§ 405.
(iii)
To be eligible to receive grants under this section, a protection and advocacy system shall submit an initial application to the Commissioner at such time, in such form and manner, and accompanied by such information and assurances as the Commissioner may require.
(iv)
(I)
Subject to subclause (II), the Commissioner shall ensure that any funds used for grants under clause (i) shall be allocated to the protection and advocacy systems serving each of the States and the American Indian consortium in a manner such that the amount provided to each protection and advocacy system bears the same ratio to the total of such funds as the number of represented beneficiaries in the State or American Indian consortium in which such protection and advocacy system is located bears to the total number of represented beneficiaries.
(II)
The amount of an annual grant to a protection and advocacy system under clause (i) shall—
(aa)
in the case of a protection and advocacy system serving American Samoa, Guam, the United States Virgin Islands, or the Commonwealth of the Northern Mariana Islands, or the American Indian consortium, not be less than $30,000; and
(bb)
in the case of a protection and advocacy system serving any other State, not be less than $60,000.
(III)
Funds provided to a protection and advocacy system through a grant under clause (i) for a 1-year period shall remain available through the end of the following 1-year period.
(IV)
For purposes of this clause, the term “represented beneficiary” means an individual—
(aa)
who is entitled to benefits under this subchapter, subchapter VIII, or subchapter XVI; and
(bb)
whose benefits have been certified for payment to a representative payee.
(v)
(I)
The Commissioner shall make annual grants, in an amount equal to 4 percent of the total amount of grants awarded each year under clause (i), to an eligible national association for the provision of training and technical assistance, administrative support, and data collection services to protection and advocacy systems in connection with grants awarded under clause (i).
(II)
In this clause, the term “eligible national association” means a national disability association with extensive knowledge and demonstrated experience in providing training, technical assistance, and administrative oversight to protection and advocacy systems that monitor representative payees.
(vi)
In conducting reviews under this section, a protection and advocacy system shall have the same authorities, including access to records, facilities, and persons, as such system would have for purposes of providing services under subtitle C of title I of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 (
42 U.S.C. 15041 et seq.).
(vii)
Whenever benefit amounts under this subchapter are increased by any percentage effective with any month after November 2018 as a result of a determination made under
section 415(i) of this title, each of the dollar amounts specified in clauses (i)(II) and (iv)(II) shall be increased by the same percentage.
(viii)
No additional funds are authorized to be appropriated to carry out the requirements of this subparagraph. Such requirements shall be carried out using amounts otherwise authorized.
(ix)
In this subparagraph:
(I)
The term “American Indian consortium” means a consortium established under subtitle C of title I of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 (
42 U.S.C. 15041 et seq.).
(II)
The term “protection and advocacy system” means a protection and advocacy system established under subtitle C of title I of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 (
42 U.S.C. 15041 et seq.).
(III)
The term “State” means the several States of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the United States Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands.
(7)
(A)
If the Commissioner of Social Security or a court of competent jurisdiction determines that a representative payee that is not a Federal, State, or local government agency has misused all or part of an individual’s benefit that was paid to such representative payee under this subsection, the representative payee shall be liable for the amount misused, and such amount (to the extent not repaid by the representative payee) shall be treated as an overpayment of benefits under this subchapter to the representative payee for all purposes of this chapter and related laws pertaining to the recovery of such overpayments. Subject to subparagraph (B), upon recovering all or any part of such amount, the Commissioner shall certify an amount equal to the recovered amount for payment to such individual or such individual’s alternative representative payee.
(B)
The total of the amount certified for payment to such individual or such individual’s alternative representative payee under subparagraph (A) and the amount certified for payment under paragraph (5) may not exceed the total benefit amount misused by the representative payee with respect to such individual.
(8)
For purposes of this subsection, the term “benefit based on disability” of an individual means a disability insurance benefit of such individual under
section 423 of this title or a child’s, widow’s, or widower’s insurance benefit of such individual under
section 402 of this title based on such individual’s disability.
