Revised Medical Criteria for Evaluating Impairments that Affect Multiple Body Systems

Federal Register: November 10, 2009 (Volume 74, Number 216)

Proposed Rules

Page 57971-57972

From the Federal Register Online via GPO Access [wais.access.gpo.gov]

DOCID:fr10no09-22

SOCIAL SECURITY ADMINISTRATION 20 CFR Part 404

Docket No. SSA-2009-0039

RIN 0960-AH04

Revised Medical Criteria for Evaluating Impairments That Affect

Multiple Body Systems

AGENCY: Social Security Administration.

ACTION: Advance Notice of Proposed Rulemaking.

SUMMARY: We are requesting your comments on whether and how we should revise the criteria in our Listings of Impairments (the listings) for evaluating impairments that affect multiple body systems in adults and children. We are requesting your comments as part of our ongoing effort to ensure that our listings reflect current medical knowledge. If we propose specific revisions; we will publish a Notice of Proposed

Rulemaking in the Federal Register.

DATES: To be sure that we consider your comments, we must receive them by no later than January 11, 2010.

ADDRESSES: You may submit comments by any one of three methods--

Internet, fax, or mail. Do not submit the same comments multiple times or by more than one method. Regardless of which method you choose, please state that your comments refer to Docket No. SSA-2009-0039 so that we may associate your comments with the correct regulation.

Caution: You should be careful to include in your comments only information that you wish to make publicly available. We strongly urge you not to include in your comments any personal information, such as

Social Security numbers or medical information. 1. Internet: We strongly recommend that you submit your comments via the Internet. Please visit the Federal eRulemaking portal at http:/

/www.regulations.gov. Use the Search function to find docket number

SSA-2009-0039. The system will issue a tracking number to confirm your submission. You will not be able to view your comment immediately because we must post each comment manually. It may take up to a week for your comment to be viewable. 2. Fax: Fax comments to (410) 966-2830. 3. Mail: Mail your comments to the Office of Regulations, Social

Security Administration, 137 Altmeyer Building, 6401 Security

Boulevard, Baltimore, Maryland 21235-6401.

Comments are available for public viewing on the Federal eRulemaking portal at http://www.regulations.gov or in person, during regular business hours, by arranging with the contact person identified below.

FOR FURTHER INFORMATION CONTACT: Marva Franklin, Social Insurance

Specialist, Office of Medical Listings Improvement, Social Security

Administration, 6401 Security Boulevard, Baltimore, MD 21235-6401,

(410) 965-1020. For information on eligibility or filing for benefits, call our national toll-free number, 1-800-772-1213 or TTY 1-800-325- 0778, or visit our Internet site, Social Security Online, at http:// www.socialsecurity.gov.

SUPPLEMENTARY INFORMATION:

Page 57972

Electronic Version

The electronic file of this document is available on the date of publication in the Federal Register at http://www.gpoaccess.gov/fr/ index.html.

What is the purpose of this Advance Notice of Proposed Rulemaking

(ANPRM)?

This ANPRM gives you an opportunity to send us comments and suggestions on whether and how we might update and revise the listings and other criteria in sections 10.00 and 110.00 for evaluating impairments that affect multiple body systems. We last published final rules revising the criteria that we use to evaluate impairments that affect multiple body systems on August 30, 2005. 70 FR 51252. We are publishing this ANPRM as part of our ongoing effort to ensure that our criteria reflect the latest advances in medicine.

On which rules are we inviting comments and suggestions?

You can find our current rules on which we are inviting comments and suggestions on the Internet at the following locations:

Sections 10.00 and 110.00 are in the Listing of

Impairments in appendix 1 to subpart P of part 404 of our regulations at http://www.ssa.gov/OP_Home/cfr20/404/404-ap10.htm or at http:// www.ssa.gov/disability/professionals/bluebook/.

Who should send us comments and suggestions?

We invite comments and suggestions from people who apply for or receive benefits from us, members of the general public, advocates and organizations who represent people who have impairments that affect multiple body systems, State agencies that make disability determinations for us, experts in the evaluation of impairments that affect multiple body systems, and researchers.

What should you comment about?

We are interested in any comments and suggestions on how we might revise sections 10.00 and 110.00 of our listings. For example, we are interested in knowing if:

You have concerns about any of the provisions in the current impairments that affect multiple body systems listings, such as whether you believe we should change any of our criteria or whether you believe a listing is difficult to use or to understand.

You would like to see our impairments that affect multiple body systems listings include something that is not currently included, such as other impairments, additional medical technologies, specific laboratory studies, or new medical criteria.

You believe our impairments that affect multiple body systems listings should include functional criteria and what those criteria should be.

Will we respond to your comments from this notice?

We will not respond directly to the comments you send in response to this ANPRM. After we have considered all comments and suggestions, as well as information about advances in medical knowledge, treatment, and methods of evaluating impairments that affect multiple body systems, and our program experience using the current listings, we will determine whether we should revise any of the listings or other criteria in sections 10.00 or 110.00. If we decide to propose specific revisions, we will publish a Notice of Proposed Rulemaking in the

Federal Register and you will have a chance to comment on the revisions we propose.

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: September 28, 2009.

Michael J. Astrue,

Commissioner of Social Security.

FR Doc. E9-27031 Filed 11-9-09; 8:45 am

BILLING CODE 4191-02-P