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Federal Register / Vol. 72, No.

146 / Tuesday, July 31, 2007 / Proposed Rules 41649

2. Subpart I is added to read as receive non-power goods and services Comments are posted on the Federal
follows: from a centralized service company at a eRulemaking Portal, or you may inspect
Subpart I—Cross-Subsidization
price above cost. them on regular business days by
Restrictions on Affiliate Transactions [FR Doc. E7–14618 Filed 7–30–07; 8:45 am] making arrangements with the contact
Sec. BILLING CODE 6717–01–P
person shown in this preamble.
35.43 Generally. FOR FURTHER INFORMATION CONTACT:
35.44 Protections against affiliate cross-
James Julian, Director, Office of
subsidization.
SOCIAL SECURITY ADMINISTRATION Compassionate Allowances and Listings
Subpart I—Cross-Subsidization Improvements, Social Security
20 CFR Parts 404, 405, and 416 Administration, 4470 Annex Building,
Restrictions on Affiliate Transactions
[Docket No. SSA 2007–0053] 6401 Security Boulevard, Baltimore, MD
§ 35.43 Generally. 21235–6401, (410) 965–4015. For
(a) For purposes of this subpart: RIN 0960–AG54
information on eligibility or filing for
(1) Captive customers means any benefits, call our national toll-free
Compassionate Allowances
wholesale or retail electric energy number 1–800–772–1213 or TTY 1–
customers served under cost-based AGENCY: Social Security Administration 800–325–0778, or visit our Internet Web
regulation. (SSA). site, Social Security Online, at http://
(2) Franchised public utility means a ACTION:Advance notice of proposed www.socialsecurity.gov.
public utility with a franchised service rulemaking.
obligation under state law. SUPPLEMENTARY INFORMATION:
(3) Market-regulated power sales SUMMARY: Under titles II and XVI of the
affiliate means any power seller affiliate Social Security Act (the Act), we pay Electronic Version
other than a franchised public utility, benefits to individuals who meet our The electronic file of this document is
including a power marketer, exempt rules for entitlement and have medically available on the date of publication in
wholesale generator, qualifying facility determinable physical or mental
or other power seller affiliate, whose the Federal Register at http://
impairments that are severe enough to
power sales are regulated in whole or in www.gpoaccess.gov/fr/index.html.
meet the definition of disability in the
part on a market-rate basis. Act. The rules for determining disability Sequential Evaluation Process for
(4) Non-utility affiliate means any can be very complicated, but some Determining Disability
affiliate that is not in the power sales or individuals have such serious medical
transmission business. conditions that their conditions We use a five-step ‘‘sequential
(b) The provisions of this subpart obviously meet our disability standards. evaluation process’’ to decide whether
apply to all franchised public utilities To address these individuals’ needs, we an individual is disabled, but will stop
with captive customers. strive to provide not only responsive, at any point in the process at which we
§ 35.44 Protections against affiliate cross-
but also compassionate, public service are able to make a disability
subsidization. that ensures the most severely disabled determination. At step one, we
in our society who meet the Act’s determine whether an individual is
(a) Restriction on affiliate sales of
requirements are awarded benefits currently engaged in substantial gainful
electric energy. No wholesale sale of
quickly. To that end, we are activity. If not, we then move to step
electric energy may be made between a
investigating methods of making two and determine whether the
franchised public utility with captive
‘‘compassionate allowances’’ by quickly individual has a ‘‘severe’’ impairment or
customers and a market-regulated power
identifying individuals with obvious combination of impairments
sales affiliate without first receiving
disabilities. The purpose of this notice significantly limiting the ability to
Commission authorization for the
is to give you an opportunity to send us perform basic work activities. At step
transaction under section 205 of the
comments about what standards we three, we compare the individual’s
Federal Power Act.
should use for compassionate impairment(s) to those in the Listing of
(b) Non-power goods or services. (1)
allowances, methods we might use to
Unless otherwise permitted by Impairments in appendix 1 of subpart P
identify compassionate allowances, and
Commission rule or order, sales of any of part 404 of our regulations (listing).
suggestions for how to implement those
non-power goods or services by a If the impairment does not meet or
standards and methods.
franchised public utility with captive equal in severity a listing, at step four,
customers, including sales made to or DATES: To be sure that your comments
we assess the individual’s residual
through its affiliated exempt wholesale are considered, we must receive them
functional capacity to determine if the
generators or qualifying facilities, to a by October 1, 2007.
individual can do any past relevant
market-regulated power sales affiliate or ADDRESSES: You may give us your work. Finally, at step five, we determine
non-utility affiliate, must be at the comments by: Internet through the whether other work exists in significant
higher of cost or market price. Federal eRulemaking Portal at http:// numbers that such an individual can
(2) Unless otherwise permitted by www.regulations.gov; e-mail to
perform, considering the individual’s
Commission rule or order, and except as regulations@ssa.gov; telefax to (410)
residual functional capacity, age,
permitted by paragraph (b)(3) of this 966–2830; or letter to the Commissioner
of Social Security, P.O. Box 17703, education, and work experience. We use
section, a franchised public utility with
captive customers may not purchase or Baltimore, MD 21235–7703. You may different sequential evaluation
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receive non-power goods and services also deliver them to the Office of processes for children and for
from a market-regulated power sales Regulations, Social Security individuals already receiving benefits
affiliate or a non-utility affiliate at a Administration, 960 Altmeyer Building, when we determine whether they are
price above market. 6401 Security Boulevard, Baltimore, MD still disabled. See §§ 404.1594, 416.924,
(3) A franchised public utility with 21235–6401, between 8 a.m. and 4:30 416.994, and 416.994a of our
captive customers may not purchase or p.m. on regular business days. regulations.

