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United States · Law · HR

H.R. 1180 (106th)

Ticket to Work and Work Incentives Improvement Act of 1999

enactedUnited States· United States Congress· EN

Introduced

18 March 1999

Last action

17 December 1999 · President

Status

Became Public Law No: 106-170.

Sponsors

Rep. Lazio, Rick [R-NY-2], Rep. Waxman, Henry A. [D-CA-33], Rep. Bliley, Tom [R-VA-7], Rep. Dingell, John D. [D-MI-12], Rep. Johnson, Nancy L. [R-CT-5], Rep. Matsui, Robert T. [D-CA-5], Rep. Bilirakis, Michael [R-FL-9], Sen. Brown, Sherrod [D-OH], Rep. Ramstad, Jim [R-MN-3], Sen. Cardin, Benjamin L. [D-MD], Rep. Greenwood, James C. [R-PA-8], Sen. Baldwin, Tammy [D-WI], Rep. Camp, Dave [R-MI-4], Rep. Stark, Fortney Pete [D-CA-13], Rep. Pickering, Charles W. "Chip" [R-MS-3], Rep. Pallone, Frank [D-NJ-6], Rep. Foley, Mark [R-FL-16], Rep. Levin, Sander M. [D-MI-12], Rep. Bilbray, Brian P. [R-CA-50], Rep. Tanner, John S. [D-TN-8], Rep. Morella, Constance A. [R-MD-8], Rep. Doggett, Lloyd [D-TX-37], Rep. Horn, Stephen [R-CA-38], Rep. Murtha, John P. [D-PA-12], Rep. Upton, Fred [R-MI-6], Rep. Strickland, Ted [D-OH-6], Rep. Kelly, Sue W. [R-NY-19], Rep. Hoeffel, Joseph M. [D-PA-13], Rep. Boehlert, Sherwood [R-NY-24], Rep. Boucher, Rick [D-VA-9], Rep. Kolbe, Jim [R-AZ-8], Rep. McCarthy, Karen [D-MO-5], Rep. Frelinghuysen, Rodney P. [R-NJ-11], Sen. Markey, Edward J. [D-MA], Rep. Barrett, Thomas M. [D-WI-5], Rep. Gordon, Bart [D-TN-6], Rep. Rush, Bobby L. [D-IL-1], Rep. Wynn, Albert Russell [D-MD-4], Rep. Meehan, Martin T. [D-MA-5], Rep. Delahunt, William D. [D-MA-10], Rep. Barcia, James A. [D-MI-5], Rep. Green, Gene [D-TX-29], Rep. Klink, Ron [D-PA-4], Rep. Jefferson, William J. [D-LA-2], Rep. Deutsch, Peter [D-FL-20], Rep. Wilson, Heather [R-NM-1], Rep. Capps, Lois [D-CA-24], Rep. Miller, George [D-CA-11]

