There is hereby established a voluntary insurance program to provide medical insurance benefits in accordance with the provisions of this part for aged and disabled individuals who elect to enroll under such program, to be financed from premium payments by enrollees together with contributions from funds appropriated by the Federal Government.
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Source location: Title 42, Chapter 7, § 1395u; chapter-007-social-security.md
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There is hereby established a voluntary insurance program to provide medical insurance benefits in accordance with the provisions of this part for aged and disabled individuals who elect to enroll under such program, to be financed from premium payments by enrollees together with contributions from funds appropriated by the Federal Government.
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Federal law — U.S. Code and appendices · legal_authorities
§ 1395u. Provisions relating to the administration
of part B
(a) In general
The administration of this part shall be con-
ducted through contracts with medicare admin-
istrative contractors under section 1395kk–1 of
this title.
(b) Determination of reasonable charges
(1)
Repealed.
Pub.
L.
108–173,
title
IX,
§ 911(c)(3)(A), Dec. 8, 2003, 117 Stat. 2384.
(2)(A), (B) Repealed. Pub. L. 108–173, title IX,
§ 911(c)(3)(B)(i), Dec. 8, 2003, 117 Stat. 2384.
(C) In the case of residents of nursing facilities
who receive services described in clause (i) or
(ii) of section 1395x(s)(2)(K) of this title per-
formed by a member of a team, the Secretary
shall instruct medicare administrative contrac-
tors to develop mechanisms which permit rou-
tine payment under this part for up to 1.5 visits
per month per resident. In the previous sen-
tence, the term ‘‘team’’ refers to a physician
and includes a physician assistant acting under
the supervision of the physician or a nurse prac-
titioner working in collaboration with that phy-
sician, or both.
(3) The Secretary—
(A) shall take such action as may be nec-
essary to assure that, where payment under
this part for a service is on a cost basis, the
cost is reasonable cost (as determined under
section 1395x(v) of this title);
(B) shall take such action as may be nec-
essary to assure that, where payment under
this part for a service is on a charge basis,
such charge will be reasonable and not higher
than the charge applicable, for a comparable
service and under comparable circumstances,
to the policyholders and subscribers of the
medicare administrative contractor, and such
payment will (except as otherwise provided in
section 1395gg(f) of this title) be made—
(i) on the basis of an itemized bill; or
(ii)