medicare law: an overview
Medicare was enacted in 1965 as one of President Lyndon B. Johnson's Great Society programs. The current version of Medicare can be found at 42 U.S.C. § 1395 et seq. The Medicare system was originally administered by the Social Security Administration, but in 1977 management was transferred to the Health Care Financing Administration (HCFA, since renamed the Centers for Medicare and Medicade Services).
Medicare is a federally funded system of health and hospital insurance for U.S. citizens age sixty-five or older, for younger people receiving Social Security benefits, and for persons needing dialysis or kidney transplants for the treatment of end-stage renal disease. Typically, Medicare beneficiaries can receive medical care through physicians of their own choosing or through health maintenance organizations and other medical plants that have contracts with medicare. (See Health Law)
Eligibility for Medicare does not depend on income; almost everyone who is sixty-five and older is entitled to coverage. Workers are not required to retire when they reach sixty-five to be protected by Medicare. Coverage under Medicare is restricted to reasonable and medically necessary treatment in a hospital; to skilled nursing home, meals, and regular nursing care services; to pay the costs of necessary special care; and for home health services and hospice care for terminally ill patients. For further information, a good starting point is the official site for Medicare.
menu of sources
- 42 U.S.C. § 1395 et seq.
Federal Judicial Decisions
- U.S. Supreme Court:
- U.S. Circuit Courts of Appeals: Recent Medicare Decisions
State Judicial Decisions
- N.Y. Court of Appeals:
- Appellate Decisions from Other States
Key Internet Sources
- Federal Agencies:
- Center for Medicare and Medicaid Services, formerly the Health Care Financing Administration
- Health Policy Watch
- Medicare and the Law (Nolo)
- Senior Law Home Page- Medicare & Medicaid Updates
- Health Insurance Information