Federal legislation passed in 1982 that raised tax revenue, instituted many provisions for managed care plans, set up Medicare payment limits, and added Medicare coverage for hospice care. It established that an employee or spouse age 65 to 69 years is entitled to the same health insurance benefits offered under the same conditions to younger employees and their spouses. TEFRA applies to employers with at least 20 full- or part-time employees. A TEFRA provision allowed states to extend Medicaid coverage to certain disabled children.