Request for Information on Strategies To Improve Adult Outcomes for Youth Receiving Supplemental Security Income (SSI), 411-414 [2017-28397]
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Federal Register / Vol. 83, No. 2 / Wednesday, January 3, 2018 / Notices
Directorate, 1515 Wilson Boulevard,
Arlington, Virginia 22209–2425.
A copy of the comments should be
sent to the Office of Information and
Regulatory Affairs, Attention: Desk
Officer, Selective Service System, Office
of Management and Budget, New
Executive Office Building, Room 3235,
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BILLING CODE 8015–01–P
SMALL BUSINESS ADMINISTRATION
[License No. 03/73–0239]
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sradovich on DSK3GMQ082PROD with NOTICES
Request for Information on Strategies
To Improve Adult Outcomes for Youth
Receiving Supplemental Security
Income (SSI)
Social Security Administration.
Request for information.
AGENCY:
The Social Security
Administration (SSA) administers the
Supplemental Security Income (SSI)
program, which provides means-tested
payments to the elderly, blind, and
disabled, including children. This
request for information (RFI) seeks
public input on strategies for improving
the adult economic outcomes of youth
ages 14 to 25 with disabilities receiving
SSI. The input we receive will inform
our deliberations about potential policy
changes and the design of future
demonstration projects for transition-age
SSI recipients.
DATES: Comments must be received by
February 2, 2018.
ADDRESSES: You may submit comments
by any one of three methods—internet,
fax, or mail. Do not submit the same
comments multiple times or by more
than one method. Regardless of which
method you choose, please state that
your comments refer to Docket No.
SSA–2017–0049 so that we may
associate your comments with the
correct docket.
CAUTION: You should be careful to
include in your comments only
information that you wish to make
publicly available. We strongly urge you
not to include in your comments any
personal information, such as Social
Security numbers or medical
information.
1. Internet: We strongly recommend
that you submit your comments via the
internet. Please visit the Federal
eRulemaking portal at https://
www.regulations.gov. Use the ‘‘Search’’
function to find docket number SSA–
2017–0049. The system will issue a
tracking number to confirm your
submission. You will not be able to
view your comment immediately
because we must post each comment
manually. It may take up to a week for
your comment to be viewable.
2. Fax: Fax comments to (410) 966–
2830.
3. Mail: Mail your comments to the
Office of Regulations and Reports
Clearance, Social Security
Administration, 3100 West High Rise
Building, 6401 Security Boulevard,
Baltimore, Maryland 21235–6401.
Comments are available for public
viewing on the Federal eRulemaking
SUMMARY:
[FR Doc. 2017–28383 Filed 1–2–18; 8:45 am]
Notice is hereby given that Core
Capital Partners II–S, L.P., 1717 K Street
NW, Suite 920, Washington, DC 20006,
a Federal Licensee under the Small
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with the financing of a small concern,
has sought an exemption under Section
312 of the Act and Section 107.730,
Financings which Constitute Conflicts
of Interest of the Small Business
Administration (‘‘SBA’’) Rules and
Regulations (13 CFR 107.730). Core
Capital Partners II–S, L.P. proposes to
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of Core Capital Partners II–S, L.P., owns
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and therefore this transaction is
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20416.
Dated: December 13, 2017.
A. Joseph Shepard,
Associate Administrator, Office of Investment
and Innovation.
[FR Doc. 2017–28384 Filed 1–2–18; 8:45 am]
BILLING CODE 8025–01–P
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[Docket No. SSA–2017–0049]
ACTION:
Dated: December 27, 2017.
Donald M. Benton,
Director.
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SOCIAL SECURITY ADMINISTRATION
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portal at https://www.regulations.gov or
in person, during regular business
hours, by arranging with the contact
person identified below.
FOR FURTHER INFORMATION CONTACT:
Katherine Bent, Associate
Commissioner for Research,
Demonstration, and Employment
Support, Office of Retirement and
Disability Policy, Social Security
Administration, 6401 Security
Boulevard, Baltimore, MD 21235–6401,
(410) 966–9036, for information about
this notice. For information on
eligibility or filing for benefits, call our
national toll-free number, 1–800–772–
1213 or TTY 1–800–325–0778, or visit
our internet site, Social Security Online,
at https://www.socialsecurity.gov.
SUPPLEMENTARY INFORMATION:
Purpose
The SSI program provides meanstested payments to the elderly and
individuals with disabilities, including
children. In 2016, the SSI program
provided payments to over 9 million
individuals, about 11 percent of whom
were transition age, which we define as
ages 14–25.1 While studies have shown
that transition-age SSI recipients are at
risk of poor economic outcomes—lower
earnings and employment—when they
become adults, it is not clear what
supports could improve these outcomes
or who should provide them.
Understanding that SSI is only one part
of the social safety net of programs
intended to support individuals, SSA is
interested in playing an appropriate role
supporting broader Federal, State, and
local efforts to improve the adult
outcomes of youth SSI recipients.
This RFI offers interested parties,
including States, community-based and
other non-profit organizations,
philanthropic organizations,
researchers, and members of the public,
the opportunity to provide information
and recommendations on effective
approaches for improving adult
outcomes for youth receiving SSI. For
the purposes of this notice, ‘‘transition
age’’ and ‘‘youth’’ are used
interchangeably and refer to individuals
ages 14 to 25; 2 ‘‘minors’’ or ‘‘children’’
1 https://www.ssa.gov/policy/docs/statcomps/ssi_
asr/2016/sect01.html (table3); https://www.ssa.gov/
policy/docs/statcomps/ssi_asr/2016/sect04.html
(table19); https://www.ssa.gov/policy/docs/
statcomps/ssi_asr/2016/sect06.html (table35);
2 For a discussion of Federal efforts with respect
to transition-age individuals, see Federal Partners in
Transition Workgroup (2015) ‘‘The 2020 Federal
Youth Transition Plan: A Federal Interagency
Strategy.’’ (available at https://youth.gov/docs/508_
EDITED_RC_FEB26-accessible.pdf).
