42 USC 426 - Entitlement to hospital insurance benefits

1 So in original. Probably should be “subchapter III of chapter 83”.

of title 5 or under another similar Federal retirement program, and whose eligibility for such an annuity is or would be based on a disability.

Editorial Notes

References in Text

Section 212 of Public Law 93–66, referred to in subsec. (e)(1)(B), is section 212 of Puspan. L. 93–66 which is set out as a note under section 1382 of this title.

Amendments

2015—Subsecs. (i), (j). Puspan. L. 114–74 redesignated subsec. (j) as (i) and struck out former subsec. (i). Prior to amendment, text of subsec. (i) read as follows: “For purposes of this section, each person whose monthly insurance benefit for any month is terminated or is otherwise not payable solely by reason of paragraph (1) or (7) of section 425(c) of this title shall be treated as entitled to such benefit for such month.”

2004—Subsec. (e)(1)(A)(i). Puspan. L. 108–203 substituted “402(f)(4)” for “402(f)(5)”.

2003—Subsec. (c)(1). Puspan. L. 108–173 substituted “part E” for “part D”.

2000—Subsecs. (h), (j). Puspan. L. 106–554 added subsec. (h) and redesignated former subsec. (h) as (j) and transferred such subsec. to appear at end of section.

1999—Subsec. (span). Puspan. L. 106–170 substituted “78” for “24” in penultimate sentence.

1997—Subsec. (c)(1). Puspan. L. 105–33 substituted “part D” for “part C”.

1994—Subsec. (i). Puspan. L. 103–296 added subsec. (i).

1990—Subsec. (e)(1). Puspan. L. 101–508 designated existing provisions as subpar. (A), redesignated former subpars. (A) and (B) as cls. (i) and (ii), respectively, and added subpar. (B).

1988—Subsec. (a). Puspan. L. 100–485 substituted “condition specified in paragraph (2)” for “condition specified in paragraph (1)” in concluding provisions.

Subsec. (span). Puspan. L. 100–360, § 411(n)(1), amended last sentence generally. Prior to amendment, last sentence read as follows: “In determining when an individual’s entitlement or status terminates for purposes of the preceding sentence, the second sentence of section 423(a) of this title shall be applied as though the term ‘36 months’ (in such second sentence) read ‘15 months’.”

1987—Subsec. (span). Puspan. L. 100–203, § 9010(e)(3), inserted sentence at end which related to determining when an individual’s entitlement or status terminates for purposes of preceding sentence.

Subsec. (f). Puspan. L. 100–203, § 4033(a), inserted before period at end “, unless the physical or mental impairment which is the basis for disability is the same as (or directly related to) the physical or mental impairment which served as the basis for disability in such previous period”.

1986—Subsec. (a)(2)(C)(i). Puspan. L. 99–272, § 13205(span)(2)(A) substituted “medicare qualified government employment” for “medicare qualified Federal employment”.

Subsec. (span)(2)(C)(ii)(I). Puspan. L. 99–272, § 13205(span)(2)(A), substituted “medicare qualified government employment” for “medicare qualified Federal employment”.

Subsec. (g). Puspan. L. 99–272, § 13205(span)(2)(C)(ii), substituted “medicare qualified government employment by virtue of service described in section 410(a)(5) of this title” for “medicare qualified Federal employment”.

1984—Subsec. (span). Puspan. L. 98–369 substituted “part A” for “part (A)” in provisions following par. (2)(C).

1983—Subsec. (e)(1)(A). Puspan. L. 98–21, § 131(a)(3)(H), (span)(3)(G), substituted reference to section 402(e)(4), (f)(5) of this title for reference to section 402(e)(5), (f)(6) of this title.

Subsec. (e)(3). Puspan. L. 98–21, § 309(q)(1), amended par. (3) generally, inserting provisions relating to any disabled widower and striking out provision that a disabled widow, upon furnishing proof of such disability prior to July 1, 1974, under such procedures as the Secretary prescribed, would be deemed to have been entitled to such widow’s benefits as of the time she would have been entitled to such widow’s benefits if she had filed a timely application therefor.

1982—Subsec. (a)(2). Puspan. L. 97–248, § 278(span)(2)(A), redesignated existing provisions as subpar. (A), struck out “or is a qualified railroad retirement beneficiary,” after “subchapter XVIII,”, and added subpars. (B) and (C).