(9)
For purposes of this subsection, misuse of benefits by a representative payee occurs in any case in which the representative payee receives payment under this subchapter for the use and benefit of another person and converts such payment, or any part thereof, to a use other than for the use and benefit of such other person. The Commissioner of Social Security may prescribe by regulation the meaning of the term “use and benefit” for purposes of this paragraph.
(10)
For purposes of this subsection, the term “certified community-based nonprofit social service agency” means a community-based nonprofit social service agency which is in compliance with requirements, under regulations which shall be prescribed by the Commissioner, for annual certification to the Commissioner that it is bonded in accordance with requirements specified by the Commissioner and that it is licensed in each State in which it serves as a representative payee (if licensing is available in the State) in accordance with requirements specified by the Commissioner. Any such annual certification shall include a copy of any independent audit on the agency which may have been performed since the previous certification.
(11)
(A)
The Commissioner of Social Security shall—
(i)
enter into agreements with each State with a plan approved under part E of subchapter IV for the purpose of sharing and matching data, on an automated monthly basis, in the system of records of the Social Security Administration with each Statewide and Tribal Automated Child Welfare Information System to identify represented minor beneficiaries who are in foster care under the responsibility of the State for such month; and
(ii)
in any case in which a represented minor beneficiary has entered or exited foster care or changed foster care placement in such month, redetermine the appropriate representative payee for such individual.
(B)
For purposes of this paragraph—
(i)
the term “State” has the meaning given such term for purposes of part E of subchapter IV;
(ii)
the term “Statewide and Tribal Automated Child Welfare Information System” means a statewide mechanized data collection and information retrieval system described in
section 674(a)(3)(C) of this title; and
(iii)
the term “represented minor beneficiary”, with respect to an individual for a month, means a child (as defined for purposes of
section 675(8) of this title) entitled to benefits under this subchapter for such month whose benefits are certified for payment to a representative payee.
(12)
(A)
Not later than January 31 of each fiscal year, the Commissioner shall submit to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate a report on the total number of individuals entitled to benefits under subchapters II, VIII, and XVI, respectively, (and the number of individuals concurrently entitled to benefits under more than one such subchapter) who have a representative payee, the total number of such representative payees, and the results of all reviews of representative payees conducted during the previous fiscal year in connection with benefits under this subchapter, subchapter VIII, or subchapter XVI. Such report shall summarize problems identified in such reviews and corrective actions taken or planned to be taken to correct such problems, and shall include—
(i)
the number of such reviews;
(ii)
the results of such reviews;
(iii)
the number of cases in which the representative payee was changed and why;
(iv)
the number of reviews conducted in response to allegations or concerns about the performance or suitability of the payee;
(v)
the number of cases discovered in which there was a misuse of funds, and the total dollar amount of benefits determined by the Commissioner during such fiscal year to have been misused by a representative payee (regardless of the fiscal year in which such misuse occurred);
(vi)
the number of cases discovered in which such misuse of funds resulted from the negligent failure of the Commissioner to investigate or monitor a representative payee;
(vii)
the final disposition of such cases of misuse of funds, including—
(I)
any criminal, civil, and administrative penalties imposed;
(II)
the total dollar amount of misused benefits repaid to beneficiaries and alternative representative payees under each of—
(aa)
paragraph (5) (on the basis of a negligent failure of the Commissioner described in such paragraph);
(bb)
paragraph (5) (on any other basis); and
(cc)
paragraph (7);
(III)
the total dollar amount of misused benefits recovered under each of—
(aa)
paragraph (5); and
(bb)
paragraph (7);
(viii)
any updates to prior year reports necessary to reflect subsequent recoveries and repayments pertaining to misuse determinations made in prior years; and
(ix)
such other information as the Commissioner deems appropriate.
(B)
Each report required under this paragraph for a fiscal year shall include the information described in clauses (i) through (ix) of subparagraph (A) with respect to—
(i)
all representative payees reviewed during such fiscal year;
(ii)
all such representative payees that are organizations, separated by whether such organization collects a fee for its services as a representative payee;
(iii)
all such representative payees that are individuals serving 15 or more individuals; and
(iv)
all such representative payees that are individuals serving less than 15 individuals, separated by whether such representative payee is a family member.
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