967
(B) by striking subclause (II).
(3) Section 1631(a)(2)(B) of such Act (42
U.S.C. 1383(a)(2)(B)) is amended—
(A) by striking clause (vii);
(B) in clause (viii), by striking ‘‘(ix)’’ and
inserting ‘‘(viii)’’;
(C) in clause (ix)—
(i) by striking ‘‘(viii)’’ and inserting
‘‘(vii)’’; and
(ii) in subclause (II), by striking all
that follows ‘‘15 years’’ and inserting a pe-
riod;
(D) in clause (xiii)—
(i) by striking ‘‘(xii)’’ and inserting
‘‘(xi)’’; and
(ii) by striking ‘‘(xi)’’ and inserting
‘‘(x)’’; and
(E) by redesignating clauses (viii) through
(xiii) as clauses (vii) through (xii), respectively.
(4) Section 1631(a)(2)(D)(i)(II) of such Act
(42 U.S.C. 1383(a)(2)(D)(i)(II)) is amended by
striking all that follows ‘‘$25.00 per month’’ and in-
serting a period.
(5) Section 1634 of such Act (42 U.S.C. 1383c)
is amended by striking subsection (e).
968
(6) Section 201(c)(1) of the Social Security
Independence and Program Improvements Act of
1994 (42 U.S.C. 425 note) is amended—
(A) by striking ‘‘—’’ and all that follows
through ‘‘(A)’’ the 1st place such term appears;
(B) by striking ‘‘and’’ the 3rd place such
term appears;
(C) by striking subparagraph (B);
(D) by striking ‘‘either subparagraph (A)
or subparagraph (B)’’ and inserting ‘‘the pre-
ceding sentence’’; and
(E) by striking ‘‘subparagraph (A) or (B)’’
and inserting ‘‘the preceding sentence’’.
(c) EFFECTIVE DATE.—The amendments made by
this section shall take effect on October 1, 1995, and shall
apply with respect to months beginning on or after such
date.
(d) FUNDING OF CERTAIN PROGRAMS FOR DRUG
ADDICTS AND ALCOHOLICS.—
(1) IN GENERAL.—Out of any money in the
Treasury not otherwise appropriated, there are here-
by appropriated—
(A) for carrying out section 1971 of the
Public Health Service Act (as amended by
paragraph (2) of this subsection), $95,000,000
969
for each of the fiscal years 1997 through 2000;
and
(B) for carrying out the medication devel-
opment project to improve drug abuse and drug
treatment research (administered through the
National Institute on Drug Abuse), $5,000,000
for each of the fiscal years 1997 through 2000.
(2) CAPACITY EXPANSION PROGRAM REGARD-
ING DRUG ABUSE TREATMENT.—Section 1971 of the
Public Health Service Act (42 U.S.C. 300y) is
amended—
(A) in subsection (a)(1), by adding at the
end the following sentence: ‘‘This paragraph is
subject to subsection (j).’’;
(B) by redesignating subsection (j) as sub-
section (k);
(C) in subsection (j) (as so redesignated),
by inserting before the period the following:
‘‘and for each of the fiscal years 1995 through
2000’’; and
(D) by inserting after subsection (i) the
following subsection:
‘‘(j) FORMULA
GRANTS
FOR
CERTAIN
FISCAL
YEARS.—
970
‘‘(1) IN GENERAL.—For each of the fiscal years
1997 through 2000, the Director shall, for the pur-
pose described in subsection (a)(1), make a grant to
each State that submits to the Director an applica-
tion in accordance with paragraph (2). Such a grant
for a State shall consist of the allotment determined
for the State under paragraph (3). For each of the
fiscal years 1997 through 2000, grants under this
paragraph shall be the exclusive grants under this
section.
‘‘(2) REQUIREMENTS.—The Director may make
a grant under paragraph (1) only if, by the date
specified by the Director, the State submits to the
Director an application for the grant that is in such
form, is made in such manner, and contain such
agreements, assurances, and information as the Di-
rector determines to be necessary to carry out this
subsection, and if the application contains an agree-
ment by the State in accordance with the following:
‘‘(A) The State will expend the grant in
accordance with the priority described in sub-
section (b)(1).
‘‘(B) The State will comply with the condi-
tions described in each of subsections (c), (d),
(g), and (h).
971
‘‘(3) ALLOTMENT.—
‘‘(A) For purposes of paragraph (1), the
allotment under this paragraph for a State for
a fiscal year shall, except as provided in sub-
paragraph (B), be the product of—
‘‘(i) the amount appropriated in sec-
tion 14601(d)(1)(A) of the Personal Re-
sponsibility Act of 1995 for the fiscal year,
together with any additional amounts ap-
propriated to carry out this section for the
fiscal year; and
‘‘(ii) the percentage determined for
the State under the formula established in
section 1933(a).
‘‘(B) Subsections (b) through (d) of section
1933 apply to an allotment under subparagraph
(A) to the same extent and in the same manner
as such subsections apply to an allotment under
subsection (a) of section 1933.’’.