Subsec. (span). Puspan. L. 97–248, § 278(span)(2)(B), in par. (2)(B) inserted a comma after “24 months” and “or” after “title 45,”, added par. (2)(C), and in provisions following par. (2) inserted provision defining “twenty-fifth month of his entitlement” and “notice of termination of such entitlement” with regards to applying first sentence of this subsection to individuals described in par. (2)(C).

Subsecs. (g), (h). Puspan. L. 97–248, § 278(span)(4), added subsec. (g) and redesignated former subsec. (g) as (h).

1981—Subsec. (a)(2). Puspan. L. 97–35 substituted “would be entitled” for “or would be entitled” and inserted “, or would be entitled to such benefits but for the failure of another individual, who meets all the criteria of entitlement to monthly insurance benefits, to meet such criteria throughout a month,”.

1980—Subsec. (a)(2). Puspan. L. 96–473 inserted provisions relating to persons who would be entitled to benefits but for enumerated exceptions.

Subsec. (span). Puspan. L. 96–265, § 104(a), in provisions following par. (2), inserted “(subject to the last sentence of this subsection)”, and inserted provision that, for purposes of this subsection, an individual who has had a period of trial work which ended as provided in section 422(c)(4)(A) of this title, and whose entitlement to benefits or status as a qualified railroad retirement beneficiary as described in paragraph (2) has subsequently terminated, shall be deemed to be entitled to such benefits or to occupy such status (notwithstanding the termination of such entitlement or status) for the period of consecutive months throughout all of which the physical or mental impairment, on which such entitlement or status was based, continues, and throughout all of which such individual would have been entitled to monthly insurance benefits under this subchapter.

Puspan. L. 96–265, § 103(a)(1), substituted “24 calendar months” and “24 months” for “24 consecutive calendar months” and “24 consecutive months”, respectively, in par. (2) and, in provisions following par. (2), substituted “the twenty-fifth month” for “the twenty-fifth consecutive month”.

Subsec. (c)(1). Puspan. L. 96–499 substituted “and home health services” for “and post-hospital home health services” and struck out “or post-hospital home health services” before “unless the discharge”.

Subsecs. (f), (g). Puspan. L. 96–265, § 103(span), added subsec. (f) and redesignated former subsec. (f) as (g).

1978—Subsec. (a). Puspan. L. 95–292, § 3(a), substituted “condition specified in paragraph (1), beginning with the first month after June 1966 for which he meets the conditions specified in paragraphs (1) and (2)” for “conditions specified in subparagraph (B), beginning with the first month after June 1966 for which he meets the conditions specified in subparagraphs (A) and (B)”.

Subsec. (e). Puspan. L. 95–292, §§ 1(span)(1), (2), 3(span), redesignated subsec. (h) as (e) and, in subsec. (e) as so redesignated, corrected a technical error resulting from the 1973 amendment of pars. (2) and (3) by Puspan. L. 93–233 under which a reference to subsec. (span) of this section had been inserted without the required parentheses. Former subsec. (e), relating to Medicare eligibility of persons medically determined to have chronic renal disease requiring hemodialysis or renal transplantation, was struck out. See section 426–1 of this title.

Subsec. (f). Puspan. L. 95–292, § 1(span)(1), (2), redesignated subsec. (i) as (f). Former subsec. (f), relating to the duration of Medicare coverage of persons medically determined to have chronic renal disease requiring hemodialysis or renal transplantation, was struck out. See section 426–1 of this title.

Subsec. (g). Puspan. L. 95–292, § 1(span)(1), struck out subsec. (g) which related to reimbursement for kidney transplant and kidney treatment. See section 1395rr of this title.

Subsecs. (h), (i). Puspan. L. 95–292, § 1(span)(2), redesignated subsecs. (h) and (i) as (e) and (f), respectively.

1977—Subsec. (h)(1)(B). Puspan. L. 95–216, § 334(d)(4)(B), substituted “subparagraph (F) of section 402(f)(1)” for “subparagraph (G) of section 402(f)(1)”.

Subsec. (h)(4). Puspan. L. 95–216, § 332(a)(3), added par. (4).

