US Code

Public Law 119-73 (01/23/2026)

42 U.S.C. § 1395w

Appropriations to cover Government contributions and contingency reserve

(a)

In general

There are authorized to be appropriated from time to time, out of any moneys in the Treasury not otherwise appropriated, to the Federal Supplementary Medical Insurance Trust Fund—
(1)
(A)
a Government contribution equal to the aggregate premiums payable for a month for enrollees age 65 and over under this part and deposited in the Trust Fund, multiplied by the ratio of—
(i)
section 1395r(a)(1) of this titlesection 1395r(a)(3) of this title twice the dollar amount of the actuarially adequate rate per enrollee age 65 and over as determined under for such month minus the dollar amount of the premium per enrollee for such month, as determined under , to
(ii)
the dollar amount of the premium per enrollee for such month, plus
(B)
a Government contribution equal to the aggregate premiums payable for a month for enrollees under age 65 under this part and deposited in the Trust Fund, multiplied by the ratio of—
(i)
section 1395r(a)(4) of this titlesection 1395r(a)(3) of this title twice the dollar amount of the actuarially adequate rate per enrollee under age 65 as determined under for such month minus the dollar amount of the premium per enrollee for such month, as determined under , to
(ii)
the dollar amount of the premium per enrollee for such month; minus
(C)
section 1395r(i) of this title the aggregate amount of additional premium payments attributable to the application of ; plus
(2)
such sums as the Secretary deems necessary to place the Trust Fund, at the end of any fiscal year occurring after , in the same position in which it would have been at the end of such fiscal year if (A) a Government contribution representing the excess of the premiums deposited in the Trust Fund during the fiscal year ending , over the Government contribution actually appropriated to the Trust Fund during such fiscal year had been appropriated to it on , and (B) the Government contribution for premiums deposited in the Trust Fund after , had been appropriated to it when such premiums were deposited; plus
(3)
ol a Government contribution equal to the amount of payment incentives payable under sections 1395w–4() and 1395w–23()(3) of this title; plus
(4)
section 1395r(a)(1) of this titlesection 1395r(j) of this titleo a Government contribution equal to the estimated aggregate reduction in premiums payable under part B that results from establishing the premium at 15 percent of the actuarial rate (as would be determined in accordance with if the reference to “one-half” in such section were a reference to “100 percent”) under instead of 25 percent of such rate (as so determined) for individuals enrolled only for the purpose of coverage of immunosuppressive drugs under section 1395(b) of this title.
In applying paragraph (1), the amounts transferred under subsection (d)(1) with respect to enrollees described in subparagraphs (A) and (B) of such subsection shall be treated as premiums payable and deposited in the Trust Fund under subparagraphs (A) and (B), respectively, of paragraph (1). In applying paragraph (1), the amounts transferred under subsection (e)(1) with respect to enrollees described in subparagraphs (A) and (B) of such subsection shall be treated as premiums payable and deposited in the Trust Fund under subparagraphs (A) and (B), respectively, of paragraph (1). The Government contribution under paragraph (4) shall be treated as premiums payable and deposited for purposes of subparagraphs (A) and (B) of paragraph (1).
(b)

Contingency reserve

In order to assure prompt payment of benefits provided under this part and the administrative expenses thereunder during the early months of the program established by this part, and to provide a contingency reserve, there is also authorized to be appropriated, out of any moneys in the Treasury not otherwise appropriated, to remain available through the calendar year 1969 for repayable advances (without interest) to the Trust Fund, an amount equal to $18 multiplied by the number of individuals (as estimated by the Secretary) who could be covered in July 1966 by the insurance program established by this part if they had theretofore enrolled under this part.

(c)

Election under section 1395w–24

section 1395w–24(f)(1)(E) of this title1

1 See References in Text note below.
1section 1395r(i) of this titleThe Secretary shall determine the Government contribution under subparagraphs (A) and (B) of subsection (a)(1) without regard to any premium reduction resulting from an election under or any credits provided under section 1395w–24(b)(1)(C)(iv)  of this title and without regard to any premium adjustment effected under sections 1395r(h) and 1395w–29(f)  of this title and without regard to any premium adjustment under .