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is used to refer to individuals under the
age of 18.
Background
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Youth receiving SSI confront
challenges due to poor health, poverty,
a lack of information to access the
fragmented adult service system, and
other barriers.3 Many youth face a lack
of coordinated services, especially as
they leave high school and their schools
no longer provide youth support. SSA’s
redetermination of SSI eligibility at age
18 also generally results in 30–40
percent of youth losing SSI eligibility
(and the accompanying automatic
Medicaid access that most SSI
recipients receive) because their
condition does not meet the adult
standard for disability.4 The
Government Accountability Office
(GAO) has noted that these issues
contribute to the difficulties many child
SSI recipients experience transitioning
to adulthood.5
Several studies of transition-age SSI
recipients suggest significant gaps exist
in the awareness and use of services and
policies currently available to youth.
For example, prior to age 18, less than
one quarter of SSI recipients received
vocational training.6 About 40 percent
of 16- and 17-year-old SSI recipients
work,7 but only about 3 percent of
eligible SSI recipients (of all ages) use
the student earned income exclusion, a
work incentive that excludes a certain
3 Students with Disabilities: Better Federal
Coordination Could Lessen Challenges in the
Transition from High School. (available at https://
www.gao.gov/products/GAO-12-594). Youth With
Autism: Federal Agencies Should Take Additional
Action to Support Transition-Age Youth. (available
at https://www.gao.gov/products/GAO-17-352).
4 Annual Report on Medical Continuing Disability
Reviews. (available at https://www.ssa.gov/
legislation/FY%202014%20CDR%20Report.pdf).
5 Students with Disabilities: Better Federal
Coordination Could Lessen Challenges in the
Transition from High School. (available at https://
www.gao.gov/products/GAO-12-594). Youth With
Autism: Federal Agencies Should Take Additional
Action to Support Transition-Age Youth. (available
at https://www.gao.gov/products/GAO-17-352).
Supplemental Security Income: SSA Could
Strengthen Its Efforts to Encourage Employment for
Transition-Age Youth. (available at https://
www.gao.gov/products/GAO-17-485).
6 David C. Wittenburg and Pamela J. Loprest
(2007) Early Transition Experiences of TransitionAge Child SSI Recipients: New Evidence From the
National Survey of Children and Families. Journal
of Disability Policy Studies 18(3): 176–187.
(available at https://journals.sagepub.com/doi/abs/
10.1177/10442073070180030601).
7 Jeffrey Hemmeter, Jacqueline Kauff, and David
Wittenburg (2009) Changing Circumstances:
Experiences of child SSI recipients before and after
their age-18 redetermination for adult benefits.
Journal of Vocational Rehabilitation 30(3): 201–221.
(available at https://content.iospress.com/articles/
journal-of-vocational-rehabilitation/jvr00462).
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amount of earned income from the SSI
calculation.8
SSA has recognized the difficult
transition to adulthood and that many of
these youth return to the SSI program in
early adulthood. In the 2000s, SSA
conducted the Youth Transition
Demonstration (YTD), which provided
support, especially employment
support, to transition-age SSI recipients.
Results from YTD show that
employment-focused services can help
youth achieve success in the labor
market in the short run. Although there
were mixed impact estimates, YTD
projects that provided higher levels of
employment-focused services saw
higher impacts on earnings and
employment that lasted after the period
of service delivery.9 SSA is also
currently evaluating the Promoting
Readiness of Minors in SSI (PROMISE)
demonstration.10 PROMISE is a joint
effort with the Departments of
Education, Labor, and Health and
Human Services to help youth as early
as age 14 prepare for their transition to
adulthood. Qualitative and anecdotal
evidence from YTD and PROMISE
suggest that many families with
children receiving SSI are unprepared
for the transition of their children to
adulthood.
To address some of these issues, SSA
recently began sending a brochure to
SSI recipients approaching age 18 with
information about the age-18
redetermination, SSA policies to
support youth transition, and
community resources. This information
is also highlighted in a special section
of SSA’s ‘‘Red Book,’’ 11 which is a
resource that summarizes SSA’s work
incentive policies and is used by
benefits counselors around the country.
SSA has also instructed its Work
Incentive Planning and Assistance
(WIPA) providers to make a concerted
effort to reach out to youth.
SSA has also tasked the National
Academies of Sciences, Engineering,
and Medicine’s Health and Medicine
8 Mary Kemp (2010) Recipients of Supplemental
Security Income and the Student Earned Income
Exclusion. Social Security Bulletin 70(2): 31–61.
(available at https://www.ssa.gov/policy/docs/ssb/
v70n2/v70n2p31.html).
9 Thomas Fraker, Arif Mamun, and Lori Timmins
(2015) Three-Year Impacts of Services and Work
Incentives on Youth with Disabilities (available at
https://www.mathematica-;mpr.com/ourpublications-and-findings/publications/threeyearimpacts-of-services-and-work-incentives-on-youthwith-disabilities).
10 Thomas Fraker, Erik Carter, Todd Honeycutt,
Jacqueline Kauff, Gina Livermore, and Arif Mamun
(2014) Promoting Readiness of Minors in SSI
(PROMISE) Evaluation Design Report (available at
https://www.ssa.gov/disabilityresearch/documents/
PROMISE_Eval20%20Design%20Report_Final.pdf).
11 https://www.ssa.gov/%redbook/.
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Division with convening a consensus
committee to look at improving health
outcomes for children with
disabilities.12 The committee will
provide findings about programs and
services aimed at improving health and
functioning outcomes for school-aged
children with disabilities. SSA expects
to use the report to inform decisions
about future research and policies. The
final report is due in Fiscal Year 2018.
GAO Findings About SSI Transition
Despite these efforts, a recent GAO
audit recommended additional efforts to
encourage employment for transitionage SSI recipients.13 For example, GAO
recommended that SSA work with the
Department of Education to explore
options to connect SSI youth to
vocational rehabilitation (VR) services.
SSA currently does not have the
authority to refer SSI recipients to
specific VR agencies. The Ticket to
Work and Work Incentives
Improvement Act of 1999 14 removed
this authority to provide a level playing
field for employment networks, who are
eligible for payments for successfully
assisting Social Security Disability
Insurance (SSDI) beneficiaries and SSI
recipients return to work. When SSA
implemented the Ticket program, it
chose not to include children because
they ‘‘generally are in school, still
pursuing completion of their formal
elementary and secondary education’’
and the Ticket program ‘‘could interfere
with their pursuit of an education,
completion of which many believe
should be the primary focus and goal for
school-age youth.’’ 15 As a result, SSA
can neither refer minors to VR agencies,
nor include those under the age of 18 in
the Ticket program.
Other Agency Efforts
While SSA has an interest in
improving adult outcomes for SSI
youth, other Federal, State, and local
governments and private and nonprofit
entities often have larger—and more
direct—roles in the general youth
transition process. The Federal Partners
in Transition (FPT) workgroup, for
example, which is composed of
representatives from SSA and the
Departments of Labor, Health and
Human Services, and Education, is a
12 https://nationalacademies.org/%hmd/
Activities/SelectPops/ImprovingHealthOutcomes
forChildrenwithDisabilities.aspx.
13 Supplemental Security Income: SSA Could
Strengthen Its Efforts to Encourage Employment for
Transition-Age Youth. (available at https://
www.gao.gov/products/GAO-17-485).
14 Sec. 101(b), Public Law 106–170, 113 Stat.
1860.
15 66 FR 67369, Dec. 28, 2001.
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voluntary partnership designed to help
coordinate Federal efforts around
transition.16 In 2015, FPT published a
document highlighting the goals of the
partner agencies with respect to
improving the outcomes for youth with
disabilities.17 SSA continues to work
with our partners in this area.
The passage of the Workforce
Innovation and Opportunity Act
(WIOA) 18 in 2014 has affected many of
SSA’s partners in this area. WIOA
included significant requirements for
serving youth. In particular, WIOA
expanded the services that State VR
agencies provide youth and the
eligibility requirements for services.
Additionally, State VR agencies must
spend at least 15 percent of their
Federal VR funds on pre-employment
transition services for youths with
disabilities transitioning from school to
post-secondary education or
employment.19 The required services
include job exploration counseling,
work-based learning experiences, postsecondary educational opportunity
counseling, workplace readiness
training, and self-advocacy
instruction.20 Additionally, at least 75
percent of WIOA youth funding to State
workforce agencies, which oversee state
employment and workforce programs
such as unemployment insurance, must
be spent on out-of-school youth.21
In 2016, the Department of Education
awarded grants to five State agencies
under the Disability Innovation FundTransition Work-Based Learning Model
Demonstrations project to support the
requirements of WIOA. These grants
will help the States ‘‘identify and
demonstrate practices, which are
supported by evidence, in providing
work-based learning experiences in
integrated settings under the vocational
rehabilitation (VR) program, in
collaboration with State educational
agencies (SEAs), local educational
agencies (LEAs), and other key partners
within the local community, to improve
post-school outcomes for students with
disabilities.’’ 22 In addition, these
models will be rigorously evaluated to
explore their effectiveness and build the
16 Federal Partners in Transition Workgroup
(2015) ‘‘The 2020 Federal Youth Transition Plan: A
Federal Interagency Strategy’’ (available at https://
youth.gov/docs/508_EDITED_RC_FEB26accessible.pdf.)
17 Id.
18 Secs. 411–424, Public Law 113–128, 128 Stat.
1425.
19 29 U.S.C. 730(d), 733.
20 29 U.S.C. 733(b).
21 29 U.S.C. 3164(a)(4).
22 https://rsa.ed.gov/programs.cfm?pc=
twblmd&sub=awards.
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evidence base on effective work-based
learning supports.
Request for Information
Through this notice, we are soliciting
feedback from interested parties on
potential policy changes and
demonstration projects related to
improving the transition of youths
receiving SSI from childhood into
adulthood. Responses to this request
will inform our decisions about future
policy changes targeting this
population, whether to pursue a new
demonstration project, and how to
design such a project. This notice is to
gather information for our internal
planning purposes only and should not
be construed as a solicitation or as an
obligation on our part or on the part of
any participating Federal agencies.
We ask respondents to address the
following questions, where possible,
considering the context discussed in
this document. You do not need to
address every question and should focus
on those that relate to your expertise or
perspectives. To the extent possible,
please clearly indicate which
question(s) you address in your
response.
Questions:
1. What specific programs or practices
have shown promise at the Federal,
State, or local level in improving the
adult economic outcomes of youth with
disabilities receiving SSI?
