42 USC § 1396k - Assignment, enforcement, and collection of rights of payments for medical care; establishment of procedures pursuant to State plan; amounts retained by State
(a)
For the purpose of assisting in the collection of medical support payments and other payments for medical care owed to recipients of medical assistance under the State plan approved under this subchapter, a State plan for medical assistance shall—
(1)
provide that, as a condition of eligibility for medical assistance under the State plan to an individual who has the legal capacity to execute an assignment for himself, the individual is required—
(A)
to assign the State any rights, of the individual or of any other person who is eligible for medical assistance under this subchapter and on whose behalf the individual has the legal authority to execute an assignment of such rights, to support (specified as support for the purpose of medical care by a court or administrative order) and to payment for medical care from any third party;
(B)
to cooperate with the State
(i)
in establishing the paternity of such person (referred to in subparagraph (A)) if the person is a child born out of wedlock, and
(ii)
in obtaining support and payments (described in subparagraph (A)) for himself and for such person, unless (in either case) the individual is described in section
1396a
(l)(1)(A) of this title or the individual is found to have good cause for refusing to cooperate as determined by the State agency in accordance with standards prescribed by the Secretary, which standards shall take into consideration the best interests of the individuals involved; and
(C)
to cooperate with the State in identifying, and providing information to assist the State in pursuing, any third party who may be liable to pay for care and services available under the plan, unless such individual has good cause for refusing to cooperate as determined by the State agency in accordance with standards prescribed by the Secretary, which standards shall take into consideration the best interests of the individuals involved; and
(2)
provide for entering into cooperative arrangements (including financial arrangements), with any appropriate agency of any State (including, with respect to the enforcement and collection of rights of payment for medical care by or through a parent, with a State’s agency established or designated under section
654
(3) of this title) and with appropriate courts and law enforcement officials, to assist the agency or agencies administering the State plan with respect to
(b)
Such part of any amount collected by the State under an assignment made under the provisions of this section shall be retained by the State as is necessary to reimburse it for medical assistance payments made on behalf of an individual with respect to whom such assignment was executed (with appropriate reimbursement of the Federal Government to the extent of its participation in the financing of such medical assistance), and the remainder of such amount collected shall be paid to such individual.
(a)
For the purpose of assisting in the collection of medical support payments and other payments for medical care owed to recipients of medical assistance under the State plan approved under this subchapter, a State plan for medical assistance shall—
(1)
provide that, as a condition of eligibility for medical assistance under the State plan to an individual who has the legal capacity to execute an assignment for himself, the individual is required—
(A)
to assign the State any rights, of the individual or of any other person who is eligible for medical assistance under this subchapter and on whose behalf the individual has the legal authority to execute an assignment of such rights, to support (specified as support for the purpose of medical care by a court or administrative order) and to payment for medical care from any third party;
(B)
to cooperate with the State
(i)
in establishing the paternity of such person (referred to in subparagraph (A)) if the person is a child born out of wedlock, and
(ii)
in obtaining support and payments (described in subparagraph (A)) for himself and for such person, unless (in either case) the individual is described in section
1396a
(l)(1)(A) of this title or the individual is found to have good cause for refusing to cooperate as determined by the State agency in accordance with standards prescribed by the Secretary, which standards shall take into consideration the best interests of the individuals involved; and
(C)
to cooperate with the State in identifying, and providing information to assist the State in pursuing, any third party who may be liable to pay for care and services available under the plan, unless such individual has good cause for refusing to cooperate as determined by the State agency in accordance with standards prescribed by the Secretary, which standards shall take into consideration the best interests of the individuals involved; and
(2)
provide for entering into cooperative arrangements (including financial arrangements), with any appropriate agency of any State (including, with respect to the enforcement and collection of rights of payment for medical care by or through a parent, with a State’s agency established or designated under section
654
(3) of this title) and with appropriate courts and law enforcement officials, to assist the agency or agencies administering the State plan with respect to
(b)
Such part of any amount collected by the State under an assignment made under the provisions of this section shall be retained by the State as is necessary to reimburse it for medical assistance payments made on behalf of an individual with respect to whom such assignment was executed (with appropriate reimbursement of the Federal Government to the extent of its participation in the financing of such medical assistance), and the remainder of such amount collected shall be paid to such individual.
Source
(Aug. 14, 1935, ch. 531, title XIX, § 1912, as added Pub. L. 95–142, § 11(b),Oct. 25, 1977, 91 Stat. 1196; amended Pub. L. 98–369, div. B, title III, § 2367(b),July 18, 1984, 98 Stat. 1109; Pub. L. 99–272, title IX, § 9503(e),Apr. 7, 1986, 100 Stat. 207; Pub. L. 101–508, title IV, § 4606(a),Nov. 5, 1990, 104 Stat. 1388–170.)
Amendments
1990—Subsec. (a)(1)(B). Pub. L. 101–508inserted “the individual is described in section
1396a
(l)(1)(A) of this title or” after “unless (in either case)”.
1986—Subsec. (a)(1)(C). Pub. L. 99–272added subpar. (C).
1984—Subsec. (a). Pub. L. 98–369substituted “State plan for medical assistance shall” for “State plan for medical assistance may”.
Effective Date of 1990 Amendment
Section 4606(b) ofPub. L. 101–508provided that: “The amendment made by subsection (a) [amending this section] shall take effect on the date of the enactment of this Act [Nov. 5, 1990].”
Effective Date of 1986 Amendment
Amendment by Pub. L. 99–272applicable to calendar quarters beginning on or after Apr. 7, 1986, except as otherwise provided, see section 9503(g)(1), (2) ofPub. L. 99–272, set out as a note under section
1396a of this title.
Effective Date of 1984 Amendment
Amendment by Pub. L. 98–369effective Oct. 1, 1984, except as otherwise provided, see section 2367(c) ofPub. L. 98–369, set out as a note under section
1396a of this title.
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