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29 U.S.C. § 720 — Declaration of policy; authorization of ap-

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29 U.S.C. § 720 — Declaration of policy; authorization of ap-

§ 720. Declaration of policy; authorization of ap- propriations (a) Findings; purpose; policy (1) Findings Congress finds that— (A) work— (i) is a valued activity, both for individ- uals and society; and (ii) fulfills the need of an individual to be productive, promotes independence, en- hances self-esteem, and allows for partici- pation in the mainstream of life in the United States; (B) as a group, individuals with disabilities experience staggering levels of unemploy- ment and poverty; (C) individuals with disabilities, including individuals with the most significant dis- abilities, have demonstrated their ability to achieve gainful employment in competitive integrated employment settings if appro- priate services and supports are provided; (D) reasons for significant numbers of indi- viduals with disabilities not working, or working at levels not commensurate with their abilities and capabilities, include— (i) discrimination; (ii) lack of accessible and available transportation; (iii) fear of losing health coverage under the Medicare and Medicaid programs car- ried out under titles XVIII and XIX of the Social Security Act (42 U.S.C. 1395 et seq. and 1396 et seq.) or fear of losing private health insurance; and (iv) lack of education, training, and sup- ports to meet job qualification standards necessary to secure, retain, regain, or ad- vance in employment; (E) enforcement of subchapter V and of the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.) holds the promise of end- ing discrimination for individuals with dis- abilities; (F) the provision of workforce develop- ment activities and vocational rehabilita- tion services can enable individuals with dis- abilities, including individuals with the most significant disabi

