P.L. 106-113 TITLE VII-STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP) * * SEC. 703. [42 U.S.C. 1397dd note] IMPROVED DATA COLLECTION AND EVALUATIONS OF THE STATE CHILDREN'S HEALTH INSURANCE PRO GRAM. (e) COORDINATION OF DATA SURVEYS AND REPORTS.-The Secretary of Health and Human Services, through the Assistant Secretary for Planning and Evaluation, shall establish a clearinghouse for the consolidation and coordination of all Federal databases and reports regarding children's health. SEC. 704. [42 U.S.C. 1397aa] REFERENCES TO SCHIP AND STATE CHILDREN'S HEALTH INSURANCE PROGRAM. The Secretary of Health and Human Services or any other Federal officer or employee, with respect to any reference to the program under title XXI of the Social Security Act (42 U.S.C. 1397aa et seq.) in any publication or other official communication, shall use (1) the term "SCHIP" instead of the term "CHIP"; and (2) the term “State children's health insurance program” instead of the term "children's health insurance program”. APPENDIX D-H.R. 3424 Departments of Labor, Health, and Human Services, and Education, and Related Agencies Appropriations Act, 2000 SEC. 801. FLEXIBILITY IN ELIGIBILITY FOR PARTICIPATION IN WELFARE-TO-WORK PROGRAM. * (f) REGULATIONS.-Interim final regulations shall be prescribed to implement the amendments made by this section not later than January 1, 2000. Final regulations shall be prescribed within 90 days after the date of the enactment of this Act to implement the amendments made by this Act to section 403(a)(5) of the Social Security Act, in the same manner as described in section 403(a)(5)(C)(ix) of the Social Security Act (as so redesignated by subsection (b)(1)(A) of this section). * [Internal References.—S.S. Act §§403(a), 1142(a) catchlines to 1804, 1814(i), 1819 and 1833 catchline, (g), (h), (i) and (t), 1834, 1842, 1848, and Title XVIII Part C, 1852(a), 1853 catchlines, 1853(a)(4), 1857(c)(4), 1857(e), and catchlines to 1881 catchline, 1886 catchline, 1886(d), 1888(e), and catchlines to 1895 and title XXI have footnotes referring to P.L. 106-113.] P.L. 106-169 P.L. 106-169, Approved December 14, 1999 (113 Stat. 1828) SEC.101. [42 U.S.C. 677 note] IMPROVED INDEPENDENT LIVING PROGRAM. (d) REGULATIONS.-Not later than 12 months after the date of the enactment of this Act, the Secretary of Health and Human Services shall issue such regulations as may be necessary to carry out the amendments made by this section. (e) SENSE OF THE CONGRESS.—It is the sense of the Congress that States should provide medical assistance under the State plan approved under title XIX of the Social Security Act to 18-, 19-, and 20-year-olds who have been emancipated from foster care. SEC. 207. [42 U.S.C. 1320a-8a note] ADMINISTRATIVE PROCEDURE FOR IMPOSING PENALTIES FOR FALSE OR MISLEADING STATEMENTS. (d) REGULATIONS.-Within 6 months after the date of the enactment of this Act, the Commissioner of Social Security shall develop regulations that prescribe the administrative process for making determinations under section 1129A of the Social Security Act (including when the applicable period in subsection (c) of such section shall commence), and shall provide guidance on the exercise of discretion as to whether the penalty should be imposed in particular cases. SEC. 209. [42 U.S.C. 1306b note] STATE DATA EXCHANGES. Whenever the Commissioner of Social Security requests information from a State for the purpose of ascertaining an individual's eligibility for benefits (or the correct amount of such benefits) under title II or XVI of the Social Security Act, the standards of the Commissioner promulgated pursuant to section 1106 of such Act or any other Federal law for the use, safeguarding, and disclosure of information are deemed to meet any standards of the State that would otherwise apply to the disclosure of information by the State to the Commissioner. SEC. 210. [42 U.S.C. 1320a-8 note] STUDY ON POSSIBLE MEASURES TO IMPROVE FRAUD PREVENTION AND ADMINISTRATIVE PROCESSING. (a) STUDY.-As soon as practicable after the date of the enactment of this Act, the Commissioner of Social Security, in consultation with the Inspector General of the Social Security Administration and the Attorney General, shall conduct a study of possible measures to improve (1) prevention of fraud on the part of individuals entitled to disability benefits under section 223 of the Social Security Act or benefits under section 202 of such Act based on the beneficiary's disability, individuals eligible for supplemental security income benefits under title XVI of such Act, and applicants for any such benefits; and (2) timely processing of reported income changes by individuals receiving such benefits. (b) REPORT.-Not later than 1 year after the date of the enactment of this Act, the Commissioner 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 that contains the results of the Commissioner's study under subsection (a). The re P.L. 106-170 port shall contain such recommendations for legislative and administrative changes as the Commissioner considers appropriate. * Subtitle C-Study SEC. 261. [42 U.S.C. 1382 note] STUDY OF DENIAL OF SSI BENEFITS FOR FAMILY FARMERS. (a) IN GENERAL.