Home > 106th Congressional Bills > H.R. 1180 (ih) To amend the Social Security Act to expand the availability of health [Introduced in House] ...

H.R. 1180 (ih) To amend the Social Security Act to expand the availability of health [Introduced in House] ...


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        H.R.1180

                       One Hundred Sixth Congress

                                 of the

                        United States of America


                          AT THE FIRST SESSION

         Begun and held at the City of Washington on Wednesday,
   the sixth day of January, one thousand nine hundred and ninety-nine


                                 An Act


 
 To amend the Social Security Act to expand the availability of health 
care coverage for working individuals with disabilities, to establish a 
   Ticket to Work and Self-Sufficiency Program in the Social Security 
Administration to provide such individuals with meaningful opportunities 
                    to work, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Ticket to Work and 
Work Incentives Improvement Act of 1999''.
    (b) Table of Contents.--The table of contents is as follows:

Sec. 1. Short title; table of contents.
Sec. 2. Findings and purposes.

   TITLE I--TICKET TO WORK AND SELF-SUFFICIENCY AND RELATED PROVISIONS

             Subtitle A--Ticket to Work and Self-Sufficiency

Sec. 101. Establishment of the Ticket to Work and Self-Sufficiency 
          Program.

              Subtitle B--Elimination of Work Disincentives

Sec. 111. Work activity standard as a basis for review of an 
          individual's disabled status.
Sec. 112. Expedited reinstatement of disability benefits.

     Subtitle C--Work Incentives Planning, Assistance, and Outreach

Sec. 121. Work incentives outreach program.
Sec. 122. State grants for work incentives assistance to disabled 
          beneficiaries.

         TITLE II--EXPANDED AVAILABILITY OF HEALTH CARE SERVICES

Sec. 201. Expanding State options under the medicaid program for workers 
          with disabilities.
Sec. 202. Extending medicare coverage for OASDI disability benefit 
          recipients.
Sec. 203. Grants to develop and establish State infrastructures to 
          support working individuals with disabilities.
Sec. 204. Demonstration of coverage under the medicaid program of 
          workers with potentially severe disabilities.
Sec. 205. Election by disabled beneficiaries to suspend medigap 
          insurance when covered under a group health plan.

              TITLE III--DEMONSTRATION PROJECTS AND STUDIES

Sec. 301. Extension of disability insurance program demonstration 
          project authority.
Sec. 302. Demonstration projects providing for reductions in disability 
          insurance benefits based on earnings.
Sec. 303. Studies and reports.

            TITLE IV--MISCELLANEOUS AND TECHNICAL AMENDMENTS

Sec. 401. Technical amendments relating to drug addicts and alcoholics.
Sec. 402. Treatment of prisoners.
Sec. 403. Revocation by members of the clergy of exemption from social 
          security coverage.
Sec. 404. Additional technical amendment relating to cooperative 
          research or demonstration projects under titles II and XVI.
Sec. 405. Authorization for State to permit annual wage reports.
Sec. 406. Assessment on attorneys who receive their fees via the Social 
          Security Administration.
Sec. 407. Extension of authority of State medicaid fraud control units.
Sec. 408. Climate database modernization.
Sec. 409. Special allowance adjustment for student loans.
Sec. 410. Schedule for payments under SSI state supplementation 
          agreements.
Sec. 411. Bonus commodities.
Sec. 412. Simplification of definition of foster child under EIC.
Sec. 413. Delay of effective date of organ procurement and 
          transplantation network final rule.

                TITLE V--TAX RELIEF EXTENSION ACT OF 1999

Sec. 500. Short title of title.

