42 U.S.C. § 423 | Disability insurance benefit payments

(a)

Disability insurance benefits

(1)

Every individual who—

(A)

is insured for disability insurance benefits (as determined under subsection (c)(1)),

(B)

l has not attained retirement age (as defined in section 416() of this title),

(C)

if not a United States citizen or national—

(i)

section 405(c)(2)(B)(i) of this title has been assigned a social security account number that was, at the time of assignment, or at any later time, consistent with the requirements of subclause (I) or (III) of ; or

(ii)

at the time any quarters of coverage are earned—

(I)

section 1101(a)(15) of title 8 is described in subparagraph (B) or (D) of ,

(II)

is lawfully admitted temporarily to the United States for business (in the case of an individual described in such subparagraph (B)) or the performance as a crewman (in the case of an individual described in such subparagraph (D)), and

(III)

1 So in original. The period probably should be a comma.

the business engaged in or service as a crewman performed is within the scope of the terms of such individual’s admission to the United States.

(D)

has filed application for disability insurance benefits, and

(E)

is under a disability (as defined in subsection (d))

section 416(i) of this titlelsection 422(c)(4)(A) of this title section 402 of this titleshall be entitled to a disability insurance benefit (i) for each month beginning with the first month after his waiting period (as defined in subsection (c)(2)) in which he becomes so entitled to such insurance benefits, (ii) in the case of an individual who has been medically determined to have amyotrophic lateral sclerosis, for each month beginning with the first month during all of which the individual is under a disability and in which the individual becomes entitled to such insurance benefits, or (iii) for each month beginning with the first month during all of which he is under a disability and in which he becomes so entitled to such insurance benefits, but only if he was entitled to disability insurance benefits which terminated, or had a period of disability (as defined in ) which ceased, within the 60-month period preceding the first month in which he is under such disability, and ending with the month preceding whichever of the following months is the earliest: the month in which he dies, the month in which he attains retirement age (as defined in section 416() of this title), or, subject to subsection (e), the termination month. For purposes of the preceding sentence, the termination month for any individual shall be the third month following the month in which his disability ceases; except that, in the case of an individual who has a period of trial work which ends as determined by application of , the termination month shall be the earlier of (I) the third month following the earliest month after the end of such period of trial work with respect to which such individual is determined to no longer be suffering from a disabling physical or mental impairment, or (II) the third month following the earliest month in which such individual engages or is determined able to engage in substantial gainful activity, but in no event earlier than the first month occurring after the 36 months following such period of trial work in which he engages or is determined able to engage in substantial gainful activity. No payment under this paragraph may be made to an individual who would not meet the definition of disability in subsection (d) except for paragraph (1)(B) thereof for any month in which he engages in substantial gainful activity, and no payment may be made for such month under subsection (b), (c), or (d) of to any person on the basis of the wages and self-employment income of such individual. In the case of a deceased individual, the requirement of subparagraph (C) may be satisfied by an application for benefits filed with respect to such individual within 3 months after the month in which he died.

(2)

section 402(q) of this title section 415(b)(2)(A)(ii) of this title section 415 of this title Except as provided in and , such individual’s disability insurance benefit for any month shall be equal to his primary insurance amount for such month determined under as though he had attained age 62 in—

(A)

the first month of his waiting period, or

(B)

in any case in which clause (ii) of paragraph (1) of this subsection is applicable, the first month for which he becomes entitled to such disability insurance benefits,

section 415(b)(3) of this titleand as though he had become entitled to old-age insurance benefits in the month in which the application for disability insurance benefits was filed and he was entitled to an old-age insurance benefit for each month for which (pursuant to subsection (b)) he was entitled to a disability insurance benefit. For the purposes of the preceding sentence, in the case of an individual who attained age 62 in or before the first month referred to in subparagraph (A) or (B) of such sentence, as the case may be, the elapsed years referred to in shall not include the year in which he attained age 62, or any year thereafter.

(b)

Filing application

section 405(b) of this titleAn application for disability insurance benefits filed before the first month in which the applicant satisfies the requirements for such benefits (as prescribed in subsection (a)(1)) shall be deemed a valid application (and shall be deemed to have been filed in such first month) only if the applicant satisfies the requirements for such benefits before the Commissioner of Social Security makes a final decision on the application and no request under for notice and opportunity for a hearing thereon is made, or if such a request is made, before a decision based upon the evidence adduced at the hearing is made (regardless of whether such decision becomes the final decision of the Commissioner of Social Security). An individual who would have been entitled to a disability insurance benefit for any month had he filed application therefor before the end of such month shall be entitled to such benefit for such month if such application is filed before the end of the 12th month immediately succeeding such month.

(c)

Definitions; insured status; waiting period

For purposes of this section—

(1)

An individual shall be insured for disability insurance benefits in any month if—

(A)

section 414 of this title section 402(a) of this title he would have been a fully insured individual (as defined in ) had he attained age 62 and filed application for benefits under on the first day of such month, and

(B)

(i)

he had not less than 20 quarters of coverage during the 40-quarter period which ends with the quarter in which such month occurred, or

(ii)

if such month ends before the quarter in which he attains (or would attain) age 31, not less than one-half (and not less than 6) of the quarters during the period ending with the quarter in which such month occurred and beginning after he attained the age of 21 were quarters of coverage, or (if the number of quarters in such period is less than 12) not less than 6 of the quarters in the 12-quarter period ending with such quarter were quarters of coverage, or

(iii)

section 416(i)(3)(B)(ii) of this title in the case of an individual (not otherwise insured under clause (i)) who, by reason of , had a prior period of disability that began during a period before the quarter in which he or she attained age 31, not less than one-half of the quarters beginning after such individual attained age 21 and ending with the quarter in which such month occurs are quarters of coverage, or (if the number of quarters in such period is less than 12) not less than 6 of the quarters in the 12-quarter period ending with such quarter are quarters of coverage;

section 416(i)(1) of this titleexcept that the provisions of subparagraph (B) of this paragraph shall not apply in the case of an individual who is blind (within the meaning of “blindness” as defined in ). For purposes of subparagraph (B) of this paragraph, when the number of quarters in any period is an odd number, such number shall be reduced by one, and a quarter shall not be counted as part of any period if any part of such quarter was included in a period of disability unless such quarter was a quarter of coverage.

(2)

The term “waiting period” means, in the case of any application for disability insurance benefits, the earliest period of five consecutive calendar months—

(A)

throughout which the individual with respect to whom such application is filed has been under a disability, and

(B)

(i)

which begins not earlier than with the first day of the seventeenth month before the month in which such application is filed if such individual is insured for disability insurance benefits in such seventeenth month, or (ii) if he is not so insured in such month, which begins not earlier than with the first day of the first month after such seventeenth month in which he is so insured.

January 1, 1957Notwithstanding the preceding provisions of this paragraph, no waiting period may begin for any individual before .

(d)

“Disability” defined

(1)

The term “disability” means—

(A)

inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months; or

(B)

section 416(i)(1) of this title in the case of an individual who has attained the age of 55 and is blind (within the meaning of “blindness” as defined in ), inability by reason of such blindness to engage in substantial gainful activity requiring skills or abilities comparable to those of any gainful activity in which he has previously engaged with some regularity and over a substantial period of time.

(2)

For purposes of paragraph (1)(A)—

(A)

An individual shall be determined to be under a disability only if his physical or mental impairment or impairments are of such severity that he is not only unable to do his previous work but cannot, considering his age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy, regardless of whether such work exists in the immediate area in which he lives, or whether a specific job vacancy exists for him, or whether he would be hired if he applied for work. For purposes of the preceding sentence (with respect to any individual), “work which exists in the national economy” means work which exists in significant numbers either in the region where such individual lives or in several regions of the country.

(B)

In determining whether an individual’s physical or mental impairment or impairments are of a sufficient medical severity that such impairment or impairments could be the basis of eligibility under this section, the Commissioner of Social Security shall consider the combined effect of all of the individual’s impairments without regard to whether any such impairment, if considered separately, would be of such severity. If the Commissioner of Social Security does find a medically severe combination of impairments, the combined impact of the impairments shall be considered throughout the disability determination process.

(C)

An individual shall not be considered to be disabled for purposes of this subchapter if alcoholism or drug addiction would (but for this subparagraph) be a contributing factor material to the Commissioner’s determination that the individual is disabled.

(3)

For purposes of this subsection, a “physical or mental impairment” is an impairment that results from anatomical, physiological, or psychological abnormalities which are demonstrable by medically acceptable clinical and laboratory diagnostic techniques.

(4)

(A)

section 403(f)(8) of this title section 422(c) of this title The Commissioner of Social Security shall by regulations prescribe the criteria for determining when services performed or earnings derived from services demonstrate an individual’s ability to engage in substantial gainful activity. No individual who is blind shall be regarded as having demonstrated an ability to engage in substantial gainful activity on the basis of earnings that do not exceed an amount equal to the exempt amount which would be applicable under , to individuals described in subparagraph (D) thereof, if section 102 of the Senior Citizens’ Right to Work Act of 1996 had not been enacted. Notwithstanding the provisions of paragraph (2), an individual whose services or earnings meet such criteria shall, except for purposes of , be found not to be disabled. In determining whether an individual is able to engage in substantial gainful activity by reason of his earnings, where his disability is sufficiently severe to result in a functional limitation requiring assistance in order for him to work, there shall be excluded from such earnings an amount equal to the cost (to such individual) of any attendant care services, medical devices, equipment, prostheses, and similar items and services (not including routine drugs or routine medical services unless such drugs or services are necessary for the control of the disabling condition) which are necessary (as determined by the Commissioner of Social Security in regulations) for that purpose, whether or not such assistance is also needed to enable him to carry out his normal daily functions; except that the amounts to be excluded shall be subject to such reasonable limits as the Commissioner of Social Security may prescribe.

(B)

In determining under subparagraph (A) when services performed or earnings derived from services demonstrate an individual’s ability to engage in substantial gainful activity, the Commissioner of Social Security shall apply the criteria described in subparagraph (A) with respect to services performed by any individual without regard to the legality of such services.

(C)

(i)

Subject to clause (ii), in determining when earnings derived from services demonstrate an individual’s ability to engage in substantial gainful activity, such earnings shall be presumed to have been earned—

(I)

in making a determination of initial entitlement on the basis of disability, in the month in which the services were performed from which such earnings were derived; and

(II)

in any other case, in the month in which such earnings were paid.