1974—Subsec. (span)(2). Puspan. L. 93–445, § 305(a), substituted “section 7(d) of the Railroad Retirement Act of 1974” for “section 22 of the Railroad Retirement Act of 1937”.

Subsec. (d). Puspan. L. 93–445, § 305(span), substituted “section 7(d) of the Railroad Retirement Act of 1974” for “section 21 or 22 of the Railroad Retirement Act of 1937”, in two places.

Subsec. (e). Puspan. L. 93–445, § 305(c), substituted “Railroad Retirement Act of 1974” for “Railroad Retirement Act of 1937”, wherever appearing.

1973—Subsec. (a). Puspan. L. 93–233, § 18(f)(1)(A), redesignated subsec. (a)(1) as subsec. (a).

Subsec. (a)(1), (2). Puspan. L. 93–233, § 18(f)(1)(B), redesignated cls. (A) and (B) as (1) and (2), respectively.

Subsec. (e)(2). Puspan. L. 93–58, inserted in: item (2)(A) “or would be fully or currently insured if his service as an employee (as defined in the Railroad Retirement Act of 1937) after December 31, 1936, were included in the term ‘employment’ as defined in this chapter” after “(as such terms are defined in section 414 of this title)”; item (2)(B) “or an annuity under the Railroad Retirement Act of 1937” after “this subchapter”; item (2)(C) “Or would be fully or currently insured if his service as an employee (as defined in the Railroad Retirement Act of 1937) after December 31, 1936, were included in the term ‘employment’ as defined in this chapter” after “fully or currently insured”; and item (2)(D) “or annuity under the Railroad Retirement Act of 1937” after “this subchapter”.

Subsec. (h). Puspan. L. 93–233, § 18(f)(1)(C), (2)–(4), redesignated as subsec. (h) provisions originally enacted as subsec. (e) by section 201(span)(5) of Puspan. L. 92–603 and redesignated as subsec. (f) by section 299I of Puspan. L. 92–603, and in par. (1)(A) substituted “, 402(e)(5),” for “and 402(e)(5) of this title, and the term ‘age 62’ in sections”, in par. (1)(B) substituted “and the phrase ‘before he attained age 60’ in the matter following subparagraph (G) of section 402(f)(1) of this title shall each” for “shall”, and in pars. (2) and (3) substituted “(span)” for “(a)(2)”, respectively.

Subsec. (i). Puspan. L. 93–233, § 18(f)(1)(C), redesignated as subsec. (i) provisions originally enacted as subsec. (d) by section 101 of Puspan. L. 89–97 and redesignated as subsec. (f) by section 201(span)(5) of Puspan. L. 92–603.

1972—Subsec. (a). Puspan. L. 92–603, § 201(span)(1), incorporated provisions of former subsec. (a) and subsec. (a)(1), and redesignated pars. (1) and (2) as subpars. (A) and (B).

Subsec. (span). Puspan. L. 92–603, § 201(span)(1), added subsec. (span). Former subsec. (span) redesignated subsec. (c).

Subsec. (c)(1). Puspan. L. 92–603, § 201(span)(2), (5), redesignated subsec. (span)(1) as subsec. (c)(1) and, in subsec. (c)(1) as so redesignated, inserted reference to entitlement to hospital insurance benefits pursuant to subsec. (span) of this section. Former subsec. (c) redesignated subsec. (d).

Subsec. (c)(2). Puspan. L. 92–603, § 201(span)(3), (5), redesignated subsec. (span)(2) as subsec. (c)(2) and inserted reference to section 423 of this title. Former subsec. (c) redesignated subsec. (d).

Subsec. (d). Puspan. L. 92–603, § 201(span)(4), (5), redesignated former subsec. (c) as subsec. (d) and inserted reference to section 22 of the Railroad Retirement Act of 1937. Former subsec. (d) redesignated subsec. (i).

Subsecs. (e) to (h). Puspan. L. 92–603, §§ 201(span)(5), 299I, added subsecs. (e) to (h). See 1973 Amendment note above.

Subsec. (i). Puspan. L. 92–603, § 201(span)(5), redesignated former subsec. (d) as subsec. (i). See 1973 Amendment note above.

1968—Subsec. (span)(1). Puspan. L. 90–248 struck out outpatient hospital diagnostic services from services for which hospital insurance benefits are payable.

