WELFARE REFORM ACT - H.R. 3734 TITLE II - SUPPLEMENTAL SECURITY INCOME TITLE II--SUPPLEMENTAL SECURITY INCOME SEC. 200. REFERENCE TO SOCIAL SECURITY ACT. Except as otherwise specifically provided, wherever in this title an amendment is expressed in terms of an amendment to or repeal of a section or other provision, the reference shall be considered to be made to that section or other provision of the Social Security Act. SUBTITLE A--ELIGIBILITY RESTRICTIONS SEC. 201. DENIAL OF SSI BENEFITS FOR 10 YEARS TO INDIVIDUALS FOUND TO HAVE FRAUDULENTLY MISREPRESENTED RESIDENCE IN ORDER TO OBTAIN BENEFITS SIMULTANEOUSLY IN 2 OR MORE STATES. (a) IN GENERAL- Section 1611(e) (42 U.S.C. 1382(e)), as amended by section 105(b)(4)(A) of the Contract with America Advancement Act of 1996, is amended by redesignating paragraph (5) as paragraph (3) and by adding at the end the following new paragraph: `(4)(A) No person shall be considered an eligible individual or eligible spouse for purposes of this title during the 10-year period that begins on the date the person is convicted in Federal or State court of having made a fraudulent statement or representation with respect to the place of residence of the person in order to receive assistance simultaneously from 2 or more States under programs that are funded under title IV, title XIX, or the Food Stamp Act of 1977, or benefits in 2 or more States under the supplemental security income program under this title. `(B) As soon as practicable after the conviction of a person in a Federal or State court as described in subparagraph (A), an official of such court shall notify the Commissioner of such conviction.'. (b) EFFECTIVE DATE- The amendment made by this section shall take effect on the date of the enactment of this Act. SEC. 202. DENIAL OF SSI BENEFITS FOR FUGITIVE FELONS AND PROBATION AND PAROLE VIOLATORS. (a) IN GENERAL- Section 1611(e) (42 U.S.C. 1382(e)), as amended by section 201(a) of this Act, is amended by adding at the end the following new paragraph: `(5) No person shall be considered an eligible individual or eligible spouse for purposes of this title with respect to any month if during such month the person is-- `(A) fleeing to avoid prosecution, or custody 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 misdemeanor under the laws of such State; or `(B) violating a condition of probation or parole imposed under Federal or State law.'. (b) EXCHANGE OF INFORMATION- Section 1611(e) (42 U.S.C. 1382(e)), as amended by section 201(a) of this Act and subsection (a) of this section, is amended by adding at the end the following new paragraph: `(6) Notwithstanding any other provision of law (other than section 6103 of the Internal Revenue Code of 1986), the Commissioner shall furnish any Federal, State, or local law enforcement officer, upon the written request of the officer, with the current address, Social Security number, and photograph (if applicable) of any recipient of benefits under this title, if the officer furnishes the Commissioner with the name of the recipient, and other identifying information as reasonably required by the Commissioner to establish the unique identity of the recipient, and notifies the Commissioner that-- `(A) the recipient-- `(i) is described in subparagraph (A) or (B) of paragraph (5); and `(ii) has information that is necessary for the officer to conduct the officer's official duties; and `(B) the location or apprehension of the recipient is within the officer's official duties.'. (c) EFFECTIVE DATE- The amendments made by this section shall take effect on the date of the enactment of this Act. SEC. 203. TREATMENT OF PRISONERS. (a) IMPLEMENTATION OF PROHIBITION AGAINST PAYMENT OF BENEFITS TO PRISONERS- (1) IN GENERAL- Section 1611(e)(1) (42 U.S.C. 1382(e)(1)) is amended by adding at the end the following new subparagraph: `(I)(i) The Commissioner shall enter into an agreement, with any interested State or local institution described in clause (i) or (ii) of section 202(x)(1)(A) the primary purpose of which is to confine individuals as described in section 202(x)(1)(A), under which-- `(I) the institution shall provide to the Commissioner, on a monthly basis and in a manner specified by the Commissioner, the names, social security account numbers, dates of birth, confinement commencement dates, and, to the extent available to the institution, such other identifying information concerning the inmates of the institution as the Commissioner may require for the purpose of carrying out paragraph (1); and `(II) the Commissioner shall pay to any such institution, with respect to each inmate of the institution who is eligible for a benefit under this title for the month preceding the first