Under the Social Security Act, Section 1915(B), state may create a competitive contract system for services (e.g., inpatient hospital care).

Dialysis performed with little or no professional assistance except in an emergency situation by an end-stage renal disease patient who has completed an appropriate course of training in a dialysis facility or at home.

Act of admission or to give information about one’s own appropriate, inappropriate, lawful, or unlawful action.

To work for oneself, with direct control over work, services, and fees. This may be the operation of a trade or business by either an individual or by a partnership in which an individual is a member.

Federal law that provides for the obligation of the self-employment tax by a self-employed worker. Medicare’s share of SECA is used to fund the health insurance trust fund. Also referred to as SECA.

Individual or organization that assumes the financial risk of paying for health care. Also see self-insurance .