42 CFR §407.1
Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
- (a)Statutory basis. The supplementary medical insurance (SMI) program is authorized by Part B of title XVIII of the Social Security Act.
- (1)Section 1831 of the Act establishes the program.
- (2)Sections 1836 and 1837 set forth the eligibility and enrollment requirements.
- (3)Section 1838 specifies the entitlement periods, which vary depending on the time and method of enrollment and on the basis for termination.
- (4)Section 1843 sets forth the requirements for State buy-in agreements under which States may enroll, and pay the SMI premiums for, eligible individuals who are also eligible for cash assistance or Medicaid.
- (5)Section 104(b) of the Social Security Amendments of 1965 (Pub. L. 89-87) specifies the limitations that apply to certain aliens and persons convicted of subversive activities.
- (6)Sections 1836(b) and 1837(n) of the Act provide for coverage of immunosuppressive drugs as described in section 1861(s)(2)(J) of the Act under Part B beginning on or after January 1, 2023, for eligible individuals whose benefits under Medicare Part A and eligibility to enroll in Part B on the basis of ESRD would otherwise end with the 36th month after the month in which the individual receives a kidney transplant by reason of section 226A(b)(2) of the Act.
- (b)Scope. This part sets forth the eligibility, enrollment, and entitlement requirements and procedures for the following: