Social Security Administration 2010 – Federal Register Recent Federal Regulation Documents
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Amendments to Regulations Regarding Eligibility for a Medicare Prescription Drug Subsidy
We are revising our regulations to incorporate changes to the Medicare prescription drug coverage low-income subsidy (Extra Help) program made by the Affordable Care Act which was enacted on March 23, 2010. Under our interpretation of section 3304 of the Affordable Care Act and this interim final rule, if the death of a beneficiary's spouse would decrease or eliminate the subsidy provided by the Extra Help program, we will, based on a determination, or redetermination, extend the effective period of eligibility for the most recent determination or redetermination until 1 year after the month following the month we are notified of the death of the spouse. These regulatory changes will allow us to implement this provision of the Affordable Care Act when it goes into effect on January 1, 2011. We are also revising our regulations to incorporate changes made by the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA), which affect the way we account for income and resources when determining eligibility for the Extra Help program. The statute provides that we no longer count as a resource the value of any life insurance policy for Extra Help applications filed, or redeterminations that are effective, on or after January 1, 2010. In addition, we will no longer count as income the help a beneficiary receives when someone else provides food and shelter, or pays household bills for food, mortgage, rent, electricity, water, property taxes, or heating fuel or gas. These revisions will update our rules to reflect these statutory changes.
Privacy Act of 1974, as Amended; Proposed Routine Use
In accordance with the Privacy Act (5 U.S.C. 552a(e)(4) and (e)(11)), we are issuing public notice of our intent to add a new routine use to our system of records entitled Master Files of Social Security Number (SSN) Holders and SSN Applications, 60-0058 (the Enumeration System). The routine use to the Enumeration System will allow us, upon request of the Department of Health and Human Services (HHS), Department of Agriculture's National Finance Center (NFC), Office of Personnel Management (OPM), and the States, or the States' respective contractors or agents that administer the Pre-existing Condition Insurance Plan (PCIP) to verify the name, SSN, and date of birth, and confirm whether citizenship allegations match information in our records for the purposes of determining eligibility for PCIP. We discuss the routine use in greater detail in the SUPPLEMENTARY INFORMATION section below. We invite public comment on this proposal.
Rate for Assessment on Direct Payment Fees to Representatives in 2011
We are announcing that the assessment percentage rate under sections 206(d) and 1631(d)(2)(C) of the Social Security Act (Act), 42 U.S.C. 406 (d), and 1383(d)(2)(C), is 6.3 percent for 2011.
Privacy Act of 1974, as Amended; Proposed System of Records and Routine Use Disclosures
In accordance with the Privacy Act (5 U.S.C. 552a(e)(4) and (e)(11)), we are issuing public notice of our intent to establish a system of records, the Central Repository of Electronic Authentication Data Master File (hereinafter referred to as the e-Authentication File) and its applicable routine uses. The e-Authentication File will maintain personally identifiable information (PII) we collect and use to verify the identity of persons using our electronic services. We discuss the e-Authentication File and its routine use disclosures in the Supplementary Information section below. We invite public comments on the e-Authentication File.
Amendments to Regulations Regarding Withdrawal of Applications and Voluntary Suspension of Benefits
We are modifying our regulations to establish a 12-month time limit for the withdrawal of old-age benefits applications, allow one withdrawal per lifetime, and limit the voluntary suspension of benefits for purposes of receiving delayed retirement credits to months for which you have not received a payment. We are making these changes to revise current policies that have the potential for misuse.
Regulations Regarding Income-Related Monthly Adjustment Amounts to Medicare Beneficiaries' Prescription Drug Coverage Premiums
We are adding a new subpart to our regulations, which contains the rules we will apply to determine the income-related monthly adjustment amount for Medicare prescription drug coverage premiums. This new subpart implements changes made to the Social Security Act (Act) by the Affordable Care Act. These rules parallel the rules in subpart B of this part, which describes the rules we apply when we determine the income-related monthly adjustment amount for certain Medicare Part B (medical insurance) beneficiaries. These rules describe the new subpart; what information we will use to determine whether you will pay an income-related monthly adjustment amount and the amount of the adjustment when applicable; when we will consider a major life- changing event that results in a significant reduction in your modified adjusted gross income; and how you can appeal our determination about your income-related monthly adjustment amount. These rules will allow us to implement the provisions of the Affordable Care Act on time that relate to the income-related monthly adjustment amount for Medicare prescription drug coverage premiums, when they go into effect on January 1, 2011.
