42 U.S.C. § 254c–10 — Certain requirements

submitted 26 years ago by Pub. L. 106-505 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 228 words · no verdicts yet

in plain englishAI-generated · not legal advice

To get a lupus-treatment grant under section 254c–9, applicants must make five promises. They must cap administrative spending, not replace other funding, and follow Secretary-set limits on patient charges. They also can't bill for services other coverage already pays, and must post notice of these federal policies.

A grant under section 254c–9 (for lupus treatment) requires the applicant to agree to five things: (1) No more than 5% of the grant can go to administration, accounting, reporting, and program oversight. (2) The grant must add to the applicant's other funding for lupus treatment, not replace it. (3) The applicant must follow any limits the Secretary sets on what it charges people who get services under the grant — these limits can vary based on a patient's financial situation. (4) The grant can't pay for services if payment has already been made, or reasonably could be made, under a state compensation program, an insurance policy, a federal or state health benefits program, or by a prepaid health plan. (5) At every site where it provides these services, the applicant must post a clear notice telling patients about any federal policies on charging them for services.

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

A grant may be made under section 254c–9 of this title only if the applicant involved makes the following agreements:

(1)

Not more than 5 percent of the grant will be used for administration, accounting, reporting, and program oversight functions.

(2)

The grant will be used to supplement and not supplant funds from other sources related to the treatment of lupus.

(3)

The applicant will abide by any limitations deemed appropriate by the Secretary on any charges to individuals receiving services pursuant to the grant. As deemed appropriate by the Secretary, such limitations on charges may vary based on the financial circumstances of the individual receiving services.

(4)

The grant will not be expended to make payment for services authorized under section 254c–9(a) of this title to the extent that payment has been made, or can reasonably be expected to be made, with respect to such services—

(A)

under any State compensation program, under an insurance policy, or under any Federal or State health benefits program; or

(B)

by an entity that provides health services on a prepaid basis.

(5)

The applicant will, at each site at which the applicant provides services under section 254c–9(a) of this title, post a conspicuous notice informing individuals who receive the services of any Federal policies that apply to the applicant with respect to the imposition of charges on such individuals.

Source credit: (Pub. L. 106–505, title V, § 522, Nov. 13, 2000, 114 Stat. 2344.)

history & why it existsrecord from the source credit

2000Enacted · Pub. L. 106-505 · 114 Stat. 2344

A history note hasn’t been published yet. The record shows enactment by Pub. L. 106-505 on 2000-11-13.

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