out "425,000" and inserting in lieu thereof "$450,000".

SOCIAL SECURITY AMENDMENTS OF 1960 The Senate, by unanimous consent, resumed the consideration of its unfinished business, viz, the bill (H.R. 12580) to extend and improve coverage under the Federal old-age, survivors, and disability insurance system and to remove hardships and inequities, improve the financing of the trust funds, and provide disability benefits to additional individuals under such system; to provide grants to States for medical care for aged individuals of low income; to amend the public assistance and maternal and child welfare provisions of the Social Security Act; to improve the unemployment compensation provisions of such act; and for other purposes. Pending debate,

On motion by Mr. ANDERSON (for himself, Mr. KENNEDY, Mr. HUMPHREY, Mr. DOUGLAS, Mr. GORE, Mr. MCNAMARA, Mr. MCCARTHY, Mr. HARTKE, Mr. RANDOLPH, and Mr. ENGLE) to amend the bill by adding new sections at the end thereof, Pending debate,

MESSAGE FROM THE HOUSE

A message from the House of Representatives by Mr. Maurer, one of its clerks:

Mr. President: The House of Representatives has disagreed to the amendments of the Senate to the bill (H.R. 11666) making appropriations for the Departments of State and Justice, the judiciary, and related agencies for the fiscal year ending June 30, 1961, and for other purposes; it agrees to the conference asked by the Senate on the disagreeing votes of the two Houses thereon and has appointed Mr. ROONEY, Mr. SIKES, Mr. CANNON, Mr. Bow, and Mr. TABER managers at the same on its part.

The House has disagreed to the amendments of the Senate to the bill (H.R. 12326) making appropriations for civil functions administered by the Department of the Army, certain agencies of the Department of the Interior, the Atomic Energy Commission, the Tennessee Valley Authority, and certain study commissions, for the fiscal year ending June 30, 1961, and for other purposes; it agrees to the conference asked by the Senate on the disagreeing votes of the two Houses thereon and has appointed Mr. CANNON, Mr. RABAUT, Mr. KIRWAN, Mr. JENSEN, and Mr. TABER managers at the same on its part.

The Speaker of the House having signed two enrolled bills, viz, H.R. 7263 and H.R. 8860, I am directed to bring the same to the Senate for the signature of its President.

ENROLLED BILLS SIGNED

The Secretary reported that he had examined and found truly enrolled the following bills:

H.R. 7263. An act for the relief of Edward Ketchum; and

H.R. 8860. An act to stabilize the mining of lead and zinc by small domestic producers on public, Indian, and other lands, and for other purposes.

The VICE PRESIDENT thereupon signed the same.

SOCIAL SECURITY AMENDMENTS OF 1960

The Senate resumed the consideration of its unfinished business, viz, the bill (H.R. 12580) to extend and improve coverage under the Federal old-age, survivors, and disability insurance system and to remove hardships and inequities, improve the financing of the trust funds, and provide disability benefits to aditional individuals under such system; to provide grants to States for medical care for aged individuals of low income; to amend the public assistance and maternal and child welfare provisions of the Social Security Act; to improve the unemployment compensation provisions of such act; and for other purposes.

The question being on agreeing to the amendment proposed by Mr. ANDERSON (for himself and others) adding new sections to the bill.

Pending debate,

On motion by Mr. DIRKSEN, The yeas and nays, being desired by one-fifth of the Senators present, were ordered on the question of agreeing to the amendment.

On motion by Mr. JAVITS (for himself, Mr. COOPER, Mr. SCOTT, Mr. AIKEN, Mr. FONG, Mr. KEATING, Mr. KUCHEL, Mr. PROUTY, and Mr. SALTONSTALL) to amend the amendment proposed by Mr. ANDERSON (for himself and others) by inserting in lieu thereof other words, Pending debate,

On motion by Mr. DIRKSEN, The yeas and nays, being desired by one-fifth of the Senators present, were ordered on the question of agreeing to the substitute amendment proposed by Mr. JAVITS (for himself and others). Pending debate,

MESSAGE FROM THE HOUSE

A message from the House of Representatives by Mr. Maurer, one of its clerks:

Mr. President: The House of Representatives has passed, each without amendment, the following bills and joint resolution of the Senate:

S. 107. An act to amend title XI of the Merchant Marine Act, 1936, relating to Federal ship-mortgage insurance, in order to include floating drydocks under the definition of the term "vessel" in such title;

S. 2830. An act to amend the Library Services Act in order to extend for 5 years the authorization for appropriations, and for other purposes; and

S.J. Res. 207. Joint resolution to suspend for the 1960 campaign the equalopportunity requirements of section 315 of the Communications Act of 1934 for nominees for the offices of President and Vice President.

