| Home > 106th Congressional Bills > H.R. 1181 (ih) To lift the trade embargo on Cuba, and for other purposes. [Introduced in House] ...
H.R. 1181 (ih) To lift the trade embargo on Cuba, and for other purposes. [Introduced in House] ...
106th CONGRESS 1st Session H. R. 1180 _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES October 19, 1999 Received _______________________________________________________________________ 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. 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. Prevention of fraud and abuse associated with certain payments under the medicaid program.Extension of authority of State medicaid fraud control units. Sec. 408. Extension of authority of State medicaid fraud control units. Sec. 409. Special allowance adjustment for student loans. 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 after section 1147 (as added by section 8 of the Noncitizen Benefit Clarification and Other Technical Amendments Act of 1998 (Public Law 105-306; 112 Stat. 2928)) the following: ``the ticket to work and self-sufficiency program ``Sec. 1148. (a) In General.--The Commissioner of Social Security 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 which is willing to provide such services to such beneficiary. ``(b) Ticket System.-- ``(1) Distribution of tickets.--The Commissioner of Social Security may issue a ticket to work and self-sufficiency to disabled beneficiaries for participation in the Program. ``(2) Assignment of tickets.--A disabled beneficiary holding a ticket to work and self-sufficiency may assign the ticket to any employment network of the beneficiary's choice which is serving under the Program and is willing to accept the assignment. ``(3) Ticket terms.--A ticket issued under paragraph (1) shall consist of a document which evidences the Commissioner's agreement to pay (as provided in paragraph (4)) an employment network, which is serving under the Program and to which such ticket is assigned by the beneficiary, for such employment services, vocational rehabilitation services, and other support services as the employment network may provide to the beneficiary. ``(4) Payments to employment networks.--The Commissioner shall pay an employment network under the Program in accordance with the outcome payment system under subsection (h)(2) or under the outcome-milestone payment system under subsection (h)(3) (whichever is elected pursuant to subsection (h)(1)). An employment network may not request or receive compensation for such services from the beneficiary. ``(c) State Participation.-- ``(1) In general.--Each State agency administering or supervising the administration of the State plan approved under title I of the Rehabilitation Act of 1973 may elect to participate in the Program as an employment network with respect to a disabled beneficiary. If the State agency does elect to participate in the Program, the State agency also shall elect to be paid under the outcome payment system or the outcome-milestone payment system in accordance with subsection (h)(1). With respect to a disabled beneficiary that the State agency does not elect to have participate in the Program, the State agency shall be paid for services provided to that beneficiary under the system for payment applicable under section 222(d) and subsections (d) and (e) of section 1615. The Commissioner shall provide for periodic opportunities for exercising such elections. ``(2) Effect of participation by state agency.-- ``(A) State agencies participating.--In any case in which a State agency described in paragraph (1) elects under that paragraph to participate in the Program, the employment services, vocational rehabilitation services, and other support services which, upon assignment of tickets to work and self-sufficiency, are provided to disabled beneficiaries by the State agency acting as an employment network shall be governed by plans for vocational rehabilitation services approved under title I of the Rehabilitation Act of 1973. ``(B) State agencies administering maternal and child health services programs.--Subparagraph (A) shall not apply with respect to any State agency administering a program under title V of this Act. ``(3) Agreements between state agencies and employment networks.--State agencies and employment networks shall enter into agreements regarding the conditions under which services will be provided when an individual is referred by an employment network to a State agency for services. The Commissioner of Social Security shall establish by regulations the timeframe within which such agreements must be entered into and the mechanisms for dispute resolution between State agencies and employment networks with respect to such agreements. ``(d) Responsibilities of the Commissioner of Social Security.-- ``(1) Selection and qualifications of program managers.-- The Commissioner of Social Security shall enter into agreements with 1 or more organizations in the private or public sector for service as a program manager to assist the Commissioner in administering the Program. Any such program manager shall be selected by means of a competitive bidding process, from among organizations in the private or public sector with available expertise and experience in the field of vocational rehabilitation or employment services. ``(2) Tenure, renewal, and early termination.