At the option of a State (if its plan approved under this title so provides), such term (i) need not include money payments to an individual who has been absent from such State for a period in excess of 90 consecutive days (regardless of whether he has maintained his residence in such State during such period) until he has been present in such State for 30 consecutive days in the case of such an individual who has maintained his residence in such State during such period or 90 consecutive days in the case of any other such individual and (ii) may include rent payments made directly to a public housing agency on behalf of a recipient or a group or groups of recipients of aid under such plan. (Page 305 follows) TITLE XI-GENERAL PROVISIONS AND PROFESSIONAL STANDARDS REVIEW PART A-GENERAL PROVISIONS Page 1 Sec. 1101. Definitions Sec. 1102. Rules and Regulations.. Sec. 1103. Separability Sec. 1104. Reservation of Power__ Sec. 1105. Short Title_--- Sec. 1106. Disclosure of Information in Possession of Department_ 306 308 308 308 308 308 310 Sec. 1108. Limitation on Payments to Puerto Rico, the Virgin Islands, and Guam__. 311 Sec. 1109. Amounts Disregarded Not To Be Taken Into Account in 312 Sec. 1110. Cooperative Research or Demonstration Projects----- 312 313 313 Sec. 1113. Assistance for United States Citizens Returned From Foreign Sec. 1116. Administrative and Judicial Review of Certain Administrative Determinations 317 SEC. 1117. [Repealed.] Sec. 1118. Alternative Federal Payment With Respect to Public Assistance Expenditures__. 318 Sec. 1119. Federal Participation in Payments for Repairs to Home Owned 318-A 319 Sec. 1121. Uniform Reporting Systems for Health Services Facilities and 319 Sec. 1122. Limitation on Federal Participation for Capital Expenditures__ 319-B Sec. 1123. Program for Determining Qualifications for Certain Health Care Personnel 323 324 326 Sec. 1124. Disclosure of Ownership and Related Information.... Sec. 1127. Adjustment of Retroactive Benefits Under Title II on Account Sec. 1128. Exclusion of Certain Individuals Convicted of Medicare- or Sec. 1131. Notification of Social Security Claimant With Respect to Deferred Vested Benefits_‒‒‒‒‒ 327-G 328 Sec. 1132. Period Within Which Certain Claims Must be Filed______. Sec. 1134. Nonprofit Hospital Philanthropy-. --328-A 328-A 328-B PART B-PROFESSIONAL STANDARDS REVIEW Sec. 1151. Declaration of Purpose_ 328-B Sec. 1152. Designation of Professional Standards Review Organizations__ Page1 Sec. 1154. Trial Period for Professional Standards Review Organizations. 333 Sec. 1155. Duties and Functions of Professional Standards Review Organizations 334-A Sec. 1156. Norms of Health Care Services for Various Illnesses or Health 338 Sec. 1157. Submission of Reports by Professional Standards Review Organizations Sec. 1158. Requirement of Review Approval as Condition of Payment of Sec. 1159. Hearings and Review by Secretary- 340 340 342 --- 342-A 345 345 345-B Sec. 1161. Notice to Practitioner or Provider_. Sec. 1163. National Professional Standards Review Council_----- Sec. 1165. Correlation of Functions Between Professional Standards Re- Sec. 1168. Authorization for Use of Certain Funds to Administer the 345-E 345-G Sec. 1169. Technical Assistance to Organizations Desiring To Be Desig- Sec. 1172. Annual Reports Sec. 1173. Medical Officers in American Samoa, the Northern Mariana Definitions Sec. 1101. (a) When used in this Act 345-H 346 346 (1) The term "State", except where otherwise provided, includes the District of Columbia and the Commonwealth of Puerto Rico, and when used in titles IV, V, VII, XI, and XIX includes the Virgin Islands and Guam. Such term when used in titles III, IX, and XII also includes the Virgin Islands. Such term when used in title V and in part B of this title also includes American Samoa, the Northern Mariana Islands, and the Trust Territory of the Pacific Islands. Such term when used in title XIX also includes the Northern Mariana Islands. In the case of Puerto Rico, the Virgin Islands, and Guam, title I, X, and XIV, and title XVI, (as in effect without regard to the amendment made by section 301 of the Social Security Amendments of 1972) shall continue to apply, and the term "States" when used in such titles (but not in title XVI as in effect pursuant to such amendment after December 31, 1973) includes Puerto Rico, the Virgin Islands, and Guam.2 1 This table of contents does not appear in the law. 2Paragraph (1) was amended by section 116(a) of P.L. 94-566, sec. 5(e) (2) of P.L. 95-142 and sec. 2162(a)(1) of P.L. 97–35. (2) The term "United States" when used in a geographical sense means, except when otherwise provided, the States. (3) The term "person" means an individual, a trust or estate, a partnerhip, or a corporation. (4) The term "corporation" includes associations, joint-stock companies, and insurance companies. (5) The term "shareholder" includes a member in an association, joint-stock company, or insurance company. (6) The term "Secretary", except when the context otherwise requires, means the Secretary of Health, Education, and Welfare.1 (7) The terms "physician" and "medical care" and "hospitalization" include osteopathic practitioners or the services of osteopathic practitioners and hospitals within the scope of their practice as defined by State law. per (8) (A) The "Federal percentage" for any State (other than Puerto Rico, the Virgin Islands, and Guam) shall be 100 per centum less the State percentage; and the State percentage shall be that centage which bears the same ratio to 50 per centum as the square of the per capita income of such State bears to the square of the per capita income of the United States; except that the Federal percentage shall in no case be less than 50 per centum or more than 65 per centum. (B) The Federal percentage for each State (other than Puerto Rico, the Virgin Islands, and Guam) shall be promulgated by the Secretary between October 1 and November 30 of each even-numbered year, on the basis of the average per capita income of each State and of the United States for the three most recent calendar years for which satisfactory data are available from the Department of Commerce. Such promulgation shall be conclusive for each of the eight quarters in the period beginning October 1 next succeeding such promulgation: Provided, That the Secretary shall promulgate such percentage as soon as possible after the enactment of the Social Security Amendments of 1958, which promulgation shall be conclusive for each of the eleven quarters in the period beginning October 1, 1958, and ending with the close of June 30, 1961.2 (C) The term "United States" means (but only for purposes of subparagraphs (A) and (B) of this paragraph) the fifty States and the District of Columbia. (D) Promulgations made before satisfactory data are available from the Department of Commerce for a full year on the per capita income of Alaska shall prescribe a Federal percentage for Alaska of 50 per centum and, for purposes of such promulgations, Alaska shall not be included as part of the "United States." Promulgations made thereafter but before per capita income data for Alaska for a full 1 Sec. 509 (b) of P.L 96-88 provides that references to the Secretary of Health, Education, and Welfare are deemed to be references to the Secretary of Health and Human Services. 2 Paragraph (B) was amended by section 22 of P.L. 94-273. |