SOCIAL SECURITY AMENDMENTS OF 1960 The Senate resumed the consideration of its unfinished business, viz, the bill (H.R. 12580) to extend and improve coverage under the Federal oldage, survivors, and disability insurance system and to remove hardships and inequities, improve the financing of the trust funds, and provide disability benefits to additional individuals under such system; to provide grants to States for medical care for aged individuals of low

income; to amend the public assistance and maternal and child welfare provisions of the Social Security Act; to improve the unemployment compensation provisions of such act; and for other purposes.

The question being on agreeing to the amendment proposed by Mr. JAVITS (for himself and others) as a substitute to the amendment proposed by Mr. ANDERSON (for himself and others) adding new sections to the bill,

Pending debate,

On motion by Mr. JOHNSON of Texas, and by unanimous consent,

Ordered, That when the Senate concludes its deliberations today it take a recess until 10 o'clock a.m. tomorrow, and that 1 hour be set aside for the transaction of routine business; that at not later than 11 o'clock a.m. the Senate resume the consideration of the pending bill and proceed with debate on the socalled Javits (and others) amendment to the so-called Anderson (and others) amendment until not later than 2 p.m.; that the intervening time be equally divided between the proponents and opponents and controlled, respectively, by Mr. JAVITS and the majority leader; and that a vote be taken on said amendment at not later than 2 p.m.; that the Senate then proceed to the consideration of the Anderson amendment and that debate thereon proceed until not later than 6 o'clock p.m., the time to be equally divided between the proponents and the opponents of the said amendment and controlled, respectively, by Mr. ANDERSON and the minority leader, and that the Senate vote at not later than 6 o'clock p.m. on said amendment: Provided, That no amendment that is not germane to either of said amendments shall be in order.

MESSAGE FROM THE HOUSE

A message from the House of Representatives by Mr. Bartlett, one of its clerks:

Mr. President: The House of Representatives has disagreed to the amendment of the Senate to the bill (H.R. 6871) to amend title III of the Public Health Service Act, to authorize project grants for graduate training in public health, and for other purposes; it asks a conference with the Senate on the disagreeing votes of the two Houses thereon and has appointed Mr. HARRIS, Mr. ROBERTS, Mr. RHODES of Pennsylvania, Mr. BENNETT of Michigan, and Mr. SCHENCK managers at the same on its part.

SOCIAL SECURITY AMENDMENTS OF 1960

The Senate resumed the condition of its unfinished business, viz, the bill (H.R. 12580) to extend and improve coverage under the Federal old-age, survivors, and disability insurance system and to remove hardships and inequities, improve the financing of the trust funds, and provide disability benefits to additional individuals under such system; to provide grants to States for medical care for aged individuals of low income; to amend the public assistance and maternal and child welfare provisions of the Social Security Act; to improve the

unemployment compensation provisions of such act; and for other purposes.

The question being on agreeing to the substitute amendment proposed by Mr. JAVITS (and others) for the amendment proposed by Mr. ANDERSON (and others), Pending debate,

RECESS

On motion by Mr. GORE, at 9 o'clock and 55 minutes p.m.,

The Senate, under its order of today, took a recess until 10 o'clock a.m. tomorrow.

TUESDAY, AUGUST 23, 1960 (Legislative day of Monday, August 22, 1960)

The PRESIDENT pro tempore called the Senate to order at 10 o'clock a.m. and the Chaplain offered prayer.

THE JOURNAL

On motion by Mr. JOHNSON of Texas, and by unanimous consent, The Journal of the proceedings of Monday, August 22, 1960, was approved.

COMMITTEES AUTHORIZED TO SIT The following-named committees were authorized to sit today during the session of the Senate on the request of Mr. JOHNSON of Texas:

The Committee on Interior and Insular Affairs and the Committee on Agriculture and Forestry.