Subjects

Healthcare, Transport, Taxation

Source updated

3 June 2026

Healthcare · Transport · Taxation

Summary

TABLE OF CONTENTS: Title I: Expanded Availability of Health Care Services Title II: Ticket to Work and Self-Sufficiency and Related Provisions Subtitle A: Ticket to Work and Self-Sufficiency Subtitle B: Elimination of Work Disincentives Subtitle C: Work Incentives, Planning, Assistance, and Outreach Title III: Demonstration Projects and Studies Title IV: Technical Amendments Work Incentives Improvement Act of 1999 - Title I: Expanded Availability of Health Care Services - Amends title XIX (Medicaid) of the Social Security Act (SSA) to provide for expanding State options under Medicaid for workers with disabilities, namely by creating State options to eliminate income, assets, and resource limitations for workers with disabilities who buy into Medicaid and to provide opportunity for employed individuals with a medically improved disability to make such a buy. Provides that Federal funds paid to a State for medical assistance provided to such individuals may not generally be used to supplant the level of State funds expended for a fiscal year for programs to enable working disabled individuals to work. (Sec. 102) Provides for certain continuation of Medicare coverage for working individuals with disabilities. (Sec. 103) Directs the Secretary of Health and Human Services to: (1) award grants to eligible States to support establishment of State infrastructures to support the working disabled as well as to enable State outreach campaigns on infrastructure existence; and (2) submit a recommendation to specified congressional committees on whether such grant program should be continued after FY 2010. Authorizes appropriations. (Sec. 104) Authorizes State demonstration projects for certain Medicaid coverage of up to a specified maximum number of workers with a potentially severe disability, coverage equal to that afforded under the State option provided for above for eliminating income, assets, and resource limitations for disabled workers buying into Medicaid. Makes necessary appropriations. Title II: Ticket to Work and Self-Sufficiency and Related Provisions - Subtitle A: Ticket to Work and Self-Sufficiency - Amends part A (General Provisions) of SSA title XI to direct the Commissioner to establish a Ticket to Work and Self-Sufficiency Program (TWSSP) under which a disabled beneficiary may use a TWSSP ticket issued by the Commissioner under a described system, designed to ensure quality assurance, to obtain employment, vocational rehabilitation services, or other support services, pursuant to an appropriate individual beneficiary work plan that meets specified requirements, at the Commission's expense, from a participating employment network, public or private, which: (1) meets specified qualifications and is under an agreement with the Commissioner who must select a program manager to assist in administering TWSSP; (2) is chosen by the beneficiary, and (3) is willing to accept assignment of the beneficiary's TWSSP ticket. Allows State agencies administering or supervising the administration of the State plan under title I of the Rehabilitation Act of 1973 to elect to participate as an employment network. Sets forth special requirements applicable to cross-referral to certain State agencies and requirements relating to provision of services. Describes employment network payment systems. Provides that during any period for which an individual is using a TWSSP ticket, the Commissioner and any applicable State agency may not initiate a continuing disability or similar review with regards to whether the individual is or is not disabled. Requires payments to employment networks to be made out of the social security trust funds in the case of ticketed SSA title II (Old Age, Survivors and Disability Insurance) (OASDI) disability beneficiaries who return to work, or from the appropriation made available for making Supplemental Security Income (SSI) payments under SSA title XVI, in the case of SSI disability beneficiaries who return to work. Provides for allocation of other costs. (Sec. 202) Establishes within the Social Security Administration the Work Incentives Advisory Panel to advise the Commissioner with respect to TWSSP, and other Federal officials on related issues. Provides that the costs for carrying out this paragraph shall be paid from amounts available for the administration of SSA titles II and XVI, and shall be allocated among those amounts as appropriate. Subtitle B: Elimination of Work Disincentives - Amends SSA titles II and XVI to set forth a number of measures designed to eliminate work disincentives, namely prohibiting work activity as a basis for review of an individual's disability status and providing for expedited reinstatement of entitlement, or in the case of SSI, eligibility, to, respectively, OASDI and SSI disability benefits. Subtitle C: Work Incentives Planning, Assistance, and Outreach - Amends SSA title XI part A (General Provisions) to direct the Commissioner to establish a community-based work incentives outreach program for disabled beneficiaries that includes the provision of technical assistance to organizations and entities that are designed to encourage disabled beneficiaries to return to work. Provides that the costs of carrying out this subtitle shall be paid from amounts made available for administration of SSA titles II and XVI, and shall be allocated among such amounts as appropriate. (Sec. 222) Amends SSA title XI to authorize the Commissioner to make certain minimum payments in each State to the protection and advocacy system established under the Developmental Disabilities Assistance and Bill of Rights Act for the purpose of providing services to disabled beneficiaries, services which may include advocacy or other services that such a beneficiary may need to secure or regain gainful employment. Provides for funding similar to that in the paragraph above, although subject to certain limitation. Title III: Demonstration Projects and Studies - Amends SSA title II to provide for a permanent extension of disability insurance program demonstration project authority. Directs the Commissioner to develop and carry out experiments and demonstration projects, subject to specified guidelines which include the authority to waive compliance with benefits requirements, with regard to various alternative methods of treating the work activity of individuals entitled to OASDI disability benefits, altering other limitations and conditions applicable to such individuals, and implementing sliding scale benefit offsets. Authorizes the Commissioner to expand the scope of any such experiment or demonstration project to include any group of OASDI benefit applicants with impairments that reasonably may be presumed to be disabling for purposes of such demonstration project, and may limit any such demonstration project to any such group of applicants, subject to the terms of such demonstration project which shall define the extent of any such presumption. (Sec. 302) Directs the Commissioner to conduct certain demonstration projects designed to provide for specified reductions in disability insurance benefits based on earnings. Requires expenditures for such demonstration projects to come out of the social security and Medicare trust funds to the extent provided in advance in appropriation acts. (Sec. 303) Directs the Comptroller General to conduct and report to the Congress on various described studies and other specified related matters, but chiefly studies concerning existing disability-related employment incentives and coordination of the OASDI disability insurance program and the SSI program as they relate to individuals entering or leaving concurrent entitlement under such programs, as well as on a study concerning the impact of the substantial gainful activity limit on return to work. Title IV: Technical Amendments - Amends the Contract with America Advancement Act of 1996 with respect to: (1) final adjudication of denied claims by drug addicts and alcoholics for SSA title II disability benefits; and (2) the effective dates of certain requirements concerning representative payees and treatment referrals for such individuals. (Sec. 402) Amends SSA title II to: (1) provide for payments to State and local prisons for monthly reports on the identities of inmates whose OASDI benefits are determined by the Commissioner not to be payable as a result of such reports; (2) provide for a 50 percent reduction in such payments under SSA titles II and XVI in cases involving a comparable payment under the other title with respect to the same prisoner; (3) transfer from the OASDI trust funds any sums necessary to enable the Commissioner to make such payments; (4) eliminate the requirement that confinement stem only from a crime punishable by imprisonment for more than one year (thus denying OASDI benefits to individuals confined for any criminal offense); and (5) provide for continued denial of benefits to sex offenders remaining confined to public institutions upon completion of prison term. (Sec. 403) Provides for a two-year open season for members of the clergy who wish to revoke their exemption from social security coverage. (Sec. 404) Amends SSA title XI to make a miscellaneous technical amendment relating to cooperative research or development projects under SSA titles II and XVI. (Sec. 405) Amends SSA title XI to make miscellaneous technical amendments to provisions concerning the requirements of State income and eligibility verification systems, among other changes allowing a State to permit certain employers that make returns with respect to domestic service employment taxes on a calendar year basis to instead make such reports on an annual basis.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 18 March 1999

