Eligibility
Criterion for eligibility
Presumption of benefit
Applicants
section 705(20)(A) of this titleFor purposes of this section, an individual shall be presumed to be an individual that can benefit in terms of an employment outcome from vocational rehabilitation services under .
Responsibilities
section 705(2)(D) of this titlePrior to determining under this subsection that an applicant described in subparagraph (A) is unable to benefit due to the severity of the individual’s disability or that the individual is ineligible for vocational rehabilitation services, the designated State unit shall explore the individual’s abilities, capabilities, and capacity to perform in work situations, through the use of trial work experiences, as described in , with appropriate supports provided through the designated State unit. Such experiences shall be of sufficient variety and over a sufficient period of time to determine the eligibility of the individual. In providing the trial experiences, the designated State unit shall provide the individual with the opportunity to try different employment experiences, including supported employment, and the opportunity to become employed in competitive integrated employment.
Presumption of eligibility
In general
Construction
Nothing in this paragraph shall be construed to create an entitlement to any vocational rehabilitation service.
Use of existing information
In general
To the maximum extent appropriate and consistent with the requirements of this part, for purposes of determining the eligibility of an individual for vocational rehabilitation services under this subchapter and developing the individualized plan for employment described in subsection (b) for the individual, the designated State unit shall use information that is existing and current (as of the date of the determination of eligibility or of the development of the individualized plan for employment), including information available from other programs and providers, particularly information used by education officials and the Social Security Administration, information provided by the individual and the family of the individual, and information obtained under the assessment for determining eligibility and vocational rehabilitation needs.
Determinations by officials of other agencies
section 721(a)(11)(D) of this titlesection 705(20)(A) of this titlesection 705(21)(A) of this titleDeterminations made by officials of other agencies, particularly education officials described in , regarding whether an individual satisfies one or more factors relating to whether an individual is an individual with a disability under or an individual with a significant disability under shall be used, to the extent appropriate and consistent with the requirements of this part, in assisting the designated State unit in making such determinations.
Basis
Determination of ineligibility
Timeframe for making an eligibility determination
Development of an individualized plan for employment
Options for developing an individualized plan for employment
Individuals desiring to enter the workforce
42 U.S.C. 401For an individual entitled to benefits under title II or XVI of the Social Security Act ( et seq., 1381 et seq.) on the basis of a disability or blindness, the designated State unit shall provide to the individual general information on additional supports and assistance for individuals with disabilities desiring to enter the workforce, including assistance with benefits planning.
Mandatory procedures
Written document
An individualized plan for employment shall be a written document prepared on forms provided by the designated State unit.
Informed choice
An individualized plan for employment shall be developed and implemented in a manner that affords eligible individuals the opportunity to exercise informed choice in selecting an employment outcome, the specific vocational rehabilitation services to be provided under the plan, the entity that will provide the vocational rehabilitation services, and the methods used to procure the services, consistent with subsection (d).
Signatories
Copy
A copy of the individualized plan for employment for an eligible individual shall be provided to the individual or, as appropriate, to the individual’s representative, in writing and, if appropriate, in the native language or mode of communication of the individual or, as appropriate, of the individual’s representative.
Review and amendment
Timeframe for completing the individualized plan for employment
The individualized plan for employment shall be developed as soon as possible, but not later than a deadline of 90 days after the date of the determination of eligibility described in paragraph (1), unless the designated State unit and the eligible individual agree to an extension of that deadline to a specific date by which the individualized plan for employment shall be completed.
Mandatory components of an individualized plan for employment
Procedures
In general
Each State shall establish procedures for mediation of, and procedures for review through an impartial due process hearing of, determinations made by personnel of the designated State unit that affect the provision of vocational rehabilitation services to applicants or eligible individuals. The procedures shall allow an applicant or an eligible individual the opportunity to request mediation, an impartial due process hearing, or both procedures.
Notification
Rights and assistance
Timing
Evidence and representation
Mediation
Procedures
Each State shall ensure that procedures are established and implemented under this subsection to allow parties described in paragraph (1) to disputes involving any determination described in paragraph (1) to resolve such disputes through a mediation process that, at a minimum, shall be available whenever a hearing is requested under this subsection.
