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January 20, 2004
January 7, 2004
Massanari Acting Commissioner
President Bush designated Larry G. Massanari as Acting Commissioner of Social Security, effective March 29, 2001. Time to revise all your federal court pleading forms.
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Apfel Speech Expresses FrustrationAt a recent speech to the National Academy of Public Administration Annual Conference in Washington DC. outgoing Commissioner Apfel expressed his frustration in attempting to improve the service SSA provides. He stated that "SSA is an agency under stress" and that "our frontline workforce increasingly struggles to perform at those high levels and is increasingly burdened by constrained resource levels." He went on to state "It's not exactly rocket science to figure out that a strained workforce makes mistakes and is forced to cut corners even though they know they should not. And citizens who experience service mistakes are going to worry more about whether the Agency is competently managed, and what that might mean about the programs more generally, and their own future security."
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Apfel to Step Down as SSA CommissionerKenneth S. Apfel, Commissioner of Social Security, announced that at the end of his term in January, 2001, he will leave his cabinet level position to join the faculty of the Lyndon B. Johnson School of Public Affairs at the University of Texas at Austin.
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Clinton Proposes SGA Increase and other ChangesPresident Clinton announced three proposals to help disability benefits recipients who are working or wish to enter the workforce. The first is to automatically adjust the SGA level based on any annual increases in the national average wage index. The second proposal affects
the trial work period, allowing beneficiaries to earn more per month. And
the third proposal allows students receiving Supplemental Security Income to
exclude more income. SSA has posted a press release with more information about these proposed changes.
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Salamalekis Case in 6th Circuit Grants Benefits Without 12 Month Wait"According to the plain language of the Act, an individual may take advantage of a trial work period once he becomes "entitled to" disability insurance benefits. 42 U.S.C. § 423(a). Section 423(a)(1) establishes five prerequisites for entitlement to benefits, and Salamalekis satisfied all of them when he returned to his job at Ford. He was insured for disability insurance benefits; he was below retirement age; he filed an application for benefits; the five-month waiting period had expired; and he was under a disability.
We reject the SSA's position that Salamalekis was not under a disability given his return to work within 12 months of the onset of his impairment." Click here to read the Salamalekis Case or
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Change in Family Maximum ComputationSSA amended 20 CFR 404.403 by adding a new paragraph - (a)(5) - stating that, in cases involving benefits subject to reduction for both the family maximum and dual entitlement, SSA will consider only the amount of monthly dependent's or survivor's benefits actually due or payable to the dually-entitled
person when determines how much to reduce total monthly benefits
because of the family maximum. These changes are effective for benefits payable for months after September 1999. Visit our discussion board to talk about this and other SSA related topics.
No Issue Waiver at Appeals Council. Sims v. ApfelThe Supreme Court ruled in Sims v. Apfel that Social Security claimants need not exhaust issues in a request for review by the Appeals Council in order to preserve judicial review of those issues. Administrative issue-exhaustion requirements are largely creatures of statute and no statute requires such exhaustion here. It is also common for an agency’s regulations to require issue exhaustion in administrative appeals, but Social Security Administration (SSA) regulations do not. The Court has required issue exhaustion even in the absence of a statute or regulation, but the reason for doing so does not apply here. The Court held that the desirability of a judicially imposed issue-exhaustion requirement depends on the degree to which the analogy to normal adversarial litigation applies in a particular administrative proceeding and where that proceeding is not adversarial, the reasons for a court to require issue exhaustion are much weaker than where the parties are expected to develop the issues themselves.
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Disability Research InstituteThe Midwest has just been awarded a substantial grant to help Social Security base future decisions on actual facts. Chrisann Schiro-Geist has been named Executive Project Director of the Disability Research Institute to be based at the University of Illinois (Champaign) in association with the Rehabilitation Institute of Chicago, the University of Chicago, and Rutgers University. The DRI started June 1, 2000 under a five year grant with possible renewal for another five years.
Maybe some things will happen: Like determining the actual impact of age, education and prior work experiences on the ability to do a job; like establishing job descriptions (DOT or O-Net) that reflect reality and not 1948; like making a presumptive List[ings] of illnesses that are disabling based on modern day medicine and medical judgment; like providing a uniform acceptable basis for vocational assessments by State Agencies; like establishing uniform standards for Quality Assurance Review of all components of SSA; like providing actual rehabilitation guidelines for deciding who is no longer disabled; like learning what other countries are doing to get people back to work.
No Criminal Background Checks of Rep PayeesThe 7th Circuit ruled in Cannon v. Apfel that "Nothing in the statutory language explicitly
requires the SSA to conduct criminal background
checks of those who apply to be appointed as
representative payees. Moreover, the statute
commits to the SSA's discretion what constitutes
'adequate evidence,' defining 'adequate evidence'
as that evidence 'determined by the Commissioner
of Social Security in regulations.' 42 U.S.C.
sec. 1383(a)(2)(B)(i)(II)." The case involved a Representative Payee that spent over $22,000 that was intended for his disabled niece on himself, purchasing a Cadillac, electronic equipment, and furniture. The 7th Circuit upheld the lower court's ruling that SSA exercised reasonable care and was not negligent in
appointing the representative payee, despite his having been convicted of three felonies; overdrawing unemployment benefits, stealing an
automobile, and receiving stolen property.
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User Fee Under Attack
New Medical Opinion Rules
User Fee is (Painful) Reality
ALJs Vote to Form Union!
Obesity Listing Eliminated
Ruling Clarifies Evaluation and Adjudication
of Chronic Fatigue Syndrome Disability Claims
SGA Raised from 500 to $700/month
Workers' Compensation Offset Proposal Dead
Clinton Proposes Disabled Workers Keep Medicare/Medicaid
Appeals and Denials for 1997
Supreme Court Allows Immediate Appeal
MORE CDRs
LAWYERS TO PAY "USER FEE"
"TOP-TO-BOTTOM" REVIEW OF CHILD SSI DENIALS ANNOUNCED BY COMMISSIONER APFEL.
Apfel announced an automatic review of 45,000 kids SSI cases that may have been denied improperly under overly strict rules. Apfel stated, "I believe these families deserve a second chance" and wrote in his report "I am deeply concerned that children could be disadvantaged as a result of deficiencies in the manner in which decisions are made." 135,000 have already been cut from SSI, only half of which have appealed. Of the 75,000 who have not appealed, 45,000 will automatically be reconsidered.
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