I 
115TH CONGRESS 
2D SESSION 
H. R. 6251 
To amend title II of the Social Security Act to permanently appropriate 
funding for the administrative expenses of the Social Security Adminis-
tration, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 27, 2018 
Mr. LARSON of Connecticut (for himself, Mrs. DINGELL, Ms. NORTON, Mr. 
BRENDAN F. BOYLE of Pennsylvania, Mr. RASKIN, Ms. BARRAGA´N, Mr. 
HASTINGS, Mr. PAYNE, Mrs. NAPOLITANO, Ms. PINGREE, Ms. SCHA-
KOWSKY, Ms. KAPTUR, Mr. MCNERNEY, Mr. BRADY of Pennsylvania, 
Mr. GONZALEZ of Texas, Mr. HIGGINS of New York, Mr. MCGOVERN, 
Mr. GARAMENDI, Mr. ESPAILLAT, Mr. GENE GREEN of Texas, and Mr. 
CICILLINE) introduced the following bill; which was referred to the Com-
mittee on Ways and Means, and in addition to the Committees on the 
Budget, Rules, and Energy and Commerce, for a period to be subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To amend title II of the Social Security Act to permanently 
appropriate funding for the administrative expenses of 
the Social Security Administration, and for other pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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to benefit payments required to be made under this 
title shall be appropriated from the Federal Old-Age 
and Survivors Insurance Trust Fund and the Fed-
eral Disability Insurance Trust Fund in a manner 
that ensures that the amount appropriated from 
each Trust Fund for the year bears the same pro-
portion to the amount appropriated from both Trust 
Funds for the year as the amount of benefit pay-
ments required to be made from such Trust Fund 
for the year bears to the amount of benefit pay-
ments required to be made from both Trust Funds 
for the year, and (II) the portion of the amount to 
be appropriated for a fiscal year that is attributable 
to benefit payments expected to be made under titles 
VIII and XVI shall be appropriated from the general 
fund of the Treasury. For each fiscal year beginning 
with fiscal year 2019, there is hereby appropriated 
from the Federal Hospital Insurance Trust Fund 
and the Federal Supplementary Medical Insurance 
Trust Fund, in such proportion as the Commissioner 
of Social Security shall determine, such sums as are 
necessary to pay the costs of the part of the admin-
istration of title XVIII for which the Commissioner 
is responsible.’’. 
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(b) REMOVING THE LIMITATION ON THE ADMINIS-
TRATIVE EXPENSES OF THE SOCIAL SECURITY ADMINIS-
TRATION FROM DISCRETIONARY BUDGET CAPS, THE 
CONGRESSIONAL BUDGET RESOLUTION, THE 302(a) AL-
LOCATIONS AND THE 302(b) SUBALLOCATIONS.— 
(1) EXCLUSION
OF
THE
ADMINISTRATIVE 
COSTS OF SOCIAL SECURITY, SSI, AND MEDICARE 
FROM
ALL
BUDGETS.—Section 13301(a) of the 
Budget Enforcement Act of 1990 (2 U.S.C. 632 
note) is amended to read as follows: 
‘‘(a) EXCLUSION OF THE ADMINISTRATIVE COSTS OF 
SOCIAL SECURITY, SSI, AND MEDICARE FROM ALL 
BUDGETS.— 
‘‘(1) IN GENERAL.—Notwithstanding any other 
provision of law, the receipts and disbursements de-
scribed in paragraph (2) shall not be counted as new 
budget authority, outlays, receipts, or deficit or sur-
plus for purposes of— 
‘‘(A) the budget of the United States Gov-
ernment as submitted by the President under 
section 1105 of title 31, United States Code; 
‘‘(B) a concurrent resolution on the budg-
et; 
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‘‘(C) the Balanced Budget and Emergency 
Deficit Control Act of 1985 (2 U.S.C. 900 et 
seq.); or 
‘‘(D) the Statutory Pay-As-You-Go Act of 
2010 (2 U.S.C. 931 et seq.). 
‘‘(2) RECEIPTS
AND
DISBURSEMENTS
COV-
ERED.—The receipts and disbursements described in 
this paragraph are— 
‘‘(A) the receipts and disbursements of the 
Federal Old-Age and Survivors Trust Fund and 
the Federal Disability Insurance Trust Fund, 
including the costs of the part of the adminis-
tration of title II of the Social Security Act for 
which the Commissioner of Social Security is 
responsible; and 
‘‘(B) the receipts and disbursements from 
the Federal Hospital Insurance Trust Fund, 
the Federal Supplementary Insurance Trust 
Fund, and amounts appropriated for the Sup-
plemental Security Income program for the 
costs of the part of the administration of titles 
XVI and XVIII of the Social Security Act for 
which the Commissioner of Social Security is 
responsible.’’. 