Requirements
List of mediators
The State shall maintain a list of individuals who are qualified mediators and knowledgeable in laws (including regulations) relating to the provision of vocational rehabilitation services under this subchapter, from which the mediators described in subparagraph (B) shall be selected.
Cost
The State shall bear the cost of the mediation process.
Scheduling
Each session in the mediation process shall be scheduled in a timely manner and shall be held in a location that is convenient to the parties to the dispute.
Agreement
An agreement reached by the parties to the dispute in the mediation process shall be set forth in a written mediation agreement.
Confidentiality
Discussions that occur during the mediation process shall be confidential and may not be used as evidence in any subsequent due process hearing or civil proceeding. The parties to the mediation process may be required to sign a confidentiality pledge prior to the commencement of such process.
Construction
Nothing in this subsection shall be construed to preclude the parties to such a dispute from informally resolving the dispute prior to proceedings under this paragraph or paragraph (5), if the informal process used is not used to deny or delay the right of the applicant or eligible individual to a hearing under this subsection or to deny any other right afforded under this subchapter.
Hearings
Officer
A due process hearing described in paragraph (2) shall be conducted by an impartial hearing officer who, on reviewing the evidence presented, shall issue a written decision based on the provisions of the approved State plan, requirements specified in this chapter (including regulations implementing this chapter), and State regulations and policies that are consistent with the Federal requirements specified in this subchapter. The officer shall provide the written decision to the applicant or eligible individual, or, as appropriate, the applicant’s representative or individual’s representative, and to the designated State unit. The impartial hearing officer shall have the authority to render a decision and require actions regarding the applicant’s or eligible individual’s vocational rehabilitation services under this subchapter.
List
Selection
Procedures for seeking review
Review request
If the State establishes impartial review procedures under subparagraph (D), either party may request the review of the decision of the hearing officer within 20 days after the decision.
Reviewing official
Finality of hearing decision
A decision made after a hearing under subparagraph (A) shall be final, except that a party may request an impartial review if the State has established procedures for such review under subparagraph (D) and a party involved in a hearing may bring a civil action under subparagraph (J).
Finality of review
A decision made under subparagraph (F) shall be final unless such a party brings a civil action under subparagraph (J).
Implementation
If a party brings a civil action under subparagraph (J) to challenge a final decision of a hearing officer under subparagraph (A) or to challenge a final decision of a State reviewing official under subparagraph (F), the final decision involved shall be implemented pending review by the court.
Civil action
In general
Any party aggrieved by a final decision described in subparagraph (I), may bring a civil action for review of such decision. The action may be brought in any State court of competent jurisdiction or in a district court of the United States of competent jurisdiction without regard to the amount in controversy.
Procedure
Hearing board
In general
A fair hearing board, established by a State before , and authorized under State law to review determinations or decisions under this chapter, is authorized to carry out the responsibilities of the impartial hearing officer under this subsection.
Application
The provisions of paragraphs (1), (2), and (3) that relate to due process hearings do not apply, and paragraph (5) (other than subparagraph (J)) does not apply, to any State to which subparagraph (A) applies.
Impact on provision of services
Unless the individual with a disability so requests, or, in an appropriate case, the individual’s representative, so requests, pending a decision by a mediator, hearing officer, or reviewing officer under this subsection, the designated State unit shall not institute a suspension, reduction, or termination of services being provided for the individual, including evaluation and assessment services and plan development, unless such services have been obtained through misrepresentation, fraud, collusion, or criminal conduct on the part of the individual, or the individual’s representative.
Information collection and report
In general
section 710 of this titleThe Director of the designated State unit shall collect information described in subparagraph (B) and prepare and submit to the Commissioner a report containing such information. The Commissioner shall prepare a summary of the information furnished under this paragraph and include the summary in the annual report submitted under . The Commissioner shall also collect copies of the final decisions of impartial hearing officers conducting hearings under this subsection and State officials conducting reviews under this subsection.
Information
Confidentiality
The confidentiality of records of applicants and eligible individuals maintained by the designated State unit shall not preclude the access of the Commissioner to those records for the purposes described in subparagraph (A).