month throughout which such inmate is in such institution and becomes ineligible for such benefit as a result of the application of this subparagraph, $400 if the institution furnishes the information described in subclause (I) to the Commissioner within 30 days after the date such individual becomes an inmate of such institution, or $200 if the institution furnishes such information after 30 days after such date but within 90 days after such date. `(ii)(I) The provisions of section 552a of title 5, United States Code, shall not apply to any agreement entered into under clause (i) or to information exchanged pursuant to such agreement. `(II) The Commissioner is authorized to provide, on a reimbursable basis, information obtained pursuant to agreements entered into under clause (i) to any Federal or federally-assisted cash, food, or medical assistance program for eligibility purposes. `(iii) Payments to institutions required by clause (i)(II) shall be made from funds otherwise available for the payment of benefits under this title and shall be treated as direct spending for purposes of the Balanced Budget and Emergency Deficit Control Act of 1985.'. (2) EFFECTIVE DATE- The amendment made by this subsection shall apply to individuals whose period of confinement in an institution commences on or after the first day of the seventh month beginning after the month in which this Act is enacted. (b) STUDY OF OTHER POTENTIAL IMPROVEMENTS IN THE COLLECTION OF INFORMATION RESPECTING PUBLIC INMATES- (1) STUDY- The Commissioner of Social Security shall conduct a study of the desirability, feasibility, and cost of-- (A) establishing a system under which Federal, State, and local courts would furnish to the Commissioner such information respecting court orders by which individuals are confined in jails, prisons, or other public penal, correctional, or medical facilities as the Commissioner may require for the purpose of carrying out section 1611(e)(1) of the Social Security Act; and (B) requiring that State and local jails, prisons, and other institutions that enter into agreements with the Commissioner under section 1611(e)(1)(I) of the Social Security Act furnish the information required by such agreements to the Commissioner by means of an electronic or other sophisticated data exchange system. (2) REPORT- Not later than 1 year after the date of the enactment of this Act, the Commissioner of Social Security shall submit a report on the results of the study conducted pursuant to this subsection to the Committee on Finance of the Senate and the Committee on Ways and Means of the House of Representatives. (c) ADDITIONAL REPORT TO CONGRESS- Not later than October 1, 1998, the Commissioner of Social Security shall provide to the Committee on Finance of the Senate and the Committee on Ways and Means of the House of Representatives a list of the institutions that are and are not providing information to the Commissioner under section 1611(e)(1)(I) of the Social Security Act (as added by this section). SEC. 204. EFFECTIVE DATE OF APPLICATION FOR BENEFITS. (a) IN GENERAL- Subparagraphs (A) and (B) of section 1611(c)(7) (42 U.S.C. 1382(c)(7)) are amended to read as follows: `(A) the first day of the month following the date such application is filed, or `(B) the first day of the month following the date such individual becomes eligible for such benefits with respect to such application.'. (b) SPECIAL RULE RELATING TO EMERGENCY ADVANCE PAYMENTS- Section 1631(a)(4)(A) (42 U.S.C. 1383(a)(4)(A)) is amended-- (1) by inserting `for the month following the date the application is filed' after `is presumptively eligible for such benefits'; and (2) by inserting `, which shall be repaid through proportionate reductions in such benefits over a period of not more than 6 months' before the semicolon. (c) CONFORMING AMENDMENTS- (1) Section 1614(b) (42 U.S.C. 1382c(b)) is amended-- (A) by striking `or requests' and inserting `, on the first day of the month following the date the application is filed, or, in any case in which either spouse requests'; and (B) by striking `application or'. (2) Section 1631(g)(3) (42 U.S.C. 1382j(g)(3)) is amended by inserting `following the month' after `beginning with the month'. (d) EFFECTIVE DATE- (1) IN GENERAL- The amendments made by this section shall apply to applications for benefits under title XVI of the Social Security Act filed on or after the date of the enactment of this Act, without regard to whether regulations have been issued to implement such amendments. (2) BENEFITS UNDER TITLE XVI- For purposes of this subsection, the term `benefits under title XVI of the Social Security Act' includes supplementary payments pursuant to an agreement for