We've got to stop this...some way!!!
Proposed SSA Rules Would Hurt Persons with Disabilities
by Severely Limiting Appeal Rights
The Social Security Administration (SSA) has published a proposed regulation that would significantly
restrict appeal rights for persons applying for Social Security and Supplemental Security Income (SSI)
benefits. The new rules would narrow the scope of appeals and institute many complex procedural
requirements and time limits. As a result, severely disabled persons could lose their appeals not on the
merits of their claims, but because of technicalities.
• The proposed rules:
• Conflict with statutory requirements and long-established jurisprudence regarding
claimants’ due process rights.
• Would change the appeals process from an informal, non-adversarial process designed to
be accessible to the lay person, to a much more formal, legalistic proceeding that could result
in denials due to the claimant’s inability to navigate the procedural obstacles. This would
particularly disadvantage claimants who are not represented by experienced legal counsel, who
are less educated, or who have cognitive impairments or mental illness.
• Would severely restrict claimants’ ability to submit relevant evidence at their hearings or at
later steps of the appeals process, limiting their ability to challenge erroneous SSA denials.
• Under the proposed rules, some claimants would be forced to file new applications to ensure
that relevant evidence was considered, rather than continuing the appeals process. This could
severely penalize claimants, causing significant delays, loss of retroactive benefits, and in some
cases barring eligibility completely.
• Due to the restrictions on appeal rights, fewer applicants would be awarded benefits, resulting in
a more than $2.0 billion reduction in benefits paid over a ten year period, according to the Social
Security Chief Actuary. Applicants who are denied Social Security and SSI cash benefits would
also lose eligibility for health care coverage under Medicare and Medicaid.
• SSA states that the proposed rules will help address its unprecedented level of backlogged disability
claims by streamlining the appeals process. However, the disability backlogs are due to chronic
underfunding of the agency, not faulty appeals procedures. Over the past ten years, SSA has
received $4.6 billion less in administrative funding than requested by the SSA Commissioner and
$1.3 billion less than requested by the President, resulting in severe staffing shortfalls even as
workloads have increased.
For More Information:
• To read or submit comments on the Notice of Proposed Rulemaking (NPRM), go to
www.regulations.gov. Search for the NPRM by Docket ID: SSA-2007-0044-0001. The public
comment period closes on December 28, 2007.
• For additional resources, go to waysandmeans.house.gov and look for this issue under “Hot Topics.”
Prepared by the Staff of the Committee on Ways and Means, Charles B. Rangel, Chairman, December 20, 2007
http://waysandmeans.house.gov/ResourceKits.asp?section=2593