SEC. 14602. SUPPLEMENTAL SECURITY INCOME BENEFITS
FOR DISABLED CHILDREN.
(a) RESTRICTIONS ON ELIGIBILITY FOR CASH BENE-
FITS.—
972
(1) IN GENERAL.—Section 1614(a)(3)(A) of the
Social Security Act (42 U.S.C. 1382c(a)(3)(A)) is
amended—
(A) by inserting ‘‘(i)’’ after ‘‘(3)(A)’’;
(B) by inserting ‘‘who has attained 18
years of age’’ before ‘‘shall be considered’’;
(C) by striking ‘‘he’’ and inserting ‘‘the in-
dividual’’;
(D) by striking ‘‘(or, in the case of an indi-
vidual under the age of 18, if he suffers from
any medically determinable physical or mental
impairment impairment of comparable sever-
ity)’’; and
(E) by adding after and below the end the
following:
‘‘(ii) An individual who has not attained 18 years of
age shall be considered to be disabled for purposes of this
title for a month if the individual—
‘‘(I) meets all non-disability-related require-
ments for eligibility for cash benefits under this title;
‘‘(II) has any medically determinable physical
or mental impairment (or combination of impair-
ments) that meets the requirements, applicable to
individuals who have not attained 18 years of age,
of the Listings of Impairments set forth in appendix
973
1 of subpart P of part 404 of title 20, Code of Fed-
eral Regulations (revised as of April 1, 1994), or
that is equivalent in severity to such an impairment
(or such a combination of impairments); and
‘‘(III)(aa) for the month preceding the first
month for which this clause takes effect, was eligible
for cash benefits under this title by reason of disabil-
ity; or
‘‘(bb) as a result of the impairment (or com-
bination of impairments) involved—
‘‘(1) is in a hospital, skilled nursing facil-
ity, nursing facility, residential treatment facil-
ity, intermediate care facility for the mentally
retarded, or other medical institution; or
‘‘(2) would be required to be placed in
such an institution if the individual were not re-
ceiving personal assistance necessitated by the
impairment (or impairments).
‘‘(iii) As used in clause (ii)(III)(bb)(2), the term ‘per-
sonal assistance’ includes at least hands-on or stand-by
assistance, supervision, or cueing, with activities of daily
living and the administration of medical treatment (where
applicable). For purposes of the preceding sentence, the
term ‘acitivities of daily living’ means eating, toileting,
dressing, bathing, and transferring.’’.
974
(2) NOTICE.—Within 1 month after the date of
the enactment of this Act, the Commissioner of So-
cial Security shall notify each individual whose eligi-
bility for cash supplemental security income benefits
under title XVI of the Social Security Act will termi-
nate by reason of the amendments made by para-
graph (1) of such termination.
(3) ANNUAL REPORTS ON LISTINGS OF IMPAIR-
MENTS.—The Commissioner of Social Security shall
annually submit to the Congress a report on the
Listings of Impairments set forth in appendix 1 of
subpart P of part 404 of title 20, Code of Federal
Regulations (revised as of April 1, 1994), that are
applicable to individuals who have not attained 18
years of age, and recommend any necessary revisions
to the listings.
(b) ESTABLISHMENT
OF
PROGRAM
OF
BLOCK
GRANTS REGARDING CHILDREN WITH DISABILITIES.—
(1) IN GENERAL.—Title XVI of the Social Se-
curity Act (42 U.S.C. 1381 et seq.) is amended by
adding at the end the following:
975
‘‘PART C—BLOCK GRANTS TO STATES FOR
CHILDREN WITH DISABILITIES
‘‘SEC. 1641. ENTITLEMENT TO GRANTS.
‘‘Each State that meets the requirements of section
1642 for fiscal year 1997 or any subsequent fiscal year
shall be entitled to receive from the Commissioner for the
fiscal year a grant in an amount equal to the allotment
(as defined in section 1646(1)) of the State for the fiscal
year.
‘‘SEC. 1642. REQUIREMENTS.
‘‘(a) IN GENERAL.—A State meets the requirements
of this section for a grant under section 1641 for a fiscal
year if by the date specified by the Commissioner, the
State submits to the Commissioner an application for the
grant that is in such form, is made in such manner, and
contain such agreements, assurances, and information as
the Commissioner determines to be necessary to carry out
this part, and if the application contains an agreement by
the State in accordance with the following:
‘‘(1) The grant will not be expended for any
purpose other than providing authorized services (as
defined in section 1646(2)) to qualifying children (as
defined in section 1646(3)).
‘‘(2)(A) In providing authorized services, the
State will make every reasonable effort to obtain
payment for the services from other Federal or State
976
programs that provide payment for such services
and from private entities that are legally liable to
make the payments pursuant to insurance policies,
prepaid plans, or other arrangements.
