Medicare Prescription Drug, Improvement, and Modernization Act of 2003

Pub. L. 108–173

US Codex doesn’t hold the enacted text of this law — the public-law corpus runs from the 113th Congress (2013) onward. What it changed in the U.S. Code, reconstructed from the credit notes, is listed below.

214 sections of the Code credited to this law, found between Public Law 107-377 and Public Law 108-198.

• 10 U.S.C. § 1086 — Contracts for health benefits for certain members, former members, and their dependents
• 10 U.S.C. § 1095 — Health care services incurred on behalf of covered beneficiaries: collection from third-party payers
• 20 U.S.C. § 1444 — Federal Interagency Coordinating Council
• 21 U.S.C. § 331 — Prohibited acts
• 21 U.S.C. § 333 — Penalties
• 21 U.S.C. § 355 — New drugs
• 21 U.S.C. § 355a — Pediatric studies of drugs
• 21 U.S.C. § 384 — Importation of prescription drugs
• 25 U.S.C. § 1645 — Direct billing of medicare, medicaid, and other third party payors
• 26 U.S.C. § 56 — Adjustments in computing alternative minimum taxable income
• 26 U.S.C. § 62 — Adjusted gross income defined
• 26 U.S.C. § 106 — Contributions by employer to accident and health plans
• 26 U.S.C. § 125 — Cafeteria plans
• 26 U.S.C. § 139A — Federal subsidies for prescription drug plans
• 26 U.S.C. § 220 — Archer MSAs
• 26 U.S.C. § 223 — Health savings accounts
• 26 U.S.C. § 224 — Cross reference
• 26 U.S.C. § 848 — Capitalization of certain policy acquisition expenses
• 26 U.S.C. § 3231 — Definitions
• 26 U.S.C. § 3306 — Definitions
• 26 U.S.C. § 3401 — Definitions
• 26 U.S.C. § 4973 — Tax on excess contributions to certain tax-favored accounts and annuities
• 26 U.S.C. § 4975 — Tax on prohibited transactions
• 26 U.S.C. § 4980G — Failure of employer to make comparable health savings account contributions
• 26 U.S.C. § 6041 — Information at source
• 26 U.S.C. § 6051 — Receipts for employees
• 26 U.S.C. § 6103 — Confidentiality and disclosure of returns and return information
• 26 U.S.C. § 6693 — Failure to provide reports on certain tax-favored accounts or annuities; penalties relating to designated nondeductible contributions
• 26 U.S.C. § 7213 — Unauthorized disclosure of information
• 29 U.S.C. § 762 — National Institute on Disability and Rehabilitation Research
• 31 U.S.C. § 1105 — Budget contents and submission to Congress
• 35 U.S.C. § 271 — Infringement of patent
• 42 U.S.C. § 242q-1 — 242q–1. Membership
• 42 U.S.C. § 247b-3a — 247b–3a. Training and reports by the Health Resources and Services Administration
• 42 U.S.C. § 290aa — Substance Abuse and Mental Health Services Administration
• 42 U.S.C. § 290bb — Center for Substance Abuse Treatment
• 42 U.S.C. § 299b-5 — 299b–5. Health care practice and technology innovation
• 42 U.S.C. § 299b-7 — 299b–7. Research on outcomes of health care items and services
• 42 U.S.C. § 299c — Advisory Council for Healthcare Research and Quality
• 42 U.S.C. § 300e-17 — 300e–17. Financial disclosure
• 42 U.S.C. § 300aa-2 — 300aa–2. Program responsibilities
• 42 U.S.C. § 300ff-75 — 300ff–75. Coordination
• 42 U.S.C. § 401 — Trust Funds
• 42 U.S.C. § 426 — Entitlement to hospital insurance benefits
• 42 U.S.C. § 912 — Office of Rural Health Policy
• 42 U.S.C. § 1308 — Additional grants to Puerto Rico, Virgin Islands, Guam, and American Samoa; limitation on total payments
• 42 U.S.C. § 1314 — Public advisory groups