REPORT OF HOUSING AND HOME FINANCE
AGENCY

The PRESIDENT pro tempore laid before the Senate the following message from the President of the United States; which, with the accompanying report, was referred to the Committee on Banking and Currency:

To the Congress of the United States:

Pursuant to the provisions of Section 802(a) of the Housing Act of 1954, I transmit herewith for the information of the Congress the 13th Annual Report of the Housing and Home Finance Agency covering housing activities for the calendar year 1959.

DWIGHT D. EISENHOWER. THE WHITE HOUSE, August 23, 1960.

REPORTS OF COMMITTEES

Mr. DIRKSEN, by unanimous consent, from the Committee on the Judiciary, to whom was referred the joint resolution (H.J. Res. 658) to authorize and request the President to issue a proclamation in connection with the centennial of the birth of Jane Addams, founder and leader of Chicago's Hull House, reported it without amendment and submitted a report (No. 1899) thereon.

Mr. ELLENDER, by unanimous consent, from the Committee on Agriculture and Forestry, to whom were referred the following bills, reported them each with an amendment and submitted reports thereon, as follows:

S. 3339. A bill to provide that the Secretary of the Army shall establish a national cemetery in Fort Reno, Okla., on

certain lands presently under the jurisdiction of the Secretary of Agriculture (Rept. No. 1902); and

H.R. 12759. An act to amend title V of the Agricultural Act of 1949, as amended, and for other purposes (Rept. No. 1901).

Mr. EASTLAND, by unanimous consent, from the Committee on the Judiciary, to whom was referred the bill (S. 3844) for the relief of Woody W. Hackney of Fort Worth, Tex., reported it without amendment and submitted a report (No. 1904) thereon.

Mr. GRUENING, by unanimous consent, from the Committee on Interior and Insular Affairs, to whom was referred the bill (S. 1670) to provide for the granting of mineral rights in certain homestead lands in the State of Alaska, reported it with amendments and submitted a report (No. 1905) thereon.

Mr. HART, by unanimous consent, from the Committee on the Judiciary, to whom was referred the joint resolution (H.J. Res. 402) granting the consent and approval of Congress for the States of Virginia and Maryland and the District of Columbia to enter into a compact related to the regulation of mass transit in the Washington, D.C., metropolitan area, and for other purposes, reported it without amendment and submitted a report (No. 1906) thereon.

Mr. CHURCH, by unanimous consent, from the Committee on Interior and Insular Affairs, to whom was referred the bill (H.R. 11813) to amend the Menominee Termination Act, reported it with an amendment and submitted a report (No. 1907) thereon.

Mr. THURMOND, by unanimous consent, from the Committee on Armed Services, submitted a report (No. 1900) entitled "Report on Procurement," pursuant to law; which was ordered to be printed, with the additional views of Mr. SALTONSTALL.

Mr. BIBLE, by unanimous consent, from the Joint Committee on Washington Metropolitan Problems, established by House Concurrent Resolution 172, 85th Congress, submitted its final report (No. 1903); which was ordered to be printed.

Mr. RANDOLPH, by unanimous consent, from the Select Committee on Small Business, submitted a report (No. 1908) entitled "Impact of Imports on Small Business"; which was ordered to be printed.

REPORT ON DISPOSITION OF USELESS PAPERS

Mr. JOHNSTON of South Carolina, by unanimous consent, from the Select Committee on Papers in the Executive Departments, to whom were referred lists of papers in various departments and agencies of the Government, recommended for disposition, transmitted to the Senate by the Archivist of the United States dated August 12, 1960, submitted a report thereon.

INTRODUCTION OF BILLS AND JOINT
RESOLUTION

Bills and a joint resolution were introduced by unanimous consent, severally

read the first and second times and referred as follows:

By Mr. PROXMIRE:

S. 3876. A bill for the relief of ChiehHsia Mao and his wife, Rose Tung-Pei Mao; to the Committee on the Judiciary.

By Mr. WILLIAMS of New Jersey: S. 3877. A bill to amend title 23 of the United States Code in order to provide more effective coordination between highway planning and other types of community and land-use planning; to the Committee on Public Works.