Federal administration under section 1616(a) of the Social Security Act, and payments pursuant to an agreement entered into under section 212(b) of Public Law 93-66. SUBTITLE B--BENEFITS FOR DISABLED CHILDREN SEC. 211. DEFINITION AND ELIGIBILITY RULES. (a) DEFINITION OF CHILDHOOD DISABILITY- Section 1614(a)(3) (42 U.S.C. 1382c(a)(3)), as amended by section 105(b)(1) of the Contract with America Advancement Act of 1996, is amended-- (1) in subparagraph (A), by striking `An individual' and inserting `Except as provided in subparagraph (C), an indi-vidual'; (2) in subparagraph (A), by striking `(or, in the case of an individual under the age of 18, if he suffers from any medically determinable physical or mental impairment of comparable severity)'; (3) by redesignating subparagraphs (C) through (I) as subparagraphs (D) through (J), respectively; (4) by inserting after subparagraph (B) the following new subparagraph: `(C)(i) An individual under the age of 18 shall be considered disabled for the purposes of this title if that individual has a medically determinable physical or mental impairment, which results in marked and severe functional limitations, and which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months. `(ii) Notwithstanding clause (i), no individual under the age of 18 who engages in substantial gainful activity (determined in accordance with regulations prescribed pursuant to subparagraph (E)) may be considered to be disabled.'; and (5) in subparagraph (F), as redesignated by paragraph (3), by striking `(D)' and inserting `(E)'. (b) Changes to Childhood SSI Regulations- (1) MODIFICATION TO MEDICAL CRITERIA FOR EVALUATION OF MENTAL AND EMOTIONAL DISORDERS- The Commissioner of Social Security shall modify sections 112.00C.2. and 112.02B.2.c.(2) of appendix 1 to subpart P of part 404 of title 20, Code of Federal Regulations, to eliminate references to maladaptive behavior in the domain of personal/behavorial function. (2) DISCONTINUANCE OF INDIVIDUALIZED FUNCTIONAL ASSESSMENT- The Commissioner of Social Security shall discontinue the individualized functional assessment for children set forth in sections 416.924d and 416.924e of title 20, Code of Federal Regulations. (c) MEDICAL IMPROVEMENT REVIEW STANDARD AS IT APPLIES TO INDIVIDUALS UNDER THE AGE OF 18- Section 1614(a)(4) (42 U.S.C. 1382(a)(4)) is amended-- (1) by redesignating subclauses (I) and (II) of clauses (i) and (ii) of subparagraph (B) as items (aa) and (bb), respectively; (2) by redesignating clauses (i) and (ii) of subparagraphs (A) and (B) as subclauses (I) and (II), respectively; (3) by redesignating subparagraphs (A) through (C) as clauses (i) through (iii), respectively; (4) by inserting before clause (i) (as redesignated by paragraph (3)) the following new subparagraph: `(A) in the case of an individual who is age 18 or older--'; (5) by inserting after and below subparagraph (A)(iii) (as so redesignated) the following new subparagraph: `(B) in the case of an individual who is under the age of 18-- `(i) substantial evidence which demonstrates that there has been medical improvement in the individual's impairment or combination of impairments, and that such impairment or combination of impairments no longer results in marked and severe functional limitations; or `(ii) substantial evidence which demonstrates that, as determined on the basis of new or improved diagnostic techniques or evaluations, the individual's impairment or combination of impairments, is not as disabling as it was considered to be at the time of the most recent prior decision that the individual was under a disability or continued to be under a disability, and such impairment or combination of impairments does not result in marked and severe functional limitations; or'; (6) by redesignating subparagraph (D) as subparagraph (C) and by inserting in such subparagraph `in the case of any individual,' before `substantial evidence'; and (7) in the first sentence following subparagraph (C) (as redesignated by paragraph (6)), by-- (A) inserting `(i)' before `to restore'; and (B) inserting `, or (ii) in the case of an individual under the age of 18, to eliminate or improve the individual's impairment or combination of impairments so that it no longer results in marked and severe functional limitations' immediately before the period. (d) EFFECTIVE DATES, ETC- (1) EFFECTIVE DATES- (A) SUBSECTIONS (a) AND (b)- (i) IN GENERAL- The provisions of, and amendments made by, subsections (a) and (b) of this section shall apply to any individual who applies for, or whose claim is finally adjudicated with respect to, benefits under title XVI of the Social Security Act on or after the date of the enactment of this Act, without regard