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(2) EXCLUSION
OF
THE
ADMINISTRATIVE 
COSTS OF SOCIAL SECURITY, SSI, AND MEDICARE 
FROM
THE
CONGRESSIONAL
BUDGET
RESOLU-
TION.—Section 301(a) of the Congressional Budget 
Act of 1974 (2 U.S.C. 632(a)) is amended by strik-
ing the matter following paragraph (7) and inserting 
the following: 
‘‘The concurrent resolution shall not include in the surplus 
or deficit totals required by this subsection or in any other 
surplus or deficit totals required by this title the outlays 
and revenue totals of the program under title II of the 
Social Security Act, or the related provisions of the Inter-
nal Revenue Code of 1986, including the costs of the part 
of the administration of such title II for which the Com-
missioner of Social Security is responsible or the costs of 
the part of the administration of titles XVI and XVIII 
of the Social Security Act for which the Commissioner of 
Social Security is responsible.’’. 
(3) EXCLUSION
OF
THE
ADMINISTRATIVE 
COSTS OF SOCIAL SECURITY, SSI, AND MEDICARE 
FROM CONGRESSIONAL BUDGET ACT 302(a) ALLOCA-
TIONS.—Section 302(a)(1) of the Congressional 
Budget Act of 1974 (2 U.S.C. 633(a)(1)) is amend-
ed by adding at the end the following: ‘‘The alloca-
tion under this paragraph shall not include the out-
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lays of the program under title II of the Social Secu-
rity Act, including the costs of the part of the ad-
ministration of such title for which the Commis-
sioner of Social Security is responsible, or the out-
lays for the costs of the part of the administration 
of titles XVI and XVIII of the Social Security Act 
for which the Commissioner of Social Security is re-
sponsible.’’. 
(4) EXCLUSION
OF
THE
ADMINISTRATIVE 
COSTS OF SOCIAL SECURITY, SSI, AND MEDICARE 
FROM
THE
CONGRESSIONAL
BUDGET
ACT 302(b) 
SUBALLOCATIONS.—Section 302(b) of the Congres-
sional Budget Act of 1974 (2 U.S.C. 633(b)) is 
amended by adding at the end the following: ‘‘The 
suballocation under this subsection shall not include 
the outlays of the program under title II of the So-
cial Security Act, including the costs of the part of 
the administration of such title for which the Com-
missioner of Social Security is responsible, or the 
outlays for the costs of the part of the administra-
tion of titles XVI and XVIII of the Social Security 
Act for which the Commissioner of Social Security 
is responsible.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on October 1, 2018. 
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SEC. 3. ELIMINATING THE 5-MONTH WAITING PERIOD FOR 
DISABILITY BENEFITS AND FOR DISABLED 
SURVIVING SPOUSES. 
(a) IN GENERAL.—Section 223(a)(1) of the Social 
Security Act (42 U.S.C. 423(a)(1)) is amended in the 
matter following subparagraph (E)— 
(1) by inserting ‘‘for months beginning before 
the date of the enactment of the Social Security Ad-
ministration Fairness Act,’’ after ‘‘(i)’’; 
(2) by striking ‘‘or (ii)’’ and inserting ‘‘(ii), for 
months beginning before the date of the enactment 
of the Social Security Administration Fairness 
Act,’’; and 
(3) by inserting ‘‘or (iii) for months beginning 
on or after the date of the enactment of the Social 
Security Administration Fairness Act, for each 
month beginning with the first month during all of 
which the individual is under a disability and in 
which the individual becomes entitled to such insur-
ance benefits,’’ before ‘‘and ending’’. 
