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79 STAT 224.

Multipurpose

activity

centers.

Community

services,

coordination.

Contribution

by recipients.

Conditions.

PAYMENTS

SEC. 305. Payments under this title may be made (after necessary adjustment on account of previously made overpayments or underpayments) in advance or by way of reimbursement, and in such installments, as the Secretary may determine.

TITLE IV-RESEARCH AND DEVELOPMENT PROJECTS

PROJECT GRANTS

SEC. 401. The Secretary is authorized to carry out the purposes of this Act through grants to any public or nonprofit private agency, organization, or institution and contracts with any such agency, organization, or institution or with any individual

(a) to study current patterns and conditions of living of older persons and identify factors which are beneficial or detrimental to the wholesome and meaningful living of such persons;

(b) to develop or demonstrate new approaches, techniques, and methods (including multipurpose activity centers) which hold promise of substantial contribution toward wholesome and meaningful living for older persons;

(c) to develop or demonstrate approaches, methods, and techniques for achieving or improving coordination of community services for older persons; or

(d) to evaluate these approaches, techniques, and methods, as well as others which may assist older persons to enjoy wholesome and meaningful living and to continue to contribute to the strength and welfare of our Nation.

PAYMENTS OF GRANTS

SEC. 402. (a) To the extent he deems it appropriate, the Secretary shall require the recipient of any grant or contract under this title to contribute money, facilities, or services for carrying out the project for which such grant or contract was made.

(b) Payments under this title pursuant to a grant or contract may be made (after necessary adjustment, in the case of grants, on account of previously made overpayments or underpayments) in advance or by way of reimbursement, and in such installments and on such conditions, as the Secretary may determine.

(c) The Secretary shall make no grant or contract under this title in any State which has established or designated a State agency for purposes of section 303 (a) (1) unless the Secretary has consulted with such State agency regarding such grant or contract.

TITLE V-TRAINING PROJECTS

PROJECT GRANTS

SEC. 501. The Secretary is authorized to make grants to or contracts with any public or nonprofit private agency, organization, or institution for the specialized training of persons employed or preparing for employment in carrying out programs related to the purposes of this Act.

PAYMENT OF GRANTS

79 STAT. 225.

SEC. 502. (a) To the extent he deems it appropriate, the Secretary Contribution shall require the recipient of any grant or contract under this title to by recipients. contribute money, facilities, or services for carrying out the project

for which such grant or contract was made.

(b) Payments under this title pursuant to a grant or contract may Conditions.

be made (after necessary adjustment, in the case of grants, on account

of previously made overpayments or underpayments) in advance or

by way of reimbursement, and in such installments and on such conditions, as the Secretary may determine.

(c) The Secretary shall make no grant or contract under this title in any State which has established or designated a State agency for purposes of section 303 (a) (1) unless the Secretary has consulted with such State agency regarding such grant or contract.

TITLE VI-GENERAL

ADVISORY COMMITTEES

SEC. 601. (a) (1) For the purpose of advising the Secretary of Advisory Health, Education, and Welfare on matters bearing on his responsi- Committee on bilities under this Act and related activities of his Department, there Older Americans. is hereby established in the Department of Health, Education, and Membership. Welfare an Advisory Committee on Older Americans, consisting of the Commissioner, who shall be Chairman, and fifteen persons not otherwise in the employ of the United States, appointed by the Secretary without regard to the civil service laws. Members shall be selected from among persons who are experienced in or have demonstrated particular interest in special problems of the aging.

office.

(2) Each member of the Committee shall hold office for a term of Term of three years, except that (A) any member appointed to fill a vacancy occurring prior to the expiration of the term for which his predecessor was appointed shall be appointed for the remainder of such term, and (B) the terms of office of the members first taking office shall expire, as designated by the Secretary of Health, Education, and Welfare at the time of appointment, five at the end of the first year, five at the end of the second year, and five at the end of the third year after the date of appointment.

(b) The Secretary of Health, Education, and Welfare is authorized to appoint, without regard to the civil service laws, such technical advisory committees as he deems appropriate for advising him in carrying out his functions under this Act.

(c) Members of the Advisory Committee or of any technical Compensation, advisory committee appointed under this section, who are not regular travel expenfull-time employees of the United States, shall, while attending meet- ses. ings or conferences of such committee or otherwise engaged on business of such committee, be entitled to receive compensation at a rate fixed by the Secretary who appointed them, but not exceeding $75 per diem, including travel time, and, while so serving away from their homes or regular places of business, they may be allowed travel expenses, including per diem in lieu of subsistence, as authorized by section 5 of the Administrative Expenses Act of 1946 (5 U.S.C. 73b-2) 60 Stat. 808; for persons in the Government service employed intermittently.

75 Stat. 339,

340.

79 STAT. 226.

Publication of informational material, etc.

ADMINISTRATION

SEC. 602. (a) In carrying out the purposes of this Act, the Secretary of Health, Education, and Welfare is authorized to provide consultative services and technical assistance to public or nonprofit private agencies, organizations, and institutions; to provide short-term training and technical instruction; to conduct research and demonstrations; and to collect, prepare, publish, and disseminate special educational or informational materials, including reports of the projects for which funds are provided under this Act.

