Sec. 212. ELIGIBILITY REDETERMINATIONS AND CONTINUING DISABILITY REVIEWS
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## SEC. 212 ELIGIBILITY REDETERMINATIONS AND CONTINUING DISABILITY REVIEWS ###
(a)Continuing Disability Reviews Relating to Certain Children Section 1614(a)(3)(H) (42 U.S.C. 1382c(a)(3)(H)), as redesignated by section 211(a)(3) of this Act, is amended— ####
(1)by inserting “(i)” after “(H)”; and ####
(2)by adding at the end the following new clause: > > ###### “(ii) > > > ######
(I)> > Not less frequently than once every 3 years, the Commissioner shall review in accordance with paragraph
(4)the continued eligibility for benefits under this title of each individual who has not attained 18 years of age and is eligible for such benefits by reason of an impairment (or combination of impairments) which is likely to improve (or, at the option of the Commissioner, which is unlikely to improve). > > > ###### “(II) > > A representative payee of a recipient whose case is reviewed under this clause shall present, at the time of review, evidence demonstrating that the recipient is, and has been, receiving treatment, to the extent considered medically necessary and available, of the condition which was the basis for providing benefits under this title. > > > ###### “(III) > > If the representative payee refuses to comply without good cause with the requirements of subclause (II), the Commissioner of Social Security shall, if the Commissioner determines it is in the best interest of the individual, promptly suspend payment of benefits to the representative payee, and provide for payment of benefits to an alternative representative payee of the individual or, if the interest of the individual under this title would be served thereby, to the individual. > > > ###### “(IV) > > Subclause
(II)shall not apply to the representative payee of any individual with respect to whom the Commissioner determines such application would be inappropriate or unnecessary. In making such determination, the Commissioner shall take into consideration the nature of the individual's impairment (or combination of impairments). Section 1631(c) shall not apply to a finding by the Commissioner that the requirements of subclause
(II)should not apply to an individual's representative payee.” > . ###
(b)Disability Eligibility Redeterminations Required for SSI Recipients Who Attain 18 Years of Age ####
(1)In general Section 1614(a)(3)(H) (42 U.S.C. 1382c(a)(3)(H)), as amended by subsection
(a)of this section, is amended by adding at the end the following new clause: > > ###### “(iii) > > If an individual is eligible for benefits under this title by reason of disability for the month preceding the month in which the individual attains the age of 18 years, the Commissioner shall redetermine such eligibility— > > > ###### “(I) > > during the 1-year period beginning on the individual's 18th birthday; and > > > ###### “(II) > > by applying the criteria used in determining the initial eligibility for applicants who are age 18 or older. > > With respect to a redetermination under this clause, paragraph
(4)shall not apply and such redetermination shall be considered a substitute for a review or redetermination otherwise required under any other provision of this subparagraph during that 1-year period.” > . ####
(2)Conforming repeal Section 207 of the Social Security Independence and Program Improvements Act of 1994 (42 U.S.C. 1382 note; 108 Stat. 1516) is hereby repealed. ###
(c)Continuing Disability Review Required for Low Birth Weight Babies Section 1614(a)(3)(H) (42 U.S.C. 1382c(a)(3)(H)), as amended by subsections
(a)and
(b)of this section, is amended by adding at the end the following new clause: > > ###### “(iv) > > > ######
(I)> > Not later than 12 months after the birth of an individual, the Commissioner shall review in accordance with paragraph
(4)the continuing eligibility for benefits under this title by reason of disability of such individual whose low birth weight is a contributing factor material to the Commissioner's determination that the individual is disabled. > > > ###### “(II) > > A review under subclause
(I)shall be considered a substitute for a review otherwise required under any other provision of this subparagraph during that 12-month period. > > > ###### “(III) > > A representative payee of a recipient whose case is reviewed under this clause shall present, at the time of review, evidence demonstrating that the recipient is, and has been, receiving treatment, to the extent considered medically necessary and available, of the condition which was the basis for providing benefits under this title. > > > ###### “(IV) > > If the representative payee refuses to comply without good cause with the requirements of subclause (III), the Commissioner of Social Security shall, if the Commissioner determines it is in the best interest of the individual, promptly suspend payment of benefits to the representative payee, and provide for payment of benefits to an alternative representative payee of the individual or, if the interest of the individual under this title would be served thereby, to the individual. > > > ###### “(V) > > Subclause
(III)shall not apply to the representative payee of any individual with respect to whom the Commissioner determines such application would be inappropriate or unnecessary. In making such determination, the Commissioner shall take into consideration the nature of the individual's impairment (or combination of impairments). Section 1631(c) shall not apply to a finding by the Commissioner that the requirements of subclause
(III)should not apply to an individual's representative payee.” > . ###
(d)Effective Date The amendments made by this section shall apply to benefits for months beginning on or after the date of the enactment of this Act, without regard to whether regulations have been issued to implement such amendments.
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- 108 Stat. 1516
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Sec. 212
ELIGIBILITY REDETERMINATIONS AND CONTINUING DISABILITY REVIEWS
Stat.108 Stat. 1516
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