‘‘(B) The State will expend the grant only to
the extent that payments from the programs and en-
tities described in subparagraph (A) are not avail-
able for authorized services provided by the State.
‘‘(3) The State will comply with the condition
described in subsection (b).
‘‘(4) The State will comply with the condition
described in subsection (c).
‘‘(b) MAINTENANCE OF EFFORT.—
‘‘(1) IN GENERAL.—The condition referred to
in subsection (a)(3) for a State for a fiscal year is
that, with respect to the purposes described in para-
graph (2), the State will maintain expenditures of
non-Federal amounts for such purposes at a level
that is not less than the following, as applicable:
‘‘(A) For the first fiscal year for which the
State receives a grant under section 1641, an
amount equal to the difference between—
‘‘(i) the average level of such expendi-
tures maintained by the State for the 2-
year period preceding October 1, 1995 (ex-
977
cept that, if such first fiscal year is other
than fiscal year 1997, the amount of such
average level shall be increased to the ex-
tent necessary to offset the effect of infla-
tion occurring after October 1, 1995); and
‘‘(ii) the aggregate of non-Federal ex-
penditures made by the State for such 2-
year period pursuant to section 1618 (as
such section was in effect for such period).
‘‘(B) For each subsequent fiscal year, the
amount applicable under subparagraph (A) in-
creased to the extent necessary to offset the ef-
fect of inflation occurring after the beginning of
the fiscal year to which such subparagraph ap-
plies.
‘‘(2) RELEVANT PURPOSES.—The purposes de-
scribed in this paragraph are any purposes designed
to meet (or assist in meeting) the unique needs of
qualifying children that arise from physical and
mental impairments, including such purposes that
are authorized to be carried out under title XIX.
‘‘(3) RULE OF CONSTRUCTION.—With respect
to compliance with the agreement made by a State
pursuant to paragraph (1), the State has discretion
to select, from among the purposes described in
978
paragraph (2), the purposes for which the State ex-
pends the non-Federal amounts reserved by the
State for such compliance.
‘‘(4) USE OF CONSUMER PRICE INDEX.—Deter-
minations under paragraph (1) of the extent of in-
flation shall be made through use of the consumer
price index for all urban consumers, U.S. city aver-
age, published by the Bureau of Labor Statistics.
‘‘(c) ASSESSMENT OF NEED FOR SERVICES.—The
condition referred to in subsection (a)(4) for a State for
a fiscal year is that each qualifying child will be permitted
to apply for authorized services, and will be provided with
an opportunity to have an assessment conducted to deter-
mine the need of such child for authorized services.
‘‘SEC. 1643. AUTHORITY OF STATE.
‘‘The following decisions are in the discretion of a
State with respect to compliance with an agreement made
by the State under section 1642(a)(1):
‘‘(1) Decisions regarding which of the author-
ized services are provided.
‘‘(2) Decisions regarding who among qualifying
children in the State receives the services.
‘‘(3) Decisions regarding the number of services
provided for the qualifying child involved and the
duration of the services.
979
‘‘SEC. 1644. AUTHORIZED SERVICES.
‘‘(a) AUTHORITY OF COMMISSIONER.—The Commis-
sioner, subject to subsection (b), shall issue regulations
designating the purposes for which grants under section
1641 are authorized to be expended by the States.
‘‘(b) REQUIREMENTS REGARDING SERVICES.—The
Commissioner shall ensure that the purposes authorized
under subsection (a)—
‘‘(1) are designed to meet (or assist in meeting)
the unique needs of qualifying children that arise
from physical and mental impairments;
‘‘(2) include medical and nonmedical services;
and
‘‘(3) do not include the provision of cash bene-
fits.
‘‘SEC. 1645. GENERAL PROVISIONS.
‘‘(a) ISSUANCE
OF
REGULATIONS.—Regulations
under this part shall be issued in accordance with proce-
dures established for the issuance of substantive rules
under section 553 of title 5, United States Code. Pay-
ments under grants under section 1641 for fiscal year
1997 shall begin not later than January 1, 1997, without
regard to whether final rules under this part have been
issued and without regard to whether such rules have
taken effect.
‘‘(b) PROVISIONS REGARDING OTHER PROGRAMS.—
980
‘‘(1) INAPPLICABILITY
OF
VALUE
OF
SERV-
ICES.—The value of authorized services provided
under this part shall not be taken into account in
determining eligibility for, or the amount of, benefits
or services under any Federal or federally-assisted
program.
‘‘(2) MEDICAID
PROGRAM.—For purposes of
title XIX, each qualifying child shall be considered
to be a recipient of supplemental security income
benefits under this title (without regard to whether
the child has received authorized services under this
part and without regard to whether the State in-
volved is receiving a grant under section 1641). The
preceding sentence applies on and after the date of
the enactment of this part.
