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SSA RIN: 0960-AG71 Publication ID: Fall 2016 
Title: Revised Medical Criteria for Evaluating Human Immunodeficiency Virus (HIV) Infection and for Evaluating Functional Limitations in Immune System Disorders (3466F) 

We are revising the criteria in the Listing of Impairments (listings) that we use to evaluate claims involving human immunodeficiency virus (HIV) infection in adults and children under titles II and XVI of the Social Security Act (Act). We also are revising the introductory text of the listings that we use to evaluate functional limitations resulting from immune system disorders. The revisions reflect our program experience, advances in medical knowledge, our adjudicative experience, recommendations from a commissioned report, and comments from medical experts and the public.

Agency: Social Security Administration(SSA)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 20 CFR 404.1500, app 1   
Legal Authority: 42 U.S.C. 402    42 U.S.C. 405(a)    42 U.S.C. 405(b)    42 U.S.C. 405(d) to 405(h)    42 U.S.C. 416(i)    42 U.S.C. 421(a)    42 U.S.C. 421(i)    42 U.S.C. 423    42 U.S.C. 902(a)(5)    42 U.S.C. 1381a    42 U.S.C. 1382c    42 U.S.C. 1383    42 U.S.C. 1383b   
Legal Deadline:  None

Statement of Need:

These final rules are necessary in order to update the HIV evaluation listings to reflect advances in medical knowledge, treatment, and evaluation methods. The changes will ensure that determinations of disability have a sound medical basis, that claimants receive equal treatment through the use of specific criteria, and that individuals who are disabled can be readily identified and awarded benefits if all other factors of entitlement or eligibility are met.

Summary of the Legal Basis:

Administrative--not required by statute or court order.


Undetermined at this time.

Anticipated Costs and Benefits:

Cost/savings estimate--negligible.


Undetermined at this time.

Action Date FR Cite
ANPRM  03/18/2008  73 FR 14409   
ANPRM Comment Period End  05/19/2008    
NPRM  02/26/2014  79 FR 10730   
NPRM Comment Period End  04/28/2014 
NPRM Correction and NPRM Comment Period Extended  03/25/2014  79 FR 16250   
NPRM Comment Period Extended End  05/27/2014 
Final Action  12/00/2016 
Additional Information: Includes Retrospective Review under E.O. 13563.
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: Yes 
Public Comment URL:  
RIN Data Printed in the FR: No 
Agency Contact:
Cheryl A. Williams
Social Security Administration
Office of Medical Policy, 6401 Security Boulevard,
Baltimore, MD 21235-6401
Phone:410 965-1020

Paul J. Scott
Social Insurance Specialist
Social Security Administration
Office of Disability Programs, Office of Medical Policy, 6401 Security Boulevard,
Baltimore, MD 21235-6401
Phone:410 966-1192

Brian Rudick
Social Insurance Specialist, Regulations Writer
Social Security Administration
Office of Regulations and Reports Clearance, 6401 Security Boulevard,
Baltimore, MD 21235-6401
Phone:410 965-1483