Legislación
US (United States) Code. Title 42. Chapter 7: Social Security
EFFECTIVE DATE OF 1964 AMENDMENT
Section 1(d) of Pub. L. 88-650 provided that:
"(1) The amendments made by subsections (a), (b), and (c)
[amending this section] shall apply in the case of applications for
disability determinations under section 216(i) of the Social
Security Act [subsec. (i) of this section] filed after the month
following the month in which this Act is enacted [October 1964].
"(2) Except as provided in the succeeding paragraphs, such
amendments shall also apply, and as though such amendments had been
enacted on July 1, 1962, in the case of applications for disability
determinations filed under section 216(i) of the Social Security
Act [subsec. (i) of this section] during the period beginning July
1, 1962, and ending with the close of the month following the month
in which this Act is enacted [October 1964], by an individual who -
"(A) has been under a disability (as defined in such section
216(i)) continuously since he filed such application and up to
(i) the first day of the second month following the month in
which this Act is enacted or (ii) if earlier, the first day of
the month in which he attained the age of 65, and
"(B) is living on the day specified in subparagraph (A)(i).
"(3) In the case of an individual to whom paragraph (2) applies
and who filed an application for disability insurance benefits
under section 223 of the Social Security Act [section 423 of this
title] during the period specified in such paragraph -
"(A) if such individual was under a disability (as defined in
section 223(c) of such Act) throughout such period and was not
entitled to disability insurance benefits under such section 223
for any month in such period (except for the amendments made by
this section), such application and any application filed during
such period for benefits under section 202 of the Social Security
Act [section 402 of this title] on the basis of the wages and
self-employment income of such individual shall, notwithstanding
section 202(j)(2) and the first sentence of section 223(b), be
deemed an effective application, or
"(B) if such individual was entitled (without the application
of this section) to disability insurance benefits under section
223 [section 423 of this title] for a continuous period of months
immediately preceding -
"(i) the second month following the month in which this Act
was enacted [October 1964], or
"(ii) if earlier, the month in which he became entitled to
benefits under section 202(a) [section 402(a) of this title],
his primary insurance amount shall be recomputed, but only if
such amount would be increased solely by reason of the enactment
of this section.
"(4) No monthly insurance benefits, and no increase in monthly
insurance benefits, may be paid under title II of the Social
Security Act [this subchapter] by reason of the enactment of this
section for any month before the eleventh month before the month in
which this Act is enacted [October 1964].
"(5) In the case of an individual (A) who is entitled under
section 202 of the Social Security Act [section 402 of this title]
(but without the application of subsection (j)(1) of such section)
to a widow's, widower's, or parent's insurance benefit, or to an
old-age, wife's or husband's insurance benefit which is reduced
under section 202(q) of such Act, for any month in the period
referred to in paragraph (2) of this subsection, (B) who was under
a disability (as defined in section 223(c) of the Social Security
Act [section 423(c) of this title]) which began prior to the sixth
month before the first month for which the benefits referred to in
clause (A) are payable and which continued through the month
following the month in which this Act is enacted [October 1964],
and (C) who files an application for disability insurance benefits
under section 223(a)(1) of the Social Security Act -
"(i) subsection (a)(3) of section 223 of the Social Security
Act shall not prevent him from being entitled to such disability
insurance benefits;
"(ii) the provisions of subsection (a)(1) of such section 223
terminating entitlement to disability insurance benefits by
reason of entitlement to old-age insurance benefits shall not
apply with respect to him unless and until he again becomes
entitled to such old-age insurance benefits under the provisions
of section 202 of such Act;
"(iii) such individual shall, for any month for which he is
thereby entitled to both old-age insurance benefits and
disability insurance benefits, be entitled only to such
disability insurance benefits; and
"(iv) in case the benefits reduced under subsection (q) of
section 202 of such Act are old-age insurance benefits (I) such
old-age insurance benefits for the months in the period referred
to in paragraph (2) of this subsection shall not be recomputed
solely by reason of the enactment of this section, and, if
otherwise recomputed, the provisions of and amendments made by
this section shall not apply to such recomputation; and (II) the
months for which he received such old-age insurance benefits
before or during the period for which he becomes entitled, by
reason of such enactment, to disability insurance benefits under
such section 223 and the months for which he received such
disability insurance benefits shall be excluded from the
'reduction period' and the 'adjusted reduction period', as
defined in paragraphs (5) and (6), respectively, of such
subsection (q) for purposes of determining the amount of the
old-age insurance benefits to which he may subsequently become
entitled.
"(6) The entitlement of any individual to benefits under section
202 of the Social Security Act [section 402 of this title] shall
not be terminated solely by reason of the enactment of this
section, except where such individual is entitled to benefits under
section 202(a) or 223 of such Act [section 402(a) or 423 of this
title] in an amount which (but for this subsection) would have
required termination of such benefits under such section 202."
EFFECTIVE DATE OF 1961 AMENDMENT
Amendment by section 102(b)(2)(D) of Pub. L. 87-64 effective Aug.
1, 1961, and amendment by section 102(c)(1), (2)(B), (3)(C) of Pub.
L. 87-64 applicable with respect to monthly benefits for months
beginning on or after August 1, 1961, based on applications filed
in or after March 1961, and with respect to lump-sum death payments
under this subchapter in the case of deaths on or after August 1,
1961, see sections 102(f)(4), (6) and 109 of Pub. L. 87-64, set out
as notes under section 402 of this title.
Section 105 of Pub. L. 87-64 provided that the amendment made by
that section is effective with respect to applications for
disability determinations filed on or after July 1, 1961.
EFFECTIVE DATE OF 1960 AMENDMENT
Section 207(d) of Pub. L. 86-778 provided that: "The amendments
made by this section [amending this section] shall apply only with
respect to monthly benefits under section 202 of the Social
Security Act [section 402 of this title] for months beginning with
the month in which this Act is enacted [September 1960], on the
basis of applications filed in or after such month."
Section 208(f) of Pub. L. 86-778 provided that: "The amendments
made by the preceding provisions of this section [amending this
section and section 402 of this title] shall be applicable (1) with
respect to monthly benefits under title II of the Social Security
Act [this subchapter] for months beginning with the month in which
this Act is enacted [September 1960] on the basis of an application
filed in or after such month, and (2) in the case of a lump-sum
death payment under such title based on an application filed in or
after such month, but only if no person, other than the person
filing such application, has filed an application for a lump-sum
death payment under such title prior to the date of the enactment
of this Act [Sept. 13, 1960] with respect to the death of the same
individual."
Amendment by section 402(e) of Pub. L. 86-778 applicable only in
the case of individuals who become entitled to benefits under
section 423 of this title in or after September 1960, see section
402(f) of Pub. L. 86-778, set out as a note under section 423 of
this title.
Amendment by section 403(c) of Pub. L. 86-778 applicable only in
the case of individuals who have a period of disability (as defined
in subsec. (i) of this section) beginning on or after Sept. 13,
1960, or beginning before Sept. 13, 1960 and continuing, without
regard to such amendment, beyond the end of September 1960, see
section 403(e) of Pub. L. 86-778, set out as a note under section
422 of this title.
EFFECTIVE DATE OF 1958 AMENDMENT
Section 207(a) of Pub. L. 85-840 provided that: "The amendments
made by section 201 [amending this section] shall apply with
respect to applications for a disability determination under
section 216(i) of the Social Security Act [subsec. (i) of this
section] filed after June 1961. The amendments made by section 202
[amending section 423 of this title] shall apply with respect to
applications for disability insurance benefits under section 223 of
such Act filed after December 1957. The amendments made by section
203 [amending this section] shall apply with respect to
applications for a disability determination under such section
216(i) filed after June 1958. The amendments made by section 204
[amending this section and section 423 of this title] shall apply
with respect to (1) applications for disability insurance benefits
under such section 223 or for a disability determination under such
section 216(i) filed on or after the date of enactment of this Act
[Aug. 28, 1958], and (2) applications for such benefits or for such
a determination filed after 1957 and prior to such date of
enactment if the applicant has not died prior to such date of
enactment and if notice to the applicant of the Secretary's
decision with respect thereto has not been given to him on or prior
to such date, except that (A) no benefits under title II of the
Social Security Act [this subchapter] for the month in which this
Act is enacted [August 1958] or any prior month shall be payable or
increased by reason of the amendments made by section 204 of this
Act, and (B) the provisions of section 215(f)(1) of the Social
Security Act [section 415(f)(1) of this title] shall not prevent
recomputation of monthly benefits under section 202 of such Act
[section 402 of this title] (but no such recomputation shall be
regarded as a recomputation for purposes of section 215(f) of such
Act). The amendments made by section 205 (other than by subsections
(k) and (m)) [amending sections 401, 402, 403, 414, 422, and 425 of
this title] shall apply with respect to monthly benefits under
title II of the Social Security Act [this subchapter] for months
after the month in which this Act is enacted, but only if an
application for such benefits is filed on or after the date of
enactment of this Act. The amendments made by section 206
[repealing section 424 of this title] and by subsections (k) and
(m) of section 205 [amending sections 403 and 415 of this title]
shall apply with respect to monthly benefits under title II of the
Social Security Act [this subchapter] for the month in which this
Act is enacted and succeeding months."
Amendment by section 301(a)(2), (b)(2), (c)(2), (d), (e) of Pub.
L. 85-840 applicable with respect to monthly benefits under section
402 of this title for months beginning after Aug. 28, 1958, but
only if an application for such benefits is filed on or after such
date, see section 301(f) of Pub. L. 85-840, set out as a note under
section 402 of this title.
Section 302(b) of Pub. L. 85-840 provided that: "The amendment
made by this section [amending this section] shall apply with
respect to monthly benefits under section 202 of the Social
Security Act [section 402 of this title] for months beginning after
the date of enactment of this Act [Aug. 28, 1958], but only if an
application for such benefits is filed on or after such date."
Amendment by section 305(b) of Pub. L. 85-840 applicable in the
case of lump-sum death payments under section 402(i) of this title
on the basis of the wages and self-employment income of any
individual who dies after August 1958, see section 305(c) of Pub.
L. 85-840, set out as a note under section 402 of this title.
EFFECTIVE DATE OF 1957 AMENDMENT
Amendment by Pub. L. 85-238 applicable to monthly benefits under
section 402 of this title for months after August 1957, but not to
operate to deprive any such parent of benefits to which he would
otherwise be entitled under section 402(h) of this title, see
section 3(i) of Pub. L. 85-238, set out as a note under section 402
of this title.
EFFECTIVE DATE OF 1956 AMENDMENT
Section 102(b) of act Aug. 1, 1956, provided that:
"(1) The amendment made by subsection (a) [amending this section]
shall apply in the case of benefits under subsection (e) of section
202 of the Social Security Act [section 402(e) of this title] for
months after October 1956, but only, except in the case of an
individual who was entitled to wife's or mother's insurance
benefits under such section 202 for October 1956, or any month
thereafter, on the basis of applications filed after the date of
enactment of this Act [Aug. 1, 1956]. The amendment made by
subsection (a) shall apply in the case of benefits under subsection
(h) of such section 202 for months after October 1956 on the basis
of applications filed after the date of enactment of this Act.
"(2) Except as provided in paragraphs (1) and (4), the amendment
made by subsection (a) shall apply in the case of lump-sum death
payments under section 202(i) of the Social Security Act with
respect to deaths after October 1956, and in the case of monthly
benefits under title II of such Act [this subchapter] for months
after October 1956 on the basis of applications filed after the
date of enactment of this Act.
"(3) For purposes of section 215(b)(3)(B) of the Social Security
Act [section 415(b)(3)(B) of this title] (but subject to paragraphs
(1) and (2) of this subsection) -
"(A) a woman who attains the age of sixty-two prior to November
1956 and who was not eligible for old-age insurance benefits
under section 202 of such Act (as in effect prior to the
enactment of this Act) for any month prior to November 1956 shall
be deemed to have attained the age of sixty-two in 1956 or, if
earlier, the year in which she died;
"(B) a woman shall not, by reason of the amendment made by
subsection (a), be deemed to be a fully insured individual before
November 1956 or the month in which she died, whichever month is
the earlier; and
"(C) the amendment made by subsection (a) shall not be
applicable in the case of any woman who was eligible for old-age
insurance benefits under such section 202 for any month prior to
November 1956.
A woman shall, for purposes of this paragraph, be deemed eligible
for old-age insurance benefits under section 202 of the Social
Security Act for any month if she was or would have been, upon
filing application therefor in such month, entitled to such
benefits for such month.
"(4) For purposes of section 209(i) of such Act [section 409(i)
of this title], the amendment made by subsection (a) shall apply
only with respect to remuneration paid after October 1956."
EFFECTIVE DATE OF 1954 AMENDMENT
Amendment by section 106(d) of act Sept. 1, 1954, applicable with
respect to monthly benefits under subchapter II of this chapter for
months after June 1955, and with respect to lump-sum death payments
under such subchapter in the case of deaths occurring after June
1955; but that no recomputation of benefits by reason of such
amendments shall be regarded as a recomputation for purposes of
section 415(f) of this title, see section 106(h) of act Sept. 1,
1954, set out as a note under section 413 of this title.
EFFECTIVE AND TERMINATION DATE OF 1952 AMENDMENT
For effective and termination dates of amendment by Act July 18,
1952, see section 3(f), (g) of act July 18, 1952, set out as a note
under section 413 of this title.
EFFECTIVE DATE
Section applicable (1) in case of monthly benefits for months
after August 1950, and (2) in the case of lump-sum death payments
with respect to deaths after August 1950, see section 104(b) of act
Aug. 28, 1950, set out as an Effective Date of 1950 Amendment note
under section 409 of this title.
RETROACTIVE BENEFITS
For provisions relating to entitlement to retroactive benefits
under section 2 of Pub. L. 98-460 (which amended subsec. (i)(2)(D)
of this section), see section 2(f) of Pub. L. 98-460, set out as a
note under section 423 of this title.
PROMULGATION OF REGULATIONS
For provisions requiring the Secretary of Health and Human
Services to prescribe regulations necessary to implement amendment
to subsec. (i)(2)(D) of this section by section 2(b) 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.
STUDY OF EFFECT OF RAISING RETIREMENT AGE ON THOSE UNLIKELY TO
BENEFIT FROM IMPROVEMENTS IN LONGEVITY
Section 201(d) of Pub. L. 98-21 required the Secretary to conduct
a comprehensive study and analysis of the implications of the
changes made by this section (amending sections 402, 403, 415, 416,
and 423 of this title) in retirement age in the case of certain
individuals and submit to Congress no later than January 1, 1986, a
full report on the study and analysis, including any
recommendations for legislative changes.
SPECIAL INSURED STATUS TEST IN CERTAIN CASES FOR DISABILITY
PURPOSES
Section 404 of Pub. L. 86-778 provided that:
"(a) In the case of any individual who does not meet the
requirements of section 216(i)(3) of the Social Security Act
[subsec. (i)(3) of this section] with respect to any quarter, or
who is not insured for disability insurance benefits as determined
under section 223(c)(1) of such Act [section 423(c)(1) of this
title] with respect to any month in a quarter, such individual
shall be deemed to have met such requirements with respect to such
quarter or to be so insured with respect to such month of such
quarter, as the case may be, if -
"(1) he had a total of not less than twenty quarters of
coverage (as defined in section 213 of such Act [section 413 of
this title]) during the period ending with the close of such
quarter, and
"(2) all of the quarters elapsing after 1950 and up to but
excluding such quarter were quarters of coverage with respect to
him and there were not fewer than six such quarters of coverage.
"(b) Subsection (a) shall apply only in the case of applications
for disability insurance benefits under section 223 of the Social
Security Act, or for disability determinations under section 216(i)
of such Act, filed in or after the month in which this Act is
enacted [September 1960], and then only with respect to an
individual who, but for such subsection (a), would not meet the
requirements for a period of disability under section 216(i) with
respect to the quarter in which this Act is enacted or any prior
quarter and would not meet the requirements for benefits under
section 223 with respect to the month in which this Act is enacted
or any prior month. No benefits under title II of the Social
Security Act [this subchapter] for the month in which this Act is
enacted or any prior month shall be payable or increased by reason
of the amendment made by such subsection."
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 402, 403, 413, 414, 415,
417, 421, 422, 423, 428, 429, 431, 1382c, 1395i-2a, 1395ff, 1395ii,
1437j of this title; title 5 section 8311; title 26 section 415;
title 30 section 902; title 45 sections 231a, 231b, 231c, 231d,
231e, 231q.
-End-
-CITE-
42 USC Sec. 417 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 417. Benefits for veterans
-STATUTE-
(a) Determination of benefits
(1) For purposes of determining entitlement to and the amount of
any monthly benefit for any month after August 1950, or entitlement
to and the amount of any lump-sum death payment in case of a death
after such month, payable under this subchapter on the basis of the
wages and self-employment income of any World War II veteran, and
for purposes of section 416(i)(3) of this title, such veteran shall
be deemed to have been paid wages (in addition to the wages, if
any, actually paid to him) of $160 in each month during any part of
which he served in the active military or naval service of the
United States during World War II. This subsection shall not be
applicable in the case of any monthly benefit or lump-sum death
payment if -
(A) a larger such benefit or payment, as the case may be, would
be payable without its application; or
(B) a benefit (other than a benefit payable in a lump sum
unless it is a commutation of, or a substitute for, periodic
payments) which is based, in whole or in part, upon the active
military or naval service of such veteran during World War II is
determined by any agency or wholly owned instrumentality of the
United States (other than the Department of Veterans Affairs) to
be payable by it under any other law of the United States or
under a system established by such agency or instrumentality.
The provisions of clause (B) of this paragraph shall not apply in
the case of any monthly benefit or lump-sum death payment under
this subchapter if its application would reduce by $0.50 or less
the primary insurance amount (as computed under section 415 of this
title prior to any recomputation thereof pursuant to section 415(f)
of this title) of the individual on whose wages and self-employment
income such benefit or payment is based. The provisions of clause
(B) of this paragraph shall also not apply for purposes of section
416(i)(3) of this title.
(2) Upon application for benefits or a lump-sum death payment on
the basis of the wages and self-employment income of any World War
II veteran, the Commissioner of Social Security shall make a
decision without regard to clause (B) of paragraph (1) of this
subsection unless the Commissioner has been notified by some other
agency or instrumentality of the United States that, on the basis
of the military or naval service of such veteran during World War
II, a benefit described in clause (B) of paragraph (1) of this
subsection has been determined by such agency or instrumentality to
be payable by it. If the Commissioner has not been so notified, the
Commissioner of Social Security shall then ascertain whether some
other agency or wholly owned instrumentality of the United States
has decided that a benefit described in clause (B) of paragraph (1)
of this subsection is payable by it. If any such agency or
instrumentality has decided, or thereafter decides, that such a
benefit is payable by it, it shall so notify the Commissioner of
Social Security, and the Commissioner of Social Security shall
certify no further benefits for payment or shall recompute the
amount of any further benefits payable, as may be required by
paragraph (1) of this subsection.
(3) Any agency or wholly owned instrumentality of the United
States which is authorized by any law of the United States to pay
benefits, or has a system of benefits which are based, in whole or
in part, on military or naval service during World War II shall, at
the request of the Commissioner of Social Security, certify to the
Commissioner, with respect to any veteran, such information as the
Commissioner of Social Security deems necessary to carry out the
Commissioner's functions under paragraph (2) of this subsection.
(b) Determination of insurance status
(1) Subject to paragraph (3), any World War II veteran who died
during the period of three years immediately following his
separation from the active military or naval service of the United
States shall be deemed to have died a fully insured individual
whose primary insurance amount is the amount determined under
section 415(c) of this title as in effect in December 1978.
Notwithstanding section 415(d) of this title as in effect in
December 1978, the primary insurance benefit (for purposes of
section 415(c) of this title as in effect in December 1978) of such
veteran shall be determined as provided in this subchapter as in
effect prior to August 28, 1950, except that the 1 per centum
addition provided for in section 409(a)(4)(B) of this title as in
effect prior to August 28, 1950, shall be applicable only with
respect to calendar years prior to 1951. This subsection shall not
be applicable in the case of any monthly benefit or lump-sum death
payment if -
(A) a larger such benefit or payment, as the case may be, would
be payable without its application;
(B) any pension or compensation is determined by the Secretary
of Veterans Affairs to be payable by him on the basis of the
death of such veteran;
(C) the death of the veteran occurred while he was in the
active military or naval service of the United States; or
(D) such veteran has been discharged or released from the
active military or naval service of the United States subsequent
to July 26, 1951.
(2) Upon an application for benefits or a lump-sum death payment
on the basis of the wages and self-employment income of any World
War II veteran, the Commissioner of Social Security shall make a
decision without regard to paragraph (1)(B) of this subsection
unless the Commissioner has been notified by the Secretary of
Veterans Affairs that pension or compensation is determined to be
payable by that Secretary by reason of the death of such veteran.
The Commissioner of Social Security shall thereupon report such
decision to the Secretary of Veterans Affairs. If the Secretary of
Veterans Affairs in any such case has made an adjudication or
thereafter makes an adjudication that any pension or compensation
is payable under any law administered by it, the Secretary of
Veterans Affairs shall notify the Commissioner of Social Security,
and the Commissioner of Social Security shall certify no further
benefits for payment, or shall recompute the amount of any further
benefits payable, as may be required by paragraph (1) of this
subsection. Any payments theretofore certified by the Commissioner
of Social Security on the basis of paragraph (1) of this subsection
to any individual, not exceeding the amount of any accrued pension
or compensation payable to him by the Secretary of Veterans
Affairs, shall (notwithstanding the provisions of section 5301 of
title 38) be deemed to have been paid to him by that Secretary on
account of such accrued pension or compensation. No such payment
certified by the Commissioner of Social Security, and no payment
certified by the Commissioner for any month prior to the first
month for which any pension or compensation is paid by the
Secretary of Veterans Affairs shall be deemed by reason of this
subsection to have been an erroneous payment.
(3)(A) The preceding provisions of this subsection shall apply
for purposes of determining the entitlement to benefits under
section 402 of this title, based on the primary insurance amount of
the deceased World War II veteran, of any surviving individual only
if such surviving individual makes application for such benefits
before the end of the 18-month period after November 1990.
(B) Subparagraph (A) shall not apply if any person is entitled to
benefits under section 402 of this title based on the primary
insurance amount of such veteran for the month preceding the month
in which such application is made.
(c) Filing proof of support
In the case of any World War II veteran to whom subsection (a) of
this section is applicable, proof of support required under section
402(h) of this title may be filed by a parent at any time prior to
July 1951 or prior to the expiration of two years after the date of
the death of such veteran, whichever is the later.
(d) Definitions
For the purposes of this section -
(1) The term "World War II" means the period beginning with
September 16, 1940, and ending at the close of July 24, 1947.
(2) The term "World War II veteran" means any individual who
served in the active military or naval service of the United
States at any time during World War II and who, if discharged or
released therefrom, was so discharged or released under
conditions other than dishonorable after active service of ninety
days or more or by reason of a disability or injury incurred or
aggravated in service in line of duty; but such term shall not
include any individual who died while in the active military or
naval service of the United States if his death was inflicted
(other than by an enemy of the United States) as lawful
punishment for a military or naval offense.
(e) Determination based on wages and self-employment
(1) For purposes of determining entitlement to and the amount of
any monthly benefit or lump-sum death payment payable under this
subchapter on the basis of wages and self-employment income of any
veteran (as defined in paragraph (4) of this subsection), and for
purposes of section 416(i)(3) of this title, such veteran shall be
deemed to have been paid wages (in addition to the wages, if any,
actually paid to him) of $160 in each month during any part of
which he served in the active military or naval service of the
United States on or after July 25, 1947, and prior to January 1,
1957. This subsection shall not be applicable in the case of any
monthly benefit or lump-sum death payment if -
(A) a larger such benefit or payment, as the case may be, would
be payable without its application; or
(B) a benefit (other than a benefit payable in a lump sum
unless it is a commutation of, or a substitute for, periodic
payments) which is based, in whole or in part, upon the active
military or naval service of such veteran on or after July 25,
1947, and prior to January 1, 1957, is determined by any agency
or wholly owned instrumentality of the United States (other than
the Department of Veterans Affairs) to be payable by it under any
other law of the United States or under a system established by
such agency or instrumentality.
The provisions of clause (B) of this paragraph shall not apply in
the case of any monthly benefit or lump-sum death payment under
this subchapter if its application would reduce by $0.50 or less
the primary insurance amount (as computed under section 415 of this
title prior to any recomputation thereof pursuant to subsection (f)
of section 415 of this title) of the individual on whose wages and
self-employment income such benefit or payment is based. The
provisions of clause (B) of this paragraph shall also not apply for
purposes of section 416(i)(3) of this title. In the case of monthly
benefits under this subchapter for months after December 1956 (and
any lump-sum death payment under this subchapter with respect to a
death occurring after December 1956) based on the wages and
self-employment income of a veteran who performed service (as a
member of a uniformed service) to which the provisions of section
410(l)(1) of this title are applicable, wages which would, but for
the provisions of clause (B) of this paragraph, be deemed under
this subsection to have been paid to such veteran with respect to
his active military or naval service performed after December 1950
shall be deemed to have been paid to him with respect to such
service notwithstanding the provisions of such clause, but only if
the benefits referred to in such clause which are based (in whole
or in part) on such service are payable solely by the Army, Navy,
Air Force, Marine Corps, Coast Guard, Coast and Geodetic Survey,
National Oceanic and Atmospheric Administration Corps, or Public
Health Service.
(2) Upon application for benefits or a lump-sum death payment on
the basis of the wages and self-employment income of any veteran,
the Commissioner of Social Security shall make a decision without
regard to clause (B) of paragraph (1) of this subsection unless the
Commissioner has been notified by some other agency or
instrumentality of the United States that, on the basis of the
military or naval service of such veteran on or after July 25,
1947, and prior to January 1, 1957, a benefit described in clause
(B) of paragraph (1) of this subsection has been determined by such
agency or instrumentality to be payable by it. If the Commissioner
has not been so notified, the Commissioner of Social Security shall
then ascertain whether some other agency or wholly owned
instrumentality of the United States has decided that a benefit
described in clause (B) of paragraph (1) of this subsection is
payable by it. If any such agency or instrumentality has decided,
or thereafter decides, that such a benefit is payable by it, it
shall so notify the Commissioner of Social Security, and the
Commissioner of Social Security shall certify no further benefits
for payment or shall recompute the amount of any further benefits
payable, as may be required by paragraph (1) of this subsection.
(3) Any agency or wholly owned instrumentality of the United
States which is authorized by any law of the United States to pay
benefits, or has a system of benefits which are based, in whole or
in part, on military or naval service on or after July 25, 1947,
and prior to January 1, 1957, shall, at the request of the
Commissioner of Social Security, certify to the Commissioner, with
respect to any veteran, such information as the Commissioner of
Social Security deems necessary to carry out the Commissioner's
functions under paragraph (2) of this subsection.
(4) For the purposes of this subsection, the term "veteran" means
any individual who served in the active military or naval service
of the United States at any time on or after July 25, 1947, and
prior to January 1, 1957, and who, if discharged or released
therefrom, was so discharged or released under conditions other
than dishonorable after active service of ninety days or more or by
reason of a disability or injury incurred or aggravated in service
in line of duty; but such term shall not include any individual who
died while in the active military or naval service of the United
States if his death was inflicted (other than by an enemy of the
United States) as lawful punishment for a military or naval
offense.
(f) Right to annuity; waiver
(1) In any case where a World War II veteran (as defined in
subsection (d)(2) of this section) or a veteran (as defined in
subsection (e)(4) of this section) has died or shall hereafter die,
and his or her surviving spouse or child is entitled under
subchapter III of chapter 83 of title 5 to an annuity in the
computation of which his or her active military or naval service
was included, clause (B) of subsection (a)(1) of this section or
clause (B) of subsection (e)(1) of this section shall not operate
(solely by reason of such annuity) to make such subsection
inapplicable in the case of any monthly benefit under section 402
of this title which is based on his or her wages and
self-employment income; except that no such surviving spouse or
child shall be entitled under section 402 of this title to any
monthly benefit in the computation of which such service is
included by reason of this subsection (A) unless such surviving
spouse or child after December 1956 waives his or her right to
receive such annuity, or (B) for any month prior to the first month
with respect to which the Director of the Office of Personnel
Management certifies to the Commissioner of Social Security that
(by reason of such waiver) no further annuity will be paid to such
surviving spouse or child under such subchapter III on the basis of
such veteran's military or civilian service. Any such waiver shall
be irrevocable.
(2) Whenever a surviving spouse waives his or her right to
receive such annuity such waiver shall constitute a waiver on his
or her own behalf; a waiver by a legal guardian or guardians, or,
in the absence of a legal guardian, the person (or persons) who has
the child in his or her care, of the child's right to receive such
annuity shall constitute a waiver on behalf of such child. Such a
waiver with respect to an annuity based on a veteran's service
shall be valid only if the surviving spouse and all children, or,
if there is no surviving spouse, all the children, waive their
rights to receive annuities under subchapter III of chapter 83 of
title 5 based on such veteran's military or civilian service.
(g) Appropriation to trust funds
(1) Within thirty days after April 20, 1983, the Commissioner of
Social Security shall determine the amount equal to the excess of -
(A) the actuarial present value as of April 20, 1983, of the
past and future benefit payments from the Federal Old-Age and
Survivors Insurance Trust Fund, the Federal Disability Insurance
Trust Fund, and the Federal Hospital Insurance Trust Fund under
this subchapter and subchapter XVIII of this chapter, together
with associated administrative costs, resulting from the
operation of this section (other than this subsection) and
section 410 of this title as in effect before the enactment of
the Social Security Amendments of 1950, over
(B) any amounts previously transferred from the general fund of
the Treasury to such Trust Funds pursuant to the provisions of
this subsection as in effect immediately before April 20, 1983.
Such actuarial present value shall be based on the relevant
actuarial assumptions set forth in the report of the Board of
Trustees of each such Trust Fund for 1983 under sections 401(c) and
1395i(b) of this title. Within thirty days after April 20, 1983,
the Secretary of the Treasury shall transfer the amount determined
under this paragraph with respect to each such Trust Fund to such
Trust Fund from amounts in the general fund of the Treasury not
otherwise appropriated.
(2) The Commissioner of Social Security shall revise the amount
determined under paragraph (1) with respect to each such Trust Fund
in 1985 and each fifth year thereafter, as determined appropriate
by the Commissioner of Social Security from data which becomes
available to the Commissioner after the date of the determination
under paragraph (1) on the basis of the amount of benefits and
administrative expenses actually paid from such Trust Fund under
this subchapter or subchapter XVIII of this chapter and the
relevant actuarial assumptions set forth in the report of the Board
of Trustees of such Trust Fund for such year under section 401(c)
or 1395i(b) of this title. Within 30 days after any such revision,
the Secretary of the Treasury, to the extent provided in advance in
appropriation Acts, shall transfer to such Trust Fund, from amounts
in the general fund of the Treasury not otherwise appropriated, or
from such Trust Fund to the general fund of the Treasury, such
amounts as the Secretary of the Treasury determines necessary to
take into account such revision.
(h) Determination of veterans status
(1) For the purposes of this section, any individual who the
Commissioner of Social Security finds -
(A) served during World War II (as defined in subsection (d)(1)
of this section) in the active military or naval service of a
country which was on September 16, 1940, at war with a country
with which the United States was at war during World War II;
(B) entered into such active service on or before December 8,
1941;
(C) was a citizen of the United States throughout such period
of service or lost his United States citizenship solely because
of his entrance into such service;
(D) had resided in the United States for a period or periods
aggregating four years during the five-year period ending on the
day of, and was domiciled in the United States on the day of,
such entrance into such active service; and
(E)(i) was discharged or released from such service under
conditions other than dishonorable after active service of ninety
days or more or by reason of a disability or injury incurred or
aggravated in service in line of duty, or
(ii) died while in such service,
shall be considered a World War II veteran (as defined in
subsection (d)(2) of this section) and such service shall be
considered to have been performed in the active military or naval
service of the United States.
(2) In the case of any individual to whom paragraph (1) applies,
proof of support required under section 402(f) or (h) of this title
may be filed at any time prior to the expiration of two years after
the date of such individual's death or August 28, 1958, whichever
is the later.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 217, as added Aug. 28,
1950, ch. 809, title I, Sec. 105, 64 Stat. 512; amended July 18,
1952, ch. 945, Sec. 5(a), (d)(1), 66 Stat. 773, 775; Aug. 14, 1953,
ch. 483, Sec. 1, 67 Stat. 580; Sept. 1, 1954, ch. 1206, title I,
Sec. 106(e), 68 Stat. 1081; Aug. 9, 1955, ch. 685, Sec. 1, 69 Stat.
621; Aug. 1, 1956, ch. 837, title IV, Secs. 404(a), (b), 406, 70
Stat. 872, 873, 875; Pub. L. 85-840, title III, Sec. 314(a), (b),
Aug. 28, 1958, 72 Stat. 1036, 1037; Pub. L. 85-857, Sec. 13(i)(2),
Sept. 2, 1958, 72 Stat. 1265; Pub. L. 86-778, title I, Sec.
103(j)(2)(C), Sept. 13, 1960, 74 Stat. 937; Pub. L. 89-97, title
III, Sec. 322, July 30, 1965, 79 Stat. 396; Pub. L. 90-248, title
IV, Sec. 403(c), Jan. 2, 1968, 81 Stat. 932; Pub. L. 94-273, Secs.
2(23), 16, Apr. 21, 1976, 90 Stat. 376, 379; Pub. L. 95-216, title
II, Sec. 205(c), Dec. 20, 1977, 91 Stat. 1529; Pub. L. 97-35, title
XXII, Sec. 2201(c)(7), Aug. 13, 1981, 95 Stat. 832; Pub. L. 97-123,
Sec. 2(g), Dec. 29, 1981, 95 Stat. 1661; Pub. L. 98-21, title I,
Sec. 151(a), title III, Sec. 308, Apr. 20, 1983, 97 Stat. 103, 115;
Pub. L. 98-369, div. B, title VI, Sec. 2663(a)(12), (j)(3)(A)(ii),
July 18, 1984, 98 Stat. 1164, 1170; Pub. L. 101-239, title X, Sec.
10208(d)(2)(A)(iv), Dec. 19, 1989, 103 Stat. 2481; Pub. L. 101-508,
title V, Sec. 5117(b), Nov. 5, 1990, 104 Stat. 1388-277; Pub. L.
102-40, title IV, Sec. 402(d)(2), May 7, 1991, 105 Stat. 239; Pub.
L. 102-54, Sec. 13(q)(3)(A)(i), (D), (E), June 13, 1991, 105 Stat.
279; Pub. L. 103-296, title I, Sec. 107(a)(4), Aug. 15, 1994, 108
Stat. 1478.)
-REFTEXT-
REFERENCES IN TEXT
The Social Security Act Amendments of 1950, referred to in
subsec. (g)(1)(A), is act Aug. 28, 1950, ch. 809, 64 Stat. 477, as
amended. For complete classification of this Act to the Code, see
Short Title of 1950 Amendment note set out under section 1305 of
this title and Tables.
-MISC1-
AMENDMENTS
1994 - Subsec. (a)(2), (3). Pub. L. 103-296, Sec. 107(a)(4),
substituted "Commissioner of Social Security" for "Secretary"
wherever appearing, "unless the Commissioner" for "unless he" and
"If the Commissioner" for "If he" in par. (2), and "to the
Commissioner" for "to him" and "the Commissioner's functions" for
"his functions" in par. (3).
Subsec. (b)(2). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing except where appearing before "of Veterans Affairs" or
after "that" and substituted "unless the Commissioner" for "unless
he" and "certified by the Commissioner" for "certified by him".
Subsec. (e)(2), (3). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing, "the Commissioner has" for "he has" in two places in
par. (2), and "certify to the Commissioner" for "certify to him"
and "the Commissioner's" for "his" in par. (3).
Subsec. (f)(1). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary".
Subsec. (g). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing, except where appearing before "of the Treasury" and
substituted "the Commissioner after" for "him after" in par. (2).
Subsec. (h)(1). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" in introductory
provisions.
1991 - Subsec. (a)(1)(B). Pub. L. 102-54, Sec. 13(q)(3)(A)(i),
substituted "Department of Veterans Affairs" for "Veterans'
Administration".
Subsec. (b)(1)(B). Pub. L. 102-54, Sec. 13(q)(3)(D), substituted
"Secretary of Veterans Affairs to be payable by him" for "Veterans'
Administration to be payable by it".
Subsec. (b)(2). Pub. L. 102-54, Sec. 13(q)(3)(E), substituted
references to Secretary of Veterans Affairs and Secretary for
references to Veterans' Administration and Administration, wherever
appearing.
Pub. L. 102-40 substituted "section 5301 of title 38" for
"section 3101 of title 38".
Subsec. (e)(1)(B). Pub. L. 102-54, Sec. 13(q)(3)(A)(i),
substituted "Department of Veterans Affairs" for "Veterans'
Administration".
1990 - Subsec. (b)(1). Pub. L. 101-508, Sec. 5117(b)(1),
substituted "Subject to paragraph (3), any" for "Any".
Subsec. (b)(3). Pub. L. 101-508, Sec. 5117(b)(2), added par. (3).
1989 - Subsec. (b)(1). Pub. L. 101-239 substituted "409(a)(4)(B)"
for "409(e)(2)" in introductory provisions.
1984 - Subsecs. (a)(2), (3), (b)(2). Pub. L. 98-369, Sec.
2663(j)(3)(A)(ii), struck out "of Health, Education, and Welfare"
after "Secretary" wherever appearing.
Subsec. (d). Pub. L. 98-369, Sec. 2663(a)(12)(A), realigned
margins of subsec. (d).
Subsec. (e)(1). Pub. L. 98-369, Sec. 2663(a)(12)(B), inserted
reference to National Oceanic and Atmospheric Administration.
Subsec. (e)(2), (3). Pub. L. 98-369, Sec. 2663(j)(3)(A)(ii),
struck out "of Health, Education, and Welfare" after "Secretary"
wherever appearing.
Subsec. (f)(1). Pub. L. 98-369, Sec. 2663(a)(12)(C), substituted
"Director of the Office of Personnel Management" for "Civil Service
Commission".
Pub. L. 98-369, Sec. 2663(j)(3)(A)(ii), struck out "of Health,
Education, and Welfare" after "Secretary".
1983 - Subsec. (f). Pub. L. 98-21, Sec. 308(2), substituted "his
or her" for "his" and "her" wherever appearing, except in cl. (A)
of par. (1).
Pub. L. 98-21, Sec. 308(1), substituted "surviving spouse" for
"widow" wherever appearing.
Subsec. (g). Pub. L. 98-21, Sec. 151(a), amended subsec.
generally, substituting provisions relating to determination of
amounts to be appropriated to trust funds and to revisions of such
amounts for provisions which had formerly required that, in
September of 1965, 1970, and 1975, and in October 1980 and in every
fifth October thereafter up to and including October 2010, the
Secretary determine the amount which, if paid in equal installments
at the beginning of each fiscal year in the period beginning (A)
with July 1, 1965, in the case of the first such determination, and
(B) with the beginning of the first fiscal year commencing after
the determination in the case of all other such determinations, and
ending with the close of September 30, 2015, would accumulate, with
interest compounded annually, to an amount equal to the amount
needed to place each of the Trust Funds and the Federal Hospital
Insurance Trust Fund in the same position at the close of September
30, 2015, as he estimated they would otherwise be in at the close
of that date if section 410 of this title as in effect prior to the
Social Security Act Amendments of 1950, and this section, had not
been enacted, with the interest to be used in determining such
amount to be the rate determined under section 401(d) of this title
for public-debt obligations which were or could have been issued
for purchase by the Trust Funds in the June preceding the September
in which the determinations in 1965, 1970, and 1975 were made and
in the September preceding the October in which all other
determinations were made.
1981 - Subsec. (b)(1). Pub. L. 97-123 struck out ", and as
modified by the application of section 415(a)(6) of this title".
Pub. L. 97-35 inserted ", and as modified by the application of
section 415(a)(6) of this title".
1977 - Subsec. (b)(1). Pub. L. 95-216 substituted "section 415(c)
of this title as in effect in December 1978" for "section 415(c) of
this title" in two places and "section 415(d) of this title as in
effect in December 1978" for "section 415(d) of this title".
1976 - Subsec. (g)(1). Pub. L. 94-273, Sec. 16, substituted
provisions relating to determination of the required amount for
payment in September of 1965, 1970, and 1975, and in October 1980
and in every fifth October thereafter up to and including October
2010, and ending with the close of September 30, 2015, for
provisions relating to determination of the required amount for
payment in September 1965, and in every fifth September thereafter
up to and including September 2010, and ending with the close of
June 30, 2015, and inserted provisions relating to the rate of
interest for the determination of the required amount in the
Septembers preceding the Octobers for all the other determinations
subsequent to the 1975 determination.
Subsec. (g)(2)(B), (3), (4). Pub. L. 94-273, Sec. 2(23),
substituted "September" for "June" wherever appearing.
1968 - Subsec. (f)(1). Pub. L. 90-248, Sec. 403(c)(1),
substituted "subchapter III of chapter 83 of title 5" and "such
subchapter III" for "the Civil Service Retirement Act of May 29,
1930, as amended," and "such Act of May 29, 1930, as amended,",
respectively.
Subsec. (f)(2). Pub. L. 90-248, Sec. 403(c)(2), substituted
"subchapter III of chapter 83 of title 5" for "the Civil Service
Retirement Act of May 29, 1930, as amended".
1965 - Subsec. (g)(1). Pub. L. 89-97 substituted provisions
requiring the Secretary to determine, in September 1965, and every
fifth September thereafter, up to and including September 2010, the
amount necessary to place each of the Trust Funds and the Federal
Hospital Insurance Trust Fund in the same position at the close of
June 30, 2015, as they would otherwise have been in at the close of
that date if section 410 of this title, as in effect prior to the
Social Security Act Amendments of 1950, and this section had not
been enacted and providing for determination of interest in
accordance with section 401(d) of this title, for provisions
authorizing the appropriation of sums necessary to meet additional
costs resulting from payment of benefits after June 1956 under
subsecs. (a), (b), and (e), including lump-sum death payments.
Subsec. (g)(2). Pub. L. 89-97 substituted provisions authorizing
appropriation to the Trust Funds and the Federal Hospital Insurance
Trust Fund in the fiscal years ending with the close of June 30,
2015, for provisions requiring the Secretary to determine before
October 1, 1958, the amount necessary to place the Federal Old-Age
and Survivors Insurance Trust Fund in the same position it would
have been at the close of June 30, 1956, if section 410 of this
title, as in effect prior to the Social Security Act Amendments of
1950, and this section had not been enacted and authorizing
appropriations during the first ten years beginning after such
determination had been made aggregating the sum so determined plus
interest.
Subsec. (g)(3), (4). Pub. L. 89-97 added pars. (3) and (4).
1960 - Subsec. (e)(1). Pub. L. 86-778 substituted "section
410(l)(1) of this title" for "section 410(m)(1) of this title".
1958 - Subsec. (b)(2). Pub. L. 85-857 substituted "section 3101
of title 38" for "section 454a of title 38".
Subsec. (g). Pub. L. 85-840, Sec. 314(b), substituted "Trust
Funds" for "Trust Fund" in par. (1), and "the Federal Old-Age and
Survivors Insurance Trust Fund in" for "the Trust Fund in", "such
Trust Fund annually", for "the Trust Fund annually", and "such
Trust Fund during" for "the Trust Fund during" in par. (2).
Subsec. (h). Pub. L. 85-840, Sec. 314(a), added subsec. (h).
1956 - Subsec. (e). Act Aug. 1, 1956, Sec. 404(a), amended
subsec. (e) generally, substituting "January 1, 1957" for "April 1,
1956" in five places, and inserting provisions in par. (1) relating
to monthly benefits for months after December 1956 and any lump-sum
death payment under this subchapter with respect to a death
occurring after December 1956.
Subsecs. (f), (g). Act Aug. 1, 1956, Secs. 404(b), 406, added
subsecs. (f) and (g), respectively.
1955 - Subsec. (e). Act Aug. 9, 1955, substituted "April 1, 1956"
for "July 1, 1955" wherever appearing.
1954 - Subsec. (a)(1). Act Sept. 1, 1954, Sec. 106(e)(1), (3),
inserted "and for purposes of section 416(i)(3) of this title"
after "World War II veteran" in first sentence, and inserted
sentence at end.
Subsec. (e)(1). Act Sept. 1, 1954, Sec. 106(e)(2), (3), inserted
"and for purposes of section 416(i)(3) of this title" after
"veteran (as defined in paragraph (4) of this subsection)" and
inserted sentence at end.
1953 - Subsec. (e). Act Aug. 14, 1953, substituted "July 1, 1955"
for "January 1, 1954" wherever appearing.
1952 - Act July 18, 1952, Sec. 5(a), struck out reference to
World War II veterans in section catchline.
Subsec. (a)(1). Act July 5, 1952, Sec. 5(d)(1), inserted
provision following cl. (B) that cl. (B) not apply in the case of
any monthly benefits or lump-sum death payments under this
subchapter.
Subsec. (e). Act July 18, 1952, Sec. 5(a), added subsec. (e).
-CHANGE-
CHANGE OF NAME
Coast and Geodetic Survey consolidated with Weather Bureau to
form a new agency in Department of Commerce to be known as
Environmental Science Services Administration, and commissioned
officers of Survey transferred to ESSA, by Reorg. Plan No. 2 of
1965, eff. July 13, 1965, 30 F.R. 8819, 79 Stat. 1318, set out in
the Appendix to Title 5, Government Organization and Employees.
Reorg. Plan No. 4 of 1970, eff. Oct. 3, 1970, 35 F.R. 15627, 84
Stat. 2090, abolished Environmental Science Services
Administration, established National Oceanic and Atmospheric
Administration, and redesignated Commissioned Officer Corps of ESSA
as Commissioned Officer Corps of NOAA. For further details, see
Transfer of Functions note set out under section 851 of Title 33,
Navigation and Navigable Waters.
-MISC2-
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 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 OF 1983 AMENDMENT
Amendment by section 308 of Pub. L. 98-21 applicable only with
respect to monthly payments payable under this subchapter for
months after April 1983, see section 310 of Pub. L. 98-21, set out
as a note under section 402 of this title.
EFFECTIVE DATE OF 1981 AMENDMENT
Amendment by section 2201(c)(7) of Pub. L. 97-35 and by section
2(g) of Pub. L. 97-123 applicable with respect to benefits for
months after December 1981 with certain exceptions, see section
2(j)(2)-(4) of Pub. L. 97-123, set out as a note under section 415
of this title.
EFFECTIVE DATE OF 1977 AMENDMENT
Amendment by Pub. L. 95-216 effective with respect to monthly
benefits and lump-sum death payments for deaths occurring after
December 1978, see section 206 of Pub. L. 95-216, set out as a note
under section 402 of this title.
EFFECTIVE DATE OF 1960 AMENDMENT
Amendment by Pub. L. 86-778 effective Sept. 13, 1960, see section
103(v)(1) of Pub. L. 86-778, set out as a note under section 402 of
this title.
EFFECTIVE DATE OF 1958 AMENDMENTS
Amendment by Pub. L. 85-857 effective Jan. 1, 1959, see section 2
of Pub. L. 85-857, set out as an Effective Date note preceding Part
I of Title 38, Veterans' Benefits.
Section 314(c)(1) of Pub. L. 85-840 provided that: "The amendment
made by subsection (a) [amending this section] shall apply only
with respect to (A) monthly benefits under sections 202 and 223 of
the Social Security Act [sections 402 and 423 of this title] for
months after the month in which this Act is enacted [August 1958],
(B) lump-sum death payments under such section 202 in the case of
deaths occurring after the month in which this Act is enacted, and
(C) periods of disability under section 216(i) [section 416(i) of
this title] in the case of applications for a disability
determination filed after the month in which this Act is enacted."
EFFECTIVE DATE OF 1956 AMENDMENT
Section 404(d) of act Aug. 1, 1956, provided that: "Except for
the last sentence of section 217(e)(1) of the Social Security Act
[subsec. (e)(1) of this section] as amended by subsection (a) of
this section, the amendments made by such subsection (a) [amending
this section] shall be effective as though they had been enacted on
March 31, 1956. Such last sentence of section 217(e)(1) of the
Social Security Act shall become effective January 1, 1957."
Amendment by section 406 of act Aug. 1, 1956, effective Jan. 1,
1957, see section 603(a) of act Aug. 1, 1956.
EFFECTIVE DATE OF 1954 AMENDMENT
Amendment by section 106(e) of act Sept. 1, 1954, applicable with
respect to monthly benefits under subchapter II of this chapter for
months after June 1955, and with respect to lump-sum death payments
under such subchapter in the case of deaths occurring after June
1955; but that no recomputation of benefits by reason of such
amendments shall be regarded as a recomputation for purposes of
section 415(f) of this title, see section 106(h) of act Sept. 1,
1954, set out as a note under section 413 of this title.
EFFECTIVE DATE OF 1952 AMENDMENT
Section 5(c) of act of July 18, 1952, as amended by Pub. L.
86-778, title III, Sec. 304(d), Sept. 13, 1960, 74 Stat. 966,
provided that:
"(1) The amendments made by subsections (a) and (b) [amending
this section and section 405 of this title] shall apply with
respect to monthly benefits under section 202 of the Social
Security Act [section 402 of this title] for months after August
1952, and with respect to lump-sum death payments in the case of
deaths occurring after August 1952, except that, in the case of any
individual who is entitled, on the basis of the wages and
self-employment income of any individual to whom section 217(e) of
the Social Security Act [subsec. (e) of this section] applies, to
monthly benefits under such section 202 for August 1952, such
amendments shall apply (A) only if an application for recomputation
by reason of such amendments is filed by such individual, or any
other individual, entitled to benefits under such section 202 on
the basis of such wages and self-employment income, and (B) only
with respect to such benefits for months after whichever of the
following is the later: August 1952 of the seventh month before the
month in which such application was filed. Recomputations of
benefits as required to carry out the provisions of this paragraph
shall be made notwithstanding the provisions of section 215(f)(1)
of the Social Security Act [section 415(f)(1) of this title]; but
no such recomputation shall be regarded as a recomputation for
purposes of section 215(f) of such act. Notwithstanding the
preceding provisions of this paragraph, the primary insurance
amount of an individual shall not be recomputed under such
provisions unless such individual files the application referred to
in clause (A) of the first sentence of this paragraph prior to
January 1961 or, if he dies without filing such application, his
death occurred prior to January 1961.
"(2) In the case of any veteran (as defined in section 217(e)(4)
of the Social Security Act [subsec. (e)(4) of this section]) who
died prior to September 1952, the requirement in subsections (f)
and (h) of section 202 of the Social Security Act that proof of
support be filed within two years of the date of such death shall
not apply if such proof is filed prior to September 1954."
Section 5(d)(2) of act July 18, 1952, provided that: "The
amendment made by paragraph (1) of this subsection [amending this
section] shall apply only in the case of applications for benefits
under section 202 of the Social Security Act [section 402 of this
title] filed after August 1952."
EFFECTIVE DATE
Section 105 of act Aug. 28, 1950, provided that this section is
effective Sept. 1, 1950.
-TRANS-
TRANSFER OF FUNCTIONS
For transfer of authorities, functions, personnel, and assets of
the Coast Guard, including the authorities and functions of the
Secretary of Transportation relating thereto, to the Department of
Homeland Security, and for treatment of related references, see
sections 468(b), 551(d), 552(d), and 557 of Title 6, Domestic
Security, and the Department of Homeland Security Reorganization
Plan of November 25, 2002, as modified, set out as a note under
section 542 of Title 6.
Coast Guard transferred to Department of Transportation, and
functions, powers, and duties relating to Coast Guard, of Secretary
of the Treasury and of other officers and offices of Department of
the Treasury transferred to Secretary of Transportation by Pub. L.
89-670, Sec. 6(b)(1), Oct. 15, 1966, 80 Stat. 938. Section 6(b)(2)
of Pub. L. 89-670, however, provided that notwithstanding such
transfer of functions, Coast Guard shall operate as part of Navy in
time of war or when President directs as provided in section 3 of
Title 14, Coast Guard. See section 108 of Title 49, Transportation.
-MISC3-
RECOMPUTATION OF PRIMARY INSURANCE AMOUNT OF CERTAIN INDIVIDUALS
Section 314(c)(2) of Pub. L. 85-840 provided that: "In the case
of any individual -
"(A) who is a World War II veteran (as defined in section
217(d)(2) of the Social Security Act [subsec. (d)(2) of this
section]) wholly or partly by reason of service described in
section 217(h)(1)(A) of such Act; and
"(B) who (i) became entitled to old-age insurance benefits
under section 202(a) of the Social Security Act [section 402(a)
of this title] or to disability insurance benefits under section
223 of such Act [section 423 of this title] prior to the first
day of the month following the month in which this Act is enacted
[August 1958], or (i) died prior to such first day, and whose
widow, former wife divorced, widower, child, or parent is
entitled for the month in which this Act is enacted, on the basis
of his wages and self-employment income, to a monthly benefit
under section 202 of such Act; and
"(C) any part of whose service described in section
217(h)(1)(A) of the Social Security Act was not included in the
computation of his primary insurance amount under section 215 of
such Act [section 415 of this title] but would have been included
in such computation if the amendment made by subsection (a) of
this section had been effective prior to the date of such
computation,
the Secretary of Health, Education, and Welfare [now Health and
Human Services] shall, notwithstanding the provisions of section
215(f)(1) of the Social Security Act, recompute the primary
insurance amount of such individual upon the filing of an
application, after the month in which this Act is enacted [August
1958], by him or (if he has died without filing such an
application) by any person entitled to monthly benefits under
section 202 of the Social Security Act on the basis of his wages
and self-employment income. Such recomputation shall be made only
in the manner provided in title II of the Social Security Act [this
subchapter] as in effect at the time of the last previous
computation or recomputation of such individual's primary insurance
amount, and as though application therefor was filed in the month
in which application for such last previous computation or
recomputation was filed. No recomputation made under this
subsection shall be regarded as a recomputation under section
215(f) of the Social Security Act. Any such recomputation shall be
effective for and after the twelfth month before the month in which
the application is filed, but in no case for the month in which
this Act is enacted or any prior month."
RECOMPUTATION OF SOCIAL SECURITY BENEFITS OF WIDOWS AND CHILDREN
WHO WAIVE RIGHT TO ANNUITY UNDER CIVIL SERVICE RETIREMENT ACT
Section 404(c) of act Aug. 1, 1956, provided that: "In the case
of any deceased individual -
"(1) who is a World War II veteran (as defined in section
217(d)(2) of the Social Security Act [subsec. (d)(2) of this
section]) or a veteran (as defined in section 217(e)(4) of such
Act); and
"(2) whose widow or child is entitled under the Civil Service
Retirement Act of May 29, 1930, as amended [see section 8301 et
seq. of Title 5, Government Organization and Employees], to an
annuity in the computation of which his active military or naval
service after September 15, 1940, and before January 1, 1957, was
included; and
"(3) whose widow or child is entitled under section 202 of the
Social Security Act [section 402 of this title], on the basis of
his wages and self-employment income, to a monthly benefit in the
computation of which such active military or naval service was
excluded (under clause (B) of subsection (a)(1) or (e)(1) of
section 217 of such Act) solely by reason of the annuity
described in the preceding paragraph; and
"(4) whose widow or child is entitled by reason of section
217(f) of the Social Security Act to have such active military or
naval service included in the computation of such monthly
benefit,
the Secretary of Health, Education, and Welfare [now Health and
Human Services] shall, notwithstanding the provisions of section
215(f)(1) of the Social Security Act [section 415(f)(1) of this
title], recompute the primary insurance amount of such individual
upon the filing of an application, after December 1956, by or on
behalf of such widow or child. Such recomputation shall be made
only in the manner provided in title II of the Social Security Act
[this subchapter] as in effect at the time of such individual's
death, and as though application therefor was filed in the month in
which he died. No recomputation made under this subsection shall be
regarded as a recomputation under section 215(f) of the Social
Security Act. Any such recomputation shall be effective for and
after the twelfth month before the month in which the application
is filed, but in no case for any month before the first month with
respect to which such widow or child is entitled by reason of
section 217(f) of the Social Security Act to have such active
military or naval service included in the computation of such
monthly benefits. The terms used in this subsection shall have the
same meaning as when used in title II of the Social Security Act
[this subchapter]."
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 213, 405, 415 of this
title.
-End-
-CITE-
42 USC Sec. 418 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 418. Voluntary agreements for coverage of State and local
employees
-STATUTE-
(a) Purpose of agreement
(1) The Commissioner of Social Security shall, at the request of
any State, enter into an agreement with such State for the purpose
of extending the insurance system established by this subchapter to
services performed by individuals as employees of such State or any
political subdivision thereof. Each such agreement shall contain
such provisions, not inconsistent with the provisions of this
section, as the State may request.
(2) Notwithstanding section 410(a) of this title, for the
purposes of this subchapter the term "employment" includes any
service included under an agreement entered into under this
section.
(b) Definitions
For the purposes of this section -
(1) The term "State" does not include the District of Columbia,
Guam, or American Samoa.
(2) The term "political subdivision" includes an
instrumentality of (A) a State, (B) one or more political
subdivisions of a State, or (C) a State and one or more of its
political subdivisions.
(3) The term "employee" includes an officer of a State or
political subdivision.
(4) The term "retirement system" means a pension, annuity,
retirement, or similar fund or system established by a State or
by a political subdivision thereof.
(5) The term "coverage group" means (A) employees of the State
other than those engaged in performing service in connection with
a proprietary function; (B) employees of a political subdivision
of a State other than those engaged in performing service in
connection with a proprietary function; (C) employees of a State
engaged in performing service in connection with a single
proprietary function; or (D) employees of a political subdivision
of a State engaged in performing service in connection with a
single proprietary function. If under the preceding sentence an
employee would be included in more than one coverage group by
reason of the fact that he performs service in connection with
two or more proprietary functions or in connection with both a
proprietary function and a nonproprietary function, he shall be
included in only one such coverage group. The determination of
the coverage group in which such employee shall be included shall
be made in such manner as may be specified in the agreement.
