the “Social Security Amendments of Amendments of 1965".

1965. RAILROAD RETIREMENT AMENDMENTS . SEC. 105. (a) (1) The Railroad Retirement Act of 1937 is amended by adding after section 20 the following new section:

“HOSPITAL INSURANCE BENEFITS FOR THE AGED

“Sec. 21. For the purposes of part A of title XVIII of the Social Security Act, in order to provide hospital insurance benefits for annuitants, pensioners, and certain other aged individuals, the Board shall, upon request of the Secretary of Health, Education, and Welfare, certify to the Secretary the name of any individual who has attained age 65 and who (1) is entitled to an annuity or pension under this Act, (2) would be entitled to such an annuity had he (i) ceased compensated service and (in the case of a spouse) had such spouse's husband or wife ceased compensated service and (ii) applied for such annuity, or (3) bears a relationship to an employee which, by reason of section 3(e) of this Act, has been, or would be, taken into account in calculating the amount of an annuity of such employee or his survivors. Such a certification shall include such additional information as may be necessary to carry out the provisions of part A of title XVIII of the Social Security Act, and shall become effective on the date of certification or on such earlier date not more than one year prior to the date of certification as the Board states that such individual first met the requirements for certification. The Board shall notify the Secretary of the date on which such individual no longer meets the requirements of this section.”

(2) For purposes of section 21 of the Railroad Retirement Act of 1937 (and soctions 1840, 1843, and 1870 of the Social Security Act), entitlement to an annuity or pension under the Railroad Retirement Act of 1937 shall be deemed to include entitlement under the Railroad Retirement Act of 1935.

(b) (1) Section 3201 of the Internal Revenue Code of 1954 (relating to rate of tax on employees under the Railroad Retirement Tax Act) is amended by striking out "the rate of the tax imposed with respect to wages by section 3101 at such time exceeds the rate provided by paragraph (2) of such section 3101 as amended by the Social Security Amendments of. 1956” and inserting in lieu thereof "the rate of the tax imposed with respect to wages by section 3101(a) at such time exceeds 284 percent (tho rate provided by paragraph (2) of section 3101 as amended by the Social Security Amendments of 1956)”.

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(2) Section 3211 of such Code (relating to the rate of tax on employee representatives under the Railroad Retirement Tax Act) is amended by striking out “the rate of the tax imposed with respect to wages by section 3101 at such time exceeds the rato provided by paragraph (2) of such section 3101 as amended by the Social Security Amendments of 1956" and inserting in lieu thereof “the rate of the tax imposed with respect to wages by section 3101 (a) at such time exceeds 284 percent (the rate provided by paragraph (2) of section 3101 as amended by the Social Security Amendments of 1956)”.

(3) Section 3221(b) of such Code (relating to the rate of tax on employers under the Railroad Retirement Tax Act) is amended by striking out “the rate of the tax imposed with respect to wages by section 3111 at such time exceeds the rate provided by paragraph (2) of such section 3111 as amended by the Social Security Amendments of 1956" and inserting in lieu thereof "the rate of the tax imposed with respect to wages by section 3111(a) at such time exceeds 23/4 percent (the rate provided by paragraph (2) of section 3111 as amended by the Social Security Amendments of 1956)”.

(4) The amendments made by this subsection shall be effective with respect to compensation paid for services rendered after December 31, 1965.

(c) For amendments preserving relationship between the railroad retirement and old-age, survivors, and disability insurance systems, see section 326 of this Act. ROLE OF THE RAILROAD RETIREMENT BOARD IN THE ADMINISTRATION OF

HOSPITAL INSURANCE FOR THE AGED

Sec. 111. (a) The first sentence of section 1874(a) of the Social Security Act is amended to read as follows: “Except as otherwise pro- Ante, p. 332. vided in this title and in the Railroad Retirement Act of 1937, the Ante, p. 335; insurance programs established by this title shall be administered by Post, p. 400. the Secretary."

(b) (1) Section 21 of the Railroad Retirement Act of 1937 (as added by section 105 of this Act) is amended to read as follows:

"HOSPITAL INSURANCE BENEFIT3 FOR THE AGED “Sec. 21. (a) For the purposes of this section, the Board shall have the same authority to determine the rights of individuals described in subsection (b) of this section to have payments made on their behalf for hospital insurance benefits consisting of inpatient hospital services, post-hospital extended care services, post-hospital home health services, and outpatient hospital diagnostic services (all hereinafter referred to as 'services') under section 226, and parts A and C of title XVIII, of Ante, p. 290. the Social Security Act as the Secretary of Health, Education, and Welfare has under such section and such parts with respect to individuals to whom such section and such parts apply. For purposes of section 11, a determination with respect to the rights of an individual 45 USC 228k. under this section shall, except in the case of a provider of services, be considered to be a decision with respect to an annuity.