Listening Session Regarding Improving the Accessibility of Government Information
This notice announces a listening session being conducted in response to a memo dated July 19, 2010, from the Office of Management and Budget (OMB) on ``Improving the Accessibility of Government Information.'' Section 508 of the Rehabilitation Act (29 U.S.C. 794d) requires Federal agencies to buy and use electronic and information technology (EIT) that is accessible. The July memo directs agencies to take stronger steps toward improving the acquisition and implementation of accessible technology. In order to better understand the needs of diverse communities and provide better solutions, the U.S. Council of CIOs, in collaboration with the Chief Acquisition Officers Council, the GSA Office of Governmentwide Policy and the U.S. Access Board, is holding the second in a series of listening sessions to engage citizens and employees in expressing concerns and proposing ideas. Persons with disabilities, their advocates, technology companies, government employees and other interested parties are invited to participate.
Office of the Commissioner; Cost-of-Living Increase and Other Determinations for 2011; Correction
Under title II of the Social Security Act (Act), there will be no cost-of-living increase in Social Security benefits effective for December 2010. As a result, the following items will remain at their 2010 levels: (1) The maximum Federal Supplemental Security Income (SSI) monthly benefit amounts for 2011, under title XVI of the Act, will remain $674 for an eligible individual, $1,011 for an eligible individual with an eligible spouse, and $338 for an essential person; (2) The special benefit amount under title VIII of the Act for certain World War II veterans will remain $505.50 in 2011; (3) The student earned income exclusion under title XVI of the Act will remain $1,640 per month in 2011, but not more than $6,600 in all of 2011; (4) The dollar fee limit for services performed as a representative payee will remain $37 per month ($72 per month in the case of a beneficiary who is disabled and has an alcoholism or drug addiction condition that leaves him or her incapable of managing benefits) in 2011; (5) The dollar limit on the administrative-cost assessment charged to attorneys representing claimants will remain $83 in 2011; (6) The Old-Age, Survivors, and Disability Insurance (OASDI) contribution and benefit base will remain $106,800 for remuneration paid in 2011 and self-employment income earned in taxable years beginning in 2011; (7) The monthly exempt amounts under the Social Security retirement earnings test for taxable years ending in calendar year 2011 will remain $1,180 and $3,140; (8) The ``old-law'' contribution and benefit base under title II of the Act will remain $79,200 for 2011; and (9) The monthly amount deemed to constitute substantial gainful activity for statutorily blind individuals in 2011 will remain $1,640. The national average wage index for 2009 is $40,711.61. This index affects the following items: (1) The dollar amounts (``bend points'') used in the primary insurance amount benefit formula for workers who become eligible for benefits, or who die before becoming eligible, in 2011 will be $749 and $4,517; (2) The bend points used in the formula for computing maximum family benefits for workers who become eligible for benefits, or who die before becoming eligible, in 2011 will be $957, $1,382, and $1,803; (3) The amount of taxable earnings a person must have to be credited with a quarter of coverage in 2011 will be $1,120; (4) The monthly amount deemed to constitute substantial gainful activity for non-blind disabled persons will be $1,000 in 2011; (5) The earnings threshold establishing a month as a part of a trial work period will be $720 for 2011; and (6) Coverage thresholds for 2011 will be $1,700 for domestic workers and $1,500 for election officials and election workers.
Revised Medical Criteria for Evaluating Mental Disorders
We are reopening for a limited purpose the comment period for the notice of proposed rulemaking (NPRM) that we published in the Federal Register on August 19, 2010 (75 FR 51336). We are reopening the comment period for 15 days to clarify and to seek additional public comment about an aspect of the proposed definitions of the terms ``marked'' and ``extreme'' in sections 12.00 and 112.00 of our Listing of Impairments (listings). We are reopening the comment period to accept comments about that issue only. We will not consider comments on any other aspects of the proposed listings for mental disorders that we receive during this reopened comment period.