                         Subtitle A--Extensions

Sec. 501. Allowance of nonrefundable personal credits against regular 
          and minimum tax liability.
Sec. 502. Research credit.
Sec. 503. Subpart F exemption for active financing income.
Sec. 504. Taxable income limit on percentage depletion for marginal 
          production.
Sec. 505. Work opportunity credit and welfare-to-work credit.
Sec. 506. Employer-provided educational assistance.
Sec. 507. Extension and modification of credit for producing electricity 
          from certain renewable resources.
Sec. 508. Extension of duty-free treatment under Generalized System of 
          Preferences.
Sec. 509. Extension of credit for holders of qualified zone academy 
          bonds.
Sec. 510. Extension of first-time homebuyer credit for District of 
          Columbia.
Sec. 511. Extension of expensing of environmental remediation costs.
Sec. 512. Temporary increase in amount of rum excise tax covered over to 
          Puerto Rico and Virgin Islands.

               Subtitle B--Other Time-Sensitive Provisions

Sec. 521. Advance pricing agreements treated as confidential taxpayer 
          information.
Sec. 522. Authority to postpone certain tax-related deadlines by reason 
          of Y2K 
          failures.
Sec. 523. Inclusion of certain vaccines against streptococcus pneumoniae 
          to list of taxable vaccines.
Sec. 524. Delay in effective date of requirement for approved diesel or 
          kerosene 
          terminals.
Sec. 525. Production flexibility contract payments.

                       Subtitle C--Revenue Offsets

                       Part I--General Provisions

Sec. 531. Modification of estimated tax safe harbor.
Sec. 532. Clarification of tax treatment of income and loss on 
          derivatives.
Sec. 533. Expansion of reporting of cancellation of indebtedness income.
Sec. 534. Limitation on conversion of character of income from 
          constructive ownership transactions.
Sec. 535. Treatment of excess pension assets used for retiree health 
          benefits.
Sec. 536. Modification of installment method and repeal of installment 
          method for accrual method taxpayers.
Sec. 537. Denial of charitable contribution deduction for transfers 
          associated with split-dollar insurance arrangements.
Sec. 538. Distributions by a partnership to a corporate partner of stock 
          in another corporation.

      Part II--Provisions Relating to Real Estate Investment Trusts


   SUBPART A--TREATMENT OF INCOME AND SERVICES PROVIDED BY TAXABLE REIT 
                              SUBSIDIARIES

Sec. 541. Modifications to asset diversification test.
Sec. 542. Treatment of income and services provided by taxable REIT 
          subsidiaries.
Sec. 543. Taxable REIT subsidiary.
Sec. 544. Limitation on earnings stripping.
Sec. 545. 100 percent tax on improperly allocated amounts.
Sec. 546. Effective date.
Sec. 547. Study relating to taxable REIT subsidiaries.


                       SUBPART B--HEALTH CARE REITS

Sec. 551. Health care REITs.


       SUBPART C--CONFORMITY WITH REGULATED INVESTMENT COMPANY RULES

Sec. 556. Conformity with regulated investment company rules.


     SUBPART D--CLARIFICATION OF EXCEPTION FROM IMPERMISSIBLE TENANT 
                             SERVICE INCOME

Sec. 561. Clarification of exception for independent operators.


           SUBPART E--MODIFICATION OF EARNINGS AND PROFITS RULES

Sec. 566. Modification of earnings and profits rules.


              SUBPART F--MODIFICATION OF ESTIMATED TAX RULES

Sec. 571. Modification of estimated tax rules for closely held real 
          estate investment trusts.

SEC. 2. 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.
        (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. ESTABLISHMENT OF THE TICKET TO WORK AND SELF-SUFFICIENCY 
              PROGRAM.

    (a) In General.--Part A of title XI of the Social Security Act (42 
U.S.C. 1301 et seq.) is amended by adding at the end the following new 
section:


            ``the ticket to work and self-sufficiency program

    ``Sec. 1148. (a) In General.--The Commissioner shall establish a 
Ticket to Work and Self-Sufficiency Program, under which a disabled 
beneficiary may use a ticket to work and self-sufficiency issued by the 
Commissioner in accordance with this section to obtain employment 
services, vocational rehabilitation services, or other support services 
from an employment network which is of the beneficiary's choice and 

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