“(b) Except as otherwise provided in this section, every individual who

“(1) has attained age 65, and

“(2)(A) is entitled to an annuity under this Act, or (B) would be entitled to such an annuity had he ceased compensated service and, in the case of a spouse, had such spouse's husband or wife ceased compensated service, or (C) had been awarded a pension under section 6, or (D) bears a relationship to an employee which, 45 USC 228f. by reason of section 3(e), has been, or would be, taken into account 45 USC 2280. in calculating the amount of an annuity of such employee or his

survivors, shall be certified to the Secretary of Health, Education, and Welfare as a qualified railroad retirement beneficiary under section 226 of the Social Security Act.

Ante, pp. 290, 291.

Ante, pp. 306,
312, 331.
42 USC 215-228.

Ante, p. 290.

"(c) The Board and the Secretary of Health, Education, and Wel. fare shall furnish each other with such information, records, and documents as may be considered necessary to the administration of this section or section 226, and part A of title XVIII, of the Social Security Act.

“(d) For purposes of this section (and sections 1840, 1813, and 1870 of the Social Security Act), entitlement to an annuity or pension under this Act shall be deemed to include entitlement under the Railroad Retirement Act of 1935.

“(e) The rights of individuals described in subsection (b) of this section to have payment made on their behalf for the services referred to in subsection (a) of this section but provided in Canada shall be the same as those of individuals to whom section 226 and part A of title XVIII of the Social Security Act apply, and this subsection shall be administered by the Board as if the provisions of section 226 and part A of title XVIII of the Social Security Act were applicable, as if references to the Secretary of Health, Education, and Welfare were to the Board, as if references to the Federal Hospital Insurance Trust Fund were to the Railroad Retirement Account, as if references to the United States or a State included Canada or a subdivision thereof, and as if the provisions of sections 1862(a) (4), 1863, 1864, 1867, 1868, 1869, 1874(b), and 1875 of such title XVIII were not included in such title. The payments for services herein provided for in Canada shall be made from the Railroad Retirement Account (in accordance with, and subject to, the conditions applicable under section 10(b) in making payment of other benefits) to the hospital, extended care facility, or home health agency providing such services in Canada to individuals to whom subsection (b) of this section applies, but only to the extent that the amount of payments for services otherwise hereunder provided for an individual exceeds the amount payable for like services provided pursuant to the law in effect in the place in Canada where such services are furnished. For the purposes of section 9 of this Act, any overpayment under this subsection shall be treated as if it were an overpayment of an annuity.” (2) Section 5(k) (2) of such Act is amended

(A) by striking out subparagraphs (A) and (B) and redesignating subparagraphs (C), (D), and (E) as subparagraphs (A), (B), and (C), respectively;

(B) by striking out the second sentence and the last sentence of subdivision (i) of the subparagraph redesignated as subparagraph (A) by subparagraph (A) of this paragraph; and by striking out from such subdivision' (i) “the Retirement Account and inserting in lieu thereof “the Railroad Retirement Account (hereinafter termed ‘Retirement Account')”;

(C) by adding at the end of the subparagraph redesignated as subparagraph (A) by subparagraph (A) of this paragraph the following new subdivision:

“(iii) At the close of the fiscal year ending June 30, 1966, and each fiscal year thereafter, the Board and the Secretary of Health, Education, and Welfare shall determine the amount, if any, which, if added to or subtracted from the Federal Hospital Insurance Trust Fund, would place such fund in the same position in which it would have been if service as an employee after December 31, 1936, had been included in the term employment as defined in the Social Security Act and in the Federal Insurance Contributions Act. Such determination shall be made no later than June 15 following the close of the fiscal year. If such amount is to be added to the Federal Hospital Insurance Trust Fund, the Board shall, within ten days after the determination,

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79 STAT. 342.

certify such amount to the Secretary of the Treasury for transfer from the Retirement Account to the Federal Hospital Insurance Trust Fund; and if such amount is to be subtracted from the Federal Hospital Insurance Trust Fund the Secretary of Health, Education, and Welfare shall, within ten days after the determination, certify such amount to the Secretary of the Treasury for transfer from the Federal Hospital Insurance Trust Fund to tho Retirement Account. The amount so certified shall further include interest (at the rate determined under subparagraph (B) for the fiscal year under consideration) payable from the close of such fiscal year until the date of certification.”;

(D) by striking out "subparagraph (D)” where it appears in the subparagraph redesignated as subparagraph (A) by subparagraph (A) of this paragraph, and inserting in lieu thereof "subparagraph (B)”;

(Ej by striking out "subparagraphs (B) and (C)” where it appears in the subparagraph redesignated as subparagraph (B) by subparagraph (A) of this paragraph and inserting in lieu thereof “subparagraph (A)”; and