(ii)

A presumption made under clause (i) shall not apply to a determination described in such clause if—

(I)

the Commissioner can reasonably establish, based on evidence readily available at the time of such determination, that the earnings were earned in a different month than when paid; or

(II)

in any case in which there is a determination that no benefit is payable due to earnings, after the individual is notified of the presumption made and provided with an opportunity to submit additional information along with an explanation of what additional information is needed, the individual shows to the satisfaction of the Commissioner that such earnings were earned in another month.

(5)

(A)

An individual shall not be considered to be under a disability unless he furnishes such medical and other evidence of the existence thereof as the Commissioner of Social Security may require. An individual’s statement as to pain or other symptoms shall not alone be conclusive evidence of disability as defined in this section; there must be medical signs and findings, established by medically acceptable clinical or laboratory diagnostic techniques, which show the existence of a medical impairment that results from anatomical, physiological, or psychological abnormalities which could reasonably be expected to produce the pain or other symptoms alleged and which, when considered with all evidence required to be furnished under this paragraph (including statements of the individual or his physician as to the intensity and persistence of such pain or other symptoms which may reasonably be accepted as consistent with the medical signs and findings), would lead to a conclusion that the individual is under a disability. Objective medical evidence of pain or other symptoms established by medically acceptable clinical or laboratory techniques (for example, deteriorating nerve or muscle tissue) must be considered in reaching a conclusion as to whether the individual is under a disability. Any non-Federal hospital, clinic, laboratory, or other provider of medical services, or physician not in the employ of the Federal Government, which supplies medical evidence required and requested by the Commissioner of Social Security under this paragraph shall be entitled to payment from the Commissioner of Social Security for the reasonable cost of providing such evidence.

(B)

In making any determination with respect to whether an individual is under a disability or continues to be under a disability, the Commissioner of Social Security shall consider all evidence available in such individual’s case record, and shall develop a complete medical history of at least the preceding twelve months for any case in which a determination is made that the individual is not under a disability. In making any determination the Commissioner of Social Security shall make every reasonable effort to obtain from the individual’s treating physician (or other treating health care provider) all medical evidence, including diagnostic tests, necessary in order to properly make such determination, prior to evaluating medical evidence obtained from any other source on a consultative basis.

(C)

(i)

In making any determination with respect to whether an individual is under a disability or continues to be under a disability, the Commissioner of Social Security may not consider (except for good cause as determined by the Commissioner) any evidence furnished by—

(I)

section 408 of this title section 1383a of this title any individual or entity who has been convicted of a felony under or under ;

(II)

section 1320a–7 of this title any individual or entity who has been excluded from participation in any Federal health care program under ; or

(III)

section 1320a–8 of this title any person with respect to whom a civil money penalty or assessment has been imposed under for the submission of false evidence.

(ii)

To the extent and at such times as is necessary for the effective implementation of clause (i) of this subparagraph—

(I)

2 So in original. Probably should be followed by “and”.

the Inspector General of the Social Security Administration shall transmit to the Commissioner information relating to persons described in subclause (I) or (III) of clause (i); 

(II)

3 So in original. The “; and” probably should be a period.

the Secretary of Health and Human Services shall transmit to the Commissioner information relating to persons described in subclause (II) of clause (i); and 

(6)

(A)

October 19, 1980 Notwithstanding any other provision of this subchapter, any physical or mental impairment which arises in connection with the commission by an individual (after ) of an offense which constitutes a felony under applicable law and for which such individual is subsequently convicted, or which is aggravated in connection with such an offense (but only to the extent so aggravated), shall not be considered in determining whether an individual is under a disability.

(B)

October 19, 1980 Notwithstanding any other provision of this subchapter, any physical or mental impairment which arises in connection with an individual’s confinement in a jail, prison, or other penal institution or correctional facility pursuant to such individual’s conviction of an offense (committed after ) constituting a felony under applicable law, or which is aggravated in connection with such a confinement (but only to the extent so aggravated), shall not be considered in determining whether such individual is under a disability for purposes of benefits payable for any month during which such individual is so confined.

(e)

Engaging in substantial gainful activity

(1)

section 402 of this title section 422(c)(4)(A) of this title No benefit shall be payable under subsection (d)(1)(B)(ii), (d)(6)(A)(ii), (d)(6)(B), (e)(1)(B)(ii), or (f)(1)(B)(ii) of or under subsection (a)(1) of this section to an individual for any month, after the third month, in which he engages in substantial gainful activity during the 36-month period following the end of his trial work period determined by application of .

(2)

section 402 of this title No benefit shall be payable under on the basis of the wages and self-employment income of an individual entitled to a benefit under subsection (a)(1) of this section for any month for which the benefit of such individual under subsection (a)(1) is not payable under paragraph (1).

(f)

Standard of review for termination of disability benefits

A recipient of benefits under this subchapter or subchapter XVIII based on the disability of any individual may be determined not to be entitled to such benefits on the basis of a finding that the physical or mental impairment on the basis of which such benefits are provided has ceased, does not exist, or is not disabling only if such finding is supported by—

(1)

substantial evidence which demonstrates that—

(A)

there has been any medical improvement in the individual’s impairment or combination of impairments (other than medical improvement which is not related to the individual’s ability to work), and

(B)

the individual is now able to engage in substantial gainful activity; or

(2)

substantial evidence which—

(A)

consists of new medical evidence and a new assessment of the individual’s residual functional capacity, and demonstrates that—

(i)

although the individual has not improved medically, he or she is nonetheless a beneficiary of advances in medical or vocational therapy or technology (related to the individual’s ability to work), and

(ii)

the individual is now able to engage in substantial gainful activity, or

(B)

demonstrates that—

(i)

although the individual has not improved medically, he or she has undergone vocational therapy (related to the individual’s ability to work), and

(ii)

the individual is now able to engage in substantial gainful activity; or

(3)

substantial evidence which demonstrates that, as determined on the basis of new or improved diagnostic techniques or evaluations, the individual’s impairment or combination of impairments is not as disabling as it was considered to be at the time of the most recent prior decision that he or she was under a disability or continued to be under a disability, and that therefore the individual is able to engage in substantial gainful activity; or

(4)

substantial evidence (which may be evidence on the record at the time any prior determination of the entitlement to benefits based on disability was made, or newly obtained evidence which relates to that determination) which demonstrates that a prior determination was in error.

Nothing in this subsection shall be construed to require a determination that a recipient of benefits under this subchapter or subchapter XVIII based on an individual’s disability is entitled to such benefits if the prior determination was fraudulently obtained or if the individual is engaged in substantial gainful activity, cannot be located, or fails, without good cause, to cooperate in a review of the entitlement to such benefits or to follow prescribed treatment which would be expected to restore his or her ability to engage in substantial gainful activity. In making for purposes of the preceding sentence any determination relating to fraudulent behavior by any individual or failure by any individual without good cause to cooperate or to take any required action, the Commissioner of Social Security shall specifically take into account any physical, mental, educational, or linguistic limitation such individual may have (including any lack of facility with the English language). Any determination under this section shall be made on the basis of all the evidence available in the individual’s case file, including new evidence concerning the individual’s prior or current condition which is presented by the individual or secured by the Commissioner of Social Security. Any determination made under this section shall be made on the basis of the weight of the evidence and on a neutral basis with regard to the individual’s condition, without any initial inference as to the presence or absence of disability being drawn from the fact that the individual has previously been determined to be disabled. For purposes of this subsection, a benefit under this subchapter is based on an individual’s disability if it is a disability insurance benefit, a child’s, widow’s, or widower’s insurance benefit based on disability, or a mother’s or father’s insurance benefit based on the disability of the mother’s or father’s child who has attained age 16.

(g)

Continued payment of disability benefits during appeal

(1)

In any case where—

(A)

an individual is a recipient of disability insurance benefits, or of child’s, widow’s, or widower’s insurance benefits based on disability,

(B)

the physical or mental impairment on the basis of which such benefits are payable is found to have ceased, not to have existed, or to no longer be disabling, and as a consequence such individual is determined not to be entitled to such benefits, and

(C)

section 421(d) of this title a timely request for a hearing under , or for an administrative review prior to such hearing, is pending with respect to the determination that he is not so entitled,

January 12, 1983such individual may elect (in such manner and form and within such time as the Commissioner of Social Security shall by regulations prescribe) to have the payment of such benefits, the payment of any other benefits under this subchapter based on such individual’s wages and self-employment income, the payment of mother’s or father’s insurance benefits to such individual’s mother or father based on the disability of such individual as a child who has attained age 16, and the payment of benefits under subchapter XVIII based on such individual’s disability, continued for an additional period beginning with the first month beginning after , for which (under such determination) such benefits are no longer otherwise payable, and ending with the earlier of (i) the month preceding the month in which a decision is made after such a hearing, or (ii) the month preceding the month in which no such request for a hearing or an administrative review is pending.

(2)

(A)

If an individual elects to have the payment of his benefits continued for an additional period under paragraph (1), and the final decision of the Commissioner of Social Security affirms the determination that he is not entitled to such benefits, any benefits paid under this subchapter pursuant to such election (for months in such additional period) shall be considered overpayments for all purposes of this subchapter, except as otherwise provided in subparagraph (B).

(B)

section 404 of this title If the Commissioner of Social Security determines that the individual’s appeal of his termination of benefits was made in good faith, all of the benefits paid pursuant to such individual’s election under paragraph (1) shall be subject to waiver consideration under the provisions of . In making for purposes of this subparagraph any determination of whether any individual’s appeal is made in good faith, the Commissioner of Social Security shall specifically take into account any physical, mental, educational, or linguistic limitation such individual may have (including any lack of facility with the English language).

(h)

Interim benefits in cases of delayed final decisions

(1)

section 405(b) of this title In any case in which an administrative law judge has determined after a hearing as provided under that an individual is entitled to disability insurance benefits or child’s, widow’s, or widower’s insurance benefits based on disability and the Commissioner of Social Security has not issued the Commissioner’s final decision in such case within 110 days after the date of the administrative law judge’s determination, such benefits shall be currently paid for the months during the period beginning with the month preceding the month in which such 110-day period expires and ending with the month preceding the month in which such final decision is issued.

(2)

For purposes of paragraph (1), in determining whether the 110-day period referred to in paragraph (1) has elapsed, any period of time for which the action or inaction of such individual or such individual’s representative without good cause results in the delay in the issuance of the Commissioner’s final decision shall not be taken into account to the extent that such period of time exceeds 20 calendar days.

(3)

section 406(b)(1) of this title Any benefits currently paid under this subchapter pursuant to this subsection (for the months described in paragraph (1)) shall not be considered overpayments for any purpose of this subchapter (unless payment of such benefits was fraudulently obtained), and such benefits shall not be treated as past-due benefits for purposes of .