Persons employed under section 709 of title 32, who elected under
section 6 of the National Guard Technicians Act of 1968 to remain
covered by an employee retirement system of, or plan sponsored
by, a State or the Commonwealth of Puerto Rico, shall, for the
purposes of this chapter, be employees of the State or the
Commonwealth of Puerto Rico and (notwithstanding the preceding
provisions of this paragraph), shall be deemed to be a separate
coverage group. For purposes of this section, individuals
employed pursuant to an agreement, entered into pursuant to
section 1624 of title 7 or section 499n of title 7, between a
State and the United States Department of Agriculture to perform
services as inspectors of agricultural products may be deemed, at
the option of the State, to be employees of the State and
(notwithstanding the preceding provisions of this paragraph)
shall be deemed to be a separate coverage group.
(c) Services covered
(1) An agreement under this section shall be applicable to any
one or more coverage groups designated by the State.
(2) In the case of each coverage group to which the agreement
applies, the agreement must include all services (other than
services excluded by or pursuant to subsection (d) or paragraph
(3), (5), or (6) of this subsection) performed by individuals as
members of such group.
(3) Such agreement shall, if the State requests it, exclude (in
the case of any coverage group) any one or more of the following:
(A) All services in any class or classes of (i) elective
positions, (ii) part-time positions, or (iii) positions the
compensation for which is on a fee basis;
(B) All services performed by individuals as members of a
coverage group in positions covered by a retirement system on the
date such agreement is made applicable to such coverage group,
but only in the case of individuals who, on such date (or, if
later, the date on which they first occupy such positions), are
not eligible to become members of such system and whose services
in such positions have not already been included under such
agreement pursuant to subsection (d)(3) of this section.
(4) The Commissioner of Social Security shall, at the request of
any State, modify the agreement with such State so as to (A)
include any coverage group to which the agreement did not
previously apply, or (B) include, in the case of any coverage group
to which the agreement applies, services previously excluded from
the agreement; but the agreement as so modified may not be
inconsistent with the provisions of this section applicable in the
case of an original agreement with a State. A modification of an
agreement pursuant to clause (B) of the preceding sentence may
apply to individuals to whom paragraph (3)(B) of this subsection is
applicable (whether or not the previous exclusion of the service of
such individuals was pursuant to such paragraph), but only if such
individuals are, on the effective date specified in such
modification, ineligible to be members of any retirement system or
if the modification with respect to such individuals is pursuant to
subsection (d)(3) of this section.
(5) Such agreement shall, if the State requests it, exclude (in
the case of any coverage group) any agricultural labor, or service
performed by a student, designated by the State. This paragraph
shall apply only with respect to service which is excluded from
employment by any provision of section 410(a) of this title other
than paragraph (7) of such section and service the remuneration for
which is excluded from wages by subparagraph (B) of section
409(a)(7) of this title.
(6) Such agreement shall exclude -
(A) service performed by an individual who is employed to
relieve him from unemployment,
(B) service performed in a hospital, home, or other institution
by a patient or inmate thereof,
(C) covered transportation service (as determined under section
410(k) of this title),
(D) service (other than agricultural labor or service performed
by a student) which is excluded from employment by any provision
of section 410(a) of this title other than paragraph (7) of such
section,
(E) service performed by an individual as an employee serving
on a temporary basis in case of fire, storm, snow, earthquake,
flood, or other similar emergency, and
(F) service described in section 410(a)(7)(F) of this title
which is included as "employment" under section 410(a) of this
title.
(7) No agreement may be made applicable (either in the original
agreement or by any modification thereof) to service performed by
any individual to whom paragraph (3)(B) of this subsection is
applicable unless such agreement provides (in the case of each
coverage group involved) either that the service of any individual
to whom such paragraph is applicable and who is a member of such
coverage group shall continue to be covered by such agreement in
case he thereafter becomes eligible to be a member of a retirement
system, or that such service shall cease to be so covered when he
becomes eligible to be a member of such a system (but only if the
agreement is not already applicable to such system pursuant to
subsection (d)(3) of this section), whichever may be desired by the
State.
(8)(A) Notwithstanding any other provision of this section, the
agreement with any State entered into under this section may at the
option of the State be modified at any time to exclude service
performed by election officials or election workers if the
remuneration paid in a calendar year for such service is less than
$1,000 with respect to service performed during any calendar year
commencing on or after January 1, 1995, ending on or before
December 31, 1999, and the adjusted amount determined under
subparagraph (B) for any calendar year commencing on or after
January 1, 2000, with respect to service performed during such
calendar year. Any modification of an agreement pursuant to this
paragraph shall be effective with respect to services performed in
and after the calendar year in which the modification is mailed or
delivered by other means to the Commissioner of Social Security.
(B) For each year after 1999, the Commissioner of Social Security
shall adjust the amount referred to in subparagraph (A) at the same
time and in the same manner as is provided under section
415(a)(1)(B)(ii) of this title with respect to the amounts referred
to in section 415(a)(1)(B)(i) of this title, except that -
(i) for purposes of this subparagraph, 1997 shall be
substituted for the calendar year referred to in section
415(a)(1)(B)(ii)(II) of this title, and
(ii) such amount as so adjusted, if not a multiple of $100,
shall be rounded to the next higher multiple of $100 where such
amount is a multiple of $50 and to the nearest multiple of $100
in any other case.
The Commissioner of Social Security shall determine and publish in
the Federal Register each adjusted amount determined under this
subparagraph not later than November 1 preceding the year for which
the adjustment is made.
(d) Positions covered by retirement systems
(1) No agreement with any State may be made applicable (either in
the original agreement or by any modification thereof) to any
service performed by employees as members of any coverage group in
positions covered by a retirement system either (A) on the date
such agreement is made applicable to such coverage group, or (B) on
September 1, 1954 (except in the case of positions which are, by
reason of action by such State or political subdivision thereof, as
may be appropriate, taken prior to September 1, 1954, no longer
covered by a retirement system on the date referred to in clause
(A), and except in the case of positions excluded by paragraph
(5)(A) of this subsection). The preceding sentence shall not be
applicable to any service performed by an employee as a member of
any coverage group in a position (other than a position excluded by
paragraph (5)(A) of this subsection) covered by a retirement system
on the date an agreement is made applicable to such coverage group
if, on such date (or, if later, the date on which such individual
first occupies such position), such individual is ineligible to be
a member of such system.
(2) It is declared to be the policy of the Congress in enacting
the succeeding paragraphs of this subsection that the protection
afforded employees in positions covered by a retirement system on
the date an agreement under this section is made applicable to
service performed in such positions, or receiving periodic benefits
under such retirement system at such time, will not be impaired as
a result of making the agreement so applicable or as a result of
legislative enactment in anticipation thereof.
(3) Notwithstanding paragraph (1) of this subsection, an
agreement with a State may be made applicable (either in the
original agreement or by any modification thereof) to service
performed by employees in positions covered by a retirement system
(including positions specified in paragraph (4) of this subsection
but not including positions excluded by or pursuant to paragraph
(5)), if the governor of the State, or an official of the State
designated by him for the purpose, certifies to the Commissioner of
Social Security that the following conditions have been met:
(A) A referendum by secret written ballot was held on the
question of whether service in positions covered by such
retirement system should be excluded from or included under an
agreement under this section;
(B) An opportunity to vote in such referendum was given (and
was limited) to eligible employees;
(C) Not less than ninety days' notice of such referendum was
given to all such employees;
(D) Such referendum was conducted under the supervision of the
governor or an agency or individual designated by him; and
(E) A majority of the eligible employees voted in favor of
including service in such positions under an agreement under this
section.
An employee shall be deemed an "eligible employee" for purposes of
any referendum with respect to any retirement system if, at the
time such referendum was held, he was in a position covered by such
retirement system and was a member of such system, and if he was in
such a position at the time notice of such referendum was given as
required by clause (C) of the preceding sentence; except that he
shall not be deemed an "eligible employee" if, at the time the
referendum was held, he was in a position to which the State
agreement already applied, or if he was in a position excluded by
or pursuant to paragraph (5). No referendum with respect to a
retirement system shall be valid for purposes of this paragraph
unless held within the two-year period which ends on the date of
execution of the agreement or modification which extends the
insurance system established by this subchapter to such retirement
system, nor shall any referendum with respect to a retirement
system be valid for purposes of this paragraph if held less than
one year after the last previous referendum held with respect to
such retirement system.
(4) For the purposes of subsection (c) of this section, the
following employees shall be deemed to be a separate coverage group
-
(A) all employees in positions which were covered by the same
retirement system on the date the agreement was made applicable
to such system (other than employees to whose services the
agreement already applied on such date);
(B) all employees in positions which became covered by such
system at any time after such date; and
(C) all employees in positions which were covered by such
system at any time before such date and to whose services the
insurance system established by this subchapter has not been
extended before such date because the positions were covered by
such retirement system (including employees to whose services the
agreement was not applicable on such date because such services
were excluded pursuant to subsection (c)(3)(B) of this section).
(5)(A) Nothing in paragraph (3) of this subsection shall
authorize the extension of the insurance system established by this
subchapter to service in any policeman's or fireman's position.
(B) At the request of the State, any class or classes of
positions covered by a retirement system which may be excluded from
the agreement pursuant to paragraph (3) or (5) of subsection (c) of
this section, and to which the agreement does not already apply,
may be excluded from the agreement at the time it is made
applicable to such retirement system; except that, notwithstanding
the provisions of paragraph (3)(B) of such subsection, such
exclusion may not include any services to which such paragraph
(3)(B) is applicable. In the case of any such exclusion, each such
class so excluded shall, for purposes of this subsection,
constitute a separate retirement system in case of any modification
of the agreement thereafter agreed to.
(6)(A) If a retirement system covers positions of employees of
the State and positions of employees of one or more political
subdivisions of the State, or covers positions of employees of two
or more political subdivisions of the State, then, for purposes of
the preceding paragraphs of this subsection, there shall, if the
State so desires, be deemed to be a separate retirement system with
respect to any one or more of the political subdivisions concerned
and, where the retirement system covers positions of employees of
the State, a separate retirement system with respect to the State
or with respect to the State and any one or more of the political
subdivisions concerned. Where a retirement system covering
positions of employees of a State and positions of employees of one
or more political subdivisions of the State, or covering positions
of employees of two or more political subdivisions of the State, is
not divided into separate retirement systems pursuant to the
preceding sentence or pursuant to subparagraph (C), then the State
may, for purposes of subsection (e) of this section only, deem the
system to be a separate retirement system with respect to any one
or more of the political subdivisions concerned and, where the
retirement system covers positions of employees of the State, a
separate retirement system with respect to the State or with
respect to the State and any one or more of the political
subdivisions concerned.
(B) If a retirement system covers positions of employees of one
or more institutions of higher learning, then, for purposes of such
preceding paragraphs there shall, if the State so desires, be
deemed to be a separate retirement system for the employees of each
such institution of higher learning. For the purposes of this
subparagraph, the term "institutions of higher learning" includes
junior colleges and teachers colleges. If a retirement system
covers positions of employees of a hospital which is an integral
part of a political subdivision, then, for purposes of the
preceding paragraphs there shall, if the State so desires, be
deemed to be a separate retirement system for the employees of such
hospital.
(C) For the purposes of this subsection, any retirement system
established by the State of Alaska, California, Connecticut,
Florida, Georgia, Illinois, Massachusetts, Minnesota, Nevada, New
Jersey, New Mexico, New York, North Dakota, Pennsylvania, Rhode
Island, Tennessee, Texas, Vermont, Washington, Wisconsin, or
Hawaii, or any political subdivision of any such State, which, on,
before, or after August 1, 1956, is divided into two divisions or
parts, one of which is composed of positions of members of such
system who desire coverage under an agreement under this section
and the other of which is composed of positions of members of such
system who do not desire such coverage, shall, if the State so
desires and if it is provided that there shall be included in such
division or part composed of members desiring such coverage the
positions of individuals who become members of such system after
such coverage is extended, be deemed to be a separate retirement
system with respect to each such division or part. If, in the case
of a separate retirement system which is deemed to exist by reason
of subparagraph (A) and which has been divided into two divisions
or parts pursuant to the first sentence of this subparagraph,
individuals become members of such system by reason of action taken
by a political subdivision after coverage under an agreement under
this section has been extended to the division or part thereof
composed of positions of individuals who desire such coverage, the
positions of such individuals who become members of such retirement
system by reason of the action so taken shall be included in the
division or part of such system composed of positions of members
who do not desire such coverage if (i) such individuals, on the day
before becoming such members, were in the division or part of
another separate retirement system (deemed to exist by reason of
subparagraph (A)) composed of positions of members of such system
who do not desire coverage under an agreement under this section,
and (ii) all of the positions in the separate retirement system of
which such individuals so become members and all of the positions
in the separate retirement system referred to in clause (i) would
have been covered by a single retirement system if the State had
not taken action to provide for separate retirement systems under
this paragraph.
(D)(i) The position of any individual which is covered by any
retirement system to which subparagraph (C) is applicable shall, if
such individual is ineligible to become a member of such system on
August 1, 1956, or, if later, the day he first occupies such
position, be deemed to be covered by the separate retirement system
consisting of the positions of members of the division or part who
do not desire coverage under the insurance system established under
this subchapter.
(ii) Notwithstanding clause (i), the State may, pursuant to
subsection (c)(4)(B) of this section and subject to the conditions
of continuation or termination of coverage provided for in
subsection (c)(7) of this section, modify its agreement under this
section to include services performed by all individuals described
in clause (i) other than those individuals to whose services the
agreement already applies. Such individuals shall be deemed (on and
after the effective date of the modification) to be in positions
covered by the separate retirement system consisting of the
positions of members of the division or part who desire coverage
under the insurance system established under this subchapter.
(E) An individual who is in a position covered by a retirement
system to which subparagraph (C) is applicable and who is not a
member of such system but is eligible to become a member thereof
shall, for purposes of this subsection (other than paragraph (8) of
this subsection), be regarded as a member of such system; except
that, in the case of any retirement system a division or part of
which is covered under the agreement (either in the original
agreement or by a modification thereof), which coverage is agreed
to prior to 1960, the preceding provisions of this subparagraph
shall apply only if the State so requests and any such individual
referred to in such preceding provisions shall, if the State so
requests, be treated, after division of the retirement system
pursuant to such subparagraph (C), the same as individuals in
positions referred to in subparagraph (F).
(F) In the case of any retirement system divided pursuant to
subparagraph (C), the position of any member of the division or
part composed of positions of members who do not desire coverage
may be transferred to the separate retirement system composed of
positions of members who desire such coverage if it is so provided
in a modification of such agreement which is mailed, or delivered
by other means, to the Commissioner of Social Security prior to
1970 or, if later, the expiration of two years after the date on
which such agreement, or the modification thereof making the
agreement applicable to such separate retirement system, as the
case may be, is agreed to, but only if, prior to such modification
or such later modification, as the case may be, the individual
occupying such position files with the State a written request for
such transfer. Notwithstanding subsection (e)(1) of this section,
any such modification or later modification, providing for the
transfer of additional positions within a retirement system
previously divided pursuant to subparagraph (C) to the separate
retirement system composed of positions of members who desire
coverage, shall be effective with respect to services performed
after the same effective date as that which was specified in the
case of such previous division.
(G) For the purposes of this subsection, in the case of any
retirement system of the State of Florida, Georgia, Minnesota,
North Dakota, Pennsylvania, Washington, or Hawaii which covers
positions of employees of such State who are compensated in whole
or in part from grants made to such State under subchapter III of
this chapter, there shall be deemed to be, if such State so
desires, a separate retirement system with respect to any of the
following:
(i) the positions of such employees;
(ii) the positions of all employees of such State covered by
such retirement system who are employed in the department of such
State in which the employees referred to in clause (i) are
employed; or
(iii) employees of such State covered by such retirement system
who are employed in such department of such State in positions
others than those referred to in clause (i).
(7) The certification by the governor (or an official of the
State designated by him for the purpose) required under paragraph
(3) of this subsection shall be deemed to have been made, in the
case of a division or part (created under subparagraph (C) of
paragraph (6) of this subsection or the corresponding provision of
prior law) consisting of the positions of members of a retirement
system who desire coverage under the agreement under this section,
if the governor (or the official so designated) certifies to the
Commissioner of Social Security that -
(A) an opportunity to vote by written ballot on the question of
whether they wish to be covered under an agreement under this
section was given to all individuals who were members of such
system at the time the vote was held;
(B) not less than ninety days' notice of such vote was given to
all individuals who were members of such system on the date the
notice was issued;
(C) the vote was conducted under the supervision of the
governor or an agency or individual designated by him; and
(D) such system was divided into two parts or divisions in
accordance with the provisions of subparagraphs (C) and (D) of
paragraph (6) of this subsection or the corresponding provision
of prior law.
For purposes of this paragraph, an individual in a position to
which the State agreement already applied or in a position excluded
by or pursuant to paragraph (5) of this subsection shall not be
considered a member of the retirement system.
(8)(A) Notwithstanding paragraph (1) of this subsection, if under
the provisions of this subsection an agreement is, after December
31, 1958, made applicable to service performed in positions covered
by a retirement system, service performed by an individual in a
position covered by such a system may not be excluded from the
agreement because such position is also covered under another
retirement system.
(B) Subparagraph (A) shall not apply to service performed by an
individual in a position covered under a retirement system if such
individual, on the day the agreement is made applicable to service
performed in positions covered by such retirement system, is not a
member of such system and is a member of another system.
(C) If an agreement is made applicable, prior to 1959, to service
in positions covered by any retirement system, the preceding
provisions of this paragraph shall be applicable in the case of
such system if the agreement is modified to so provide.
(D) Except in the case of State agreements modified as provided
in subsection (l) of this section and agreements with interstate
instrumentalities, nothing in this paragraph shall authorize the
application of an agreement to service in any policeman's or
fireman's position.
(e) Effective date of agreement; retroactive coverage
(1) Any agreement or modification of an agreement under this
section shall be effective with respect to services performed after
an effective date specified in such agreement or modification;
except that such date may not be earlier than the last day of the
sixth calendar year preceding the year in which such agreement or
modification, as the case may be, is mailed or delivered by other
means to the Commissioner of Social Security.
(2) In the case of service performed by members of any coverage
group -
(A) to which an agreement under this section is made
applicable, and
(B) with respect to which the agreement, or modification
thereof making the agreement so applicable, specifies an
effective date earlier than the date of execution of such
agreement and such modification, respectively,
the agreement shall, if so requested by the State, be applicable to
such services (to the extent the agreement was not already
applicable) performed before such date of execution and after such
effective date by any individual as a member of such coverage group
if he is such a member on a date, specified by the State, which is
earlier than such date of execution, except that in no case may the
date so specified be earlier than the date such agreement or such
modification, as the case may be, is mailed, or delivered by other
means, to the Commissioner of Social Security.
(3) Notwithstanding the provisions of paragraph (2) of this
subsection, in the case of services performed by individuals as
members of any coverage group to which an agreement under this
section is made applicable, and with respect to which there were
timely paid in good faith to the Secretary of the Treasury amounts
equivalent to the sum of the taxes which would have been imposed by
sections 3101 and 3111 of the Internal Revenue Code of 1986 had
such services constituted employment for purposes of chapter 21 of
such Code at the time they were performed, and with respect to
which refunds were not obtained, such individuals may, if so
requested by the State, be deemed to be members of such coverage
group on the date designated pursuant to paragraph (2).
(f) Duration of agreement
No agreement under this section may be terminated, either in its
entirety or with respect to any coverage group, on or after April
20, 1983.
(g) Instrumentalities of two or more States
(1) The Commissioner of Social Security may, at the request of
any instrumentality of two or more States, enter into an agreement
with such instrumentality for the purpose of extending the
insurance system established by this subchapter to services
performed by individuals as employees of such instrumentality. Such
agreement, to the extent practicable, shall be governed by the
provisions of this section applicable in the case of an agreement
with a State.
(2) In the case of any instrumentality of two or more States, if
-
(A) employees of such instrumentality are in positions covered
by a retirement system of such instrumentality or of any of such
States or any of the political subdivisions thereof, and
(B) such retirement system is (on, before, or after August 30,
1957) divided into two divisions or parts, one of which is
composed of positions of members of such system who are employees
of such instrumentality and who desire coverage under an
agreement under this section and the other of which is composed
of positions of members of such system who are employees of such
instrumentality and who do not desire such coverage, and
(C) it is provided that there shall be included in such
division or part composed of the positions of members desiring
such coverage the positions of employees of such instrumentality
who become members of such system after such coverage is
extended,
then such retirement system shall, if such instrumentality so
desires, be deemed to be a separate retirement system with respect
to each such division or part. An individual who is in a position
covered by a retirement system divided pursuant to the preceding
sentence and who is not a member of such system but is eligible to
become a member thereof shall, for purposes of this subsection, be
regarded as a member of such system. Coverage under the agreement
of any such individual shall be provided under the same conditions,
to the extent practicable, as are applicable in the case of the
States to which the provisions of subsection (d)(6)(C) of this
section apply. The position of any employee of any such
instrumentality which is covered by any retirement system to which
the first sentence of this paragraph is applicable shall, if such
individual is ineligible to become a member of such system on
August 30, 1957, or, if later, the day he first occupies such
position, be deemed to be covered by the separate retirement system
consisting of the positions of members of the division or part who
do not desire coverage under the insurance system established under
this subchapter. Services in positions covered by a separate
retirement system created pursuant to this subsection (and
consisting of the positions of members who desire coverage under an
agreement under this section) shall be covered under such agreement
on compliance, to the extent practicable, with the same conditions
as are applicable to coverage under an agreement under this section
of services in positions covered by a separate retirement system
created pursuant to subparagraph (C) of subsection (d)(6) of this
section or the corresponding provision of prior law (and consisting
of the positions of members who desire coverage under such
agreement).
(3) Any agreement with any instrumentality of two or more States
entered into pursuant to this chapter may, notwithstanding the
provisions of subsection (d)(5)(A) of this section and the
references thereto in subsections (d)(1) and (d)(3) of this
section, apply to service performed by employees of such
instrumentality in any policeman's or fireman's position covered by
a retirement system, but only upon compliance, to the extent
practicable, with the requirements of subsection (d)(3) of this
section. For the purpose of the preceding sentence, a retirement
system which covers positions of policemen or firemen or both, and
other positions shall, if the instrumentality concerned so desires,
be deemed to be a separate retirement system with respect to the
positions of such policemen or firemen, or both, as the case may
be.
(h) Delegation of functions
The Commissioner of Social Security is authorized, pursuant to
agreement with the head of any Federal agency, to delegate any of
the Commissioner's functions under this section to any officer or
employee of such agency and otherwise to utilize the services and
facilities of such agency in carrying out such functions, and
payment therefor shall be in advance or by way of reimbursement, as
may be provided in such agreement.
(i) Wisconsin Retirement Fund
(1) Notwithstanding paragraph (1) of subsection (d) of this
section, the agreement with the State of Wisconsin may, subject to
the provisions of this subsection, be modified so as to apply to
service performed by employees in positions covered by the
Wisconsin retirement fund or any successor system.
(2) All employees in positions covered by the Wisconsin
retirement fund at any time on or after January 1, 1951, shall, for
the purposes of subsection (c) only, be deemed to be a separate
coverage group; except that there shall be excluded from such
separate coverage group all employees in positions to which the
agreement applies without regard to this subsection.
(3) The modification pursuant to this subsection shall exclude
(in the case of employees in the coverage group established by
paragraph (2) of this subsection) service performed by any
individual during any period before he is included under the
Wisconsin retirement fund.
(4) The modification pursuant to this subsection shall, if the
State of Wisconsin requests it, exclude (in the case of employees
in the coverage group established by paragraph (2) of this
subsection) all service performed in policemen's positions, all
service performed in firemen's positions, or both.
(j) Certain positions no longer covered by retirement systems
Notwithstanding subsection (d) of this section, an agreement with
any State entered into under this section prior to September 1,
1954 may, prior to January 1, 1958, be modified pursuant to
subsection (c)(4) of this section so as to apply to services
performed by employees, as members of any coverage group to which
such agreement already applies (and to which such agreement applied
on September 1, 1954), in positions (1) to which such agreement
does not already apply, (2) which were covered by a retirement
system on the date such agreement was made applicable to such
coverage group, and (3) which, by reason of action by such State or
political subdivision thereof, as may be appropriate, taken prior
to September 1, 1954, are no longer covered by a retirement system
on the date such agreement is made applicable to such services.
(k) Certain employees of State of Utah
Notwithstanding the provisions of subsection (d) of this section,
the agreement with the State of Utah entered into pursuant to this
section may be modified pursuant to subsection (c)(4) of this
section so as to apply to services performed for any of the
following, the employees performing services for each of which
shall constitute a separate coverage group: Weber Junior College,
Carbon Junior College, Dixie Junior College, Central Utah
Vocational School, Salt Lake Area Vocational School, Center for the
Adult Blind, Union High School (Roosevelt, Utah), Utah High School
Activities Association, State Industrial School, State Training
School, State Board of Education, and Utah School Employees
Retirement Board. Any modification agreed to prior to January 1,
1955, may be made effective with respect to services performed by
employees as members of any of such coverage groups after an
effective date specified therein, except that in no case may any
such date be earlier than December 31, 1950. Coverage provided for
in this subsection shall not be affected by a subsequent change in
the name of a group.
(l) Policemen and firemen in certain States
Any agreement with a State entered into pursuant to this section
may, notwithstanding the provisions of subsection (d)(5)(A) of this
section and the references thereto in subsections (d)(1) and (d)(3)
of this section, be modified pursuant to subsection (c)(4) of this
section to apply to service performed by employees of such State or
any political subdivision thereof in any policeman's or fireman's
position covered by a retirement system in effect on or after
August 1, 1956, but only upon compliance with the requirements of
subsection (d)(3) of this section. For the purposes of the
preceding sentence, a retirement system which covers positions of
policemen or firemen, or both, and other positions shall, if the
State concerned so desires, be deemed to be a separate retirement
system with respect to the positions of such policemen or firemen,
or both, as the case may be.
(m) Positions compensated solely on a fee basis
(1) Notwithstanding any other provision in this section, an
agreement entered into under this section may be made applicable to
service performed after 1967 in any class or classes of positions
compensated solely on a fee basis to which such agreement did not
apply prior to 1968 only if the State specifically requests that
its agreement be made applicable to such service in such class or
classes of positions.
(2) Notwithstanding any other provision in this section, an
agreement entered into under this section may be modified, at the
option of the State, at any time after 1967, so as to exclude
services performed in any class or classes of positions
compensation for which is solely on a fee basis.
(3) Any modification made under this subsection shall be
effective with respect to services performed after the last day of
the calendar year in which the modification is mailed or delivered
by other means to the Commissioner of Social Security.
(4) If any class or classes of positions have been excluded from
coverage under the State agreement by a modification agreed to
under this subsection, the Commissioner of Social Security and the
State may not thereafter modify such agreement so as to again make
the agreement applicable with respect to such class or classes of
positions.
(n) Optional medicare coverage of current employees
(1) The Commissioner of Social Security shall, at the request of
any State, enter into or modify an agreement with such State under
this section for the purpose of extending the provisions of
subchapter XVIII of this chapter, and sections 426 and 426-1 of
this title, to services performed by employees of such State or any
political subdivision thereof who are described in paragraph (2).
(2) This subsection shall apply only with respect to employees -
(A) whose services are not treated as employment as that term
applies under section 410(p) of this title by reason of paragraph
(3) of such section; and
(B) who are not otherwise covered under the State's agreement
under this section.
(3) For purposes of sections 426 and 426-1 of this title,
services covered under an agreement pursuant to this subsection
shall be treated as "medicare qualified government employment".
(4) Except as otherwise provided in this subsection, the
provisions of this section shall apply with respect to services
covered under the agreement pursuant to this subsection.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 218, as added Aug. 28,
1950, ch. 809, title I, Sec. 106, 64 Stat. 514; amended June 28,
1952, ch. 483, 66 Stat. 285; Aug. 15, 1953, ch. 504, Sec. 1, 67
Stat. 587; Sept. 1, 1954, ch. 1206, title I, Sec. 101(a)(5), (6),
(h)(1)-(8), (i)(1), (2), (j), 68 Stat. 1055-1059; Aug. 1, 1956, ch.
836, title I, Secs. 103(f), (g), 104(e), (g), 70 Stat. 823, 825,
826; Pub. L. 85-226, Aug. 30, 1957, 71 Stat. 511; Pub. L. 85-227,
Sec. 1, Aug. 30, 1957, 71 Stat. 512; Pub. L. 85-229, Aug. 30, 1957,
71 Stat. 513; Pub. L. 85-787, Secs. 1, 2, Aug. 27, 1958, 72 Stat.
939; Pub. L. 85-798, Secs. 2, 3, Aug. 28, 1958, 72 Stat. 964, 965;
Pub. L. 85-840, title III, Sec. 315(a)-(c)(1), Aug. 28, 1958, 72
Stat. 1038-1040; Pub. L. 86-284, Sec. 2, Sept. 16, 1959, 73 Stat.
566; Pub. L. 86-624, Sec. 30(e), (f), July 12, 1960, 74 Stat. 420;
Pub. L. 86-778, title I, Secs. 102(a), (b)(1), (c)(1), (2), (d),
(e), (f)(1), (g), (l), 103(i), (j)(2)(G), Sept. 13, 1960, 74 Stat.
928-930, 934, 936-938; Pub. L. 87-64, title I, Secs. 106, 107, June
30, 1961, 75 Stat. 139, 140; Pub. L. 87-878, Sec. 2, Oct. 24, 1962,
76 Stat. 1202; Pub. L. 88-350, Sec. 2, July 2, 1964, 78 Stat. 240;
Pub. L. 88-382, July 23, 1964, 78 Stat. 335; Pub. L. 89-97, title
I, Sec. 108(b), title III, Secs. 314, 315, July 30, 1965, 79 Stat.
338, 385; Pub. L. 90-248, title I, Secs. 116(a)-(b)(2), (c), (d),
117, 119(a), 120(a), 121, 122(d), Jan. 2, 1968, 81 Stat. 840-844;
Pub. L. 90-486, Sec. 7, Aug. 13, 1968, 82 Stat. 759; Pub. L.
92-603, title I, Sec. 126, Oct. 30, 1972, 86 Stat. 1358; Priv. L.
93-107, Sec. 2, Dec. 31, 1974, 88 Stat. 2386; Pub. L. 95-216, title
III, Secs. 319-321, 353(b), Dec. 20, 1977, 91 Stat. 1541, 1553;
Pub. L. 96-265, title V, Sec. 503(a), June 9, 1980, 94 Stat. 470;
Pub. L. 98-21, title I, Sec. 103(a), title III, Secs. 325(a),
342(a), Apr. 20, 1983, 97 Stat. 71, 126, 136; Pub. L. 98-369, div.
B, title VI, Sec. 2663(a)(13), (j)(2)(A)(ii), (3)(A)(iii), July 18,
1984, 98 Stat. 1164, 1170; Pub. L. 99-272, title XII, Sec.
12110(a), (b), title XIII, Sec. 13205(c), Apr. 7, 1986, 100 Stat.
287, 317; Pub. L. 99-509, title IX, Sec. 9002(c)(1), (2)(C)-(E),
Oct. 21, 1986, 100 Stat. 1971, 1972; Pub. L. 99-514, title XVIII,
Sec. 1883(a)(8), Oct. 22, 1986, 100 Stat. 2916; Pub. L. 100-203,
title IV, Sec. 4009(j)(7), title IX, Sec. 9023(c), Dec. 22, 1987,
101 Stat. 1330-59, 1330-296; Pub. L. 101-239, title X, Sec.
10208(d)(2)(A)(v), Dec. 19, 1989, 103 Stat. 2481; Pub. L. 101-508,
title XI, Sec. 11332(c), Nov. 5, 1990, 104 Stat. 1388-470; Pub. L.
103-296, title I, Sec. 107(a)(4), title III, Secs. 303(c), (d),
305(a), (b), 321(a)(18), (c)(6)(I), Aug. 15, 1994, 108 Stat. 1478,
1519, 1521, 1537, 1538.)
-REFTEXT-
REFERENCES IN TEXT
Section 6 of the National Guard Technicians Act of 1968, referred
to in subsec. (b)(5), is section 6 of Pub. L. 90-486, which is set
out as a note under section 709 of Title 32, National Guard.
The Internal Revenue Code of 1986, referred to in subsec. (e)(3),
is classified to Title 26, Internal Revenue Code.
-MISC1-
AMENDMENTS
1994 - Subsecs. (a)(1), (c)(4). Pub. L. 103-296, Sec. 107(a)(4),
substituted "Commissioner of Social Security" for "Secretary".
Subsec. (c)(6)(F). Pub. L. 103-296, Sec. 321(a)(18), realigned
margin.
Subsec. (c)(8). Pub. L. 103-296, Sec. 303(c), (d), substituted
"at any time" for "on or after January 1, 1968,", substituted
"$1,000 with respect to service performed during any calendar year
commencing on or after January 1, 1995, ending on or before
December 31, 1999, and the adjusted amount determined under
subparagraph (B) for any calendar year commencing on or after
January 1, 2000, with respect to service performed during such
calendar year" for "$100", substituted "Any modification of an
agreement pursuant to this paragraph shall be effective with
respect to services performed in and after the calendar year in
which the modification is mailed or delivered by other means to the
Secretary." for "Any modification of an agreement pursuant to this
paragraph shall be effective with respect to services performed
after an effective date, specified in such modification, which
shall not be earlier than the last day of the calendar quarter in
which the modification is mailed or delivered by other means to the
Secretary.", inserted subpar. (A) designation, and added subpar.
(B).
Pub. L. 103-296, Sec. 107(a)(4), in par. (8) as amended by Pub.
L. 103-296, Sec. 303(c), (d), substituted "Commissioner of Social
Security" for "Secretary" in last sentence of subpar. (A) and in
introductory and closing provisions of subpar. (B).
Subsec. (d)(3), (6)(F), (7). Pub. L. 103-296, Sec. 107(a)(4),
substituted "Commissioner of Social Security" for "Secretary".
Subsec. (d)(8)(D). Pub. L. 103-296, Sec. 305(b), substituted
"State agreements modified as provided in" for "agreements with the
States named in".
Subsec. (e)(1), (2). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary".
Subsec. (e)(3). Pub. L. 103-296, Sec. 321(c)(6)(I), substituted
"1986" for "1954" after "Code of".
Subsecs. (g)(1), (h). Pub. L. 103-296, Sec. 107(a)(4),
substituted "Commissioner of Social Security" for "Secretary" in
subsecs. (g)(1) and (h) and "the Commissioner's" for "his" in
subsec. (h).
Subsec. (l). Pub. L. 103-296, Sec. 305(a), struck out par. (1)
designation before "Any agreement with", substituted "a State
entered into pursuant to this section" for "the State of Alabama,
California, Florida, Georgia, Hawaii, Idaho, Kansas, Maine,
Maryland, Mississippi, Montana, New York, North Carolina, North
Dakota, Oregon, Puerto Rico, South Carolina, South Dakota,
Tennessee, Texas, Vermont, Virginia, or Washington entered into
pursuant to this section prior to August 1, 1956,", and struck out
par. (2) which read as follows: "A State, not otherwise listed by
name in paragraph (1), shall be deemed to be a State listed in such
paragraph for the purpose of extending coverage under this
subchapter to service in firemen's positions covered by a
retirement system, if the governor of the State, or an official of
the State designated by him for the purpose, certifies to the
Secretary that the overall benefit protection of the employees in
such positions would be improved by reason of the extension of such
coverage to such employees. Notwithstanding the provisions of the
second sentence of such paragraph (1), such firemen's positions
shall be deemed a separate retirement system and no other positions
shall be included in such system."
Subsecs. (m)(3), (4), (n)(1). Pub. L. 103-296, Sec. 107(a)(4),
substituted "Commissioner of Social Security" for "Secretary".
1990 - Subsec. (c)(6)(F). Pub. L. 101-508 added subpar. (F).
1989 - Subsec. (c)(5). Pub. L. 101-239 substituted "subparagraph
(B) of section 409(a)(7)" for "paragraph (2) of section 409(h)".
1987 - Subsec. (n). Pub. L. 100-203, Sec. 9023(c), redesignated
subsec. (v) as (n), redesignated pars. (4) and (5) as (3) and (4),
respectively, and struck out former par. (3) which had previously
been struck out of subsec. (v) by section 4009(j)(7) of Pub. L.
100-203 prior to its redesignation as subsec. (n) by Pub. L.
100-203, Sec. 9023(c)(1). See below.
Subsec. (v). Pub. L. 100-203, Sec. 9023(c)(1), redesignated
subsec. (v) as (n).
Subsec. (v)(3). Pub. L. 100-203, Sec. 4009(j)(7), struck out par.
(3) which read as follows: "Payments by the State required under
subsection (e) of this section with respect to employees covered
under this subsection shall be limited to amounts equivalent to the
sum of the taxes which would be imposed by sections 3101(b) and
3111(b) of the Internal Revenue Code of 1954 if such services for
which wages were paid to such employees constituted 'employment' as
defined in section 3121 of such Code."
1986 - Subsec. (d)(6). Pub. L. 99-509, Sec. 9002(c)(2)(C),
substituted "subsection (e)" for "subsection (f)" in subpar. (A),
and "subsection (e)(1)" for "subsection (f)(1)" in subpar. (F).
Subsec. (d)(8)(D). Pub. L. 99-509, Sec. 9002(c)(2)(D),
substituted "subsection (l)" for "subsection (p)".
Subsec. (e). Pub. L. 99-509, Sec. 9002(c)(1), (2)(E),
redesignated subsec. (f) as (e), substituted "Any agreement" for
"Except as provided in subsection (e)(2) of this section, any
agreement", and struck out former subsec. (e) which required that
agreements under this section include certain provisions relating
to payments and reports by States and allowed inclusion of certain
provisions relating to employees employed by two or more political
subdivisions of a State.
Subsec. (f). Pub. L. 99-509, Sec. 9002(c)(1), redesignated
subsec. (g) as (f). Former subsec. (f) redesignated (e).
Subsec. (f)(1). Pub. L. 99-272, Sec. 12110(a), substituted "is
mailed or delivered by other means to the Secretary" for "is agreed
to by the Secretary and the State".
Subsec. (g). Pub. L. 99-509, Sec. 9002(c)(1), redesignated
subsec. (k) as (g). Former subsec. (g) redesignated (f).
Subsec. (h). Pub. L. 99-509, Sec. 9002(c)(1), redesignated
subsec. (l) as (h) and struck out former subsec. (h) which required
that amounts received by the Secretary of the Treasury under an
agreement made under this section be deposited in the Trust Funds
and the Federal Hospital Insurance Trust Fund in certain ratio and
provided for adjustment of amount due if more or less than correct
amount due is paid.
Subsec. (i). Pub. L. 99-509, Sec. 9002(c)(1), redesignated
subsec. (m) as (i) and struck out former subsec. (i), relating to
regulations of the Secretary.
Subsec. (j). Pub. L. 99-509, Sec. 9002(c)(1), redesignated
subsec. (n) as (j) and struck out former subsec. (j) which read as
follows: "In case any State does not make, at the time or times
due, the payments provided for under an agreement pursuant to this
section, there shall be added, as part of the amounts due, interest
at the rate of 6 per centum per annum from the date due until paid,
and the Secretary may, in his discretion, deduct such amounts plus
interest from any amounts certified by him to the Secretary of the
Treasury for payment to such State under any other provision of
this chapter. Amounts so deducted shall be deemed to have been paid
to the State under such other provision of this chapter. Amounts
equal to the amounts deducted under this subsection are hereby
appropriated to the Trust Funds in the ratio in which amounts are
deposited in such Funds pursuant to subsection (h)(1) of this
section."
Subsec. (k). Pub. L. 99-509, Sec. 9002(c)(1), redesignated
subsec. (o) as (k). Former subsec. (k) redesignated (g).
Subsec. (l). Pub. L. 99-509, Sec. 9002(c)(1), redesignated
subsec. (p) as (l). Former subsec. (l) redesignated (h).
Subsec. (m). Pub. L. 99-509, Sec. 9002(c)(1), redesignated
subsec. (u) as (m). Former subsec. (m) redesignated (i).
Pub. L. 99-514 substituted "Retirement Fund" for "retirement
fund" in heading.
Subsec. (n) to (p). Pub. L. 99-509, Sec. 9002(c)(1), redesignated
subsecs. (n) to (p) as (j) to (l), respectively.
Subsec. (q). Pub. L. 99-509, Sec. 9002(c)(1), struck out subsec.
(q) which provided time limitations on liability of States for
amounts due under agreements under this section.
Subsec. (r). Pub. L. 99-509, Sec. 9002(c)(1), struck out subsec.
(r) which provided time limitations on credits and refunds of
overpayments by States under agreements under this section.
Subsec. (s). Pub. L. 99-509, Sec. 9002(c)(1), struck out subsec.
(s) which related to review by Secretary.
Subsec. (t). Pub. L. 99-509, Sec. 9002(c)(1), struck out subsec.
(t) which provided for judicial review of decisions by Secretary of
Health and Human Services under former subsec. (s) of this section.
Subsec. (u). Pub. L. 99-509, Sec. 9002(c)(1), redesignated
subsec. (u) as (m).
Subsec. (u)(3). Pub. L. 99-272, Sec. 12110(b), substituted "is
mailed or delivered by other means to the Secretary" for "is agreed
to by the Secretary and the State".
Subsec. (v). Pub. L. 99-272, Sec. 13205(c), added subsec. (v).
Subsec. (w). Pub. L. 99-509, Sec. 9002(c)(1), struck out subsec.
(w) which read as follows: "Notwithstanding sections 3125(a),
6205(a)(5), 6413(a)(5), and 6413(c)(2)(G) of the Internal Revenue
Code of 1954, any State shall make payments of the taxes imposed
with respect to services of employees of such State and of a
political subdivision thereof under sections 3101(b) and 3111(b) of
such Code, and reports of such services, under the same procedures
as apply to payments and reports under subsection (e) of this
section, but only if any employees of such State or of such
political subdivision thereof respectively are covered under an
agreement pursuant to this section."
Pub. L. 99-272, Sec. 13205(c), added subsec. (w).
1984 - Subsecs. (a)(1), (c)(4), (d)(3), (7), (h)(2), (3). Pub. L.
98-369, Sec. 2663(j)(3)(A)(iii), struck out "of Health, Education,
and Welfare" after "Secretary" wherever appearing.
Subsec. (i). Pub. L. 98-369, Sec. 2663(j)(3)(A)(iii), struck out
"of Health, Education, and Welfare" after "Secretary".
Pub. L. 98-369, Sec. 2663(a)(13), substituted "chapter 21 and
subtitle F of the Internal Revenue Code of 1954" for "subchapter A
or E of chapter 9 of the Internal Revenue Code of 1939".
Subsecs. (j), (k)(1), (l), (p)(2). Pub. L. 98-369, Sec.
2663(j)(3)(A)(iii), struck out "of Health, Education, and Welfare"
after "Secretary" wherever appearing.
Subsecs. (q)(4)(B), (6)(B), (r)(1). Pub. L. 98-369, Sec.
2663(j)(2)(A)(ii), substituted "Secretary of Health and Human
Services" for "Secretary of Health, Education, and Welfare"
wherever appearing.
1983 - Subsec. (e)(1)(A). Pub. L. 98-21, Sec. 342(a), amended
subpar. (A) generally, designating existing provisions as cl. (i),
and in (i) as so designated, substituting "on the last day of each
calendar month" for "within the thirty-day period immediately
following the last day of each calendar month" and inserting "with
respect to the period which includes the first fifteen days of such
calendar month" before "if the services", and adding cl. (ii).
Subsec. (g). Pub. L. 98-21, Sec. 103(a), amended subsec. (g)
generally, substituting provision that no agreement under this
section may be terminated on or after April 20, 1983, for provision
that had authorized the termination of agreements of States with
the Secretary conditioned upon the giving of advance notice.
Subsec. (o). Pub. L. 98-21, Sec. 325(a), inserted provision that
coverage provided for in this subsection shall not be affected by a
subsequent change in the name of a group.
1980 - Subsec. (e)(1)(A). Pub. L. 96-265, Sec. 503(a),
substituted "(A) that the State will pay to the Secretary of the
Treasury, within the thirty-day period immediately following the
last day of each calendar month, amounts equivalent to the sum of
the taxes which would be imposed by sections 3101 and 3111 of the
Internal Revenue Code of 1954 if the services for which wages were
paid in such month to employees covered by the agreement
constituted employment as defined in section 3121 of such Code" for
"(A) that the State will pay to the Secretary of the Treasury, at
such time or times as the Secretary of Health, Education, and
Welfare may by regulations prescribe, amounts equivalent to the sum
of the taxes which would be imposed by sections 1400 and 1410 of
the Internal Revenue Code of 1939, if the services of employees
covered by the agreement constituted employment as defined in
section 1426 of the Internal Revenue Code of 1939".
1977 - Subsec. (c)(8). Pub. L. 95-216, Sec. 353(b)(1),
substituted "year" for "quarter" and "$100" for "$50".
Subsec. (d)(6)(C). Pub. L. 95-216, Sec. 320, inserted reference
to New Jersey.
Subsec. (g)(1). Pub. L. 95-216, Sec. 353(b)(2), substituted
"year" for "quarter".
Subsec. (m)(1). Pub. L. 95-216, Sec. 321, inserted "or any
successor system" after "Wisconsin retirement fund".
Subsec. (p)(1). Pub. L. 95-216, Sec. 319, inserted reference to
Mississippi.
Subsec. (q)(4)(B). Pub. L. 95-216, Sec. 353(b)(3), substituted
references to calendar years for references to calendar quarters
wherever appearing.
Subsec. (q)(6)(B). Pub. L. 95-216, Sec. 353(b)(4), substituted
"period or periods designated by the State in such wage reports as
the period or" for "calendar quarters designated by the State in
such wage reports as the".
Subsec. (r)(1). Pub. L. 95-216, Sec. 353(b)(5), in provisions
preceding cl. (A) and in cl. (B) substituted "year" for "quarter",
and in cl. (A) struck out "in which occurred the calendar quarter"
after "year".
1974 - Subsec. (p)(1). Priv. L. 93-107 inserted "Montana," after
"Maryland,".
1972 - Subsec. (p)(1). Pub. L. 92-603 inserted "Idaho," after
"Hawaii,".
1968 - Subsec. (b)(5). Pub. L. 90-486 substituted provisions
pertaining to the coverage of persons employed under section 709 of
title 32, who elected under section 6 of the National Guard
Technicians Act of 1968 to remain covered by an employee retirement
system of, or plan sponsored by, a state or the Commonwealth of
Puerto Rico, such persons, for the purposes of this chapter, to be
considered employees of the state or the Commonwealth of Puerto
Rico, for provisions pertaining to the coverage of civilian
employees of National Guard units of a state who are employed
pursuant to section 42 of title 32, and who are paid from funds
allotted to such units by the Department of the Defense, such
persons, for the purposes of this section, to be deemed employees
of the state.
Subsec. (c)(3). Pub. L. 90-248, Sec. 116(b)(1)(A), struck out
subpar. (A) which provided for the exclusion of any service of an
emergency nature and redesignated subpars. (B) and (C) as (A) and
(B), respectively.
Subsec. (c)(4). Pub. L. 90-248, Sec. 116(b)(1)(B), substituted
"(3)(B)" for "(3)(C)".
Subsec. (c)(6)(E). Pub. L. 90-248, Sec. 116(b)(2), added subpar.
(E).
Subsec. (c)(7). Pub. L. 90-248, Sec. 116(b)(1)(B), substituted
"(3)(B)" for "(3)(C)".
Subsec. (c)(8). Pub. L. 90-248, Sec. 116(c), added par. (8).
Subsec. (d)(4)(C). Pub. L. 90-248, Sec. 116(b)(1)(C), substituted
"(c)(3)(B)" for "(c)(3)(C)".
Subsec. (d)(5)(B). Pub. L. 90-248, Sec. 116(b)(1)(B), substituted
"(3)(B)" for "(3)(C)" wherever appearing.
Subsec. (d)(6)(C). Pub. L. 90-248, Sec. 117, inserted "Illinois,"
after "Georgia,".
Subsec. (d)(6)(D). Pub. L. 90-248, Sec. 116(a), designated
existing provisions as cl. (i) and added cl. (ii).
Subsec. (d)(6)(F). Pub. L. 90-248, Sec. 116(d), substituted
"1970" for "1967".
Subsec. (f)(3). Pub. L. 90-248, Sec. 121, added par. (3).
Subsec. (p). Pub. L. 90-248, Secs. 119(a), 120(a), designated
existing provisions as par. (1), inserted "Puerto Rico," after
"Oregon,", and added par. (2).
Subsec. (u). Pub. L. 90-248, Sec. 122(d), added subsec. (u).
1965 - Subsec. (d)(6)(C). Pub. L. 89-97, Sec. 314, inserted
"Alaska," before "California".
Subsec. (d)(6)(F). Pub. L. 89-97, Sec. 315, substituted "1967"
for "1963".
Subsec. (h)(1). Pub. L. 89-97, Sec. 108(b), substituted "Trust
Funds and the Federal Hospital Insurance Trust Fund in the ratio in
which amounts are appropriated to such Funds pursuant to subsection
(a)(3) of section 401 of this title, subsection (b)(1) of such
section, and subsection (a)(1) of section 1395i of this title,
respectively" for "Trust Funds in the ratio in which amounts are
appropriated to such Funds pursuant to subsections (a)(3) and
(b)(1) of section 401 of this title".
1964 - Subsec. (d)(6)(C). Pub. L. 88-382 included retirement
systems established by Nevada.
Subsec. (p). Pub. L. 88-350 inserted reference to Texas.
1962 - Subsec. (p). Pub. L. 87-878 inserted reference to Maine.
1961 - Subsec. (d)(6)(C). Pub. L. 87-64, Sec. 107, included
retirement system established by the State of New Mexico.
Subsec. (d)(6)(F). Pub. L. 87-64, Sec. 106, substituted "prior to
1963 or, if later, the expiration of two years after the date" for
"prior to 1960 or, if later the expiration of one year after the
date", and inserted sentence providing that any such modification
or later modification, providing for the transfer of additional
positions within a retirement system previously divided pursuant to
subpar. (C) to the separate retirement system composed of positions
of members who desire coverage, shall be effective with respect to
services performed after the same effective date as that which was
specified in the case of such previous division.
1960 - Subsec. (b)(1). Pub. L. 86-778, Sec. 103(i), excluded Guam
and American Samoa from definition of "State".
Subsec. (c)(6)(C). Pub. L. 86-778, Sec. 103(j)(2)(G), substituted
"section 410(k)" for "section 410(l)".
Subsec. (d)(3). Pub. L. 86-778, Sec. 102(a)(1), authorized
certification by an official of the State designated by the
Governor for that purpose.
Subsec. (d)(6). Pub. L. 86-624, Sec. 30(e), substituted "Hawaii"
for "the Territory of Hawaii" in cl. (C) and (G), and struck out
"or Territory" after "State" in two places in cl. (C) and in seven
places in cl. (G).
Subsec. (d)(6)(A). Pub. L. 86-778, Sec. 102(c)(2), authorized a
State, where a retirement system covering positions of employees of
a State and positions of employees of one or more political
subdivisions of the State, or covering positions of employees of
two or more political subdivisions of the State, is not divided
into separate retirement systems, to deem the system, for purposes
of subsec. (f) of this section, to be a separate retirement system
with respect to any one or more of the political subdivisions
concerned and, where the retirement system covers positions of
employees of the State, a separate retirement system with respect
to the State or any one or more of the political subdivisions
concerned.
Subsec. (d)(6)(B). Pub. L. 86-778, Sec. 102(g), inserted
sentences providing that if a retirement system covers positions of
employees of a hospital which is an integral part of a political
subdivision, then, for purposes of preceding paragraphs there
shall, if the State so desires, be deemed to be a separate
retirement system for the employees of such hospital.
Subsec. (d)(6)(C). Pub. L. 86-778, Sec. 102(b)(1), (l), inserted
sentence requiring the positions of individuals, who become members
of a separate retirement system which has been divided into two
divisions or parts by reason of action taken by a political
subdivision after coverage under an agreement under this section
has been extended to the division or part thereof composed of
positions of individuals who desire such coverage, to be included
in the division or part of such system composed of positions of
members who do not desire such coverage if such individuals, on the
day before becoming such members, were in the division or part of
another separate retirement system composed of positions of members
who do not desire coverage under an agreement and all of the
positions in the system of which such individuals so become members
and all of the positions in the separate retirement system would
have been covered by a single retirement system if the State had
not taken action to provide for separate retirement systems, and
included retirement systems established by the State of Texas.
Subsec. (d)(7). Pub. L. 86-778, Sec. 102(a)(2), included
certifications made by an official of the State designated by the
Governor for that purpose.
Subsec. (e). Pub. L. 86-778, Sec. 102(e)(1), designated existing
provisions as par. (1), redesignated former pars. (1) and (2) as
subpars. (A) and (B), and added par. (2).
Subsec. (f)(1). Pub. L. 86-778, Sec. 102(c)(1), (e)(2), inserted
exception to subsection (e)(2) of this section, and substituted
provisions restricting the effective date of any agreement of
modification to a date not earlier than the last day of the sixth
calendar year preceding the year in which such agreement or
modification is agreed to by the Secretary and the State for
provisions which specified the effective date of agreements or
modifications entered into prior to 1960 and which limited the
effective date of agreements or modifications entered into after
1959 to a date not earlier than the last day of the calendar year
preceding the year in which such agreement or modification is
agreed to by the Secretary and the State.
Subsec. (p). Pub. L. 86-778, Sec. 102(d), inserted reference to
Virginia.
Pub. L. 86-624, Sec. 30(f), substituted "Hawaii" for "Territory
of Hawaii".
Subsecs. (q) to (t). Pub. L. 86-778, Sec. 102(f)(1), added
subsecs. (q) to (t).
1959 - Subsec. (p). Pub. L. 86-284 inserted reference to
California, Kansas, North Dakota, and Vermont.
1958 - Subsec. (d)(6). Pub. L. 85-840, Sec. 315(a)(1), designated
first sentence as subpar. (A), second and third sentences as
subpar. (B), fourth sentence as subpar. (C), fifth sentence as
subpar. (D), and sixth sentence as subpar. (G), added subpars. (E)
and (F), and amended subpar. (C) to include retirement systems
established by the States of Massachusetts and Vermont.
Pub. L. 85-787 added Massachusetts and Vermont to States
authorized to divide their retirement systems into two parts, and
inserted sentence permitting transfer, in cases of divided
retirement system, of members not desiring coverage to system of
members desiring coverage.
Subsec. (d)(7). Pub. L. 85-840, Sec. 315(a)(2), substituted
"(created under subparagraph (C) of paragraph (6) of this
subsection or the corresponding provision of prior law)" for
"(created under the fourth sentence of paragraph (6) of this
subsection)", and "subparagraphs (C) and (D) of paragraph (6) of
this subsection or the corresponding provision of prior law" for
"the fourth and fifth sentences of paragraph (6) of this
subsection".
Subsec. (d)(8). Pub. L. 85-840, Sec. 315(b), added par. (8).
Subsec. (f). Pub. L. 85-840, Sec. 315(c)(1), designated existing
provisions as par. (1), redesignated cls. (1) to (4) of par. (1) as
cls. (A) to (D), and added par. (2).
Subsec. (k)(2). Pub. L. 85-840, Sec. 315(a)(3), inserted
provisions requiring an individual who is in a position covered by
a retirement system divided pursuant to the preceding sentence and
who is not a member of such system but is eligible to become a
member thereof to be regarded, for the purposes of this subsection,
as a member of such system, and providing for coverage under the
agreement of any such individual.
Subsec. (k)(3). Pub. L. 85-798, Sec. 2, added par. (3).
Subsec. (p). Pub. L. 85-798, Sec. 3, included agreements with the
State of Washington.
1957 - Subsec. (d)(6). Pub. L. 85-227 authorized the States of
California, Connecticut, Minnesota, and Rhode Island, or any
political subdivisions thereof, to divide their retirement system
into two divisions or parts.
Subsec. (d)(7). Pub. L. 85-229 added par. (7).
Subsec. (f)(3). Pub. L. 85-226, Sec. 3, added par. (3). Former
par. (3) redesignated (4).
Subsec. (f)(4). Pub. L. 85-226, Sec. 3, redesignated former par.
(3) as (4), and substituted "1959" for "1957".
Subsec. (k). Pub. L. 85-226, Sec. 1, redesignated existing
provisions as par. (1) and added par. (2).
Subsec. (p). Pub. L. 85-226, Sec. 2, included agreements with the
States of Alabama, Georgia, Maryland, New York, and Tennessee, or
the Territory of Hawaii.
1956 - Subsec. (d)(6). Act Aug. 1, 1956, Sec. 104(e), authorized
the State of Florida, Georgia, New York, North Dakota,
Pennsylvania, Tennessee, Washington, Wisconsin, or the Territory of
Hawaii, or any political subdivision thereof, to divide their
retirement system into two divisions or parts, and provided for a
separate retirement system with respect to employees of the States
of Florida, Georgia, Minnesota, North Dakota, Pennsylvania,
Washington, or the Territory of Hawaii who are compensated in whole
or in part from grants under subchapter III of this chapter.
Subsec. (h)(1). Act Aug. 1, 1956, Sec. 103(f), required amounts
to be deposited in the Trust Funds in the ratio in which amounts
are appropriated to such Funds pursuant to section 401(a)(3),
(b)(1), of this title.
Subsec. (j). Act Aug. 1, 1956, Sec. 103(g), substituted
"Secretary of Health, Education, and Welfare" for "Administrator",
and provided for appropriation of amounts in the ratio in which
amounts are deposited in the Trust Funds pursuant to subsection
(h)(1) of this section.
Subsec. (p). Act Aug. 1, 1956, Sec. 104(g), added subsec. (p).
1954 - Subsec. (b)(5). Act Sept. 1, 1954, Sec. 101(i)(1), (2),
inserted sentence at end relating to civilian employees of State
National Guard units and a sentence relating to certain State
inspectors of agricultural products.