(F) by amending the subparagraph redesignated as subparagraph (C) by subparagraph (A) of this paragraph to read as

follows: “(C) The Secretary of the Treasury is authorized and directed to transfer to the Federal Old-Age and Survivors Insurance Trust Fund, the Federal Disability Insurance Trust Fund, or the Federal Hospital Insurance Trust Fund from the Retirement Account or to the Retirement Account from the Federal Old-Age and Survivors Insurance Trust Fund, the Federal Disability Insurance Trust Fund, or the Federal Hospital Insurance Trust Fund, as the case may be, such amounts as, from time to time, may be determined by the Board and the Secretary of Health, Education, and Welfare pursuant to the provisions of subparagraph (A), and certified by the Board or the Secretary of Health, Education, and Welfare for transfer from the Retirement Account or from the Federal Old-Age and Survivors Insurance Trust Fund, the Federal Disability Insurance Trust Fund, or the Federal Hospital Insurance Trust Fund.”

(c)(1) Section 3201 of the Internal Revenue Code of 1954 (relating Ante, p. 335. to rate of tax on employees under the Railroad Retirement Tax Act) is amended by striking out "section 3101(a)” and inserting in lieu thereof "section 3101(a) plus the rate imposed by section 3101(b)”.

(2) Section 3211 of such Code (relating to the rate of tax on em- Ante, p. 335. ployee representatives under the Railroad Retirement Tax Act) is amended by striking out "section 3101 (a)” and inserting in lieu thereof "section 3101(a) plus the rate imposed by section 3101(b)”.

(3) Section 3221 (b) of such Code (relating to the rate of tax on em- Ante, p. 335. ployers under the Railroad Retirement Tax Act) is amended by strik. ing out "section 3111(a)” and inserting in lieu thereof "section 3111 (a) plus the rate imposed by section 3111(b)”.

(4) Section 1401(b) (as amended by section 321 of this Act) of such Code (relating to the rate of tax under the Self-Employment Contri- Post, p.394. butions Act) is amended by si riking out the last sentence.

(5) Section 3101(b) of such Code (relating to the rate of tax on Post, p.395. eniployees under the Federal Insurance Contributions Act) is amended by striking out “, but without regard to the provisions of paragraph (9) thereof insofar as it relates to employees”.

79 STAT. 343. Post, p. 396. (6) Section 3111(b) of such Code (relating to the rate of tax on

employers under the Federal Insurance Contributions Act) is amended by striking out “, but without regard to the provisions of paragraph (9) thereof insofar as it relates to employees".

(d) There are authorized to be appropriated to the Federal Hospital

Insurance Trust Fund (established by section 1817 of the Social Ante, p. 299. Security Act) from time to time such sums as the Secretary deems

necessary for any fiscal year, on account of

(1) payments made or to be made during such fiscal year from Ante, p. 291. such' Trust Fund under part A of title XVIII of such Act with

respect to individuals who are qualified railroad retirement beneAnte, p. 290. ficiaries (as defined in section 226(c) of such Act) and who are

not, and upon filing application for monthly insurance benefits 42 USC 402.

under section 202 of such Act would not be, entitled to such benefits

if service as an employee (as defined in the Railroad Retirement Ante, pp. 335,340 ; Act of 1937) after December 31, 1936, had been included in the Post, p. 400.

term "employment” as defined in the Social Security Act,

(2) the additional administrative expenses resulting or expected to result therefrom, and

(3) any loss of interest to such Trust Fund resulting from the payment of such amounts, in order to place such Trust Fund in the same position at the end of such fiscal year in which it would have been if the individuals described in paragraph (1) had not been entitled to benefits under part A of title XVIII of the Social Security Act.

(e) (1) The amendments made by the preceding provisions of this section shall apply to the calendar year 1966 or to any subsequent calendar year, but only if the requirement in paragraph (2) has been met with respect to such calendar year.

(2) The requirement referred to in paragraph (1) shall be deemed to have been met with respect to any calendar year if, as of the October 1

immediately preceding such calendar year, the Railroad Retirement 26 USC 3201. Tax Act provides that the maximum amount of monthly compensation

taxable under such Act during all months of such calendar year will

bo an amount equal to one-twelfth of the maximum wages which the Post, p. 395.

Federal Insurance Contributions Act provides may be counted for
such calendar year.
AMENDMENTS PRESERVING RELATIONSHIP BETWEEN RAILROAD RETIRE-

MENT AND OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
SYSTEMS

Sec. 326. (a) Section 1(q) of the Railroad Retirement Act of 1937 is amended by striking out "1961" and inserting in lieu thereof “1965".

(b) Section 5(1) (9) of such Act is amended by striking out "after 1958 is less than $4,800” and inserting in lieu thereof the following: "after 1958 and before 1966 is less than $4,800, or for any calendar year after 1965 is less than $6,600"; and by striking out "and $4,800 for years after 1958", and inserting in lieu thereof the following: "$4,800 for years after 1958 and before 1966, and $6,600 for years after 1965".

Approved July 30, 1965, 5:19 p.m.

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