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Page 215 TITLE 29—LABOR § 720 PART A—GENERAL PROVISIONS § 720. Declaration of policy; authorization of ap- propriations (a) Findings; purpose; policy (1) Findings Congress finds that— (A) work— (i) is a valued activity, both for individ- uals and society; and (ii) fulfills the need of an individual to be productive, promotes independence, en- hances self-esteem, and allows for partici- pation in the mainstream of life in the United States; (B) as a group, individuals with disabilities experience staggering levels of unemploy- ment and poverty; (C) individuals with disabilities, including individuals with the most significant dis- abilities, have demonstrated their ability to achieve gainful employment in competitive integrated employment settings if appro- priate services and supports are provided; (D) reasons for significant numbers of indi- viduals with disabilities not working, or working at levels not commensurate with their abilities and capabilities, include— (i) discrimination; (ii) lack of accessible and available transportation; (iii) fear of losing health coverage under the Medicare and Medicaid programs car- ried out under titles XVIII and XIX of the Social Security Act (42 U.S.C. 1395 et seq. and 1396 et seq.) or fear of losing private health insurance; and (iv) lack of education, training, and sup- ports to meet job qualification standards necessary to secure, retain, regain, or ad- vance in employment; (E) enforcement of subchapter V and of the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.) holds the promise of end- ing discrimination for individuals with dis- abilities; (F) the provision of workforce develop- ment activities and vocational rehabilita- tion services can enable individuals with dis- abilities, including individuals with the most significant disabilities, to pursue meaningful careers by securing gainful em- ployment commensurate with their abilities and capabilities; and (G) linkages between the vocational reha- bilitation programs established under this subchapter and other components of the statewide workforce development systems are critical to ensure effective and meaning- ful participation by individuals with disabil- ities in workforce development activities. (2) Purpose The purpose of this subchapter is to assist States in operating statewide comprehensive, coordinated, effective, efficient, and account- able programs of vocational rehabilitation, each of which is— (A) an integral part of a statewide work- force development system; and (B) designed to assess, plan, develop, and provide vocational rehabilitation services for individuals with disabilities, consistent with their strengths, resources, priorities, concerns, abilities, capabilities, interests, informed choice, and economic self-suffi- ciency, so that such individuals may prepare for and engage in gainful employment. (3) Policy It is the policy of the United States that such a program shall be carried out in a man- ner consistent with the following principles: (A) Individuals with disabilities, including individuals with the most significant dis- abilities, are generally presumed to be capa- ble of engaging in gainful employment and the provision of individualized vocational re- habilitation services can improve their abil- ity to become gainfully employed. (B) Individuals with disabilities must be provided the opportunities to obtain com- petitive integrated employment. (C) Individuals who are applicants for such programs or eligible to participate in such programs must be active and full partners in the vocational rehabilitation process, mak- ing meaningful and informed choices— (i) during assessments for determining eligibility and vocational rehabilitation needs; and (ii) in the selection of employment out- comes for the individuals, services needed to achieve the outcomes, entities pro- viding such services, and the methods used to secure such services. (D) Families and other natural supports can play important roles in the success of a vocational rehabilitation program, if the in- dividual with a disability involved requests, desires, or needs such supports. (E) Vocational rehabilitation counselors that are trained and prepared in accordance with State policies and procedures as de- scribed in section 721(a)(7)(B) of this title (referred to individually in this subchapter as a ‘‘qualified vocational rehabilitation counselor’’), other qualified rehabilitation personnel, and other qualified personnel should facilitate the accomplishment of the employment outcomes and objectives of an individual. (F) Individuals with disabilities and the in- dividuals’ representatives are full partners in a vocational rehabilitation program and must be involved on a regular basis and in a meaningful manner with respect to policy development and implementation. (G) Accountability measures must facili- tate the accomplishment of the goals and objectives of the program, including pro- viding vocational rehabilitation services to, among others, individuals with the most sig- nificant disabilities. (b) Authorization of appropriations (1) In general For the purpose of making grants to States under part B to assist States in meeting the costs of vocational rehabilitation services pro- vided in accordance with State plans under Page 216 TITLE 29—LABOR § 720 section 721 of this title, there are authorized to be appropriated $3,302,053,000 for each of the fiscal years 2015 through 2020, except that the amount to be appropriated for a fiscal year shall not