By Mr. ALLOTT:

S. 3878. A bill for the relief of Margaret Jean Dauel; to the Committee on the Judiciary.

By Mrs. SMITH:

S. 3879. A bill for the relief of Marie McPherson Eighmey; to the Committee on the Judiciary.

By Mr. YOUNG of North Dakota (for himself and Mr. JACKSON): S.J. Res. 220. Joint resolution establishing a George Washington Carver Centennial Commission; to the Committee on the Judiciary.

PROPOSED MODIFICATION OF SENATE RULE XIX RELATIVE TO TRANSGRESSION OF THE RULE IN DEBATE

Mr. CLARK, by unanimous consent, submitted the following resolution (S. Res. 369); which was referred to the Committee on Rules and Administration:

Resolved, That paragraph 4 of rule XIX of the Standing Rules of the Senate (relating to debate) is amended to read as follows:

"4. If any Senator, in speaking or otherwise, in the opinion of the Presiding Officer trangress the rules of the Senate, the Presiding Officer shall, either on his own motion or at the request of any other Senator, call him to order; and when a Senator shall be called to order he shall sit down, and may not proceed without leave of the Senate, which, if granted, shall be upon motion that he be allowed to proceed in order, which motion shall be determined without debate. Any Senator directed by the Presiding Officer to sit down, and any Senator requesting the Presiding Officer to require a Senator to sit down, may appeal from the ruling of the Chair, which appeal shall be open to debate."

SOCIAL SECURITY AMENDMENTS OF 1960 The hour of 11 o'clock a.m. having arrived,

The PRESIDING OFFICER (Mr. BURDICK in the chair), under the order of yesterday, laid before the Senate its unfinished business, viz, the bill (H.R. 12580) to extend and improve coverage under the Federal old-age, survivors, and disability insurance system and to remove hardships and inequities, improve the financing of the trust funds, and provide disability benefits to additional individuals under such system; to provide grants to States for medical care for aged individuals of low income; to amend the public assistance and maternal and child welfare provisions of the Social Security Act; to improve the

unemployment compensation provisions of such act; and for other purposes.

The question being on agreeing to the amendment proposed by Mr. JAVITS (for himself and others), as a substitute for the amendment proposed by Mr. ANDERSON (for himself and others), adding new sections at the end of the bill, Pending debate,

MESSAGE FROM THE HOUSE

A message from the House of Representatives by Mr. Bartlett, one of its clerks:

Mr. President: The House of Representatives has passed the following bills of the Senate, each with an amendment, in which it requests the concurrence of the Senate:

S. 2575. An act to provide a health benefits program for certain retired employees of the Government; and

S. 2633. An act to amend the Foreign Service Act of 1946, as amended, and for other purposes.

The House has passed the following bills and joint resolution, in which it requests the concurrence of the Senate:

H.R. 5383. An act to amend section 216 of the Merchant Marine Act, 1936, as amended, to clarify the status of the faculty and administrative staff at the U.S. Merchant Marine Academy, to establish suitable personnel policies for such personnel, and for other purposes;

H.R. 12341. An act to amend section 8e of the Agricultural Adjustment Act of 1933, as amended, and as reenacted and amended by the Agricultural Marketing Agreement Act of 1937, as amended, so as to provide for the extension of the restrictions on imported commodities imposed by such section to imported shelled walnuts, dates with pits, dates with pits removed, and products made principally of dates;

H.R. 12753. An act to amend the Subversive Activities Control Act of 1950 so as to require the registration of certain additional persons disseminating political propaganda within the United States as agents of a foreign principal, and for other purposes; and

H.J. Res. 784. Joint resolution amending the act of July 14, 1960, to extend the time within which the U.S. Constitution 175th Anniversary Commission shall report to Congress.

HOUSE BILLS AND JOINT RESOLUTION
REFERRED

The bills and joint resolution this day received from the House of Representa*tives for concurrence, were severally read the first and second times by unanimous consent.

Ordered, That the bill H.R. 5383 be referred to the Committee on Interstate and Foreign Commerce;

That the bill H.R. 12341 be referred to the Committee on Agriculture and Forestry;

That the bill H.R. 12753 and House Joint Resolution 784 be referred to the Committee on the Judiciary.

