APPENDIX

Public Law 92-603, 92nd Congress, H.R. 1 October 30, 1972

Chronic Renal Disease Considered to Constitute Disability

Sec. 299I. Effective with respect to services provided on and after July 1, 1973, section 226 of the Social Security Act (as amended by section 201(b)(5) of the Act) is amended by redesignating subsection (e) as subsection (f), and by inserting after subsection (d) the following new subsection:

“(e) Notwithstanding the foregoing provisions of this section, every individual who—

“(1) has not attained the age of 65;

“(2) (A) is fully or currently insured (as such terms are defined in section 214 of this Act), or (B) is entitled to monthly insurance benefits under title II of this Act, or (C) is the spouse or dependent child (as defined in regulations) of an individual who is fully or currently insured, or (D) is the spouse or dependent child (as defined in regulations) of an individual entitled to monthly insurance benefits under title II of this Act; and

“(3) is medically determined to have chronic renal disease and who requires hemodialysis or renal transplantation for such disease;

shall be deemed to be disabled for purposes of coverage under parts A and B of Medicare subject to the deductible, premium, and copayment provisions of title XVIII.

“(f) Medicare eligibility on the basis of chronic kidney failure shall begin with the third month after the month in which a course of renal dialysis is initiated and would end with the twelfth month after the month in which the person has a renal transplant or such course of dialysis is terminated.

“(g) The Secretary is authorized to limit reimbursement under Medicare for kidney transplant and dialysis to kidney disease treatment centers which meet such requirements as he may by regulation prescribe: Provided, That such requirements must include at least requirements for a minimal utilization rate for covered procedures and for a medical review board to screen the appropriateness of patients for the proposed treatment procedures.”

NOTES

1. Workshop participants, with historical identities noted, included Carl W. Gottschalk, M.D., who had chaired the Bureau of the Budget Committee in



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