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Code · BILL · 115th Congress · H.R. 1323 (Introduced in House) — To amend title XIX of the Social Security Act to reduce unnecessary emergency room visits under the Medicaid program. · Sec. 2

Sec. 2. State option to impose higher cost sharing for nonemergency use of emergency room services

162 words·~1 min read·/bill/115/hr/1323/ih/section-2

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Section 1916 of the Social Security Act ( 42 U.S.C. 1396o ) is amended— in subsection (a)(3), by striking up to twice the nominal amount and inserting up to $25 ; and in subsection (b)(3), by striking up to twice the nominal amount and inserting up to $25 . Section 1916A(e)(2) of the Social Security Act ( 42 U.S.C. 1396o–1(e)(2) ) is amended— in subparagraph (A), by striking twice the amount determined to be nominal under section 1916 and inserting the amount specified in paragraph
(3)of subsection
(a)or
(b)(as applicable) of section 1916 with respect to non-emergency services ; and in subparagraph (B), by striking a nominal amount (as otherwise determined under section 1916) and inserting the amount specified in paragraph
(3)of subsection
(a)or
(b)(as applicable) of section 1916 with respect to non-emergency services . The amendments made by this section shall apply with respect to items and services furnished on or after October 1, 2017.
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  • 42 USC 1396o–1(e)(2)
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Sec. 2
State option to impose higher cost sharing for nonemergency use of emergency room services
Cite42 USC 1396o–1(e)(2)
Cites 2Cited by 0 across 0 sources
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