--Each agreement entered into under paragraph (1) shall provide for early termination upon failure to meet performance standards which shall be specified in the agreement and which shall be weighted to take into account any performance in prior terms. Such performance standards shall include-- ``(A) measures for ease of access by beneficiaries to services; and ``(B) measures for determining the extent to which failures in obtaining services for beneficiaries fall within acceptable parameters, as determined by the Commissioner. ``(3) Preclusion from direct participation in delivery of services in own service area.--Agreements under paragraph (1) shall preclude-- ``(A) direct participation by a program manager in the delivery of employment services, vocational rehabilitation services, or other support services to beneficiaries in the service area covered by the program manager's agreement; and ``(B) the holding by a program manager of a financial interest in an employment network or service provider which provides services in a geographic area covered under the program manager's agreement. ``(4) Selection of employment networks.-- ``(A) In general.--The Commissioner shall select and enter into agreements with employment networks for service under the Program. Such employment networks shall be in addition to State agencies serving as employment networks pursuant to elections under subsection (c). ``(B) Alternate participants.--In any State where the Program is being implemented, the Commissioner shall enter into an agreement with any alternate participant that is operating under the authority of section 222(d)(2) in the State as of the date of the enactment of this section and chooses to serve as an employment network under the Program. ``(5) Termination of agreements with employment networks.-- The Commissioner shall terminate agreements with employment networks for inadequate performance, as determined by the Commissioner. ``(6) Quality assurance.--The Commissioner shall provide for such periodic reviews as are necessary to provide for effective quality assurance in the provision of services by employment networks. The Commissioner shall solicit and consider the views of consumers and the program manager under which the employment networks serve and shall consult with providers of services to develop performance measurements. The Commissioner shall ensure that the results of the periodic reviews are made available to beneficiaries who are prospective service recipients as they select employment networks. The Commissioner shall ensure that the periodic surveys of beneficiaries receiving services under the Program are designed to measure customer service satisfaction. ``(7) Dispute resolution.--The Commissioner shall provide for a mechanism for resolving disputes between beneficiaries and employment networks, between program managers and employment networks, and between program managers and providers of services. The Commissioner shall afford a party to such a dispute a reasonable opportunity for a full and fair review of the matter in dispute. ``(e) Program Managers.-- ``(1) In general.--A program manager shall conduct tasks appropriate to assist the Commissioner in carrying out the Commissioner's duties in administering the Program. ``(2) Recruitment of employment networks.--A program manager shall recruit, and recommend for selection by the Commissioner, employment networks for service under the Program. The program manager shall carry out such recruitment and provide such recommendations, and shall monitor all employment networks serving in the Program in the geographic area covered under the program manager's agreement, to the extent necessary and appropriate to ensure that adequate choices of services are made available to beneficiaries. Employment networks may serve under the Program only pursuant to an agreement entered into with the Commissioner under the Program incorporating the applicable provisions of this section and regulations thereunder, and the program manager shall provide and maintain assurances to the Commissioner that payment by the Commissioner to employment networks pursuant to this section is warranted based on compliance by such employment networks with the terms of such agreement and this section. The program manager shall not impose numerical limits on the number of employment networks to be recommended pursuant to this paragraph. ``(3) Facilitation of access by beneficiaries to employment networks.--A program manager shall facilitate access by beneficiaries to employment networks. The program manager shall ensure that each beneficiary is allowed changes in employment networks without being deemed to have rejected services under the Program. When such a change occurs, the program manager shall reassign the ticket based on the choice of the beneficiary. Upon the request of the employment network, the program manager shall make a determination of the allocation of the outcome or milestone-outcome payments based on the services provided by each employment network. The program manager shall establish and maintain lists of employment networks available to beneficiaries and shall make such lists generally available to the public. The program manager shall ensure that all information provided to disabled beneficiaries pursuant to this paragraph is provided in accessible formats. ``(4) Ensuring availability of adequate services.--The program manager shall ensure that employment services, vocational rehabilitation services, and other support services are provided to beneficiaries throughout the geographic area covered under the program manager's agreement, including rural areas.
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