Legislación
US (United States) Code. Title 42. Chapter 7: Social Security
-CITE-
42 USC Sec. 1382a 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part A - Determination of Benefits
-HEAD-
Sec. 1382a. Income; earned and unearned income defined; exclusions
from income
-STATUTE-
(a) For purposes of this subchapter, income means both earned
income and unearned income; and -
(1) earned income means only -
(A) wages as determined under section 403(f)(5)(C) of this
title but without the application of section 410(j)(3) of this
title;
(B) net earnings from self-employment, as defined in section
411 of this title (without the application of the second and
third sentences following subsection (a)(11),(!1) the last
paragraph of subsection (a), and section 410(j)(3) of this
title), including earnings for services described in paragraphs
(4), (5), and (6) of subsection (c);
(C) remuneration received for services performed in a
sheltered workshop or work activities center; and
(D) any royalty earned by an individual in connection with
any publication of the work of the individual, and that portion
of any honorarium which is received for services rendered; and
(2) unearned income means all other income, including -
(A) support and maintenance furnished in cash or kind; except
that (i) in the case of any individual (and his eligible
spouse, if any) living in another person's household and
receiving support and maintenance in kind from such person, the
dollar amounts otherwise applicable to such individual (and
spouse) as specified in subsections (a) and (b) of section 1382
of this title shall be reduced by 33 1/3 percent in lieu of
including such support and maintenance in the unearned income
of such individual (and spouse) as otherwise required by this
subparagraph, (ii) in the case of any individual or his
eligible spouse who resides in a nonprofit retirement home or
similar nonprofit institution, support and maintenance shall
not be included to the extent that it is furnished to such
individual or such spouse without such institution receiving
payment therefor (unless such institution has expressly
undertaken an obligation to furnish full support and
maintenance to such individual or spouse without any current or
future payment therefor) or payment therefor is made by another
nonprofit organization, and (iii) support and maintenance shall
not be included and the provisions of clause (i) shall not be
applicable in the case of any individual (and his eligible
spouse, if any) for the period which begins with the month in
which such individual (or such individual and his eligible
spouse) began to receive support and maintenance while living
in a residential facility (including a private household)
maintained by another person and ends with the close of the
month in which such individual (or such individual and his
eligible spouse) ceases to receive support and maintenance
while living in such a residential facility (or, if earlier,
with the close of the seventeenth month following the month in
which such period began), if, not more than 30 days prior to
the date on which such individual (or such individual and his
eligible spouse) began to receive support and maintenance while
living in such a residential facility, (I) such individual (or
such individual and his eligible spouse) were residing in a
household maintained by such individual (or by such individual
and others) as his or their own home, (II) there occurred
within the area in which such household is located (and while
such individual, or such individual and his spouse, were
residing in the household referred to in subclause (I)) a
catastrophe on account of which the President declared a major
disaster to exist therein for purposes of the Disaster Relief
and Emergency Assistance Act [42 U.S.C. 5121 et seq.], and
(III) such individual declares that he (or he and his eligible
spouse) ceased to continue living in the household referred to
in subclause (II) because of such catastrophe;
(B) any payments received as an annuity, pension, retirement,
or disability benefit, including veterans' compensation and
pensions, workmen's compensation payments, old-age, survivors,
and disability insurance benefits, railroad retirement
annuities and pensions, and unemployment insurance benefits;
(C) prizes and awards;
(D) payments to the individual occasioned by the death of
another person, to the extent that the total of such payments
exceeds the amount expended by such individual for purposes of
the deceased person's last illness and burial;
(E) support and alimony payments, and (subject to the
provisions of subparagraph (D) excluding certain amounts
expended for purposes of a last illness and burial) gifts (cash
or otherwise) and inheritances;
(F) rents, dividends, interest, and royalties not described
in paragraph (1)(E); and
(G) any earnings of, and additions to, the corpus of a trust
established by an individual (within the meaning of section
1382b(e) of this title), of which the individual is a
beneficiary, to which section 1382b(e) of this title applies,
and, in the case of an irrevocable trust, with respect to which
circumstances exist under which a payment from the earnings or
additions could be made to or for the benefit of the
individual.
(b) In determining the income of an individual (and his eligible
spouse) there shall be excluded -
(1) subject to limitations (as to amount or otherwise)
prescribed by the Commissioner of Social Security, if such
individual is a child who is, as determined by the Commissioner
of Social Security, a student regularly attending a school,
college, or university, or a course of vocational or technical
training designed to prepare him for gainful employment, the
earned income of such individual;
(2)(A) the first $240 per year (or proportionately smaller
amounts for shorter periods) of income (whether earned or
unearned) other than income which is paid on the basis of the
need of the eligible individual, and
(B) monthly (or other periodic) payments received by any
individual, under a program established prior to July 1, 1973 (or
any program established prior to such date but subsequently
amended so as to conform to State or Federal constitutional
standards), if (i) such payments are made by the State of which
the individual receiving such payments is a resident, (ii)
eligibility of any individual for such payments is not based on
need and is based solely on attainment of age 65 or any other age
set by the State and residency in such State by such individual,
and (iii) on or before September 30, 1985, such individual (I)
first becomes an eligible individual or an eligible spouse under
this title, and (II) satisfies the twenty-five-year residency
requirement of such program as such program was in effect prior
to January 1, 1983;
(3)(A) the total unearned income of such individual (and such
spouse, if any) in a month which, as determined in accordance
with criteria prescribed by the Commissioner of Social Security,
is received too infrequently or irregularly to be included, if
such income so received does not exceed $20 in such month, and
(B) the total earned income of such individual (and such spouse,
if any) in a month which, as determined in accordance with such
criteria, is received too infrequently or irregularly to be
included, if such income so received does not exceed $10 in such
month;
(4)(A) if such individual (or such spouse) is blind (and has
not attained age 65, or received benefits under this subchapter
(or aid under a State plan approved under section 1202 or 1382 of
this title) for the month before the month in which he attained
age 65), (i) the first $780 per year (or proportionately smaller
amounts for shorter periods) of earned income not excluded by the
preceding paragraphs of this subsection, plus one-half of the
remainder thereof, (ii) an amount equal to any expenses
reasonably attributable to the earning of any income, and (iii)
such additional amounts of other income, where such individual
has a plan for achieving self-support approved by the
Commissioner of Social Security, as may be necessary for the
fulfillment of such plan,
(B) if such individual (or such spouse) is disabled but not
blind (and has not attained age 65, or received benefits under
this subchapter (or aid under a State plan approved under section
1352 or 1382 of this title) for the month before the month in
which he attained age 65), (i) the first $780 per year (or
proportionately smaller amounts for shorter periods) of earned
income not excluded by the preceding paragraphs of this
subsection, (ii) such additional amounts of earned income of such
individual, if such individual's disability is sufficiently
severe to result in a functional limitation requiring assistance
in order for him to work, as may be necessary to pay the costs
(to such individual) of attendant care services, medical devices,
equipment, prostheses, and similar items and services (not
including routine drugs or routine medical services unless such
drugs or services are necessary for the control of the disabling
condition) which are necessary (as determined by the Commissioner
of Social Security in regulations) for that purpose, whether or
not such assistance is also needed to enable him to carry out his
normal daily functions, except that the amounts to be excluded
shall be subject to such reasonable limits as the Commissioner of
Social Security may prescribe, (iii) one-half of the amount of
earned income not excluded after the application of the preceding
provisions of this subparagraph, and (iv) such additional amounts
of other income, where such individual has a plan for achieving
self-support approved by the Commissioner of Social Security, as
may be necessary for the fulfillment of such plan, or
(C) if such individual (or such spouse) has attained age 65 and
is not included under subparagraph (A) or (B), the first $780 per
year (or proportionately smaller amounts for shorter periods) of
earned income not excluded by the preceding paragraphs of this
subsection, plus one-half of the remainder thereof;
(5) any amount received from any public agency as a return or
refund of taxes paid on real property or on food purchased by
such individual (or such spouse);
(6) assistance, furnished to or on behalf of such individual
(and spouse), which is based on need and furnished by any State
or political subdivision of a State;
(7) any portion of any grant, scholarship, or fellowship
received for use in paying the cost of tuition and fees at any
educational (including technical or vocational education)
institution;
(8) home produce of such individual (or spouse) utilized by the
household for its own consumption;
(9) if such individual is a child, one-third of any payment for
his support received from an absent parent;
(10) any amounts received for the foster care of a child who is
not an eligible individual but who is living in the same home as
such individual and was placed in such home by a public or
nonprofit private child-placement or child-care agency;
(11) assistance received under the Disaster Relief and
Emergency Assistance Act [42 U.S.C. 5121 et seq.] or other
assistance provided pursuant to a Federal statute on account of a
catastrophe which is declared to be a major disaster by the
President;
(12) interest income received on assistance funds referred to
in paragraph (11) within the 9-month period beginning on the date
such funds are received (or such longer periods as the
Commissioner of Social Security shall by regulations prescribe in
cases where good cause is shown by the individual concerned for
extending such period);
(13) any support or maintenance assistance furnished to or on
behalf of such individual (and spouse if any) which (as
determined under regulations of the Commissioner of Social
Security by such State agency as the chief executive officer of
the State may designate) is based on need for such support or
maintenance, including assistance received to assist in meeting
the costs of home energy (including both heating and cooling),
and which is (A) assistance furnished in kind by a private
nonprofit agency, or (B) assistance furnished by a supplier of
home heating oil or gas, by an entity providing home energy whose
revenues are primarily derived on a rate-of-return basis
regulated by a State or Federal governmental entity, or by a
municipal utility providing home energy;
(14) assistance paid, with respect to the dwelling unit
occupied by such individual (or such individual and spouse),
under the United States Housing Act of 1937 [42 U.S.C. 1437 et
seq.], the National Housing Act [12 U.S.C. 1701 et seq.], section
101 of the Housing and Urban Development Act of 1965 [12 U.S.C.
1701s], title V of the Housing Act of 1949 [42 U.S.C. 1471 et
seq.], or section 202(h) of the Housing Act of 1959 [12 U.S.C.
1701q(h)];
(15) the value of any commercial transportation ticket, for
travel by such individual (or spouse) among the 50 States, the
District of Columbia, the Commonwealth of Puerto Rico, the Virgin
Islands, Guam, American Samoa, and the Northern Mariana Islands,
which is received as a gift by such individual (or such spouse)
and is not converted to cash;
(16) interest accrued on the value of an agreement entered into
by such individual (or such spouse) representing the purchase of
a burial space excluded under section 1382b(a)(2)(B) of this
title, and left to accumulate;
(17) any amount received by such individual (or such spouse)
from a fund established by a State to aid victims of crime;
(18) relocation assistance provided by a State or local
government to such individual (or such spouse), comparable to
assistance provided under title II of the Uniform Relocation
Assistance and Real Property Acquisitions Policies Act of 1970
which is subject to the treatment required by section 216 of such
Act [42 U.S.C. 4636];
(19) any refund of Federal income taxes made to such individual
(or such spouse) by reason of section 32 of the Internal Revenue
Code of 1986 (relating to earned income tax credit), and any
payment made to such individual (or such spouse) by an employer
under section 3507 of such Code (relating to advance payment of
earned income credit);
(20) special pay received pursuant to section 310 of title 37;
(21) the interest or other earnings on any account established
and maintained in accordance with section 1383(a)(2)(F) of this
title; and
(22) any gift to, or for the benefit of, an individual who has
not attained 18 years of age and who has a life-threatening
condition, from an organization described in section 501(c)(3) of
the Internal Revenue Code of 1986 which is exempt from taxation
under section 501(a) of such Code -
(A) in the case of an in-kind gift, if the gift is not
converted to cash; or
(B) in the case of a cash gift, only to the extent that the
total amount excluded from the income of the individual
pursuant to this paragraph in the calendar year in which the
gift is made does not exceed $2,000.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1612, as added Pub. L.
92-603, title III, Sec. 301, Oct. 30, 1972, 86 Stat. 1468; amended
Pub. L. 93-484, Sec. 4, Oct. 26, 1974, 88 Stat. 1460; Pub. L.
94-202, Sec. 9, Jan. 2, 1976, 89 Stat. 1140; Pub. L. 94-331, Secs.
2(a), 4(a), June 30, 1976, 90 Stat. 781, 782; Pub. L. 94-455, title
XXI, Sec. 2125, Oct. 4, 1976, 90 Stat. 1920; Pub. L. 94-566, title
V, Sec. 505(b), Oct. 20, 1976, 90 Stat. 2686; Pub. L. 95-171, Sec.
8(a), Nov. 12, 1977, 91 Stat. 1355; Pub. L. 96-222, title I, Sec.
101(a)(2)(B), Apr. 1, 1980, 94 Stat. 195; Pub. L. 96-265, title II,
Sec. 202(a), title III, Sec. 302(b), June 9, 1980, 94 Stat. 449,
451; Pub. L. 96-473, Sec. 6(g), Oct. 19, 1980, 94 Stat. 2266; Pub.
L. 97-35, title XXIII, Sec. 2341(b), Aug. 13, 1981, 95 Stat. 865;
Pub. L. 97-424, title V, Sec. 545(a), Jan. 6, 1983, 96 Stat. 2198;
Pub. L. 98-21, title IV, Sec. 404(a), Apr. 20, 1983, 97 Stat. 140;
Pub. L. 98-369, div. B, title VI, Secs. 2616(a), 2639(b), (c),
2663(g)(3), (4), July 18, 1984, 98 Stat. 1133, 1144, 1145, 1168;
Pub. L. 99-514, Sec. 2, title XVIII, Sec. 1883(d)(2), (3), Oct. 22,
1986, 100 Stat. 2095, 2918; Pub. L. 100-203, title IX, Sec.
9120(a), Dec. 22, 1987, 101 Stat. 1330-309; Pub. L. 100-647, title
VIII, Sec. 8103(a), Nov. 10, 1988, 102 Stat. 3795; Pub. L. 100-707,
title I, Sec. 109(p), Nov. 23, 1988, 102 Stat. 4709; Pub. L.
101-239, title VIII, Secs. 8011(a), 8013(a), Dec. 19, 1989, 103
Stat. 2464; Pub. L. 101-508, title V, Secs. 5031(a), 5033(a),
5034(a), 5035(a), title XI, Sec. 11115(b)(1), Nov. 5, 1990, 104
Stat. 1388-224, 1388-225, 1388-414; Pub. L. 103-66, title XIII,
Sec. 13733(b), Aug. 10, 1993, 107 Stat. 662; Pub. L. 103-296, title
I, Sec. 107(a)(4), Aug. 15, 1994, 108 Stat. 1478; Pub. L. 103-432,
title II, Secs. 264(a), 267(a), Oct. 31, 1994, 108 Stat. 4467,
4469; Pub. L. 104-193, title II, Sec. 213(c), Aug. 22, 1996, 110
Stat. 2195; Pub. L. 105-306, Sec. 7(a), Oct. 28, 1998, 112 Stat.
2928; Pub. L. 106-169, title II, Sec. 205(b), Dec. 14, 1999, 113
Stat. 1834; Pub. L. 106-554, Sec. 1(a)(1) [title V, Sec. 519], Dec.
21, 2000, 114 Stat. 2763, 2763A-74.)
-REFTEXT-
REFERENCES IN TEXT
The Internal Revenue Code of 1986, referred to in subsec.
(b)(19), (22), is classified generally to Title 26, Internal
Revenue Code.
The Disaster Relief and Emergency Assistance Act, referred to in
subsecs. (a)(2)(A) and (b)(11), is Pub. L. 93-288, May 22, 1974, 88
Stat. 143, as amended, known as the Robert T. Stafford Disaster
Relief and Emergency Assistance Act, which is classified
principally to chapter 68 (Sec. 5121 et seq.) of this title. For
complete classification of this Act to the Code, see Short Title
note set out under section 5121 of this title and Tables.
Section 1382 of this title, referred to in subsec. (b)(4)(A),
(B), is a reference to section 1382 of this title as it existed
prior to the general revision of this subchapter by Pub. L. 92-603,
title III, Sec. 301, Oct. 30, 1972, 86 Stat. 1465, eff. Jan. 1,
1974. The prior section (which is set out as a note under section
1382 of this title) continues in effect for Puerto Rico, Guam, and
the Virgin Islands.
The United States Housing Act of 1937, referred to in subsec.
(b)(14), is act Sept. 1, 1937, ch. 896, as revised generally by
Pub. L. 93-383, title II, Sec. 201(a), Aug. 22, 1974, 88 Stat. 653,
and amended, which is classified generally to chapter 8 (Sec. 1437
et seq.) of this title. For complete classification of this Act to
the Code, see Short Title note set out under section 1437 of this
title and Tables.
The National Housing Act, referred to in subsec. (b)(14), is act
June 27, 1934, ch. 847, 48 Stat. 1246, as amended, which is
classified principally to chapter 13 (Sec. 1701 et seq.) of Title
12, Banks and Banking. For complete classification of this Act to
the Code, see section 1701 of Title 12 and Tables.
Section 101 of the Housing and Urban Development Act of 1965,
referred to in subsec. (b)(14), is section 101 of Pub. L. 89-117,
title I, Aug. 10, 1965, 79 Stat. 451, as amended, which enacted
section 1701s of Title 12 and amended sections 1451 and 1465 of
this title.
The Housing Act of 1949, referred to in subsec. (b)(14), is act
July 15, 1949, ch. 338, 63 Stat. 413, as amended. Title V of the
Housing Act of 1949 is classified generally to subchapter III (Sec.
1471 et seq.) of chapter 8A of this title. For complete
classification of this Act to the Code, see Short Title note set
out under section 1441 of this title and Tables.
The Uniform Relocation Assistance and Real Property Acquisitions
Policies Act of 1970, referred to in subsec. (b)(18), is Pub. L.
91-646, Jan. 2, 1971, 84 Stat. 1894, as amended. Title II of the
Act enacted subchapter II (Sec. 4621 et seq.) of chapter 61 of this
title, amended sections 1415, 2473, and 3307 of this title and
section 1606 of former Title 49, Transportation, repealed sections
1465 and 3074 of this title, section 2680 of Title 10, Armed
Forces, sections 501 to 512 of Title 23, Highways, sections 1231 to
1234 of Title 43, Public Lands, and enacted provisions set out as
notes under sections 4601 and 4621 of this title and under sections
501 to 512 of Title 23. For complete classification of title II to
the Code, see Tables.
-MISC1-
AMENDMENTS
2000 - Subsec. (a)(1)(A). Pub. L. 106-554, Sec. 1(a)(1) [title V,
Sec. 519(1)], inserted "but without the application of section
410(j)(3) of this title" before semicolon.
Subsec. (a)(1)(B). Pub. L. 106-554, Sec. 1(a)(1) [title V, Sec.
519(2)], substituted "the last" for "and the last" and inserted ",
and section 410(j)(3) of this title" after "subsection (a)".
1999 - Subsec. (a)(2)(G). Pub. L. 106-169 added subpar. (G).
1998 - Subsec. (b)(22). Pub. L. 105-306 added par. (22).
1996 - Subsec. (b)(21). Pub. L. 104-193 added par. (21).
1994 - Subsec. (a)(1)(C) to (E). Pub. L. 103-432, Sec. 267(a),
redesignated subpars. (D) and (E) as (C) and (D), respectively, and
struck out former subpar. (C) which read as follows: "any refund of
Federal income taxes made by reason of section 32 of the Internal
Revenue Code of 1986 (relating to earned income credit) and any
payment made by an employer under section 3507 of such Code
(relating to advance payment of earned income credit);".
Subsec. (b)(1), (3)(A), (4)(A), (B), (12), (13). Pub. L. 103-296
substituted "Commissioner of Social Security" for "Secretary"
wherever appearing.
Subsec. (b)(17). Pub. L. 103-432, Sec. 264(a), made technical
correction to directory language of Pub. L. 101-508, Sec.
5035(a)(2). See 1990 Amendment note below.
1993 - Subsec. (b)(20). Pub. L. 103-66 added par. (20).
1990 - Subsec. (a)(1)(E). Pub. L. 101-508, Sec. 5034(a)(1), added
subpar. (E).
Subsec. (a)(2)(F). Pub. L. 101-508, Sec. 5034(a)(2), inserted
"not described in paragraph (1)(E)" after "royalties".
Subsec. (b)(4)(B)(ii). Pub. L. 101-508, Sec. 5033(a), struck out
"(for purposes of determining the amount of his or her benefits
under this subchapter and of determining his or her eligibility for
such benefits for consecutive months of eligibility after the
initial month of such eligibility)" after "income of such
individual".
Subsec. (b)(16). Pub. L. 101-508, Sec. 5035(a)(1), struck out
"and" at end.
Subsec. (b)(17). Pub. L. 101-508, Sec. 5035(a)(2), as amended by
Pub. L. 103-432, Sec. 264(a), substituted "; and" for period at
end.
Pub. L. 101-508, Sec. 5031(a), added par. (17).
Subsec. (b)(18). Pub. L. 101-508, Sec. 5035(a)(3), added par.
(18).
Subsec. (b)(19). Pub. L. 101-508, Sec. 11115(b)(1)(C), added par.
(19).
1989 - Subsec. (b)(15). Pub. L. 101-239, Sec. 8011(a), added par.
(15).
Subsec. (b)(16). Pub. L. 101-239, Sec. 8013(a), added par. (16).
1988 - Subsecs. (a)(2)(A), (b)(11). Pub. L. 100-707 substituted
"Disaster Relief and Emergency Assistance Act" for "Disaster Relief
Act of 1974".
Subsec. (b)(14). Pub. L. 100-647 added par. (14).
1987 - Subsec. (a)(2)(D), (E). Pub. L. 100-203 amended subpars.
(D) and (E) generally. Prior to amendment, subpars. (D) and (E)
read as follows:
"(D) the proceeds of any life insurance policy to the extent that
they exceed the amount expended by the beneficiary for purposes of
the insured individual's last illness and burial or $1,500,
whichever is less;
"(E) gifts (cash or otherwise), support and alimony payments, and
inheritances; and".
1986 - Subsec. (a)(1)(C). Pub. L. 99-514, Sec. 1883(d)(2),
substituted "section 32" for "section 43".
Pub. L. 99-514, Sec. 2, substituted "Internal Revenue Code of
1986" for "Internal Revenue Code of 1954".
Subsec. (b)(2). Pub. L. 99-514, Sec. 1883(d)(3)(A), (B),
substituted ", and" for a semicolon in subpar. (A) and a semicolon
for a period in subpar. (B).
Subsec. (b)(11) to (13). Pub. L. 99-514, Sec. 1883(d)(3)(C),
provided for technical corrections relating to concluding
punctuation in pars. (11) to (13).
1984 - Subsec. (b)(2)(B). Pub. L. 98-369, Sec. 2663(g)(3),
realigned margin of subpar. (B).
Pub. L. 98-369, Sec. 2616(a), amended subpar. (B) generally.
Prior to amendment, subpar. (B) read as follows: "monthly (or other
periodic) payments received by any individual, under a program
established prior to July 1, 1973, if such payments are made by the
State of which the individual receiving such payments is a
resident, and if eligibility of any individual for such payments is
not based on need and is based solely on attainment of age 65 and
duration of residence in such State by such individual;".
Subsec. (b)(9). Pub. L. 98-369, Sec. 2663(g)(4), inserted a comma
after "child".
Subsec. (b)(13). Pub. L. 98-369, Sec. 2639(b), temporarily
amended par. (13) generally, redesignating former cls. (i) and (ii)
as (A) and (B), respectively. See Effective and Termination Dates
of 1984 Amendment note below.
1983 - Subsec. (b)(13). Pub. L. 98-21 temporarily substituted
"any support or maintenance assistance furnished to or on behalf of
such individual (and spouse if any) which (as determined under
regulations of the Secretary by such State agency as the chief
executive officer of the State may designate) is based on need for
such support or maintenance, including assistance received to
assist in meeting the costs of home energy (including both heating
and cooling), and which" for "any assistance received to assist in
meeting the costs of home energy, including both heating and
cooling, which (as determined under regulations of the Secretary by
such State agency as the chief executive officer of the State may
designate) (A) is based on need for such assistance, and (B)". See
Effective and Termination Dates of 1983 Amendments note below.
Pub. L. 97-424 temporarily added par. (13). See Effective and
Termination Dates of 1983 Amendments note below.
1981 - Subsec. (b)(3). Pub. L. 97-35 substituted "month" for
"calendar quarter" wherever appearing, "such month" for "such
quarter" wherever appearing, "$20" for "$60", and "$10" for "$30".
1980 - Subsec. (a)(1). Pub. L. 96-473, Sec. 6(g)(1), (2), in
subpar. (B) substituted "(a)(11)" for "(a)(10)", and redesignated
subpar. (C), as added by Pub. L. 96-265, Sec. 202(a)(2), as (D).
Pub. L. 96-265, Sec. 202(a)(2), added subpar. (C) which was
subsequently redesignated (D) by Pub. L. 96-473, Sec. 6(g)(2).
Pub. L. 96-222, Sec. 101(a)(2)(B)(ii), added subpar. (C).
Subsec. (b)(2)(B). Pub. L. 96-473, Sec. 6(g)(3), substituted
"monthly" for "Monthly" and substituted a semicolon for the period
at end of subpar. (B).
Subsec. (b)(4)(B). Pub. L. 96-265, Sec. 302(b), inserted
provisions relating to extraordinary work expenses due to severe
disability.
1977 - Subsec. (b)(12). Pub. L. 95-171 added par. (12).
1976 - Subsec. (a)(2)(A)(iii). Pub. L. 94-455 substituted
"seventeenth month" for "fifth month".
Pub. L. 94-331, Sec. 4(a)(2), added cl. (iii).
Subsec. (b)(2). Pub. L. 94-202 designated existing provisions as
par. (A) and added par. (B).
Subsec. (b)(6). Pub. L. 94-566 substituted "assistance, furnished
to or on behalf of such individual (and spouse), which" for
"assistance described in section 1382e(a) of this title which".
Subsec. (b)(11). Pub. L. 94-331, Sec. 2(a)(3), added par. (11).
1974 - Subsec. (a)(2)(A). Pub. L. 93-484 designated existing
provisions as cl. (i) and added cl. (ii).
EFFECTIVE DATE OF 1999 AMENDMENT
Pub. L. 106-169, title II, Sec. 205(d), Dec. 14, 1999, 113 Stat.
1834, provided that: "The amendments made by this section [amending
this section and sections 1382b and 1396a of this title] shall take
effect on January 1, 2000, and shall apply to trusts established on
or after such date."
EFFECTIVE DATE OF 1998 AMENDMENT
Pub. L. 105-306, Sec. 7(c), Oct. 28, 1998, 112 Stat. 2928,
provided that: "The amendments made by this section [amending this
section and section 1382b of this title] shall apply to gifts made
on or after the date that is 2 years before the date of the
enactment of this Act [Oct. 28, 1998]."
EFFECTIVE DATE OF 1996 AMENDMENT
Section 213(d) of Pub. L. 104-193 provided that: "The amendments
made by this section [amending this section and sections 1382b and
1383 of this title] shall apply to payments made after the date of
the enactment of this Act [Aug. 22, 1996]."
EFFECTIVE DATE OF 1994 AMENDMENTS
Amendment by section 264(a) of Pub. L. 103-432 effective as if
included in the provision of Pub. L. 101-508 to which the amendment
relates at the time such provision became law, see section 264(h)
of Pub. L. 103-432, set out as a note under section 1320b-9 of this
title.
Amendment by Pub. L. 103-296 effective Mar. 31, 1995, see section
110(a) of Pub. L. 103-296, set out as a note under section 401 of
this title.
EFFECTIVE DATE OF 1993 AMENDMENT
Section 13733(c) of Pub. L. 103-66 provided that: "The amendments
made by this section [amending this section and section 1382c of
this title] shall take effect on the 1st day of the 2nd month that
begins after the date of the enactment of this Act [Aug. 10,
1993]."
EFFECTIVE DATE OF 1990 AMENDMENT
Section 5031(d) of Pub. L. 101-508 provided that: "The amendments
made by this section [amending this section and sections 1382b and
1383 of this title] shall apply with respect to benefits for months
beginning on or after the first day of the 6th calendar month
following the month in which this Act is enacted [November 1990]."
Section 5033(b) of Pub. L. 101-508 provided that: "The amendment
made by subsection (a) [amending this section] shall apply to
benefits payable for calendar months beginning after the date of
the enactment of this Act [Nov. 5, 1990]."
Section 5034(b) of Pub. L. 101-508 provided that: "The amendments
made by subsection (a) [amending this section] shall apply with
respect to benefits for months beginning on or after the first day
of the 13th calendar month following the month in which this Act is
enacted [November 1990]."
Section 5035(c) of Pub. L. 101-508, as amended by Pub. L. 103-66,
title XIII, Sec. 13732, Aug. 10, 1993, 107 Stat. 662, provided
that: "The amendments made by this section [amending this section
and section 1382b of this title] shall apply with respect to
benefits for calendar months beginning on or after the first day of
the 6th calendar month following the month in which this Act is
enacted [November 1990]."
Section 11115(e) of Pub. L. 101-508 provided that: "The
amendments made by subsections (a) though [sic] (c) [amending this
section and sections 602 and 1382b of this title] shall apply to
determinations of income or resources made for any period after
December 31, 1990."
EFFECTIVE DATE OF 1989 AMENDMENT
Section 8011(b) of Pub. L. 101-239 provided that: "The amendments
made by subsection (a) [amending this section] shall take effect on
the 1st day of the 3rd calendar month beginning after the date of
the enactment of this Act [Dec. 19, 1989]."
Section 8013(c) of Pub. L. 101-239 provided that: "The amendments
made by subsections (a) and (b) [amending this section and section
1382b of this title] shall take effect on the 1st day of the 4th
month beginning after the date of the enactment of this Act [Dec.
19, 1989]."
EFFECTIVE DATE OF 1988 AMENDMENT
Section 8103(c) of Pub. L. 100-647 provided that: "The amendments
made by this section [amending this section and section 1382b of
this title] shall be effective as though they had been included in
section 162 of the Housing and Community Development Act of 1987
[Pub. L. 100-242, see Effective Date of 1988 Amendment note set out
under 12 U.S.C. 1701q] at the time of its enactment [Feb. 5,
1988]."
EFFECTIVE DATE OF 1987 AMENDMENT
Section 9120(b) of Pub. L. 100-203 provided that: "The amendments
made by subsection (a) [amending this section] shall become
effective April 1, 1988."
EFFECTIVE DATE OF 1984 AMENDMENT
Section 2616(b) of Pub. L. 98-369 provided that: "The amendment
made by subsection (a) [amending this section] shall become
effective on the date of the enactment of this Act [July 18,
1984]."
Section 2639(d) of Pub. L. 98-369, as amended by Pub. L. 100-203,
title IX, Sec. 9101, Dec. 22, 1987, 101 Stat. 1330-299, provided
that: "The amendments made by this section [amending this section
and section 602 of this title and repealing section 545(a)-(c) of
Pub. L. 97-424 and section 404 of Pub. L. 98-21, which had
previously amended this section and section 602 of this title and
had provided effective dates for those prior amendments] shall be
effective with respect to months which begin after September 30,
1984."
[Section 9101 of Pub. L. 100-203 provided that the amendment made
by that section to section 2639(d) of Pub. L. 98-369, set out as a
note above, is effective as of Oct. 1, 1987.]
Amendment by section 2663(g)(3), (4) of Pub. L. 98-369 effective
July 18, 1984, but not to be construed as changing or affecting any
right, liability, status, or interpretation which existed (under
the provisions of law involved) before that date, see section
2664(b) of Pub. L. 98-369, set out as a note under section 401 of
this title.
EFFECTIVE AND TERMINATION DATES OF 1983 AMENDMENTS
Section 545(c) of Pub. L. 97-424 and section 404(c) of Pub. L.
98-21, which had provided for the effective and termination dates
covering the enactment and subsequent amendment of subsec. (b)(13)
of this section by section 545(a) of Pub. L. 97-424 and section
404(a) of Pub. L. 98-21, were repealed by section 2639(c), (d) of
Pub. L. 98-369, effective with respect to months beginning after
Sept. 30, 1984.
EFFECTIVE DATE OF 1981 AMENDMENT
Amendment by Pub. L. 97-35 effective with respect to months after
first calendar quarter which ends more than five months after
August 1981, with provision for transitional payments, see section
2341(c) of Pub. L. 97-35, set out as an Effective Date of 1981
Amendment and Transitional Provisions note under section 1382 of
this title.
EFFECTIVE DATE OF 1980 AMENDMENTS
Section 202(b) of Pub. L. 96-265 provided that: "The amendments
made by subsection (a) [amending this section] shall apply only
with respect to remuneration received in months after September
1980."
Amendment by section 302(b) of Pub. L. 96-265 applicable with
respect to expenses incurred on or after first day of sixth month
which begins after June 9, 1980, see section 302(c) of Pub. L.
96-265, set out as a note under section 423 of this title.
Section 101(b)(1)(B) of Pub. L. 96-222 provided that: "The
amendments made by subparagraphs (A) and (B) of subsection (a)(2)
[amending this section and section 602 of this title] shall apply
to payments for months beginning after December 31, 1979."
EFFECTIVE DATE OF 1977 AMENDMENT
Section 8(b) of Pub. L. 95-171 provided that: "The amendment made
by this section [amending this section] shall be effective July 1,
1976, with respect to catastrophes which occurred on or after June
1, 1976, and before December 31, 1976. With respect to catastrophes
which occurred on or after December 31, 1976, the amendment made by
this section shall be effective the first day of the calendar
quarter following enactment of this Act [Nov. 12, 1977]."
EFFECTIVE DATE OF 1976 AMENDMENTS
Amendment by Pub. L. 94-566 effective Oct. 1, 1976, see section
505(e) of Pub. L. 94-566, set out as a note under section 1382 of
this title.
Section 2(b) of Pub. L. 94-331, as amended by Pub. L. 95-171,
Sec. 6(a), Nov. 12, 1977, 91 Stat. 1355, effective the first day of
calendar quarter following Nov. 12, 1977, provided that: "The
amendments made by this Act [amending this section and sections
815, 3402, 6153, and 6154 of Title 26, Internal Revenue Code, and
enacting provisions set out as notes under sections 815 and 3402 of
Title 26] shall be applicable only in the case of catastrophes
which occur on or after June 1, 1976."
Section 4(b) of Pub. L. 94-331, as amended by Pub. L. 95-171,
Sec. 7(a), Nov. 12, 1977, 91 Stat. 1355, effective the first day of
calendar quarter following Nov. 12, 1977, provided that: "The
amendments made by this Act [see section 2(b) of Pub. L. 94-331,
set out above] shall be applicable only in the case of catastrophes
which occur on or after June 1, 1976."
EFFECTIVE DATE OF 1974 AMENDMENT
Section 4 of Pub. L. 93-484 provided that the amendment made by
that section is effective Jan. 1, 1974.
EFFECTIVE DATE
Section 301 of Pub. L. 92-603 provided that this section is
effective Jan. 1, 1974.
APPLICATION TO NORTHERN MARIANA ISLANDS
For applicability of this section to Northern Mariana Islands,
see section 502(a)(1) of the Covenant to Establish a Commonwealth
of the Northern Mariana Islands in Political Union with the United
States of America and Proc. No. 4534, Oct. 24, 1977, 42 F.R. 6593,
set out as notes under section 1801 of Title 48, Territories and
Insular Possessions.
PUERTO RICO, GUAM, AND VIRGIN ISLANDS
Enactment of provisions of Pub. L. 92-603, eff. Jan. 1, 1974, not
applicable to Puerto Rico, Guam, and the Virgin Islands, see
section 303(b) of Pub. L. 92-603, set out as a note under section
301 of this title.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 1382, 1382b, 1382e,
1382h, 1382j, 1383, 1396a, 1396b, 1396d, 1396p, 8624, 11398 of this
title; title 7 section 2014.
-FOOTNOTE-
(!1) So in original. Probably should be subsection "(a)(15),".
-End-
-CITE-
42 USC Sec. 1382b 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part A - Determination of Benefits
-HEAD-
Sec. 1382b. Resources
-STATUTE-
(a) Exclusions from resources
In determining the resources of an individual (and his eligible
spouse, if any) there shall be excluded -
(1) the home (including the land that appertains thereto);
(2)(A) household goods, personal effects, and an automobile, to
the extent that their total value does not exceed such amount as
the Commissioner of Social Security determines to be reasonable;
and
(B) the value of any burial space or agreement (including any
interest accumulated thereon) representing the purchase of a
burial space (subject to such limits as to size or value as the
Commissioner of Social Security may by regulation prescribe) held
for the purpose of providing a place for the burial of the
individual, his spouse, or any other member of his immediate
family;
(3) other property which is so essential to the means of
self-support of such individual (and such spouse) as to warrant
its exclusion, as determined in accordance with and subject to
limitations prescribed by the Commissioner of Social Security,
except that the Commissioner of Social Security shall not
establish a limitation on property (including the tools of a
tradesperson and the machinery and livestock of a farmer) that is
used in a trade or business or by such individual as an employee;
(4) such resources of an individual who is blind or disabled
and who has a plan for achieving self-support approved by the
Commissioner of Social Security, as may be necessary for the
fulfillment of such plan;
(5) in the case of Natives of Alaska, shares of stock held in a
Regional or a Village Corporation, during the period of twenty
years in which such stock is inalienable, as provided in section
1606(h) and section 1607(c) of title 43;
(6) assistance referred to in section 1382a(b)(11) of this
title for the 9-month period beginning on the date such funds are
received (or for such longer period as the Commissioner of Social
Security shall by regulations prescribe in cases where good cause
is shown by the individual concerned for extending such period);
and, for purposes of this paragraph, the term "assistance"
includes interest thereon which is excluded from income under
section 1382a(b)(12) of this title;
(7) any amount received from the United States which is
attributable to underpayments of benefits due for one or more
prior months, under this subchapter or subchapter II of this
chapter, to such individual (or spouse) or to any other person
whose income is deemed to be included in such individual's (or
spouse's) income for purposes of this subchapter; but the
application of this paragraph in the case of any such individual
(and eligible spouse if any), with respect to any amount so
received from the United States, shall be limited to the first 6
months following the month in which such amount is received (or
to the first 9 months following such month with respect to any
amount so received during the period beginning October 1, 1987,
and ending September 30, 1989), and written notice of this
limitation shall be given to the recipient concurrently with the
payment of such amount;
(8) the value of assistance referred to in section 1382a(b)(14)
of this title, paid with respect to the dwelling unit occupied by
such individual (or such individual and spouse);
(9) for the 9-month period beginning after the month in which
received, any amount received by such individual (or such spouse)
from a fund established by a State to aid victims of crime, to
the extent that such individual (or such spouse) demonstrates
that such amount was paid as compensation for expenses incurred
or losses suffered as a result of a crime;
(10) for the 9-month period beginning after the month in which
received, relocation assistance provided by a State or local
government to such individual (or such spouse), comparable to
assistance provided under title II of the Uniform Relocation
Assistance and Real Property Acquisitions Policies Act of 1970
which is subject to the treatment required by section 216 of such
Act [42 U.S.C. 4636];
(11) for the month of receipt and the following month, any
refund of Federal income taxes made to such individual (or such
spouse) by reason of section 32 of the Internal Revenue Code of
1986 (relating to earned income tax credit), and any payment made
to such individual (or such spouse) by an employer under section
3507 of such Code (relating to advance payment of earned income
credit);
(12) any account, including accrued interest or other earnings
thereon, established and maintained in accordance with section
1383(a)(2)(F) of this title; and
(13) any gift to, or for the benefit of, an individual who has
not attained 18 years of age and who has a life-threatening
condition, from an organization described in section 501(c)(3) of
the Internal Revenue Code of 1986 which is exempt from taxation
under section 501(a) of such Code -
(A) in the case of an in-kind gift, if the gift is not
converted to cash; or
(B) in the case of a cash gift, only to the extent that the
total amount excluded from the resources of the individual
pursuant to this paragraph in the calendar year in which the
gift is made does not exceed $2,000.
In determining the resources of an individual (or eligible spouse)
an insurance policy shall be taken into account only to the extent
of its cash surrender value; except that if the total face value of
all life insurance policies on any person is $1,500 or less, no
part of the value of any such policy shall be taken into account.
(b) Disposition of resources; grounds for exemption from
disposition requirements
(1) The Commissioner of Social Security shall prescribe the
period or periods of time within which, and the manner in which,
various kinds of property must be disposed of in order not to be
included in determining an individual's eligibility for benefits.
Any portion of the individual's benefits paid for any such period
shall be conditioned upon such disposal; and any benefits so paid
shall (at the time of the disposal) be considered overpayments to
the extent they would not have been paid had the disposal occurred
at the beginning of the period for which such benefits were paid.
(2) Notwithstanding the provisions of paragraph (1), the
Commissioner of Social Security shall not require the disposition
of any real property for so long as it cannot be sold because (A)
it is jointly owned (and its sale would cause undue hardship, due
to loss of housing, for the other owner or owners), (B) its sale is
barred by a legal impediment, or (C) as determined under
regulations issued by the Commissioner of Social Security, the
owner's reasonable efforts to sell it have been unsuccessful.
(c) Disposal of resources for less than fair market value
(1)(A)(i) If an individual or the spouse of an individual
disposes of resources for less than fair market value on or after
the look-back date described in clause (ii)(I), the individual is
ineligible for benefits under this subchapter for months during the
period beginning on the date described in clause (iii) and equal to
the number of months calculated as provided in clause (iv).
(ii)(I) The look-back date described in this subclause is a date
that is 36 months before the date described in subclause (II).
(II) The date described in this subclause is the date on which
the individual applies for benefits under this subchapter or, if
later, the date on which the individual (or the spouse of the
individual) disposes of resources for less than fair market value.
(iii) The date described in this clause is the first day of the
first month in or after which resources were disposed of for less
than fair market value and which does not occur in any other period
of ineligibility under this paragraph.
(iv) The number of months calculated under this clause shall be
equal to -
(I) the total, cumulative uncompensated value of all resources
so disposed of by the individual (or the spouse of the
individual) on or after the look-back date described in clause
(ii)(I); divided by
(II) the amount of the maximum monthly benefit payable under
section 1382(b) of this title, plus the amount (if any) of the
maximum State supplementary payment corresponding to the State's
payment level applicable to the individual's living arrangement
and eligibility category that would otherwise be payable to the
individual by the Commissioner pursuant to an agreement under
section 1382e(a) of this title or section 212(b) of Public Law
93-66, for the month in which occurs the date described in clause
(ii)(II),
rounded, in the case of any fraction, to the nearest whole number,
but shall not in any case exceed 36 months.
(B)(i) Notwithstanding subparagraph (A), this subsection shall
not apply to a transfer of a resource to a trust if the portion of
the trust attributable to the resource is considered a resource
available to the individual pursuant to subsection (e)(3) of this
section (or would be so considered but for the application of
subsection (e)(4) of this section).
(ii) In the case of a trust established by an individual or an
individual's spouse (within the meaning of subsection (e) of this
section), if from such portion of the trust, if any, that is
considered a resource available to the individual pursuant to
subsection (e)(3) of this section (or would be so considered but
for the application of subsection (e)(4) of this section) or the
residue of the portion on the termination of the trust -
(I) there is made a payment other than to or for the benefit of
the individual; or
(II) no payment could under any circumstance be made to the
individual,
then, for purposes of this subsection, the payment described in
clause (I) or the foreclosure of payment described in clause (II)
shall be considered a transfer of resources by the individual or
the individual's spouse as of the date of the payment or
foreclosure, as the case may be.
(C) An individual shall not be ineligible for benefits under this
subchapter by reason of the application of this paragraph to a
disposal of resources by the individual or the spouse of the
individual, to the extent that -
(i) the resources are a home and title to the home was
transferred to -
(I) the spouse of the transferor;
(II) a child of the transferor who has not attained 21 years
of age, or is blind or disabled;
(III) a sibling of the transferor who has an equity interest
in such home and who was residing in the transferor's home for
a period of at least 1 year immediately before the date the
transferor becomes an institutionalized individual; or
(IV) a son or daughter of the transferor (other than a child
described in subclause (II)) who was residing in the
transferor's home for a period of at least 2 years immediately
before the date the transferor becomes an institutionalized
individual, and who provided care to the transferor which
permitted the transferor to reside at home rather than in such
an institution or facility;
(ii) the resources -
(I) were transferred to the transferor's spouse or to another
for the sole benefit of the transferor's spouse;
(II) were transferred from the transferor's spouse to another
for the sole benefit of the transferor's spouse;
(III) were transferred to, or to a trust (including a trust
described in section 1396p(d)(4) of this title) established
solely for the benefit of, the transferor's child who is blind
or disabled; or
(IV) were transferred to a trust (including a trust described
in section 1396p(d)(4) of this title) established solely for
the benefit of an individual who has not attained 65 years of
age and who is disabled;
(iii) a satisfactory showing is made to the Commissioner of
Social Security (in accordance with regulations promulgated by
the Commissioner) that -
(I) the individual who disposed of the resources intended to
dispose of the resources either at fair market value, or for
other valuable consideration;
(II) the resources were transferred exclusively for a purpose
other than to qualify for benefits under this subchapter; or
(III) all resources transferred for less than fair market
value have been returned to the transferor; or
(iv) the Commissioner determines, under procedures established
by the Commissioner, that the denial of eligibility would work an
undue hardship as determined on the basis of criteria established
by the Commissioner.
(D) For purposes of this subsection, in the case of a resource
held by an individual in common with another person or persons in a
joint tenancy, tenancy in common, or similar arrangement, the
resource (or the affected portion of such resource) shall be
considered to be disposed of by the individual when any action is
taken, either by the individual or by any other person, that
reduces or eliminates the individual's ownership or control of such
resource.
(E) In the case of a transfer by the spouse of an individual that
results in a period of ineligibility for the individual under this
subsection, the Commissioner shall apportion the period (or any
portion of the period) among the individual and the individual's
spouse if the spouse becomes eligible for benefits under this
subchapter.
(F) For purposes of this paragraph -
(i) the term "benefits under this subchapter" includes payments
of the type described in section 1382e(a) of this title and of
the type described in section 212(b) of Public Law 93-66;
(ii) the term "institutionalized individual" has the meaning
given such term in section 1396p(e)(3) of this title; and
(iii) the term "trust" has the meaning given such term in
subsection (e)(6)(A) of this section.
(2)(A) At the time an individual (and the individual's eligible
spouse, if any) applies for benefits under this subchapter, and at
the time the eligibility of an individual (and such spouse, if any)
for such benefits is redetermined, the Commissioner of Social
Security shall -
(i) inform such individual of the provisions of paragraph (1)
and section 1396p(c) of this title providing for a period of
ineligibility for benefits under this subchapter and subchapter
XIX of this chapter, respectively, for individuals who make
certain dispositions of resources for less than fair market
value, and inform such individual that information obtained
pursuant to clause (ii) will be made available to the State
agency administering a State plan under subchapter XIX of this
chapter (as provided in subparagraph (B)); and
(ii) obtain from such individual information which may be used
in determining whether or not a period of ineligibility for such
benefits would be required by reason of paragraph (1) or section
1396p(c) of this title.