‘‘(c) USE BY STATES OF EXISTING DELIVERY SYS-
TEMS.—With respect to the systems utilized by the States
to deliver services to individuals with disabilities (including
systems utilized before the date of the enactment of the
Personal Responsibility Act of 1995), it is the sense of
the Congress that the States should utilize such systems
in providing authorized services under this part.
‘‘(d) REQUIRED PARTICIPATION OF STATES.—Sub-
paragraphs (C)(i) and (E)(i)(I) of section 205(c)(2) shall
not apply to a State that does not participate in the pro-
981
gram established in this part for fiscal year 1997 or any
succeeding fiscal year.
‘‘SEC. 1646. DEFINITIONS.
‘‘As used in this part:
‘‘(1) 
ALLOTMENT.—The 
term 
‘allotment’
means, with respect to a State and a fiscal year, the
product of—
‘‘(A) an amount equal to the difference be-
tween—
‘‘(i) the number of qualifying children
in the State (as determined for the most
recent 12-month period for which data are
available to the Commissioner); and
‘‘(ii) the number of qualifying children
in the State receiving cash benefits under
this title by reason of disability (as so de-
termined); and
‘‘(B) an amount equal to 75 percent of the
mean average of the respective annual totals of
cash benefits paid under this title to each quali-
fying child described in subparagraph (A)(ii)
(as so determined).
‘‘(2) AUTHORIZED
SERVICE.—The term ‘au-
thorized service’ means each purpose authorized by
the Commissioner under section 1644(a).
982
‘‘(3) QUALIFYING CHILD.—
‘‘(A) IN GENERAL.—The term ‘qualifying
child’ means an individual who—
‘‘(i) has not attained 18 years of age;
and
‘‘(ii)(I) is eligible for cash benefits
under this title by reason of disability; or
‘‘(II) meets the conditions described
in subclauses (I) and (II) of section
1614(a)(3)(A)(ii), 
but 
(by 
reason 
of
subclause (III) of such section) is not eligi-
ble for such cash benefits.
‘‘(B) 
RESPONSIBILITIES
OF
COMMIS-
SIONER.—The Commissioner shall provide for
determinations of whether individuals meet the
criteria established in subparagraph (A) for sta-
tus as qualifying children. Such determinations
shall be made in accordance with the provisions
otherwise applicable under this title with re-
spect to such criteria.’’.
(2) RULE REGARDING CERTAIN MILITARY PAR-
ENTS; CASH
BENEFITS
FOR
QUALIFYING
CHIL-
DREN.—Section 1614(a)(1)(B)(ii) of the Social Se-
curity Act (42 U.S.C. 1382c(a)(1)(B)(ii)) is amend-
ed by striking ‘‘United States, and who, for the
983
month’’ and all that follows and inserting the follow-
ing: ‘‘United States, and—
‘‘(I) who, for the month before the parent re-
ported for such assignment, received a cash benefit
under this title by reason of blindness, or
‘‘(II) for whom, for such month, a determina-
tion was in effect that the child is a qualifying child
under section 1646(3).’’.
(c) PROVISIONS RELATING TO SSI CASH BENEFITS
AND SSI SERVICE BENEFITS.—
(1) CONTINUING
DISABILITY
REVIEWS
FOR
CERTAIN CHILDREN.—Section 1614(a)(3)(G) of such
Act (42 U.S.C. 1382c(a)(3)(G)) is amended—
(A) by inserting ‘‘(i)’’ after ‘‘(G)’’; and
(B) by adding at the end the following:
‘‘(ii)(I) Not less frequently than once every 3 years,
the Commissioner shall redetermine the eligibility for cash
benefits under this title and for services under part C—
‘‘(aa) of each individual who has not attained
18 years of age and is eligible for such cash benefits
by reason of disability; and
‘‘(bb) of each qualifying child (as defined in sec-
tion 1646(3)).
984
‘‘(II) Subclause (I) shall not apply to an individual
if the individual has an impairment (or combination of im-
pairments) which is (or are) not expected to improve.’’.
(2) DISABILITY REVIEW REQUIRED FOR LOW
BIRTH WEIGHT BABIES WHO HAVE RECEIVED SSI
BENEFITS FOR 12 MONTHS.—Section 1614(a)(3)(G)
of such Act (42 U.S.C. 1382c(a)(3)(G)), as amended
by paragraph (1) of this subsection, is amended by
adding at the end the following:
‘‘(iii)(I) The Commissioner shall redetermine the eli-
gibility for—
‘‘(aa) cash benefits under this title by reason of
disability of an individual whose low birth weight is
a contributing factor material to the Commissioner’s
determination that the individual is disabled; and
‘‘(bb) services under part C of an individual
who is eligible for such services by reason of low
birth weight.
‘‘(II) The redetermination required by subclause (I)
shall be conducted once the individual has received such
benefits for 12 months.
‘‘(III) A redetermination under subclause (I) of this
clause shall be considered a substitute for a review re-
quired under any other provision of this subparagraph.’’.