(i)

Reinstatement of entitlement

(1)

(A)

Entitlement to benefits described in subparagraph (B)(i)(I) shall be reinstated in any case where the Commissioner determines that an individual described in subparagraph (B) has filed a request for reinstatement meeting the requirements of paragraph (2)(A) during the period prescribed in subparagraph (C). Reinstatement of such entitlement shall be in accordance with the terms of this subsection.

(B)

An individual is described in this subparagraph if—

(i)

prior to the month in which the individual files a request for reinstatement—

(I)

section 402 of this title the individual was entitled to benefits under this section or on the basis of disability pursuant to an application filed therefor; and

(II)

such entitlement terminated due to the performance of substantial gainful activity;

(ii)

the individual is under a disability and the physical or mental impairment that is the basis for the finding of disability is the same as (or related to) the physical or mental impairment that was the basis for the finding of disability that gave rise to the entitlement described in clause (i); and

(iii)

the individual’s disability renders the individual unable to perform substantial gainful activity.

(C)

(i)

Except as provided in clause (ii), the period prescribed in this subparagraph with respect to an individual is 60 consecutive months beginning with the month following the most recent month for which the individual was entitled to a benefit described in subparagraph (B)(i)(I) prior to the entitlement termination described in subparagraph (B)(i)(II).

(ii)

In the case of an individual who fails to file a reinstatement request within the period prescribed in clause (i), the Commissioner may extend the period if the Commissioner determines that the individual had good cause for the failure to so file.

(2)

(A)

(i)

A request for reinstatement shall be filed in such form, and containing such information, as the Commissioner may prescribe.

(ii)

A request for reinstatement shall include express declarations by the individual that the individual meets the requirements specified in clauses (ii) and (iii) of paragraph (1)(B).

(B)

A request for reinstatement filed in accordance with subparagraph (A) may constitute an application for benefits in the case of any individual who the Commissioner determines is not entitled to reinstated benefits under this subsection.

(3)

In determining whether an individual meets the requirements of paragraph (1)(B)(ii), the provisions of subsection (f) shall apply.

(4)

(A)

(i)

Subject to clause (ii), entitlement to benefits reinstated under this subsection shall commence with the benefit payable for the month in which a request for reinstatement is filed.

(ii)

An individual whose entitlement to a benefit for any month would have been reinstated under this subsection had the individual filed a request for reinstatement before the end of such month shall be entitled to such benefit for such month if such request for reinstatement is filed before the end of the twelfth month immediately succeeding such month.

(B)

(i)

Subject to clauses (ii) and (iii), the amount of the benefit payable for any month pursuant to the reinstatement of entitlement under this subsection shall be determined in accordance with the provisions of this subchapter.

(ii)

For purposes of computing the primary insurance amount of an individual whose entitlement to benefits under this section is reinstated under this subsection, the date of onset of the individual’s disability shall be the date of onset used in determining the individual’s most recent period of disability arising in connection with such benefits payable on the basis of an application.

(iii)

section 402 of this title Benefits under this section or payable for any month pursuant to a request for reinstatement filed in accordance with paragraph (2) shall be reduced by the amount of any provisional benefit paid to such individual for such month under paragraph (7).

(C)

No benefit shall be payable pursuant to an entitlement reinstated under this subsection to an individual for any month in which the individual engages in substantial gainful activity.

(D)

The entitlement of any individual that is reinstated under this subsection shall end with the benefits payable for the month preceding whichever of the following months is the earliest:

(i)

The month in which the individual dies.

(ii)

The month in which the individual attains retirement age.

(iii)

The third month following the month in which the individual’s disability ceases.

(5)

Whenever an individual’s entitlement to benefits under this section is reinstated under this subsection, entitlement to benefits payable on the basis of such individual’s wages and self-employment income may be reinstated with respect to any person previously entitled to such benefits on the basis of an application if the Commissioner determines that such person satisfies all the requirements for entitlement to such benefits except requirements related to the filing of an application. The provisions of paragraph (4) shall apply to the reinstated entitlement of any such person to the same extent that they apply to the reinstated entitlement of such individual.

(6)

section 402 of this title section 402 of this title An individual to whom benefits are payable under this section or pursuant to a reinstatement of entitlement under this subsection for 24 months (whether or not consecutive) shall, with respect to benefits so payable after such twenty-fourth month, be deemed for purposes of paragraph (1)(B)(i)(I) and the determination, if appropriate, of the termination month in accordance with subsection (a)(1) of this section, or subsection (d)(1), (e)(1), or (f)(1) of , to be entitled to such benefits on the basis of an application filed therefor.

(7)

(A)

section 405 of this title An individual described in paragraph (1)(B) who files a request for reinstatement in accordance with the provisions of paragraph (2)(A) shall be entitled to provisional benefits payable in accordance with this paragraph, unless the Commissioner determines that the individual does not meet the requirements of paragraph (1)(B)(i) or that the individual’s declaration under paragraph (2)(A)(ii) is false. Any such determination by the Commissioner shall be final and not subject to review under subsection (b) or (g) of .

(B)

section 415(i) of this title The amount of a provisional benefit for a month shall equal the amount of the last monthly benefit payable to the individual under this subchapter on the basis of an application increased by an amount equal to the amount, if any, by which such last monthly benefit would have been increased as a result of the operation of .

(C)

(i)

Provisional benefits shall begin with the month in which a request for reinstatement is filed in accordance with paragraph (2)(A).

(ii)

Provisional benefits shall end with the earliest of—

(I)

the month in which the Commissioner makes a determination regarding the individual’s entitlement to reinstated benefits;

(II)

the fifth month following the month described in clause (i);

(III)

the month in which the individual performs substantial gainful activity; or

(IV)

the month in which the Commissioner determines that the individual does not meet the requirements of paragraph (1)(B)(i) or that the individual’s declaration made in accordance with paragraph (2)(A)(ii) is false.

(D)

In any case in which the Commissioner determines that an individual is not entitled to reinstated benefits, any provisional benefits paid to the individual under this paragraph shall not be subject to recovery as an overpayment unless the Commissioner determines that the individual knew or should have known that the individual did not meet the requirements of paragraph (1)(B).

(j)

Limitation on payments to prisoners

section 402(x) of this titleFor provisions relating to limitation on payments to prisoners, see .

Aug. 14, 1935, ch. 531 Aug. 1, 1956, ch. 836 70 Stat. 815 Pub. L. 85–840, title IIAug. 28, 195872 Stat. 1020 Pub. L. 86–778, title III, § 303(f)Sept. 13, 196074 Stat. 964 Pub. L. 87–64, title I, § 102(b)(2)(B)June 30, 196175 Stat. 134 Pub. L. 89–97, title IIIJuly 30, 196579 Stat. 366 Pub. L. 90–248, title IJan. 2, 196881 Stat. 833 Pub. L. 92–603, title IOct. 30, 197286 Stat. 1340 Pub. L. 95–216, title III, § 335Dec. 20, 197791 Stat. 1547 Pub. L. 96–265, title I, § 102(b)June 9, 198094 Stat. 443 Pub. L. 96–473, § 5(a)(1)Oct. 19, 198094 Stat. 2264 Pub. L. 97–123, § 6Dec. 29, 198195 Stat. 1664 Pub. L. 97–455, § 2Jan. 12, 198396 Stat. 2498 Pub. L. 98–21, title II, § 201(c)(1)(E)oApr. 20, 198397 Stat. 109 Pub. L. 98–118, § 2Oct. 11, 198397 Stat. 803 Pub. L. 98–369, div. B, title VIJuly 18, 198498 Stat. 1158–1160 Pub. L. 98–460Oct. 9, 198498 Stat. 1794 Pub. L. 99–272, title XII, § 12107(b)Apr. 7, 1986100 Stat. 286 Pub. L. 99–514, title XVIII, § 1883(a)(10)Oct. 22, 1986100 Stat. 2916 Pub. L. 100–203, title IXDec. 22, 1987101 Stat. 1330–293 Pub. L. 100–647, title VIIINov. 10, 1988102 Stat. 3778 Pub. L. 101–239, title XDec. 19, 1989103 Stat. 2471 Pub. L. 101–508, title VNov. 5, 1990104 Stat. 1388–250 Pub. L. 103–296, title I, § 107(a)(4)Aug. 15, 1994108 Stat. 1478 Pub. L. 104–121, title IMar. 29, 1996110 Stat. 848 Pub. L. 106–170, title I, § 112(a)Dec. 17, 1999113 Stat. 1881 Pub. L. 108–203, title II, § 211(b)Mar. 2, 2004118 Stat. 518 Pub. L. 114–74, title VIIINov. 2, 2015129 Stat. 602 Pub. L. 116–250, § 2(a)Dec. 22, 2020134 Stat. 1128(, title II, § 223, as added , title I, § 103(a), ; amended , §§ 202, 204(b), , , 1021; , title IV, §§ 401(a), (b), 402(a)–(d), 403(b), , , 967, 969; , (C), (c)(2)(C), (3)(D), (E), , , 135; , §§ 302(e), 303(a)(2), (b)(3), (4), (c), 304(m), (n), 328(c), 344(b)–(d), , , 367, 370, 400, 413; , §§ 105(b), 158(a), (b), (c)(6)–(8), , , 867–869; , §§ 104(c), (d), 116(a), 117(b), 118(a), , , 1350, 1351; , , ; , title III, §§ 302(a)(1), 303(b)(1)(A), (2)(A), 306(c), 309(a), , , 450, 451, 453, 458, 459; , (c), , , 2265; , , ; , , ; , (3), title III, §§ 309(), 332(b), 339(b), , , 117, 129, 134; , , ; , §§ 2661(m), 2662(c)(2), (i), 2663(a)(16), , , 1165; , §§ 2(a), 3(a)(1), 4(a)(1), 7(a), 9(b)(1), , , 1799, 1800, 1803, 1805; , , ; , , ; , §§ 9009, 9010(a), (e)(2), , , 1330–294; , §§ 8001(a), 8006, , , 3781; , §§ 10101, 10305(c), (d), , , 2483; , §§ 5102, 5103(a), (b)(2)–(5), 5118(a), , , 1388–251, 1388–278; , title II, § 201(a)(4)(A), title III, § 321(a)(19), (f)(1), , , 1499, 1537, 1540; , §§ 102(b)(2), 105(a)(1), , , 852; , , ; , , ; , §§ 812(a), 825(a), , , 610; , , .)

