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         <title>WORK INCENTIVES IMPROVEMENT ACT OF 1999</title>
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         <subtitle>Report to accompany S. 331, including cost estimate of the Congressional Budget Office, The Committee on Finance, to which was referred the bill (S. 331) to expand the availability of health care services for workers with disabilities and create a Ticket to Work and Self- Sufficiency Program, having considered the same, reports favorably thereon as amended by the Committee, and recommends that the bill do pass. CONTENTS Page I. Summary and Background....................................... 1 A. Summary................................................... 1 B. Background and Reasons for Legislation.................... 1 C. Legislative History....................................... 3 II. Explanation of the Bill...................................... 3 A. Short Title............................................... 3 B. Purposes.................................................. 3 C. Title I--Expanded Availability of Health Care Services.... 4 1. Expanding Options Under Medicaid for Workers With Disabilities........................................... 4 2. Continuation of Medicare Coverage for Working individuals With Disabilities......................................... 6 3. Grants to Develop and Establish State infrastructures to Support Working individuals with Disabilities................ 7 4. Demonstration of Coverage of Workers With Potentially Severe Disabilities......................................... 8 D. Title II--Ticket to Work and Self-Sufficiency and Related Provisions................................................. 9 1. Subtitle A. Ticket to Work and Self-Sufficiency....... 9 a. Establishment of the Ticket to Work and Self- Sufficiency Program.......................................... 9 2. Subtitle B. Elimination of Work Disincentives......... 12 a. Work Activity Standard as a Basis for Review of an indi- vidual&apos;s Disabled Status......................... 12 b. Expedited Reinstatement of Benefits............... 13 3. Subtitle C. Work incentives Planning, Assistance, and Outreach............................................... 14 a. Work incentives Outreach Program.................. 14 b. State Grants for Work incentives Assistance to Disabled Beneficiaries.................................... 15 E. Title III--Demonstration Projects and Studies............. 16 1. Extension of Disability insurance Program Demonstration Authority............................................ 16 2. Demonstration Projects Providing for Reductions in Disability insurance Benefits Based on Earnings................. 17 3. Studies and Reports................................... 18 F. Title IV--Technical Amendments............................ 19 1. Technical Amendments Relating to Drug Addicts and Alcoholics............................................. 19 2. Treatment of Prisoners................................ 20 3. Revocation by Members of the Clergy of Exemption From Social Security Coverage.................................... 22 4. Additional Technical Amendment Relating to Cooperative Research or Demonstration Projects Under Titles II and XVI............................................ 22 5. Authorization for States to Permit Annual Wages Reports................................................ 23 G. Title V--Revenue Offsets.................................. 23 1. Modifications to Foreign Tax Credit Carryover Rules... 23 2. Limit Use of Non-Accrual Experience Method of Accounting to Amounts to be Received for the Performance of Qualified Personal Services.......... 24 3. Extension of IRS User Fees............................ 26 III.Budget Effects of the Bill................................... 26 A. Committee Estimates....................................... 26 B. Budget Authority and Tax Expenditures..................... 28 C. Consultation With Congressional Budget Office............. 28 IV. Vote of the Committee........................................ 50 V. Regulatory Impact and Other Matters.......................... 50 A. Regulatory Impact......................................... 50 B. Unfunded Mandates Statement............................... 50 C. Complexity Analysis....................................... 51 VI. Changes in Existing Law Made by the Bill, as Reported........ 51 I. SUMMARY AND BACKGROUND A. Summary</subtitle>
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    <abstract>The Committee on Finance, to which was referred the bill (S. 331) to expand the availability of health care services for workers with disabilities and create a Ticket to Work and Self- Sufficiency Program, having considered the same, reports favorably thereon as amended by the Committee, and recommends that the bill do pass.</abstract>
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         <recommendation>The Committee on Finance, to which was referred the bill (S. 331) to expand the availability of health care services for workers with disabilities and create a Ticket to Work and Self- Sufficiency Program, having considered the same, reports favorably thereon as amended by the Committee, and recommends that the bill do pass.</recommendation>
         <submittedStatement>Mr. Roth, from the Committee on Finance, submitted the following</submittedStatement>
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