985
(3) APPLICABILITY
OF
MEDICAID
RULES
RE-
GARDING
COUNTING
OF
CERTAIN
ASSETS
AND
TRUSTS OF CHILDREN.—Section 1613(c) of the So-
cial Security Act (42 U.S.C. 1382b(c)) is amended
to read as follows:
‘‘TREATMENT OF CERTAIN ASSETS AND TRUSTS IN
ELIGIBILITY DETERMINATIONS FOR CHILDREN
‘‘(c) Subsections (c) and (d) of section 1917 shall
apply to determinations of eligibility for benefits under
this title in the case of an individual who has not attained
18 years of age in the same manner as such subsections
apply to determinations of eligibility for medical assistance
under a State plan under title XIX, except that—
‘‘(1) 
the 
amount 
described 
in 
section
1917(c)(1)(E)(i)(II) shall be the amount of cash
benefits payable under this title to an eligible indi-
vidual who does not have an eligible spouse and who
has no income or resources;
‘‘(2) the look-back date specified in section
1917(c)(1)(B) shall be the date that is 36 months
before the date the individual has applied for bene-
fits under this title; and
‘‘(3) any assets in a trust over which the indi-
vidual has control shall be considered assets of the
individual.’’.
(d) CONFORMING AMENDMENTS.—
986
(1) Subsections (b)(1), (b)(2), (c)(3), (c)(5),
and (e)(1)(B) of section 1611 of the Social Security
Act (42 U.S.C. 1382 (b)(1), (b)(2), (c)(3), (c)(5),
and (e)(1)(B)) are each amended by inserting
‘‘cash’’ before ‘‘benefit under this title’’.
(2) Section 1611(c)(1) of such Act (42 U.S.C.
1382(c)(1)) is amended—
(A) by striking ‘‘a benefit’’ and inserting
‘‘benefits’’;
(B) by striking ‘‘such benefit’’ and insert-
ing ‘‘the cash benefit under this title’’; and
(C) by striking ‘‘and the amount of such
benefits’’ and inserting ‘‘benefits under this
title and the amount of any cash benefit under
this title’’.
(3) Section 1611(c)(2) of such Act (42 U.S.C.
1382(c)(2)) is amended—
(A) by striking ‘‘such benefit’’ and insert-
ing ‘‘the cash benefit’’;
(B) by inserting ‘‘cash’’ before ‘‘benefits’’
each place such term appears; and
(C) in subpargraph (B), by inserting
‘‘cash’’ before ‘‘benefit’’.
987
(4) Section 1611(c)(3) of such Act (42 U.S.C.
1382(c)(3)) is amended by inserting ‘‘cash’’ before
‘‘benefits under this title’’.
(5) Section 1611(e)(1)(G) of such Act (42
U.S.C. 1382(e)(1)(G)) is amended by inserting
‘‘cash’’ before ‘‘benefit of’’.
(6) Section 1614(a)(4) of such Act (42 U.S.C.
1382c(a)(4)) is amended by inserting ‘‘or impair-
ment’’ after ‘‘disability’’ each place such term ap-
pears.
(7) Section 1614(f)(1) of such Act (42 U.S.C.
1382c(f)(1)) is amended by striking ‘‘and the
amount of benefits’’ and inserting ‘‘benefits under
this title and the amount of any cash benefit under
this title’’.
(8) Section 1614(f)(2)(A) of such Act (42
U.S.C. 1382c(f)(2)(A)) is amended by striking ‘‘and
the amount of benefits’’ and inserting ‘‘benefits
under this title and the amount of any cash benefit’’.
(9) Section 1614(f)(3) of such Act (42 U.S.C.
1382c(f)(3)) is amended by striking ‘‘and the
amount of benefits’’ and inserting ‘‘benefits under
this title and the amount of any cash benefit under
this title’’.
988
(10) Section 1616(e)(1) of such Act (42 U.S.C.
1382e(e)(1)) is amended by inserting ‘‘cash’’ before
‘‘supplemental’’.
(11) Section 1621(a) of such Act (42 U.S.C.
1382j(a)) is amended by striking ‘‘and the amount
of benefits’’ and inserting ‘‘benefits under this title
and the amount of any cash benefit under this title’’.
(12) Section 1631(a)(4) of such Act (42 U.S.C.
1383(a)(4)) is amended by inserting ‘‘cash’’ before
‘‘benefits’’ the 1st place such term appears in each
of subparagraphs (A) and (B).
(13) Section 1631(a)(7)(A) of such Act (42
U.S.C. 1383(a)(7)(A)) is amended by inserting
‘‘cash’’ before ‘‘benefits based’’.
(14) Section 1631(a)(8)(A) of such Act (42
U.S.C. 1383(a)(8)(A)) is amended by striking ‘‘ben-
efits based on disability or blindness under this
title’’ and inserting ‘‘benefits under this title (other
than by reason of age)’’.
(15) Section 1631(c) of such Act (42 U.S.C.