2. Given the requirement of VR
agencies to serve transition-age
individuals, the availability of
Individualized Education Programs
(IEP) and Section 504 plans in school
settings, and the availability of services
and supports elsewhere available to
youths, what should SSA’s role be in
assisting the transition of youths to
adulthood?
3. How might SSA better support
other agencies’ youth transition-related
activities?
a. What SSA policies interact with
other agencies’ services and supports?
b. Do SSA’s and other agencies’
policies need to be modified
(technically or administratively) to
improve utilization of these services and
supports? How?
4. Are there aspects of SSA’s
publications, mailings, and online
information that SSA can improve to
better support successful transitions to
adulthood of youths receiving SSI?
5. How can SSA improve its existing
work incentive policies, such as the
Student Earned Income Exclusion
(SEIE) and Impairment-Related Work
Expenses (IRWE), to better support and
increase SSI youth engagement in work?
Are there alternative models that SSA
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413
should consider to replace existing work
incentives?
6. How can SSA enhance and better
target its existing service infrastructure
including its Work Incentive Planning
and Assistance (WIPA) program and
Plan to Achieve Self Support (PASS), to
increase SSI youth engagement in work
and work activities?
7. What lessons from SSA’s youth
demonstration projects, in particular the
Youth Transition Demonstration (YTD)
and the Promoting Readiness of Minors
in SSI (PROMISE) project, should SSA
apply to new policies and
demonstrations? What partners were not
included in those demonstrations that
should have been? Why?
8. If SSA were to conduct a new
demonstration project related to youth,
which populations should SSA consider
targeting, if any? How can SSA identify
these populations? How many
individuals enter these populations per
year?
9. Are there entities (for example,
State VR agencies, medical practices,
local education and training agencies,
etc.) we could look to as exemplars
based on current practices for serving
youth with disabilities? What evidence
exists to suggest these sites are
effectively providing services that
would lead to the increased selfsufficiency of youths with disabilities?
10. In the absence of legislation
renewing SSA’s ability to refer Social
Security Disability Insurance (SSDI)
beneficiaries and SSI recipients directly
to VR, how can SSA help connect youth
to VR services?
11. Should SSA expand the Ticket to
Work (Ticket) program to include
children or create a separate program for
children with a similar mission (i.e.,
reimbursing service providers whose
services result in increased employment
and reduced need on cash benefits)?
a. What services should such a
program provide over and above the
services youth with disabilities
receiving SSI are already eligible for?
b. What types of service providers
should be allowed to participate in a
youth Ticket program? Should such a
program include all types of existing
employment network providers or
should it be limited organizations with
existing providers that serve the broader
youth population?
c. Is there a lower age limit the Ticket
program (either the current program or
a new child-specific program) should
include that is consistent with other
common Federal, State, and local
policies that promote self-sufficiency?
d. Since most children are in school,
what outcomes or milestones should a
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program that included payments for
child outcomes be tied to?
e. How effective are such incentive
payments to service providers likely to
be when serving youth? Are there
alternatives to current incentive
payment structures that SSA should
consider (e.g., a payment structure
based on state-wide youth employment
or youth SSI participation metrics)?
f. How should the age-18
redetermination and the fact that over
one-third of age-18 redeterminations
result in the cessation of benefits
because they do not have a condition
that meets the adult standard for
disability factor into such a program?
g. Are there specific populations
among SSI youth, such as youth in
foster care, that such a program should
consider for allowable services,
providers, and expenditures?
h. Would such a program be
duplicative of the services provided by
State VR agencies, which are already
required to support the transition of
youth with disabilities? Why or why
not?
12. Since the implementation of
WIOA, are there specific examples of
effective services that are funded
through the PROMISE grants but not
funded through State VR agencies or
other Federal and State funding
sources?
Guidance for Submitting Documents
We ask that each respondent include
the name and address of his or her
institution or affiliation, if any, and the
name, title, mailing and email
addresses, and telephone number of a
contact person for his or her institution
or affiliation, if any.
Rights to Materials Submitted
You should not provide any material
you consider confidential or proprietary
in response to this notice.
Dated: December 26, 2017.
Nancy A. Berryhill,
Acting Commissioner of Social Security.
[FR Doc. 2017–28397 Filed 1–2–18; 8:45 am]
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DEPARTMENT OF STATE
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[Public Notice: 10238]
Advisory Committee on International
Postal and Delivery Services
Department of State.
Solicitation of expressions of
interest from members of the public
wishing to serve as representative
members of the Department of State’s
AGENCY:
ACTION:
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Advisory Committee on International
Postal and Delivery Services (IPoDS).
This notice announces that
applications are now being accepted
from members of the public who wish
to join the IPoDS Committee, which was
established in accordance with the
provisions of 39 U.S.C. 407(b)(3) and the
Federal Advisory Committee Act, 5
U.S.C. Appendix.
Under the terms of its authorizing
statute and its charter, the members of
the IPoDS Committee represent mailers,
private sector delivery companies,
stakeholders in international delivery
services or others who are directly
affected by international postal
operations. (The Committee also
includes Federal members from several
U.S. Government agencies including the
Postal Regulatory Commission and the
United States Postal Service.) Members
are appointed by the Assistant Secretary
of State for International Organization
Affairs. The Committee provides advice
to the Department of State with respect
to U.S. foreign policy related to
international postal services and other
international delivery services and U.S.
policy toward the Universal Postal
Union and other international postal
and delivery organizations.
