Part C — Medicare + Choice Program280

Social Security Act

Title XVIII — Health Insurance for the Aged and Disabled

²⁸⁰ See Vol. II, P.L. 105-33, §4002(c), with respect to an enrollment transition rule; §4002(f)(2), with respect to the submission by the Secretary of HHS of a legislative proposal providing for such technical and conforming amendments as needed; §4002( i), with respect to publication of new capitation rates; §4011, with respect to a Medicare Prepaid Competitive Pricing Demonstration Project; §4012, with respect to appointment of certain Advisory Committees; §4014(c), with respect to a report on integration and transition; and §4018, with respect to a Medicare Enrollment Demonstration Project.

See Vol. II, P.L. 106-113, §1000(a)(6) (551), with respect to a report on accounting for VA and DOD expenditures for Medicare beneficiaries; (552(b)), with respect to a report on Medicare medical savings account plans; and (553(b)), with respect to a GAO audit and reports on Medicare + Choice health information to beneficiaries.

See Vol. II, P.L. 106-554, §1(a)(6) (124), with respect to a MEDPAC study on consumer coalitions.

P.L. 108-173, §222, amends §1851 in several places; however, P.L. 108-173, §223(a) provides that these amendments shall apply with respect to plan years beginning on or after January 1, 2006.

P.L. 108-173, §223(b), provides that the Secretary shall revise the regulations previously promulgated to carry out the provisions of P.L. 108-173.

§1851. Eligibility, Election, and Enrollment

§1852. Benefits and beneficiary protections316

§1853. Payments to Medicare+Choice organizations335

§1854. Premiums362

§1855. Organizational and financial requirements for Medicare+Choice organizations; provider-sponsored organizations

§1856. Establishment of standards

§1857. Contracts with Medicare+Choice organizations

§1858. Special rules for MA regional plans 387

§1859.389 Definitions; miscellaneous provisions388