(B) The Commissioner of Social Security shall make the
information obtained under subparagraph (A)(ii) available, on
request, to any State agency administering a State plan approved
under subchapter XIX of this chapter.
(d) Funds set aside for burial expenses
(1) In determining the resources of an individual, there shall be
excluded an amount, not in excess of $1,500 each with respect to
such individual and his spouse (if any), that is separately
identifiable and has been set aside to meet the burial and related
expenses of such individual or spouse.
(2) The amount of $1,500, referred to in paragraph (1), with
respect to an individual shall be reduced by an amount equal to (A)
the total face value of all insurance policies on his life which
are owned by him or his spouse and the cash surrender value of
which has been excluded in determining the resources of such
individual or of such individual and his spouse, and (B) the total
of any amounts in an irrevocable trust (or other irrevocable
arrangement) available to meet the burial and related expenses of
such individual or his spouse.
(3) If the Commissioner of Social Security finds that any part of
the amount excluded under paragraph (1) was used for purposes other
than those for which it was set aside in cases where the inclusion
of any portion of the amount would cause the resources of such
individual, or of such individual and spouse, to exceed the limits
specified in paragraph (1) or (2) (whichever may be applicable) of
section 1382(a) of this title, the Commissioner shall reduce any
future benefits payable to the eligible individual (or to such
individual and his spouse) by an amount equal to such part.
(4) The Commissioner of Social Security may provide by
regulations that whenever an amount set aside to meet burial and
related expenses is excluded under paragraph (1) in determining the
resources of an individual, any interest earned or accrued on such
amount (and left to accumulate), and any appreciation in the value
of prepaid burial arrangements for which such amount was set aside,
shall also be excluded (to such extent and subject to such
conditions or limitations as such regulations may prescribe) in
determining the resources (and the income) of such individual.
(e) Trusts
(1) In determining the resources of an individual, paragraph (3)
shall apply to a trust (other than a trust described in paragraph
(5)) established by the individual.
(2)(A) For purposes of this subsection, an individual shall be
considered to have established a trust if any assets of the
individual (or of the individual's spouse) are transferred to the
trust other than by will.
(B) In the case of an irrevocable trust to which are transferred
the assets of an individual (or of the individual's spouse) and the
assets of any other person, this subsection shall apply to the
portion of the trust attributable to the assets of the individual
(or of the individual's spouse).
(C) This subsection shall apply to a trust without regard to -
(i) the purposes for which the trust is established;
(ii) whether the trustees have or exercise any discretion under
the trust;
(iii) any restrictions on when or whether distributions may be
made from the trust; or
(iv) any restrictions on the use of distributions from the
trust.
(3)(A) In the case of a revocable trust established by an
individual, the corpus of the trust shall be considered a resource
available to the individual.
(B) In the case of an irrevocable trust established by an
individual, if there are any circumstances under which payment from
the trust could be made to or for the benefit of the individual (or
of the individual's spouse), the portion of the corpus from which
payment to or for the benefit of the individual (or of the
individual's spouse) could be made shall be considered a resource
available to the individual.
(4) The Commissioner of Social Security may waive the application
of this subsection with respect to an individual if the
Commissioner determines that such application would work an undue
hardship (as determined on the basis of criteria established by the
Commissioner) on the individual.
(5) This subsection shall not apply to a trust described in
subparagraph (A) or (C) of section 1396p(d)(4) of this title.
(6) For purposes of this subsection -
(A) the term "trust" includes any legal instrument or device
that is similar to a trust;
(B) the term "corpus" means, with respect to a trust, all
property and other interests held by the trust, including
accumulated earnings and any other addition to the trust after
its establishment (except that such term does not include any
such earnings or addition in the month in which the earnings or
addition is credited or otherwise transferred to the trust); and
(C) the term "asset" includes any income or resource of the
individual (or of the individual's spouse), including -
(i) any income excluded by section 1382a(b) of this title;
(ii) any resource otherwise excluded by this section; and
(iii) any other payment or property to which the individual
(or of the individual's spouse) is entitled but does not
receive or have access to because of action by -
(I) the individual or spouse;
(II) a person or entity (including a court) with legal
authority to act in place of, or on behalf of, the individual
or spouse; or
(III) a person or entity (including a court) acting at the
direction of, or on the request of, the individual or spouse.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1613, as added Pub. L.
92-603, title III, Sec. 301, Oct. 30, 1972, 86 Stat. 1470; amended
Pub. L. 94-569, Sec. 5, Oct. 20, 1976, 90 Stat. 2700; Pub. L.
95-171, Sec. 9(a), Nov. 12, 1977, 91 Stat. 1355; Pub. L. 96-611,
Sec. 5(a), Dec. 28, 1980, 94 Stat. 3567; Pub. L. 97-248, title I,
Sec. 185(a), (b), Sept. 3, 1982, 96 Stat. 406; Pub. L. 98-369, div.
B, title VI, Secs. 2614, 2663(g)(5), July 18, 1984, 98 Stat. 1132,
1168; Pub. L. 100-203, title IX, Secs. 9103(a), 9104(a), 9105(a),
9114(a), Dec. 22, 1987, 101 Stat. 1330-301, 1330-304; Pub. L.
100-360, title III, Sec. 303(c)(1), July 1, 1988, 102 Stat. 762;
Pub. L. 100-647, title VIII, Sec. 8103(b), Nov. 10, 1988, 102 Stat.
3795; Pub. L. 101-239, title VIII, Secs. 8013(b), 8014(a), Dec. 19,
1989, 103 Stat. 2465; Pub. L. 101-508, title V, Secs. 5031(b),
5035(b), title XI, Sec. 11115(b)(2), Nov. 5, 1990, 104 Stat.
1388-224, 1388-225, 1388-414; Pub. L. 103-296, title I, Sec.
107(a)(4), title III, Sec. 321(h)(2), Aug. 15, 1994, 108 Stat.
1478, 1544; Pub. L. 104-193, title II, Sec. 213(b), Aug. 22, 1996,
110 Stat. 2195; Pub. L. 105-306, Sec. 7(b), Oct. 28, 1998, 112
Stat. 2928; Pub. L. 106-169, title II, Secs. 205(a), 206(a), Dec.
14, 1999, 113 Stat. 1833, 1834.)
-REFTEXT-
REFERENCES IN TEXT
The Uniform Relocation Assistance and Real Property Acquisitions
Policies Act of 1970, referred to in subsec. (a)(10), is Pub. L.
91-646, Jan. 2, 1971, 84 Stat. 1894, as amended. Title II of the
Act enacted subchapter II (Sec. 4621 et seq.) of chapter 61 of this
title, amended sections 1415, 2473, and 3307 of this title and
section 1606 of former Title 49, Transportation, repealed sections
1465 and 3074 of this title, section 2680 of Title 10, Armed
Forces, sections 501 to 512 of Title 23, Highways, sections 1231 to
1234 of Title 43, Public Lands, and enacted provisions set out as
notes under sections 4601 and 4621 of this title and under sections
501 to 512 of Title 23. For complete classification of title II to
the Code, see Tables.
The Internal Revenue Code of 1986, referred to in subsec.
(a)(11), (13), is classified generally to Title 26, Internal
Revenue Code.
Section 212(b) of Public Law 93-66, referred to in subsec.
(c)(1)(A)(iv)(II), (F)(i), is section 212(b) of Pub. L. 93-66,
title II, July 9, 1973, 87 Stat. 155, as amended, which is set out
as a note under section 1382 of this title.
-MISC1-
AMENDMENTS
1999 - Subsec. (c). Pub. L. 106-169, Sec. 206(a)(1), struck out
"Notification of medicaid policy restricting eligibility of
institutionalized individuals for benefits based on" before
"Disposal" in subsec. heading.
Subsec. (c)(1). Pub. L. 106-169, Sec. 206(a)(5), added par. (1).
Former par. (1) redesignated (2)(A).
Subsec. (c)(2)(A). Pub. L. 106-169, Sec. 206(a)(4), redesignated
par. (1) as (2)(A).
Subsec. (c)(2)(A)(i). Pub. L. 106-169, Sec. 206(a)(2)(A), (C),
redesignated par. (1)(A) as (2)(A)(i), inserted "paragraph (1) and"
after "provisions of", and substituted "benefits under this
subchapter and subchapter XIX of this chapter, respectively," for
"benefits under subchapter XIX of this chapter", "clause (ii)" for
"subparagraph (B)", and "subparagraph (B)" for "paragraph (2)".
Subsec. (c)(2)(A)(ii). Pub. L. 106-169, Sec. 206(a)(2)(B), (C),
redesignated par. (1)(B) as (2)(A)(ii), struck out "by the State
agency" after "which may be used", and substituted "paragraph (1)
or section 1396p(c) of this title." for "section 1396p(c) of this
title if such individual (or such spouse, if any) enters a medical
institution or nursing facility."
Subsec. (c)(2)(B). Pub. L. 106-169, Sec. 206(a)(3), redesignated
par. (2) as (2)(B) and substituted "subparagraph (A)(ii)" for
"paragraph (1)(B)".
Subsec. (e). Pub. L. 106-169, Sec. 205(a), added subsec. (e).
1998 - Subsec. (a)(13). Pub. L. 105-306 added par. (13).
1996 - Subsec. (a)(12). Pub. L. 104-193 added par. (12).
1994 - Subsec. (a)(2) to (4), (6). Pub. L. 103-296, Sec.
107(a)(4), substituted "Commissioner of Social Security" for
"Secretary" wherever appearing.
Subsec. (a)(9) to (11). Pub. L. 103-296, Sec. 321(h)(2), struck
out "and" at end of par. (9), substituted "; and" for period at end
of par. (10) relating to relocation assistance, and redesignated
par. (10) relating to refunds of Federal income taxes as (11).
Subsecs. (b) to (d). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing and "the Commissioner shall" for "he shall" in subsec.
(d)(3).
1990 - Subsec. (a)(9). Pub. L. 101-508, Sec. 5031(b), added par.
(9).
Subsec. (a)(10). Pub. L. 101-508, Sec. 11115(b)(2), added par.
(10) relating to refunds of Federal income taxes.
Pub. L. 101-508, Sec. 5053(b), added par. (10) relating to
relocation assistance.
1989 - Subsec. (a)(2)(B). Pub. L. 101-239, Sec. 8013(b), inserted
"or agreement (including any interest accumulated thereon)
representing the purchase of a burial space".
Subsec. (a)(3). Pub. L. 101-239, Sec. 8014(a), amended par. (3)
generally. Prior to amendment, par. (3) read as follows: "other
property which, as determined in accordance with and subject to
limitations prescribed by the Secretary, is so essential to the
means of self-support of such individual (and such spouse) as to
warrant its exclusion;".
1988 - Subsec. (a)(8). Pub. L. 100-647 added par. (8).
Subsec. (c). Pub. L. 100-360 substituted "Notification of
medicaid policy restricting eligibility of institutionalized
individuals for benefits based on disposal of resources for less
than fair market value" for "Disposal of resources for less than
fair market value" in heading and amended text generally,
substituting pars. (1) and (2) for former pars. (1) to (4).
1987 - Subsec. (a)(7). Pub. L. 100-203, Sec. 9114(a), inserted
"(or to the first 9 months following such month with respect to any
amount so received during the period beginning October 1, 1987, and
ending September 30, 1989)" after "such amount is received".
Subsec. (b). Pub. L. 100-203, Sec. 9103, designated existing
provisions as par. (1) and added par. (2).
Subsec. (c)(1). Pub. L. 100-203, Sec. 9104(a)(1), inserted ", and
subject to paragraph (4) of this subsection" after "subsection (a)
of this section".
Subsec. (c)(4). Pub. L. 100-203, Sec. 9104(a)(2), added par. (4).
Subsec. (d)(1). Pub. L. 100-203, Sec. 9105(a)(1), struck out "if
the inclusion of any portion of such amount or amounts would cause
the resources of such individual, or of such individual and spouse,
to exceed the limits specified in paragraph (1) or (2) (whichever
may be applicable) of section 1382(a) of this title" after
"individual or spouse".
Subsec. (d)(3). Pub. L. 100-203, Sec. 9105(a)(2), substituted
"aside in cases where the inclusion of any portion of the amount
would cause the resources of such individual, or of such individual
and spouse, to exceed the limits specified in paragraph (1) or (2)
(whichever may be applicable) of section 1382(a) of this title" for
"aside".
1984 - Subsec. (a)(7). Pub. L. 98-369, Sec. 2614, added par. (7).
Subsec. (c). Pub. L. 98-369, Sec. 2663(g)(5), amended heading.
1982 - Subsec. (a)(2). Pub. L. 97-248, Sec. 185(a), redesignated
existing provisions as subpar. (A) and added subpar. (B).
Subsec. (d). Pub. L. 97-248, Sec. 185(b), added subsec. (d).
1980 - Subsec. (c). Pub. L. 96-611 added subsec. (c).
1977 - Subsec. (a)(6). Pub. L. 95-171 added par. (6).
1976 - Subsec. (a)(1). Pub. L. 94-569 struck out ", to the extent
that its value does not exceed such amount as the Secretary
determines to be reasonable" after "the home (including the land
that appertains thereto)".
EFFECTIVE DATE OF 1999 AMENDMENT
Amendment by section 205(a) of Pub. L. 106-169 effective Jan. 1,
2000, and applicable to trusts established on or after such date,
see section 205(d) of Pub. L. 106-169, set out as a note under
section 1382a of this title.
Pub. L. 106-169, title II, Sec. 206(c), Dec. 14, 1999, 113 Stat.
1837, provided that: "The amendments made by this section [amending
this section and section 1396a of this title] shall be effective
with respect to disposals made on or after the date of the
enactment of this Act [Dec. 14, 1999]."
EFFECTIVE DATE OF 1998 AMENDMENT
Amendment by Pub. L. 105-306 applicable to gifts made on or after
the date that is 2 years before Oct. 28, 1998, see section 7(c) of
Pub. L. 105-306, set out as a note under section 1382a of this
title.
EFFECTIVE DATE OF 1996 AMENDMENT
Amendment by section 213(b) of Pub. L. 104-193 applicable to
payments made after Aug. 22, 1996, see section 213(d) of Pub. L.
104-193, set out as a note under section 1382a of this title.
EFFECTIVE DATE OF 1994 AMENDMENT
Amendment by section 107(a)(4) of Pub. L. 103-296 effective Mar.
31, 1995, see section 110(a) of Pub. L. 103-296, set out as a note
under section 401 of this title.
Section 321(h)(3) of Pub. L. 103-296 provided that: "The
amendments made by this subsection [amending this section and
section 1383 of this title] shall take effect on the date of the
enactment of this Act [Aug. 15, 1994]."
EFFECTIVE DATE OF 1990 AMENDMENT
Amendment by section 5031(b) of Pub. L. 101-508 applicable with
respect to benefits for months beginning on or after the first day
of the 6th calendar month following November 1990, see section
5031(d) of Pub. L. 101-508, set out as a note under section 1382a
of this title.
Amendment by section 5035(b) of Pub. L. 101-508 applicable with
respect to benefits for calendar months beginning on or after the
first day of the 6th calendar month following November 1990, see
section 5035(c) of Pub. L. 101-508, as amended, set out as a note
under section 1382a of this title.
Amendment by section 11115(b)(2) of Pub. L. 101-508 applicable to
determinations of income or resources made for any period after
Dec. 31, 1990, see section 11115(e) of Pub. L. 101-508, set out as
a note under section 1382a of this title.
EFFECTIVE DATE OF 1989 AMENDMENT
Amendment by section 8013(b) of Pub. L. 101-239 effective on 1st
day of 4th month beginning after Dec. 19, 1989, see section 8013(c)
of Pub. L. 101-239, set out as a note under section 1382a of this
title.
Section 8014(b) of Pub. L. 101-239 provided that: "The amendment
made by subsection (a) [amending this section] shall take effect on
the 1st day of the 5th calendar month beginning after the date of
the enactment of this Act [Dec. 19, 1989]."
EFFECTIVE DATE OF 1988 AMENDMENTS
Amendment by Pub. L. 100-647 effective as though included in
section 162 of Housing and Community Development Act of 1987, Pub.
L. 100-242, at the time of its enactment, on Feb. 5, 1988, see
section 8103(c) of Pub. L. 100-647, set out as a note under section
1382a of this title.
Amendment by Pub. L. 100-360 applicable to transfers occurring on
or after July 1, 1988, without regard to whether or not final
regulations to carry out such amendment have been promulgated by
such date, see section 303(g)(3) of Pub. L. 100-360, set out as a
note under section 1396r-5 of this title.
EFFECTIVE DATE OF 1987 AMENDMENT
Section 9103(b) of Pub. L. 100-203 provided that: "The amendments
made by subsection (a) [amending this section] shall become
effective April 1, 1988."
Section 9104(b) of Pub. L. 100-203 provided that: "The amendments
made by subsection (a) [amending this section] shall become
effective April 1, 1988."
Section 9105(b) of Pub. L. 100-203 provided that: "The amendments
made by subsection (a) [amending this section] shall become
effective April 1, 1988."
Section 9114(b) of Pub. L. 100-203 provided that: "The amendment
made by subsection (a) [amending this section] shall become
effective January 1, 1988."
EFFECTIVE DATE OF 1984 AMENDMENT
Amendment by section 2614 of Pub. L. 98-369 effective Oct. 1,
1984, except as otherwise specifically provided, see section 2646
of Pub. L. 98-369, set out as a note under section 657 of this
title.
Amendment by section 2663(g)(5) of Pub. L. 98-369 effective July
18, 1984, but not to be construed as changing or affecting any
right, liability, status, or interpretation which existed (under
the provisions of law involved) before that date, see section
2664(b) of Pub. L. 98-369, set out as a note under section 401 of
this title.
EFFECTIVE DATE OF 1982 AMENDMENT
Section 185(c) of Pub. L. 97-248 provided that: "The amendment
made by this section [amending this section] shall take effect on
the first day of the second month after the month in which this Act
is enacted [September 1982]."
EFFECTIVE DATE OF 1980 AMENDMENT
Section 5(c) of Pub. L. 96-611 provided that: "The amendment made
by subsection (a) [amending this section] shall be effective with
respect to applications for benefits under title XVI of the Social
Security Act [this subchapter] filed on or after the first day of
the first month which begins at least 60 days after the date of
enactment of this Act [Dec. 28, 1980]."
EFFECTIVE DATE OF 1977 AMENDMENT
Section 9(b) of Pub. L. 95-171 provided that: "The amendment made
by this section [amending this section] shall be effective July 1,
1976, with respect to catastrophes which occurred on or after June
1, 1976, and before December 31, 1976. With respect to catastrophes
which occurred on or after December 1, 1976, the amendment made by
this section shall be effective the first day of the calendar
quarter following enactment of this Act [Nov. 12, 1977]."
EFFECTIVE DATE
Section 301 of Pub. L. 92-603 provided that this section is
effective Jan. 1, 1974.
APPLICATION TO NORTHERN MARIANA ISLANDS
For applicability of this section to the Northern Mariana
Islands, see section 502(a)(1) of the Covenant to Establish a
Commonwealth of the Northern Mariana Islands in Political Union
with the United States of America and Proc. No. 4534, Oct. 24,
1977, 42 F.R. 6593, set out as notes under section 1801 of Title
48, Territories and Insular Possessions.
PUERTO RICO, GUAM, AND VIRGIN ISLANDS
Enactment of provisions of Pub. L. 92-603, eff. Jan. 1, 1974, not
applicable to Puerto Rico, Guam, and the Virgin Islands, see
section 303(b) of Pub. L. 92-603, set out as a note under section
301 of this title.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 1382, 1382a, 1382j,
1396a, 1396d, 1396p, 1396r-5, 1437a of this title; title 25 section
4103.
-End-
-CITE-
42 USC Sec. 1382c 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part A - Determination of Benefits
-HEAD-
Sec. 1382c. Definitions
-STATUTE-
(a)(1) For purposes of this subchapter, the term "aged, blind, or
disabled individual" means an individual who -
(A) is 65 years of age or older, is blind (as determined under
paragraph (2)), or is disabled (as determined under paragraph
(3)), and
(B)(i) is a resident of the United States, and is either (I) a
citizen or (II) an alien lawfully admitted for permanent
residence or otherwise permanently residing in the United States
under color of law (including any alien who is lawfully present
in the United States as a result of the application of the
provisions of section 1182(d)(5) of title 8), or
(ii) is a child who is a citizen of the United States, who is
living with a parent of the child who is a member of the Armed
Forces of the United States assigned to permanent duty ashore
outside the United States, and who, for the month before the
parent reported for such assignment, received a benefit under
this subchapter.
(2) An individual shall be considered to be blind for purposes of
this subchapter if he has central visual acuity of 20/200 or less
in the better eye with the use of a correcting lens. An eye which
is accompanied by a limitation in the fields of vision such that
the widest diameter of the visual field subtends an angle no
greater than 20 degrees shall be considered for purposes of the
first sentence of this subsection as having a central visual acuity
of 20/200 or less. An individual shall also be considered to be
blind for purposes of this subchapter if he is blind as defined
under a State plan approved under subchapter X or XVI of this
chapter as in effect for October 1972 and received aid under such
plan (on the basis of blindness) for December 1973, so long as he
is continuously blind as so defined.
(3)(A) Except as provided in subparagraph (C), an individual
shall be considered to be disabled for purposes of this subchapter
if he is unable to engage in any substantial gainful activity by
reason of any medically determinable physical or mental impairment
which can be expected to result in death or which has lasted or can
be expected to last for a continuous period of not less than twelve
months.
(B) For purposes of subparagraph (A), an individual shall be
determined to be under a disability only if his physical or mental
impairment or impairments are of such severity that he is not only
unable to do his previous work but cannot, considering his age,
education, and work experience, engage in any other kind of
substantial gainful work which exists in the national economy,
regardless of whether such work exists in the immediate area in
which he lives, or whether a specific job vacancy exists for him,
or whether he would be hired if he applied for work. For purposes
of the preceding sentence (with respect to any individual), "work
which exists in the national economy" means work which exists in
significant numbers either in the region where such individual
lives or in several regions of the country.
(C)(i) An individual under the age of 18 shall be considered
disabled for the purposes of this subchapter if that individual has
a medically determinable physical or mental impairment, which
results in marked and severe functional limitations, and which can
be expected to result in death or which has lasted or can be
expected to last for a continuous period of not less than 12
months.
(ii) Notwithstanding clause (i), no individual under the age of
18 who engages in substantial gainful activity (determined in
accordance with regulations prescribed pursuant to subparagraph
(E)) may be considered to be disabled.
(D) For purposes of this paragraph, a physical or mental
impairment is an impairment that results from anatomical,
physiological, or psychological abnormalities which are
demonstrable by medically acceptable clinical and laboratory
diagnostic techniques.
(E) The Commissioner of Social Security shall by regulations
prescribe the criteria for determining when services performed or
earnings derived from services demonstrate an individual's ability
to engage in substantial gainful activity. In determining whether
an individual is able to engage in substantial gainful activity by
reason of his earnings, where his disability is sufficiently severe
to result in a functional limitation requiring assistance in order
for him to work, there shall be excluded from such earnings an
amount equal to the cost (to such individual) of any attendant care
services, medical devices, equipment, prostheses, and similar items
and services (not including routine drugs or routine medical
services unless such drugs or services are necessary for the
control of the disabling condition) which are necessary (as
determined by the Commissioner of Social Security in regulations)
for that purpose, whether or not such assistance is also needed to
enable him to carry out his normal daily functions; except that the
amounts to be excluded shall be subject to such reasonable limits
as the Commissioner of Social Security may prescribe.
Notwithstanding the provisions of subparagraph (B), an individual
whose services or earnings meet such criteria shall be found not to
be disabled. The Commissioner of Social Security shall make
determinations under this subchapter with respect to substantial
gainful activity, without regard to the legality of the activity.
(F) Notwithstanding the provisions of subparagraphs (A) through
(E), an individual shall also be considered to be disabled for
purposes of this subchapter if he is permanently and totally
disabled as defined under a State plan approved under subchapter
XIV or XVI of this chapter as in effect for October 1972 and
received aid under such plan (on the basis of disability) for
December 1973 (and for at least one month prior to July 1973), so
long as he is continuously disabled as so defined.
(G) In determining whether an individual's physical or mental
impairment or impairments are of a sufficient medical severity that
such impairment or impairments could be the basis of eligibility
under this section, the Commissioner of Social Security shall
consider the combined effect of all of the individual's impairments
without regard to whether any such impairment, if considered
separately, would be of such severity. If the Commissioner of
Social Security does find a medically severe combination of
impairments, the combined impact of the impairments shall be
considered throughout the disability determination process.
(H)(i) In making determinations with respect to disability under
this subchapter, the provisions of sections 421(h), 421(k), and
423(d)(5) of this title shall apply in the same manner as they
apply to determinations of disability under subchapter II of this
chapter.
(ii)(I) Not less frequently than once every 3 years, the
Commissioner shall review in accordance with paragraph (4) the
continued eligibility for benefits under this subchapter of each
individual who has not attained 18 years of age and is eligible for
such benefits by reason of an impairment (or combination of
impairments) which is likely to improve (or, at the option of the
Commissioner, which is unlikely to improve).
(II) A representative payee of a recipient whose case is reviewed
under this clause shall present, at the time of review, evidence
demonstrating that the recipient is, and has been, receiving
treatment, to the extent considered medically necessary and
available, of the condition which was the basis for providing
benefits under this subchapter.
(III) If the representative payee refuses to comply without good
cause with the requirements of subclause (II), the Commissioner of
Social Security shall, if the Commissioner determines it is in the
best interest of the individual, promptly suspend payment of
benefits to the representative payee, and provide for payment of
benefits to an alternative representative payee of the individual
or, if the interest of the individual under this subchapter would
be served thereby, to the individual.
(IV) Subclause (II) shall not apply to the representative payee
of any individual with respect to whom the Commissioner determines
such application would be inappropriate or unnecessary. In making
such determination, the Commissioner shall take into consideration
the nature of the individual's impairment (or combination of
impairments). Section 1383(c) of this title shall not apply to a
finding by the Commissioner that the requirements of subclause (II)
should not apply to an individual's representative payee.
(iii) If an individual is eligible for benefits under this
subchapter by reason of disability for the month preceding the
month in which the individual attains the age of 18 years, the
Commissioner shall redetermine such eligibility -
(I) by applying the criteria used in determining initial
eligibility for individuals who are age 18 or older; and
(II) either during the 1-year period beginning on the
individual's 18th birthday or, in lieu of a continuing disability
review, whenever the Commissioner determines that an individual's
case is subject to a redetermination under this clause.
With respect to any redetermination under this clause, paragraph
(4) shall not apply.
(iv)(I) Except as provided in subclause (VI), not later than 12
months after the birth of an individual, the Commissioner shall
review in accordance with paragraph (4) the continuing eligibility
for benefits under this subchapter by reason of disability of such
individual whose low birth weight is a contributing factor material
to the Commissioner's determination that the individual is
disabled.
(II) A review under subclause (I) shall be considered a
substitute for a review otherwise required under any other
provision of this subparagraph during that 12-month period.
(III) A representative payee of a recipient whose case is
reviewed under this clause shall present, at the time of review,
evidence demonstrating that the recipient is, and has been,
receiving treatment, to the extent considered medically necessary
and available, of the condition which was the basis for providing
benefits under this subchapter.
(IV) If the representative payee refuses to comply without good
cause with the requirements of subclause (III), the Commissioner of
Social Security shall, if the Commissioner determines it is in the
best interest of the individual, promptly suspend payment of
benefits to the representative payee, and provide for payment of
benefits to an alternative representative payee of the individual
or, if the interest of the individual under this subchapter would
be served thereby, to the individual.
(V) Subclause (III) shall not apply to the representative payee
of any individual with respect to whom the Commissioner determines
such application would be inappropriate or unnecessary. In making
such determination, the Commissioner shall take into consideration
the nature of the individual's impairment (or combination of
impairments). Section 1383(c) of this title shall not apply to a
finding by the Commissioner that the requirements of subclause
(III) should not apply to an individual's representative payee.
(VI) Subclause (I) shall not apply in the case of an individual
described in that subclause who, at the time of the individual's
initial disability determination, the Commissioner determines has
an impairment that is not expected to improve within 12 months
after the birth of that individual, and who the Commissioner
schedules for a continuing disability review at a date that is
after the individual attains 1 year of age.
(I) In making any determination under this subchapter with
respect to the disability of an individual who has not attained the
age of 18 years and to whom section 421(h) of this title does not
apply, the Commissioner of Social Security shall make reasonable
efforts to ensure that a qualified pediatrician or other individual
who specializes in a field of medicine appropriate to the
disability of the individual (as determined by the Commissioner of
Social Security) evaluates the case of such individual.
(J) Notwithstanding subparagraph (A), an individual shall not be
considered to be disabled for purposes of this subchapter if
alcoholism or drug addiction would (but for this subparagraph) be a
contributing factor material to the Commissioner's determination
that the individual is disabled.
(4) A recipient of benefits based on disability under this
subchapter may be determined not to be entitled to such benefits on
the basis of a finding that the physical or mental impairment on
the basis of which such benefits are provided has ceased, does not
exist, or is not disabling only if such finding is supported by -
(A) in the case of an individual who is age 18 or older -
(i) substantial evidence which demonstrates that -
(I) there has been any medical improvement in the
individual's impairment or combination of impairments (other
than medical improvement which is not related to the
individual's ability to work), and
(II) the individual is now able to engage in substantial
gainful activity; or
(ii) substantial evidence (except in the case of an
individual eligible to receive benefits under section 1382h of
this title) which -
(I) consists of new medical evidence and a new assessment
of the individual's residual functional capacity, and
demonstrates that -
(aa) although the individual has not improved medically,
he or she is nonetheless a beneficiary of advances in
medical or vocational therapy or technology (related to the
individual's ability to work), and
(bb) the individual is now able to engage in substantial
gainful activity, or
(II) demonstrates that -
(aa) although the individual has not improved medically,
he or she has undergone vocational therapy (related to the
individual's ability to work), and
(bb) the individual is now able to engage in substantial
gainful activity; or
(iii) substantial evidence which demonstrates that, as
determined on the basis of new or improved diagnostic
techniques or evaluations, the individual's impairment or
combination of impairments is not as disabling as it was
considered to be at the time of the most recent prior decision
that he or she was under a disability or continued to be under
a disability, and that therefore the individual is able to
engage in substantial gainful activity; or
(B) in the case of an individual who is under the age of 18 -
(i) substantial evidence which demonstrates that there has
been medical improvement in the individual's impairment or
combination of impairments, and that such impairment or
combination of impairments no longer results in marked and
severe functional limitations; or
(ii) substantial evidence which demonstrates that, as
determined on the basis of new or improved diagnostic
techniques or evaluations, the individual's impairment or
combination of impairments, is not as disabling as it was
considered to be at the time of the most recent prior decision
that the individual was under a disability or continued to be
under a disability, and such impairment or combination of
impairments does not result in marked and severe functional
limitations; or
(C) in the case of any individual, substantial evidence (which
may be evidence on the record at the time any prior determination
of the entitlement to benefits based on disability was made, or
newly obtained evidence which relates to that determination)
which demonstrates that a prior determination was in error.
Nothing in this paragraph shall be construed to require a
determination that an individual receiving benefits based on
disability under this subchapter is entitled to such benefits if
the prior determination was fraudulently obtained or if the
individual is engaged in substantial gainful activity, cannot be
located, or fails, without good cause, to cooperate in a review of
his or her entitlement or to follow prescribed treatment which
would be expected (i) to restore his or her ability to engage in
substantial gainful activity, or (ii) in the case of an individual
under the age of 18, to eliminate or improve the individual's
impairment or combination of impairments so that it no longer
results in marked and severe functional limitations. Any
determination under this paragraph shall be made on the basis of
all the evidence available in the individual's case file, including
new evidence concerning the individual's prior or current condition
which is presented by the individual or secured by the Commissioner
of Social Security. Any determination made under this paragraph
shall be made on the basis of the weight of the evidence and on a
neutral basis with regard to the individual's condition, without
any initial inference as to the presence or absence of disability
being drawn from the fact that the individual has previously been
determined to be disabled.
(b) For purposes of this subchapter, the term "eligible spouse"
means an aged, blind, or disabled individual who is the husband or
wife of another aged, blind, or disabled individual, and who, in a
month, is living with such aged, blind, or disabled individual on
the first day of the month or, in any case in which either spouse
files an application for benefits, on the first day of the month
following the date the application is filed, or, in any case in
which either spouse requests restoration of eligibility under this
subchapter during the month, at the time the request is filed. If
two aged, blind, or disabled individuals are husband and wife as
described in the preceding sentence, only one of them may be an
"eligible individual" within the meaning of section 1382(a) of this
title.
(c) For purposes of this subchapter, the term "child" means an
individual who is neither married nor (as determined by the
Commissioner of Social Security) the head of a household, and who
is (1) under the age of eighteen, or (2) under the age of
twenty-two and (as determined by the Commissioner of Social
Security) a student regularly attending a school, college, or
university, or a course of vocational or technical training
designed to prepare him for gainful employment.
(d) In determining whether two individuals are husband and wife
for purposes of this subchapter, appropriate State law shall be
applied; except that -
(1) if a man and woman have been determined to be husband and
wife under section 416(h)(1) of this title for purposes of
subchapter II of this chapter they shall be considered (from and
after the date of such determination or the date of their
application for benefits under this subchapter, whichever is
later) to be husband and wife for purposes of this subchapter, or
(2) if a man and woman are found to be holding themselves out
to the community in which they reside as husband and wife, they
shall be so considered for purposes of this subchapter
notwithstanding any other provision of this section.
(e) For purposes of this subchapter, the term "United States",
when used in a geographical sense, means the 50 States and the
District of Columbia.
(f)(1) For purposes of determining eligibility for and the amount
of benefits for any individual who is married and whose spouse is
living with him in the same household but is not an eligible
spouse, such individual's income and resources shall be deemed to
include any income and resources of such spouse, whether or not
available to such individual, except to the extent determined by
the Commissioner of Social Security to be inequitable under the
circumstances.
(2)(A) For purposes of determining eligibility for and the amount
of benefits for any individual who is a child under age 18, such
individual's income and resources shall be deemed to include any
income and resources of a parent of such individual (or the spouse
of such a parent) who is living in the same household as such
individual, whether or not available to such individual, except to
the extent determined by the Commissioner of Social Security to be
inequitable under the circumstances.
(B) Subparagraph (A) shall not apply in the case of any child who
has not attained the age of 18 years who -
(i) is disabled;
(ii) received benefits under this subchapter, pursuant to
section 1382(e)(1)(B) of this title, while in an institution
described in section 1382(e)(1)(B) of this title;
(iii) is eligible for medical assistance under a State home
care plan approved by the Secretary under the provisions of
section 1396n(c) of this title relating to waivers, or authorized
under section 1396a(e)(3) of this title; and
(iv) but for this subparagraph, would not be eligible for
benefits under this subchapter.
(3) For purposes of determining eligibility for and the amount of
benefits for any individual who is an alien, such individual's
income and resources shall be deemed to include the income and
resources of his sponsor and such sponsor's spouse (if such alien
has a sponsor) as provided in section 1382j of this title. Any such
income deemed to be income of such individual shall be treated as
unearned income of such individual.
(4) For purposes of paragraphs (1) and (2), a spouse or parent
(or spouse of such a parent) who is absent from the household in
which the individual lives due solely to a duty assignment as a
member of the Armed Forces on active duty shall, in the absence of
evidence to the contrary, be deemed to be living in the same
household as the individual.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1614, as added Pub. L.
92-603, title III, Sec. 301, Oct. 30, 1972, 86 Stat. 1471; amended
Pub. L. 93-233, Sec. 9, Dec. 31, 1973, 87 Stat. 957; Pub. L.
96-265, title II, Sec. 203(a), title III, Secs. 302(a)(2),
303(c)(1), title V, Sec. 504(a), June 9, 1980, 94 Stat. 449, 450,
453, 471; Pub. L. 98-369, div. B, title VI, Sec. 2663(g)(6), (7),
July 18, 1984, 98 Stat. 1168, 1169; Pub. L. 98-460, Secs. 2(c),
3(a)(2), 4(b), 8(b), 10(b), Oct. 9, 1984, 98 Stat. 1796, 1799,
1800, 1804, 1805; Pub. L. 99-643, Sec. 4(d)(2), (3)(A), Nov. 10,
1986, 100 Stat. 3577; Pub. L. 101-239, title VIII, Secs. 8009(b),
8010(a), 8012(a), Dec. 19, 1989, 103 Stat. 2463, 2464; Pub. L.
101-508, title V, Sec. 5036(a), Nov. 5, 1990, 104 Stat. 1388-225;
Pub. L. 101-649, title I, Sec. 162(e)(5), Nov. 29, 1990, 104 Stat.
5011; Pub. L. 103-66, title XIII, Secs. 13733(a), 13734(a), Aug.
10, 1993, 107 Stat. 662; Pub. L. 103-296, title I, Sec. 107(a)(4),
title II, Sec. 201(b)(4)(A), Aug. 15, 1994, 108 Stat. 1478, 1505;
Pub. L. 103-432, title II, Sec. 221(a), Oct. 31, 1994, 108 Stat.
4462; Pub. L. 104-121, title I, Sec. 105(b)(1), Mar. 29, 1996, 110
Stat. 853; Pub. L. 104-193, title II, Secs. 204(c)(1), 211(a), (c),
212(a), (b)(1), (c), Aug. 22, 1996, 110 Stat. 2188, 2189, 2192,
2193; Pub. L. 105-33, title V, Sec. 5522(a), (d), Aug. 5, 1997, 111
Stat. 622, 623.)
-MISC1-
AMENDMENTS
1997 - Subsec. (a)(3)(H)(iii). Pub. L. 105-33, Sec. 5522(a)(1),
added subcls. (I) and (II) and concluding provisions and struck out
former subcls. (I) and (II) and concluding provisions which read as
follows:
"(I) during the 1-year period beginning on the individual's
18th birthday; and
"(II) by applying the criteria used in determining the initial
eligibility for applicants who are age 18 or older.
With respect to a redetermination under this clause, paragraph (4)
shall not apply and such redetermination shall be considered a
substitute for a review or redetermination otherwise required under
any other provision of this subparagraph during that 1-year
period."
Subsec. (a)(3)(H)(iv). Pub. L. 105-33, Sec. 5522(a)(2),
substituted "Except as provided in subclause (VI), not" for "Not"
in subcl. (I) and added subcl. (VI).
Subsec. (a)(4). Pub. L. 105-33, Sec. 5522(d), made technical
correction to directory language of Pub. L. 104-193, Sec. 211(c).
See 1996 Amendment notes below.
1996 - Subsec. (a)(3)(A). Pub. L. 104-193, Sec. 211(a)(1), (2),
substituted "Except as provided in subparagraph (C), an individual"
for "An individual" and struck out "(or, in the case of an
individual under the age of 18, if he suffers from any medically
determinable physical or mental impairment of comparable severity)"
before period at end.
Subsec. (a)(3)(C). Pub. L. 104-193, Sec. 211(a)(4), added subpar.
(C). Former subpar. (C) redesignated (D).
Subsec. (a)(3)(D), (E). Pub. L. 104-193, Sec. 211(a)(3),
redesignated pars. (C) and (D) as (D) and (E), respectively. Former
par. (E) redesignated (F).
Subsec. (a)(3)(F). Pub. L. 104-193, Sec. 211(a)(3), (5),
redesignated subpar. (E) as (F) and substituted "subparagraphs (A)
through (E)" for "subparagraphs (A) through (D)". Former subpar.
(F) redesignated (G).
Subsec. (a)(3)(G). Pub. L. 104-193, Sec. 211(a)(3), redesignated
subpar. (F) as (G). Former subpar. (G) redesignated (H).
Subsec. (a)(3)(H). Pub. L. 104-193, Sec. 212(a), (b)(1), (c),
designated existing provisions as cl. (i) and added cls. (ii) to
(iv).
Pub. L. 104-193, Sec. 211(a)(3), redesignated subpar. (G) as (H).
Former subpar. (H) redesignated (I).
Subsec. (a)(3)(I). Pub. L. 104-193, Sec. 211(a)(3), redesignated
subpar. (H) as (I). Former subpar. (I) redesignated (J).
Pub. L. 104-121 added subpar. (I).
Subsec. (a)(3)(J). Pub. L. 104-193, Sec. 211(a)(3), redesignated
subpar. (I) as (J).
Subsec. (a)(4). Pub. L. 104-193, Sec. 211(c)(7), as amended by
Pub. L. 105-33, Sec. 5522(d), in first sentence of concluding
provisions inserted "(i)" before "to restore" and ", or" before
"(ii)" and added cl. (ii).
Pub. L. 104-193, Sec. 211(c)(1)-(6), as amended by Pub. L.
105-33, Sec. 5522(d), inserted "(A) in the case of an individual
who is age 18 or older - " after "if such finding is supported by -
", redesignated former subpars. (A) to (C) as cls. (i) to (iii),
respectively, in cl. (i) redesignated former cls. (i) and (ii) as
subcls. (I) and (II), respectively, in cl. (ii) redesignated former
cls. (i) and (ii) as subcls. (I) and (II), respectively, in subcls.
(I) and (II) of cl. (ii) redesignated former subcls. (I) and (II)
as items (aa) and (bb), respectively, added subpar. (B),
redesignated former subpar. (D) as (C), and inserted "in the case
of any individual," before "substantial evidence" in that subpar.
Subsec. (b). Pub. L. 104-193, Sec. 204(c)(1), substituted ", on
the first day of the month following the date the application is
filed, or, in any case in which either spouse requests" for "or
requests" and struck out "application or" before "request is
filed."
1994 - Subsec. (a)(3)(A). Pub. L. 103-432, Sec. 221(a)(1),
substituted "an individual" for "a child" before "under the age of
18".
Subsec. (a)(3)(D). Pub. L. 103-296, Sec. 201(b)(4)(A), inserted
at end "The Secretary shall make determinations under this
subchapter with respect to substantial gainful activity, without
regard to the legality of the activity."
Pub. L. 103-296, Sec. 107(a)(4), in subpar. (D) as amended by
Pub. L. 103-296, Sec. 201(b)(4)(A), substituted "Commissioner of
Social Security" for "Secretary" wherever appearing.
Subsec. (a)(3)(F). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" in two places.
Subsec. (a)(3)(H). Pub. L. 103-432, Sec. 221(a), substituted "an
individual" for "a child", "the individual" for "the child", and
"such individual" for "such child".
Pub. L. 103-296, Sec. 107(a)(4), substituted "Commissioner of
Social Security" for "Secretary" in two places.
Subsecs. (a)(4), (c), (f)(1), (2)(A). Pub. L. 103-296, Sec.
107(a)(4), substituted "Commissioner of Social Security" for
"Secretary" wherever appearing.
1993 - Subsec. (a)(1)(B)(ii). Pub. L. 103-66, Sec. 13734(a),
substituted "and who, for the month before the parent reported for
such assignment, received a benefit under this subchapter" for "the
District of Columbia, Puerto Rico, and the territories and
possessions of the United States, and who, during the month before
the parent reported for such assignment, was receiving benefits
under this subchapter".
Subsec. (f)(4). Pub. L. 103-66, Sec. 13733(a), added par. (4).
1990 - Subsec. (a)(1)(B)(i). Pub. L. 101-649 struck out "section
1153(a)(7) or" after "the provisions of".
Subsec. (a)(3)(H). Pub. L. 101-508 added subpar. (H).
1989 - Subsec. (a)(1)(B). Pub. L. 101-239, Sec. 8009(b),
designated existing provisions as cl. (i), redesignated former cls.
(i) and (ii) as subcls. (I) and (II), respectively, substituted ",
or" for period at end, and added cl. (ii).
Subsec. (b). Pub. L. 101-239, Sec. 8012(a), amended first
sentence generally. Prior to amendment, first sentence read as
follows: "For purposes of this subchapter, the term 'eligible
spouse' means an aged, blind, or disabled individual who is the
husband or wife of another aged, blind, or disabled individual and
who has not been living apart from such other aged, blind, or
disabled individual for more than six months."
Subsec. (f)(2). Pub. L. 101-239, Sec. 8010(a), designated
existing provisions as subpar. (A) and added subpar. (B).
1986 - Subsec. (a)(3)(D). Pub. L. 99-643, Sec. 4(d)(2)(A), struck
out ", except for purposes of subparagraph (F) or paragraph (4),"
after "such criteria".
Subsec. (a)(3)(F) to (H). Pub. L. 99-643, Sec. 4(d)(2)(B),
redesignated subpars. (G) and (H) as (F) and (G), respectively, and
struck out former subpar. (F) which read as follows: "For purposes
of this subchapter, an individual whose trial work period has ended
by application of paragraph (4)(D)(i) shall, subject to section
1382(e)(4) of this title, nonetheless be considered (except for
purposes of section 1383(a)(5) of this title) to be disabled
through the end of the month preceding the termination month. For
purposes of the preceding sentence, the termination month for any
individual shall be the earlier of (i) the earliest month after the
end of such period of trial work with respect to which such
individual is determined to no longer be suffering from a disabling
physical or mental impairment, or (ii) the first month, after the
period of 15 consecutive months following the end of such period of
trial work, in which such individual engages in or is determined to
be able to engage in substantial gainful activity."
Subsec. (a)(4), (5). Pub. L. 99-643, Sec. 4(d)(3)(A),
redesignated par. (5) as (4) and struck out former par. (4) which
read as follows:
"(A) For purposes of this subchapter, any services rendered
during a period of trial work (as defined in subparagraph (B)) by
an individual who is an aged, blind, or disabled individual solely
by reason of disability (as determined under paragraph (3) of this
subsection) shall be deemed not to have been rendered by such
individual in determining whether his disability has ceased in a
month during such period. As used in this paragraph, the term
'services' means activity which is performed for remuneration or
gain or is determined by the Secretary to be of a type normally
performed for remuneration or gain.
"(B) The term 'period of trial work', with respect to an
individual who is an aged, blind, or disabled individual solely by
reason of disability (as determined under paragraph (3) of this
subsection), means a period of months beginning and ending as
provided in subparagraphs (C) and (D).
"(C) A period of trial work for any individual shall begin with
the month in which he becomes eligible for benefits under this
subchapter on the basis of his disability; but no such period may
begin for an individual who is eligible for benefits under this
subchapter on the basis of a disability if he has had a previous
period of trial work while eligible for benefits on the basis of
the same disability.
