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42 U.S.C. § 1395q

Coverage period

United States · Title 42 — THE PUBLIC HEALTH AND WELFARE · Status: effective

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42 U.S.C. § 1395q, Coverage period, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/477272
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Full text

The period during which an individual is entitled to benefits under the insurance program established by this part (hereinafter referred to as his “coverage period”) shall begin on whichever of the following is the latest: in the case of an individual who first satisfies such paragraph in a month beginning before January 2023 and who enrolls pursuant to such subsection (d)— in the case of an individual who enrolls pursuant to subsection (e) of section 1395p of this title in a month beginning— in the case of an individual who is deemed to have enrolled— on or after the first day of the fourth month of his initial enrollment period, and where such month begins— An individual’s coverage period shall continue until his enrollment has been terminated— In the case of an individual satisfying paragraph (1) of section 1395o(a) of this title whose entitlement to hospital insurance benefits under part A is based on a disability rather than on his having attained the age of 65, his coverage period (and his enrollment under this part) shall be terminated as of the close of the last month for which he is entitled to hospital insurance benefits. No payments may be made under this part with respect to the expenses of an individual unless such expenses were incurred by such individual during a period which, with respect to him, is a coverage period. Notwithstanding subsection (a), in the case of an individual who enrolls during a special enrollment period pursuant to section 1395p(i)(3) or 1395p(i)(4)(B) of this title— Notwithstanding subsection (a), in the case of an individual who enrolls during a special enrollment period pursuant to section 1395p(k) of this title, the coverage period shall begin on the first day of the month following the month in which the individual so enrolls. Notwithstanding subsection (a), in the case of an individual who enrolls during a special enrollment period pursuant to section 1395p(m) of this title, the coverage period shall begin on a date the Secretary provides in a manner consistent (to the extent practicable) with protecting continuity of health benefit coverage. In the case of an individual described in section 1395o(b)(1) of this title, the following rules shall apply: Notwithstanding subsection (a), in the case of an individual who enrolls during the special enrollment period pursuant to section 1395p(o) of this title, the coverage period shall begin on January 1, 2025.

Legislative history

The public laws that enacted or amended this section. Tallies are for the whole bill as it passed each chamber — often an omnibus covering far more than this provision — not a vote on this section alone. The law that originally enacted this section predates the public laws loaded here, so only later amendments are listed.

  • Amended byPub. L. 96-499(H.R. 7765)1980-12-05
    Omnibus Reconciliation Act of 1980
    House: no recorded tallySenate: no recorded tally
  • Amended byPub. L. 97-35(H.R. 3982)1981-08-13
    Omnibus Budget Reconciliation Act of 1981
    House: no recorded tallySenate: no recorded tally
  • Amended byPub. L. 98-369(H.R. 4170)1984-07-18
    Deficit Reduction Act of 1984
    House: no recorded tallySenate: no recorded tally
  • Amended byPub. L. 99-272(H.R. 3128)1986-04-07
    Consolidated Omnibus Budget Reconciliation Act of 1985
    House: no recorded tallySenate: no recorded tally
  • Amended byPub. L. 99-509(H.R. 5300)1986-10-21
    Omnibus Budget Reconciliation Act of 1986
    House: no recorded tallySenate: no recorded tally
  • Amended byPub. L. 103-432(H.R. 5252)1994-10-31
    Social Security Act Amendments of 1994
    House: no recorded tallySenate: no recorded tally
  • Amended byPub. L. 105-33(H.R. 2015)1997-08-05
    Balanced Budget Act of 1997
  • Amended byPub. L. 108-173(H.R. 1)2003-12-08
    Medicare Prescription Drug, Improvement, and Modernization Act of 2003
  • Amended byPub. L. 109-171(S. 1932)2006-02-08
    Deficit Reduction Act of 2005
  • Amended byPub. L. 116-260(H.R. 133)2020-12-27
    Consolidated Appropriations Act, 2021
    House: no recorded tallySenate: no recorded tally
  • Amended byPub. L. 117-108(H.R. 3076)2022-04-06
    Postal Service Reform Act of 2022