to whether regulations have been issued to implement such provisions and amendments. (ii) DETERMINATION OF FINAL ADJUDICATION- For purposes of clause (i), no individual's claim with respect to such benefits may be considered to be finally adjudicated before such date of enactment if, on or after such date, there is pending a request for either administrative or judicial review with respect to such claim that has been denied in whole, or there is pending, with respect to such claim, readjudication by the Commissioner of Social Security pursuant to relief in a class action or implementation by the Commissioner of a court remand order. (B) SUBSECTION (c)- The amendments made by subsection (c) of this section shall apply with respect to benefits under title XVI of the Social Security Act for months beginning on or after the date of the enactment of this Act, without regard to whether regulations have been issued to implement such amendments. (2) APPLICATION TO CURRENT RECIPIENTS- (A) ELIGIBILITY REDETERMINATIONS- During the period beginning on the date of the enactment of this Act and ending on the date which is 1 year after such date of enactment, the Commissioner of Social Security shall redetermine the eligibility of any individual under age 18 who is eligible for supplemental security income benefits by reason of disability under title XVI of the Social Security Act as of the date of the enactment of this Act and whose eligibility for such benefits may terminate by reason of the provisions of, or amendments made by, subsections (a) and (b) of this section. With respect to any redetermination under this subparagraph-- (i) section 1614(a)(4) of the Social Security Act (42 U.S.C. 1382c(a)(4)) shall not apply; (ii) the Commissioner of Social Security shall apply the eligibility criteria for new applicants for benefits under title XVI of such Act; (iii) the Commissioner shall give such redetermination priority over all continuing eligibility reviews and other reviews under such title; and (iv) such redetermination shall be counted as a review or redetermination otherwise required to be made under section 208 of the Social Security Independence and Program Improvements Act of 1994 or any other provision of title XVI of the Social Security Act. (B) GRANDFATHER PROVISION- The provisions of, and amendments made by, subsections (a) and (b) of this section, and the redetermination under subparagraph (A), shall only apply with respect to the benefits of an individual described in subparagraph (A) for months beginning on or after the later of July 1, 1997, or the date of the redetermination with respect to such individual. (C) NOTICE- Not later than January 1, 1997, the Commissioner of Social Security shall notify an individual described in subparagraph (A) of the provisions of this paragraph. (3) REPORT- The Commissioner of Social Security shall report to the Congress regarding the progress made in implementing the provisions of, and amendments made by, this section on child disability evaluations not later than 180 days after the date of the enactment of this Act. (4) REGULATIONS- Notwithstanding any other provision of law, the Commissioner of Social Security shall submit for review to the committees of jurisdiction in the Congress any final regulation pertaining to the eligibility of individuals under age 18 for benefits under title XVI of the Social Security Act at least 45 days before the effective date of such regulation. The submission under this paragraph shall include supporting documentation providing a cost analysis, workload impact, and projections as to how the regulation will effect the future number of recipients under such title. (5) CAP ADJUSTMENT FOR SSI ADMINISTRATIVE WORK REQUIRED BY WELFARE REFORM- (A) AUTHORIZATION- For the additional costs of continuing disability reviews and redeterminations under title XVI of the Social Security Act, there is hereby authorized to be appropriated to the Social Security Administration, in addition to amounts authorized under section 201(g)(1)(A) of the Social Security Act, $150,000,000 in fiscal year 1997 and $100,000,000 in fiscal year 1998. (B) CAP ADJUSTMENT- Section 251(b)(2)(H) of the Balanced Budget and Emergency Deficit Control Act of 1985, as amended by section 103(b) of the Contract with America Advancement Act of 1996, is amended-- (i) in clause (i)-- (I) in subclause (II) by-- (aa) striking `$25,000,000' and inserting `$175,000,000'; and (bb) striking `$160,000,000' and inserting `$310,000,000'; and (II) in subclause (III) by-- (aa) striking `$145,000,000' and inserting `$245,000,000'; and (bb) striking `$370,000,000' and inserting `$470,000,000'; and (ii) by amending clause (ii)(I) to read as