"(D) A period of trial work for any individual shall end with the
close of whichever of the following months is the earlier:
"(i) the ninth month, beginning on or after the first day of
such period, in which the individual renders services (whether or
not such nine months are consecutive); or
"(ii) the month in which his disability (as determined under
paragraph (3) of this subsection) ceases (as determined after the
application of subparagraph (A) of this paragraph)."
1984 - Subsec. (a)(3)(E). Pub. L. 98-369, Sec. 2663(g)(6),
realigned margin of subpar. (E).
Subsec. (a)(3)(G). Pub. L. 98-460, Sec. 4(b), added subpar. (G).
Subsec. (a)(3)(H). Pub. L. 98-460, Sec. 8(b), added subpar. (H).
Pub. L. 98-460, Sec. 3(a)(2), inserted reference to section
423(d)(5) of this title.
Pub. L. 98-460, Sec. 10(b), inserted reference to section 421(k)
of this title.
Subsec. (a)(5). Pub. L. 98-460, Sec. 2(c), added par. (5).
Subsec. (d)(1). Pub. L. 98-369, Sec. 2663(g)(7), substituted "man
and woman" for "man and women".
1980 - Subsec. (a)(3)(D). Pub. L. 96-265, Sec. 302(a)(2),
inserted provisions relating to extraordinary work expenses due to
severe disability.
Pub. L. 96-265, Sec. 303(c)(1)(B), substituted reference to
subparagraph (F) or paragraph (4) for reference to paragraph (4).
Subsec. (a)(3)(F). Pub. L. 96-265, Sec. 303(c)(1)(A), added
subpar. (F).
Subsec. (f)(2). Pub. L. 96-265, Sec. 203(a), substituted "under
age 18" for "under age 21".
Subsec. (f)(3). Pub. L. 96-265, Sec. 504(a), added par. (3).
1973 - Subsec. (a)(3)(A). Pub. L. 93-233, Sec. 9(1), struck out
last sentence defining a disabled individual as one permanently and
totally disabled as defined under a State plan approved under
subchapter XIV or XVI of this chapter as in effect for 1972 and
receiving aid under such plan (on the basis of disability for
December 1973, so long as the individual is continuously disabled
as so defined, which provisions were covered in subsec. (a)(3)(E)
of this section.
Subsec. (a)(3)(E). Pub. L. 93-233, Sec. 9(2), incorporated
provisions of last sentence of subpar. (A) in provisions designated
as subpar. (E) and inserted introductory text "Notwithstanding the
provisions of subparagraphs (A) through (D)" and parenthetical
phrase "(and for at least one month prior to July 1973)" after
"December 1973".
EFFECTIVE DATE OF 1997 AMENDMENT
Amendment by Pub. L. 105-33 effective as if included in the
enactment of title II of the Personal Responsibility and Work
Opportunity Reconciliation Act of 1996, Pub. L. 104-193, see
section 5528(a) of Pub. L. 105-33, set out as a note under section
903 of this title.
EFFECTIVE DATE OF 1996 AMENDMENTS
Amendment by section 204(c)(1) of Pub. L. 104-193 applicable to
applications for benefits under this subchapter filed on or after
Aug. 22, 1996, without regard to whether regulations have been
issued to implement amendments by section 204 of Pub. L. 104-193,
see section 204(d) of Pub. L. 104-193, set out as a note under
section 1382 of this title.
Section 211(d) of Pub. L. 104-193, as amended by Pub. L. 105-33,
title V, Sec. 5101, Aug. 5, 1997, 111 Stat. 595, provided that:
"(1) Effective dates. -
"(A) Subsections (a) and (b). -
"(i) In general. - The provisions of, and amendments made by,
subsections (a) [amending this section] and (b) [110 Stat.
2189] of this section shall apply to any individual who applies
for, or whose claim is finally adjudicated with respect to,
benefits under title XVI of the Social Security Act [this
subchapter] on or after the date of the enactment of this Act
[Aug. 22, 1996], without regard to whether regulations have
been issued to implement such provisions and amendments.
"(ii) Determination of final adjudication. - For purposes of
clause (i), no individual's claim with respect to such benefits
may be considered to be finally adjudicated before such date of
enactment if, on or after such date, there is pending a request
for either administrative or judicial review with respect to
such claim that has been denied in whole, or there is pending,
with respect to such claim, readjudication by the Commissioner
of Social Security pursuant to relief in a class action or
implementation by the Commissioner of a court remand order.
"(B) Subsection (c). - The amendments made by subsection (c) of
this section [amending this section] shall apply with respect to
benefits under title XVI of the Social Security Act for months
beginning on or after the date of the enactment of this Act,
without regard to whether regulations have been issued to
implement such amendments.
"(2) Application to current recipients. -
"(A) Eligibility redeterminations. - During the period
beginning on the date of the enactment of this Act [Aug. 22,
1996] and ending on the date which is 18 months after such date
of enactment, the Commissioner of Social Security shall
redetermine the eligibility of any individual under age 18 who is
eligible for supplemental security income benefits by reason of
disability under title XVI of the Social Security Act [this
subchapter] as of the date of the enactment of this Act and whose
eligibility for such benefits may terminate by reason of the
provisions of, or amendments made by, subsections (a) and (b) of
this section. Any redetermination required by the preceding
sentence that is not performed before the end of the period
described in the preceding sentence shall be performed as soon as
is practicable thereafter. With respect to any redetermination
under this subparagraph -
"(i) section 1614(a)(4) of the Social Security Act (42 U.S.C.
1382c(a)(4)) shall not apply;
"(ii) the Commissioner of Social Security shall apply the
eligibility criteria for new applicants for benefits under
title XVI of such Act;
"(iii) the Commissioner shall give such redetermination
priority over all continuing eligibility reviews and other
reviews under such title; and
"(iv) such redetermination shall be counted as a review or
redetermination otherwise required to be made under section 208
of the Social Security Independence and Program Improvements
Act of 1994 [Pub. L. 103-296, set out as a note under section
1382 of this title] or any other provision of title XVI of the
Social Security Act.
"(B) Grandfather provision. - The provisions of, and amendments
made by, subsections (a) [amending this section] and (b) [110
Stat. 2189] of this section, and the redetermination under
subparagraph (A), shall only apply with respect to the benefits
of an individual described in subparagraph (A) for months
beginning on or after the later of July 1, 1997, or the date of
the redetermination with respect to such individual.
"(C) Notice. - Not later than January 1, 1997, the Commissioner
of Social Security shall notify an individual described in
subparagraph (A) of the provisions of this paragraph. Before
commencing a redetermination under the 2nd sentence of
subparagraph (A), in any case in which the individual involved
has not already been notified of the provisions of this
paragraph, the Commissioner of Social Security shall notify the
individual involved of the provisions of this paragraph.
"(3) Report. - The Commissioner of Social Security shall report
to the Congress regarding the progress made in implementing the
provisions of, and amendments made by, this section [amending this
section, sections 665e and 901 of Title 2, The Congress, and
provisions set out as a note under section 401 of this title] on
child disability evaluations not later than 180 days after the date
of the enactment of this Act [Aug. 22, 1996].
"(4) Regulations. - Notwithstanding any other provision of law,
the Commissioner of Social Security shall submit for review to the
committees of jurisdiction in the Congress any final regulation
pertaining to the eligibility of individuals under age 18 for
benefits under title XVI of the Social Security Act [this
subchapter] at least 45 days before the effective date of such
regulation. The submission under this paragraph shall include
supporting documentation providing a cost analysis, workload
impact, and projections as to how the regulation will effect the
future number of recipients under such title.
"(5) Cap adjustment for ssi administrative work required by
welfare reform. -
"(A) Authorization. - For the additional costs of continuing
disability reviews and redeterminations under title XVI of the
Social Security Act, there is hereby authorized to be
appropriated to the Social Security Administration, in addition
to amounts authorized under section 201(g)(1)(A) of the Social
Security Act [section 401(g)(1)(A) of this title], $150,000,000
in fiscal year 1997 and $100,000,000 in fiscal year 1998.
"(B) Cap adjustment. - [Amended section 901 of Title 2, The
Congress.]
"(C) Adjustments. - [Amended section 665e of Title 2.]
"(D) Conforming amendment. - [Amended section 103(d)(1) of Pub.
L. 104-121, set out as a note under section 401 of this title.]
"(6) Benefits under title xvi. - For purposes of this subsection,
the term 'benefits under title XVI of the Social Security Act'
includes supplementary payments pursuant to an agreement for
Federal administration under section 1616(a) of the Social Security
Act [section 1382e(a) of this title], and payments pursuant to an
agreement entered into under section 212(b) of Public Law 93-66
[set out as a note under section 1382 of this title]."
Section 212(d) of Pub. L. 104-193 provided that: "The amendments
made by this section [amending this section and repealing
provisions set out as a note under section 1383 of this title]
shall apply to benefits for months beginning on or after the date
of the enactment of this Act [Aug. 22, 1996], without regard to
whether regulations have been issued to implement such amendments."
Amendment by Pub. L. 104-121 applicable to individual who applies
for, or whose claim is finally adjudicated with respect to,
supplemental security income benefits under this subchapter based
on disability on or after Mar. 29, 1996, with special rule in case
of individual who has applied for, and whose claim has been finally
adjudicated with respect to, such benefits before Mar. 29, 1996,
see section 105(b)(5) of Pub. L. 104-121, set out as a note under
section 1382 of this title.
EFFECTIVE DATE OF 1994 AMENDMENT
Section 221(b) of Pub. L. 103-432 provided that: "The amendments
made by subsection (a) [amending this section] shall apply to
determinations made on or after the date of the enactment of this
Act [Oct. 31, 1994]."
Amendment by section 107(a)(4) of Pub. L. 103-296 effective Mar.
31, 1995, see section 110(a) of Pub. L. 103-296, set out as a note
under section 401 of this title.
Section 201(b)(4)(B) of Pub. L. 103-296 provided that: "The
amendment made by subparagraph (A) [amending this section] shall
take effect on the date of the enactment of this Act [Aug. 15,
1994]."
EFFECTIVE DATE OF 1993 AMENDMENT
Amendment by section 13733(a) of Pub. L. 103-66 effective on
first day of second month that begins after Aug. 10, 1993, see
section 13733(c) of Pub. L. 103-66, set out as a note under section
1382a of this title.
Section 13734(b) of Pub. L. 103-66 provided that: "The amendment
made by subsection (a) [amending this section] shall take effect on
the 1st day of the 3rd month that begins after the date of the
enactment of this Act [Aug. 10, 1993]."
EFFECTIVE DATE OF 1990 AMENDMENTS
Amendment by Pub. L. 101-649 effective Oct. 1, 1991, and
applicable beginning with fiscal year 1992, see section 161(a) of
Pub. L. 101-649, set out as a note under section 1101 of Title 8,
Aliens and Nationality.
Section 5036(b) of Pub. L. 101-508 provided that: "The amendment
made by subsection (a) [amending this section] shall apply to
determinations made 6 or more months after the date of the
enactment of this Act [Nov. 5, 1990]."
EFFECTIVE DATE OF 1989 AMENDMENT
Amendment by section 8009(b) of Pub. L. 101-239 applicable with
respect to benefits for months after March 1990, see section
8009(c) of Pub. L. 101-239, set out as a note under section 1382 of
this title.
Amendment by section 8010(a) of Pub. L. 101-239 effective on 1st
day of 6th calendar month beginning after Dec. 19, 1989, see
section 8010(c) of Pub. L. 101-239, set out as a note under section
1382 of this title.
Section 8012(b) of Pub. L. 101-239 provided that: "The amendment
made by subsection (a) [amending this section] shall take effect on
October 1, 1990."
EFFECTIVE DATE OF 1986 AMENDMENT
Amendment by Pub. L. 99-643 effective July 1, 1987, except as
otherwise provided, see section 10(b) of Pub. L. 99-643, set out as
a note under section 1396a of this title.
EFFECTIVE DATE OF 1984 AMENDMENTS
Amendment by section 2(c) of Pub. L. 98-460 applicable to
determinations made by the Secretary on or after Oct. 9, 1984, with
certain enumerated exceptions and qualifications, see section 2(d)
of Pub. L. 98-460, set out as a note under section 423 of this
title.
Amendment by section 3(a)(2) of Pub. L. 98-460 applicable to
determinations made prior to Jan. 1, 1987, see section 3(a)(3) of
Pub. L. 98-460, set out as a note under section 423 of this title.
Amendment by section 4(b) of Pub. L. 98-460 applicable with
respect to determinations made on or after the first day of the
first month beginning after 30 days after Oct. 9, 1984, see section
4(c) of Pub. L. 98-460, set out as a note under section 423 of this
title.
Amendment by section 8(b) of Pub. L. 98-460 applicable to
determinations made after 60 days after Oct. 9, 1984, see section
8(c) of Pub. L. 98-460, set out as a note under section 421 of this
title.
Amendment by Pub. L. 98-369 effective July 18, 1984, but not to
be construed as changing or affecting any right, liability, status,
or interpretation which existed (under the provisions of law
involved) before that date, see section 2664(b) of Pub. L. 98-369,
set out as a note under section 401 of this title.
EFFECTIVE DATE OF 1980 AMENDMENT
Section 203(b) of Pub. L. 96-265 provided that: "The amendment
made by subsection (a) [amending this section] shall become
effective on October 1, 1980; except that the amendment made by
such subsection shall not apply, in the case of any child who, in
September 1980, was 18 or over and received a supplemental security
income benefit for such month, during any period for which such
benefit would be greater without the application of such
amendment."
Amendment by section 302(a)(2) of Pub. L. 96-265 applicable with
respect to expenses incurred on or after the first day of the sixth
month which begins after June 9, 1980, see section 302(c) of Pub.
L. 96-265, set out as a note under section 423 of this title.
Amendment by section 303(c)(1) of Pub. L. 96-265 effective on
first day of sixth month which begins after June 9, 1980, and
applicable with respect to any individual whose disability has not
been determined to have ceased prior to such first day, see section
303(d) of Pub. L. 96-265, set out as a note under section 402 of
this title.
Amendment by section 504(a) of Pub. L. 96-265 effective with
respect to individuals applying for supplemental security income
benefits under this subchapter for the first time after Sept. 30,
1980, see section 504(c) of Pub. L. 96-265, set out as an Effective
Date note under section 1382j of this title.
EFFECTIVE DATE
Section 301 of Pub. L. 92-603 provided that this section is
effective Jan. 1, 1974.
REGULATIONS
For provisions requiring Secretary of Health and Human Services
to prescribe regulations necessary to implement amendment to this
section [adding subsec. (a)(5)] by section 2(c) of Pub. L. 98-460
not later than 180 days after Oct. 9, 1984, see section 2(g) of
Pub. L. 98-460, set out as a note under section 423 of this title.
RETROACTIVE BENEFITS
For provisions relating to entitlement to retroactive benefits
under section 2 of Pub. L. 98-460, which added subsec. (a)(5) of
this section, see section 2(f) of Pub. L. 98-460, set out as a note
under section 423 of this title.
APPLICATION TO NORTHERN MARIANA ISLANDS
For applicability of this section to the Northern Mariana
Islands, see section 502(a)(1) of the Covenant to Establish a
Commonwealth of the Northern Mariana Islands in Political Union
with the United States of America and Proc. No. 4534, Oct. 24,
1977, 42 F.R. 6593, set out as notes under section 1801 of Title
48, Territories and Insular Possessions.
PUERTO RICO, GUAM, AND VIRGIN ISLANDS
Enactment of provisions of Pub. L. 92-603, eff. Jan. 1, 1974, not
applicable to Puerto Rico, Guam, and the Virgin Islands, see
section 303(b) of Pub. L. 92-603, set out as a note under section
301 of this title.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 1320b-19, 1382, 1382j,
1383, 1383b, 1396a, 1396d, 1396p, 1437j, 6862, 8624 of this title;
title 8 sections 1255a, 1612; title 26 section 642.
-End-
-CITE-
42 USC Sec. 1382d 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part A - Determination of Benefits
-HEAD-
Sec. 1382d. Rehabilitation services for blind and disabled
individuals
-STATUTE-
(a) Referral by Commissioner of eligible individuals to appropriate
State agency
In the case of any blind or disabled individual who -
(1) has not attained age 16; and
(2) with respect to whom benefits are paid under this
subchapter,
the Commissioner of Social Security shall make provision for
referral of such individual to the appropriate State agency
administering the State program under subchapter V of this chapter.
(b) Repealed. Pub. L. 97-35, title XXI, Sec. 2193(c)(8)(B), Aug.
13, 1981, 95 Stat. 828
(c) Repealed. Pub. L. 106-170, title I, Sec. 101(b)(2)(B), Dec. 17,
1999, 113 Stat. 1874
(d) Reimbursement by Commissioner to State agency of costs of
providing services to referred individuals
The Commissioner of Social Security is authorized to reimburse
the State agency administering or supervising the administration of
a State plan for vocational rehabilitation services approved under
title I of the Rehabilitation Act of 1973 [29 U.S.C. 720 et seq.]
for the costs incurred under such plan in the provision of
rehabilitation services to individuals who are referred for such
services pursuant to subsection (a) of this section, (1) in cases
where the furnishing of such services results in the performance by
such individuals of substantial gainful activity for a continuous
period of nine months, (2) in cases where such individuals receive
benefits as a result of section 1383(a)(6) of this title (except
that no reimbursement under this subsection shall be made for
services furnished to any individual receiving such benefits for
any period after the close of such individual's ninth consecutive
month of substantial gainful activity or the close of the month
with which his or her entitlement to such benefits ceases,
whichever first occurs), and (3) in cases where such individuals,
without good cause, refuse to continue to accept vocational
rehabilitation services or fail to cooperate in such a manner as to
preclude their successful rehabilitation. The determination that
the vocational rehabilitation services contributed to the
successful return of an individual to substantial gainful activity,
the determination that an individual, without good cause, refused
to continue to accept vocational rehabilitation services or failed
to cooperate in such a manner as to preclude successful
rehabilitation, and the determination of the amount of costs to be
reimbursed under this subsection shall be made by the Commissioner
of Social Security in accordance with criteria determined by the
Commissioner in the same manner as under section 422(d)(1) of this
title.
(e) Reimbursement for vocational rehabilitation services furnished
during certain months of nonpayment of insurance benefits
The Commissioner of Social Security may reimburse the State
agency described in subsection (d) of this section for the costs
described therein incurred in the provision of rehabilitation
services -
(1) for any month for which an individual received -
(A) benefits under section 1382 or 1382h(a) of this title;
(B) assistance under section 1382h(b) of this title; or
(C) a federally administered State supplementary payment
under section 1382e of this title or section 212(b) of Public
Law 93-66; and
(2) for any month before the 13th consecutive month for which
an individual, for a reason other than cessation of disability or
blindness, was ineligible for -
(A) benefits under section 1382 or 1382h(a) of this title;
(B) assistance under section 1382h(b) of this title; or
(C) a federally administered State supplementary payment
under section 1382e of this title or section 212(b) of Public
Law 93-66.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1615, as added Pub. L.
92-603, title III, Sec. 301, Oct. 30, 1972, 86 Stat. 1474; amended
Pub. L. 94-566, title V, Sec. 501(a), Oct. 20, 1976, 90 Stat. 2683;
Pub. L. 96-272, title III, Sec. 304, June 17, 1980, 94 Stat. 529;
Pub. L. 97-35, title XXI, Sec. 2193(a)(4), (c)(8), title XXIII,
Sec. 2344, Aug. 13, 1981, 95 Stat. 827, 828, 867; Pub. L. 98-369,
div. B, title VI, Sec. 2663(g)(8), July 18, 1984, 98 Stat. 1169;
Pub. L. 98-460, Sec. 11(b), Oct. 9, 1984, 98 Stat. 1806; Pub. L.
101-508, title V, Sec. 5037(a), Nov. 5, 1990, 104 Stat. 1388-226;
Pub. L. 103-296, title I, Sec. 107(a)(4), Aug. 15, 1994, 108 Stat.
1478; Pub. L. 105-33, title V, Sec. 5523, Aug. 5, 1997, 111 Stat.
623; Pub. L. 106-170, title I, Sec. 101(b)(2)(A), (B), Dec. 17,
1999, 113 Stat. 1874.)
-REFTEXT-
REFERENCES IN TEXT
The Rehabilitation Act of 1973, referred to in subsec. (d), is
Pub. L. 93-112, Sept. 26, 1973, 87 Stat. 355, as amended. Title I
of the Rehabilitation Act of 1973 is classified generally to
subchapter I (Sec. 720 et seq.) of chapter 16 of Title 29, Labor.
For complete classification of this Act to the Code, see Short
Title note set out under section 701 of Title 29 and Tables.
Section 212(b) of Public Law 93-66, referred to in subsec.
(e)(1)(C), (2)(C), is section 212(b) of Pub. L. 93-66, title II,
July 9, 1973, 87 Stat. 155, as amended, which is set out as a note
under section 1382 of this title.
-MISC1-
AMENDMENTS
1999 - Subsec. (a). Pub. L. 106-170, Sec. 101(b)(2)(A), amended
subsec. (a) generally. Prior to amendment, subsec. (a) read as
follows: "In the case of any blind or disabled individual who -
"(1) has not attained age 65, and
"(2) is receiving benefits (or with respect to whom benefits
are paid) under this subchapter,
the Commissioner of Social Security shall make provision for
referral of such individual to the appropriate State agency
administering the State plan for vocational rehabilitation services
approved under title I of the Rehabilitation Act of 1973, or, in
the case of any such individual who has not attained age 16, to the
State agency administering the State program under subchapter V of
this chapter, and (except for individuals who have not attained age
16 and except in such other cases as the Commissioner may
determine) for a review not less often than quarterly of such
individual's blindness or disability and his need for and
utilization of the services made available to him under such plan."
Subsec. (c). Pub. L. 106-170, Sec. 101(b)(2)(B), struck out
subsec. (c) which read as follows: "Every individual age 16 or over
with respect to whom the Commissioner of Social Security is
required to make provision for referral under subsection (a) of
this section shall accept such services as are made available to
him under the State plan for vocational and rehabilitation services
approved under title I of the Rehabilitation Act of 1973; and no
such individual shall be an eligible individual or eligible spouse
for purposes of this subchapter if he refuses without good cause to
accept services for which he is referred under subsection (a) of
this section."
1997 - Subsec. (d). Pub. L. 105-33, Sec. 5523(2), substituted
"the Commissioner" for "him" after "determined by" in last
sentence.
Pub. L. 105-33, Sec. 5523(1), which directed insertion of comma
after "subsection (a)(1)" in first sentence, was executed by making
the insertion after "subsection (a) of this section" to reflect the
probable intent of Congress.
1994 - Subsec. (a). Pub. L. 103-296 in closing provisions
substituted "Commissioner of Social Security" for "Secretary" and
"the Commissioner may" for "he may".
Subsec. (c). Pub. L. 103-296 substituted "Commissioner of Social
Security" for "Secretary".
Subsec. (d). Pub. L. 103-296 substituted "The Commissioner of
Social Security is" for "The Secretary is".
Subsec. (e). Pub. L. 103-296 substituted "Commissioner of Social
Security" for "Secretary" in introductory provisions.
1990 - Subsec. (e). Pub. L. 101-508 added subsec. (e).
1984 - Subsecs. (a), (c). Pub. L. 98-369, Sec. 2663(g)(8),
substituted "title I of the Rehabilitation Act of 1973" for "the
Vocational Rehabilitation Act".
Subsec. (d). Pub. L. 98-460, Sec. 11(b), designated existing
provisions of first sentence as cl. (1), added cls. (2) and (3),
and inserted requirement that the determination that the vocational
rehabilitation services contributed to the successful return of an
individual to substantial gainful activity and the determination
that an individual, without good cause, refused to continue to
accept vocational rehabilitation services or failed to cooperate in
such a manner as to preclude successful rehabilitation be made by
the Commissioner of Social Security in accordance with criteria
determined by him in the same manner as under section 422(d)(1) of
this title.
Pub. L. 98-369, Sec. 2663(g)(8), substituted "title I of the
Rehabilitation Act of 1973" for "the Vocational Rehabilitation
Act".
1981 - Subsec. (a). Pub. L. 97-35, Sec. 2193(c)(8)(A),
substituted "State agency administering the State program under
subchapter V of this chapter (except for individuals who have not
attained age 16 and except in such other cases" for "appropriate
State agency administering the State plan under subsection (b) of
this section, and (except in such cases".
Subsec. (b). Pub. L. 97-35, Sec. 2193(c)(8)(B), struck out
subsec. (b) which provided criteria for approval of State plans.
Subsec. (d). Pub. L. 97-35, Sec. 2344, substituted "is authorized
to reimburse" for "is authorized to pay to", "for the costs
incurred" for "the costs incurred", and "individuals who are
referred for such services pursuant to subsection (a) of this
section if such services result in their performance of substantial
gainful activity which lasts for a continuous period of nine
months" for "individuals referred for such services pursuant to
subsection (a) of this section" and inserted provision that
determination of the amount to be reimbursed be made by the
Commissioner of Social Security in accordance with criteria
determined by him in the same manner as under section 422(d)(1) of
this title.
Subsec. (e). Pub. L. 97-35, Sec. 2193(c)(8)(B), struck out
subsec. (e) which provided for payment by the Secretary to a State
agency charged with administering a State plan under subsec. (b),
of the costs incurred each fiscal year from Sept. 30, 1976, to Oct.
1, 1982, in carrying out such State plan.
Subsec. (e)(1). Pub. L. 97-35, Sec. 2193(a)(4)(A), inserted "and
subject to section 2194(b)(3) of the Maternal and Child Health
Services Block Grant Act".
Subsec. (e)(3). Pub. L. 97-35, Sec. 2193(a)(4)(B), substituted
"$24,070,000" for "$30,000,000".
1980 - Subsec. (e). Pub. L. 96-272 corrected the error under
which subsec. (e) had been added as (c) by Pub. L. 94-566 and, in
subsec. (e)(1) as so designated, substituted "October 1, 1982" for
"October 1, 1979".
1976 - Subsec. (a). Pub. L. 94-566 inserted "or, in the case of
any such individual who has not attained age 16, to the appropriate
State agency administering the State plan under subsection (b) of
this section," after "Vocational Rehabilitation Act," and
substituted "need for and utilization of the services" for "need
for and utilization of the rehabilitation services".
Subsec. (b). Pub. L. 94-566 added subsec. (b). Former subsec. (b)
was split up and its parts were redistributed into subsecs. (c) and
(d), respectively, and amended.
Subsec. (c). Pub. L. 94-566 combined into subsec. (c) the
existing provisions of subsec. (c) covering the refusal by referred
individuals to accept services and added thereto a part of former
subsec. (b) covering the required acceptance of vocational and
rehabilitation services by the referred individual, and in that
provision substituted "Every individual age 16 or over" for "Every
individual".
Subsec. (d). Pub. L. 94-566 redesignated as subsec. (d) the part
of former subsec. (b) covering the payment by the Secretary to the
State agency administering a State plan and in the provisions so
redesignated substituted "administration of a State plan for
vocational rehabilitation services approved under the Vocational
Rehabilitation Act" for "administration of such State plan".
Subsec. (e). Pub. L. 94-566 added subsec. (e). See 1980 Amendment
note above.
EFFECTIVE DATE OF 1999 AMENDMENT
Amendment by Pub. L. 106-170 effective with the first month
following one year after Dec. 17, 1999, subject to section 101(d)
of Pub. L. 106-170, see section 101(c) of Pub. L. 106-170, set out
as an Effective Date note under section 1320b-19 of this title.
EFFECTIVE DATE OF 1997 AMENDMENT
Amendment by Pub. L. 105-33 effective as if included in the
enactment of title II of the Personal Responsibility and Work
Opportunity Reconciliation Act of 1996, Pub. L. 104-193, see
section 5528(a) of Pub. L. 105-33, set out as a note under section
903 of this title.
EFFECTIVE DATE OF 1994 AMENDMENT
Amendment by Pub. L. 103-296 effective Mar. 31, 1995, see section
110(a) of Pub. L. 103-296, set out as a note under section 401 of
this title.
EFFECTIVE DATE OF 1990 AMENDMENT
Section 5037(b) of Pub. L. 101-508 provided that: "The amendment
made by subsection (a) [amending this section] shall take effect on
the date of the enactment of this Act [Nov. 5, 1990] and shall
apply to claims for reimbursement pending on or after such date."
EFFECTIVE DATE OF 1984 AMENDMENTS
Amendment by Pub. L. 98-460 applicable with respect to
individuals who receive benefits as a result of section 425(b) or
section 1383(a)(6) of this title, or who refuse to continue to
accept rehabilitation services or fail to cooperate in an approved
vocational rehabilitation program, in or after November 1984, see
section 11(c) of Pub. L. 98-460, set out as a note under section
422 of this title.
Amendment by Pub. L. 98-369 effective July 18, 1984, but not to
be construed as changing or affecting any right, liability, status,
or interpretation which existed (under the provisions of law
involved) before that date, see section 2664(b) of Pub. L. 98-369,
set out as a note under section 401 of this title.
EFFECTIVE AND TERMINATION DATES OF 1981 AMENDMENT
Section 2193(a)(4)(B) of Pub. L. 97-35 provided that the
amendment made by that section is effective for fiscal year 1982.
For effective date, savings, and transitional provisions relating
to amendments by section 2193(a)(4)(A) and (c)(8) of Pub. L. 97-35,
see section 2194 of Pub. L. 97-35, set out as a note under section
701 of this title.
Section 2344 of Pub. L. 97-35 provided that the amendment made by
that section is effective Oct. 1, 1981.
EFFECTIVE DATE
Section 301 of Pub. L. 92-603 provided that this section is
effective Jan. 1, 1974.
PUBLICATION OF CRITERIA
Section 501(b) of Pub. L. 94-566 directed Secretary, within 120
days after Oct. 20, 1976, to publish criteria to be employed to
determine disability (as defined in subsec. (a)(3) of this section)
in the case of persons who have not attained the age of 18.
APPLICATION TO NORTHERN MARIANA ISLANDS
For applicability of this section to the Northern Mariana
Islands, see section 502(a)(1) of the Covenant to Establish a
Commonwealth of the Northern Mariana Islands in Political Union
with the United States of America and Proc. No. 4534, Oct. 24,
1977, 42 F.R. 6593, set out as notes under section 1801 of Title
48, Territories and Insular Possessions.
PUERTO RICO, GUAM, AND VIRGIN ISLANDS
Enactment of provisions of Pub. L. 92-603, eff. Jan. 1, 1974, not
applicable to Puerto Rico, Guam, and the Virgin Islands, see
section 303(b) of Pub. L. 92-603, set out as a note under section
301 of this title.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 701, 1320b-19 of this
title; title 20 section 3441; title 29 section 762a.
-End-
-CITE-
42 USC Sec. 1382e 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part A - Determination of Benefits
-HEAD-
Sec. 1382e. Supplementary assistance by State or subdivision to
needy individuals
-STATUTE-
(a) Exclusion of cash payments in determination of income of
individuals for purposes of eligibility for benefits; agreement
by Commissioner and State for Commissioner to make supplementary
payments on behalf of State or subdivision
Any cash payments which are made by a State (or political
subdivision thereof) on a regular basis to individuals who are
receiving benefits under this subchapter or who would but for their
income be eligible to receive benefits under this subchapter, as
assistance based on need in supplementation of such benefits (as
determined by the Commissioner of Social Security), shall be
excluded under section 1382a(b)(6) of this title in determining the
income of such individuals for purposes of this subchapter and the
Commissioner of Social Security and such State may enter into an
agreement which satisfies subsection (b) of this section under
which the Commissioner of Social Security will, on behalf of such
State (or subdivision) make such supplementary payments to all such
individuals.
(b) Agreement between Commissioner and State; contents
Any agreement between the Commissioner of Social Security and a
State entered into under subsection (a) of this section shall
provide -
(1) that such payments will be made (subject to subsection (c)
of this section) to all individuals residing in such State (or
subdivision) who are receiving benefits under this subchapter,
and
(2) such other rules with respect to eligibility for or amount
of the supplementary payments, and such procedural or other
general administrative provisions, as the Commissioner of Social
Security finds necessary (subject to subsection (c) of this
section) to achieve efficient and effective administration of
both the program which the Commissioner conducts under this
subchapter and the optional State supplementation.
At the option of the State (but subject to paragraph (2) of this
subsection), the agreement between the Commissioner of Social
Security and such State entered into under subsection (a) of this
section shall be modified to provide that the Commissioner of
Social Security will make supplementary payments, on and after an
effective date to be specified in the agreement as so modified, to
individuals receiving benefits determined under section
1382(e)(1)(B) of this title.
(c) Residence requirement by State or subdivision for supplementary
payments; disregarding amounts of certain income by State or
subdivision in determining eligibility for supplementary payments
(1) Any State (or political subdivision) making supplementary
payments described in subsection (a) of this section may at its
option impose as a condition of eligibility for such payments, and
include in the State's agreement with the Commissioner of Social
Security under such subsection, a residence requirement which
excludes individuals who have resided in the State (or political
subdivision) for less than a minimum period prior to application
for such payments.
(2) Any State (or political subdivision), in determining the
eligibility of any individual for supplementary payments described
in subsection (a) of this section, may disregard amounts of earned
and unearned income in addition to other amounts which it is
required or permitted to disregard under this section in
determining such eligibility, and shall include a provision
specifying the amount of any such income that will be disregarded,
if any.
(3) Any State (or political subdivision) making supplementary
payments described in subsection (a) of this section shall have the
option of making such payments to individuals who receive benefits
under this subchapter under the provisions of section 1382h of this
title, or who would be eligible to receive such benefits but for
their income.
(d) Payment to Commissioner by State of amount equal to
expenditures by Commissioner as supplementary payments; time and
manner of payment by State; fees for Federal administration of
State supplementary payments
(1) Any State which has entered into an agreement with the
Commissioner of Social Security under this section which provides
that the Commissioner of Social Security will, on behalf of the
State (or political subdivision), make the supplementary payments
to individuals who are receiving benefits under this subchapter (or
who would but for their income be eligible to receive such
benefits), shall, in accordance with paragraph (5), pay to the
Commissioner of Social Security an amount equal to the expenditures
made by the Commissioner of Social Security as such supplementary
payments, plus an administration fee assessed in accordance with
paragraph (2) and any additional services fee charged in accordance
with paragraph (3).
(2)(A) The Commissioner of Social Security shall assess each
State an administration fee in an amount equal to -
(i) the number of supplementary payments made by the
Commissioner of Social Security on behalf of the State under this
section for any month in a fiscal year; multiplied by
(ii) the applicable rate for the fiscal year.
(B) As used in subparagraph (A), the term "applicable rate" means
-
(i) for fiscal year 1994, $1.67;
(ii) for fiscal year 1995, $3.33;
(iii) for fiscal year 1996, $5.00;
(iv) for fiscal year 1997, $5.00;
(v) for fiscal year 1998, $6.20;
(vi) for fiscal year 1999, $7.60;
(vii) for fiscal year 2000, $7.80;
(viii) for fiscal year 2001, $8.10;
(ix) for fiscal year 2002, $8.50; and
(x) for fiscal year 2003 and each succeeding fiscal year -
(I) the applicable rate in the preceding fiscal year,
increased by the percentage, if any, by which the Consumer
Price Index for the month of June of the calendar year of the
increase exceeds the Consumer Price Index for the month of June
of the calendar year preceding the calendar year of the
increase, and rounded to the nearest whole cent; or
(II) such different rate as the Commissioner determines is
appropriate for the State.
(C) Upon making a determination under subparagraph (B)(x)(II),
the Commissioner of Social Security shall promulgate the
determination in regulations, which may take into account the
complexity of administering the State's supplementary payment
program.
(D) All fees assessed pursuant to this paragraph shall be
transferred to the Commissioner of Social Security at the same time
that amounts for such supplementary payments are required to be so
transferred.
(3)(A) The Commissioner of Social Security may charge a State an
additional services fee if, at the request of the State, the
Commissioner of Social Security provides additional services beyond
the level customarily provided, in the administration of State
supplementary payments pursuant to this section.
(B) The additional services fee shall be in an amount that the
Commissioner of Social Security determines is necessary to cover
all costs (including indirect costs) incurred by the Federal
Government in furnishing the additional services referred to in
subparagraph (A).
(4)(A) The first $5 of each administration fee assessed pursuant
to paragraph (2), upon collection, shall be deposited in the
general fund of the Treasury of the United States as miscellaneous
receipts.
(B) That portion of each administration fee in excess of $5, and
100 percent of each additional services fee charged pursuant to
paragraph (3), upon collection for fiscal year 1998 and each
subsequent fiscal year, shall be credited to a special fund
established in the Treasury of the United States for State
supplementary payment fees. The amounts so credited, to the extent
and in the amounts provided in advance in appropriations Acts,
shall be available to defray expenses incurred in carrying out this
subchapter and related laws.
(5)(A)(i) Any State which has entered into an agreement with the
Commissioner of Social Security under this section shall remit the
payments and fees required under this subsection with respect to
monthly benefits paid to individuals under this subchapter no later
than -
(I) the business day preceding the date that the Commissioner
pays such monthly benefits; or
(II) with respect to such monthly benefits paid for the month
that is the last month of the State's fiscal year, the fifth
business day following such date.
(ii) The Commissioner may charge States a penalty in an amount
equal to 5 percent of the payment and the fees due if the
remittance is received after the date required by clause (i).
(B) The Cash Management Improvement Act of 1990 shall not apply
to any payments or fees required under this subsection that are
paid by a State before the date required by subparagraph (A)(i).
(C) Notwithstanding subparagraph (A)(i), the Commissioner may
make supplementary payments on behalf of a State with funds
appropriated for payment of benefits under this subchapter, and
subsequently to be reimbursed for such payments by the State at
such times as the Commissioner and State may agree. Such authority
may be exercised only if extraordinary circumstances affecting a
State's ability to make payment when required by subparagraph
(A)(i) are determined by the Commissioner to exist.
(e) State standards; establishment; annual public review; annual
certification; payments to individuals
(1) Each State shall establish or designate one or more State or
local authorities which shall establish, maintain, and insure the
enforcement of standards for any category of institutions, foster
homes, or group living arrangements in which (as determined by the
State) a significant number of recipients of supplemental security
income benefits is residing or is likely to reside. Such standards
shall be appropriate to the needs of such recipients and the
character of the facilities involved, and shall govern such matters
as admission policies, safety, sanitation, and protection of civil
rights.
(2) Each State shall annually make available for public review a
summary of the standards established pursuant to paragraph (1), and
shall make available to any interested individual a copy of such
standards, along with the procedures available in the State to
insure the enforcement of such standards and a list of any waivers
of such standards and any violations of such standards which have
come to the attention of the authority responsible for their
enforcement.
(3) Each State shall certify annually to the Commissioner of
Social Security that it is in compliance with the requirements of
this subsection.
(4) Payments made under this subchapter with respect to an
individual shall be reduced by an amount equal to the amount of any
supplementary payment (as described in subsection (a) of this
section) or other payment made by a State (or political subdivision
thereof) which is made for or on account of any medical or any
other type of remedical care provided by an institution of the type
described in paragraph (1) to such individual as a resident or an
inpatient of such institution if such institution is not approved
as meeting the standards described in such paragraph by the
appropriate State or local authorities.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1616, as added Pub. L.
92-603, title III, Sec. 301, Oct. 30, 1972, 86 Stat. 1474; amended
Pub. L. 93-233, Sec. 14, Dec. 31, 1973, 87 Stat. 965; Pub. L.
94-566, title V, Sec. 505(c), (d), Oct. 20, 1976, 90 Stat. 2687;
Pub. L. 96-265, title II, Sec. 201(b)(1), June 9, 1980, 94 Stat.
446; Pub. L. 97-35, title XXIII, Sec. 2353(n), Aug. 13, 1981, 95
Stat. 873; Pub. L. 99-272, title XII, Sec. 12201(b), Apr. 7, 1986,
100 Stat. 290; Pub. L. 103-66, title XIII, Sec. 13731(a)(1), Aug.
10, 1993, 107 Stat. 660; Pub. L. 103-296, title I, Sec. 107(a)(4),
Aug. 15, 1994, 108 Stat. 1478; Pub. L. 105-33, title V, Sec.
5102(a)(1), (b)(1)(A), Aug. 5, 1997, 111 Stat. 595, 596; Pub. L.
105-78, title V, Sec. 516(a)(1), (b)(1)(A), Nov. 13, 1997, 111
Stat. 1517, 1518; Pub. L. 106-170, title IV, Sec. 410(a)(1), Dec.
17, 1999, 113 Stat. 1916.)
-REFTEXT-
REFERENCES IN TEXT
The Cash Management Improvement Act of 1990, referred to in
subsec. (d)(5)(B), is Pub. L. 101-453, Oct. 24, 1990, 104 Stat.
1058, as amended. For complete classification of this Act to the
Code, see Short Title of 1990 Amendment note set out under section
6501 of Title 31, Money and Finance, and Tables.
-MISC1-
AMENDMENTS
1999 - Subsec. (d)(1). Pub. L. 106-170, Sec. 410(a)(1)(A),
substituted "in accordance with paragraph (5)" for "at such times
and in such installments as may be agreed upon between the
Commissioner of Social Security and such State".
Subsec. (d)(5). Pub. L. 106-170, Sec. 410(a)(1)(B), added par.
(5).
1997 - Subsec. (d)(2)(B)(iii) to (x). Pub. L. 105-33, Sec.
5102(a)(1)(A), and Pub. L. 105-78, Sec. 516(a)(1)(A), amended
subpar. (B) identically, striking out "and" at end of cl. (iii),
adding cls. (iv) to (x) and striking out former cl. (iv) which read
as follows: "for fiscal year 1997 and each succeeding fiscal year,
$5.00, or such different rate as the Commissioner of Social
Security determines is appropriate for the State."
Subsec. (d)(2)(C). Pub. L. 105-33, Sec. 5102(a)(1)(B), and Pub.
L. 105-78, Sec. 516(a)(1)(B), amended subpar. (C) identically,
substituting "subparagraph (B)(x)(II)" for "subparagraph (B)(iv)".
Subsec. (d)(4). Pub. L. 105-78, Sec. 516(b)(1)(A), amended par.
(4) generally. Prior to amendment, par. (4) read as follows:
"(4)(A) The first $5 of each administration fee assessed pursuant
to paragraph (2), upon collection, shall be deposited in the
general fund of the Treasury of the United States as miscellaneous
receipts.
"(B) That portion of each administration fee in excess of $5, and
100 percent of each additional services fee charged pursuant to
paragraph (3), upon collection for fiscal year 1998 and each
subsequent fiscal year, shall be credited to a special fund
established in the Treasury of the United States for State
supplementary payment fees. The amounts so credited, to the extent
and in the amounts provided in advance in appropriations Acts,
shall be available to defray expenses incurred in carrying out this
subchapter and related laws. The amounts so credited shall not be
scored as receipts under section 902 of title 2, and the amounts so
credited shall be credited as a discretionary offset to
discretionary spending to the extent that the amounts so credited
are made available for expenditure in appropriations Acts."
Pub. L. 105-33, Sec. 5102(b)(1)(A), amended par. (4) generally.
Prior to amendment, par. (4) read as follows: "All administration
fees and additional services fees collected pursuant to this
subsection shall be deposited in the general fund of the Treasury
of the United States as miscellaneous receipts."
1994 - Pub. L. 103-296 substituted "Commissioner of Social
Security" for "Secretary" wherever appearing and "the Commissioner
conducts" for "he conducts" in subsec. (b)(2).
1993 - Subsec. (d). Pub. L. 103-66 designated existing provisions
as par. (1), inserted before period at end ", plus an
administration fee assessed in accordance with paragraph (2) and
any additional services fee charged in accordance with paragraph
(3)", and added pars. (2) to (4).
1986 - Subsec. (b). Pub. L. 99-272 inserted provision at end
relating to modification of the agreement at the option of the
State to provide for supplementary payments on and after an
effective date specified in the agreement.
1981 - Subsec. (e)(2). Pub. L. 97-35 struck out ", as a part of
the services program planning procedures established pursuant to
section 1397c of this title" after "available for public review".
1980 - Subsec. (c)(3). Pub. L. 96-265 added par. (3).
1976 - Subsec. (e). Pub. L. 94-566, Sec. 505(d), added subsec.
(e), effective Oct. 1, 1977. Pub. L. 94-566, Sec. 505(c), repealed
former subsec. (e) which provided for reduction of supplemental
security income payments to individuals provided institutional
medical or other remedial care, State financed under Federal grants
for medical assistance, effective Oct. 1, 1976. See Effective Date
of 1976 Amendment note below.
1973 - Subsec. (e). Pub. L. 93-233 added subsec. (e).
EFFECTIVE DATE OF 1999 AMENDMENT
Pub. L. 106-170, title IV, Sec. 410(b), Dec. 17, 1999, 113 Stat.
1917, as amended by Pub. L. 106-554, Sec. 1(a)(1) [title V, Sec.
515], Dec. 21, 2000, 114 Stat. 2763, 2763A-72, provided that: "The
amendments made by subsection (a) [amending this section and
provisions set out as a note under section 1382 of this title]
shall apply to payments and fees arising under an agreement between
a State and the Commissioner of Social Security under section 1616
of the Social Security Act (42 U.S.C. 1382e) or under section 212
of Public Law 93-66 (42 U.S.C. 1382 note) with respect to monthly
benefits paid to individuals under title XVI of the Social Security
Act [this subchapter] for months after September 2001 (October 2001
in the case of a State with a fiscal year that coincides with the
Federal fiscal year), without regard to whether the agreement has
been modified to reflect such amendments or the Commissioner has
promulgated regulations implementing such amendments."
EFFECTIVE DATE OF 1994 AMENDMENT
Amendment by Pub. L. 103-296 effective Mar. 31, 1995, see section
110(a) of Pub. L. 103-296, set out as a note under section 401 of
this title.
EFFECTIVE DATE OF 1993 AMENDMENT
Section 13731(b) of Pub. L. 103-66 provided that: "The amendments
made by this section [amending this section and provisions set out
as a note under section 1382 of this title] shall apply to
supplementary payments made pursuant to section 1616(a) of the
Social Security Act [subsec. (a) of this section] or section 212(a)
of Public Law 93-66 [set out as a note under section 1382 of this
title] for any calendar month beginning after September 30, 1993,
and to services furnished after such date, regardless of whether
regulations to implement such amendments have been promulgated by
such date, or whether any agreement entered into under such section
1616(a) or such section 212(a) has been modified."
EFFECTIVE DATE OF 1981 AMENDMENT
Amendment by Pub. L. 97-35 effective Oct. 1, 1981, except as
otherwise explicitly provided, see section 2354 of Pub. L. 97-35,
set out as an Effective Date note under section 1397 of this title.
EFFECTIVE DATE OF 1980 AMENDMENT
Amendment by Pub. L. 96-265 effective Jan. 1, 1981, see section
201(d) of Pub. L. 96-265, as amended, set out as an Effective Date
note under section 1382h of this title.
