# 42 U.S.C. § 1395cc: Agreements with providers of services; enrollment processes

> Federal · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/usc_t42_s1395cc

## Section

- **Citation:** 42 U.S.C. § 1395cc
- **Heading:** Agreements with providers of services; enrollment processes
- **Jurisdiction:** Federal
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** September 9, 2026
- **Source:** Publisher's official text
- **Location:** Title 42—THE PUBLIC HEALTH AND WELFARE > CHAPTER 7—SOCIAL SECURITY > SUBCHAPTER XVIII—HEALTH INSURANCE FOR AGED AND DISABLED > Part E—Miscellaneous Provisions

## Text

not to charge, except as provided in paragraph (2), any individual or any other person for items or services for which such individual is entitled to have payment made under this subchapter (or for which he would be so entitled if such provider of services had complied with the procedural and other requirements under or pursuant to this subchapter or for which such provider is paid pursuant to the provisions of section 1395f(e) of this title ), and (ii) not to impose any charge that is prohibited under section 1396a(n)(3) of this title ,

( Aug. 14, 1935, ch. 531 , title XVIII, § 1866, as added Pub. L. 89–97, title I, § 102(a) , July 30, 1965 , 79 Stat. 327 ; amended Pub. L. 90–248, title I , §§ 129(c)(12), 133(c), 135(b), Jan. 2, 1968 , 81 Stat. 849 , 851, 852; Pub. L. 92–603, title II , §§ 223(e), (g), 227(d)(2), 229(b), 249A(b)–(d), 278(a)(17), (b)(18), 281(c), Oct. 30, 1972 , 86 Stat. 1394 , 1406, 1409, 1427, 1453–1455; Pub. L. 95–142 , §§ 3(b), 8(b), 13(b)(3), 15(a), Oct. 25, 1977 , 91 Stat. 1178 , 1194, 1195, 1198, 1200; Pub. L. 95–210, § 2(e) , Dec. 13, 1977 , 91 Stat. 1489 ; Pub. L. 95–292, § 4(e) , June 13, 1978 , 92 Stat. 315 ; Pub. L. 96–272, title III, § 308(b) , June 17, 1980 , 94 Stat. 531 ; Pub. L. 96–499, title IX, § 916(a) , Dec. 5, 1980 , 94 Stat. 2623 ; Pub. L. 96–611, § 1(b)(4) , Dec. 28, 1980 , 94 Stat. 3566 ; Pub. L. 97–35, title XXI, § 2153 , Aug. 13, 1981 , 95 Stat. 802 ; Pub. L. 97–248, title I , §§ 122(g)(5), (6), 128(a)(5), (d)(4), 144, Sept. 3, 1982 , 96 Stat. 362 , 366, 367, 393; Pub. L. 97–448, title III, § 309(a)(5) , (b)(11), Jan. 12, 1983 , 96 Stat. 2408 , 2409; Pub. L. 98–21, title VI, § 602(f) , ( l ), Apr. 20, 1983 , 97 Stat. 163 , 166; Pub. L. 98–369, div. B, title III , §§ 2303(f), 2315(d), 2321(c), 2323(b)(3), 2335(d), 2347(a), 2348(a), 2354(b)(33), (34), July 18, 1984 , 98 Stat. 1066 , 1080, 1084, 1086, 1090, 1096, 1097, 1102; Pub. L. 99–272, title IX , §§ 9121(a), 9122(a), 9401(b)(2)(F), 9402(a), 9403(b), Apr. 7, 1986 , 100 Stat. 164 , 167, 199, 200; Pub. L. 99–509, title IX , §§ 9305(b)(1), 9320(h)(2), 9332(e)(1), 9337(c)(2), 9343(c)(2), (3), 9353(e)(1), Oct. 21, 1986 , 100 Stat. 1989 , 2016, 2025, 2034, 2040, 2047; Pub. L. 99–514, title XVIII, § 1895(b)(5) , Oct. 22, 1986 , 100 Stat. 2933 ; Pub. L. 99–576, title II, § 233(a) , Oct. 28, 1986 , 100 Stat. 3265 ; Pub. L. 100–93, § 8(d) , Aug. 18, 1987 , 101 Stat. 693 ; Pub. L. 100–203, title IV , §§ 4012(a), 4062(d)(4), 4085(i)(17), (28), 4097(a), (b), 4212(e)(4), Dec. 22, 1987 , 101 Stat. 1330–60 , 1330–109, 1330–133, 1330–140, 1330–213, as amended Pub. L. 100–360, title IV, § 411(i)(4)(C)(vi) , (j)(5), July 1, 1988 , 102 Stat. 790 , 791; Pub. L. 100–360, title I, § 104(d)(5) , title II, §§ 201(b), (d), 202(h)(1), title IV, § 411(c)(2)(A)(i), (C), (g)(1)(D), July 1, 1988 , 102 Stat. 689 , 702, 718, 772, 782, as amended Pub. L. 100–485, title VI, § 608(d)(3)(F) , (19)(A), Oct. 13, 1988 , 102 Stat. 2414 , 2419; Pub. L. 100–485, title VI, § 608(f)(1) , Oct. 13, 1988 , 102 Stat. 2424 ; Pub. L. 101–234, title I, § 101(a) , title II, § 201(a), title III, § 301(b)(4), (d)(1), Dec. 13, 1989 , 103 Stat. 1979 , 1981, 1985, 1986; Pub. L. 101–239, title VI , §§ 6003(g)(3)(D)(xii), (xiii), 6017, 6018(a), 6020, 6112(e)(3), Dec. 19, 1989 , 103 Stat. 2154 , 2165, 2166, 2216; Pub. L. 101–508, title IV , §§ 4008(b)(3)(B), (m)(3)(G)[(F)], 4153(d)(1), 4157(c)(2), 4162(b)(2), 4206(a), Nov. 5, 1990 , 104 Stat. 1388–44 , 1388–54, 1388–84, 1388–89, 1388–96, 1388–115; Pub. L. 102–54, § 13(q)(3)(F) , June 13, 1991 , 105 Stat. 280 ; Pub. L. 102–83, § 5(c)(2) , Aug. 6, 1991 , 105 Stat. 406 ; Pub. L. 103–296, title I, § 108(c)(5) , Aug. 15, 1994 , 108 Stat. 1485 ; Pub. L. 103–432, title I , §§ 106(b)(1)(B), 147(e)(7), 156(a)(2)(E), 160(d)(2), Oct. 31, 1994 , 108 Stat. 4406 , 4430, 4441, 4443; Pub. L. 104–191, title II, § 262(b)(1) , Aug. 21, 1996 , 110 Stat. 2031 ; Pub. L. 105–12, § 9(a)(2) , Apr. 30, 1997 , 111 Stat. 26 ; Pub. L. 105–33, title IV , §§ 4002(d), (e), 4201(c)(1), 4302(a), 4321(b), 4432(b)(5)(F), 4511(a)(2)(D), 4523(b), 4541(a)(3), 4641(a), 4714(b)(1), Aug. 5, 1997 , 111 Stat. 329 , 373, 382, 395, 422, 442, 449, 456, 487, 510; Pub. L. 106–113, div. B, § 1000(a)(6) [title III, § 321(k)(11), (12)] , Nov. 29, 1999 , 113 Stat. 1536 , 1501A–368; Pub. L. 106–554, § 1(a)(6) [title III, § 313(b)(3)] , Dec. 21, 2000 , 114 Stat. 2763 , 2763A–499; Pub. L. 108–173, title II, § 236(a)(1) , title V, §§ 505(b), 506(a), title VII, § 736(a)(13), title IX, §§ 932(b), (c)(1), 936(a), 947(a), Dec. 8, 2003 , 117 Stat. 2210 , 2294, 2355, 2400, 2401, 2411, 2425; Pub. L. 110–275, title I, § 143(b)(8) , July 15, 2008 , 122 Stat. 2543 ; Pub. L. 111–148, title III, § 3005 , title VI, §§ 6401(a), 6406(b), title X, § 10603, Mar. 23, 2010 , 124 Stat. 371 , 747, 769, 1006; Pub. L. 111–152, title I, § 1304 , Mar. 30, 2010 , 124 Stat. 1058 ; Pub. L. 111–192, title I, § 103(b) , (c), June 25, 2010 , 124 Stat. 1283 ; Pub. L. 112–40, title II, § 261(a)(3)(A) , (D), Oct. 21, 2011 , 125 Stat. 423 ; Pub. L. 114–42, § 2 , Aug. 6, 2015 , 129 Stat. 468 ; Pub. L. 114–255, div. C, title XVII, § 17004(a) , (b)(2)(A), Dec. 13, 2016 , 130 Stat. 1331 , 1333; Pub. L. 115–182, title I, § 144(a)(2) , June 6, 2018 , 132 Stat. 1430 ; Pub. L. 115–271, title II, § 2005(d) , Oct. 24, 2018 , 132 Stat. 3930 ; Pub. L. 116–260, div. CC, title I, § 125(b)(1) , (2)(A), Dec. 27, 2020 , 134 Stat. 2965 ; Pub. L. 117–328, div. FF, title IV, § 4124(b)(4)(B) , Dec. 29, 2022 , 136 Stat. 5909 .)