(b) In administering their respective functions under this Act, the Secretary of Health, Education, and Welfare is authorized to utilize the services and facilities of any agency of the Federal Government and of any other public or nonprofit private agency or institution, in accordance with agreements between the Secretary concerned and the head thereof, and to pay therefor, in advance or by way of reimbursement, as may be provided in the agreement.

AUTHORIZATION OF APPROPRIATIONS

SEC. 603. The Secretary shall carry out titles IV and V of this Act during the fiscal year ending June 30, 1966, and each of the four succeeding fiscal years. There are hereby authorized to be appropriated $1,500,000 for the fiscal year ending June 30, 1966, and $3,000,000 for the fiscal year ending June 30, 1967, and for the fiscal year ending June 30, 1968, and each of the two succeeding fiscal years, such sums may be appropriated as the Congress may hereafter authorize by law.

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89th Congress, H. R. 6675

July 30, 1965

An Act

79 STAT. 286.

To provide a hospital insurance program for the aged under the Social Security Act with a supplementary medical benefits program and an expanded program of medical assistance, to increase benefits under the Old-Age, Survivors, and Disability Insurance System, to improve the Federal-State public assistance programs, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act, with Social Security the following table of contents, may be cited as the "Social Security Amendments of Amendments of 1965”.

TABLE OF CONTENTS

TITLE I-HEALTH INSURANCE FOR THE AGED AND MEDICAL ASSISTANCE

SEC. 100. Short title.

PART I-HEALTH INSURANCE BENEFITS FOR THE AGED

SEC. 101. Entitlement to hospital insurance benefits.

SEC. 102. Hospital insurance benefits and supplementary medical insurance benefits.

TITLE XVIII-HEALTH INSURANCE FOR THE AGED

SEC. 1801. Prohibition against any Federal interference.

SEC. 1802. Free choice by patient guaranteed.

SEC. 1803. Option to individuals to obtain other health insurance protection.

PART A-HOSPITAL INSURANCE BENEFITS FOR THE AGED

SEC. 1811. Description of program.

SEC. 1812. Scope of benefits.

SEC. 1813. Deductibles and coinsurance.

SEC. 1814. Conditions of and limitations on payment for services. (a) Requirement of requests and certifications.

(b) Reasonable cost of services.

(c) No payments to Federal providers of services.

(d) Payments for emergency hospital services.

(e) Payment for inpatient hospital services prior to notifi

cation of noneligibility.

(f) Payment for certain emergency hospital services furn-
ished outside the United States.

SEC. 1815. Payment to providers of services.

SEC. 1816. Use of public agencies or private organizations to facilitate payment to providers of services.

SEC. 1817. Federal hospital insurance trust fund.

PART B-SUPPLEMENTARY MEDICAL INSURANCE BENEFITS FOR THE AGED

SEC. 1831. Establishment of supplementary medical insurance program for

the aged.

SEC. 1832. Scope of benefits.

SEC. 1833. Payment of benefits.

SEC. 1834. Limitation on home health services.

SEC. 1835. Procedure for payment of claims of providers of services.

SEC. 1836. Eligible individuals.

1965.

SEC. 1837. Enrollment periods.

SEC. 1838. Coverage period.

SEC. 1839. Amounts of premiums.

SEC. 1840. Payment of premiums.

SEC. 1841. Federal supplementary medical insurance trust fund.

SEC. 1842. Use of carriers for administration of benefits.

SEC. 1843. State agreements for coverage of eligible individuals who are

receiving money payments under public assistance programs. SEC. 1844. Appropriations to cover Government contributions and con

tingency reserve.

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(s) Medical and other health services.

(t) Drugs and biologicals.

(u) Provider of services.

(v) Reasonable cost.

(w) Arrangements for certain services.

(x) State and United States.

(y) Post-hospital extended care in Christian Science extended care facilities.

SEC. 1862. Exclusions from coverage.

SEC. 1863. Consultation with State agencies and other organizations to develop conditions of participation for providers of services. SEC. 1864. Use of State agencies to determine compliance by providers of services with conditions of participation.

SEC. 1865. Effect of accreditation.

SEC. 1866. Agreements with providers of services.

SEC. 1867. Health insurance benefits advisory council.

SEC. 1868. National medical review committee.

SEC. 1869. Determinations; appeals.

SEC. 1870. Overpayments on behalf of individuals.

SEC. 1871. Regulations.

SEC. 1872. Application of certain provisions of title II.

SEC. 1873. Designation of organization or publication by name.

SEC. 1874. Administration.

SEC. 1875. Studies and recommendations.

SEC. 103. Transitional provision on eligibility of presently uninsured individuals for hospital insurance benefits.

SEC. 104. Suspension in case of aliens; persons convicted of subversive

activities.

SEC. 105. Railroad retirement amendments.

SEC. 106. Medical expense deduction.

SEC. 107. Receipts for employees must show taxes separately.

SEC. 108. Technical and administrative amendments relating to trust funds.

SEC. 109. Advisory council on social security.

SEC. 110. Meaning of term "Secretary".

SEC. 111. Role of the Railroad Retirement Board in the administration of hospital insurance for the aged.

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