(d)

Transfer of certain General Fund amounts for 2016

(1)
section 1395r(i) of this titlesection 1395r(a)(5)(A) of this title For 2016, there shall be transferred from the General Fund to the Trust Fund an amount, as estimated by the Chief Actuary of the Centers for Medicare & Medicaid Services, equal to the reduction in aggregate premiums payable under this part for a month in such year (excluding any changes in amounts collected under ) that is attributable to the application of with respect to—
(A)
enrollees age 65 and over; and
(B)
enrollees under age 65.
Such amounts shall be transferred from time to time as appropriate.
(2)
section 1395r(a)(6) of this title Premium increases affected under shall not be taken into account in applying subsection (a).
(3)
section 1395r(a)(6) of this titlesection 1395r(i)(3)(A)(ii)(II) of this title There shall be transferred from the Trust Fund to the General Fund of the Treasury amounts equivalent to the additional premiums payable as a result of the application of , excluding the aggregate payments attributable to the application of .
(e)

Transfer of certain General Fund amounts for 2021

(1)
section 1395r(i) of this titlesection 1395r(a)(7) of this title For 2021, there shall be transferred from the General Fund to the Trust Fund an amount, as estimated by the Chief Actuary of the Centers for Medicare & Medicaid Services, equal to the reduction in aggregate premiums payable under this part for a month in such year (excluding any changes in amounts collected under ) that are attributable to the application of with respect to—
(A)
enrollees age 65 and over; and
(B)
enrollees under age 65.
Such amounts shall be transferred from time to time as appropriate.
(2)
section 1395r(a)(6) of this title Premium increases affected under shall not be taken into account in applying subsection (a).
(3)
section 1395r(a)(6) of this titlesection 1395r(i)(3)(A)(ii)(II) of this title There shall be transferred from the Trust Fund to the General Fund of the Treasury amounts equivalent to the additional premiums payable as a result of the application of , excluding the aggregate payments attributable to the application of .
(f)

Transfer of certain General Fund amounts for COVID–19 public health emergency period

(1)
section 1320b–5(g)(1)(B) of this title There shall be transferred from the General Fund of the Treasury to the Trust Fund an amount, as estimated by the Chief Actuary of the Centers for Medicare & Medicaid Services, equal to amounts paid in advance for items and services under this part during the period beginning on the first day of the emergency period described in and ending on .
(2)
There shall be transferred from the Trust Fund to the General Fund of the Treasury amounts equivalent to the sum of—
(A)
the amounts by which claims have offset (in whole or in part) the amount of such payments described in paragraph (1); and
(B)
the amount of such payments that have been repaid (in whole or in part).
(3)
Amounts described in paragraphs (1) and (2) shall be transferred from time to time as appropriate.

Aug. 14, 1935, ch. 531Pub. L. 89–97, title I, § 102(a)79 Stat. 313Pub. L. 90–248, title I, § 16781 Stat. 874Pub. L. 92–603, title II, § 203(e)86 Stat. 1377Pub. L. 97–248, title I, § 124(c)96 Stat. 364Pub. L. 98–21, title VI, § 606(a)(3)(F)97 Stat. 171Pub. L. 98–369, div. B, title III, § 2354(b)(16)98 Stat. 1101Pub. L. 100–360, title II, § 211(c)(2)102 Stat. 738Pub. L. 101–234, title II, § 202(a)103 Stat. 1981Pub. L. 105–33, title IV, § 4571(b)(2)111 Stat. 464Pub. L. 106–554, § 1(a)(6) [title VI, § 606(a)(2)(D)]114 Stat. 2763Pub. L. 108–173, title IIl117 Stat. 2206Pub. L. 111–5, div. B, title IV, § 4103(a)(2)123 Stat. 487Pub. L. 114–74, title VI, § 601(b)129 Stat. 595Pub. L. 116–159, div. C, title IV, § 2401(b)134 Stat. 732Pub. L. 116–260, div. CC, title IV, § 402(e)134 Stat. 3001(, title XVIII, § 1844, as added , , ; amended , , ; , , ; , , ; , (G), , ; , , ; , , ; , , ; , , ; , , , 2763A–558; , §§ 222()(2)(C), 241(b)(2)(B), title VIII, § 811(b)(2), , , 2221, 2368; , , ; , , ; , (c), , , 733; , , .)