• 42 U.S.C. § 1317 — Appointment of the Administrator and Chief Actuary of the Centers for Medicare & Medicaid Services
• 42 U.S.C. § 1320a-7 — 1320a–7. Exclusion of certain individuals and entities from participation in Medicare and State health care programs
• 42 U.S.C. § 1320a-7b — 1320a–7b. Criminal penalties for acts involving Federal health care programs
• 42 U.S.C. § 1320b-10 — 1320b–10. Prohibition of misuse of symbols, emblems, or names in reference to Social Security or Medicare
• 42 U.S.C. § 1320b-12 — 1320b–12. Research on outcomes of health care services and procedures
• 42 U.S.C. § 1320b-14 — 1320b–14. Outreach efforts to increase awareness of the availability of medicare cost-sharing and subsidies for low-income individuals under subchapter XVIII
• 42 U.S.C. § 1320c-3 — 1320c–3. Functions of peer review organizations
• 42 U.S.C. § 1395a — Free choice by patient guaranteed
• 42 U.S.C. § 1395b-2 — 1395b–2. Notice of medicare benefits; medicare and medigap information
• 42 U.S.C. § 1395b-3 — 1395b–3. Health insurance advisory service for medicare beneficiaries
• 42 U.S.C. § 1395b-6 — 1395b–6. Medicare Payment Advisory Commission
• 42 U.S.C. § 1395b-8 — 1395b–8. Chronic care improvement
• 42 U.S.C. § 1395b-9 — 1395b–9. Provisions relating to administration
• 42 U.S.C. § 1395d — Scope of benefits
• 42 U.S.C. § 1395f — Conditions of and limitations on payment for services
• 42 U.S.C. § 1395g — Payments to providers of services
• 42 U.S.C. § 1395h — Use of public or private agencies or organizations to facilitate payment to providers of services
• 42 U.S.C. § 1395i — Federal Hospital Insurance Trust Fund
• 42 U.S.C. § 1395i-2 — 1395i–2. Hospital insurance benefits for uninsured elderly individuals not otherwise eligible
• 42 U.S.C. § 1395i-3 — 1395i–3. Requirements for, and assuring quality of care in, skilled nursing facilities
• 42 U.S.C. § 1395i-4 — 1395i–4. Medicare rural hospital flexibility program
• 42 U.S.C. § 1395i-5 — 1395i–5. Conditions for coverage of religious nonmedical health care institutional services
• 42 U.S.C. § 1395l — Payment of benefits
• 42 U.S.C. § 1395m — Special payment rules for particular items and services
• 42 U.S.C. § 1395n — Procedure for payment of claims of providers of services
• 42 U.S.C. § 1395q — Coverage period
• 42 U.S.C. § 1395r — Amount of premiums for individuals enrolled under this part
• 42 U.S.C. § 1395s — Payment of premiums
• 42 U.S.C. § 1395t — Federal Supplementary Medical Insurance Trust Fund
• 42 U.S.C. § 1395u — Use of carriers for administration of benefits
• 42 U.S.C. § 1395w — Appropriations to cover Government contributions and contingency reserve
• 42 U.S.C. § 1395w-3 — 1395w–3. Competitive acquisition of certain items and services
• 42 U.S.C. § 1395w-3a — 1395w–3a. Use of average sales price payment methodology
• 42 U.S.C. § 1395w-3b — 1395w–3b. Competitive acquisition of outpatient drugs and biologicals
• 42 U.S.C. § 1395w-4 — 1395w–4. Payment for physicians’ services
• 42 U.S.C. § 1395w-21 — 1395w–21. Eligibility, election, and enrollment
• 42 U.S.C. § 1395w-22 — 1395w–22. Benefits and beneficiary protections
• 42 U.S.C. § 1395w-23 — 1395w–23. Payments to Medicare+Choice organizations
• 42 U.S.C. § 1395w-24 — 1395w–24. Premiums
• 42 U.S.C. § 1395w-26 — 1395w–26. Establishment of standards
• 42 U.S.C. § 1395w-27 — 1395w–27. Contracts with Medicare+Choice organizations
