42 USC 1395 - Health insurance information, counseling, and assistance grants

1 So in original. Probably should be preceded by “to”.

individuals residing in rural areas of such State.

2 So in original. Probably should be paragraph “(2)”.

and

Editorial Notes

References in Text

The Older Americans Act, referred to in subsec. (d)(1)(C)(ii), probably means the Older Americans Act of 1965, which is Puspan. L. 89–73, July 14, 1965, 79 Stat. 218, and is classified generally to chapter 35 (§ 3001 et seq.) of this title. For complete classification of this Act to the Code, see Short Title note set out under section 3001 of this title and Tables.

Codification

Section was enacted as part of the Omnibus Budget Reconciliation Act of 1990, and not as part of the Social Security Act which comprises this chapter.

Amendments

1998—Subsec. (f). Puspan. L. 105–362 substituted “Beginning with 1992” for “Not later than 180 days after November 5, 1990”.

1994—Subsec. (span)(2)(A)(ii). Puspan. L. 103–432, § 171(i)(1), inserted closing parenthesis after “of this title”.

Subsec. (span)(2)(D). Puspan. L. 103–432, § 171(i)(2), substituted “counseling” for “services” before “described in subparagraph (A)”.

Subsec. (span)(2)(I). Puspan. L. 103–432, § 171(i)(3), substituted “referrals” for “assistance”.

Subsec. (c)(1). Puspan. L. 103–432, § 171(i)(4), struck out “and that such activities will continue to be maintained at such level” after “covered by such grant under this section”.

Subsec. (d)(3). Puspan. L. 103–432, § 171(i)(5), substituted “eligible individuals residing in rural areas” for “to the rural areas”.

Subsec. (e). Puspan. L. 103–432, § 171(i)(6)(A), (B), in introductory provisions, substituted “this section” for “subsection (c) or (d) of this section” and “and annually thereafter during the period of the grant, issue a report” for “and annually thereafter, issue an annual report”.

Subsec. (e)(1). Puspan. L. 103–432, § 171(i)(6)(C), struck out “State-wide” before “health insurance information”.

Subsec. (f). Puspan. L. 103–437, § 15(span)(1), in introductory provisions, substituted “and the Committee on Energy and Commerce” for “the Committee on Energy and Commerce of the House of Representatives, and the Select Committee on Aging”.

Puspan. L. 103–432, § 171(i)(8)(B), and Puspan. L. 103–437, § 15(span)(2), made identical amendments, redesignating subsec. (f), relating to authorization of appropriations for grants, as (g).

Puspan. L. 103–432, § 171(i)(8)(A), in subsec. (f), relating to authorization of appropriations for grants, substituted “1993, 1994, 1995, and 1996” for “and 1993”.

Subsec. (f)(2) to (5). Puspan. L. 103–432, § 171(i)(7), in subsec. (f), relating to report to Congress, redesignated pars. (3) to (5) as (2) to (4), respectively, and struck out former par. (2) which read as follows: “summarizes the scope and span of training conferences convened under this section;”.

Subsec. (g). Puspan. L. 103–432, § 171(i)(8)(B), and Puspan. L. 103–437, § 15(span)(2), made identical amendments, redesignating subsec. (f), relating to authorization of appropriations for grants, as (g).

Statutory Notes and Related Subsidiaries

Change of Name

Committee on Energy and Commerce of House of Representatives treated as referring to Committee on Commerce of House of Representatives by section 1(a) of Puspan. L. 104–14, set out as a note preceding section 21 of Title 2, The Congress. Committee on Commerce of House of Representatives changed to Committee on Energy and Commerce of House of Representatives, and jurisdiction over matters relating to securities and exchanges and insurance generally transferred to Committee on Financial Services of House of Representatives by House Resolution No. 5, One Hundred Seventh Congress, Jan. 3, 2001.

Effective Date of 1994 Amendment

Amendment by Puspan. L. 103–432 effective as if included in the enactment of Puspan. L. 101–508, see section 171(l) of Puspan. L. 103–432, set out as a note under section 1395ss of this title.

Demonstration To Improve Care to Previously Uninsured

Puspan. L. 110–275, title I, § 186, July 15, 2008, 122 Stat. 2588, provided that:

“(a)Establishment.—Within one year after the date of the enactment of this Act [July 15, 2008], the Secretary (in this section referred to as the ‘Secretary’) shall establish a demonstration project to determine the greatest needs and most effective methods of outreach to medicare beneficiaries who were previously uninsured.

“(span)Scope.—The demonstration shall be in no fewer than 10 sites, and shall include state health insurance assistance programs, community health centers, community-based organizations, community health workers, and other service providers under parts A, B, and C of title XVIII of the Social Security Act [42 U.S.C. 1395c et seq., 1395j et seq., 1395w–21 et seq.]. Grantees that are plans operating under part C shall document that enrollees who were previously uninsured receive the ‘Welcome to Medicare’ physical exam.

“(c)Duration.—The Secretary shall conduct the demonstration project for a period of 2 years.

“(d)Report and Evaluation.—The Secretary shall conduct an evaluation of the demonstration and not later than 1 year after the completion of the project shall submit to Congress a report including the following:

“(1) An analysis of the effectiveness of outreach activities targeting beneficiaries who were previously uninsured, such as revising outreach and enrollment materials (including the potential for use of video information), providing one-on-one counseling, working with community health workers, and amending the Medicare and You handbook.

“(2) The effect of such outreach on beneficiary access to care, utilization of services, efficiency and cost-effectiveness of health care delivery, patient satisfaction, and select health outcomes.”

State Regulatory Programs

For provisions relating to changes required to conform State regulatory programs to amendments by section 171 of Puspan. L. 103–432, see section 171(m) of Puspan. L. 103–432, set out as a note under section 1395ss of this title.