Social Security Disability Program Demonstration Project: Benefit Offset National Demonstration (BOND)
We are announcing the following demonstration project relating to the Social Security disability program under title II of the Social Security Act (Act). Under this project, we will test modifications to current title II program rules that we apply to beneficiaries who work and receive title II benefits based on disability. We will also modify current rules for paying outcome payments to providers of services under the Ticket to Work and Self-Sufficiency program (Ticket to Work program). We are conducting this project, called the Benefit Offset National Demonstration (BOND), under the demonstration authority provided in section 234 of the Act. In this project, we are testing the use of a benefit offset based on earnings as an alternative to certain rules that we currently apply to title II disability beneficiaries who work. Under the benefit offset, we will reduce title II disability benefits by $1 for every $2 that a beneficiary earns above a substantial gainful activity threshold amount. This alternative rule will allow a beneficiary to receive reduced benefit payments when we would ordinarily stop payments under our usual rules because of the beneficiary's work and earnings. In selecting beneficiaries to participate in the project, we will include some beneficiaries who receive only title II disability benefits. We also will include some beneficiaries who receive both title II disability benefits and Supplemental Security Income (SSI) based on disability or blindness under title XVI of the Act. However, we are only modifying title II program rules for beneficiaries who participate in the project. We will continue to apply the usual SSI program rules for participants who receive SSI payments in addition to title II disability benefits.
Privacy Act of 1974, as Amended; Computer Matching Program (SSA/Department of Labor (DOL))-Match Number 1003
In accordance with the provisions of the Privacy Act, as amended, this notice announces a renewal of an existing computer matching program that we are currently conducting with DOL.
Agency Self-Evaluation Under Section 504 of the Rehabilitation Act of 1973
We are initiating a self-evaluation of our policies and practices supporting section 504 of the Rehabilitation Act of 1973. Under section 504, Federal agencies are required to provide meaningful access to their programs and activities to qualified persons with disabilities. We are interested in any ideas and suggestions you have about how we should conduct a self-evaluation. We are particularly interested in ideas and suggestions from persons with disabilities, their family members, and those who work with or advocate for persons with disabilities. As we proceed with the self-evaluation, we will provide an additional opportunity to interested persons to participate by submitting comments about our policies and practices.
Cost-of-Living Increase and Other Determinations for 2011
Under title II of the Social Security Act (Act), there will be no cost-of-living increase in Social Security benefits effective for December 2010. As a result, the following items will remain at their 2010 levels: (1) The maximum Federal Supplemental Security Income (SSI) monthly benefit amounts for 2011, under title XVI of the Act, will remain $674 for an eligible individual, $1,011 for an eligible individual with an eligible spouse, and $338 for an essential person; (2) The special benefit amount under title VIII of the Act for certain World War II veterans will remain $505.50 in 2011; (3) The student earned income exclusion under title XVI of the Act will remain $1,640 per month in 2011, but not more than $6,600 in all of 2011; (4) The dollar fee limit for services performed as a representative payee will remain $37 per month ($72 per month in the case of a beneficiary who is disabled and has an alcoholism or drug addiction condition that leaves him or her incapable of managing benefits) in 2011; (5) The dollar limit on the administrative-cost assessment charged to attorneys representing claimants will remain $83 in 2011; (6) The Old-Age, Survivors, and Disability Insurance (OASDI) contribution and benefit base will remain $106,800 for remuneration paid in 2011 and self-employment income earned in taxable years beginning in 2011; (7) The monthly exempt amounts under the Social Security retirement earnings test for taxable years ending in calendar year 2011 will remain $1,180 and $3,140; (8) The ``old-law'' contribution and benefit base under title II of the Act will remain $79,200 for 2011; and (9) The monthly amount deemed to constitute substantial gainful activity for statutorily blind individuals in 2011 will remain $1,640. The national average wage index for 2009 is $40,934.93. This index affects the following items: (1) The dollar amounts (``bend points'') used in the primary insurance amount benefit formula for workers who become eligible for benefits, or who die before becoming eligible, in 2011 will be $753 and $4,542; (2) The bend points used in the formula for computing maximum family benefits for workers who become eligible for benefits, or who die before becoming eligible, in 2011 will be $963, $1,390, and $1,812; (3) The amount of taxable earnings a person must have to be credited with a quarter of coverage in 2011 will be $1,120; (4) The monthly amount deemed to constitute substantial gainful activity for non-blind disabled persons will be $1,000 in 2011; (5) The earnings threshold establishing a month as a part of a trial work period will be $720 for 2011; and (6) Coverage thresholds for 2011 will be $1,700 for domestic workers and $1,500 for election officials and election workers.
