Sec. 211. Extension of full Federal medical assistance percentage to Indian health care providers
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/bill/116/hr/1425/pcs/section-211·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1905 of the Social Security Act ( 42 U.S.C. 1396d ) is amended— in subsection (a), by amending paragraph
(9)to read as follows: clinic services furnished by or under the direction of a physician, without regard to whether the clinic itself is administered by a physician, including— such services furnished outside the clinic by clinic personnel to an eligible individual who does not reside in a permanent dwelling or does not have a fixed home or mailing address; and such services provided outside the clinic on the basis of a referral from a clinic administered by an Indian Health Program (as defined in paragraph
(12)of section 4 of the Indian Health Care Improvement Act, or an Urban Indian Organization as defined in paragraph
(29)of section 4 of such Act that has a grant or contract with the Indian Health Service under title V of such Act; . in subsection (b), by inserting after (as defined in section 4 of the Indian Health Care Improvement Act) the following: ; the Federal medical assistance percentage shall also be 100 per centum with respect to amounts expended as medical assistance for services which are received through an Urban Indian organization (as defined in section 4 of the Indian Health Care Improvement Act) that has a grant or contract with the Indian Health Service under title V of such Act . Beginning on the date of enactment of this Act— for purposes of section 1905(a)(9) of the Social Security Act ( 42 U.S.C. 1396d(a)(9) ), services described in subsection
(b)that are furnished in any location shall be deemed to be clinic services; and notwithstanding section 1905(b) of the Social Security Act ( 42 U.S.C. 1396d(b) ), the Federal medical assistance percentage with respect to amounts expended as medical assistance for such services shall be 100 percent. The services described in this subsection are services for which payment is available under the State plan under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.) of Hawaii (or any waiver of such plan) that— are furnished on or after the date of enactment of this Act; are furnished to an individual who— is a Native Hawaiian; and is eligible for medical assistance under such plan; and are furnished by an Indian health care provider (as such term is defined in section 1932(h)(4)(A) of the Social Security Act ( 42 U.S.C. 1396u–2(h)(4)(A) ) or a Native Hawaiian health care system (without regard to whether such services are furnished through an Indian Health Service facility).
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- 42 USC 1396u–2(h)(4)(A)
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Sec. 211
Extension of full Federal medical assistance percentage to Indian health care providers
Cite42 USC 1396u–2(h)(4)(A)
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