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41650 Federal Register / Vol. 72, No. 146 / Tuesday, July 31, 2007 / Proposed Rules

Current Examples of Compassionate Examples of some listing-level have reached certain points in their
Allowances impairments that qualify for favorable progression that would be considered
determinations with minimal medical disabling. We would not limit, however,
In making disability determinations, evidence establishing the diagnosis the compilation of conditions to those
we already apply screening methods include: already covered by our listing. We
that identify and assist some of the most • Hemipelvectomy (sections 1.05D would incorporate any conditions that
obviously disabled individuals. Some of and 101.05D), should be allowed quickly with
our current screening methods include: • Non-mosaic Down syndrome minimal, but sufficient, objective
1. Presumptive Disability/Presumptive (sections 10.06 and 110.06), medical evidence. As such, the list of
Blindness. Under the Act, an individual, • Catastrophic congenital anomalies, qualifying conditions would be specific
including a child, applying for such as anencephaly and cri du chat and extensive.
supplemental security income (SSI) (deletion 5p) syndrome (section 110.08), Additionally, although we already
based on disability or blindness, may • Amyotrophic lateral sclerosis have some policies and procedures for
receive up to 6 months of payments (section 11.10), identifying the most obviously disabled
before we make a formal determination • Acute leukemia (sections 13.06A individuals quickly, we are
of disability or blindness if we and 113.06A), investigating methods for identifying
determine that he or she is • Small-cell carcinoma of a lung compassionate allowances by perhaps
presumptively disabled or blind (PD/ (section 13.14B), starting with a specific allegation or
PB) and meets all other eligibility • Carcinoma (except islet cell through the use of a computer system
requirements. Generally, our field carcinoma) of the pancreas (section that is able to search key words
offices are authorized to make a PD/PB 13.20A), and included in an electronic disability
finding only for certain impairments • Major organ transplants, such as folder. Because the health care industry
that are readily observable or that can be heart, liver, or lungs (various sections). is capturing more and more clinical
easily confirmed; however, the State There are also some impairments that information in structured electronic
agencies that make initial disability qualify for favorable determinations formats using standardized codesets, we
determinations for us may make a PD/ under a listing based solely on objective also are interested in your ideas about
PB finding in any case where there is a medical evidence but with criteria for whether and how we can use that
strong likelihood that the claim will be clinical or laboratory findings information for identifying
allowed on formal determination. demonstrating the severity of the compassionate allowances.
2. Terminal Illness. We expedite the impairment. However, this evidence is Many, although by no means all, of
determinations of all disability cases in also generally minimal. For example: the individuals who would qualify for a
which there is an indication of a • Impairment of visual acuity compassionate allowance will have
terminal illness (TERI). We may identify (statutory blindness) with remaining impairments that are expected to result
a claim as a TERI case when an vision in the better eye after best in death and need immediate decisions
individual alleges a terminal illness, correction of 20/200 or less (section 2.02 on their claims. It is our hope that
when there is an allegation or diagnosis and 102.02A), compassionate allowances will not only
of AIDS, when an individual is • Cystic fibrosis with specified levels bring faster benefits to individuals in
receiving hospice care, or when medical of forced expiratory volume (FEV1) need, but that they will also help to
records indicate that an individual has (sections 3.04A and 103.04A), quicken the processing time of those
• Any symptomatic congenital heart claims that must be processed through
an impairment that is untreatable.
disease with cyanosis at rest and a our existing procedures.
3. Quick Disability Determinations specified hematocrit or arterial oxygen
(QDD). Through the QDD process, we level (sections 4.06A and 104.06A), Request for Comments
screen claims for special assignment • Any chronic renal (kidney) disease Please provide us with any comments
within the State agencies so that they requiring chronic hemodialysis or and suggestions you have about new
may allow the claims quickly, often peritoneal dialysis (sections 6.02A and standards and identification methods
within less than 10 days. We use a 106.02A), and for compassionate allowances. The
complex computer screening tool at the • Many inoperable cancers and following questions raise issues that you
time an individual files his or her cancers with distant metastases (various may wish to consider. Feel free to raise
application for disability benefits to provisions in sections 14.00 and other questions, thoughts, or comments.
identify some cases that are likely to 114.00). • Do you have any ideas for how we
qualify with evidence we can obtain can better identify impairments that can
quickly. The screening tool searches the Examples of Other Compassionate
Allowances That We Are Considering quickly be allowed without going
application and other documents for key through the entire disability
words in identifying a claim as a likely In addition to these methods of determination process?
QDD. identifying compassionate allowances, • Do you have any ideas for different
4. The Listing of Impairments. As we are considering the creation of an standards we should be using in our
described above, at the third step of the extensive list of impairments that we effort to provide compassionate
‘‘sequential evaluation process’’ that we can allow quickly with minimal assistance to individuals with the most
use for determining disability, we objective medical evidence that is based serious impairments?
consider whether an individual’s on clinical signs or laboratory findings • What is the minimum amount of
impairment meets or medically equals or a combination of both. We believe medical evidence we should accept to
the criteria of a listing. When an that we could use certain listed support a compassionate allowance
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individual’s impairment meets or impairments, such as those described finding?


