Ss As Standards Of Conduct For Claimant Representatives

SSA’s Standards of Conduct for Claimant Representatives 2008 Poverty Law Conference Austin Texas Suzanne Villalon-Hinojosa [email_address]

Regulatory History of SSA Ethics Rules ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Features of the Rules ,[object Object],[object Object],[object Object],Administrative Appeal Process

Rules Structure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Affirmative Duties 20 CFR §§ 404.1740(b)(1)&(2) and 416.1540(b) (1)&(2) ,[object Object],[object Object],[object Object]

Federal↔State hand offs in decision making process

Issues in evidence submission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Adverse evidence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],In both 1995 and 1997 the ABA opined that these rules are overly broad with regards to the duty to submit evidence. “The ABA believed that the rules continue to include provisions that could give rise to serious ethical conflicts.” 63 FR 41407

Adverse Evidence Changes in the law ,[object Object],[object Object],[object Object],[object Object],[object Object]

Adverse evidence Changes in the law ,[object Object],[object Object],[object Object]

Adverse evidence Other sources of authority ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Affirmative Duties 20 CFR §§ 404.1740(b)(3) and 416.1540(b)(3) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Prohibited Actions 20 CFR §§ 404.1740(c)(1) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Prohibited Actions 20 CFR §§ 404.1740(c)(2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prohibited Actions 20 CFR §§ 404.1740(c)(4) ,[object Object],[object Object],[object Object]

Prohibited Actions 20 CFR §§ 404.1740(c)(6) ,[object Object],[object Object]

Prohibited Actions 20 CFR §§ 404.1740(c)(7) ,[object Object],[object Object],[object Object],[object Object]

Representative Sanction Case Information for Fiscal Year 2001 through 2006 # of Formal Complaints SSA filed # of Cases … Before SSA Filed formal Complaints # of Cases… After SSA Filed formal Complaints # of Final decisions to Suspend or Disqualify FY 2001 25 0 2 7 FY 2002 15 1 1 12 FY 2003 5 4 5 4 FY 2004 5 0 0 4 FY 2005 6 1 1 4 FY 2006 2 0 0 1 Total 58 6 9 32 Source: Response of Commissioner Barnhart to Questions for the Record from the September 27, 2005 hearing on the New Disability Approach from Congressman Sander Levin. November 8, 2005

Ss As Standards Of Conduct For Claimant Representatives

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