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6 The Listing of Impairments -- Issues
Pages 78-88

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From page 78...
... The value and utility of the current Listings for all users (claimants, SSA, health care professionals, state offices, and officials involved in the adjudication process)
From page 79...
... : In light of the significant growth in disability claims, the increased com plexity of those claims, and the younger age of beneficiaries in recent years, the need to make substantial changes in the Agency's disability determination process has become urgent. The length of time it now takes to process these claims is unacceptable.
From page 80...
... . In meetings with the committee, SSA staff discussed the agency's concerns about the declining utility of the Listings as a quick screening tool and the resulting increase in case-processing time and cost.
From page 81...
... Assessment of face and content validity by evaluating the extent to which the Listings reflect current medical and diagnostic tests to establish actual impairments
From page 82...
... . The president of the National Council of Disability Determination Directors (representing many of the state agencies that make disability decisions on behalf of SSA)
From page 83...
... The mental disorders listings that were in use prior to the 1985 revision were already largely based on functional indicators of impairment severity.2 For each of the major categories of mental disorders, the impairment listings consisted of a set of criteria that established the existence of the impairment 1 Although this version of the Listings is long obsolete, it is preserved in SSA's operating manual at Program Operations Manual System (POMS) DI 34101.015, listing of Impairments as of July , .
From page 84...
... but, rather, a change from one set of functional criteria to another. That change was prompted by the Disability Benefits Reform Act of 1984, a law that directed SSA to revise the mental listings to more realistically evaluate the ability to engage in SGA in a competitive workplace (Collins, 1985)
From page 85...
... As a first step, we now publish an advance NPRM to encourage members of the public to comment on the current medical criteria and to provide suggestions on how the medical criteria could be updated. In fiscal year 2005, we published advance notices involving impairments related to the respiratory and endocrine systems, growth impairments, and
From page 86...
... This ruling provides guidance on evaluating Reflex Sympathetic Dystrophy/Complex Regional Pain Syndrome, for which there is no listing.3 • SSR 02-1p -- Evaluation of Obesity. This ruling provides guidance on evaluation of obesity.
From page 87...
... 1985. Social Security Disability Benefits Reform Act of 1984: Legislative history and summary of provisions -- Includes appendices.
From page 88...
... (PowerPoint presentation is in a public access file and available from the IOM on request.)


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