-The Commissioner of Social Security shall conduct a study of the reasons why family farmers with resources of less than $100,000 are denied supplemental security income benefits under title XVI of the Social Security Act, including whether the deeming process unduly burdens and discriminates against family farmers who do not institutionalize a disabled dependent, and shall determine the number of such farmers who have been denied such benefits during each of the preceding 10 years. (b) REPORT TO THE CONGRESS.-Within 1 year after the date of the enactment of this Act, the Commissioner of Social Security shall prepare and submit to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate a report that contains the results of the study, and the determination, required by subsection (a). * [Internal References.—S.S. Act §§477, 1106, 1129, 1129A and S.S. Act title XVI catchlines have footnotes referring to P.L. 106-169.] P.L. 106-170, Approved December 19, 1999 (113 Stat. 1912) SEC. 2. [42 U.S.C. 1320b-19 note] FINDINGS AND PURPOSES. (a) FINDINGS.-The Congress makes the following findings: (1) It is the policy of the United States to provide assistance to individuals with disabilities to lead productive work lives. (2) Health care is important to all Americans. (3) Health care is particularly important to individuals with disabilities and special health care needs who often cannot afford the insurance available to them through the private market, are uninsurable by the plans available in the private sector, and are at great risk of incurring very high and economically devastating health care costs. (4) Americans with significant disabilities often are unable to obtain health care insurance that provides coverage of the services and supports that enable them to live independently and enter or rejoin the workforce. Personal assistance services (such as attendant services, personal assistance with transportation to and from work, reader services, job coaches, and related assistance) remove many of the barriers between significant disability and work. Coverage for such services, as well as for prescription drugs, durable medical equipment, and basic health care are powerful and proven tools for individuals with significant disabilities to obtain and retain employment. (5) For individuals with disabilities, the fear of losing health care and related services is one of the greatest barriers keeping the individuals from maximizing their employment, earning potential, and independence. (6) Social Security Disability Insurance and Supplemental Security Income beneficiaries risk losing medicare or medicaid coverage that is linked to their cash benefits, a risk that is an equal, or greater, work disincentive than the loss of cash benefits associated with working. P.L. 106-170 (7) Individuals with disabilities have greater opportunities for employment than ever before, aided by important public policy initiatives such as the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.), advancements in public understanding of disability, and innovations in assistive technology, medical treatment, and rehabilitation. (8) Despite such historic opportunities and the desire of millions of disability recipients to work and support themselves, fewer than one-half of one percent of Social Security Disability Insurance and Supplemental Security Income beneficiaries leave the disability rolls and return to work. (9) In addition to the fear of loss of health care coverage, beneficiaries cite financial disincentives to work and earn income and lack of adequate employment training and placement services as barriers to employment. (10) Eliminating such barriers to work by creating financial incentives to work and by providing individuals with disabilities real choice in obtaining the services and technology they need to find, enter, and maintain employment can greatly improve their short and long-term financial independence and personal well-being. (11) In addition to the enormous advantages such changes promise for individuals with disabilities, redesigning government programs to help individuals with disabilities return to work may result in significant savings and extend the life of the Social Security Disability Insurance Trust Fund. (12) If only an additional one-half of one percent of the current Social Security Disability Insurance and Supplemental Security Income recipients were to cease receiving benefits as a result of employment, the savings to the Social Security Trust Funds and to the Treasury in cash assistance would total $3,500,000,000 over the worklife of such individuals, far exceeding the cost of providing incentives and services needed to assist them in entering work and achieving financial independence to the best of their abilities. (b) PURPOSES.