be less than the amount of the appro- priation under this paragraph for the imme- diately preceding fiscal year, increased by the percentage change in the Consumer Price Index determined under subsection (c) for the immediately preceding fiscal year. (2) Reference The reference in paragraph (1) to grants to States under part B shall not be considered to refer to grants under section 732 of this title. (c) Consumer Price Index (1) Percentage change No later than November 15 of each fiscal year (beginning with fiscal year 1979), the Sec- retary of Labor shall publish in the Federal Register the percentage change in the Con- sumer Price Index published for October of the preceding fiscal year and October of the fiscal year in which such publication is made. (2) Application (A) Increase If in any fiscal year the percentage change published under paragraph (1) indicates an increase in the Consumer Price Index, then the amount to be appropriated under sub- section (b)(1) for the subsequent fiscal year shall be at least the amount appropriated under subsection (b)(1) for the fiscal year in which the publication is made under para- graph (1) increased by such percentage change. (B) No increase or decrease If in any fiscal year the percentage change published under paragraph (1) does not indi- cate an increase in the Consumer Price Index, then the amount to be appropriated under subsection (b)(1) for the subsequent fiscal year shall be at least the amount ap- propriated under subsection (b)(1) for the fis- cal year in which the publication is made under paragraph (1). (3) Definition For purposes of this section, the term ‘‘Con- sumer Price Index’’ means the Consumer Price Index for All Urban Consumers, published monthly by the Bureau of Labor Statistics. (d) Extension (1) In general (A) Authorization or duration of program Unless the Congress in the regular session which ends prior to the beginning of the ter- minal fiscal year— (i) of the authorization of appropriations for the program authorized by the State grant program under part B of this sub- chapter; or (ii) of the duration of the program au- thorized by the State grant program under part B of this subchapter; has passed legislation which would have the effect of extending the authorization or du- ration (as the case may be) of such program, such authorization or duration is automati- cally extended for 1 additional year for the program authorized by this subchapter. (B) Calculation The amount authorized to be appropriated for the additional fiscal year described in subparagraph (A) shall be an amount equal to the amount appropriated for such pro- gram for fiscal year 2003, increased by the percentage change in the Consumer Price Index determined under subsection (c) for the immediately preceding fiscal year, if the percentage change indicates an increase. (2) Construction (A) Passage of legislation For the purposes of paragraph (1)(A), Con- gress shall not be deemed to have passed leg- islation unless such legislation becomes law. (B) Acts or determinations of Commissioner In any case where the Commissioner is re- quired under an applicable statute to carry out certain acts or make certain determina- tions which are necessary for the continu- ation of the program authorized by this sub- chapter, if such acts or determinations are required during the terminal year of such program, such acts and determinations shall be required during any fiscal year in which the extension described in that part of para- graph (1) that follows clause (ii) of para- graph (1)(A) is in effect. (Pub. L. 93–112, title I, § 100, as added Pub. L. 105–220, title IV, § 404, Aug. 7, 1998, 112 Stat. 1116; amended Pub. L. 113–128, title IV, § 411, July 22, 2014, 128 Stat. 1640.) Editorial Notes REFERENCES IN TEXT The Social Security Act, referred to in subsec. (a)(1)(D)(iii), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Ti- tles XVIII and XIX of the Act are classified generally to subchapters XVIII (§ 1395 et seq.) and XIX (§ 1396 et seq.), respectively, of chapter 7 of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see section 1305 of Title 42 and Tables. The Americans with Disabilities Act of 1990, referred to in subsec. (a)(1)(E), is Pub. L. 101–336, July 26, 1990, 104 Stat. 327, which is classified principally to chapter 126 (§ 12101 et seq.) of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see Short Title note set out under section 12101 of Title 42 and Tables. PRIOR PROVISIONS A prior section 720, Pub. L. 93–112, title I, § 100, Sept. 26, 1973, 87 Stat. 363; Pub. L. 93–516, title I, § 102(a), Dec. 7, 1974, 88 Stat. 1618; Pub. L. 93–651, title I, § 102(a), Nov. 21, 1974, 89 Stat. 2–3; Pub. L. 94–230, §§ 2(a), 11(b)(2), (3), Mar. 15, 1976, 90 Stat. 211, 213; Pub. L. 95–602, title I, § 101(a), (b), Nov. 6, 1978, 92 Stat. 2955; Pub. L. 98–221, title I, § 111(a)–(d), Feb. 22, 1984, 98 Stat. 19; Pub. L. 99–506, title I, § 103(d)(2)(C), title II, § 201, Oct. 21, 1986, 100 Stat. 1810, 1813; Pub. L. 100–630, title II, § 202(a), Nov. 7, 1988, 102 Stat. 3304; Pub. L. 102–52, § 2(a), (b)(1), June 6, 1991, 105 Stat. 260; Pub. L. 102–569, title I, § 121(a), (b), Oct. 29, 1992, 106 Stat. 4365, 4367, related to congres- sional findings, purpose, policy, authorization of appro- priations, change in Consumer Price Index, and exten- sion of program, prior to the general amendment of this subchapter by Pub. L. 105–220. Page 217 TITLE 29—LABOR § 721 AMENDMENTS 2014—Subsec. (a)(1)(C). Pub. L. 113–128, § 411(a)(1)(A), substituted ‘‘competitive integrated employment’’ for ‘‘integrated’’. Subsec. (a)(1)(D)(iii). Pub. L. 113–128, § 411(a)(1)(B), substituted ‘‘Medicare and Medicaid’’ for ‘‘medicare and medicaid’’. Subsec. (a)(1)(F). Pub. L. 113–128, § 411(a)(1)(C), sub- stituted ‘‘development’’ for ‘‘investment’’. Subsec. (a)(1)(G). Pub. L. 113–128, § 411(a)(1)(D), sub- stituted ‘‘workforce development systems’’ for ‘‘work- force investment systems’’ and ‘‘workforce develop- ment activities’’ for ‘‘workforce investment activi- ties’’. Subsec. (a)(2)(A). Pub. L. 113–128, § 411(a)(2)(A), sub- stituted ‘‘workforce development system’’ for ‘‘work- force investment system’’. Subsec. (a)(2)(B). Pub. L. 113–128, § 411(a)(2)(B), sub- stituted ‘‘informed choice, and economic self-suffi- ciency,’’ for ‘‘and informed choice,’’. Subsec. (a)(3)(B). Pub. L. 113–128, § 411(a)(3)(A), sub- stituted ‘‘competitive integrated employment’’ for ‘‘gainful employment in integrated settings’’. Subsec. (a)(3)(E). Pub. L. 113–128, § 411(a)(3)(B), in- serted ‘‘should’’ before ‘‘facilitate the accomplish- ment’’. Subsec. (b)(1). Pub. L. 113–128, § 411(b), substituted ‘‘$3,302,053,000 for each of the fiscal years 2015 through 2020’’ for ‘‘such sums as may be necessary for fiscal years 1999 through 2003’’. Statutory Notes and Related Subsidiaries DEFINITIONS OF TERMS IN PUB. L. 113–128 Except as otherwise provided, definitions in section 3 of Pub. L. 113–128, which is classified to section 3102 of this title, apply to this section. § 721. State plans (a) Plan requirements (1) In general (A) Submission To be eligible to receive funds under this subchapter for a fiscal year, a State shall submit, and have approved by the Secretary and the Secretary of Labor, a unified State plan in accordance with section 102, or a combined State plan in accordance with sec- tion 103, of the Workforce Innovation and Opportunity Act [29 U.S.C. 3112, 3113]. The unified or combined State plan shall include, in the portion of the plan described in sec- tion 102(b)(2)(D) of such Act [29 U.S.C. 3112(b)(2)(D)] (referred to in this subsection as the ‘‘vocational rehabilitation services portion’’), the provisions of a State plan for vocational rehabilitation services, described in this subsection. (B) Nonduplication The State shall not be required to submit, as part of the vocational rehabilitation serv- ices portion of the unified or combined State plan submitted in accordance with subpara- graph (A), policies, procedures, or descrip- tions required under this subchapter that have been previously submitted to the Com- missioner and that demonstrate that such State meets the requirements of this sub- chapter, including any policies, procedures, or descriptions submitted under this sub- chapter as in effect on the day before the ef- fective date of the Workforce Innovation and Opportunity Act. (C) Duration The vocational rehabilitation services por- tion of the unified or combined State plan submitted in accordance with subparagraph (A) shall remain in effect until the State submits and receives approval of a new State plan in accordance with subparagraph (A), or until the submission of such modifications as the State determines to be necessary or as the Commissioner may require based on a change in State policy, a change in Federal law (including regulations), an interpreta- tion of this chapter by a Federal court or the highest court of the State, or a finding by the Commissioner of State noncompliance with the requirements of this chapter. (2) Designated State agency; designated State unit (A) Designated State agency The State plan for vocational rehabilita- tion services shall designate a State agency as the sole State agency to administer the plan, or to supervise the administration of the plan by a local agency, except that— (i) where, under State law, the State agency for individuals who are blind or an- other agency that provides assistance or services to adults who are blind is author- ized to provide vocational rehabilitation services to individuals who are blind, that agency may be designated as the sole State agency to administer the part of the plan under which vocational rehabilitation services are provided for individuals who are blind (or to supervise the administra- tion of such part by a local agency) and a separate State agency may be designated as the sole State agency to administer or supervise the administration of the rest of the State plan; (ii) the Commissioner, on the request of a State, may authorize the designated State agency to share funding and admin- istrative responsibility with another agen- cy of the State or with a local agency in order to permit the agencies to carry out a joint program to provide services to indi- viduals with disabilities, and may waive compliance, with respect to vocational re- habilitation services furnished under the joint program, with the requirement of paragraph (4) that the plan be in effect in all political subdivisions of the State; and (iii) in the case of American Samoa, the appropriate State agency shall be the Gov- ernor of American Samoa. (B) Designated State unit The State agency designated under sub- paragraph (A) shall be— (i) a State agency primarily concerned with vocational rehabilitation, or voca- tional and other rehabilitation, of individ- uals with disabilities; or (ii) if not such an agency, the State agency (or each State agency if 2 are so designated) shall include a vocational re- habilitation bureau, division, or other or- ganizational unit that— (I) is primarily concerned with voca- tional rehabilitation, or vocational and