Editorial Notes

References in Text

section 102 of title I of Pub. L. 104–121 section 403 of this title section 403 of this titleSection 102 of the Senior Citizens’ Right to Work Act of 1996, referred to in subsec. (d)(4)(A), is , which amended this section and and enacted provisions set out as a note under .

Amendments

Pub. L. 116–2502020—Subsec. (a)(1). substituted “(ii) in the case of an individual who has been medically determined to have amyotrophic lateral sclerosis, for each month beginning with the first month during all of which the individual is under a disability and in which the individual becomes entitled to such insurance benefits, or (iii)” for “or (ii)” in concluding provisions.

Pub. L. 114–74, § 825(a)2015—Subsec. (d)(4)(C). , added subpar. (C).

Pub. L. 114–74, § 812(a)Subsec. (d)(5)(C). , added subpar. (C).

Pub. L. 108–2032004—Subsec. (a)(1)(C) to (E). added subpar. (C) and redesignated former subpars. (C) and (D) as (D) and (E), respectively.

Pub. L. 106–1701999—Subsecs. (i), (j). added subsec. (i) and redesignated former subsec. (i) as (j).

Pub. L. 104–121, § 105(a)(1)1996—Subsec. (d)(2)(C). , added subpar. (C).

Pub. L. 104–121, § 102(b)(2)section 403(f)(8) of this title section 403(f)(8) of this titleSubsec. (d)(4)(A). , substituted “an amount equal to the exempt amount which would be applicable under , to individuals described in subparagraph (D) thereof, if section 102 of the Senior Citizens’ Right to Work Act of 1996 had not been enacted” for “the exempt amount under which is applicable to individuals described in subparagraph (D) thereof”.

Pub. L. 103–296, § 107(a)(4)1994—Subsecs. (b), (d)(2)(B). , substituted “Commissioner of Social Security” for “Secretary” wherever appearing.

Pub. L. 103–296, § 201(a)(4)(A)Subsec. (d)(4). , designated existing provisions as subpar. (A) and added subpar. (B).

Pub. L. 103–296, § 107(a)(4)Pub. L. 103–296, § 201(a)(4)(A), in par. (4) as amended by , substituted “Commissioner of Social Security” for “Secretary” wherever appearing.

Pub. L. 103–296, § 107(a)(4)Subsec. (d)(5). , substituted “Commissioner of Social Security” for “Secretary” wherever appearing.

Pub. L. 103–296, § 107(a)(4)Subsec. (f). , substituted “Commissioner of Social Security” for “Secretary” in two places in closing provisions.

Pub. L. 103–296, § 321(f)(1)(A)Subsec. (f)(2)(A). , struck out “(in a case to which clause (ii)(II) does not apply)” after “new medical evidence and” in introductory provisions.

Pub. L. 103–296, § 321(f)(1)(B)Subsec. (f)(2)(B)(ii). , added cl. (ii) and struck out former cl. (ii) which read as follows: “the requirements of subclause (I) or (II) of subparagraph (A)(ii) are met; or”.

Pub. L. 103–296, § 107(a)(4)Subsecs. (g), (h). , substituted “Commissioner of Social Security” for “Secretary” wherever appearing, “the Commissioner’s” for “his” in subsec. (h)(1), and “Commissioner’s” for “Secretary’s” in subsec. (h)(2).

Pub. L. 103–296, § 321(a)(19)Subsec. (i). , inserted heading.

Pub. L. 101–508, § 5103(a)(1)1990—Subsec. (d)(2)(A). , struck out “(except a widow, surviving divorced wife, widower, or surviving divorced husband for purposes of section 402(e) or (f) of this title)” after “An individual”.

Pub. L. 101–508, § 5103(a)(2)Subsec. (d)(2)(B), (C). , (3), redesignated subpar. (C) as (B) and struck out former subpar. (B) which read as follows: “A widow, surviving divorced wife, widower, or surviving divorced husband shall not be determined to be under a disability (for purposes of section 402(e) or (f) of this title) unless his or her physical or mental impairment or impairments are of a level of severity which under regulations prescribed by the Secretary is deemed to be sufficient to preclude an individual from engaging in any gainful activity.”

Pub. L. 101–508, § 5118(a)Subsec. (e). , designated existing provision as par. (1) and added par. (2).

Pub. L. 101–508, § 5103(b)(5)Subsec. (f). , struck out “(or gainful activity in the case of a widow, surviving divorced wife, widower, or surviving divorced husband),” after “gainful activity” in two places in first sentence following par. (4).

Pub. L. 101–508, § 5103(b)(2)Subsec. (f)(1)(B). , amended subpar. (B) generally. Prior to amendment, subpar. (B) read as follows:

“(B)(i) the individual is now able to engage in substantial gainful activity, or

section 402(e) of this title section 402(f) of this title“(ii) if the individual is a widow or surviving divorced wife under or a widower or surviving divorced husband under , the severity of his or her impairment or impairments is no longer deemed, under regulations prescribed by the Secretary, sufficient to preclude the individual from engaging in gainful activity; or”.

Pub. L. 101–508, § 5103(b)(3)Subsec. (f)(2)(A)(ii). , amended cl. (ii) generally. Prior to amendment, cl. (ii) read as follows:

“(ii)(I) the individual is now able to engage in substantial gainful activity, or

section 402(e) of this title section 402(f) of this title“(II) if the individual is a widow or surviving divorced wife under or a widower or surviving divorced husband under , the severity of his or her impairment or impairments is no longer deemed under regulations prescribed by the Secretary sufficient to preclude the individual from engaging in gainful activity, or”.

Pub. L. 101–508, § 5103(b)(4)Subsec. (f)(3). , substituted “therefore the individual is able to engage in substantial gainful activity; or” for “therefore—” and subpars. (A) and (B) which read as follows:

“(A) the individual is able to engage in substantial gainful activity, or

section 402(e) of this title section 402(f) of this title“(B) if the individual is a widow or surviving divorced wife under or a widower or surviving divorced husband under , the severity of his or her impairment or impairments is not deemed under regulations prescribed by the Secretary sufficient to preclude the individual from engaging in gainful activity; or”.

Pub. L. 101–508, § 5102(1)Subsec. (g)(1). , inserted “or” before “(ii)” and substituted “pending” for “pending, or (iii) June 1991” before period at end.

Pub. L. 101–508, § 5102(2)Subsec. (g)(3). , struck out par. (3) which read as follows: “The provisions of paragraphs (1) and (2) shall apply with respect to determinations (that individuals are not entitled to benefits) which are made—

January 12, 1983section 421(d) of this title“(A) on or after , or prior to such date but only on the basis of a timely request for a hearing under , or for an administrative review prior to such hearing, and

January 1, 1991“(B) prior to .”

Pub. L. 101–239, § 10305(c)1989—Subsec. (f). , inserted after first sentence of concluding provisions “In making for purposes of the preceding sentence any determination relating to fraudulent behavior by any individual or failure by any individual without good cause to cooperate or to take any required action, the Secretary shall specifically take into account any physical, mental, educational, or linguistic limitation such individual may have (including any lack of facility with the English language).”

Pub. L. 101–239, § 10101(1)Subsec. (g)(1)(iii). , substituted “1991” for “1990”.

Pub. L. 101–239, § 10305(d)Subsec. (g)(2)(B). , inserted at end “In making for purposes of this subparagraph any determination of whether any individual’s appeal is made in good faith, the Secretary shall specifically take into account any physical, mental, educational, or linguistic limitation such individual may have (including any lack of facility with the English language).”

Pub. L. 101–239, § 10101(2)Subsec. (g)(3)(B). , substituted “1991” for “1990”.

Pub. L. 100–647, § 8006(1)1988—Subsec. (g)(1)(iii). , substituted “June 1990” for “June 1989”.

Pub. L. 100–647, § 8006(2)January 1, 1990January 1, 1989Subsec. (g)(3)(B). , substituted “” for “”.

Pub. L. 100–647, § 8001(a)Subsecs. (h), (i). , added subsec. (h) and redesignated former subsec. (h) as (i).

Pub. L. 100–203, § 9010(a)1987—Subsec. (a)(1). , substituted “36 months” for “15 months”.

Pub. L. 100–203, § 9010(e)(2)Subsec. (e). , substituted “36-month period” for “15-month period”.

Pub. L. 100–203, § 9009(1)Subsec. (g)(1). , substituted “June 1989” for “June 1988” in cl. (iii) at end.

Pub. L. 100–203, § 9009(2)January 1, 1989January 1, 1988Subsec. (g)(3)(B). , substituted “” for “”.

Pub. L. 99–2721986—Subsec. (e). inserted “(d)(6)(A)(ii), (d)(6)(B),” after “(d)(1)(B)(ii)”.

Pub. L. 99–514Subsec. (g)(1). struck out second comma after “payment of such benefits” in provisions following subpar. (C).

Pub. L. 98–369, § 2662(c)(2)Pub. L. 98–21, § 201(c)(3)1984—Subsec. (a)(1)(B). , made a clarifying amendment to . See 1983 Amendment note below.

Pub. L. 98–369, § 2661(m)Subsec. (c)(1)(B). , realigned margins of subpar. (B).

Pub. L. 98–369, § 2663(a)(16)Subsec. (d)(2)(A). , substituted “An individual” for “an individual”.

Pub. L. 98–460, § 4(a)(1)Subsec. (d)(2)(C). , added subpar. (C).

Pub. L. 98–460, § 9(b)(1)Subsec. (d)(5). , designated existing provisions as subpar. (A) and added subpar. (B).

Pub. L. 98–460, § 3(a)(1), inserted provisions requiring, in making determinations as to whether an individual is under a disability, that subjective statements as to pain or other symptoms alleged to be disabling be supplemented by, and considered together with, objective medical evidence of those symptoms showing the existence of a medical impairment resulting from anatomical, physiological, or psychological abnormalities.

Pub. L. 98–460, § 2(a)Subsec. (f). , amended subsec. (f) generally, substituting provisions relating to the standard of review for termination of disability benefits for provisions relating to suspension of benefits for inmates of penal institutions.

Pub. L. 98–460, § 7(a)(1)Subsec. (g)(1). , in provisions following subpar. (C) substituted reference to benefits under this subchapter for reference to benefits under this chapter, inserted references to the payment of mother’s or father’s insurance benefits to such individual’s mother or father based on the disability of such individual as a child who has attained age 16, substituted reference to benefits under subchapter XVIII of this chapter based on such individual’s disability for reference to benefits under subchapter XVIII of this chapter, and substituted “June 1988” for “June 1984” in cl. (iii).

