US Code
Part A— General Provisions
§ 1320a–6. Adjustments in SSI benefits on account of retroactive benefits under subchapter II

(a) Reduction in benefitsNotwithstanding any other provision of this chapter, in any case where an individual—(1) is entitled to benefits under subchapter II that were not paid in the months in which they were regularly due; and
(2) is an individual or eligible spouse eligible for supplemental security income benefits for one or more months in which the benefits referred to in clause (1) were regularly due,
then any benefits under subchapter II that were regularly due in such month or months, or supplemental security income benefits for such month or months, which are due but have not been paid to such individual or eligible spouse shall be reduced by an amount equal to so much of the supplemental security income benefits, whether or not paid retroactively, as would not have been paid or would not be paid with respect to such individual or spouse if he had received such benefits under subchapter II in the month or months in which they were regularly due. A benefit under subchapter II shall not be reduced pursuant to the preceding sentence to the extent that any amount of such benefit would not otherwise be available for payment in full of the maximum fee which may be recovered from such benefit by an attorney pursuant to subsection (a)(4) or (b) of section 406 of this title.
(b) “Supplemental security income benefits” definedFor purposes of this section, the term “supplemental security income benefits” means benefits paid or payable by the Commissioner of Social Security under subchapter XVI, including State supplementary payments under an agreement pursuant to section 1382e(a) of this title or an administration agreement under section 212(b) of Public Law 93–66.
(c) Reimbursement of the StateFrom the amount of the reduction made under subsection (a), the Commissioner of Social Security shall reimburse the State on behalf of which supplementary payments were made for the amount (if any) by which such State’s expenditures on account of such supplementary payments for the month or months involved exceeded the expenditures which the State would have made (for such month or months) if the individual had received the benefits under subchapter II at the times they were regularly due. An amount equal to the portion of such reduction remaining after reimbursement of the State under the preceding sentence shall be covered into the general fund of the Treasury.

Structure US Code

US Code

Title 42— THE PUBLIC HEALTH AND WELFARE

CHAPTER 7— SOCIAL SECURITY

SUBCHAPTER XI— GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE SIMPLIFICATION

Part A— General Provisions

§ 1301. Definitions

§ 1301–1. Omitted

§ 1301a. Omitted

§ 1302. Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals

§ 1303. Separability

§ 1304. Reservation of right to amend or repeal

§ 1305. Short title of chapter

§ 1306. Disclosure of information in possession of Social Security Administration or Department of Health and Human Services

§ 1306a. Public access to State disbursement records

§ 1306b. State data exchanges

§ 1306c. Restriction on access to the Death Master File

§ 1307. Penalty for fraud

§ 1308. Additional grants to Puerto Rico, Virgin Islands, Guam, and American Samoa; limitation on total payments

§ 1309. Amounts disregarded not to be taken into account in determining eligibility of other individuals

§ 1310. Cooperative research or demonstration projects

§ 1311. Public assistance payments to legal representatives

§ 1312. Medical care guides and reports for public assistance and medical assistance

§ 1313. Assistance for United States citizens returned from foreign countries

§ 1314. Public advisory groups

§ 1314a. Measurement and reporting of welfare receipt

§ 1314b. National Advisory Committee on the Sex Trafficking of Children and Youth in the United States

§ 1315. Demonstration projects

§ 1315a. Center for Medicare and Medicaid Innovation

§ 1315b. Providing Federal coverage and payment coordination for dual eligible beneficiaries

§ 1316. Administrative and judicial review of public assistance determinations

§ 1317. Appointment of the Administrator and Chief Actuary of the Centers for Medicare & Medicaid Services

§ 1318. Alternative Federal payment with respect to public assistance expenditures

§ 1319. Federal participation in payments for repairs to home owned by recipient of aid or assistance

§ 1320. Approval of certain projects

§ 1320a. Uniform reporting systems for health services facilities and organizations

§ 1320a–1. Limitation on use of Federal funds for capital expenditures

§ 1320a–1a. Transferred

§ 1320a–2. Effect of failure to carry out State plan

§ 1320a–2a. Reviews of child and family services programs, and of foster care and adoption assistance programs, for conformity with State plan requirements