medically equals the criteria of any above, as a starting point for a much • What procedures should we follow
listed impairment, we find the longer list of impairments that could be in our Social Security field offices, the
individual disabled without considering allowed based on established diagnoses State agencies, and the Office of
residual functional capacity, age, alone (supported by objective medical Disability Adjudication and Review to
education, or work experience. evidence) or based on diagnoses that identify compassionate allowances?

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Federal Register / Vol. 72, No. 146 / Tuesday, July 31, 2007 / Proposed Rules 41651

• How can we best take advantage of Old-Age, Survivors and Disability DATES: Written or electronic comments
clinical information captured Insurance, Reporting and recordkeeping and requests for a public hearing must
electronically using standardized codes requirements, Social Security. be received by October 29, 2007.
to specify the nature of the impairment? ADDRESSES: Send submissions to:
20 CFR Part 405
• What do you think about our idea CC:PA:LPD:PR (REG–118719–07), room
of a more extensive and specific list of Administrative practice and 5203, Internal Revenue Service, PO Box
impairments based on established procedure; Blind, Disability benefits; 7604, Ben Franklin Station, Washington,
diagnoses? Old-Age, Survivors, and Disability DC 20044. Submissions may be hand
• What should the general criteria for Insurance, Public assistance programs, delivered Monday through Friday
inclusion on such a list be? Reporting and recordkeeping between the hours of 8 a.m. and 4 p.m.
• What specific impairment(s) or requirements, Social Security, to CC:PA:LPD:PR (REG–118719–07),
kinds of impairments do you believe we Supplemental Security Income (SSI). Courier’s Desk, Internal Revenue
should include on such a list, and what 20 CFR Part 416 Service, 1111 Constitution Avenue,
specific criteria for inclusion should we NW., Washington, DC, or sent
use for those impairments (including Administrative practice and
electronically, via the Federal
specific standardized codes if procedure, Aged, Blind, Disability
eRulemaking Portal at http://
appropriate)? benefits, Public assistance programs,
www.regulations.gov/ (IRS REG–
• How should the rules or procedures Reporting and recordkeeping
118719–07).
for such a list be structured; for requirements, Supplemental Security
Income (SSI). FOR FURTHER INFORMATION CONTACT:
example, should we include a list of all Concerning the proposed regulations,
of the diagnoses in the regulations, or Dated: July 24, 2007. James Polfer, at (202) 622–3970 (not a
should we have the list on SSA’s Michael J. Astrue, toll-free number). Concerning
Internet site or somewhere else? Commissioner of Social Security. submissions of comments, the hearing,
• What sources should we consult to [FR Doc. E7–14686 Filed 7–30–07; 8:45 am] and/or to be placed on the building
create such a list; for example, our access list to attend the hearing, e-mail
BILLING CODE 4191–02–P
Listing of Impairments, the latest Richard A. Hurst@irscousel.treas.gov.
edition of the World Health
SUPPLEMENTARY INFORMATION:
Organization’s International
Classification of Diseases (ICD), and the DEPARTMENT OF THE TREASURY
Background
latest edition of the American Internal Revenue Service Section 817(d) defines a variable
Psychiatric Association’s Diagnostic and contract for purposes of part I of
Statistical Manual of Mental Disorders 26 CFR Part 1 subchapter L of the Code (sections 801–
(DSM)? Are there individuals and 818). For a contract to be a variable