• 42 U.S.C. § 1395w-27a — 1395w–27a. Special rules for MA regional plans
• 42 U.S.C. § 1395w-28 — 1395w–28. Definitions; miscellaneous provisions
• 42 U.S.C. § 1395w-29 — 1395w–29.Comparative cost adjustment (CCA) program
• 42 U.S.C. § 1395w-101 — 1395w–101. Eligibility, enrollment, and information
• 42 U.S.C. § 1395w-102 — 1395w–102. Prescription drug benefits
• 42 U.S.C. § 1395w-103 — 1395w–103. Access to a choice of qualified prescription drug coverage
• 42 U.S.C. § 1395w-104 — 1395w–104. Beneficiary protections for qualified prescription drug coverage
• 42 U.S.C. § 1395w-111 — 1395w–111. PDP regions; submission of bids; plan approval
• 42 U.S.C. § 1395w-112 — 1395w–112. Requirements for and contracts with prescription drug plan (PDP) sponsors
• 42 U.S.C. § 1395w-113 — 1395w–113. Premiums; late enrollment penalty
• 42 U.S.C. § 1395w-114 — 1395w–114. Premium and cost-sharing subsidies for low-income individuals
• 42 U.S.C. § 1395w-115 — 1395w–115. Subsidies for part D eligible individuals for qualified prescription drug coverage
• 42 U.S.C. § 1395w-116 — 1395w–116. Medicare Prescription Drug Account in the Federal Supplementary Medical Insurance Trust Fund
• 42 U.S.C. § 1395w-131 — 1395w–131. Application to Medicare Advantage program and related managed care programs
• 42 U.S.C. § 1395w-132 — 1395w–132. Special rules for employer-sponsored programs
• 42 U.S.C. § 1395w-133 — 1395w–133. State Pharmaceutical Assistance Programs
• 42 U.S.C. § 1395w-134 — 1395w–134. Coordination requirements for plans providing prescription drug coverage
• 42 U.S.C. § 1395w-141 — 1395w–141. Medicare prescription drug discount card and transitional assistance program
• 42 U.S.C. § 1395w-151 — 1395w–151. Definitions; treatment of references to provisions in part C
• 42 U.S.C. § 1395w-152 — 1395w–152. Miscellaneous provisions
• 42 U.S.C. § 1395x — Definitions
• 42 U.S.C. § 1395y — Exclusions from coverage and medicare as secondary payer
• 42 U.S.C. § 1395bb — Effect of accreditation
• 42 U.S.C. § 1395cc — Agreements with providers of services; enrollment processes
• 42 U.S.C. § 1395cc-2 — 1395cc–2. Provisions for administration of demonstration program
• 42 U.S.C. § 1395cc-3 — 1395cc–3. Health care quality demonstration program
• 42 U.S.C. § 1395dd — Examination and treatment for emergency medical conditions and women in labor
• 42 U.S.C. § 1395ee — Practicing Physicians Advisory Council; Council for Technology and Innovation
• 42 U.S.C. § 1395ff — Determinations; appeals
• 42 U.S.C. § 1395gg — Overpayment on behalf of individuals and settlement of claims for benefits on behalf of deceased individuals
• 42 U.S.C. § 1395hh — Regulations
• 42 U.S.C. § 1395kk-1 — 1395kk–1. Contracts with medicare administrative contractors
• 42 U.S.C. § 1395ll — Studies and recommendations
• 42 U.S.C. § 1395mm — Payments to health maintenance organizations and competitive medical plans
• 42 U.S.C. § 1395nn — Limitation on certain physician referrals
• 42 U.S.C. § 1395qq — Indian health service facilities
• 42 U.S.C. § 1395rr — End stage renal disease program
• 42 U.S.C. § 1395ss — Certification of medicare supplemental health insurance policies
• 42 U.S.C. § 1395tt — Hospital providers of extended care services
• 42 U.S.C. § 1395ww — Payments to hospitals for inpatient hospital services
• 42 U.S.C. § 1395yy — Payment to skilled nursing facilities for routine service costs
