Medicare and Medicaid Act (1965)
Citation: An act to provide a hospital insurance program for the aged under the Social Security Act with a supplementary medical benefits program and an expanded program of medical assistance, to increase benefits under the Old-Age, Survivors, and Disability Insurance System, to improve the Federal-State public assistance programs, and for other purposes, July 30, 1965; Enrolled Acts and Resolutions of Congress, 1789-; General Records of the United States Government; Record Group 11; National Archives
引文：1965 年 7 月 30 日，根据《社会保障法》为老年人提供医院保险计划、补充医疗福利计划和扩大医疗援助计划、增加老年、遗属和残疾保险制度下的福利、改善联邦-州公共援助计划以及其他目的的法案；国会登记法案和决议，1789 年-；美国政府总记录；记录组11；国家档案馆
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On July 30, 1965, President Lyndon B.
1965 年 7 月 30 日，林登·B.
Johnson signed the Medicare and Medicaid Act, also known as the Social Security Amendments of 1965, into law.
约翰逊签署了《医疗保险和医疗补助法案》（也称为 1965 年社会保障修正案），使之成为法律。
It established Medicare, a health insurance program for the elderly, and Medicaid, a health insurance program for people with limited income.
它建立了医疗保险（针对老年人的健康保险计划）和医疗补助（针对收入有限的人的健康保险计划）。
In 1965, the passage of the Social Security Amendments, popularly known as Medicare and Medicaid, resulted in one basic program of health insurance for persons aged 65 and older, and another program providing health insurance for people with limited income funded by state and federal sources, respectively.
1965 年，社会保障修正案（俗称医疗保险和医疗补助）的通过，产生了一项针对 65 岁及以上人士的基本健康保险计划，以及另一项分别由州和联邦资金资助的为收入有限的人提供健康保险的计划。
It was funded by a tax on the earnings of employees, matched by contributions by employers, and was well received.
它的资金来源是对雇员收入征税，并由雇主缴纳相应的捐款，并受到好评。
In the first three years of the program, nearly 20 million beneficiaries enrolled in it.
在该计划的前三年，已有近 2000 万受益人加入。
Debate over the program actually began two decades earlier when President Harry S.
关于该计划的争论实际上始于二十年前，当时总统哈里·S·布什 (Harry S.
Truman sent a message to Congress asking for legislation establishing a national health insurance plan.
杜鲁门向国会发出信息，要求立法建立国家健康保险计划。
At that time, vocal opponents warned of the dangers of “socialized medicine.” By the end of Truman’s administration, he had backed off from a plan of universal coverage, but administrators in the Social Security system and others began to focus on the idea of a program aimed at insuring Social Security beneficiaries whose numbers and needs were growing.
当时，反对者直言不讳地警告“社会化医疗”的危险。到杜鲁门执政结束时，他放弃了全民覆盖计划，但社会保障系统的管理者和其他人开始关注旨在为数量和需求不断增长的社会保障受益人提供保险的计划的想法。
The 1950 census showed that the aged population in the United States had grown from 3 million in 1900 to 12 million in 1950.
1950年的人口普查显示，美国老年人口已从1900年的300万增加到1950年的1200万。
Two-thirds of older Americans had incomes of less than $1,000 annually, and only one in eight had health insurance.
三分之二的美国老年人年收入低于 1,000 美元，只有八分之一的人有医疗保险。
Between 1950 and 1963, the aged population grew from about 12 million to 17.5 million, or from 8.1 to 9.4 percent of the U.S. population.
1950 年至 1963 年间，老年人口从约 1200 万增加到 1750 万，占美国人口的比例从 8.1% 增加到 9.4%。
At the same time, the cost of hospital care was rising at a rate of about 6.7 percent a year, several times the annual increase in the cost of living, and health care costs were rapidly outpacing growth in the incomes of older Americans.
与此同时，医院护理费用以每年约6.7%的速度上涨，是生活费用年增长率的数倍，而且医疗保健费用迅速超过了美国老年人收入的增长速度。
Private insurers had long considered this illness-prone population a "bad risk.” A broad debate about the need for a social insurance program to provide older Americans with reliable health care coverage started within the Social Security Administration and in Congress.
