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SSA RIN: 0960-AH92 Publication ID: Fall 2016 
Title: Evidence From Excluded Medical Sources 
Abstract:

In accordance with section 812 of the Bipartisan Budget Act of 2015 (BBA section 812), these rules explain how we will address evidence furnished by medical sources that meet one of BBA section 812’s exclusionary categories (excluded medical sources) as described in our notice of proposed rulemaking (NPRM), which we published on June 10, 2016. Under these new rules, we will not consider evidence furnished by an excluded medical source unless we find good cause to do so. We identify five circumstances in which we may find good cause. We also require excluded medical sources to notify us of their excluded status in writing each time they furnish evidence to us that relates to a claim for benefits under titles II or XVI of the Social Security Act (Act). These rules will allow us to fulfill obligations that we have under section 812 the BBA.

 
Agency: Social Security Administration(SSA)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 20 CFR 404.1503b    20 CFR 416.903b   
Legal Authority: Bipartisan Budget Act of 2015 sec 812   
Legal Deadline:
Action Source Description Date
Final  Statutory  Section 812 of the Bipartisan Budget Act of 2015  11/02/2016 

Overall Description of Deadline: Pub. L. 114-74 requires the Commissioner of Social Security shall issue regulations to carry out the amendment not later than 1 year after the date of the enactment of the Act--November 2, 2015.

Statement of Need:

In accordance with section 812 of the Bipartisan Budget Act of 2015 (BBA section 812), these rules explain how we will address evidence furnished by medical sources that meet one of BBA section 812’s exclusionary categories (excluded medical sources).

Summary of the Legal Basis:

Section 812 of the Bipartisan Budget Act of 2015 (BBA section 812)

Alternatives:

none

Anticipated Costs and Benefits:

To be determined

Risks:

To be determined

Timetable:
Action Date FR Cite
NPRM  06/10/2016  81 FR 37557   
NPRM Comment Period End  08/09/2016 
Final Action  09/23/2016  81 FR 65536   
Final Action Effective  11/02/2016 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
Alexander Cristaudo
Program Analyst
Social Security Administration
Office of Disability Policy, 6401 Security Boulevard,
Baltimore, MD 21235-6401
Phone:410 965-3671
Email: alexander.cristaudo@ssa.gov

Brian J. Rudick
Social Insurance Specialist, Regulations Writer
Social Security Administration
Office of Regulations and Reports Clearance, 6401 Security Boulevard,
Baltimore, MD 21235-6401
Phone:410 965-7102
Email: brian.rudick@ssa.gov