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81 STAT. 745

79 Stat. 301. 42 USC 1395j1395w.

eligible to receive medical assistance under the District of Columbia's plan for medical assistance approved under title XIX of the Social Security Act will be enrolled in the supplementary medical insurance program established under part B of title XVIII of the Social Security Act, and (2) provisions will be made for payment of the monthly premiums of such individuals for such program.

Approved December 27, 1967, 3:05 p. m.

LEGISLATIVE HISTORY:

HOUSE REPORT No. 386 (Comm. on the District of Columbia).
SENATE REPORT No. 839 (Comm. on the District of Columbia).
CONGRESSIONAL RECORD, Vol. 113 (1967):

June 26: Considered and passed House.

Dec. 6: Considered and passed Senate, amended.
Dec. 13: House concurred in Senate amendments.

90th Congress, H. R. 12080
January 2, 1968

An Act

81 STAT. 821

To amend the Social Security Act to provide an increase in benefits under the old-age, survivors, and disability insurance system, to provide benefits for additional categories of individuals, to improve the public assistance program and programs relating to the welfare and health of children, 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 1967".

TABLE OF CONTENTS

TITLE I-OLD-AGE, SURVIVORS, DISABILITY, AND HEALTH

INSURANCE

PART 1-BENEFITS UNDER THE OLD-AGE, SURVIVORS, AND DISABILITY
INSURANCE PROGRAM

Sec. 101. Increase in old-age, survivors, and disability insurance benefits.
Sec. 102. Increase in benefits for certain individuals age 72 and over.
Sec. 103. Maximum amount of a wife's or husband's insurance benefit.
Sec. 104. Benefits to disabled widows and widowers.

Sec. 105. Insured status for younger disabled workers.

Sec. 106. Benefits in case of members of the uniformed services.

Sec. 107. Liberalization of earnings test.

Sec. 108. Increase of earnings counted for benefit and tax purposes.

Sec. 109. Changes in tax schedules.

Sec. 110. Allocation to disability insurance trust fund.

Sec. 111. Extension of time for filing application for disability freeze where failure to make timely application is due to incompetency.

Sec. 112. Benefits for certain adopted children.

PART 2-COVERAGE UNDER THE OLD-AGE, SURVIVORS, AND DISABILITY

INSURANCE PROGRAM

Sec. 115. Coverage of ministers.

Sec. 116. Coverage of State and local employees.

Sec. 117. Inclusion of Illinois among States permitted to divide their retirement systems.

Sec. 118. Taxation of certain earnings of retired partner.

Sec. 119. Inclusion of Puerto Rico among States permitted to include firemen and policemen; validation of certain past coverage in the State of Nebraska.

Sec. 120. Coverage of firemen's positions pursuant to a State agreement.

Sec. 121. Validation of coverage erroneously reported.

Sec. 122. Coverage of fees of State and local government employees as self

employment income.

Sec. 123. Family employment in a private home.

Sec. 124. Termination of coverage of employees of the Massachusetts Turnpike
Authority.

PART 3-HEALTH INSURANCE BENEFITS

Sec. 125. Method of payment to physicians under supplementary medical insur

ance program.

Sec. 126. Elimination of requirement of physician certification in case of certain hospital services.

Sec. 127. Inclusion of podiatrists' services under supplementary medical insurance program.

Sec. 128. Exclusion of certain services.

Sec. 129. Transfer of all outpatient hospital services to supplementary medical

insurance program.

Sec. 130. Billing by hospital for services furnished to outpatients.

Sec. 131. Payment of reasonable charges for radiological or pathological services furnished by certain physicians to hospital inpatients.

Sec. 132. Payment for purchase of durable medical equipment.

Sec. 133. Payment for physical therapy services furnished to outpatients.
Sec. 134. Payment for certain portable X-ray services.

Sec. 135. Blood deductibles.

1967.

