Home > 105th Congressional Bills > H.R. 3434 (ih) To amend title 10, United States Code, to provide limited authority for concurrent receipt of military retired pay and veterans' disability compensation in the case of certain disabled military retirees who are over the age of 65. %%Filenam...H.R. 3434 (ih) To amend title 10, United States Code, to provide limited authority for concurrent receipt of military retired pay and veterans' disability compensation in the case of certain disabled military retirees who are over the age of 65. %%Filenam...
Union Calendar No. 304
105th CONGRESS
2d Session
H. R. 3433
[Report No. 105-537]
_______________________________________________________________________
A BILL
To amend the Social Security Act to establish a Ticket to Work and
Self-Sufficiency Program in the Social Security Administration to
provide beneficiaries with disabilities meaningful opportunities to
return to work and to extend Medicare coverage for such beneficiaries,
and to amend the Internal Revenue Code of 1986 to provide a tax credit
for impairment-related work expenses.
_______________________________________________________________________
May 18, 1998
Reported with amendments, committed to the Committee of the Whole House
on the State of the Union, and ordered to be printed
Union Calendar No. 304
105th CONGRESS
2d Session
H. R. 3433
[Report No. 105-537]
To amend the Social Security Act to establish a Ticket to Work and
Self-Sufficiency Program in the Social Security Administration to
provide beneficiaries with disabilities meaningful opportunities to
return to work and to extend Medicare coverage for such beneficiaries,
and to amend the Internal Revenue Code of 1986 to provide a tax credit
for impairment-related work expenses.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
March 11, 1998
Mr. Bunning (for himself and Mrs. Kennelly of Connecticut) introduced
the following bill; which was referred to the Committee on Ways and
Means
May 18, 1998
Additional sponsors: Mr. Ramstad, Mr. English of Pennsylvania, Mr.
Hayworth, Mr. Hulshof, Mr. Rangel, Mr. Matsui, Mr. Lewis of Georgia,
Mr. Neal of Massachusetts, Mrs. Thurman, Ms. Kaptur, Ms. Lofgren, Mr.
Klink, Ms. Slaughter, Mr. Shays, Mr. Crane, Mr. Camp, Mr. Burton of
Indiana, Mr. Nethercutt, Mr. Houghton, Mr. Nussle, Mr. Weller, Mr.
McDermott, Mr. Levin, Mr. Frelinghuysen, and Mr. Waxman
May 18, 1998
Reported with amendments, committed to the Committee of the Whole House
on the State of the Union, and ordered to be printed
[Strike out all after the enacting clause and insert the part printed
in italic]
[For text of introduced bill, see copy of bill as introduced on March
11, 1998]
_______________________________________________________________________
A BILL
To amend the Social Security Act to establish a Ticket to Work and
Self-Sufficiency Program in the Social Security Administration to
provide beneficiaries with disabilities meaningful opportunities to
return to work and to extend Medicare coverage for such beneficiaries,
and to amend the Internal Revenue Code of 1986 to provide a tax credit
for impairment-related work expenses.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE AND TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Ticket to Work and
Self-Sufficiency Act of 1998''.
(b) Table of Contents.--The table of contents is as follows:
Sec. 1. Short title and table of contents.
Sec. 2. The Ticket to Work and Self-Sufficiency Program.
Sec. 3. Extending medicare coverage for OASDI disability benefit
recipients who are using tickets to work
and self-sufficiency.
Sec. 4. Technical amendments relating to drug addicts and alcoholics.
Sec. 5. Extension of disability insurance program demonstration project
authority.
Sec. 6. Perfecting amendments related to withholding from social
security benefits.
Sec. 7. Treatment of prisoners.
Sec. 8. Revocation by members of the clergy of exemption from social
security coverage.
Sec. 9. Additional technical amendment relating to cooperative research
or demonstration projects under titles II
and XVI.
SEC. 2. 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. 1147. (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) Periodic elections.--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 (or to revoke any such election) as
an employment network. The Commissioner shall provide for
periodic opportunities for exercising such elections (and
revocations).
``(2) Treatment of state agencies.--Any such election (or
revocation) by a State agency described in paragraph (1) taking
effect during any period for which an individual residing in
the State is a disabled beneficiary and a client of the State
agency shall not be effective with respect to such individual
to the extent that such election (or revocation) would result
in any change in the method of payment to the State agency with
respect to the individual from the method of payment to the
State agency with respect to the individual in effect
immediately before such election (or revocation).
``(3) Effect of participation by state agency.--
``(A) State agencies participating.--In any case in
which a State agency described in paragraph (1) elects
under paragraph (1) to participate in the Program--
``(i) 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, and
``(ii) the provisions of section 222(d) and
the provisions of subsections (d) and (e) of
section 1615 shall not apply with respect to
such State.
``(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.
``(4) Special requirements applicable to cross-referral to
certain state agencies.--
``(A) In general.--In any case in which an
employment network has been assigned a ticket to work
and self-sufficiency by a disabled beneficiary, no
State agency shall be deemed required, under this
section, title I of the Rehabilitation Act of 1973, or
a State plan approved under such title, to accept any
referral of such disabled beneficiary from such
employment network unless such employment network and
such State agency have entered into a written agreement
that meets the requirements of subparagraph (B).
``(B) Terms of agreement.--An agreement required by
subparagraph (A) shall specify, in accordance with
regulations prescribed pursuant to subparagraph (C)--
``(i) the extent (if any) to which the
employment network holding the ticket will
provide to the State agency--
``(I) reimbursement for costs
incurred in providing services
described in subparagraph (A) to the
disabled beneficiary, and
``(II) other amounts from payments
made by the Commissioner to the
employment network pursuant to
subsection (h), and
``(ii) any other conditions that may be
required by such regulations.
``(C) Regulations.--The Commissioner of Social
Security and the Secretary of Education shall jointly
prescribe regulations specifying the terms of
agreements required by subparagraph (A) and otherwise
necessary to carry out the provisions of this
paragraph.
``(D) Penalty.--No payment may be made to an
employment network pursuant to subsection (h) in
connection with services provided to any disabled
beneficiary if such employment network makes referrals
described in subparagraph (A) in violation of the terms
of the contract required under subparagraph (A) or
without having entered into such a contract.
``(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 one 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 (but are not limited
to)--
``(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.--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).
``(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 take into account
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 the performance of periodic surveys of
beneficiaries receiving services under the Program designed to
measure customer service satisfaction.
``(7) Dispute resolution.--The Commissioner shall provide
for a mechanism for resolving disputes between beneficiaries
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