[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4281 Introduced in House (IH)]

103d CONGRESS
  2d Session
                                H. R. 4281

   To eliminate fraud in the payment of supplemental security income 
             benefits to children by reason of disability.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             April 21, 1994

  Mr. Dickey introduced the following bill; which was referred to the 
                      Committee on Ways and Means

_______________________________________________________________________

                                 A BILL


 
   To eliminate fraud in the payment of supplemental security income 
             benefits to children by reason of disability.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. REPLACEMENT OF CASH BENEFIT WITH MEDICAL VOUCHER.

    (a) In General.--Section 1611(b) of the Social Security Act (42 
U.S.C. 1382(b)) is amended by adding at the end the following:
    ``(3) Notwithstanding paragraphs (1) and (2), the benefit under 
this title for a child who has not attained 18 years of age shall be 
vouchers issued pursuant to subsection (j).''.
    (b) Issuance of Vouchers for Treatment of Disabling Conditions of 
Children Eligible for SSI Benefits.--Section 1611 of such Act (42 
U.S.C. 1382(b)) is amended by adding at the end the following:
    ``(j)(1) The Secretary of Health and Human Services shall issue to 
each child eligible for benefits under this title who has not attained 
18 years of age vouchers which may be used to cover the cost associated 
with treating the blindness or disability of the child.
    ``(2) The Secretary shall, by regulation--
            ``(A) develop an appropriate measure of the anticipated 
        costs associated with treating each kind of blindness or 
        disability from which a child may suffer, which shall take 
        account of the severity of the blindness or disability, any 
        geographic variation in such costs, and such other factors as 
        the Secretary deems appropriate; and
            ``(B) establish a schedule which shall be used to determine 
        the dollar value of the vouchers to be issued to a child to 
        cover the costs associated with treating the blindness or 
        disability of the child.
    ``(3) The Secretary shall pay to each provider of health care goods 
or services that is licensed by a State, or by a professional health 
care organization approved by the Secretary, that submits to the 
Secretary a voucher issued under this subsection an amount equal to the 
face dollar amount of the voucher.''.

SEC. 2. FRAUD CONTROL.

    Part B of title XVI of the Social Security Act (42 U.S.C. 1383-
1383d) is amended by adding at the end the following:

``SEC. 1636. FRAUD CONTROL.

    ``(a) Notice of Cooperation.--The Social Security Administration 
shall notify the Inspector General of the Department of Health and 
Human Services and each State agency responsible for the detection of 
fraud in cases involving benefits under this title, in writing, that 
the Administration is willing to assist in the detection of such fraud 
and that the Administration requests the name and social security 
account number of each person who is suspected of such fraud.
    ``(b) Investigation of Suspected Fraud.--Within 30 days after the 
Social Security Administration receives a name submitted pursuant to 
the written request required by subsection (a), the Administration 
shall conduct such activities as the Administration deems appropriate, 
including benefit redetermination, to ascertain whether the person 
named is eligible for benefits under this title.
    ``(c) Development of Profiles; Periodic Targeted 
Redeterminations.--The Social Security Administration shall develop 
profiles of the kinds of cases that have a high probability of fraud, 
and shall conduct periodic targeted redeterminations based on such 
profiles.''.

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