Subsec. (c)(3). Act Sept. 1, 1954, Sec. 101(h)(3), inserted an
additional optional exclusion with respect to all services
performed by individuals as members of any coverage group who are
in positions covered by a retirement system on the date when the
group is brought under the agreement if these individuals are not
eligible to become members of the system on that date, or on any
later date when they first occupy the positions, and if they have
not already been included under the agreement by means of a
referendum.
Subsec. (c)(4). Act Sept. 1, 1954, Sec. 101(h)(4), inserted
sentence at end.
Subsec. (c)(5). Act Sept. 1, 1954, Sec. 101(a)(5), (6),
substituted "paragraph (7)" for "paragraph (8)," and inserted at
end "and service the remuneration for which is excluded from wages
by paragraph (2) of section 209(h)".
Subsec. (c)(6)(D). Act Sept. 1, 1954, Sec. 101(a)(5), substituted
"paragraph (7)" for "paragraph (8)".
Subsec. (c)(7). Act Sept. 1, 1954, Sec. 101(h)(5), added par.
(7).
Subsec. (d). Act Sept. 1, 1954, Sec. 101(h)(1)(A), struck out
"Exclusion of" in heading, redesignated the subsection as (d)(1),
and inserted sentence at end.
Subsec. (d)(1). Act Sept. 1, 1954, Sec. 101(h)(1)(B), inserted
provision in first sentence making the prohibition inapplicable to
service in positions which though covered by a retirement system on
the enactment date, were, by reason of action taken prior to the
enactment date by the appropriate governmental unit, no longer
covered by a retirement system when the coverage group which
included employees in such positions was brought under an
agreement.
Subsec. (d)(2) to (6). Act Sept. 1, 1954, Sec. 101(h)(2), added
pars. (2) to (6).
Subsec. (f). Act Sept. 1, 1954, Sec. 101(h)(6), permitted
agreements or modifications entered into during 1955, 1956, and
1957 to be made retroactive to a date not earlier than December 31,
1954.
Subsec. (m)(1). Act Sept. 1, 1954, Sec. 101(h)(7), substituted
"paragraph (1) of subsection (d)" for "subsection (d)".
Subsec. (n). Act Sept. 1, 1954, Sec. 101(h)(8), added subsec.
(n).
Subsec. (o). Act Sept. 1, 1954, Sec. 101(j), added subsec. (l).
1953 - Subsec. (m). Act Aug. 15, 1953, added subsec. (m).
1952 - Subsec. (f). Act June 28, 1952, substituted "January 1,
1954" for "January 1, 1953".
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 303(c) of Pub. L. 103-296 applicable with
respect to service performed on or after Jan. 1, 1995, see section
303(e) of Pub. L. 103-296, set out as a note under section 410 of
this title.
Section 305(c) of Pub. L. 103-296 provided that: "The amendments
made by this section [amending this section] shall apply with
respect to modifications filed by States after the date of the
enactment of this Act [Aug. 15, 1994]."
EFFECTIVE DATE OF 1990 AMENDMENT
Amendment by Pub. L. 101-508 applicable with respect to service
performed after July 1, 1991, see section 11332(d) of Pub. L.
101-508, set out as a note under section 3121 of Title 26, Internal
Revenue Code.
EFFECTIVE DATE OF 1986 AMENDMENTS
Amendment by section 1883(a)(8) of Pub. L. 99-514 effective Oct.
22, 1986, see section 1883(f) of Pub. L. 99-514, set out as a note
under section 402 of this title.
Section 9002(d) of Pub. L. 99-509 provided that: "The amendments
made by this section [enacting section 3126 of Title 26, Internal
Revenue Code, amending this section and sections 405 and 424a of
this title and sections 1402, 3121, and 3306 of Title 26, and
renumbering former section 3126 of Title 26 as section 3127] are
effective with respect to payments due with respect to wages paid
after December 31, 1986, including wages paid after such date by a
State (or political subdivision thereof) that modified its
agreement pursuant to the provisions of section 218(e)(2) of the
Social Security Act [subsec. (e)(2) of this section] prior to the
date of the enactment of this Act [Oct. 21, 1986]; except that in
cases where, in accordance with the currently applicable schedule,
deposits of taxes due under an agreement entered into pursuant to
section 218 of the Social Security Act would be required within 3
days after the close of an eighth-monthly period, such 3-day
requirement shall be changed to a 7-day requirement for wages paid
prior to October 1, 1987, and to a 5-day requirement for wages paid
after September 30, 1987, and prior to October 1, 1988. For wages
paid prior to October 1, 1988, the deposit schedule for taxes
imposed under sections 3101 and 3111 shall be determined separately
from the deposit schedule for taxes withheld under section 3402 [26
U.S.C. 3402] if the taxes imposed under sections 3101 and 3111 are
due with respect to service included under an agreement entered
into pursuant to section 218 of the Social Security Act."
Section 12110(c) of Pub. L. 99-272 provided that: "The amendments
made by this section [amending this section] shall apply with
respect to agreements and modifications of agreements which are
mailed or delivered to the Secretary of Health and Human Services
(under section 218 of the Social Security Act [this section]) on or
after the date of the enactment of this Act [Apr. 7, 1986]."
Section 13205(d)(3) of Pub. L. 99-272 provided that: "The
amendment made by subsection (c) [amending this section] shall
apply to services performed after March 31, 1986."
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 OF 1983 AMENDMENT
Section 103(b) of Pub. L. 98-21 provided that: "The amendment
made by subsection (a) [amending this section] shall apply to any
agreement in effect under section 218 of the Social Security Act
[this section] on the date of the enactment of this Act [Apr. 20,
1983], without regard to whether a notice of termination is in
effect on such date, and to any agreement or modification thereof
which may become effective under such section 218 after that date."
Section 325(b) of Pub. L. 98-21 provided that: "The amendment
made by subsection (a) [amending this section] shall apply with
respect to name changes made before, on, or after the date of the
enactment of this section [Apr. 20, 1983]."
Section 342(b) of Pub. L. 98-21 provided that: "The amendments
made by this section [amending this section] shall apply to
calendar months beginning after December 31, 1983."
EFFECTIVE DATE OF 1980 AMENDMENT
Section 503(b) of Pub. L. 96-265 provided that: "The amendment
made by subsection (a) [amending this section] shall be effective
with respect to the payment of taxes (referred to in section
218(e)(1)(A) of the Social Security Act [subsec. (e)(1)(A) of this
section], as amended by subsection (a)) on account of wages paid on
or after July 1, 1980."
EFFECTIVE DATE OF 1977 AMENDMENT
Section 353(g) of Pub. L. 95-216 provided that: "The amendments
made by subsection (b) of this section [amending this section]
shall apply with respect to remuneration paid after December 31,
1977, except that the amendment made by subsection (b)(2) shall
apply with respect to notices submitted by the States to the
Secretary after the date of the enactment of this Act [Dec. 20,
1977]. The amendments made by subsections (d) and (f)(2) [amending
sections 405 and 429 of this title] shall be effective January 1,
1978. Except as otherwise specifically provided, the remaining
amendments made by this section [amending sections 403, 424a, and
430 of this title] shall be effective January 1, 1979."
EFFECTIVE DATE OF 1968 AMENDMENTS
Amendment by Pub. L. 90-486 effective Jan. 1, 1968, except that
no deductions or withholding from salary which result therefrom
shall commence before first day of first pay period that begins on
or after Jan. 1, 1968, see section 11 of Pub. L. 90-486, set out as
a note under section 709 of Title 32, National Guard.
Section 116(b)(3) of Pub. L. 90-248 provided that: "The
amendments made by this subsection [amending this section] shall be
effective with respect to services performed on or after January 1,
1968."
Section 120(c) of Pub. L. 90-248 provided that: "The amendment
made by this section [amending this section] shall apply in the
case of any State with respect to modifications of such State
agreement under section 218 of the Social Security Act [this
section] made after the date of enactment of this Act [Jan. 2,
1968]."
EFFECTIVE DATE OF 1961 AMENDMENT
Amendment by Pub. L. 87-64 effective Aug. 1, 1961, see section
109 of Pub. L. 87-64, set out as a note under section 402 of this
title.
EFFECTIVE DATE OF 1960 AMENDMENT
Section 102(b)(2) of Pub. L. 86-778 provided that: "The amendment
made by paragraph (1) [amending this section] shall apply in the
case of transfers of positions (as described therein) which occur
on or after the date of enactment of this Act [Sept. 13, 1960].
Such amendment shall also apply in the case of such transfers in
any State which occurred prior to such date, but only upon request
of the Governor (or other official designated by him for the
purpose) filed with the Secretary of Health, Education, and Welfare
before July 1, 1961; and, in the case of any such request, such
amendment shall apply only with respect to wages paid on and after
the date on which such request is filed."
Section 102(c)(3) of Pub. L. 86-778 provided that: "The amendment
made by paragraph (1) [amending this section] shall apply in the
case of any agreement or modification of an agreement under section
218 of the Social Security Act [this section] which is agreed to on
or after January 1, 1960; except that in the case of any such
agreement or modification agreed to before January 1, 1961, the
effective date specified therein shall not be earlier than December
31, 1955. The amendment made by paragraph (2) [amending this
section] shall apply in the case of any such agreement or
modification which is agreed to on or after the date of the
enactment of this Act [Sept. 13, 1960]."
Section 102(f)(3) of Pub. L. 86-778 provided that:
"(A) The amendments made by paragraphs (1) and (2) [amending this
section and section 405 of this title] shall become effective on
the first day of the second calendar year following the year in
which this Act is enacted [1960].
"(B) In any case in which the Secretary of Health, Education, and
Welfare has notified a State prior to the beginning of such second
calendar year that there is an amount due by such State, that such
State's claim for a credit or refund of an overpayment is
disallowed, or that such State has been allowed a credit or refund
of an overpayment, under an agreement pursuant to section 218 of
the Social Security Act [this section], then the Secretary shall be
deemed to have made an assessment of such amount due as provided in
section 218(q) of such Act or notified the State of such allowance
or disallowance, as the case may be, on the first day of such
second calendar year. In such a case the 90-day limitation in
section 218(s) of such Act shall not be applicable with respect to
the assessment so deemed to have been made or the notification of
allowance or disallowance so deemed to have been given the State.
However, the preceding sentences of this subparagraph shall not
apply if the Secretary makes an assessment of such amount due or
notifies the State of such allowance or disallowance on or after
the first day of the second calendar year following the year in
which this Act is enacted [1960] and within the period specified in
section 218(q) of the Social Security Act or the period specified
in section 218(r) of such Act, as the case may be."
Amendments by section 103(i) of Pub. L. 86-778 applicable only
with respect to service performed after 1960, and amendment by
section 103(j)(2)(G) of Pub. L. 86-778 effective on Sept. 13, 1960,
see section 103(v)(1) of Pub. L. 86-778, set out as a note under
section 402 of this title.
EFFECTIVE DATE OF 1958 AMENDMENT
Section 315(c)(2) of Pub. L. 85-840 provided that: "The amendment
made by this subsection [amending this section] shall apply in the
case of any agreement, or modification of an agreement, under
section 218 of the Social Security Act [this section], which is
executed after the date of enactment of this Act [Aug. 28, 1958]."
EFFECTIVE DATE OF 1954 AMENDMENT
Section 101(h)(9) of act Sept. 1, 1954, provided that: "The
amendments made by this subsection, other than paragraph (1)(B)
[amending this section], shall take effect January 1, 1955."
Section 101(i)(1) of act Sept. 1, 1954, provided that the
amendment made by that section is effective as of January 1, 1951.
Section 101(i)(2) of act Sept. 1, 1954, provided that the
amendment made by that section is effective January 1, 1955.
Section 101(i)(3) of act Sept. 1, 1954, provided that: "In the
case of any coverage group to which the amendment made by paragraph
(1) [amending this section] is applicable, any agreement or
modification of an agreement agreed to prior to January 1, 1956,
may, notwithstanding section 218(f) of the Social Security Act
[subsec. (f) of this section], be made effective with respect to
services performed by employees as members of such coverage group
after any effective date specified therein, but in no case may such
effective date be earlier than December 31, 1950."
Section 101(j) of act Sept. 1, 1954, provided that the amendment
made by that section is effective as of January 1, 1951.
Amendment by section 101(a)(5), (6) of act Sept. 1, 1954, shall
be applicable only with respect to services (whether performed
after 1954 or prior to 1955) for which the remuneration is paid
after 1954, see section 101(n) of act Sept. 1, 1954, set out as a
note under section 405 of this title.
EFFECTIVE DATE OF 1953 AMENDMENT
Section 2 of act Aug. 15, 1953, provided that: "For the purposes
of section 418(f) of the Social Security Act (relating to effective
date of agreements) [subsec. (f) of this section], the amendment
made by the first section of this Act [amending this section] shall
take effect as of January 1, 1951."
EXEMPTION FOR STUDENTS EMPLOYED BY STATE SCHOOLS, COLLEGES, OR
UNIVERSITIES
Pub. L. 105-277, div. J, title II, Sec. 2023, Oct. 21, 1998, 112
Stat. 2681-904, provided that:
"(a) In General. - Notwithstanding section 218 of the Social
Security Act [this section], any agreement with a State (or any
modification thereof) entered into pursuant to such section may, at
the option of such State, be modified at any time on or after
January 1, 1999, and on or before March 31, 1999, so as to exclude
service performed in the employ of a school, college, or university
if such service is performed by a student who is enrolled and is
regularly attending classes at such school, college, or university.
"(b) Effective Date of Modification. - Any modification of an
agreement pursuant to subsection (a) shall be effective with
respect to services performed after June 30, 2000.
"(c) Irrevocability of Modification. - If any modification of an
agreement pursuant to subsection (a) terminates coverage with
respect to service performed in the employ of a school, college, or
university, by a student who is enrolled and regularly attending
classes at such school, college, or university, the Commissioner of
Social Security and the State may not thereafter modify such
agreement so as to again make the agreement applicable to such
service performed in the employ of such school, college, or
university."
TREATMENT OF CERTAIN CREDITS AS AMOUNTS DEPOSITED IN SOCIAL
SECURITY TRUST FUNDS PURSUANT TO AGREEMENT
Section 123(b)(4) of Pub. L. 98-21, as amended by Pub. L. 99-514,
Sec. 2, Oct. 22, 1986, 100 Stat. 2095, provided that: "For purposes
of subsection (h) of section 218 of the Social Security Act
[subsec. (h) of this section] (relating to deposits in social
security trust funds of amounts received under section 218
agreements), amounts allowed as a credit pursuant to subsection (d)
of section 3510 of the Internal Revenue Code of 1986 [formerly
I.R.C. 1954] [26 U.S.C. 3510(d)] (relating to credit for
remuneration paid during 1984 which is covered under an agreement
under section 218 of the Social Security Act) shall be treated as
amounts received under such an agreement."
MODIFICATION OF AGREEMENT WITH STATE OF IOWA TO PROVIDE COVERAGE
FOR CERTAIN POLICEMEN AND FIREMEN
Section 9008 of Pub. L. 100-203 provided that:
"(a) In General. - Notwithstanding subsection (d)(5)(A) of
section 218 of the Social Security Act [subsec. (d)(5)(A) of this
section] and the references thereto in subsections (d)(1) and
(d)(3) of such section 218, the agreement with the State of Iowa
heretofore entered into pursuant to such section 218 may, at any
time prior to January 1, 1989, be modified pursuant to subsection
(c)(4) of such section 218 so as to apply to services performed in
policemen's or firemen's positions required to be covered by a
retirement system pursuant to section 410.1 of the Iowa Code as in
effect on July 1, 1953, if the State of Iowa has at any time prior
to the date of the enactment of this Act [Dec. 22, 1987] paid to
the Secretary of the Treasury, with respect to any of the services
performed in such positions, the sums prescribed pursuant to
subsection (e)(1) of such section 218 (as in effect on December 31,
1986, with respect to payments due with respect to wages paid on or
before such date).
"(b) Service To Be Covered. - Notwithstanding the provisions of
subsection (e) of section 218 of the Social Security Act (as so
redesignated by section 9002(c)(1) of the Omnibus Budget
Reconciliation Act of 1986)), any modification in the agreement
with the State of Iowa under subsection (a) shall be made effective
with respect to -
"(1) all services performed in any policemen's or firemen's
position to which the modification relates on or after January 1,
1987, and
"(2) all services performed in such a position before January
1, 1987, with respect to which the State of Iowa has paid to the
Secretary of the Treasury the sums prescribed pursuant to
subsection (e)(1) of such section 218 (as in effect on December
31, 1986, with respect to payments due with respect to wages paid
on or before such date) at the time or times established pursuant
to such subsection (e)(1), if and to the extent that -
"(A) no refund of the sums so paid has been obtained, or
"(B) a refund of part or all of the sums so paid has been
obtained but the State of Iowa repays to the Secretary of the
Treasury the amount of such refund within 90 days after the
date on which the modification is agreed to by the State and
the Secretary of Health and Human Services."
MODIFICATION OF AGREEMENT WITH STATE OF CONNECTICUT TO PROVIDE
COVERAGE FOR CONNECTICUT STATE POLICE
Section 12114 of Pub. L. 99-272 provided that: "Notwithstanding
any provision of section 218 of the Social Security Act [this
section], the Secretary of Health and Human Services shall, upon
the request of the Governor of Connecticut, modify the agreement
under such section between the Secretary and the State of
Connecticut to provide that service performed after the date of the
enactment of this Act [Apr. 7, 1986] by members of the Division of
the State Police within the Connecticut Department of Public
Safety, who are hired on or after May 8, 1984, and who are members
of the tier II plan of the Connecticut State Employees Retirement
System, shall be covered under such agreement."
MODIFICATION OF AGREEMENT WITH STATE OF ILLINOIS TO PROVIDE
COVERAGE FOR CERTAIN POLICEMEN AND FIREMEN
Section 318 of Pub. L. 95-216 provided that the agreement with
the State of Illinois entered into pursuant to this section could,
at any time prior to Jan. 1, 1979, be modified pursuant to subsec.
(c)(4) of this section so as to apply to services performed in the
policemen's or firemen's positions covered by the Illinois
Municipal Retirement Fund on Dec. 20, 1977, if the State of
Illinois had prior to such date paid to the Secretary of the
Treasury, with respect to any of the services performed in such
positions, the sums prescribed pursuant to subsec. (e)(1) of this
section.
MODIFICATION OF REPORTING PROCEDURES IN EFFECT DECEMBER 1, 1975,
UNDER FEDERAL-STATE AGREEMENTS
Pub. L. 94-202, Sec. 8(k), Jan. 2, 1976, 89 Stat. 1140, provided
that: "Notwithstanding the provisions of section 218(i) of the
Social Security Act [subsec. (i) of this section], nothing
contained in the amendments made by the preceding provisions of
this section [enacting section 432 of this title and amending
sections 401, 403, 424a, and 430 of this title and section 6103 of
Title 26, Internal Revenue Code, and enacting provisions set out as
notes under sections 401 and 432 of this title] shall be construed
to authorize or require the Secretary, in promulgating regulations
or amendments thereto under such section 218(i), substantially to
modify the procedures, as in effect on December 1, 1975, for the
reporting by States to the Secretary of the wages of individuals
covered by social security pursuant to Federal-State agreements
entered into pursuant to section 218 of the Social Security Act
[this section]."
MODIFICATION OF AGREEMENT WITH STATE OF WEST VIRGINIA WITH RESPECT
TO CERTAIN POLICEMEN AND FIREMEN
Pub. L. 94-202, Sec. 6, Jan. 2, 1976, 89 Stat. 1136, provided
that:
"(a) Notwithstanding the provisions of subsection (d)(5)(A) of
section 218 of the Social Security Act [subsec. (d)(5)(A) of this
section] and the references thereto in subsections (d)(1) and
(d)(3) of such section 218, the agreement with the State of West
Virginia heretofore entered into pursuant to such section 218 [this
section] may, at any time prior to 1977, be modified pursuant to
subsection (c)(4) of such section 218 so as to apply to services
performed in policemen's or firemen's positions covered by a
retirement system on the date of the enactment of this Act [Jan. 2,
1976] by individuals as employees of any class III or class IV
municipal corporation (as defined in or under the laws of the
State) if the State of West Virginia has at any time prior to the
date of the enactment of this Act paid to the Secretary of the
Treasury, with respect to any of the services performed in such
positions by individuals as employees of such municipal
corporation, the sums prescribed pursuant to subsection (e)(1) of
such section 218. For purposes of this subsection, a retirement
system which covers positions of policemen or firemen, or both, and
other positions, shall, if the State of West Virginia so desires,
be deemed to be a separate retirement system with respect to the
positions of such policemen or firemen, or both, as the case may
be.
"(b) Notwithstanding the provisions of subsection (f) of section
218 of the Social Security Act, any modification in the agreement
with the State of West Virginia under subsection (a) of this
section, to the extent it involves services performed by
individuals as employees of any class III or class IV municipal
corporation, may be made effective with respect to -
"(1) all services performed by such individual, in any
policemen's or firemen's position to which the modification
relates, on or after the date of the enactment of this Act; and
"(2) all services performed by such individual in such a
position before such date of enactment with respect to which the
State of West Virginia has paid to the Secretary of the Treasury
the sums prescribed pursuant to subsection (e)(1) of such section
218 at the time or times established pursuant to such subsection
(e)(1) if and to the extent that -
"(A) no refund of the sums so paid has been obtained, or
"(B) a refund of part or all of the sums so paid has been
obtained but the State of West Virginia repays to the Secretary
of the Treasury the amount of such refund within ninety days
after the date that the modification is agreed to by the State
and the Secretary of Health, Education, and Welfare."
Section 143 of Pub. L. 92-603 provided that:
"(a) Notwithstanding the provisions of subsection (d)(5)(A) of
section 218 of the Social Security Act [subsec. (d)(5)(A) of this
section] and the references thereto in subsections (d)(1) and
(d)(3) of such section 218 the agreement with the State of West
Virginia heretofore entered into pursuant to such section 218 [this
section] may, at any time prior to 1974, be modified pursuant to
subsection (c)(4) of such section 218 so as to apply to services
performed in policemen's or firemen's positions covered by a
retirement system on the date of the enactment of this Act [Oct.
30, 1972] by individuals as employees of any class III or class IV
municipal corporation (as defined in or under the laws of the
State) if the State of West Virginia has at any time prior to the
date of the enactment of this Act paid to the Secretary of the
Treasury, with respect to any of the services performed in such
positions by individuals as employees of such municipal
corporation, the sums prescribed pursuant to subsection (e)(1) of
such section 218. For purposes of this subsection, a retirement
system which covers positions of policemen or firemen, or both, and
other positions, shall, if the State of West Virginia so desires,
be deemed to be a separate retirement system with respect to the
positions of such policemen or firemen, or both, as the case may
be.
"(b) Notwithstanding the provisions of subsection (f) of section
218 of the Social Security Act, any modification in the agreement
with the State of West Virginia under subsection (a) of this
section, to the extent it involves services performed by
individuals as employees of any class III or class IV municipal
corporation, may be made effective with respect to -
"(1) all services performed by such individual, in any
policeman's or fireman's position to which the modification
relates, on or after the date of the enactment of this Act; and
"(2) all services performed by such individual in such a
position before such date of enactment with respect to which the
State of West Virginia has paid to the Secretary of the Treasury
the sums prescribed pursuant to subsection (e)(1) of such section
218 at the time or times established pursuant to such subsection
(e)(1), if and to the extent that -
"(A) no refund of the sums so paid has been obtained, or
"(B) a refund of part or all of the sums so paid has been
obtained but the State of West Virginia repays to the Secretary
of the Treasury the amount of such refund within ninety days
after the date that the modification is agreed to by the State
and the Secretary of Health, Education, and Welfare."
MODIFICATION OF EXISTING AGREEMENT WITH STATE OF NEW MEXICO TO
COVER CERTAIN HOSPITAL EMPLOYEES
Section 127 of Pub. L. 92-603 provided that: "Notwithstanding any
provisions of section 218 of the Social Security Act [this
section], the Agreement with the State of New Mexico heretofore
entered into pursuant to such section may at the option of such
State be modified at any time prior to the first day of the fourth
month after the month in which this Act is enacted [October 1972],
so as to apply to the services of employees of a hospital which is
an integral part of a political subdivision to which an agreement
under this section has not been made applicable, as a separate
coverage group within the meaning of section 218(b)(5) of such Act
[subsec. (b)(5) of this section], but only if such hospital has
prior to 1966 withdrawn from a retirement system which had been
applicable to the employees of such hospital."
MODIFICATION OF AGREEMENT WITH STATE OF LOUISIANA WITH RESPECT TO
VOTER REGISTRARS
Section 139 of Pub. L. 92-603 provided that:
"(a) Notwithstanding the provisions of section 218(g)(1) of the
Social Security Act [subsec. (g)(1) of this section], the Secretary
may, under such conditions as he deems appropriate, permit the
State of Louisiana to modify its agreement entered into under
section 218 of such Act [this section] so as to terminate the
coverage of all employees who are in positions under the Registrars
of Voters Employees' Retirement System, effective after December
1975, but only if such State files with him notice of termination
on or before December 31, 1973.
"(b) If the coverage of such employees in positions under such
retirement system is terminated pursuant to subsection (a),
coverage cannot later be extended to employees in positions under
such retirement system."
MODIFICATION OF AGREEMENTS WITH STATES WITH RESPECT TO CERTAIN
STUDENTS AND PART-TIME EMPLOYEES
Section 141 of Pub. L. 92-603 provided that:
"(a) Notwithstanding any provision of section 218 of the Social
Security Act [this section], the agreement with any State (or any
modification thereof) entered into pursuant to such section may, at
the option of such State, be modified at any time prior to January
1, 1974, so as to exclude either or both of the following;
"(1) service in any class or classes of part-time positions; or
"(2) service performed in the employ of a school, college, or
university if such service is performed by a student who is
enrolled and is regularly attending classes at such school,
college, or university.
"(b) Any modification of such agreement pursuant to this section
shall be effective with respect to services performed after the end
of the calendar quarter following the calendar quarter in which
such agreement is modified.
"(c) If any such modification terminates coverage with respect to
service in any class or classes of part-time positions in any
coverage group, the Secretary of Health, Education, and Welfare and
the State may not thereafter modify such agreement so as to again
make the agreement applicable to service in such positions in such
coverage group; if such modification terminates coverage with
respect to service performed in the employ of a school, college, or
university, by a student who is enrolled and regularly attending
classes at such school, college, or university, the Secretary of
Health, Education, and Welfare and the State may not thereafter
modify such agreement so as to again make the agreement applicable
to such service performed in the employ of such school, college, or
university."
MODIFICATION OF AGREEMENT WITH STATE OF MASSACHUSETTS WITH RESPECT
TO EMPLOYEES OF THE MASSACHUSETTS TURNPIKE AUTHORITY
Section 124 of Pub. L. 90-248 provided that:
"(a) Notwithstanding the provisions of section 218(g)(1) of the
Social Security Act [subsec. (g)(1) of this section] the Secretary
may, under such conditions as he deems appropriate, permit the
State of Massachusetts to modify its agreement entered into under
section 218 of such Act [this section] so as to terminate the
coverage of the employees of the Massachusetts Turnpike Authority
effective at the end of any calendar quarter within the two years
next following the date on which such agreement is so modified.
"(b) If the coverage of employees of the Massachusetts Turnpike
Authority is terminated pursuant to subsection (a), coverage cannot
later be extended to the employees of such Authority."
MODIFICATION OF AGREEMENTS WITH STATES OF NORTH DAKOTA AND IOWA
WITH RESPECT TO CERTAIN STUDENTS
Section 338 of Pub. L. 89-97 provided that: "Notwithstanding any
provision of section 218 of the Social Security Act [this section],
the agreements with the States of North Dakota and Iowa entered
into pursuant to such section may, at the option of the State, be
modified so as to exclude service performed in any calendar quarter
in the employ of a school, college, or university if such service
is performed by a student who is enrolled and is regularly
attending classes at such school, college, or university and if the
remuneration for such service is less than $50. Any modification of
either of such agreements pursuant to this Act shall be effective
with respect to services performed after an effective date
specified in such modification, except that such date shall not be
earlier than the date of enactment of this Act [July 30, 1965]."
MODIFICATION OF AGREEMENT WITH STATE OF NEBRASKA FOR EXCLUSION OF
SERVICES PERFORMED BY JUSTICES OF THE PEACE AND CONSTABLES
Section 102(i) of Pub. L. 86-778 provided that: "Notwithstanding
any provision of section 218 of the Social Security Act [this
section], the agreement with the State of Nebraska entered into
pursuant to such section may, at the option of such State, be
modified so as to exclude services performed within such State by
individuals as justices of the peace or constables, if such
individuals are compensated for such services on a fee basis. Any
modification of such agreement pursuant to this subsection shall be
effective with respect to services performed after an effective
date specified in such modification, except that such date shall
not be earlier than the date of enactment of this Act [Sept. 13,
1960]."
MODIFICATION OF EXISTING AGREEMENT WITH STATE OF CALIFORNIA PRIOR
TO FEBRUARY 1966
Section 102(k) of Pub. L. 86-778, as amended by Pub. L. 89-97,
title III, Sec. 318, July 30, 1965, 79 Stat. 390; Pub. L. 99-514,
Sec. 2, Oct. 22, 1986, 100 Stat. 2095, provided that:
"(1) Notwithstanding any provision of section 218 of the Social
Security Act [this section], the agreement with the State of
California heretofore entered into pursuant to such section may at
the option of such State be modified, at any time prior to 1962,
pursuant to subsection (c)(4) of such section 218 [subsec. (c)(4)
of this section], so as to apply to services performed by any
individual who, on or after January 1, 1957, and on or before
December 31, 1959, was employed by such State (or any political
subdivision thereof) in any hospital employee's position which, on
September 1, 1954, was covered by a retirement system, but which,
prior to 1960, was removed from coverage by such retirement system
if, prior to July 1, 1960, there have been paid in good faith to
the Secretary of the Treasury, with respect to any of the services
performed by such individual in any such position, amounts
equivalent to the sum of the taxes which would have been imposed by
sections 3101 and 3111 of the Internal Revenue Code of 1986
[formerly I.R.C. 1954] [sections 3101 and 3111 of Title 26,
Internal Revenue Code] if such services had constituted employment
for purposes of chapter 21 of such Code [section 3101 et seq. of
Title 26] at the time they were performed. Notwithstanding the
provisions of subsection (f) of such section 218 such modification
shall be effective with respect to (1) all services performed by
such individual in any such position on or after January 1, 1960,
and (2) all such services, performed before such date, with respect
to which amounts equivalent to such taxes have, prior to the date
of enactment of this subsection [Sept. 13, 1960], been paid.
"(2) Such agreement, as modified pursuant to paragraph (1), may
at the option of such State be further modified, at any time prior
to the seventh month after the month [July 1965] in which this
paragraph is enacted, so as to apply to services performed for any
hospital affected by such earlier modification by any individual
who after December 31, 1959, is or was employed by such State (or
any political subdivision thereof) in any position described in
paragraph (1). Such modification shall be effective with respect to
(A) all services performed by such individual in any such position
on or after January 1, 1962, and (B) all such services, performed
before such date, with respect to which amounts equivalent to the
sum of the taxes which would have been imposed by sections 3101 and
3111 of the Internal Revenue Code of 1986 [sections 3101 and 3111
of Title 26] if such services had constituted employment for
purposes of chapter 21 of such Code at the time they were performed
have, prior to the date of the enactment of this paragraph [July
30, 1965], been paid."
MODIFICATION OF EXISTING AGREEMENT WITH STATE OF OKLAHOMA PRIOR TO
1962
Section 3 of Pub. L. 86-284 provided that: "Notwithstanding the
provisions of subsection (d)(5)(A) of section 218 of the Social
Security Act [subsec. (d)(5)(A) of this section] and the references
thereto in subsections (d)(1) and (d)(3) of such section 218, the
agreement with the State of Oklahoma heretofore entered into
pursuant to such section 218 [this section] may, at any time prior
to 1962, be modified pursuant to subsection (c)(4) of such section
218 so as to apply to services performed by any individual employed
by such State (or any political subdivision thereof) in any
policeman's position covered by a retirement system in effect on
the date of enactment of this Act [Sept. 16, 1959] if (1) in the
case of an individual performing such services on such date, such
individual is ineligible to become a member of such retirement
system, or, in the case of an individual who prior to such date has
ceased to perform such services, such individual was, on the last
day he did perform such services, ineligible to become a member of
such retirement system, and (2) such State has, prior to 1959, paid
to the Secretary of the Treasury, with respect to any of the
services performed by such individual in any such position, the
sums prescribed pursuant to subsection (e)(1) of such section 218.
Notwithstanding the provisions of subsection (f) of such section
218, such modification shall be effective with respect to (i) all
services performed by such individual in any such position on or
after the date of enactment of this Act, and (ii) all such
services, performed before such date, with respect to which such
State has paid to the Secretary of the Treasury the sums prescribed
pursuant to subsection (e) of such section 218, at the time or
times established pursuant to such subsection."
MODIFICATION OF EXISTING AGREEMENT WITH STATE OF MAINE PRIOR TO
JULY 1, 1967
Section 316 of Pub. L. 85-840, as amended by Pub. L. 86-778,
title I, Sec. 102(j), Sept. 13, 1960, 74 Stat. 935; Pub. L. 88-350,
Sec. 1, July 2, 1964, 78 Stat. 240; Pub. L. 89-97, title III, Sec.
337, July 30, 1965, 79 Stat. 409, eff. July 1, 1965, provided that:
"For the purposes of any modification which might be made after the
date of enactment of this Act [Aug. 28, 1958] and prior to July 1,
1967, by the State of Maine of its existing agreement made under
section 218 of the Social Security Act [this section], any
retirement system of such State which covers positions of teachers
and positions of other employees shall, if such State so desires,
be deemed (notwithstanding the provisions of subsection (d) of such
section) to consist of a separate retirement system with respect to
the positions of such teachers and a separate retirement system
with respect to the positions of such other employees; and for the
purposes of this sentence, the term 'teacher' shall mean any
teacher, principal, supervisor, school nurse, school dietitian,
school secretary or superintendent employed in any public school,
including teachers in unorganized territory."
MODIFICATION OF EXISTING AGREEMENTS WITH STATES OF CALIFORNIA,
CONNECTICUT, MINNESOTA, OR RHODE ISLAND PRIOR TO 1960
Section 2 of Pub. L. 85-227 provided that: "Notwithstanding
subsection (f) of section 218 of the Social Security Act [subsec.
(f) of this section], any modification of the agreement with the
State of California, Connecticut, Minnesota, or Rhode Island under
such section which makes such agreement applicable to services
performed in positions covered by a separate retirement system
created pursuant to the fourth sentence of subsection (d)(6) of
such section (and consisting of the positions of members who desire
coverage under the agreement) may, if such modification is agreed
to prior to 1960, be made effective with respect to services
performed in such positions after an effective date specified in
such modification, except that in no case may such date be earlier
than December 31, 1955."
MODIFICATION OF EXISTING AGREEMENTS WITH STATES OF FLORIDA, NEVADA,
NEW MEXICO, MINNESOTA, OKLAHOMA, PENNSYLVANIA, TEXAS, WASHINGTON,
OR HAWAII PRIOR TO JULY 1, 1962
Section 104(f) of act Aug. 1, 1956, as amended by Pub. L. 86-284,
Sec. 1, provided that: "Notwithstanding the provisions of
subsection (d) of section 218 of the Social Security Act
[subsection (d) of this section], any agreement under such section
entered into prior to the date of enactment of this Act [Aug. 1,
1956] by the State of Florida, Nevada, New Mexico, Minnesota,
Oklahoma, Pennsylvania, Texas, Washington, or the Territory of
Hawaii shall if the State or Territory concerned so requests, be
modified prior to July 1, 1962, so as to apply to services
performed by employees of the respective public school districts of
such State or Territory who, on the date such agreement is made
applicable to such services, are not in positions the incumbents of
which are required by State or Territorial law or regulation to
have valid State or Territorial teachers' or administrators'
certificates in order to receive pay for their services. The
provisions of this subsection shall not apply to services of any
such employees to which any such agreement applies without regard
to this subsection."
MODIFICATION OF EXISTING AGREEMENT WITH STATE OF ARIZONA PRIOR TO
JANUARY 1, 1956
Section 101(k) of act Sept. 1, 1954, provided that: "If, prior to
January 1, 1956, the agreement with the State of Arizona entered
into pursuant to section 218 of the Social Security Act [this
section] is modified pursuant to subsection (d)(3) of such section
so as to apply to service performed by employees in positions
covered by the Arizona Teachers' Retirement System the modification
may, notwithstanding section 218(f) of the Social Security Act, be
made effective with respect to service performed in such positions
after an effective date specified in the modification, but in no
case may such effective date be earlier than December 31, 1950. For
the purposes of any such modification, all employees in positions
covered by the Arizona Teachers' Retirement System shall be deemed,
notwithstanding the provisions of section 218(d)(6) of such Act, to
constitute a separate coverage group."
EXTENSION OF COVERAGE TO SERVICE IN FIREMEN'S POSITION
Section 120(b) of Pub. L. 90-248 provided that: "Nothing in the
amendments made by subsection (a) [amending this section] shall
authorize the extension of the insurance system established by
title II of the Social Security Act [this subchapter] under the
provisions of section 218(d)(6)(C) of such Act [subsec. (d)(6)(C)
of this section] to service in any fireman's position."
VALIDATION OF COVERAGE FOR CERTAIN FIREMEN IN THE STATE OF NEBRASKA
Section 119(b) of Pub. L. 90-248, as amended by Pub. L. 99-514,
Sec. 2, Oct. 22, 1986, 100 Stat. 2095, provided that: "In any case
in which -
"(1) an individual has performed services prior to the
enactment of this Act [Jan. 2, 1968] in the employ of a political
subdivision of the State of Nebraska in a fireman's position, and
"(2) amounts, equivalent to the sum of the taxes which would
have been imposed by sections 3101 and 3111 of the Internal
Revenue Code of 1986 [formerly I.R.C. 1954] [sections 3101 and
3111 of Title 26, Internal Revenue Code] had such services
constituted employment for purposes of section 21 of such Code
[section 21 of Title 26] at the time they were performed, were
timely paid in good faith to the Secretary of the Treasury, and
"(3) no refunds of such amounts paid in lieu of taxes have been
obtained,
the amount of the remuneration for such services with respect to
which such amounts have been paid shall be deemed to constitute
remuneration for employment as defined in section 209 of the Social
Security Act [section 409 of this title]."
VALIDATION OF COVERAGE FOR CERTAIN EMPLOYEES OF AN INTEGRAL UNIT OF
A POLITICAL SUBDIVISION OF ALASKA
Section 342 of Pub. L. 89-97 provided that: "For purposes of the
agreement under section 218 of the Social Security Act [this
section] entered into by the State of Alaska, or its predecessor
the Territory of Alaska, where employees of an integral unit of a
political subdivision of the State or Territory of Alaska have in
good faith been included under the State or Territory's agreement
as a coverage group on the basis that such integral unit of a
political subdivision was a political subdivision, then such unit
of the political subdivision shall, for purposes of section
218(b)(2) of such Act, be deemed to be a political subdivision, and
employees performing services within such unit shall be deemed to
be a coverage group, effective with the effective date specified in
such agreement or modification of such agreement with respect to
such coverage group and ending with the last day of the year in
which this Act is enacted [1965]."
VALIDATION OF COVERAGE FOR DISTRICT ENGINEERING AIDES OF SOIL AND
WATER CONSERVATION DISTRICTS OF OKLAHOMA
Pub. L. 88-650, Sec. 3, Oct. 13, 1964, 78 Stat. 1077, provided
that: "For purposes of the agreement under section 218 of the
Social Security Act [this section] entered into by the State of
Oklahoma, remuneration paid to district engineering aides of soil
and water conservation districts of the State of Oklahoma which was
reported by the State as amounts paid to such aides as employees of
the State for services performed by them during the period
beginning January 1, 1951, and ending with the close of June 30,
1962, shall be deemed to have been paid to such aides for services
performed by them in the employ of the State."
VALIDATION OF COVERAGE FOR CERTAIN EMPLOYEES OF AN INTEGRAL UNIT OF
A POLITICAL SUBDIVISION OF ARKANSAS
Section 1 of Pub. L. 87-878 provided: "That, for purposes of the
agreement under section 218 of the Social Security Act [this
section] entered into by the State of Arkansas, where employees of
an integral unit of a political subdivision of the State of
Arkansas have in good faith been included under the State's
agreement as a coverage group on the basis that such integral unit
of a political subdivision was a political subdivision, then such
unit of the political subdivision shall, for purposes of section
218(b)(2) of such Act, be deemed to be a political subdivision, and
employees performing services within such unit shall be deemed to
be a coverage group, effective with the effective date specified in
such agreement or modification of such agreement with respect to
such coverage group and ending with the last day of the year in
which this Act is enacted [1962]."
VALIDATION OF COVERAGE FOR CERTAIN MISSISSIPPI TEACHERS
Section 102(h) of Pub. L. 86-778 provided that: "For purposes of
the agreement under section 218 of the Social Security Act [this
section] entered into by the State of Mississippi, services of
teachers in such State performed after February 28, 1951, and prior
to October 1, 1959, shall be deemed to have been performed by such
teachers as employees of the State. The term 'teacher' as used in
the preceding sentence means -
"(1) any individual who is licensed to serve in the capacity of
teacher, librarian, registrar, supervisor, principal, or
superintendent and who is principally engaged in the public
elementary or secondary school system of the State in any one or
more of such capacities;
"(2) any employee in the office of the county superintendent of
education or the county school supervisor, or in the office of
the principal of any county or municipal public elementary or
secondary school in the State; and
"(3) any individual licensed to serve in the capacity of
teacher who is engaged in any educational capacity in any day or
night school conducted under the supervision of the State
department of education as a part of the adult education program
provided for under the laws of Mississippi or under the laws of
the United States."
PRESUMPTION OF WORK DEDUCTIONS FOR SERVICES PERFORMED PRIOR TO 1955
IN CASE OF CERTAIN RETROACTIVE STATE AGREEMENTS; RECOMPUTATION
Section 101(l) of act Sept. 1, 1954, provided that:
"(1) In the case of any services performed prior to 1955 to which
an agreement under section 218 of the Social Security Act [this
section] was made applicable, deductions which -
"(A) were not imposed under section 203 of such Act [section
403 of this title] with respect to such services performed prior
to the date the agreement was agreed to or, if the original
agreement was not applicable to such services, performed prior to
the date the modification making such agreement applicable to
such services was agreed to, and
"(B) would have been imposed under such section 203 had such
agreement, or modification, as the case may be, been agreed to on
the date it became effective,
shall be deemed to have been imposed, but only for purposes of
section 215(f)(2)(A) or section 215(f)(4)(A) of such Act [section
415(f)(2)(A) or section 415(f)(4)(A) of this title] as in effect
prior to the enactment of this Act [Sept. 1, 1954]. An individual
with respect to whose services the preceding sentence is
applicable, or in the case of his death, his survivors entitled to
monthly benefits under section 202 of the Social Security Act
[section 402 of this title] on the basis of his wages and
self-employment income, shall be entitled to a recomputation of his
primary insurance amount under such section 215(f)(2)(A) or section
215(f)(4)(A), as the case may be, if the conditions specified
therein are met and if, with respect to a recomputation under such
section 215(f)(2)(A), such individual files the application
referred to in such section after August 1954 and prior to January
1956 or, with respect to a recomputation under such section
215(f)(4)(A), such individual died prior to January 1956 and any of
such survivors entitled to monthly benefits files an application,
in addition to the application filed for such monthly benefits, for
a recomputation under such section 215(f)(4)(A).
"(2) For purposes of a recomputation made by reason of paragraph
(1) of this subsection, the primary insurance amount of the
individual who performed the services referred to in such paragraph
shall be computed under subsection (a)(2) of section 215 of the
Social Security Act, as amended by this Act (but, for such
purposes, without application of subsection (d)(4) of such section,
as in effect prior to the enactment of this Act or as amended by
this Act) and as though he became entitled to old-age insurance
benefits in whichever of the following months yields the highest
primary insurance amount:
"(A) the month following the last month for which deductions
are deemed, pursuant to paragraph (1) of this subsection, to have
been made; or
"(B) the first month after the month determined under
subparagraph (A) (and prior to September 1954) in which his
benefits under section 202(a) of the Social Security Act [section
402(a) of this title] were no longer subject to deductions under
section 203(b) of such Act [section 403(b) of this title]; or
"(C) the first month after the last month (and prior to
September 1954) in which his benefits under section 202(a) of the
Social Security Act were subject to deductions under section
203(b) of such Act; or
"(D) the month in which such individual filed his application
for recomputation referred to in paragraph (1) of this subsection
or, if he died without filing such application and prior to
January 1, 1956, the month in which he died, and in any such case
(but, if the individual is deceased, only if death occurred after
August 1954) the amendments made by subsections (b)(1), (e)(1)
and (e)(3)(B) of section 102 of this Act [amending section 415 of
this title] shall be applicable.
Such recomputation shall be effective for and after the month in
which the application required by paragraph (1) of this subsection
is filed. The provisions of this subsection shall not be applicable
in the case of any individual if his primary insurance amount has
been recomputed under section 215(f)(2) of the Social Security Act
on the basis of an application filed prior to September 1954.
"(3) If any recomputation under section 215(f) of the Social
Security Act is made by reason of deductions deemed pursuant to
paragraph (1) of this subsection to have been imposed with respect
to benefits based on the wages and self-employment income of any
individual, the total of the benefits based on such wages and
self-employment income for months for which such deductions are so
deemed to have been imposed shall be recovered by making, in
addition to any other deductions under section 203 of such Act,
deductions from any increase in benefits, based on such wages and
self-employment income, resulting from such recomputation."
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 402, 405, 405a, 410, 411,
424a of this title; title 26 sections 1402, 3121, 6413, 6511.
-End-
-CITE-
42 USC Sec. 419 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 419. Repealed. Pub. L. 86-778, title I, Sec. 103(j)(1), Sept.
13, 1960, 74 Stat. 937
-MISC1-
Section, act Aug. 14, 1935, ch. 531, title II, Sec. 219, as added
Aug. 28, 1950, ch. 809, title I, Sec. 107, 64 Stat. 517, prescribed
the effective date of this subchapter in Puerto Rico as January 1
of the first calendar year which begins more than 90 days after the
date on which the President received a certification from the
Governor of Puerto Rico.
EFFECTIVE DATE OF REPEAL
Repeal effective Sept. 13, 1960, see section 103(v)(1), (3) of
Pub. L. 86-778, set out as an Effective Date of 1960 Amendment note
under section 402 of this title.
-End-
-CITE-
42 USC Sec. 420 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 420. Disability provisions inapplicable if benefit rights
impaired
-STATUTE-
None of the provisions of this subchapter relating to periods of
disability shall apply in any case in which their application would
result in the denial of monthly benefits or a lump-sum death
payment which would otherwise be payable under this subchapter; nor
shall they apply in the case of any monthly benefit or lump-sum
death payment under this subchapter if such benefit or payment
would be greater without their application.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 220, as added Sept. 1,
1954, ch. 1206, title I, Sec. 106(g), 68 Stat. 1081.)
-MISC1-
PRIOR PROVISIONS
A prior section 420, act Aug. 14, 1935, ch. 531, title II, Sec.
220, as added July 18, 1952, ch. 945, Sec. 3(e), 66 Stat. 772,
relating to inapplicability of disability provisions if benefits
were reduced, ceased to be in effect at the close of June 30, 1953.
See Effective and Termination Date of 1952 Amendment note set out
under section 413 of this title.
-End-
-CITE-
42 USC Sec. 421 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 421. Disability determinations
-STATUTE-
(a) State agencies
(1) In the case of any individual, the determination of whether
or not he is under a disability (as defined in section 416(i) or
423(d) of this title) and of the day such disability began, and the
determination of the day on which such disability ceases, shall be
made by a State agency, notwithstanding any other provision of law,
in any State that notifies the Commissioner of Social Security in
writing that it wishes to make such disability determinations
commencing with such month as the Commissioner of Social Security
and the State agree upon, but only if (A) the Commissioner of
Social Security has not found, under subsection (b)(1) of this
section, that the State agency has substantially failed to make
disability determinations in accordance with the applicable
provisions of this section or rules issued thereunder, and (B) the
State has not notified the Commissioner of Social Security, under
subsection (b)(2) of this section, that it does not wish to make
such determinations. If the Commissioner of Social Security once
makes the finding described in clause (A) of the preceding
sentence, or the State gives the notice referred to in clause (B)
of such sentence, the Commissioner of Social Security may
thereafter determine whether (and, if so, beginning with which
month and under what conditions) the State may again make
disability determinations under this paragraph.
(2) The disability determinations described in paragraph (1) made
by a State agency shall be made in accordance with the pertinent
provisions of this subchapter and the standards and criteria
contained in regulations or other written guidelines of the
Commissioner of Social Security pertaining to matters such as
disability determinations, the class or classes of individuals with
respect to which a State may make disability determinations (if it
does not wish to do so with respect to all individuals in the
State), and the conditions under which it may choose not to make
all such determinations. In addition, the Commissioner of Social
Security shall promulgate regulations specifying, in such detail as
the Commissioner deems appropriate, performance standards and
administrative requirements and procedures to be followed in
performing the disability determination function in order to assure
effective and uniform administration of the disability insurance
program throughout the United States. The regulations may, for
example, specify matters such as -
(A) the administrative structure and the relationship between
various units of the State agency responsible for disability
determinations,
(B) the physical location of and relationship among agency
staff units, and other individuals or organizations performing
tasks for the State agency, and standards for the availability to
applicants and beneficiaries of facilities for making disability
determinations,
(C) State agency performance criteria, including the rate of
accuracy of decisions, the time periods within which
determinations must be made, the procedures for and the scope of
review by the Commissioner of Social Security, and, as the
Commissioner finds appropriate, by the State, of its performance
in individual cases and in classes of cases, and rules governing
access of appropriate Federal officials to State offices and to
State records relating to its administration of the disability
determination function,
(D) fiscal control procedures that the State agency may be
required to adopt, and
(E) the submission of reports and other data, in such form and
at such time as the Commissioner of Social Security may require,
concerning the State agency's activities relating to the
disability determination.
Nothing in this section shall be construed to authorize the
Commissioner of Social Security to take any action except pursuant
to law or to regulations promulgated pursuant to law.
(b) Determinations by Commissioner
(1) If the Commissioner of Social Security finds, after notice
and opportunity for a hearing, that a State agency is substantially
failing to make disability determinations in a manner consistent
with the Commissioner's regulations and other written guidelines,
the Commissioner of Social Security shall, not earlier than 180
days following the Commissioner's finding, and after the
Commissioner has complied with the requirements of paragraph (3),
make the disability determinations referred to in subsection (a)(1)
of this section.
(2) If a State, having notified the Commissioner of Social
Security of its intent to make disability determinations under
subsection (a)(1) of this section, no longer wishes to make such
determinations, it shall notify the Commissioner of Social Security
in writing of that fact, and, if an agency of the State is making
disability determinations at the time such notice is given, it
shall continue to do so for not less than 180 days, or (if later)
until the Commissioner of Social Security has complied with the
requirements of paragraph (3). Thereafter, the Commissioner of
Social Security shall make the disability determinations referred
to in subsection (a)(1) of this section.
(3)(A) The Commissioner of Social Security shall develop and
initiate all appropriate procedures to implement a plan with
respect to any partial or complete assumption by the Commissioner
of Social Security of the disability determination function from a
State agency, as provided in this section, under which employees of
the affected State agency who are capable of performing duties in
the disability determination process for the Commissioner of Social
Security shall, notwithstanding any other provision of law, have a
preference over any other individual in filling an appropriate
employment position with the Commissioner of Social Security
(subject to any system established by the Commissioner of Social
Security for determining hiring priority among such employees of
the State agency) unless any such employee is the administrator,
the deputy administrator, or assistant administrator (or his
equivalent) of the State agency, in which case the Commissioner of
Social Security may accord such priority to such employee.
(B) The Commissioner of Social Security shall not make such
assumption of the disability determination function until such time
as the Secretary of Labor determines that, with respect to
employees of such State agency who will be displaced from their
employment on account of such assumption by the Commissioner of
Social Security and who will not be hired by the Commissioner of
Social Security to perform duties in the disability determination
process, the State has made fair and equitable arrangements to
protect the interests of employees so displaced. Such protective
arrangements shall include only those provisions which are provided
under all applicable Federal, State and local statutes including,
but not limited to, (i) the preservation of rights, privileges, and
benefits (including continuation of pension rights and benefits)
under existing collective-bargaining agreements; (ii) the
continuation of collective-bargaining rights; (iii) the assignment
of affected employees to other jobs or to retraining programs; (iv)
the protection of individual employees against a worsening of their
positions with respect to their employment; (v) the protection of
health benefits and other fringe benefits; and (vi) the provision
of severance pay, as may be necessary.
(c) Review of determination by Commissioner
(1) The Commissioner of Social Security may on the Commissioner's
own motion or as required under paragraphs (2) and (3) review a
determination, made by a State agency under this section, that an
individual is or is not under a disability (as defined in section
416(i) or 423(d) of this title) and, as a result of such review,
may modify such agency's determination and determine that such
individual either is or is not under a disability (as so defined)
or that such individual's disability began on a day earlier or
later than that determined by such agency, or that such disability
ceased on a day earlier or later than that determined by such
agency. A review by the Commissioner of Social Security on the
Commissioner's own motion of a State agency determination under
this paragraph may be made before or after any action is taken to
implement such determination.
(2) The Commissioner of Social Security (in accordance with
paragraph (3)) shall review determinations, made by State agencies
pursuant to this section, that individuals are under disabilities
(as defined in section 416(i) or 423(d) of this title). Any review
by the Commissioner of Social Security of a State agency
determination under this paragraph shall be made before any action
is taken to implement such determination.
(3)(A) In carrying out the provisions of paragraph (2) with
respect to the review of determinations made by State agencies
pursuant to this section that individuals are under disabilities
(as defined in section 416(i) or 423(d) of this title), the
Commissioner of Social Security shall review -
(i) at least 50 percent of all such determinations made by
State agencies on applications for benefits under this
subchapter, and
(ii) other determinations made by State agencies pursuant to
this section to the extent necessary to assure a high level of
accuracy in such other determinations.
(B) In conducting reviews pursuant to subparagraph (A), the
Commissioner of Social Security shall, to the extent feasible,
select for review those determinations which the Commissioner of
Social Security identifies as being the most likely to be
incorrect.
(C) Not later than April 1, 1992, and annually thereafter, the
Commissioner of Social Security shall submit to the Committee on
Ways and Means of the House of Representatives and the Committee on
Finance of the Senate a written report setting forth the number of
reviews conducted under subparagraph (A)(ii) during the preceding
fiscal year and the findings of the Commissioner of Social Security
based on such reviews of the accuracy of the determinations made by
State agencies pursuant to this section.
(d) Hearings and judicial review
Any individual dissatisfied with any determination under
subsection (a), (b), (c), or (g) of this section shall be entitled
to a hearing thereon by the Commissioner of Social Security to the
same extent as is provided in section 405(b) of this title with
respect to decisions of the Commissioner of Social Security, and to
judicial review of the Commissioner's final decision after such
hearing as is provided in section 405(g) of this title.
(e) State's right to cost from Trust Funds
Each State which is making disability determinations under
subsection (a)(1) of this section shall be entitled to receive from
the Trust Funds, in advance or by way of reimbursement, as
determined by the Commissioner of Social Security, the cost to the
State of making disability determinations under subsection (a)(1)
of this section. The Commissioner of Social Security shall from
time to time certify such amount as is necessary for this purpose
to the Managing Trustee, reduced or increased, as the case may be,
by any sum (for which adjustment hereunder has not previously been
made) by which the amount certified for any prior period was
greater or less than the amount which should have been paid to the
State under this subsection for such period; and the Managing
Trustee, prior to audit or settlement by the General Accounting
Office, shall make payment from the Trust Funds at the time or
times fixed by the Commissioner of Social Security, in accordance
with such certification. Appropriate adjustments between the
Federal Old-Age and Survivors Insurance Trust Fund and the Federal
Disability Insurance Trust Fund with respect to the payments made
under this subsection shall be made in accordance with paragraph
(1) of subsection (g) of section 401 of this title (but taking into
account any refunds under subsection (f) of this section) to insure
that the Federal Disability Insurance Trust Fund is charged with
all expenses incurred which are attributable to the administration
of section 423 of this title and the Federal Old-Age and Survivors
Insurance Trust Fund is charged with all other expenses.
(f) Use of funds
All money paid to a State under this section shall be used solely
for the purposes for which it is paid; and any money so paid which
is not used for such purposes shall be returned to the Treasury of
the United States for deposit in the Trust Funds.
(g) Regulations governing determinations in certain cases
In the case of individuals in a State which does not undertake to
perform disability determinations under subsection (a)(1) of this
section, or which has been found by the Commissioner of Social
Security to have substantially failed to make disability
determinations in a manner consistent with the Commissioner's
regulations and guidelines, in the case of individuals outside the
United States, and in the case of any class or classes of
individuals for whom no State undertakes to make disability
determinations, the determinations referred to in subsection (a) of
this section shall be made by the Commissioner of Social Security
in accordance with regulations prescribed by the Commissioner.
(h) Evaluation of mental impairments by qualified medical
professionals
An initial determination under subsection (a), (c), (g), or (i)
of this section that an individual is not under a disability, in
any case where there is evidence which indicates the existence of a
mental impairment, shall be made only if the Commissioner of Social
Security has made every reasonable effort to ensure that a
qualified psychiatrist or psychologist has completed the medical
portion of the case review and any applicable residual functional
capacity assessment.
(i) Review of disability cases to determine continuing eligibility;
permanent disability cases; appropriate number of cases reviewed;
reporting requirements
(1) In any case where an individual is or has been determined to
be under a disability, the case shall be reviewed by the applicable
State agency or the Commissioner of Social Security (as may be
appropriate), for purposes of continuing eligibility, at least once
every 3 years, subject to paragraph (2); except that where a
finding has been made that such disability is permanent, such
reviews shall be made at such times as the Commissioner of Social
Security determines to be appropriate. Reviews of cases under the
preceding sentence shall be in addition to, and shall not be
considered as a substitute for, any other reviews which are
required or provided for under or in the administration of this
subchapter.