Representative members of the
Committee serve on a voluntary basis
and without compensation.
In order to be appointed to the
Committee, interested individuals must
represent identifiable groups or entities
that are users or providers of
international postal or delivery services
or others directly affected by
international postal operations. There is
no specified form for applications. New
prospective Committee members should
submit a letter expressing their interest
in serving that explicitly identifies the
group or entity they represent. They
should also include a clear statement of
the connection of that group or entity to
the use or provision of international
postal or delivery services. Letters
should also describe the prospective
member’s relevant qualifications and
experience and may be accompanied by
supporting documentation, such as a
biographic statement or resume.
Confirmation from the group or entity
represented that the prospective
member is authorized to represent that
group or entity on the Committee must
be submitted. Inclusion of an email
address and/or telephone number in
each applicant’s submission will speed
communications.
Letters of interest should be no more
than four pages in length and should be
addressed to Joseph P. Murphy, the
IPoDS Committee’s designated federal
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officer. Prospective Committee members
may submit scanned copies of their
letters electronically to Mr. Murphy by
email to murphyjp@state.gov and/or by
U.S. Mail to IO/STA, L409 (SA1);
Department of State; 2401 E Street NW,
Washington, DC 20037. The deadline for
receipt of applications is 12 January
2018.
FOR FURTHER INFORMATION CONTACT:
Please contact Ms. Shereece Robinson of
the Office of Specialized and Technical
Agencies (IO/STA), Bureau of
International Organization Affairs, U.S.
Department of State, at tel. (202) 663–
2649, by email at RobinsonSA2@
state.gov.
Joseph P. Murphy,
Designated Federal Officer, Advisory
Committee on International Postal And
Delivery Services, Office of Specialized and
Technical Agencies, Bureau of International
Organization Affairs, Department of State.
[FR Doc. 2017–28408 Filed 1–2–18; 8:45 am]
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SUSQUEHANNA RIVER BASIN
COMMISSION
Public Hearing
Susquehanna River Basin
Commission.
ACTION: Notice.
AGENCY:
The Susquehanna River Basin
Commission will hold a public hearing
on February 1, 2018, in Harrisburg,
Pennsylvania. At this public hearing,
the Commission will hear testimony on
the projects listed in the Supplementary
Information section of this notice. Such
projects are intended to be scheduled
for Commission action at its next
business meeting, tentatively scheduled
for March 8, 2018, which will be
noticed separately. The public should
take note that this public hearing will be
the only opportunity to offer oral
comment to the Commission for the
listed projects. The deadline for the
submission of written comments is
February 12, 2018.
DATES: The public hearing will convene
on February 1, 2018, at 2:30 p.m. The
public hearing will end at 5:00 p.m. or
at the conclusion of public testimony,
whichever is sooner. The deadline for
the submission of written comments is
February 12, 2018.
ADDRESSES: The public hearing will be
conducted at the Pennsylvania State
Capitol, Room 8E–B, East Wing,
Commonwealth Avenue, Harrisburg,
PA.
FOR FURTHER INFORMATION CONTACT:
Jason Oyler, General Counsel,
SUMMARY:
E:\FR\FM\03JAN1.SGM
03JAN1
Agencies
[Federal Register Volume 83, Number 2 (Wednesday, January 3, 2018)]
[Notices]
[Pages 411-414]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-28397]
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SOCIAL SECURITY ADMINISTRATION
[Docket No. SSA-2017-0049]
Request for Information on Strategies To Improve Adult Outcomes
for Youth Receiving Supplemental Security Income (SSI)
AGENCY: Social Security Administration.
ACTION: Request for information.
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SUMMARY: The Social Security Administration (SSA) administers the
Supplemental Security Income (SSI) program, which provides means-tested
payments to the elderly, blind, and disabled, including children. This
request for information (RFI) seeks public input on strategies for
improving the adult economic outcomes of youth ages 14 to 25 with
disabilities receiving SSI. The input we receive will inform our
deliberations about potential policy changes and the design of future
demonstration projects for transition-age SSI recipients.
DATES: Comments must be received by February 2, 2018.
ADDRESSES: You may submit comments by any one of three methods--
internet, fax, or mail. Do not submit the same comments multiple times
or by more than one method. Regardless of which method you choose,
please state that your comments refer to Docket No. SSA-2017-0049 so
that we may associate your comments with the correct docket.
CAUTION: You should be careful to include in your comments only
information that you wish to make publicly available. We strongly urge
you not to include in your comments any personal information, such as
Social Security numbers or medical information.
1. Internet: We strongly recommend that you submit your comments
via the internet. Please visit the Federal eRulemaking portal at https://www.regulations.gov. Use the ``Search'' function to find docket number
SSA-2017-0049. The system will issue a tracking number to confirm your
submission. You will not be able to view your comment immediately
because we must post each comment manually. It may take up to a week
for your comment to be viewable.
2. Fax: Fax comments to (410) 966-2830.
3. Mail: Mail your comments to the Office of Regulations and
Reports Clearance, Social Security Administration, 3100 West High Rise
Building, 6401 Security Boulevard, Baltimore, Maryland 21235-6401.
Comments are available for public viewing on the Federal
eRulemaking portal at https://www.regulations.gov or in person, during
regular business hours, by arranging with the contact person identified
below.
FOR FURTHER INFORMATION CONTACT: Katherine Bent, Associate Commissioner
for Research, Demonstration, and Employment Support, Office of
Retirement and Disability Policy, Social Security Administration, 6401
Security Boulevard, Baltimore, MD 21235-6401, (410) 966-9036, for
information about this notice. For information on eligibility or filing
for benefits, call our national toll-free number, 1-800-772-1213 or TTY
1-800-325-0778, or visit our internet site, Social Security Online, at
https://www.socialsecurity.gov.