1383(c)) is amended—
(A) by striking ‘‘payment’’ each place such
term appears and inserting ‘‘benefits’’; and
(B) by striking ‘‘payments’’ each place
such term appears and inserting ‘‘benefits’’.
989
(16) Section 1631(e) of such Act (42 U.S.C.
1383(e)) is amended—
(A) in paragraph (1)(B), by striking
‘‘amounts of such benefits’’ and inserting
‘‘amounts of cash benefits under this title’’;
(B) in paragraph (2), by inserting ‘‘cash’’
before ‘‘benefits’’ each place such term appears;
(C) by redesignating the 2nd paragraph
(6) and paragraph (7) as paragraphs (7) and
(8), respectively; and
(D) in paragraph (7) (as so redesignated),
by inserting ‘‘cash’’ before ‘‘benefits’’ each place
such term appears.
(17) Section 1631(g)(2) of such Act (42 U.S.C.
1383(g)(2)) is amended by striking ‘‘supplemental
security income’’ and inserting ‘‘cash’’.
(18) Section 1635(a) of such Act (42 U.S.C.
1383d(a)) is amended by striking ‘‘by reason of dis-
ability or blindness’’.
(e) TEMPORARY ELIGIBILITY FOR CASH BENEFITS
FOR POOR DISABLED CHILDREN RESIDING IN STATES
APPLYING ALTERNATIVE INCOME ELIGIBILITY STAND-
ARDS UNDER MEDICAID.—
(1) IN
GENERAL.—For the period beginning
upon the 1st day of the 1st month that begins 90
990
or more days after the date of the enactment of this
Act and ending upon the close of fiscal year 1996,
an individual described in paragraph (2) shall be
considered to be eligible for cash benefits under title
XVI of the Social Security Act, by reason of disabil-
ity notwithstanding that the individual does not
meet any of the conditions described in section
1614(a)(3)(A)(ii)(III) of such Act.
(2) REQUIREMENTS.—For purposes of para-
graph (1), an individual described in this paragraph
is an individual who—
(A) has not attained 18 years of age;
(B) meets the conditions described in
subclauses 
(I) 
and 
(II) 
of 
section
1614(a)(3)(A)(ii) of the Social Security Act;
(C) resides in a State that, pursuant to
section 1902(f) of such Act, restricts eligibility
for medical assistance under title XIX of such
Act with respect to aged, blind, and disabled in-
dividuals; and
(D) is not eligible for medical assistance
under the State plan under such title XIX.
(f) REDUCTION IN CASH BENEFITS PAYABLE TO IN-
STITUTIONALIZED CHILDREN WHOSE MEDICAL COSTS
ARE
COVERED
BY
PRIVATE
INSURANCE.—Section
991
1611(e)(1)(B) of the Social Security Act (42 U.S.C.
1382(e)(1)(B)) is amended by inserting ‘‘or under any
health insurance policy issued by a private provider of
such insurance’’ after ‘‘title XIX’’.
(g) APPLICABILITY.—
(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by subsections
(a)(1), (c), (d) and (f), and section 1645(b)(2) of the
Social Security Act (as added by the amendment
made by subsection (b) of this section), shall apply
to benefits for months beginning 90 or more days
after the date of the enactment of this Act, without
regard to whether regulations have been issued to
implement such amendments.
(2) DELAYED APPLICABILITY TO CURRENT SSI
RECIPIENTS
OF
ELIGIBILITY
RESTRICTIONS.—The
amendments made by subsection (a)(1) shall not
apply, during the first 6 months that begin after the
month in which this Act becomes law, to an individ-
ual who is a recipient of cash supplemental security
income benefits under title XVI of the Social Secu-
rity Act for the month in which this Act becomes
law.
(h) REGULATIONS.—Within 3 months after the date
of the enactment of this Act—
992
(1) the Commissioner of Social Security shall
prescribe such regulations as may be necessary to
implement the amendments made by subsections
(a)(1), (c), (d), and (f) and to implement subsection
(e); and
(2) the Secretary of Health and Human Serv-
ices shall prescribe such regulations as may be nec-
essary to implement section 1645(b)(2) of the Social
Security Act, as added by the amendment made by
subsection (b) of this section.
SEC. 14603. EXAMINATION OF MENTAL LISTINGS USED TO
DETERMINE ELIGIBILITY OF CHILDREN FOR
SSI BENEFITS BY REASON OF DISABILITY.
Section 202(e)(2) of the Social Security Independ-
ence and Program Improvements Act of 1994 (42 U.S.C.
1382 note) is amended—
(1) by striking ‘‘and’’ at the end of subpara-
graph (F); and
(2) by redesignating subparagraph (G) as sub-
paragraph (H) and inserting after subparagraph (F)
the following:
‘‘(G) whether the criteria in the mental dis-
orders listings in the Listings of Impairments set
forth in appendix 1 of subpart P of part 404 of title
20, Code of Federal Regulations, are appropriate to
993
ensure that eligibility of individuals who have not at-
tained 18 years of age for cash benefits under the
supplemental security income program by reason of
disability is limited to those who have serious dis-
abilities and for whom such benefits are necessary to
improve their condition or quality of life; and’’.