-The purposes of this Act are as follows: (1) To provide health care and employment preparation and placement services to individuals with disabilities that will enable those individuals to reduce their dependency on cash benefit programs. (2) To encourage States to adopt the option of allowing individuals with disabilities to purchase medicaid coverage that is necessary to enable such individuals to maintain employment. (3) To provide individuals with disabilities the option of maintaining medicare coverage while working. (4) To establish a return to work ticket program that will allow individuals with disabilities to seek the services necessary to obtain and retain employment and reduce their dependency on cash benefit programs. TITLE I-TICKET TO WORK AND SELF-SUFFICIENCY AND RELATED PROVISIONS Subtitle A-Ticket to Work and Self-Sufficiency SEC. 101. [42 U.S.C. 1320b-19 note] ESTABLISHMENT OF THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM. (e) SPECIFIC REGULATIONS REQUIRED.— (1) IN GENERAL.-The Commissioner of Social Security shall prescribe such regulations as are necessary to implement the amendments made by this section. (2) SPECIFIC MATTERS TO BE INCLUDED IN REGULATIONS.-The matters which shall be addressed in such regulations shall include (A) the form and manner in which tickets to work and self-sufficiency may be distributed to beneficiaries pursuant to section 1148(b)(1) of the Social Security Act; (B) the format and wording of such tickets, which shall incorporate by reference any contractual terms governing service by employment networks under the Program; P.L. 106-170 (C) the form and manner in which State agencies may elect participation in the Ticket to Work and Self-Sufficiency Program pursuant to section 1148(c)(1) of such Act and provision for periodic opportunities for exercising such elections; (D) the status of State agencies under section 1148(c)(1) of such Act at the time that State agencies exercise elections under that section; (E) the terms of agreements to be entered into with program managers pursuant to section 1148(d) of such Act, including- (i) the terms by which program managers are precluded from direct participation in the delivery of services pursuant to section 1148(d)(3) of such Act; (ii) standards which must be met by quality assurance measures referred to in paragraph (6) of section 1148(d) of such Act and methods of recruitment of employment networks utilized pursuant to paragraph (2) of section 1148(e) of such Act; and (iii) the format under which dispute resolution will operate under section 1148(d)(7) of such Act; (F) the terms of agreements to be entered into with employment networks pursuant to section 1148(d)(4) of such Act, including— (i) the manner in which service areas are specified pursuant to section 1148(f)(2)(A) of such Act; (ii) the general selection criteria and the specific selection criteria which are applicable to employment networks under section 1148(f)(1)(C) of such Act in selecting service providers; (iii) specific requirements relating to annual financial reporting by employment networks pursuant to section 1148(f)(3) of such Act; and (iv) the national model to which periodic outcomes reporting by employment networks must conform under section 1148(f)(4) of such Act; (G) standards which must be met by individual work plans pursuant to section 1148(g) of such Act; (H) standards which must be met by payment systems required under section 1148(h) of such Act, including (i) the form and manner in which elections by employment networks of payment systems are to be exercised pursuant to section 1148(h)(1)(A) of such Act; (ii) the terms which must be met by an outcome payment system under section 1148(h)(2) of such Act; (iii) the terms which must be met by an outcome-milestone payment system under section 1148(h)(3) of such Act; (iv) any revision of the percentage specified in paragraph (2)(C) of section 1148(h) of such Act or the period of time specified in paragraph (4)(B) of such section 1148(h) of such Act; and (v) annual oversight procedures for such systems; and (I) procedures for effective oversight of the Program by the Commissioner of Social Security, including periodic reviews and reporting requirements. (f) THE TICKET TO WORK AND WORK INCENTIVES ADVISORY PANEL. (1) ESTABLISHMENT.-There is established within the Social Security Administration a panel to be known as the "Ticket to Work and Work Incentives Advisory Panel" (in this subsection referred to as the "Panel"). (2) DUTIES OF PANEL.-It shall be the duty of the Panel to (A) advise the President, the Congress, and the Commissioner of Social Security on issues related to work incentives programs, planning, and assistance for individuals with disabilities, including work incentive provisions under titles II, XI, XVI, XVIII, and XIX of the Social Security Act (42 U.S.C. 401 et seq., 1301 et seq., 1381 et seq., 1395 et seq., 1396 et seq.); and (B) with respect to the Ticket to Work and Self-Sufficiency Program established under section 1148 of such Act (i) advise the Commissioner of Social Security with respect to establishing phase-in sites for such Program and fully implementing the Program thereafter, the refinement of access of disabled beneficiaries to employment networks, payment systems, and management information systems, and advise the Commissioner whether such measures are |