Title 42, The Public Health and WelfareRelease 119-110
§1320c–7 Application of This Part to Certain State Programs Receiving Federal Financial Assistance
Title 42 › CHAPTER 7 — SOCIAL SECURITY › SUBCHAPTER XI — GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE SIMPLIFICATION › Part B — Peer Review of Utilization and Quality of Health Care Services › § 1320c–7
Summary
A State Medicaid plan may have a quality improvement organization that already has a federal contract carry out the plan's quality work in an area. The Federal government must pay 75% of that organization's costs.
Full Legal Text
Title 42, §1320c–7
The Public Health and Welfare, Source: USLM XML via OLRC
(a)State plan provision that functions of quality improvement organizations may be performed by contract with such organization
A State plan approved under subchapter XIX of this chapter may provide that the functions specified in section 1320c–3 of this title may be performed in an area by contract with a quality improvement organization that has entered into a contract with the Secretary in accordance with the provisions of section 1395y(g) of this title.
(b)Federal share of expenditures
In the event a State enters into a contract in accordance with subsection (a), the Federal share of the expenditures made to the contracting organization for its costs in the performance of its functions under the State plan shall be 75 percent (as provided in section 1396b(a)(3)(C) of this title).
Legislative History
Notes & Related Subsidiaries
Editorial Notes
Prior Provisions
A prior section 1320c–7, act Aug. 14, 1935, ch. 531, title XI, § 1158, as added Oct. 30, 1972, Pub. L. 92–603, title II, § 249F(b), 86 Stat. 1437; amended Oct. 25, 1977, Pub. L. 95–142, §§ 5(d)(1), 22(a), 91 Stat. 1185, 1208; Dec. 5, 1980, Pub. L. 96–499, title IX, §§ 902(a)(3), 931(h), 94 Stat. 2613, 2634; Aug. 13, 1981, Pub. L. 97–35, title XXI, §§ 2113(e), 2121(g), 95 Stat. 794, 796, related to review approval as a condition of payment of claims, prior to the general revision of this part by Pub. L. 97–248.
Amendments
2011—Subsec. (a). Pub. L. 112–40 substituted “quality improvement” for “utilization and quality control peer review” in text.
Statutory Notes and Related Subsidiaries
Effective Date
of 2011 AmendmentAmendment by Pub. L. 112–40 applicable to contracts entered into or renewed on or after Jan. 1, 2012, see section 261(e) of Pub. L. 112–40, set out as a note under section 1320c of this title.
Reference
Citations & Metadata
Citation
42 U.S.C. § 1320c–7
Title 42, The Public Health and Welfare
Last Updated
Sep 23, 2026
Release point: 119-110