SUPPLEMENTARY INFORMATION:
Purpose
The SSI program provides means-tested payments to the elderly and
individuals with disabilities, including children. In 2016, the SSI
program provided payments to over 9 million individuals, about 11
percent of whom were transition age, which we define as ages 14-25.\1\
While studies have shown that transition-age SSI recipients are at risk
of poor economic outcomes--lower earnings and employment--when they
become adults, it is not clear what supports could improve these
outcomes or who should provide them. Understanding that SSI is only one
part of the social safety net of programs intended to support
individuals, SSA is interested in playing an appropriate role
supporting broader Federal, State, and local efforts to improve the
adult outcomes of youth SSI recipients.
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\1\ https://www.ssa.gov/policy/docs/statcomps/ssi_asr/2016/sect01.html (table3); https://www.ssa.gov/policy/docs/statcomps/ssi_asr/2016/sect04.html (table19); https://www.ssa.gov/policy/docs/statcomps/ssi_asr/2016/sect06.html (table35);
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This RFI offers interested parties, including States, community-
based and other non-profit organizations, philanthropic organizations,
researchers, and members of the public, the opportunity to provide
information and recommendations on effective approaches for improving
adult outcomes for youth receiving SSI. For the purposes of this
notice, ``transition age'' and ``youth'' are used interchangeably and
refer to individuals ages 14 to 25; \2\ ``minors'' or ``children''
[[Page 412]]
is used to refer to individuals under the age of 18.
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\2\ For a discussion of Federal efforts with respect to
transition-age individuals, see Federal Partners in Transition
Workgroup (2015) ``The 2020 Federal Youth Transition Plan: A Federal
Interagency Strategy.'' (available at https://youth.gov/docs/508_EDITED_RC_FEB26-accessible.pdf).
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Background
Youth receiving SSI confront challenges due to poor health,
poverty, a lack of information to access the fragmented adult service
system, and other barriers.\3\ Many youth face a lack of coordinated
services, especially as they leave high school and their schools no
longer provide youth support. SSA's redetermination of SSI eligibility
at age 18 also generally results in 30-40 percent of youth losing SSI
eligibility (and the accompanying automatic Medicaid access that most
SSI recipients receive) because their condition does not meet the adult
standard for disability.\4\ The Government Accountability Office (GAO)
has noted that these issues contribute to the difficulties many child
SSI recipients experience transitioning to adulthood.\5\
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\3\ Students with Disabilities: Better Federal Coordination
Could Lessen Challenges in the Transition from High School.
(available at https://www.gao.gov/products/GAO-12-594). Youth With
Autism: Federal Agencies Should Take Additional Action to Support
Transition-Age Youth. (available at https://www.gao.gov/products/GAO-17-352).
\4\ Annual Report on Medical Continuing Disability Reviews.
(available at https://www.ssa.gov/legislation/FY%202014%20CDR%20Report.pdf).
\5\ Students with Disabilities: Better Federal Coordination
Could Lessen Challenges in the Transition from High School.
(available at https://www.gao.gov/products/GAO-12-594). Youth With
Autism: Federal Agencies Should Take Additional Action to Support
Transition-Age Youth. (available at https://www.gao.gov/products/GAO-17-352). Supplemental Security Income: SSA Could Strengthen Its
Efforts to Encourage Employment for Transition-Age Youth. (available
at https://www.gao.gov/products/GAO-17-485).
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Several studies of transition-age SSI recipients suggest
significant gaps exist in the awareness and use of services and
policies currently available to youth. For example, prior to age 18,
less than one quarter of SSI recipients received vocational
training.\6\ About 40 percent of 16- and 17-year-old SSI recipients
work,\7\ but only about 3 percent of eligible SSI recipients (of all
ages) use the student earned income exclusion, a work incentive that
excludes a certain amount of earned income from the SSI calculation.\8\
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\6\ David C. Wittenburg and Pamela J. Loprest (2007) Early
Transition Experiences of Transition-Age Child SSI Recipients: New
Evidence From the National Survey of Children and Families. Journal
of Disability Policy Studies 18(3): 176-187. (available at https://journals.sagepub.com/doi/abs/10.1177/10442073070180030601).
\7\ Jeffrey Hemmeter, Jacqueline Kauff, and David Wittenburg
(2009) Changing Circumstances: Experiences of child SSI recipients
before and after their age-18 redetermination for adult benefits.
Journal of Vocational Rehabilitation 30(3): 201-221. (available at
https://content.iospress.com/articles/journal-of-vocational-rehabilitation/jvr00462).
\8\ Mary Kemp (2010) Recipients of Supplemental Security Income
and the Student Earned Income Exclusion. Social Security Bulletin
70(2): 31-61. (available at https://www.ssa.gov/policy/docs/ssb/v70n2/v70n2p31.html).
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SSA has recognized the difficult transition to adulthood and that
many of these youth return to the SSI program in early adulthood. In
the 2000s, SSA conducted the Youth Transition Demonstration (YTD),
which provided support, especially employment support, to transition-
age SSI recipients. Results from YTD show that employment-focused
services can help youth achieve success in the labor market in the
short run. Although there were mixed impact estimates, YTD projects
that provided higher levels of employment-focused services saw higher
impacts on earnings and employment that lasted after the period of
service delivery.\9\ SSA is also currently evaluating the Promoting
Readiness of Minors in SSI (PROMISE) demonstration.\10\ PROMISE is a
joint effort with the Departments of Education, Labor, and Health and
Human Services to help youth as early as age 14 prepare for their
transition to adulthood. Qualitative and anecdotal evidence from YTD
and PROMISE suggest that many families with children receiving SSI are
unprepared for the transition of their children to adulthood.