(2) The requirement of paragraph (1) that cases be reviewed at
least every 3 years shall not apply to the extent that the
Commissioner of Social Security determines, on a State-by-State
basis, that such requirement should be waived to insure that only
the appropriate number of such cases are reviewed. The Commissioner
of Social Security shall determine the appropriate number of cases
to be reviewed in each State after consultation with the State
agency performing such reviews, based upon the backlog of pending
reviews, the projected number of new applications for disability
insurance benefits, and the current and projected staffing levels
of the State agency, but the Commissioner of Social Security shall
provide for a waiver of such requirement only in the case of a
State which makes a good faith effort to meet proper staffing
requirements for the State agency and to process case reviews in a
timely fashion. The Commissioner of Social Security shall report
annually to the Committee on Finance of the Senate and the
Committee on Ways and Means of the House of Representatives with
respect to the determinations made by the Commissioner of Social
Security under the preceding sentence.
(3) The Commissioner of Social Security shall report annually to
the Committee on Finance of the Senate and the Committee on Ways
and Means of the House of Representatives with respect to the
number of reviews of continuing disability carried out under
paragraph (1), the number of such reviews which result in an
initial termination of benefits, the number of requests for
reconsideration of such initial termination or for a hearing with
respect to such termination under subsection (d) of this section,
or both, and the number of such initial terminations which are
overturned as the result of a reconsideration or hearing.
(4) In any case in which the Commissioner of Social Security
initiates a review under this subsection of the case of an
individual who has been determined to be under a disability, the
Commissioner of Social Security shall notify such individual of the
nature of the review to be carried out, the possibility that such
review could result in the termination of benefits, and the right
of the individual to provide medical evidence with respect to such
review.
(5) For suspension of reviews under this subsection in the case
of an individual using a ticket to work and self-sufficiency, see
section 1320b-19(i) of this title.
(j) Rules and regulations; consultative examinations
The Commissioner of Social Security shall prescribe regulations
which set forth, in detail -
(1) the standards to be utilized by State disability
determination services and Federal personnel in determining when
a consultative examination should be obtained in connection with
disability determinations;
(2) standards for the type of referral to be made; and
(3) procedures by which the Commissioner of Social Security
will monitor both the referral processes used and the product of
professionals to whom cases are referred.
Nothing in this subsection shall be construed to preclude the
issuance, in accordance with section 553(b)(A) of title 5, of
interpretive rules, general statements of policy, and rules of
agency organization relating to consultative examinations if such
rules and statements are consistent with such regulations.
(k) Establishment of uniform standards for determination of
disability
(1) The Commissioner of Social Security shall establish by
regulation uniform standards which shall be applied at all levels
of determination, review, and adjudication in determining whether
individuals are under disabilities as defined in section 416(i) or
423(d) of this title.
(2) Regulations promulgated under paragraph (1) shall be subject
to the rulemaking procedures established under section 553 of title
5.
(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 disability
by reason of blindness is entitled 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, to every individual who is an applicant for benefits under
this subchapter on the basis of disability by reason of blindness,
at the time of his or her application. 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) Work activity as basis for review
(1) In any case where an individual entitled to disability
insurance benefits under section 423 of this title or to monthly
insurance benefits under section 402 of this title based on such
individual's disability (as defined in section 423(d) of this
title) has received such benefits for at least 24 months -
(A) no continuing disability review conducted by the
Commissioner may be scheduled for the individual solely as a
result of the individual's work activity;
(B) no work activity engaged in by the individual may be used
as evidence that the individual is no longer disabled; and
(C) no cessation of work activity by the individual may give
rise to a presumption that the individual is unable to engage in
work.
(2) An individual to which paragraph (1) applies shall continue
to be subject to -
(A) continuing disability reviews on a regularly scheduled
basis that is not triggered by work; and
(B) termination of benefits under this subchapter in the event
that the individual has earnings that exceed the level of
earnings established by the Commissioner to represent substantial
gainful activity.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 221, as added Sept. 1,
1954, ch. 1206, title I, Sec. 106(g), 68 Stat. 1081; amended Aug.
1, 1956, ch. 836, title I, Sec. 103(c)(7), (8), (h), 70 Stat. 818,
823; Pub. L. 90-248, title I, Sec. 158(c)(3), (4), Jan. 2, 1968, 81
Stat. 869; Pub. L. 96-265, title III, Secs. 304(a)-(f), 311(a),
June 9, 1980, 94 Stat. 453-456, 460; Pub. L. 97-455, Secs. 3(a), 6,
Jan. 12, 1983, 96 Stat. 2499, 2500; Pub. L. 98-369, div. B, title
VI, Sec. 2663(a)(14), July 18, 1984, 98 Stat. 1164; Pub. L. 98-460,
Secs. 6(a), 8(a), 9(a)(1), 10(a), 17(a), Oct. 9, 1984, 98 Stat.
1802, 1804, 1805, 1811; Pub. L. 99-514, title XVIII, Sec.
1883(a)(9), Oct. 22, 1986, 100 Stat. 2916; Pub. L. 100-647, title
VIII, Sec. 8012(a), Nov. 10, 1988, 102 Stat. 3789; Pub. L. 101-239,
title X, Sec. 10306(a)(1), Dec. 19, 1989, 103 Stat. 2484; Pub. L.
101-508, title V, Sec. 5128(a), Nov. 5, 1990, 104 Stat. 1388-286;
Pub. L. 103-296, title I, Sec. 107(a)(4), Aug. 15, 1994, 108 Stat.
1478; Pub. L. 106-170, title I, Secs. 101(b)(1)(A), 111(a), Dec.
17, 1999, 113 Stat. 1873, 1881.)
-MISC1-
PRIOR PROVISIONS
A prior section 421, act Aug. 14, 1935, ch. 531, title II, Sec.
221, as added July 18, 1952, ch. 945, Sec. 3(e), 66 Stat. 772;
amended by 1953 Reorg. Plan No. 1, Sec. 5, eff. Apr. 11, 1953, 18
F.R. 2053, 67 Stat. 631, relating to disability determinations,
ceased to be in effect at the close of June 30, 1953. See section
3(g) of act July 18, 1952, set out as an Effective and Termination
Date of 1952 Amendment note under section 413 of this title.
AMENDMENTS
1999 - Subsec. (i)(5). Pub. L. 106-170, Sec. 101(b)(1)(A), added
par. (5).
Subsec. (m). Pub. L. 106-170, Sec. 111(a), added subsec. (m).
1994 - Pub. L. 103-296 substituted "Commissioner of Social
Security" for "Secretary" wherever appearing except where appearing
before "of Labor" in subsec. (b)(3)(B) and substituted "the
Commissioner deems" for "he deems" and "the Commissioner finds" for
"he finds" in subsec. (a)(2), "the Commissioner's" for "his"
wherever appearing in subsecs. (b)(1), (c)(1), and (g), "the
Commissioner has complied" for "he has complied" in subsec. (b)(1),
"Commissioner's" for "Secretary's" in subsec. (d), and "prescribed
by the Commissioner" for "prescribed by him" in subsec. (g).
1990 - Subsec. (c)(3). Pub. L. 101-508 amended par. (3)
generally. Prior to amendment, par. (3) read as follows: "In
carrying out the provisions of paragraph (2) with respect to the
review of determinations, made by State agencies pursuant to this
section, that individuals are under disabilities (as defined in
section 416(i) or 423(d) of this title), the Secretary shall review
-
"(A) at least 15 percent of all such determinations made by
State agencies in the fiscal year 1981,
"(B) at least 35 percent of all such determinations made by
State agencies in the fiscal year 1982, and
"(C) at least 65 percent of all such determinations made by
State agencies in any fiscal year after the fiscal year 1982."
1989 - Subsec. (l). Pub. L. 101-239 added subsec. (l).
1988 - Subsec. (i)(3). Pub. L. 100-647 substituted "semiannually"
for "annually".
1986 - Subsec. (e). Pub. L. 99-514 struck out "under this
section" before "shall be entitled".
1984 - Subsec. (a)(1)(A). Pub. L. 98-460, Sec. 17(a)(2), (b),
temporarily substituted "subsection (b)(1)(C) of this section" for
"subsection (b)(1) of this section". See Effective and Termination
Dates of 1984 Amendments note below.
Subsec. (b)(1). Pub. L. 98-460, Sec. 17(a)(1), (b), temporarily
amended par. (1) generally. Prior to amendment, par. (1) read as
follows: "If the Secretary finds, after notice and opportunity for
a hearing, that a State agency is substantially failing to make
disability determinations in a manner consistent with his
regulations and other written guidelines, the Secretary shall, not
earlier than 180 days following his finding, and after he has
complied with the requirements of paragraph (3), make the
disability determinations referred to in subsection (a)(1) of this
section." See Effective and Termination Dates of 1984 Amendments
note below.
Subsec. (b)(3). Pub. L. 98-460, Sec. 17(a)(3), (b), temporarily
substituted "Except as provided in subparagraph (D)(i) of paragraph
(1), the Secretary" for "The Secretary" in subpars. (A) and (B).
See Effective and Termination Dates of 1984 Amendments note below.
Subsec. (d). Pub. L. 98-460, Sec. 17(a)(4), (b), temporarily
substituted "Except as provided in subsection (b)(1)(D) of this
section, any individual" for "Any individual". See Effective and
Termination Dates of 1984 Amendments note below.
Subsec. (e). Pub. L. 98-369 substituted "Federal Disability
Insurance Trust Fund is charged" for "Federal Disability Trust Fund
is charged".
Subsec. (h). Pub. L. 98-460, Sec. 8(a), added subsec. (h).
Subsec. (i)(4). Pub. L. 98-460, Sec. 6(a), added par. (4).
Subsec. (j). Pub. L. 98-460, Sec. 9(a)(1), added subsec. (j).
Subsec. (k). Pub. L. 98-460, Sec. 10(a), added subsec. (k).
1983 - Subsec. (i). Pub. L. 97-455 designated existing provisions
as par. (1), inserted ", subject to paragraph (2)" after "at least
once every 3 years", and added pars. (2) and (3).
1980 - Subsec. (a). Pub. L. 96-265, Sec. 304(a), completely
revised provisions under which determinations are to be made by
State agencies.
Subsec. (b). Pub. L. 96-265, Sec. 304(b), substituted provisions
covering the making of disability determinations by the Secretary
rather than by the State for provisions relating to agreements
between the Secretary and the State under which the State would
make disability determinations.
Subsec. (c). Pub. L. 96-265, Sec. 304(c), designated existing
provisions as par. (1), inserted provision that a review by the
Secretary on his own motion of a State agency determination may be
made before or after any action is taken to implement that
determination, and added pars. (2) and (3).
Subsec. (d). Pub. L. 96-265, Sec. 304(d), substituted "subsection
(a), (b), (c), or (g) of this section" for "subsection (a), (c), or
(g) of this section".
Subsec. (e). Pub. L. 96-265, Sec. 304(e), substituted "which is
making disability determinations under subsection (a)(1)" for
"which has an agreement with the Secretary", substituted "as
determined by the Secretary" for "as may be mutually agreed upon",
and substituted "making disability determinations under subsection
(a)(1)" for "carrying out the agreement under this section".
Subsec. (g). Pub. L. 96-265, Sec. 304(f), substituted "does not
undertake to perform disability determinations under subsection
(a)(1) of this section, or which has been found by the Secretary to
have substantially failed to make disability determinations in a
manner consistent with his regulations and guidelines" for "has no
agreement under subsection (b) of this section" and "for whom no
State undertakes to make disability determinations" for "not
included in an agreement under subsection (b) of this section".
Subsec. (i). Pub. L. 96-265, Sec. 311(a), added subsec. (i).
1968 - Subsec. (a). Pub. L. 90-248, Sec. 158(c)(3), substituted
in first sentence reference to "423(d)" for "423(c)".
Subsec. (c). Pub. L. 90-248, Sec. 158(c)(4), substituted
reference to "423(d)" for "423(c)".
1956 - Subsec. (a). Act Aug. 1, 1956, Sec. 103(c)(7), inserted
reference to section 423(c) of this title.
Subsec. (c). Act Aug. 1, 1956, Sec. 103(c)(8), restricted
disability to definition of such term contained in section 416(i)
or 423(c) of this title.
Subsec. (e). Act Aug. 1, 1956, Sec. 103(h), substituted "Trust
Funds" for "Trust Fund", and provided for adjustments between the
Federal Old-Age and Survivors Insurance Trust Fund and the Federal
Disability Insurance Trust Fund with respect to payments made under
this subsection.
Subsec. (f). Act Aug. 1, 1956, Sec. 103(h), substituted "Trust
Funds" for "Trust Fund".
EFFECTIVE DATE OF 1999 AMENDMENT
Amendment by section 101(b)(1)(A) 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.
Pub. L. 106-170, title I, Sec. 111(b), Dec. 17, 1999, 113 Stat.
1881, provided that: "The amendment made by subsection (a)
[amending this section] shall take effect on January 1, 2002."
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 5128(b) of Pub. L. 101-508 provided that: "The amendment
made by subsection (a) [amending this section] shall apply with
respect to determinations made by State agencies in fiscal years
after fiscal year 1990."
EFFECTIVE DATE OF 1989 AMENDMENT
Section 10306(a)(3) of Pub. L. 101-239 provided that: "The
amendment made by this section [amending this section] shall apply
with respect to notices issued on or after July 1, 1990."
EFFECTIVE DATE OF 1988 AMENDMENT
Section 8012(b) of Pub. L. 100-647 provided that: "The amendment
made by this section [amending this section] shall apply to reports
required to be submitted after the date of the enactment of this
Act [Nov. 10, 1988]."
EFFECTIVE AND TERMINATION DATES OF 1984 AMENDMENTS
Section 8(c) of Pub. L. 98-460 provided that: "The amendments
made by this section [amending this section and section 1382c of
this title] shall apply to determinations made after 60 days after
the date of the enactment of this Act [Oct. 9, 1984]."
Section 17(b) of Pub. L. 98-460 provided that: "The amendments
made by subsection (a) of this section [amending this section]
shall become effective on the date of the enactment of this Act
[Oct. 9, 1984] and shall expire on December 31, 1987. The
provisions of the Social Security Act amended by subsection (a) of
this section (as such provisions were in effect immediately before
the date of the enactment of this Act) shall be effective after
December 31, 1987."
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 1983 AMENDMENT
Section 3(b) of Pub. L. 97-455 provided that: "The amendments
made by subsection (a) [amending this section] shall become
effective on the date of the enactment of this Act [Jan. 12,
1983]."
EFFECTIVE DATE OF 1980 AMENDMENT
Section 304(h) of Pub. L. 96-265 provided that: "The amendments
made by subsections (a), (b), (d), (e), and (f) [amending this
section] shall be effective beginning with the twelfth month
following the month in which this Act is enacted [June 1980]. Any
State that, on the effective date of the amendments made by this
section, has in effect an agreement with the Secretary of Health
and Human Services under section 221(a) of the Social Security Act
[subsec. (a) of this section] (as in effect prior to such
amendments) will be deemed to have given to the Secretary the
notice specified in section 221(a)(1) of such Act as amended by
this section, in lieu of continuing such agreement in effect after
the effective date of such amendments. Thereafter, a State may
notify the Secretary in writing that it no longer wishes to make
disability determinations, effective not less than 180 days after
the notification is given."
Section 311(b) of Pub. L. 96-265 provided that: "The amendment
made by subsection (a) [amending this section] shall become
effective on January 1, 1982."
EFFECTIVE DATE OF 1968 AMENDMENT
Amendment by Pub. L. 90-248 applicable with respect to
application for disability insurance benefits under section 423 of
this title and to disability determinations under section 416(i) of
this title, see section 158(e) of Pub. L. 90-248, set out as a note
under section 423 of this title.
ELECTION UNDER SUBSECTION (L)(1) BY CURRENT RECIPIENTS
Section 10306(a)(2) of Pub. L. 101-239 provided that: "Not later
than July 1, 1990, the Secretary of Health and Human Services shall
provide every individual receiving benefits under title II of the
Social Security Act [this subchapter] on the basis of disability by
reason of blindness an opportunity to make an election under
section 221(l)(1) of such Act [subsec. (l)(1) of this section] (as
added by paragraph (1))."
MORATORIUM ON MENTAL IMPAIRMENT REVIEWS
Section 5 of Pub. L. 98-460 provided that:
"(a) The Secretary of Health and Human Services (hereafter in
this section referred to as the 'Secretary') shall revise the
criteria embodied under the category 'Mental Disorders' in the
'Listing of Impairments' in effect on the date of the enactment of
this Act [Oct. 9, 1984] under appendix 1 to subpart P of part 404
of title 20 of the Code of Federal Regulations. The revised
criteria and listings, alone and in combination with assessments of
the residual functional capacity of the individuals involved, shall
be designed to realistically evaluate the ability of a mentally
impaired individual to engage in substantial gainful activity in a
competitive workplace environment. Regulations establishing such
revised criteria and listings shall be published no later than 120
days after the date of the enactment of this Act.
"(b)(1) Until such time as revised criteria have been established
by regulation in accordance with subsection (a), no continuing
eligibility review shall be carried out under section 221(i) of the
Social Security Act [subsec. (i) of this section], or under the
corresponding requirements established for disability
determinations and reviews under title XVI of such Act [subchapter
XVI of this chapter], with respect to any individual previously
determined to be under a disability by reason of a mental
impairment, if -
"(A) no initial decision on such review has been rendered with
respect to such individual prior to the date of the enactment of
this Act, or
"(B) an initial decision on such review was rendered with
respect to such individual prior to the date of the enactment of
this Act but a timely appeal from such decision was filed or was
pending on or after June 7, 1983.
For purposes of this paragraph and subsection (c)(1) the term
'continuing eligibility review', when used to refer to a review of
a previous determination of disability, includes any
reconsideration of or hearing on the initial decision rendered in
such review as well as such initial decision itself, and any review
by the Appeals Council of the hearing decision.
"(2) Paragraph (1) shall not apply in any case where the
Secretary determines that fraud was involved in the prior
determination, or where an individual (other than an individual
eligible to receive benefits under section 1619 of the Social
Security Act [section 1382h of this title]) is determined by the
Secretary to be engaged in substantial gainful activity (or gainful
activity, in the case of a widow, surviving divorced wife, widower,
or surviving divorced husband for purposes of section 202(e) and
(f) of such Act [section 402(e), (f) of this title]).
"(c)(1) Any initial determination that an individual is not under
a disability by reason of a mental impairment and any determination
that an individual is not under a disability by reason of a mental
impairment in a reconsideration of or hearing on an initial
disability determination, made or held under title II or XVI of the
Social Security Act [this subchapter or subchapter XVI of this
chapter] after the date of the enactment of this Act [Oct. 9, 1984]
and prior to the date on which revised criteria are established by
regulation in accordance with subsection (a), and any determination
that an individual is not under a disability by reason of a mental
impairment made under or in accordance with title II or XVI of such
Act in a reconsideration of, hearing on, review by the Appeals
Council of, or judicial review of a decision rendered in any
continuing eligibility review to which subsection (b)(1) applies,
shall be redetermined by the Secretary as soon as feasible after
the date on which such criteria are so established, applying such
revised criteria.
"(2) In the case of a redetermination under paragraph (1) of a
prior action which found that an individual was not under a
disability, if such individual is found on redetermination to be
under a disability, such redetermination shall be applied as though
it had been made at the time of such prior action.
"(3) Any individual with a mental impairment who was found to be
not disabled pursuant to an initial disability determination or a
continuing eligibility review between March 1, 1981, and the date
of the enactment of this Act [Oct. 9, 1984], and who reapplies for
benefits under title II or XVI of the Social Security Act, may be
determined to be under a disability during the period considered in
the most recent prior determination. Any reapplication under this
paragraph must be filed within one year after the date of the
enactment of this Act, and benefits payable as a result of the
preceding sentence shall be paid only on the basis of the
reapplication."
INSTITUTION OF NOTIFICATION SYSTEM
Section 6(c) of Pub. L. 98-460 provided that: "The Secretary
shall institute a system of notification required by the amendments
made by subsections (a) and (b) [amending this section and section
1383b of this title] as soon as is practicable after the date of
the enactment of this Act [Oct. 9, 1984]."
DEMONSTRATION PROJECTS; OPPORTUNITY FOR PERSONAL APPEARANCE PRIOR
TO DISABILITY DETERMINATIONS; REPORT TO CONGRESSIONAL COMMITTEES
Section 6(d), (e) of Pub. L. 98-460 provided that:
"(d) The Secretary of Health and Human Services shall, as soon as
practicable after the date of the enactment of this Act [Oct. 9,
1984], implement demonstration projects in which the opportunity
for a personal appearance prior to a determination of ineligibility
for persons reviewed under section 221(i) of the Social Security
Act [subsec. (i) of this section] is substituted for the face to
face evidentiary hearing required by section 205(b)(2) of such Act
[section 405(b)(2) of this title]. Such demonstration projects
shall be conducted in not fewer than five States, and shall also
include disability determinations with respect to individuals
reviewed under title XVI of such Act [subchapter XVI of this
chapter]. The Secretary shall report to the Committee on Ways and
Means of the House of Representatives and the Committee on Finance
of the Senate concerning such demonstration projects, together with
any recommendations, not later than December 31, 1986.
"(e) The Secretary of Health and Human Services shall, as soon as
practicable after the date of the enactment of this Act, implement
demonstration projects in which the opportunity for a personal
appearance is provided the applicant prior to initial disability
determinations under subsections (a), (c), and (g) of section 221
of the Social Security Act, and prior to initial disability
determinations on applications for benefits under title XVI of such
Act. Such demonstration projects shall be conducted in not fewer
than five States. The Secretary shall report to the Committee on
Ways and Means of the House of Representatives and the Committee on
Finance of the Senate concerning such demonstration projects,
together with any recommendations, not later than December 31,
1986."
PROMULGATION OF REGULATIONS
Section 9(a)(2) of Pub. L. 98-460 provided that: "The Secretary
of Health and Human Services shall prescribe regulations required
under section 221(j) of the Social Security Act [subsec. (j) of
this section] not later than 180 days after the date of the
enactment of this Act [Oct. 9, 1984]."
FREQUENCY OF CONTINUING ELIGIBILITY REVIEWS
Section 15 of Pub. L. 98-460 provided that: "The Secretary of
Health and Human Services shall promulgate final regulations,
within 180 days after the date of the enactment of this Act [Oct.
9, 1984], which establish the standards to be used by the Secretary
in determining the frequency of reviews under section 221(i) of the
Social Security Act [subsec. (j) of this section]. Until such
regulations have been issued as final regulations, no individual
may be reviewed more than once under section 221(i) of the Social
Security Act."
TRAVEL EXPENSES FOR MEDICAL EXAMINATIONS, RECONSIDERATION
INTERVIEWS, AND PROCEEDINGS BEFORE ADMINISTRATIVE LAW JUDGES
Provisions authorizing payment of travel expenses either on an
actual cost or commuted basis, to an individual for travel incident
to medical examinations, and to parties, their representatives and
all reasonably necessary witnesses for travel within the United
States, Puerto Rico, and the Virgin Islands, to reconsider
interviews and to proceedings before administrative law judges
under subchapters II, XVI, and XVIII of this chapter were contained
in the following appropriation acts:
Oct. 18, 1978, Pub. L. 95-480, title II, 92 Stat. 1582.
Sept. 30, 1976, Pub. L. 94-439, title II, 90 Stat. 1432.
Jan. 28, 1976, Pub. L. 94-206, title II, 90 Stat. 17.
Dec. 7, 1974, Pub. L. 93-517, title II, 88 Stat. 1645.
Dec. 18, 1973, Pub. L. 93-192, title II, 87 Stat. 759.
Aug. 10, 1971, Pub. L. 92-80, title II, 85 Stat. 296.
Jan. 11, 1971, Pub. L. 91-667, title II, 84 Stat. 2013.
Mar. 5, 1970, Pub. L. 91-204, title II, 84 Stat. 41.
Oct. 11, 1968, Pub. L. 90-557, title II, 82 Stat. 988.
Nov. 8, 1967, Pub. L. 90-132, title II, 81 Stat. 402.
Nov. 7, 1966, Pub. L. 89-787, title II, 80 Stat. 1395.
Aug. 31, 1965, Pub. L. 89-156, title II, 79 Stat. 604.
Sept. 19, 1964, Pub. L. 88-605, title II, 78 Stat. 974.
Oct. 11, 1963, Pub. L. 88-136, title II, 77 Stat. 239.
Aug. 14, 1962, Pub. L. 87-582, title II, 76 Stat. 375.
Sept. 22, 1961, Pub. L. 87-290, title II, 75 Stat. 604.
Sept. 2, 1960, Pub. L. 86-703, title II, 74 Stat. 769.
Aug. 14, 1959, Pub. L. 86-158, title II, 73 Stat. 352.
Aug. 1, 1958, Pub. L. 85-580, title II, 72 Stat. 471.
June 29, 1957, Pub. L. 85-67, title II, 71 Stat. 221.
June 29, 1956, ch. 477, title II, 70 Stat. 434.
Aug. 1, 1955, ch. 437, title II, 69 Stat. 408.
REVIEW OF DECISIONS RENDERED BY ADMINISTRATIVE LAW JUDGES AS RESULT
OF DISABILITY HEARINGS; REPORT TO CONGRESS
Section 304(g) of Pub. L. 96-265 provided that: "The Secretary of
Health and Human Services shall implement a program of reviewing,
on his own motion, decisions rendered by administrative law judges
as a result of hearings under section 221(d) of the Social Security
Act [subsec. (d) of this section], and shall report to the Congress
by January 1, 1982, on his progress."
ASSUMPTION BY SECRETARY OF FUNCTIONS AND OPERATIONS OF STATE
DISABILITY DETERMINATION UNITS
Section 304(i) of Pub. L. 96-265 directed Secretary of Health and
Human Services to submit to Congress by July 1, 1980, a detailed
plan on how he intended to assume functions and operations of a
State disability determination unit when this became necessary
under amendments made by this section [amending this section], and
how he intended to meet requirements of section 221(b)(3) of Social
Security Act [subsec. (b)(3) of this section]. Such plan was to
assume the uninterrupted operation of disability determination
function and utilization of best qualified personnel to carry out
such function, and was to include recommendations for any amendment
of Federal law or regulation required to carry out such plan.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 401, 405, 423, 425,
1320b-6, 1320b-19, 1382c, 1383, 1383b of this title; title 7
section 2012; title 30 section 923.
-End-
-CITE-
42 USC Sec. 422 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 422. Rehabilitation services
-STATUTE-
(a), (b) Repealed. Pub. L. 106-170, title I, Sec. 101(b)(1)(B),
(C), Dec. 17, 1999, 113 Stat. 1873
(c) "Period of trial work" defined
(1) The term "period of trial work", with respect to an
individual entitled to benefits under section 423, 402(d), 402(e),
or 402(f) of this title, means a period of months beginning and
ending as provided in paragraphs (3) and (4).
(2) For purposes of sections 416(i) and 423 of this title, any
services rendered by an individual during a period of trial work
shall be deemed not to have been rendered by such individual in
determining whether his disability has ceased in a month during
such period. For purposes of this subsection the term "services"
means activity (whether legal or illegal) which is performed for
remuneration or gain or is determined by the Commissioner of Social
Security to be of a type normally performed for remuneration or
gain.
(3) A period of trial work for any individual shall begin with
the month in which he becomes entitled to disability insurance
benefits, or, in the case of an individual entitled to benefits
under section 402(d) of this title who has attained the age of
eighteen, with the month in which he becomes entitled to such
benefits or the month in which he attains the age of eighteen,
whichever is later, or, in the case of an individual entitled to
widow's or widower's insurance benefits under section 402(e) or (f)
of this title who became entitled to such benefits prior to
attaining age 60, with the month in which such individual becomes
so entitled. Notwithstanding the preceding sentence, no period of
trial work may begin for any individual prior to the beginning of
the month following September 1960; and no such period may begin
for an individual in a period of disability of such individual in
which he had a previous period of trial work.
(4) A period of trial work for any individual shall end with the
close of whichever of the following months is the earlier:
(A) the ninth month, in any period of 60 consecutive months, in
which the individual renders services (whether or not such nine
months are consecutive); or
(B) the month in which his disability (as defined in section
423(d) of this title) ceases (as determined after application of
paragraph (2) of this subsection).
(d) Cost of rehabilitation services from trust funds
(1) For purposes of making vocational rehabilitation services
more readily available to disabled individuals who are -
(A) entitled to disability insurance benefits under section 423
of this title,
(B) entitled to child's insurance benefits under section 402(d)
of this title after having attained age 18 (and are under a
disability),
(C) entitled to widow's insurance benefits under section 402(e)
of this title prior to attaining age 60, or
(D) entitled to widower's insurance benefits under section
402(f) of this title prior to attaining age 60,
to the end that savings will accrue to the Trust Funds as a result
of rehabilitating such individuals, there are authorized to be
transferred from the Federal Old-Age and Survivors Insurance Trust
Fund and the Federal Disability Insurance Trust Fund each fiscal
year such sums as may be necessary to enable the Commissioner of
Social Security to reimburse the State for the reasonable and
necessary costs of vocational rehabilitation services furnished
such individuals (including services during their waiting periods),
under a State plan for vocational rehabilitation services approved
under title I of the Rehabilitation Act of 1973 [29 U.S.C. 720 et
seq.], (i) 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, (ii) in cases
where such individuals receive benefits as a result of section
425(b) of this title (except that no reimbursement under this
paragraph 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 in which his or her entitlement
to such benefits ceases, whichever first occurs), and (iii) 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 formulated by the Commissioner.
(2) In the case of any State which is unwilling to participate or
does not have a plan which meets the requirements of paragraph (1),
the Commissioner of Social Security may provide such services in
such State by agreement or contract with other public or private
agencies, organizations, institutions, or individuals. The
provision of such services shall be subject to the same conditions
as otherwise apply under paragraph (1).
(3) Payments under this subsection shall be made in advance or by
way of reimbursement, with necessary adjustments for overpayments
and underpayments.
(4) Money paid from the Trust Funds under this subsection for the
reimbursement of the costs of providing services to individuals who
are entitled to benefits under section 423 of this title (including
services during their waiting periods), or who are entitled to
benefits under section 402(d) of this title on the basis of the
wages and self-employment income of such individuals, shall be
charged to the Federal Disability Insurance Trust Fund, and all
other money paid from the Trust Funds under this subsection shall
be charged to the Federal Old-Age and Survivors Insurance Trust
Fund. The Commissioner of Social Security shall determine according
to such methods and procedures as the Commissioner may deem
appropriate -
(A) the total amount to be reimbursed for the cost of services
under this subsection, and
(B) subject to the provisions of the preceding sentence, the
amount which should be charged to each of the Trust Funds.
(5) For purposes of this subsection the term "vocational
rehabilitation services" shall have the meaning assigned to it in
title I of the Rehabilitation Act of 1973 [29 U.S.C. 720 et seq.],
except that such services may be limited in type, scope, or amount
in accordance with regulations of the Commissioner of Social
Security designed to achieve the purpose of this subsection.
(e) Treatment referrals for individuals with alcoholism or drug
addiction condition
In the case of any individual whose benefits under this
subchapter are paid to a representative payee pursuant to section
405(j)(1)(B) 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 II, Sec. 222, as added Sept. 1,
1954, ch. 1206, title I, Sec. 106(g) 68 Stat. 1081; amended Aug. 1,
1956, ch. 836, title I, Sec. 103(b), 70 Stat. 817; Pub. L. 85-840,
title II, Sec. 205(n), title III, Sec. 307(g), Aug. 28, 1958, 72
Stat. 1025, 1032; Pub. L. 86-778, title IV, Sec. 403(a), Sept. 13,
1960, 74 Stat. 968; Pub. L. 89-97, title III, Secs. 306(c)(14),
308(d)(11), 336, July 30, 1965, 79 Stat. 373, 379, 408; Pub. L.
90-248, title I, Secs. 104(d)(3), (4), 158(c)(5), Jan. 2, 1968, 81
Stat. 832, 869; Pub. L. 92-603, title I, Secs. 107(b)(3), (4), 131,
Oct. 30, 1972, 86 Stat. 1343, 1360; Pub. L. 96-265, title III, Sec.
303(a), June 9, 1980, 94 Stat. 451; Pub. L. 97-35, title XXII, Sec.
2209(a), Aug. 13, 1981, 95 Stat. 840; Pub. L. 98-21, title III,
Sec. 309(l)-(n), Apr. 20, 1983, 97 Stat. 117; Pub. L. 98-369, div.
B, title VI, Sec. 2663(a)(15), July 18, 1984, 98 Stat. 1165; Pub.
L. 98-460, Sec. 11(a), Oct. 9, 1984, 98 Stat. 1805; Pub. L.
101-508, title V, Sec. 5112(a), Nov. 5, 1990, 104 Stat. 1388-273;
Pub. L. 103-296, title I, Sec. 107(a)(4), title II, Sec.
201(a)(4)(B), Aug. 15, 1994, 108 Stat. 1478, 1499; Pub. L. 104-121,
title I, Sec. 105(a)(3), Mar. 29, 1996, 110 Stat. 852; Pub. L.
106-170, title I, Sec. 101(b)(1)(B), (C), Dec. 17, 1999, 113 Stat.
1873.)
-REFTEXT-
REFERENCES IN TEXT
The Rehabilitation Act of 1973, referred to in subsec. (d)(1),
(5), 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.
The Public Health Service Act, referred to in subsec. (e), 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-
AMENDMENTS
1999 - Subsec. (a). Pub. L. 106-170, Sec. 101(b)(1)(B), struck
out heading and text of subsec. (a). Text read as follows: "It is
declared to be the policy of the Congress that disabled individuals
applying for a determination of disability, and disabled
individuals who are entitled to child's insurance benefits, widow's
insurance benefits, or widower's insurance benefits, shall be
promptly referred to the State agency or agencies administering or
supervising the administration of the State plan approved under
title I of the Rehabilitation Act of 1973 for necessary vocational
rehabilitation services, to the end that the maximum number of such
individuals may be rehabilitated into productive activity."
Subsec. (b). Pub. L. 106-170, Sec. 101(b)(1)(C), struck out
heading and text of subsec. (b), which authorized deductions from
payments under this subchapter up to amount of benefits on account
of refusal without good cause to accept rehabilitation services,
and authorized deductions from payments to husbands, wives, or
children of individuals who refuse to accept such services with
exception for children between 18 and 22 who are full-time
students.
1996 - Subsec. (e). Pub. L. 104-121 added subsec. (e).
1994 - Subsec. (b)(1). Pub. L. 103-296, Sec. 107(a)(4),
substituted "Commissioner of Social Security" for "Secretary".
Subsec. (c)(2). Pub. L. 103-296, Sec. 201(a)(4)(B), inserted
"(whether legal or illegal)" after "activity".
Pub. L. 103-296, Sec. 107(a)(4), substituted "Commissioner of
Social Security" for "Secretary".
Subsec. (d)(1). Pub. L. 103-296, Sec. 107(a)(4), in closing
provisions substituted "Commissioner of Social Security to
reimburse" for "Secretary to reimburse".
Pub. L. 103-296, Sec. 107(a)(4), which directed the amendment of
this subchapter by substituting "the Commissioner" for "him" where
such word referred to the Secretary of Health and Human Services,
was executed in closing provisions by substituting "the
Commissioner" for "him" where referring to the Commissioner of
Social Security, to reflect the probable intent of Congress.
Subsec. (d)(4). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" and "the
Commissioner may" for "he may".
Subsec. (d)(5). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary".
1990 - Subsec. (c)(4)(A). Pub. L. 101-508, Sec. 5112(a)(1),
substituted "in any period of 60 consecutive months" for "beginning
on or after the first day of such period".
Subsec. (c)(5). Pub. L. 101-508, Sec. 5112(a)(2), struck out par.
(5) which read as follows: "In the case of an individual who
becomes entitled to benefits under section 423 of this title for
any month as provided in clause (ii) of subsection (a)(1) of such
section, the preceding provisions of this subsection shall not
apply with respect to services in any month beginning with the
first month for which he is so entitled and ending with the first
month thereafter for which he is not entitled to benefits under
section 423 of this title."
1984 - Subsecs. (a), (b)(1). Pub. L. 98-369, Sec. 2663(a)(15)(A),
substituted "title I of the Rehabilitation Act of 1973" for "the
Vocational Rehabilitation Act".
Subsec. (b)(3). Pub. L. 98-369, Sec. 2663(a)(15)(B), substituted
"equals" for "equal".
Subsec. (b)(4). Pub. L. 98-369, Sec. 2663(a)(15)(C), substituted
"full-time elementary or secondary school student" for "full-time
student".
Subsec. (d)(1). Pub. L. 98-460, Sec. 11(a), in provisions
following subpar. (D) struck out "into substantial gainful
activity" after "rehabilitating such individuals", designated
existing provisions as cl. (i), added cls. (ii) and (iii), and
substituted "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," for "of such individuals to substantial gainful
activity" after cl. (iii).
1983 - Subsec. (b)(1). Pub. L. 98-21, Sec. 309(l), substituted ",
surviving divorced wife, or surviving divorced husband" for "or
surviving divorced wife".
Subsec. (b)(2). Pub. L. 98-21, Sec. 309(m), inserted "or
father's" after "mother's" wherever appearing.
Subsec. (b)(3). Pub. L. 98-21, Sec. 309(n), inserted "divorced
husband," after "husband,".
1981 - Subsec. (d). Pub. L. 97-35 substituted provisions
authorizing the transfer of funds as may be necessary to enable the
Secretary to reimburse the State for the reasonable and necessary
costs of vocational rehabilitation, under a State plan approved
under title I of the Rehabilitation Act of 1973, which results in
performance of substantial gainful activity for a continuous period
of nine months, with the determination that the vocational
rehabilitation services contributed to the successful return to
substantial gainful activity and the amount of costs to be
reimbursed made by the Commissioner of Social Security for
provisions authorizing the transfer of funds as may be necessary to
enable the Secretary to pay the cost of vocational rehabilitation
services, restricting the amount of such cost that may be expended
in any one fiscal year, establishing specific criteria which a
State plan must meet, and providing that the selection of
individuals to receive services be made in conformance with
criteria formulated by the Secretary.
1980 - Subsec. (c)(1). Pub. L. 96-265, Sec. 303(a)(1), inserted
references to sections 402(e) and 402(f) of this title.
Subsec. (c)(3). Pub. L. 96-265, Sec. 303(a)(2), inserted
reference to individuals entitled to widow's or widower's insurance
benefits under section 402(e) or (f) of this title who became
entitled to such benefits prior to attaining age 60.
1972 - Subsec. (b)(1). Pub. L. 92-603, Sec. 107(b)(3),
substituted "a widow, widower or surviving divorced wife who has
not attained age 60" or "a widow or surviving divorced wife who has
not attained age 60, a widower who has not attained age 62".
Subsec. (d)(1). Pub. L. 92-603, Secs. 107(b)(4), 131, substituted
"age 60" for "age 62", and inserted provisions increasing
applicable percentages so that the total amount made available
pursuant to subsec. (d) may not exceed 1.25 percent, in fiscal year
ending June 30, 1973, and 1.5 percent, in fiscal year ending June
30, 1974, and thereafter, of the total of the benefits under
section 402(d) of this title for children who have attained age 18
and are under a disability.
1968 - Subsec. (a). Pub. L. 90-248, Sec. 104(d)(3)(A), inserted
"widow's insurance benefits, or widower's insurance benefits,"
after "benefits,".
Subsec. (b)(1). Pub. L. 90-248, Sec. 104(d)(3)(B), substituted
"child's insurance benefits, a widow or surviving divorced wife who
has not attained age 60, a widower who has not attained age 62, or"
for "child's insurance benefits or if".
Subsec. (c)(4)(B). Pub. L. 90-248, Sec. 158(c)(5), substituted
reference to "423(d)" for "423(c)(2)".
Subsec. (d)(1). Pub. L. 90-248, Sec. 104(d)(4), added subpars.
(C) and (D), and inserted "the benefits under section 402(e) of
this title for widows and surviving divorced wives who have not
attained age 60 and are under a disability, the benefits under
section 402(f) of this title for widowers who have not attained age
62," after "disability," in text following subpar. (D).
1965 - Subsec. (b)(3). Pub. L. 89-97, Sec. 308(d)(11), inserted
"divorced wife," after "wife,".
Subsec. (b)(4). Pub. L. 89-97, Sec. 306(c)(14), added par. (4).
Subsec. (d). Pub. L. 89-97, Sec. 336, added subsec. (d).
1960 - Subsec. (c). Pub. L. 86-778 amended subsection generally
by substituting provisions relating to period of trial work for
provisions which related to services performed pursuant to a
State-approved rehabilitation program.
1958 - Subsec. (b). Pub. L. 85-840 designated existing provisions
thereof as par. (1) and added pars. (2) and (3).
1956 - Subsec. (a). Act Aug. 1, 1956, designated existing
provisions as subsec. (a), authorized referral of disabled
individuals who are entitled to child's insurance benefits, and
substituted "rehabilitated into productive activity" for "restored
to productive activity".
Subsecs. (b), (c). Act Aug. 1, 1956, added subsecs. (b) and (c).
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 1996 AMENDMENT
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 entitlement to benefits is
based upon an entitlement redetermination made pursuant to section
105(a)(5)(C) of Pub. L. 104-121, see section 105(a)(5) of Pub. L.
104-121, as amended, set out as a note under section 405 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 201(a)(4)(C) of Pub. L. 103-296 provided that: "The
amendments made by this paragraph [amending this section and
section 423 of this title] shall take effect on the date of the
enactment of this Act [Aug. 15, 1994]."
EFFECTIVE DATE OF 1990 AMENDMENT
Section 5112(b) of Pub. L. 101-508 provided that: "The amendments
made by subsection (a) [amending this section] shall take effect on
January 1, 1992."
EFFECTIVE DATE OF 1984 AMENDMENTS
Section 11(c) of Pub. L. 98-460 provided that: "The amendments
made by this section [amending this section and section 1382d of
this title] shall apply with respect to individuals who receive
benefits as a result of section 225(b) or section 1631(a)(6) of the
Social Security Act [section 425(b) or 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 the month in which this Act is
enacted [October 1984]."
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 1983 AMENDMENT
Amendment by Pub. L. 98-21 applicable only with respect to
monthly payments payable under this subchapter for months after
April, 1983, see section 310 of Pub. L. 98-21, set out as a note
under section 402 of this title.
EFFECTIVE DATE OF 1981 AMENDMENT
Section 2209(b) of Pub. L. 97-35 provided that: "The amendment
made by subsection (a) [amending this section] shall apply with
respect to services rendered on or after October 1, 1981."
EFFECTIVE DATE OF 1980 AMENDMENT
Amendment by Pub. L. 96-265 effective on first day of sixth month
which begins after June 9, 1980, and applicable 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.
EFFECTIVE DATE OF 1972 AMENDMENT
Amendment by Pub. L. 92-603 applicable with respect to monthly
benefits under this subchapter for months after Dec. 1972, with
specified exceptions, see section 107(c) of Pub. L. 92-603, set out
as a note under section 402 of this title.
EFFECTIVE DATE OF 1968 AMENDMENT
Amendment by section 104(d)(3), (4) of Pub. L. 90-248 applicable
with respect to monthly benefits under this subchapter for and
after the month of February 1968, but only on the basis of
applications for such benefits filed in or after January 1968, see
section 104(e) of Pub. L. 90-248, set out as a note under section
402 of this title.
Amendment by section 158(c)(5) of Pub. L. 90-248 applicable with
respect to applications for disability insurance benefits under
section 423 of this title and to disability determinations under
section 416(i) of this title, see section 158(e) of Pub. L. 90-248,
set out as a note under section 423 of this title.
EFFECTIVE DATE OF 1965 AMENDMENT
Amendment by section 308(d)(11) of Pub. L. 89-97 applicable with
respect to monthly insurance benefits under this subchapter
beginning with the second month following July 1965, but, in the
case of an individual who was not entitled to a monthly insurance
benefit under section 402 of this title for the first month
following July 1965, only on the basis of an application filed in
or after July 1965, see section 308(e) of Pub. L. 89-97, set out as
a note under section 402 of this title.
EFFECTIVE DATE OF 1960 AMENDMENT
Section 403(e) of Pub. L. 86-778 provided that:
"(1) The amendment made by subsection (a) [amending this section]
shall be effective only with respect to months beginning after the
month in which this Act is enacted [September 1960].
"(2) The amendments made by subsections (b) and (d) [amending
sections 423 and 402 of this title] shall apply only with respect
to benefits under section 223(a) or 202(d) of the Social Security
Act [section 423(a) or 402(d) of this title] for months after the
month in which this Act is enacted in the case of individuals who,
without regard to such amendments, would have been entitled to such
benefits for the month in which this Act is enacted or for any
succeeding month.
"(3) The amendment made by subsection (c) [amending section 416
of this title] shall apply only in the case of individuals who have
a period of disability (as defined in section 216(i) of the Social
Security Act [section 416(i) of this title]) beginning on or after
the date of the enactment of this Act [Sept. 13, 1960], or
beginning before such date and continuing, without regard to such
amendment, beyond the end of the month in which this Act is
enacted."
EFFECTIVE DATE OF 1958 AMENDMENT
Amendment by section 205(n) of Pub. L. 85-840 applicable with
respect to monthly benefits under this subchapter for months after
August 1958, but only if an application for such benefits is filed
on or after August 28, 1958, see section 207(a) of Pub. L. 85-840,
set out as a note under section 416 of this title.
Section 307(h)(3) of Pub. L. 85-840 provided that: "The
amendments made by subsection (g) [amending this section] shall
apply with respect to monthly benefits under section 202 of the
Social Security Act [section 402 of this title] for months,
occurring after the month in which this Act is enacted [August
1958], in which a deduction is incurred under paragraph (1) of
section 222(b) of the Social Security Act [subsec. (b)(1) of this
section]."
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 402, 403, 423, 424a, 426,
434, 1320b-19, 1382d of this title; title 20 section 3441; title 26
sections 1402, 3127; title 29 section 762a.
-End-
-CITE-
42 USC Sec. 423 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 423. Disability insurance benefit payments
-STATUTE-
(a) Disability insurance benefits
(1) Every individual who -
(A) is insured for disability insurance benefits (as determined
under subsection (c)(1) of this section),
(B) has not attained retirement age (as defined in section
416(l) of this title),
(C) has filed application for disability insurance benefits,
and
(D) is under a disability (as defined in subsection (d) of this
section)
shall be entitled to a disability insurance benefit (i) for each
month beginning with the first month after his waiting period (as
defined in subsection (c)(2) of this section) in which he becomes
so entitled to such insurance benefits, or (ii) for each month
beginning with the first month during all of which he is under a
disability and in which he becomes so entitled to such insurance
benefits, but only if he was entitled to disability insurance
benefits which terminated, or had a period of disability (as
defined in section 416(i) of this title) which ceased, within the
60-month period preceding the first month in which he is under such
disability, and ending with the month preceding whichever of the
following months is the earliest: the month in which he dies, the
month in which he attains retirement age (as defined in section
416(l) of this title), or, subject to subsection (e) of this
section, the termination month. For purposes of the preceding
sentence, the termination month for any individual shall be the
third month following the month in which his disability ceases;
except that, in the case of an individual who has a period of trial
work which ends as determined by application of section
422(c)(4)(A) of this title, the termination month shall be the
earlier of (I) the third month following 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 third month following
the earliest month in which such individual engages or is
determined able to engage in substantial gainful activity, but in
no event earlier than the first month occurring after the 36 months
following such period of trial work in which he engages or is
determined able to engage in substantial gainful activity. No
payment under this paragraph may be made to an individual who would
not meet the definition of disability in subsection (d) of this
section except for paragraph (1)(B) thereof for any month in which
he engages in substantial gainful activity, and no payment may be
made for such month under subsection (b), (c), or (d) of section
402 of this title to any person on the basis of the wages and
self-employment income of such individual. In the case of a
deceased individual, the requirement of subparagraph (C) may be
satisfied by an application for benefits filed with respect to such
individual within 3 months after the month in which he died.
(2) Except as provided in section 402(q) of this title and
section 415(b)(2)(A)(ii) of this title, such individual's
disability insurance benefit for any month shall be equal to his
primary insurance amount for such month determined under section
415 of this title as though he had attained age 62 in -
(A) the first month of his waiting period, or
(B) in any case in which clause (ii) of paragraph (1) of this
subsection is applicable, the first month for which he becomes
entitled to such disability insurance benefits,
and as though he had become entitled to old-age insurance benefits
in the month in which the application for disability insurance
benefits was filed and he was entitled to an old-age insurance
benefit for each month for which (pursuant to subsection (b) of
this section) he was entitled to a disability insurance benefit.
For the purposes of the preceding sentence, in the case of an
individual who attained age 62 in or before the first month
referred to in subparagraph (A) or (B) of such sentence, as the
case may be, the elapsed years referred to in section 415(b)(3) of
this title shall not include the year in which he attained age 62,
or any year thereafter.
(b) Filing application
An application for disability insurance benefits filed before the
first month in which the applicant satisfies the requirements for
such benefits (as prescribed in subsection (a)(1) of this section)
shall be deemed a valid application (and shall be deemed to have
been filed in such first month) only if the applicant satisfies the
requirements for such benefits before the Commissioner of Social
Security makes a final decision on the application and no request
under section 405(b) of this title for notice and opportunity for a
hearing thereon is made, or if such a request is made, before a
decision based upon the evidence adduced at the hearing is made
(regardless of whether such decision becomes the final decision of
the Commissioner of Social Security). An individual who would have
been entitled to a disability insurance benefit for any month had
he filed application therefor before the end of such month shall be
entitled to such benefit for such month if such application is
filed before the end of the 12th month immediately succeeding such
month.
(c) Definitions; insured status; waiting period
For purposes of this section -
(1) An individual shall be insured for disability insurance
benefits in any month if -
(A) he would have been a fully insured individual (as defined
in section 414 of this title) had he attained age 62 and filed
application for benefits under section 402(a) of this title on
the first day of such month, and
(B)(i) he had not less than 20 quarters of coverage during
the 40-quarter period which ends with the quarter in which such
month occurred, or
(ii) if such month ends before the quarter in which he
attains (or would attain) age 31, not less than one-half (and
not less than 6) of the quarters during the period ending with
the quarter in which such month occurred and beginning after he
attained the age of 21 were quarters of coverage, or (if the
number of quarters in such period is less than 12) not less
than 6 of the quarters in the 12-quarter period ending with
such quarter were quarters of coverage, or
(iii) in the case of an individual (not otherwise insured
under clause (i)) who, by reason of section 416(i)(3)(B)(ii) of
this title, had a prior period of disability that began during
a period before the quarter in which he or she attained age 31,
not less than one-half of the quarters beginning after such
individual attained age 21 and ending with the quarter in which
such month occurs are quarters of coverage, or (if the number
of quarters in such period is less than 12) not less than 6 of
the quarters in the 12-quarter period ending with such quarter
are quarters of coverage;
except that the provisions of subparagraph (B) of this paragraph
shall not apply in the case of an individual who is blind (within
the meaning of "blindness" as defined in section 416(i)(1) of
this title). For purposes of subparagraph (B) of this paragraph,
when the number of quarters in any period is an odd number, such
number shall be reduced by one, and a quarter shall not be
counted as part of any period if any part of such quarter was
included in a period of disability unless such quarter was a
quarter of coverage.
(2) The term "waiting period" means, in the case of any
application for disability insurance benefits, the earliest
period of five consecutive calendar months -
(A) throughout which the individual with respect to whom such
application is filed has been under a disability, and
(B)(i) which begins not earlier than with the first day of
the seventeenth month before the month in which such
application is filed if such individual is insured for
disability insurance benefits in such seventeenth month, or
(ii) if he is not so insured in such month, which begins not
earlier than with the first day of the first month after such
seventeenth month in which he is so insured.
Notwithstanding the preceding provisions of this paragraph, no
waiting period may begin for any individual before January 1,
1957.
(d) "Disability" defined
(1) The term "disability" means -
(A) inability 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 12 months; or
(B) in the case of an individual who has attained the age of 55
and is blind (within the meaning of "blindness" as defined in
section 416(i)(1) of this title), inability by reason of such
blindness to engage in substantial gainful activity requiring
skills or abilities comparable to those of any gainful activity
in which he has previously engaged with some regularity and over
a substantial period of time.
(2) For purposes of paragraph (1)(A) -
(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.
(B) 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.
(C) 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.
(3) For purposes of this subsection, 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.
(4)(A) 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. No individual who is
blind shall be regarded as having demonstrated an ability to engage
in substantial gainful activity on the basis of earnings that do
not exceed an amount equal to the exempt amount which would be
applicable under section 403(f)(8) of this title, to individuals
described in subparagraph (D) thereof, if section 102 of the Senior
Citizens' Right to Work Act of 1996 had not been enacted.
Notwithstanding the provisions of paragraph (2), an individual
whose services or earnings meet such criteria shall, except for
purposes of section 422(c) of this title, be found not to be
disabled. 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.
(B) In determining under subparagraph (A) when services performed
or earnings derived from services demonstrate an individual's
ability to engage in substantial gainful activity, the Commissioner
of Social Security shall apply the criteria described in
subparagraph (A) with respect to services performed by any
individual without regard to the legality of such services.
(5)(A) An individual shall not be considered to be under a
disability unless he furnishes such medical and other evidence of
the existence thereof as the Commissioner of Social Security may
require. An individual's statement as to pain or other symptoms
shall not alone be conclusive evidence of disability as defined in
this section; there must be medical signs and findings, established
by medically acceptable clinical or laboratory diagnostic
techniques, which show the existence of a medical impairment that
results from anatomical, physiological, or psychological
abnormalities which could reasonably be expected to produce the
pain or other symptoms alleged and which, when considered with all
evidence required to be furnished under this paragraph (including
statements of the individual or his physician as to the intensity
and persistence of such pain or other symptoms which may reasonably
be accepted as consistent with the medical signs and findings),
would lead to a conclusion that the individual is under a
disability. Objective medical evidence of pain or other symptoms
established by medically acceptable clinical or laboratory
techniques (for example, deteriorating nerve or muscle tissue) must
be considered in reaching a conclusion as to whether the individual
is under a disability. Any non-Federal hospital, clinic,
laboratory, or other provider of medical services, or physician not
in the employ of the Federal Government, which supplies medical
evidence required and requested by the Commissioner of Social
Security under this paragraph shall be entitled to payment from the
Commissioner of Social Security for the reasonable cost of
providing such evidence.
(B) In making any determination with respect to whether an
individual is under a disability or continues to be under a
disability, the Commissioner of Social Security shall consider all
evidence available in such individual's case record, and shall
develop a complete medical history of at least the preceding twelve
months for any case in which a determination is made that the
individual is not under a disability. In making any determination
the Commissioner of Social Security shall make every reasonable
effort to obtain from the individual's treating physician (or other
treating health care provider) all medical evidence, including
diagnostic tests, necessary in order to properly make such
determination, prior to evaluating medical evidence obtained from
any other source on a consultative basis.
(6)(A) Notwithstanding any other provision of this subchapter,
any physical or mental impairment which arises in connection with
the commission by an individual (after October 19, 1980) of an
offense which constitutes a felony under applicable law and for
which such individual is subsequently convicted, or which is
aggravated in connection with such an offense (but only to the
extent so aggravated), shall not be considered in determining
whether an individual is under a disability.
(B) Notwithstanding any other provision of this subchapter, any
physical or mental impairment which arises in connection with an
individual's confinement in a jail, prison, or other penal
institution or correctional facility pursuant to such individual's
conviction of an offense (committed after October 19, 1980)
constituting a felony under applicable law, or which is aggravated
in connection with such a confinement (but only to the extent so
aggravated), shall not be considered in determining whether such
individual is under a disability for purposes of benefits payable
for any month during which such individual is so confined.
(e) Engaging in substantial gainful activity
(1) No benefit shall be payable under subsection (d)(1)(B)(ii),
(d)(6)(A)(ii), (d)(6)(B), (e)(1)(B)(ii), or (f)(1)(B)(ii) of
section 402 of this title or under subsection (a)(1) of this
section to an individual for any month, after the third month, in
which he engages in substantial gainful activity during the
36-month period following the end of his trial work period
determined by application of section 422(c)(4)(A) of this title.
(2) No benefit shall be payable under section 402 of this title
on the basis of the wages and self-employment income of an
individual entitled to a benefit under subsection (a)(1) of this
section for any month for which the benefit of such individual
under subsection (a)(1) of this section is not payable under
paragraph (1).
(f) Standard of review for termination of disability benefits
A recipient of benefits under this subchapter or subchapter XVIII
of this chapter based on the disability of any individual 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 -
(1) substantial evidence which demonstrates that -
(A) 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
(B) the individual is now able to engage in substantial
gainful activity; or
(2) substantial evidence which -
(A) consists of new medical evidence and a new assessment of
the individual's residual functional capacity, and demonstrates
that -
(i) 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
(ii) the individual is now able to engage in substantial
gainful activity, or
(B) demonstrates that -
(i) although the individual has not improved medically, he
or she has undergone vocational therapy (related to the
individual's ability to work), and
(ii) the individual is now able to engage in substantial
gainful activity; or
(3) 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
(4) 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 subsection shall be construed to require a
determination that a recipient of benefits under this subchapter or
subchapter XVIII of this chapter based on an individual's
disability 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 the entitlement to such
benefits or to follow prescribed treatment which would be expected
to restore his or her ability to engage in substantial gainful
activity. In making for purposes of the preceding sentence any
determination relating to fraudulent behavior by any individual or
failure by any individual without good cause to cooperate or to
take any required action, the Commissioner of Social Security shall
specifically take into account any physical, mental, educational,
or linguistic limitation such individual may have (including any
lack of facility with the English language). Any determination
under this section 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 section 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. For purposes of this subsection, a
benefit under this subchapter is based on an individual's
disability if it is a disability insurance benefit, a child's,
widow's, or widower's insurance benefit based on disability, or a
mother's or father's insurance benefit based on the disability of
the mother's or father's child who has attained age 16.