follows: `(I) the term `continuing disability reviews' means reviews or redeterminations as defined under section 201(g)(1)(A) of the Social Security Act and reviews and redeterminations authorized under section 211 of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996;'. (C) ADJUSTMENTS- Section 606(e)(1)(B) of the Congressional Budget Act of 1974 is amended by adding at the end the following new sentences: `If the adjustments referred to in the preceding sentence are made for an appropriations measure that is not enacted into law, then the Chairman of the Committee on the Budget of the House of Representatives shall, as soon as practicable, reverse those adjustments. The Chairman of the Committee on the Budget of the House of Representatives shall submit any adjustments made under this subparagraph to the House of Representatives and have such adjustments published in the Congressional Record.'. (D) CONFORMING AMENDMENT- Section 103(d)(1) of the Contract with America Advancement Act of 1996 (42 U.S.C. 401 note) is amended by striking `medicaid programs.' and inserting `medicaid programs, except that the amounts appropriated pursuant to the authorization and discretionary spending allowance provisions in section 211(d)(2)(5) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 shall be used only for continuing disability reviews and redeterminations under title XVI of the Social Security Act.'. (6) BENEFITS UNDER TITLE XVI- For purposes of this subsection, the term `benefits under title XVI of the Social Security Act' includes supplementary payments pursuant to an agreement for Federal administration under section 1616(a) of the Social Security Act, and payments pursuant to an agreement entered into under section 212(b) of Public Law 93-66. SEC. 212. ELIGIBILITY REDETERMINATIONS AND CONTINUING DISABILITY REVIEWS. (a) CONTINUING DISABILITY REVIEWS RELATING TO CERTAIN CHILDREN- Section 1614(a)(3)(H) (42 U.S.C. 1382c(a)(3)(H)), as redesignated by section 211(a)(3) of this Act, is amended-- (1) by inserting `(i)' after `(H)'; and (2) by adding at the end the following new clause: `(ii)(I) Not less frequently than once every 3 years, the Commissioner shall review in accordance with paragraph (4) the continued eligibility for benefits under this title of each individual who has not attained 18 years of age and is eligible for such benefits by reason of an impairment (or combination of impairments) which is likely to improve (or, at the option of the Commissioner, which is unlikely to improve). `(II) A representative payee of a recipient whose case is reviewed under this clause shall present, at the time of review, evidence demonstrating that the recipient is, and has been, receiving treatment, to the extent considered medically necessary and available, of the condition which was the basis for providing benefits under this title. `(III) If the representative payee refuses to comply without good cause with the requirements of subclause (II), the Commissioner of Social Security shall, if the Commissioner determines it is in the best interest of the individual, promptly suspend payment of benefits to the representative payee, and provide for payment of benefits to an alternative representative payee of the individual or, if the interest of the individual under this title would be served thereby, to the individual. `(IV) Subclause (II) shall not apply to the representative payee of any individual with respect to whom the Commissioner determines such application would be inappropriate or unnecessary. In making such determination, the Commissioner shall take into consideration the nature of the individual's impairment (or combination of impairments). Section 1631(c) shall not apply to a finding by the Commissioner that the requirements of subclause (II) should not apply to an individual's representative payee.'. (b) DISABILITY ELIGIBILITY REDETERMINATIONS REQUIRED FOR SSI RECIPIENTS WHO ATTAIN 18 YEARS OF AGE- (1) IN GENERAL- Section 1614(a)(3)(H) (42 U.S.C. 1382c(a)(3)(H)), as amended by subsection (a) of this section, is amended by adding at the end the following new clause: `(iii) If an individual is eligible for benefits under this title by reason of disability for the month preceding the month in which the individual attains the age of 18 years, the Commissioner shall redetermine such eligibility-- `(I) during the 1-year period beginning on the individual's 18th birthday; and `(II) by applying the criteria used in determining the initial eligibility for applicants who are age 18 or older. With respect to a redetermination under this clause, paragraph (4) shall not apply and such redetermination shall be considered a substitute for a review or redetermination otherwise required under any other provision of this subparagraph during that 1-year period.'