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\9\ Thomas Fraker, Arif Mamun, and Lori Timmins (2015) Three-
Year Impacts of Services and Work Incentives on Youth with
Disabilities (available at https://www.mathematica-;mpr.com/our-publications-and-findings/publications/threeyear-impacts-of-services-and-work-incentives-on-youth-with-disabilities).
\10\ Thomas Fraker, Erik Carter, Todd Honeycutt, Jacqueline
Kauff, Gina Livermore, and Arif Mamun (2014) Promoting Readiness of
Minors in SSI (PROMISE) Evaluation Design Report (available at
https://www.ssa.gov/disabilityresearch/documents/PROMISE_Eval20%20Design%20Report_Final.pdf).
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To address some of these issues, SSA recently began sending a
brochure to SSI recipients approaching age 18 with information about
the age-18 redetermination, SSA policies to support youth transition,
and community resources. This information is also highlighted in a
special section of SSA's ``Red Book,'' \11\ which is a resource that
summarizes SSA's work incentive policies and is used by benefits
counselors around the country. SSA has also instructed its Work
Incentive Planning and Assistance (WIPA) providers to make a concerted
effort to reach out to youth.
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\11\ https://www.ssa.gov/%redbook/.
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SSA has also tasked the National Academies of Sciences,
Engineering, and Medicine's Health and Medicine Division with convening
a consensus committee to look at improving health outcomes for children
with disabilities.\12\ The committee will provide findings about
programs and services aimed at improving health and functioning
outcomes for school-aged children with disabilities. SSA expects to use
the report to inform decisions about future research and policies. The
final report is due in Fiscal Year 2018.
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\12\ https://nationalacademies.org/%hmd/Activities/SelectPops/ImprovingHealthOutcomesforChildrenwithDisabilities.aspx.
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GAO Findings About SSI Transition
Despite these efforts, a recent GAO audit recommended additional
efforts to encourage employment for transition-age SSI recipients.\13\
For example, GAO recommended that SSA work with the Department of
Education to explore options to connect SSI youth to vocational
rehabilitation (VR) services. SSA currently does not have the authority
to refer SSI recipients to specific VR agencies. The Ticket to Work and
Work Incentives Improvement Act of 1999 \14\ removed this authority to
provide a level playing field for employment networks, who are eligible
for payments for successfully assisting Social Security Disability
Insurance (SSDI) beneficiaries and SSI recipients return to work. When
SSA implemented the Ticket program, it chose not to include children
because they ``generally are in school, still pursuing completion of
their formal elementary and secondary education'' and the Ticket
program ``could interfere with their pursuit of an education,
completion of which many believe should be the primary focus and goal
for school-age youth.'' \15\ As a result, SSA can neither refer minors
to VR agencies, nor include those under the age of 18 in the Ticket
program.
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\13\ Supplemental Security Income: SSA Could Strengthen Its
Efforts to Encourage Employment for Transition-Age Youth. (available
at https://www.gao.gov/products/GAO-17-485).
\14\ Sec. 101(b), Public Law 106-170, 113 Stat. 1860.
\15\ 66 FR 67369, Dec. 28, 2001.
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Other Agency Efforts
While SSA has an interest in improving adult outcomes for SSI
youth, other Federal, State, and local governments and private and
nonprofit entities often have larger--and more direct--roles in the
general youth transition process. The Federal Partners in Transition
(FPT) workgroup, for example, which is composed of representatives from
SSA and the Departments of Labor, Health and Human Services, and
Education, is a
[[Page 413]]
voluntary partnership designed to help coordinate Federal efforts
around transition.\16\ In 2015, FPT published a document highlighting
the goals of the partner agencies with respect to improving the
outcomes for youth with disabilities.\17\ SSA continues to work with
our partners in this area.
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\16\ Federal Partners in Transition Workgroup (2015) ``The 2020
Federal Youth Transition Plan: A Federal Interagency Strategy''
(available at https://youth.gov/docs/508_EDITED_RC_FEB26-accessible.pdf.)
\17\ Id.
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The passage of the Workforce Innovation and Opportunity Act (WIOA)
\18\ in 2014 has affected many of SSA's partners in this area. WIOA
included significant requirements for serving youth. In particular,
WIOA expanded the services that State VR agencies provide youth and the
eligibility requirements for services. Additionally, State VR agencies
must spend at least 15 percent of their Federal VR funds on pre-
employment transition services for youths with disabilities
transitioning from school to post-secondary education or
employment.\19\ The required services include job exploration
counseling, work-based learning experiences, post-secondary educational
opportunity counseling, workplace readiness training, and self-advocacy
instruction.\20\ Additionally, at least 75 percent of WIOA youth
funding to State workforce agencies, which oversee state employment and
workforce programs such as unemployment insurance, must be spent on
out-of-school youth.\21\
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\18\ Secs. 411-424, Public Law 113-128, 128 Stat. 1425.
\19\ 29 U.S.C. 730(d), 733.
\20\ 29 U.S.C. 733(b).
\21\ 29 U.S.C. 3164(a)(4).