    Introduced

    Introduced in House

    Source: IntroReferral

  2. 18 March 1999

    Introduced

    Referred to the Committee on Ways and Means, and in addition to the Committee on Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

    Source: IntroReferral

  3. 18 March 1999

    Introduced

    Referred to the Committee on Ways and Means, and in addition to the Committee on Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

    Source: IntroReferral

  4. 18 March 1999

    Introduced

    Sponsor introductory remarks on measure. (CR E479)

    Source: IntroReferral

  5. 18 March 1999

    Introduced

    Introduced in House

    Source: IntroReferral

  6. 23 March 1999

    Committee

    Subcommittee Hearings Held.

    Source: Committee

  7. 23 March 1999

    Referred

    Referred to the Subcommittee on Health and Environment.

    Source: Committee

  8. 20 April 1999

    Committee

    Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.

    Source: Committee

  9. 20 April 1999

    Committee

    Subcommittee Consideration and Mark-up Session Held.

    Source: Committee

  10. 19 May 1999

    Reported

    Ordered to be Reported (Amended) by Voice Vote.

    Source: Committee

  11. 19 May 1999

    Committee

    Committee Consideration and Mark-up Session Held.

    Source: Committee

  12. 1 July 1999

    Reported

    Reported (Amended) by the Committee on Commerce. H. Rept. 106-220, Part I.

    Source: Committee

  13. 1 July 1999

    Reported

    Reported (Amended) by the Committee on Commerce. H. Rept. 106-220, Part I.

    Source: Committee

  14. 19 October 1999

    Introduced

    Received in the Senate.

    Source: IntroReferral

  15. 19 October 1999

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: Floor

  16. 19 October 1999

    Vote

    On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays (2/3 required): 412 - 9 (Roll No. 513). (text: CR H10241-10256)

    Source: Floor

  17. 19 October 1999

    Vote

    Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays (2/3 required): 412 - 9 (Roll No. 513).(text: CR H10241-10256)

    Source: Floor

  18. 19 October 1999

    Vote

    At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.

    Source: Floor

  19. 19 October 1999

    Floor

    DEBATE - The House proceeded with forty minutes of debate on H.R. 1180.

    Source: Floor

  20. 19 October 1999

    Floor

    Considered under suspension of the rules. (consideration: CR H10241-10266, H10273-10274)

    Source: Floor

  21. 19 October 1999

    Floor

    Mr. Archer moved to suspend the rules and pass the bill, as amended.

    Source: Floor

  22. 21 October 1999

    ResolvingDifferences

    Senate insists on its amendment asks for a conference, appoints conferees Roth; Lott; Moynihan. (consideration: CR S12961)

    Source: ResolvingDifferences

  23. 21 October 1999

    Floor

    Measure laid before Senate by unanimous consent. (consideration: CR S12961)

    Source: Floor

  24. 21 October 1999

    Passed

    Passed/agreed to in Senate: Passed Senate in lieu of S. 331 with an amendment by Unanimous Consent.

    Source: Floor

  25. 28 October 1999

    ResolvingDifferences

    The Speaker appointed conferees: Archer, Bliley, Armey, Rangel, and Dingell.