EFFECTIVE DATE OF 1976 AMENDMENT
Amendment by section 505(c) of Pub. L. 94-566 effective Oct. 1,
1976, see section 505(e) of Pub. L. 94-566, set out as a note under
section 1382 of this title.
Section 505(d) of Pub. L. 94-566 provided that the amendment made
by that section is effective Oct. 1, 1977.
EFFECTIVE DATE
Section 301 of Pub. L. 92-603 provided that this section is
effective Jan. 1, 1974.
LIMITATIONS ON AUTHORIZATION OF APPROPRIATIONS
Section 516(b)(2) of Pub. L. 105-78 provided that: "From amounts
credited pursuant to section 1616(d)(4)(B) of the Social Security
Act [subsec. (d)(4)(B) of this section] and section
212(b)(3)(D)(ii) of Public Law 93-66 [set out as a note under
section 1382 of this title] to the special fund established in the
Treasury of the United States for State supplementary payment fees,
there is authorized to be appropriated an amount not to exceed
$35,000,000 for fiscal year 1998, and such sums as may be necessary
for each fiscal year thereafter, for administrative expenses in
carrying out the supplemental security income program under title
XVI of the Social Security Act [this subchapter] and related laws."
Section 5102(b)(2) of Pub. L. 105-33 provided that: "From amounts
credited pursuant to section 1616(d)(4)(B) of the Social Security
Act [subsec. (d)(4)(B) of this section] and section
212(b)(3)(D)(ii) of Public Law 93-66 [set out as a note under
section 1382 of this title] to the special fund established in the
Treasury of the United States for State supplementary payment fees,
there is authorized to be appropriated an amount not to exceed
$35,000,000 for fiscal year 1998, and such sums as may be necessary
for each fiscal year thereafter."
PERIOD WITHIN WHICH CALIFORNIA MAY MAKE CASH PAYMENTS IN LIEU OF
FOOD STAMPS TO RECIPIENTS OF SUPPLEMENTAL SECURITY INCOME BENEFITS
Pub. L. 95-458, Sec. 5(b), Oct. 14, 1978, 92 Stat. 1261, provided
that: "No additional cash payment under title XVI of the Social
Security Act [this subchapter] may be made pursuant to the third
sentence of section 8(d) of Public Law 93-233 (as added by
subsection (a) of this section) [amending a note under this
section] for any month beginning before October 1, 1978, or ending
after September 30, 1979."
ELIGIBILITY OF SUPPLEMENTAL SECURITY INCOME RECIPIENTS FOR FOOD
STAMPS
Section 8(c) of Pub. L. 93-233, as amended by Pub. L. 95-113,
title XIII, Sec. 1302(a)(3), Sept. 29, 1977, 91 Stat. 979, provided
that: "For purposes of section 6(g) of the Food Stamp Act of 1977
[section 2015(g) of Title 7, Agriculture] and subsections (b)(3)
[set out as a note under section 612c of Title 7] and (f) [set out
below] of this section, the level of State supplementary payment
under section 1616(a) [subsec. (a) of this section] shall be found
by the Secretary to have been specifically increased so as to
include the bonus value of food stamps (1) only if, prior to
October 1, 1973, the State has entered into an agreement with the
Secretary or taken other positive steps which demonstrate its
intention to provide supplementary payments under section 1616(a)
[subsec. (a) of this section] at a level which is at least equal to
the maximum level which can be determined under section 401(b)(1)
of the Social Security Amendments of 1972 [set out as a note under
this section] and which is such that the limitation on State fiscal
liability under section 401 [set out as a note under this section]
does result in a reduction in the amount which would otherwise be
payable to the Secretary by the State, and (2) only with respect to
such months as the State may, at its option, elect."
[Section 1302(b) of Pub. L. 95-113 provided that the amendment of
section 8(c) of Pub. L. 93-233 by section 1302(a)(3) of Pub. L.
95-113 is effective Oct. 1, 1977.]
Section 8(d) of Pub. L. 93-233, as added by Pub. L. 94-379, Sec.
1(a), Aug. 10, 1976, 90 Stat. 1111, and amended by Pub. L. 95-458,
Sec. 5(a), Oct. 14, 1978, 92 Stat. 1260; Pub. L. 97-18, Sec. 2,
June 30, 1981, 95 Stat. 102; Pub. L. 97-35, title XXIII, Sec.
2342(a), Aug. 13, 1981, 95 Stat. 866, provided that: "Upon the
request of a State, the Secretary shall find, for purposes of the
provisions specified in subsection (c) [set out above], that the
level of such State's supplementary payments of the type described
in section 1616(a) of the Social Security Act [subsec. (a) of this
section] has been specifically increased for any month so as to
include the bonus value of food stamps (and that such State meets
the applicable requirements of subsection (c)(1)) if -
"(1) the Secretary has found (under this subsection or
subsection (c), as in effect in December 1980) that such State's
supplementary payments in December 1980 were increased to include
the bonus value of food stamps; and
"(2) such State continues without interruption to meet the
requirements of section 1618 of such Act [section 1382g of this
title] for each month after the month referred to in paragraph
(1) and up to and including the month for which the Secretary is
making the determination."
[Section 2 of Pub. L. 97-18 provided that the amendment of
section 8(d) of Pub. L. 93-233, set out above, by Pub. L. 97-18 is
effective for the period July 1, 1981, to Aug. 31, 1981.]
[Section 2342(b) of Pub. L. 97-35 provided that the amendment of
section 8(d) of Pub. L. 93-233, set out above, by section 2342(a)
of Pub. L. 97-35 is effective July 1, 1981.]
ADJUSTED PAYMENT LEVEL; PAYMENT LEVEL MODIFICATION
Section 8(e), formerly Sec. 8(d) of Pub. L. 93-233, as renumbered
Sec. 8(e) by Pub. L. 94-379, Sec. 1(a), Aug. 10, 1976, 90 Stat.
1111, provided that: "Section 401(b)(1) of the Social Security
Amendments of 1972 [set out below] is amended by striking out
everything after the word 'exceed' and inserting in lieu thereof:
'a payment level modification (as defined in paragraph (2) of this
subsection) with respect to such plans'."
Section 8(f), formerly Sec. 8(e), of Pub. L. 93-233, as amended
by Pub. L. 93-335, Sec. 1(b), July 8, 1974, 88 Stat. 291; Pub. L.
94-44, Sec. 3(b), June 28, 1975, 89 Stat. 235; Pub. L. 94-365, Sec.
2(2), July 14, 1976, 90 Stat. 990, and renumbered Sec. 8(f) and
amended by Pub. L. 94-379, Sec. 1(a), (b), Aug. 10, 1976, 90 Stat.
1111; Pub. L. 95-59, Sec. 3(2), June 30, 1977, 91 Stat. 255; Pub.
L. 95-113, title XIII, Sec. 1302(a)(4), Sept. 29, 1977, 91 Stat.
979, provided that: "The amendment made by subsection (e) [set out
above] shall not be effective in any State which provides
supplementary payments of the type described in section 1616(a) of
the Social Security Act [subsec. (a) of this section] the level of
which has been found by the Secretary to have been specifically
increased so as to include the bonus value of food stamps."
[Amendment of section 8(e) [now Sec. 8(f)] of Pub. L. 93-233 by
section 1(b) of Pub. L. 93-335, effective July 1, 1974, see section
1(c) of Pub. L. 93-335, set out as a note below.]
[Section 1(c) of Pub. L. 93-335, July 8, 1974, 88 Stat. 291,
provided that amendments by section 1(a), (b) of Pub. L. 93-335 to
section 8(a)(1), (2), (b)(1)-(3), and (e) of Pub. L. 93-233, Dec.
31, 1973, 87 Stat. 956, set out as notes under this section and
sections 612c, 1431 and 2012 of Title 7, Agriculture, is effective
as of July 1, 1974.]
[Section 3 of Pub. L. 95-59 provided that the amendment of
section 8(f) of Pub. L. 93-233, set out above, by section 3(2) of
Pub. L. 95-59 is effective July 1, 1977.]
[Section 1302(b) of Pub. L. 95-113 provided that the amendment of
section 8(f) of Pub. L. 93-233, set out above, by section
1302(a)(4) of Pub. L. 95-113 is effective Oct. 1, 1977.]
COMMODITY DISTRIBUTION PROGRAM: INDIVIDUAL RECEIVING SUPPLEMENTAL
SECURITY INCOME BENEFITS AS MEMBER OF HOUSEHOLD FOR ANY PURPOSE OF
PROGRAM
Individual receiving supplemental security income benefits or
payments as part of benefits or payments described in subsec. (a)
of this section as member of a household for any purpose of the
food distribution program, see section 4(c) of Pub. L. 93-86, set
out as a note under section 612c of Title 7, Agriculture.
APPLICATION TO NORTHERN MARIANA ISLANDS
For applicability of this section to the Northern Mariana
Islands, see section 502(a)(1) of the Covenant to Establish a
Commonwealth of the Northern Mariana Islands in Political Union
with the United States of America and Proc. No. 4534, Oct. 24,
1977, 42 F.R. 6593, set out as notes under section 1801 of Title
48, Territories and Insular Possessions.
PUERTO RICO, GUAM, AND VIRGIN ISLANDS
Enactment of provisions of Pub. L. 92-603, eff. Jan. 1, 1974, not
applicable to Puerto Rico, Guam, and the Virgin Islands, see
section 303(b) of Pub. L. 92-603, set out as a note under section
301 of this title.
LIMITATION ON FISCAL LIABILITY OF STATES FOR PAYMENT TO SECRETARY
OF SUPPLEMENTARY PAYMENTS MADE BY SECRETARY PURSUANT TO AGREEMENT
Section 401 of Pub. L. 92-603, as amended by Pub. L. 93-233, Sec.
18(h), Dec. 31, 1973, 87 Stat. 969; Pub. L. 94-566, title V, Sec.
504(a), Oct. 20, 1976, 90 Stat. 2686; Pub. L. 94-585 Sec. 2(b),
Oct. 21, 1976, 90 Stat. 2902; Pub. L. 97-248, title I, Sec. 184(a),
Sept. 3, 1982, 96 Stat. 406, provided that:
"(a)(1) The amount payable to the Secretary by a State for any
fiscal year, other than fiscal year 1974, pursuant to its agreement
or agreements under section 1616 of the Social Security Act [this
section] shall not exceed the non-Federal share of expenditures as
aid or assistance for quarters in the calendar year 1972 under the
plans of the State approved under titles I, X, XIV, and XVI of the
Social Security Act [subchapters I, X, XIV, and XVI of this
chapter] (as defined in subsection (c) of this section), and the
amount payable for fiscal year 1974 pursuant to such agreement or
agreements shall not exceed one-half of the non-Federal share of
such expenditures.
"(2) Paragraph (1) of this subsection shall only apply with
respect to that portion of the supplementary payments made by the
Secretary on behalf of the State under such agreements in any
fiscal year which does not exceed in the case of any individual the
difference between -
"(A) the adjusted payment level under the appropriate approved
plan of such State as in effect for January 1972 (as defined in
subsection (b) of this section), and
"(B) the benefits under title XVI of the Social Security Act
[this subchapter] (subject to the second sentence of this
paragraph), plus income not excluded under section 1612(b) of
such Act [section 1382a(b) of this title] in determining such
benefits, paid to such individual in such fiscal year,
and shall not apply with respect to supplementary payments to any
individual who (i) is not required by section 1616 of such Act
[this section] to be included in any such agreement administered by
the Secretary and (ii) would have been ineligible (for reasons
other than income) for payments under the appropriate approved
State plan as in effect for January 1972. In determining the
difference between the level specified in subparagraph (A) and the
benefits and income described in subparagraph (B) there shall be
excluded any part of any such benefit which results from (and would
not be payable but for) any cost-of-living increase in such
benefits under section 1617 of such Act [section 1382f of this
title] (or any general increase enacted by law in the dollar
amounts referred to in such section) becoming effective after June
30, 1977.
"(b)(1) For purposes of subsection (a), the term 'adjusted
payment level under the appropriate approved plan of a State as in
effect for January 1972' means the amount of the money payment
which an individual with no other income would have received under
the plan of such State approved under title I, X, XIV, or XVI of
the Social Security Act [subchapters I, X, XIV, or XVI of this
chapter], as may be appropriate, and in effect for January 1972;
except that the State may, at its option, increase such payment
level with respect to any such plan by an amount which does not
exceed the sum of -
"(A) a payment level modification (as defined in paragraph (2)
of this subsection) with respect to such plan, and
"(B) the bonus value of food stamps in such State for January
1972 (as defined in paragraph (3) of this subsection).
"(2) For purposes of paragraph (1), the term 'payment level
modification' with respect to any State plan means that amount by
which a State which for January 1972 made money payments under such
plan to individuals with no other income which were less than 100
per centum of its standard of need could have increased such money
payments without increasing (if it reduced its standard of need
under such plan so that such increased money payments equaled 100
per centum of such standard of need) the non-Federal share of
expenditures as aid or assistance for quarters in calendar year
1972 under the plans of such State approved under titles I, X, XIV,
and XVI of the Social Security Act [subchapters I, X, XIV, and XVI
of this chapter].
"(3) For purposes of paragraph (1), the term 'bonus value of food
stamps in a State for January 1972' (with respect to an individual)
means -
"(A) the face value of the coupon allotment which would have
been provided to such an individual under the Food Stamp Act of
1964 [section 2011 et seq. of Title 7, Agriculture] for January
1972, reduced by
"(B) the charge which such an individual would have paid for
such coupon allotment,
if the income of such individual, for purposes of determining the
charge it would have paid for its coupon allotment, had been equal
to the adjusted payment level under the State plan (including any
payment level modification with respect to the plan adopted
pursuant to paragraph (2) (but not including any amount under this
paragraph)). The total face value of food stamps and the cost
thereof in January 1972 shall be determined in accordance with
rules prescribed by the Secretary of Agriculture in effect in such
month.
"(c) For purposes of this section, the term 'non-Federal share of
expenditures as aid or assistance for quarters in the calendar year
1972 under the plans of a State approved under titles I, X, XIV,
and XVI of the Social Security Act' [subchapters I, X, XIV, and XVI
of this chapter] means the difference between -
"(1) the total expenditures in such quarters under such plans
for aid or assistance (excluding expenditures authorized under
section 1119 of such Act [section 1319 of this title] for
repairing the home of an individual who was receiving aid or
assistance under one of such plans (as such section was in effect
prior to the enactment of this Act)), and
"(2) the total of the amounts determined under sections 3,
1003, 1403, and 1603 of the Social Security Act [sections 303,
1203, 1353, and 1383 note of this title], under section 1118 of
such Act [section 1318 of this title], and under section 9 of the
Act of April 19, 1950 [section 639 of Title 25, Indians], for
such State with respect to such expenditures in such quarters.
"(d) In addition to the amount which a State must pay to the
Secretary for the fiscal year 1983 or the fiscal year 1984, as
determined under subsection (a), the State shall also pay, for the
fiscal year 1983, 60 percent of the further amount that would be
payable but for the limit specified in subsection (a), and, for the
fiscal year 1984, 80 percent of such further amount. For each
fiscal year thereafter, the limit prescribed in subsection (a)
shall be inapplicable and a State shall pay to the Secretary the
full amount of any supplementary payments he makes on behalf of
such State."
[Amendment of section 401(a)(2) of Pub. L. 92-603, set out above,
by Pub. L. 94-585 inserting parenthetical text in subpar. (B) and
enacting last sentence, such amendments being identical to
amendments by Pub. L. 94-566 less the words "and before July 1,
1979" following "June 30, 1977", effective with respect to benefits
payable for months after June 1977, see section 2(c) of Pub. L.
94-585, set out as a note under section 1382g of this title.]
[Amendment of section 401(a)(2) of Pub. L. 92-603, set out above,
by Pub. L. 94-566 inserting parenthetical text in subpar. (B) and
enacting last sentence effective under provisions of Pub. L.
94-566, title V, Sec. 504(b), Oct. 20, 1976, 90 Stat. 2686, with
respect to benefits payable for months after June 1977.]
[Amendment of section 401 of Pub. L. 92-603, set out above, by
section 18(h) of Pub. L. 93-233 effective Jan. 1, 1974, see section
18(z-3)(1) of Pub. L. 93-233.]
[Section 184(b) of Pub. L. 97-248 provided that: "The amendment
made by subsection (a) [amending section 401 of Pub. L. 92-603, set
out above] shall become effective on the date of the enactment of
this Act [Sept. 3, 1982]."]
TRANSITIONAL ADMINISTRATION OF PROGRAMS BY STATE PURSUANT TO
AGREEMENT BETWEEN STATE AND SECRETARY
Section 402 of Pub. L. 92-603, as amended by Pub. L. 93-233, Sec.
18(i), Dec. 31, 1973, 87 Stat. 970, provided that: "In order for a
State to be eligible for any payments pursuant to title IV, V, XVI,
or XIX of the Social Security Act [subchapter IV, V, XVI, or XIX of
this chapter] with respect to expenditures for the third and fourth
quarters in the fiscal year ending June 30, 1974, and any quarter
in the fiscal year ending June 30, 1975, and for the purpose of
providing an orderly transition from State to Federal
administration of the Supplemental Security Income Program, such
State shall enter into an agreement with the Secretary of Health,
Education, and Welfare under which the State agencies responsible
for administering or for supervising the administration of the
plans approved under titles I, X, XIV, and XVI of the Social
Security Act [subchapters I, X, XIV, and XVI of this chapter] will,
on behalf of the Secretary, administer all or such part or parts of
the program established by section 301 of this Act [enacting this
subchapter], during such portion of the third and fourth quarters
of the fiscal year ending June 30, 1974, and any quarter of the
fiscal year ending June 30, 1975, as may be provided in such
agreement."
ELECTION OF PAYMENTS UNDER COMBINED STATE PLAN RATHER THAN SEPARATE
PLANS
Pub. L. 87-543, Sec. 141(b), July 25, 1962, 76 Stat. 205,
provided that: "No payment may be made to a State under title I, X,
or XIV of the Social Security Act [subchapter I, X, or XIV of this
chapter] for any period for which such State receives any payments
under title XVI of such Act or any period thereafter."
OVERPAYMENT OR UNDERPAYMENT ADJUSTMENTS
Pub. L. 87-543, Sec. 141(f), July 25, 1962, 76 Stat. 205,
provided that: "In the case of any State which has a State plan
approved under title XVI of the Social Security Act [this
subchapter], any overpayment or underpayment which the Secretary
determines was made to such State under section 3, 1003, or 1403 of
such Act [section 303, 1203, or 1353 of this title] with respect to
a period before the approval of the plan under such title XVI, and
with respect to which adjustment has not been already made under
subsection (b) of such section 3, 1003, or 1403 [section 303(b),
1203, or 1353 of this title], shall, for purposes of section
1603(b) of such Act [section 1383(b) of this title prior to its
omission on Oct. 30, 1972], be considered an overpayment or
underpayment (as the case may be) made under section 1603 of such
Act [section 1383 of this title as it existed prior to Oct. 30,
1972]."
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 402, 404, 426, 1012,
1310, 1320a-6, 1320a-8a, 1320b-6, 1320b-17, 1382d, 1382g, 1382i,
1383, 1383c, 1396a, 1396d, 3002 of this title; title 7 sections
2012, 2015; title 8 section 1612; title 12 section 1715w; title 26
sections 51, 6103.
-End-
-CITE-
42 USC Sec. 1382f 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part A - Determination of Benefits
-HEAD-
Sec. 1382f. Cost-of-living adjustments in benefits
-STATUTE-
(a) Increase of dollar amounts
Whenever benefit amounts under subchapter II of this chapter are
increased by any percentage effective with any month as a result of
a determination made under section 415(i) of this title -
(1) each of the dollar amounts in effect for such month under
subsections (a)(1)(A), (a)(2)(A), (b)(1), and (b)(2) of section
1382 of this title, and subsection (a)(1)(A) of section 211 of
Public Law 93-66, as specified in such subsections or as
previously increased under this section, shall be increased by
the amount (if any) by which -
(A) the amount which would have been in effect for such month
under such subsection but for the rounding of such amount
pursuant to paragraph (2), exceeds
(B) the amount in effect for such month under such
subsection; and
(2) the amount obtained under paragraph (1) with respect to
each subsection shall be further increased by the same percentage
by which benefit amounts under subchapter II of this chapter are
increased for such month, or, if greater (in any case where the
increase under subchapter II of this chapter was determined on
the basis of the wage increase percentage rather than the CPI
increase percentage), the percentage by which benefit amounts
under subchapter II of this chapter would be increased for such
month if the increase had been determined on the basis of the CPI
increase percentage, (and rounded, when not a multiple of $12, to
the next lower multiple of $12), effective with respect to
benefits for months after such month.
(b) Publication in Federal Register of new dollar amounts
The new dollar amounts to be in effect under section 1382 of this
title and under section 211 of Public Law 93-66 by reason of
subsection (a) of this section shall be published in the Federal
Register together with, and at the same time as, the material
required by section 415(i)(2)(D) of this title to be published
therein by reason of the determination involved.
(c) Additional increases
Effective July 1, 1983 -
(1) each of the dollar amounts in effect under subsections
(a)(1)(A) and (b)(1) of section 1382 of this title, as previously
increased under this section, shall be increased by $240 (and the
dollar amount in effect under subsection (a)(1)(A) of section 211
of Public Law 93-66, as previously so increased, shall be
increased by $120); and
(2) each of the dollar amounts in effect under subsections
(a)(2)(A) and (b)(2) of section 1382 of this title, as previously
increased under this section, shall be increased by $360.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1617, as added Pub. L.
93-368, Sec. 6(b), Aug. 7, 1974, 88 Stat. 421; amended Pub. L.
97-248, title I, Sec. 182(a), Sept. 3, 1982, 96 Stat. 404; Pub. L.
98-21, title IV, Sec. 401, Apr. 20, 1983, 97 Stat. 138.)
-REFTEXT-
REFERENCES IN TEXT
Section 211 of Public Law 93-66, referred to in subsecs. (a)(1),
(b), and (c)(1), is section 211 of Pub. L. 93-66, title II, July 9,
1973, 87 Stat. 154, as amended, which is set out as a note under
section 1382 of this title.
-MISC1-
AMENDMENTS
1983 - Subsec. (a)(2). Pub. L. 98-21, Sec. 401(b), inserted
provision that the amount obtained under par. (1) with respect to
each subsection shall be further increased by the percentage by
which benefit amounts under subchapter II of this chapter would be
increased for such month if the increase had been determined on the
basis of the CPI increase percentage, if greater, in any case where
the increase under subchapter II of this chapter was determined on
the basis of the wage increase percentage rather than the CPI
increase percentage.
Subsec. (b). Pub. L. 98-21, Sec. 401(a)(2), substituted
"subsection (a) of this subsection" for "this section".
Subsec. (c). Pub. L. 98-21, Sec. 401(a)(1), added subsec. (c).
1982 - Pub. L. 97-248 redesignated existing provisions as subsec.
(a), revised method of computation into pars. (1) and (2) and among
other changes increased base for rounding-off from a multiple of
$1.20 to a multiple of $12.00, and struck out provisions relating
to publication of increased dollar amounts in the Federal Register,
and added subsec. (b).
EFFECTIVE DATE OF 1982 AMENDMENT
Section 182(b) of Pub. L. 97-248 provided that: "The amendment
made by this section [amending this section] shall become effective
on October 1, 1982."
COST-OF-LIVING INCREASES; COST-OF-LIVING COMPUTATION QUARTER
DETERMINATIONS
Payment of increased benefits under program covered in subchapter
II of this chapter, see section 1 of Pub. L. 98-604, set out as a
note under section 415 of this title.
APPLICATION TO NORTHERN MARIANA ISLANDS
For applicability of this section to the Northern Mariana
Islands, see section 502(a)(1) of the Covenant to Establish a
Commonwealth of the Northern Mariana Islands in Political Union
with the United States of America and Proc. No. 4534, Oct. 24,
1977, 42 F.R. 6593, set out as notes under section 1801 of Title
48, Territories and Insular Possessions.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 1382, 1382g of this
title.
-End-
-CITE-
42 USC Sec. 1382g 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part A - Determination of Benefits
-HEAD-
Sec. 1382g. Payments to State for operation of supplementation
program
-STATUTE-
(a) Eligibility; agreement with Commissioner
In order for any State which makes supplementary payments of the
type described in section 1382e(a) of this title (including
payments pursuant to an agreement entered into under section 212(a)
of Public Law 93-66), on or after June 30, 1977, to be eligible for
payments pursuant to subchapter XIX of this chapter with respect to
expenditures for any calendar quarter which begins -
(1) after June 30, 1977, or, if later,
(2) after the calendar quarter in which it first makes such
supplementary payments,
such State must have in effect an agreement with the Commissioner
of Social Security whereby the State will -
(3) continue to make such supplementary payments, and
(4) maintain such supplementary payments at levels which are
not lower than the levels of such payments in effect in December
1976, or, if no such payments were made in that month, the levels
for the first subsequent month in which such payments were made.
(b) Levels of supplementary payments
(1) The Commissioner of Social Security shall not find that a
State has failed to meet the requirements imposed by paragraph (4)
of subsection (a) of this section with respect to the levels of its
supplementary payments for a particular month or months if the
State's expenditures for such payments in the twelve-month period
(within which such month or months fall) beginning on the effective
date of any increase in the level of supplemental security income
benefits pursuant to section 1382f of this title are not less than
its expenditures for such payments in the preceding twelve-month
period.
(2) For purposes of determining under paragraph (1) whether a
State's expenditures for supplementary payments in the 12-month
period beginning on the effective date of any increase in the level
of supplemental security income benefits are not less than the
State's expenditures for such payments in the preceding 12-month
period, the Commissioner of Social Security, in computing the
State's expenditures, shall disregard, pursuant to a 1-time
election of the State, all expenditures by the State for
retroactive supplementary payments that are required to be made in
connection with the retroactive supplemental security income
benefits referred to in section 5041 of the Omnibus Budget
Reconciliation Act of 1990.
(c) Election to apply subsection (a)(4)
Any State which satisfies the requirements of this section solely
by reason of subsection (b) of this section for a particular month
or months in any 12-month period (described in such subsection)
ending on or after June 30, 1982, may elect, with respect to any
month in any subsequent 12-month period (so described), to apply
subsection (a)(4) of this section as though the reference to
December 1976 in such subsection were a reference to the month of
December which occurred in the 12-month period immediately
preceding such subsequent period.
(d) Determinations respecting any portion of period July 1, 1980,
through June 30, 1981
The Commissioner of Social Security shall not find that a State
has failed to meet the requirements imposed by paragraph (4) of
subsection (a) of this section with respect to the levels of its
supplementary payments for any portion of the period July 1, 1980,
through June 30, 1981, if the State's expenditures for such
payments in that twelve-month period were not less than its
expenditures for such payments for the period July 1, 1976, through
June 30, 1977 (or, if the State made no supplementary payments in
the period July 1, 1976, through June 30, 1977, the expenditures
for the first twelve-month period extending from July 1 through
June 30 in which the State made such payments).
(e) Meeting subsection (a)(4) requirements for any month after
March 1983
(1) For any particular month after March 1983, a State which is
not treated as meeting the requirements imposed by paragraph (4) of
subsection (a) of this section by reason of subsection (b) of this
section shall be treated as meeting such requirements if and only
if -
(A) the combined level of its supplementary payments (to
recipients of the type involved) and the amounts payable (to or
on behalf of such recipients) under section 1382(b) of this title
and section 211(a)(1)(A) of Public Law 93-66, for that particular
month,
is not less than -
(B) the combined level of its supplementary payments (to
recipients of the type involved) and the amounts payable (to or
on behalf of such recipients) under section 1382(b) of this title
and section 211(a)(1)(A) of Public Law 93-66, for March 1983,
increased by the amount of all cost-of-living adjustments under
section 1382f of this title (and any other benefit increases
under this subchapter) which have occurred after March 1983 and
before that particular month.
(2) In determining the amount of any increase in the combined
level involved under paragraph (1)(B) of this subsection, any
portion of such amount which would otherwise be attributable to the
increase under section 1382f(c) of this title shall be deemed
instead to be equal to the amount of the cost-of-living adjustment
which would have occurred in July 1983 (without regard to the
3-percent limitation contained in section 415(i)(1)(B) of this
title) if section 111 of the Social Security Amendments of 1983 had
not been enacted.
(f) Passthrough relating to optional State supplementation
The Commissioner of Social Security shall not find that a State
has failed to meet the requirements imposed by subsection (a) of
this section with respect to the levels of its supplementary
payments for the period January 1, 1984, through December 31, 1985,
if in the period January 1, 1986, through December 31, 1986, its
supplementary payment levels (other than to recipients of benefits
determined under section 1382(e)(1)(B) of this title) are not less
than those in effect in December 1976, increased by a percentage
equal to the percentage by which payments under section 1382(b) of
this title and section 211(a)(1)(A) of Public Law 93-66 have been
increased as a result of all adjustments under section 1382f(a) and
(c) of this title which have occurred after December 1976 and
before February 1986.
(g) Mandatory pass-through of increased personal needs allowance
In order for any State which makes supplementary payments of the
type described in section 1382e(a) of this title (including
payments pursuant to an agreement entered into under section 212(a)
of Public Law 93-66) to recipients of benefits determined under
section 1382(e)(1)(B) of this title, on or after October 1, 1987,
to be eligible for payments pursuant to subchapter XIX of this
chapter with respect to any calendar quarter which begins -
(1) after October 1, 1987, or, if later
(2) after the calendar quarter in which it first makes such
supplementary payments to recipients of benefits so determined,
such State must have in effect an agreement with the Commissioner
of Social Security whereby the State will -
(3) continue to make such supplementary payments to recipients
of benefits so determined, and
(4) maintain such supplementary payments to recipients of
benefits so determined at levels which assure (with respect to
any particular month beginning with July 1988) that -
(A) the combined level of such supplementary payments and the
amounts payable to or on behalf of such recipients under
section 1382(e)(1)(B) of this title for that particular month,
is not less than -
(B) the combined level of such supplementary payments and the
amounts payable to or on behalf of such recipients under
section 1382(e)(1)(B) of this title for October 1987 (or, if no
such supplementary payments were made for that month, the
combined level for the first subsequent month for which such
payments were made), increased -
(i) in a case to which clause (i) of such section
1382(e)(1)(B) of this title applies or (with respect to the
individual or spouse who is in the hospital, home, or
facility involved) to which clause (ii) of such section
applies, by $5, and
(ii) in a case to which clause (iii) of such section
1382(e)(1)(B) of this title applies, by $10.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1618, as added Pub. L.
94-585, Sec. 2(a), Oct. 21, 1976, 90 Stat. 2901; amended Pub. L.
97-248, title I, Sec. 186, Sept. 3, 1982, 96 Stat. 407; Pub. L.
97-377, title I, Sec. 147, Dec. 21, 1982, 96 Stat. 1917; Pub. L.
98-21, title IV, Sec. 402, Apr. 20, 1983, 97 Stat. 139; Pub. L.
98-369, div. B, title VI, Sec. 2663(g)(9), July 18, 1984, 98 Stat.
1169; Pub. L. 99-272, title XII, Sec. 12201(a), Apr. 7, 1986, 100
Stat. 289; Pub. L. 100-203, title IX, Sec. 9119(b), Dec. 22, 1987,
101 Stat. 1330-309; Pub. L. 103-296, title I, Sec. 107(a)(4), title
II, Sec. 209(a), Aug. 15, 1994, 108 Stat. 1478, 1517.)
-REFTEXT-
REFERENCES IN TEXT
Sections 211(a)(1)(A) and 212(a) of Public Law 93-66, referred to
in subsecs. (a), (e)(1), (f), and (g), are sections 211(a)(1)(A)
and 212(a) of Pub. L. 93-66, title II, July 9, 1973, 87 Stat. 154,
155, as amended, which are set out as notes under section 1382 of
this title.
Section 5041 of the Omnibus Budget Reconciliation Act of 1990,
referred to in subsec. (b)(2), is section 5041 of Pub. L. 101-508,
title V, Nov. 5, 1990, 104 Stat. 1388-227, which is not classified
to the Code.
Section 111 of the Social Security Amendments of 1983, referred
to in subsec. (e)(2), is section 111 of Pub. L. 98-21, title I,
Apr. 20, 1983, 97 Stat. 72, which amended sections 402, 403, 415,
and 430 of this title and enacted provisions set out as notes under
sections 402 and 415 of this title and section 5123 of Title 38,
Veterans' Benefits.
-MISC1-
AMENDMENTS
1994 - Subsec. (a). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary".
Subsec. (b). Pub. L. 103-296, Sec. 209(a), designated existing
provisions as par. (1) and added par. (2).
Pub. L. 103-296, Sec. 107(a)(4), in subsec. (b) as amended by
Pub. L. 103-296, Sec. 209(a), substituted "Commissioner of Social
Security" for "Secretary" in two places.
Subsecs. (d), (f), (g). Pub. L. 103-296, Sec. 107(a)(4),
substituted "Commissioner of Social Security" for "Secretary".
1987 - Subsec. (g). Pub. L. 100-203 added subsec. (g).
1986 - Subsec. (f). Pub. L. 99-272 added subsec. (f).
1984 - Subsec. (d). Pub. L. 98-369, Sec. 2663(g)(9)(A), realigned
margin of subsec. (d).
Pub. L. 98-369, Sec. 2663(g)(9)(B), (C), struck out the comma
after "levels of its", and inserted a comma after "1980" and after
"1976", wherever appearing.
1983 - Subsecs. (c), (d). Pub. L. 98-21 redesignated subsec. (c),
added by Pub. L. 97-377, as (d).
Subsec. (e). Pub. L. 98-21 added subsec. (e).
1982 - Subsec. (c). Pub. L. 97-377 added subsec. (c) relating to
conditions under which the Secretary shall not find that a State
has failed to meet the requirements of subsec. (a)(4) of this
section concerning levels of supplementary payments.
Pub. L. 97-248 added subsec. (c) relating to conditions under
which a State may elect to apply subsec. (a)(4) of this section.
EFFECTIVE DATE OF 1994 AMENDMENT
Amendment by section 107(a)(4) of Pub. L. 103-296 effective Mar.
31, 1995, see section 110(a) of Pub. L. 103-296, set out as a note
under section 401 of this title.
Section 209(b) of Pub. L. 103-296 provided that: "The amendments
made by subsection (a) [amending this section] shall apply with
respect to increases in the level of supplemental security income
benefits under title XVI of the Social Security Act [this
subchapter] whether occurring before, on, or after the date of the
enactment of this Act [Aug. 15, 1994]."
EFFECTIVE DATE OF 1987 AMENDMENT
Amendment by Pub. L. 100-203 effective July 1, 1988, see section
9119(c) of Pub. L. 100-203, set out as a note under section 1382 of
this title.
EFFECTIVE DATE OF 1984 AMENDMENT
Amendment by Pub. L. 98-369 effective July 18, 1984, but not to
be construed as changing or affecting any right, liability, status,
or interpretation which existed (under the provisions of law
involved) before that date, see section 2664(b) of Pub. L. 98-369,
set out as a note under section 401 of this title.
EFFECTIVE DATE
Section 2(c) of Pub. L. 94-585 provided that: "The provisions of
this section [enacting this section and provisions set out as a
note under section 1382e of this title] shall be effective with
respect to benefits payable for months after June 1977."
APPLICATION TO NORTHERN MARIANA ISLANDS
For applicability of this section to the Northern Mariana
Islands, see section 502(a)(1) of the Covenant to Establish a
Commonwealth of the Northern Mariana Islands in Political Union
with the United States of America and Proc. No. 4534, Oct. 24,
1977, 42 F.R. 6593, set out as notes under section 1801 of Title
48, Territories and Insular Possessions.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in section 1396v of this title.
-End-
-CITE-
42 USC Sec. 1382h 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part A - Determination of Benefits
-HEAD-
Sec. 1382h. Benefits for individuals who perform substantial
gainful activity despite severe medical impairment
-STATUTE-
(a) Eligible individuals
(1) Except as provided in section 1383(j) of this title, any
individual who was determined to be an eligible individual (or
eligible spouse) by reason of being under a disability and was
eligible to receive benefits under section 1382 of this title (or a
federally administered State supplementary payment) for a month and
whose earnings in a subsequent month exceed the amount designated
by the Commissioner of Social Security ordinarily to represent
substantial gainful activity shall qualify for a monthly benefit
under this subsection for such subsequent month (which shall be in
lieu of any benefit under section 1382 of this title) equal to an
amount determined under section 1382(b)(1) of this title (or, in
the case of an individual who has an eligible spouse, under section
1382(b)(2) of this title), and for purposes of subchapter XIX of
this chapter shall be considered to be receiving supplemental
security income benefits under this subchapter, for so long as -
(A) such individual continues to have the disabling physical or
mental impairment on the basis of which such individual was found
to be under a disability; and
(B) the income of such individual, other than income excluded
pursuant to section 1382a(b) of this title, is not equal to or in
excess of the amount which would cause him to be ineligible for
payments under section 1382 of this title and such individual
meets all other non-disability-related requirements for
eligibility for benefits under this subchapter.
(2) The Commissioner of Social Security shall make a
determination under paragraph (1)(A) with respect to an individual
not later than 12 months after the first month for which the
individual qualifies for a benefit under this subsection.
(b) Blind or disabled individuals receiving supplemental security
income benefits
(1) Except as provided in section 1383(j) of this title, for
purposes of subchapter XIX of this chapter, any individual who was
determined to be a blind or disabled individual eligible to receive
a benefit under section 1382 of this title or any federally
administered State supplementary payment for a month and who in a
subsequent month is ineligible for benefits under this subchapter
(and for any federally administered State supplementary payments)
because of his or her income shall, nevertheless, be considered to
be receiving supplemental security income benefits for such
subsequent month provided that the Commissioner of Social Security
determines under regulations that -
(A) such individual continues to be blind or continues to have
the disabling physical or mental impairment on the basis of which
he was found to be under a disability and, except for his
earnings, meets all non-disability-related requirements for
eligibility for benefits under this subchapter;
(B) the income of such individual would not, except for his
earnings and increases pursuant to section 415(i) of this title
in the level of monthly insurance benefits to which the
individual is entitled under subchapter II of this chapter that
occur while such individual is considered to be receiving
supplemental security income benefits by reason of this
subsection, be equal to or in excess of the amount which would
cause him to be ineligible for payments under section 1382(b) of
this title (if he were otherwise eligible for such payments);
(C) the termination of eligibility for benefits under
subchapter XIX of this chapter would seriously inhibit his
ability to continue his employment; and
(D) such individual's earnings are not sufficient to allow him
to provide for himself a reasonable equivalent of the benefits
under this subchapter (including any federally administered State
supplementary payments), benefits under subchapter XIX of this
chapter, and publicly funded attendant care services (including
personal care assistance), which would be available to him in the
absence of such earnings.
(2)(A) Determinations made under paragraph (1)(D) shall be based
on information and data updated no less frequently than annually.
(B) In determining an individual's earnings for purposes of
paragraph (1)(D), there shall be excluded from such earnings an
amount equal to the sum of any amounts which are or would be
excluded under clauses (ii) and (iv) of section 1382a(b)(4)(B) of
this title (or under clauses (ii) and (iii) of section
1382a(b)(4)(A) of this title) in determining his or her income.
(3) In the case of a State that exercises the option under
section 1396a(f) of this title, any individual who -
(A)(i) qualifies for a benefit under subsection (a) of this
section, or
(ii) meets the requirements of paragraph (1); and
(B) was eligible for medical assistance under the State plan
approved under subchapter XIX of this chapter in the month
immediately preceding the first month in which the individual
qualified for a benefit under such subsection or met such
requirements,
shall remain eligible for medical assistance under such plan for so
long as the individual qualifies for a benefit under such
subsection or meets such requirements.
(c) Continuing disability or blindness reviews; limitation
Subsection (a)(2) of this section and section 1383(j)(2)(A) of
this title shall not be construed, singly or jointly, to require
more than 1 determination during any 12-month period with respect
to the continuing disability or blindness of an individual.
(d) Information and training programs
The Commissioner of Social Security and the Secretary of
Education shall jointly develop and disseminate information, and
establish training programs for staff personnel, with respect to
the potential availability of benefits and services for disabled
individuals under the provisions of this section. The Commissioner
of Social Security shall provide such information to individuals
who are applicants for and recipients of benefits based on
disability under this subchapter and shall conduct such programs
for the staffs of the district offices of the Social Security
Administration. The Secretary of Education shall conduct such
programs for the staffs of the State Vocational Rehabilitation
agencies, and in cooperation with such agencies shall also provide
such information to other appropriate individuals and to public and
private organizations and agencies which are concerned with
rehabilitation and social services or which represent the disabled.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1619, as added Pub. L.
96-265, title II, Sec. 201(a), June 9, 1980, 94 Stat. 445; amended
Pub. L. 97-35, title XXIII, Sec. 2353(o), Aug. 13, 1981, 95 Stat.
873; Pub. L. 98-460, Sec. 14(b), Oct. 9, 1984, 98 Stat. 1808; Pub.
L. 99-643, Secs. 4(a), (b), (c)(2), 7(a), Nov. 10, 1986, 100 Stat.
3575, 3577, 3579; Pub. L. 101-508, title V, Secs. 5032(a), 5039(a),
Nov. 5, 1990, 104 Stat. 1388-224, 1388-226; Pub. L. 103-296, title
I, Sec. 107(a)(1), (4), title II, Sec. 205(a), Aug. 15, 1994, 108
Stat. 1477, 1478, 1509.)
-MISC1-
AMENDMENTS
1994 - Subsecs. (a)(1), (2), (b)(1). Pub. L. 103-296, Sec.
107(a)(4), substituted "Commissioner of Social Security" for
"Secretary".
Subsec. (b)(1)(B). Pub. L. 103-296, Sec. 205(a), inserted "and
increases pursuant to section 415(i) of this title in the level of
monthly insurance benefits to which the individual is entitled
under subchapter II of this chapter that occur while such
individual is considered to be receiving supplemental security
income benefits by reason of this subsection" after "earnings".
Subsec. (d). Pub. L. 103-296, Sec. 107(a)(1), substituted
"Commissioner of Social Security" for "Secretary of Health and
Human Services" in two places.
1990 - Subsec. (b)(1). Pub. L. 101-508, Sec. 5032(a), struck out
"under age 65" after "any individual" in introductory provisions.
Subsecs. (c), (d). Pub. L. 101-508, Sec. 5039(a), added subsec.
(c) and redesignated former subsec. (c) as (d).
1986 - Subsec. (a). Pub. L. 99-643, Sec. 4(a), amended subsec.
(a) generally. Prior to amendment, subsec. (a) read as follows:
"Any individual who is an eligible individual (or eligible spouse)
by reason of being under a disability and was eligible to receive
benefits under section 1382(b) of this title or under this section
for the month preceding the month for which eligibility for
benefits under this section is now being determined, and who would
otherwise be denied benefits by reason of section 1382(e)(4) of
this title or ceases to be an eligible individual (or eligible
spouse) because his earnings have demonstrated a capacity to engage
in substantial gainful activity, shall nevertheless qualify for a
monthly benefit equal to an amount determined under section
1382(b)(1) of this title (or, in the case of an individual who has
an eligible spouse, under section 1382(b)(2) of this title), and
for purposes of subchapter XIX of this chapter shall be considered
a disabled individual receiving supplemental security income
benefits under this subchapter, for so long as the Secretary
determines that -
"(1) such individual continues to have the disabling physical
or mental impairment on the basis of which such individual was
found to be under a disability, and continues to meet all
non-disability-related requirements for eligibility for benefits
under this subchapter; and
"(2) the income of such individual, other than income excluded
pursuant to section 1382a(b) of this title, is not equal to or in
excess of the amount which would cause him to be ineligible for
payments under section 1382(b) of this title (if he were
otherwise eligible for such payments)."
Subsec. (a)(1). Pub. L. 99-643, Sec. 4(c)(2)(A), substituted
"Except as provided in section 1383(j) of this section, any
individual" for "Any individual".
Subsec. (b). Pub. L. 99-643, Sec. 4(b)(1)-(4), substituted
"meets" for "continues to meet" in former par. (1) and "(including
any federally administered State supplementary payments), benefits
under subchapter XIX of this chapter, and publicly funded attendant
care services (including personal care assistance)," for "and
subchapter XIX of this chapter" in former par. (4), redesignated
former pars. (1) to (4) as subpars. (A) to (D), respectively, of
par. (1), and substituted introductory provisions of such par. (1)
for former undesignated introductory provisions which read as
follows: "For purposes of subchapter XIX of this chapter, any
individual under age 65 who, for the month preceding the first
month in the period to which this subsection applies, received -
"(i) a payment of supplemental security income benefits under
section 1382(b) of this title on the basis of blindness or
disability,
"(ii) a supplementary payment under section 1382e of this title
or under section 212 of Public Law 93-66 on such basis,
"(iii) a payment of monthly benefits under subsection (a) of
this section, or
"(iv) a supplementary payment under section 1382e(c)(3) of this
title,
shall be considered to be a blind or disabled individual receiving
supplemental security income benefits for so long as the Secretary
determines under regulations that - ".
Subsec. (b)(1). Pub. L. 99-643, Sec. 4(c)(2)(B), substituted
"Except as provided in section 1383(j) of this title, for purposes
of" for "For purposes of".
Subsec. (b)(2). Pub. L. 99-643, Sec. 4(b)(5), added par. (2).
Subsec. (b)(3). Pub. L. 99-643, Sec. 7(a), added par. (3).
1984 - Subsec. (c). Pub. L. 98-460 added subsec. (c).
1981 - Subsec. (a). Pub. L. 97-35, Sec. 2353(o)(1), substituted
in provision preceding par. (1) "subchapter XIX of this chapter"
for "subchapters XIX and XX of this chapter".
Subsec. (b). Pub. L. 97-35, Sec. 2353(o), substituted in
provision preceding cl. (i) and in par. (4) "subchapter XIX of this
chapter" for "subchapters XIX and XX of this chapter" and in par.
(3) "subchapter XIX of this chapter" for "subchapter XIX or XX of
this chapter".
EFFECTIVE DATE OF 1994 AMENDMENT
Amendment by section 107(a)(1), (4) of Pub. L. 103-296 effective
Mar. 31, 1995, see section 110(a) of Pub. L. 103-296, set out as a
note under section 401 of this title.
Section 205(b) of Pub. L. 103-296 provided that: "The amendment
made by subsection (a) [amending this section] shall apply to
eligibility determinations for months after December 1994."
EFFECTIVE DATE OF 1990 AMENDMENT
Section 5032(b) of Pub. L. 101-508 provided that: "The amendment
made by subsection (a) [amending this section] shall apply with
respect to benefits for months beginning on or after the first day
of the 6th calendar month following the month in which this Act is
enacted [November 1990]."