Policies and procedures
Pub. L. 93–112, title I, § 102Pub. L. 105–220, title IV, § 404112 Stat. 1138Pub. L. 105–277, div. A, § 101(f) [title VIII, § 402(c)(5)]112 Stat. 2681–337Pub. L. 113–128, title IV, § 413128 Stat. 1649(, as added , , ; amended , , , 2681–415; , , .)
Editorial Notes
References in Text
act Aug. 14, 1935, ch. 53149 Stat. 620section 1305 of Title 42The Social Security Act, referred to in subsecs. (a)(3)(A) and (b)(2), is , . Titles II and XVI of the Act are classified generally to subchapters II (§ 401 et seq.) and XVI (§ 1381 et seq.), respectively, of chapter 7 of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see and Tables.
Prior Provisions
Pub. L. 93–112, title I, § 10287 Stat. 368Pub. L. 93–516, title I, § 111(e)88 Stat. 1620Pub. L. 93–651, title I, § 111(e)89 Stat. 2–5Pub. L. 95–602, title I92 Stat. 2959Pub. L. 98–221, title I98 Stat. 18Pub. L. 99–506, title I, § 103(d)(2)(A)100 Stat. 1810Pub. L. 100–630, title II, § 202(c)102 Stat. 3305Pub. L. 102–569, title I106 Stat. 4357Pub. L. 103–73, title I, § 107(b)107 Stat. 720Pub. L. 105–220A prior section 722, , , ; , , ; , , ; , §§ 103, 122(b)(1), , , 2987; , §§ 104(a)(3), 112, , , 20; , (B), title II, § 203, title X, § 1001(b)(5), , , 1815, 1842; , , ; , §§ 102(p)(8), 123, , , 4375; , , , related to individualized written rehabilitation program, prior to the general amendment of this subchapter by .
Amendments
Pub. L. 113–128, § 413(a)(1)(C)2014—Subsec. (a)(1). , which directed the insertion “at the end” of “For purposes of an assessment for determining eligibility and vocational rehabilitation needs under this chapter, an individual shall be presumed to have a goal of an employment outcome.”, was executed by inserting text as concluding provisions of par. (1) to reflect the probable intent of Congress.
Pub. L. 113–128, § 413(a)(1)(A)Subsec. (a)(1)(A). , substituted “has undergone an assessment for determining eligibility and vocational rehabilitation needs and as a result has been determined to be an” for “is an”.
Pub. L. 113–128, § 413(a)(1)(B)Subsec. (a)(1)(B). , substituted “advance in, or regain employment that is consistent with the individual’s strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice.” for “or regain employment.”
Pub. L. 113–128, § 413(a)(2)(A)Subsec. (a)(2)(A). , substituted “Applicants” for “Demonstration” in heading and struck out “, unless the designated State unit involved can demonstrate by clear and convincing evidence that such individual is incapable of benefiting in terms of an employment outcome from vocational rehabilitation services due to the severity of the disability of the individual” before period at end.
Pub. L. 113–128, § 413(a)(2)(B)Subsec. (a)(2)(B). , in heading, substituted “Responsibilities” for “Methods” and, in text, substituted “Prior to determining under this subsection that an applicant described in subparagraph (A) is unable to benefit due to the severity of the individual’s disability or that the individual is ineligible for vocational rehabilitation services,” for “In making the demonstration required under subparagraph (A),”, “through the designated State unit.” for “through the designated State unit, except under limited circumstances when an individual cannot take advantage of such experiences.”, and “individual. In providing the trial experiences, the designated State unit shall provide the individual with the opportunity to try different employment experiences, including supported employment, and the opportunity to become employed in competitive integrated employment.” for “individual or to determine the existence of clear and convincing evidence that the individual is incapable of benefiting in terms of an employment outcome from vocational rehabilitation services due to the severity of the disability of the individual.”
Pub. L. 113–128, § 413(a)(3)Subsec. (a)(3)(A)(ii). , substituted “outcome due to the severity of the individual’s disability (as of the date of the determination).” for “outcome from vocational rehabilitation services due to the severity of the disability of the individual in accordance with paragraph (2).”
