Fed Regist. 1990 Mar 8;55(46):8491-7.
This proposal sets forth the rules that limit Medicare payment for services furnished to disabled "active individuals" who are covered under a large group health plan (LGHP), and prohibit discrimination by an LGHP against such individuals. These rules are necessary to implement section 1862(b)(1)(B) of the Social Security Act (the Act), and related provisions, which make Medicare benefits secondary to LGHP benefits.
本提案阐述了限制医疗保险对参加大型团体健康计划（LGHP）的残疾“在职人员”所提供服务支付费用的规则，并禁止大型团体健康计划对这类人员进行歧视。这些规则对于实施《社会保障法》（该法案）第1862(b)(1)(B)条及相关条款是必要的，这些条款规定医疗保险福利是大型团体健康计划福利的次要福利。