(b) DISABLED SURVIVING SPOUSES.—Section 202 of 
the Social Security Act (42 U.S.C. 402) is amended— 
(1) in subsection (e)(1)(F)— 
(A) in clause (i)— 
(i) by inserting ‘‘for months beginning 
before the date of the enactment of the So-
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cial 
Security 
Administration 
Fairness 
Act,’’ before ‘‘the first month’’; and 
(ii) by striking ‘‘, or’’ and inserting a 
comma; 
(B) in clause (ii)— 
(i) by inserting ‘‘for months beginning 
before the date of the enactment of the So-
cial 
Security 
Administration 
Fairness 
Act,’’ before ‘‘the first month’’; and 
(ii) by striking ‘‘terminated,’’ and in-
serting ‘‘, or’’; and 
(C) by adding at the end the following new 
clause: 
‘‘(iii) for months beginning on or after 
the date of the enactment of the Social Se-
curity Administration Fairness Act, the 
first month during all of which she is 
under a disability and in which she be-
comes entitled to such insurance benefits,’’; 
and 
(2) in subsection (f)(1)(F)— 
(A) in clause (i)— 
(i) by inserting ‘‘for months beginning 
before the date of the enactment of the So-
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cial 
Security 
Administration 
Fairness 
Act,’’ before ‘‘the first month’’; and 
(ii) by striking ‘‘, or’’ and inserting a 
comma; 
(B) in clause (ii)— 
(i) by inserting ‘‘for months beginning 
before the date of the enactment of the So-
cial 
Security 
Administration 
Fairness 
Act,’’ before ‘‘the first month’’; and 
(ii) by striking ‘‘terminated,’’ and in-
serting ‘‘, or’’; and 
(C) by adding at the end the following new 
clause: 
‘‘(iii) for months beginning on or after 
the date of the enactment of the Social Se-
curity Administration Fairness Act, the 
first month during all of which he is under 
a disability and in which he becomes enti-
tled to such insurance benefits,’’. 
SEC. 4. ELIMINATING THE 24-MONTH WAITING PERIOD FOR 
MEDICARE 
COVERAGE 
FOR 
INDIVIDUALS 
WITH DISABILITIES. 
(a) IN GENERAL.—Section 226(b) of the Social Secu-
rity Act (42 U.S.C. 426(b)) is amended— 
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(1) in paragraph (2)(A), by striking ‘‘, and has 
for 24 calendar months been entitled to,’’; 
(2) in paragraph (2)(B), by striking ‘‘, and has 
been for not less than 24 months,’’; 
(3) in paragraph (2)(C)(ii), by striking ‘‘, in-
cluding the requirement that he has been entitled to 
the specified benefits for 24 months,’’; 
(4) in the first sentence, by striking ‘‘for each 
month beginning with the later of (I) July 1973 or 
(II) the twenty-fifth month of his entitlement or sta-
tus as a qualified railroad retirement beneficiary de-
scribed in paragraph (2), and’’ and inserting ‘‘for 
each month for which the individual meets the re-
quirements of paragraph (2), beginning with the 
month following the month in which the individual 
meets the requirements of such paragraph, and’’; 
and 
(5) in the second sentence, by striking ‘‘the 
‘twenty-fifth month of his entitlement’ ’’ and all that 
follows through ‘‘paragraph (2)(C) and’’. 
(b) CONFORMING AMENDMENTS.— 
(1) SECTION 226.—Section 226 of the Social 
Security Act (42 U.S.C. 426) is amended by— 
(A) striking subsections (e)(1)(B), (f), and 
(h); and 
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(B) redesignating subsections (g) and (i) 
as subsections (f) and (g), respectively. 
(2) MEDICARE DESCRIPTION.—Section 1811(2) 
of the Social Security Act (42 U.S.C. 1395c(2)) is 
amended by striking ‘‘have been entitled for not less 
than 24 months’’ and inserting ‘‘are entitled’’. 
(3) MEDICARE COVERAGE.—Section 1837(g)(1) 
of the Social Security Act (42 U.S.C. 1395p(g)(1)) 
is amended by striking ‘‘25th month of’’ and insert-
ing ‘‘month following the first month of’’. 
(4) RAILROAD RETIREMENT SYSTEM.—Section 
7(d)(2)(ii) of the Railroad Retirement Act of 1974 
(45 U.S.C. 231f(d)(2)(ii)) is amended— 
(A) by striking ‘‘has been entitled to an 
annuity’’ and inserting ‘‘is entitled to an annu-
ity’’; 
(B) by striking ‘‘, for not less than 24 
months’’; and 
(C) by striking ‘‘could have been entitled 
for 24 calendar months, and’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to insurance benefits under title 
XVIII of the Social Security Act with respect to items and 
services furnished on or after the date of the enactment 
of this Act. 
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SEC. 5. CLOSURE OF FIELD AND HEARING OFFICES AND 
RESIDENT OR RURAL CONTACT STATIONS. 