Pub. L. 113–128, § 413(a)(4)(B)Subsec. (a)(5). , (C), added subpar. (A) and redesignated former subpars. (A) to (D) as (B) to (E), respectively.
Pub. L. 113–128, § 413(a)(4)(A)section 705(2)(A)(ii) of this titlesection 705(2)(A)(ii) of this title, in introductory provisions, substituted “If, after the designated State unit carries out the activities described in paragraph (2)(B), a review of existing data, and, to the extent necessary, the assessment activities described in , an individual” for “If an individual” and “subchapter is determined not to be” for “subchapter is determined, based on the review of existing data and, to the extent necessary, the assessment activities described in , not to be”.
Pub. L. 113–128, § 413(a)(4)(D)Subsec. (a)(5)(C)(i). , inserted “, including the clear and convincing evidence that forms the basis for the determination of ineligibility” after “determination”.
Pub. L. 113–128, § 413(b)(1)Subsec. (b)(1)(A). , struck out “, to the extent determined to be appropriate by the eligible individual,” after “availability of assistance” and inserted “or, as appropriate, a disability advocacy organization” after “counselor”.
Pub. L. 113–128, § 413(b)(3)Subsec. (b)(2). , added par. (2). Former par. (2) redesignated (3).
Pub. L. 113–128, § 413(b)(2)Subsec. (b)(3). , redesignated par. (2) as (3). Former par. (3) redesignated (4).
Pub. L. 113–128, § 413(b)(4)(A)Subsec. (b)(3)(E)(iii). , added cl. (iii).
Pub. L. 113–128, § 413(b)(4)(B)Subsec. (b)(3)(F). , added subpar. (F).
Pub. L. 113–128, § 413(b)(2)Subsec. (b)(4). , redesignated par. (3) as (4).
Pub. L. 113–128, § 413(b)(5)(A)Subsec. (b)(4)(A). , substituted “choice of the eligible individual, consistent with the general goal of competitive integrated employment (except that in the case of an eligible individual who is a student, the description may be a description of the student’s projected postschool employment outcome);” for “choice of the eligible individual, and, to the maximum extent appropriate, results in employment in an integrated setting;”.
Pub. L. 113–128, § 413(b)(5)(B)Subsec. (b)(4)(B)(i). , added subcls. (I) and (II), redesignated former subcl. (II) as (III), and struck out former subcl. (I) which read as follows: “needed to achieve the employment outcome, including, as appropriate, the provision of assistive technology devices and assistive technology services, and personal assistance services, including training in the management of such services; and”.
Pub. L. 113–128, § 413(b)(5)(C)Subsec. (b)(4)(H). –(E), added subpar. (H).
Pub. L. 113–128, § 413(c)(1)Subsec. (c)(1). , inserted at end “The procedures shall allow an applicant or an eligible individual the opportunity to request mediation, an impartial due process hearing, or both procedures.”
Pub. L. 113–128, § 413(c)(2)Subsec. (c)(2)(A)(iv). , added cl. (iv).
Pub. L. 113–128, § 413(c)(3)(A)Subsec. (c)(5)(A). , added subpar. (A) and struck out former subpar. (A). Prior to amendment, text read as follows: “A due process hearing described in paragraph (2) shall be conducted by an impartial hearing officer who shall issue a decision based on the provisions of the approved State plan, this chapter (including regulations implementing this chapter), and State regulations and policies that are consistent with the Federal requirements specified in this subchapter. The officer shall provide the decision in writing to the applicant or eligible individual, or, as appropriate, the applicant’s representative or individual’s representative, and to the designated State unit.”
Pub. L. 113–128, § 413(c)(3)(B)Subsec. (c)(5)(B). , substituted “about Federal laws” for “in laws” in introductory provisions.
Pub. L. 105–2771998—Subsec. (c)(5)(F)(iv). added cl. (iv).
Statutory Notes and Related Subsidiaries
Pub. L. 113–128Definitions of Terms in
section 3 of Pub. L. 113–128section 3102 of this titleExcept as otherwise provided, definitions in , which is classified to , apply to this section.