81 STAT. 822

TABLE OF CONTENTS—Continued

TITLE I-OLD-AGE, SURVIVORS, DISABILITY, AND HEALTH

INSURANCE-Continued

PART 3 HEALTH INSURANCE BENEFITS-Continued

Sec. 136. Enrollment under supplementary medical insurance program based on alleged date of attaining age 65.

Sec. 137. Extension by 60 days during individual's lifetime of maximum duration of benefits for inpatient hospital services.

Sec. 138. Limitation on special reduction in allowable days of inpatient hospital services.

Sec. 139. Transitional provision on eligibility of presently uninsured individuals for hospital insurance benefits.

Sec. 140. Advisory Council to study coverage of the disabled under title XVIII of the Social Security Act.

Sec. 141. Study to determine feasibility of inclusion of certain additional services under part B of title XVIII of the Social Security Act.

Sec. 142. Provisions for benefits under part A of title XVIII of the Social Security Act for services to patients admitted prior to 1968 to certain hospitals.

Sec. 143. Payments for emergency hospital services.

Sec. 144. Payment under supplementary medical insurance program for certain inpatient ancillary services.

Sec. 145. General enrollment period under title XVIII.

Sec. 146. Elimination of special reduction in allowable days of inpatient hospital services for patients in tuberculosis hospitals.

PART MISCELLANEOUS AND TECHNICAL AMENDMENTS

Sec. 150. Eligibility of adopted child for monthly benefits.

Sec. 151. Criteria for determining child's dependency on mother.

Sec. 152. Recovery of overpayments.

Sec. 153. Benefits paid on basis of erroneous reports of death in military service.
Sec. 154. Underpayments.

Sec. 155. Simplification of computation of primary insurance amount and quar-
ters of coverage in case of 1937-1950 wages.

Sec. 156. Definitions of widow, widower, and stepchild.

Sec. 157. Husband's and widower's insurance benefits without requirement of wife's currently insured status.

Sec. 158. Definition of disability.

Sec. 159. Disability benefits affected by receipt of workmen's compensation.
Sec. 160. Extension of time for filing reports of earnings.

Sec. 161. Penalties for failure to file timely reports of earnings and other events.
Sec. 162. Limitation on payment of benefits to aliens outside the United States.
Sec. 163. Benefits for certain children.

Sec. 164. Transfer to Health Insurance Benefits Advisory Council of National
Medical Review Committee functions; increase in Council's member-
ship.

Sec. 165. Advisory Council on Social Security.

Sec. 166. Reimbursement of civil service retirement annuitants for certain pre-
mium payments under supplementary medical insurance program.
Sec. 167. Appropriations to supplementary medical insurance trust fund.
Sec. 168. Disclosure to courts of whereabouts of certain individuals.

Sec. 169. Reports of boards of trustees to Congress.

Sec. 170. General saving provision.

Sec. 171. Expedited benefit payments.

Sec. 172. Definition of blindness.

Sec. 173. Attorneys fees for claimants.

TITLE II-PUBLIC WELFARE AMENDMENTS

PART 1-PUBLIC ASSISTANCE AMENDMENTS

Sec. 201. Programs of services furnished to families with dependent children. Sec. 202, Earnings exemption for recipients of aid to families with dependent children.

Sec. 203. Dependent children of unemployed fathers.

Sec. 204. Work incentive program for recipients of aid under part A of title IV. Sec. 205. Federal participation in payments for foster care of certain dependent children.

Sec. 206. Emergency assistance for certain needy families with children.

81 STAT. 823

TABLE OF CONTENTS Continued

TITLE II-PUBLIC WELFARE AMENDMENTS Continued

PART 1-PUBLIC ASSISTANCE AMENDMENTS-Continued

Sec. 207. Protective payments and vendor payments with respect to dependent children.

Sec. 208. Limitation on number of children with respect to whom Federal payments may be made.

Sec. 209. Federal participation in payments for repairs to home owned by recipient of aid or assistance.

Sec. 210. Use of subprofessional staff and volunteers in providing services to
individuals applying for and receiving assistance.

Sec. 211. Location of certain parents who desert or abandon dependent children.
Sec. 212. Provision of services by others than a State.