. (2) CONFORMING REPEAL- Section 207 of the Social Security Independence and Program Improvements Act of 1994 (42 U.S.C. 1382 note; 108 Stat. 1516) is hereby repealed. (c) CONTINUING DISABILITY REVIEW REQUIRED FOR LOW BIRTH WEIGHT BABIES- Section 1614(a)(3)(H) (42 U.S.C. 1382c(a)(3)(H)), as amended by subsections (a) and (b) of this section, is amended by adding at the end the following new clause: `(iv)(I) Not later than 12 months after the birth of an individual, the Commissioner shall review in accordance with paragraph (4) the continuing eligibility for benefits under this title by reason of disability of such individual whose low birth weight is a contributing factor material to the Commissioner's determination that the individual is disabled. `(II) A review under subclause (I) shall be considered a substitute for a review otherwise required under any other provision of this subparagraph during that 12-month period. `(III) A representative payee of a recipient whose case is reviewed under this clause shall present, at the time of review, evidence demonstrating that the recipient is, and has been, receiving treatment, to the extent considered medically necessary and available, of the condition which was the basis for providing benefits under this title. `(IV) If the representative payee refuses to comply without good cause with the requirements of subclause (III), the Commissioner of Social Security shall, if the Commissioner determines it is in the best interest of the individual, promptly suspend payment of benefits to the representative payee, and provide for payment of benefits to an alternative representative payee of the individual or, if the interest of the individual under this title would be served thereby, to the individual. `(V) Subclause (III) shall not apply to the representative payee of any individual with respect to whom the Commissioner determines such application would be inappropriate or unnecessary. In making such determination, the Commissioner shall take into consideration the nature of the individual's impairment (or combination of impairments). Section 1631(c) shall not apply to a finding by the Commissioner that the requirements of subclause (III) should not apply to an individual's representative payee.'. (d) EFFECTIVE DATE- The amendments made by this section shall apply to benefits for months beginning on or after the date of the enactment of this Act, without regard to whether regulations have been issued to implement such amendments. SEC. 213. ADDITIONAL ACCOUNTABILITY REQUIREMENTS. (a) REQUIREMENT TO ESTABLISH ACCOUNT- Section 1631(a)(2) (42 U.S.C. 1383(a)(2)) is amended-- (1) by redesignating subparagraphs (F) and (G) as subparagraphs (G) and (H), respectively; and (2) by inserting after subparagraph (E) the following new subparagraph: `(F)(i)(I) Each representative payee of an eligible individual under the age of 18 who is eligible for the payment of benefits described in subclause (II) shall establish on behalf of such individual an account in a financial institution into which such benefits shall be paid, and shall thereafter maintain such account for use in accordance with clause (ii). `(II) Benefits described in this subclause are past-due monthly benefits under this title (which, for purposes of this subclause, include State supplementary payments made by the Commissioner pursuant to an agreement under section 1616 or section 212(b) of Public Law 93-66) in an amount (after any withholding by the Commissioner for reimbursement to a State for interim assistance under subsection (g)) that exceeds the product of-- `(aa) 6, and `(bb) the maximum monthly benefit payable under this title to an eligible individual. `(ii)(I) A representative payee shall use funds in the account established under clause (i) to pay for allowable expenses described in subclause (II). `(II) An allowable expense described in this subclause is an expense for-- `(aa) education or job skills training; `(bb) personal needs assistance; `(cc) special equipment; `(dd) housing modification; `(ee) medical treatment; `(ff) therapy or rehabilitation; or `(gg) any other item or service that the Commissioner determines to be appropriate; provided that such expense benefits such individual and, in the case of an expense described in item (bb), (cc), (dd), (ff), or (gg), is related to the impairment (or combination of impairments) of such individual. `(III) The use of funds from an account established under clause (i) in any manner not authorized by this clause-- `(aa) by a representative payee shall be considered a misapplication of benefits for all purposes of this