Pub. L. 98–460, § 7(a)(2)January 1, 1988December 7, 1983Subsec. (g)(3)(B). , substituted “” for “”.

Pub. L. 98–369, § 2662(i)Pub. L. 98–21, § 339(b)Subsec. (h). , amended , resulting in addition of subsec. (h) of this section. See 1983 Amendment note below.

Pub. L. 98–21, § 201(c)(1)(E)l1983—Subsec. (a)(1). , substituted “retirement age (as defined in section 416() of this title)” for “age 65”.

Pub. L. 98–21, § 201(c)(3)Pub. L. 98–369, § 2662(c)(2)lSubsec. (a)(1)(B). , as amended by , substituted “retirement age (as defined in section 416() of this title)” for “the age of sixty-five”.

Pub. L. 98–21, § 332(b)Subsec. (c)(1)(B)(iii). , added cl. (iii).

Pub. L. 98–21, § 309oSubsec. (d)(2). (), substituted “widower, or surviving divorced husband” for “or widower” wherever appearing.

Pub. L. 98–21, § 339(b)Pub. L. 98–369, § 2662(i)Subsec. (f). , before amendment by , struck out subsec. (f) relating to suspension of benefits for inmates of penal institutions. See note below for subsec. (h).

Pub. L. 97–455Subsec. (g). added subsec. (g).

Pub. L. 98–118December 7, 1983October 1, 1983Subsec. (g)(3)(B). substituted “” for “”.

Pub. L. 98–21, § 339(b)Pub. L. 98–369, § 2662(i)Subsec. (h). , as amended by , added subsec. (h).

Pub. L. 97–1231981—Subsec. (f)(3). added par. (3).

Pub. L. 96–265, § 303(b)(1)(A)1980—Subsec. (a)(1). , inserted reference to subsec. (e) of this section and provisions relating to an individual’s termination month.

Pub. L. 96–265, § 102(b)section 415(b)(2)(A)(ii) of this title section 402(q) of this titleSubsec. (a)(2). , substituted “Except as provided in section 402(q) and ” for “Except as provided in ”.

Pub. L. 96–265, § 306(c)Subsec. (b). , inserted provisions relating to limitations on the prospective effect of applications.

Pub. L. 96–265, § 302(a)(1)Subsec. (d)(4). , inserted provisions relating to extraordinary work expenses due to severe disability.

Pub. L. 96–265, § 309(a)Subsec. (d)(5). , inserted provisions relating to payment for existing medical evidence.

Pub. L. 96–473, § 5(a)(1)Subsec. (d)(6). , added par. (6).

Pub. L. 96–265, § 303(b)(2)(A)Subsec. (e). , added subsec. (e).

Pub. L. 96–473, § 5(c)Subsec. (f). , added subsec. (f).

Pub. L. 95–2161977—Subsec. (d)(4). inserted provisions relating to activities of blind individuals.

Pub. L. 92–603, § 118(a)(1)1972—Subsec. (a)(1). , inserted provision for filing of an application for disability insurance benefits after death of insured individual.

Pub. L. 92–603Subsec. (a)(2). , §§ 104(c), 118(a)(2). struck out “(if a woman) or age 65 (if a man)” after “attained age 62” and substituted “an individual” for “a woman”, “in which he attained age 62” for “in which she attained age 62”, and “the application for disability insurance benefits was filed and he was” for “he filed his application for disability insurance benefits and was”.

Pub. L. 92–603, § 118(a)(3)Subsec. (b). , substituted “if such application is filed” for “if he files such application”.

Pub. L. 92–603Subsec. (c)(1). , §§ 104(d), 117(b), struck out “(if a woman) or age 65 (if a man)” after “attained age 62” in subpar. (A) and in provisions following subpar. (B) inserted provisions eliminating the disability insured status requirement of substantial recent covered work in the case of individuals who are blind.

Pub. L. 92–603Subsec. (c)(2). , §§ 116(a), 118(a)(4), substituted “five consecutive calendar months” for “six consecutive calendar months” in provisions preceding subpar. (A), substituted “with respect to whom such application is filed” for “who files such application” in subpar. (A), and substituted “seventeenth” for “eighteenth” in subpar. (B).

Pub. L. 90–248, § 158(c)(6)1968—Subsec. (a)(1). –(8), substituted in subpar. (D) reference to “subsection (d)” for “subsection (c)(2)”, in text of first sentence following subpar. (D) reference to “subsection (c)(2)” for “subsection (c)(3)”, and in last sentence following subpar. (D) reference to “subsection (d) except for paragraph (1)(B) thereof” for “subsection (c)(2) except for subparagraph (B) thereof”, respectively.

Pub. L. 90–248, § 158(a)Subsec. (c). , restricted heading to definitions of “insured status” and “waiting period”, struck out former par. (2) defining “disability” and requiring medical and other evidence of disability, now incorporated in subsec. (d)(1)(A), (5) of this section, and redesignated former par. (3) as (2).

Pub. L. 90–248, § 105(b)section 416(i)(1) of this titleSubsec. (c)(1)(B)(ii). , substituted in cl. (ii) “before the quarter in which he attains” for “before he attains” and struck out “and he is under a disability by reason of blindness (as defined in )” after “age 31”.

Pub. L. 90–248, § 158(b)Subsec. (d). , redesignated former first sentence of former subsec. (c)(2), comprising subpars. (A) and (B), as par. (1)(A), (B), added pars. (2) to (4), and redesignated former second sentence of former subsec. (c)(2) as par. (5).

Pub. L. 89–97 section 402 of this title1965—Subsec. (a)(1). , §§ 303(b)(3), 344(c), struck out from subpar. (D) “at the time such application is filed,” after parenthetical provision and from provisions following subpar. (D) “the first month for which he is entitled to old-age insurance benefits” after “age 65,”; and prohibit payment to an individual who would not meet the definition of disability in subsec. (c)(2) except for subpar. (B) thereof for any month in which he engages in substantial gainful activity, and payment for such month under subsec. (b), (c), or (d) of to any person on the basis of the wages and self-employment income of such individual, respectively.

Pub. L. 89–97 section 402(q) of this titleSubsec. (a)(2). , §§ 302(e), 304(m), inserted in first sentence “and was entitled to an old-age insurance benefit for each month for which (pursuant to subsection (b)) he was entitled to a disability insurance benefit” and “Except as provided in ” and in last sentence substituted “shall not include the year” for “shall not include the first year” and struck out “both was fully insured and had” before “attained age 62” in two places, respectively.

Pub. L. 89–97, § 304(n)Subsec. (a)(3). , repealed par. (3) which prohibited an individual from becoming entitled to disability insurance benefits if he is entitled to a widow’s, widower’s, or parent’s insurance benefit, or an old-age, wife’s or husband’s insurance benefit.

Pub. L. 89–97Subsec. (b). , §§ 303(c), 328(c), struck out from last sentence “after June 1957” after “for any months” and substituted “before” for “prior to” where first appearing and “if he files such application before the end of the 12th month immediately succeeding such month” for “if he is continuously under a disability after such month and until he files application therefor and he files said application prior to the end of the twelfth month immediately succeeding such month”; and substituted provisions calling for an application for benefits filed before the first month in which the applicant satisfies the requirements for such benefits to be deemed a valid application only if the applicant satisfies the requirements before the Secretary makes a final decision on the application and calling for the application to be deemed filed in the first month if the applicant is found to satisfy the requirements for provisions placing an outer limit on the time prior to entitlement during which an application would be deemed filed during the first month prior to entitlement, respectively.

Pub. L. 89–97, § 344(b)Subsec. (c)(1). , removed from existing subpar. (B) provision prohibiting the inclusion, as part of such 40-quarter period, of any quarter any part of which was included in a prior period of disability unless such quarter was a quarter of coverage, and designated such subpar., as so amended as subpar. (B)(i), added subpar. (B)(ii), and added the material following subpar. (B)(ii) prohibiting inclusion of any quarter as part of any period if any part of such quarter was included in a prior period of disability unless such quarter was a quarter of coverage and calling for reduction by one of the number of quarters in any period whenever such number of quarters is an odd number.

Pub. L. 89–97, § 303(a)(2)Subsec. (c)(2)(A). , designated existing provisions as subpar. (A) and substituted “which has lasted or can be expected to last for a continuous period of not less than 12 months; or” for “to be of long-continued and indefinite duration”.

Pub. L. 89–97, § 344(d)Subsec. (c)(2)(B). , added subpar. (B).

Pub. L. 89–97, § 303(b)(4)Subsec. (c)(3)(A). , struck out “which continues until such application is filed” after “disability”.

Pub. L. 87–64, § 102(b)(2)(C)1961—Subsec. (a)(1). , substituted “the month in which he attains age 65, the first month for which he is entitled to old-age insurance benefits” for “the month in which he attains the age of sixty-five”.

Pub. L. 87–64, § 102(c)(2)(C)Subsec. (a)(2). , (3)(D), substituted “as though he had attained age 62 (if a woman) or age 65 (if a man)” for “as though he had attained retirement age”, and “fully insured and had attained age 62” for “fully insured and had attained retirement age”, in two places.

Pub. L. 87–64, § 102(b)(2)(B)Subsec. (a)(3). , added par. (3).

Pub. L. 87–64, § 102(c)(3)(E)Subsec. (c)(1)(A). , substituted “attained age 62 (if a woman) or age 65 (if a man)” for “attained retirement age”.

Pub. L. 86–7781960—Subsec. (a)(1). , §§ 401(a), 402(a), 403(b), struck out provisions from cl. (B) which required an individual to have attained the age of 50, inserted provisions authorizing payment of benefits to an individual for each month beginning with the first month during all of which he is under a disability and in which he becomes so entitled to such insurance benefits, but only if he was entitled to disability insurance benefits which terminated, or had a period of disability which ceased, within the 60-month period preceding the first month in which he is under such disability, and substituted provisions requiring benefits to end with the month preceding whichever of the following is the earliest: the month in which he dies, the month in which he attains the age of 65, or the third month following the month in which his disability ceases for provisions which required the benefits to end with the month preceding the first month in which any of the following occurs: his disability ceases, he dies, or he attains the age of 65.

Pub. L. 86–778, § 303(f)section 402(b) of Pub. L. 86–778 section 415 of this titleSubsec. (a)(2). , amended generally subsec. (a)(2), as amended by which read as follows: “Such individual’s disability insurance benefit for any month shall be equal to his primary insurance amount for such month determined under as though he became entitled to old-age insurance benefits in—

“(A) the first month of his waiting period, or

“(B) in any case in which clause (ii) of paragraph (1) of this subsection is applicable, the first month for which he becomes so entitled to such disability insurance benefits.”