SEC. 14604. LIMITATION ON PAYMENTS TO PUERTO RICO,
THE VIRGIN ISLANDS, AND GUAM UNDER
PROGRAMS OF AID TO THE AGED, BLIND, OR
DISABLED.
Section 1108 of the Social Security Act (42 U.S.C.
1308), as amended by section 14104(e)(1) of this Act, is
amended by inserting before ‘‘The total’’ the following:
‘‘(a) PROGRAMS OF AID TO THE AGED, BLIND, OR
DISABLED.—The total amount certified by the Secretary
of Health and Human Services under titles I, X, XIV, and
XVI (as in effect without regard to the amendment made
by section 301 of the Social Security Amendments of
1972)—
‘‘(1) for payment to Puerto Rico shall not ex-
ceed $18,053,940;
‘‘(2) for payment to the Virgin Islands shall not
exceed $473,659; and
‘‘(3) for payment to Guam shall not exceed
$900,718.
994
‘‘(b) MEDICAID PROGRAMS.—’’.
SEC. 14605. REPEAL OF MAINTENANCE OF EFFORT RE-
QUIREMENTS 
APPLICABLE 
TO 
OPTIONAL
STATE PROGRAMS FOR SUPPLEMENTATION
OF SSI BENEFITS.
Section 1618 of the Social Security Act (42 U.S.C.
1382g) is hereby repealed.
SEC. 14606. DENIAL OF SSI BENEFITS FOR 10 YEARS TO IN-
DIVIDUALS FOUND TO HAVE FRAUDULENTLY
MISREPRESENTED RESIDENCE IN ORDER TO
OBTAIN BENEFITS SIMULTANEOUSLY IN 2 OR
MORE STATES.
Section 1614(a) of the Social Security Act (42 U.S.C.
1382c(a)) is amended by adding at the end the following:
‘‘(5) An individual shall not be considered an eligible
individual for purposes of this title during the 10-year pe-
riod beginning on the date the individual is found by a
State to have made, or is convicted in Federal or State
court of having made, a fraudulent statement or represen-
tation with respect to the place of residence of the individ-
ual in order to receive benefits simultaneously from 2 or
more States under programs that are funded under part
A of title IV, title XIX, the consolidated program of food
assistance under chapter 2 of subtitle E of title XIV of
the Personal Responsibility Act of 1995, or the Food
995
Stamp Act of 1977 (as in effect before the effective date
of such chapter), or benefits in 2 or more States under
the supplemental security income program under title
XVI.’’.
SEC. 14607. DENIAL OF SSI BENEFITS FOR FUGITIVE FEL-
ONS AND PROBATION AND PAROLE VIOLA-
TORS.
(a) IN GENERAL.—Section 1611(c) of the Social Se-
curity Act (42 U.S.C. 1382(e)), as amended by section
14601(b)(1) of this Act, is amended by inserting after
paragraph (2) the following:
‘‘(3) A person shall not be an eligible individual
or eligible spouse for purposes of this title with re-
spect to any month if, throughout the month, the
person is—
‘‘(A) fleeing to avoid prosecution, or cus-
tody or confinement after conviction, under the
laws of the place from which the person flees,
for a crime, or an attempt to commit a crime,
which is a felony under the laws of the place
from which the person flees, or which, in the
case of the State of New Jersey, is a high mis-
demeanor under the laws of such State; or
‘‘(B) violating a condition of probation or
parole imposed under Federal or State law.’’.
996
(b) EXCHANGE OF INFORMATION WITH LAW EN-
FORCEMENT AGENCIES.—Section 1631(e) of such Act (42
U.S.C. 1383(e)) is amended by inserting after paragraph
(3) the following:
‘‘(4) Notwithstanding any other provision of law, the
Commissioner shall furnish any Federal, State, or local
law enforcement officer, upon the request of the officer,
with the current address of any recipient of benefits under
this title, if the officer furnishes the agency with the name
of the recipient and notifies the agency that—
‘‘(A) the recipient—
‘‘(i) is fleeing to avoid prosecution, or cus-
tody or confinement after conviction, under the
laws of the place from which the person flees,
for a crime, or an attempt to commit a crime,
which is a felony under the laws of the place
from which the person flees, or which, in the
case of the State of New Jersey, is a high mis-
demeanor under the laws of such State;
‘‘(ii) is violating a condition of probation or
parole imposed under Federal or State law; or
‘‘(iii) has information that is necessary for
the officer to conduct the officer’s official du-
ties;
997
‘‘(B) the location or apprehension of the recipi-
ent is within the official duties of the officer; and
‘‘(C) the request is made in the proper exercise
of such duties.’’.