paragraph, and any representative payee who knowingly misapplies benefits from such an account shall be liable to the Commissioner in an amount equal to the total amount of such benefits; and `(bb) by an eligible individual who is his or her own payee shall be considered a misapplication of benefits for all purposes of this paragraph and the total amount of such benefits so used shall be considered to be the uncompensated value of a disposed resource and shall be subject to the provisions of section 1613(c). `(IV) This clause shall continue to apply to funds in the account after the child has reached age 18, regardless of whether benefits are paid directly to the beneficiary or through a representative payee. `(iii) The representative payee may deposit into the account established pursuant to clause (i)-- `(I) past-due benefits payable to the eligible individual in an amount less than that specified in clause (i)(II), and `(II) any other funds representing an underpayment under this title to such individual, provided that the amount of such underpayment is equal to or exceeds the maximum monthly benefit payable under this title to an eligible individual. `(iv) The Commissioner of Social Security shall establish a system for accountability monitoring whereby such representative payee shall report, at such time and in such manner as the Commissioner shall require, on activity respecting funds in the account established pursuant to clause (i).'. (b) EXCLUSION FROM RESOURCES- Section 1613(a) (42 U.S.C. 1382b(a)) is amended-- (1) by striking `and' at the end of paragraph (10); (2) by striking the period at the end of paragraph (11) and inserting `; and'; and (3) by inserting after paragraph (11) the following new paragraph: `(12) any account, including accrued interest or other earnings thereon, established and maintained in accordance with section 1631(a)(2)(F).'. (c) EXCLUSION FROM INCOME- Section 1612(b) (42 U.S.C. 1382a(b)) is amended-- (1) by striking `and' at the end of paragraph (19); (2) by striking the period at the end of paragraph (20) and inserting `; and'; and (3) by adding at the end the following new paragraph: `(21) the interest or other earnings on any account established and maintained in accordance with section 1631(a)(2)(F).'. (d) EFFECTIVE DATE- The amendments made by this section shall apply to payments made after the date of the enactment of this Act. SEC. 214. REDUCTION IN CASH BENEFITS PAYABLE TO INSTITUTIONALIZED INDIVIDUALS WHOSE MEDICAL COSTS ARE COVERED BY PRIVATE INSURANCE. (a) IN GENERAL- Section 1611(e)(1)(B) (42 U.S.C. 1382(e)(1)(B)) is amended by inserting `or, in the case of an eligible individual who is a child under the age of 18, receiving payments (with respect to such individual) under any health insurance policy issued by a private provider of such insurance' after `section 1614(f)(2)(B),'. (b) EFFECTIVE DATE- The amendment made by 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. SEC. 215. REGULATIONS. Within 3 months after the date of the enactment of this Act, the Commissioner of Social Security shall prescribe such regulations as may be necessary to implement the amendments made by this subtitle. SUBTITLE C--ADDITIONAL ENFORCEMENT PROVISION SEC. 221. INSTALLMENT PAYMENT OF LARGE PAST-DUE SUPPLEMENTAL SECURITY INCOME BENEFITS. (a) IN GENERAL- Section 1631(a) (42 U.S.C. 1383) is amended by adding at the end the following new paragraph: `(10)(A) If an individual is eligible for past-due monthly benefits under this title in an amount that (after any withholding for reimbursement to a State for interim assistance under subsection (g)) equals or exceeds the product of-- `(i) 12, and `(ii) the maximum monthly benefit payable under this title to an eligible individual (or, if appropriate, to an eligible indi-vidual and eligible spouse), then the payment of such past-due benefits (after any such reimbursement to a State) shall be made in installments as provided in subparagraph (B). `(B)(i) The payment of past-due benefits subject to this subparagraph shall be made in not to exceed 3 installments that are made at 6-month intervals. `(ii) Except as provided in clause (iii), the amount of each of the first and second installments may not exceed an amount equal to the product of clauses (i) and (ii) of subparagraph (A). `(iii) In the case of an individual who has-- `(I) outstanding debt attributable to-- `(aa) food, `(bb) clothing, `(cc) shelter, or `(dd) medically necessary services, supplies or equipment, or medicine; or `(II) current expenses or expenses anticipated in the near term attributable to-- `(aa) medically necessary services, supplies or equipment, or medicine, or `(bb) the purchase of a home, and such debt or