Title 42 › Chapter CHAPTER 7— - SOCIAL SECURITY › Subchapter SUBCHAPTER XVI— - SUPPLEMENTAL SECURITY INCOME FOR AGED, BLIND, AND DISABLED › Part Part A— - Determination of Benefits › § 1382g
To get federal Medicaid payments, a State that starts giving extra payments to certain Supplemental Security Income (SSI) recipients on or after June 30, 1977 must keep making those extra payments and keep them at least as high as they were in December 1976 (or the first month after that when the State did pay). The Social Security Commissioner will not say the State failed this rule if the State’s spending on those extras in the 12 months that begin when SSI federal benefits go up is not less than its spending in the previous 12 months. The State can make one one-time choice to ignore retroactive extra payments tied to the retroactive SSI payments required by section 5041 of the Omnibus Budget Reconciliation Act of 1990 when making that 12-month comparison. There are special timing and alternative tests. A State that used the 12-month test and met the rule after June 30, 1982 can choose to use the December in the prior 12-month period as the baseline later. For the period July 1, 1980 through June 30, 1981 the comparison is made to July 1, 1976 through June 30, 1977 (or to the first later 12-month period when payments were made). For months after March 1983 a State not covered by the 12-month test meets the rule only if the State’s supplements plus certain other benefit amounts for that month are at least the March 1983 combined level increased by all cost-of-living boosts that happened after March 1983. A specific technical rule treats part of one 1983 increase as if it were a July 1983 cost-of-living boost. For 1984–1985, a State is safe if in 1986 its supplement levels (except for one special recipient group) are no less than December 1976 levels increased by the same percentage that certain federal payments rose from December 1976 through February 1986. For payments that began on or after October 1, 1987 to a special group of recipients, the State must keep combined monthly amounts (starting July 1988) at least equal to the October 1987 combined level (or the first month paid) plus $5 in some cases and $10 in others, depending on the recipient category.
Full Legal Text
The Public Health and Welfare — Source: USLM XML via OLRC
Legislative History
Reference
Citation
42 U.S.C. § 1382g
Title 42 — The Public Health and Welfare
Last Updated
Apr 6, 2026
Release point: 119-73