Statutory Notes and Related Subsidiaries

Effective Date of 2004 Amendment

Amendment by Puspan. L. 108–203 applicable with respect to applications for benefits under this subchapter filed on or after the first day of the first month that begins after Mar. 2, 2004, see section 418(c) of Puspan. L. 108–203, set out as a note under section 402 of this title.

Effective Date of 2000 Amendment

Puspan. L. 106–554, § 1(a)(6) [title I, § 115(c)], Dec. 21, 2000, 114 Stat. 2763, 2763A–474, provided that: “The amendments made by this section [amending this section and section 1395p of this title] shall apply to benefits for months beginning July 1, 2001.”

Effective Date of 1999 Amendment

Puspan. L. 106–170, title II, § 202(span), Dec. 17, 1999, 113 Stat. 1894, provided that: “The amendment made by subsection (a) [amending this section] shall be effective on and after October 1, 2000.”

Effective Date of 1994 Amendment

Amendment by Puspan. L. 103–296 applicable with respect to benefits based on disability (as defined in section 425(c)(9) of this title) which are otherwise payable in months beginning after 180 days after Aug. 15, 1994, with Secretary of Health and Human Services to issue regulations necessary to carry out such amendment not later than 180 days after Aug. 15, 1994, see section 201(a)(3)(E)(i) of Puspan. L. 103–296, set out as an Effective Date of 1994 Amendment; Sunset Provision note under section 425 of this title.

Effective Date of 1990 Amendment

Amendment by Puspan. L. 101–508 applicable with respect to items and services furnished after December 1990, see section 5103(e) of Puspan. L. 101–508, set out as a note under section 402 of this title.

Effective Date of 1988 Amendment

Puspan. L. 100–485, title VI, § 608(f)(5), Oct. 13, 1988, 102 Stat. 2424, provided that the amendment made by such section 608(f)(5) is effective as of the date of enactment of Puspan. L. 95–292, which was approved June 13, 1978.

Except as specifically provided in section 411 of Puspan. L. 100–360, amendment by Puspan. L. 100–360, as it relates to a provision in the Omnibus Budget Reconciliation Act of 1987, Puspan. L. 100–203, effective as if included in the enactment of that provision in Puspan. L. 100–203, see section 411(a) of Puspan. L. 100–360, set out as a Reference to OBRA; Effective Date note under section 106 of Title 1, General Provisions.

Effective Date of 1987 Amendment

Puspan. L. 100–203, title IV, § 4033(span), formerly § 4033(a)(2), Dec. 22, 1987, 101 Stat. 1330–77, as renumbered by Puspan. L. 100–360, title IV, § 411(e)(2), July 1, 1988, 102 Stat. 775, provided that:

“(1) The amendment made by subsection (a) [amending this section] shall apply to months beginning after the end of the 60-day period beginning on the date of enactment of this Act [Dec. 22, 1987].

“(2) The amendment made by subsection (a) shall not apply so as to include (for the purposes described in section 226(f) of the Social Security Act [42 U.S.C. 426(f)]) monthly benefits paid for any month in a previous period (described in that section) that terminated before the end of the 60-day period described in paragraph (1).”

Amendment by section 9010(e)(3) of Puspan. L. 100–203 effective Jan. 1, 1988, and applicable with respect to individuals entitled to benefits under specific provisions of sections 402 and 423 of this title for any month after December 1987, and individuals entitled to benefits payable under specific provisions of sections 402 and 423 of this title for any month before January 1988 and with respect to whom the 15-month period described in the applicable provision amended by section 9010 of Puspan. L. 100–203 has not elapsed as of Jan. 1, 1988, see section 9010(f) of Puspan. L. 100–203, set out as a note under section 402 of this title.

Effective Date of 1986 Amendment

Amendment by Puspan. L. 99–272 effective after Mar. 31, 1986, with no individual to be considered under disability for any period beginning before Apr. 1, 1986, for purposes of hospital insurance benefits, see section 13205(d)(2) of Puspan. L. 99–272, set out as a note under section 410 of this title.

Effective Date of 1984 Amendment

Amendment by Puspan. L. 98–369 effective July 18, 1984, but not to be construed as changing or affecting any right, liability, status, or interpretation which existed (under the provisions of law involved) before that date, see section 2664(span) of Puspan. L. 98–369, set out as a note under section 401 of this title.