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Federal law — U.S. Code and appendices · legal_authorities

29 U.S.C. § 3112 — Definitions

In this Act, and the core program provisions that are not in this Act, except as otherwise expressly provided: (1) **Administrative costs** — The term “administrative costs” means expenditures incurred by State boards and local boards, direct recipients (including State grant recipients under part B of subchapter I and recipients of awards under parts C and D of subchapter I), local grant recipients, local fiscal agents or local grant subrecipients, and one-stop operators in the performance of administrative functions and in carrying out activities under subchapter I that are not related to the direct provision of workforce investment services (including services to participants and employers). Such costs include both personnel and nonpersonnel costs and both direct and indirect costs. (2) **Adult** — Except as otherwise specified in [section 3172 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title29-section3172&num=0&edition=prelim), the term “adult” means an individual who is age 18 or older. (3) **Adult education; adult education and literacy activities** — The terms “adult education” and “adult education and literacy activities” have the meanings given the terms in [section 3272 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title29-section3272&num=0&edition=prelim). (4) **Area career and technical education school** — The term “area career and technical education school” has the meaning given the term in [section 2302 of title 20](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title20-section2302&num=0&edition=prelim). (5) **Basic skills deficient** — The term “basic skills deficient” means, with respect to an individual— (A) who is a youth, that the individual has English reading, wri

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Federal law — U.S. Code and appendices · legal_authorities

29 U.S.C. § 3112 — Unified State plan

§ 3112. Unified State plan (a) Plan For a State to be eligible to receive allot- ments for the core programs, the Governor shall submit to the Secretary of Labor for the ap- proval process described under subsection (c)(2), a unified State plan. The unified State plan shall outline a 4-year strategy for the core pro- grams of the State and meet the requirements of this section. (b) Contents (1) Strategic planning elements The unified State plan shall include stra- tegic planning elements consisting of a stra- tegic vision and goals for preparing an edu- cated and skilled workforce, that include— (A) an analysis of the economic conditions in the State, including— (i) existing and emerging in-demand in- dustry sectors and occupations; and (ii) the employment needs of employers, including a description of the knowledge, skills, and abilities, needed in those indus- tries and occupations; (B) an analysis of the current workforce, employment and unemployment data, labor market trends, and the educational and skill levels of the workforce, including individ- uals with barriers to employment (including individuals with disabilities), in the State; (C) an analysis of the workforce develop- ment activities (including education and training) in the State, including an analysis of the strengths and weaknesses of such ac- tivities, and the capacity of State entities to provide such activities, in order to address the identified education and skill needs of the workforce and the employment needs of employers in the State; (D) a description of the State’s strategic vision and goals for preparing an educated and skilled workforce (including preparing youth and individuals with barriers to em- ployment) and for meeting the skilled work- force needs of emplo

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Federal law — U.S. Code and appendices · legal_authorities

29 U.S.C. § 720 — Findings; purpose; policy

**(a) Findings** Congress finds that— (1) millions of Americans have one or more physical or mental disabilities and the number of Americans with such disabilities is increasing; (2) individuals with disabilities constitute one of the most disadvantaged groups in society; (3) disability is a natural part of the human experience and in no way diminishes the right of individuals to— (A) live independently; (B) enjoy self-determination; (C) make choices; (D) contribute to society; (E) pursue meaningful careers; and (F) enjoy full inclusion and integration in the economic, political, social, cultural, and educational mainstream of American society; (4) increased employment of individuals with disabilities can be achieved through implementation of statewide workforce development systems defined in [section 3102 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title29-section3102&num=0&edition=prelim) that provide meaningful and effective participation for individuals with disabilities in workforce investment activities and activities carried out under the vocational rehabilitation program established under subchapter I, and through the provision of independent living services, support services, and meaningful opportunities for employment in integrated work settings through the provision of reasonable accommodations; (5) individuals with disabilities continually encounter various forms of discrimination in such critical areas as employment, housing, public accommodations, education, transportation, communication, recreation, institutionalization, health services, voting, and public services; (6) the goals of the Nation properly include the goal of providing individuals with disabilities with the tools necessary to— (A) mak

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 12101 — Definitions

**(a) Homosexuality and bisexuality** For purposes of the definition of “disability” in section 12102(2) 11 See References in Text note below. of this title, homosexuality and bisexuality are not impairments and as such are not disabilities under this chapter. **(b) Certain conditions** Under this chapter, the term “disability” shall not include— (1) transvestism, transsexualism, pedophilia, exhibitionism, voyeurism, gender identity disorders not resulting from physical impairments, or other sexual behavior disorders; (2) compulsive gambling, kleptomania, or pyromania; or (3) psychoactive substance use disorders resulting from current illegal use of drugs.