Section 5039(c) of Pub. L. 101-508 provided that: "The amendments
made by this section [amending this section and section 1383 of
this title] shall take effect on the date of the enactment of this
Act [Nov. 5, 1990]."
EFFECTIVE DATE OF 1986 AMENDMENT
Amendment by Pub. L. 99-643 effective July 1, 1987, except as
otherwise provided, see section 10(b) of Pub. L. 99-643, set out as
a note under section 1396a of this title.
EFFECTIVE DATE OF 1981 AMENDMENT
Amendment by Pub. L. 97-35 effective Oct. 1, 1981, except as
otherwise explicitly provided, see section 2354 of Pub. L. 97-35,
set out as an Effective Date note under section 1397 of this title.
EFFECTIVE DATE
Section 201(d) of Pub. L. 96-265, as amended by Pub. L. 98-460,
Sec. 14(a), Oct. 9, 1984, 98 Stat. 1808; Pub. L. 99-643, Sec. 2,
Nov. 10, 1986, 100 Stat. 3574, provided that: "The amendments made
by subsections (a) and (b) [enacting this section and amending
section 1382e of this title and provisions set out as a note under
section 1382 of this title] shall become effective on January 1,
1981."
[Section 10(a) of Pub. L. 99-643 provided that: "The amendment
made by section 2 [amending section 201(d) of Pub. L. 96-265, set
out above] shall become effective on the date of the enactment of
this Act [Nov. 10, 1986]."]
SEPARATE ACCOUNTS WITH RESPECT TO BENEFITS PAYABLE; EVALUATION OF
PROGRAM
Section 201(e) of Pub. L. 96-265 provided that: "The Secretary
shall provide for separate accounts with respect to the benefits
payable by reason of the amendments made by subsections (a) and (b)
[enacting this section and amending section 1382e of this title and
provisions set out as a note under section 1382 of this title] so
as to provide for evaluation of the effects of such amendments on
the programs established by titles II, XVI, XIX, and XX of the
Social Security Act [subchapters II, XVI, XIX, and XX of this
chapter]."
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 1320b-19, 1320b-20, 1382,
1382c, 1382d, 1382e, 1382i, 1383, 1396a, 1396d, 1396v of this
title.
-End-
-CITE-
42 USC Sec. 1382i 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part A - Determination of Benefits
-HEAD-
Sec. 1382i. Medical and social services for certain handicapped
persons
-STATUTE-
(a) Authorization of appropriations for pilot program
There are authorized to be appropriated such sums as may be
necessary to establish and carry out a 3-year Federal-State pilot
program to provide medical and social services for certain
handicapped individuals in accordance with this section.
(b) State allotments
(1) The total sum of $18,000,000 shall be allotted to the States
for such program by the Commissioner of Social Security, during the
period beginning September 1, 1981, and ending September 30, 1984,
as follows:
(A) The total sum of $6,000,000 shall be allotted to the States
for the fiscal year ending September 30, 1982 (which for purposes
of this section shall include the month of September 1981).
(B) The total sum of $6,000,000, plus any amount remaining
available (after the application of paragraph (4)) from the
allotment made under subparagraph (A), shall be allotted to the
States for the fiscal year ending September 30, 1983.
(C) The total sum of $6,000,000, plus any amount remaining
available (after the application of paragraph (4)) from the
allotments made under subparagraphs (A) and (B), shall be
allotted to the States for the fiscal year ending September 30,
1984.
(2) The allotment to each State from the total sum allotted under
paragraph (1) for any fiscal year shall bear the same ratio to such
total sum as the number of individuals in such State who are over
age 17 and under age 65 and are receiving supplemental security
income benefits as disabled individuals in such year (as determined
by the Commissioner of Social Security on the basis of the most
recent data available) bears to the total number of such
individuals in all the States. For purposes of the preceding
sentence, the term "supplemental security income benefits" includes
payments made pursuant to an agreement under section 1382e(a) of
this title or under section 212(b) of Public Law 93-66.
(3) At the beginning of each fiscal year in which the pilot
program under this section is in effect, each State that does not
intend to use the allotment to which it is entitled for such year
(or any allotment which was made to it for a prior fiscal year), or
that does not intend to use the full amount of any such allotment,
shall certify to the Commissioner of Social Security the amount of
such allotment which it does not intend to use, and the State's
allotment for the fiscal year (or years) involved shall thereupon
be reduced by the amount so certified.
(4) The portion of the total amount available for allotment for
any particular fiscal year under paragraph (1) which is not
allotted to States for that year by reason of paragraph (3) (plus
the amount of any reductions made at the beginning of such year in
the allotments of States for prior fiscal years under paragraph
(3)) shall be reallocated in such manner as the Commissioner of
Social Security may determine to be appropriate to States which
need, and will use, additional assistance in providing services to
severely handicapped individuals in that particular year under
their approved plans. Any amount reallocated to a State under this
paragraph for use in a particular fiscal year shall be treated for
purposes of this section as increasing such State's allotment for
that year by an equivalent amount.
(c) Requisite features of State plans
In order to participate in the pilot program and be eligible to
receive payments for any period under subsection (d) of this
section, a State (during such period) must have a plan, approved by
the Commissioner of Social Security as meeting the requirements of
this section, which provides medical and social services for
severely handicapped individuals whose earnings are above the level
which ordinarily demonstrates an ability to engage in substantial
gainful activity and who are not receiving benefits under section
1382 or 1382h of this title or assistance under a State plan
approved under section 1396a of this title, and which -
(1) declares the intent of the State to participate in the
pilot program;
(2) designates an appropriate State agency to administer or
supervise the administration of the program in the State;
(3) describes the criteria to be applied by the State in
determining the eligibility of any individual for assistance
under the plan and in any event requires a determination by the
State agency to the effect that (A) such individual's ability to
continue his employment would be significantly inhibited without
such assistance and (B) such individual's earnings are not
sufficient to allow him to provide for himself a reasonable
equivalent of the cash and other benefits that would be available
to him under this subchapter and subchapters XIX and XX of this
chapter in the absence of those earnings;
(4) describes the process by which the eligibility of
individuals for such assistance is to be determined (and such
process may not involve the performance of functions by any State
agency or entity which is engaged in making determinations of
disability for purposes of disability insurance or supplemental
security income benefits except when the use of a different
agency or entity to perform those functions would not be
feasible);
(5) describes the medical and social services to be provided
under the plan;
(6) describes the manner in which the medical and social
services involved are to be provided and, if they are not to be
provided through the State's medical assistance and social
services programs under subchapters XIX and XX of this chapter
(with the Federal payments being made under subsection (d) of
this section rather than under those subchapters), specifies the
particular mechanisms and procedures to be used in providing such
services; and
(7) contains such other provisions as the Commissioner of
Social Security may find to be necessary or appropriate to meet
the requirements of this section or otherwise carry out its
purpose.
(d) Payments to States; computation of payments
(1) From its allotment under subsection (b) of this section for
any fiscal year (and any amounts remaining available from
allotments made to it for prior fiscal years), the Commissioner of
Social Security shall from time to time pay to each State which has
a plan approved under subsection (c) of this section an amount
equal to 75 per centum of the total sum expended under such plan
(including the cost of administration of such plan) in providing
medical and social services to severely handicapped individuals who
are eligible for such services under the plan.
(2) The method of computing and making payments under this
section shall be as follows:
(A) The Commissioner of Social Security shall, prior to each
period for which a payment is to be made to a State, estimate the
amount to be paid to the State for such period under the
provisions of this section.
(B) From the allotment available therefor, the Commissioner of
Social Security shall pay the amount so estimated, reduced or
increased, as the case may be, by any sum (not previously
adjusted under this subsection) by which the Commissioner finds
that the Commissioner's estimate of the amount to be paid the
State for any prior period under this section was greater or less
than the amount which should have been paid to the State for such
period under this section.
(e) Rules and regulations
Within nine months after June 9, 1980, the Commissioner of Social
Security shall prescribe and publish such regulations as may be
necessary or appropriate to carry out the pilot program and
otherwise implement this section.
(f) Reports
Each State participating in the pilot program under this section
shall from time to time report to the Commissioner of Social
Security on the operation and results of such program in that
State, with particular emphasis upon the work incentive effects of
the program. On or before October 1, 1983, the Commissioner of
Social Security shall submit to the Congress a report on the
program, incorporating the information contained in the State
reports along with the Commissioner's findings and recommendations.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1620, as added Pub. L.
96-265, title II, Sec. 201(c), June 9, 1980, 94 Stat. 446; amended
Pub. L. 97-35, title XXIII, Sec. 2353(p), Aug. 13, 1981, 95 Stat.
874; Pub. L. 103-296, title I, Sec. 107(a)(4), Aug. 15, 1994, 108
Stat. 1478.)
-REFTEXT-
REFERENCES IN TEXT
Section 212(b) of Public Law 93-66, referred to in subsec.
(b)(2), is section 212(b) of Pub. L. 93-66, title II, July 9, 1973,
87 Stat. 155, as amended, which is set out as a note under section
1382 of this title.
-MISC1-
AMENDMENTS
1994 - Subsecs. (b) to (f). Pub. L. 103-296, Sec. 107(a)(4),
substituted "Commissioner of Social Security" for "Secretary"
wherever appearing, "the Commissioner finds that the
Commissioner's" for "he finds that his" in subsec. (d)(2)(B), and
"the Commissioner's" for "his" in subsec. (f).
1981 - Subsec. (c). Pub. L. 97-35 struck out provision following
par. (7) that the plan under this section may be developed and
submitted as a separate State plan or may be submitted in the form
of an amendment to the State's plan under section 1397b(d) of this
title.
EFFECTIVE DATE OF 1994 AMENDMENT
Amendment by Pub. L. 103-296 effective Mar. 31, 1995, see section
110(a) of Pub. L. 103-296, set out as a note under section 401 of
this title.
EFFECTIVE DATE OF 1981 AMENDMENT
Amendment by Pub. L. 97-35 effective Oct. 1, 1981, except as
otherwise explicitly provided, see section 2354 of Pub. L. 97-35,
set out as an Effective Date note under section 1397 of this title.
-End-
-CITE-
42 USC Sec. 1382j 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part A - Determination of Benefits
-HEAD-
Sec. 1382j. Attribution of sponsor's income and resources to aliens
-STATUTE-
(a) Attribution as unearned income
For purposes of determining eligibility for and the amount of
benefits under this subchapter for an individual who is an alien,
the income and resources of any person who (as a sponsor of such
individual's entry into the United States) executed an affidavit of
support or similar agreement with respect to such individual, and
the income and resources of the sponsor's spouse, shall be deemed
to be the income and resources of such individual (in accordance
with subsections (b) and (c) of this section) for a period of 3
years after the individual's entry into the United States. Any such
income deemed to be income of such individual shall be treated as
unearned income of such individual.
(b) Determination of amount and resources
(1) The amount of income of a sponsor (and his spouse) which
shall be deemed to be the unearned income of an alien for any year
shall be determined as follows:
(A) The total yearly rate of earned and unearned income (as
determined under section 1382a(a) of this title) of such sponsor
and such sponsor's spouse (if such spouse is living with the
sponsor) shall be determined for such year.
(B) The amount determined under subparagraph (A) shall be
reduced by an amount equal to (i) the maximum amount of the
Federal benefit under this subchapter for such year which would
be payable to an eligible individual who has no other income and
who does not have an eligible spouse (as determined under section
1382(b)(1) of this title), plus (ii) one-half of the amount
determined under clause (i) multiplied by the number of
individuals who are dependents of such sponsor (or such sponsor's
spouse if such spouse is living with the sponsor), other than
such alien and such alien's spouse.
(C) The amount of income which shall be deemed to be unearned
income of such alien shall be at a yearly rate equal to the
amount determined under subparagraph (B). The period for
determination of such amount shall be the same as the period for
determination of benefits under section 1382(c) of this title.
(2) The amount of resources of a sponsor (and his spouse) which
shall be deemed to be the resources of an alien for any year shall
be determined as follows:
(A) The total amount of the resources (as determined under
section 1382b of this title) of such sponsor and such sponsor's
spouse (if such spouse is living with the sponsor) shall be
determined.
(B) The amount determined under subparagraph (A) shall be
reduced by an amount equal to (i) the applicable amount
determined under section 1382(a)(3)(B) of this title in the case
of a sponsor who has no spouse with whom he is living, or (ii)
the applicable amount determined under section 1382(a)(3)(A) of
this title in the case of a sponsor who has a spouse with whom he
is living.
(C) The resources of such sponsor (and spouse) as determined
under subparagraphs (A) and (B) shall be deemed to be resources
of such alien in addition to any resources of such alien.
(c) Support and maintenance
In determining the amount of income of an alien during the period
of 3 years after such alien's entry into the United States, the
reduction in dollar amounts otherwise required under section
1382a(a)(2)(A)(i) of this title shall not be applicable if such
alien is living in the household of a person who is a sponsor (or
such sponsor's spouse) of such alien, and is receiving support and
maintenance in kind from such sponsor (or spouse), nor shall
support or maintenance furnished in cash or kind to an alien by
such alien's sponsor (to the extent that it reflects income or
resources which were taken into account in determining the amount
of income and resources to be deemed to the alien under subsection
(a) or (b) of this section) be considered to be income of such
alien under section 1382a(a)(2)(A) of this title.
(d) Information and documentation; agreements with Secretary of
State and Attorney General
(1) Any individual who is an alien shall, during the period of 3
years after entry into the United States, in order to be an
eligible individual or eligible spouse for purposes of this
subchapter, be required to provide to the Commissioner of Social
Security such information and documentation with respect to his
sponsor as may be necessary in order for the Commissioner of Social
Security to make any determination required under this section, and
to obtain any cooperation from such sponsor necessary for any such
determination. Such alien shall also be required to provide to the
Commissioner of Social Security such information and documentation
as the Commissioner of Social Security may request and which such
alien or his sponsor provided in support of such alien's
immigration application.
(2) The Commissioner of Social Security shall enter into
agreements with the Secretary of State and the Attorney General
whereby any information available to such persons and required in
order to make any determination under this section will be provided
by such persons to the Commissioner of Social Security, and whereby
such persons shall inform any sponsor of an alien, at the time such
sponsor executes an affidavit of support or similar agreement, of
the requirements imposed by this section.
(e) Joint and several liability of alien and sponsor for
overpayments
Any sponsor of an alien, and such alien, shall be jointly and
severally liable for an amount equal to any overpayment made to
such alien during the period of 3 years after such alien's entry
into the United States, on account of such sponsor's failure to
provide correct information under the provisions of this section,
except where such sponsor was without fault, or where good cause
for such failure existed. Any such overpayment which is not repaid
to the Commissioner of Social Security or recovered in accordance
with section 1383(b) of this title shall be withheld from any
subsequent payment to which such alien or such sponsor is entitled
under any provision of this chapter.
(f) Exemptions
(1) The provisions of this section shall not apply with respect
to any individual who is an "aged, blind, or disabled individual"
for purposes of this subchapter by reason of blindness (as
determined under section 1382c(a)(2) of this title) or disability
(as determined under section 1382c(a)(3) of this title), from and
after the onset of the impairment, if such blindness or disability
commenced after the date of such individual's admission into the
United States for permanent residence.
(2) The provisions of this section shall not apply with respect
to any alien who is -
(A) admitted to the United States as a result of the
application, prior to April 1, 1980, of the provisions of section
1153(a)(7) of title 8;
(B) admitted to the United States as a result of the
application, after March 31, 1980, of the provisions of section
1157(c)(1) of title 8;
(C) paroled into the United States as a refugee under section
1182(d)(5) of title 8; or
(D) granted political asylum by the Attorney General.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1621, as added Pub. L.
96-265, title V, Sec. 504(b), June 9, 1980, 94 Stat. 471; amended
Pub. L. 98-369, div. B, title VI, Secs. 2611(d), 2663(g)(10), July
18, 1984, 98 Stat. 1131, 1169; Pub. L. 103-152, Sec. 7(a)(1),
(b)(1), Nov. 24, 1993, 107 Stat. 1519; Pub. L. 103-296, title I,
Sec. 107(a)(4), Aug. 15, 1994, 108 Stat. 1478.)
-REFTEXT-
REFERENCES IN TEXT
Section 1153(a)(7) of title 8, referred to in subsec. (f)(2)(A),
to be deemed a reference to such section as in effect prior to Apr.
1, 1980, and to sections 1157 and 1158 of Title 8, Aliens and
Nationality. See section 203(h) of Pub. L. 96-212, set out as a
note under section 1153 of Title 8.
-MISC1-
AMENDMENTS
1994 - Subsecs. (d), (e). Pub. L. 103-296 substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing, except where appearing before "of State" in subsec.
(d)(2).
1993 - Pub. L. 103-152, Sec. 7(b)(1), substituted "3 years" for
"5 years" in subsecs. (a), (c), (d)(1), and (e).
Pub. L. 103-152, Sec. 7(a)(1), substituted "5 years" for "three
years" in subsecs. (a), (c), (d)(1), and (e).
1984 - Subsec. (b)(2)(B). Pub. L. 98-369, Sec. 2611(d),
substituted "the applicable amount determined under section
1382(a)(3)(B) of this title" for "$1,500" and "the applicable
amount determined under section 1382(a)(3)(A) of this title" for
"$2,250".
Subsec. (e). Pub. L. 98-369, Sec. 2663(g)(10), substituted
"severally" for "severably".
EFFECTIVE DATE OF 1994 AMENDMENT
Amendment by Pub. L. 103-296 effective Mar. 31, 1995, see section
110(a) of Pub. L. 103-296, set out as a note under section 401 of
this title.
EFFECTIVE DATE OF 1993 AMENDMENT
Section 7(a)(2) of Pub. L. 103-152 provided that: "The amendments
made by paragraph (1) [amending this section] shall take effect on
January 1, 1994."
Section 7(b)(2) of Pub. L. 103-152 provided that: "The amendments
made by paragraph (1) [amending this section] shall take effect on
October 1, 1996."
EFFECTIVE DATE OF 1984 AMENDMENT
Amendment by section 2611(d) of Pub. L. 98-369 effective Oct. 1,
1984, except as otherwise specifically provided, see section 2646
of Pub. L. 98-369, set out as a note under section 657 of this
title.
Amendment by section 2663(g)(10) of Pub. L. 98-369 effective July
18, 1984, but not to be construed as changing or affecting any
right, liability, status, or interpretation which existed (under
the provisions of law involved) before that date, see section
2664(b) of Pub. L. 98-369, set out as a note under section 401 of
this title.
EFFECTIVE DATE
Section 504(c) of Pub. L. 96-265 provided that: "The amendments
made by this section [enacting this section and amending section
1382c of this title] shall be effective with respect to individuals
applying for supplemental security income benefits under title XVI
of the Social Security Act [this subchapter] for the first time
after September 30, 1980."
-TRANS-
ABOLITION OF IMMIGRATION AND NATURALIZATION SERVICE AND TRANSFER OF
FUNCTIONS
For abolition of Immigration and Naturalization Service, transfer
of functions, and treatment of related references, see note set out
under section 1551 of Title 8, Aliens and Nationality.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in section 1382c of this title.
-End-
-CITE-
42 USC Sec. 1382k 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part A - Determination of Benefits
-HEAD-
Sec. 1382k. Repealed. Pub. L. 97-123, Sec. 2(h), Dec. 29, 1981, 95
Stat. 1661
-MISC1-
Section, act Aug. 14, 1935, ch. 531, title XVI, Sec. 1622, as
added Aug. 13, 1981, Pub. L. 97-35, title XXII, Sec. 2201(g), 95
Stat. 833, related to benefits for individuals formerly receiving
minimum benefits.
EFFECTIVE DATE OF REPEAL
Repeal effective with respect to benefits for months after
December 1981, see section 2(j)(2) of Pub. L. 97-123, set out as an
Effective Date of 1981 Amendment note under section 415 of this
title.
Pub. L. 97-35, title XXII, Sec. 2201(h), Aug. 13, 1981, 95 Stat.
834, which provided for the effective date of this section and the
other enactments and amendments made by section 2201 of Pub. L.
97-35, was repealed by Pub. L. 97-123, Sec. 2(j)(1), Dec. 29, 1981,
95 Stat. 1661.
-End-
-CITE-
42 USC Part B - Procedural and General Provisions 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part B - Procedural and General Provisions
-HEAD-
PART B - PROCEDURAL AND GENERAL PROVISIONS
-End-
-CITE-
42 USC Sec. 1383 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part B - Procedural and General Provisions
-HEAD-
Sec. 1383. Procedure for payment of benefits
-STATUTE-
(a) Time, manner, form, and duration of payments; representative
payees; promulgation of regulations
(1) Benefits under this subchapter shall be paid at such time or
times and (subject to paragraph (10)) in such installments as will
best effectuate the purposes of this subchapter, as determined
under regulations (and may in any case be paid less frequently than
monthly where the amount of the monthly benefit would not exceed
$10).
(2)(A)(i) Payments of the benefit of any individual may be made
to any such individual or to the eligible spouse (if any) of such
individual or partly to each.
(ii)(I) Upon a determination by the Commissioner of Social
Security that the interest of such individual would be served
thereby, such payments shall be made, regardless of the legal
competency or incompetency of the individual or eligible spouse, to
another individual, or an organization, with respect to whom the
requirements of subparagraph (B) have been met (in this paragraph
referred to as such individual's "representative payee") for the
use and benefit of the individual or eligible spouse.
(II) In the case of an individual eligible for benefits under
this subchapter by reason of disability, the payment of such
benefits shall be made to a representative payee if the
Commissioner of Social Security determines that such payment would
serve the interest of the individual because the individual also
has an alcoholism or drug addiction condition (as determined by the
Commissioner) and the individual is incapable of managing such
benefits.
(iii) If the Commissioner of Social Security or a court of
competent jurisdiction determines that the representative payee of
an individual or eligible spouse has misused any benefits which
have been paid to the representative payee pursuant to clause (ii)
or section 405(j)(1) or 1007 of this title, the Commissioner of
Social Security shall promptly terminate payment of benefits to the
representative payee pursuant to this subparagraph, and provide for
payment of benefits to an alternative representative payee of the
individual or eligible spouse or, if the interest of the individual
under this subchapter would be served thereby, to the individual or
eligible spouse.
(B)(i) Any determination made under subparagraph (A) for payment
of benefits to the representative payee of an individual or
eligible spouse shall be made on the basis of -
(I) an investigation by the Commissioner of Social Security of
the person to serve as representative payee, which shall be
conducted in advance of such payment, and shall, to the extent
practicable, include a face-to-face interview with such person;
and
(II) adequate evidence that such payment is in the interest of
the individual or eligible spouse (as determined by the
Commissioner of Social Security in regulations).
(ii) As part of the investigation referred to in clause (i)(I),
the Commissioner of Social Security shall -
(I) require the person being investigated to submit documented
proof of the identity of such person, unless information
establishing such identity was submitted with an application for
benefits under subchapter II of this chapter, subchapter VIII of
this chapter, or this subchapter;
(II) verify the social security account number (or employer
identification number) of such person;
(III) determine whether such person has been convicted of a
violation of section 408, 1011, or 1383a of this title; and
(IV) determine whether payment of benefits to such person has
been terminated pursuant to subparagraph (A)(iii), whether the
designation of such person as a representative payee has been
revoked pursuant to section 1007(a) of this title, and whether
certification of payment of benefits to such person has been
revoked pursuant to section 405(j) of this title, by reason of
misuse of funds paid as benefits under subchapter II of this
chapter, subchapter VIII of this chapter, or this subchapter.
(iii) Benefits of an individual may not be paid to any other
person pursuant to subparagraph (A)(ii) if -
(I) such person has previously been convicted as described in
clause (ii)(III);
(II) except as provided in clause (iv), payment of benefits to
such person pursuant to subparagraph (A)(ii) has previously been
terminated as described in clause (ii)(IV), the designation of
such person as a representative payee has been revoked pursuant
to section 1007(a) of this title, or certification of payment of
benefits to such person under section 405(j) of this title has
previously been revoked as described in section
405(j)(2)(B)(i)(IV) of this title; or
(III) except as provided in clause (v), such person is a
creditor of such individual who provides such individual with
goods or services for consideration.
(iv) The Commissioner of Social Security shall prescribe
regulations under which the Commissioner of Social Security may
grant an exemption from clause (iii)(II) to any person on a
case-by-case basis if such exemption would be in the best interest
of the individual or eligible spouse whose benefits under this
subchapter would be paid to such person pursuant to subparagraph
(A)(ii).
(v) Clause (iii)(III) shall not apply with respect to any person
who is a creditor referred to therein if such creditor is -
(I) a relative of such individual if such relative resides in
the same household as such individual;
(II) a legal guardian or legal representative of such
individual;
(III) a facility that is licensed or certified as a care
facility under the law of a State or a political subdivision of a
State;
(IV) a person who is an administrator, owner, or employee of a
facility referred to in subclause (III) if such individual
resides in such facility, and the payment of benefits under this
subchapter to such facility or such person is made only after
good faith efforts have been made by the local servicing office
of the Social Security Administration to locate an alternative
representative payee to whom the payment of such benefits would
serve the best interests of such individual; or
(V) an individual who is determined by the Commissioner of
Social Security, on the basis of written findings and under
procedures which the Commissioner of Social Security shall
prescribe by regulation, to be acceptable to serve as a
representative payee.
(vi) The procedures referred to in clause (v)(V) shall require
the individual who will serve as representative payee to establish,
to the satisfaction of the Commissioner of Social Security, that -
(I) such individual poses no risk to the beneficiary;
(II) the financial relationship of such individual to the
beneficiary poses no substantial conflict of interest; and
(III) no other more suitable representative payee can be found.
(vii) In the case of an individual described in subparagraph
(A)(ii)(II), when selecting such individual's representative payee,
preference shall be given to -
(I) a community-based nonprofit social service agency licensed
or bonded by the State;
(II) a Federal, State, or local government agency whose mission
is to carry out income maintenance, social service, or health
care-related activities;
(III) a State or local government agency with fiduciary
responsibilities; or
(IV) a designee of an agency (other than of a Federal agency)
referred to in the preceding subclauses of this clause, if the
Commissioner of Social Security deems it appropriate,
unless the Commissioner of Social Security determines that
selection of a family member would be appropriate.
(viii) Subject to clause (ix), if the Commissioner of Social
Security makes a determination described in subparagraph (A)(ii)
with respect to any individual's benefit and determines that direct
payment of the benefit to the individual would cause substantial
harm to the individual, the Commissioner of Social Security may
defer (in the case of initial entitlement) or suspend (in the case
of existing entitlement) direct payment of such benefit to the
individual, until such time as the selection of a representative
payee is made pursuant to this subparagraph.
(ix)(I) Except as provided in subclause (II), any deferral or
suspension of direct payment of a benefit pursuant to clause (viii)
shall be for a period of not more than 1 month.
(II) Subclause (I) shall not apply in any case in which the
individual or eligible spouse is, as of the date of the
Commissioner's determination, legally incompetent, under the age of
15 years, or described in subparagraph (A)(ii)(II).
(x) Payment pursuant to this subparagraph of any benefits which
are deferred or suspended pending the selection of a representative
payee shall be made to the individual, or to the representative
payee upon such selection, as a single sum or over such period of
time as the Commissioner of Social Security determines is in the
best interests of the individual entitled to such benefits.
(xi) Any individual who is dissatisfied with a determination by
the Commissioner of Social Security to pay such individual's
benefits to a representative payee under this subchapter, or with
the designation of a particular person to serve as representative
payee, shall be entitled to a hearing by the Commissioner of Social
Security, and to judicial review of the Commissioner's final
decision, to the same extent as is provided in subsection (c) of
this section.
(xii) In advance of the first payment of an individual's benefit
to a representative payee under subparagraph (A)(ii), the
Commissioner of Social Security shall provide written notice of the
Commissioner's initial determination to make any such payment. Such
notice shall be provided to such individual, except that, if such
individual -
(I) is under the age of 15,
(II) is an unemancipated minor under the age of 18, or
(III) is legally incompetent,
then such notice shall be provided solely to the legal guardian or
legal representative of such individual.
(xiii) Any notice described in clause (xii) shall be clearly
written in language that is easily understandable to the reader,
shall identify the person to be designated as such individual's
representative payee, and shall explain to the reader the right
under clause (xi) of such individual or of such individual's legal
guardian or legal representative -
(I) to appeal a determination that a representative payee is
necessary for such individual,
(II) to appeal the designation of a particular person to serve
as the representative payee of such individual, and
(III) to review the evidence upon which such designation is
based and submit additional evidence.
(C)(i) In any case where payment is made under this subchapter to
a representative payee of an individual or spouse, the Commissioner
of Social Security shall establish a system of accountability
monitoring whereby such person shall report not less often than
annually with respect to the use of such payments. The Commissioner
of Social Security shall establish and implement statistically
valid procedures for reviewing such reports in order to identify
instances in which such persons are not properly using such
payments.
(ii) Clause (i) shall not apply in any case where the
representative payee is a State institution. In such cases, the
Commissioner of Social Security shall establish a system of
accountability monitoring for institutions in each State.
(iii) Clause (i) shall not apply in any case where the individual
entitled to such payment is a resident of a Federal institution and
the representative payee is the institution.
(iv) Notwithstanding clauses (i), (ii), and (iii), the
Commissioner of Social Security may require a report at any time
from any representative payee, if the Commissioner of Social
Security has reason to believe that the representative payee is
misusing such payments.
(D)(i) A qualified organization may collect from an individual a
monthly fee for expenses (including overhead) incurred by such
organization in providing services performed as such individual's
representative payee pursuant to subparagraph (A)(ii) if the fee
does not exceed the lesser of -
(I) 10 percent of the monthly benefit involved, or
(II) $25.00 per month ($50.00 per month in any case in which an
individual is described in subparagraph (A)(ii)(II)).
The Commissioner of Social Security shall adjust annually (after
1995) each dollar amount set forth in subclause (II) of this clause
under procedures providing for adjustments in the same manner and
to the same extent as adjustments are provided for under the
procedures used to adjust benefit amounts under section
415(i)(2)(A) of this title, except that any amount so adjusted that
is not a multiple of $1.00 shall be rounded to the nearest multiple
of $1.00. Any agreement providing for a fee in excess of the amount
permitted under this clause shall be void and shall be treated as
misuse by the organization of such individual's benefits.
(ii) For purposes of this subparagraph, the term "qualified
organization" means any State or local government agency whose
mission is to carry out income maintenance, social service, or
health care-related activities, any State or local government
agency with fiduciary responsibilities, or any community-based
nonprofit social service agency, which -
(I) is bonded or licensed in each State in which the agency
serves as a representative payee; and
(II) in accordance with any applicable regulations of the
Commissioner of Social Security -
(aa) regularly provides services as a representative payee
pursuant to subparagraph (A)(ii) or section 405(j)(4) or 1007
of this title concurrently to 5 or more individuals; and
(bb) demonstrates to the satisfaction of the Commissioner of
Social Security that such agency is not otherwise a creditor of
any such individual.
The Commissioner of Social Security shall prescribe regulations
under which the Commissioner of Social Security may grant an
exception from subclause (II)(bb) for any individual on a
case-by-case basis if such exception is in the best interests of
such individual.
(iii) Any qualified organization which knowingly charges or
collects, directly or indirectly, any fee in excess of the maximum
fee prescribed under clause (i) or makes any agreement, directly or
indirectly, to charge or collect any fee in excess of such maximum
fee, shall be fined in accordance with title 18, or imprisoned not
more than 6 months, or both.
(iv) In the case of an individual who is no longer eligible for
benefits under this subchapter but to whom any amount of past-due
benefits under this subchapter has not been paid, for purposes of
clause (i), any amount of such past-due benefits payable in any
month shall be treated as a monthly benefit referred to in clause
(i)(I).
(E) Restitution. - In cases where the negligent failure of the
Commissioner of Social Security to investigate or monitor a
representative payee results in misuse of benefits by the
representative payee, the Commissioner of Social Security shall
make payment to the beneficiary or the beneficiary's representative
payee of an amount equal to such misused benefits. The Commissioner
of Social Security shall make a good faith effort to obtain
restitution from the terminated representative payee.
(F)(i)(I) Each representative payee of an eligible individual
under the age of 18 who is eligible for the payment of benefits
described in subclause (II) shall establish on behalf of such
individual an account in a financial institution into which such
benefits shall be paid, and shall thereafter maintain such account
for use in accordance with clause (ii).
(II) Benefits described in this subclause are past-due monthly
benefits under this subchapter (which, for purposes of this
subclause, include State supplementary payments made by the
Commissioner pursuant to an agreement under section 1382e of this
title or section 212(b) of Public Law 93-66) in an amount (after
any withholding by the Commissioner for reimbursement to a State
for interim assistance under subsection (g) of this section) that
exceeds the product of -
(aa) 6, and
(bb) the maximum monthly benefit payable under this subchapter
to an eligible individual.
(ii)(I) A representative payee shall use funds in the account
established under clause (i) to pay for allowable expenses
described in subclause (II).
(II) An allowable expense described in this subclause is an
expense for -
(aa) education or job skills training;
(bb) personal needs assistance;
(cc) special equipment;
(dd) housing modification;
(ee) medical treatment;
(ff) therapy or rehabilitation; or
(gg) any other item or service that the Commissioner determines
to be appropriate;
provided that such expense benefits such individual and, in the
case of an expense described in item (bb), (cc), (dd), (ff), or
(gg), is related to the impairment (or combination of impairments)
of such individual.
(III) The use of funds from an account established under clause
(i) in any manner not authorized by this clause -
(aa) by a representative payee shall be considered a
misapplication of benefits for all purposes of this paragraph,
and any representative payee who knowingly misapplies benefits
from such an account shall be liable to the Commissioner in an
amount equal to the total amount of such benefits; and
(bb) by an eligible individual who is his or her own payee
shall be considered a misapplication of benefits for all purposes
of this paragraph and in any case in which the individual
knowingly misapplies benefits from such an account, the
Commissioner shall reduce future benefits payable to such
individual (or to such individual and his spouse) by an amount
equal to the total amount of such benefits so misapplied.
(IV) This clause shall continue to apply to funds in the account
after the child has reached age 18, regardless of whether benefits
are paid directly to the beneficiary or through a representative
payee.
(iii) The representative payee may deposit into the account
established under clause (i) any other funds representing past due
benefits under this subchapter to the eligible individual, provided
that the amount of such past due benefits is equal to or exceeds
the maximum monthly benefit payable under this subchapter to an
eligible individual (including State supplementary payments made by
the Commissioner pursuant to an agreement under section 1382e of
this title or section 212(b) of Public Law 93-66).
(iv) The Commissioner of Social Security shall establish a system
for accountability monitoring whereby such representative payee
shall report, at such time and in such manner as the Commissioner
shall require, on activity respecting funds in the account
established pursuant to clause (i).
(G) The Commissioner of Social Security shall include as a part
of the annual report required under section 904 (!1) of this title
information with respect to the implementation of the preceding
provisions of this paragraph, including -
(i) the number of cases in which the representative payee was
changed;
(ii) the number of cases discovered where there has been a
misuse of funds;
(iii) how any such cases were dealt with by the Commissioner of
Social Security;
(iv) the final disposition of such cases (including any
criminal penalties imposed); and
(v) such other information as the Commissioner of Social
Security determines to be appropriate.
(H) The Commissioner of Social Security shall make an initial
report to each House of the Congress on the implementation of
subparagraphs (B) and (C) within 270 days after October 9, 1984.
The Commissioner of Social Security shall include in the annual
report required under section 904 (!1) of this title, information
with respect to the implementation of subparagraphs (B) and (C),
including the same factors as are required to be included in the
Commissioner's report under section 405(j)(4)(B) of this title.
(3) The Commissioner of Social Security may by regulation
establish ranges of incomes within which a single amount of
benefits under this subchapter shall apply.
(4) The Commissioner of Social Security -
(A) may make to any individual initially applying for benefits
under this subchapter who is presumptively eligible for such
benefits for the month following the date the application is
filed and who is faced with financial emergency a cash advance
against such benefits, including any federally-administered State
supplementary payments, in an amount not exceeding the monthly
amount that would be payable to an eligible individual with no
other income for the first month of such presumptive eligibility,
which shall be repaid through proportionate reductions in such
benefits over a period of not more than 6 months; and
(B) may pay benefits under this subchapter to an individual
applying for such benefits on the basis of disability or
blindness for a period not exceeding 6 months prior to the
determination of such individual's disability or blindness, if
such individual is presumptively disabled or blind and is
determined to be otherwise eligible for such benefits, and any
benefits so paid prior to such determination shall in no event be
considered overpayments for purposes of subsection (b) of this
section solely because such individual is determined not to be
disabled or blind.
(5) Payment of the benefit of any individual who is an aged,
blind, or disabled individual solely by reason of blindness (as
determined under section 1382c(a)(2) of this title) or disability
(as determined under section 1382c(a)(3) of this title), and who
ceases to be blind or to be under such disability, shall continue
(so long as such individual is otherwise eligible) through the
second month following the month in which such blindness or
disability ceases.
(6) Notwithstanding any other provision of this subchapter,
payment of the benefit of any individual who is an aged, blind, or
disabled individual solely by reason of blindness (as determined
under section 1382c(a)(2) of this title) or disability (as
determined under section 1382c(a)(3) of this title) shall not be
terminated or suspended because the blindness or other physical or
mental impairment, on which the individual's eligibility for such
benefit is based, has or may have ceased, if -
(A) such individual is participating in a program consisting of
the Ticket to Work and Self-Sufficiency Program under section
1320b-19 of this title or another program of vocational
rehabilitation services, employment services, or other support
services approved by the Commissioner of Social Security, and
(B) the Commissioner of Social Security determines that the
completion of such program, or its continuation for a specified
period of time, will increase the likelihood that such individual
may (following his participation in such program) be permanently
removed from the blindness and disability benefit rolls.
(7)(A) In any case where -
(i) an individual is a recipient of benefits based on
disability or blindness under this subchapter,
(ii) the physical or mental impairment on the basis of which
such benefits are payable is found to have ceased, not to have
existed, or to no longer be disabling, and as a consequence such
individual is determined not to be entitled to such benefits, and
(iii) a timely request for review or for a hearing is pending
with respect to the determination that he is not so entitled,
such individual may elect (in such manner and form and within such
time as the Commissioner of Social Security shall by regulations
prescribe) to have the payment of such benefits continued for an
additional period beginning with the first month beginning after
October 9, 1984, for which (under such determination) such benefits
are no longer otherwise payable, and ending with the earlier of (I)
the month preceding the month in which a decision is made after
such a hearing, or (II) the month preceding the month in which no
such request for review or a hearing is pending.
(B)(i) If an individual elects to have the payment of his
benefits continued for an additional period under subparagraph (A),
and the final decision of the Commissioner of Social Security
affirms the determination that he is not entitled to such benefits,
any benefits paid under this subchapter pursuant to such election
(for months in such additional period) shall be considered
overpayments for all purposes of this subchapter, except as
otherwise provided in clause (ii).
(ii) If the Commissioner of Social Security determines that the
individual's appeal of his termination of benefits was made in good
faith, all of the benefits paid pursuant to such individual's
election under subparagraph (A) shall be subject to waiver
consideration under the provisions of subsection (b)(1) of this
section.
(C) The provisions of subparagraphs (A) and (B) shall apply with
respect to determinations (that individuals are not entitled to
benefits) which are made on or after October 9, 1984, or prior to
such date but only on the basis of a timely request for review or
for a hearing.
(8)(A) In any case in which an administrative law judge has
determined after a hearing as provided in subsection (c) of this
section that an individual is entitled to benefits based on
disability or blindness under this subchapter and the Commissioner
of Social Security has not issued the Commissioner's final decision
in such case within 110 days after the date of the administrative
law judge's determination, such benefits shall be currently paid
for the months during the period beginning with the month in which
such 110-day period expires and ending with the month in which such
final decision is issued.
(B) For purposes of subparagraph (A), in determining whether the
110-day period referred to in subparagraph (A) has elapsed, any
period of time for which the action or inaction of such individual
or such individual's representative without good cause results in
the delay in the issuance of the Commissioner's final decision
shall not be taken into account to the extent that such period of
time exceeds 20 calendar days.
(C) Any benefits currently paid under this subchapter pursuant to
this paragraph (for the months described in subparagraph (A)) shall
not be considered overpayments for any purposes of this subchapter,
unless payment of such benefits was fraudulently obtained.
(9) Benefits under this subchapter shall not be denied to any
individual solely by reason of the refusal of the individual to
accept an amount offered as compensation for a crime of which the
individual was a victim.
(10)(A) If an individual is eligible for past-due monthly
benefits under this subchapter in an amount that (after any
withholding for reimbursement to a State for interim assistance
under subsection (g) of this section) equals or exceeds the product
of -
(i) 12, and
(ii) the maximum monthly benefit payable under this subchapter
to an eligible individual (or, if appropriate, to an eligible
individual and eligible spouse),
then the payment of such past-due benefits (after any such
reimbursement to a State) shall be made in installments as provided
in subparagraph (B).
(B)(i) The payment of past-due benefits subject to this
subparagraph shall be made in not to exceed 3 installments that are
made at 6-month intervals.
(ii) Except as provided in clause (iii), the amount of each of
the first and second installments may not exceed an amount equal to
the product of clauses (i) and (ii) of subparagraph (A).
(iii) In the case of an individual who has -
(I) outstanding debt attributable to -
(aa) food,
(bb) clothing,
(cc) shelter, or
(dd) medically necessary services, supplies or equipment, or
medicine; or
(II) current expenses or expenses anticipated in the near term
attributable to -
(aa) medically necessary services, supplies or equipment, or
medicine, or
(bb) the purchase of a home, and
such debt or expenses are not subject to reimbursement by a public
assistance program, the Secretary under subchapter XVIII of this
chapter, a State plan approved under subchapter XIX of this
chapter, or any private entity legally liable to provide payment
pursuant to an insurance policy, pre-paid plan, or other
arrangement, the limitation specified in clause (ii) may be
exceeded by an amount equal to the total of such debt and expenses.
(C) This paragraph shall not apply to any individual who, at the
time of the Commissioner's determination that such individual is
eligible for the payment of past-due monthly benefits under this
subchapter -
(i) is afflicted with a medically determinable impairment that
is expected to result in death within 12 months; or
(ii) is ineligible for benefits under this subchapter and the
Commissioner determines that such individual is likely to remain
ineligible for the next 12 months.
(D) For purposes of this paragraph, the term "benefits under this
subchapter" includes supplementary payments pursuant to an
agreement for Federal administration under section 1382e(a) of this
title, and payments pursuant to an agreement entered into under
section 212(b) of Public Law 93-66.
(b) Overpayments and underpayments; adjustment, recovery, or
payment of amounts by Commissioner
(1)(A) Whenever the Commissioner of Social Security finds that
more or less than the correct amount of benefits has been paid with
respect to any individual, proper adjustment or recovery shall,
subject to the succeeding provisions of this subsection, be made by
appropriate adjustments in future payments to such individual or by
recovery from such individual or his eligible spouse (or from the
estate of either) or by payment to such individual or his eligible
spouse, or, if such individual is deceased, by payment -
(i) to any surviving spouse of such individual, whether or not
the individual's eligible spouse, if (within the meaning of the
first sentence of section 402(i) of this title) such surviving
husband or wife was living in the same household with the
individual at the time of his death or within the 6 months
immediately preceding the month of such death, or
(ii) if such individual was a disabled or blind child who was
living with his parent or parents at the time of his death or
within the 6 months immediately preceding the month of such
death, to such parent or parents.
(B) The Commissioner of Social Security (i) shall make such
provision as the Commissioner finds appropriate in the case of
payment of more than the correct amount of benefits with respect to
an individual with a view to avoiding penalizing such individual or
his eligible spouse who was without fault in connection with the
overpayment, if adjustment or recovery on account of such
overpayment in such case would defeat the purposes of this
subchapter, or be against equity and good conscience, or (because
of the small amount involved) impede efficient or effective
administration of this subchapter, and (ii) shall in any event make
the adjustment or recovery (in the case of payment of more than the
correct amount of benefits), in the case of an individual or
eligible spouse receiving monthly benefit payments under this
subchapter (including supplementary payments of the type described
in section 1382e(a) of this title and payments pursuant to an
agreement entered into under section 212(a) of Public Law 93-66),
in amounts which in the aggregate do not exceed (for any month) the
lesser of (I) the amount of his or their benefit under this
subchapter for that month or (II) an amount equal to 10 percent of
his or their income for that month (including such benefit but
excluding any other income excluded pursuant to section 1382a(b) of
this title), and in the case of an individual or eligible spouse to
whom a lump sum is payable under this subchapter (including under
section 1382e(a) of this title or under an agreement entered into
under section 212(a) of Public Law 93-66) shall, as at least one
means of recovering such overpayment, make the adjustment or
recovery from the lump sum payment in an amount equal to not less
than the lesser of the amount of the overpayment or 50 percent of
the lump sum payment, unless fraud, willful misrepresentation, or
concealment of material information was involved on the part of the
individual or spouse in connection with the overpayment, or unless
the individual requests that such adjustment or recovery be made at
a higher or lower rate and the Commissioner of Social Security
determines that adjustment or recovery at such rate is justified
and appropriate. The availability (in the case of an individual who
has been paid more than the correct amount of benefits) of
procedures for adjustment or recovery at a limited rate under
clause (ii) of the preceding sentence shall not, in and of itself,
prevent or restrict the provision (in such case) of more
substantial relief under clause (i) of such sentence.
(2) Notwithstanding any other provision of this section, when any
payment of more than the correct amount is made to or on behalf of
an individual who has died, and such payment -
(A) is made by direct deposit to a financial institution;
(B) is credited by the financial institution to a joint account
of the deceased individual and another person; and
(C) such other person is the surviving spouse of the deceased
individual, and was eligible for a payment under this subchapter
(including any State supplementation payment paid by the
Commissioner of Social Security) as an eligible spouse (or as
either member of an eligible couple) for the month in which the
deceased individual died,
the amount of such payment in excess of the correct amount shall be
treated as a payment of more than the correct amount to such other
person. If any payment of more than the correct amount is made to a
representative payee on behalf of an individual after the
individual's death, the representative payee shall be liable for
the repayment of the overpayment, and the Commissioner of Social
Security shall establish an overpayment control record under the
social security account number of the representative payee.
(3) If any overpayment with respect to an individual (or an
individual and his or her spouse) is attributable solely to the
ownership or possession by such individual (and spouse if any) of
resources having a value which exceeds the applicable dollar figure
specified in paragraph (1)(B) or (2)(B) of section 1382(a) of this
title by $50 or less, such individual (and spouse if any) shall be
deemed for purposes of the second sentence of paragraph (1) to have
been without fault in connection with the overpayment, and no
adjustment or recovery shall be made under the first sentence of
such paragraph, unless the Commissioner of Social Security finds
that the failure of such individual (and spouse if any) to report
such value correctly and in a timely manner was knowing and
willful.