§ 1320a–3. Disclosure of ownership and related information; procedure; definitions; scope of requirements

§ 1320a–3a. Disclosure requirements for other providers under part B of Medicare

§ 1320a–4. Issuance of subpenas by Comptroller General

§ 1320a–5. Disclosure by institutions, organizations, and agencies of owners, officers, etc., convicted of offenses related to programs; notification requirements; “managing employee” defined

§ 1320a–6. Adjustments in SSI benefits on account of retroactive benefits under subchapter II

§ 1320a–6a. Interagency coordination to improve program administration

§ 1320a–7. Exclusion of certain individuals and entities from participation in Medicare and State health care programs

§ 1320a–7a. Civil monetary penalties

§ 1320a–7b. Criminal penalties for acts involving Federal health care programs

§ 1320a–7c. Fraud and abuse control program

§ 1320a–7d. Guidance regarding application of health care fraud and abuse sanctions

§ 1320a–7e. Health care fraud and abuse data collection program

§ 1320a–7f. Coordination of medicare and medicaid surety bond provisions

§ 1320a–7g. Funds to reduce medicaid fraud and abuse

§ 1320a–7h. Transparency reports and reporting of physician ownership or investment interests

§ 1320a–7i. Reporting of information relating to drug samples

§ 1320a–7j. Accountability requirements for facilities

§ 1320a–7k. Medicare and Medicaid program integrity provisions

§ 1320a–7l. Nationwide program for national and State background checks on direct patient access employees of long-term care facilities and providers

§ 1320a–7m. Use of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse in the Medicare fee-for-service program

§ 1320a–7n. Disclosure of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse

§ 1320a–8. Civil monetary penalties and assessments for subchapters II, VIII and XVI

§ 1320a–8a. Administrative procedure for imposing penalties for false or misleading statements

§ 1320a–8b. Attempts to interfere with administration of this chapter

§ 1320a–9. Demonstration projects

§ 1320a–10. Effect of failure to carry out State plan

§ 1320b. Repealed. , ,

§ 1320b–1. Notification of Social Security claimant with respect to deferred vested benefits

§ 1320b–2. Period within which certain claims must be filed

§ 1320b–3. Applicants or recipients under public assistance programs not to be required to make election respecting certain veterans’ benefits

§ 1320b–4. Nonprofit hospital or critical access hospital philanthropy

§ 1320b–5. Authority to waive requirements during national emergencies

§ 1320b–6. Exclusion of representatives and health care providers convicted of violations from participation in social security programs

§ 1320b–7. Income and eligibility verification system

§ 1320b–8. Hospital protocols for organ procurement and standards for organ procurement agencies

§ 1320b–9. Improved access to, and delivery of, health care for Indians under subchapters XIX and XXI

§ 1320b–9a. Child health quality measures

§ 1320b–9b. Adult health quality measures

§ 1320b–10. Prohibitions relating to references to Social Security or Medicare

§ 1320b–11. Blood donor locator service

§ 1320b–12. Research on outcomes of health care services and procedures

§ 1320b–13. Social security account statements

§ 1320b–14. Outreach efforts to increase awareness of the availability of medicare cost-sharing and subsidies for low-income individuals under subchapter XVIII

§ 1320b–15. Protection of social security and medicare trust funds

§ 1320b–16. Public disclosure of certain information on hospital financial interest and referral patterns

§ 1320b–17. Cross-program recovery of overpayments from benefits

§ 1320b–18. Repealed. , ,

§ 1320b–19. The Ticket to Work and Self-Sufficiency Program

§ 1320b–20. Work incentives outreach program

§ 1320b–21. State grants for work incentives assistance to disabled beneficiaries

§ 1320b–22. Grants to develop and establish State infrastructures to support working individuals with disabilities

§ 1320b–23. Pharmacy benefit managers transparency requirements

§ 1320b–24. Consultation with Tribal Technical Advisory Group

§ 1320b–25. Reporting to law enforcement of crimes occurring in federally funded long-term care facilities

§ 1320b–26. Funding for providers relating to COVID–19