## Nearby sections

- [42 U.S.C. § 1395aa Agreements with States](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395aa.md)
- [42 U.S.C. § 1395aaa Contract with a consensus-based entity regarding performance measurement](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395aaa.md)
- [42 U.S.C. § 1395aaa–1 Quality and efficiency measurement](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395aaa%E2%80%931.md)
- [42 U.S.C. § 1395bb Effect of accreditation](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395bb.md)
- [42 U.S.C. § 1395bbb Conditions of participation for home health agencies; home health quality](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395bbb.md)
- [42 U.S.C. § 1395c Description of program](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395c.md)
- [42 U.S.C. § 1395cc Agreements with providers of services; enrollment processes](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395cc.md)
- [42 U.S.C. § 1395cc–1 Demonstration of application of physician volume increases to group practices](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395cc%E2%80%931.md)
- [42 U.S.C. § 1395cc–2 Provisions for administration of demonstration program](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395cc%E2%80%932.md)
- [42 U.S.C. § 1395cc–3 Health care quality demonstration program](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395cc%E2%80%933.md)
- [42 U.S.C. § 1395cc–4 National pilot program on payment bundling](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395cc%E2%80%934.md)
- [42 U.S.C. § 1395cc–5 Independence at home medical practice demonstration program](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395cc%E2%80%935.md)
- [42 U.S.C. § 1395cc–6 Opioid use disorder treatment demonstration program](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395cc%E2%80%936.md)
- [42 U.S.C. § 1395cc–7 Extension of Acute Hospital Care at Home initiative](https://www.frixlaw.com/law-library/statutes/usc_t42_s1395cc%E2%80%937.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/usc_t42_s1395cc. Check the current official text before relying on it. Not legal advice.