(a) MORATORIUM ON CLOSURE OR CONSOLIDATION 
OF FIELD OR HEARING OFFICES OR NEW LIMITATIONS 
ON ACCESS TO SUCH OFFICES.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), the Commissioner of Social Security shall 
take no action on or after the date of the enactment 
of this Act to close or consolidate field or hearing of-
fices of the Social Security Administration or to oth-
erwise impose any new limitation on access to such 
offices. 
(2) CESSATION OF MORATORIUM UPON REPORT 
TO CONGRESS.—Paragraph (1) shall cease to be ef-
fective 180 days after the Commissioner submits to 
the Committee on Ways and Means of the House of 
Representatives and the Committee on Finance of 
the Senate a detailed report outlining and justifying 
the process for selecting field or hearing offices to be 
closed or consolidated or otherwise to have limited 
access. Such report shall include— 
(A) an analysis of the criteria used for se-
lecting field or hearing offices for closure, con-
solidation, or limited access; 
(B) a description of how the Commissioner 
has analyzed and considered relevant factors, 
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including but not limited to transportation and 
communication burdens faced by individuals 
serviced by the offices, including elderly and 
disabled citizens; and 
(C) a description of any method of cost- 
benefit analysis applied by the Commissioner in 
connection with closures and consolidations of 
field or hearing offices, and other limitations on 
access to field or hearing offices, including any 
analysis that takes into account— 
(i) the anticipated savings resulting 
from the closure, consolidation, or limita-
tion on access; 
(ii) the anticipated costs associated 
with replacing services lost by the closure, 
consolidation, or limitation on access; 
(iii) the anticipated effects on employ-
ees of the offices affected; 
(iv) how the loss of access resulting 
from the closure, consolidation, or limita-
tion on access will be replaced by the es-
tablishment of a new field or hearing of-
fice, increased access at a different office, 
or some other means, and the factors con-
sidered by the Commissioner in deter-
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mining how to replace such lost access; 
and 
(v) such other relevant factors as may 
be determined by the Commissioner, in-
cluding but not limited to transportation 
and communication burdens faced by indi-
viduals serviced by the offices, including el-
derly and disabled citizens. 
(b) REQUIREMENTS FOR FUTURE CLOSURES, CON-
SOLIDATIONS, AND NEW LIMITATIONS ON ACCESS.— 
(1) IN GENERAL.—Section 704 of the Social 
Security Act (42 U.S.C. 904) is amended by adding 
at the end the following new subsection: 
‘‘Field and Hearing Offices 
‘‘(f)(1) The Commissioner may not close a field or 
hearing office of the Administration, consolidate two or 
more such offices, or otherwise impose any new limitation 
on public access to any such office, unless the Commis-
sioner complies with the requirements of paragraphs (2), 
(3), (4), and (5) in connection with the closure, consolida-
tion, or limitation on public access. 
‘‘(2)(A) The requirements of this paragraph are met 
in connection with a closure, consolidation, or new limita-
tion on access referred to in paragraph (1) only if— 
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‘‘(i) not later than 120 days before the date of 
the closure, consolidation, or limitation on access, 
the Commissioner provides effective public notice of 
the proposed closure, consolidation, or limitation on 
access (including, to the extent practicable, notice by 
direct mailing and through community outlets such 
as newspapers and posting in heavily frequented 
public spaces) to individuals residing in the area 
serviced by the affected office or offices; 
‘‘(ii) the public notice issued pursuant to clause 
(i) includes information on— 
‘‘(I) how the Commissioner will, not later 
than 30 days after the date of the closure, con-
solidation, or limitation on access, replace the 
loss in access resulting from the closure, con-
solidation, or limitation on access by estab-
lishing a new office, increasing public access to 
a different office, or some other means; and 
‘‘(II) how to contact the Administration if 
an individual experiences service delays or prob-
lems as a result of the closure, consolidation, or 
limitation on access; and 
‘‘(iii) not earlier than 30 days after the 
issuance of public notice pursuant to clause (i) and 
not later than 45 days before the date of the pro-
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posed closure, consolidation, or limitation on access, 
the Commissioner conducts at least 2 public hear-
ings (scheduled so that the first and last such hear-
ings are separated by at least 10 days), at which the 
Commissioner presents the justifications for the clo-
sure, consolidation, or limitation on access described 
in subparagraph (B) and provides for attendees an 
opportunity to present their views regarding the pro-
posed closure, consolidation, or limitation on access. 