Proposed Recommendation to the Social Security Administration for Occupational Information System (OIS) Development Planning; Request for Comment
We need information about work that exists throughout the nation to determine whether claimants' impairments prevent them from doing not only their past work, but any other work in the U.S. economy. To that end, we are developing a long term strategy to obtain current and suitable occupational information critical for disability evaluation. In 2008, we established the Occupational Information Development Advisory Panel (Panel) to provide independent advice and recommendations on plans and activities to create an occupational information system tailored specifically for our disability programs and adjudicative needs. The Panel is soliciting comments on a recommendation it intends to make to us.
Disability Determinations by State Agency Disability Examiners
We are revising our rules on a temporary basis to permit State agency disability examiners to make fully favorable determinations in certain claims for disability benefits under titles II and XVI of the Social Security Act (Act) without the approval of a State agency medical or psychological consultant. These changes apply only to claims we consider under our rules for quick disability determinations (QDD) or under our compassionate allowance initiative.
Privacy Act of 1974, as Amended; Computer Matching Program (SSA/Internal Revenue Service (IRS))-Match Number 1016
In accordance with the provisions of the Privacy Act, as amended, this notice announces a renewal of an existing computer matching program that we are currently conducting with IRS.
Compassionate Allowances for Cardiovascular Disease and Multiple Organ Transplants, Office of the Commissioner, Hearing
We are considering ways to quickly identify diseases and other serious medical conditions that obviously meet the definition of disability under the Social Security Act (Act) and can be identified with minimal objective medical information. We are calling this method ``Compassionate Allowances.'' In December 2007, April 2008, November 2008, July 2009, and November 2009, we held Compassionate Allowance public hearings. These hearings concerned rare diseases, cancers, traumatic brain injury and stroke, early-onset Alzheimer's disease and related dementias, and schizophrenia, respectively. This hearing is the sixth in the series. The purpose of this hearing is to obtain your views about the advisability and possible methods of identifying and implementing compassionate allowances for both adults and children with cardiovascular diseases and multiple organ transplants. We plan to address other medical conditions at subsequent hearings.
Privacy Act of 1974, as Amended; Computer Matching Program (SSA/Railroad Retirement Board (RRB))-Match Number 1006
In accordance with the provisions of the Privacy Act, as amended, this notice announces a renewal of an existing computer matching program that we are currently conducting with RRB.
Occupational Information Development Advisory Panel Meeting; Correction
The Social Security Administration published a document in the Federal Register of September 13, 2010, announcing an upcoming panel teleconference meeting of the Occupational Information Development Advisory Panel. The document contained an incorrect timeframe for the meeting.
Improvements to the Supplemental Security Income Program-Heroes Earnings Assistance and Relief Tax Act of 2008 (HEART Act)
In the Federal Register of September 7, 2010, we published a final rule document revising our regulations to incorporate improvements to the Supplemental Security Income (SSI) program made by the HEART Act. We inadvertently stated the RIN incorrectly as 0960- AD78. This document corrects the RIN to 0960-AH00.
Employment Network Report Card
We are soliciting the views of the public, beneficiaries, advocates, Employment Networks (EN), and other professionals on a key part of our quality assurance and performance measurement system for the Ticket to Work (TTW) program. An EN is a private or public entity that provides employment support and/or vocational rehabilitation services to Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) disabled beneficiaries who choose to participate in the TTW program. We are seeking to expand and improve the mechanism used to monitor and evaluate EN performance under the TTW program. We plan to accomplish this goal by combining a user-friendly EN Report Card, which contains customer satisfaction feedback, with the current administrative data that EN's submit annually. The EN Report Card will be useful to beneficiaries in making informed choices regarding their selection of ENs under the TTW program. We will use the findings to inform ENs about the service expectations of TTW beneficiaries, the level of satisfaction of beneficiaries who have assigned tickets to the EN, and the ways that ENs may improve their performance under the program.