Pub. L. 86–778, § 402(b)section 415 of this title, amended subsec. (a)(2) generally. Prior to amendment, subsec. (a)(2) read as follows: “Such individual’s disability insurance benefit for any month shall be equal to his primary insurance amount for such month determined under as though he became entitled to old-age insurance benefits in the first month of his waiting period.”

Pub. L. 86–778, § 402(c)Subsec. (b). , (d), prohibited acceptance of an application, in any case in which cl. (ii) of par. (1) of subsec. (a) of this section is applicable, if it is filed more than six months before the first month for which the applicant becomes entitled to benefits, inserted provisions requiring any application filed within the nine months’ period or six months’ period, as the case may be, to be deemed to have been filed in such first month, and substituted “if he is continuously under a disability after such month and until he files application therefor, and he files such application” for “if he files application therefor”.

Pub. L. 86–778, § 401(b)Subsec. (c)(3). , struck out provisions which prohibited a waiting period for any individual from beginning before the first day of the sixth month before the month in which he attains the age of 50.

Pub. L. 85–840, § 202(a)1958—Subsec. (b). , provided that individuals who would have been entitled to disability insurance benefits for any month after June 1957 had they filed application therefor prior to the end of such month shall be entitled to disability benefits for such month if they file application therefor prior to the end of the twelfth month immediately succeeding such month.

Pub. L. 85–840, § 204(b)Subsec. (c)(1). , substituted “fully insured” for “fully and currently insured” in cl. (A).

Pub. L. 85–840, § 202(b)Subsec. (c)(3). , inserted “which continues until such application is filed” after “under a disability” in cl. (A), and substituted “eighteenth month” for “sixth month” in three instances in cl. (B).

Statutory Notes and Related Subsidiaries

Effective Date of 2020 Amendment

Pub. L. 116–250, § 2(b)Dec. 22, 2020134 Stat. 1128 Pub. L. 117–3, § 1(a)Mar. 23, 2021135 Stat. 246

Dec. 22, 2020“The amendment made by this section [amending this section] shall apply with respect to applications for disability insurance benefits approved after the date that is 5 months before the date of enactment of this Act [].”

, , , as amended by , , , provided that:

Pub. L. 117–3, § 1(b)Mar. 23, 2021135 Stat. 246

section 2(b) of Pub. L. 116–250 Public Law 116–250“The amendment made by this section [amending , set out above] shall take effect as if included in the enactment of the ALS Disability Insurance Access Act of 2019 ().”

[, , , provided that: ]

Pub. L. 117–3, § 1(a)Mar. 23, 2021135 Stat. 246 section 2(b) of Pub. L. 116–250[, , , which directed substitution of “applications for disability insurance benefits approved after the date that is 5 months before the date of enactment of this Act” for “applications for disability insurance benefits filed after the date of enactment of this Act” in , set out above, was executed by making the substitution for “applications for disability insurance benefits filed after the date of the enactment of this Act” to reflect the probable intent of Congress.]

Effective Date of 2015 Amendment

Pub. L. 114–74, title VIII, § 812(c)Nov. 2, 2015129 Stat. 602

“The amendment made by subsection (a) [amending this section] shall apply with respect to determinations of disability made on or after the earlier of—

“(1)

the effective date of the regulations issued by the Commissioner under subsection (b) [set out as a note under this section]; or

“(2)

Nov. 2, 2015 one year after the date of the enactment of this Act [].”

, , , provided that:

Pub. L. 114–74, title VIII, § 825(b)Nov. 2, 2015129 Stat. 611

Nov. 2, 2015“The amendment made by subsection (a) [amending this section] shall take effect upon the date of the enactment of this Act [], or as soon as practicable thereafter.”

, , , provided that:

Effective Date of 2004 Amendment

Pub. L. 108–203Jan. 1, 2004section 211(c) of Pub. L. 108–203 section 414 of this titleAmendment by applicable to benefit applications based on social security account numbers issued on or after , see , set out as a note under .

Effective Date of 1999 Amendment

Pub. L. 106–170, title I, § 112(c)Dec. 17, 1999113 Stat. 1886

“(1)

In general .—

section 1383 of this titleDec. 17, 1999The amendments made by this section [amending this section and ] shall take effect on the first day of the thirteenth month beginning after the date of the enactment of this Act [].

“(2)

Limitation .—

42 U.S.C. 401 42 U.S.C. 423(i)No benefit shall be payable under title II or XVI [of the Social Security Act, et seq., 1381 et seq.] on the basis of a request for reinstatement filed under section 223(i) or 1631(p) of the Social Security Act (, 1383(p)) before the effective date described in paragraph (1).”

, , , provided that:

Effective Date of 1996 Amendment

section 102(b)(2) of Pub. L. 104–121 section 102(c) of Pub. L. 104–121 section 403 of this titleAmendment by applicable with respect to taxable years ending after 1995, see , set out as a note under .

section 105(a)(1) of Pub. L. 104–121Mar. 29, 1996Mar. 29, 1996section 105(a)(5) of Pub. L. 104–121 section 405 of this titleAmendment by applicable to individual who applies for, or whose claim is finally adjudicated with respect to, benefits under this subchapter based on disability on or after , with special rule for any individual who applied, and whose claim has been finally adjudicated, before , see , set out as a note under .

Effective Date of 1994 Amendment

section 107(a)(4) of Pub. L. 103–296Mar. 31, 1995section 110(a) of Pub. L. 103–296 section 401 of this titleAmendment by effective , see , set out as a note under .

section 321(f)(1) of Pub. L. 103–296 Pub. L. 101–508 section 321(f)(5) of Pub. L. 103–296 section 405 of this titleAmendment by effective as if included in the provisions of the Omnibus Budget Reconciliation Act of 1990, , to which such amendment relates, see , set out as a note under .

Effective Date of 1990 Amendment

Pub. L. 101–508Jan. 1, 1991section 5103(e) of Pub. L. 101–508 section 402 of this titleAmendment by section 5103(a), (b)(2)–(5) of applicable with respect to monthly insurance benefits for months after December 1990 for which applications are filed on or after , or are pending on such date, see , set out as a note under .

Pub. L. 101–508, title V, § 5118(b)Nov. 5, 1990104 Stat. 1388–278

Nov. 5, 1990“The amendments made by subsection (a) [amending this section] shall apply with respect to benefits for months after the date of the enactment of this Act [].”

, , , provided that:

Effective Date of 1989 Amendment

Pub. L. 101–239July 1, 1990section 10305(f) of Pub. L. 101–239 section 403 of this titleAmendment by section 10305(c), (d) of applicable with respect to determinations made on or after , see , set out as a note under .

Effective Date of 1988 Amendment

Pub. L. 100–647, title VIII, § 8001(c)Nov. 10, 1988102 Stat. 3779

section 1383 of this titleNov. 10, 1988“The amendments made by this section [amending this section and ] shall apply to determinations by administrative law judges of entitlement to benefits made after 180 days after the date of the enactment of this Act [].”

, , , provided that:

Effective Date of 1987 Amendment

Pub. L. 100–203Jan. 1, 1988section 402 of this title section 402 of this title section 9010 of Pub. L. 100–203Jan. 1, 1988section 9010(f) of Pub. L. 100–203 section 402 of this titleAmendment by section 9010(a), (e)(2) of effective , and applicable with respect to individuals entitled to benefits under specific provisions of this section and for any month after December 1987, and individuals entitled to benefits payable under specific provisions of this section and for any month before January 1988 and with respect to whom the 15-month period described in the applicable provision amended by has not elapsed as of , see , set out as a note under .

Effective Date of 1986 Amendment

Pub. L. 99–272Dec. 1, 1980section 12107(c) of Pub. L. 99–272 section 402 of this titleAmendment by effective , and applicable with respect to any individual who is under a disability (as defined in subsection (d) of this section) on or after that date, see , set out as a note under .

Effective Date of 1984 Amendment

Pub. L. 98–460, § 2(d)Oct. 9, 198498 Stat. 1797

“(1)

The amendments made by this section [amending this section and sections 416 and 1382c of this title and enacting provisions set out as notes under this section] shall apply only as provided in this subsection.

“(2)

The amendments made by this section shall apply to—

“(A)

Oct. 9, 1984 determinations made by the Secretary on or after the date of the enactment of this Act [];

“(B)

Oct. 9, 198442 U.S.C. 405 determinations with respect to which a final decision of the Secretary has not yet been made as of the date of the enactment of this Act [] and with respect to which a request for administrative review is made in conformity with the time limits, exhaustion requirements, and other provisions of section 205 of the Social Security Act [] and regulations of the Secretary;

“(C)

September 19, 1984 determinations with respect to which a request for judicial review was pending on , and which involve an individual litigant or a member of a class in a class action who is identified by name in such pending action on such date; and

“(D)

Oct. 9, 1984 determinations with respect to which a timely request for judicial review is or has been made by an individual litigant of a final decision of the Secretary made within 60 days prior to the date of the enactment of this Act [].

In the case of determinations described in subparagraphs (C) and (D) in actions relating to medical improvement, the court shall remand such cases to the Secretary for review in accordance with the provisions of the Social Security Act as amended by this section.

“(3)

42 U.S.C. 401 In the case of a recipient of benefits under title II, XVI, or XVIII of the Social Security Act [ et seq., 1381 et seq., 1395 et seq.]—

“(A)

who has been determined not to be entitled to such benefits on the basis of a finding that the physical or mental impairment on the basis of which such benefits were provided has ceased, does not exist, or is not disabling, and

“(B)

September 19, 1984September 19, 1984 who was a member of a class certified on or before , in a class action relating to medical improvement pending on , but was not identified by name as a member of the class on such date,

the court shall remand such case to the Secretary. The Secretary shall notify such individual by certified mail that he may request a review of the determination described in subparagraph (A) based on the provisions of this section and the provisions of the Social Security Act as amended by this section. Such notification shall specify that the individual must request such review within 120 days after the date on which such notification is received. If such request is made in a timely manner, the Secretary shall make a review of the determination described in subparagraph (A) in accordance with the provisions of this section and the provisions of the Social Security Act as amended by this section. The amendments made by this section shall apply with respect to such review, and the determination described in subparagraph (A) (and any redetermination resulting from such review) shall be subject to further administrative and judicial review, only if such request is made in a timely manner.

