Is There An Answer?

    I'm reposting this since no one was able to give an answer to my questions -- the closest was an answer that referred to the agency's ability to impose sanctions against those who make false or misleading statements, which has nothing to do with a failure to submit evidence.

 Social Security is publishing new regulations in the Federal Register on the submission of evidence tomorrow. You can read them today.

    Some Questions: What's the enforcement mechanism for these requirements? If there's no enforcement mechanism, is this anything more than precatory language? As vague as these regulations are, even if there is an enforcement mechanism, is it practical to enforce them? How can you punish someone for failing to live up to a standard that you can't define in a meaningful way? Is the lack of enforceability the reason that Social Security insisted on pressing ahead with regulations that were universally condemned for vagueness and overreaching? Why worry about what these regulations say if you have no intention of trying to enforce them?

Field Offices Complain Of Duplicate And Incomplete Forms

     From the newsletter of the National Council of Social Security Management Associations (NCSSMA):

Over the past decade, attorney and third party requests have increased at an alarming rate. Managers from all over the country are facing tough decisions as they struggle to maneuver valuable office resources and keep up with the steady stream of paper flowing from their fax machines and mailrooms....

According to a recent survey conducted by NCSSMA, offices are spending an hour and a half or more per day just sorting the influx of paper claims, appeals, 1695/1696s, and FOIA requests.

In addition, one-third of the paper received by fax and mail consists of duplicates or second requests. As stated by one frustrated Dallas Region manager: “The majority of the time, forms are submitted electronically, faxed, and then mailed to the field office. Not only do we receive them twice, but most often three times.”

Another issue challenging field offices is incomplete forms. A large majority of survey respondents said that only half the claims filed by third parties are fully completed, with a third needing more information in order to proceed with the application process. ...

According to a recent survey conducted by NCSSMA, offices are spending an hour and a half or more per day just sorting the influx of paper claims, appeals, 1695/1696s, and FOIA requests. 

     Let me give an explanation for at least some of the duplicates. Things get lost at Social Security.  That really bothers Social Security attorneys. To cover themselves, they submit duplicates.
     We need more reliable systems.

Class Action On Social Security Debt Collection Survives Motion To Dismiss

     There's a class action pending in the United States District Court for the District of Maryland, Grice v. Colvin, on Social Security's extremely aggressive efforts to collect overpayments, many of them ancient. The Court has denied a motion to dismiss. That doesn't guarantee the plaintiffs will win but it's certainly a sign that the case isn't going away anytime soon.
     You brought this on yourselves, Social Security. What you were doing was way over the top. I've been writing about this problem since 2007! I'm surprised it took so long for the public to realize just how abusive Social Security's debt collection policies have been.
     By the way, the link I'm giving to the Court's ruling is only valid until April 8.

Wonder How This Happened

    On March 5th, I posted this:

     An example added recently to Social Security's Program Operations Manual Series (POMS):

A 50-year-old claimant with a high school education and unskilled past relevant work has an RFC [Residual Functional Capacity] for standing/walking 2 hours of an 8-hour day and sitting approximately 6 hours of an 8-hour day. He is able to lift/carry/push/pull 20 pounds occasionally and 10 pounds frequently. This RFC falls between rule 201.12, which has a decision of disabled, and 202.13, which has a decision of not disabled. In this case, use rule 201.12 as a framework for a decision of disabled because the definitions in DI 25001.001 (Medical-Vocational Quick Reference Guide) indicate light work usually requires walking or standing for approximately 6 hours of an 8-hour day. Since the claimant can only walk or stand for 2 hours, he has a significantly reduced capacity to perform light work and a sedentary medical-vocational rule applies as a framework for a determination.

      Guess what, that example has now disappeared from POMS. As best I can tell, they did this without listing the change on the page where they announce changes in POMS.

22 Minute Hold Time On 800 Number -- If They're Even Able To Answer The Phone

     Some numbers from the newsletter of the National Council of Social Security Management Associations (NCSSMA), an organization of Social Security management personnel (emphasis added):

Field Office Appointment Availability

• Beginning of FY [Fiscal Year] 2012: 74 percent of customers could get an appointment within two weeks. Less than 1 percent waited over a month for an appointment.

• End of FY 2014: 28 percent of customers could get an appointment within two weeks. 47 percent had to wait over a month for an appointment.

Field Office Waiting Times

• FY 2012: Customers waited an average of 18.8 minutes; and 4.8 percent, or 2.15 million customers, waited over an hour to be served.

• FY 2014: Customers waited an average of 28.2 minutes (50 percent increase) and 13.3 percent, or 5.42 million customers, waited over an hour to be served.

Field Office Telephone Service

• FY 2012: Busy Rate: 7.4 percent; Answer Rate: 82.9 percent

• FY 2014: Busy Rate: 20.1 percent; Answer Rate: 67.3 percent

800 Number Telephone Service

• FY 2012: Busy Rate: 4.6 percent; Time on Hold: 4 minutes, 14 seconds; Answer Rate: unavailable

• FY 2014: Busy Rate: 13.5 percent; Time on Hold: 22 minutes, 3 seconds; Answer Rate: 53.8 percent

The Problem With Special Needs Trusts

     From the Raleigh News and Observer:

Floyd Brown was awarded millions of dollars after being wrongfully incarcerated. But for weeks he couldn’t get money to buy flowers for his mother’s grave.