(g) Continued payment of disability benefits during appeal
(1) In any case where -
(A) an individual is a recipient of disability insurance
benefits, or of child's, widow's, or widower's insurance benefits
based on disability,
(B) 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
(C) a timely request for a hearing under section 421(d) of this
title, or for an administrative review prior to such 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, the payment of any
other benefits under this subchapter based on such individual's
wages and self-employment income, the payment of mother's or
father's insurance benefits to such individual's mother or father
based on the disability of such individual as a child who has
attained age 16, and the payment of benefits under subchapter XVIII
of this chapter based on such individual's disability, continued
for an additional period beginning with the first month beginning
after January 12, 1983, 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 a hearing or an administrative review is
pending.
(2)(A) If an individual elects to have the payment of his
benefits continued for an additional period under paragraph (1),
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 subparagraph (B).
(B) 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 paragraph (1) shall be subject to waiver
consideration under the provisions of section 404 of this title. In
making for purposes of this subparagraph any determination of
whether any individual's appeal is made in good faith, the
Commissioner of Social Security shall specifically take into
account any physical, mental, educational, or linguistic limitation
such individual may have (including any lack of facility with the
English language).
(h) Interim benefits in cases of delayed final decisions
(1) In any case in which an administrative law judge has
determined after a hearing as provided under section 405(b) of this
title that an individual is entitled to disability insurance
benefits or child's, widow's, or widower's insurance benefits based
on disability 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 preceding the month in
which such 110-day period expires and ending with the month
preceding the month in which such final decision is issued.
(2) For purposes of paragraph (1), in determining whether the
110-day period referred to in paragraph (1) 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.
(3) Any benefits currently paid under this subchapter pursuant to
this subsection (for the months described in paragraph (1)) shall
not be considered overpayments for any purpose of this subchapter
(unless payment of such benefits was fraudulently obtained), and
such benefits shall not be treated as past-due benefits for
purposes of section 406(b)(1) of this title.
(i) Reinstatement of entitlement
(1)(A) Entitlement to benefits described in subparagraph
(B)(i)(I) 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 such entitlement 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 entitled to benefits under this
section or section 402 of this title on the basis of disability
pursuant to an application filed therefor; and
(II) such entitlement terminated due to the performance of
substantial gainful activity;
(ii) the individual is under a disability and the physical or
mental impairment that is the basis for the finding of disability
is the same as (or related to) the physical or mental impairment
that was the basis for the finding of disability that gave rise
to the entitlement described in clause (i); and
(iii) the individual's disability renders the individual unable
to perform substantial gainful activity.
(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 entitled to a benefit
described in subparagraph (B)(i)(I) prior to the entitlement
termination 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) and (iii) 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
entitled to reinstated benefits under this subsection.
(3) In determining whether an individual meets the requirements
of paragraph (1)(B)(ii), the provisions of subsection (f) of this
section shall apply.
(4)(A)(i) Subject to clause (ii), entitlement to benefits
reinstated under this subsection shall commence with the benefit
payable for the month in which a request for reinstatement is
filed.
(ii) An individual whose entitlement to a benefit for any month
would have been reinstated under this subsection had the individual
filed a request for reinstatement before the end of such month
shall be entitled to such benefit for such month if such request
for reinstatement is filed before the end of the twelfth month
immediately succeeding such month.
(B)(i) Subject to clauses (ii) and (iii), the amount of the
benefit payable for any month pursuant to the reinstatement of
entitlement under this subsection shall be determined in accordance
with the provisions of this subchapter.
(ii) For purposes of computing the primary insurance amount of an
individual whose entitlement to benefits under this section is
reinstated under this subsection, the date of onset of the
individual's disability shall be the date of onset used in
determining the individual's most recent period of disability
arising in connection with such benefits payable on the basis of an
application.
(iii) Benefits under this section or section 402 of this title
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) No benefit shall be payable pursuant to an entitlement
reinstated under this subsection to an individual for any month in
which the individual engages in substantial gainful activity.
(D) The entitlement of any individual that is reinstated under
this subsection shall end with the benefits payable for the month
preceding whichever of the following months is the earliest:
(i) The month in which the individual dies.
(ii) The month in which the individual attains retirement age.
(iii) The third month following the month in which the
individual's disability ceases.
(5) Whenever an individual's entitlement to benefits under this
section is reinstated under this subsection, entitlement to
benefits payable on the basis of such individual's wages and
self-employment income may be reinstated with respect to any person
previously entitled to such benefits on the basis of an application
if the Commissioner determines that such person satisfies all the
requirements for entitlement to such benefits except requirements
related to the filing of an application. The provisions of
paragraph (4) shall apply to the reinstated entitlement of any such
person to the same extent that they apply to the reinstated
entitlement of such individual.
(6) An individual to whom benefits are payable under this section
or section 402 of this title pursuant to a reinstatement of
entitlement under this subsection for 24 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) and the determination, if appropriate, of the
termination month in accordance with subsection (a)(1) of this
section, or subsection (d)(1), (e)(1), or (f)(1) of section 402 of
this title, to be entitled to 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 entitled to 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
subsection (b) or (g) of section 405 of this title.
(B) The amount of a provisional benefit for a month shall equal
the amount of the last monthly benefit payable to the individual
under this subchapter on the basis of an application increased by
an amount equal to the amount, if any, by which such last monthly
benefit would have been increased as a result of the operation of
section 415(i) of this title.
(C)(i) Provisional benefits shall begin with 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 entitlement to reinstated benefits;
(II) the fifth month following the month described in clause
(i);
(III) the month in which the individual performs substantial
gainful activity; or
(IV) 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 entitled to 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).
(j) Limitation on payments to prisoners
For provisions relating to limitation on payments to prisoners,
see section 402(x) of this title.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 223, as added Aug. 1, 1956,
ch. 836, title I, Sec. 103(a), 70 Stat. 815; amended Pub. L.
85-840, title II, Secs. 202, 204(b), Aug. 28, 1958, 72 Stat. 1020,
1021; Pub. L. 86-778, title III, Sec. 303(f), title IV, Secs.
401(a), (b), 402(a)-(d), 403(b), Sept. 13, 1960, 74 Stat. 964, 967,
969; Pub. L. 87-64, title I, Sec. 102(b)(2)(B), (C), (c)(2)(C),
(3)(D), (E), June 30, 1961, 75 Stat. 134, 135; Pub. L. 89-97, title
III, Secs. 302(e), 303(a)(2), (b)(3), (4), (c), 304(m), (n),
328(c), 344(b)-(d), July 30, 1965, 79 Stat. 366, 367, 370, 400,
413; Pub. L. 90-248, title I, Secs. 105(b), 158(a), (b),
(c)(6)-(8), Jan. 2, 1968, 81 Stat. 833, 867-869; Pub. L. 92-603,
title I, Secs. 104(c), (d), 116(a), 117(b), 118(a), Oct. 30, 1972,
86 Stat. 1340, 1350, 1351; Pub. L. 95-216, title III, Sec. 335,
Dec. 20, 1977, 91 Stat. 1547; Pub. L. 96-265, title I, Sec. 102(b),
title III, Secs. 302(a)(1), 303(b)(1)(A), (2)(A), 306(c), 309(a),
June 9, 1980, 94 Stat. 443, 450, 451, 453, 458, 459; Pub. L.
96-473, Sec. 5(a)(1), (c), Oct. 19, 1980, 94 Stat. 2264, 2265; Pub.
L. 97-123, Sec. 6, Dec. 29, 1981, 95 Stat. 1664; Pub. L. 97-455,
Sec. 2, Jan. 12, 1983, 96 Stat. 2498; Pub. L. 98-21, title II, Sec.
201(c)(1)(E), (3), title III, Secs. 309(o), 332(b), 339(b), Apr.
20, 1983, 97 Stat. 109, 117, 129, 134; Pub. L. 98-118, Sec. 2, Oct.
11, 1983, 97 Stat. 803; Pub. L. 98-369, div. B, title VI, Secs.
2661(m), 2662(c)(2), (i), 2663(a)(16), July 18, 1984, 98 Stat.
1158-1160, 1165; Pub. L. 98-460, Secs. 2(a), 3(a)(1), 4(a)(1),
7(a), 9(b)(1), Oct. 9, 1984, 98 Stat. 1794, 1799, 1800, 1803, 1805;
Pub. L. 99-272, title XII, Sec. 12107(b), Apr. 7, 1986, 100 Stat.
286; Pub. L. 99-514, title XVIII, Sec. 1883(a)(10), Oct. 22, 1986,
100 Stat. 2916; Pub. L. 100-203, title IX, Secs. 9009, 9010(a),
(e)(2), Dec. 22, 1987, 101 Stat. 1330-293, 1330-294; Pub. L.
100-647, title VIII, Secs. 8001(a), 8006, Nov. 10, 1988, 102 Stat.
3778, 3781; Pub. L. 101-239, title X, Secs. 10101, 10305(c), (d),
Dec. 19, 1989, 103 Stat. 2471, 2483; Pub. L. 101-508, title V,
Secs. 5102, 5103(a), (b)(2)-(5), 5118(a), Nov. 5, 1990, 104 Stat.
1388-250, 1388-251, 1388-278; Pub. L. 103-296, title I, Sec.
107(a)(4), title II, Sec. 201(a)(4)(A), title III, Sec. 321(a)(19),
(f)(1), Aug. 15, 1994, 108 Stat. 1478, 1499, 1537, 1540; Pub. L.
104-121, title I, Secs. 102(b)(2), 105(a)(1), Mar. 29, 1996, 110
Stat. 848, 852; Pub. L. 106-170, title I, Sec. 112(a), Dec. 17,
1999, 113 Stat. 1881.)
-REFTEXT-
REFERENCES IN TEXT
Section 102 of the Senior Citizens' Right to Work Act of 1996,
referred to in subsec. (d)(4)(A), is section 102 of title I of Pub.
L. 104-121, which amended this section and section 403 of this
title and enacted provisions set out as a note under section 403 of
this title.
-MISC1-
AMENDMENTS
1999 - Subsecs. (i), (j). Pub. L. 106-170 added subsec. (i) and
redesignated former subsec. (i) as (j).
1996 - Subsec. (d)(2)(C). Pub. L. 104-121, Sec. 105(a)(1), added
subpar. (C).
Subsec. (d)(4)(A). Pub. L. 104-121, Sec. 102(b)(2), substituted
"an amount equal to the exempt amount which would be applicable
under section 403(f)(8) of this title, to individuals described in
subparagraph (D) thereof, if section 102 of the Senior Citizens'
Right to Work Act of 1996 had not been enacted" for "the exempt
amount under section 403(f)(8) of this title which is applicable to
individuals described in subparagraph (D) thereof".
1994 - Subsecs. (b), (d)(2)(B). Pub. L. 103-296, Sec. 107(a)(4),
substituted "Commissioner of Social Security" for "Secretary"
wherever appearing.
Subsec. (d)(4). Pub. L. 103-296, Sec. 201(a)(4)(A), designated
existing provisions as subpar. (A) and added subpar. (B).
Pub. L. 103-296, Sec. 107(a)(4), in par. (4) as amended by Pub.
L. 103-296, Sec. 201(a)(4)(A), substituted "Commissioner of Social
Security" for "Secretary" wherever appearing.
Subsec. (d)(5). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing.
Subsec. (f). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" in two places in
closing provisions.
Subsec. (f)(2)(A). Pub. L. 103-296, Sec. 321(f)(1)(A), struck out
"(in a case to which clause (ii)(II) does not apply)" after "new
medical evidence and" in introductory provisions.
Subsec. (f)(2)(B)(ii). Pub. L. 103-296, Sec. 321(f)(1)(B), added
cl. (ii) and struck out former cl. (ii) which read as follows: "the
requirements of subclause (I) or (II) of subparagraph (A)(ii) are
met; or".
Subsecs. (g), (h). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" wherever
appearing, "the Commissioner's" for "his" in subsec. (h)(1), and
"Commissioner's" for "Secretary's" in subsec. (h)(2).
Subsec. (i). Pub. L. 103-296, Sec. 321(a)(19), inserted heading.
1990 - Subsec. (d)(2)(A). Pub. L. 101-508, Sec. 5103(a)(1),
struck out "(except a widow, surviving divorced wife, widower, or
surviving divorced husband for purposes of section 402(e) or (f) of
this title)" after "An individual".
Subsec. (d)(2)(B), (C). Pub. L. 101-508, Sec. 5103(a)(2), (3),
redesignated subpar. (C) as (B) and struck out former subpar. (B)
which read as follows: "A widow, surviving divorced wife, widower,
or surviving divorced husband shall not be determined to be under a
disability (for purposes of section 402(e) or (f) of this title)
unless his or her physical or mental impairment or impairments are
of a level of severity which under regulations prescribed by the
Secretary is deemed to be sufficient to preclude an individual from
engaging in any gainful activity."
Subsec. (e). Pub. L. 101-508, Sec. 5118(a), designated existing
provision as par. (1) and added par. (2).
Subsec. (f). Pub. L. 101-508, Sec. 5103(b)(5), struck out "(or
gainful activity in the case of a widow, surviving divorced wife,
widower, or surviving divorced husband)," after "gainful activity"
in two places in first sentence following par. (4).
Subsec. (f)(1)(B). Pub. L. 101-508, Sec. 5103(b)(2), amended
subpar. (B) generally. Prior to amendment, subpar. (B) read as
follows:
"(B)(i) the individual is now able to engage in substantial
gainful activity, or
"(ii) if the individual is a widow or surviving divorced wife
under section 402(e) of this title or a widower or surviving
divorced husband under section 402(f) of this title, the severity
of his or her impairment or impairments is no longer deemed, under
regulations prescribed by the Secretary, sufficient to preclude the
individual from engaging in gainful activity; or".
Subsec. (f)(2)(A)(ii). Pub. L. 101-508, Sec. 5103(b)(3), amended
cl. (ii) generally. Prior to amendment, cl. (ii) read as follows:
"(ii)(I) the individual is now able to engage in substantial
gainful activity, or
"(II) if the individual is a widow or surviving divorced wife
under section 402(e) of this title or a widower or surviving
divorced husband under section 402(f) of this title, the severity
of his or her impairment or impairments is no longer deemed under
regulations prescribed by the Secretary sufficient to preclude the
individual from engaging in gainful activity, or".
Subsec. (f)(3). Pub. L. 101-508, Sec. 5103(b)(4), substituted
"therefore the individual is able to engage in substantial gainful
activity; or" for "therefore - " and subpars. (A) and (B) which
read as follows:
"(A) the individual is able to engage in substantial gainful
activity, or
"(B) if the individual is a widow or surviving divorced wife
under section 402(e) of this title or a widower or surviving
divorced husband under section 402(f) of this title, the severity
of his or her impairment or impairments is not deemed under
regulations prescribed by the Secretary sufficient to preclude the
individual from engaging in gainful activity; or".
Subsec. (g)(1). Pub. L. 101-508, Sec. 5102(1), inserted "or"
before "(ii)" and substituted "pending" for "pending, or (iii) June
1991" before period at end.
Subsec. (g)(3). Pub. L. 101-508, Sec. 5102(2), struck out par.
(3) which read as follows: "The provisions of paragraphs (1) and
(2) shall apply with respect to determinations (that individuals
are not entitled to benefits) which are made -
"(A) on or after January 12, 1983, or prior to such date but
only on the basis of a timely request for a hearing under section
421(d) of this title, or for an administrative review prior to
such hearing, and
"(B) prior to January 1, 1991."
1989 - Subsec. (f). Pub. L. 101-239, Sec. 10305(c), inserted
after first sentence of concluding provisions "In making for
purposes of the preceding sentence any determination relating to
fraudulent behavior by any individual or failure by any individual
without good cause to cooperate or to take any required action, the
Secretary shall specifically take into account any physical,
mental, educational, or linguistic limitation such individual may
have (including any lack of facility with the English language)."
Subsec. (g)(1)(iii). Pub. L. 101-239, Sec. 10101(1), substituted
"1991" for "1990".
Subsec. (g)(2)(B). Pub. L. 101-239, Sec. 10305(d), inserted at
end "In making for purposes of this subparagraph any determination
of whether any individual's appeal is made in good faith, the
Secretary shall specifically take into account any physical,
mental, educational, or linguistic limitation such individual may
have (including any lack of facility with the English language)."
Subsec. (g)(3)(B). Pub. L. 101-239, Sec. 10101(2), substituted
"1991" for "1990".
1988 - Subsec. (g)(1)(iii). Pub. L. 100-647, Sec. 8006(1),
substituted "June 1990" for "June 1989".
Subsec. (g)(3)(B). Pub. L. 100-647, Sec. 8006(2), substituted
"January 1, 1990" for "January 1, 1989".
Subsecs. (h), (i). Pub. L. 100-647, Sec. 8001(a), added subsec.
(h) and redesignated former subsec. (h) as (i).
1987 - Subsec. (a)(1). Pub. L. 100-203, Sec. 9010(a), substituted
"36 months" for "15 months".
Subsec. (e). Pub. L. 100-203, Sec. 9010(e)(2), substituted
"36-month period" for "15-month period".
Subsec. (g)(1). Pub. L. 100-203, Sec. 9009(1), substituted "June
1989" for "June 1988" in cl. (iii) at end.
Subsec. (g)(3)(B). Pub. L. 100-203, Sec. 9009(2), substituted
"January 1, 1989" for "January 1, 1988".
1986 - Subsec. (e). Pub. L. 99-272 inserted "(d)(6)(A)(ii),
(d)(6)(B)," after "(d)(1)(B)(ii)".
Subsec. (g)(1). Pub. L. 99-514 struck out second comma after
"payment of such benefits" in provisions following subpar. (C).
1984 - Subsec. (a)(1)(B). Pub. L. 98-369, Sec. 2662(c)(2), made a
clarifying amendment to Pub. L. 98-21, Sec. 201(c)(3). See 1983
Amendment note below.
Subsec. (c)(1)(B). Pub. L. 98-369, Sec. 2661(m), realigned
margins of subpar. (B).
Subsec. (d)(2)(A). Pub. L. 98-369, Sec. 2663(a)(16), substituted
"An individual" for "an individual".
Subsec. (d)(2)(C). Pub. L. 98-460, Sec. 4(a)(1), added subpar.
(C).
Subsec. (d)(5). Pub. L. 98-460, Sec. 9(b)(1), designated existing
provisions as subpar. (A) and added subpar. (B).
Pub. L. 98-460, Sec. 3(a)(1), inserted provisions requiring, in
making determinations as to whether an individual is under a
disability, that subjective statements as to pain or other symptoms
alleged to be disabling be supplemented by, and considered together
with, objective medical evidence of those symptoms showing the
existence of a medical impairment resulting from anatomical,
physiological, or psychological abnormalities.
Subsec. (f). Pub. L. 98-460, Sec. 2(a), amended subsec. (f)
generally, substituting provisions relating to the standard of
review for termination of disability benefits for provisions
relating to suspension of benefits for inmates of penal
institutions.
Subsec. (g)(1). Pub. L. 98-460, Sec. 7(a)(1), in provisions
following subpar. (C) substituted reference to benefits under this
subchapter for reference to benefits under this chapter, inserted
references to the payment of mother's or father's insurance
benefits to such individual's mother or father based on the
disability of such individual as a child who has attained age 16,
substituted reference to benefits under subchapter XVIII of this
chapter based on such individual's disability for reference to
benefits under subchapter XVIII of this chapter, and substituted
"June 1988" for "June 1984" in cl. (iii).
Subsec. (g)(3)(B). Pub. L. 98-460, Sec. 7(a)(2), substituted
"January 1, 1988" for "December 7, 1983".
Subsec. (h). Pub. L. 98-369, Sec. 2662(i), amended Pub. L. 98-21,
Sec. 339(b), resulting in addition of subsec. (h) of this section.
See 1983 Amendment note below.
1983 - Subsec. (a)(1). Pub. L. 98-21, Sec. 201(c)(1)(E),
substituted "retirement age (as defined in section 416(l) of this
title)" for "age 65".
Subsec. (a)(1)(B). Pub. L. 98-21, Sec. 201(c)(3), as amended by
Pub. L. 98-369, Sec. 2662(c)(2), substituted "retirement age (as
defined in section 416(l) of this title)" for "the age of
sixty-five".
Subsec. (c)(1)(B)(iii). Pub. L. 98-21, Sec. 332(b), added cl.
(iii).
Subsec. (d)(2). Pub. L. 98-21, Sec. 309(o), substituted "widower,
or surviving divorced husband" for "or widower" wherever appearing.
Subsec. (f). Pub. L. 98-21, Sec. 339(b), before amendment by Pub.
L. 98-369, Sec. 2662(i), struck out subsec. (f) relating to
suspension of benefits for inmates of penal institutions. See note
below for subsec. (h).
Subsec. (g). Pub. L. 97-455 added subsec. (g).
Subsec. (g)(3)(B). Pub. L. 98-118 substituted "December 7, 1983"
for "October 1, 1983".
Subsec. (h). Pub. L. 98-21, Sec. 339(b), as amended by Pub. L.
98-369, Sec. 2662(i), added subsec. (h).
1981 - Subsec. (f)(3). Pub. L. 97-123 added par. (3).
1980 - Subsec. (a)(1). Pub. L. 96-265, Sec. 303(b)(1)(A),
inserted reference to subsec. (e) of this section and provisions
relating to an individual's termination month.
Subsec. (a)(2). Pub. L. 96-265, Sec. 102(b), substituted "Except
as provided in section 402(q) and section 415(b)(2)(A)(ii) of this
title" for "Except as provided in section 402(q) of this title".
Subsec. (b). Pub. L. 96-265, Sec. 306(c), inserted provisions
relating to limitations on the prospective effect of applications.
Subsec. (d)(4). Pub. L. 96-265, Sec. 302(a)(1), inserted
provisions relating to extraordinary work expenses due to severe
disability.
Subsec. (d)(5). Pub. L. 96-265, Sec. 309(a), inserted provisions
relating to payment for existing medical evidence.
Subsec. (d)(6). Pub. L. 96-473, Sec. 5(a)(1), added par. (6).
Subsec. (e). Pub. L. 96-265, Sec. 303(b)(2)(A), added subsec.
(e).
Subsec. (f). Pub. L. 96-473, Sec. 5(c), added subsec. (f).
1977 - Subsec. (d)(4). Pub. L. 95-216 inserted provisions
relating to activities of blind individuals.
1972 - Subsec. (a)(1). Pub. L. 92-603, Sec. 118(a)(1), inserted
provision for filing of an application for disability insurance
benefits after death of insured individual.
Subsec. (a)(2). Pub. L. 92-603, Secs. 104(c), 118(a)(2). struck
out "(if a woman) or age 65 (if a man)" after "attained age 62" and
substituted "an individual" for "a woman", "in which he attained
age 62" for "in which she attained age 62", and "the application
for disability insurance benefits was filed and he was" for "he
filed his application for disability insurance benefits and was".
Subsec. (b). Pub. L. 92-603, Sec. 118(a)(3), substituted "if such
application is filed" for "if he files such application".
Subsec. (c)(1). Pub. L. 92-603, Secs. 104(d), 117(b), struck out
"(if a woman) or age 65 (if a man)" after "attained age 62" in
subpar. (A) and in provisions following subpar. (B) inserted
provisions eliminating the disability insured status requirement of
substantial recent covered work in the case of individuals who are
blind.
Subsec. (c)(2). Pub. L. 92-603, Secs. 116(a), 118(a)(4),
substituted "five consecutive calendar months" for "six consecutive
calendar months" in provisions preceding subpar. (A), substituted
"with respect to whom such application is filed" for "who files
such application" in subpar. (A), and substituted "seventeenth" for
"eighteenth" in subpar. (B).
1968 - Subsec. (a)(1). Pub. L. 90-248, Sec. 158(c)(6)-(8),
substituted in subpar. (D) reference to "subsection (d)" for
"subsection (c)(2)", in text of first sentence following subpar.
(D) reference to "subsection (c)(2)" for "subsection (c)(3)", and
in last sentence following subpar. (D) reference to "subsection (d)
except for paragraph (1)(B) thereof" for "subsection (c)(2) except
for subparagraph (B) thereof", respectively.
Subsec. (c). Pub. L. 90-248, Sec. 158(a), restricted heading to
definitions of "insured status" and "waiting period", struck out
former par. (2) defining "disability" and requiring medical and
other evidence of disability, now incorporated in subsec.
(d)(1)(A), (5) of this section, and redesignated former par. (3) as
(2).
Subsec. (c)(1)(B)(ii). Pub. L. 90-248, Sec. 105(b), substituted
in cl. (ii) "before the quarter in which he attains" for "before he
attains" and struck out "and he is under a disability by reason of
blindness (as defined in section 416(i)(1) of this title)" after
"age 31".
Subsec. (d). Pub. L. 90-248, Sec. 158(b), redesignated former
first sentence of former subsec. (c)(2), comprising subpars. (A)
and (B), as par. (1)(A), (B), added pars. (2) to (4), and
redesignated former second sentence of former subsec. (c)(2) as
par. (5).
1965 - Subsec. (a)(1). Pub. L. 89-97, Secs. 303(b)(3), 344(c),
struck out from subpar. (D) "at the time such application is
filed," after parenthetical provision and from provisions following
subpar. (D) "the first month for which he is entitled to old-age
insurance benefits" after "age 65,"; and prohibit payment to an
individual who would not meet the definition of disability in
subsec. (c)(2) except for subpar. (B) thereof for any month in
which he engages in substantial gainful activity, and payment for
such month under subsec. (b), (c), or (d) of section 402 of this
title to any person on the basis of the wages and self-employment
income of such individual, respectively.
Subsec. (a)(2). Pub. L. 89-97, Secs. 302(e), 304(m), inserted in
first sentence "and was entitled to an old-age insurance benefit
for each month for which (pursuant to subsection (b) of this
section) he was entitled to a disability insurance benefit" and
"Except as provided in section 402(q) of this title" and in last
sentence substituted "shall not include the year" for "shall not
include the first year" and struck out "both was fully insured and
had" before "attained age 62" in two places, respectively.
Subsec. (a)(3). Pub. L. 89-97, Sec. 304(n), repealed par. (3)
which prohibited an individual from becoming entitled to disability
insurance benefits if he is entitled to a widow's, widower's, or
parent's insurance benefit, or an old-age, wife's or husband's
insurance benefit.
Subsec. (b). Pub. L. 89-97, Secs. 303(c), 328(c), struck out from
last sentence "after June 1957" after "for any months" and
substituted "before" for "prior to" where first appearing and "if
he files such application before the end of the 12th month
immediately succeeding such month" for "if he is continuously under
a disability after such month and until he files application
therefor and he files said application prior to the end of the
twelfth month immediately succeeding such month"; and substituted
provisions calling for an application for benefits filed before the
first month in which the applicant satisfies the requirements for
such benefits to be deemed a valid application only if the
applicant satisfies the requirements before the Secretary makes a
final decision on the application and calling for the application
to be deemed filed in the first month if the applicant is found to
satisfy the requirements for provisions placing an outer limit on
the time prior to entitlement during which an application would be
deemed filed during the first month prior to entitlement,
respectively.
Subsec. (c)(1). Pub. L. 89-97, Sec. 344(b), removed from existing
subpar. (B) provision prohibiting the inclusion, as part of such
40-quarter period, of any quarter any part of which was included in
a prior period of disability unless such quarter was a quarter of
coverage, and designated such subpar., as so amended as subpar.
(B)(i), added subpar. (B)(ii), and added the material following
subpar. (B)(ii) prohibiting inclusion of any quarter as part of any
period if any part of such quarter was included in a prior period
of disability unless such quarter was a quarter of coverage and
calling for reduction by one of the number of quarters in any
period whenever such number of quarters is an odd number.
Subsec. (c)(2)(A). Pub. L. 89-97, Sec. 303(a)(2), designated
existing provisions as subpar. (A) and substituted "which has
lasted or can be expected to last for a continuous period of not
less than 12 months; or" for "to be of long-continued and
indefinite duration".
Subsec. (c)(2)(B). Pub. L. 89-97, Sec. 344(d), added subpar. (B).
Subsec. (c)(3)(A). Pub. L. 89-97, Sec. 303(b)(4), struck out
"which continues until such application is filed" after
"disability".
1961 - Subsec. (a)(1). Pub. L. 87-64, Sec. 102(b)(2)(C),
substituted "the month in which he attains age 65, the first month
for which he is entitled to old-age insurance benefits" for "the
month in which he attains the age of sixty-five".
Subsec. (a)(2). Pub. L. 87-64, Sec. 102(c)(2)(C), (3)(D),
substituted "as though he had attained age 62 (if a woman) or age
65 (if a man)" for "as though he had attained retirement age", and
"fully insured and had attained age 62" for "fully insured and had
attained retirement age", in two places.
Subsec. (a)(3). Pub. L. 87-64, Sec. 102(b)(2)(B), added par. (3).
Subsec. (c)(1)(A). Pub. L. 87-64, Sec. 102(c)(3)(E), substituted
"attained age 62 (if a woman) or age 65 (if a man)" for "attained
retirement age".
1960 - Subsec. (a)(1). Pub. L. 86-778, Secs. 401(a), 402(a),
403(b), struck out provisions from cl. (B) which required an
individual to have attained the age of 50, inserted provisions
authorizing payment of benefits to an individual for each month
beginning with the first month during all of which he is under a
disability and in which he becomes so entitled to such insurance
benefits, but only if he was entitled to disability insurance
benefits which terminated, or had a period of disability which
ceased, within the 60-month period preceding the first month in
which he is under such disability, and substituted provisions
requiring benefits to end with the month preceding whichever of the
following is the earliest: the month in which he dies, the month in
which he attains the age of 65, or the third month following the
month in which his disability ceases for provisions which required
the benefits to end with the month preceding the first month in
which any of the following occurs: his disability ceases, he dies,
or he attains the age of 65.
Subsec. (a)(2). Pub. L. 86-778, Sec. 303(f), amended generally
subsec. (a)(2), as amended by section 402(b) of Pub. L. 86-778
which read as follows: "Such individual's disability insurance
benefit for any month shall be equal to his primary insurance
amount for such month determined under section 415 of this title as
though he became entitled to old-age insurance benefits in -
"(A) the first month of his waiting period, or
"(B) in any case in which clause (ii) of paragraph (1) of this
subsection is applicable, the first month for which he becomes so
entitled to such disability insurance benefits."
Pub. L. 86-778, Sec. 402(b), amended subsec. (a)(2) generally.
Prior to amendment, subsec. (a)(2) read as follows: "Such
individual's disability insurance benefit for any month shall be
equal to his primary insurance amount for such month determined
under section 415 of this title as though he became entitled to
old-age insurance benefits in the first month of his waiting
period."
Subsec. (b). Pub. L. 86-778, Sec. 402(c), (d), prohibited
acceptance of an application, in any case in which cl. (ii) of par.
(1) of subsec. (a) of this section is applicable, if it is filed
more than six months before the first month for which the applicant
becomes entitled to benefits, inserted provisions requiring any
application filed within the nine months' period or six months'
period, as the case may be, to be deemed to have been filed in such
first month, and substituted "if he is continuously under a
disability after such month and until he files application
therefor, and he files such application" for "if he files
application therefor".
Subsec. (c)(3). Pub. L. 86-778, Sec. 401(b), struck out
provisions which prohibited a waiting period for any individual
from beginning before the first day of the sixth month before the
month in which he attains the age of 50.
1958 - Subsec. (b). Pub. L. 85-840, Sec. 202(a), provided that
individuals who would have been entitled to disability insurance
benefits for any month after June 1957 had they filed application
therefor prior to the end of such month shall be entitled to
disability benefits for such month if they file application
therefor prior to the end of the twelfth month immediately
succeeding such month.
Subsec. (c)(1). Pub. L. 85-840, Sec. 204(b), substituted "fully
insured" for "fully and currently insured" in cl. (A).
Subsec. (c)(3). Pub. L. 85-840, Sec. 202(b), inserted "which
continues until such application is filed" after "under a
disability" in cl. (A), and substituted "eighteenth month" for
"sixth month" in three instances in cl. (B).
EFFECTIVE DATE OF 1999 AMENDMENT
Pub. L. 106-170, title I, Sec. 112(c), Dec. 17, 1999, 113 Stat.
1886, provided that:
"(1) In general. - The amendments made by this section [amending
this section and section 1383 of this title] shall take effect on
the first day of the thirteenth month beginning after the date of
the enactment of this Act [Dec. 17, 1999].
"(2) Limitation. - No benefit shall be payable under title II or
XVI [of the Social Security Act, subchapter II or XVI of this
chapter] on the basis of a request for reinstatement filed under
section 223(i) or 1631(p) of the Social Security Act (42 U.S.C.
423(i), 1383(p)) before the effective date described in paragraph
(1)."
EFFECTIVE DATE OF 1996 AMENDMENT
Amendment by section 102(b)(2) of Pub. L. 104-121 applicable with
respect to taxable years ending after 1995, see section 102(c) of
Pub. L. 104-121, set out as a note under section 403 of this title.
Amendment by section 105(a)(1) of Pub. L. 104-121 applicable to
individual who applies for, or whose claim is finally adjudicated
with respect to, benefits under this subchapter based on disability
on or after Mar. 29, 1996, with special rule for any individual who
applied, and whose claim has been finally adjudicated, before Mar.
29, 1996, see section 105(a)(5) of Pub. L. 104-121, set out as a
note under section 405 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 321(f)(1) of Pub. L. 103-296 effective as if
included in the provisions of the Omnibus Budget Reconciliation Act
of 1990, 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 5103(a), (b)(2)-(5) of Pub. L. 101-508
applicable with respect to monthly insurance benefits for months
after December 1990 for which applications are filed on or after
Jan. 1, 1991, or are pending on such date, see section 5103(e) of
Pub. L. 101-508, set out as a note under section 402 of this title.
Section 5118(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 after the date of the enactment of
this Act [Nov. 5, 1990]."
EFFECTIVE DATE OF 1989 AMENDMENT
Amendment by section 10305(c), (d) 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.
EFFECTIVE DATE OF 1988 AMENDMENT
Section 8001(c) of Pub. L. 100-647 provided that: "The amendments
made by this section [amending this section and section 1383 of
this title] shall apply to determinations by administrative law
judges of entitlement to benefits made after 180 days after the
date of the enactment of this Act [Nov. 10, 1988]."
EFFECTIVE DATE OF 1987 AMENDMENT
Amendment by section 9010(a), (e)(2) of Pub. L. 100-203 effective
Jan. 1, 1988, and applicable with respect to individuals entitled
to benefits under specific provisions of this section and section
402 of this title for any month after December 1987, and
individuals entitled to benefits payable under specific provisions
of this section and section 402 of this title for any month before
January 1988 and with respect to whom the 15-month period described
in the applicable provision amended by section 9010 of Pub. L.
100-203 has not elapsed as of Jan. 1, 1988, see section 9010(f) of
Pub. L. 100-203, set out as a note under section 402 of this title.
EFFECTIVE DATE OF 1986 AMENDMENT
Amendment by Pub. L. 99-272 effective Dec. 1, 1980, and
applicable with respect to any individual who is under a disability
(as defined in subsection (d) of this section) on or after that
date, see section 12107(c) of Pub. L. 99-272, set out as a note
under section 402 of this title.
EFFECTIVE DATE OF 1984 AMENDMENTS
Section 2(d) of Pub. L. 98-460 provided that:
"(1) The amendments made by this section [amending this section
and sections 416 and 1382c of this title and enacting provisions
set out as notes under this section] shall apply only as provided
in this subsection.
"(2) The amendments made by this section shall apply to -
"(A) determinations made by the Secretary on or after the date
of the enactment of this Act [Oct. 9, 1984];
"(B) determinations with respect to which a final decision of
the Secretary has not yet been made as of the date of the
enactment of this Act [Oct. 9, 1984] and with respect to which a
request for administrative review is made in conformity with the
time limits, exhaustion requirements, and other provisions of
section 205 of the Social Security Act [section 405 of this
title] and regulations of the Secretary;
"(C) determinations with respect to which a request for
judicial review was pending on September 19, 1984, and which
involve an individual litigant or a member of a class in a class
action who is identified by name in such pending action on such
date; and
"(D) determinations with respect to which a timely request for
judicial review is or has been made by an individual litigant of
a final decision of the Secretary made within 60 days prior to
the date of the enactment of this Act [Oct. 9, 1984].
In the case of determinations described in subparagraphs (C) and
(D) in actions relating to medical improvement, the court shall
remand such cases to the Secretary for review in accordance with
the provisions of the Social Security Act as amended by this
section.
"(3) In the case of a recipient of benefits under title II, XVI,
or XVIII of the Social Security Act [this subchapter or subchapter
XVI or XVIII of this chapter] -
"(A) who has been 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 were provided has
ceased, does not exist, or is not disabling, and
"(B) who was a member of a class certified on or before
September 19, 1984, in a class action relating to medical
improvement pending on September 19, 1984, but was not identified
by name as a member of the class on such date,
the court shall remand such case to the Secretary. The Secretary
shall notify such individual by certified mail that he may request
a review of the determination described in subparagraph (A) based
on the provisions of this section and the provisions of the Social
Security Act as amended by this section. Such notification shall
specify that the individual must request such review within 120
days after the date on which such notification is received. If such
request is made in a timely manner, the Secretary shall make a
review of the determination described in subparagraph (A) in
accordance with the provisions of this section and the provisions
of the Social Security Act as amended by this section. The
amendments made by this section shall apply with respect to such
review, and the determination described in subparagraph (A) (and
any redetermination resulting from such review) shall be subject to
further administrative and judicial review, only if such request is
made in a timely manner.
"(4) The decision by the Secretary on a case remanded by a court
pursuant to this subsection shall be regarded as a new decision on
the individual's claim for benefits, which supersedes the final
decision of the Secretary. The new decision shall be subject to
further administrative review and to judicial review only in
conformity with the time limits, exhaustion requirements, and other
provisions of section 205 of the Social Security Act [section 405
of this title] and regulations issued by the Secretary in
conformity with such section.
"(5) No class in a class action relating to medical improvement
may be certified after September 19, 1984, if the class action
seeks judicial review of a decision terminating entitlement (or a
period of disability) made by the Secretary of Health and Human
Services prior to September 19, 1984.
"(6) For purposes of this subsection, the term 'action relating
to medical improvement' means an action raising the issue of
whether an individual who has had his entitlement to benefits under
title II, XVI, or XVIII of the Social Security Act [this subchapter
or subchapter XVI or XVIII of this chapter] based on disability
terminated (or period of disability ended) should not have had such
entitlement terminated (or period of disability ended) without
consideration of whether there has been medical improvement in the
condition of such individual (or another individual on whose
disability such entitlement is based) since the time of a prior
determination that the individual was under a disability."
Section 3(a)(3) of Pub. L. 98-460 provided that: "The amendments
made by paragraphs (1) and (2) [amending this section and section
1382c of this title] shall apply to determinations made prior to
January 1, 1987."
Section 4(c) of Pub. L. 98-460 provided that: "The amendments
made by this section [amending this section and sections 416 and
1382c of this title] shall apply with respect to determinations
made on or after the first day of the first month beginning after
30 days after the date of the enactment of this Act [Oct. 9,
1984]."
Section 9(b)(2) of Pub. L. 98-460 provided that: "The amendments
made by this subsection [amending this section] shall apply to
determinations made on or after the date of the enactment of this
Act [Oct. 9, 1984]."
Amendment by sections 2661(m) and 2662(c)(2), (i) of Pub. L.
98-369 effective as though included in the enactment of the Social
Security Amendments of 1983, Pub. L. 98-21, see section 2664(a) of
Pub. L. 98-369, set out as a note under section 401 of this title.
Amendment by section 2663(a)(16) 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 1983 AMENDMENT
Amendment by section 309(o) of Pub. L. 98-21 applicable only with
respect to monthly payments payable under this subchapter for
months after April, 1983, see section 310 of Pub. L. 98-21, set out
as a note under section 402 of this title.
Amendment by section 332(b) of Pub. L. 98-21 effective with
respect to applications for disability insurance benefits under
this section filed after Apr. 20, 1983, except that no monthly
benefits under this subchapter shall be payable or increased by
reason of such amendment for months before the month following
April, 1983, see section 332(c) of Pub. L. 98-21, set out as a note
under section 416 of this title.
Amendment by section 339(b) of Pub. L. 98-21 applicable with
respect to monthly benefits payable for months beginning on or
after April 20, 1983, see section 339(c) of Pub. L. 98-21, set out
as a note under section 402 of this title.
EFFECTIVE DATE OF 1980 AMENDMENTS
Amendment by Pub. L. 96-473 effective with respect to benefits
payable for months beginning on or after Oct. 1, 1980, see section
5(d) of Pub. L. 96-473, set out as a note under section 402 of this
title.
For effective date of amendment by section 102(b) of Pub. L.
96-265, see section 102(c) of Pub. L. 96-265, set out as a note
under section 415 of this title.
Section 302(c) of Pub. L. 96-265 provided that: "The amendments
made by this section [amending this section and sections 1382a and
1382c of this title] shall apply with respect to expenses incurred
on or after the first day of the sixth month which begins after the
date of the enactment of this Act [June 9, 1980]."
For effective date of amendment by section 303(b)(1)(A), (2)(A)
of Pub. L. 96-265, see section 303(d) of Pub. L. 96-265, set out as
a note under section 402 of this title.
Amendment by section 306(c) of Pub. L. 96-265 applicable to
applications filed after June 1980, see section 306(d) of Pub. L.
96-265, set out as a note under section 402 of this title.
Section 309(b) of Pub. L. 96-265 provided that: "The amendment
made by subsection (a) [amending this section] shall apply with
respect to evidence requested on or after the first day of the
sixth month which begins after the date of the enactment of this
Act [June 9, 1980]."
EFFECTIVE DATE OF 1972 AMENDMENT
Amendment by section 104(c), (d) of Pub. L. 92-603 applicable
only in the case of a man who attains (or would attain) age 62
after Dec. 1974, with the figure "65" in subsec. (c)(1)(A) of this
section to be deemed to read "64" in the case of a man who attains
age 62 in 1973, and deemed to read "63" in the case of a man who
attains age 62 in 1974, see section 104(j) of Pub. L. 92-603, set
out as an Effective Date of 1972 Amendment note under section 414
of this title.
Section 116(e) of Pub. L. 92-603 provided that: "The amendments
made by this section [amending this section and sections 402 and
416 of this title] shall be effective with respect to applications
for disability insurance benefits under section 223 of the Social
Security Act [this section], applications for widow's and widower's
insurance benefits based on disability under section 202 of such
Act [section 402 of this title], and applications for disability
determinations under section 216(i) of such Act [section 416(i) of
this title], filed -
"(1) in or after the month in which this Act is enacted
[October 1972], or
"(2) before the month in which this Act is enacted, if -
"(A) notice of the final decision of the Secretary of Health,
Education, and Welfare has not been given to the applicant
before such month, or
"(B) the notice referred to in subparagraph (A) has been so
given before such month but a civil action with respect to such
final decision is commenced under section 205(g) of the Social
Security Act [section 405(g) of this title] (whether before,
in, or after such month) and the decision in such civil action
has not become final before such month;
except that no monthly benefits under title II of the Social
Security Act [this subchapter] shall be payable or increased by
reason of the amendments made by this section for any month before
January 1973."
Section 117(c) of Pub. L. 92-603 provided that: "The amendments
made by this section [amending this section and section 416 of this
title] shall be effective with respect to applications for
disability insurance benefits under section 223 of the Social
Security Act [this section], and for disability determinations
under section 216(i) of such Act [section 416(i) of this title],
filed -
"(1) in or after the month in which this Act is enacted, or
"(2) before the month in which this Act is enacted if -
"(A) notice of the final decision of the Secretary of Health,
Education, and Welfare has not been given to the applicant
before such month; or
"(B) the notice referred to in subparagraph (A) has been so
given before such month but a civil action with respect to such
final decision is commenced under section 205(g) of the Social
Security Act [section 405(g) of this title] (whether before,
in, or after such month) and the decision in such civil action
has not become final before such month;
except that no monthly benefits under title II of the Social
Security Act [this subchapter] shall be payable or increased by
reason of the amendments made by this section for months before
January 1973."
Amendment by section 118(a) of Pub. L. 92-603 applicable in the
case of deaths occurring after Dec. 31, 1969, with any applications
with respect to an individual whose death occurred after Dec. 31,
1969, but before Oct. 30, 1972, to be deemed to have been filed in
the month in which death occurred if filed in or within three
months after Oct. 1972, see section 118(c) of Pub. L. 92-603, set
out as a note under section 416 of this title.
EFFECTIVE DATE OF 1968 AMENDMENT
Amendment by section 105(b) of Pub. L. 90-248 applicable with
respect to monthly benefits under this subchapter for months after
January 1968, but only on the basis of applications for such
benefits filed in or after January 1968, see section 105(c) of Pub.
L. 90-248, set out as a note under section 416 of this title.
Section 158(e) of Pub. L. 90-248 provided that: "The amendments
made by this section [amending this section and sections 402, 416,
421, 422, and 425 of this title] shall be effective with respect to
applications for disability insurance benefits under section 223 of
the Social Security Act [this section], and for disability
determinations under section 216(i) of such Act [section 416(i) of
this title], filed -
"(1) in or after the month in which this Act is enacted
[January 1968], or
"(2) before the month in which this Act is enacted if the
applicant has not died before such month and if -
"(A) notice of the final decision of the Secretary of Health,
Education, and Welfare has not been given to the applicant
before such month; or
"(B) the notice referred to in subparagraph (A) has been so
given before such month but a civil action with respect to such
final decision is commenced under section 205(g) of the Social
Security Act [section 405(g) of this title] (whether before,
in, or after such month) and the decision in such civil action
has not become final before such month."
EFFECTIVE DATE OF 1965 AMENDMENT
Amendment by section 302(e) of Pub. L. 89-97 applicable in the
case of individuals who become entitled to disability insurance
benefits under this section after December 1965, see section
302(f)(5) of Pub. L. 89-97, set out as a note under section 415 of
this title.
Section 303(f)(1) of Pub. L. 89-97 provided that: "The amendments
made by subsection (a) [amending this section and section 416 of
this title], paragraphs (3) and (4) of subsection (b) [amending
this section], and subsections (c) and (d) [amending this section
and section 402 of this title], and the provisions of subparagraphs
(B) and (E) of section 216(i)(2) of the Social Security Act
[section 416(i)(2) of this title] (as amended by subsection (b)(1)
of this section), shall be effective with respect to applications
for disability insurance benefits under section 223 [this section],
and for disability determinations under section 216(i), of the
Social Security Act filed -
"(A) in or after the month in which this Act is enacted [July
1965], or
"(B) before the month in which this Act is enacted, if the
applicant has not died before such month and if -
"(i) notice of the final decision of the Secretary of Health,
Education, and Welfare has not been given to the applicant
before such month; or
"(ii) the notice referred to in subparagraph (i) has been so
given before such month but a civil action with respect to such
final decision is commenced under section 205(g) of the Social
Security Act [section 405(g) of this title] (whether before,
in, or after such month) and the decision in such civil action
has not become final before such month;
except that no monthly insurance benefits under title II of the
Social Security Act [this subchapter] shall be payable or increased
by reason of the amendments made by subsections (a) and (b)
[amending this section and section 416 of this title] for months
before the second month following the month in which this Act is
enacted [July 1965]. The preceding sentence shall also be
applicable in the case of applications for monthly insurance
benefits under title II of the Social Security Act based on the
wages and self-employment income of an applicant with respect to
whose application for disability insurance benefits under section
223 of such Act [this section] such preceding sentence is
applicable."
Amendment by section 304(m), (n) of Pub. L. 89-97 applicable with
respect to monthly insurance benefits under this subchapter for and
after the second month following July 1965 but only on the basis of
applications filed in or after July 1965, see section 304(o) of
Pub. L. 89-97, set out as a note under section 402 of this title.
Amendment by section 328(c) of Pub. L. 89-97 applicable with
respect to applications filed on or after July 30, 1965,
applications as to which the Secretary has not made a final
decision before July 30, 1965, and, if a civil action with respect
to a final decision of the Secretary has been commenced under
section 405(g) of this title before July 30, 1965, applications as
to which there has been no final judicial decision before July 30,
1965, see section 328(d) of Pub. L. 89-97, set out as a note under
section 416 of this title.
Amendment by section 344(b)-(d) of Pub. L. 89-97 applicable only
with respect to monthly benefits under subchapter II of this
chapter for months after August 1965 on the basis of applications
for such benefits filed in or after July 1965, see section 344(e)
of Pub. L. 89-97, set out as a note under section 416 of this
title.
EFFECTIVE DATE OF 1961 AMENDMENT
Amendment by section 102(b)(2)(B), (C) of Pub. L. 87-64 effective
Aug. 1, 1961, and amendment by section 102(c)(2)(C), (3)(D), (E) of
Pub. L. 87-64 applicable with respect to monthly benefits for
months beginning on or after August 1, 1961, based on applications
filed in or after March 1961, and with respect to lump-sum death
payments under this subchapter in the case of deaths on or after
August 1, 1961, see sections 102(f)(4), (6) and 109 of Pub. L.
87-64, set out as notes under section 402 of this title.
EFFECTIVE DATE OF 1960 AMENDMENT
Section 303(f) of Pub. L. 86-778 provided that the amendment made
by such section 303(f) is effective with respect to individuals who
become entitled to benefits under this section after 1960.
Section 401(c) of Pub. L. 86-778 provided that: "The amendments
made by this section [amending this section] shall apply only with
respect to monthly benefits under sections 202 and 223 of the
Social Security Act [this section and section 402 of this title]
for months after the month following the month in which this Act is
enacted [September 1960] which are based on the wages and
self-employment income of an individual who did not attain the age
of fifty in or prior to the month following the month in which this
Act is enacted, but only where applications for such benefits are
filed in or after the month in which this Act is enacted."
Section 402(f) of Pub. L. 86-778 provided that: "The amendments
made by subsections (a) and (b) [amending this section] shall apply
only with respect to benefits under section 223 of the Social
Security Act [this section] for the month in which this Act is
enacted [September 1960] and subsequent months. The amendment made
by subsection (c) [amending this section] shall apply only in the
case of applications for benefits under such section 223 filed
after the seventh month before the month in which this Act is
enacted. The amendment made by subsection (d) [amending this
section] shall apply only in the case of applications for benefits
under such section 223 filed in or after the month in which this
Act is enacted. The amendment made by subsection (e) [amending
section 416 of this title] shall apply only in the case of
individuals who become entitled to benefits under such section 223
in or after the month in which this Act is enacted."
Amendment by section 403(b) of Pub. L. 86-778 applicable only
with respect to benefits under this section for months after
September 1960, in the case of individuals who, without regard to
such amendment, would have been entitled to such benefits for
September 1960, or for any succeeding month, see section 403(e) of
Pub. L. 86-778, set out as a note under section 422 of this title.
EFFECTIVE DATE OF 1958 AMENDMENT
Amendment by section 202 of Pub. L. 85-840 applicable with
respect to applications for disability insurance benefits under
this section filed after December 1957, see section 207(a) of Pub.
L. 85-840, set out as a note under section 416 of this title.
For applicability of amendment by section 204(b) of Pub. L.
85-840, see section 207(a) of Pub. L. 85-840, set out as a note
under section 416 of this title.
EFFECTIVE DATE
Section 103(d) of act Aug. 1, 1956, provided that:
"(1) The amendment made by subsection (a) [enacting this section
and sections 424 and 425 of this title] shall apply only with
respect to monthly benefits under title II of the Social Security
Act [this subchapter] for months after June 1957.
"(2) For purposes of determining entitlement to a disability
insurance benefit for any month after June 1957 and before December
1957, an application for disability insurance benefits filed by any
individual after July 1957 and before January 1958 shall be deemed
to have been filed during the first month after June 1957 for which
such individual would (without regard to this paragraph) have been
entitled to a disability insurance benefit had he filed application
before the end of such month."
ELECTION OF PAYMENTS
Section 2(e) of Pub. L. 98-460 provided that: "Any individual
whose case is remanded to the Secretary pursuant to subsection (d)
[set out as a note above] or whose request for a review is made in
a timely manner pursuant to subsection (d), may elect, in
accordance with section 223(g) or 1631(a)(7) of the Social Security
Act [subsec. (g) of this section or section 1383(a)(7) of this
title], to have payments made beginning with the month in which he
makes such election, and ending as under such section 223(g) or
1631(a)(7). Notwithstanding such section 223(g) or 1631(a)(7), such
payments (if elected) -
"(1) shall be made at least until an initial redetermination is
made by the Secretary; and
"(2) shall begin with the payment for the month in which such
individual makes such election."
RETROACTIVE BENEFITS
Section 2(f) of Pub. L. 98-460 provided that: "In the case of any
individual who is found to be under a disability after a review
required under this section, such individual shall be entitled to
retroactive benefits beginning with benefits payable for the first
month to which the most recent termination of benefits applied."
PROMULGATION OF REGULATIONS
Section 2(g) of Pub. L. 98-460 provided that: "The Secretary of
Health and Human Services shall prescribe regulations necessary to
implement the amendments made by this section [amending this
section and sections 416 and 1382c of this title and enacting
provisions set out as notes under this section] not later than 180
days after the date of the enactment of this Act [Oct. 9, 1984]."
COMMISSION ON EVALUATION OF PAIN
Section 3(b) of Pub. L. 98-460 provided that:
"(1) The Secretary of Health and Human Services shall appoint a
Commission on the Evaluation of Pain (hereafter in this section
referred to as the 'Commission') to conduct a study concerning the
evaluation of pain in determining under titles II and XVI of the
Social Security Act [sections 401 et seq., 1381 et seq. of this
title] whether an individual is under a disability. Such study
shall be conducted in consultation with the National Academy of
Sciences.
"(2) The Commission shall consist of at least twelve experts,
including a significant representation from the field of medicine
who are involved in the study of pain, and representation from the
fields of law, administration of disability insurance programs, and
other appropriate fields of expertise.
"(3) The Commission shall be appointed by the Secretary of Health
and Human Services (without regard to the requirements of the
Federal Advisory Committee Act [Pub. L. 92-463, set out in the
Appendix to Title 5, Government Organization and Employees]) within
60 days after the date of the enactment of this Act [Oct. 9, 1984].
The Secretary shall from time to time appoint one of the members to
serve as Chairman. The Commission shall meet as often as the
Secretary deems necessary.
"(4) Members of the Commission shall be appointed without regard
to the provisions of title 5, United States Code, governing
appointments in the competitive service. Members who are not
employees of the United States, while attending meetings of the
Commission or otherwise serving on the business of the Commission,
shall be paid at a rate equal to the per diem equivalent of the
rate provided for level IV of the Executive Schedule under section
5315 of title 5, United States Code, for each day, including
traveltime, during which they are engaged in the actual performance
of duties vested in the Commission. While engaged in the
performance of such duties away from their homes or regular places
of business they may be allowed travel expenses, including per diem
in lieu of subsistence, as authorized by section 5703 of title 5,
United States Code, for persons in the Government service employed
intermittently.
"(5) The Commission may engage such technical assistance from
individuals skilled in medical and other aspects of pain as may be
necessary to carry out its functions. The Secretary shall make
available to the Commission such secretarial, clerical, and other
assistance and any pertinent data prepared by the Department of
Health and Human Services as the Commission may require to carry
out its functions.
"(6) The Secretary shall submit the results of the study under
paragraph (1), together with any recommendations, to the Committee
on Ways and Means of the House of Representatives and the Committee
on Finance of the Senate not later than December 31, 1985. The
Commission shall terminate at the time such results are submitted."
STUDY AND REPORT TO CONGRESSIONAL COMMITTEES ON EFFECT OF CONTINUED
PAYMENT OF DISABILITY BENEFITS DURING APPEAL ON TRUST FUND
EXPENDITURES AND THE RATE OF APPEALS
Section 7(c) of Pub. L. 98-460 provided that:
"(1) The Secretary of Health and Human Services shall, as soon as
practicable after the date of the enactment of this Act [Oct. 9,
1984], conduct a study concerning the effect which the enactment
and continued operation of section 223(g) of the Social Security
Act [subsec. (g) of this section] is having on expenditures from
the Federal Old-Age and Survivors Insurance Trust Fund, the Federal
Disability Insurance Trust Fund, the Federal Hospital Insurance
Trust Fund, and the Federal Supplementary Medical Insurance Trust
Fund, and the rate of appeals to administrative law judges of
unfavorable determinations relating to disability or periods of
disability.
"(2) The Secretary shall submit the results of the study under
paragraph (1), together with any recommendations, to the Committee
on Ways and Means of the House of Representatives and the Committee
on Finance of the Senate not later than July 1, 1986."
SPECIAL $50 PAYMENT UNDER TAX REDUCTION ACT OF 1975
Special payment of $50 as soon as practicable after Mar. 29,
1975, by the Secretary of the Treasury to each individual who, for
the month of March, 1975, was entitled to a monthly insurance
benefit payable under this subchapter, see section 702 of Pub. L.
94-12, set out as a note under section 402 of this title.
LUMP-SUM PAYMENT OF DISABILITY INSURANCE BENEFITS FOR PERIOD
BEGINNING AFTER 1959 AND ENDING PRIOR TO 1964; FILING OF
APPLICATION
Section 133 of Pub. L. 92-603 provided that:
"(a) If an individual would (upon the timely filing of an
application for a disability determination under section 216(i) of
the Social Security Act [section 416(i) of this title]) and of an
application for disability insurance benefits under section 223 of
such Act [this section]) have been entitled to disability insurance
benefits under such section 223 for a period which began after 1959
and ended prior to 1964, such individual shall, upon filing
application for disability insurance benefits under such section
223 with respect to such period not later than 6 months after the
date of enactment of this section [Oct. 30, 1972], be entitled,
notwithstanding any other provision of title II of the Social
Security Act [this subchapter], to receive in a lump sum as
disability insurance benefits payable under section 223, an amount
equal to the total amounts of disability insurance benefits which
would have been payable to him for such period if he had timely
filed such an application for a disability determination and such
an application for disability insurance benefits with respect to
such period; but only if -
"(1) prior to the date of enactment of this section and after
the date of enactment of the Social Security Amendments of 1967
[Jan. 2, 1968] such period was determined (under section 216(i)
of the Social Security Act [section 416(i) of this title]) to be
a period of disability as to such individual; and
"(2) the application giving rise to the determination (under
such section 216(i)) that such period is a period of disability
as to such individual would not have been accepted as an
application for such a determination except for the provisions of
section 216(i)(2)(F).