私人保险公司长期以来一直认为这些易患病人群是“不良风险”。社会保障管理局和国会内部开始了一场关于是否需要制定社会保险计划来为美国老年人提供可靠的医疗保健覆盖的广泛辩论。
Public hearings were held, and the House of Representatives considered several proposals, but the debate did not intensify until 1960, when it became clear that private insurers were becoming increasingly incapable of providing comprehensive, affordable health care coverage to the rapidly growing population of older adults.
举行了公开听证会，众议院审议了多项提案，但直到 1960 年，争论才变得更加激烈，当时很明显，私人保险公司越来越无力为快速增长的老年人口提供全面、负担得起的医疗保健保险。
Between 1960 and 1965, the health coverage debate was a front burner issue in Congress, with dozens of proposals introduced and testimonies given by representatives of major organizations, including the American Hospital Association, the American Medical Association, and the AFL-CIO.
1960 年至 1965 年间，健康保险辩论是国会的热门议题，美国医院协会、美国医学会和美国劳工联合会-产联等主要组织的代表提出了数十项提案并作了证词。
After Congress passed the legislation in the summer of 1965, President Lyndon Johnson decided to sign the bill with former President Truman at the Truman Presidential Library in Independence, MO, in order to recognize Truman’s early effort to establish a national health insurance program.
1965年夏天国会通过该法案后，林登·约翰逊总统决定与前总统杜鲁门在密苏里州独立市的杜鲁门总统图书馆签署该法案，以表彰杜鲁门早期建立国家健康保险计划的努力。
On July 30, 1965, Air Force One departed for Missouri with the President; Mrs. Johnson; George Meany, president of the AFL-CIO; Secretary of Health, Education and Welfare Anthony Celebrezze; Governor John Connally of Texas; 13 U.S. Senators; and 19 U.S. Representatives.
1965 年 7 月 30 日，空军一号随总统飞往密苏里州。约翰逊夫人；乔治·米尼 (George Meany)，美国劳工联合会-产业工会联合会 (AFL-CIO) 主席；卫生、教育和福利部长安东尼·塞莱布雷兹 (Anthony Celebrezze)；德克萨斯州州长约翰·康纳利； 13名美国参议员；和 19 名美国代表。
President Johnson and his party were met by President and Mrs. Truman at the Truman Library in Independence.
杜鲁门总统夫妇在独立州杜鲁门图书馆会见了约翰逊总统一行。
They visited for some time before moving on to the platform in the auditorium of the library for the bill signing.
他们参观了一段时间，然后前往图书馆礼堂的平台上签署法案。
After some brief remarks, President Johnson signed into law the Medicare Social Security Amendments.
经过简短的讲话后，约翰逊总统签署了医疗保险社会保障修正案，使之成为法律。
Johnson gave the first souvenir pen to Mrs. Truman and the next to President Truman and then the remainder of the pens to guests on the platform.
约翰逊将第一支纪念笔送给杜鲁门夫人，第二支送给杜鲁门总统，然后将其余的笔送给站台上的客人。
This document is available on DocsTeach, the online tool for teaching with documents from the National Archives.
该文档可在 DocsTeach 上找到，这是一个使用国家档案馆文档进行教学的在线工具。
Find teaching activities that incorporate this document, or create your own online activity .
查找包含本文档的教学活动，或创建您自己的在线活动。
To provide a hospital insurance program for the aged under the Social Security Act with a supplementary medical benefits program and an extended program of medical assistance, to increase benefits under the Old-Age, Survivors, and Disability Insurance System, to improve the Federal-State public assistance programs, and for other purposes.
根据《社会保障法》为老年人提供医院保险计划，包括补充医疗福利计划和扩展医疗援助计划，增加老年、遗属和残疾保险制度下的福利，改善联邦州公共援助计划，以及用于其他目的。
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act, with the following table of contents, may be cited as the "Social Security Amendments of 1965".
由美利坚合众国参议院和众议院在国会中制定，本法案及其目录可被称为“1965年社会保障修正案”。
TITLE I—HEALTH INSURANCE FOB THE AGED AND MEDICAL ASSISTANCE SEC.
第一章——健康保险 FOB 老年人和医疗援助委员会。
100.
100.
Short title.
短标题。
PART I—HEALTH INSURANCE BENEFITS FOR THE AGED SEC.
第一部分——老年人的健康保险福利 SEC。
101.
101.
