Document ID: ./input/supremecourt_opinions/opinions/boundvolumes/529bv.pdf
Page Number: 101

529US1

Unit: $U32

[10-04-01 09:20:53] PAGES PGT: OPIN

26

SHALALA v. ILLINOIS COUNCIL ON LONG
TERM CARE, INC.
Appendix to opinion of the Court

“(A) has determined that the provider fails to comply
substantially with the provisions of the agreement, with
the provisions of this subchapter and regulations there-
under, or with a corrective action required under section
1395ww(f)(2)(B) of this title.”

42 U. S. C. § 405(b) provides, in relevant part:

“(b) Administrative determination of entitlement
to
beneﬁts; ﬁndings of fact; hearings; investigations; evi-
dentiary hearings in reconsiderations of disability bene-
ﬁt terminations; subsequent applications

“(1) The Commissioner of Social Security is directed
to make ﬁndings of fact, and decisions as to the rights
of any individual applying for a payment under this
subchapter. Any such decision by the Commissioner of
Social Security which involves a determination of dis-
ability and which is in whole or in part unfavorable to
such individual shall contain a statement of the case,
in understandable language, setting forth a discussion
of the evidence, and stating the Commissioner’s de-
termination and the reason or reasons upon which it
is based. Upon request by any such individual or
upon request by a wife, divorced wife, widow, surviv-
ing divorced wife, surviving divorced mother, surviving
divorced father, husband, divorced husband, widower,
surviving divorced husband, child, or parent who makes
a showing in writing that his or her rights may be preju-
diced by any decision the Commissioner of Social Se-
curity has rendered, the Commissioner shall give such
applicant and such other individual reasonable notice
and opportunity for a hearing with respect to such
decision, and, if a hearing is held, shall, on the basis
of evidence adduced at the hearing, afﬁrm, modify, or
reverse the Commissioner’s ﬁndings of fact and such
decision. Any such request with respect to such a de-
cision must be ﬁled within sixty days after notice of