SOCIAL SECURITY AMENDMENTS OF 1960 The Senate resumed the consideration of its unfinished business, viz, the bill (H.R. 12580) to extend and improve cov49100-83-86-283

erage under the Federal old-age, survivors, and disability insurance system and to remove hardships and inequities, improve the financing of the trust funds, and provide disability benefits to additional individuals under such system; to provide grants to States for medical care for aged individuals of low income; to amend the public assistance and maternal and child welfare provisions of the Social Security Act; to improve the unemployment compensation provisions of such act; and for other purposes.

The question being on agreeing to the substitute amendment proposed by Mr. JAVITS (for himself and others) for the amendment proposed by Mr. ANDERSON (for himself and others),

A quorum being present, The question being taken on agreeing to the amendment proposed by Mr. JAVITS (for himself and others) to the amendment proposed by Mr. ANDERSON (for himself and others), viz, in lieu of the language proposed to be inserted as new sections at the end of the bill insert the following:

Sec. 801. The Social Security Act is further amended by adding at the end thereof the following new title: "TITLE XVI-MEDICAL BENEFITS FOR THE AGED APPROPRIATION "Sec. 1601. For the purpose of assisting the States to improve the health care of aged individuals of low incomes by enabling them to secure, at cost reasonably

related to their incomes, protection either against the expenses of preventive and diagnostic services and short-term illness treatment or against long-term illness expenses, there are hereby authorized to be appropriated for each fiscal year such sums as the Congress may determine. The sums made available under this section shall be used for making payments to States with State plans submitted by them and approved under this title.

"State plans

"Sec. 1602. The Secretary shall approve a State plan under this title which

"(a) provides for establishment or designation of a single State agency to administer or supervise the administration of the State plan;

"(b) provides that each eligible individual (as defined in section 1605 (a)) who applies therefor (and only such an individual) shall be furnished whichever of the following he may elect:

“(1) preventive, diagnostic, and short-term illness benefits, which, for purposes of this title, shall consist of payment on behalf of an eligible individual of the cost incurred by him for the following medical services rendered to him to the extent determined by the attending physician to be medically necessary (but subject to the limitations in section 1606)

"(A) inpatient hospital services for not to exceed twenty-one days in any enrollment year, except that at the request of the individual days of skilled nursing-home services may be substituted for any or all of such days of inpatient hospital services at the rate of three days of skilled nursing-home care for one day of inpatient hospital services;

"(B) physicians' services furnished outside of a hospital or skilled nursing home, on not more than twelve days during any enrollment year;

"(C) ambulatory diagnostic laboratory and X-ray services furnished outside of a hospital or skilled nursing home to the extent the cost thereof is not in excess of $100 in any enrollment year;

"(D) organized home health care services for not more than twenty-four days in any enrollment year; and

"(E) such additional medical services as the State may elect (subject to the limitations in clauses (E) (vi) and (vii) of paragraph (2) and to the limitations in section 1608); or

"(2) long-term illness benefits, which, for purposes of this title, shall consist of payment on behalf of an eligible individual of 80 per centum of the cost above the deductible amount incurred by him for the following services (hereinafter in this title referred to as 'medical services') rendered to him to the extent determined by the attending physician to be medically necessary

ΤΟ

of such individual of one-half of the premiums of a private health insurance policy for him up to a maximum payment for any year of $60; (c) provides for granting an oppor-tunity for a fair hearing before the State agency to any individual whose claim for benefits under the plan has been deniedo gh to Lim 91(d) provides for payment of enroll- ment fees, payable annually or more frequently, as the State may determine by eligible individuals applying for long-term illness benefits or diagnostic and short-term illness benefits under J the plan, the amounts of such fees to to be determined by a schedule established by the State and approved by the Secretary as providing fees the Slowest of which is equal to not less - than 10 per centum of the per capita cost for the enrollment year involved Jon of the benefits provided and the reJomainder of which vary in relation to

the income (as defined in section 1605 -(b)) of the individuals; 92koło

(e) includes provisions for individuals who, for the enrollment year involved, would not be eligible individuals but for the provisions of section 1605(a)(2),com to ↑

a except that the Secretary shall exerma cise no authority with respect to the agaselection, tenure of office, or comebaypensation of any individual em-ibbsployed in accordance with such methods;