Entitlement to hospital Insurance benefits.
有权享受住院保险福利。
SEC.
美国证券交易委员会。
102.
102.
Hospital insurance benefits and supplementary medical Insurance benefits.
住院保险待遇和补充医疗保险待遇。
TITLE XVIII—HEALTH INSURANCE FOR THE AGED SEC.
第 XVIII 篇——老年人健康保险 SEC。
1801.
1801.
Prohibition against any Federal interference.
禁止任何联邦干预。
SEC.
美国证券交易委员会。
1802.
1802.
Free choice by patient guaranteed.
保证患者自由选择。
SEC.
美国证券交易委员会。
1808.
1808.
Option to Individuals to obtain other health insurance protection.
个人可选择获得其他健康保险保护。
PART A—HOSPITAL INSURANCE BENEFITS FOR THE AGED SEC.
A 部分——老年人的医院保险福利 SEC。
1811.
1811.
Description of program.
程序描述。
SEC.
美国证券交易委员会。
1812.
1812.
Scope of benefits.
福利范围。
SEC.
美国证券交易委员会。
1818.
1818.
Deductibles and coinsurance.
免赔额和共同保险。
SEC.
美国证券交易委员会。
1814.
1814.
Conditions of and limitations on payment for services.
服务付款的条件和限制。
(a) Requirement of requests and certifications.
(a) 请求和证明的要求。
(b) Reasonable cost of services.
(b) 合理的服务成本。
(c) No payments to Federal providers of services.
(c) 不向联邦服务提供商付款。
(d) Payments for emergency hospital services.
(d) 紧急医院服务费用。
(e) Payment for Inpatient hospital services prior to notification of noneligibility.
(e) 在通知不合格之前支付住院医院服务费用。
(f) Payment for certain emergency hospital services furnished outside the United States.
(f) 支付在美国境外提供的某些紧急医院服务的费用。
SEC.
美国证券交易委员会。
1815.
1815.
Payment to providers of services SEC.
向 SEC 服务提供商付款。
1816.
1816.
Use of public agencies or private organizations to facilitate payment to providers of services.
利用公共机构或私人组织促进向服务提供商付款。
SEC.
美国证券交易委员会。
1817.
1817.
Federal hospital insurance trust fund.
联邦医院保险信托基金。
PARTT B—SUPPLEMENTARY MEDICAL INSURANCE BENEFITS FOR THE AGED SEC.
B 部分——老年人的补充医疗保险福利 SEC。
1831.
1831.
Establishment of supplementary medical insurance program for the aged.
建立老年人补充医疗保险制度。
SEC.
美国证券交易委员会。
1832.
1832.
Scope of benefits.
福利范围。
SEC.
美国证券交易委员会。
1838.
1838.
Payment of benefits.
支付福利。
SEC.
美国证券交易委员会。
1834.
1834.
Limitation on home health services.
家庭保健服务的限制。
SEC.
美国证券交易委员会。
1885.
1885年。
Procedure for payment of claims of providers of services.
服务提供商索赔的支付程序。
SEC.
美国证券交易委员会。
1886.
1886年。
Eligible individuals.
符合资格的个人。
SEC.
美国证券交易委员会。
1887.
1887年。
Enrollment periods.
报名期间。
SEC.
美国证券交易委员会。
1888.
1888.
Coverage period.
覆盖期限。
SEC.
美国证券交易委员会。
1889.
1889.
Amounts of premiums.
保费金额。
SEC.
美国证券交易委员会。
1840.
1840.
Payment of premiums.
支付保费。
SEC.
美国证券交易委员会。
1841.
1841.
Federal supplementary medical insurance trust fund.
联邦补充医疗保险信托基金。
SEC.
美国证券交易委员会。
1842.
1842.
Use of carriers for administration of benefits.
使用载体进行福利管理。
SEC.
美国证券交易委员会。
1848.
1848.
State agreements for coverage of eligible individuals who are receiving money payments under public assistance programs.
国家协议涵盖根据公共援助计划领取款项的符合资格的个人。
SEC.
美国证券交易委员会。
1844.
1844年。
Appropriations to cover Government contributions and contingency reserve.
拨款用于支付政府捐款和应急储备金。
TITLE I—HEALTH INSURANCE FOR THE AGED AND MEDICAL ASSISTANCE
第一章——老年人健康保险和医疗援助
SHORT TITLE SEC.