His $4.5 million has been earning interest while Brown, who is 49 and mentally disabled, lives on $733 a month in Supplemental Security Income benefits. ...

Brown has an IQ of less than 60 and the mind of a 7-year-old. ...

In 2012, when Brown was awarded damages for wrongful incarceration, his mental abilities once again defined his future. Brown’s attorneys asked a federal judge to create a type of Special Needs Trust often set up for people with disabilities. It allows Brown to remain eligible for public benefits, including Supplemental Security Income (SSI) and Medicaid.

But it comes with strict guidelines about how his money is spent.

Strictly speaking, none of it could go toward flowers for his mother’s grave. The money can only be used to benefit Brown....

After Brown’s repeated requests for flowers went unanswered, his sister Frances Staton contacted the Observer. Staton, who has been her brother’s legal guardian since 1994, questioned why he has so much money but can’t use it. “The attorneys are getting paid. Why isn’t Floyd?”

The Observer contacted Charlotte attorney Tony Giordano, who administers the trust. “I’ve got regulations I have to live by,” Giordano said. “If you read the terms of the trust, it has to be used to enhance his life.” ...

Asked why a less restrictive trust wasn’t set up, Giordano said the decision was made jointly among himself, Rudolf and Cogburn. “It was only because he had public benefits (related to his disability); that was the sole motivating reason,” Giordano said. “Hindsight is great.”

To gain flexibility, Brown would forfeit SSI and Medicaid benefits. Staton said there is no reason why her brother, who has millions, should be on public assistance – especially if it’s hindering his access to his money.

“Floyd doesn’t need to be on Medicaid,” she said. “Floyd needs a home.” ...

Read more here: http://www.newsobserver.com/news/local/article16696583.html#storylink=cpy

Read more here: http://www.newsobserver.com/news/local/article16696583.html#storylink=cpyAsked why a less restrictive trust wasn’t set up, Giordano said the decision was made jointly among himself, Rudolf and Cogburn. “It was only because he had public benefits (related to his disability); that was the sole motivating reason,” Giordano said. “Hindsight is great.”
To gain flexibility, Brown would forfeit SSI and Medicaid benefits. Staton said there is no reason why her brother, who has millions, should be on public assistance – especially if it’s hindering his access to his money.
“Floyd doesn’t need to be on Medicaid,” she said. “Floyd needs a home.”

Read more here: http://www.newsobserver.com/news/local/article16696583.html#storylink=cpy

Read more here: http://www.newsobserver.com/news/local/article16696583.html#storylink=cpy

Read more here: http://www.newsobserver.com/news/local/article16696583.html#storylink=cpy

Read more here: http://www.newsobserver.com/news/local/article16696583.html#storylink=cpy

Read more here: http://www.newsobserver.com/news/local/article16696583.html#storylink=cpyBrown has an IQ of less than 60 and the mind of a 7-year-old.

Read more here: http://www.newsobserver.com/news/local/article16696583.html#storylink=cpyBrown has an IQ of less than 60 and the mind of a 7-year-old.

Read more here: http://www.newsobserver.com/news/local/article16696583.html#storylink=cpyAfter Brown’s repeated requests for flowers went unanswered, his sister Frances Staton contacted the Observer. Staton, who has been her brother’s legal guardian since 1994, questioned why he has so much money but can’t use it. “The attorneys are getting paid. Why isn’t Floyd?”
The Observer contacted Charlotte attorney Tony Giordano, who administers the trust. “I’ve got regulations I have to live by,” Giordano said. “If you read the terms of the trust, it has to be used to enhance his life.”

Read more here: http://www.newsobserver.com/news/local/article16696583.html#storylink=cpy

Nostalgia

     I recently saw in a client's file a physician's brief handwritten note on a prescription pad saying my client was disabled. It wasn't something I had requested. I used to see that sort of note all the time but it's been a while since I've seen one.

Democrats Embracing Social Security Expansion

     From Nancy Altman writing for Huffington Post:

In the wee hours of [Friday] morning, when most people were sleeping, the Senate took a vote that has momentous implications for who will win in 2016 and beyond. In three resounding votes over the last two days, Democrats rediscovered and reclaimed their legacy. 

Just before recessing until April 13, the Senate passed a budget resolution. Prior to final passage, it voted on three separate Social Security amendments. Sen. Bernie Sanders (I-Vermont) offered an amendment protecting all Americans against cuts in their Social Security earned benefits. Sen. Orrin Hatch (R-Utah) offered an amendment only protecting current beneficiaries from cuts. And around 2:30 a.m., Sen. Elizabeth Warren (D-Massachusetts) offered an amendment advocating the expansion of Social Security.  

The results were revealing and important. Every Democratic senator who was present but two voted to expand Social Security. Every Democratic senator but one voted against cutting Social Security's modest benefits.  

In sharp contrast, no Republican voted to expand Social Security. Every Republican but a mere six voted to keep open the option of cutting the earned Social Security benefits of every American except for those fortunate enough to already be receiving those benefits. (Sorry, those of you who are a month away from retiring or have a disabling or deadly illness or accident in your future. The Republicans refused to vote to protect you.)