Effective Date of 1983 Amendment

Amendment by section 131(a)(3)(H), (span)(3)(G) of Puspan. L. 98–21 effective with respect to monthly benefits payable under this subchapter for months after December 1983, and in the case of an individual who was not entitled to a monthly benefit of the type involved under this subchapter for December 1983, no benefit shall be paid under this subchapter by reason of such amendments unless proper application for such benefit is made, see section 131(d) of Puspan. L. 98–21 set out as a note under section 402 of this title.

Amendment by section 309(q)(1) of Puspan. L. 98–21 applicable only with respect to monthly payments payable under this subchapter for months after April 1983, see section 310 of Puspan. L. 98–21, set out as a note under section 402 of this title.

Puspan. L. 97–448, title III, § 309(c)(1), Jan. 12, 1983, 96 Stat. 2410, provided that: “Any amendment to the Tax Equity and Fiscal Responsibility Act of 1982 [Puspan. L. 97–248, Sept. 3, 1982, 96 Stat. 324] made by this section [amending sections 1395x, 1395cc, and 1396a of this title and amending provisions set out as notes under this section and sections 1320c, 1395span–1, 1395f, 1395u, 1395ww, 1395xx, and 1396o of this title] shall be effective as if it had been originally included in the provision of such Act to which such amendment relates.”

Effective Date of 1982 Amendment; Transitional Provisions

Puspan. L. 97–248, title II, § 278(c)(2), (d), Sept. 3, 1982, 96 Stat. 562, as amended by Puspan. L. 97–448, title III, § 309(a)(10), (11), Jan. 12, 1983, 96 Stat. 2408, provided that:

“(c)Effective Dates.—

“(2)Medicare coverage.—

“(A)In general.—The amendments made by subsection (span) [amending this section and sections 410, 426–1, and 1395c of this title] are effective on and after January 1, 1983, and the amendments made by paragraph (2) of that subsection [amending this section and section 426–1 of this title] apply to remuneration (for medicare qualified Federal employment) paid after December 31, 1982.

“(B)Treatment of current disabilities.—For purposes of establishing entitlement to hospital insurance benefits under part A of title XVIII of the Social Security Act [42 U.S.C. 1395c et seq.] pursuant to the amendments made by subsection (span) or the provisions of subsection (d), no individual may be considered to be under a disability for any period before January 1, 1983.

“(d)Transitional Provisions.—

“(1)In general.—For purposes of sections 226, 226A, and 1811 of the Social Security Act [42 U.S.C. 426, 426–1, 1395c], in the case of any individual who performs service both during January 1983, and before January 1, 1983, which constitutes medicare qualified Federal employment (as defined in section 210(p) of such Act [42 U.S.C. 410(p)]), the individual’s medicare qualified Federal employment (as so defined) performed before January 1, 1983, for which remuneration was paid before such date, shall be considered to be ‘employment’ (as defined for purposes of title II of such Act [42 U.S.C. 401 et seq.]), but only for the purpose of providing the individual (or another person) with entitlement to hospital insurance benefits under part A of title XVIII of such Act [42 U.S.C. 1395c et seq.].

“(2)Appropriations.—There are authorized to be appropriated to the Federal Hospital Insurance Trust Fund from time to time such sums as the Secretary of Health and Human Services deems necessary for any fiscal year, on account of—

“(A) payments made or to be made during such fiscal year from such Trust Fund with respect to individuals who are entitled to benefits under title XVIII of the Social Security Act [42 U.S.C. 1395 et seq.] solely by reason of paragraph (1) of this subsection,

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

“(C) any loss in interest to such Trust Fund resulting from the payment of those amounts,

in order to place such Trust Fund in the same position at the end of such fiscal year as it would have been in if this subsection had not been enacted.”

Effective Date of 1981 Amendment

Puspan. L. 97–35, title XXII, § 2203(f)(3), Aug. 13, 1981, 95 Stat. 837, as amended by Puspan. L. 97–248, title I, § 128(c)(2), Sept. 3, 1982, 96 Stat. 367, provided that: “The amendments made by subsection (e) of this section [amending this section] shall apply only to individuals aged 65 and over whose insured spouse attains age 62 after August 1981.”

Effective Date of 1980 Amendment

Amendment by Puspan. L. 96–499 effective with respect to services furnished on or after July 1, 1981, see section 930(s)(1) of Puspan. L. 96–499, set out as a note under section 1395x of this title.

Puspan. L. 96–473, § 2(d), Oct. 19, 1980, 94 Stat. 2264, provided that: “The amendments made by subsections (a) and (span) [amending this section and section 1395c of this title] shall be effective after the second month beginning after the date on which this Act is enacted [Oct. 19, 1980].”

Puspan. L. 96–265, title I, § 103(c), June 9, 1980, 94 Stat. 444, provided that: “The amendments made by this section [amending this section and sections 1395c and 1395p of this title and section 231f of Title 45, Railroads] shall apply with respect to hospital insurance or supplementary medical insurance benefits for services provided on or after the first day of the sixth month which begins after the date of the enactment of this Act [June 9, 1980].”

Puspan. L. 96–265, title I, § 104(span), June 9, 1980, 94 Stat. 445, provided that: “The amendments made by subsection (a) [amending this section] shall become effective on the first day of the sixth month which begins after the date of the enactment of this Act [June 9, 1980], and shall apply with respect to any individual whose disability has not been determined to have ceased prior to such first day.”

Effective Date of 1978 Amendment

Puspan. L. 95–292, § 6, June 13, 1978, 92 Stat. 315, provided that: “The amendments made by the preceding sections of this Act [enacting sections 426–1 and 1395rr of this title and amending this section and sections 1395c, 1395i, 1395l, 1395t, 1395x, 1395cc, and 1395mm of this title] shall become effective with respect to services, supplies, and equipment furnished after the third calendar month which begins after the date of the enactment of this Act [June 13, 1978], except that those amendments providing for the implementation of an incentive reimbursement system for dialysis services furnished in facilities and providers shall become effective with respect to a facility’s or provider’s first accounting period which begins after the last day of the twelfth month following the month of the enactment of this Act [June 1978], and those amendments providing for reimbursement rates for home dialysis shall become effective on April 1, 1979.”

Effective Date of 1977 Amendment

Amendment by section 332(a)(3) of Puspan. L. 95–216 effective with respect to monthly insurance benefits under this subchapter to which an individual becomes entitled on the basis of an application filed on or after Jan. 1, 1978, see section 332(span) of Puspan. L. 95–216, set out as a note under section 402 of this title.

Amendment by section 334(d)(4)(B) of Puspan. L. 95–216 applicable with respect to monthly insurance benefits payable under this subchapter for months beginning with December 1977, on the basis of applications filed in or after December 1977, see section 334(f) of Puspan. L. 95–216, set out as a note under section 402 of this title.

Effective Date of 1974 Amendment

Amendment by Puspan. L. 93–445 effective Jan. 1, 1975, see section 603 of Puspan. L. 93–445, set out as a note under section 402 of this title.

Effective Date of 1973 Amendment

Puspan. L. 93–58, § 4(a), July 6, 1973, 87 Stat. 142, provided that: “The provisions of this Act [amending this section and sections 228c and 228e of Title 45, Railroads], except the provisions of section 1, shall be effective as of the date the corresponding provisions of Public Law 92–603 are effective as follows: clause (xi) [45 U.S.C. 228c(e)(xi)] effective with respect to services provided on and after July 1, 1973. The provisions of clauses (xi) and (xii), which are added by section 1 of this Act, shall be effective as follows: clause (xi) [45 U.S.C. 228c(e)(xi)] shall be effective with respect to calendar years after 1971 for annuities accruing after December 1972; and clause (xii) [45 U.S.C. 228c(e)(xii)] shall be effective as of the date the delayed retirement provision of Public Law 92–603 is effective [42 U.S.C. 402(w) applicable with respect to old-age insurance benefits payable under this subchapter for months beginning after 1972].”

Effective Date of 1972 Amendment

Puspan. L. 92–603, title II, § 299I, Oct. 30, 1972, 86 Stat. 1463, provided that the amendment made by that section is effective with respect to services provided on and after July 1, 1973.

Effective Date of 1968 Amendment

Amendment by Puspan. L. 90–248 applicable with respect to services furnished after March 31, 1968, see section 129(d) of Puspan. L. 90–248, set out as a note under section 1395d of this title.