SEC. 14608. REAPPLICATION REQUIREMENTS FOR ADULTS
RECEIVING SSI BENEFITS BY REASON OF DIS-
ABILITY.
(a) IN GENERAL.—Section 1614(a)(3)(G) of the So-
cial Security Act (42 U.S.C. 1382c(a)(3)(G)), as amended
by section 14602(c)(2) of this Act, is amended by adding
at the end the following clause:
‘‘(iv) In the case of an individual who has attained
18 years of age and for whom a determination has been
made of eligibility for a benefit under this title by reason
of disability, the following applies:
‘‘(I) Subject to the provisions of this clause, the
determination of eligibility is effective for the 3-year
period beginning on the date of the determination,
and the eligibility of the individual lapses unless a
determination of continuing eligibility is made before
the end of such period, and before the end of each
subsequent 3-year period. This subclause ceases to
apply to the individual upon the individual attaining
65 years of age. This subclause does not apply to
the individual if the individual has an impairment
998
that is not expected to improve (or a combination of
impairments that are not expected to improve).
‘‘(II) With respect to a determination under
subclause (I) of whether the individual continues to
be eligible for the benefit (in this clause referred to
as a ‘redetermination’), the Commissioner may not
make the redetermination unless the individual sub-
mits to the Commissioner an application requesting
the redetermination. If such an application is sub-
mitted, the Commissioner shall make the redeter-
mination. This subclause is subject to subclause (V).
‘‘(III) If as of the date on which this clause
takes effect the individual has been receiving the
benefit for three years or less, the first period under
subclause (I) for the individual is deemed to end on
the expiration of the period beginning on the date on
which this clause takes effect and continuing
through a number of months equal to 12 plus a
number equal to 36 minus the number of months
the individual has been receiving the benefit.
‘‘(IV) If as of the date on which this clause
takes effect the individual has been receiving the
benefit for five years or less, but for more than three
years, the first period under subclause (I) for the in-
dividual is deemed to end on the expiration of the
999
1-year period beginning on the date on which this
clause takes effect.
‘‘(V) If as of the date on which this clause
takes effect the individual has been receiving the
benefit for more than five years, the Commissioner
shall make redeterminations under subclause (I) and
may not require the individual to submit applica-
tions for the redeterminations. The first 3-year pe-
riod under subclause (I) for the individual is deemed
to begin upon the expiration of the period beginning
on the date on which this clause takes effect and
ending upon the termination of a number of years
equal to the lowest number (greater than zero) that
can be obtained by subtracting the number of years
that the individual has been receiving the benefit
from a number that is a multiple of three.
‘‘(VI) If the individual first attains 18 years of
age on or after the date on which this clause takes
effect, the first 3-year period under subclause (I) for
the individual is deemed to end on the date on which
the individual attains such age.
‘‘(VII) Not later than one year prior to the date
on which a determination under subclause (I) ex-
pires, the Commissioner shall (except in the case of
an individual to whom subclause (V) applies) provide
1000
to the individual a written notice explaining the ap-
plicability of this clause to the individual, including
an explanation of the effect of failing to submit the
application. If the individual submits the application
not later than 180 days prior to such date and the
Commissioner does not make the redetermination
before such date, the Commissioner shall continue to
provide the benefit pending the redetermination and
shall publish in the Federal Register a notice that
the Commissioner was unable to make the redeter-
mination by such date.
‘‘(VIII) If the individual fails to submit the ap-
plication under subclause (II) by the end of the ap-
plicable period under subclause (I), the individual
may apply for a redetermination. The Commissioner
shall make the redetermination for the individual
only after making redeterminations for individuals
for whom eligibility has not lapsed pursuant to
subclause (I).’’.
(b) EFFECTIVE DATE.—The amendment made by
subsection (a) takes effect upon the expiration of the 9-
month period beginning on the date of the enactment of
this Act.
(c) CONFORMING REPEAL.—Section 207 of the So-
cial Security Independence and Program Improvements
1017
(b) ESTABLISHMENT
OF
STATE
DISBURSEMENT
UNIT.—Part D of title IV (42 U.S.C. 651–669), as
amended by section 14745(a)(2) of this Act, is amended
by inserting after section 454A the following:
‘‘SEC. 454B. COLLECTION AND DISBURSEMENT OF SUP-
PORT PAYMENTS.
‘‘(a) STATE DISBURSEMENT UNIT.—
‘‘(1) IN
GENERAL.—In order for a State to
meet the requirements of this section, the State
agency must establish and operate a unit (which
shall be known as the ‘State disbursement unit’) for
the collection and disbursement of payments under
support orders in all cases being enforced by the
State pursuant to section 454(4).
‘‘(2) OPERATION.—The State disbursement
unit shall be operated—
‘‘(A) directly by the State agency (or 2 or
more State agencies under a regional coopera-
tive agreement), or (to the extent appropriate)
by a contractor responsible directly to the State
agency; and
‘‘(B) in coordination with the automated
system established by the State pursuant to
section 454A.