Improvements to the Supplemental Security Income Program-Heroes Earnings Assistance and Relief Tax Act of 2008 (HEART Act)
We are revising our regulations to incorporate improvements to the Supplemental Security Income (SSI) program made by the HEART Act. The HEART Act changes the way we treat certain cash payments to members of the uniformed services and veterans and the way we treat cash and in-kind payments to AmeriCorps volunteers. In addition, we are making a technical change to our rules to reflect the correct section of the Internal Revenue Code.
On Behalf of the Accessibility Committee of the U.S. Council of CIOs; 29 U.S.C. 794d; Listening Session Regarding Improving the Accessibility of Government Information
This notice announces a listening session being conducted in response to a memo dated July 19, 2010 from the Office of Management and Budget (OMB) on ``Improving the Accessibility of Government Information''. Section 508 of the Rehabilitation Act (29 U.S.C. 794d) requires Federal agencies to buy and use electronic and information technology (EIT) that is accessible. The July memo directs agencies to take stronger steps toward improving the acquisition and implementation of accessible technology. In order to better understand the needs of diverse communities and provide better solutions, the U.S. Council of CIOs, in collaboration with the Chief Acquisition Officers Council, the GSA Office of Governmentwide Policy and the U.S. Access Board, is holding the first in a series of listening sessions to engage citizens and employees in expressing concerns and proposing ideas. Persons with disabilities, their advocates and government employees are invited to participate.
Privacy Act of 1974, as Amended; Computer Matching Program (SSA/Office of Personnel Management (OPM)-Match Numbers 1005, 1019, 1020, and 1021
In accordance with the provisions of the Privacy Act, as amended, this notice announces a renewal of an existing computer matching program that we are currently conducting with OPM.
Entitlement and Termination Requirements for Stepchildren
We are revising our regulations to reflect changes made in the Contract with America Advancement Act of 1996 (CAAA) to the entitlement and termination requirements for Social Security child's benefits to stepchildren. Under the CAAA, we consider a stepchild as dependent on a stepparent to receive child's benefits based on the stepparent's earnings only if the stepchild receives at least one-half support from the stepparent. Also, we terminate a stepchild's benefits that are based on the stepparent's earnings if the stepchild's parent or adoptive parent and the stepparent divorce, unless the stepparent adopted the stepchild and the stepchild can qualify for benefits as the stepparent's adopted child.
Revised Medical Criteria for Evaluating Mental Disorders
We propose to revise the criteria in the Listing of Impairments (listings) that we use to evaluate claims involving mental disorders in adults and children under titles II and XVI of the Social Security Act (Act). We also propose to remove certain sections of our regulations and incorporate some of their provisions into other sections of our regulations. The proposed revisions reflect our adjudicative experience, advances in medical knowledge, recommendations from a report we commissioned, and comments we received from experts and the public in response to an advance notice of proposed rulemaking (ANPRM) and at an outreach policy conference.
Privacy Act of 1974, as Amended; Computer Matching Program (SSA/Department of the Treasury/Internal Revenue Service (IRS))-Match Number 1310
In accordance with the provisions of the Privacy Act, as amended, this notice announces a renewal of an existing computer matching program that we are currently conducting with IRS.
Technical Amendment Language Change From “Wholly” to “Fully”; Correction
In the Federal Register of June 11, 2010, we published a final rules document replacing the word ``wholly'' with the word ``fully'' in a number of sections of our regulations when we describe the favorable and unfavorable nature of determinations or decisions we make on claims on benefits. We inadvertently amended Sec. 408.1070 incorrectly. This document corrects the wording in this section.
Amendments to Procedures for Certain Determinations and Decisions
We propose to revise the procedures for how claimants who request hearings before administrative law judges (ALJs) may seek further review of their fully favorable revised determinations based on prehearing case reviews or fully favorable attorney advisor decisions. We also propose to notify claimants who receive partially favorable determinations based on prehearing case reviews that an ALJ will still hold a hearing unless all parties to the hearing tell us in writing that we should dismiss the hearing requests. We expect that these changes will simplify the process and free up scarce administrative resources that we can better use to reduce the hearings level case backlog.
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