    Source: ResolvingDifferences

  26. 28 October 1999

    Passed

    On motion that the House disagree to the Senate amendment, and agree to a conference Agreed to without objection. (consideration: CR H11122)

    Source: ResolvingDifferences

  27. 28 October 1999

    ResolvingDifferences

    Mr. Archer asked unanimous consent that the House disagree to the Senate amendment, and agree to a conference.

    Source: ResolvingDifferences

  28. 17 November 1999

    ResolvingDifferences

    Conference report H. Rept. 106-478 filed. (text of conference report: CR H12174-12222)

    Source: ResolvingDifferences

  29. 17 November 1999

    ResolvingDifferences

    Conference report filed: Conference report H. Rept. 106-478 filed.(text of conference report: CR H12174-12222)

    Source: ResolvingDifferences

  30. 18 November 1999

    Vote

    On agreeing to the conference report Agreed to by the Yeas and Nays: 418 - 2 (Roll no. 611). (consideration: CR H12832)

    Source: ResolvingDifferences

  31. 18 November 1999

    Passed

    Motions to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

  32. 18 November 1999

    Vote

    Conference report agreed to in House: On agreeing to the conference report Agreed to by the Yeas and Nays: 418 - 2 (Roll no. 611).(consideration: CR H12832)

    Source: ResolvingDifferences

  33. 18 November 1999

    ResolvingDifferences

    The previous question was ordered without objection.

    Source: ResolvingDifferences

  34. 18 November 1999

    Floor

    DEBATE - The House proceeded with one hour of debate on the conference report.

    Source: Floor

  35. 18 November 1999

    ResolvingDifferences

    Mr. Archer brought up conference report H. Rept. 106-478 for consideration under the provisions of H. Res. 387.

    Source: ResolvingDifferences

  36. 18 November 1999

    Passed

    Rule H. Res. 387 passed House.

    Source: Floor

  37. 18 November 1999

    ResolvingDifferences

    Conference papers: message on House action held at the desk in Senate.

    Source: ResolvingDifferences

  38. 18 November 1999

    Reported

    Rules Committee Resolution H. Res. 387 Reported to House. Rule provides for consideration of the conference report to H.R. 1180 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions.

    Source: Floor

  39. 19 November 1999

    Vote

    Senate agreed to conference report by Yea-Nay Vote. 95-1. Record Vote No: 372. (consideration: CR S14960, S14971-14975, S14978-14986)

    Source: ResolvingDifferences

  40. 19 November 1999

    Vote

    Conference report agreed to in Senate: Senate agreed to conference report by Yea-Nay Vote. 95-1. Record Vote No: 372.(consideration: CR S14960, S14971-14975, S14978-14986)

    Source: ResolvingDifferences

  41. 6 December 1999

    Floor

    Presented to President.

    Source: Floor

  42. 6 December 1999

    President

    Presented to President.

    Source: President

  43. 17 December 1999

    Became law

    Became Public Law No: 106-170.

    Source: President

  44. 17 December 1999

    Became law

    Signed by President.

    Source: BecameLaw

  45. 17 December 1999

    President

    Signed by President.

    Source: President

Votes

19 November 1999 · Conference Report Agreed to · On the Conference Report H.R. 1180 · Conference Report Agreed to · Official source

Yes 95 · No 1 · Abstain — · Absent/not voting 4

Showing the first 4 recorded positions. Vote totals above are complete.

Versions

Documents

15 official files

Enrolled Bill (text)

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  • Enrolled Bill (text)

    Enrolled Bill · EN

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  • Enrolled Bill (PDF)

    Enrolled Bill · EN

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  • Public Law (text)

    Public Law · EN · 17 December 1999

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  • Public Law (PDF)

    Public Law · EN · 17 December 1999

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  • Conference report filed in House

    summary · EN · 17 November 1999

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  • Engrossed Amendment Senate (text)

    Engrossed Amendment Senate · EN · 21 October 1999

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  • Engrossed Amendment Senate (PDF)

    Engrossed Amendment Senate · EN · 21 October 1999

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  • Passed Senate amended

    summary · EN · 21 October 1999

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  • Engrossed in House (text)

    Engrossed in House · EN · 19 October 1999

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  • Engrossed in House (PDF)

    Engrossed in House · EN · 19 October 1999

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  • Received in Senate (text)

    Received in Senate · EN · 19 October 1999

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  • Received in Senate (PDF)

    Received in Senate · EN · 19 October 1999

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  • Introduced in House (text)

    Introduced in House · EN · 18 March 1999

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  • Introduced in House (PDF)

    Introduced in House · EN · 18 March 1999

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  • Introduced in House

    summary · EN · 18 March 1999

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