96-13882. Federal Old-Age, Survivors and Disability Insurance; Determining Disability and Blindness; Extension of Expiration Date for Musculoskeletal System Listings  

  • [Federal Register Volume 61, Number 108 (Tuesday, June 4, 1996)]
    [Rules and Regulations]
    [Pages 28046-28047]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 96-13882]
    
    
    
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    SOCIAL SECURITY ADMINISTRATION
    
    20 CFR Part 404
    
    [Regulations No. 4]
    RIN 0960-AE43
    
    
    Federal Old-Age, Survivors and Disability Insurance; Determining 
    Disability and Blindness; Extension of Expiration Date for 
    Musculoskeletal System Listings
    
    AGENCY: Social Security Administration.
    
    ACTION: Final rule.
    
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    SUMMARY: The Social Security Administration (SSA) issues listings of 
    impairments to evaluate disability and blindness under the Social 
    Security and supplemental security income (SSI) programs. This rule 
    extends the expiration date for the musculoskeletal system listings. We 
    have made no revisions to the medical criteria in the listings; they 
    remain the same as they now appear in the Code of Federal Regulations. 
    This extension will ensure that we continue to have medical evaluation 
    criteria in the listings to adjudicate claims for disability based on 
    musculoskeletal system impairments at step three of our sequential 
    evaluation process.
    
    EFFECTIVE DATE: This regulation is effective June 4, 1996.
    
    FOR FURTHER INFORMATION CONTACT: Regarding this Federal Register 
    document--Richard M. Bresnick, Legal Assistant, Division of Regulations 
    and Rulings, Social Security Administration, 6401 Security Boulevard, 
    Baltimore, MD 21235, (410) 965-1758; regarding eligibility or filing 
    for benefits--our national toll-free number, 1-800-772-1213.
    
    SUPPLEMENTARY INFORMATION: On December 6, 1985, we published revised 
    listings, including the musculoskeletal system listings (50 FR 50068), 
    in parts A and B of appendix 1 (Listing of Impairments) to subpart P of 
    part 404. We use the listings at the third step of the sequential 
    evaluation process to evaluate claims filed by adults and children for 
    benefits based on disability and blindness under the Social Security 
    and SSI programs. The listings describe impairments considered severe 
    enough to prevent a person from doing any gainful activity, or, for an 
    individual under age 18 applying for SSI benefits based on disability, 
    from functioning independently, appropriately, and effectively in an 
    age-appropriate manner. We use the criteria in part A mainly to 
    evaluate impairments of adults. We use the criteria in part B first to 
    evaluate impairments of individuals under age 18. If those criteria do 
    not apply, we may use the criteria in part A.
        When we published the revised listings in 1985, we indicated that 
    medical advances in disability evaluation and treatment and program 
    experience would require that the listings be periodically reviewed and 
    updated. Accordingly, we established a date of December 6, 1990, for 
    the musculoskeletal system listings in part A, and December 6, 1993, 
    for the musculoskeletal system listings in part B, on which the 
    listings would no longer be effective unless extended by the Secretary 
    of Health and Human Services (the Secretary) or revised and promulgated 
    again. Under section 102 of the Social Security Independence and 
    Program Improvements Act of 1994, Public Law 103-296, this rulemaking 
    authority was transferred from the Secretary to the Commissioner of 
    Social Security (the Commissioner).
        Subsequently, we issued a final rule on December 12, 1990 (55 FR 
    51100), extending the expiration date of the musculoskeletal system 
    listings in part A to June 6, 1992, and again on June 5, 1992 (57 FR 
    23946), extending that expiration date to December 6, 1993. Thereafter, 
    on December 6, 1993 (58 FR 64121), the expiration date of the 
    musculoskeletal system listings in both parts A and B was extended, as 
    were the
    
    [[Page 28047]]
    
    expiration dates for several other body system listings. That rule 
    provided that the musculoskeletal system listings would no longer be 
    effective on June 6, 1996.
        Also, we published a notice of proposed rulemaking (NPRM) on 
    December 21, 1993 (58 FR 67574) that included proposed revisions to 
    these listings. We will publish any changes to the listings based on 
    that NPRM in a subsequent final rule.
        In this final regulation, we are extending for one year, to June 6, 
    1997, the date on which the musculoskeletal system listings will no 
    longer be effective. We believe that the requirements in these listings 
    are still valid for our program purposes. Specifically, if we find that 
    an individual has an impairment that meets the statutory duration 
    requirement and also meets or is equivalent in severity to an 
    impairment in the listings, we will find that the individual is 
    disabled without completing the remaining steps of the sequential 
    evaluation process. We do not use the listings to find that an 
    individual is not disabled. Individuals whose impairments do not meet 
    or equal the criteria of the listings receive individualized 
    assessments at the subsequent steps of the sequential evaluation 
    process.
    