(4)(A) With respect to any delinquent amount, the Commissioner of
Social Security may use the collection practices described in
sections 3711(f), 3716, 3717, and 3718 of title 31 and in section
5514 of title 5, all as in effect immediately after April 26, 1996.
(B) For purposes of subparagraph (A), the term "delinquent
amount" means an amount -
(i) in excess of the correct amount of payment under this
subchapter;
(ii) paid to a person after such person has attained 18 years
of age; and
(iii) determined by the Commissioner of Social Security, under
regulations, to be otherwise unrecoverable under this section
after such person ceases to be a beneficiary under this
subchapter.
(5) For payments for which adjustments are made by reason of a
retroactive payment of benefits under subchapter II of this
chapter, see section 1320a-6 of this title.
(6) For provisions relating to the recovery of benefits
incorrectly paid under this subchapter from benefits payable under
subchapter II of this chapter, see section 1320b-17 of this title.
(c) Hearing to determine eligibility or amount of benefits;
subsequent application; time within which to request hearing;
time for determinations of Commissioner pursuant to hearing;
judicial review
(1)(A) The Commissioner of Social Security is directed to make
findings of fact, and decisions as to the rights of any individual
applying for payment under this subchapter. Any such decision by
the Commissioner of Social Security which involves a determination
of disability and which is in whole or in part unfavorable to such
individual shall contain a statement of the case, in understandable
language, setting forth a discussion of the evidence, and stating
the Commissioner's determination and the reason or reasons upon
which it is based. The Commissioner of Social Security shall
provide reasonable notice and opportunity for a hearing to any
individual who is or claims to be an eligible individual or
eligible spouse and is in disagreement with any determination under
this subchapter with respect to eligibility of such individual for
benefits, or the amount of such individual's benefits, if such
individual requests a hearing on the matter in disagreement within
sixty days after notice of such determination is received, and, if
a hearing is held, shall, on the basis of evidence adduced at the
hearing affirm, modify, or reverse the Commissioner's findings of
fact and such decision. The Commissioner of Social Security is
further authorized, on the Commissioner's own motion, to hold such
hearings and to conduct such investigations and other proceedings
as the Commissioner may deem necessary or proper for the
administration of this subchapter. In the course of any hearing,
investigation, or other proceeding, the Commissioner may administer
oaths and affirmations, examine witnesses, and receive evidence.
Evidence may be received at any hearing before the Commissioner of
Social Security even though inadmissible under the rules of
evidence applicable to court procedure. The Commissioner of Social
Security shall specifically take into account any physical, mental,
educational, or linguistic limitation of such individual (including
any lack of facility with the English language) in determining,
with respect to the eligibility of such individual for benefits
under this subchapter, whether such individual acted in good faith
or was at fault, and in determining fraud, deception, or intent.
(B)(i) A failure to timely request review of an initial adverse
determination with respect to an application for any payment under
this subchapter or an adverse determination on reconsideration of
such an initial determination shall not serve as a basis for denial
of a subsequent application for any payment under this subchapter
if the applicant demonstrates that the applicant, or any other
individual referred to in subparagraph (A), failed to so request
such a review acting in good faith reliance upon incorrect,
incomplete, or misleading information, relating to the consequences
of reapplying for payments in lieu of seeking review of an adverse
determination, provided by any officer or employee of the Social
Security Administration or any State agency acting under section
421 of this title.
(ii) In any notice of an adverse determination with respect to
which a review may be requested under subparagraph (A), the
Commissioner of Social Security shall describe in clear and
specific language the effect on possible eligibility to receive
payments under this subchapter of choosing to reapply in lieu of
requesting review of the determination.
(2) Determination on the basis of such hearing, except to the
extent that the matter in disagreement involves a disability
(within the meaning of section 1382c(a)(3) of this title), shall be
made within ninety days after the individual requests the hearing
as provided in paragraph (1).
(3) The final determination of the Commissioner of Social
Security after a hearing under paragraph (1) shall be subject to
judicial review as provided in section 405(g) of this title to the
same extent as the Commissioner's final determinations under
section 405 of this title.
(d) Procedures applicable; prohibition on assignment of payments;
representation of claimants; maximum fees; penalties for
violations
(1) The provisions of section 407 of this title and subsections
(a), (d), and (e) of section 405 of this title shall apply with
respect to this part to the same extent as they apply in the case
of subchapter II of this chapter.
(2)(A) The provisions of section 406(a) of this title (other than
paragraph (4) thereof) shall apply to this part to the same extent
as they apply in the case of subchapter II of this chapter, except
that paragraph (2) thereof shall be applied -
(i) by substituting, in subparagraphs (A)(ii)(I) and (C)(i),
the phrase "(as determined before any applicable reduction under
section 1383(g) of this title, and reduced by the amount of any
reduction in benefits under this subchapter or subchapter II of
this chapter made pursuant to section 1320a-6(a) of this title)"
for the parenthetical phrase contained therein; and
(ii) by substituting "section 1383(a)(7)(A) of this title or
the requirements of due process of law" for "subsection (g) or
(h) of section 423 of this title".
(B) The Commissioner of Social Security shall notify each
claimant in writing, together with the notice to such claimant of
an adverse determination, of the options for obtaining attorneys to
represent individuals in presenting their cases before the
Commissioner of Social Security. Such notification shall also
advise the claimant of the availability to qualifying claimants of
legal services organizations which provide legal services free of
charge.
(e) Administrative requirements prescribed by Commissioner;
criteria; reduction of benefits to individual for noncompliance
with requirements; payment to homeless
(1)(A) The Commissioner of Social Security shall, subject to
subparagraph (B) and subsection (j) of this section, prescribe such
requirements with respect to the filing of applications, the
suspension or termination of assistance, the furnishing of other
data and material, and the reporting of events and changes in
circumstances, as may be necessary for the effective and efficient
administration of this subchapter.
(B)(i) The requirements prescribed by the Commissioner of Social
Security pursuant to subparagraph (A) shall require that
eligibility for benefits under this subchapter will not be
determined solely on the basis of declarations by the applicant
concerning eligibility factors or other relevant facts, and that
relevant information will be verified from independent or
collateral sources and additional information obtained as necessary
in order to assure that such benefits are only provided to eligible
individuals (or eligible spouses) and that the amounts of such
benefits are correct. For this purpose and for purposes of
federally administered supplementary payments of the type described
in section 1382e(a) of this title (including payments pursuant to
an agreement entered into under section 212(a) of Public Law
93-66), the Commissioner of Social Security shall, as may be
necessary, request and utilize information available pursuant to
section 6103(l)(7) of the Internal Revenue Code of 1986, and any
information which may be available from State systems under section
1320b-7 of this title, and shall comply with the requirements
applicable to States (with respect to information available
pursuant to section 6103(l)(7)(B) of such Code) under subsections
(a)(6) and (c) of such section 1320b-7 of this title.
(ii)(I) The Commissioner of Social Security may require each
applicant for, or recipient of, benefits under this subchapter to
provide authorization by the applicant or recipient (or by any
other person whose income or resources are material to the
determination of the eligibility of the applicant or recipient for
such benefits) for the Commissioner to obtain (subject to the cost
reimbursement requirements of section 1115(a) of the Right to
Financial Privacy Act [12 U.S.C. 3415]) from any financial
institution (within the meaning of section 1101(1) of such Act [12
U.S.C. 3401(1)]) any financial record (within the meaning of
section 1101(2) of such Act [12 U.S.C. 3401(2)]) held by the
institution with respect to the applicant or recipient (or any such
other person) whenever the Commissioner determines the record is
needed in connection with a determination with respect to such
eligibility or the amount of such benefits.
(II) Notwithstanding section 1104(a)(1) of the Right to Financial
Privacy Act [12 U.S.C. 3404(a)(1)], an authorization provided by an
applicant or recipient (or any other person whose income or
resources are material to the determination of the eligibility of
the applicant or recipient) pursuant to subclause (I) of this
clause shall remain effective until the earliest of -
(aa) the rendering of a final adverse decision on the
applicant's application for eligibility for benefits under this
subchapter;
(bb) the cessation of the recipient's eligibility for benefits
under this subchapter; or
(cc) the express revocation by the applicant or recipient (or
such other person referred to in subclause (I)) of the
authorization, in a written notification to the Commissioner.
(III)(aa) An authorization obtained by the Commissioner of Social
Security pursuant to this clause shall be considered to meet the
requirements of the Right to Financial Privacy Act [12 U.S.C. 3401
et seq.] for purposes of section 1103(a) of such Act [12 U.S.C.
3403(a)], and need not be furnished to the financial institution,
notwithstanding section 1104(a) of such Act [12 U.S.C. 3404(a)].
(bb) The certification requirements of section 1103(b) of the
Right to Financial Privacy Act [12 U.S.C. 3403(b)] shall not apply
to requests by the Commissioner of Social Security pursuant to an
authorization provided under this clause.
(cc) A request by the Commissioner pursuant to an authorization
provided under this clause is deemed to meet the requirements of
section 1104(a)(3) of the Right to Financial Privacy Act [12 U.S.C.
3404(a)(3)] and the flush language of section 1102 of such Act [12
U.S.C. 3402].
(IV) The Commissioner shall inform any person who provides
authorization pursuant to this clause of the duration and scope of
the authorization.
(V) If an applicant for, or recipient of, benefits under this
subchapter (or any such other person referred to in subclause (I))
refuses to provide, or revokes, any authorization made by the
applicant or recipient for the Commissioner of Social Security to
obtain from any financial institution any financial record, the
Commissioner may, on that basis, determine that the applicant or
recipient is ineligible for benefits under this subchapter.
(C) For purposes of making determinations under section 1382(e)
of this title, the requirements prescribed by the Commissioner of
Social Security pursuant to subparagraph (A) of this paragraph
shall require each administrator of a nursing home, extended care
facility, or intermediate care facility, within 2 weeks after the
admission of any eligible individual or eligible spouse receiving
benefits under this subchapter, to transmit to the Commissioner a
report of the admission.
(2) In case of the failure by any individual to submit a report
of events and changes in circumstances relevant to eligibility for
or amount of benefits under this subchapter as required by the
Commissioner of Social Security under paragraph (1), or delay by
any individual in submitting a report as so required, the
Commissioner of Social Security (in addition to taking any other
action the Commissioner may consider appropriate under paragraph
(1)) shall reduce any benefits which may subsequently become
payable to such individual under this subchapter by -
(A) $25 in the case of the first such failure or delay,
(B) $50 in the case of the second such failure or delay, and
(C) $100 in the case of the third or a subsequent such failure
or delay,
except where the individual was without fault or good cause for
such failure or delay existed.
(3) The Commissioner of Social Security shall provide a method of
making payments under this subchapter to an eligible individual who
does not reside in a permanent dwelling or does not have a fixed
home or mailing address.
(4) A translation into English by a third party of a statement
made in a foreign language by an applicant for or recipient of
benefits under this subchapter shall not be regarded as reliable
for any purpose under this subchapter unless the third party, under
penalty of perjury -
(A) certifies that the translation is accurate; and
(B) discloses the nature and scope of the relationship between
the third party and the applicant or recipient, as the case may
be.
(5) In any case in which it is determined to the satisfaction of
the Commissioner of Social Security that an individual failed as of
any date to apply for benefits under this subchapter by reason of
misinformation provided to such individual by any officer or
employee of the Social Security Administration relating to such
individual's eligibility for benefits under this subchapter, such
individual shall be deemed to have applied for such benefits on the
later of -
(A) the date on which such misinformation was provided to such
individual, or
(B) the date on which such individual met all requirements for
entitlement to such benefits (other than application therefor).
(6) In any case in which an individual visits a field office of
the Social Security Administration and represents during the visit
to an officer or employee of the Social Security Administration in
the office that the individual's visit is occasioned by -
(A) the receipt of a notice from the Social Security
Administration indicating a time limit for response by the
individual, or
(B) the theft, loss, or nonreceipt of a benefit payment under
this subchapter,
the Commissioner of Social Security shall ensure that the
individual is granted a face-to-face interview at the office with
an officer or employee of the Social Security Administration before
the close of business on the day of the visit.
(7)(A)(i) The Commissioner of Social Security shall immediately
redetermine the eligibility of an individual for benefits under
this subchapter if there is reason to believe that fraud or similar
fault was involved in the application of the individual for such
benefits, unless a United States attorney, or equivalent State
prosecutor, with jurisdiction over potential or actual related
criminal cases, certifies, in writing, that there is a substantial
risk that such action by the Commissioner of Social Security with
regard to recipients in a particular investigation would jeopardize
the criminal prosecution of a person involved in a suspected fraud.
(ii) When redetermining the eligibility, or making an initial
determination of eligibility, of an individual for benefits under
this subchapter, the Commissioner of Social Security shall
disregard any evidence if there is reason to believe that fraud or
similar fault was involved in the providing of such evidence.
(B) For purposes of subparagraph (A), similar fault is involved
with respect to a determination if -
(i) an incorrect or incomplete statement that is material to
the determination is knowingly made; or
(ii) information that is material to the determination is
knowingly concealed.
(C) If, after redetermining the eligibility of an individual for
benefits under this subchapter, the Commissioner of Social Security
determines that there is insufficient evidence to support such
eligibility, the Commissioner of Social Security may terminate such
eligibility and may treat benefits paid on the basis of such
insufficient evidence as overpayments.
(8)(A) The Commissioner of Social Security shall request the
Immigration and Naturalization Service or the Centers for Disease
Control to provide the Commissioner of Social Security with
whatever medical information, identification information, and
employment history either such entity has with respect to any alien
who has applied for benefits under this subchapter to the extent
that the information is relevant to any determination relating to
eligibility for such benefits under this subchapter.
(B) Subparagraph (A) shall not be construed to prevent the
Commissioner of Social Security from adjudicating the case before
receiving such information.
(9) Notwithstanding any other provision of law, the Commissioner
shall, at least 4 times annually and upon request of the
Immigration and Naturalization Service (hereafter in this paragraph
referred to as the "Service"), furnish the Service with the name
and address of, and other identifying information on, any
individual who the Commissioner knows is not lawfully present in
the United States, and shall ensure that each agreement entered
into under section 1382e(a) of this title with a State provides
that the State shall furnish such information at such times with
respect to any individual who the State knows is not lawfully
present in the United States.
(f) Furnishing of information by Federal agencies
The head of any Federal agency shall provide such information as
the Commissioner of Social Security needs for purposes of
determining eligibility for or amount of benefits, or verifying
other information with respect thereto.
(g) Reimbursement to States for interim assistance payments
(1) Notwithstanding subsection (d)(1) of this section and
subsection (b) of this section as it relates to the payment of less
than the correct amount of benefits, the Commissioner of Social
Security may, upon written authorization by an individual, withhold
benefits due with respect to that individual and may pay to a State
(or a political subdivision thereof if agreed to by the
Commissioner of Social Security and the State) from the benefits
withheld an amount sufficient to reimburse the State (or political
subdivision) for interim assistance furnished on behalf of the
individual by the State (or political subdivision).
(2) For purposes of this subsection, the term "benefits" with
respect to any individual means supplemental security income
benefits under this subchapter, and any State supplementary
payments under section 1382e of this title or under section 212 of
Public Law 93-66 which the Commissioner of Social Security makes on
behalf of a State (or political subdivision thereof), that the
Commissioner of Social Security has determined to be due with
respect to the individual at the time the Commissioner of Social
Security makes the first payment of benefits with respect to the
period described in clause (A) or (B) of paragraph (3). A cash
advance made pursuant to subsection (a)(4)(A) of this section shall
not be considered as the first payment of benefits for purposes of
the preceding sentence.
(3) For purposes of this subsection, the term "interim
assistance" with respect to any individual means assistance
financed from State or local funds and furnished for meeting basic
needs (A) during the period, beginning with the month following the
month in which the individual filed an application for benefits (as
defined in paragraph (2)), for which he was eligible for such
benefits, or (B) during the period beginning with the first month
for which the individual's benefits (as defined in paragraph (2))
have been terminated or suspended if the individual was
subsequently found to have been eligible for such benefits.
(4) In order for a State to receive reimbursement under the
provisions of paragraph (1), the State shall have in effect an
agreement with the Commissioner of Social Security which shall
provide -
(A) that if the Commissioner of Social Security makes payment
to the State (or a political subdivision of the State as provided
for under the agreement) in reimbursement for interim assistance
(as defined in paragraph (3)) for any individual in an amount
greater than the reimbursable amount authorized by paragraph (1),
the State (or political subdivision) shall pay to the individual
the balance of such payment in excess of the reimbursable amount
as expeditiously as possible, but in any event within ten working
days or a shorter period specified in the agreement; and
(B) that the State will comply with such other rules as the
Commissioner of Social Security finds necessary to achieve
efficient and effective administration of this subsection and to
carry out the purposes of the program established by this
subchapter, including protection of hearing rights for any
individual aggrieved by action taken by the State (or political
subdivision) pursuant to this subsection.
(5) The provisions of subsection (c) of this section shall not be
applicable to any disagreement concerning payment by the
Commissioner of Social Security to a State pursuant to the
preceding provisions of this subsection nor the amount retained by
the State (or political subdivision).
(h) Payment of certain travel expenses
The Commissioner of Social Security shall pay travel expenses,
either on an actual cost or commuted basis, to individuals for
travel incident to medical examinations requested by the
Commissioner of Social Security in connection with disability
determinations under this subchapter, and to parties, their
representatives, and all reasonably necessary witnesses for travel
within the United States (as defined in section 1382c(e) of this
title) to attend reconsideration interviews and proceedings before
administrative law judges with respect to any determination under
this subchapter. The amount available under the preceding sentence
for payment for air travel by any person shall not exceed the coach
fare for air travel between the points involved unless the use of
first-class accommodations is required (as determined under
regulations of the Commissioner of Social Security) because of such
person's health condition or the unavailability of alternative
accommodations; and the amount available for payment for other
travel by any person shall not exceed the cost of travel (between
the points involved) by the most economical and expeditious means
of transportation appropriate to such person's health condition, as
specified in such regulations. The amount available for payment
under this subsection for travel by a representative to attend an
administrative proceeding before an administrative law judge or
other adjudicator shall not exceed the maximum amount allowable
under this subsection for such travel originating within the
geographic area of the office having jurisdiction over such
proceeding.
(i) Unnegotiated checks; notice to Commissioner; payment to States;
notice to States; investigation of payees
(1) The Secretary of the Treasury shall, on a monthly basis,
notify the Commissioner of Social Security of all benefit checks
issued under this subchapter which include amounts representing
State supplementary payments as described in paragraph (2) and
which have not been presented for payment within one hundred and
eighty days after the day on which they were issued.
(2) The Commissioner of Social Security shall from time to time
determine the amount representing the total of the State
supplementary payments made pursuant to agreements under section
1382e(a) of this title and under section 212(b) of Public Law 93-66
which is included in all such benefit checks not presented for
payment within one hundred and eighty days after the day on which
they were issued, and shall pay each State (or credit each State
with) an amount equal to that State's share of all such amount.
Amounts not paid to the States shall be returned to the
appropriation from which they were originally paid.
(3) The Commissioner of Social Security, upon notice from the
Secretary of the Treasury under paragraph (1), shall notify any
State having an agreement described in paragraph (2) of all such
benefit checks issued under that State's agreement which were not
presented for payment within one hundred and eighty days after the
day on which they were issued.
(4) The Commissioner of Social Security shall, to the maximum
extent feasible, investigate the whereabouts and eligibility of the
individuals whose benefit checks were not presented for payment
within one hundred and eighty days after the day on which they were
issued.
(j) Application and review requirements for certain individuals
(1) Notwithstanding any provision of section 1382 or 1382h of
this title, any individual who -
(A) was an eligible individual (or eligible spouse) under
section 1382 of this title or was eligible for benefits under or
pursuant to section 1382h of this title, and
(B) who, after such eligibility, is ineligible for benefits
under or pursuant to both such sections for a period of 12
consecutive months,
may not thereafter become eligible for benefits under or pursuant
to either such section until the individual has reapplied for
benefits under section 1382 of this title and been determined to be
eligible for benefits under such section, or has filed a request
for reinstatement of eligibility under subsection (p)(2) of this
section and been determined to be eligible for reinstatement.
(2)(A) Notwithstanding any provision of section 1382 of this
title or section 1382h of this title (other than subsection (c)
thereof), any individual who was eligible for benefits pursuant to
section 1382h(b) of this title, and who -
(i)(I) on the basis of the same impairment on which his or her
eligibility under such section 1382h(b) of this title was based
becomes eligible (other than pursuant to a request for
reinstatement under subsection (p) of this section) for benefits
under section 1382 or 1382h(a) of this title for a month that
follows a period during which the individual was ineligible for
benefits under sections 1382 and 1382h(a) of this title, and
(II) has earned income (other than income excluded pursuant to
section 1382a(b) of this title) for any month in the 12-month
period preceding such month that is equal to or in excess of the
amount that would cause him or her to be ineligible for payments
under section 1382(b) of this title for that month (if he or she
were otherwise eligible for such payments); or
(ii)(I) on the basis of the same impairment on which his or her
eligibility under such section 1382h(b) of this title was based
becomes eligible under section 1382h(b) of this title for a month
that follows a period during which the individual was ineligible
under section 1382 of this title and section 1382h of this title,
and
(II) has earned income (other than income excluded pursuant to
section 1382a(b) of this title) for such month or for any month
in the 12-month period preceding such month that is equal to or
in excess of the amount that would cause him or her to be
ineligible for payments under section 1382(b) of this title for
that month (if he or she were otherwise eligible for such
payments);
shall, upon becoming eligible (as described in clause (i)(I) or
(ii)(I)), be subject to a prompt review of the type described in
section 1382c(a)(4) of this title.
(B) If the Commissioner of Social Security determines pursuant to
a review required by subparagraph (A) that the impairment upon
which the eligibility of an individual is based has ceased, does
not exist, or is not disabling, such individual may not thereafter
become eligible for a benefit under or pursuant to section 1382 of
this title or section 1382h of this title until the individual has
reapplied for benefits under section 1382 of this title and been
determined to be eligible for benefits under such section.
(k) Notifications to applicants and recipients
The Commissioner of Social Security shall notify an individual
receiving benefits under section 1382 of this title on the basis of
disability or blindness of his or her potential eligibility for
benefits under or pursuant to section 1382h of this title -
(1) at the time of the initial award of benefits to the
individual under section 1382 of this title (if the individual
has attained the age of 18 at the time of such initial award),
and
(2) at the earliest time after an initial award of benefits to
an individual under section 1382 of this title that the
individual's earned income for a month (other than income
excluded pursuant to section 1382a(b) of this title) is $200 or
more, and periodically thereafter so long as such individual has
earned income (other than income so excluded) of $200 or more per
month.
(l) Special notice to blind individuals with respect to hearings
and other official actions
(1) In any case where an individual who is applying for or
receiving benefits under this subchapter on the basis of blindness
is entitled (under subsection (c) of this section or otherwise) to
receive notice from the Commissioner of Social Security of any
decision or determination made or other action taken or proposed to
be taken with respect to his or her rights under this subchapter,
such individual shall at his or her election be entitled either (A)
to receive a supplementary notice of such decision, determination,
or action, by telephone, within 5 working days after the initial
notice is mailed, (B) to receive the initial notice in the form of
a certified letter, or (C) to receive notification by some
alternative procedure established by the Commissioner of Social
Security and agreed to by the individual.
(2) The election under paragraph (1) may be made at any time; but
an opportunity to make such an election shall in any event be given
(A) to every individual who is an applicant for benefits under this
subchapter on the basis of blindness, at the time of his or her
application, and (B) to every individual who is a recipient of such
benefits on the basis of blindness, at the time of each
redetermination of his or her eligibility. Such an election, once
made by an individual, shall apply with respect to all notices of
decisions, determinations, and actions which such individual may
thereafter be entitled to receive under this subchapter until such
time as it is revoked or changed.
(m) Pre-release procedures for institutionalized persons
The Commissioner of Social Security shall develop a system under
which an individual can apply for supplemental security income
benefits under this subchapter prior to the discharge or release of
the individual from a public institution.
(n) Concurrent SSI and food stamp applications by institutionalized
individuals
The Commissioner of Social Security and the Secretary of
Agriculture shall develop a procedure under which an individual who
applies for supplemental security income benefits under this
subchapter shall also be permitted to apply at the same time for
participation in the food stamp program authorized under the Food
Stamp Act of 1977 (7 U.S.C. 2011 et seq.).
(o) Notice requirements
The Commissioner of Social Security shall take such actions as
are necessary to ensure that any notice to one or more individuals
issued pursuant to this subchapter by the Commissioner of Social
Security or by a State agency -
(1) is written in simple and clear language, and
(2) includes the address and telephone number of the local
office of the Social Security Administration which serves the
recipient.
In the case of any such notice which is not generated by a local
servicing office, the requirements of paragraph (2) shall be
treated as satisfied if such notice includes the address of the
local office of the Social Security Administration which services
the recipient of the notice and a telephone number through which
such office can be reached.
(p) Reinstatement of eligibility on the basis of blindness or
disability
(1)(A) Eligibility for benefits under this subchapter shall be
reinstated in any case where the Commissioner determines that an
individual described in subparagraph (B) has filed a request for
reinstatement meeting the requirements of paragraph (2)(A) during
the period prescribed in subparagraph (C). Reinstatement of
eligibility shall be in accordance with the terms of this
subsection.
(B) An individual is described in this subparagraph if -
(i) prior to the month in which the individual files a request
for reinstatement -
(I) the individual was eligible for benefits under this
subchapter on the basis of blindness or disability pursuant to
an application filed therefor; and
(II) the individual thereafter was ineligible for such
benefits due to earned income (or earned and unearned income)
for a period of 12 or more consecutive months;
(ii) the individual is blind or disabled and the physical or
mental impairment that is the basis for the finding of blindness
or disability is the same as (or related to) the physical or
mental impairment that was the basis for the finding of blindness
or disability that gave rise to the eligibility described in
clause (i);
(iii) the individual's blindness or disability renders the
individual unable to perform substantial gainful activity; and
(iv) the individual satisfies the nonmedical requirements for
eligibility for benefits under this subchapter.
(C)(i) Except as provided in clause (ii), the period prescribed
in this subparagraph with respect to an individual is 60
consecutive months beginning with the month following the most
recent month for which the individual was eligible for a benefit
under this subchapter (including section 1382h of this title) prior
to the period of ineligibility described in subparagraph
(B)(i)(II).
(ii) In the case of an individual who fails to file a
reinstatement request within the period prescribed in clause (i),
the Commissioner may extend the period if the Commissioner
determines that the individual had good cause for the failure to so
file.
(2)(A)(i) A request for reinstatement shall be filed in such
form, and containing such information, as the Commissioner may
prescribe.
(ii) A request for reinstatement shall include express
declarations by the individual that the individual meets the
requirements specified in clauses (ii) through (iv) of paragraph
(1)(B).
(B) A request for reinstatement filed in accordance with
subparagraph (A) may constitute an application for benefits in the
case of any individual who the Commissioner determines is not
eligible for reinstated benefits under this subsection.
(3) In determining whether an individual meets the requirements
of paragraph (1)(B)(ii), the provisions of section 1382c(a)(4) of
this title shall apply.
(4)(A) Eligibility for benefits reinstated under this subsection
shall commence with the benefit payable for the month following the
month in which a request for reinstatement is filed.
(B)(i) Subject to clause (ii), the amount of the benefit payable
for any month pursuant to the reinstatement of eligibility under
this subsection shall be determined in accordance with the
provisions of this subchapter.
(ii) The benefit under this subchapter payable for any month
pursuant to a request for reinstatement filed in accordance with
paragraph (2) shall be reduced by the amount of any provisional
benefit paid to such individual for such month under paragraph (7).
(C) Except as otherwise provided in this subsection, eligibility
for benefits under this subchapter reinstated pursuant to a request
filed under paragraph (2) shall be subject to the same terms and
conditions as eligibility established pursuant to an application
filed therefor.
(5) Whenever an individual's eligibility for benefits under this
subchapter is reinstated under this subsection, eligibility for
such benefits shall be reinstated with respect to the individual's
spouse if such spouse was previously an eligible spouse of the
individual under this subchapter and the Commissioner determines
that such spouse satisfies all the requirements for eligibility for
such benefits except requirements related to the filing of an
application. The provisions of paragraph (4) shall apply to the
reinstated eligibility of the spouse to the same extent that they
apply to the reinstated eligibility of such individual.
(6) An individual to whom benefits are payable under this
subchapter pursuant to a reinstatement of eligibility under this
subsection for twenty-four months (whether or not consecutive)
shall, with respect to benefits so payable after such twenty-fourth
month, be deemed for purposes of paragraph (1)(B)(i)(I) to be
eligible for such benefits on the basis of an application filed
therefor.
(7)(A) An individual described in paragraph (1)(B) who files a
request for reinstatement in accordance with the provisions of
paragraph (2)(A) shall be eligible for provisional benefits payable
in accordance with this paragraph, unless the Commissioner
determines that the individual does not meet the requirements of
paragraph (1)(B)(i) or that the individual's declaration under
paragraph (2)(A)(ii) is false. Any such determination by the
Commissioner shall be final and not subject to review under
paragraph (1) or (3) of subsection (c) of this section.
(B)(i) Except as otherwise provided in clause (ii), the amount of
a provisional benefit for a month shall equal the amount of the
monthly benefit that would be payable to an eligible individual
under this subchapter with the same kind and amount of income.
(ii) If the individual has a spouse who was previously an
eligible spouse of the individual under this subchapter and the
Commissioner determines that such spouse satisfies all the
requirements of section 1382c(b) of this title except requirements
related to the filing of an application, the amount of a
provisional benefit for a month shall equal the amount of the
monthly benefit that would be payable to an eligible individual and
eligible spouse under this subchapter with the same kind and amount
of income.
(C)(i) Provisional benefits shall begin with the month following
the month in which a request for reinstatement is filed in
accordance with paragraph (2)(A).
(ii) Provisional benefits shall end with the earliest of -
(I) the month in which the Commissioner makes a determination
regarding the individual's eligibility for reinstated benefits;
(II) the fifth month following the month for which provisional
benefits are first payable under clause (i); or
(III) the month in which the Commissioner determines that the
individual does not meet the requirements of paragraph (1)(B)(i)
or that the individual's declaration made in accordance with
paragraph (2)(A)(ii) is false.
(D) In any case in which the Commissioner determines that an
individual is not eligible for reinstated benefits, any provisional
benefits paid to the individual under this paragraph shall not be
subject to recovery as an overpayment unless the Commissioner
determines that the individual knew or should have known that the
individual did not meet the requirements of paragraph (1)(B).
(8) For purposes of this subsection other than paragraph (7), the
term "benefits under this subchapter" includes State supplementary
payments made pursuant to an agreement under section 1382e(a) of
this title or section 212(b) of Public Law 93-66.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1631, as added Pub. L.
92-603, title III, Sec. 301, Oct. 30, 1972, 86 Stat. 1475; amended
Pub. L. 93-233, Sec. 18(g), Dec. 31, 1973, 87 Stat. 969; Pub. L.
93-368, Sec. 5, Aug. 7, 1974, 88 Stat. 420; Pub. L. 94-202, Secs.
1, 2, Jan. 2, 1976, 89 Stat. 1135; Pub. L. 94-365, Sec. 1, July 14,
1976, 90 Stat. 990; Pub. L. 94-569, Sec. 4(a), Oct. 20, 1976, 90
Stat. 2700; Pub. L. 96-222, title I, Sec. 101(a)(2)(C), Apr. 1,
1980, 94 Stat. 195; Pub. L. 96-265, title III, Secs. 301(b),
305(b), 310(b), title V, Sec. 501(c), June 9, 1980, 94 Stat. 450,
457, 459, 470; Pub. L. 96-473, Sec. 6(h), Oct. 19, 1980, 94 Stat.
2266; Pub. L. 97-35, title XXIII, Sec. 2343(a), Aug. 13, 1981, 95
Stat. 866; Pub. L. 97-248, title I, Sec. 187(a), Sept. 3, 1982, 96
Stat. 407; Pub. L. 98-369, div. B, title VI, Secs. 2612(a), 2613,
2651(j), 2663(g)(11), (12), July 18, 1984, 98 Stat. 1131, 1150,
1169; Pub. L. 98-460, Secs. 7(b), 16(b), Oct. 9, 1984, 98 Stat.
1803, 1809; Pub. L. 99-272, title XII, Sec. 12113(b), Apr. 7, 1986,
100 Stat. 288; Pub. L. 99-514, Sec. 2, title XVIII, Sec.
1883(d)(1), Oct. 22, 1986, 100 Stat. 2095, 2918; Pub. L. 99-570,
title XI, Secs. 11005(a), 11006, Oct. 27, 1986, 100 Stat. 3207-169;
Pub. L. 99-643, Secs. 4(c)(1), (d)(3)(B), 5, 8(a), Nov. 10, 1986,
100 Stat. 3576-3579; Pub. L. 100-203, title IX, Secs. 9109(a),
9110(a), (b), 9111(a)(1), 9112(a), 9123, Dec. 22, 1987, 101 Stat.
1330-302 to 1330-304, 1330-313; Pub. L. 100-647, title VIII, Sec.
8001(b), Nov. 10, 1988, 102 Stat. 3779; Pub. L. 101-239, title X,
Secs. 10302(b)(1), 10303(b), 10305(e), 10307(a)(2), (b)(2), Dec.
19, 1989, 103 Stat. 2482, 2483, 2485; Pub. L. 101-508, title V,
Secs. 5031(c), 5038(a), 5039(b), 5040, 5105(a)(1)(B), (2)(A)(ii),
(3)(A)(ii), (c)(2), (d)(1)(B), 5106(a)(2), (c), 5107(a)(2),
5109(a)(2), 5113(b), Nov. 5, 1990, 104 Stat. 1388-224, 1388-226,
1388-227, 1388-255, 1388-258, 1388-261, 1388-265, 1388-266,
1388-268, 1388-269, 1388-271, 1388-273; Pub. L. 103-296, title I,
Sec. 107(a)(4), title II, Secs. 201(b)(1)(A), (B), (2)(A), (B),
206(a)(2), (d)(2), (f)(1), title III, Sec. 321(f)(2)(B), (3)(A),
(h)(1), Aug. 15, 1994, 108 Stat. 1478, 1499-1501, 1509, 1514, 1515,
1541, 1544; Pub. L. 103-387, Sec. 6(a), Oct. 22, 1994, 108 Stat.
4077; Pub. L. 103-432, title II, Secs. 264(b), (e)-(g), 267(b),
268, Oct. 31, 1994, 108 Stat. 4468-4470; Pub. L. 104-121, title I,
Sec. 105(b)(2), Mar. 29, 1996, 110 Stat. 853; Pub. L. 104-193,
title II, Secs. 204(b), (c)(2), 213(a), 221(a), (b), title IV, Sec.
404(c), Aug. 22, 1996, 110 Stat. 2188, 2194, 2196, 2197, 2267; Pub.
L. 105-33, title V, Secs. 5522(b), 5564, Aug. 5, 1997, 111 Stat.
622, 639; Pub. L. 105-306, Sec. 8(b)(2), Oct. 28, 1998, 112 Stat.
2929; Pub. L. 106-169, title II, Secs. 201(b), 202(a), 203(a), 213,
251(b)(9), Dec. 14, 1999, 113 Stat. 1831, 1832, 1843, 1856; Pub. L.
106-170, title I, Secs. 101(b)(2)(C), 112(b), Dec. 17, 1999, 113
Stat. 1874, 1884.)
-REFTEXT-
REFERENCES IN TEXT
Section 904 of this title, referred to in subsec. (a)(2)(G), (H),
was amended generally by Pub. L. 103-296, title I, Sec. 104(a),
Aug. 15, 1994, 108 Stat. 1470, and, as so amended, does not require
an annual report.
Section 212 of Public Law 93-66, referred to in subsecs.
(a)(2)(F)(i)(II), (iii), (10)(D), (b)(1)(B), (e)(1)(B)(i), (g)(2),
(i)(2), and (p)(8), is section 212 of Pub. L. 93-66, title II, July
9, 1973, 87 Stat. 155, as amended, which is set out in a note under
section 1382 of this title.
The Internal Revenue Code of 1986, referred to in subsec.
(e)(1)(B)(i), is classified generally to Title 26, Internal Revenue
Code.
The Right to Financial Privacy Act, referred to in subsec.
(e)(1)(B)(ii)(III)(aa), probably means the Right to Financial
Privacy Act of 1978, title XI of Pub. L. 95-630, Nov. 10, 1978, 92
Stat. 3697, as amended, which is classified generally to chapter 35
(Sec. 3401 et seq.) of Title 12, Banks and Banking. For complete
classification of this Act to the Code, see Short Title note set
out under section 3401 of Title 12 and Tables.
The Food Stamp Act of 1977, referred to in subsec. (n), is Pub.
L. 88-525, Aug. 31, 1964, 78 Stat. 703, as amended, which is
classified generally to chapter 51 (Sec. 2011 et seq.) of Title 7,
Agriculture. For complete classification of this Act to the Code,
see Short Title note set out under section 2011 of Title 7 and
Tables.
-MISC1-
PRIOR PROVISIONS
A prior section 1383, act Aug. 14, 1935, ch. 531, title XVI, Sec.
1603, as added July 25, 1962, Pub. L. 87-543, title I, Sec. 141(a),
76 Stat. 200; amended July 30, 1965, Pub. L. 89-97, title I, Sec.
122, title II, Sec. 221(d)(4), title IV, Sec. 401(b), 79 Stat. 353,
359, 414; Jan. 2, 1968, Pub. L. 90-248, title II, Sec. 212(d), 81
Stat. 898; Oct. 20, 1972, Pub. L. 92-512, title III, Sec. 301(b),
(d), (e), 86 Stat. 946, 947, related to determination of amounts
payable to States, prior to the general amendment of title XVI of
the Social Security Act by Pub. L. 92-603, Sec. 301, but is set out
below in view of its continued applicability to Puerto Rico, Guam,
and the Virgin Islands.
AMENDMENTS
1999 - Subsec. (a)(2)(A)(iii). Pub. L. 106-169, Sec.
251(b)(9)(A), inserted "or 1007" after "405(j)(1)".
Subsec. (a)(2)(B)(ii)(I). Pub. L. 106-169, Sec. 251(b)(9)(B),
inserted ", subchapter VIII of this chapter," before "or this
subchapter".
Subsec. (a)(2)(B)(ii)(III). Pub. L. 106-169, Sec. 251(b)(9)(C),
inserted ", 1011," before "or 1383a".
Subsec. (a)(2)(B)(ii)(IV). Pub. L. 106-169, Sec. 251(b)(9)(D),
inserted "whether the designation of such person as a
representative payee has been revoked pursuant to section 1007(a)
of this title," before "and whether certification" and ",
subchapter VIII of this chapter," before "or this subchapter".
Subsec. (a)(2)(B)(iii)(II). Pub. L. 106-169, Sec. 251(b)(9)(E),
inserted "the designation of such person as a representative payee
has been revoked pursuant to section 1007(a) of this title," before
"or certification".
Subsec. (a)(2)(D)(ii)(II)(aa). Pub. L. 106-169, Sec.
251(b)(9)(F), inserted "or 1007" after "405(j)(4)".
Subsec. (a)(6)(A). Pub. L. 106-170, Sec. 101(b)(2)(C),
substituted "a program consisting of the Ticket to Work and
Self-Sufficiency Program under section 1320b-19 of this title or
another program of vocational rehabilitation services, employment
services, or other support services" for "a program of vocational
rehabilitation services".
Subsec. (b)(1)(B)(ii). Pub. L. 106-169, Sec. 202(a), inserted
"monthly" before "benefit payments" and "and in the case of an
individual or eligible spouse to whom a lump sum is payable under
this subchapter (including under section 1382e(a) of this title or
under an agreement entered into under section 212(a) of Public Law
93-66) shall, as at least one means of recovering such overpayment,
make the adjustment or recovery from the lump sum payment in an
amount equal to not less than the lesser of the amount of the
overpayment or 50 percent of the lump sum payment," before "unless
fraud".
Subsec. (b)(2). Pub. L. 106-169, Sec. 201(b), inserted at end "If
any payment of more than the correct amount is made to a
representative payee on behalf of an individual after the
individual's death, the representative payee shall be liable for
the repayment of the overpayment, and the Commissioner of Social
Security shall establish an overpayment control record under the
social security account number of the representative payee."
Subsec. (b)(4) to (6). Pub. L. 106-169, Sec. 203(a), added par.
(4) and redesignated former pars. (4) and (5) as (5) and (6),
respectively.
Subsec. (e)(1)(B). Pub. L. 106-169, Sec. 213, designated existing
provisions as cl. (i) and added cl. (ii).
Subsec. (j)(1). Pub. L. 106-170, Sec. 112(b)(2)(A), inserted
before period at end ", or has filed a request for reinstatement of
eligibility under subsection (p)(2) of this section and been
determined to be eligible for reinstatement".
Subsec. (j)(2)(A)(i)(I). Pub. L. 106-170, Sec. 112(b)(2)(B),
inserted "(other than pursuant to a request for reinstatement under
subsection (p) of this section)" after "eligible".
Subsec. (p). Pub. L. 106-170, Sec. 112(b)(1), added subsec. (p).
1998 - Subsec. (b)(5). Pub. L. 105-306 added par. (5).
1997 - Subsec. (a)(2)(F)(ii)(III)(bb). Pub. L. 105-33, Sec.
5522(b)(1), substituted "in any case in which the individual
knowingly misapplies benefits from such an account, the
Commissioner shall reduce future benefits payable to such
individual (or to such individual and his spouse) by an amount
equal to the total amount of such benefits so misapplied" for "the
total amount of such benefits so used shall be considered to be the
uncompensated value of a disposed resource and shall be subject to
the provisions of section 1382b(c) of this title".
Subsec. (a)(2)(F)(iii). Pub. L. 105-33, Sec. 5522(b)(2), added
cl. (iii) and struck out former cl. (iii) which read as follows:
"The representative payee may deposit into the account established
pursuant to clause (i) -
"(I) past-due benefits payable to the eligible individual in an
amount less than that specified in clause (i)(II), and
"(II) any other funds representing an underpayment under this
subchapter to such individual, provided that the amount of such
underpayment is equal to or exceeds the maximum monthly benefit
payable under this subchapter to an eligible individual."
Subsec. (e)(9). Pub. L. 105-33, Sec. 5564, substituted "not
lawfully present in the United States" for "unlawfully in the
United States" in two places.
1996 - Subsec. (a)(1). Pub. L. 104-193, Sec. 221(b), inserted
"(subject to paragraph (10))" before "in such installments".
Subsec. (a)(2)(A)(ii)(II). Pub. L. 104-121, Sec. 105(b)(2)(A),
amended subcl. (II) generally. Prior to amendment, subcl. (II) read
as follows: "In the case of an individual eligible for benefits
under this subchapter by reason of disability, if alcoholism or
drug addiction is a contributing factor material to the
Commissioner's determination that the individual is disabled, the
payment of such benefits to a representative payee shall be deemed
to serve the interest of the individual under this subchapter. In
any case in which such payment is so deemed under this subclause to
serve the interest of an individual, the Commissioner of Social
Security shall include, in the individual's notification of such
eligibility, a notice that alcoholism or drug addiction is a
contributing factor material to the Commissioner's determination
that the individual is disabled and that the Commissioner of Social
Security is therefore required to pay the individual's benefits to
a representative payee."
Subsec. (a)(2)(B)(vii). Pub. L. 104-121, Sec. 105(b)(2)(B),
substituted "described in subparagraph (A)(ii)(II)" for "eligible
for benefits under this subchapter by reason of disability, if
alcoholism or drug addiction is a contributing factor material to
the Commissioner's determination that the individual is disabled".
Subsec. (a)(2)(B)(ix)(II). Pub. L. 104-121, Sec. 105(b)(2)(C),
substituted "described in subparagraph (A)(ii)(II)." for "(if
alcoholism or drug addiction is a contributing factor material to
the Commissioner's determination that the individual is disabled)
is eligible for benefits under this subchapter by reason of
disability."
Subsec. (a)(2)(D)(i)(II). Pub. L. 104-121, Sec. 105(b)(2)(D),
substituted "described in subparagraph (A)(ii)(II)" for "eligible
for benefits under this subchapter by reason of disability and
alcoholism or drug addiction is a contributing factor material to
the Commissioner's determination that the individual is disabled".
Subsec. (a)(2)(F) to (H). Pub. L. 104-193, Sec. 213(a), added
subpar. (F) and redesignated former subpars. (F) and (G) as (G) and
(H), respectively.
Subsec. (a)(4)(A). Pub. L. 104-193, Sec. 204(b), inserted "for
the month following the date the application is filed" after "is
presumptively eligible for such benefits" and ", which shall be
repaid through proportionate reductions in such benefits over a
period of not more than 6 months" before semicolon.
Subsec. (a)(10). Pub. L. 104-193, Sec. 221(a), added par. (10).
Subsec. (e)(6) to (8). Pub. L. 104-193, Sec. 404(c)(1),
redesignated pars. (6), relating to suspicion of fraud or similar
fault, and (7) as (7) and (8), respectively.
Subsec. (e)(9). Pub. L. 104-193, Sec. 404(c)(2), added par. (9).
Subsec. (g)(3). Pub. L. 104-193, Sec. 204(c)(2), inserted
"following the month" after "beginning with the month".
1994 - Subsec. (a)(2). Pub. L. 103-432, Sec. 264(e), inserted
par. (2) designation.
Subsec. (a)(2)(A)(ii). Pub. L. 103-296, Sec. 201(b)(1)(A)(i),
designated existing provisions as subcl. (I), struck out "or in the
case of any individual or eligible spouse referred to in section
1382(e)(3)(A) of this title," after "served thereby,", and added
subcl. (II).
Pub. L. 103-296, Sec. 107(a)(4), in cl. (ii) as amended by Pub.
L. 103-296, Sec. 201(b)(1)(A)(i), substituted "Commissioner of
Social Security" for "Secretary" wherever appearing and
"Commissioner's" for "Secretary's" in two places in subcl. (II).
Subsec. (a)(2)(A)(iii). Pub. L. 103-296, Sec. 201(b)(1)(A)(ii),
substituted "to an alternative representative payee of the
individual or eligible spouse or, if the interest of the individual
under this subchapter would be served thereby, to the individual or
eligible spouse" for "to the individual or eligible spouse or to an
alternative representative payee of the individual or eligible
spouse".
Pub. L. 103-296, Sec. 107(a)(4), substituted "Commissioner of
Social Security" for "Secretary" in two places.
Subsec. (a)(2)(B)(i)(I), (ii), (iv) to (vi). Pub. L. 103-296,
Sec. 107(a)(4), substituted "Commissioner of Social Security" for
"Secretary" wherever appearing.