‘‘(B) The justifications referred to in subparagraph 
(A)(iii) shall consist of the following: 
‘‘(i) an analysis of the criteria used for selecting 
the field or hearing office or offices for closure, con-
solidation, or limited access; 
‘‘(ii) a description of how the Commissioner has 
analyzed and considered relevant factors, including 
but not limited to transportation and communication 
burdens faced by individuals serviced by the offices, 
including elderly and disabled citizens; and 
‘‘(iii) a description of a method of cost-benefit 
analysis which shall be applied by the Commissioner 
in connection with the closure, consolidation, or limi-
tation on access, and which shall take into ac-
count— 
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‘‘(I) the anticipated savings resulting from 
the closure, consolidation, or limitation on ac-
cess; 
‘‘(II) the anticipated costs associated with 
replacing services lost by the closure, consolida-
tion, or limitation on access; 
‘‘(III) the anticipated effects on employees 
of the offices affected; and 
‘‘(IV) such other relevant factors as may 
be determined by the Commissioner, including 
but not limited to transportation and commu-
nication burdens faced by individuals serviced 
by the offices, including elderly and disabled 
citizens. 
‘‘(C) The notice provided pursuant to subparagraph 
(A)(i) shall include notice of the time and place of the 
public hearings to be conducted pursuant to clause (A)(iii) 
and of the right of aggrieved individuals to appeal to the 
Commissioner regarding the proposed closure, consolida-
tion, or limitation on access pursuant to paragraph (4). 
‘‘(3) The requirements of this paragraph are met in 
connection with a closure, consolidation, or limitation on 
access referred to in paragraph (1) only if, not later than 
30 days before the date of the proposed closure, consolida-
tion, or limitation on access, the Commissioner submits 
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to the Committee on Ways and Means of the House of 
Representatives, the Committee on Finance of the Senate, 
and each Member of the Congress representing a State 
or congressional district in which the affected office or of-
fices are located a detailed final report in support of the 
closure, consolidation, or limitation on access. Such report 
shall include— 
‘‘(A) the justifications described in paragraph 
(2)(B), (including any amendments made to such 
justifications after the public hearings conducted 
pursuant to paragraph (2)(A)); 
‘‘(B) any findings made by the Commissioner 
pursuant to the public hearings; 
‘‘(C) the status of any appeals regarding the 
closure, consolidation, or new limitation on access 
which were commenced pursuant to paragraph (4) 
before the date of the report; 
‘‘(D) the final decision of the Commissioner re-
garding the closure, consolidation, or new limitation 
on access; and 
‘‘(E) such other information as the Commis-
sioner considers relevant. 
‘‘(4)(A) Upon timely request by any individual who 
makes a showing in writing described in subparagraph (B) 
in connection with a proposed closure, consolidation, or 
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limitation on access referred to in subparagraph (A), the 
Commissioner shall give such individual an opportunity for 
a hearing with respect to the closure, consolidation, or lim-
itation on access. The request for the hearing shall be con-
sidered timely only if it is made not later than 30 days 
before the proposed date of the closure, consolidation, or 
limitation on access. The Commissioner shall submit to 
the Committee on Ways and Means of the House of Rep-
resentatives, the Committee on Finance of the Senate, and 
each Member of the Congress representing a State or con-
gressional district in which the affected office or offices 
are located the Commissioner’s findings based on the 
hearing and a description of any action taken or to be 
taken by the Commissioner on the basis of such findings. 
‘‘(B) A showing described in subparagraph (A) shall 
consist of a showing that— 
‘‘(i) the determination of the Commissioner to 
close a field or hearing office, consolidate field or 
hearing offices, or impose a new limitation on access 
to a field or hearing office is arbitrary, capricious, 
an abuse of discretion, not in accordance with law, 
or not based on substantial evidence; or 
‘‘(ii) the Commissioner has failed to observe 
procedures required by law in connection with the 
closure, consolidation, or new limitation on access. 
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‘‘(5) The requirement of this paragraph is met in 
connection with a closure, consolidation, or limitation on 
access referred to in paragraph (1) only if such closure, 
consolidation, or limitation on access will not result in the 
total number of field or hearing offices of the Administra-
tion falling below the total number of such offices that 
were in operation on September 30, 2018.’’. 
(2) EFFECTIVE DATE.—The amendment made 
by paragraph (1) of this subsection shall apply with 
respect to closures and consolidations of field or 
hearing offices and impositions of new limitations on 
access to such offices occurring after the cessation 
of the moratorium under subsection (a) of this sec-
tion. 
Æ 
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