Sres [89(2) methods to assure that the of applications of all individuals apply-ing for benefits under the plan will ert be acted upon with reasonable - promptness;

10 anlar(3) methods relating to collection of enrollment fees for long-term illout oness benefits or diagnostic and shortterm illness benefits under the plan, except that the State e may not uticalize the services of any nonpublic agency or organization in the collection of such fees, and

"(4) methods for determining— “(A) rates of payment for instiit to tutional services, and

"(B) schedules of fees or rates 119 of payment for other medical services, for which

of a under the plan.nditures are made

"(g) sets forth criteria, not inconsistent with the provisions of this title, for approval by the State agency, for purposes of the plan, of private health insurance policies;

to be furnished

provides that benefits will any individual under the plan with respect to any period with respect to which he is receiving oldage assistance under the State plan approved under section 2, aid to dependent children under the State plan approved under section 402, aid to the blind under the State plan approved under section 1002, or aid to the permanently and totally disabled under

the State plan approved under section 1402 (and for purposes of this para

count of their medical needs, for recip-
of their money payments on
ients of old-age assistance under the
State
under title. I will
approved
be at least as great in amount, dura-
tion, and scope as the
the diagnostic and
short-term ulness benefits included
under the State plan under this title.

(m) makes provision (1) authorizing employees' pension or welfare funds to contribute to the payment of t enrollment fees under the plan for or on behalf of eligible members or beneficiaries of such funds, (2) authorizing employers (including the State, or any political subdivision thereof when acting as an employer) to contribute to e payment of their employees” enbollment fees i the plan, and (3) permitting any employployees' "pen

deemed to have received such assistance on aid with respect to any month unless he received such assistance or aid in the form of money payments for such month, or in the form of medical or any other type of remedial care in

.L.K

such month without regard to when the expenditures in the form of such care were made)); Jos a "(i) provides safeguards which restrict the use or disclosure of information concerning applicants for and recipients of benefits under the plan to purposes directly connected with the administration of the plan;"

"(j) includes (1) provisions, conforming to regulations of the Secrestary, with respect to the time within which individuals desiring benefits under the plan may elect for any enrollment year between the types of benefits available under the plan and may apply for the benefits. so elected for such year and (2) to the extent required by regulations of the Secretary, provisions, conforming to such regulations, with respect to the furnishing of benefits described in paragraph (1) or (2) of subsection (b) to eligible individuals during temporary absences for the State; on

bas

his ear the nam fees under the plan and

to pay the same to the State agency administering the plan, itt smit

-91 Mlada not-zimPaymentsovinna djari "Sec. 1603. (a) From the sum§3a "appropriated therefors each. State which has a plan approved under section 1602 shall be entitled to receive, for each calendar quarter beginning with the quarter.commencing July 1, 1961, an amount equal to (1) the Federal share for such State of the total amounts expended during such quarter by the State under the plan as long-term illness, diagnostio and

to benefits furnished under the State plan, whether as the result of being subrogated to the rights of the recipient of the benefits against another person, or as the result of recovery by the recipient

But other person, or because such

T

were incorrectly furnished, or for any other reason, Josions we not RD" (c) For purposes of subsection (a), (1) expenditures under a State plan in any calendar year shall be included only to the extent they exceed the amount of the enrollment fees collected in such year under the State plan, and (2) expenditures under a State plan for preventive diagnostic and short-term illness beneits or for long-term illness benefits in excess of $128 multiplied by the number by th of individuals enrolled for benefits under such plan in such year shall not be counted. rost:o slong

90mDT! "Õperation of State plans tabA” Sec. 1604. If the Secretary, after reasonable notice and opportunity for hear ing to the State agency administering or supervising the administration of any State plan which has been approved un der section 1602, finds piros 2 2015 that the plan has been so -behanged that it no longer complies Qwith the provision of section 1602; or

2

"(2) that in the administration of the plan there is a failure to comply substantially with any such provision; the Secretary shall notify such State agency that further payments will not be made to the State (or, in his discretion, that payments will be limited to parts of the State plan not affected by such failure) until the Secretary is satisfied that there is no longer any such noncompliance. Until he is so satisfied, no Jurther payments shall be made to such State (or payments shall be limited to parts of the State plan not affected by such failure),