“(4)

42 U.S.C. 405 The decision by the Secretary on a case remanded by a court pursuant to this subsection shall be regarded as a new decision on the individual’s claim for benefits, which supersedes the final decision of the Secretary. The new decision shall be subject to further administrative review and to judicial review only in conformity with the time limits, exhaustion requirements, and other provisions of section 205 of the Social Security Act [] and regulations issued by the Secretary in conformity with such section.

“(5)

September 19, 1984September 19, 1984 No class in a class action relating to medical improvement may be certified after , if the class action seeks judicial review of a decision terminating entitlement (or a period of disability) made by the Secretary of Health and Human Services prior to .

“(6)

42 U.S.C. 401 For purposes of this subsection, the term ‘action relating to medical improvement’ means an action raising the issue of whether an individual who has had his entitlement to benefits under title II, XVI, or XVIII of the Social Security Act [ et seq., 1381 et seq., 1395 et seq.] based on disability terminated (or period of disability ended) should not have had such entitlement terminated (or period of disability ended) without consideration of whether there has been medical improvement in the condition of such individual (or another individual on whose disability such entitlement is based) since the time of a prior determination that the individual was under a disability.”

, , , provided that:

Pub. L. 98–460, § 3(a)(3)Oct. 9, 198498 Stat. 1799

section 1382c of this titleJanuary 1, 1987“The amendments made by paragraphs (1) and (2) [amending this section and ] shall apply to determinations made prior to .”

, , , provided that:

Pub. L. 98–460, § 4(c)Oct. 9, 198498 Stat. 1801

Oct. 9, 1984“The amendments made by this section [amending this section and sections 416 and 1382c of this title] shall apply with respect to determinations made on or after the first day of the first month beginning after 30 days after the date of the enactment of this Act [].”

, , , provided that:

Pub. L. 98–460, § 9(b)(2)Oct. 9, 198498 Stat. 1805

Oct. 9, 1984“The amendments made by this subsection [amending this section] shall apply to determinations made on or after the date of the enactment of this Act [].”

, , , provided that:

Pub. L. 98–369 Pub. L. 98–21 section 2664(a) of Pub. L. 98–369 section 401 of this titleAmendment by sections 2661(m) and 2662(c)(2), (i) of effective as though included in the enactment of the Social Security Amendments of 1983, , see , set out as a note under .

section 2663(a)(16) of Pub. L. 98–369July 18, 1984section 2664(b) of Pub. L. 98–369 section 401 of this titleAmendment by effective , but not to be construed as changing or affecting any right, liability, status, or interpretation which existed (under the provisions of law involved) before that date, see , set out as a note under .

Effective Date of 1983 Amendment

oPub. L. 98–21 section 310 of Pub. L. 98–21 section 402 of this titleAmendment by section 309() of applicable only with respect to monthly payments payable under this subchapter for months after April, 1983, see , set out as a note under .

section 332(b) of Pub. L. 98–21Apr. 20, 1983section 332(c) of Pub. L. 98–21 section 416 of this titleAmendment by effective with respect to applications for disability insurance benefits under this section filed after , except that no monthly benefits under this subchapter shall be payable or increased by reason of such amendment for months before the month following April, 1983, see , set out as a note under .

section 339(b) of Pub. L. 98–21April 20, 1983section 339(c) of Pub. L. 98–21 section 402 of this titleAmendment by applicable with respect to monthly benefits payable for months beginning on or after , see , set out as a note under .

Effective Date of 1980 Amendment

Pub. L. 96–473Oct. 1, 1980section 5(d) of Pub. L. 96–473 section 402 of this titleAmendment by effective with respect to benefits payable for months beginning on or after , see , set out as a note under .

section 102(b) of Pub. L. 96–265 section 102(c) of Pub. L. 96–265 section 415 of this titleFor effective date of amendment by , see , set out as a note under .

Pub. L. 96–265, title III, § 302(c)June 9, 198094 Stat. 451

June 9, 1980“The amendments made by this section [amending this section and sections 1382a and 1382c of this title] shall apply with respect to expenses incurred on or after the first day of the sixth month which begins after the date of the enactment of this Act [].”

, , , provided that:

Pub. L. 96–265 section 303(d) of Pub. L. 96–265 section 402 of this titleFor effective date of amendment by section 303(b)(1)(A), (2)(A) of , see , set out as a note under .

section 306(c) of Pub. L. 96–265 section 306(d) of Pub. L. 96–265 section 402 of this titleAmendment by applicable to applications filed after June 1980, see , set out as a note under .

Pub. L. 96–265, title III, § 309(b)June 9, 198094 Stat. 459

June 9, 1980“The amendment made by subsection (a) [amending this section] shall apply with respect to evidence requested on or after the first day of the sixth month which begins after the date of the enactment of this Act [].”

, , , provided that:

Effective Date of 1972 Amendment

Pub. L. 92–603 section 104(j) of Pub. L. 92–603 section 414 of this titleAmendment by section 104(c), (d) of applicable only in the case of a man who attains (or would attain) age 62 after Dec. 1974, with the figure “65” in subsec. (c)(1)(A) of this section to be deemed to read “64” in the case of a man who attains age 62 in 1973, and deemed to read “63” in the case of a man who attains age 62 in 1974, see , set out as an Effective Date of 1972 Amendment note under .

Pub. L. 92–603, title I, § 116(e)Oct. 30, 197286 Stat. 1350

42 U.S.C. 423 42 U.S.C. 402 42 U.S.C. 416(i)“The amendments made by this section [amending this section and sections 402 and 416 of this title] shall be effective with respect to applications for disability insurance benefits under section 223 of the Social Security Act [], applications for widow’s and widower’s insurance benefits based on disability under section 202 of such Act [], and applications for disability determinations under section 216(i) of such Act [], filed—

“(1)

in or after the month in which this Act is enacted [October 1972], or

“(2)

before the month in which this Act is enacted, if—

“(A)

notice of the final decision of the Secretary of Health, Education, and Welfare [now Health and Human Services] has not been given to the applicant before such month, or

“(B)

42 U.S.C. 405(g) the notice referred to in subparagraph (A) has been so given before such month but a civil action with respect to such final decision is commenced under section 205(g) of the Social Security Act [] (whether before, in, or after such month) and the decision in such civil action has not become final before such month;

42 U.S.C. 401except that no monthly benefits under title II of the Social Security Act [ et seq.] shall be payable or increased by reason of the amendments made by this section for any month before January 1973.”

, , , provided that:

Pub. L. 92–603, title I, § 117(c)Oct. 30, 197286 Stat. 1351

section 416 of this title 42 U.S.C. 423 42 U.S.C. 416(i)“The amendments made by this section [amending this section and ] shall be effective with respect to applications for disability insurance benefits under section 223 of the Social Security Act [], and for disability determinations under section 216(i) of such Act [], filed—

“(1)

in or after the month in which this Act is enacted, or

“(2)

before the month in which this Act is enacted if—

“(A)

notice of the final decision of the Secretary of Health, Education, and Welfare [now Health and Human Services] has not been given to the applicant before such month; or

“(B)

42 U.S.C. 401except that no monthly benefits under title II of the Social Security Act [ et seq.] shall be payable or increased by reason of the amendments made by this section for months before January 1973.”

, , , provided that:

section 118(a) of Pub. L. 92–603Dec. 31, 1969Dec. 31, 1969Oct. 30, 1972section 118(c) of Pub. L. 92–603 section 416 of this titleAmendment by applicable in the case of deaths occurring after , with any applications with respect to an individual whose death occurred after , but before , to be deemed to have been filed in the month in which death occurred if filed in or within three months after Oct. 1972, see , set out as a note under .

Effective Date of 1968 Amendment

section 105(b) of Pub. L. 90–248 section 105(c) of Pub. L. 90–248 section 416 of this titleAmendment by applicable with respect to monthly benefits under this subchapter for months after January 1968, but only on the basis of applications for such benefits filed in or after January 1968, see , set out as a note under .

Pub. L. 90–248, title I, § 158(e)Jan. 2, 196881 Stat. 869

42 U.S.C. 423 42 U.S.C. 416(i)“The amendments made by this section [amending this section and sections 402, 416, 421, 422, and 425 of this title] shall be effective with respect to applications for disability insurance benefits under section 223 of the Social Security Act [], and for disability determinations under section 216(i) of such Act [], filed—

“(1)

in or after the month in which this Act is enacted [January 1968], or

“(2)

before the month in which this Act is enacted if the applicant has not died before such month and if—

“(A)

notice of the final decision of the Secretary of Health, Education, and Welfare [now Health and Human Services] has not been given to the applicant before such month; or

“(B)

, , , provided that:

Effective Date of 1965 Amendment

section 302(e) of Pub. L. 89–97 section 302(f)(5) of Pub. L. 89–97 section 415 of this titleAmendment by applicable in the case of individuals who become entitled to disability insurance benefits under this section after December 1965, see , set out as a note under .

Pub. L. 89–97, title III, § 303(f)(1)July 30, 196579 Stat. 368

section 416 of this title section 402 of this title 42 U.S.C. 416(i)(2)42 U.S.C. 423“The amendments made by subsection (a) [amending this section and ], paragraphs (3) and (4) of subsection (b) [amending this section], and subsections (c) and (d) [amending this section and ], and the provisions of subparagraphs (B) and (E) of section 216(i)(2) of the Social Security Act [] (as amended by subsection (b)(1) of this section), shall be effective with respect to applications for disability insurance benefits under section 223 [], and for disability determinations under section 216(i), of the Social Security Act filed—

“(A)

in or after the month in which this Act is enacted [July 1965], or

“(B)

before the month in which this Act is enacted, if the applicant has not died before such month and if—

“(i)

notice of the final decision of the Secretary of Health, Education, and Welfare [now Health and Human Services] has not been given to the applicant before such month; or

“(ii)

42 U.S.C. 405(g) the notice referred to in subparagraph (i) has been so given before such month but a civil action with respect to such final decision is commenced under section 205(g) of the Social Security Act [] (whether before, in, or after such month) and the decision in such civil action has not become final before such month;

42 U.S.C. 401 section 416 of this title 42 U.S.C. 423except that no monthly insurance benefits under title II of the Social Security Act [ et seq.] shall be payable or increased by reason of the amendments made by subsections (a) and (b) [amending this section and ] for months before the second month following the month in which this Act is enacted [July 1965]. The preceding sentence shall also be applicable in the case of applications for monthly insurance benefits under title II of the Social Security Act based on the wages and self-employment income of an applicant with respect to whose application for disability insurance benefits under section 223 of such Act [] such preceding sentence is applicable.”