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In 2016, the Department of Education awarded grants to five State
agencies under the Disability Innovation Fund-Transition Work-Based
Learning Model Demonstrations project to support the requirements of
WIOA. These grants will help the States ``identify and demonstrate
practices, which are supported by evidence, in providing work-based
learning experiences in integrated settings under the vocational
rehabilitation (VR) program, in collaboration with State educational
agencies (SEAs), local educational agencies (LEAs), and other key
partners within the local community, to improve post-school outcomes
for students with disabilities.'' \22\ In addition, these models will
be rigorously evaluated to explore their effectiveness and build the
evidence base on effective work-based learning supports.
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\22\ https://rsa.ed.gov/programs.cfm?pc=twblmd&sub=awards.
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Request for Information
Through this notice, we are soliciting feedback from interested
parties on potential policy changes and demonstration projects related
to improving the transition of youths receiving SSI from childhood into
adulthood. Responses to this request will inform our decisions about
future policy changes targeting this population, whether to pursue a
new demonstration project, and how to design such a project. This
notice is to gather information for our internal planning purposes only
and should not be construed as a solicitation or as an obligation on
our part or on the part of any participating Federal agencies.
We ask respondents to address the following questions, where
possible, considering the context discussed in this document. You do
not need to address every question and should focus on those that
relate to your expertise or perspectives. To the extent possible,
please clearly indicate which question(s) you address in your response.
Questions:
1. What specific programs or practices have shown promise at the
Federal, State, or local level in improving the adult economic outcomes
of youth with disabilities receiving SSI?
2. Given the requirement of VR agencies to serve transition-age
individuals, the availability of Individualized Education Programs
(IEP) and Section 504 plans in school settings, and the availability of
services and supports elsewhere available to youths, what should SSA's
role be in assisting the transition of youths to adulthood?
3. How might SSA better support other agencies' youth transition-
related activities?
a. What SSA policies interact with other agencies' services and
supports?
b. Do SSA's and other agencies' policies need to be modified
(technically or administratively) to improve utilization of these
services and supports? How?
4. Are there aspects of SSA's publications, mailings, and online
information that SSA can improve to better support successful
transitions to adulthood of youths receiving SSI?
5. How can SSA improve its existing work incentive policies, such
as the Student Earned Income Exclusion (SEIE) and Impairment-Related
Work Expenses (IRWE), to better support and increase SSI youth
engagement in work? Are there alternative models that SSA should
consider to replace existing work incentives?
6. How can SSA enhance and better target its existing service
infrastructure including its Work Incentive Planning and Assistance
(WIPA) program and Plan to Achieve Self Support (PASS), to increase SSI
youth engagement in work and work activities?
7. What lessons from SSA's youth demonstration projects, in
particular the Youth Transition Demonstration (YTD) and the Promoting
Readiness of Minors in SSI (PROMISE) project, should SSA apply to new
policies and demonstrations? What partners were not included in those
demonstrations that should have been? Why?
8. If SSA were to conduct a new demonstration project related to
youth, which populations should SSA consider targeting, if any? How can
SSA identify these populations? How many individuals enter these
populations per year?
9. Are there entities (for example, State VR agencies, medical
practices, local education and training agencies, etc.) we could look
to as exemplars based on current practices for serving youth with
disabilities? What evidence exists to suggest these sites are
effectively providing services that would lead to the increased self-
sufficiency of youths with disabilities?
10. In the absence of legislation renewing SSA's ability to refer
Social Security Disability Insurance (SSDI) beneficiaries and SSI
recipients directly to VR, how can SSA help connect youth to VR
services?
11. Should SSA expand the Ticket to Work (Ticket) program to
include children or create a separate program for children with a
similar mission (i.e., reimbursing service providers whose services
result in increased employment and reduced need on cash benefits)?
a. What services should such a program provide over and above the
services youth with disabilities receiving SSI are already eligible
for?
b. What types of service providers should be allowed to participate
in a youth Ticket program? Should such a program include all types of
existing employment network providers or should it be limited
organizations with existing providers that serve the broader youth
population?
c. Is there a lower age limit the Ticket program (either the
current program or a new child-specific program) should include that is
consistent with other common Federal, State, and local policies that
promote self-sufficiency?
d. Since most children are in school, what outcomes or milestones
should a
[[Page 414]]
program that included payments for child outcomes be tied to?
e. How effective are such incentive payments to service providers
likely to be when serving youth? Are there alternatives to current
incentive payment structures that SSA should consider (e.g., a payment
structure based on state-wide youth employment or youth SSI
participation metrics)?
f. How should the age-18 redetermination and the fact that over
one-third of age-18 redeterminations result in the cessation of
benefits because they do not have a condition that meets the adult
standard for disability factor into such a program?
g. Are there specific populations among SSI youth, such as youth in
foster care, that such a program should consider for allowable
services, providers, and expenditures?
h. Would such a program be duplicative of the services provided by
State VR agencies, which are already required to support the transition
of youth with disabilities? Why or why not?
12. Since the implementation of WIOA, are there specific examples
of effective services that are funded through the PROMISE grants but
not funded through State VR agencies or other Federal and State funding
sources?
Guidance for Submitting Documents
We ask that each respondent include the name and address of his or
her institution or affiliation, if any, and the name, title, mailing
and email addresses, and telephone number of a contact person for his
or her institution or affiliation, if any.
Rights to Materials Submitted
You should not provide any material you consider confidential or
proprietary in response to this notice.
Dated: December 26, 2017.
Nancy A. Berryhill,
Acting Commissioner of Social Security.
[FR Doc. 2017-28397 Filed 1-2-18; 8:45 am]
BILLING CODE 4191-02-P