Subsec. (a)(2)(B)(vii). Pub. L. 103-296, Sec. 201(b)(2)(A)(ii),
added cl. (vii). Former cl. (vii) redesignated (viii).
Pub. L. 103-296, Sec. 107(a)(4), in cl. (vii) as added by Pub. L.
103-296, Sec. 201(b)(2)(A)(ii), substituted "Commissioner of Social
Security" for "Secretary" in two places and "Commissioner's" for
"Secretary's".
Subsec. (a)(2)(B)(viii). Pub. L. 103-296, Sec. 201(b)(2)(A)(i),
(iii), redesignated cl. (vii) as (viii) and substituted "clause
(ix)" for "clause (viii)". Former cl. (viii) redesignated (ix).
Pub. L. 103-296, Sec. 201(b)(1)(B), in subcl. (II) substituted
"of 15 years, or (if alcoholism or drug addiction is a contributing
factor material to the Secretary's determination that the
individual is disabled) is eligible for benefits under this
subchapter by reason of disability." for "15 years, or a drug
addict or alcoholic referred to in section 1382(e)(3)(A) of this
title."
Pub. L. 103-296, Sec. 107(a)(4), in cl. (viii) as redesignated by
Pub. L. 103-296, Sec. 201(b)(2)(A)(i), substituted "Commissioner of
Social Security" for "Secretary" in two places.
Subsec. (a)(2)(B)(ix). Pub. L. 103-296, Sec. 201(b)(2)(A)(i),
(iv), redesignated cl. (viii) as (ix) and in subcl. (I) substituted
"clause (viii)" for "clause (vii)". Former cl. (ix) redesignated
(x).
Pub. L. 103-296, Sec. 107(a)(4), in cl. (ix) as redesignated and
amended by Pub. L. 103-296, Sec. 201(b)(1)(B), (2)(A)(i),
substituted "Commissioner's" for "Secretary's" in two places in
subcl. (II).
Subsec. (a)(2)(B)(x) to (xii). Pub. L. 103-296, Sec.
201(b)(2)(A)(i), redesignated cls. (ix) to (xi) as (x) to (xii),
respectively. Former cl. (xii) redesignated (xiii).
Pub. L. 103-296, Sec. 107(a)(4), in cls. (x) to (xii) as
redesignated by Pub. L. 103-296, Sec. 201(b)(2)(A)(i), substituted
"Commissioner of Social Security" for "Secretary" and
"Commissioner's" for "Secretary's" wherever appearing.
Subsec. (a)(2)(B)(xiii). Pub. L. 103-296, Sec. 201(b)(2)(A)(i),
(v), redesignated cl. (xii) as (xiii) and substituted "clause
(xii)" for "clause (xi)" and "clause (xi)" for "clause (x)".
Subsec. (a)(2)(C). Pub. L. 103-296, Sec. 107(a)(4), in subpar.
(C) as amended by Pub. L. 103-432, Sec. 264(f), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing.
Subsec. (a)(2)(C)(i). Pub. L. 103-432, Sec. 264(f)(1),
substituted "to a representative payee" for "to representative
payee".
Subsec. (a)(2)(C)(ii). Pub. L. 103-432, Sec. 264(f)(2), (3),
redesignated cl. (iii) as (ii) and struck out former cl. (ii) which
read as follows: "Clause (i) shall not apply in any case where the
representative payee is a parent or spouse of the individual
entitled to such payment who lives in the same household as such
individual. The Secretary shall require such parent or spouse to
verify on a periodic basis that such parent or spouse continues to
live in the same household as such individual."
Subsec. (a)(2)(C)(iii). Pub. L. 103-432, Sec. 264(f)(3),
redesignated cl. (iv) as (iii). Former cl. (iii) redesignated (ii).
Subsec. (a)(2)(C)(iv). Pub. L. 103-432, Sec. 264(f)(4),
substituted "Notwithstanding clauses (i), (ii), and (iii)" for
"Notwithstanding clauses (i), (ii), (iii), and (iv)".
Pub. L. 103-432, Sec. 264(f)(3), redesignated cl. (v) as (iv).
Former cl. (iv) redesignated (iii).
Subsec. (a)(2)(C)(v). Pub. L. 103-432, Sec. 264(f)(3),
redesignated cl. (v) as (iv).
Subsec. (a)(2)(D)(i). Pub. L. 103-296, Sec.
201(b)(2)(B)(i)(I)(bb), inserted in closing provisions "The
Secretary shall adjust annually (after 1995) each dollar amount set
forth in subclause (II) of this clause under procedures providing
for adjustments in the same manner and to the same extent as
adjustments are provided for under the procedures used to adjust
benefit amounts under section 415(i)(2)(A) of this title, except
that any amount so adjusted that is not a multiple of $1.00 shall
be rounded to the nearest multiple of $1.00."
Pub. L. 103-296, Sec. 107(a)(4), in cl. (i) as amended by Pub. L.
103-296, Sec. 201(b)(2)(B)(i)(I)(bb), substituted "Commissioner of
Social Security" for "Secretary" in closing provisions.
Subsec. (a)(2)(D)(i)(II). Pub. L. 103-296, Sec.
201(b)(2)(B)(i)(I)(aa), added subcl. (II) and struck out former
subcl. (II) which read as follows: "$25.00 per month."
Pub. L. 103-296, Sec. 104(a)(7), in subcl. (II) as added by Pub.
L. 103-296, Sec. 201(b)(2)(B)(i)(I)(aa), substituted
"Commissioner's" for "Secretary's".
Subsec. (a)(2)(D)(ii). Pub. L. 103-296, Sec. 201(b)(2)(B)(ii), in
introductory provisions inserted "State or local government agency
whose mission is to carry out income maintenance, social service,
or health care-related activities, any State or local government
agency with fiduciary responsibilities, or any" after "means any"
and a comma after "service agency", at end of subcl. (I) inserted
"and", and in subcl. (II) inserted "and" at end of item (aa),
substituted a period for "; and" at end of item (bb), and struck
out item (cc) which read as follows: "was in existence on October
1, 1988."
Pub. L. 103-296, Sec. 107(a)(4), substituted "Commissioner of
Social Security" for "Secretary" wherever appearing.
Subsec. (a)(2)(D)(iv). Pub. L. 103-296, Sec.
201(b)(2)(B)(iii)(II), redesignated cl. (v) as (iv).
Pub. L. 103-296, Sec. 201(b)(2)(B)(iii)(I), struck out cl. (iv)
which read as follows: "This subparagraph shall cease to be
effective on July 1, 1994."
Subsec. (a)(2)(D)(v). Pub. L. 103-296, Sec.
201(b)(2)(B)(iii)(II), redesignated cl. (v) as (iv).
Pub. L. 103-296, Sec. 201(b)(2)(B)(i)(II), added cl. (v).
Subsec. (a)(2)(E). Pub. L. 103-296, Sec. 321(f)(2)(B)(ii), added
subpar. (E). Former subpar. (E) redesignated (F).
Pub. L. 103-296, Sec. 107(a)(4), in subpar. (E) as added by Pub.
L. 103-296, Sec. 321(f)(2)(B)(ii), substituted "Commissioner of
Social Security" for "Secretary" wherever appearing.
Subsec. (a)(2)(F), (G). Pub. L. 103-296, Sec. 321(f)(2)(B)(i),
redesignated subpars. (E) and (F) as (F) and (G), respectively.
Pub. L. 103-296, Sec. 107(a)(4), in subpars. (F) and (G) as
redesignated by Pub. L. 103-296, Sec. 321(f)(2)(B)(i), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing and "Commissioner's" for "Secretary's" in subpar. (G).
Subsec. (a)(3), (4), (6) to (8). Pub. L. 103-296, Sec. 107(a)(4),
substituted "Commissioner of Social Security" for "Secretary"
wherever appearing, "the Commissioner's" for "his" in par. (8)(A),
and "Commissioner's" for "Secretary's" in par. (8)(B).
Subsec. (b). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing and "the Commissioner finds" for "he finds" in par.
(1)(B).
Subsec. (b)(3) to (5). Pub. L. 103-432, Sec. 267(b), redesignated
pars. (4) and (5) as (3) and (4), respectively, and struck out
former par. (3) which read as follows: "In any case in which
advance payments for a taxable year made by all employers to an
individual under section 3507 of the Internal Revenue Code of 1986
(relating to advance payment of earned income credit) exceed the
amount of such individual's earned income credit allowable under
section 32 of such Code for such year, so that such individual is
liable under section 32(g) of such Code for a tax equal to such
excess, the Secretary shall provide for an appropriate adjustment
of such individual's benefit amount under this subchapter so as to
provide payment to such individual of an amount equal to the amount
of such benefits lost by such individual on account of such excess
advance payments."
Subsec. (c)(1)(A). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing, "Commissioner's determination" for "Secretary's
determination", "the Commissioner's findings" for "his findings",
"the Commissioner's own motion" for "his own motion", "the
Commissioner may deem" for "he may deem", and "the Commissioner may
administer" for "he may administer".
Subsec. (c)(1)(B). Pub. L. 103-432, Sec. 264(g), substituted
"subparagraph (A)" for "paragraph (1)" in cls. (i) and (ii).
Subsec. (c)(1)(B)(ii). Pub. L. 103-296, Sec. 107(a)(4),
substituted "Commissioner of Social Security" for "Secretary".
Subsec. (c)(3). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" and
"Commissioner's" for "Secretary's".
Subsec. (d)(2)(A)(i). Pub. L. 103-296, Sec. 321(f)(3)(A), amended
cl. (i) generally. Prior to amendment, cl. (i) read as follows: "by
substituting 'section 1320a-6(a) or 1383(g) of this title' for
'section 1320a-6(a) of this title'; and".
Subsec. (d)(2)(B). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" in two places.
Subsec. (e)(1). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing.
Subsec. (e)(1)(C). Pub. L. 103-387 added subpar. (C).
Subsec. (e)(2), (3). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing and "the Commissioner may" for "he may" in par. (2).
Subsec. (e)(4). Pub. L. 103-296, Sec. 206(a)(2), added par. (4).
Subsec. (e)(5). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" in introductory
provisions.
Subsec. (e)(6). Pub. L. 103-432, Sec. 268, redesignated subpars.
(1) and (2) of par. (6), relating to face-to-face interviews in
field offices, as subpars. (A) and (B), respectively.
Pub. L. 103-296, Sec. 206(d)(2), added par. (6) relating to
suspicion of fraud or similar fault.
Pub. L. 103-296, Sec. 107(a)(4), in par. (6), relating to
suspicion of fraud or similar fault, as added by Pub. L. 103-296,
Sec. 206(d)(2), substituted "Commissioner of Social Security" for
"Secretary" wherever appearing.
Pub. L. 103-296, Sec. 107(a)(4), substituted "Commissioner of
Social Security" for "Secretary" in closing provisions of par. (6)
relating to face-to-face interviews in field offices.
Subsec. (e)(7). Pub. L. 103-296, Sec. 206(f)(1), added par. (7).
Pub. L. 103-296, Sec. 107(a)(4), in par. (7) as added by Pub. L.
103-296, Sec. 206(f)(1), substituted "Commissioner of Social
Security" for "Secretary" wherever appearing.
Subsecs. (f) to (m). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing, except where appearing before "of the Treasury" in
subsec. (i)(1) and (3).
Subsec. (n). Pub. L. 103-432, Sec. 264(b), which directed
substitution of "section" for "subsection", could not be executed
because of amendment by Pub. L. 103-296, Sec. 321(h)(1)(A), which
substituted "subchapter" for "subsection". See below.
Pub. L. 103-296, Sec. 321(h)(1)(B), redesignated subsec. (n)
relating to notice requirements as (o).
Pub. L. 103-296, Sec. 321(h)(1)(A), substituted "subchapter" for
"subsection" in subsec. (n) relating to concurrent SSI and food
stamp applications by institutionalized individuals.
Pub. L. 103-296, Sec. 107(a)(4), substituted "The Commissioner of
Social Security and" for "The Secretary and" in subsec. (n)
relating to concurrent SSI and food stamp applications by
institutionalized individuals.
Subsec. (o). Pub. L. 103-296, Sec. 321(h)(1)(B), redesignated
subsec. (n) relating to notice requirements as (o).
Pub. L. 103-296, Sec. 107(a)(4), in subsec. (o) as redesignated
by Pub. L. 103-296, Sec. 321(h)(1)(B), substituted "Commissioner of
Social Security" for "Secretary" in two places in introductory
provisions.
1990 - Subsec. (a)(2)(A). Pub. L. 101-508, Sec. 5105(a)(1)(B)(i),
amended subpar. (A) generally. Prior to amendment, subpar. (A) read
as follows: "Payments of the benefit of any individual may be made
to any such individual or to his eligible spouse (if any) or partly
to each, or, if the Secretary deems it appropriate to any other
person (including an appropriate public or private agency) who is
interested in or concerned with the welfare of such individual (or
spouse). Notwithstanding the provisions of the preceding sentence,
in the case of any individual or eligible spouse referred to in
section 1382(e)(3)(A) of this title, the Secretary shall provide
for making payments of the benefit to any other person (including
an appropriate public or private agency) who is interested in or
concerned with the welfare of such individual (or spouse)."
Subsec. (a)(2)(B). Pub. L. 101-508, Sec. 5105(a)(2)(A)(ii),
amended subpar. (B) generally. Prior to amendment, subpar. (B) read
as follows: "Any determination made under subparagraph (A) that
payment should be made to a person other than the individual or
spouse entitled to such payment must be made on the basis of an
investigation, carried out either prior to such determination or
within forty-five days after such determination, and on the basis
of adequate evidence that such determination is in the interest of
the individual or spouse entitled to such payment (as determined by
the Secretary in regulations). The Secretary shall ensure that such
determinations are adequately reviewed."
Subsec. (a)(2)(C)(i). Pub. L. 101-508, Sec. 5105(a)(1)(B)(ii)(I),
substituted "representative payee of an individual or spouse" for
"a person other than the individual or spouse entitled to such
payment".
Subsec. (a)(2)(C)(ii) to (iv). Pub. L. 101-508, Sec.
5105(a)(1)(B)(ii)(II), substituted "representative payee" for
"other person to whom such payment is made".
Subsec. (a)(2)(C)(v). Pub. L. 101-508, Sec.
5105(a)(1)(B)(ii)(III), substituted "representative payee" for
"person receiving payments on behalf of another" and for "person
receiving such payments".
Subsec. (a)(2)(D). Pub. L. 101-508, Sec.
5105(a)(3)(A)(ii)(III)[(II)], added subpar. (D). Former subpar. (D)
redesignated (E).
Subsec. (a)(2)(E). Pub. L. 101-508, Sec. 5105(c)(2), added
subpar. (E). Former subpar. (E) redesignated (F).
Pub. L. 101-508, Sec. 5105(a)(3)(A)(ii)(I), redesignated subpar.
(D) as (E).
Subsec. (a)(2)(F). Pub. L. 101-508, Sec. 5105(d)(1)(B), which
directed amendment of subsec. (a)(2)(E), as redesignated by section
5105(c)(2) of Pub. L. 101-508, by redesignating it as subpar. (E)
and amending it generally, was executed to subpar. (E), as added by
section 5105(c)(2) of Pub. L. 101-508, as the probable intent of
Congress. Prior to amendment, subpar. (E) read as follows: "In
cases where the negligent failure of the Secretary to investigate
or monitor a representative payee results in misuse of benefits by
the representative payee, the Secretary shall make payment to the
beneficiary or the beneficiary's representative payee of an amount
equal to such misused benefits. The Secretary shall make a good
faith effort to obtain restitution from the terminated
representative payee."
Pub. L. 101-508, Sec. 5105(c)(2), redesignated subpar. (E) as
(F).
Subsec. (a)(4)(B). Pub. L. 101-508, Sec. 5038(a), substituted "6
months" for "3 months".
Subsec. (a)(6)(A). Pub. L. 101-508, Sec. 5113(b)(1), added
subpar. (A) and struck out former subpar. (A) which read as
follows: "such individual is participating in an approved
vocational rehabilitation program under a State plan approved under
title I of the Rehabilitation Act of 1973, and".
Subsec. (a)(6)(B). Pub. L. 101-508, Sec. 5113(b)(2), substituted
"Secretary" for "Commissioner of Social Security".
Subsec. (a)(9). Pub. L. 101-508, Sec. 5031(c), added par. (9).
Subsec. (c)(1). Pub. L. 101-508, Sec. 5107(a)(2), designated
existing provision as subpar. (A) and added subpar. (B).
Subsec. (d)(2)(A). Pub. L. 101-508, Sec. 5106(a)(2), amended
subpar. (A) generally, substituting cls. (i) and (ii) for former
single par. which authorized Secretary to prescribe regulations
relating to representation of claimants before the Secretary,
representation by attorneys, suspension of representatives, and
maximum fees for representation, provided penalties for deceiving
claimants and exceeding maximum fees, and required Secretary to
maintain in the electronic information retrieval system of the
Social Security Administration the identity of representatives of
claimants.
Subsec. (h). Pub. L. 101-508, Sec. 5106(c), inserted at end "The
amount available for payment under this subsection for travel by a
representative to attend an administrative proceeding before an
administrative law judge or other adjudicator shall not exceed the
maximum amount allowable under this subsection for such travel
originating within the geographic area of the office having
jurisdiction over such proceeding."
Subsec. (j)(2)(A). Pub. L. 101-508, Sec. 5039(b), inserted
"(other than subsection (c) thereof)" after first reference to
"section 1382h of this title".
Subsec. (m). Pub. L. 101-508, Sec. 5040(1), struck out at end
"The Secretary and the Secretary of Agriculture shall develop a
procedure under which an individual who applies for supplemental
security income benefits under this subchapter shall also be
permitted to apply for participation in the food stamp program by
executing a single application."
Subsec. (n). Pub. L. 101-508, Sec. 5109(a)(2), added subsec. (n)
relating to notice requirements.
Pub. L. 101-508, Sec. 5040(2), added subsec. (n) relating to
concurrent SSI and food stamp applications by institutionalized
individuals.
1989 - Subsec. (c)(1). Pub. L. 101-239, Sec. 10305(e), inserted
at end "The Secretary shall specifically take into account any
physical, mental, educational, or linguistic limitation of such
individual (including any lack of facility with the English
language) in determining, with respect to the eligibility of such
individual for benefits under this subchapter, whether such
individual acted in good faith or was at fault, and in determining
fraud, deception, or intent."
Subsec. (d)(2). Pub. L. 101-239, Sec. 10307(b)(2), designated
existing provisions as subpar. (A) and added subpar. (B).
Pub. L. 101-239, Sec. 10307(a)(2), inserted at end "The Secretary
shall maintain in the electronic information retrieval system used
by the Social Security Administration a current record, with
respect to any claimant before the Secretary, of the identity of
any person representing such claimant in accordance with this
paragraph."
Subsec. (e)(5). Pub. L. 101-239, Sec. 10302(b)(1), added par.
(5).
Subsec. (e)(6). Pub. L. 101-239, Sec. 10303(b), added par. (6).
1988 - Subsec. (a)(8). Pub. L. 100-647 added par. (8).
1987 - Subsec. (a)(4)(A). Pub. L. 100-203, Sec. 9109(a),
substituted "a cash advance against such benefits, including any
federally-administered State supplementary payments, in an amount
not exceeding the monthly amount that would be payable to an
eligible individual with no other income for the first month of
such presumptive eligibility" for "a cash advance against such
benefits in an amount not exceeding $100".
Subsec. (a)(6). Pub. L. 100-203, Sec. 9112(a), in introductory
provision inserted "blindness (as determined under section
1382c(a)(2) of this title) or" before "disability" and "blindness
or other" before "physical", and in subpar. (B) inserted "blindness
and" before "disability".
Subsec. (g)(2). Pub. L. 100-203, Sec. 9110(a), substituted "at
the time the Secretary makes the first payment of benefits with
respect to the period described in clause (A) or (B) of paragraph
(3)" for "at the time the Secretary makes the first payment of
benefits".
Subsec. (g)(3). Pub. L. 100-203, Sec. 9110(b), inserted cl. (A)
designation after "basic needs" and added cl. (B).
Subsec. (j). Pub. L. 100-203, Sec. 9123, redesignated subsec.
(j), relating to pre-release procedures for institutionalized
persons, as (m).
Subsec. (l). Pub. L. 100-203, Sec. 9111(a)(1), added subsec. (l).
Subsec. (m). Pub. L. 100-203, Sec. 9123, redesignated subsec.
(j), relating to pre-release procedures for institutionalized
persons, as (m) and reenacted heading without change.
1986 - Subsec. (b)(1). Pub. L. 99-643, Sec. 8(a), substituted
"(A) Whenever the Secretary" for "Whenever the Secretary", "by
recovery from such individual or his eligible spouse (or from the
estate of either) or by payment to such individual or his eligible
spouse, or, if such individual is deceased, by payment - " for "by
recovery from or payment to such individual or his eligible spouse
(or by recovery from the estate of either). The Secretary (A) shall
make", added subpar. (A)(i) and (ii), substituted "(B) the
Secretary (i) shall make such provision" for "such provision", "and
(ii) shall in any event" for "and (B) shall in any event", "(I) the
amount" for "(i) the amount", "(II) an amount" for "(ii) an
amount", "clause (ii)" for "clause (B)", and "clause (i)" for
"clause (A)".
Subsec. (b)(2). Pub. L. 99-272 added par. (2). Former par. (2)
redesignated (3).
Subsec. (b)(3). Pub. L. 99-514, Sec. 2, substituted "Internal
Revenue Code of 1986" for "Internal Revenue Code of 1954".
Pub. L. 99-272 redesignated par. (2) as (3). Former par. (3)
redesignated (4).
Subsec. (b)(4), (5). Pub. L. 99-272 redesignated pars. (3) and
(4) as (4) and (5), respectively.
Subsec. (e)(1)(A). Pub. L. 99-643, Sec. 4(c)(1)(A), substituted
"subparagraph (B) and subsection (j) of this section" for
"subparagraph (B)".
Subsec. (e)(1)(B). Pub. L. 99-514, Sec. 2, substituted "Internal
Revenue Code of 1986" for "Internal Revenue Code of 1954".
Subsec. (e)(3). Pub. L. 99-570, Sec. 11005(a), added par. (3).
Subsec. (g). Pub. L. 99-514, Sec. 1883(d)(1), amended heading
generally.
Subsec. (j). Pub. L. 99-570, Sec. 11006, added subsec. (j)
relating to pre-release procedures for institutionalized persons.
Pub. L. 99-643, Sec. 4(c)(1)(B), added subsec. (j) relating to
application and review requirements for certain individuals.
Subsec. (j)(2)(A). Pub. L. 99-643, Sec. 4(d)(3)(B), in subsec.
(j) relating to application and review requirements, substituted
"section 1382c(a)(4) of this title" for "section 1382c(a)(5) of
this title" in closing provisions.
Subsec. (k). Pub. L. 99-643, Sec. 5, added subsec. (k).
1984 - Subsec. (a)(2). Pub. L. 98-460, Sec. 16(b), redesignated
existing provisions as subpar. (A) and added subpars. (B) to (D).
Subsec. (a)(7). Pub. L. 98-460, Sec. 7(b), added par. (7).
Pub. L. 98-369, Sec. 2612(a), inserted "(A)" before "shall make
such provision" in second sentence, and added cl. (B).
Subsec. (b)(1). Pub. L. 98-369, Sec. 2663(g)(11)(A), substituted
"equity and good conscience" for "equity or good conscience".
Subsec. (b)(2). Pub. L. 98-369, Sec. 2663(g)(11)(B), substituted
"section 32" and "section 32(g)" for "section 43" and "section
43(g)", respectively.
Subsec. (b)(3), (4). Pub. L. 98-369, Sec. 2613, added par. (3)
and redesignated former par. (3) as (4).
Subsec. (d)(1). Pub. L. 98-369, Sec. 2663(g)(12), substituted
"and (e)" for "(e), and (f)".
Subsec. (e)(1)(B). Pub. L. 98-369, Sec. 2651(j), inserted
provision that for this purpose and for purposes of federally
administered supplementary payments of the type described in
section 1382e(a) of this title (including payments pursuant to an
agreement entered into under section 212(a) of Public Law 93-66),
the Secretary shall, as may be necessary, request and utilize
information available pursuant to section 6103(l)(7) of the
Internal Revenue Code of 1954, and any information which may be
available from State systems under section 1320b-7 of this title,
and shall comply with the requirements applicable to States (with
respect to information available pursuant to section 6103(l)(7)(B)
of such Code) under subsections (a)(6) and (c) of such section
1320b-7 of this title.
1982 - Subsec. (i)(2). Pub. L. 97-248 substituted "such benefit
checks" for "checks payable to individuals entitled to benefits
under this subchapter but".
1981 - Subsec. (i). Pub. L. 97-35 added subsec. (i).
1980 - Subsec. (a)(6). Pub. L. 96-265, Sec. 301(b), added par.
(6).
Subsec. (b). Pub. L. 96-473 redesignated par. (2) as added by
Pub. L. 96-265, Sec. 501(c), as (3).
Pub. L. 96-265, Sec. 501(c), designated existing provisions as
par. (1) and added par. (2), without reference to identical
amendment made by Pub. L. 96-222. Such par. (2) was subsequently
redesignated par. (3) by Pub. L. 96-473.
Pub. L. 96-222 designated existing provisions as par. (1) and
added par. (2).
Subsec. (c)(1). Pub. L. 96-265, Sec. 305(b), inserted provisions
relating to information that must accompany a decision of
Secretary.
Subsec. (h). Pub. L. 96-265, Sec. 310(b), added subsec. (h).
1976 - Subsec. (a)(4)(B). Pub. L. 94-569 inserted "or blindness"
after "disability" and "or blind" after "disabled" wherever
appearing.
Subsec. (c)(1). Pub. L. 94-202, Sec. 1, increased authority of
Secretary by permitting him to hold hearings on his own motion, to
administer oaths, examine witnesses, and receive evidence at
hearings, and increased time within which a request for a hearing
be made after notice of Secretary's determination is received from
thirty to sixty days.
Subsec. (c)(2). Pub. L. 94-202, Sec. 1, reenacted par. (2)
without change.
Subsec. (c)(3). Pub. L. 94-202, Sec. 1, struck out exception to
judicial review which made factual determinations by the Secretary,
after a hearing as provided by subsec. (c)(1), final and
conclusive.
Subsec. (d)(2), (3). Pub. L. 94-202, Sec. 2, struck out par. (2)
which related to appointment of individuals to serve as hearing
examiners without meeting specific standards prescribed for hearing
examiners, and redesignated par. (3) as par. (2).
Subsec. (g). Pub. L. 94-365 struck out par. (6) which provided
that provisions of this subsection were to expire on June 30, 1976,
at least sixty days prior to which, the Secretary was to submit to
Congress a report assessing effects of actions taken pursuant to
this subsection and including whatever recommendations the
Secretary deemed appropriate.
1974 - Subsec. (g). Pub. L. 93-368 added subsec. (g).
1973 - Subsec. (a)(4)(B). Pub. L. 93-233 inserted "solely because
such individual is determined not to be disabled."
EFFECTIVE DATE OF 1999 AMENDMENTS
Amendment by section 101(b)(2)(C) of Pub. L. 106-170 effective
with the first month following one year after Dec. 17, 1999,
subject to section 101(d) of Pub. L. 106-170, see section 101(c) of
Pub. L. 106-170, set out as an Effective Date note under section
1320b-19 of this title.
Amendment by section 112(b) of Pub. L. 106-170 effective on the
first day of the thirteenth month beginning after Dec. 17, 1999,
and no benefit to be payable under this subchapter on the basis of
a request for reinstatement filed under subsec. (p) of this section
before such date, see section 112(c) of Pub. L. 106-170, set out as
a note under section 423 of this title.
Amendment by section 201(b) of Pub. L. 106-169 applicable to
overpayments made 12 months or more after Dec. 14, 1999, see
section 201(c) of Pub. L. 106-169, set out as a note under section
404 of this title.
Pub. L. 106-169, title II, Sec. 202(b), Dec. 14, 1999, 113 Stat.
1832, provided that: "The amendments made by this section [amending
this section] shall take effect 12 months after the date of the
enactment of this Act [Dec. 14, 1999] and shall apply to amounts
incorrectly paid which remain outstanding on or after such date."
Amendment by section 203(a) of Pub. L. 106-169 applicable to debt
outstanding on or after Dec. 14, 1999, see section 203(d) of Pub.
L. 106-169, set out as a note under section 3701 of Title 31, Money
and Finance.
EFFECTIVE DATE OF 1998 AMENDMENT
Amendment by Pub. L. 105-306 effective Oct. 28, 1998, and
applicable to amounts incorrectly paid which remain outstanding on
or after such date, see section 8(c) of Pub. L. 105-306, set out as
a note under section 404 of this title.
EFFECTIVE DATE OF 1997 AMENDMENT
Amendment by section 5522(b) of Pub. L. 105-33 effective as if
included in the enactment of title II of the Personal
Responsibility and Work Opportunity Reconciliation Act of 1996,
Pub. L. 104-193, see section 5528(a) of Pub. L. 105-33, set out as
a note under section 903 of this title.
Amendment by section 5564 of Pub. L. 105-33 effective as if
included in the enactment of title IV of the Personal
Responsibility and Work Opportunity Reconciliation Act of 1996,
Pub. L. 104-193, see section 5582 of Pub. L. 105-33, set out as a
note under section 1367 of Title 8, Aliens and Nationality.
EFFECTIVE DATE OF 1996 AMENDMENTS
Amendment by section 204(b), (c)(2) of Pub. L. 104-193 applicable
to applications for benefits under this subchapter filed on or
after Aug. 22, 1996, without regard to whether regulations have
been issued to implement amendments by section 204 of Pub. L.
104-193, see section 204(d) of Pub. L. 104-193, set out as a note
under section 1382 of this title.
Amendment by section 213(a) of Pub. L. 104-193 applicable to
payments made after Aug. 22, 1996, see section 213(d) of Pub. L.
104-193, set out as a note under section 1382a of this title.
Section 221(c) of Pub. L. 104-193 provided that:
"(1) In general. - The amendments made by this section [amending
this section] are effective with respect to past-due benefits
payable under title XVI of the Social Security Act [this
subchapter] after the third month following the month in which this
Act is enacted [August 1996].
"(2) Benefits payable under title xvi. - For purposes of this
subsection, the term 'benefits payable under title XVI of the
Social Security Act' includes supplementary payments pursuant to an
agreement for Federal administration under section 1616(a) of the
Social Security Act [section 1382e(a) of this title], and payments
pursuant to an agreement entered into under section 212(b) of
Public Law 93-66 [set out as a note under section 1382 of this
title]."
Amendment by Pub. L. 104-121 effective July 1, 1996, with respect
to any individual whose claim for benefits is finally adjudicated
on or after Mar. 29, 1996, or whose eligibility for benefits is
based upon eligibility redetermination made pursuant to section
105(b)(5)(C) of Pub. L. 104-121, see section 105(b)(5) of Pub. L.
104-121, as amended, set out as a note under section 1382 of this
title.
EFFECTIVE DATE OF 1994 AMENDMENTS
Amendment by section 264(b) and (e)-(g) of Pub. L. 103-432
effective as if included in the provision of Pub. L. 101-508 to
which the amendment relates at the time such provision became law,
see section 264(h) of Pub. L. 103-432, set out as a note under
section 1320b-9 of this title.
Section 6(b) of Pub. L. 103-387 provided that: "The amendment
made by subsection (a) [amending this section] shall apply to
admissions occurring on or after October 1, 1995."
Amendment by section 107(a)(4) of Pub. L. 103-296 effective Mar.
31, 1995, see section 110(a) of Pub. L. 103-296, set out as a note
under section 401 of this title.
Section 201(b)(1)(C) of Pub. L. 103-296 provided that: "The
amendments made by this paragraph [amending this section] shall
apply with respect to months beginning after 180 days after the
date of the enactment of this Act [Aug. 15, 1994]."
Section 201(b)(2)(B)(iii)(I) of Pub. L. 103-296 provided that the
amendment made by that section is effective July 1, 1994.
Section 201(b)(2)(C) of Pub. L. 103-296 provided that: "Except as
provided in subparagraph (B)(iii)(I) [amending this section and
enacting provisions set out as a note above], the amendments made
by this paragraph [amending this section] shall apply with respect
to months beginning after 90 days after the date of the enactment
of this Act [Aug. 15, 1994]."
Amendment by section 206(a)(2) of Pub. L. 103-296 applicable to
translations made on or after Oct. 1, 1994, see section 206(a)(3)
of Pub. L. 103-296, set out as a note under section 405 of this
title.
Amendment by section 206(d)(2) of Pub. L. 103-296 effective Oct.
1, 1994, and applicable to determinations made before, on, or after
such date, see section 206(d)(3) of Pub. L. 103-296, set out as a
note under section 405 of this title.
Section 206(f)(2) of Pub. L. 103-296 provided that: "The
amendment made by paragraph (1) [amending this section] shall take
effect on October 1, 1994."
Amendment by section 321(f)(2)(B), (3)(A) of Pub. L. 103-296
effective as if included in the provisions of Pub. L. 101-508 to
which such amendment relates, see section 321(f)(5) of Pub. L.
103-296, set out as a note under section 405 of this title.
EFFECTIVE DATE OF 1990 AMENDMENT
Amendment by section 5031(c) of Pub. L. 101-508 applicable with
respect to benefits for months beginning on or after the first day
of the 6th calendar month following November 1990, see section
5031(d) of Pub. L. 101-508, set out as a note under section 1382a
of this title.
Section 5038(b) of Pub. L. 101-508 provided that: "The amendment
made by subsection (a) [amending this section] shall apply with
respect to benefits for months beginning on or after the first day
of the 6th calendar month following the month in which this Act is
enacted [November 1990]."
Amendment by section 5105(a)(1)(B), (2)(A)(ii) of Pub. L. 101-508
effective July 1, 1991, and applicable only with respect to (i)
certifications of payment of benefits under subchapter II of this
chapter to representative payees made on or after such date; and
(ii) provisions for payment of benefits under this subchapter to
representative payees made on or after such date, and amendment by
section 5105(a)(3)(A)(ii) of Pub. L. 101-508 effective July 1,
1991, see section 5105(a)(5) of Pub. L. 101-508 set out as a note
under section 405 of this title.
Amendment by section 5105(d)(1)(B) of Pub. L. 101-508 applicable
with respect to annual reports issued for years after 1991, see
section 5105(d)(2) of Pub. L. 101-508, set out as a note under
section 405 of this title.
Amendment by section 5106(a)(2), (c) of Pub. L. 101-508
applicable with respect to determinations made on or after July 1,
1991, and to reimbursement for travel expenses incurred on or after
Apr. 1, 1991, see section 5106(d) of Pub. L. 101-508, set out as a
note under section 401 of this title.
Amendment by section 5107(a)(2) of Pub. L. 101-508 applicable
with respect to adverse determinations made on or after July 1,
1991, see section 5107(b) of Pub. L. 101-508, set out as a note
under section 405 of this title.
Amendment by section 5109(a)(2) of Pub. L. 101-508 applicable
with respect to notices issued on or after July 1, 1991, see
section 5109(b) of Pub. L. 101-508, set out as a note under section
405 of this title.
Amendment by section 5113(b) of Pub. L. 101-508 effective with
respect to benefits payable for months after the eleventh month
following November 1990, and applicable only with respect to
individuals whose blindness or disability has or may have ceased
after such eleventh month, see section 5113(c) of Pub. L. 101-508,
set out as a note under section 425 of this title.
EFFECTIVE DATE OF 1989 AMENDMENT
Section 10302(b)(2) of Pub. L. 101-239 provided that: "The
amendment made by paragraph (1) [amending this section] shall apply
with respect to misinformation furnished on or after the date of
the enactment of this Act [Dec. 19, 1989] and to benefits for
months after the month in which this Act is enacted [December
1989]."
Amendment by section 10303(b) of Pub. L. 101-239 applicable to
visits to field offices of Social Security Administration on or
after Jan. 1, 1990, see section 10303(c) of Pub. L. 101-239, set
out as a note under section 405 of this title.
Amendment by section 10305(e) of Pub. L. 101-239 applicable with
respect to determinations made on or after July 1, 1990, see
section 10305(f) of Pub. L. 101-239, set out as a note under
section 403 of this title.
Amendment by section 10307(a)(2) of Pub. L. 101-239 effective
June 1, 1991, see section 10307(a)(3) of Pub. L. 101-239, set out
as a note under section 406 of this title.
Amendment by section 10307(b)(2) of Pub. L. 101-239 applicable
with respect to adverse determinations made on or after Jan. 1,
1991, see section 10307(b)(3) of Pub. L. 101-239, set out as a note
under section 406 of this title.
EFFECTIVE DATE OF 1988 AMENDMENT
Amendment by Pub. L. 100-647 applicable to determinations by
administrative law judges of entitlement to benefits made after 180
days after Nov. 10, 1988, see section 8001(c) of Pub. L. 100-647,
set out as a note under section 423 of this title.
EFFECTIVE DATE OF 1987 AMENDMENT
Section 9109(b) of Pub. L. 100-203 provided that: "The amendment
made by subsection (a) [amending this section] shall become
effective on the date of the enactment of this Act [Dec. 22,
1987]."
Section 9110(c) of Pub. L. 100-203 provided that: "The amendments
made by this section [amending this section] shall become effective
with the 13th month following the month in which this Act is
enacted [December 1987], or, if sooner, with the first month for
which the Secretary of Health and Human Services determines that it
is administratively feasible."
Section 9111(c) of Pub. L. 100-203 provided that: "The amendment
made by subsection (a) [amending this section] shall become
effective July 1, 1988."
Section 9112(b) of Pub. L. 100-203 provided that: "The amendments
made by subsection (a) [amending this section] shall become
effective April 1, 1988."
EFFECTIVE DATE OF 1986 AMENDMENTS
Amendment by sections 4(c)(1), (d)(3)(B) and 5 of Pub. L. 99-643
effective July 1, 1987, except as otherwise provided, see section
10(b) of Pub. L. 99-643, set out as a note under section 1396a of
this title.
Section 8(b) of Pub. L. 99-643 provided that: "The amendments
made by subsection (a) [amending this section] shall apply with
respect to benefits payable for months after May 1986."
Section 11005(c)(1) of Pub. L. 99-570 provided that: "The
amendment made by subsection (a) [amending this section] shall
become effective on the date of the enactment of this Act [Oct. 27,
1986]."
Amendment by Pub. L. 99-272 applicable only in the case of deaths
of which the Secretary is first notified on or after Apr. 7, 1986,
see section 12113(c) of Pub. L. 99-272, set out as a note under
section 404 of this title.
EFFECTIVE DATE OF 1984 AMENDMENTS
Amendment by section 16(b) of Pub. L. 98-460 effective Oct. 9,
1984, see section 16(d) of Pub. L. 98-460, set out as a note under
section 405 of this title.
Amendment by sections 2612(a) and 2613 of Pub. L. 98-369
effective Oct. 1, 1984, except as otherwise specifically provided,
see section 2646 of Pub. L. 98-369, set out as a note under section
657 of this title.
Amendment by section 2651(j) of Pub. L. 98-369 effective July 18,
1984, see section 2651(l)(1) of Pub. L. 98-369, set out as an
Effective Date note under section 1320b-7 of this title.
Amendment by section 2663(g)(11), (12) of Pub. L. 98-369
effective July 18, 1984, but not to be construed as changing or
affecting any right, liability, status, or interpretation which
existed (under the provisions of law involved) before that date,
see section 2664(b) of Pub. L. 98-369, set out as a note under
section 401 of this title.
EFFECTIVE DATE OF 1982 AMENDMENT
Section 187(b) of Pub. L. 97-248 provided that: "The amendment
made by subsection (a) [amending this section] shall become
effective October 1, 1982."
EFFECTIVE DATE OF 1981 AMENDMENT
Section 2343(b) of Pub. L. 97-35 provided that: "The amendment
made by subsection (a) [amending this section] shall become
effective October 1, 1982."
EFFECTIVE DATE OF 1980 AMENDMENT
Amendment by section 301(b) of Pub. L. 96-265 effective on first
day of sixth month which begins after June 9, 1980, and applicable
with respect to individuals whose disability has not been
determined to have ceased prior to such first day, see section
301(c) of Pub. L. 96-265, set out as a note under section 425 of
this title.
Amendment by section 305(b) of Pub. L. 96-265 applicable with
respect to decisions made on or after the first day of the 13th
month following June, 1980, see section 305(c) of Pub. L. 96-265,
set out as a note under section 405 of this title.
Amendment by section 501(c) of Pub. L. 96-265 applicable in the
case of payments of monthly insurance benefits under subchapter II
of this chapter, entitlement for which is determined on or after
July 1, 1981, see section 501(d) of Pub. L. 96-265, set out as an
Effective Date note under section 1320a-6 of this title.
EFFECTIVE DATE OF 1976 AMENDMENTS
Section 4(b) of Pub. L. 94-569 provided that: "The amendments
made by this section [amending this section] shall apply with
respect to months after the month following the month in which this
Act is enacted [October 1976]."
Amendment by sections 1 and 2 of Pub. L. 94-202 effective Jan. 2,
1976, with the amendment by section 2 of Pub. L. 94-202, to the
extent that it changes the period within which a hearing must be
requested, applicable to any decision or determination which is
received on or after Jan. 2, 1976, see section 5 of Pub. L. 94-202,
set out as a note under section 405 of this title.
EFFECTIVE DATE OF 1973 AMENDMENT
Amendment by Pub. L. 93-233 effective Jan. 1, 1974, see section
18(z-3)(1) of Pub. L. 93-233.
EFFECTIVE DATE
Section 301 of Pub. L. 92-603 provided that this section is
effective Jan. 1, 1974.
REGULATIONS
Section 222 of title II of Pub. L. 104-193 provided that: "Within
3 months after the date of the enactment of this Act [Aug. 22,
1996], the Commissioner of Social Security shall prescribe such
regulations as may be necessary to implement the amendments made by
this subtitle [subtitle C (Secs. 221, 222) of title II of Pub. L.
104-193, amending this section]."
-TRANS-
ABOLITION OF IMMIGRATION AND NATURALIZATION SERVICE AND TRANSFER OF
FUNCTIONS
For abolition of Immigration and Naturalization Service, transfer
of functions, and treatment of related references, see note set out
under section 1551 of Title 8, Aliens and Nationality.
-MISC2-
PAYMENT OF TRAVEL EXPENSES
Pub. L. 102-394, title II, Oct. 6, 1992, 106 Stat. 1807, provided
in part: "That for fiscal year 1993 and thereafter, travel expense
payments under section 1631(h) of such Act [subsec. (h) of this
section] for travel to hearings may be made only when travel of
more than seventy-five miles is required".
Similar provisions were contained in the following prior
appropriation acts:
Pub. L. 102-170, title II, Nov. 26, 1991, 105 Stat. 1122.
Pub. L. 101-517, title II, Nov. 5, 1990, 104 Stat. 2204.
Pub. L. 101-166, title II, Nov. 21, 1989, 103 Stat. 1173.
Pub. L. 100-436, title II, Sept. 20, 1988, 102 Stat. 1695.
Pub. L. 100-202, Sec. 101(h) [title II], Dec. 22, 1987, 101 Stat.
1329-256, 1329-270.
Pub. L. 99-500, Sec. 101(i) [H.R. 5233, title II], Oct. 18, 1986,
100 Stat. 1783-287, and Pub. L. 99-591, Sec. 101(i) [H.R. 5233,
title II], Oct. 30, 1986, 100 Stat. 3341-287.
Pub. L. 99-178, title II, Dec. 12, 1985, 99 Stat. 1116.
Pub. L. 98-619, title II, Nov. 8, 1984, 98 Stat. 3318.
Pub. L. 98-139, title II, Oct. 31, 1983, 97 Stat. 884.
Pub. L. 97-377, title I, Sec. 101(e)(1), Dec. 21, 1982, 96 Stat.
1891.
Pub. L. 97-92, Sec. 101(a) [H.R. 4560, title II], Dec. 15, 1981,
95 Stat. 1183.
DEPOSIT OF OVERPAYMENTS IN GENERAL FUND OF TREASURY
Pub. L. 102-170, title II, Nov. 26, 1991, 105 Stat. 1122,
provided: "That for fiscal year 1992 and thereafter, all
collections from repayments of overpayments shall be deposited in
the general fund of the Treasury."
OPPORTUNITY FOR INDIVIDUALS RECEIVING BENEFITS TO MAKE ELECTION FOR
TYPE OF NOTICE OF HEARING OR OTHER OFFICIAL ACTION
Section 9111(a)(2) of Pub. L. 100-203 directed Secretary of
Health and Human Services, not later than one year after July 1,
1988, to provide every individual receiving benefits under this
subchapter on the basis of blindness an opportunity to make an
election under subsec. (l)(1) of this section.
STUDY OF DESIRABILITY AND FEASIBILITY OF SPECIAL NOTICES OF
HEARINGS AND OTHER ACTIONS TO OTHER INDIVIDUALS UNABLE TO READ
Section 9111(b) of Pub. L. 100-203 directed Secretary of Health
and Human Services to study desirability and feasibility of
extending special or supplementary notices of the type provided to
blind individuals by subsec. (l) of this section to other
individuals who may lack the ability to read and comprehend regular
written notices, and report the results of such study to Congress,
along with recommendations, within 12 months after Dec. 22, 1987.
DEMONSTRATION PROGRAM TO ASSIST HOMELESS INDIVIDUALS
Section 9117 of Pub. L. 100-203, as amended by Pub. L. 104-66,
title I, Sec. 1061(e), Dec. 21, 1995, 109 Stat. 720, provided that:
"(a) In General. - The Secretary of Health and Human Services (in
this section referred to as the 'Secretary') is authorized to make
grants to States for projects designed to demonstrate and test the
feasibility of special procedures and services to ensure that
homeless individuals are provided SSI and other benefits under the
Social Security Act [this chapter] to which they are entitled and
receive assistance in using such benefits to obtain permanent
housing, food, and health care. Each project approved under this
section shall meet such conditions and requirements, consistent
with this section, as the Secretary shall prescribe.
"(b) Scope of Projects. - Projects for which grants are made
under this section shall include, more specifically, procedures and
services to overcome barriers which prevent homeless individuals
(particularly the chronically mentally ill) from receiving and
appropriately using benefits, including -
"(1) the creation of cooperative approaches between the Social
Security Administration, State and local governments, shelters
for the homeless, and other providers of services to the
homeless;
"(2) the establishment, where appropriate, of multi-agency SSI
Outreach Teams (as described in subsection (c)), to facilitate
communication between the agencies and staff involved in taking
and processing claims for SSI and other benefits by the homeless
who use shelters;
"(3) special efforts to identify homeless individuals who are
potentially eligible for SSI or other benefits under the Social
Security Act [this chapter];
"(4) the provision of special assistance to the homeless in
applying for benefits, including assistance in obtaining and
developing evidence of disability and supporting documentation
for nondisability-related eligibility requirements;
"(5) the provision of special training and assistance to public
and private agency staff, including shelter employees, on
disability eligibility procedures and evidentiary requirements;
"(6) the provision of ongoing assistance to formerly homeless
individuals to ensure their responding to information requests
related to periodic redeterminations of eligibility for SSI and
other benefits;
"(7) the provision of assistance in ensuring appropriate use of
benefit funds for the purpose of enabling homeless individuals to
obtain permanent housing, nutrition, and physical and mental
health care, including the use, where appropriate, of the
disabled individual's representative payee for case management
services; and
"(8) such other procedures and services as the Secretary may
approve.
