---
kind: "section"
citation: "42 U.S.C. § 1382i"
title: "42"
title_heading: "The Public Health and Welfare"
number: "1382i"
heading: "Medical and social services for certain handicapped persons"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/1382i"
units:
  - "Chapter 7 — Social Security"
  - "Subchapter XVI — Supplemental Security Income for Aged, Blind, and Disabled"
  - "Part A — Determination of Benefits"
---

# §1382i. Medical and social services for certain handicapped persons

- (a) **Authorization of appropriations for pilot program—** There are authorized to be appropriated such sums as may be necessary to establish and carry out a 3-year Federal-[State](/usc/42/619.md?p=5) pilot program to provide medical and [social](/usc/42/1397j.md?p=20) services for certain handicapped individuals in accordance with this section.
- (b) **State allotments—**
  - (1) The total sum of $18,000,000 shall be allotted to the [States](/usc/42/619.md?p=5) for such program by the Commissioner of [Social](/usc/42/1397j.md?p=20) Security, during the period beginning September 1, 1981, and ending September 30, 1984, as follows:
    - (A) The total sum of $6,000,000 shall be allotted to the [States](/usc/42/619.md?p=5) for the [fiscal year](/usc/42/619.md?p=3) ending September 30, 1982 (which for purposes of this section shall include the month of September 1981).
    - (B) The total sum of $6,000,000, plus any amount remaining available (after the application of [paragraph (4)](#b-4)) from the allotment made under [subparagraph (A)](#b-1-A), shall be allotted to the [States](/usc/42/619.md?p=5) for the [fiscal year](/usc/42/619.md?p=3) ending September 30, 1983.
    - (C) The total sum of $6,000,000, plus any amount remaining available (after the application of [paragraph (4)](#b-4)) from the allotments made under subparagraphs [(A)](#b-1-A) and [(B)](#b-1-B), shall be allotted to the [States](/usc/42/619.md?p=5) for the [fiscal year](/usc/42/619.md?p=3) ending September 30, 1984.
  - (2) The allotment to each [State](/usc/42/619.md?p=5) from the total sum allotted under [paragraph (1)](#b-1) for any [fiscal year](/usc/42/619.md?p=3) shall bear the same ratio to such total sum as the number of individuals in such [State](/usc/42/619.md?p=5) who are over age 17 and under age 65 and are receiving supplemental security income benefits as disabled individuals in such year (as determined by the Commissioner of [Social](/usc/42/1397j.md?p=20) Security on the basis of the most recent data available) bears to the total number of such individuals in all the [States](/usc/42/619.md?p=5). For purposes of the preceding sentence, the term “supplemental security income benefits” [includes](/usc/42/1301.md?p=b) payments made pursuant to an agreement under [section 1382e(a) of this title](/usc/42/1382e.md?p=a) or under section 212(b) of Public Law 93–66.
  - (3) At the beginning of each [fiscal year](/usc/42/619.md?p=3) in which the pilot program under this section is in effect, each [State](/usc/42/619.md?p=5) that does not intend to use the allotment to which it is entitled for such year (or any allotment which was made to it for a prior [fiscal year](/usc/42/619.md?p=3)), or that does not intend to use the full amount of any such allotment, shall certify to the Commissioner of [Social](/usc/42/1397j.md?p=20) Security the amount of such allotment which it does not intend to use, and the [State](/usc/42/619.md?p=5)’s allotment for the [fiscal year](/usc/42/619.md?p=3) (or years) involved shall thereupon be reduced by the amount so certified.
  - (4) The portion of the total amount available for allotment for any particular [fiscal year](/usc/42/619.md?p=3) under [paragraph (1)](#b-1) which is not allotted to [States](/usc/42/619.md?p=5) for that year by reason of [paragraph (3)](#b-3) (plus the amount of any reductions made at the beginning of such year in the allotments of [States](/usc/42/619.md?p=5) for prior [fiscal years](/usc/42/619.md?p=3) under [paragraph (3)](#b-3)) shall be reallocated in such manner as the Commissioner of [Social](/usc/42/1397j.md?p=20) Security may determine to be appropriate to [States](/usc/42/619.md?p=5) which need, and will use, additional assistance in providing services to severely handicapped individuals in that particular year under their approved plans. Any amount reallocated to a [State](/usc/42/619.md?p=5) under this paragraph for use in a particular [fiscal year](/usc/42/619.md?p=3) shall be treated for purposes of this section as increasing such [State](/usc/42/619.md?p=5)’s allotment for that year by an equivalent amount.
- (c) **Requisite features of State plans—** In order to participate in the pilot program and be eligible to receive payments for any period under [subsection (d)](#d), a [State](/usc/42/619.md?p=5) (during such period) must have a plan, approved by the Commissioner of [Social](/usc/42/1397j.md?p=20) Security as meeting the requirements of this section, which provides medical and [social](/usc/42/1397j.md?p=20) services for severely handicapped individuals whose earnings are above the level which ordinarily demonstrates an ability to engage in substantial gainful activity and who are not receiving benefits under section [1382](/usc/42/1382.md) or [1382h](/usc/42/1382h.md) of this title or assistance under a [State](/usc/42/619.md?p=5) plan approved under [section 1396a of this title](/usc/42/1396a.md), and which—
  - (1) declares the intent of the [State](/usc/42/619.md?p=5) to participate in the pilot program;
  - (2) designates an appropriate [State agency](/usc/42/629a.md?p=a-3) to administer or supervise the [administration](/usc/42/1301.md?p=a-10) of the program in the [State](/usc/42/619.md?p=5);
  - (3) describes the criteria to be applied by the [State](/usc/42/619.md?p=5) in determining the eligibility of any individual for assistance under the plan and in any event requires a determination by the [State agency](/usc/42/629a.md?p=a-3) to the effect that (A) such individual’s ability to continue his employment would be significantly inhibited without such assistance and (B) such individual’s earnings are not sufficient to allow him to provide for himself a reasonable equivalent of the cash and other benefits that would be available to him under this subchapter and subchapters XIX and XX in the absence of those earnings;
  - (4) describes the process by which the eligibility of individuals for such assistance is to be determined (and such process may not involve the performance of functions by any [State agency](/usc/42/629a.md?p=a-3) or entity which is engaged in making determinations of disability for purposes of disability insurance or supplemental security income benefits except when the use of a different [agency](/usc/42/1397n–12.md?p=1) or entity to perform those functions would not be feasible);
  - (5) describes the medical and [social](/usc/42/1397j.md?p=20) services to be provided under the plan;
  - (6) describes the manner in which the medical and [social](/usc/42/1397j.md?p=20) services involved are to be provided and, if they are not to be provided through the [State](/usc/42/619.md?p=5)’s medical assistance and [social](/usc/42/1397j.md?p=20) services programs under subchapters XIX and XX (with the Federal payments being made under [subsection (d)](#d) of this section rather than under those subchapters), specifies the particular mechanisms and procedures to be used in providing such services; and
  - (7) contains such other provisions as the Commissioner of [Social](/usc/42/1397j.md?p=20) Security may find to be necessary or appropriate to meet the requirements of this section or otherwise carry out its purpose.
- (d) **Payments to States; computation of payments—**
  - (1) From its allotment under [subsection (b)](#b) for any [fiscal year](/usc/42/619.md?p=3) (and any amounts remaining available from allotments made to it for prior [fiscal years](/usc/42/619.md?p=3)), the Commissioner of [Social](/usc/42/1397j.md?p=20) Security shall from time to time pay to each [State](/usc/42/619.md?p=5) which has a plan approved under [subsection (c)](#c) an amount equal to 75 per centum of the total sum expended under such plan ([including](/usc/42/1301.md?p=b) the cost of [administration](/usc/42/1301.md?p=a-10) of such plan) in providing medical and [social](/usc/42/1397j.md?p=20) services to severely handicapped individuals who are eligible for such services under the plan.
  - (2) The method of computing and making payments under this section shall be as follows:
    - (A) The Commissioner of [Social](/usc/42/1397j.md?p=20) Security shall, prior to each period for which a payment is to be made to a [State](/usc/42/619.md?p=5), estimate the amount to be paid to the [State](/usc/42/619.md?p=5) for such period under the provisions of this section.
    - (B) From the allotment available therefor, the Commissioner of [Social](/usc/42/1397j.md?p=20) Security shall pay the amount so estimated, reduced or increased, as the case may be, by any sum (not previously adjusted under this subsection) by which the Commissioner finds that the Commissioner’s estimate of the amount to be paid the [State](/usc/42/619.md?p=5) for any prior period under this section was greater or less than the amount which should have been paid to the [State](/usc/42/619.md?p=5) for such period under this section.
- (e) **Rules and regulations—** Within nine months after June 9, 1980, the Commissioner of [Social](/usc/42/1397j.md?p=20) Security shall prescribe and publish such regulations as may be necessary or appropriate to carry out the pilot program and otherwise implement this section.
- (f) **Reports—** Each [State](/usc/42/619.md?p=5) participating in the pilot program under this section shall from time to time report to the Commissioner of [Social](/usc/42/1397j.md?p=20) Security on the operation and results of such program in that [State](/usc/42/619.md?p=5), with particular emphasis upon the work incentive effects of the program. On or before October 1, 1983, the Commissioner of [Social](/usc/42/1397j.md?p=20) Security shall submit to the Congress a report on the program, incorporating the information contained in the [State](/usc/42/619.md?p=5) reports along with the Commissioner’s findings and recommendations.