expenses are not subject to reimbursement by a public assistance program, the Secretary under title XVIII, a State plan approved under title XIX, or any private entity legally liable to provide payment pursuant to an insurance policy, pre-paid plan, or other arrangement, the limitation specified in clause (ii) may be exceeded by an amount equal to the total of such debt and expenses. `(C) This paragraph shall not apply to any individual who, at the time of the Commissioner's determination that such individual is eligible for the payment of past-due monthly benefits under this title-- `(i) is afflicted with a medically determinable impairment that is expected to result in death within 12 months; or `(ii) is ineligible for benefits under this title and the Commissioner determines that such individual is likely to remain ineligible for the next 12 months. `(D) For purposes of this paragraph, the term `benefits under this title' includes supplementary payments pursuant to an agreement for Federal administration under section 1616(a), and payments pursuant to an agreement entered into under section 212(b) of Public Law 93-66.'. (b) CONFORMING AMENDMENT- Section 1631(a)(1) (42 U.S.C. 1383(a)(1)) is amended by inserting `(subject to paragraph (10))' immediately before `in such installments'. (c) EFFECTIVE DATE- (1) IN GENERAL- The amendments made by this section are effective with respect to past-due benefits payable under title XVI of the Social Security Act after the third month following the month in which this Act is enacted. (2) BENEFITS PAYABLE UNDER TITLE XVI- For purposes of this subsection, the term `benefits payable under title XVI of the Social Security Act' includes supplementary payments pursuant to an agreement for Federal administration under section 1616(a) of the Social Security Act, and payments pursuant to an agreement entered into under section 212(b) of Public Law 93-66. SEC. 222. REGULATIONS. Within 3 months after the date of the enactment of this Act, the Commissioner of Social Security shall prescribe such regulations as may be necessary to implement the amendments made by this subtitle. SUBTITLE D--STUDIES REGARDING SUPPLEMENTAL SECURITY INCOME PROGRAM SEC. 231. ANNUAL REPORT ON THE SUPPLEMENTAL SECURITY INCOME PROGRAM. Title XVI (42 U.S.C. 1381 et seq.), as amended by section 105(b)(3) of the Contract with America Advancement Act of 1996, is amended by adding at the end the following new section: `ANNUAL REPORT ON PROGRAM `SEC. 1637. (a) Not later than May 30 of each year, the Commissioner of Social Security shall prepare and deliver a report annually to the President and the Congress regarding the program under this title, including-- `(1) a comprehensive description of the program; `(2) historical and current data on allowances and denials, including number of applications and allowance rates for initial determinations, reconsideration determinations, administrative law judge hearings, appeals council reviews, and Federal court decisions; `(3) historical and current data on characteristics of recipients and program costs, by recipient group (aged, blind, disabled adults, and disabled children); `(4) historical and current data on prior enrollment by recipients in public benefit programs, including State programs funded under part A of title IV of the Social Security Act and State general assistance programs; `(5) projections of future number of recipients and program costs, through at least 25 years; `(6) number of redeterminations and continuing dis-ability reviews, and the outcomes of such redeterminations and reviews; `(7) data on the utilization of work incentives; `(8) detailed information on administrative and other program operation costs; `(9) summaries of relevant research undertaken by the Social Security Administration, or by other researchers; `(10) State supplementation program operations; `(11) a historical summary of statutory changes to this title; and `(12) such other information as the Commissioner deems useful. `(b) Each member of the Social Security Advisory Board shall be permitted to provide an individual report, or a joint report if agreed, of views of the program under this title, to be included in the annual report required under this section.'. SEC. 232. STUDY BY GENERAL ACCOUNTING OFFICE. Not later than January 1, 1999, the Comptroller General of the United States shall study and report on-- (1) the impact of the amendments made by, and the provisions of, this title on the supplemental security income program under title XVI of the Social Security Act; and (2) extra expenses incurred by families of children receiving benefits under such title that are not covered by other Federal, State, or local programs.