"(c) SSI Outreach Team Projects. - (1) If a State applies for
funds under this section for the purpose of establishing a
multi-agency SSI Outreach Team, the membership and functions of
such Team shall be as follows (except as provided in paragraph
(2)):
"(A) The membership of the Team shall include a social services
case worker (or case workers, if necessary); a consultative
medical examiner who is qualified to provide consultative
examinations for the Disability Determination Service of the
State; a disability examiner, from the State Disability
Determination Service; and a claims representative from an office
of the Social Security Administration.
"(B) The Team shall have designated members responsible for -
"(i) identification of homeless individuals who are
potentially eligible for SSI or other benefits under the Social
Security Act [this chapter];
"(ii) ensuring that such individuals understand their rights
under the programs;
"(iii) assisting such individuals in applying for benefits,
including assistance in obtaining and developing evidence and
supporting documentation relating to disability- and
nondisability-related eligibility requirements;
"(iv) arranging transportation and accompanying applicants to
necessary examinations, if needed; and
"(v) providing for the tracking and monitoring of all claims
for benefits by individuals under the project.
"(2) If the Secretary determines that an application by a State
for an SSI Outreach Team Project under this section which
proposes a membership and functions for such Team different from
those prescribed in paragraph (1) but which is expected to be as
effective, the Secretary may waive the requirements of such
paragraph.
[(d) Repealed. Pub. L. 104-66, title I, Sec. 1061(e), Dec. 21,
1995, 109 Stat. 720.]
"(e) Authorization of Appropriations. - To carry out this
section, there are authorized to be appropriated to the Secretary -
"(A) the sum of $1,250,000 for the fiscal year 1988;
"(B) the sum of $2,500,000 for the fiscal year 1989; and
"(C) such sums as may be necessary for each fiscal year
thereafter."
NOTIFICATION OF ADJUSTMENT OF BENEFITS BY SECRETARY
Section 2612(b) of Pub. L. 98-369 provided that: "If an
adjustment referred to in section 1631(b)(1) of the Social Security
Act [subsec. (b)(1) of this section] is in effect with respect to
an individual or eligible spouse on the effective date of this
subsection [Oct. 1, 1984], and the amount of such adjustment for a
month is greater than the amount described in section
1631(b)(1)(B)(ii) of such Act [subsec. (b)(1)(B)(ii) of this
section], as added by subsection (a), the Secretary shall notify
the individual whose benefits are being adjusted, in writing, of
his or her right to have the adjustment reduced to the amount
described in such section 1631(b)(1)(B)(ii)."
PAYMENT OF COSTS OF REHABILITATION SERVICES
Amendment to sections 422 and 1382d of this title by section
11(a), (b) of Pub. L. 98-460 applicable with respect to individuals
who receive benefits as a result of section 425(b) or section
1383(a)(6) of this title, or who refuse to continue to accept
rehabilitation services or fail to cooperate in an approved
vocational rehabilitation program, in or after the first month
following October 1984, see section 11(c) of Pub. L. 98-460, set
out as an Effective Date of 1984 Amendment note under section 422
of this title.
HEARING EXAMINERS APPOINTED PRIOR TO JANUARY 2, 1976
Pub. L. 95-216, title III, Sec. 371, Dec. 20, 1977, 91 Stat.
1559, provided that: "The persons who were appointed to serve as
hearing examiners under section 1631(d)(2) of the Social Security
Act [subsec. (d)(2) of this section] (as in effect prior to January
2, 1976), and who by section 3 of Public Law 94-202 [set out as a
note under this section] were deemed to be appointed under section
3105 of title 5, United States Code (with such appointments
terminating no later than at the close of the period ending
December 31, 1978), shall be deemed appointed to career-absolute
positions as hearing examiners under and in accordance with section
3105 of title 5, United States Code, with the same authority and
tenure (without regard to the expiration of such period) as hearing
examiners appointed directly under such section 3105, and shall
receive compensation at the same rate as hearing examiners
appointed by the Secretary of Health, Education, and Welfare [now
Health and Human Services] directly under such section 3105. All of
the provisions of title 5, United States Code and the regulations
promulgated pursuant thereto, which are applicable to hearing
examiners appointed under such section 3105, shall apply to the
persons described in the preceding sentence."
Section 3 of Pub. L. 94-202 provided that: "The persons appointed
under section 1631(d)(2) of the Social Security Act [subsec. (d)(2)
of this section] (as in effect prior to the enactment of this Act)
to serve as hearing examiners in hearings under section 1631(c) of
such Act [subsec. (c) of this section] may conduct hearings under
titles II, XVI, and XVIII of the Social Security Act [subchapters
II, XVI, and XVIII of this chapter] if the Secretary of Health,
Education, and Welfare [now Health and Human Services] finds it
will promote the achievement of the objectives of such titles
[subchapters], notwithstanding the fact that their appointments
were made without meeting the requirements for hearing examiners
appointed under section 3105 of title 5, United States Code but
their appointments shall terminate not later than at the close of
the period ending December 31, 1978, and during that period they
shall be deemed to be hearing examiners appointed under such
section 3105 and subject as such to subchapter II of chapter 5 of
title 5, United States Code, to the second sentence of such section
3105, and to all of the other provisions of such title 5 which
apply to hearing examiners appointed under such section 3105."
PRESUMPTIVE DISABILITY BENEFITS; TIME EXTENSION
Pub. L. 93-256, Sec. 1, Mar. 28, 1974, 88 Stat. 52, provided:
"That any individual who would be considered disabled under section
1614(a)(3)(E) of the Social Security Act [section 1382c(a)(3)(E) of
this title] except that he did not receive aid under the
appropriate State plan for at least one month prior to July 1973
may be considered to be presumptively disabled under section
1631(a)(4)(B) of that Act [subsec. (a)(4)(B) of this section] and
may be paid supplemental security income benefits under title XVI
of that Act [this subchapter] on the basis of such presumptive
disability, and State supplementary payments under section 212 of
Public Law 93-66 [set out as a note under section 1382 of this
title] as though he had been determined to be disabled within the
meaning of section 1614(a)(3) of the Social Security Act [section
1382c(a)(3) of this title], for any month in calendar year 1974 for
which it has been determined that he is otherwise eligible for such
benefits, without regard to the three-month limitation in section
1631(a)(4)(B) of that Act [subsec. (a)(4)(B) of this section] on
the period for which benefits may be paid to presumptively disabled
individuals, except that no such benefits may be paid on the basis
of such presumptive disability for any month after the month in
which the Secretary of Health, Education, and Welfare [now Health
and Human Services] has made a determination as to whether such
individual is disabled, as defined in section 1614(a)(3)(A) of that
Act [section 1382c(a)(3)(A) of this title]."
APPLICATION TO NORTHERN MARIANA ISLANDS
For applicability of this section to the Northern Mariana
Islands, see section 502(a)(1) of the Covenant to Establish a
Commonwealth of the Northern Mariana Islands in Political Union
with the United States of America and Proc. No. 4534, Oct. 24,
1977, 42 F.R. 6593, set out as notes under section 1801 of Title
48, Territories and Insular Possessions.
PUERTO RICO, GUAM, AND VIRGIN ISLANDS
Enactment of section 1603 of the Social Security Act [this
section] by Pub. L. 92-603, eff. Jan. 1, 1974, was not applicable
to Puerto Rico, Guam, and the Virgin Islands. See section 303(b) of
Pub. L. 92-603, set out as a note under section 301 of this title.
Therefore, as to Puerto Rico, Guam, and the Virgin Islands, section
1603 of the Social Security Act [this section] as it existed prior
to reenactment by Pub. L. 92-603, and as amended, continues to
apply and reads as follows:
Sec. 1383. Payments to States; quarterly expenditures to exceed
average of total expenditures for each quarter of fiscal year
ending June 30, 1965
(a) From the sums appropriated therefor, the Commissioner of
Social Security shall pay to each State which has a plan approved
under this subchapter, for each quarter, beginning with the quarter
commencing October 1, 1962 -
(1) Repealed. Pub. L. 97-35, title XXI, Sec. 2184(d)(5)(A),
Aug. 13, 1981, 95 Stat. 818.
(2) in the case of Puerto Rico, the Virgin Islands, and Guam,
an amount equal to -
(A) one-half of the total of the sums expended during such
quarter as aid to the aged, blind, or disabled under the State
plan, not counting so much of any expenditure with respect to
any month as exceeds $37.50 multiplied by the total number of
recipients of aid to the aged, blind, or disabled for such
month; plus
(B) one-half of the amount by which such expenditures exceed
the maximum which may be counted under clause (A), not counting
so much of any expenditure with respect to any month as exceeds
the product of $45 multiplied by the total number of such
recipients of aid to the aged, blind, or disabled for such
month; and
(3) Repealed. Pub. L. 97-35, title XXI, Sec. 2184(d)(5)(A),
Aug. 13, 1981, 95 Stat. 818.
(4) in the case of any State, an amount equal to 50 percent of
the total amounts expended during such quarter as found necessary
by the Commissioner of Social Security for the proper and
efficient administration of the State plan.
(b)(1) Prior to the beginning of each quarter, the Commissioner
of Social Security shall estimate the amount to which a State will
be entitled under subsection (a) of this section for such quarter,
such estimates to be based on (A) a report filed by the State
containing its estimate of the total sum to be expended in such
quarter in accordance with the provisions of such subsection, and
stating the amount appropriated or made available by the State and
its political subdivisions for such expenditures in such quarter,
and if such amount is less than the State's proportionate share of
the total sum of such estimated expenditures, the source or sources
from which the difference is expected to be derived, and (B) such
other investigation as the Commissioner of Social Security may find
necessary.
(2) The Commissioner of Social Security shall then pay, in such
installments as the Commissioner may determine, to the State the
amount so estimated, reduced or increased to the extent of any
overpayment or underpayment which the Commissioner of Social
Security determines was made under this section to such State for
any prior quarter and with respect to which adjustment has not
already been made under this subsection.
(3) The pro rata share to which the United States is equitably
entitled, as determined by the Commissioner of Social Security, of
the net amount recovered during any quarter by the State or any
political subdivision thereof with respect to aid or assistance
furnished under the State plan, but excluding any amount of such
aid or assistance recovered from the estate of a deceased recipient
which is not in excess of the amount expended by the State or any
political subdivision thereof for the funeral expenses of the
deceased, shall be considered an overpayment to be adjusted under
this subsection.
(4) Upon the making of any estimate by the Commissioner of Social
Security under this subsection, any appropriations available for
payments under this section shall be deemed obligated.
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1603, as added Pub. L.
87-543, title I, Sec. 141(a), July 25, 1962, 76 Stat. 200; amended
Pub. L. 89-97, title I, Sec. 122, title II, Sec. 221(d)(4), title
IV, Sec. 401(b), July 30, 1965, 79 Stat. 353, 359, 414; Pub. L.
90-248, title II, Sec. 212(d), Jan. 2, 1968, 81 Stat. 898; Pub. L.
92-512, title III, Sec. 301(b), (d), Oct. 20, 1972, 86 Stat. 946,
947; Pub. L. 93-647, Secs. 3(e)(2), 5(e), Jan. 4, 1975, 88 Stat.
2349, 2350; Pub. L. 97-35, title XXI, Sec. 2184(d)(5), title XXIII,
Sec. 2353(m)(2), (3), Aug. 13, 1981, 95 Stat. 818, 873; Pub. L.
99-603, title I, Sec. 121(b)(4), Nov. 6, 1986, 100 Stat. 3391; Pub.
L. 103-66, title XIII, Sec. 13741(b), Aug. 10, 1993, 107 Stat. 663;
Pub. L. 103-296, title I, Sec. 107(a)(4), Aug. 15, 1994, 108 Stat.
1478.)
[Amendment by section 107(a)(4) of Pub. L. 103-296 effective Mar.
31, 1995, see section 110(a) of Pub. L. 103-296, set out as an
Effective Date of 1994 Amendment note under section 401 of this
title.]
[Amendment by Pub. L. 103-66 effective with respect to calendar
quarters beginning on or after Apr. 1, 1994, with special rule for
States whose legislature meets biennially, and does not have
regular session scheduled in calendar year 1994, see section
13741(c) of Pub. L. 103-66, set out as an Effective Date of 1993
Amendment note under section 303 of this title.]
[Amendment by Pub. L. 99-603 effective Oct. 1, 1987, see section
121(c)(2) of Pub. L. 99-603, set out as an Effective Date of 1986
Amendment note under section 502 of this title.]
REIMBURSEMENT FOR ERRONEOUS STATE SUPPLEMENTARY PAYMENTS;
AUTHORIZATION OF APPROPRIATIONS
Pub. L. 95-216, title IV, Sec. 405, Dec. 20, 1977, 91 Stat. 1564,
provided that:
"(a) Notwithstanding any other provision of law, the Secretary of
Health, Education, and Welfare [now Health and Human Services] is
authorized and directed to pay to each State an amount equal to the
amount expended by such State for erroneous supplementary payments
to aged, blind, or disabled individuals whenever, and to the extent
to which, the Secretary through an audit by the Department of
Health, Education, and Welfare [now Health and Human Services]
which has been reviewed and concurred in by the Inspector General
of such department determines that -
"(1) such amount was paid by such State as a supplementary
payment during the calendar year 1974 pursuant to an agreement
between the State and the Secretary required by section 212 of
the Act entitled 'An Act to extend the Renegotiation Act of 1951
for one year, and for other purposes', approved July 9, 1973,
[set out as a note under section 1382 of this title], or such
amount was paid by such State as an optional State
supplementation, as defined in section 1616 of the Social
Security Act [section 1382 of this title], during the calendar
year 1974,
"(2) the erroneous payments were the result of good faith
reliance by such State upon erroneous or incomplete information
supplied by the Department of Health, Education, and Welfare [now
Health and Human Services], through the State data exchange, or
good faith reliance upon incorrect supplemental security income
benefit payments made by such department, and
"(3) recovery of the erroneous payments by such State would be
impossible or unreasonable.
"(b) There are authorized to be appropriated such sums as are
necessary to carry out the provisions of this section."
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 290cc-22, 405, 909, 1007,
1306a, 1318, 1319, 1320a-8, 1382, 1382a, 1382b, 1382c, 1382d,
1382h, 1382j, 1383a, 1383e, 1396a of this title; title 31 sections
3701, 3716.
-FOOTNOTE-
(!1) See References in Text note below.
-End-
-CITE-
42 USC Sec. 1383a 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part B - Procedural and General Provisions
-HEAD-
Sec. 1383a. Fraudulent acts; penalties; restitution
-STATUTE-
(a) Whoever -
(1) knowingly and willfully makes or causes to be made any
false statement or representation of a material fact in any
application for any benefit under this subchapter,
(2) at any time knowingly and willfully makes or causes to be
made any false statement or representation of a material fact for
use in determining rights to any such benefit,
(3) having knowledge of the occurrence of any event affecting
(A) his initial or continued right to any such benefit, or (B)
the initial or continued right to any such benefit of any other
individual in whose behalf he has applied for or is receiving
such benefit, conceals or fails to disclose such event with an
intent fraudulently to secure such benefit either in a greater
amount or quantity than is due or when no such benefit is
authorized, or
(4) having made application to receive any such benefit for the
use and benefit of another and having received it, knowingly and
willfully converts such benefit or any part thereof to a use
other than for the use and benefit of such other person,
shall be fined under title 18, imprisoned not more than 5 years, or
both.
(b)(1) If a person or entity violates subsection (a) of this
section in the person's or entity's role as, or in applying to
become, a representative payee under section 1383(a)(2) of this
title on behalf of another individual (other than the person's
eligible spouse), and the violation includes a willful misuse of
funds by the person or entity, the court may also require that full
or partial restitution of funds be made to such other individual.
(2) Any person or entity convicted of a violation of subsection
(a) of this section or of section 408 of this title may not be
certified as a representative payee under section 1383(a)(2) of
this title.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1632, as added Pub. L.
92-603, title III, Sec. 301, Oct. 30, 1972, 86 Stat. 1478; amended
Pub. L. 98-460, Sec. 16(c)(1), Oct. 9, 1984, 98 Stat. 1810; Pub. L.
103-296, title II, Sec. 206(c)(1), (2), Aug. 15, 1994, 108 Stat.
1513.)
-MISC1-
AMENDMENTS
1994 - Subsec. (a). Pub. L. 103-296, Sec. 206(c)(1), inserted
closing provisions and struck out former closing provisions which
read as follows: "shall be guilty of a misdemeanor and upon
conviction thereof shall be fined not more than $1,000 or
imprisoned for not more than one year, or both."
Subsec. (b). Pub. L. 103-296, Sec. 206(c)(2), amended subsec. (b)
generally. Prior to amendment, subsec. (b) read as follows:
"(b)(1) Any person or other entity who is convicted of a
violation of any of the provisions of paragraphs (1) through (4) of
subsection (a) of this section, if such violation is committed by
such person or entity in his role as, or in applying to become, a
payee under section 1383(a)(2) of this title on behalf of another
individual (other than such person's eligible spouse), in lieu of
the penalty set forth in subsection (a) of this section -
"(A) upon his first such conviction, shall be guilty of a
misdemeanor and shall be fined not more than $5,000 or imprisoned
for not more than one year, or both; and
"(B) upon his second or any subsequent such conviction, shall
be guilty of a felony and shall be fined not more than $25,000 or
imprisoned for not more than five years, or both.
"(2) In any case in which the court determines that a violation
described in paragraph (1) includes a willful misuse of funds by
such person or entity, the court may also require that full or
partial restitution of such funds be made to the individual for
whom such person or entity was the certified payee.
"(3) Any person or entity convicted of a felony under this
section or under section 408 of this title may not be certified as
a payee under section 1383(a)(2) of this title."
1984 - Pub. L. 98-460 designated existing provisions as subsec.
(a) and added subsec. (b).
EFFECTIVE DATE OF 1994 AMENDMENT
Section 206(c)(3) of Pub. L. 103-296 provided that: "The
amendments made by this subsection [amending this section] shall
apply to conduct occurring on or after October 1, 1994."
EFFECTIVE DATE OF 1984 AMENDMENT
Amendment by Pub. L. 98-460 effective Oct. 9, 1984, and
applicable with respect to violations occurring on or after such
date, see section 16(d) of Pub. L. 98-460, set out as a note under
section 405 of this title.
EFFECTIVE DATE
Section 301 of Pub. L. 92-603 provided that this section is
effective Jan. 1, 1974.
APPLICATION TO NORTHERN MARIANA ISLANDS
For applicability of this section to the Northern Mariana
Islands, see section 502(a)(1) of the Covenant to Establish a
Commonwealth of the Northern Mariana Islands in Political Union
with the United States of America and Proc. No. 4534, Oct. 24,
1977, 42 F.R. 6593, set out as notes under section 1801 of Title
48, Territories and Insular Possessions.
PUERTO RICO, GUAM, AND VIRGIN ISLANDS
Enactment of provisions of Pub. L. 92-603, eff. Jan. 1, 1974, not
applicable to Puerto Rico, Guam, and the Virgin Islands, see
section 303(b) of Pub. L. 92-603, set out as a note under section
301 of this title.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 405, 408, 1007, 1320b-6,
1383 of this title.
-End-
-CITE-
42 USC Sec. 1383b 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part B - Procedural and General Provisions
-HEAD-
Sec. 1383b. Administration
-STATUTE-
(a) Authority of Commissioner
Subject to subsection (b) of this section, the Commissioner of
Social Security may make such administrative and other arrangements
(including arrangements for the determination of blindness and
disability under section 1382c(a)(2) and (3) of this title in the
same manner and subject to the same conditions as provided with
respect to disability determinations under section 421 of this
title) as may be necessary or appropriate to carry out the
Commissioner's functions under this subchapter.
(b) Examination to determine blindness
In determining, for purposes of this subchapter, whether an
individual is blind, there shall be an examination of such
individual by a physician skilled in the diseases of the eye or by
an optometrist, whichever the individual may select.
(c) Notification of review
(1) In any case in which the Commissioner of Social Security
initiates a review under this subchapter, similar to the continuing
disability reviews authorized for purposes of subchapter II of this
chapter under section 421(i) of this title, the Commissioner of
Social Security shall notify the individual whose case is to be
reviewed in the same manner as required under section 421(i)(4) of
this title.
(2) For suspension of continuing disability reviews and other
reviews under this subchapter similar to reviews under section 421
of this title in the case of an individual using a ticket to work
and self-sufficiency, see section 1320b-19(i) of this title.
(d) Regulations regarding completion of plans for achieving
self-support
The Commissioner of Social Security shall establish by regulation
criteria for time limits and other criteria related to individuals'
plans for achieving self-support, that take into account -
(1) the length of time that the individual will need to achieve
the individual's employment goal (within such reasonable period
as the Commissioner of Social Security may establish); and
(2) other factors determined by the Commissioner of Social
Security to be appropriate.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1633, as added Pub. L.
92-603, title III, Sec. 301, Oct. 30, 1972, 86 Stat. 1478; amended
Pub. L. 93-66, title II, Sec. 214, July 9, 1973, 87 Stat. 158; Pub.
L. 98-460, Sec. 6(b), Oct. 9, 1984, 98 Stat. 1802; Pub. L. 103-296,
title I, Sec. 107(a)(4), title II, Sec. 203(a), Aug. 15, 1994, 108
Stat. 1478, 1508; Pub. L. 106-170, title I, Sec. 101(b)(2)(D), Dec.
17, 1999, 113 Stat. 1874.)
-MISC1-
AMENDMENTS
1999 - Subsec. (c). Pub. L. 106-170 designated existing
provisions as par. (1) and added par. (2).
1994 - Subsec. (a). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" and "the
Commissioner's" for "his".
Subsec. (c). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" in two places.
Subsec. (d). Pub. L. 103-296, Sec. 203(a), added subsec. (d).
Pub. L. 103-296, Sec. 107(a)(4), in subsec. (d) as added by Pub.
L. 103-296, Sec. 203(a), substituted "Commissioner of Social
Security" for "Secretary" wherever appearing.
1984 - Subsec. (c). Pub. L. 98-460 added subsec. (c).
1973 - Subsec. (a). Pub. L. 93-66, Sec. 214(1), (2), designated
existing provisions as subsec. (a) and made the authority of the
Secretary subject to subsec. (b) of this section.
Subsec. (b). Pub. L. 93-66, Sec. 214(3), added subsec. (b).
EFFECTIVE DATE OF 1999 AMENDMENT
Amendment by Pub. L. 106-170 effective with the first month
following one year after Dec. 17, 1999, subject to section 101(d)
of Pub. L. 106-170, see section 101(c) of Pub. L. 106-170, set out
as an Effective Date note under section 1320b-19 of this title.
EFFECTIVE DATE OF 1994 AMENDMENT
Amendment by section 107(a)(4) of Pub. L. 103-296 effective Mar.
31, 1995, see section 110(a) of Pub. L. 103-296, set out as a note
under section 401 of this title.
Section 203(b) of Pub. L. 103-296 provided that: "The amendment
made by subsection (a) [amending this section] shall take effect on
January 1, 1995."
EFFECTIVE DATE
Section 301 of Pub. L. 92-603 provided that this section is
effective Jan. 1, 1974.
INSTITUTION OF NOTIFICATION SYSTEM
For provisions requiring the Secretary to institute the system of
notification required by subsec. (c) of this section as soon as
practicable after Oct. 9, 1984, see section 6(c) of Pub. L. 98-460,
set out as a note under section 421 of this title.
FEDERAL PROGRAM OF SUPPLEMENTAL SECURITY INCOME; PREFERENCE FOR
PRESENT STATE AND LOCAL EMPLOYEES
Section 213 of Pub. L. 93-66 provided that: "The Secretary of
Health, Education, and Welfare [now Health and Human Services] in
the recruitment and selection for employment of personnel whose
services will be utilized in the administration of the Federal
program of supplemental security income for the aged, blind, and
disabled (established by title XVI of the Social Security Act [this
subchapter]), shall give a preference, as among applicants whose
qualifications are reasonably equal (subject to any preferences
conferred by law or regulation on individuals who have been Federal
employees and have been displaced from such employment), to
applicants for employment who are or were employed in the
administration of any State program approved under title I, X, XIV,
or XVI of such Act [subchapter I, X, XIV, or XVI of this chapter]
and are or were involuntarily displaced from their employment as a
result of the displacement of such State program by such Federal
program."
APPLICATION TO NORTHERN MARIANA ISLANDS
For applicability of this section to the Northern Mariana
Islands, see section 502(a)(1) of the Covenant to Establish a
Commonwealth of the Northern Mariana Islands in Political Union
with the United States of America and Proc. No. 4534, Oct. 24,
1977, 42 F.R. 6593, set out as notes under section 1801 of Title
48, Territories and Insular Possessions.
PUERTO RICO, GUAM, AND VIRGIN ISLANDS
Enactment of provisions of Pub. L. 92-603, eff. Jan. 1, 1974, not
applicable to Puerto Rico, Guam, and the Virgin Islands, see
section 303(b) of Pub. L. 92-603, set out as a note under section
301 of this title.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in section 1320b-6 of this title.
-End-
-CITE-
42 USC Sec. 1383c 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part B - Procedural and General Provisions
-HEAD-
Sec. 1383c. Eligibility for medical assistance of aged, blind, or
disabled individuals under State's medical assistance plan
-STATUTE-
(a) Determination by Commissioner pursuant to agreement between
Commissioner and State; costs
The Commissioner of Social Security may enter into an agreement
with any State which wishes to do so under which the Commissioner
will determine eligibility for medical assistance in the case of
aged, blind, or disabled individuals under such State's plan
approved under subchapter XIX of this chapter. Any such agreement
shall provide for payments by the State, for use by the
Commissioner of Social Security in carrying out the agreement, of
an amount equal to one-half of the cost of carrying out the
agreement, but in computing such cost with respect to individuals
eligible for benefits under this subchapter, the Commissioner of
Social Security shall include only those costs which are additional
to the costs incurred in carrying out this subchapter.
(b) Preservation of benefit status for certain disabled widows and
widowers
(1) An eligible disabled widow or widower (described in paragraph
(2)) who is entitled to a widow's or widower's insurance benefit
based on a disability for any month under section 402(e) or (f) of
this title but is not eligible for benefits under this subchapter
in that month, and who applies for the protection of this
subsection under paragraph (3), shall be deemed for purposes of
subchapter XIX of this chapter to be an individual with respect to
whom benefits under this subchapter are paid in that month if he or
she -
(A) has been continuously entitled to such widow's or widower's
insurance benefits from the first month for which the increase
described in paragraph (2)(C) was reflected in such benefits
through the month involved, and
(B) would be eligible for benefits under this subchapter in the
month involved if the amount of the increase described in
paragraph (2)(C) in his or her widow's or widower's insurance
benefits, and any subsequent cost-of-living adjustments in such
benefits under section 415(i) of this title, were disregarded.
(2) For purposes of paragraph (1), the term "eligible disabled
widow or widower" means an individual who -
(A) was entitled to a monthly insurance benefit under
subchapter II of this chapter for December 1983,
(B) was entitled to a widow's or widower's insurance benefit
based on a disability under section 402(e) or (f) of this title
for January 1984 and with respect to whom a benefit under this
subchapter was paid in that month, and
(C) because of the increase in the amount of his or her widow's
or widower's insurance benefits which resulted from the
amendments made by section 134 of the Social Security Amendments
of 1983 (Public Law 98-21) (eliminating the additional reduction
factor for disabled widows and widowers under age 60), was
ineligible for benefits under this subchapter in the first month
in which such increase was paid to him or her (and in which a
retroactive payment of such increase for prior months was not
made).
(3) This subsection shall only apply to an individual who files a
written application for protection under this subsection, in such
manner and form as the Commissioner of Social Security may
prescribe, no later than July 1, 1988.
(4) For purposes of this subsection, the term "benefits under
this subchapter" includes payments of the type described in section
1382e(a) of this title or of the type described in section 212(a)
of Public Law 93-66.
(c) Loss of benefits upon entitlement to child's insurance benefits
based on disability
If any individual who has attained the age of 18 and is receiving
benefits under this subchapter on the basis of blindness or a
disability which began before he or she attained the age of 22 -
(1) becomes entitled, on or after the effective date of this
subsection, to child's insurance benefits which are payable under
section 402(d) of this title on the basis of such disability or
to an increase in the amount of the child's insurance benefits
which are so payable, and
(2) ceases to be eligible for benefits under this subchapter
because of such child's insurance benefits or because of the
increase in such child's insurance benefits,
such individual shall be treated for purposes of subchapter XIX of
this chapter as receiving benefits under this subchapter so long as
he or she would be eligible for benefits under this subchapter in
the absence of such child's insurance benefits or such increase.
(d) Retention of medicaid when SSI benefits are lost upon
entitlement to early widow's or widower's insurance benefits
(1) This subsection applies with respect to any person who -
(A) applies for and obtains benefits under subsection (e) or
(f) of section 402 of this title (or under any other subsection
of section 402 of this title if such person is also eligible for
benefits under such subsection (e) or (f) of this section) being
then not entitled to hospital insurance benefits under part A of
subchapter XVIII of this chapter, and
(B) is determined to be ineligible (by reason of the receipt of
such benefits under section 402 of this title) for supplemental
security income benefits under this subchapter or for State
supplementary payments of the type described in section 1382e(a)
of this title (or payments of the type described in section
212(a) of Public Law 93-66).
(2) For purposes of subchapter XIX of this chapter, each person
with respect to whom this subsection applies -
(A) shall be deemed to be a recipient of supplemental security
income benefits under this subchapter if such person received
such a benefit for the month before the month in which such
person began to receive a benefit described in paragraph (1)(A),
and
(B) shall be deemed to be a recipient of State supplementary
payments of the type referred to in section 1382e(a) of this
title (or payments of the type described in section 212(a) of
Public Law 93-66) if such person received such a payment for the
month before the month in which such person began to receive a
benefit described in paragraph (1)(A),
for so long as such person (i) would be eligible for such
supplemental security income benefits, or such State supplementary
payments (or payments of the type described in section 212(a) of
Public Law 93-66), in the absence of benefits described in
paragraph (1)(A), and (ii) is not entitled to hospital insurance
benefits under part A of subchapter XVIII of this chapter.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1634, as added Pub. L.
92-603, title III, Sec. 301, Oct. 30, 1972, 86 Stat. 1478; amended
Pub. L. 99-272, title XII, Sec. 12202(a), Apr. 7, 1986, 100 Stat.
290; Pub. L. 99-643, Sec. 6(a), Nov. 10, 1986, 100 Stat. 3578; Pub.
L. 100-203, title IX, Secs. 9108, 9116(a), Dec. 22, 1987, 101 Stat.
1330-302, 1330-305; Pub. L. 101-508, title V, Sec. 5103(c)(1), Nov.
5, 1990, 104 Stat. 1388-251; Pub. L. 103-296, title I, Sec.
107(a)(4), title II, Sec. 201(b)(3)(D), Aug. 15, 1994, 108 Stat.
1478, 1504; Pub. L. 104-121, title I, Sec. 105(b)(4)(B), Mar. 29,
1996, 110 Stat. 854.)
-REFTEXT-
REFERENCES IN TEXT
Section 134 of the Social Security Amendments of 1983 (Public Law
98-21), referred to in subsec. (b)(2)(C), is section 134 of Pub. L.
98-21, title I, Apr. 20, 1983, 97 Stat. 97, which amended section
402 of this title and enacted provisions set out as a note under
section 402 of this title.
Section 212(a) of Public Law 93-66, referred to in subsecs.
(b)(4) and (d)(1)(B), (2), is section 212(a) of Pub. L. 93-66,
title II, July 9, 1973, 87 Stat. 155, as amended, which is set out
as a note under section 1382 of this title.
The effective date of this subsection, referred to in subsec.
(c)(1), is July 1, 1987, except as otherwise provided. See section
10(b) of Pub. L. 99-643, set out as an Effective Date of 1986
Amendments note under section 1396a of this title.
Part A of subchapter XVIII of this chapter, referred to in
subsec. (d)(2), is classified to section 1395c et seq. of this
title.
-MISC1-
AMENDMENTS
1996 - Subsec. (e). Pub. L. 104-121 struck out subsec. (e) which
read as follows: "Each person to whom benefits under this
subchapter by reason of disability are not payable for any month
solely by reason of clause (i) or (v) of section 1382(e)(3)(A) of
this title shall be treated, for purposes of subchapter XIX of this
chapter, as receiving benefits under this subchapter for the
month."
1994 - Subsecs. (a), (b)(3). Pub. L. 103-296, Sec. 107(a)(4),
substituted "Commissioner of Social Security" for "Secretary"
wherever appearing and "the Commissioner will" for "he will" in
subsec. (a).
Subsec. (e). Pub. L. 103-296, Sec. 201(b)(3)(D), added subsec.
(e).
1990 - Subsec. (d). Pub. L. 101-508 designated existing
provisions as par. (1), substituted "This subsection applies with
respect to any person who - " for "If any person - " in
introductory provisions, redesignated former pars. (1) and (2) as
subpars. (A) and (B), respectively, in subpar. (A) substituted
"being then not entitled" for "as required by section 1382(e)(2) of
this title, being then at least 60 years of age but not entitled",
in subpar. (B) substituted "section 1382e(a) of this title (or
payments of the type described in section 212(a) of Public Law
93-66)." for "section 1382e(a) of this title," and substituted par.
(2) for former concluding provisions which read as follows: "such
person shall nevertheless be deemed to be a recipient of
supplemental security income benefits under this subchapter for
purposes of subchapter XIX of this chapter, so long as he or she
(A) would be eligible for such supplemental security income
benefits, or such State supplementary payments, in the absence of
such benefits under section 402 of this title, and (B) is not
entitled to hospital insurance benefits under part A of subchapter
XVIII of this chapter."
1987 - Subsec. (b)(3). Pub. L. 100-203, Sec. 9108, substituted
"no later than July 1, 1988" for "during the 15-month period
beginning with the month in which this subsection is enacted [April
1986]".
Subsec. (d). Pub. L. 100-203, Sec. 9116(a), added subsec. (d).
1986 - Subsec. (a). Pub. L. 99-272, Sec. 12202(a)(1), designated
existing provisions as subsec. (a).
Subsec. (b). Pub. L. 99-272, Sec. 12202(a)(2), added subsec. (b).
Subsec. (c). Pub. L. 99-643 added subsec. (c).
EFFECTIVE DATE OF 1996 AMENDMENT
Amendment by Pub. L. 104-121 applicable to any individual who
applies for, or whose claim is finally adjudicated with respect to,
supplemental security income benefits under this subchapter based
on disability on or after Mar. 29, 1996, with special rule in case
of any individual who has applied for, and whose claim has been
finally adjudicated with respect to, such benefits before Mar. 29,
1996, see section 105(b)(5) of Pub. L. 104-121, set out as a note
under section 1382 of this title.
EFFECTIVE DATE OF 1994 AMENDMENT
Amendment by section 107(a)(4) of Pub. L. 103-296 effective Mar.
31, 1995, see section 110(a) of Pub. L. 103-296, set out as a note
under section 401 of this title.
Amendment by section 201(b)(3)(D) of Pub. L. 103-296 applicable
with respect to supplemental security income benefits under this
subchapter by reason of disability which are otherwise payable in
months beginning after 180 days after Aug. 15, 1994, with Secretary
of Health and Human Services to issue regulations necessary to
carry out such amendment not later than 180 days after Aug. 15,
1994, see section 201(b)(3)(E)(i) of Pub. L. 103-296, set out as a
note under section 1382 of this title.
EFFECTIVE DATE OF 1990 AMENDMENT
Amendment by Pub. L. 101-508 applicable with respect to medical
assistance provided after December 1990, see section 5103(e) of
Pub. L. 101-508, set out as a note under section 402 of this title.
EFFECTIVE DATE OF 1987 AMENDMENT
Section 9108 of Pub. L. 100-203 provided that the amendment made
by that section is effective July 1, 1987.
Section 9116(e) of Pub. L. 100-203 provided that: "The amendments
made by subsection (a) [amending this section] shall apply with
respect to any individual without regard to whether the
determination of his or her ineligibility for supplemental security
income benefits by reason of the receipt of benefits under section
202 of the Social Security Act [section 402 of this title] (as
described in section 1634(d)(2) of such Act [subsec. (d)(2) of this
section]) occurred before, on, or after the date of the enactment
of this Act [Dec. 22, 1987]; but no individual shall be eligible
for assistance under title XIX of such Act [subchapter XIX of this
chapter] by reason of such amendments for any period before July 1,
1988."
EFFECTIVE DATE OF 1986 AMENDMENTS
Amendment by Pub. L. 99-643 effective July 1, 1987, except as
otherwise provided, see section 10(b) of Pub. L. 99-643, set out as
a note under section 1396a of this title.
Section 12202(c) of Pub. L. 99-272 provided that: "The amendment
made by subsection (a)(2) [amending this section] shall not have
the effect of deeming an individual eligible for medical assistance
for any month which begins less than two months after the date of
the enactment of this Act [Apr. 7, 1986]."
EFFECTIVE DATE
Section 301 of Pub. L. 92-603 provided that this section is
effective Jan. 1, 1974.
NOTICE OF POSSIBLE ELIGIBILITY FOR MEDICAID ASSISTANCE
Section 9116(b) of Pub. L. 100-203 provided that: "The Secretary
of Health and Human Services, acting through the Social Security
Administration, shall (within 3 months after the date of the
enactment of this Act [Dec. 22, 1987]) issue a notice to all
individuals who will have attained age 60 but not age 65 as of
April 1, 1988, and who received supplemental security income
benefits under title XVI of the Social Security Act [this
subchapter] prior to attaining age 60 but lost those benefits by
reason of the receipt of widow's or widower's insurance benefits
(or other benefits as described in section 1634(d)(1) of that Act
[subsec. (d)(1) of this section] as added by subsection (a) of this
section) under title II of that Act [subchapter II of this
chapter]. Each such notice shall set forth and explain the
provisions of section 1634(d) of the Social Security Act (as so
added), and shall inform the individual that he or she should
contact the Secretary or the appropriate State agency concerning
his or her possible eligibility for medical assistance benefits
under such title XIX [subchapter XIX of this chapter]."
STATE DETERMINATIONS
Section 9116(c) of Pub. L. 100-203 provided that: "Any
determination required under section 1634(d) of the Social Security
Act [subsec. (d) of this section] with respect to whether an
individual would be eligible for benefits under title XVI of such
Act [this subchapter] (or State supplementary payments) in the
absence of benefits under section 202 [section 402 of this title]
shall be made by the appropriate State agency."
Section 6(b) of Pub. L. 99-643 provided that: "Any determination
required under section 1634(c) of the Social Security Act [subsec.
(c) of this section] with respect to whether an individual would be
eligible for benefits under title XVI of such Act [this subchapter]
in the absence of children's benefits (or an increase thereof)
shall be made by the appropriate State agency."
IDENTIFICATION OF POTENTIAL BENEFICIARIES UNDER SUBSECTION (B) OF
THIS SECTION
Section 12202(b) of Pub. L. 99-272 provided that:
"(1) As soon as possible after the date of the enactment of this
Act [Apr. 7, 1986], the Secretary of Health and Human Services
shall provide each State with the names of all individuals
receiving widow's or widower's insurance benefits under subsection
(e) or (f) of section 202 of the Social Security Act [section
402(e) or (f) of this title] based on a disability who might
qualify for medical assistance under the plan of that State
approved under title XIX of such Act [subchapter XIX of this
chapter] by reason of the application of section 1634(b) of the
Social Security Act [subsec. (b) of this section].
"(2) Each State shall -
"(A) using the information so provided and any other
information it may have, promptly notify all individuals who may
qualify for medical assistance under its plan by reason of such
section 1634(b) of their right to make application for such
assistance,
"(B) solicit their applications for such assistance, and
"(C) make the necessary determination of such individuals'
eligibility for such assistance under such section and under such
title XIX."
APPLICATION TO NORTHERN MARIANA ISLANDS
For applicability of this section to the Northern Mariana
Islands, see section 502(a)(1) of the Covenant to Establish a
Commonwealth of the Northern Mariana Islands in Political Union
with the United States of America and Proc. No. 4534, Oct. 24,
1977, 42 F.R. 6593, set out as notes under section 1801 of Title
48, Territories and Insular Possessions.
PUERTO RICO, GUAM, AND VIRGIN ISLANDS
Enactment of provisions of Pub. L. 92-603, eff. Jan. 1, 1974, not
applicable to Puerto Rico, Guam, and the Virgin Islands, see
section 303(b) of Pub. L. 92-603, set out as a note under section
301 of this title.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 1396a, 1396b, 1396v of
this title.
-End-
-CITE-
42 USC Sec. 1383d 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part B - Procedural and General Provisions
-HEAD-
Sec. 1383d. Outreach program for children
-STATUTE-
(a) Establishment
The Commissioner of Social Security shall establish and conduct
an ongoing program of outreach to children who are potentially
eligible for benefits under this subchapter by reason of disability
or blindness.
(b) Requirements
Under this program, the Commissioner of Social Security shall -
(1) aim outreach efforts at populations for whom such efforts
would be most effective; and
(2) work in cooperation with other Federal, State, and private
agencies, and nonprofit organizations, which serve blind or
disabled individuals and have knowledge of potential recipients
of supplemental security income benefits, and with agencies and
organizations (including school systems and public and private
social service agencies) which focus on the needs of children.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1635, as added Pub. L.
101-239, title VIII, Sec. 8008(a), Dec. 19, 1989, 103 Stat. 2463;
amended Pub. L. 103-296, title I, Sec. 107(a)(4), Aug. 15, 1994,
108 Stat. 1478.)
-MISC1-
AMENDMENTS
1994 - Subsecs. (a), (b). Pub. L. 103-296 substituted
"Commissioner of Social Security" for "Secretary".
EFFECTIVE DATE OF 1994 AMENDMENT
Amendment by Pub. L. 103-296 effective Mar. 31, 1995, see section
110(a) of Pub. L. 103-296, set out as a note under section 401 of
this title.
EFFECTIVE DATE
Section 8008(b) of Pub. L. 101-239 provided that: "The amendment
made by subsection (a) [enacting this section] shall take effect 3
months after the date of the enactment of this Act [Dec. 19,
1989]."
APPLICATION TO NORTHERN MARIANA ISLANDS
For applicability of this section to the Northern Mariana
Islands, see section 502(a)(1) of the Covenant to Establish a
Commonwealth of the Northern Mariana Islands in Political Union
with the United States of America and Proc. No. 4534, Oct. 24,
1977, 42 F.R. 6593, set out as notes under section 1801 of Title
48, Territories and Insular Possessions.
-End-
-CITE-
42 USC Sec. 1383e 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part B - Procedural and General Provisions
-HEAD-
Sec. 1383e. Treatment referrals for individuals with alcoholism or
drug addiction condition
-STATUTE-
In the case of any individual whose benefits under this
subchapter are paid to a representative payee pursuant to section
1383(a)(2)(A)(ii)(II) of this title, the Commissioner of Social
Security shall refer such individual to the appropriate State
agency administering the State plan for substance abuse treatment
services approved under subpart II of part B of title XIX of the
Public Health Service Act (42 U.S.C. 300x-21 et seq.).
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1636, as added Pub. L.
104-121, title I, Sec. 105(b)(3), Mar. 29, 1996, 110 Stat. 854.)
-REFTEXT-
REFERENCES IN TEXT
The Public Health Service Act, referred to in text, is act July
1, 1944, ch. 373, 58 Stat. 682, as amended. Subpart II of part B of
title XIX of the Act is classified generally to subpart II (Sec.
300x-21 et seq.) of part B of subchapter XVII of chapter 6A of this
title. For complete classification of this Act to the Code, see
Short Title note set out under section 201 of this title and
Tables.
-MISC1-
EFFECTIVE DATE
Section effective July 1, 1996, with respect to any individual
whose claim for benefits is finally adjudicated on or after Mar.
29, 1996, or whose eligibility for benefits is based upon
eligibility redetermination made pursuant to section 105(b)(5)(C)
of Pub. L. 104-121, see section 105(b)(5) of Pub. L. 104-121, as
amended, set out as an Effective Date of 1996 Amendment note under
section 1382 of this title.
-End-
-CITE-
42 USC Sec. 1383f 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER XVI - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND
DISABLED
Part B - Procedural and General Provisions
-HEAD-
Sec. 1383f. Annual report on program
-STATUTE-
(a) In general
Not later than May 30 of each year, the Commissioner of Social
Security shall prepare and deliver a report annually to the
President and the Congress regarding the program under this
subchapter, including -
(1) a comprehensive description of the program;
(2) historical and current data on allowances and denials,
including number of applications and allowance rates for initial determinations, reconsideration determinations, administrative
law judge hearings, appeals council reviews, and Federal court
decisions;
(3) historical and current data on characteristics of
recipients and program costs, by recipient group (aged, blind,
disabled adults, and disabled children);
(4) historical and current data on prior enrollment by
recipients in public benefit programs, including State programs
funded under part A of subchapter IV of this chapter and State
general assistance programs;
(5) projections of future number of recipients and program
costs, through at least 25 years;
(6) number of redeterminations and continuing disability
reviews, and the outcomes of such redeterminations and reviews;
(7) data on the utilization of work incentives;
(8) detailed information on administrative and other program
operation costs;
(9) summaries of relevant research undertaken by the Social
Security Administration, or by other researchers;
(10) State supplementation program operations;
(11) a historical summary of statutory changes to this
subchapter; and
(12) such other information as the Commissioner deems useful.
(b) Views of individual members of Social Security Advisory Board
Each member of the Social Security Advisory Board shall be
permitted to provide an individual report, or a joint report if
agreed, of views of the program under this subchapter, to be
included in the annual report required under this section.
-SOURCE-
(Aug. 14, 1935, ch. 531, title XVI, Sec. 1637, as added Pub. L.
104-193, title II, Sec. 231, Aug. 22, 1996, 110 Stat. 2197.)
-REFTEXT-
REFERENCES IN TEXT
Part A of subchapter IV of this chapter, referred to in subsec.
(a)(4), is classified to section 601 et seq. of this title.
-End-
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Enviado por: | El remitente no desea revelar su nombre |
Idioma: | inglés |
País: | Estados Unidos |