, , , provided that:

Pub. L. 89–97oPub. L. 89–97 section 402 of this titleAmendment by section 304(m), (n) of applicable with respect to monthly insurance benefits under this subchapter for and after the second month following July 1965 but only on the basis of applications filed in or after July 1965, see section 304() of , set out as a note under .

section 328(c) of Pub. L. 89–97July 30, 1965July 30, 1965section 405(g) of this titleJuly 30, 1965July 30, 1965section 328(d) of Pub. L. 89–97 section 416 of this titleAmendment by applicable with respect to applications filed on or after , applications as to which the Secretary has not made a final decision before , and, if a civil action with respect to a final decision of the Secretary has been commenced under before , applications as to which there has been no final judicial decision before , see , set out as a note under .

Pub. L. 89–97 section 344(e) of Pub. L. 89–97 section 416 of this titleAmendment by section 344(b)–(d) of applicable only with respect to monthly benefits under subchapter II of this chapter for months after August 1965 on the basis of applications for such benefits filed in or after July 1965, see , set out as a note under .

Effective Date of 1961 Amendment

Pub. L. 87–64Aug. 1, 1961Pub. L. 87–64August 1, 1961August 1, 1961Pub. L. 87–64 section 402 of this titleAmendment by section 102(b)(2)(B), (C) of effective , and amendment by section 102(c)(2)(C), (3)(D), (E) of applicable with respect to monthly benefits for months beginning on or after , based on applications filed in or after March 1961, and with respect to lump-sum death payments under this subchapter in the case of deaths on or after , see sections 102(f)(4), (6) and 109 of , set out as notes under .

Effective Date of 1960 Amendment

Pub. L. 86–778, title III, § 303(f)Sept. 13, 196074 Stat. 964, , , provided that the amendment made by such section 303(f) is effective with respect to individuals who become entitled to benefits under this section after 1960.

Pub. L. 86–778, title IV, § 401(c)Sept. 13, 196074 Stat. 967

42 U.S.C. 402“The amendments made by this section [amending this section] shall apply only with respect to monthly benefits under sections 202 and 223 of the Social Security Act [, 423] for months after the month following the month in which this Act is enacted [September 1960] which are based on the wages and self-employment income of an individual who did not attain the age of fifty in or prior to the month following the month in which this Act is enacted, but only where applications for such benefits are filed in or after the month in which this Act is enacted.”

, , , provided that:

Pub. L. 86–778, title IV, § 402(f)Sept. 13, 196074 Stat. 968

42 U.S.C. 423 section 416 of this title“The amendments made by subsections (a) and (b) [amending this section] shall apply only with respect to benefits under section 223 of the Social Security Act [] for the month in which this Act is enacted [September 1960] and subsequent months. The amendment made by subsection (c) [amending this section] shall apply only in the case of applications for benefits under such section 223 filed after the seventh month before the month in which this Act is enacted. The amendment made by subsection (d) [amending this section] shall apply only in the case of applications for benefits under such section 223 filed in or after the month in which this Act is enacted. The amendment made by subsection (e) [amending ] shall apply only in the case of individuals who become entitled to benefits under such section 223 in or after the month in which this Act is enacted.”

, , , provided that:

section 403(b) of Pub. L. 86–778 section 403(e) of Pub. L. 86–778 section 422 of this titleAmendment by applicable only with respect to benefits under this section for months after September 1960, in the case of individuals who, without regard to such amendment, would have been entitled to such benefits for September 1960, or for any succeeding month, see , set out as a note under .

Effective Date of 1958 Amendment

section 202 of Pub. L. 85–840 section 207(a) of Pub. L. 85–840 section 416 of this titleAmendment by applicable with respect to applications for disability insurance benefits under this section filed after December 1957, see , set out as a note under .

section 204(b) of Pub. L. 85–840 section 207(a) of Pub. L. 85–840 section 416 of this titleFor applicability of amendment by , see , set out as a note under .

Effective Date

Act Aug. 1, 1956, ch. 836, title I, § 103(d)70 Stat. 818

“(1)

42 U.S.C. 401 The amendment made by subsection (a) [enacting this section and sections 424 and 425 of this title] shall apply only with respect to monthly benefits under title II of the Social Security Act [ et seq.] for months after June 1957.

“(2)

For purposes of determining entitlement to a disability insurance benefit for any month after June 1957 and before December 1957, an application for disability insurance benefits filed by any individual after July 1957 and before January 1958 shall be deemed to have been filed during the first month after June 1957 for which such individual would (without regard to this paragraph) have been entitled to a disability insurance benefit had he filed application before the end of such month.”

, , provided that:

Regulations

Pub. L. 114–74, title VIII, § 812(b)Nov. 2, 2015129 Stat. 602

Nov. 2, 2015“Not later than 1 year after the date of the enactment of this Act [], the Commissioner of Social Security shall issue regulations to carry out the amendment made by subsection (a) [amending this section].”

, , , provided that:

Electronic Reporting of Earnings

Pub. L. 114–74, title VIII, § 826Nov. 2, 2015129 Stat. 611

“(a)

In General .—

September 30, 2017Not later than , the Commissioner of Social Security shall establish and implement a system that—

“(1)

42 U.S.C. 401 allows an individual entitled to a monthly insurance benefit based on disability under title II of the Social Security Act [ et seq.] (or a representative of the individual) to report to the Commissioner the individual’s earnings derived from services through electronic means, including by telephone and Internet; and

“(2)

automatically issues a receipt to the individual (or representative) after receiving each such report.

“(b)

Supplemental Security Income Reporting System as Model .—

42 U.S.C. 1381The Commissioner shall model the system established under subsection (a) on the electronic wage reporting systems for recipients of supplemental security income under title XVI of such Act [ et seq.].”

, , , provided that:

Election of Payments

Pub. L. 98–460, § 2(e)Oct. 9, 198498 Stat. 1798

42 U.S.C. 423(g)“Any individual whose case is remanded to the Secretary pursuant to subsection (d) [set out as a note above] or whose request for a review is made in a timely manner pursuant to subsection (d), may elect, in accordance with section 223(g) or 1631(a)(7) of the Social Security Act [, 1383(a)(7)], to have payments made beginning with the month in which he makes such election, and ending as under such section 223(g) or 1631(a)(7). Notwithstanding such section 223(g) or 1631(a)(7), such payments (if elected)—

“(1)

shall be made at least until an initial redetermination is made by the Secretary; and

“(2)

shall begin with the payment for the month in which such individual makes such election.”

, , , provided that:

Retroactive Benefits

Pub. L. 98–460, § 2(f)Oct. 9, 198498 Stat. 1799

“In the case of any individual who is found to be under a disability after a review required under this section, such individual shall be entitled to retroactive benefits beginning with benefits payable for the first month to which the most recent termination of benefits applied.”

, , , provided that:

Promulgation of Regulations

Pub. L. 98–460, § 2(g)Oct. 9, 198498 Stat. 1799

Oct. 9, 1984“The Secretary of Health and Human Services shall prescribe regulations necessary to implement the amendments made by this section [amending this section and sections 416 and 1382c of this title and enacting provisions set out as notes under this section] not later than 180 days after the date of the enactment of this Act [].”

, , , provided that:

Commission on Evaluation of Pain

Pub. L. 98–460, § 3(b)Oct. 9, 198498 Stat. 1799 Pub. L. 117–286, § 4(a)(248)Dec. 27, 2022136 Stat. 4333Dec. 31, 1985, , , as amended by , , , required the Secretary of Health and Human Services to appoint a Commission on the Evaluation of Pain consisting of at least twelve experts to conduct a study concerning the evaluation of pain in determining whether an individual is under a disability and to submit the results of the study no later than , after which the Commission would terminate.

Study and Report to Congressional Committees on Effect of Continued Payment of Disability Benefits During Appeal on Trust Fund Expenditures and the Rate of Appeals

Pub. L. 98–460, § 7(c)Oct. 9, 198498 Stat. 1804July 1, 1986, , , required the Secretary of Health and Human Services to conduct a study concerning the effect which the enactment and continued operation of subsec. (g) of this section was having on various Trust Funds and the rate of appeals to administrative law judges of unfavorable determinations relating to disability or periods of disability and submit the results no later than .

Special $50 Payment Under Tax Reduction Act of 1975

Mar. 29, 1975section 702 of Pub. L. 94–12 section 402 of this titleSpecial payment of $50 as soon as practicable after , by the Secretary of the Treasury to each individual who, for the month of March, 1975, was entitled to a monthly insurance benefit payable under this subchapter, see , set out as a note under .

Lump-Sum Payment of Disability Insurance Benefits for Period Beginning After 1959 and Ending Prior to 1964; Filing of Application

Pub. L. 92–603, title I, § 133Oct. 30, 197286 Stat. 1361

“(a)

42 U.S.C. 416(i)42 U.S.C. 423Oct. 30, 197242 U.S.C. 401 If an individual would (upon the timely filing of an application for a disability determination under section 216(i) of the Social Security Act [] and of an application for disability insurance benefits under section 223 of such Act []) have been entitled to disability insurance benefits under such section 223 for a period which began after 1959 and ended prior to 1964, such individual shall, upon filing application for disability insurance benefits under such section 223 with respect to such period not later than 6 months after the date of enactment of this section [], be entitled, notwithstanding any other provision of title II of the Social Security Act [ et seq.], to receive in a lump sum as disability insurance benefits payable under section 223, an amount equal to the total amounts of disability insurance benefits which would have been payable to him for such period if he had timely filed such an application for a disability determination and such an application for disability insurance benefits with respect to such period; but only if—

“(1)

Jan. 2, 196842 U.S.C. 416(i) prior to the date of enactment of this section and after the date of enactment of the Social Security Amendments of 1967 [] such period was determined (under section 216(i) of the Social Security Act []) to be a period of disability as to such individual; and

“(2)

the application giving rise to the determination (under such section 216(i)) that such period is a period of disability as to such individual would not have been accepted as an application for such a determination except for the provisions of section 216(i)(2)(F).

“(b)

No payment shall be made to any individual by reason of the provisions of subsection (a) except upon the basis of an application filed after the date of enactment of this section.”

, , , provided that:

Special Insured Status Test in Certain Cases for Disability Purposes

section 404 of Pub. L. 86–778 section 416 of this titleIndividuals not insured for disability benefits as determined under subsec. (c)(1) of this section with respect to any month in a quarter deemed to have met such requirements in certain cases, see , set out as a note under .