"(b) No payment shall be made to any individual by reason of the
provisions of subsection (a) except upon the basis of an
application filed after the date of enactment of this section."
SPECIAL INSURED STATUS TEST IN CERTAIN CASES FOR DISABILITY
PURPOSES
Individuals not insured for disability benefits as determined
under subsec. (c)(1) of this section with respect to any month in a
quarter deemed to have met such requirements in certain cases, see
section 404 of Pub. L. 86-778, set out as a note under section 416
of this title.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 401, 402, 403, 405, 406,
409, 415, 416, 421, 422, 424a, 425, 426, 434, 1320b-1, 1320b-19,
1382c, 1383, 1395i-2a, 1395p, 1395r, 1395s, 1396d, 1437a, 6862,
11382 of this title; title 5 sections 8116, 8452; title 25 section
4103; title 26 sections 401, 3121; title 30 sections 902, 922;
title 45 sections 231a, 231b, 231c, 231f.
-End-
-CITE-
42 USC Sec. 424 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 424. Repealed. Pub. L. 85-840, title II, Sec. 206, Aug. 28,
1958, 72 Stat. 1025
-MISC1-
Section, act Aug. 14, 1935, ch. 531, title II, Sec. 224, as added
Aug. 1, 1956, ch. 836, title I, Sec. 103(a), 70 Stat. 816; amended
July 17, 1957, Pub. L. 85-109, Sec. 2(a), 71 Stat. 308, related to
reduction of benefits based on disability.
EFFECTIVE DATE OF REPEAL
Repeal applicable with respect to monthly benefits under this
subchapter for August 1958 and succeeding months, see section
207(a) of Pub. L. 85-840, set out as an Effective Date of 1958
Amendment note under section 416 of this title.
-End-
-CITE-
42 USC Sec. 424a 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 424a. Reduction of disability benefits
-STATUTE-
(a) Conditions for reduction; computation
If for any month prior to the month in which an individual
attains the age of 65 -
(1) such individual is entitled to benefits under section 423
of this title, and
(2) such individual is entitled for such month to -
(A) periodic benefits on account of his or her total or
partial disability (whether or not permanent) under a workmen's
compensation law or plan of the United States or a State, or
(B) periodic benefits on account of his or her total or
partial disability (whether or not permanent) under any other
law or plan of the United States, a State, a political
subdivision (as that term is used in section 418(b)(2) of this
title), or an instrumentality of two or more States (as that
term is used in section 418(g) of this title), other than (i)
benefits payable under title 38, (ii) benefits payable under a
program of assistance which is based on need, (iii) benefits
based on service all or substantially all of which was included
under an agreement entered into by a State and the Commissioner
of Social Security under section 418 of this title, and (iv)
benefits under a law or plan of the United States based on
service all or substantially all of which is employment as
defined in section 410 of this title,
the total of his benefits under section 423 of this title for such
month and of any benefits under section 402 of this title for such
month based on his wages and self-employment income shall be
reduced (but not below zero) by the amount by which the sum of -
(3) such total of benefits under sections 423 and 402 of this
title for such month, and
(4) such periodic benefits payable (and actually paid) for such
month to such individual under such laws or plans,
exceeds the higher of -
(5) 80 per centum of his "average current earnings", or
(6) the total of such individual's disability insurance
benefits under section 423 of this title for such month and of
any monthly insurance benefits under section 402 of this title
for such month based on his wages and self-employment income,
prior to reduction under this section.
In no case shall the reduction in the total of such benefits under
sections 423 and 402 of this title for a month (in a continuous
period of months) reduce such total below the sum of -
(7) the total of the benefits under sections 423 and 402 of
this title, after reduction under this section, with respect to
all persons entitled to benefits on the basis of such
individual's wages and self-employment income for such month
which were determined for such individual and such persons for
the first month for which reduction under this section was made
(or which would have been so determined if all of them had been
so entitled in such first month), and
(8) any increase in such benefits with respect to such
individual and such persons, before reduction under this section,
which is made effective for months after the first month for
which reduction under this section is made.
For purposes of clause (5), an individual's average current
earnings means the largest of (A) the average monthly wage
(determined under section 415(b) of this title as in effect prior
to January 1979) used for purposes of computing his benefits under
section 423 of this title, (B) one-sixtieth of the total of his
wages and self-employment income (computed without regard to the
limitations specified in sections 409(a)(1) and 411(b)(1) of this
title) for the five consecutive calendar years after 1950 for which
such wages and self-employment income were highest, or (C)
one-twelfth of the total of his wages and self-employment income
(computed without regard to the limitations specified in sections
409(a)(1) and 411(b)(1) of this title) for the calendar year in
which he had the highest such wages and income during the period
consisting of the calendar year in which he became disabled (as
defined in section 423(d) of this title) and the five years
preceding that year.
(b) Reduction where benefits payable on other than monthly basis
If any periodic benefit for a total or partial disability under a
law or plan described in subsection (a)(2) of this section is
payable on other than a monthly basis (excluding a benefit payable
as a lump sum except to the extent that it is a commutation of, or
a substitute for, periodic payments), the reduction under this
section shall be made at such time or times and in such amounts as
the Commissioner of Social Security finds will approximate as
nearly as practicable the reduction prescribed by subsection (a) of
this section.
(c) Reductions and deductions under other provisions
Reduction of benefits under this section shall be made after any
reduction under subsection (a) of section 403 of this title, but
before deductions under such section and under section 422(b) (!1)
of this title.
(d) Exception
The reduction of benefits required by this section shall not be
made if the law or plan described in subsection (a)(2) of this
section under which a periodic benefit is payable provides for the
reduction thereof when anyone is entitled to benefits under this
subchapter on the basis of the wages and self-employment income of
an individual entitled to benefits under section 423 of this title,
and such law or plan so provided on February 18, 1981.
(e) Conditions for payment
If it appears to the Commissioner of Social Security that an
individual may be eligible for periodic benefits under a law or
plan which would give rise to reduction under this section, the
Commissioner may require, as a condition of certification for
payment of any benefits under section 423 of this title to any
individual for any month and of any benefits under section 402 of
this title for such month based on such individual's wages and
self-employment income, that such individual certify (i) whether he
has filed or intends to file any claim for such periodic benefits,
and (ii) if he has so filed, whether there has been a decision on
such claim. The Commissioner of Social Security may, in the absence
of evidence to the contrary, rely upon such a certification by such
individual that he has not filed and does not intend to file such a
claim, or that he has so filed and no final decision thereon has
been made, in certifying benefits for payment pursuant to section
405(i) of this title.
(f) Redetermination of reduction
(1) In the second calendar year after the year in which reduction
under this section in the total of an individual's benefits under
section 423 of this title and any benefits under section 402 of
this title based on his wages and self-employment income was first
required (in a continuous period of months), and in each third year
thereafter, the Commissioner of Social Security shall redetermine
the amount of such benefits which are still subject to reduction
under this section; but such redetermination shall not result in
any decrease in the total amount of benefits payable under this
subchapter on the basis of such individual's wages and
self-employment income. Such redetermined benefit shall be
determined as of, and shall become effective with, the January
following the year in which such redetermination was made.
(2) In making the redetermination required by paragraph (1), the
individual's average current earnings (as defined in subsection (a)
of this section) shall be deemed to be the product of -
(A) his average current earnings as initially determined under
subsection (a) of this section; and
(B) the ratio of (i) the national average wage index (as
defined in section 409(k)(1) of this title) for the calendar year
before the year in which such redetermination is made to (ii) the
national average wage index (as so defined) for the calendar year
before the year in which the reduction was first computed (but
not counting any reduction made in benefits for a previous period
of disability).
Any amount determined under this paragraph which is not a multiple
of $1 shall be reduced to the next lower multiple of $1.
(g) Proportionate reduction; application of excess
Whenever a reduction in the total of benefits for any month based
on an individual's wages and self-employment income is made under
this section, each benefit, except the disability insurance
benefit, shall first be proportionately decreased, and any excess
of such reduction over the sum of all such benefits other than the
disability insurance benefits shall then be applied to such
disability insurance benefit.
(h) Furnishing of information
(1) Notwithstanding any other provision of law, the head of any
Federal agency shall provide such information within its possession
as the Commissioner of Social Security may require for purposes of
making a timely determination of the amount of the reduction, if
any, required by this section in benefits payable under this
subchapter, or verifying other information necessary in carrying
out the provisions of this section.
(2) The Commissioner of Social Security is authorized to enter
into agreements with States, political subdivisions, and other
organizations that administer a law or plan subject to the
provisions of this section, in order to obtain such information as
the Commissioner may require to carry out the provisions of this
section.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 224, as added Pub. L.
89-97, title III, Sec. 335, July 30, 1965, 79 Stat. 406; amended
Pub. L. 90-248, title I, Sec. 159(a), Jan. 2, 1968, 81 Stat. 869;
Pub. L. 92-603, title I, Sec. 119(a), (b), Oct. 30, 1972, 86 Stat.
1352; Pub. L. 94-202, Sec. 8(j), Jan. 2, 1976, 89 Stat. 1140; Pub.
L. 95-216, title II, Sec. 205(d), title III, Sec. 353(c), Dec. 20,
1977, 91 Stat. 1529, 1553; Pub. L. 97-35, title XXII, Sec. 2208(a),
Aug. 13, 1981, 95 Stat. 839; Pub. L. 99-272, title XII, Sec.
12109(a), Apr. 7, 1986, 100 Stat. 286; Pub. L. 99-509, title IX,
Sec. 9002(c)(2)(F), Oct. 21, 1986, 100 Stat. 1972; Pub. L. 101-239,
title X, Sec. 10208(b)(2)(A), (C), (d)(2)(A)(i), (iii), Dec. 19,
1989, 103 Stat. 2477, 2478, 2480, 2481; Pub. L. 103-296, title I,
Sec. 107(a)(4), title III, Sec. 321(e)(2)(H), Aug. 15, 1994, 108
Stat. 1478, 1540.)
-REFTEXT-
REFERENCES IN TEXT
Section 422(b) of this title, referred to in subsec. (c), was
repealed by Pub. L. 106-170, title I, Sec. 101(b)(1)(C), Dec. 17,
1999, 113 Stat. 1873.
-MISC1-
PRIOR PROVISIONS
A prior section 224 of act Aug. 14, 1935, was classified to
section 424 of this title prior to repeal by Pub. L. 85-840, title
II, Sec. 206, Aug. 28, 1958, 72 Stat. 1025.
AMENDMENTS
1994 - Subsecs. (a)(2)(B), (b), (e), (f)(1). Pub. L. 103-296,
Sec. 107(a)(4), substituted "Commissioner of Social Security" for
"Secretary" wherever appearing and "the Commissioner may require"
for "he may require" in subsec. (e).
Subsec. (f)(2). Pub. L. 103-296, Sec. 321(e)(2)(H), inserted
"and" at end of subpar. (A), added subpar. (B), and struck out
former subpars. (B) and (C) which read as follows:
"(B) the ratio of (i) the deemed average total wages (as defined
in section 409(k)(1) of this title) for the calendar year before
the year in which such redetermination is made to (ii)(I) the
average of the total wages ((as defined in regulations of the
Secretary and computed without regard to the limitations specified
in section 409(a)(1) of this title) reported to the Secretary of
the Treasury or his delegate for calendar year 1977 or, if later,
the calendar year before the year in which the reduction was first
computed (but not counting any reduction made in benefits for a
previous period of disability), if such calendar year is before
1991, or (II) the deemed average total wages (as defined in section
409(k)(1) of this title) for the calendar year before the year in
which the reduction was first computed (but not counting any
reduction made in benefits for a previous period of disability), if
such calendar year is after 1990; and
"(C) in any case in which the reduction was first computed before
1978, the ratio of (i) the average of the taxable wages reported to
the Secretary for the first calendar quarter of 1977 to (ii) the
average of the taxable wages reported to the Secretary for the
first calendar quarter of the calendar year before the year in
which the reduction was first computed (but not counting any
reduction made in benefits for a previous period of disability)."
Subsec. (h). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" in pars. (1) and
(2) and "the Commissioner may" for "he may" in par. (2).
1989 - Subsec. (a). Pub. L. 101-239, Sec. 10208(d)(2)(A)(iii),
substituted "409(a)(1)" for "409(a)" in cls. (B) and (C) of last
sentence.
Subsec. (f)(2)(B)(i). Pub. L. 101-239, Sec. 10208(b)(2)(A),
substituted "the deemed average total wages (as defined in section
409(k)(1) of this title)" for "the average of the total wages (as
defined in regulations of the Secretary and computed without regard
to the limitations specified in section 409(a)(1) of this title)
reported to the Secretary of the Treasury or his delegate".
Pub. L. 101-239, Sec. 10208(d)(2)(A)(i), substituted "409(a)(1)"
for "409(a)".
Subsec. (f)(2)(B)(ii). Pub. L. 101-239, Sec. 10208(b)(2)(C),
inserted "(I)" after "(ii)", substituted "(as defined in
regulations of the Secretary and computed without regard to the
limitations specified in section 409(a)(1) of this title)" for "as
so defined and computed)" and inserted ", if such calendar year is
before 1991, or (II) the deemed average total wages (as defined in
section 409(k)(1) of this title) for the calendar year before the
year in which the reduction was first computed (but not counting
any reduction made in benefits for a previous period of
disability), if such calendar year is after 1990" before "; and" at
end.
1986 - Subsec. (a)(2). Pub. L. 99-272, Sec. 12109(a)(1), amended
par. (2) generally. Prior to amendment, par. (2) read as follows:
"such individual is entitled for such month to periodic benefits on
account of such individual's total or partial disability (whether
or not permanent) under -
"(A) a workmen's compensation law or plan of the United States
or a State, or
"(B) any other law or plan of the United States, a State, a
political subdivision (as that term is used in section 418(b)(2)
of this title), or an instrumentality of two or more States (as
that term is used in section 418(k) of this title),
other than benefits payable under title 38, benefits payable under
a program of assistance which is based on need, benefits based on
service all, or substantially all, of which was included under an
agreement entered into by a State and the Secretary under section
418 of this title, and benefits under a law or plan of the United
States based on service all or part of which is employment as
defined in section 410 of this title,".
Subsec. (a)(2)(B). Pub. L. 99-509 substituted "section 418(g)"
for "section 418(k)".
Pub. L. 99-272, Sec. 12109(a)(2), substituted "all or
substantially all of which" for "all or part of which" in cl. (iv).
1981 - Subsec. (a). Pub. L. 97-35, Sec. 2208(a)(2)-(4), in
provision preceding par. (1) substituted "age of 65" for "age of
62", in par. (2) inserted provisions including periodic benefits
under any other law or plan of the United States, a State, a
political subdivision, or an instrumentality of two or more States
and excluding specified benefits and struck out provision requiring
that the Secretary receive notice, in a prior month, of the
entitlement for such month, and in par. (4) substituted "such laws
or plans" for "the workmen's compensation law or plan".
Subsec. (b). Pub. L. 97-35, Sec. 2208(a)(5), substituted "for a
total or partial disability under a law or plan described in
subsection (a)(2) of this section" for "under a workmen's
compensation law or plan".
Subsec. (d). Pub. L. 97-35, Sec. 2208(a)(6), substituted "law or
plan described in subsection (a)(2) of this section" for "workmen's
compensation law or plan" and "section 423 of this title, and such
law or plan so provided on February 18, 1981" for "section 423 of
this title".
Subsec. (e). Pub. L. 97-35, Sec. 2208(a)(7), struck out
"workmen's compensation" after "periodic benefits under a".
Subsec. (h). Pub. L. 97-35, Sec. 2208(a)(8), added subsec. (h).
1977 - Subsec. (a). Pub. L. 95-216, Secs. 205(d), 353(c)(1),
struck out provisions following par. (8) under which the Secretary,
in cases where an individual's wages and self-employment income
reported to the Secretary for a calendar year reached the
limitations specified in sections 409(a) and 411(b)(1) of this
title, was required to estimate the total of such wages and
self-employment income on the basis of such information as might be
available to him indicating the extent (if any) by which the wages
and self-employment income exceeded limitations, and, effective
with respect to monthly benefits under this subchapter payable for
months after Dec. 1978, and with respect to lump-sum death payments
with respect to death occurring after Dec. 1978, inserted
"(determined under section 415(b) of this title as in effect prior
to January 1979)" after "(A) the average monthly wage" in
provisions following par. (8).
Subsec. (f)(2). Pub. L. 95-216, Sec. 353(c)(2), divided existing
provisions into subpars. (A) and (B), added subpar. (C), and in
subpar. (B) as so redesignated substituted "(i) the average of the
total wages (as defined in regulations of the Secretary and
computed without regard to the limitations specified in section
409(a) of this title) reported to the Secretary of the Treasury or
his delegate for the calendar year before the year in which such
redetermination is made to (ii) the average of the total wages (as
so defined and computed) reported to the Secretary of the Treasury
or his delegate for calendar year 1977 or, if later, the calendar
year before the year" for "(i) the average of the taxable wages of
all persons for whom taxable wages were reported to the Secretary
for the first calendar quarter of the calendar year before the
calendar year in which the redetermination is made, to (ii) the
average of the taxable wages of such persons reported to the
Secretary for the first calendar quarter of the taxable year before
the calendar year".
1976 - Subsec. (f)(2). Pub. L. 94-202 substituted "calendar year
before the calendar year" for "calendar year" and "taxable year
before the calendar year" for "taxable year".
1972 - Subsec. (a). Pub. L. 92-603 added cl. (C) in provisions
for the determination of an individual's average current earnings
so as to introduce into the formula a factor of one-twelfth of the
total wages and self-employment income for the calendar year in
which he had the highest such wages and income during the year in
which he became disabled and the five years preceding that year.
1968 - Subsec. (a). Pub. L. 90-248 inserted in cl. (B) of first
sentence following par. (8) "(computed without regard to the
limitations specified in sections 409(a) and 411(b)(1) of this
title)" before "for the five", and inserted last sentence
authorizing the Secretary, in certain cases, to estimate the total
of wages and self-employment income for purposes of cl. (B)
indicating the extent such earnings exceed the limitations in
sections 409(a) and 411(b)(1) 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.
EFFECTIVE DATE OF 1989 AMENDMENT
Amendment by section 10208(b)(2)(A), (C) of Pub. L. 101-239
applicable with respect to computation of average total wage
amounts (under amended provisions) for calendar years after 1990,
see section 10208(c) of Pub. L. 101-239, set out as a note under
section 430 of this title.
EFFECTIVE DATE OF 1986 AMENDMENTS
Amendment by Pub. L. 99-509 effective with respect to payments
due with respect to wages paid after Dec. 31, 1986, including wages
paid after such date by a State (or political subdivision thereof)
that modified its agreement pursuant to section 418(e)(2) of this
title prior to Oct. 21, 1986, with certain exceptions, see section
9002(d) of Pub. L. 99-509 set out as a note under section 418 of
this title.
Section 12109(b) of Pub. L. 99-272 provided that:
"(1) The amendment made by subsection (a)(1) [amending this
section] shall be effective as though it had been included or
reflected in the amendment made by section 2208(a)(3) of the
Omnibus Budget Reconciliation Act of 1981 [Pub. L. 97-35, amending
this section].
"(2) The amendment made by subsection (a)(2) [amending this
section] shall apply only with respect to monthly benefits payable
on the basis of the wages and self-employment income of individuals
who become disabled (within the meaning of section 223(d) of the
Social Security Act [section 423(d) of this title]) after the month
in which this Act is enacted [April 1986]."
EFFECTIVE DATE OF 1981 AMENDMENT
Section 2208(b) of Pub. L. 97-35 provided that: "The amendments
made by subsection (a) [amending this section] shall be effective
with respect to individuals who first become entitled to benefits
under section 223(a) of the Social Security Act [section 423(a) of
this title] for months beginning after the month in which this Act
is enacted [August 1981], but only in the case of an individual who
became disabled within the meaning of section 223(d) of such Act
after the sixth month preceding the month in which this Act is
enacted."
EFFECTIVE DATE OF 1977 AMENDMENT
Amendment by section 205(d) of Pub. L. 95-216 effective with
respect to monthly benefits under this subchapter payable for
months after December 1978 and with respect to lump-sum death
payments with respect to deaths occurring after December 1978, see
section 206 of Pub. L. 95-216, set out as a note under section 402
of this title.
Section 353(c)(1) of Pub. L. 95-216 provided that the amendment
made by that section is effective with respect to the estimates for
calendar years beginning after Dec. 31, 1977.
Amendment by section 353(c)(2) of Pub. L. 95-216 effective Jan.
1, 1979, see section 353(g) of Pub. L. 95-216, set out as a note
under section 418 of this title.
EFFECTIVE DATE OF 1972 AMENDMENT
Section 119(c) of Pub. L. 92-603 provided that: "The amendments
made by subsections (a) and (b) [amending this section] shall apply
with respect to monthly benefits under title II of the Social
Security Act [this subchapter] for months after December 1972."
EFFECTIVE DATE OF 1968 AMENDMENTS; DETERMINATION OF AVERAGE CURRENT
EARNINGS UPON REDETERMINATION OF BENEFITS SUBJECT TO REDUCTION
Section 159(b) of Pub. L. 90-248 provided that:
"(1) The amendments made by subsection (a) [amending this
section] shall apply only with respect to monthly benefits under
title II of the Social Security Act [this subchapter] for months
after January 1968.
"(2) For purposes of any redetermination which is made under
section 224(f) of the Social Security Act [subsec. (f) of this
section] in the case of benefits subject to reduction under section
224 of such Act, where such reduction as first computed was
effective with respect to benefits for the month in which this Act
is enacted [January 1968] or a prior month, the amendments made by
subsection (a) of this section [amending subsec. (a) of this
section] shall also be deemed to have applied in the initial
determination of the 'average current earnings' of the individual
whose wages and self-employment income are involved."
EFFECTIVE DATE
Section 335 of Pub. L. 89-97 provided that this section is
effective with respect to benefits under this subchapter for months
after December 1965 based on the wages and self-employment income
of individuals entitled to benefits under section 423 of this title
whose period of disability (as defined in this subchapter) began
after June 1, 1965.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 403, 409, 415 of this
title; title 5 sections 8116, 8349, 8452; title 26 sections 86,
6050F; title 30 section 922.
-FOOTNOTE-
(!1) See References in Text note below.
-End-
-CITE-
42 USC Sec. 425 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 425. Additional rules relating to benefits based on disability
-STATUTE-
(a) Suspension of benefits
If the Commissioner of Social Security, on the basis of
information obtained by or submitted to the Commissioner, believes
that an individual entitled to benefits under section 423 of this
title, or that a child who has attained the age of eighteen and is
entitled to benefits under section 402(d) of this title, or that a
widow or surviving divorced wife who has not attained age 60 and is
entitled to benefits under section 402(e) of this title, or that a
widower or surviving divorced husband who has not attained age 60
and is entitled to benefits under section 402(f) of this title, may
have ceased to be under a disability, the Commissioner of Social
Security may suspend the payment of benefits under such section
402(d), 402(e), 402(f), or 423 of this title until it is determined
(as provided in section 421 of this title) whether or not such
individual's disability has ceased or until the Commissioner of
Social Security believes that such disability has not ceased. In
the case of any individual whose disability is subject to
determination under an agreement with a State under section 421(b)
of this title, the Commissioner of Social Security shall promptly
notify the appropriate State of the Commissioner's action under
this subsection and shall request a prompt determination of whether
such individual's disability has ceased. For purposes of this
subsection, the term "disability" has the meaning assigned to such
term in section 423(d) of this title. Whenever the benefits of an
individual entitled to a disability insurance benefit are suspended
for any month, the benefits of any individual entitled thereto
under subsection (b), (c), or (d) of section 402 of this title, on
the basis of the wages and self-employment income of such
individual, shall be suspended for such month. The first sentence
of this subsection shall not apply to any child entitled to
benefits under section 402(d) of this title, if he has attained the
age of 18 but has not attained the age of 22, for any month during
which he is a full-time student (as defined and determined under
section 402(d) of this title).
(b) Continued payments during rehabilitation program
Notwithstanding any other provision of this subchapter, payment
to an individual of benefits based on disability (as described in
the first sentence of subsection (a) of this section) shall not be
terminated or suspended because the physical or mental impairment,
on which the individual's entitlement to such benefits is based,
has or may have ceased, if -
(1) 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
(2) 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 disability benefit rolls.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 225, as added Aug. 1, 1956,
ch. 836, title I, Sec. 103(a), 70 Stat. 817; amended Pub. L.
85-840, title II, Sec. 205(o), Aug. 28, 1958, 72 Stat. 1025; Pub.
L. 89-97, title III, Sec. 306(c)(15), July 30, 1965, 79 Stat. 373;
Pub. L. 90-248, title I, Secs. 104(d)(5), 158(c)(9), Jan. 2, 1968,
81 Stat. 833, 869; Pub. L. 92-603, title I, Sec. 107(b)(5), Oct.
30, 1972, 86 Stat. 1343; Pub. L. 96-265, title III, Sec. 301(a),
June 9, 1980, 94 Stat. 449; Pub. L. 98-21, title III, Sec. 309(p),
Apr. 20, 1983, 97 Stat. 117; Pub. L. 101-508, title V, Sec.
5113(a), Nov. 5, 1990, 104 Stat. 1388-273; Pub. L. 103-296, title
I, Sec. 107(a)(4), title II, Sec. 201(a)(3)(A), Aug. 15, 1994, 108
Stat. 1478, 1494; Pub. L. 104-121, title I, Sec. 105(a)(4), Mar.
29, 1996, 110 Stat. 853; Pub. L. 106-170, title I, Sec.
101(b)(1)(D), Dec. 17, 1999, 113 Stat. 1873.)
-MISC1-
AMENDMENTS
1999 - Subsec. (b)(1). Pub. L. 106-170 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".
1996 - Subsec. (c). Pub. L. 104-121 struck out subsec. (c) which
related to nonpayment or termination of benefits where entitlement
involved alcoholism or drug addiction.
1994 - Pub. L. 103-296, Sec. 201(a)(3)(A)(i), amended section
catchline.
Subsec. (a). Pub. L. 103-296, Sec. 201(a)(3)(A)(i), inserted
heading.
Pub. L. 103-296, Sec. 107(a)(4), substituted "Commissioner of
Social Security" for "Secretary" wherever appearing, "to the
Commissioner" for "to him", and "the Commissioner's" for "his".
Subsec. (b). Pub. L. 103-296, Sec. 201(a)(3)(A)(ii), inserted
heading.
Pub. L. 103-296, Sec. 107(a)(4), substituted "Commissioner of
Social Security" for "Secretary" in pars. (1) and (2).
Subsec. (c). Pub. L. 103-296, Sec. 201(a)(3)(A)(iii), added
subsec. (c).
Pub. L. 103-296, Sec. 107(a)(4), in subsec. (c) as added by Pub.
L. 103-296, Sec. 201(a)(3)(A)(iii), substituted "Commissioner of
Social Security" for "Secretary" wherever appearing and
"Commissioner's" for "Secretary's" wherever appearing.
1990 - Subsec. (b)(1). Pub. L. 101-508, Sec. 5113(a)(1), added
par. (1) and struck out former par. (1) 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. (b)(2). Pub. L. 101-508, Sec. 5113(a)(2), substituted
"Secretary" for "Commissioner of Social Security".
1983 - Subsec. (a). Pub. L. 98-21 inserted "or surviving divorced
husband" after "widower".
1980 - Pub. L. 96-265 designated existing provisions as subsec.
(a), made conforming amendments in subsec. (a) as so designated,
and added subsec. (b).
1972 - Pub. L. 92-603 substituted "age 60" for "age 62".
1968 - Pub. L. 90-248 in first sentence inserted "or that a widow
or surviving divorced wife who has not attained age 60 and is
entitled to benefits under section 402(e) of this title, or that a
widower who has not attained age 62 and is entitled to benefits
under section 402(f) of this title," after "section 402(d) of this
title," and substituted "402(d), 402(e), 402(f), or 423" for "423
or 402(d)", and substituted in third sentence reference to "423(d)"
for "423(c)(2)".
1965 - Pub. L. 89-97 inserted "The first sentence of this section
shall not apply to any child entitled to benefits under section
402(d) of this title, if he has attained the age of 18 but has not
attained the age of 22, for any month during which he is a
full-time student (as defined and determined under section 402(d)
of this title)."
1958 - Pub. L. 85-840 provided that whenever the benefits of an
individual entitled to a disability insurance benefit are suspended
for any month, the benefits of any individual entitled thereto
under subsection (b), (c), or (d) of section 402 of this title, on
the basis of the wages and self-employment income of such
individual, shall be suspended for such month.
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 1996 AMENDMENT
Amendment by Pub. L. 104-121 applicable to any individual who
applies for, or whose claim is finally adjudicated with respect to,
benefits under this subchapter based on disability on or after Mar.
29, 1996, with special rule for any individual who applied, and
whose claim has been finally adjudicated, before Mar. 29, 1996, see
section 105(a)(5) of Pub. L. 104-121, set out as a note under
section 405 of this title.
EFFECTIVE DATE OF 1994 AMENDMENT; SUNSET PROVISION
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(a)(3)(C), (E) of Pub. L. 103-296 provided that:
"(C) Sunset of 36-month rule. - Section 225(c)(7) of the Social
Security Act [subsec. (c)(7) of this section] (added by
subparagraph (A)) shall cease to be effective with respect to
benefits for months after September 2004.
"(E) Effective date. -
"(i) In general. - Except as otherwise provided in this
paragraph, the amendments made by this paragraph [amending this
section and sections 426 and 426-1 of this title] shall apply
with respect to benefits based on disability (as defined in
section 225(c)(9) of the Social Security Act [subsec. (c)(9) of
this section], added by this section) which are otherwise payable
in months beginning after 180 days after the date of the
enactment of this Act [Aug. 15, 1994]. The Secretary of Health
and Human Services shall issue regulations necessary to carry out
the amendments made by this paragraph not later than 180 days
after the date of the enactment of this Act.
"(ii) Referral and monitoring agencies. - Section 225(c)(5) of
the Social Security Act [subsec. (c)(5) of this section] (added
by this subsection) shall take effect 180 days after the date of
the enactment of this Act.
"(iii) Termination after 36 months. - Section 225(c)(7) of the
Social Security Act [subsec. (c)(7) of this section] (added by
this subsection) shall apply with respect to benefits based on
disability (as so defined) for months beginning after 180 days
after the date of the enactment of this Act."
EFFECTIVE DATE OF 1990 AMENDMENT
Section 5113(c) of Pub. L. 101-508 provided that: "The amendments
made by this section [amending this section and section 1383 of
this title] shall be effective with respect to benefits payable for
months after the eleventh month following the month in which this
Act is enacted [November 1990] and shall apply only with respect to
individuals whose blindness or disability has or may have ceased
after such eleventh month."
EFFECTIVE DATE OF 1983 AMENDMENT
Amendment by Pub. L. 98-21 applicable only with respect to
monthly payments payable under this subchapter for months after
April 1983, see section 310 of Pub. L. 98-21, set out as a note
under section 402 of this title.
EFFECTIVE DATE OF 1980 AMENDMENT
Section 301(c) of Pub. L. 96-265 provided that: "The amendments
made by this section [amending this section and section 1383 of
this title] shall become effective on the first day of the sixth
month which begins after the date of the enactment of this Act
[June 9, 1980], and shall apply with respect to individuals whose
disability has not been determined to have ceased prior to such
first day."
EFFECTIVE DATE OF 1972 AMENDMENT
Amendment by Pub. L. 92-603 applicable with respect to monthly
benefits under this subchapter for months after December 1972, with
specified exceptions, see section 107(c) of Pub. L. 92-603, set out
as a note under section 402 of this title.
EFFECTIVE DATE OF 1968 AMENDMENT
Amendment by section 104(d)(5) of Pub. L. 90-248 applicable with
respect to monthly benefits under this subchapter for and after the
month of February 1968, but only on the basis of applications for
such benefits filed in or after January 1968, see section 104(e) of
Pub. L. 90-248, set out as a note under section 402 of this title.
Amendment by section 158(c)(9) of Pub. L. 90-248 applicable with
respect to applications for disability insurance benefits under
section 423 of this title and to disability determinations under
section 416(i) of this title, see section 158(e) of Pub. L. 90-248,
set out as a note under section 423 of this title.
EFFECTIVE DATE OF 1958 AMENDMENT
Amendment by section 205(o) of Pub. L. 85-840 applicable with
respect to monthly benefits under this subchapter for months after
August 1958, but only if an application for such benefits is filed
on or after Aug. 28, 1958, see section 207(a) of Pub. L. 85-840,
set out as a note under section 416 of this title.
EFFECTIVE DATE
Section applicable only with respect to monthly benefits under
this subchapter for months after June 1957, see section 103(a) of
act Aug. 1, 1956, set out as a note under section 423 of this
title.
REPORT ON REFERRAL, MONITORING, TESTING AND TREATMENT OF
INDIVIDUALS WHERE ENTITLEMENT TO OR TERMINATION OF BENEFITS
INVOLVES ALCOHOLISM OR DRUG ADDICTION
Section 201(a)(3)(B) of Pub. L. 103-296 provided that not later
than Dec. 31, 1996, the Secretary was to submit to Congress a full
and complete report on the Secretary's activities under former
subsec. (c)(5) of this section, which was to include the number and
percentage of individuals referred to in such provision who had not
received regular drug testing since the effective date of such
provision, prior to repeal by Pub. L. 105-33, title V, Sec.
5525(c), Aug. 5, 1997, 111 Stat. 625.
TRANSITION RULES FOR CURRENT BENEFICIARIES
Section 201(a)(3)(F) of Pub. L. 103-296 provided that: "In any
case in which an individual is entitled to benefits based on
disability, the determination of disability was made by the
Secretary of Health and Human Services during or before the 180-day
period following the date of the enactment of this Act [Aug. 15,
1994], and alcoholism or drug addiction is a contributing factor
material to the Secretary's determination that the individual is
under a disability -
"(i) Treatment requirement. - Paragraphs (1) through (4) of
section 225(c) of the Social Security Act [subsec. (c)(1) to (4)
of this section] (added by this subsection) shall apply only with
respect to benefits paid in months after the month in which such
individual is notified by the Secretary in writing that
alcoholism or drug addiction is a contributing factor material to
the Secretary's determination and that such individual is
therefore required to comply with the provisions of section
225(c) of such Act.
"(ii) Termination after 36 months. -
"(I) In general. - For purposes of section 225(c)(7) of the
Social Security Act [subsec. (c)(7) of this section] (added by
this subsection), the first month of entitlement beginning
after 180 days after the date of the enactment of this Act
[Aug. 15, 1994] shall be treated as the individual's first
month of entitlement to such benefits.
"(II) Concurrent beneficiaries currently under treatment. -
In any case in which the individual is also entitled to
benefits under title XVI [subchapter XVI of this chapter] and,
as of 180 days after the date of the enactment of this Act,
such individual is undergoing treatment required under section
1611(e)(3) of the Social Security Act [section 1382(e)(3) of
this title] (as in effect immediately before the date of the
enactment of this Act), the Secretary of Health and Human
Services shall notify such individual of the provisions of
section 225(c)(7) of the Social Security Act (added by this
subsection) not later than 180 days after the date of the
enactment of this Act.
"(III) Concurrent beneficiaries not currently under
treatment. - In any case in which the individual is also
entitled to benefits under title XVI but, as of 180 days after
the date of the enactment of this Act, such individual is not
undergoing treatment described in subclause (II), section
225(c)(7) (added by this subsection) shall apply only with
respect to benefits for months after the month in which
treatment required under section 1611(e)(3) of the Social
Security Act (as amended by subsection (b)) is available, as
determined under regulations of the Secretary of Health and
Human Services, and the Secretary notifies such individual of
the availability of such treatment and describes in such
notification the provisions of section 225(c)(7) of the Social
Security Act (added by this subsection)."
DEMONSTRATION PROJECTS RELATING TO REFERRAL, MONITORING, AND
TREATMENT FOR ALCOHOLICS OR DRUG ADDICTS
Section 201(c) of Pub. L. 103-296 related to demonstration
projects relating to referral, monitoring, and treatment for
alcoholics or drug addicts, prior to repeal by Pub. L. 104-121,
title I, Sec. 105(c), Mar. 29, 1996, 110 Stat. 855.
PAYMENT OF COSTS OF REHABILITATION SERVICES
Amendment of 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.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 416, 422, 426, 426-1 of
this title.
-End-
-CITE-
42 USC Sec. 426 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 426. Entitlement to hospital insurance benefits
-STATUTE-
(a) Individuals over 65 years
Every individual who -
(1) has attained age 65, and
(2)(A) is entitled to monthly insurance benefits under section
402 of this title, would be entitled to those benefits except
that he has not filed an application therefor (or application has
not been made for a benefit the entitlement to which for any
individual is a condition of entitlement therefor), or would be
entitled to such benefits but for the failure of another
individual, who meets all the criteria of entitlement to monthly
insurance benefits, to meet such criteria throughout a month,
and, in conformity with regulations of the Secretary, files an
application for hospital insurance benefits under part A of
subchapter XVIII of this chapter,
(B) is a qualified railroad retirement beneficiary, or
(C)(i) would meet the requirements of subparagraph (A) upon
filing application for the monthly insurance benefits involved if
medicare qualified government employment (as defined in section
410(p) of this title) were treated as employment (as defined in
section 410(a) of this title) for purposes of this subchapter,
and (ii) files an application, in conformity with regulations of
the Secretary, for hospital insurance benefits under part A of
subchapter XVIII of this chapter,
shall be entitled to hospital insurance benefits under part A of
subchapter XVIII of this chapter for each month for which he meets
the condition specified in paragraph (2), beginning with the first
month after June 1966 for which he meets the conditions specified
in paragraphs (1) and (2).
(b) Individuals under 65 years
Every individual who -
(1) has not attained age 65, and
(2)(A) is entitled to, and has for 24 calendar months been
entitled to, (i) disability insurance benefits under section 423
of this title or (ii) child's insurance benefits under section
402(d) of this title by reason of a disability (as defined in
section 423(d) of this title) or (iii) widow's insurance benefits
under section 402(e) of this title or widower's insurance
benefits under section 402(f) of this title by reason of a
disability (as defined in section 423(d) of this title), or
(B) is, and has been for not less than 24 months, a disabled
qualified railroad retirement beneficiary, within the meaning of
section 231f(d) of title 45, or
(C)(i) has filed an application, in conformity with regulations
of the Secretary, for hospital insurance benefits under part A of
subchapter XVIII of this chapter pursuant to this subparagraph,
and
(ii) would meet the requirements of subparagraph (A) (as
determined under the disability criteria, including reviews,
applied under this subchapter), including the requirement that he
has been entitled to the specified benefits for 24 months, if -
(I) medicare qualified government employment (as defined in
section 410(p) of this title) were treated as employment (as
defined in section 410(a) of this title) for purposes of this
subchapter, and
(II) the filing of the application under clause (i) of this
subparagraph were deemed to be the filing of an application for
the disability-related benefits referred to in clause (i),
(ii), or (iii) of subparagraph (A),
shall be entitled to hospital insurance benefits under part A of
subchapter XVIII of this chapter for each month beginning with the
later of (I) July 1973 or (II) the twenty-fifth month of his
entitlement or status as a qualified railroad retirement
beneficiary described in paragraph (2), and ending (subject to the
last sentence of this subsection) with the month following the
month in which notice of termination of such entitlement to
benefits or status as a qualified railroad retirement beneficiary
described in paragraph (2) is mailed to him, or if earlier, with
the month before the month in which he attains age 65. In applying
the previous sentence in the case of an individual described in
paragraph (2)(C), the "twenty-fifth month of his entitlement"
refers to the first month after the twenty-fourth month of
entitlement to specified benefits referred to in paragraph (2)(C)
and "notice of termination of such entitlement" refers to a notice
that the individual would no longer be determined to be entitled to
such specified benefits under the conditions described in that
paragraph. For purposes of this subsection, an individual who has
had a period of trial work which ended as provided in section
422(c)(4)(A) of this title, and whose entitlement to benefits or
status as a qualified railroad retirement beneficiary as described
in paragraph (2) has subsequently terminated, shall be deemed to be
entitled to such benefits or to occupy such status (notwithstanding
the termination of such entitlement or status) for the period of
consecutive months throughout all of which the physical or mental
impairment, on which such entitlement or status was based,
continues, and throughout all of which such individual would have
been entitled to monthly insurance benefits under this subchapter
or as a qualified railroad retirement beneficiary had such
individual been unable to engage in substantial gainful activity,
but not in excess of 78 such months. In determining when an
individual's entitlement or status terminates for purposes of the
preceding sentence, the term "36 months" in the second sentence of
section 423(a)(1) of this title, in section 402(d)(1)(G)(i) of this
title, in the last sentence of section 402(e)(1) of this title, and
in the last sentence of section 402(f)(1) of this title shall be
applied as though it read "15 months".
(c) Conditions
For purposes of subsection (a) of this section -
(1) entitlement of an individual to hospital insurance benefits
for a month shall consist of entitlement to have payment made
under, and subject to the limitations in, part A of subchapter
XVIII of this chapter on his behalf for inpatient hospital
services, post-hospital extended care services, and home health
services (as such terms are defined in part D of subchapter XVIII
of this chapter) furnished him in the United States (or outside
the United States in the case of inpatient hospital services
furnished under the conditions described in section 1395f(f) of
this title) during such month; except that (A) no such payment
may be made for post-hospital extended care services furnished
before January 1967, and (B) no such payment may be made for
post-hospital extended care services unless the discharge from
the hospital required to qualify such services for payment under
part A of subchapter XVIII of this chapter occurred (i) after
June 30, 1966, or on or after the first day of the month in which
he attains age 65, whichever is later, or (ii) if he was entitled
to hospital insurance benefits pursuant to subsection (b) of this
section, at a time when he was so entitled; and
(2) an individual shall be deemed entitled to monthly insurance
benefits under section 402 or section 423 of this title, or to be
a qualified railroad retirement beneficiary, for the month in
which he died if he would have been entitled to such benefits, or
would have been a qualified railroad retirement beneficiary, for
such month had he died in the next month.
(d) "Qualified railroad retirement beneficiary" defined
For purposes of this section, the term "qualified railroad
retirement beneficiary" means an individual whose name has been
certified to the Secretary by the Railroad Retirement Board under
section 231f(d) of title 45. An individual shall cease to be a
qualified railroad retirement beneficiary at the close of the month
preceding the month which is certified by the Railroad Retirement
Board as the month in which he ceased to meet the requirements of
section 231f(d) of title 45.
(e) Benefits for widows and widowers
(1)(A) For purposes of determining entitlement to hospital
insurance benefits under subsection (b) of this section in the case
of widows and widowers described in paragraph (2)(A)(iii) thereof -
(i) the term "age 60" in sections 402(e)(1)(B)(ii), 402(e)(4),
402(f)(1)(B)(ii), and 402(f)(5) of this title shall be deemed to
read "age 65"; and
(ii) the phrase "before she attained age 60" in the matter
following subparagraph (F) of section 402(e)(1) of this title and
the phrase "before he attained age 60" in the matter following
subparagraph (F) of section 402(f)(1) of this title shall each be
deemed to read "based on a disability".
(B) For purposes of subsection (b)(2)(A)(iii) of this section,
each month in the period commencing with the first month for which
an individual is first eligible for supplemental security income
benefits under subchapter XVI of this chapter, or 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) which are paid by the Secretary under an
agreement referred to in section 1382e(a) of this title (or in
section 212(b) of Public Law 93-66), shall be included as one of
the 24 months for which such individual must have been entitled to
widow's or widower's insurance benefits on the basis of disability
in order to become entitled to hospital insurance benefits on that
basis.
(2) For purposes of determining entitlement to hospital insurance
benefits under subsection (b) of this section in the case of an
individual under age 65 who is entitled to benefits under section
402 of this title, and who was entitled to widow's insurance
benefits or widower's insurance benefits based on disability for
the month before the first month in which such individual was so
entitled to old-age insurance benefits (but ceased to be entitled
to such widow's or widower's insurance benefits upon becoming
entitled to such old-age insurance benefits), such individual shall
be deemed to have continued to be entitled to such widow's
insurance benefits or widower's insurance benefits for and after
such first month.
(3) For purposes of determining entitlement to hospital insurance
benefits under subsection (b) of this section, any disabled widow
aged 50 or older who is entitled to mother's insurance benefits
(and who would have been entitled to widow's insurance benefits by
reason of disability if she had filed for such widow's benefits),
and any disabled widower aged 50 or older who is entitled to
father's insurance benefits (and who would have been entitled to
widower's insurance benefits by reason of disability if he had
filed for such widower's benefits), shall, upon application for
such hospital insurance benefits be deemed to have filed for such
widow's or widower's insurance benefits.
(4) For purposes of determining entitlement to hospital insurance
benefits under subsection (b) of this section in the case of an
individual described in clause (iii) of subsection (b)(2)(A) of
this section, the entitlement of such individual to widow's or
widower's insurance benefits under section 402(e) or (f) of this
title by reason of a disability shall be deemed to be the
entitlement to such benefits that would result if such entitlement
were determined without regard to the provisions of section
402(j)(4) of this title.
(f) Medicare waiting period for recipients of disability benefits
For purposes of subsection (b) of this section (and for purposes
of section 1395p(g)(1) of this title and section 231f(d)(2)(ii) of
title 45), the 24 months for which an individual has to have been
entitled to specified monthly benefits on the basis of disability
in order to become entitled to hospital insurance benefits on such
basis effective with any particular month (or to be deemed to have
enrolled in the supplementary medical insurance program, on the
basis of such entitlement, by reason of section 1395p(f) of this
title), where such individual had been entitled to specified
monthly benefits of the same type during a previous period which
terminated -
(1) more than 60 months before the month in which his current
disability began in any case where such monthly benefits were of
the type specified in clause (A)(i) or (B) of subsection (b)(2)
of this section, or
(2) more than 84 months before the month in which his current
disability began in any case where such monthly benefits were of
the type specified in clause (A)(ii) or (A)(iii) of such
subsection,
shall not include any month which occurred during such previous
period, unless the physical or mental impairment which is the basis
for disability is the same as (or directly related to) the physical
or mental impairment which served as the basis for disability in
such previous period.
(g) Information regarding eligibility of Federal employees
The Secretary and Director of the Office of Personnel Management
shall jointly prescribe and carry out procedures designed to assure
that all individuals who perform medicare qualified government
employment by virtue of service described in section 410(a)(5) of
this title are fully informed with respect to (1) their eligibility
or potential eligibility for hospital insurance benefits (based on
such employment) under part A of subchapter XVIII of this chapter,
(2) the requirements for and conditions of such eligibility, and
(3) the necessity of timely application as a condition of
entitlement under subsection (b)(2)(C) of this section, giving
particular attention to individuals who apply for an annuity under
chapter 83 (!1) of title 5 or under another similar Federal
retirement program, and whose eligibility for such an annuity is or
would be based on a disability.
(h) Waiver of waiting period for individuals with ALS
For purposes of applying this section in the case of an
individual medically determined to have amyotrophic lateral
sclerosis (ALS), the following special rules apply:
(1) Subsection (b) of this section shall be applied as if there
were no requirement for any entitlement to benefits, or status,
for a period longer than 1 month.
(2) The entitlement under such subsection shall begin with the
first month (rather than twenty-fifth month) of entitlement or
status.
(3) Subsection (f) of this section shall not be applied.
(i) Continuing eligibility of certain terminated individuals
For purposes of this section, each person whose monthly insurance
benefit for any month is terminated or is otherwise not payable
solely by reason of paragraph (1) or (7) of section 425(c) (!2) of
this title shall be treated as entitled to such benefit for such
month.
(j) Certain uninsured individuals
For entitlement to hospital insurance benefits in the case of
certain uninsured individuals, see section 426a of this title.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 226, as added Pub. L.
89-97, title I, Sec. 101, July 30, 1965, 79 Stat. 290; amended Pub.
L. 90-248, title I, Sec. 129(c)(1), Jan. 2, 1968, 81 Stat. 847;
Pub. L. 92-603, title II, Secs. 201(b), 299I, Oct. 30, 1972, 86
Stat. 1371, 1463; Pub. L. 93-58, Sec. 3, July 6, 1973, 87 Stat.
142; Pub. L. 93-233, Sec. 18(f), Dec. 31, 1973, 87 Stat. 969; Pub.
L. 93-445, title III, Sec. 305, Oct. 16, 1974, 88 Stat. 1358; Pub.
L. 95-216, title III, Secs. 332(a)(3), 334(d)(4)(B), Dec. 20, 1977,
91 Stat. 1543, 1546; Pub. L. 95-292, Secs. 1(b), 3, June 13, 1978,
92 Stat. 308, 315; Pub. L. 96-265, title I, Secs. 103(a)(1), (b),
104(a), June 9, 1980, 94 Stat. 444; Pub. L. 96-473, Sec. 2(a), Oct.
19, 1980, 94 Stat. 2263; Pub. L. 96-499, title IX, Sec. 930(q),
Dec. 5, 1980, 94 Stat. 2633; Pub. L. 97-35, title XXII, Sec.
2203(e), Aug. 13, 1981, 95 Stat. 837; Pub. L. 97-248, title II,
Sec. 278(b)(2)(A), (B), (4), Sept. 3, 1982, 96 Stat. 560, 561; Pub.
L. 98-21, title I, Sec. 131(a)(3)(H), (b)(3)(G), title III, Sec.
309(q)(1), Apr. 20, 1983, 97 Stat. 93, 117; Pub. L. 98-369, div. B,
title VI, Sec. 2663(a)(17), July 18, 1984, 98 Stat. 1165; Pub. L.
99-272, title XIII, Sec. 13205(b)(2)(A), (C)(ii), Apr. 7, 1986, 100
Stat. 317; Pub. L. 100-203, title IV, Sec. 4033(a), formerly Sec.
4033(a)(1), title IX, Sec. 9010(e)(3), Dec. 22, 1987, 101 Stat.
1330-77, 1330-294, renumbered Pub. L. 100-360, title IV, Sec.
411(e)(2), July 1, 1988, 102 Stat. 775; Pub. L. 100-360, title IV,
Sec. 411(n)(1), July 1, 1988, 102 Stat. 807; Pub. L. 100-485, title
VI, Sec. 608(f)(5), Oct. 13, 1988, 102 Stat. 2424; Pub. L. 101-508,
title V, Sec. 5103(c)(2)(C), Nov. 5, 1990, 104 Stat. 1388-252; Pub.
L. 103-296, title II, Sec. 201(a)(3)(D)(i), Aug. 15, 1994, 108
Stat. 1497; Pub. L. 105-33, title IV, Sec. 4002(f)(1), Aug. 5,
1997, 111 Stat. 329; Pub. L. 106-170, title II, Sec. 202(a), Dec.
17, 1999, 113 Stat. 1894; Pub. L. 106-554, Sec. 1(a)(6) [title I,
Sec. 115(a)], Dec. 21, 2000, 114 Stat. 2763, 2763A-474.)
-REFTEXT-
REFERENCES IN TEXT
Parts A and D of subchapter XVIII of this chapter, referred to in
text, are classified to section 1395c et seq. and 1395x et seq.,
respectively, of this title.
Section 212 of Public Law 93-66, referred to in subsec.
(e)(1)(B), is section 212 of Pub. L. 93-66 which is set out as a
note under section 1382 of this title.
Section 425(c) of this title, referred to in subsec. (i), was
repealed by Pub. L. 104-121, title I, Sec. 105(a)(4), Mar. 29,
1996, 110 Stat. 853.
-MISC1-
AMENDMENTS
2000 - Subsecs. (h), (j). Pub. L. 106-554 added subsec. (h) and
redesignated former subsec. (h) as (j) and transferred such subsec.
to appear at end of section.
1999 - Subsec. (b). Pub. L. 106-170 substituted "78" for "24" in
penultimate sentence.
1997 - Subsec. (c)(1). Pub. L. 105-33 substituted "part D" for
"part C".
1994 - Subsec. (i). Pub. L. 103-296 added subsec. (i).
1990 - Subsec. (e)(1). Pub. L. 101-508 designated existing
provisions as subpar. (A), redesignated former subpars. (A) and (B)
as cls. (i) and (ii), respectively, and added subpar. (B).
1988 - Subsec. (a). Pub. L. 100-485 substituted "condition
specified in paragraph (2)" for "condition specified in paragraph
(1)" in concluding provisions.
Subsec. (b). Pub. L. 100-360, Sec. 411(n)(1), amended last
sentence generally. Prior to amendment, last sentence read as
follows: "In determining when an individual's entitlement or status
terminates for purposes of the preceding sentence, the second
sentence of section 423(a) of this title shall be applied as though
the term '36 months' (in such second sentence) read '15 months'."
1987 - Subsec. (b). Pub. L. 100-203, Sec. 9010(e)(3), inserted
sentence at end which related to determining when an individual's
entitlement or status terminates for purposes of preceding
sentence.
Subsec. (f). Pub. L. 100-203, Sec. 4033(a), inserted before
period at end ", unless the physical or mental impairment which is
the basis for disability is the same as (or directly related to)
the physical or mental impairment which served as the basis for
disability in such previous period".
1986 - Subsec. (a)(2)(C)(i). Pub. L. 99-272, Sec. 13205(b)(2)(A)
substituted "medicare qualified government employment" for
"medicare qualified Federal employment".
Subsec. (b)(2)(C)(ii)(I). Pub. L. 99-272, Sec. 13205(b)(2)(A),
substituted "medicare qualified government employment" for
"medicare qualified Federal employment".
Subsec. (g). Pub. L. 99-272, Sec. 13205(b)(2)(C)(ii), substituted
"medicare qualified government employment by virtue of service
described in section 410(a)(5) of this title" for "medicare
qualified Federal employment".
1984 - Subsec. (b). Pub. L. 98-369 substituted "part A" for "part
(A)" in provisions following par. (2)(C).
1983 - Subsec. (e)(1)(A). Pub. L. 98-21, Sec. 131(a)(3)(H),
(b)(3)(G), substituted reference to section 402(e)(4), (f)(5) of
this title for reference to section 405(e)(5), (f)(6) of this
title.
Subsec. (e)(3). Pub. L. 98-21, Sec. 309(q)(1), amended par. (3)
generally, inserting provisions relating to any disabled widower
and striking out provision that a disabled widow, upon furnishing
proof of such disability prior to July 1, 1974, under such
procedures as the Secretary prescribed, would be deemed to have
been entitled to such widow's benefits as of the time she would
have been entitled to such widow's benefits if she had filed a
timely application therefor.
1982 - Subsec. (a)(2). Pub. L. 97-248, Sec. 278(b)(2)(A),
redesignated existing provisions as subpar. (A), struck out "or is
a qualified railroad retirement beneficiary," after "of this
chapter,", and added subpars. (B) and (C).
Subsec. (b). Pub. L. 97-248, Sec. 278(b)(2)(B), in par. (2)(B)
inserted a comma after "24 months" and "or" after "title 45,",
added par. (2)(C), and in provisions following par. (2) inserted
provision defining "twenty-fifth month of his entitlement" and
"notice of termination of such entitlement" with regards to
applying first sentence of this subsection to individuals described
in par. (2)(C).
Subsecs. (g), (h). Pub. L. 97-248, Sec. 278(b)(4), added subsec.
(g) and redesignated former subsec. (g) as (h).
1981 - Subsec. (a)(2). Pub. L. 97-35 substituted "would be
entitled" for "or would be entitled" and inserted ", or would be
entitled to such benefits but for the failure of another
individual, who meets all the criteria of entitlement to monthly
insurance benefits, to meet such criteria throughout a month,".
1980 - Subsec. (a)(2). Pub. L. 96-473 inserted provisions
relating to persons who would be entitled to benefits but for
enumerated exceptions.
Subsec. (b). Pub. L. 96-265, Sec. 104(a), in provisions following
par. (2), inserted "(subject to the last sentence of this
subsection)", and inserted provision that, for purposes of this
subsection, an individual who has had a period of trial work which
ended as provided in section 422(c)(4)(A) of this title, and whose
entitlement to benefits or status as a qualified railroad
retirement beneficiary as described in paragraph (2) has
subsequently terminated, shall be deemed to be entitled to such
benefits or to occupy such status (notwithstanding the termination
of such entitlement or status) for the period of consecutive months
throughout all of which the physical or mental impairment, on which
such entitlement or status was based, continues, and throughout all
of which such individual would have been entitled to monthly
insurance benefits under this subchapter.
Pub. L. 96-265, Sec. 103(a)(1), substituted "24 calendar months"
and "24 months" for "24 consecutive calendar months" and "24
consecutive months", respectively, in par. (2) and, in provisions
following par. (2), substituted "the twenty-fifth month" for "the
twenty-fifth consecutive month".
Subsec. (c)(1). Pub. L. 96-499 substituted "and home health
services" for "and post-hospital home health services" and struck
out "or post-hospital home health services" before "unless the
discharge".
Subsecs. (f), (g). Pub. L. 96-265, Sec. 103(b), added subsec. (f)
and redesignated former subsec. (f) as (g).
1978 - Subsec. (a). Pub. L. 95-292, Sec. 3(a), substituted
"condition specified in paragraph (1), beginning with the first
month after June 1966 for which he meets the conditions specified
in paragraphs (1) and (2)" for "conditions specified in
subparagraph (B), beginning with the first month after June 1966
for which he meets the conditions specified in subparagraphs (A)
and (B)".
Subsec. (e). Pub. L. 95-292, Secs. 1(b)(1), (2), 3(b),
redesignated subsec. (h) as (e) and, in subsec. (e) as so
redesignated, corrected a technical error resulting from the 1973
amendment of pars. (2) and (3) by Pub. L. 93-233 under which a
reference to subsec. (b) of this section had been inserted without
the required parentheses. Former subsec. (e), relating to Medicare
eligibility of persons medically determined to have chronic renal
disease requiring hemodialysis or renal transplantation, was struck
out. See section 426-1 of this title.
Subsec. (f). Pub. L. 95-292, Sec. 1(b)(1), (2), redesignated
subsec. (i) as (f). Former subsec. (f), relating to the duration of
Medicare coverage of persons medically determined to have chronic
renal disease requiring hemodialysis or renal transplantation, was
struck out. See section 426-1 of this title.