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 12101 — Findings and purpose

§ 12101. Findings and purpose (a) Findings The Congress finds that— (1) physical or mental disabilities in no way diminish a person’s right to fully participate in all aspects of society, yet many people with physical or mental disabilities have been pre- cluded from doing so because of discrimina- tion; others who have a record of a disability or are regarded as having a disability also have been subjected to discrimination; (2) historically, society has tended to isolate and segregate individuals with disabilities, and, despite some improvements, such forms of discrimination against individuals with dis- abilities continue to be a serious and pervasive social problem; (3) discrimination against individuals with disabilities persists in such critical areas as employment, housing, public accommodations, education, transportation, communication, recreation, institutionalization, health serv- ices, voting, and access to public services; Page 8238 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 12101 (4) unlike individuals who have experienced discrimination on the basis of race, color, sex, national origin, religion, or age, individuals who have experienced discrimination on the basis of disability have often had no legal re- course to redress such discrimination; (5) individuals with disabilities continually encounter various forms of discrimination, in- cluding outright intentional exclusion, the discriminatory effects of architectural, trans- portation, and communication barriers, over- protective rules and policies, failure to make modifications to existing facilities and prac- tices, exclusionary qualification standards and criteria, segregation, and relegation to lesser services, programs, activities, benefits, jobs, or other opportunities;

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1395 — Conditions of participation for home health agencies; home health quality

**(a) Conditions of participation; protection of individual rights; notification of State entities; use of home health aides; medical equipment; individual’s plan of care; compliance with Federal, State, and local laws and regulations** The conditions of participation that a home health agency is required to meet under this subsection are as follows: (1) The agency protects and promotes the rights of each individual under its care, including each of the following rights: (A) The right to be fully informed in advance about the care and treatment to be provided by the agency, to be fully informed in advance of any changes in the care or treatment to be provided by the agency that may affect the individual’s well-being, and (except with respect to an individual adjudged incompetent) to participate in planning care and treatment or changes in care or treatment. (B) The right to voice grievances with respect to treatment or care that is (or fails to be) furnished without discrimination or reprisal for voicing grievances. (C) The right to confidentiality of the clinical records described in section 1395x(o)(3) of this title. (D) The right to have one’s property treated with respect. (E) The right to be fully informed orally and in writing (in advance of coming under the care of the agency) of— (i) all items and services furnished by (or under arrangements with) the agency for which payment may be made under this subchapter, (ii) the coverage available for such items and services under this subchapter, subchapter XIX, and any other Federal program of which the agency is reasonably aware, (iii) any charges for items and services not covered under this subchapter and any charges the individual may have to pay with respect to items and services furn

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1395 — Prohibition against any Federal inter-

§ 1395. Prohibition against any Federal inter- ference Nothing in this subchapter shall be construed to authorize any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided, or over the selec- tion, tenure, or compensation of any officer or employee of any institution, agency, or person providing health services; or to exercise any su- pervision or control over the administration or operation of any such institution, agency, or person. (Aug. 14, 1935, ch. 531, title XVIII, § 1801, as added Pub. L. 89–97, title I, § 102(a), July 30, 1965, 79 Stat. 291.) Statutory Notes and Related Subsidiaries SHORT TITLE For short title of title I of Pub. L. 89–97, which en- acted this subchapter as the ‘‘Health Insurance for the Aged Act’’, see section 100 of Pub. L. 89–97, set out as a Short Title of 1965 Amendment note under section 1305 of this title. PROTECTING AND IMPROVING GUARANTEED MEDICARE BENEFITS Pub. L. 111–148, title III, § 3601, Mar. 23, 2010, 124 Stat. 538, provided that: ‘‘(a) PROTECTING GUARANTEED MEDICARE BENEFITS.— Nothing in the provisions of, or amendments made by, this Act [see Short Title note set out under section 18001 of this title] shall result in a reduction of guaran- teed benefits under title XVIII of the Social Security Act [42 U.S.C. 1395 et seq.]. ‘‘(b) ENSURING THAT MEDICARE SAVINGS BENEFIT THE MEDICARE PROGRAM AND MEDICARE BENEFICIARIES.— Savings generated for the Medicare program under title XVIII of the Social Security Act under the provisions of, and amendments made by, this Act shall extend the solvency of the Medicare trust funds, reduce Medicare premiums and other cost-sharing for beneficiaries, and improve or expand gu

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