I 
113TH CONGRESS 
2D SESSION 
H. R. 4111 
To amend title II of the Social Security Act to implement various reforms 
to the social security disability insurance program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 27, 2014 
Mr. GRAVES of Missouri introduced the following bill; which was referred to 
the Committee on Ways and Means 
A BILL 
To amend title II of the Social Security Act to implement 
various reforms to the social security disability insurance 
program, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Disability Insurance 
Protection and Fraud Prevention Act of 2014’’. 
SEC. 2. EXPANSION OF COOPERATIVE DISABILITY INVES-
TIGATIONS PROGRAM. 
(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this Act, the Inspector General 
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of the Social Security Administration shall increase the 
number of cooperative disability investigative units to 54. 
(b) DISTRIBUTION.—The Inspector General shall lo-
cate the cooperative disability investigative units estab-
lished pursuant to subsection (a) in such manner as to 
ensure that such units are distributed equally among the 
most densely populated areas of the Nation. 
SEC. 3. MODIFICATION OF CERTAIN CRITERIA FOR THE DE-
TERMINATION OF DISABILITY. 
(a) IN GENERAL.—In determining whether an indi-
vidual is under a disability for purposes of section 223 
of the Social Security Act (42 U.S.C. 423), the Commis-
sioner of Social Security— 
(1) may not consider an individual as approach-
ing advanced age (as applicable for purposes of sec-
tion 404.1563 of title 20, Code of Federal Regula-
tions, as in effect on the date of the enactment of 
this Act), unless the individual has attained the age 
of 58; 
(2) may not consider an individual as having 
attained advanced age (as so applicable) unless the 
individual has attained the age of 61; and 
(3) may not consider the individual’s inability 
to communicate in English as a vocational factor (as 
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applicable for purposes of section 404.1564 of such 
title). 
(b) REGULATIONS.—Not later than 180 days after 
the date of the enactment of this Act, the Commissioner 
of Social Security shall issue regulations to implement 
subsection (a). 
SEC. 4. COMBINED EFFECT OF IMPAIRMENTS NOT CONSID-
ERED IN DISABILITY DETERMINATIONS. 
(a) TITLE II DETERMINATIONS.—Section 223(d)(2) 
of the Social Security Act (42 U.S.C. 423(d)(2)) is amend-
ed by striking subparagraph (B) and redesignating sub-
paragraph (C) as subparagraph (B). 
(b) 
TITLE
XVI 
DETERMINATIONS.—Section 
1614(a)(3) of such Act (42 U.S.C. 1382c(a)(3)) is amend-
ed by striking subparagraph (G) and redesignating subse-
quent subparagraphs accordingly. 
(c) CONFORMING AMENDMENT.—Section 216(i)(1) 
of such Act (42 U.S.C. 416(i)(1)) is amended by striking 
‘‘paragraphs (2)(A),(2)(B),(3),’’ and inserting ‘‘para-
graphs (2)(A), (3),’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the day that is 90 days 
after the date of enactment of this Act. 
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SEC. 5. MANDATORY FUNDING FOR CONTINUING DIS-
ABILITY REVIEWS. 
(a) IN GENERAL.—Section 201(g)(1)(A) of the Social 
Security Act (42 U.S.C. 401(g)(1)(A)) is amended by 
striking ‘‘Of the amounts authorized to be made available’’ 
and all that follows through ‘‘for fiscal year 2002, 
$720,000,000.’’ and inserting the following: ‘‘There is 
hereby appropriated for continuing disability reviews such 
sums as may be necessary for each of fiscal years 2014 
through 2018.’’ 
(b) REPORT.—Not later than 60 days after the end 
of fiscal year 2018, the Commissioner of Social Security 
shall submit a report to Congress that includes an assess-
ment of the amount of savings attained as a result of the 
amendment made by subsection (a) in the Federal dis-
ability insurance program under title II of the Social Secu-
rity Act and the Supplemental Security Income program 
under title XVI of such Act. 
SEC. 6. DISABILITY DEMONSTRATION PROGRAM DESIGN 
REPORT. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Commissioner of Social 
Security shall submit to Congress a report describing the 
design of a demonstration program that would meet the 
specifications in subsection (b), including recommenda-
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tions for any legislative changes necessary to implement 
such a program. 
(b) GOALS.—In order to improve the well-being of 
certain social security disability insurance applicants while 
also achieving near-term program cost neutrality and long- 
term cost savings, the Commissioner shall screen such ap-
plicants and target those who appear likely to be deter-
mined eligible for benefits but who also have the potential 
for significant work activity if provided with a range of 
services to be determined by the Commissioner. In ex-
change for suspending their social security disability in-
surance program application, these applicants would be of-
fered a package of benefits, including targeted vocational 
and health interventions, wage subsidies based on how 
much the applicants can work and earn, and, if appro-
priate, an emergency cash diversion grant. 
SEC. 7. STATE DISABILITY REFORM DEMONSTRATION PRO-
GRAM REPORT. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Commissioner of Social 
Security shall submit to Congress a report describing the 
design of a demonstration program that would meet the 
specifications in subsection (b), including recommenda-
tions for any legislative changes necessary to implement 
such a program. 
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(b) GOALS.— 
(1) IN GENERAL.—The Commissioner of Social 
Security shall work with the States to determine 
whether, if appropriate changes were made in the 
law, the existing funding streams for specific popu-
lations, such as vocational rehabilitation funding, 
Medicaid, Temporary Assistance for Needy Families, 
and workers’ compensation, could be modified to be 
delivered in a more coordinated manner to improve 
outcomes and reduce participation in supplemental 
security income or social security disability insur-
ance. 
(2) INCENTIVE FUNDING.—States who success-
fully implemented such a program shall receive in-
centive funding to be determined by the Commis-
sioner and subject to appropriations. 
(c) DEFINITION.—For the purposes of this section, 
the term ‘‘specific populations’’ means populations identi-
fied by the Commissioner of Social Security as likely to 
receive a lifetime of supplemental security income or social 
security disability insurance. 
SEC. 8. EMPLOYERS DEMONSTRATION PROGRAM REPORT. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Commissioner of Social 
Security shall submit to Congress a report describing the 
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design of a demonstration program that would meet the 
specifications in subsection (b), including recommenda-
tions for any legislative changes necessary to implement 
such a program. 
(b) GOALS.— 
(1) IN GENERAL.—In order to encourage em-
ployers to reduce the incidence of disability among 
their employees by 20 percent, the Commissioner of 
Social Security shall create a voluntary program for 
employers that would provide such employers with a 
tax credit with respect to social security disability in-
surance taxes if the employees of such employer do 
not file for social security disability insurance. 
(2) BASELINE.—For each employer who volun-
teers to participate in the program, the Commission 
of Social Security shall determine a baseline pre-
dicted rate of social security disability insurance en-
rollment. 
(3) EMPLOYEES
TRACKED
FOR
PROGRAM.— 
Employees employed on the date the employer en-
rolled in the program shall be tracked for a period 
of 3 years beginning on the date of enrollment in the 
program, whether or not they remain employed by 
such employer. If any such employee becomes eligi-
ble for social security disability insurance during 
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such period, the employer’s disability insurance par-
ticipation rate shall be affected. 
(4) INCENTIVE.—At the end of the period, the 
employer’s disability insurance participation rate 
shall be compared to the baseline, and if the partici-
pation rate has fallen by at least 20 percent, the em-
ployer shall receive a social security disability insur-
ance tax credit of 75 percent of the disability insur-
ance cost savings during the period. 
Æ 
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