Sec. 2013. Uniform Medicare coinsurance rate
506 words·~2 min read·
/bill/113/s/11/is/section-2013A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq. ), as amended by sections 2011 and 2012, is amended by adding at the end the following new section: Notwithstanding any other provision of this title, in the case of an individual entitled to, or enrolled for, benefits under part A or enrolled in part B, after the application of the unified deductible under section 1899C and subject to the limit on annual out-of-pocket expenses under section 1899B, the amount otherwise payable under part A and the total amount of expenses incurred by the individual during a year (beginning in 2015) which would (except for this section) constitute incurred expenses for which benefits are payable under part B, shall be reduced by a coinsurance of 20 percent of such amount.
The uniform coinsurance under this section for a year shall be applied as follows: With respect to items and services covered under part A, such uniform coinsurance shall be applied on the basis of the amount that is payable for such items and services. With respect to items and services covered under part B, such uniform coinsurance shall be applied on the basis of the total amount of the expenses incurred by the individual during a year which would, except for the application of the unified deductible, constitute incurred expenses from which items and services are payable under part B.
Except as provided in subparagraph (B), such uniform coinsurance shall be applied with respect to all items and services covered under parts A and B and in lieu of any other copayments or coinsurance under such parts. Coinsurance for blood under this title shall be determined under the rules that were applicable to blood on December 31, 2014, rather than under this section. . Section 1813 of the Social Security Act ( 42 U.S.C. 1395e ) is amended— in subsection (a), by inserting Subject to sections 1899B, 1899C, and 1899D: before paragraph (1); and in subsection (b), by inserting Subject to sections 1899B, 1899C, and 1899D: before paragraph (1).
Section 1833 of the Social Security Act ( 42 U.S.C. 1395l ) is amended— in subsection (a), in the matter preceding paragraph (1), by inserting and sections 1899B, 1899C, and 1899D after succeeding provisions of this section ; in subsection (b), in the first sentence, by striking Before applying and inserting Subject to sections 1899B, 1899C, and 1899D, before applying ; in subsection (c)(1), in the matter preceding subparagraph (A), by inserting subject to sections 1899B, 1899C, and 1899D, after this part, ; in subsection (f), by striking In establishing and inserting Subject to sections 1899B, 1899C, and 1899D, in establishing ; and in subsection (g)(1), by inserting and sections 1899B, 1899C, and 1899D after paragraphs
(4)and
(5). Section 1905(p)(3) of the Social Security Act ( 42 U.S.C. 1396d(p)(3) ) is amended— in subparagraph (B), by striking section 1813 and inserting sections 1813 and 1899D ; and in subparagraph (C), by striking and section 1833(b) and inserting , 1833(b), and 1899C .
Connectionstraces to 4
Citation graph
cites case law
Cites 4Cited by 0 across 0 sources