• 42 U.S.C. § 1395zz — Provider education and technical assistance
• 42 U.S.C. § 1395bbb — Conditions of participation for home health agencies; home health quality
• 42 U.S.C. § 1395ddd — Medicare Integrity Program
• 42 U.S.C. § 1395eee — Payments to, and coverage of benefits under, programs of all-inclusive care for elderly (PACE)
• 42 U.S.C. § 1395fff — Prospective payment for home health services
• 42 U.S.C. § 1395ggg — Medicare subvention demonstration project for military retirees
• 42 U.S.C. § 1395hhh — Health care infrastructure improvement program
• 42 U.S.C. § 1396a — State plans for medical assistance
• 42 U.S.C. § 1396r — Requirements for nursing facilities
• 42 U.S.C. § 1396r-4 — 1396r–4. Adjustment in payment for inpatient hospital services furnished by disproportionate share hospitals
• 42 U.S.C. § 1396r-8 — 1396r–8. Payment for covered outpatient drugs
• 42 U.S.C. § 1396u-3 — 1396u–3. State coverage of medicare cost-sharing for additional low-income medicare beneficiaries
• 42 U.S.C. § 1396u-4 — 1396u–4. Program of all-inclusive care for elderly (PACE)
• 42 U.S.C. § 1396u-5 — 1396u–5. Special provisions relating to medicare prescription drug benefit
• 42 U.S.C. § 1396v — References to laws directly affecting medicaid program
• 42 U.S.C. § 1397dd — Allotments
• 42 U.S.C. § 11271 — Research program and plan
• 42 U.S.C. § 11272 — Dissemination
• 45 U.S.C. § 231f — Railroad Retirement Board
• 48 U.S.C. § 1421q-1 — 1421q–1. Applicability of laws referred to in section 502(a)(1) of Covenant to Establish a Commonwealth of the Northern Mariana Islands
• 48 U.S.C. § 1574-1 — 1574–1. Applicability of laws referred to in section 502(a)(1) of Covenant to Establish a Commonwealth of the Northern Mariana Islands
• 5 U.S.C. § 5314 — Positions at level III
• 5 U.S.C. § 5315 — Positions at level IV
• 26 U.S.C. § 226 — Cross reference
• 42 U.S.C. § 242q–1 — Membership
• 42 U.S.C. § 247b–3a — Training and reports by the Health Resources and Services Administration
• 42 U.S.C. § 299b–5 — Health care practice and technology innovation
• 42 U.S.C. § 299b–7 — Research on outcomes of health care items and services
• 42 U.S.C. § 300e–17 — Financial disclosure
• 42 U.S.C. § 300aa–2 — Program responsibilities
• 42 U.S.C. § 1320a–7 — Exclusion of certain individuals and entities from participation in Medicare and State health care programs
• 42 U.S.C. § 1320a–7b — Criminal penalties for acts involving Federal health care programs
• 42 U.S.C. § 1320b–10 — Prohibitions relating to references to Social Security or Medicare
• 42 U.S.C. § 1320b–12 — Research on outcomes of health care services and procedures
• 42 U.S.C. § 1320b–14 — Outreach efforts to increase awareness of the availability of medicare cost-sharing and subsidies for low-income individuals under subchapter XVIII
• 42 U.S.C. § 1320c–3 — Functions of quality improvement organizations
• 42 U.S.C. § 1395b–2 — Notice of medicare benefits; medicare and medigap information
• 42 U.S.C. § 1395b–3 — Health insurance advisory service for medicare beneficiaries
• 42 U.S.C. § 1395b–6 — Medicare Payment Advisory Commission
• 42 U.S.C. § 1395b–8 — Chronic care improvement
• 42 U.S.C. § 1395b–9 — Provisions relating to administration
• 42 U.S.C. § 1395i–2 — Hospital insurance benefits for uninsured elderly individuals not otherwise eligible
• 42 U.S.C. § 1395i–3 — Requirements for, and assuring quality of care in, skilled nursing facilities