Sec. 213. Authority to disregard additional income of recipients of public
assistance.

PART 2-MEDICAL ASSISTANCE AMENDMENTS

Sec. 220. Limitation on Federal participation in medical assistance.

Sec. 221. Maintenance of State effort.

Sec. 222. Coordination of title XIX and the supplementary medical insurance

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Sec. 223. Modification of comparability provisions.

Sec. 224. Required services under State medical assistance plan.

Sec. 225. Extent of Federal financial participation in certain administrative expenses.

Sec. 226. Advisory council on medical assistance.

Sec. 227. Free choice by individuals eligible for medical assistance.

Sec. 228. Utilization of State facilities to provide consultative services to institutions furnishing medical care.

Sec. 229. Payments for services and care by a third party.

Sec. 230. Direct payments to certain recipients of medical assistance.

Sec. 231. Date on which State plans under title XIX must meet certain financial participation requirements.

Sec. 232. Observance of religious beliefs.

Sec. 233. Coverage under title XIX of certain spouses of individuals receiving cash welfare aid or assistance.

Sec. 234. Standards for skilled nursing homes furnishing services under State plans approved under title XIX.

Sec. 235.

Cost sharing and similar charges with respect to inpatient hospital
services furnished under title XIX.

Sec. 236. State plan requirements regarding licensing of administrators of skilled
nursing homes furnishing services under State plans approved under
title XIX.

Sec. 237. Utilization of care and services furnished under title XIX.
Sec. 238. Differences in standards with respect to income eligibility under title
XIX.

PART 3-CHILD-WELFARE SERVICES AMENDMENTS

Sec. 240. Inclusion of child-welfare services in title IV.

Sec. 241. Conforming amendments.

PART 4-MISCELLANEOUS AND TECHNICAL AMENDMENTS

Sec. 245. Partial payments to States.

Sec. 246. Contracts for cooperative research or demonstration projects.

Sec. 247. Permanent authority to support demonstration projects.

Sec. 248. Special provisions relating to Puerto Rico, the Virgin Islands, and Guam.
Sec. 249. Approval of certain projects.

Sec. 250. Assistance in the form of institutional services in intermediate care
facilities.

TITLE III-IMPROVEMENT OF CHILD HEALTH

Sec. 301. Consolidation of separate programs under title V of the Social Security
Act.

Sec. 302. Conforming amendments.

Sec. 303. 1968 authorization for maternity and infant care projects.

Sec. 304. Use of subprofessional staff and volunteers.

Sec. 305. Extension of due date for child mental health report.

Sec. 306. Short title.

86-535 - 72 - 48

81 STAT. 824

79 Stat. 361.

42 USC 415.

TABLE OF CONTENTS-Continued

TITLE IV-GENERAL PROVISIONS

Sec. 401. Social work manpower and training.

Sec. 402. Incentives for economy while maintaining or improving quality in the provision of health services.

Sec. 403. Changes to reflect codification of title 5, United States Code.

Sec. 404. Meaning of Secretary.

Sec. 405. Study of retirement test and of drug standards and coverage.

TITLE V-MISCELLANEOUS PROVISIONS

Sec. 501. Extension of period for filing application for exemption by members of religious groups opposed to insurance.

Sec. 502. Refund of certain overpayments by employees of hospital insurance tax. Sec. 503. Extension of time to provide assistance for United States citizens returned from foreign countries.

Sec. 504. Exclusion from definition of wages of certain retirement, etc., payments under employer-established plans.

TITLE I-OLD-AGE, SURVIVORS, DISABILITY, AND

HEALTH INSURANCE

Part 1-BENEFITS UNDER THE OLD-AGE, SURVIVORS, AND DISABILITY
INSURANCE PROGRAM

INCREASE IN OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE

BENEFITS

SEC. 101. (a) Section 215(a) of the Social Security Act is amended by striking out the table and inserting in lieu thereof the following:

"TABLE FOR DETERMINING PRIMARY INSURANCE AMOUNT AND MAXIMUM FAMILY BENEFITS

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