I
104TH CONGRESS
1ST SESSION
H. R. 224
To eliminate fraud in the payment of supplemental security income benefits
to children by reason of disability.
IN THE HOUSE OF REPRESENTATIVES
JANUARY 4, 1995
Mr. DICKEY (for himself and Mr. SHAYS) introduced the following bill; which
was referred to the Committee on Ways and Means
A BILL
To eliminate fraud in the payment of supplemental security
income benefits to children by reason of disability.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. REPLACEMENT OF CASH BENEFIT WITH MEDI-
CAL VOUCHER.
(a) IN GENERAL.—Section 1611(b) of the Social Se-
curity Act (42 U.S.C. 1382(b)) is amended by adding at
the end the following:
‘‘(3) Notwithstanding paragraphs (1) and (2), the
benefit under this title for a child who has not attained
18 years of age shall be vouchers issued pursuant to sub-
section (j).’’.
(b) ISSUANCE OF VOUCHERS FOR TREATMENT OF
DISABLING CONDITIONS OF CHILDREN ELIGIBLE FOR
SSI BENEFITS.—Section 1611 of such Act (42 U.S.C.
1382(b)) is amended by adding at the end the following:
‘‘(j)(1) The Commissioner shall issue to each child
eligible for benefits under this title who has not attained
18 years of age vouchers which may be used to cover the
cost associated with treating the blindness or disability of
the child.
‘‘(2) The Commissioner shall, by regulation—
‘‘(A) develop an appropriate measure of the an-
ticipated costs associated with treating each kind of
blindness or disability from which a child may suf-
fer, which shall take account of the severity of the
blindness or disability, any geographic variation in
such costs, and such other factors as the Commis-
sioner deems appropriate; and
‘‘(B) establish a schedule which shall be used to
determine the dollar value of the vouchers to be is-
sued to a child to cover the costs associated with
treating the blindness or disability of the child.
‘‘(3) The Commissioner shall pay to each provider of
health care goods or services that is licensed by a State,
or by a professional health care organization approved by
the Commissioner, that submits to the Commissioner a
voucher issued under this subsection an amount equal to
the face dollar amount of the voucher.’’.
SEC. 2. FRAUD CONTROL.
Part B of title XVI of the Social Security Act (42
U.S.C. 1383–1383d) is amended by adding at the end the
following:
‘‘SEC. 1636. FRAUD CONTROL.
‘‘(a) NOTICE OF COOPERATION.—The Commissioner
shall notify the Inspector General of the Department of
Health and Human Services and each State agency re-
sponsible for the detection of fraud in cases involving ben-
efits under this title, in writing, that the Commissioner
is willing to assist in the detection of such fraud and that
the Commissioner requests the name and social security
account number of each person who is suspected of such
fraud.
‘‘(b) INVESTIGATION OF SUSPECTED FRAUD.—With-
in 30 days after the Commissioner receives a name sub-
mitted pursuant to the written request required by sub-
section (a), the Commissioner shall conduct such activities
as the Commissioner deems appropriate, including benefit
redetermination, to ascertain whether the person named
is eligible for benefits under this title.
‘‘(c) DEVELOPMENT OF PROFILES; PERIODIC TAR-
GETED REDETERMINATIONS.—The Commissioner shall
develop profiles of the kinds of cases that have a high
probability of fraud, and shall conduct periodic targeted
redeterminations based on such profiles.’’.
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