Subsec. (g). Pub. L. 95-292, Sec. 1(b)(1), struck out subsec. (g)
which related to reimbursement for kidney transplant and kidney
treatment. See section 1395rr of this title.
Subsecs. (h), (i). Pub. L. 95-292, Sec. 1(b)(2), redesignated
subsecs. (h) and (i) as (e) and (f), respectively.
1977 - Subsec. (h)(1)(B). Pub. L. 95-216, Sec. 334(d)(4)(B),
substituted "subparagraph (F) of section 402(f)(1)" for
"subparagraph (G) of section 402(f)(1)".
Subsec. (h)(4). Pub. L. 95-216, Sec. 332(a)(3), added par. (4).
1974 - Subsec. (b)(2). Pub. L. 93-445, Sec. 305(a), substituted
"section 7(d) of the Railroad Retirement Act of 1974" for "section
22 of the Railroad Retirement Act of 1937".
Subsec. (d). Pub. L. 93-445, Sec. 305(b), substituted "section
7(d) of the Railroad Retirement Act of 1974" for section 21 or 22
of the Railroad Retirement Act of 1937", in two places.
Subsec. (e). Pub. L. 93-445, Sec. 305(c), substituted "Railroad
Retirement Act of 1974" for "Railroad Retirement Act of 1937",
wherever appearing.
1973 - Subsec. (a). Pub. L. 93-233, Sec. 18(f)(1)(A),
redesignated subsec. (a)(1) as subsec. (a).
Subsec. (a)(1), (2). Pub. L. 93-233, Sec. 18(f)(1)(B),
redesignated cls. (A) and (B) as (1) and (2), respectively.
Subsec. (e)(2). Pub. L. 93-58, inserted in: item (2)(A) "or would
be fully or currently insured if his service as an employee (as
defined in the Railroad Retirement Act of 1937) after December 31,
1936, were included in the term 'employment' as defined in this
chapter" after "(as such terms are defined in section 414 of this
title)"; item (2)(B) "or an annuity under the Railroad Retirement
Act of 1937" after "this subchapter"; item (2)(C) "Or would be
fully or currently insured if his service as an employee (as
defined in the Railroad Retirement Act of 1937) after December 31,
1936, were included in the term 'employment' as defined in this
chapter" after "fully or currently insured"; and item (2)(D) "or
annuity under the Railroad Retirement Act of 1937" after "this
subchapter".
Subsec. (h). Pub. L. 93-233, Sec. 18(f)(1)(C), (2)-(4),
redesignated as subsec. (h) provisions originally enacted as
subsec. (e) by section 201(b)(5) of Pub. L. 92-603 and redesignated
as subsec. (f) by section 299I of Pub. L. 92-603, and in par.
(1)(A) substituted ", 402(e)(5)," for "and 402(e)(5) of this title,
and the term 'age 62' in sections", in par. (1)(B) substituted "and
the phrase 'before he attained age 60' in the matter following
subparagraph (G) of section 402(f)(1) of this title shall each" for
"shall", and in pars. (2) and (3) substituted "(b)" for "(a)(2)",
respectively.
Subsec. (i). Pub. L. 93-233, Sec. 18(f)(1)(C), redesignated as
subsec. (i) provisions originally enacted as subsec. (d) by section
101 of Pub. L. 89-97 and redesignated as subsec. (f) by section
201(b)(5) of Pub. L. 92-603.
1972 - Subsec. (a). Pub. L. 92-603, Sec. 201(b)(1), incorporated
provisions of former subsec. (a) and subsec. (a)(1), and
redesignated pars. (1) and (2) as subpars. (A) and (B).
Subsec. (b). Pub. L. 92-603, Sec. 201(b)(1), added subsec. (b).
Former subsec. (b) redesignated subsec. (c).
Subsec. (c)(1). Pub. L. 92-603, Sec. 201(b)(2), (5), redesignated
subsec. (b)(1) as subsec. (c)(1) and, in subsec. (c)(1) as so
redesignated, inserted reference to entitlement to hospital
insurance benefits pursuant to subsec. (b) of this section. Former
subsec. (c) redesignated subsec. (d).
Subsec. (c)(2). Pub. L. 92-603, Sec. 201(b)(3), (5), redesignated
subsec. (b)(2) as subsec. (c)(2) and inserted reference to section
423 of this title. Former subsec. (c) redesignated subsec. (d).
Subsec. (d). Pub. L. 92-603, Sec. 201(b)(4), (5), redesignated
former subsec. (c) as subsec. (d) and inserted reference to section
22 of the Railroad Retirement Act of 1937. Former subsec. (d)
redesignated subsec. (i).
Subsecs. (e) to (h). Pub. L. 92-603, Secs. 201(b)(5), 299I, added
subsecs. (e) to (h). See 1973 Amendment note above.
Subsec. (i). Pub. L. 92-603, Sec. 201(b)(5), redesignated former
subsec. (d) as subsec. (i). See 1973 Amendment note above.
1968 - Subsec. (b)(1). Pub. L. 90-248 struck out outpatient
hospital diagnostic services from services for which hospital
insurance benefits are payable.
EFFECTIVE DATE OF 2000 AMENDMENT
Pub. L. 106-554, Sec. 1(a)(6) [title I, Sec. 115(c)], Dec. 21,
2000, 114 Stat. 2763, 2763A-474, provided that: "The amendments
made by this section [amending this section and section 1395p of
this title] shall apply to benefits for months beginning July 1,
2001."
EFFECTIVE DATE OF 1999 AMENDMENT
Pub. L. 106-170, title II, Sec. 202(b), Dec. 17, 1999, 113 Stat.
1894, provided that: "The amendment made by subsection (a)
[amending this section] shall be effective on and after October 1,
2000."
EFFECTIVE DATE OF 1994 AMENDMENT
Amendment by Pub. L. 103-296 applicable with respect to benefits
based on disability (as defined in section 425(c)(9) of this title)
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(a)(3)(E)(i) of
Pub. L. 103-296, set out as an Effective Date of 1994 Amendment;
Sunset Provision note under section 425 of this title.
EFFECTIVE DATE OF 1990 AMENDMENT
Amendment by Pub. L. 101-508 applicable with respect to items and
services furnished 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 1988 AMENDMENTS
Section 608(f)(5) of Pub. L. 100-485 provided that the amendment
made by such section 608(f)(5) is effective as of the date of
enactment of Pub. L. 95-292, which was approved June 13, 1978.
Except as specifically provided in section 411 of Pub. L.
100-360, amendment by Pub. L. 100-360, as it relates to a provision
in the Omnibus Budget Reconciliation Act of 1987, Pub. L. 100-203,
effective as if included in the enactment of that provision in Pub.
L. 100-203, see section 411(a) of Pub. L. 100-360, set out as a
Reference to OBRA; Effective Date note under section 106 of Title
1, General Provisions.
EFFECTIVE DATE OF 1987 AMENDMENT
Section 4033(b), formerly section 4033(a)(2) of Pub. L. 100-203,
as renumbered by Pub. L. 100-360, title IV, Sec. 411(e)(2), July 1,
1988, 102 Stat. 775, provided that:
"(1) The amendment made by subsection (a) [amending this
section] shall apply to months beginning after the end of the
60-day period beginning on the date of enactment of this Act
[Dec. 22, 1987].
"(2) The amendment made by subsection (a) shall not apply so as
to include (for the purposes described in section 226(f) of the
Social Security Act [subsec. (f) of this section]) monthly
benefits paid for any month in a previous period (described in
that section) that terminated before the end of the 60-day period
described in paragraph (1)."
Amendment by section 9010(e)(3) of Pub. L. 100-203 effective Jan.
1, 1988, and applicable with respect to individuals entitled to
benefits under specific provisions of sections 402 and 423 of this
title for any month after December 1987, and individuals entitled
to benefits payable under specific provisions of sections 402 and
423 of this title for any month before January 1988 and with
respect to whom the 15-month period described in the applicable
provision amended by section 9010 of Pub. L. 100-203 has not
elapsed as of Jan. 1, 1988, see section 9010(f) of Pub. L. 100-203,
set out as a note under section 402 of this title.
EFFECTIVE DATE OF 1986 AMENDMENT
Amendment by Pub. L. 99-272 effective after Mar. 31, 1986, with
no individual to be considered under disability for any period
beginning before Apr. 1, 1986, for purposes of hospital insurance
benefits, see section 13205(d)(2) of Pub. L. 99-272, set out as a
note under section 410 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 OF 1983 AMENDMENTS
Amendment by section 131(a)(3)(H), (b)(3)(G) of Pub. L. 98-21
effective with respect to monthly benefits payable under this
subchapter for months after December 1983, and in the case of an
individual who was not entitled to a monthly benefit of the type
involved under this subchapter for December 1983, no benefit shall
be paid under this subchapter by reason of such amendments unless
proper application for such benefit is made, see section 131(d) of
Pub. L. 98-21 set out as a note under section 402 of this title.
Amendment by section 309(q)(1) of Pub. L. 98-21 applicable only
with respect to monthly payments payable under this subchapter for
months after April 1983, see section 310 of Pub. L. 98-21, set out
as a note under section 402 of this title.
Pub. L. 97-448, title III, Sec. 309(c)(1), Jan. 12, 1983, 96
Stat. 2410, provided that: "Any amendment to the Tax Equity and
Fiscal Responsibility Act of 1982 [Pub. L. 97-248, Sept. 3, 1982,
96 Stat. 324] made by this section [amending sections 1395x,
1395cc, and 1396a of this title and amending provisions set out as
notes under this section and sections 1320c, 1395b-1, 1395f, 1395u,
1395ww, 1395xx, and 1396o of this title] shall be effective as if
it had been originally included in the provision of such Act to
which such amendment relates."
EFFECTIVE DATE OF 1982 AMENDMENT; TRANSITIONAL PROVISIONS
Section 278(c)(2), (d) of Pub. L. 97-248, as amended by Pub. L.
97-448, title III, Sec. 309(a)(10), (11), Jan. 12, 1983, 96 Stat.
2408, provided that:
"(c) Effective Dates. -
"(2) Medicare coverage. -
"(A) In general. - The amendments made by subsection (b)
[amending this section and sections 410, 426-1, and 1395c of
this title] are effective on and after January 1, 1983, and the
amendments made by paragraph (2) of that subsection [amending
this section and section 426-1 of this title] apply to
remuneration (for medicare qualified Federal employment) paid
after December 31, 1982.
"(B) Treatment of current disabilities. - For purposes of
establishing entitlement to hospital insurance benefits under
part A of title XVIII of the Social Security Act [section 1395c
et seq. of this title] pursuant to the amendments made by
subsection (b) or the provisions of subsection (d), no
individual may be considered to be under a disability for any
period before January 1, 1983.
"(d) Transitional Provisions. -
"(1) In general. - For purposes of sections 226, 226A, and 1811
of the Social Security Act [this section and sections 426-1 and
1395c of this title], in the case of any individual who performs
service both during January 1983, and before January 1, 1983,
which constitutes medicare qualified Federal employment (as
defined in section 210(p) of such Act [section 410(p) of this
title]), the individual's medicare qualified Federal employment
(as so defined) performed before January 1, 1983, for which
remuneration was paid before such date, shall be considered to be
'employment' (as defined for purposes of title II of such Act
[this subchapter]), but only for the purpose of providing the
individual (or another person) with entitlement to hospital
insurance benefits under part A of title XVIII of such Act
[section 1395c et seq. of this title].
"(2) Appropriations. - There are authorized to be appropriated
to the Federal Hospital Insurance Trust Fund from time to time
such sums as the Secretary of Health and Human Services deems
necessary for any fiscal year, on account of -
"(A) payments made or to be made during such fiscal year from
such Trust Fund with respect to individuals who are entitled to
benefits under title XVIII of the Social Security Act [section
1395 et seq. of this title] solely by reason of paragraph (1)
of this subsection,
"(B) the additional administrative expenses resulting or
expected to result therefrom, and
"(C) any loss in interest to such Trust Fund resulting from
the payment of those amounts,
in order to place such Trust Fund in the same position at the end
of such fiscal year as it would have been in if this subsection
had not been enacted."
EFFECTIVE DATE OF 1981 AMENDMENT
Section 2203(f)(3) of Pub. L. 97-35, as amended by Pub. L.
97-248, title I, Sec. 128(c)(2), Sept. 3, 1982, 96 Stat. 367,
provided that: "The amendments made by subsection (e) of this
section [amending this section] shall apply only to individuals
aged 65 and over whose insured spouse attains age 62 after August
1981."
EFFECTIVE DATE OF 1980 AMENDMENTS
Amendment by Pub. L. 96-499 effective with respect to services
furnished on or after July 1, 1981, see section 930(s)(1) of Pub.
L. 96-499, set out as a note under section 1395x of this title.
Section 2(d) of Pub. L. 96-473 provided that: "The amendments
made by subsections (a) and (b) [amending this section and section
1395c of this title] shall be effective after the second month
beginning after the date on which this Act is enacted [Oct. 19,
1980]."
Section 103(c) of Pub. L. 96-265 provided that: "The amendments
made by this section [amending this section and sections 1395c and
1395p of this title and section 231f of Title 45, Railroads] shall
apply with respect to hospital insurance or supplementary medical
insurance benefits for services provided on or after the first day
of the sixth month which begins after the date of the enactment of
this Act [June 9, 1980]."
Section 104(b) of Pub. L. 96-265 provided that: "The amendments
made by subsection (a) [amending this section] shall become
effective on the first day of the sixth month which begins after
the date of the enactment of this Act [June 9, 1980], and shall
apply with respect to any individual whose disability has not been
determined to have ceased prior to such first day."
EFFECTIVE DATE OF 1978 AMENDMENT
Section 6 of Pub. L. 95-292 provided that: "The amendments made
by the preceding sections of this Act [enacting sections 426-1 and
1395rr of this title and amending this section and sections 1395c,
1395i, 1395l, 1395t, 1395x, 1395cc, and 1395mm of this title] shall
become effective with respect to services, supplies, and equipment
furnished after the third calendar month which begins after the
date of the enactment of this Act [June 13, 1978], except that
those amendments providing for the implementation of an incentive
reimbursement system for dialysis services furnished in facilities
and providers shall become effective with respect to a facility's
or provider's first accounting period which begins after the last
day of the twelfth month following the month of the enactment of
this Act [June 1978], and those amendments providing for
reimbursement rates for home dialysis shall become effective on
April 1, 1979."
EFFECTIVE DATE OF 1977 AMENDMENT
Amendment by section 332(a)(3) of Pub. L. 95-216 effective with
respect to monthly insurance benefits under this subchapter to
which an individual becomes entitled on the basis of an application
filed on or after Jan. 1, 1978, see section 332(b) of Pub. L.
95-216, set out as a note under section 402 of this title.
Amendment by section 334(d)(4)(B) of Pub. L. 95-216 applicable
with respect to monthly insurance benefits payable under this
subchapter for months beginning with December 1977, on the basis of
applications filed in or after December 1977, see section 334(f) of
Pub. L. 95-216, set out as a note under section 402 of this title.
EFFECTIVE DATE OF 1974 AMENDMENT
Amendment by Pub. L. 93-445 effective Jan. 1, 1975, see section
603 of Pub. L. 93-445, set out as a note under section 402 of this
title.
EFFECTIVE DATE OF 1973 AMENDMENT
Section 4(a) of Pub. L. 93-58 provided that: "The provisions of
this Act [amending this section and sections 228c and 228e of Title
45, Railroads], except the provisions of section 1, shall be
effective as of the date the corresponding provisions of Public Law
92-603 are effective as follows: clause (xi) [section 228c(e)(xi)
of Title 45] effective with respect to services provided on and
after July 1, 1973. The provisions of clauses (xi) and (xii), which
are added by section 1 of this Act, shall be effective as follows:
clause (xi) [section 228c(e)(xi) of Title 45] shall be effective
with respect to calendar years after 1971 for annuities accruing
after December 1972; and clause (xii) [section 228c(e)(xii) of
Title 45 shall be effective as of the date the delayed retirement
provision of Public Law 92-603 is effective [section 402(w) of this
title applicable with respect to old-age insurance benefits payable
under this subchapter for months beginning after 1972]."
EFFECTIVE DATE OF 1972 AMENDMENT
Section 299I of Pub. L. 92-603 provided that the amendment made
by that section is effective with respect to services provided on
and after July 1, 1973.
EFFECTIVE DATE OF 1968 AMENDMENT
Amendment by Pub. L. 90-248 applicable with respect to services
furnished after March 31, 1968, see section 129(d) of Pub. L.
90-248, set out as a note under section 1395d of this title.
APPLICABILITY OF PUB. L. 96-473 TO APPLICATIONS FOR HOSPITAL
INSURANCE BENEFITS
Section 2(c) of Pub. L. 96-473 provided that: "For purposes of
section 226 of such Act [this section] as amended by subsection (a)
of this section, an individual who filed an application for monthly
insurance benefits under section 202 of such Act [section 402 of
this title] prior to the effective date of the amendment made by
subsection (a) [see section 2(c) of Pub. L. 96-473, set out above
as an Effective Date of 1980 Amendment note] shall be deemed to
have filed an application for hospital insurance benefits under
part A of title XVIII of such Act [part A of subchapter XVIII of
this chapter] at the time he applied for such benefits under
section 202 regardless of the continuing status or effect of the
application for benefits under section 202, if he would have been
entitled to benefits under that section had such application
remained in effect."
GAO REPORT
Pub. L. 106-170, title II, Sec. 202(c), Dec. 17, 1999, 113 Stat.
1894, provided that: "Not later than 5 years after the date of the
enactment of this Act [Dec. 17, 1999], the Comptroller General of
the United States shall submit a report to the Congress that -
"(1) examines the effectiveness and cost of the amendment made
by subsection (a) [amending this section];
"(2) examines the necessity and effectiveness of providing
continuation of medicare coverage under section 226(b) of the
Social Security Act (42 U.S.C. 426(b)) to individuals whose
annual income exceeds the contribution and benefit base (as
determined under section 230 of such Act (42 U.S.C. 430));
"(3) examines the viability of providing the continuation of
medicare coverage under such section 226(b) based on a sliding
scale premium for individuals whose annual income exceeds such
contribution and benefit base;
"(4) examines the viability of providing the continuation of
medicare coverage under such section 226(b) based on a premium
buy-in by the beneficiary's employer in lieu of coverage under
private health insurance;
"(5) examines the interrelation between the use of the
continuation of medicare coverage under such section 226(b) and
the use of private health insurance coverage by individuals
during the extended period; and
"(6) recommends such legislative or administrative changes
relating to the continuation of medicare coverage for recipients
of social security disability benefits as the Comptroller General
determines are appropriate."
TIME IN WHICH TO FURNISH PROOF OF DISABILITY FOR HOSPITAL BENEFITS
Section 309(q)(2) of Pub. L. 98-21 provided that: "For purposes
of determining entitlement to hospital insurance benefits under
section 226(e)(3) of such Act [subsec. (e)(3) of this section], as
amended by paragraph (1), an individual becoming entitled to such
hospital insurance benefits as a result of the amendment made by
such paragraph shall, upon furnishing proof of his or her
disability within twelve months after the month in which this Act
is enacted [April 1983], under such procedures as the Secretary of
Health and Human Services may prescribe, be deemed to have been
entitled to the widow's or widower's benefits referred to in such
section 226(e)(3), as so amended, as of the time such individual
would have been entitled to such widow's or widower's benefits if
he or she had filed a timely application therefor."
SPECIAL $50 PAYMENT UNDER TAX REDUCTION ACT OF 1975
Special payment of $50 as soon as practicable after Mar. 29,
1975, by the Secretary of the Treasury to each individual who, for
the month of March 1975, was entitled to a monthly insurance
benefit payable under this subchapter, see section 702 of Pub. L.
94-12, set out as a note under section 402 of this title.
ADOPTED CHILD'S REENLISTMENT TO ANNUITY
Section 4(b) of Pub. L. 93-58 provided that: "Any child (1) whose
entitlement to an annuity under section 5(c) of the Railroad
Retirement Act [section 228e(c) of Title 45, Railroads] was
terminated by reason of his adoption prior to the enactment of this
Act [July 6, 1973], and (2) who, except for such adoption, would be
entitled to an annuity under such section for a month after the
month in which this Act is enacted [July 1973], may, upon filing
application for an annuity under the Railroad Retirement Act
[section 228a et seq. of Title 45] after the date of enactment of
this Act [July 6, 1973], become reentitled to such annuity; except
that no child shall, by reason of the enactment of this Act
[amending this section and sections 228c, 228e of Title 45] become
reentitled to such annuity for any month prior to the effective
date of the relevant amendments made by this Act to section
5(l)(1)(ii) of the Railroad Retirement Act [section
228e(l)(1)(ii)]."
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 401, 410, 418, 426-1,
426a, 433, 434, 1320b-1, 1395c, 1395f, 1395h, 1395i-1, 1395i-2,
1395i-2a, 1395p, 1395u, 1395y, 1395ff, 1395ss of this title; title
10 section 1086; title 45 sections 231f, 231r.
-FOOTNOTE-
(!1) So in original. Probably should be "subchapter III of chapter
83".
(!2) See References in Text note below.
-End-
-CITE-
42 USC Sec. 426-1 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 426-1. End stage renal disease program
-STATUTE-
(a) Entitlement to benefits
Notwithstanding any provision to the contrary in section 426 of
this title or subchapter XVIII of this chapter, every individual
who -
(1)(A) is fully or currently insured (as such terms are defined
in section 414 of this title), or would be fully or currently
insured if (i) his service as an employee (as defined in the
Railroad Retirement Act of 1974 [45 U.S.C. 231 et seq.]) after
December 31, 1936, were included within the meaning of the term
"employment" for purposes of this subchapter, and (ii) his
medicare qualified government employment (as defined in section
410(p) of this title) were included within the meaning of the
term "employment" for purposes of this subchapter;
(B)(i) is entitled to monthly insurance benefits under this
subchapter, (ii) is entitled to an annuity under the Railroad
Retirement Act of 1974 [45 U.S.C. 231 et seq.], or (iii) would be
entitled to a monthly insurance benefit under this subchapter if
medicare qualified government employment (as defined in section
410(p) of this title) were included within the meaning of the
term "employment" for purposes of this subchapter; or
(C) is the spouse or dependent child (as defined in
regulations) of an individual described in subparagraph (A) or
(B);
(2) is medically determined to have end stage renal disease;
and
(3) has filed an application for benefits under this section;
shall, in accordance with the succeeding provisions of this
section, be entitled to benefits under part A and eligible to
enroll under part B of subchapter XVIII of this chapter, subject to
the deductible, premium, and coinsurance provisions of that
subchapter.
(b) Duration of period of entitlement
Subject to subsection (c) of this section, entitlement of an
individual to benefits under part A and eligibility to enroll under
part B of subchapter XVIII of this chapter by reasons of this
section on the basis of end stage renal disease -
(1) shall begin with -
(A) the third month after the month in which a regular course
of renal dialysis is initiated, or
(B) the month in which such individual receives a kidney
transplant, or (if earlier) the first month in which such
individual is admitted as an inpatient to an institution which
is a hospital meeting the requirements of section 1395x(e) of
this title (and such additional requirements as the Secretary
may prescribe under section 1395rr(b) of this title for such
institutions) in preparation for or anticipation of kidney
transplantation, but only if such transplantation occurs in
that month or in either of the next two months,
whichever first occurs (but no earlier than one year preceding
the month of the filing of an application for benefits under this
section); and
(2) shall end, in the case of an individual who receives a
kidney transplant, with the thirty-sixth month after the month in
which such individual receives such transplant or, in the case of
an individual who has not received a kidney transplant and no
longer requires a regular course of dialysis, with the twelfth
month after the month in which such course of dialysis is
terminated.
(c) Individuals participating in self-care dialysis training
programs; kidney transplant failures; resumption of previously
terminated regular course of dialysis
Notwithstanding the provisions of subsection (b) of this section
-
(1) in the case of any individual who participates in a
self-care dialysis training program prior to the third month
after the month in which such individual initiates a regular
course of renal dialysis in a renal dialysis facility or provider
of services meeting the requirements of section 1395rr(b) of this
title, entitlement to benefits under part A and eligibility to
enroll under part B of subchapter XVIII of this chapter shall
begin with the month in which such regular course of renal
dialysis is initiated;
(2) in any case in which a kidney transplant fails (whether
during or after the thirty-six-month period specified in
subsection (b)(2) of this section) and as a result the individual
who received such transplant initiates or resumes a regular
course of renal dialysis, entitlement to benefits under part A
and eligibility to enroll under part B of subchapter XVIII of
this chapter shall begin with the month in which such course is
initiated or resumed; and
(3) in any case in which a regular course of renal dialysis is
resumed subsequent to the termination of an earlier course,
entitlement to benefits under part A and eligibility to enroll
under part B of subchapter XVIII of this chapter shall begin with
the month in which such regular course of renal dialysis is
resumed.
(c) (!1) Continuing eligibility of certain terminated individuals
For purposes of this section, each person whose monthly insurance
benefit for any month is terminated or is otherwise not payable
solely by reason of paragraph (1) or (7) of section 425(c) (!2) of
this title shall be treated as entitled to such benefit for such
month.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 226A, as added Pub. L.
95-292, Sec. 1(a), June 13, 1978, 92 Stat. 307; amended Pub. L.
97-248, title II, Sec. 278(b)(2)(C), Sept. 3, 1982, 96 Stat. 561;
Pub. L. 97-448, title III, Sec. 309(b)(1), Jan. 12, 1983, 96 Stat.
2408; Pub. L. 99-272, title XIII, Sec. 13205(b)(2)(B), Apr. 7,
1986, 100 Stat. 317; Pub. L. 103-296, title II, Sec.
201(a)(3)(D)(ii), Aug. 15, 1994, 108 Stat. 1497.)
-REFTEXT-
REFERENCES IN TEXT
The Railroad Retirement Act of 1974, referred to in subsec.
(a)(1)(A), (B), is act Aug. 29, 1935, ch. 812, as amended generally
by Pub. L. 93-445, title I, Sec. 101, Oct. 16, 1974, 88 Stat. 1305,
which is classified generally to subchapter IV (Sec. 231 et seq.)
of chapter 9 of Title 45, Railroads. For further details and
complete classification of this Act to the Code, see Codification
note set out preceding section 231 of Title 45, section 231t of
Title 45, and Tables.
Parts A and B of subchapter XVIII of this chapter, referred to in
text, are classified to sections 1395c et seq. and 1395j et seq.,
respectively, of this title.
Section 425(c) of this title, referred to in subsec. (c), was
repealed by Pub. L. 104-121, title I, Sec. 105(a)(4), Mar. 29,
1996, 110 Stat. 853.
-MISC1-
AMENDMENTS
1994 - Subsec. (c). Pub. L. 103-296 added subsec. (c) relating to
continuing eligibility of certain terminated individuals.
1986 - Subsec. (a)(1)(A)(ii), (B)(iii). Pub. L. 99-272
substituted "medicare qualified government employment" for
"medicare qualified Federal employment".
1983 - Subsec. (a)(1)(B)(iii). Pub. L. 97-448 substituted
"section 410(p)" for "410(p)" and struck out "after December 31,
1982,".
1982 - Subsec. (a)(1)(A). Pub. L. 97-248 designated existing
provisions as cl. (i), substituted "within the meaning of the term
'employment' for purposes of this subchapter" for "in the term
'employment' as defined in this chapter", and added cl. (ii).
Subsec. (a)(1)(B). Pub. L. 97-248 designated "is entitled to
monthly insurance benefits under this subchapter" as cl. (i),
substituted "(ii) is entitled to an annuity under the Railroad
Retirement Act of 1974" for "or an annuity under the Railroad
Retirement Act of 1974", and added cl. (iii).
Subsec. (a)(1)(C), (D). Pub. L. 97-248 combined former subpars.
(C) and (D) into subpar. (C) and substituted a reference to
individuals described in subpar. (A) or (B) for a more detailed
definition of such individuals.
EFFECTIVE DATE OF 1994 AMENDMENT
Amendment by Pub. L. 103-296 applicable with respect to benefits
based on disability (as defined in section 425(c)(9) of this title)
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(a)(3)(E)(i) of
Pub. L. 103-296, set out as an Effective Date of 1994 Amendment;
Sunset Provision note under section 425 of this title.
EFFECTIVE DATE OF 1986 AMENDMENT
Amendment by Pub. L. 99-272 effective after Mar. 31, 1986, with
no individual to be considered under disability for any period
beginning before Apr. 1, 1986, for purposes of hospital insurance
benefits, see section 13205(d)(2) of Pub. L. 99-272, set out as a
note under section 410 of this title.
EFFECTIVE DATE OF 1983 AMENDMENT
Section 309(c)(2) of Pub. L. 97-448 provided that: "Any amendment
to the Social Security Act [this chapter] made by this section
[amending this section and sections 410, 1320c-2, 1320c-3, 1395d,
1395f, 1395r, 1395y, 1395cc, 1395mm, 1395ww, 1396b, 1396n, 1396o,
and 1396p of this title] shall be effective as if it had been
originally included as a part of that provision of the Social
Security Act to which it relates, as such provision of such Act was
amended or added by the Tax Equity and Fiscal Responsibility Act of
1982 [Pub. L. 97-248, Sept. 3, 1982, 96 Stat. 324]."
EFFECTIVE DATE OF 1982 AMENDMENT
Amendment by Pub. L. 97-248 effective on and after Jan. 1, 1983,
see section 278(c)(2)(A) of Pub. L. 97-248, set out as a note under
section 426 of this title.
EFFECTIVE DATE
Section effective with respect to services, supplies, and
equipment furnished after the third calendar month beginning after
June 13, 1978, except that provisions for the implementation of an
incentive reimbursement system for dialysis services furnished in
facilities and providers to become effective with respect to a
facility's or provider's first accounting period beginning after
the last day of the twelfth month following the month of June 1978,
and except that provisions for reimbursement rates for home
dialysis to become effective on Apr. 1, 1979, see section 6 of Pub.
L. 95-292, set out as an Effective Date of 1978 Amendment note
under section 426 of this title.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 410, 418, 1320a-7a,
1395c, 1395i-2a, 1395w-23, 1395y, 1395rr of this title; title 10
section 1086.
-FOOTNOTE-
(!1) So in original. Probably should be "(d)".
(!2) See References in Text note below.
-End-
-CITE-
42 USC Sec. 426a 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 426a. Transitional provision on eligibility of uninsured
individuals for hospital insurance benefits
-STATUTE-
(a) Entitlement to benefits
Anyone who -
(1) has attained the age of 65,
(2)(A) attained such age before 1968, or (B) has not less than
3 quarters of coverage (as defined in this subchapter or section
228e(l) of title 45), whenever acquired, for each calendar year
elapsing after 1966 and before the year in which he attained such
age,
(3) is not, and upon filing application for monthly insurance
benefits under section 402 of this title would not be, entitled
to hospital insurance benefits under section 426 of this title,
and is not certifiable as a qualified railroad retirement
beneficiary under section 228s-2 of title 45,
(4) is a resident of the United States (as defined in section
410(i) of this title), and is (A) a citizen of the United States
or (B) an alien lawfully admitted for permanent residence who has
resided in the United States (as so defined) continuously during
the 5 years immediately preceding the month in which he files
application under this section, and
(5) has filed an application under this section in such manner
and in accordance with such other requirements as may be
prescribed in regulations of the Secretary,
shall (subject to the limitations in this section) be deemed,
solely for purposes of section 426 of this title, to be entitled to
monthly insurance benefits under such section 402 for each month,
beginning with the first month in which he meets the requirements
of this subsection and ending with the month in which he dies, or,
if earlier, the month before the month in which he becomes (or upon
filing application for monthly insurance benefits under section 402
of this title would become) entitled to hospital insurance benefits
under section 426 of this title or becomes certifiable as a
qualified railroad retirement beneficiary. An individual who would
have met the preceding requirements of this subsection in any month
had he filed application under paragraph (5) hereof before the end
of such month shall be deemed to have met such requirements in such
month if he files such application before the end of the twelfth
month following such month. No application under this section which
is filed by an individual more than 3 months before the first month
in which he meets the requirements of paragraphs (1), (2), (3), and
(4) shall be accepted as an application for purposes of this
section.
(b) Persons ineligible
The provisions of subsection (a) of this section shall not apply
to any individual who -
(1) is, at the beginning of the first month in which he meets
the requirements of subsection (a), a member of any organization
referred to in section 410(a)(17) of this title,
(2) has, prior to the beginning of such first month, been
convicted of any offense listed in section 402(u) of this title,
or
(3)(A) at the beginning of such first month is covered by an
enrollment in a health benefits plan under chapter 89 of title 5,
(B) was so covered on February 16, 1965, or
(C) could have been so covered for such first month if he or
some other person had availed himself of opportunities to enroll
in a health benefits plan under such chapter and to continue such
enrollment (but this subparagraph shall not apply unless he or
such other person was a Federal employee at any time after
February 15, 1965).
Paragraph (3) shall not apply in the case of any individual for the
month (or any month thereafter) in which coverage under such a
health benefits plan ceases (or would have ceased if he had had
such coverage) by reason of his or some other person's separation
from Federal service, if he or such other person was not (or would
not have been) eligible to continue such coverage after such
separation.
(c) Authorization of appropriations
There are authorized to be appropriated to the Federal Hospital
Insurance Trust Fund (established by section 1395i of this title)
from time to time such sums as the Secretary deems necessary for
any fiscal year, on account of -
(1) payments made or to be made during such fiscal year from
such Trust Fund under part A of subchapter XVIII of this chapter
with respect to individuals who are entitled to hospital
insurance benefits under section 426 of this title solely by
reason of this section,
(2) the additional administrative expenses resulting or
expected to result therefrom, and
(3) any loss in interest to such Trust Fund resulting from the
payment of such amounts,
in order to place such Trust Fund in the same position at the end
of such fiscal year in which it would have been if the preceding
subsections of this section had not been enacted.
-SOURCE-
(Pub. L. 89-97, title I, Sec. 103, July 30, 1965, 79 Stat. 333;
Pub. L. 90-248, title I, Sec. 139, title IV, Sec. 403(h), Jan. 2,
1968, 81 Stat. 854, 932.)
-REFTEXT-
REFERENCES IN TEXT
Sections 228e(l) and 228s-2 of title 45, referred to in subsec.
(a)(2), (3), are references to sections 5(l) and 21 of the Railroad
Retirement Act of 1937. That Act was amended in its entirety and
completely revised by Pub. L. 93-445, Oct. 16, 1974, 88 Stat. 1305.
That Act, as thus amended and revised, was redesignated the
Railroad Retirement Act of 1974, and is classified generally to
subchapter IV (Sec. 231 et seq.) of chapter 9 of Title 45,
Railroads. Sections 228e and 228s-2 of title 45 are covered by
sections 231e and 231f of Title 45, respectively.
Part A of subchapter XVIII of this chapter, referred to in
subsec. (c)(1), is classified to section 1395c et seq. of this
title.
-COD-
CODIFICATION
Section was not enacted as part of the Social Security Act which
comprises this chapter.
-MISC1-
AMENDMENTS
1968 - Subsec. (a)(2)(B). Pub. L. 90-248, Sec. 139, substituted
"1966" for "1965".
Subsec. (b)(3)(A), (C). Pub. L. 90-248, Sec. 403(h)(1), (2),
substituted "chapter 89 of title 5" and "such chapter" for "the
Federal Employees Health Benefits Act of 1959" and "such Act" in
subpars. (A) and (C), respectively.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 426, 1395i-2, 1395ff of
this title.
-End-
-CITE-
42 USC Sec. 427 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 427. Transitional insured status for purposes of old-age and
survivors benefits
-STATUTE-
(a) Determination of entitlement to benefits under section 402(a)
to (c) of this title
In the case of any individual who attains the age of 72 before
1969 but who does not meet the requirements of section 414(a) of
this title, the 6 quarters of coverage referred to in paragraph (1)
of section 414(a) of this title shall, instead, be 3 quarters of
coverage for purposes of determining entitlement of such individual
to benefits under section 402(a) of this title, and of the spouse
to benefits under section 402(b) or section 402(c) of this title,
but, in the case of such spouse, only if he or she attains the age
of 72 before 1969 and only with respect to spouse's insurance
benefits under section 402(b) or section 402(c) of this title for
and after the month in which he or she attains such age. For each
month before the month in which any such individual meets the
requirements of section 414(a) of this title, the amount of the
old-age insurance benefit shall, notwithstanding the provisions of
section 402(a) of this title, be the larger of $64.40 or the amount
most recently established in lieu thereof under section 415(i) of
this title and the amount of the spouse's insurance benefit of the
spouse shall, notwithstanding the provisions of section 402(b) or
section 402(c) of this title, be the larger of $32.20 or the amount
most recently established in lieu thereof under section 415(i) of
this title.
(b) Determination of entitlement to surviving spouse's benefits
under section 402(e) or (f) of this title
In the case of any individual who has died, who does not meet the
requirements of section 414(a) of this title, and whose surviving
spouse attains age 72 before 1969, the 6 quarters of coverage
referred to in paragraph (3) of section 414(a) of this title and in
paragraph (1) thereof shall, for purposes of determining the
entitlement to surviving spouse's insurance benefits under section
402(e) or section 402(f) of this title, instead be -
(1) 3 quarters of coverage if such surviving spouse attains the
age of 72 in or before 1966,
(2) 4 quarters of coverage if such surviving spouse attains the
age of 72 in 1967, or
(3) 5 quarters of coverage if such surviving spouse attains the
age of 72 in 1968.
The amount of the surviving spouse's insurance benefit for each
month shall, notwithstanding the provisions of section 402(e) or
section 402(f) of this title (and section 402(m) (!1) of this
title), be the larger of $64.40 or the amount most recently
established in lieu thereof under section 415(i) of this title.
(c) Deceased individual entitled to benefits by reason of
subsection (a) deemed to meet requirements of subsection (b)
In the case of any individual who becomes, or upon filing
application therefor would become, entitled to benefits under
section 402(a) of this title by reason of the application of
subsection (a) of this section, who dies, and whose surviving
spouse attains the age of 72 before 1969, such deceased individual
shall be deemed to meet the requirements of subsection (b) of this
section for purposes of determining entitlement of such surviving
spouse to surviving spouse's insurance benefits under section
402(e) or section 402(f) of this title.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 227, as added Pub. L.
89-97, title III, Sec. 309(a), July 30, 1965, 79 Stat. 379; amended
Pub. L. 90-248, title I, Sec. 102(a), Jan. 2, 1968, 81 Stat. 827;
Pub. L. 91-172, title X, Sec. 1003(a), Dec. 30, 1969, 83 Stat. 740;
Pub. L. 92-5, title II, Sec. 202(a), Mar. 17, 1971, 85 Stat. 10;
Pub. L. 92-336, title II, Sec. 201(g)(1), July 1, 1972, 86 Stat.
411; Pub. L. 92-603, title I, Sec. 104 (e), (f), Oct. 30, 1972, 86
Stat. 1340; Pub. L. 93-233, Sec. 2(b)(1), Dec. 31, 1973, 87 Stat.
952; Pub. L. 98-21, title III, Sec. 304(a), (b), Apr. 20, 1983, 97
Stat. 112.)
-REFTEXT-
REFERENCES IN TEXT
Section 402(m) of this title, referred to in subsec. (b), was
repealed by Pub. L. 97-35, title XXII, Sec. 2201(b)(10), Aug. 13,
1981, 95 Stat. 831.
-MISC1-
AMENDMENTS
1983 - Subsec. (a). Pub. L. 98-21, Sec. 304(a), substituted
"spouse" for "wife", "spouse's" for "wife's", and "he or she" for
"she", wherever appearing, substituted "the" for "his" after
"402(a) of this title, and of" and preceding "spouse" in two places
and preceding "old-age insurance", and inserted "or section 402(c)"
after "section 402(b)" wherever appearing.
Subsec. (b). Pub. L. 98-21, Sec. 304(b), substituted "surviving
spouse" for "widow" and "surviving spouse's" for "widow's" wherever
appearing, substituted "the" for "her" after "determining" and "The
amount of", and inserted "or section 402(f)" after "section 402(e)"
wherever appearing.
Subsec. (c). Pub. L. 98-21, Sec. 304(b)(1), (2), (4), substituted
"surviving spouse" for "widow" wherever appearing and "surviving
spouse's" for "widow's", and inserted "or section 402(f)" after
"section 402(e)".
1973 - Subsec. (a). Pub. L. 93-233, Sec. 2(b)(1), substituted
"the larger of $64.40 or the amount most recently established in
lieu thereof under section 415(i) of this title" for "$58.00" and
"the larger of $32.20 or the amount most recently established in
lieu thereof under section 415(i) of this title" for "$29.00".
Subsec. (b). Pub. L. 93-233, Sec. 2(b)(1), substituted "the
larger of $64.40 or the amount most recently established in lieu
thereof under section 415(i) of this title" for "$58.00".
1972 - Subsec. (a). Pub. L. 92-336, Sec. 201(g)(1)(A),
substituted "$58.00" for "$48.30" and "$29.00" for "$24.20".
Subsec. (a)(1). Pub. L. 92-603, Sec. 104(e), substituted
"paragraph (1) of section 414(a) of this title" for "so much of
paragraph (1) of section 414(a) of this title as follows clause
(C)".
Subsec. (b). Pub. L. 92-336, Sec. 201(g)(1)(B), substituted
"$58.00" for "$48.30".
Subsec. (b)(1). Pub. L. 92-603, Sec. 104(f), substituted
"paragraph (1) thereof" for "so much of paragraph (1) thereof as
follows clause (C)".
1971 - Subsec. (a). Pub. L. 92-5, Sec. 202(a)(1), substituted
"$48.30" for "$46" and "$24.20" for "$23".
Subsec. (b). Pub. L. 92-5, Sec. 202(a)(2), substituted "$48.30"
for "$46".
1969 - Subsec. (a). Pub. L. 91-172, Sec. 1003(a)(1), substituted
"$46" for "$40", and "$23" for "$20".
Subsec. (b). Pub. L. 91-172, Sec. 1003(a)(2), substituted "$46"
for "$40".
1968 - Subsec. (a). Pub. L. 90-248, Sec. 102(a)(1), substituted
"$40" for "$35" and "$20" for "$17.50".
Subsec. (b). Pub. L. 90-248, Sec. 102(a)(2), substituted "$40"
for "$35".
EFFECTIVE DATE OF 1983 AMENDMENT
Amendment by Pub. L. 98-21 applicable only with respect to
monthly payments payable under this subchapter for months after
April 1983, see section 310 of Pub. L. 98-21 set out as a note
under section 402 of this title.
EFFECTIVE DATE OF 1973 AMENDMENT
Section 2(b)(1) of Pub. L. 93-233 provided that the amendment
made by that section is effective June 1, 1974.
Amendment by Pub. L. 93-233 applicable with respect to monthly
benefits under this subchapter for months after May 1974, and with
respect to lump-sum death payments under section 402(i) of this
title, see section 2(c) of Pub. L. 93-233, set out as a note under
section 415 of this title.
EFFECTIVE DATE OF 1972 AMENDMENTS
Amendment by Pub. L. 92-603 applicable only in the case of a man
who attains (or would attain) age 62 after December 1974, see
section 104(j) of Pub. L. 92-603, set out as a note under section
414 of this title.
Amendment by Pub. L. 92-336 applicable with respect to monthly
benefits under subchapter II of this chapter for months after
August 1972, see section 201(i) of Pub. L. 92-336, set out as a
note under section 415 of this title.
EFFECTIVE DATE OF 1971 AMENDMENT
Section 202(c) of Pub. L. 92-5 provided that: "The amendments
made by subsections (a) and (b) [amending this section and section
428 of this title] shall apply with respect to monthly benefits
under title II of the Social Security Act [this subchapter] for
months after December 1970."
EFFECTIVE DATE OF 1969 AMENDMENT
Section 1003(c) of Pub. L. 91-172 provided that: "The amendments
made by subsections (a) and (b) [amending this section and section
428 of this title] shall apply with respect to monthly benefits
under title II of the Social Security Act [this subchapter] for
months after December 1969."
EFFECTIVE DATE OF 1968 AMENDMENT
Section 102(c) of Pub. L. 90-248 provided that: "The amendments
made by subsections (a) and (b) [amending this section and section
428 of this title] shall apply with respect to monthly benefits
under title II of the Social Security Act [this subchapter] for
months after January 1968."
EFFECTIVE DATE
Section 309(b) of Pub. L. 89-97 provided that: "The amendment
made by subsection (a) [enacting this section] shall apply in the
case of monthly benefits under title II of the Social Security Act
[this subchapter] for and after the second month following the
month [July 1965] in which this Act is enacted on the basis of
applications filed in or after the month in which this Act is
enacted."
REPEAL OF AMENDMENT OF SUBSECS. (A) AND (B) PRIOR TO EFFECTIVE DATE
Section 202(a)(4) of Pub. L. 92-336, title II, July 1, 1972, 86
Stat. 416, which, effective Jan. 1, 1975, substituted "the larger
of $58.00 or the amount most recently established in lieu thereof
under section 415(i) of this title" for "$58.00" and "the larger of
$29.00 or the amount most recently established in lieu thereof
under section 415(i) of this title" for "$29.00", was repealed
prior to its effective date by Pub. L. 93-233, Sec. 2(b)(2), Dec.
31, 1973, 87 Stat. 952, applicable with respect to monthly benefits
under this subchapter for months after May 1974, and with respect
to lump-sum death payments under section 402(i) of this title. See
section 2(c) of Pub. L. 93-233, set out as an Effective Date of
1973 Amendment note under section 415 of this title.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in section 415 of this title.
-FOOTNOTE-
(!1) See References in Text note below.
-End-
-CITE-
42 USC Sec. 428 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 428. Benefits at age 72 for certain uninsured individuals
-STATUTE-
(a) Eligibility
Every individual who -
(1) has attained the age of 72,
(2)(A) attained such age before 1968, or (B)(i) attained such
age after 1967 and before 1972, and (ii) has not less than 3
quarters of coverage, whenever acquired, for each calendar year
elapsing after 1966 and before the year in which he or she
attained such age,
(3) is a resident of the United States (as defined in
subsection (e) of this section), and is (A) a citizen of the
United States or (B) an alien lawfully admitted for permanent
residence who has resided in the United States (as defined in
section 410(i) of this title) continuously during the 5 years
immediately preceding the month in which he or she files
application under this section, and
(4) has filed application for benefits under this section,
shall (subject to the limitations in this section) be entitled to a
benefit under this section for each month beginning with the first
month after September 1966 in which he or she becomes so entitled
to such benefits and ending with the month preceding the month in
which he or she dies. No application under this section which is
filed by an individual more than 3 months before the first month in
which he or she meets the requirements of paragraphs (1), (2), and
(3) shall be accepted as an application for purposes of this
section.
(b) Amount of benefits
The benefit amount to which an individual is entitled under this
section for any month shall be the larger of $64.40 or the amount
most recently established in lieu thereof under section 415(i) of
this title.
(c) Reduction for government pension system benefits
(1) The benefit amount of any individual under this section for
any month shall be reduced (but not below zero) by the amount of
any periodic benefit under a governmental pension system for which
he or she is eligible for such month.
(2) In the case of a husband and wife only one of whom is
entitled to benefits under this section for any month, the benefit
amount, after any reduction under paragraph (1), shall be further
reduced (but not below zero) by the excess (if any) of (A) the
total amount of any periodic benefits under governmental pension
systems for which the spouse who is not entitled to benefits under
this section is eligible for such month, over (B) the benefit
amount as determined without regard to this subsection.
(3) In the case of a husband or wife both of whom are entitled to
benefits under this section for any month, the benefit amount of
each spouse, after any reduction under paragraph (1), shall be
further reduced (but not below zero) by the excess (if any) of (A)
the total amount of any periodic benefits under governmental
pension systems for which the other spouse is eligible for such
month, over (B) the benefit amount of such other spouse as
determined without regard to this subsection.
(4) For purposes of this subsection, in determining whether an
individual is eligible for periodic benefits under a governmental
pension system -
(A) such individual shall be deemed to have filed application
for such benefits,
(B) to the extent that entitlement depends on an application by
such individual's spouse, such spouse shall be deemed to have
filed application, and
(C) to the extent that entitlement depends on such individual
or his or her spouse having retired, such individual and his or
her spouse shall be deemed to have retired before the month for
which the determination of eligibility is being made.
(5) For purposes of this subsection, if any periodic benefit is
payable on any basis other than a calendar month, the Commissioner
of Social Security shall allocate the amount of such benefit to the
appropriate calendar months.
(6) If, under the foregoing provisions of this section, the
amount payable for any month would be less than $1, such amount
shall be reduced to zero. In the case of a husband and wife both of
whom are entitled to benefits under this section for the month, the
preceding sentence shall be applied with respect to the aggregate
amount so payable for such month.
(7) If any benefit amount computed under the foregoing provisions
of this section is not a multiple of $0.10, it shall be raised to
the next higher multiple of $0.10.
(8) Under regulations prescribed by the Commissioner of Social
Security, benefit payments under this section to an individual (or
aggregate benefit payments under this section in the case of a
husband and wife) of less than $5 may be accumulated until they
equal or exceed $5.
(d) Suspension for months in which cash payments are made under
public assistance or in which supplemental security income
benefits are payable
The benefit to which any individual is entitled under this
section for any month shall not be paid for such month if -
(1) such individual receives aid or assistance in the form of
money payments in such month under a State plan approved under
subchapter I, X, XIV, or XVI of this chapter, or under a State
program funded under part A of subchapter IV of this chapter, or
(2) such individual's husband or wife receives such aid or
assistance in such month, and under the State plan the needs of
such individual were taken into account in determining
eligibility for (or amount of) such aid or assistance,
unless the State agency administering or supervising the
administration of such plan notifies the Commissioner of Social
Security, at such time and in such manner as may be prescribed in
accordance with regulations of the Commissioner of Social Security,
that such payments to such individual (or such individual's husband
or wife) under such plan are being terminated with the payment or
payments made in such month and such individual is not an
individual with respect to whom supplemental security income
benefits are payable pursuant to subchapter XVI of this chapter or
section 211 of Public Law 93-66 for the following month, nor shall
such benefit be paid for such month if such individual is an
individual with respect to whom supplemental security income
benefits are payable pursuant to subchapter XVI of this chapter or
section 211 of Public Law 93-66 for such month, unless the
Commissioner of Social Security determines that such benefits are
not payable with respect to such individual for the month following
such month.
(e) Suspension where individual is residing outside United States
The benefit to which any individual is entitled under this
section for any month shall not be paid if, during such month, such
individual is not a resident of the United States. For purposes of
this subsection, the term "United States" means the 50 States and
the District of Columbia.
(f) Treatment as monthly insurance benefits
For purposes of subsections (t) and (u) of section 402 of this
title, and of section 1395s of this title, a monthly benefit under
this section shall be treated as a monthly insurance benefit
payable under section 402 of this title.
(g) Annual reimbursement of Federal Old-Age and Survivors Insurance
Trust Fund
There are authorized to be appropriated to the Federal Old-Age
and Survivors Insurance Trust Fund for the fiscal year ending June
30, 1969, and for each fiscal year thereafter, such sums as the
Commissioner of Social Security deems necessary on account of -
(1) payments made under this section during the second
preceding fiscal year and all fiscal years prior thereto to
individuals who, as of the beginning of the calendar year in
which falls the month for which payment was made, had less than 3
quarters of coverage,
(2) the additional administrative expenses resulting from the
payments described in paragraph (1), and
(3) any loss in interest to such Trust Fund resulting from such
payments and expenses,
in order to place such Trust Fund in the same position at the end
of such fiscal year as it would have been in if such payments had
not been made.
(h) Definitions
For purposes of this section -
(1) The term "quarter of coverage" includes a quarter of
coverage as defined in section 228e(l) of title 45.
(2) The term "governmental pension system" means the insurance
system established by this subchapter or any other system or fund
established by the United States, a State, any political
subdivision of a State, or any wholly owned instrumentality of
any one or more of the foregoing which provides for payment of
(A) pensions, (B) retirement or retired pay, or (C) annuities or
similar amounts payable on account of personal services performed
by any individual (not including any payment under any workmen's
compensation law or any payment by the Secretary of Veterans
Affairs as compensation for service-connected disability or
death).
(3) The term "periodic benefit" includes a benefit payable in a
lump sum if it is a commutation of, or a substitute for, periodic
payments.
(4) The determination of whether an individual is a husband or
wife for any month shall be made under subsection (h) of section
416 of this title without regard to subsections (b) and (f) of
section 416 of this title.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 228, as added Pub. L.
89-368, title III, Sec. 302(a), Mar. 15, 1966, 80 Stat. 67; amended
Pub. L. 90-248, title I, Sec. 102(b), title II, Sec. 241(a) Jan. 2,
1968, 81 Stat. 827, 916; Pub. L. 91-172, title X, Sec. 1003(b),
Dec. 30, 1969, 83 Stat. 740; Pub. L. 92-5, title II, Sec. 202(b),
Mar. 17, 1971, 85 Stat. 10; Pub. L. 92-336, title II, Sec.
201(g)(2), July 1, 1972, 86 Stat. 411; Pub. L. 93-233, Secs.
2(b)(1), 18(c), Dec. 31, 1973, 87 Stat. 952, 968; Pub. L. 98-21,
title III, Sec. 305(a)-(d), Apr. 20, 1983, 97 Stat. 113; Pub. L.
98-369, div. B, title VI, Secs. 2662(e), 2663(j)(3)(A)(iv), July
18, 1984, 98 Stat. 1159, 1170; Pub. L. 101-508, title V, Sec.
5114(a), Nov. 5, 1990, 104 Stat. 1388-273; Pub. L. 102-54, Sec.
13(q)(3)(B)(i), June 13, 1991, 105 Stat. 279; Pub. L. 103-296,
title I, Sec. 107(a)(4), Aug. 15, 1994, 108 Stat. 1478; Pub. L.
104-193, title I, Sec. 108(a)(2), Aug. 22, 1996, 110 Stat. 2165.)
-REFTEXT-
REFERENCES IN TEXT
Part A of subchapter IV of this chapter, referred to in subsec.
(d)(1), is classified to section 601 et seq. of this title.
Section 211 of Pub. L. 93-66, referred to in subsec. (d), is set
out as a note under section 1382 of this title.
Section 228e(l) of title 45, referred to in subsec. (h)(1), is a
reference to section 5(l) of the Railroad Retirement Act of 1937.
That Act was amended in its entirety and completely revised by Pub.
L. 93-445, Oct. 16, 1974, 88 Stat. 1305. The Act, as thus amended
and revised, was redesignated the Railroad Retirement Act of 1974,
and is classified generally to subchapter IV (Sec. 231 et seq.) of
chapter 9 of Title 45, Railroads. Section 228e of title 45 is
covered by section 231e of Title 45.
-MISC1-
AMENDMENTS
1996 - Subsec. (d)(1). Pub. L. 104-193 inserted "under a State
program funded under" before "part A of subchapter IV of this
chapter".
1994 - Subsecs. (c)(5), (8), (d), (g). Pub. L. 103-296
substituted "Commissioner of Social Security" for "Secretary"
wherever appearing.
1991 - Subsec. (h)(2). Pub. L. 102-54 substituted "Secretary of
Veterans Affairs" for "Veterans' Administration".
1990 - Subsec. (a)(2). Pub. L. 101-508 substituted "(B)(i)
attained such age after 1967 and before 1972, and (ii)" for "(B)".
1984 - Subsec. (c)(4)(C). Pub. L. 98-369, Sec. 2662(e), amended
directory language of Pub. L. 98-21, Sec. 305(d)(2). See 1983
Amendment note below.
Subsec. (g). Pub. L. 98-369, Sec. 2663(j)(3)(A)(iv), struck out
"of Health, Education, and Welfare" after "Secretary".
1983 - Subsec. (a). Pub. L. 98-21, Sec. 305(d)(1), substituted
"he or she" for "he" wherever appearing.
Subsec. (b). Pub. L. 98-21, Sec. 305(a), substituted "The" for
"(1) Except as provided in paragraph (2), the" and struck out par.
(2), which had provided that if both husband and wife were entitled
or would have been entitled upon application to benefits under this
section for any month, the amount of the husband's benefit for such
month would be the larger of $64.40 or the amount most recently
established in lieu thereof under section 415(i) of this title, and
the amount of the wife's benefit for such month the larger of
$32.20 or the amount most recently established in lieu thereof
under section 415(i) of this title.
Subsec. (c)(1). Pub. L. 98-21, Sec. 305(d)(1), substituted "he or
she" for "he".
Subsec. (c)(2). Pub. L. 98-21, Sec. 305(b), substituted "(B) the
benefit amount as determined without regard to this subsection" for
"(B) the larger of $32.20 or the amount most recently established
in lieu thereof under section 415(i) of this title".
Subsec. (c)(3). Pub. L. 98-21, Sec. 305(c), amended par. (3)
generally, substituting provisions relating to either a husband or
wife for provision that the benefit amount of the wife, after any
reduction under paragraph (1), would be further reduced (but not
below zero) by the excess (if any) of (i) the total amount of any
periodic benefits under governmental pension systems for which the
husband was eligible for such month, over (ii) the larger of $64.40
or the amount most recently established in lieu thereof under
section 415(i) of this title, and that the benefit amount of the
husband, after any reduction under paragraph (1), would be further
reduced (but not below zero) by the excess (if any) of (i) the
total amount of any periodic benefits under governmental pension
systems for which the wife was eligible for such month, over (ii)
the larger of $32.20 or the amount most recently established in
lieu thereof under section 415(i) of this title.
Subsec. (c)(4)(C). Pub. L. 98-21, Sec. 305(d)(2), as amended by
Pub. L. 98-369, Sec. 2662(e), substituted "his or her" for "his"
wherever appearing.
1973 - Subsec. (b). Pub. L. 93-233, Sec. 2(b)(1), substituted
"the larger of $64.40 or the amount most recently established in
lieu thereof under section 415(i) of this title" for "$58.00" in
pars. (1) and (2) and "the larger of $32.20 or the amount most
recently established in lieu thereof under section 415(i) of this
title" for "$29.00" in par. (2).
Subsec. (c). Pub. L. 93-233, Sec. 2(b)(1), substituted "the
larger of $64.40 or the amount most recently established in lieu
thereof under section 415(i) of this title" for "$58.00" in par.