organizations we should also be [REG–118719–07]
contract, it must provide for the
consulting? RIN 1545–BG65 allocation of all or a part of the amounts
• How should we keep the list up to received under the contract to an
date? Diversification Requirements for account that, pursuant to state law or
• We intend to undertake special Variable Annuity, Endowment, and Life regulation, is segregated from the
outreach efforts in order to encourage Insurance Contracts general asset accounts of the issuing
public discussion regarding potential insurance company. In addition, for a
methods and standards for identifying AGENCY: Internal Revenue Service (IRS),
Treasury. life insurance contract to be a variable
compassionate allowances, including contract, it must qualify as a life
periodic quarterly hearings. What ACTION: Notice of proposed rulemaking.
insurance contract for Federal income
methods should we use for community SUMMARY: This document proposes tax purposes, and the amount of the
outreach, and where should the changes to the regulations concerning death benefits (or the period of
outreach take place? the diversification requirements of coverage) must be adjusted on the basis
We will not respond directly to section 817(h) of the Internal Revenue of the investment return and the market
comments you send us because of this Code (Code). The proposed changes value of the segregated asset account; for
notice. After we consider your would expand the list of holders whose an annuity contract to be a variable
comments in response to this notice, we beneficial interests in an investment contract, it must provide for the
will decide whether and how to revise company, partnership, or trust do not payment of annuities, and the amounts
the rules we use to determine disability. prevent a segregated asset account from paid in, or the amount paid out, must
If we propose specific revisions to the looking through to the assets of the reflect the investment return and the
rules, we will publish a notice of investment company, partnership, or market value of the segregated asset
proposed rulemaking (NPRM) in the trust, to satisfy the requirements of account; for a contract that provides
Federal Register. In accordance with the section 817(h). The proposed funding of insurance on retired lives to
usual rulemaking procedures we follow, regulations also would remove the be a variable contract, the amounts paid
you will have a chance to comment on sentence in § 1.817–5(a)(2) that provides in, or the amounts paid out, must reflect
the revisions we propose when we that the payment required to remedy an the investment return and the market
publish the NPRM, and we will inadvertent diversification failure must value of the segregated asset account.
summarize and respond to the be based on the tax that would have Section 817(h)(1) provides that a
significant comments on the NPRM in been owed by the policyholders if they variable contract that is based on a
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the preamble to any final rules. were treated as receiving the income on segregated asset account is not treated as
List of Subjects the contract. These proposed regulations an annuity, endowment, or life
would affect insurance companies that insurance contract unless the segregated
20 CFR Part 404 issue variable contracts and would asset account is adequately diversified
Administrative practice and affect policyholders who purchase such in accordance with regulations
procedure, Blind, Disability benefits, contracts. prescribed by the Secretary. If a

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