Page:United States Statutes at Large Volume 108 Part 2.djvu/798

 note. 108 STAT. 1514 PUBLIC LAW 103-296—AUG. 15, 1994 "(b)(1) If a person or entity violates subsection (a) in the person's or entity's role as, or in applying to become, a representative payee under section 1631(a)(2) on behalf of another individual (other than the person's eligible spouse), and the violation includes a willful misuse of funds by the person or entity, the court may also require that full or partial restitution of mnds be made to such other individual. "(2) Any person or entity convicted of a violation of subsection (a) of this section or of section 208 may not be certified as a representative payee under section 1631(a)(2).". ^2^80 1383a (3) EFFECTIVE DATE.— The amendments made by this subsection shall apply to conduct occurring on or after October 1, 1994. (d) AUTHORITY TO REDETERMINE ELIGIBILITY IF FRAUD IS INVOLVED, AND TO TERMINATE BENEFITS IF THERE IS INSUFFICIENT RELIABLE EVIDENCE.— (1) OASDI PROGRAMS. —Section 205 of the Social Security Act (42 U.S.C. 405) is amended by adding at the end the following: "(u)(l)(A) The Secretary shall immediately redetermine the entitlement of individuals to monthly insurance benefits under this title if there is reason to believe that fraud or similar fault was involved in the application of the individual for such benefits, unless a United States attorney, or equivalent State prosecutor, with jurisdiction over potential or actual related criminal cases, certifies, in writing, that there is a substantial risk that such action by the Secretary with regard to beneficiaries in a particular investigation would jeopardize the criminal prosecution of a person involved in a suspected fraud. "(B) When redetermining the entitlement, or making an initial determination of entitlement, of an individual under this title, the Secretary shall disregard any evidence if there is reason to believe that fraud or similar fault was involved in the providing of such evidence. "(2) For purposes of paragraph (1), similar fault is involved with respect to a determination if— "(A) an incorrect or incomplete statement that is material to the determination is knowingly made; or "(B) information that is material to the determination is knowingly concealed. "(3) If, after redetermining pursuant to this subsection the entitlement of an individual to monthly insurance benefits, the Secretary determines that there is insufficient evidence to support such entitlement, the Secretary may terminate such entitlement and may treat benefits paid on the basis of such insufficient evidence as overpayments.". (2) SSI PROGRAM.— Section 1631(e) of such Act (42 U.S.C. 1383(e)) is amended by adding at the end the following: "(6)(A)(i) The Secretary shall immediately redetermine the eligibility of an individual for benefits under this title if there is reason to believe that fraud or similar fault was involved in the application of the individual for such benefits, unless a United States attorney, or equivalent State prosecutor, with jurisdiction over potential or actual related criminal cases, certifies, in writing, that there is a substantial risk that such action by the Secretary with regard to recipients in a particular investigation would jeopardize the criminal prosecution of a person involved in a suspected fraud.

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