Medicaid premiums and cost-sharing limits

What this document is

42 U.S.C. s. 1396o: Medicaid premiums and cost-sharing limits is a state statute published by U.S. Government Publishing Office (govinfo.gov). It is one of the documents that insurance license exam questions are written from, including life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

• 42 U.S.C. § 1396o(a)(1), general prohibition on enrollment fees and premiums for categorically eligible individuals

  “Subject to subsections (g), (i), and (j), the State plan shall provide that in the case of individuals described in subparagraph (A) or (E)(i) of section 1396a(a)(10) of this title who are eligible under the plan - (1) no enrollment fee, premium, or similar charge will be imposed under the plan...”

• 42 U.S.C. § 1396o(e), prohibition of denial of services on basis of inability to pay charges

  “The State plan shall require that no provider participating under the State plan may deny care or services to an individual eligible for such care or services under the plan on account of such individual's inability to pay a deduction, cost sharing, or similar charge. The requirements of this...”

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Questions about this source

More Federal sources sources

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• Fair Credit Reporting Act - 15 U.S.C. § 1681a (Definitions)State statute
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