The provisions of Section 218 of the Social Security Act and the instrumentalities agreement and subsequent modifications determine Social Security and Medicare benefits or Medicare-only coverage for state and local government employees enrolled in state and local government retirement systems.
规定第218节的社会安全法和手段的协定和随后的修改确定社会保障和医疗保险福利或医疗保险只复盖率国家和地方政府雇员参加在国家和地方政府的退休系统。