    Regulatory Procedures
    
        Pursuant to section 702(a)(5) of the Social Security Act, 42 U.S.C. 
    902(a)(5), as amended by section 102 of Public Law 103-296, SSA follows 
    the Administrative Procedure Act (APA) rulemaking procedures specified 
    in 5 U.S.C. 553 in the development of its regulations. The APA provides 
    exceptions to its notice and public comment procedures when an agency 
    finds there is good cause for dispensing with such procedures on the 
    basis that they are impracticable, unnecessary, or contrary to the 
    public interest. We have determined that, under 5 U.S.C. 553(b)(B), 
    good cause exists for dispensing with the notice and public comment 
    procedures in this case. Good cause exists because this regulation only 
    extends the date on which the musculoskeletal system listings will no 
    longer be effective. It makes no substantive changes to the listings. 
    The current regulations expressly provide that the listings may be 
    extended, as well as revised and promulgated again. Therefore, 
    opportunity for prior comment is unnecessary, and we are issuing this 
    regulation as a final rule.
        In addition, we find good cause for dispensing with the 30-day 
    delay in the effective date of a substantive rule, provided for by 5 
    U.S.C. 553(d). As explained above, we are not making any substantive 
    changes in the listings. However, without an extension of the 
    expiration date for the musculoskeletal system listings, we will lack 
    regulatory guidelines for assessing musculoskeletal system impairments 
    at the third step of the sequential evaluation processes after the 
    current expiration date of the listings. In order to ensure that we 
    continue to have regulatory criteria for assessing these impairments 
    under the listings, we find that it is in the public interest to make 
    this rule effective upon publication.
    
    Executive Order 12866
    
        We have consulted with the Office of Management and Budget (OMB) 
    and determined that this rule does not meet the criteria for a 
    significant regulatory action under Executive Order 12866. Thus, it was 
    not subject to OMB review.
    
    Regulatory Flexibility Act
    
        We certify that this regulation will not have a significant 
    economic impact on a substantial number of small entities. Therefore, a 
    regulatory flexibility analysis as provided in Public Law 96-354, the 
    Regulatory Flexibility Act, is not required.
    
    Paperwork Reduction Act
    
        This regulation imposes no reporting/recordkeeping requirements 
    necessitating clearance by OMB.
    
    (Catalog of Federal Domestic Assistance Program Nos. 96.001, Social 
    Security-Disability Insurance; 96.002, Social Security-Retirement 
    Insurance; 96.004, Social Security-Survivors Insurance; 96.006, 
    Supplemental Security Income)
    
    List of Subjects in 20 CFR Part 404
    
        Administrative practice and procedure, Blind, Disability benefits, 
    Old-Age, Survivors and Disability Insurance, Reporting and 
    recordkeeping requirements, Social Security.
    
        Dated: May 20, 1996.
    Shirley S. Chater,
    Commissioner of Social Security.
    
        For the reasons set forth in the preamble, part 404, subpart P, 
    chapter III of title 20 of the Code of Federal Regulations is amended 
    as set forth below.
    
    PART 404--FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE 
    (1950-    )
    
    Subpart P--[Amended]
    
        1. The authority citation for subpart P of part 404 continues to 
    read as follows:
    
        Authority: Secs. 202, 205(a), (b), and (d)-(h), 216(i), 221(a) 
    and (i), 222(c), 223, 225, and 702(a)(5) of the Social Security Act 
    (42 U.S.C. 402, 405(a), (b), and (d)-(h), 416(i), 421(a) and (i), 
    422(c), 423, 425, and 902(a)(5)).
    
        2. Appendix 1 to subpart P of part 404 is amended by revising item 
    2 of the introductory text before part A to read as follows:
    
    Appendix 1 to Subpart P--Listing of Impairments
    
    * * * * *
        2. Musculoskeletal System (1.00 and 101.00): June 6, 1997.
    * * * * *
    [FR Doc. 96-13882 Filed 6-3-96; 8:45 am]
    BILLING CODE 4190-29-P
    
    

Document Information

Effective Date:
6/4/1996
Published:
06/04/1996
Department:
Social Security Administration
Entry Type:
Rule
Action:
Final rule.
Document Number:
96-13882
Dates:
This regulation is effective June 4, 1996.
Pages:
28046-28047 (2 pages)
Docket Numbers:
Regulations No. 4
RINs:
0960-AE43
PDF File:
96-13882.pdf
CFR: (1)
20 CFR 404