## Source credit

(Aug. 14, 1935, ch. 531, title XVI, § 1620, as added Pub. L. 96–265, title II, § 201(c), June 9, 1980, 94 Stat. 446; amended Pub. L. 97–35, title XXIII, § 2353(p), Aug. 13, 1981, 95 Stat. 874; Pub. L. 103–296, title I, § 107(a)(4), Aug. 15, 1994, 108 Stat. 1478.)

## Notes

### Editorial Notes

### References in Text

Section 212(b) of Public Law 93–66, referred to in subsec. (b)(2), is section 212(b) of Pub. L. 93–66, title II, July 9, 1973, 87 Stat. 155, which is set out as a note under section 1382 of this title.

### Amendments

1994—Subsecs. (b) to (f). Pub. L. 103–296, § 107(a)(4), substituted “Commissioner of Social Security” for “Secretary” wherever appearing, “the Commissioner finds that the Commissioner’s” for “he finds that his” in subsec. (d)(2)(B), and “the Commissioner’s” for “his” in subsec. (f).

1981—Subsec. (c). Pub. L. 97–35 struck out provision following par. (7) that the plan under this section may be developed and submitted as a separate State plan or may be submitted in the form of an amendment to the State’s plan under section 1397b(d) of this title.

### Statutory Notes and Related Subsidiaries

### Effective Date of 1994 Amendment

Amendment by Pub. L. 103–296 effective Mar. 31, 1995, see section 110(a) of Pub. L. 103–296, set out as a note under section 401 of this title.

### Effective Date of 1981 Amendment

Amendment by Pub. L. 97–35 effective Oct. 1, 1981, except as otherwise explicitly provided, see section 2354 of Pub. L. 97–35, set out as an Effective Date note under section 1397 of this title.