• 42 U.S.C. § 1395i–4 — Medicare rural hospital flexibility program
• 42 U.S.C. § 1395i–5 — Conditions for coverage of religious nonmedical health care institutional services
• 42 U.S.C. § 1395w–3 — Competitive acquisition of certain items and services
• 42 U.S.C. § 1395w–3a — Use of average sales price payment methodology
• 42 U.S.C. § 1395w–3b — Competitive acquisition of outpatient drugs and biologicals
• 42 U.S.C. § 1395w–4 — Payment for physicians’ services
• 42 U.S.C. § 1395w–21 — Eligibility, election, and enrollment
• 42 U.S.C. § 1395w–22 — Benefits and beneficiary protections
• 42 U.S.C. § 1395w–23 — Payments to Medicare+Choice organizations
• 42 U.S.C. § 1395w–24 — Premiums and bid amounts
• 42 U.S.C. § 1395w–26 — Establishment of standards
• 42 U.S.C. § 1395w–27 — Contracts with Medicare+Choice organizations
• 42 U.S.C. § 1395w–27a — Special rules for MA regional plans
• 42 U.S.C. § 1395w–28 — Definitions; miscellaneous provisions
• 42 U.S.C. § 1395w–29 — Repealed.
• 42 U.S.C. § 1395w–101 — Eligibility, enrollment, and information
• 42 U.S.C. § 1395w–102 — Prescription drug benefits
• 42 U.S.C. § 1395w–103 — Access to a choice of qualified prescription drug coverage
• 42 U.S.C. § 1395w–104 — Beneficiary protections for qualified prescription drug coverage
• 42 U.S.C. § 1395w–111 — PDP regions; submission of bids; plan approval
• 42 U.S.C. § 1395w–112 — Requirements for and contracts with prescription drug plan (PDP) sponsors
• 42 U.S.C. § 1395w–113 — Premiums; late enrollment penalty
• 42 U.S.C. § 1395w–114 — Premium and cost-sharing subsidies for low-income individuals
• 42 U.S.C. § 1395w–115 — Subsidies for part D eligible individuals for qualified prescription drug coverage
• 42 U.S.C. § 1395w–116 — Medicare Prescription Drug Account in the Federal Supplementary Medical Insurance Trust Fund
• 42 U.S.C. § 1395w–131 — Application to Medicare Advantage program and related managed care programs
• 42 U.S.C. § 1395w–132 — Special rules for employer-sponsored programs
• 42 U.S.C. § 1395w–133 — State Pharmaceutical Assistance Programs
• 42 U.S.C. § 1395w–134 — Coordination requirements for plans providing prescription drug coverage
• 42 U.S.C. § 1395w–141 — Medicare prescription drug discount card and transitional assistance program
• 42 U.S.C. § 1395w–151 — Definitions; treatment of references to provisions in part C
• 42 U.S.C. § 1395w–152 — Miscellaneous provisions
• 42 U.S.C. § 1395cc–2 — Provisions for administration of demonstration program
• 42 U.S.C. § 1395cc–3 — Health care quality demonstration program
• 42 U.S.C. § 1395kk–1 — Contracts with medicare administrative contractors
• 42 U.S.C. § 1396r–4 — Adjustment in payment for inpatient hospital services furnished by disproportionate share hospitals
• 42 U.S.C. § 1396r–8 — Payment for covered outpatient drugs
• 42 U.S.C. § 1396u–3 — State coverage of medicare cost-sharing for additional low-income medicare beneficiaries
• 42 U.S.C. § 1396u–4 — Program of all-inclusive care for elderly (PACE)
• 42 U.S.C. § 1396u–5 — Special provisions relating to medicare prescription drug benefit
• 48 U.S.C. § 1421q–1 — Applicability of laws referred to in section 502(a)(1) of Covenant to Establish a Commonwealth of the Northern Mariana Islands
• 48 U.S.C. § 1574–1 — Applicability of laws referred to in section 502(a)(1) of Covenant to Establish a Commonwealth of the Northern Mariana Islands