简短标题秒。
100.
100.
This title may be cited as the "Health Insurance for the Aged Act".
本标题可称为“老年人健康保险法”。
PART l—HEALTH INSURANCE BENEFITS FOR THE AGED
第 l 部分——老年人的健康保险福利
ENTITLEMENT TO HOSPITAL INSURANCE BENEFITS
享有医院保险福利的权利
SEC.
美国证券交易委员会。
101.
101.
Title II of the Social Security Act is amended by adding at the end thereof the following new section:
《社会保障法》第二章经过修订，在其末尾添加了以下新部分：
"ENTITLEMENT TO HOSPITAL INSURANCE BENEFITS
“享有医院保险福利的权利
"SEC.
“美国证券交易委员会。
226.
226.
(a) Every individual who— " (1) has attained the age of 65, and " (2) is entitled to monthly insurance benefits under section 202 or is a qualified railroad retirement beneficiary, shall be entitled to hospital insurance benefits under part A of title XVIII for each month for which he meets the condition specified in paragraph (2), beginning with the first month after June 1966 for which he meets the conditions specified in paragraphs (1) and (2).
(a) 凡是—— “ (1) 已年满 65 岁，并且 “ (2) 有权根据第 202 条享受每月保险福利或者是合格的铁路退休受益人，应有权在符合第 (2) 款规定条件的每个月根据第 XVIII 篇 A 部分享受医院保险福利，从 1966 年 6 月后他符合第 (1) 和 (2) 款规定条件的第一个月开始。
"(b) For purposes of subsection (a)— "(1) entitlement of an individual to hospital insurance benefits for a month shall consist of entitlement to have payment made under, and subject to the limitations in, part A of title XVIII on his behalf for inpatient hospital services, post-hospital extended care services, post-hospital home health services, and outpatient hospital diagnostic services (as such terms are defined in part C of title XVIII) furnished him in the United States (or outside the United States in the case of inpatient hospital services furnished under the conditions described in section 1814(f) ) during such months except that (A) no such payment may be made for post-hospital extended care services furnished before January 1967, and (B) no such payment may be made for post- hospital extended care services or post-hospital home health services unless the discharge from the hospital required to qualify such services for payment under part A of title XVIII occurred after June 30, 1966, or on or after the first day of the month in which he attains age 65, whichever is later; and "(2) an individual shall be deemed entitled to monthly insurance benefits under section 202, or to be a qualified railroad retirement beneficiary, for the month in which he died if he would have been entitled to such benefits, or would have been a qualified railroad retirement beneficiary , for such month had he died in the next month.
“(b) 就 (a) 小节而言—— “(1) 个人享受一个月住院保险福利的权利应包括根据第 XVIII 章 A 部分并受其限制，代表其在美国（或在该情况下为美国境外）为他提供的住院医院服务、出院后延伸护理服务、出院后家庭保健服务和门诊医院诊断服务（如这些术语在第 XVIII 章 C 部分中定义）支付的权利。在此几个月内根据第 1814(f) 条所述条件提供的住院医院服务，但以下情况除外：(A) 不得为 1967 年 1 月之前提供的出院后延伸护理服务支付此类费用，以及 (B) 不得为出院后延伸护理服务或出院后家庭健康服务支付此类费用，除非根据第 XVIII 章 A 部分要求的出院资格是在 1966 年 6 月 30 日之后或当日或之后发生的。他年满 65 岁当月的第一天，以较晚者为准； “(2) 个人应被视为有权根据第 202 条享有每月保险福利，或者被视为在其死亡当月有权享受此类福利，或者如果他在下个月去世，则将被视为该月的合格铁路退休受益人。
" (c) For purposes of this section, the term 'qualified railroad retirement beneficiary' means an individual whose name has been certified to the Secretary by the Railroad Retirement Board under section 21of the Railroad Retirement Act of 1937.
` (c) 就本节而言，“合格铁路退休受益人”一词是指其姓名已由铁路退休委员会根据 1937 年《铁路退休法》第 21 条向部长证明姓名的个人。
An individual shall cease to be a qualified railroad retirement beneficiary at the close of the month preceding the month which is certified by the…
个人应在经……认证的前一个月结束时不再是合格的铁路退休受益人。