39 $59 filmed -ropnon pfEligible individuals 2 209 borsed 1605 (a) For the purposes of this title, the term eligible individual means, with respect to any enrollment Year for any individual, an individual who 9109 non 9 (1)(A) is 65 years of age or over, beThinning of such year, and a tot DIT(C) meets, with respect to such TO year, the i income requirements of subbsection (b)','" or to 1(2)(A) resides in the State at the gbeginning of such year, (B) was an 9Tieligible individual for the preceding enrollment year, and (C) paid enroll25 ment fees under the plan for the preTs feeding enrollment year or had a private health insurance policy and the State made payments under the State

of plan toward the cost of the premiums stof the policy during such yearof 1

(b) For the purposes of this title, the income requirements of this subsection are met by any individual with respect to any enrollment year if for his last taxable year for purposes of the Federal income tax) ending before the beginning of such enrollment?yéari sd to bro Hot (1) he did not pay any income tax, amormort aldolion 9TD лtob utotontalios -19 “(2)PA) his income did not exceed siɔ$3,000 inizthencased of pán individual - who at the beginning of such enroll-oment year was unmarried or was not

living with his spouse, or.zmoštoplum bro "(B) the combined income of such 9 individual and his spouse did not ex.D! ċeed $4,500 in the case of an individual who, att the beginning of such enrollment year storing with was married and

onthly insurance benefits un

der title II of this Act,

D
Tot 20
Railroad Retirement
-1937, and

2) Monthly be under the

to

1935 and

(3) Veterans pensions!? ss horn Determinations under this section shall be made in the manner prescribed by the Secretary by regulations) by or under the supervision of the State agency administering or supervising the administration of the plan approved under section 1602, eroittimi arit of tootdw2 anti of ber Benefits, 0758 asil,8031 ToSec 1606 Subject to regulations of the Secretary-ee stuf2 rose ti stot2 WKD israroffea1) Except as provided in para-graphi(2), the term{"medical services' means the following to the extent de termined

ically necessary physician to be medTECA Inpatient hospital services; o JoubBy Skilled nursing home serv -pizsices;antnom gaitu99246) £1 to 50 mag -ING 914(ƠI Physicians' services,ud befor kas 3D) Outpatient hospital .TDJTSEPOrganized home care serv gjit wčes,dirozgng amortplungt of fastów? IMTIT VF)Private duty nursing services; STS TDS Therapeutic services 1995 "(H) Major dental treatment, DTO wo), Laboratory and X-ray services, and

9

3T (" Prescribed drugs. UND (2) The term "medical services' does trasjon, sein not include 1999 roitnsioNTO, services for any individual boro who is an inmate a public instiTO Ptution (except as a pa as a patient in a medcal institution) or any individual who is a patient in an institution losis or mental diseases, Tot of tuberculosis sub amurine et veg of supjiet -ri gidip services for any individual

who is a patient in a medical institution as a result of a diagnosis of tuberculosis or psychosis, with re

drugs, and appliances related to his care and treatment (whether furnished directly by the hospitalor, by arrangement, through other persons) and a go agasins

1999 18 to 24Surgical services Y pribulg

"(c) The term surgical services' means surgical procedures provided to an inpatient in a hospital, other than those included in the term inpatient hospital services, including oral surgery, and surgical procedures provided in an emergency \in a doctor's office or by a hospital to an outpatient. An vil jonge 59 -19¶ "Skilled nursing-home services

"(2) Such super services

and other services related to such skilled d'other? nursing care as are generally provided in nursing homes providing such skilled nursing care; and qzol"

-po(3) Bed and board in connection with the furnishing of such skilled nursing care in (D) zi sbiks dotiqadi, 341 srid ud Lak¶Physicians' services Judigeost if(e) The term 'physicians' services' mean's services provided in the exercise of his profession in any State by a physi cian licensed in such State; and the term within physician' includes a

the meaning of section sician

Outpatient hospital services and for The term outpatient hospital services' means medical and surgical care furnished by a hospital to an individual as an outpatient.

"Organized Home Health Care Services (g) The term organized home health ་ ་་ care services' means