Applicability of Puspan. L. 96–473 to Applications for Hospital Insurance Benefits

Puspan. L. 96–473, § 2(c), Oct. 19, 1980, 94 Stat. 2263, provided that: “For purposes of section 226 of such Act [42 U.S.C. 426] as amended by subsection (a) of this section, an individual who filed an application for monthly insurance benefits under section 202 of such Act [42 U.S.C. 402] prior to the effective date of the amendment made by subsection (a) [see section 2(c) of Puspan. L. 96–473, set out above as an Effective Date of 1980 Amendment note] shall be deemed to have filed an application for hospital insurance benefits under part A of title XVIII of such Act [42 U.S.C. 1395c et seq.] at the time he applied for such benefits under section 202 regardless of the continuing status or effect of the application for benefits under section 202, if he would have been entitled to benefits under that section had such application remained in effect.”

GAO Report

Puspan. L. 106–170, title II, § 202(c), Dec. 17, 1999, 113 Stat. 1894, provided that: “Not later than 5 years after the date of the enactment of this Act [Dec. 17, 1999], the Comptroller General of the United States shall submit a report to the Congress that—

“(1) examines the effectiveness and cost of the amendment made by subsection (a) [amending this section];

“(2) examines the necessity and effectiveness of providing continuation of medicare coverage under section 226(span) of the Social Security Act (42 U.S.C. 426(span)) to individuals whose annual income exceeds the contribution and benefit base (as determined under section 230 of such Act (42 U.S.C. 430));

“(3) examines the viability of providing the continuation of medicare coverage under such section 226(span) based on a sliding scale premium for individuals whose annual income exceeds such contribution and benefit base;

“(4) examines the viability of providing the continuation of medicare coverage under such section 226(span) based on a premium buy-in by the beneficiary’s employer in lieu of coverage under private health insurance;

“(5) examines the interrelation between the use of the continuation of medicare coverage under such section 226(span) and the use of private health insurance coverage by individuals during the extended period; and

“(6) recommends such legislative or administrative changes relating to the continuation of medicare coverage for recipients of social security disability benefits as the Comptroller General determines are appropriate.”

Time in Which To Furnish Proof of Disability for Hospital Benefits

Puspan. L. 98–21, title III, § 309(q)(2), Apr. 20, 1983, 97 Stat. 117, provided that: “For purposes of determining entitlement to hospital insurance benefits under section 226(e)(3) of such Act [42 U.S.C. 426(e)(3)], as amended by paragraph (1), an individual becoming entitled to such hospital insurance benefits as a result of the amendment made by such paragraph shall, upon furnishing proof of his or her disability within twelve months after the month in which this Act is enacted [April 1983], under such procedures as the Secretary of Health and Human Services may prescribe, be deemed to have been entitled to the widow’s or widower’s benefits referred to in such section 226(e)(3), as so amended, as of the time such individual would have been entitled to such widow’s or widower’s benefits if he or she had filed a timely application therefor.”

Special $50 Payment Under Tax Reduction Act of 1975

Special payment of $50 as soon as practicable after Mar. 29, 1975, by the Secretary of the Treasury to each individual who, for the month of March 1975, was entitled to a monthly insurance benefit payable under this subchapter, see section 702 of Puspan. L. 94–12, set out as a note under section 402 of this title.

Adopted Child’s Reenlistment to Annuity

Puspan. L. 93–58, § 4(span), July 6, 1973, 87 Stat. 142, provided that: “Any child (1) whose entitlement to an annuity under section 5(c) of the Railroad Retirement Act [of 1937] [former 45 U.S.C. 228e(c)] was terminated by reason of his adoption prior to the enactment of this Act [July 6, 1973], and (2) who, except for such adoption, would be entitled to an annuity under such section for a month after the month in which this Act is enacted [July 1973], may, upon filing application for an annuity under the Railroad Retirement Act [former 45 U.S.C. 228e et seq.] after the date of enactment of this Act [July 6, 1973], become reentitled to such annuity; except that no child shall, by reason of the enactment of this Act [amending this section and sections 228c, 228e of Title 45] become reentitled to such annuity for any month prior to the effective date of the relevant amendments made by this Act to section 5(l)(1)(ii) of the Railroad Retirement Act [former 45 U.S.C. 228e(l)(1)(ii)].”