(3), subpar. (A) and "the larger of $32.20 or the amount most
recently established in lieu thereof under section 415(i) of this
title" for "$29.00" in par. (2) and par. (3) subpar. (B).
Subsec. (d). Pub. L. 93-233, Sec. 18(c) provided for elimination
of benefits at age 72 for uninsured individuals receiving
supplemental security income benefits.
1972 - Subsec. (b)(1). Pub. L. 92-336, Sec. 201(g)(2)(A),
substituted "$58.00" for "$48.30".
Subsec. (b)(2). Pub. L. 92-336, Sec. 201(g)(2)(B), substituted
"$58.00" for "$48.30" and "$29.00" for "$24.20".
Subsec. (c)(2). Pub. L. 92-336, Sec. 201(g)(2)(C), substituted
"$29.00" for "$24.20".
Subsec. (c)(3)(A). Pub. L. 92-336, Sec. 201(g)(2)(D), substituted
"$58.00" for "$48.30".
Subsec. (c)(3)(B). Pub. L. 92-336, Sec. 201(g)(2)(E), substituted
"$29.00" for "$24.20".
1971 - Subsec. (b)(1). Pub. L. 92-5, Sec. 202(b)(1), substituted
"$48.30" for "$46".
Subsec. (b)(2). Pub. L. 92-5, Sec. 202(b)(2), substituted
"$48.30" for "$46" and "$24.20" for "$23".
Subsec. (c)(2). Pub. L. 92-5, Sec. 202(b)(3), substituted
"$24.20" for "$23".
Subsec. (c)(3)(A). Pub. L. 92-5, Sec. 202(b)(4), substituted
"$48.30" for "$46".
Subsec. (c)(3)(B). Pub. L. 92-5, Sec. 202(b)(5), substituted
"$24.20" for "$23".
1969 - Subsec. (b)(1). Pub. L. 91-172, Sec. 1003(b)(1),
substituted "$46" for "$40".
Subsec. (b)(2). Pub. L. 91-172, Sec. 1003(b)(2), substituted
"$46" for "$40" and "$23" for "$20".
Subsec. (c)(2). Pub. L. 91-172, Sec. 1003(b)(3), substituted
"$23" for "$20".
Subsec. (c)(3)(A). Pub. L. 91-172, Sec. 1003(b)(4), substituted
"$46" for "$40".
Subsec. (c)(3)(B). Pub. L. 91-172, Sec. 1003(b)(5), substituted
"$23" for "$20".
1968 - Subsec. (b)(1). Pub. L. 90-248, Sec. 102(b)(1),
substituted "$40" for "$35".
Subsec. (b)(2). Pub. L. 90-248, Sec. 102(b)(2), substituted "$40"
for "$35" and "$20" for $17.50".
Subsec. (c)(2). Pub. L. 90-248, Sec. 102(b)(3), substituted "$20"
for "$17.50".
Subsec. (c)(3)(A). Pub. L. 90-248, Sec. 102(b)(4), substituted
"$40" for "$35".
Subsec. (c)(3)(B). Pub. L. 90-248, Sec. 102(b)(5), substituted
"$20" for "$17.50".
Subsec. (d)(1). Pub. L. 90-248, Sec. 241(a), struck out "IV,"
after "I," and inserted "or part A of subchapter IV of this
chapter," after "XVI of this chapter,".
EFFECTIVE DATE OF 1996 AMENDMENT
Amendment by Pub. L. 104-193 effective July 1, 1997, with
transition rules relating to State options to accelerate such date,
rules relating to claims, actions, and proceedings commenced before
such date, rules relating to closing out of accounts for terminated
or substantially modified programs and continuance in office of
Assistant Secretary for Family Support, and provisions relating to
termination of entitlement under AFDC program, see section 116 of
Pub. L. 104-193, as amended, set out as an Effective Date note
under section 601 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 5114(b) of Pub. L. 101-508 provided that: "The amendment
made by subsection (a) [amending this section] shall apply with
respect [to] benefits payable on the basis of applications filed
after the date of the enactment of this Act [Nov. 5, 1990]."
EFFECTIVE DATE OF 1984 AMENDMENT
Amendment by section 2662(e) of Pub. L. 98-369 effective as
though included in the enactment of the Social Security Amendments
of 1983, Pub. L. 98-21, see section 2664(a) of Pub. L. 98-369, set
out as a note under section 401 of this title.
Amendment by section 2663(j)(3)(A)(iv) 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 1983 AMENDMENT
Amendment by Pub. L. 98-21 applicable only with respect to
monthly payments payable under this subchapter for months after
April 1983, see section 310 of Pub. L. 98-21, set out as a note
under section 402 of this title.
EFFECTIVE DATE OF 1973 AMENDMENT
Section 2(b)(1) of Pub. L. 93-233 provided that the amendment
made by that section is effective June 1, 1974.
Amendment by section 2(b)(1) of Pub. L. 93-233 applicable with
respect to monthly benefits under this subchapter for months after
May 1974, and with respect to lump-sum death payments under section
402(i) of this title, see section 2(c) of Pub. L. 93-233, set out
as a note under section 415 of this title.
EFFECTIVE DATE OF 1972 AMENDMENT
Amendment by Pub. L. 92-336 applicable with respect to monthly
benefits under subchapter II of this chapter for months after
August 1972, see section 201(i) of Pub. L. 92-336, set out as a
note under section 415 of this title.
EFFECTIVE DATE OF 1971 AMENDMENT
Amendment by Pub. L. 92-5 applicable with respect to monthly
benefits under subchapter II of this chapter for months after
December 1970, see section 202(c) of Pub. L. 92-5, set out as a
note under section 427 of this title.
EFFECTIVE DATE OF 1969 AMENDMENT
Amendment by Pub. L. 91-172 applicable for months after December
1969, see section 1003(c) of Pub. L. 91-172, set out as a note
under section 427 of this title.
EFFECTIVE DATE OF 1968 AMENDMENT
Amendment by section 102(b) of Pub. L. 90-248 applicable with
respect to monthly benefits under this subchapter for months after
January 1968, see section 102(c) of Pub. L. 90-248, set out as a
note under section 427 of this title.
REPEAL OF AMENDMENT OF SUBSECS. (B)(1), (2) AND (C)(3)(A), (B)
PRIOR TO EFFECTIVE DATE
Section 202(a)(4) of Pub. L. 92-336, title II, July 1, 1972, 86
Stat. 416, which, effective Jan. 1, 1975, substituted "the larger
of $58.00 or the amount most recently established in lieu thereof
under section 415(i) of this title" for "$58.00" and "the larger of
$29.00 or the amount most recently established in lieu thereof
under section 415(i) of this title" for "$29.00", was repealed
prior to its effective date by Pub. L. 93-233, Sec. 2(b)(2), Dec.
31, 1973, 87 Stat. 952, applicable with respect to monthly benefits
under this subchapter for months after May 1974, and with respect
to lump-sum death payments under section 402(i) of this title. See
section 2(c) of Pub. L. 93-233, set out as an Effective Date of
1973 Amendment 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. 56593, set out as notes under section 1801 of Title
48, Territories and Insular Possessions.
INCREASES TO TAKE INTO ACCOUNT GENERAL BENEFIT INCREASES
Section 305(e) of Pub. L. 98-21 provided that: "The Secretary
shall increase the amounts specified in section 228 of the Social
Security Act [this section], as amended by this section, to take
into account any general benefit increases (as referred to in
section 215(i)(3) of such Act [section 415(i)(3) of this title]),
and any increases under section 215(i) of such Act, which have
occurred after June 1974 or may hereafter occur."
SPECIAL $50 PAYMENT UNDER TAX REDUCTION ACT OF 1975
Special payment of $50 as soon as practicable after Mar. 29,
1975, by Secretary of the Treasury to each individual who, for
month of March 1975, was entitled to a monthly insurance benefit
payable under this subchapter, see section 702 of Pub. L. 94-12,
set out as a note under section 402 of this title.
APPLICATIONS FOR TRANSITIONAL COVERAGE OF UNINSURED INDIVIDUALS FOR
HOSPITAL INSURANCE BENEFITS
Section 302(b) of Pub. L. 89-368 provided that: "For purposes of
paragraph (4) of section 228(a) of the Social Security Act [subsec.
(a)(4) of this section] (added by subsection (a) of this section),
an application filed under section 103 of the Social Security
Amendments of 1965 [set out as a note under section 426 of this
title] before July 1966 shall be regarded as an application under
such section 228 [this section] and shall, for purposes of such
paragraph and of the last sentence of such section 228(a), be
deemed to have been filed in July 1966, unless the person by whom
or on whose behalf such application was filed notifies the
Secretary that he does not want such application so regarded."
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 405, 415, 659, 1320b-1 of
this title; title 48 section 1421q.
-End-
-CITE-
42 USC Sec. 429 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 429. Benefits in case of members of uniformed services
-STATUTE-
(a) For purposes of determining entitlement to and the amount of
any monthly benefit for any month after December 1972, or
entitlement to and the amount of any lump-sum death payment in case
of a death after such month, payable under this subchapter on the
basis of the wages and self-employment income of any individual,
and for purposes of section 416(i)(3) of this title, such
individual, if he was paid wages for service as a member of a
uniformed service (as defined in section 410(m) of this title)
which was included in the term "employment" as defined in section
410(a) of this title as a result of the provisions of section
410(l)(1)(A) of this title, shall be deemed to have been paid -
(1) in each calendar quarter occurring after 1956 and before
1978 in which he was paid such wages, additional wages of $300,
and
(2) in each calendar year occurring after 1977 in which he was
paid such wages, additional wages of $100 for each $300 of such
wages, up to a maximum of $1,200 of additional wages for any
calendar year.
(b) There are authorized to be appropriated to each of the Trust
Funds, consisting of the Federal Old-Age and Survivors Insurance
Trust Fund, the Federal Disability Insurance Trust Fund, and the
Federal Hospital Insurance Trust Fund, for transfer on July 1 of
each calendar year to such Trust Fund from amounts in the general
fund in the Treasury not otherwise appropriated, an amount equal to
the total of the additional amounts which would be appropriated to
such Trust Fund for the fiscal year ending September 30 of such
calendar year under section 401 or 1395i of this title if the
amounts of the additional wages deemed to have been paid for such
calendar year by reason of subsection (a) of this section
constituted remuneration for employment (as defined in section
3121(b) of the Internal Revenue Code of 1986) for purposes of the
taxes imposed by sections 3101 and 3111 of the Internal Revenue
Code of 1986. Amounts authorized to be appropriated under this
subsection for transfer on July 1 of each calendar year shall be
determined on the basis of estimates of the Commissioner of Social
Security of the wages deemed to be paid for such calendar year
under subsection (a) of this section; and proper adjustments shall
be made in amounts authorized to be appropriated for subsequent
transfer to the extent prior estimates were in excess of or were
less than such wages so deemed to be paid. Additional adjustments
may be made in the amounts so authorized to be appropriated to the
extent that the amounts transferred in accordance with clauses (i)
and (ii) of section 151(b)(3)(B) of the Social Security Amendments
of 1983 with respect to wages deemed to have been paid in 1983 were
in excess of or were less than the amount which the Commissioner of
Social Security, on the basis of appropriate data, determines
should have been so transferred.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 229, as added Pub. L.
90-428, title I, Sec. 106, Jan. 2, 1968, 81 Stat. 833; amended Pub.
L. 92-603, title I, Sec. 120(a), Oct. 30, 1972, 86 Stat. 1352; Pub.
L. 95-216, title III, Sec. 353(d), Dec. 20, 1977, 91 Stat. 1554;
Pub. L. 98-21, title I, Sec. 151(b)(1), Apr. 20, 1983, 97 Stat.
104; Pub. L. 98-369, div. B, title VI, Sec. 2661(n), July 18, 1984,
98 Stat. 1158; Pub. L. 100-203, title IX, Sec. 9001(c), Dec. 22,
1987, 101 Stat. 1330-286; Pub. L. 103-296, title I, Sec. 107(a)(4),
title III, Sec. 321(c)(6)(J), Aug. 15, 1994, 108 Stat. 1478, 1538.)
-REFTEXT-
REFERENCES IN TEXT
The Internal Revenue Code of 1986, referred to in subsec. (b), is
classified generally to Title 26, Internal Revenue Code.
Section 151(b)(3)(B) of the Social Security Amendments of 1983,
referred to in subsec. (b), is section 151(b)(3)(B) of Pub. L.
98-21, which is set out as a note below.
-MISC1-
AMENDMENTS
1994 - Subsec. (b). Pub. L. 103-296, Sec. 321(c)(6)(J),
substituted "1986" for "1954" after "Code of" in two places.
Pub. L. 103-296, Sec. 107(a)(4), substituted "Commissioner of
Social Security" for "Secretary" in two places.
1987 - Subsec. (a). Pub. L. 100-203 substituted "section
410(l)(1)(A)" for "section 410(l)".
1984 - Subsec. (b). Pub. L. 98-369 inserted at end "Additional
adjustments may be made in the amounts so authorized to be
appropriated to the extent that the amounts transferred in
accordance with clauses (i) and (ii) of section 151(b)(3)(B) of the
Social Security Amendments of 1983 with respect to wages deemed to
have been paid in 1983 were in excess of or were less than the
amount which the Secretary, on the basis of appropriate data,
determines should have been so transferred."
1983 - Subsec. (b). Pub. L. 98-21 amended subsec. (b) generally,
substituting provisions relating to authorization of appropriations
to each of the Trust Funds for transfer on July 1 of each calendar
year for provision that had authorized appropriations to the
Federal Old-Age and Survivors Insurance Trust Fund, the Federal
Disability Insurance Trust Fund, and the Federal Hospital Insurance
Trust Fund annually, as benefits under this subchapter and part A
of subchapter XVIII of this chapter were paid after December 1967,
such sums as the Secretary determined to be necessary to meet (1)
the additional costs, resulting from subsec. (a), of such benefits
(including lump-sum death payments), (2) the additional
administrative expenses resulting therefrom, and (3) any loss in
interest to such trust funds resulting from the payment of such
amounts, and that such additional costs would be determined after
any increases in such benefits arising from the application of
section 417 of this title had been made.
1977 - Subsec. (a). Pub. L. 95-216 substituted provisions
relating to applicability of benefits for wages deemed to have been
paid in each calendar quarter occurring after 1956 and before 1978
and provisions relating to applicability of benefits for wages
deemed to have been paid in each calendar quarter occurring after
1977, for provisions relating to applicability of benefits for
wages deemed to have been paid in each calendar quarter occurring
after 1956.
1972 - Subsec. (a). Pub. L. 92-603 substituted "December 1972"
for "December 1967" and "after 1956" for "after 1967" and struck
out provisions limiting the wages deemed to have been paid an
individual in addition to the wages actually paid him for his
service to $100 if the wages actually paid to him in a quarter were
$100 or less or to $200 if the wages actually paid to him in a
quarter were more than $100 but not more than $200.
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.
EFFECTIVE DATE OF 1987 AMENDMENT
Amendment by Pub. L. 100-203 applicable with respect to
remuneration paid after Dec. 31, 1987, see section 9001(d) of Pub.
L. 100-203, set out as a note under section 3121 of Title 26,
Internal Revenue Code.
EFFECTIVE DATE OF 1984 AMENDMENT
Amendment by Pub. L. 98-369 effective as though included in the
enactment of the Social Security Amendments of 1983, Pub. L. 98-21,
see section 2664(a) of Pub. L. 98-369, set out as a note under
section 401 of this title.
EFFECTIVE DATE OF 1983 AMENDMENT
Section 151(b)(2) of Pub. L. 98-21 provided that: "The amendment
made by paragraph (1) [amending this section] shall be effective
with respect to wages deemed to have been paid for calendar years
after 1983."
EFFECTIVE DATE OF 1977 AMENDMENT
Amendment by Pub. L. 95-216 effective Jan. 1, 1978, see section
353(g) of Pub. L. 95-216, set out as a note under section 418 of
this title.
EFFECTIVE DATE OF 1972 AMENDMENT
Section 120(b) of Pub. L. 92-603 provided that: "The amendments
made by subsection (a) [amending this section] shall apply with
respect to monthly benefits under title II of the Social Security
Act [this subchapter] for months after December 1972 and with
respect to lump-sum death payments under such title in the case of
deaths occurring after December 1972 except that, in the case of
any individual who is entitled, on the basis of the wages and
self-employment income of any individual to whom section 229 of
such Act [this section] applies, to monthly benefits under title II
of such Act for the month in which this Act is enacted [October
1972], such amendments shall apply (1) only if a written request
for a recalculation of such benefits (by reason of such amendments)
under the provisions of section 215(b) and (d) of such Act [section
415(b) and (d) of this title], as in effect at the time such
request is filed, is filed by such individual, or any other
individual, entitled to benefits under such title II on the basis
of such wages and self-employment income, and (2) only with respect
to such benefits for months beginning with whichever of the
following is later: January 1973 or the twelfth month before the
month in which such request was filed. Recalculations of benefits
as required to carry out the provisions of this section shall be
made notwithstanding the provisions of section 215(f)(1) of the
Social Security Act, and no such recalculation shall be regarded as
a recomputation for purposes of section 215(f) of such Act."
PAYMENT OF WAGES AFTER 2001
Pub. L. 107-117, div. A, title VIII, Sec. 8134, Jan. 10, 2002,
115 Stat. 2278, provided that: "Notwithstanding section 229(a) of
the Social Security Act [subsec. (a) of this section], no wages
shall be deemed to have been paid to any individual pursuant to
that section in any calendar year after 2001."
COMPENSATORY PAYMENTS TO TRUST FUNDS
Section 151(b)(3) of Pub. L. 98-21, as amended by Pub. L. 99-514,
Sec. 2, Oct. 22, 1986, 100 Stat. 2095, provided that:
"(A) Within thirty days after the date of the enactment of this
Act [Apr. 20, 1983], the Secretary of Health and Human Services
shall determine the additional amounts which would have been
appropriated to the Federal Old-Age and Survivors Insurance Trust
Fund, the Federal Disability Insurance Trust Fund, and the Federal
Hospital Insurance Trust Fund under sections 201 and 1817 of the
Social Security Act [sections 401 and 1395i of this title] if the
additional wages deemed to have been paid under section 229(a) of
the Social Security Act [subsec. (a) of this section] prior to 1984
had constituted remuneration for employment (as defined in section
3121(b) of the Internal Revenue Code of 1986 [formerly I.R.C. 1954]
[26 U.S.C. 3121(b)]) for purposes of the taxes imposed by sections
3101 and 3111 of the Internal Revenue Code of 1986 [26 U.S.C. 3101,
3111], and the amount of interest which would have been earned on
such amounts if they had been so appropriated.
"(B)(i) Within thirty days after the date of the enactment of
this Act [Apr. 20, 1983], the Secretary of the Treasury shall
transfer to each such Trust Fund, from amounts in the general fund
of the Treasury not otherwise appropriated, an amount equal to the
amount determined with respect to such Trust Fund under
subparagraph (A), less any amount appropriated to such Trust Fund
pursuant to the provisions of section 229(b) of the Social Security
Act [subsec. (b) of this section] prior to the date of the
determination made under subparagraph (A) with respect to wages
deemed to have been paid for calendar years prior to 1984.
"(ii) The Secretary of Health and Human Services shall revise the
amount determined under clause (i) with respect to each such Trust
Fund within one year after the date of the transfer made to such
Trust Fund under clause (i), as determined appropriate by such
Secretary from data which becomes available to him after the date
of the transfer under clause (i). Within 30 days after any such
revision, the Secretary of the Treasury shall transfer to such
Trust Fund, from amounts in the general fund of the Treasury not
otherwise appropriated, or from such Trust Fund to the general fund
of the Treasury, such amounts as the Secretary of Health and Human
Services certifies as necessary to take into account such
revision."
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in section 415 of this title; title
38 section 5303A; title 50 section 2082.
-End-
-CITE-
42 USC Sec. 430 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 430. Adjustment of contribution and benefit base
-STATUTE-
(a) Determination and publication by Commissioner in Federal
Register subsequent to cost-of-living benefit increase; effective
date
Whenever the Commissioner of Social Security pursuant to section
415(i) of this title increases benefits effective with the December
following a cost-of-living computation quarter, the Commissioner
shall also determine and publish in the Federal Register on or
before November 1 of the calendar year in which such quarter occurs
the contribution and benefit base determined under subsection (b)
or (c) of this section which shall be effective with respect to
remuneration paid after the calendar year in which such quarter
occurs and taxable years beginning after such year.
(b) Determination of amount
The amount of such contribution and benefit base shall (subject
to subsection (c) of this section) be the amount of the
contribution and benefit base in effect in the year in which the
determination is made or, if larger, the product of -
(1) $60,600, and
(2) the ratio of (A) the national average wage index (as
defined in section 409(k)(1) of this title) for the calendar year
before the calendar year in which the determination under
subsection (a) of this section is made to (B) the national
average wage index (as so defined) for 1992,
with such product, if not a multiple of $300, being rounded to the
next higher multiple of $300 where such product is a multiple of
$150 but not of $300 and to the nearest multiple of $300 in any
other case.
(c) Amount of base for period prior to initial cost-of-living
benefit increase
For purposes of this section, and for purposes of determining
wages and self-employment income under sections 409, 411, 413, and
415 of this title and sections 1402, 3121, 3122, 3125, 6413, and
6654 of the Internal Revenue Code of 1986, (1) the "contribution
and benefit base" with respect to remuneration paid in (and taxable
years beginning in) any calendar year after 1973 and prior to the
calendar year with the June of which the first increase in benefits
pursuant to section 415(i) of this title becomes effective shall be
$13,200 or (if applicable) such other amount as may be specified in
a law enacted subsequent to the law which added this section, and
(2) the "contribution and benefit base" with respect to
remuneration paid (and taxable years beginning) -
(A) in 1978 shall be $17,700,
(B) in 1979 shall be $22,900,
(C) in 1980 shall be $25,900, and
(D) in 1981 shall be $29,700.
For purposes of determining under subsection (b) of this section
the "contribution and benefit base" with respect to remuneration
paid (and taxable years beginning) in 1982 and subsequent years,
the dollar amounts specified in clause (2) of the preceding
sentence shall be considered to have resulted from the application
of such subsection (b) of this section and to be the amount
determined (with respect to the years involved) under that
subsection.
(d) Determinations for calendar years after 1976 for purposes of
retirement benefit plans
Notwithstanding any other provision of law, the contribution and
benefit base determined under this section for any calendar year
after 1976 for purposes of section 1322(b)(3)(B) of title 29, with
respect to any plan, shall be the contribution and benefit base
that would have been determined for such year if this section as in
effect immediately prior to the enactment of the Social Security
Amendments of 1977 had remained in effect without change (except
that, for purposes of subsection (b) of such section 430 of this
title as so in effect, the reference to the contribution and
benefit base in paragraph (1) of such subsection (b) shall be
deemed a reference to an amount equal to $45,000, each reference in
paragraph (2) of such subsection (b) to the average of the wages of
all employees as reported to the Secretary of the Treasury shall be
deemed a reference to the national average wage index (as defined
in section 409(k)(1) of this title), the reference to a preceding
calendar year in paragraph (2)(A) of such subsection (b) shall be
deemed a reference to the calendar year before the calendar year in
which the determination under subsection (a) of such section 430 of
this title is made, and the reference to a calendar year in
paragraph (2)(B) of such subsection (b) shall be deemed a reference
to 1992).
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 230, as added Pub. L.
92-336, title II, Sec. 202(b)(1), July 1, 1972, 86 Stat. 416;
amended Pub. L. 92-603, title I, Sec. 144(a)(4), Oct. 30, 1972, 86
Stat. 1370; Pub. L. 93-66, title II, Sec. 203(c), July 9, 1973, 87
Stat. 153; Pub. L. 93-233, Secs. 3(j), 5(c), Dec. 31, 1973, 87
Stat. 952, 954; Pub. L. 94-202, Sec. 8(h), Jan. 2, 1976, 89 Stat.
1139; Pub. L. 95-216, title I, Sec. 103(a)-(c)(1), title III, Sec.
353(e), Dec. 20, 1977, 91 Stat. 1513, 1514, 1554; Pub. L. 97-34,
title VII, Sec. 741(d)(1), Aug. 13, 1981, 95 Stat. 347; Pub. L.
98-21, title I, Sec. 111(a)(5), Apr. 20, 1983, 97 Stat. 72; Pub. L.
98-76, title II, Secs. 211(d), 225(a)(4), Aug. 12, 1983, 97 Stat.
419, 425; Pub. L. 98-369, div. B, title VI, Sec. 2663(a)(18), July
18, 1984, 98 Stat. 1165; Pub. L. 101-239, title X, Sec.
10208(b)(1)(A), (B), (5), (d)(2)(A)(i), Dec. 19, 1989, 103 Stat.
2477, 2478, 2480; Pub. L. 103-296, title I, Sec. 107(a)(4), title
III, Sec. 321(b)(2), (c)(6)(K), (g)(1)(A), (B), Aug. 15, 1994, 108
Stat. 1478, 1537, 1538, 1542.)
-REFTEXT-
REFERENCES IN TEXT
The Internal Revenue Code of 1986, referred to in subsec. (c), is
classified generally to Title 26, Internal Revenue Code.
"Subsequent to the law which added this section", referred to in
subsec. (c), means subsequent to the enactment of Pub. L. 92-336,
which was approved July 1, 1972.
The enactment of the Social Security Amendments of 1977, referred
to in subsec. (d), means the enactment of Pub. L. 95-216, which was
approved Dec. 20, 1977.
-MISC1-
AMENDMENTS
1994 - Subsec. (a). Pub. L. 103-296, Sec. 107(a)(4), substituted
"Commissioner of Social Security" for "Secretary" and "the
Commissioner shall" for "he shall".
Subsec. (b)(1), (2). Pub. L. 103-296, Sec. 321(g)(1)(A), added
pars. (1) and (2) and struck out former pars. (1) and (2) which
read as follows:
"(1) the contribution and benefit base which is in effect with
respect to remuneration paid in (and taxable years beginning in)
the calendar year in which the determination under subsection (a)
of this section is made, and
"(2) the ratio of (A) the deemed average total wages (as defined
in section 409(k)(1) of this title) for the calendar year before
the calendar year in which the determination under subsection (a)
of this section is made to (B) the deemed average total wages (as
so defined) for the calendar year before the most recent calendar
year in which an increase in the contribution and benefit base was
enacted or a determination resulting in such an increase was made
under subsection (a) of this section,".
Subsec. (b)(2)(A), (B). Pub. L. 103-296, Sec. 321(b)(2), made
technical correction to directory language of Pub. L. 101-239, Sec.
10208(b)(1). See 1989 Amendment note below.
Subsec. (c). Pub. L. 103-296, Sec. 321(c)(6)(K), substituted
"1986" for "1954" after "Code of".
Subsec. (d). Pub. L. 103-296, Sec. 321(g)(1)(B), at end
substituted parenthetical provisions beginning with "(except that"
and ending with "reference to 1992)." for former parenthetical
provisions which read as follows: "(except that, for purposes of
subsection (b)(2)(A) of this section as so in effect, the reference
therein to the average of the wages of all employees as reported to
the Secretary of the Treasury for any calendar year shall be deemed
a reference to the deemed average total wage (within the meaning of
section 409(k)(1) of this title) for such calendar year)."
1989 - Subsec. (b)(2)(A). Pub. L. 101-239, Sec. 10208(b)(1)(A),
as amended by Pub. L. 103-296, Sec. 321(b)(2), substituted "the
deemed average total wages (as defined in section 409(k)(1) of this
title)" for "the average of the total wages (as defined in
regulations of the Secretary and computed without regard to the
limitations specified in section 409(a)(1) of this title) reported
to the Secretary of the Treasury or his delegate".
Pub. L. 101-239, Sec. 10208(d)(2)(A)(i), substituted "409(a)(1)"
for "409(a)".
Subsec. (b)(2)(B). Pub. L. 101-239, Sec. 10208(b)(1)(B), as
amended by Pub. L. 103-296, Sec. 321(b)(2), substituted "the deemed
average total wages (as so defined)" for "the average of the total
wages (as so defined and computed) reported to the Secretary of the
Treasury or his delegate".
Subsec. (d). Pub. L. 101-239, Sec. 10208(b)(5), substituted
"change (except that, for purposes of subsection (b)(2)(A) of this
section as so in effect, the reference therein to the average of
the wages of all employees as reported to the Secretary of the
Treasury for any calendar year shall be deemed a reference to the
deemed average total wage (within the meaning of section 409(k)(1)
of this title) for such calendar year)" for "change".
1984 - Subsec. (c). Pub. L. 98-369, in last sentence which was
repealed by Pub. L. 98-76, substituted "3(a) or 3(f)(3)" for "3(a)
or (3)(f)(3)" in the original, which had been translated as
"section 231b(a) or (f)(3) of title 45".
1983 - Subsec. (a). Pub. L. 98-21 substituted "December" for
"June".
Subsec. (c). Pub. L. 98-76, Sec. 225(a)(4), struck out provision
that for purposes of determining employee and employer tax
liability under sections 3201(a) and 3221(a) of the Internal
Revenue Code of 1954, for purposes of determining the portion of
the employee representative tax liability under section 3211(a) of
such Code which resulted from the application of the 12.75 percent
rate specified therein, and for purposes of computing average
monthly compensation under section 231b(j) of title 45, except with
respect to annuity amounts determined under section 231b(a) or
(f)(3) of title 45, clause (2) and the preceding sentence of this
subsection shall be disregarded.
Pub. L. 98-76, Sec. 211(d), temporarily substituted "12.75
percent" for "11.75 percent". See Effective and Termination Dates
of 1983 Amendments note below.
1981 - Subsec. (c). Pub. L. 97-34 substituted in last sentence
"employee and employer" for "employer", "sections 3201(a) and
3221(a)" for "section 3221(a)", and "11.75" for "9.5".
1977 - Subsec. (a). Pub. L. 95-216, Sec. 103(a)(1), substituted
"determined under subsection (b) or (c) of this section" for
"determined under subsection (b) of this section".
Subsec. (b). Pub. L. 95-216, Sec. 103(a)(2), in provisions
preceding par. (1), substituted "shall (subject to subsection (c)
of this section) be the amount" for "shall be the amount".
Subsec. (b)(1). Pub. L. 95-216, Sec. 353(e)(2), substituted
"determination under subsection (a) of this section is made" for
"determination under subsection (a) of this section with respect to
such particular calendar year was made".
Subsec. (b)(2). Pub. L. 95-216, Sec. 353(e)(3), substituted "(A)
the average of the total wages (as defined in regulations of the
Secretary and computed without regard to the limitations specified
in section 409(a) of this title) reported to the Secretary of the
Treasury or his delegate for the calendar year in which the
determination under subsection (a) of this section is made to (B)
the average of the total wages (as so defined and computed)
reported to the Secretary of the Treasury or his delegate for the
calendar year before" for "(A) the average of the wages of all
employees as reported to the Secretary of the Treasury for the
calendar year preceding the calendar year in which the
determination under subsection (a) of this section with respect to
such particular calendar years was made to (B) the average of the
wages of all employees as reported to the Secretary of the Treasury
for the calendar year 1973 or, if later, the calendar year
preceding".
Subsec. (b). Pub. L. 95-216, Sec. 353(e)(1), in provisions
following par. (2), struck out directive that, for purposes of this
subsection, the average of the wages for the calendar year 1978 (or
any prior calendar year), in the case of determinations made under
subsection (a) of this section prior to December 31, 1979, be
deemed to be an amount equal to 400 per centum of the amount of the
average of the taxable wages of all employees as reported to the
Secretary for the first calendar quarter of such calendar year.
Subsec. (c). Pub. L. 95-216, Sec. 103(b), designated existing
provisions as introductory material and cl. (1) and added cl. (2)
and closing material.
Subsec. (d). Pub. L. 95-216, Sec. 103(c)(1), added subsec. (d).
1976 - Subsec. (b). Pub. L. 94-202 substituted "wages of all
employees as reported to the Secretary of the Treasury for the
calendar year preceding the calendar year" for "taxable wages of
all employees as reported to the Secretary for the first calendar
quarter of the calendar year" and "made to" for "made to the latest
of" in cl. (A) of par. (2), substituted "wages of all employees as
reported to the Secretary of the Treasury for the calendar year
1973 or, if later, the calendar year preceding" for "taxable wages
of all employees as reported to the Secretary for the first
calendar quarter of 1973 or the first calendar quarter of" in cl.
(B) of par. (2), and inserted, following par. (2), provision
directing that the average wages for the calendar year 1978, or any
prior calendar year, be deemed equal to 400% of the average wages
reported for the first quarter of that calendar year.
1973 - Subsec. (a). Pub. L. 93-233, Sec. 3(j)(1), substituted
"with the June" for "with the first month of the calendar year" and
struck out "(along with the publication of such benefit increase as
required by section 415(i)(2)(D) of this title)" after "such
quarter occurs" and "(unless such increase in benefits is prevented
from becoming effective by section 415(i)(2)(E) of this title)"
after "shall be effective", respectively.
Subsec. (c). Pub. L. 93-233, Secs. 3(j)(2), 5(c), substituted
"the June" for "the first month" and "$13,200" for "$12,600",
respectively.
Pub. L. 93-66 substituted "$12,600" for "$12,000".
1972 - Subsec. (b)(2)(A). Pub. L. 92-603 substituted "of" for
"or".
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(b)(2) of Pub. L. 103-296 provided that the amendment
made by that section is effective as if included in section
10208(b)(1) of Pub. L. 101-239.
Amendment by section 321(g)(1)(A), (B) of Pub. L. 103-296
effective with respect to the determination of the contribution and
benefit base for years after 1994, see section 321(g)(3)(A) of Pub.
L. 103-296, set out as a note under section 415 of this title.
EFFECTIVE DATE OF 1989 AMENDMENT
Section 10208(c) of Pub. L. 101-239 provided that:
"(1) In general. - The amendments made by subsections (a) and (b)
[amending this section and sections 403, 409, 413, 415, and 424a of
this title] shall apply with respect to the computation of average
total wage amounts (under the amended provisions) for calendar
years after 1990.
"(2) Transitional rule. - For purposes of determining the
contribution and benefit base for 1990, 1991, and 1992 under
section 230(b) of the Social Security Act [subsec. (b) of this
section] (and section 230(b) of such Act as in effect immediately
prior to enactment of the Social Security Amendments of 1977 [Pub.
L. 95-216, approved Dec. 20, 1977]) -
"(A) the average of total wages for 1988 shall be deemed to be
equal to the amount which would have been determined without
regard to this paragraph, plus 2 percent of the amount which has
been determined to the average of total wages for 1987,
"(B) the average of total wages for 1989 shall be deemed to be
equal to the amount which would have been determined without
regard to this paragraph, plus 2 percent of the amount which
would have been determined to be the average of total wages for
1988 without regard to subparagraph (A), and
"(C) the average of total wages reported to the Secretary of
the Treasury for 1990 shall be deemed to be equal to the product
of -
"(i) the SSA average wage index (as defined in section
215(i)(1)(G) of the Social Security Act [section 415(i)(1)(G)
of this title] and promulgated by the Secretary) for 1989, and
"(ii) the quotient obtained by dividing -
"(I) the average of total wages (as defined in regulations
of the Secretary and computed without regard to the
limitations of section 209(a)(1) of the Social Security Act
[section 409(a)(1) of this title] and by including deferred
compensation amounts, within the meaning of section 209(k)(2)
of such Act as added by this section) reported to the
Secretary of the Treasury or his delegate for 1990, by
"(II) the average of total wages (as so defined and
computed without regard to the limitations specified in such
section 209(a)(1) and by excluding deferred compensation
amounts within the meaning of such section 209(k)(2))
reported to the Secretary of the Treasury or his delegate for
1989.
"(3) Determination of contribution and benefit base for 1993. -
For purposes of determining the contribution and benefit base for
1993 under section 230(b) of the Social Security Act (and section
230(b) of such Act as in effect immediately prior to enactment of
the Social Security Amendments of 1977), the average of total wages
for 1990 shall be determined without regard to subparagraph (C) of
paragraph (2).
"(4) Revised determination under section 230 of the social
security act. - As soon as possible after the enactment of this Act
[Dec. 19, 1989], the Secretary of Health and Human Services shall
revise and publish, in accordance with the provisions of this Act
[Pub. L. 101-239, see Tables for classification] and the amendments
made thereby, the contribution and benefit base under section 230
of the Social Security Act with respect to remuneration paid after
1989 and taxable years beginning after calendar year 1989."
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 AND TERMINATION DATES OF 1983 AMENDMENTS
Amendment by section 211(d) of Pub. L. 98-76 applicable to
compensation paid for services rendered after Dec. 31, 1983, and
before Jan. 1, 1985, see section 212 of Pub. L. 98-76, set out as a
note under section 3201 of Title 26, Internal Revenue Code.
Amendment by section 225(a)(4) of Pub. L. 98-76 applicable to
remuneration paid after Dec. 31, 1984, see section 227(a) of Pub.
L. 98-76, set out as a note under section 3201 of Title 26.
Amendment by Pub. L. 98-21 applicable with respect to
cost-of-living increases determined under section 415(i) of this
title for years after 1982, see section 111(a)(8) of Pub. L. 98-21,
set out as an Effective Date of 1983 Amendment note under section
402 of this title.
EFFECTIVE DATE OF 1981 AMENDMENT
Amendment by Pub. L. 97-34 applicable to compensation paid for
services rendered after Sept. 30, 1981, see section 741(e) of Pub.
L. 97-34, set out as a note under section 3201 of Title 26,
Internal Revenue Code.
EFFECTIVE DATE OF 1977 AMENDMENT
Amendment by section 103(a), (b) of Pub. L. 95-216 applicable
with respect to remunerations paid or received, and taxable years
beginning after, 1977, see section 104 of Pub. L. 95-216, set out
as a note under section 1401 of Title 26, Internal Revenue Code.
Section 103(c)(2) of Pub. L. 95-216 provided that: "The amendment
made by paragraph (1) [amending this section] shall apply with
respect to plan terminations occurring after the date of the
enactment of this Act [Dec. 20, 1977]."
Amendment by section 353(e) of Pub. L. 95-216 effective Jan. 1,
1979, see section 353(g) of Pub. L. 95-216, set out as a note under
section 418 of this title.
EFFECTIVE DATE OF 1973 AMENDMENTS
Amendment by Pub. L. 93-233 applicable only with respect to
remuneration paid after, and taxable years beginning after, 1973,
see section 5(e) of Pub. L. 93-233, set out as a note under section
409 of this title.
Amendment by Pub. L. 93-66 applicable only with respect to
remuneration paid after, and taxable years beginning after, 1973,
see section 203(e) of Pub. L. 93-66, set out as a note under
section 409 of this title.
EFFECTIVE DATE OF 1972 AMENDMENT
Amendment by Pub. L. 92-603 effective in like manner as if such
amendment had been included in title II of Pub. L. 92-336, see
section 144(b) of Pub. L. 92-603, set out as a note under section
403 of this title.
SOCIAL SECURITY CONTRIBUTION AND BENEFIT BASE
2003 - By notice of the Commissioner of Social Security, Oct. 18,
2002, 67 F.R. 65620, it was determined and announced that, pursuant
to authority contained in this section, the contribution and
benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 2003 is $87,000.
2002 - By notice of the Commissioner of Social Security, Oct. 19,
2001, 66 F.R. 54047, it was determined and announced that, pursuant
to authority contained in this section, the contribution and
benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 2002 is $84,900.
2001 - By notice of the Commissioner of Social Security, Oct. 18,
2000, 65 F.R. 63663, it was determined and announced that, pursuant
to authority contained in this section, the contribution and
benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 2001 is $80,400.
2000 - By notice of the Commissioner of Social Security, Oct. 20,
1999, 64 F.R. 57506, it was determined and announced that, pursuant
to authority contained in this section, the contribution and
benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 2000 is $76,200.
1999 - By notice of the Commissioner of Social Security, Oct. 21,
1998, 63 F.R. 58446, it was determined and announced that, pursuant
to authority contained in this section, the contribution and
benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1999 is $72,600.
1998 - By notice of the Commissioner of Social Security, Oct. 22,
1997, 62 F.R. 58762, it was determined and announced that, pursuant
to authority contained in this section, the contribution and
benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1998 is $68,400.
1997 - By notice of the Commissioner of Social Security, Oct. 18,
1996, 61 F.R. 55346, it was determined and announced that, pursuant
to authority contained in this section, the contribution and
benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1997 is $65,400.
1996 - By notice of the Commissioner of Social Security, Oct. 18,
1995, 60 F.R. 54751, it was determined and announced that, pursuant
to authority contained in this section, the contribution and
benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1996 is $62,700.
1995 - By notice of the Secretary of Health and Human Services,
Oct. 25, 1994, 59 F.R. 54464, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1995 is $61,200.
1994 - By notice of the Secretary of Health and Human Services,
Oct. 28, 1993, 58 F.R. 58004, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1994 is $60,600.
1993 - By notice of the Secretary of Health and Human Services,
Oct. 20, 1992, 57 F.R. 48619, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1993 is $57,600.
1992 - By notice of the Secretary of Health and Human Services,
Oct. 21, 1991, 56 F.R. 55325, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1992 is $55,500.
1991 - By notice of the Secretary of Health and Human Services,
Oct. 25, 1990, 55 F.R. 45856, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1991 is $53,400.
1990 - By notice of the Secretary of Health and Human Services,
Oct. 26, 1989, 54 F.R. 45803, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1990 is $50,400.
1989 - By notice of the Secretary of Health and Human Services,
Oct. 27, 1988, 53 F.R. 43932, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1989 is $48,000.
1988 - By notice of the Secretary of Health and Human Services,
Oct. 19, 1987, 52 F.R. 41672, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1988 is $45,000.
1987 - By notice of the Secretary of Health and Human Services,
Oct. 31, 1986, 51 F.R. 40256, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1987 is $43,800.
1986 - By notice of the Secretary of Health and Human Services,
Oct. 29, 1985, 50 F.R. 45559, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1986 is $42,000.
1985 - By notice of the Secretary of Health and Human Services,
Oct. 29, 1984, 49 F.R. 43775, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base for remuneration paid in, and for self-employment
income earned in taxable years beginning in, 1985 is $39,600.
1983 - By notice of the Secretary of Health and Human Services,
Nov. 4, 1982, 47 F.R. 51003, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base with respect to remuneration paid in, and taxable
years beginning in, 1983 is $35,700.
1982 - By notice of the Secretary of Health and Human Services,
Oct. 30, 1981, 46 F.R. 53791, it was determined and announced that,
pursuant to authority contained in this section, the contribution
and benefit base with respect to remuneration paid in, and taxable
years beginning in, 1982 is $32,400.
1978 - By notice of the Secretary of Health, Education, and
Welfare, Oct. 31, 1977, 42 F.R. 57754, it was determined and
announced that, pursuant to authority contained in this section,
the contribution and benefit base with respect to remuneration paid
in, and taxable years beginning in, 1978 is $17,700.
1977 - By notice of the Secretary of Health, Education, and
Welfare, Oct. 7, 1976, 41 F.R. 44878, it was determined and
announced that, pursuant to authority contained in this section,
the contribution and benefit base with respect to remuneration paid
in, and taxable years beginning in, 1977 is $16,500.
1976 - By notice of the Secretary of Health, Education, and
Welfare, Oct. 22, 1975, 40 F.R. 50556, it was determined and
announced that, pursuant to authority contained in this section,
the contribution and benefit base with respect to remuneration paid
in, and taxable years beginning in, 1976 is $15,300.
COST-OF-LIVING INCREASE IN BENEFITS
For purposes of subsec. (a) of this section, the increase in
benefits provided by section 2 of Pub. L. 93-233, revising benefits
table of section 415(a) of this title and amending sections 427(a),
(b) and 428(b)(1), (2), (c)(3)(A), (B) of this title considered an
increase under section 415(i) of this title, see section 3(i) of
Pub. L. 93-233, set out as a note under section 415 of this title.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in sections 403, 409, 411, 413, 415
of this title; title 5 section 8334; title 26 sections 401, 936,
1402, 3121, 3231, 6413; title 29 section 1322.
-End-
-CITE-
42 USC Sec. 431 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 431. Benefits for certain individuals interned by United
States during World War II
-STATUTE-
(a) "Internee" defined
For the purposes of this section the term "internee" means an
individual who was interned during any period of time from December
7, 1941, through December 31, 1946, at a place within the United
States operated by the Government of the United States for the
internment of United States citizens of Japanese ancestry.
(b) Applicability in determining entitlement to and amount of
monthly benefits and lump-sum death payments, and period of
disability; effect of payment of benefits by other agency or
instrumentality of United States
(1) For purposes of determining entitlement to and the amount of
any monthly benefit for any month after December 1972, or
entitlement to and the amount of any lump-sum death payment in the
case of a death after such month, payable under this subchapter on
the basis of the wages and self-employment income of any
individual, and for purposes of section 416(i)(3) of this title,
such individual shall be deemed to have been paid during any period
after he attained age 18 and for which he was an internee, wages
(in addition to any wages actually paid to him) at a weekly rate of
basic pay during such period as follows -
(A) in the case such individual was not employed prior to the
beginning of such period, 40 multiplied by the minimum hourly
rate or rates in effect at any such time under section 206(a)(1)
of title 29, for each full week during such period; and
(B) in the case such individual who was employed prior to the
beginning of such period, 40 multiplied by the greater of (i) the
highest hourly rate received during any such employment, or (ii)
the minimum hourly rate or rates in effect at any such time under
section 206(a)(1) of title 29, for each full week during such
period.
(2) This subsection shall not be applicable in the case of any
monthly benefit or lump-sum death payment if -
(A) a larger such benefit or payment, as the case may be, would
be payable without its application; or
(B) a benefit (other than a benefit payable in a lump-sum
unless it is a commutation of, or a substitute for, periodic
payments) which is based, in whole or in part, upon internment
during any period from December 7, 1941, through December 31,
1946, at a place within the United States operated by the
Government of the United States for the internment of United
States citizens of Japanese ancestry, is determined by any agency
or wholly owned instrumentality of the United States to be
payable by it under any other law of the United States or under a
system established by such agency or instrumentality.
The provisions of clause (B) shall not apply in the case of any
monthly benefit or lump-sum death payment under this subchapter if
its application would reduce by $0.50 or less the primary insurance
amount (as computed under section 415 of this title prior to any
recomputation thereof pursuant to subsection (f) of such section)
of the individual on whose wages and self-employment income such
benefit or payment is based. The provisions of clause (B) shall
also not apply for purposes of section 416(i)(3) of this title.
(3) Upon application for benefits, a recalculation of benefits
(by reason of this section), or a lump-sum death payment on the
basis of the wages and self-employment income of any individual who
was an internee, the Commissioner of Social Security shall accept
the certification of the Secretary of Defense or his designee
concerning any period of time for which an internee is to receive
credit under paragraph (1) and shall make a decision without regard
to clause (B) of paragraph (2) of this subsection unless the
Commissioner has been notified by some other agency or
instrumentality of the United States that, on the basis of the
period for which such individual was an internee, a benefit
described in clause (B) of paragraph (2) has been determined by
such agency or instrumentality to be payable by it. If the
Commissioner of Social Security has not been so notified, the
Commissioner shall then ascertain whether some other agency or
wholly owned instrumentality of the United States has decided that
a benefit described in clause (B) of paragraph (2) is payable by
it. If any such agency or instrumentality has decided, or
thereafter decides, that such a benefit is payable by it, it shall
so notify the Commissioner of Social Security, and the Commissioner
of Social Security shall certify no further benefits for payment or
shall recompute the amount of any further benefits payable, as may
be required by this section.
(4) Any agency or wholly owned instrumentality of the United
States which is authorized by any law of the United States to pay
benefits, or has a system of benefits which are based, in whole or
in part, on any period for which any individual was an internee
shall, at the request of the Commissioner of Social Security,
certify to the Commissioner, with respect to any individual who was
an internee, such information as the Commissioner of Social
Security deems necessary to carry out the Commissioner's functions
under paragraph (3) of this subsection.
(c) Authorization of appropriations
There are authorized to be appropriated to the Trust Funds and
the Federal Hospital Insurance Trust Fund for the fiscal year
ending June 30, 1978, such sums as the Commissioner of Social
Security and the Secretary jointly determine would place the Trust
Funds and the Federal Hospital Insurance Trust Fund in the position
in which they would have been if the preceding provisions of this
section had not been enacted.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 231, as added Pub. L.
92-603, title I, Sec. 142(a), Oct. 30, 1972, 86 Stat. 1367; amended
Pub. L. 98-369, div. B, title VI, Sec. 2663(j)(2)(A)(iii), July 18,
1984, 98 Stat. 1170; Pub. L. 103-296, title I, Sec. 107(a)(1), (4),
(c), Aug. 15, 1994, 108 Stat. 1477, 1478, 1481.)
-MISC1-
AMENDMENTS
1994 - Subsec. (b)(3). Pub. L. 103-296, Sec. 107(a)(1), (4),
substituted "Commissioner of Social Security" for "Secretary of
Health and Human Services" after "an internee, the", after "If
the", and after "so notify the", substituted "the Commissioner" for
"he" before "has been notified" and before "shall then ascertain",
and substituted "Commissioner of Social Security" for "Secretary"
before "shall certify no".
Subsec. (b)(4). Pub. L. 103-296, Sec. 107(a)(1), (4), substituted
"Commissioner of Social Security, certify to the Commissioner, with
respect to any individual who was an internee, such information as
the Commissioner of Social Security deems necessary to carry out
the Commissioner's functions under paragraph (3) of this
subsection" for "Secretary of Health and Human Services, certify to
him, with respect to any individual who was an internee, such
information as the Secretary deems necessary to carry out his
functions under paragraph (3) of this subsection".
Subsec. (c). Pub. L. 103-296, Sec. 107(c), substituted
"Commissioner of Social Security and the Secretary jointly
determine" for "Secretary determines".
1984 - Subsec. (b)(3), (4). Pub. L. 98-369 substituted "Health
and Human Services" for "Health, Education, and Welfare" wherever
appearing.
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 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.
SPECIAL $50 PAYMENT UNDER TAX REDUCTION ACT OF 1975
Special payment of $50 as soon as practicable after Mar. 29,
1975, by the Secretary of the Treasury to each individual who, for
the month of March 1975, was entitled to a monthly insurance
benefit payable under this subchapter, see section 702 of Pub. L.
94-12, set out as a note under section 402 of this title.
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in section 415 of this title.
-End-
-CITE-
42 USC Sec. 432 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 432. Processing of tax data
-STATUTE-
The Secretary of the Treasury shall make available information
returns filed pursuant to part III of subchapter A of chapter 61 of
subtitle F of the Internal Revenue Code of 1986, to the
Commissioner of Social Security for the purposes of this subchapter
and subchapter XI of this chapter. The Commissioner of Social
Security and the Secretary of the Treasury are authorized to enter
into an agreement for the processing by the Commissioner of Social
Security of information contained in returns filed pursuant to part
III of subchapter A of chapter 61 of subtitle F of the Internal
Revenue Code of 1986. Notwithstanding the provisions of section
6103(a) of the Internal Revenue Code of 1986, the Secretary of the
Treasury shall make available to the Commissioner of Social
Security such documents as may be agreed upon as being necessary
for purposes of such processing. The Commissioner of Social
Security shall process any withholding tax statements or other
documents made available to the Commissioner by the Secretary of
the Treasury pursuant to this section. Any agreement made pursuant
to this section shall remain in full force and effect until
modified or otherwise changed by mutual agreement of the
Commissioner of Social Security and the Secretary of the Treasury.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 232, as added Pub. L.
94-202, Sec. 8(b), Jan. 2, 1976, 89 Stat. 1137; amended Pub. L.
103-296, title I, Sec. 107(a)(4), title III, Sec. 321(c)(6)(L),
Aug. 15, 1994, 108 Stat. 1478, 1538.)
-REFTEXT-
REFERENCES IN TEXT
Part III of subchapter A of chapter 61 of subtitle F of the
Internal Revenue Code of 1986, referred to in text, is classified
to section 6031 et seq. of Title 26, Internal Revenue Code.
-MISC1-
AMENDMENTS
1994 - Pub. L. 103-296, Sec. 321(c)(6)(L), substituted "1986" for
"1954" after "Code of" wherever appearing.
Pub. L. 103-296, Sec. 107(a)(4), substituted "Commissioner of
Social Security" for "Secretary" wherever appearing, except where
appearing before "of the Treasury" and substituted "available to
the Commissioner" for "available to him".
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.
EFFECTIVE DATE
Section 8(c) of Pub. L. 94-202 provided that: "Section 232 of the
Social Security Act [this section], as added by subsection (b) of
this section, shall be effective with respect to statements
reporting income received after 1977."
-SECREF-
SECTION REFERRED TO IN OTHER SECTIONS
This section is referred to in section 401 of this title; title
26 section 6103.
-End-
-CITE-
42 USC Sec. 433 01/06/03
-EXPCITE-
TITLE 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 7 - SOCIAL SECURITY
SUBCHAPTER II - FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
BENEFITS
-HEAD-
Sec. 433. International agreements
-STATUTE-
(a) Purpose of agreement
The President is authorized (subject to the succeeding provisions
of this section) to enter into agreements establishing totalization
arrangements between the social security system established by this
subchapter and the social security system of any foreign country,
for the purposes of establishing entitlement to and the amount of
old-age, survivors, disability, or derivative benefits based on a
combination of an individual's periods of coverage under the social
security system established by this subchapter and the social
security system of such foreign country.
(b) Definitions
For the purposes of this section -
(1) the term "social security system" means, with respect to a
foreign country, a social insurance or pension system which is of
general application in the country and under which periodic
benefits, or the actuarial equivalent thereof, are paid on
account of old age, death, or disability; and
(2) the term "period of coverage" means a period of payment of
contributions or a period of earnings based on wages for
employment or on self-employment income, or any similar period
recognized as equivalent thereto under this subchapter or under
the social security system of a country which is a party to an agreement entered into under this section.
(c) Crediting periods of coverage; conditions of payment of
benefits
(1) Any agreement establishing a totalization arrangement
pursuant to this section shall provide -
(A) that in the case of an individual who has at least 6
quarters of coverage as defined in section 413 of this title and
periods of coverage under the social security system of a foreign
country which is a party to such agreement, periods of coverage
of such individual under such social security system of such
foreign country may be combined with periods of coverage under
this subchapter and otherwise considered for the purposes of
establishing entitlement to and the amount of old-age, survivors,
and disability insurance benefits under this subchapter;
(B)(i) that employment or self-employment, or any service which
is recognized as equivalent to employment or self-employment
under this subchapter or the social security system of a foreign
country which is a party to such agreement, shall, on or after
the effective date of such agreement, result in a period of
coverage under the system established under this subchapter or
under the system established under the laws of such foreign
country, but not under both, and (ii) the methods and conditions
for determining under which system employment, self-employment,
or other service shall result in a period of coverage; and
(C) that where an individual's periods of coverage are
combined, the benefit amount payable under this subchapter shall
be based on the proportion of such individual's periods of
coverage which was completed under this subchapter.
(2) Any such agreement may provide that an individual who is
entitled to cash benefits under this subchapter shall,
notwithstanding the provisions of section 402(t) of this title,
receive such benefits while he resides in a foreign country which
is a party to such agreement.
(3) Section 426 of this title shall not apply in the case of any
individual to whom it would not be applicable but for this section
or any agreement or regulation under this section.
(4) Any such agreement may contain other provisions which are not
inconsistent with the other provisions of this subchapter and which
the President deems appropriate to carry out the purposes of this
section.
(d) Regulations
The Commissioner of Social Security shall make rules and
regulations and establish procedures which are reasonable and
necessary to implement and administer any agreement which has been
entered into in accordance with this section.
(e) Reports to Congress; effective date of agreements
(1) Any agreement to establish a totalization arrangement entered
into pursuant to this section shall be transmitted by the President
to the Congress together with a report on the estimated number of
individuals who will be affected by the agreement and the effect of
the agreement on the estimated income and expenditures of the programs established by this chapter.
(2) Such an agreement shall become effective on any date,
provided in the agreement, which occurs after the expiration of the
period (following the date on which the agreement is transmitted in
accordance with paragraph (1)) during which at least one House of
the Congress has been in session on each of 60 days; except that
such agreement shall not become effective if, during such period,
either House of the Congress adopts a resolution of disapproval of
the agreement.
-SOURCE-
(Aug. 14, 1935, ch. 531, title II, Sec. 233, as added Pub. L.
95-216, title III, Sec. 317(a), Dec. 20, 1977, 91 Stat. 1538;
amended Pub. L. 97-35, title XXII, Sec. 2201(b)(12), Aug. 13, 1981,
95 Stat. 831; Pub. L. 98-21, title III, Sec. 326(a), Apr. 20, 1983,
97 Stat. 126; Pub. L. 98-369, div. B, title VI, Sec.
2663(j)(3)(A)(v), July 18, 1984, 98 Stat. 1170; Pub. L. 103-296,
title I, Sec. 107(a)(4), Aug. 15, 1994, 108 Stat. 1478.)
-MISC1-
AMENDMENTS
1994 - Subsec. (d). Pub. L. 103-296 substituted "Commissioner of
Social Security" for "Secretary".
1984 - Subsec. (d). Pub. L. 98-369 struck out "of Health,
Education, and Welfare" after "Secretary".
1983 - Subsec. (e)(2). Pub. L. 98-21 substituted "during which at
least one House of the Congress has been in session on each of 60
days" for "during which each House of the Congress has been in
session on each of 90 days".
1981 - Subsec. (c)(2). Pub. L. 97-35 struck out provision
permitting the agreement to provide that if the benefit paid by the
United States to an individual who legally resides in the United
States when added to the benefit paid by the foreign country is
less than the benefit amount payable to such individual based on
the first figure in, or deemed to be in, column IV of the table in
section 415(a) of this title in the case of an individual becoming
eligible before Jan. 1, 1979, or based on a primary insurance
amount determined under section 415(a)(1)(C)(i)(I) of this title in
the case of an individual becoming eligible for such benefit on or
after such date, the benefit paid by the United States be increased
so that the two benefits equal the benefit amount that would be
payable.
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Enviado por: | El remitente no desea revelar su nombre |
Idioma: | inglés |
País: | Estados Unidos |