Editorial Notes

References in Text

Section 1395w–24(b)(1)(C)(iv) of this titlesection 1395w–24(b)(1)(C)(v) of this titlePub. L. 111–148, title III, § 3202(b)(1)(B)124 Stat. 454section 1395w–24(b)(1)(C)(viii) of this titlePub. L. 111–152, title I, § 1102(d)(2)124 Stat. 1045, referred to in subsec. (c), was redesignated by , , , and subsequently redesignated by , , .

Section 1395w–29 of this titlePub. L. 111–152, title I, § 1102(f)124 Stat. 1046, referred to in subsec. (c), was repealed by , , .

Amendments

Pub. L. 116–260, § 402(e)(3)2020—Subsec. (a). , inserted at end of concluding provisions “The Government contribution under paragraph (4) shall be treated as premiums payable and deposited for purposes of subparagraphs (A) and (B) of paragraph (1).”

Pub. L. 116–159, § 2401(b)(1), inserted at end of concluding provisions “In applying paragraph (1), the amounts transferred under subsection (e)(1) with respect to enrollees described in subparagraphs (A) and (B) of such subsection shall be treated as premiums payable and deposited in the Trust Fund under subparagraphs (A) and (B), respectively, of paragraph (1).”

Pub. L. 116–260, § 402(e)Subsec. (a)(4). , added par. (4).

Pub. L. 116–159, § 2401(b)(2)Subsec. (e). , added subsec. (e).

Pub. L. 116–159, § 2401(c)Subsec. (f). , added subsec. (f).

Pub. L. 114–74, § 601(b)(1)2015—Subsec. (a). , inserted concluding provisions.

Pub. L. 114–74, § 601(b)(2)Subsec. (d). , added subsec. (d).

Pub. L. 111–52009—Subsec. (a)(2), (3). in par. (2) substituted “; plus” for period at end and added par. (3).

Pub. L. 108–173, § 811(b)(2)(A)(i)2003—Subsec. (a)(1)(B)(ii). , substituted “minus” for “plus”.

Pub. L. 108–173, § 811(b)(2)(A)(ii)Subsec. (a)(1)(C). , added subpar. (C).

Pub. L. 108–173, § 811(b)(2)(B)section 1395r(i) of this titleSubsec. (c). , inserted “and without regard to any premium adjustment under ” before period at end.

Pub. L. 108–173, § 241(b)(2)(B), inserted “and without regard to any premium adjustment effected under sections 1395r(h) and 1395w–29(f) of this title” before period at end.

Pub. L. 108–173, § 222lsection 1395w–24(b)(1)(C)(iv) of this titlesection 1395w–24(f)(1)(E) of this title()(2)(C), inserted “or any credits provided under ” after “”.

Pub. L. 106–5542000—Subsec. (c). added subsec. (c).

Pub. L. 105–33section 1395r(a)(3) of this title1997—Subsec. (a)(1)(A)(i), (B)(i). substituted “” for “section 1395r(a)(3) or 1395r(e) of this title, as the case may be”.

Pub. L. 101–234Pub. L. 100–360, § 211(c)(2)1989—Subsec. (a). repealed , and provided that the provisions of law amended or repealed by such section are restored or revised as if such section had not been enacted, see 1988 Amendment note below.

