42 U.S.C. § 239c — Medical benefits

submitted 82 years ago by Pub. L. 108-20 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 135 words · no verdicts yet

in plain englishAI-generated · not legal advice

The Secretary must pay or reimburse reasonable and necessary medical costs to treat an eligible individual's smallpox-related injury. This coverage is secondary, meaning it only pays after any other insurance, employer, or government obligation to cover the same costs.

(a) In general: Subject to the rest of this section, the Secretary must pay for, or reimburse, medical items and services that are reasonable and necessary to treat an eligible individual's covered injury, including services, equipment, and supplies a qualified physician prescribes or recommends, if the Secretary believes they are likely to cure the injury, give relief, reduce how severe or how long the disability lasts, or help lower the amount of monthly compensation owed. (b) Benefits secondary to other coverage: Payment or reimbursement under subsection (a) applies only after any other obligation, from the United States or any third party, including a state or local government, private insurance carrier, or employer, to pay for or provide the same services or benefits under any other law or contract.

the actual law source: uscode.house.gov ↗public domain

(a) In general

Subject to the succeeding provisions of this section, the Secretary shall make payment or reimbursement for medical items and services as reasonable and necessary to treat a covered injury of an eligible individual, including the services, appliances, and supplies prescribed or recommended by a qualified physician, which the Secretary considers likely to cure, give relief, reduce the degree or the period of disability, or aid in lessening the amount of monthly compensation.

(b) Benefits secondary to other coverage

Payment or reimbursement for services or benefits under subsection (a) shall be secondary to any obligation of the United States or any third party (including any State or local governmental entity, private insurance carrier, or employer) under any other provision of law or contractual agreement, to pay for or provide such services or benefits.

Source credit: (July 1, 1944, ch. 373, title II, § 264, as added Pub. L. 108–20, § 2, Apr. 30, 2003, 117 Stat. 641.)

history & why it existsrecord from the source credit

1944Enacted · Pub. L. 108-20 · 117 Stat. 641

A history note hasn’t been published yet. The record shows enactment by Pub. L. 108-20 on 1944-07-01.

all 0 arguments · sorted by: best

no arguments yet — make the first case