Pub. L. 100–360section 1395r(g) of this title1988—Subsec. (a). inserted at end “In computing the amount of aggregate premiums and premiums per enrollee under paragraph (1), there shall not be taken into account premiums attributable to or section 59B of the Internal Revenue Code of 1986.”

Pub. L. 98–3691984—Subsec. (a)(1)(B)(ii). substituted “; plus” for a period.

Pub. L. 98–21, § 606(a)(3)(F)1983—Subsec. (a)(1)(A)(i). , substituted “section 1395r(a)(1)” for “section 1395r(c)(1)” and “section 1395r(a)(3) or 1395r(e)” for “section 1395r(c)(3) or 1395r(g)”.

Pub. L. 98–21, § 606(a)(3)(G)Subsec. (a)(1)(B)(i). , substituted “1395r(a)(4)” for “1395r(c)(4)” and “1395r(a)(3) or 1395r(e)” for “1395r(c)(3) or 1395r(g)”.

Pub. L. 97–248section 1395r(c)(3) of this title1982—Subsec. (a)(1)(A)(i), (B)(i). substituted “section 1395r(c)(3) or 1395r(g) of this title, as the case may be” for “”.

Pub. L. 92–6031972—Subsec. (a)(1). designated existing provisions as subpar. (A), substituted provisions relating to Government contributions equal to aggregate premiums payable for a month for enrollees age 65 and over under this part and deposited in Trust Fund, and multiplied by specified ratio, for provisions relating to Government contributions equal to aggregate premiums payable under this part and deposited in Trust Fund, and added subpar. (B).

Pub. L. 90–248, § 167(a)1968—Subsec. (a). , designated existing provisions as par. (1), inserted provision for deposit of Government contribution in Trust Fund, and added par. (2).

Pub. L. 90–248, § 167(b)Subsec. (b). , substituted “1969” for “1967”.

Statutory Notes and Related Subsidiaries

Effective Date of 2003 Amendment

lPub. L. 108–173section 223(a) of Pub. L. 108–173section 1395w–21 of this titleAmendment by section 222()(2)(C) of applicable with respect to plan years beginning on or after , see , set out as a note under .

Effective Date of 2000 Amendment

Pub. L. 106–554Pub. L. 106–554section 1395r of this titleAmendment by applicable to years beginning with 2003, see section 1(a)(6) [title VI, § 606(b)] of , set out as a note under .

Effective Date of 1989 Amendment

Pub. L. 101–234section 202(b) of Pub. L. 101–234section 401 of this titleAmendment by effective , and applicable to premiums for months beginning after , see , set out as a note under .

Effective Date of 1988 Amendment

Pub. L. 100–360section 211(d) of Pub. L. 100–360section 1395r of this titleAmendment by applicable, except as otherwise specified in such amendment, to monthly premiums for months beginning with January 1989, see , set out as a note under .

Effective Date of 1984 Amendment

Pub. L. 98–369section 2354(e)(1) of Pub. L. 98–369section 1320a–1 of this titleAmendment by effective , but not to be construed as changing or affecting any right, liability, status, or interpretation which existed (under the provisions of law involved) before that date, see , set out as a note under .

Effective Date of 1983 Amendment; Transitional Rule

Pub. L. 98–21section 606(c) of Pub. L. 98–21section 1395r of this titleAmendment by applicable to premiums for months beginning with January 1984, but for months after June 1983 and before January 1984, the amount of Government contributions under subsec. (a)(1) of this section shall be computed with the actuarially adequate rate which would have been in effect but for the amendments made by this section and using the amount of the premium in effect for June 1983, see , set out as a note under .

Effective Date of 1972 Amendment

Pub. L. 92–603, title II, § 203(e)86 Stat. 1377, , , provided that the amendment made by that section is effective with respect to enrollee premiums payable for months after June 1973.

Construction of 2015 Amendment; Conditional Application to 2017

Pub. L. 114–74Pub. L. 114–74section 1395r of this titleFor provisions relating to construction and application of amendment by , see sections 601(d) and 601(e) of , set out as notes under .