Change in Terminology: “Mental Retardation” to “Intellectual Disability”
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Notice of proposed rulemaking.
CFR Part: "20 CFR Parts 404 and 416"
RIN Number: "RIN 0960-AH52"
Citation: "78 FR 5755"
Document Number: "Docket No. SSA-2012-0066"
SUMMARY: We propose to replace the term "mental retardation" with "intellectual disability" in our Listing of Impairments (listings) that we use to evaluate claims involving mental disorders in adults and children under titles II and XVI of the Social Security Act (Act) and in other appropriate sections of our rules. This change would reflect the widespread adoption of the term "intellectual disability" by
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SUPPLEMENTARY INFORMATION: The term "intellectual disability" is gradually replacing the term "mental retardation" nationwide. Advocates for individuals with intellectual disability have rightfully asserted that the term "mental retardation" has negative connotations, has become offensive to many people, and often results in misunderstandings about the nature of the disorder and those who have it.
FOOTNOTE 1 Public Law 111-256. END FOOTNOTE
Rosa's Law did not specifically include titles II and XVI of the Act within its scope, and therefore, did not require us to make any changes to our existing regulations. However, consistent with the concerns expressed by
FOOTNOTE 2 See 77 FR 29002, 77 FR 6022-01. END FOOTNOTE
However, unlike other agencies that adopted the use of the term "intellectual disability," we are bound by a legal definition of the word "disability." The Act and our regulations define "disability" in specific terms and outline the requirements that an individual must meet in order to establish entitlement or eligibility to receive disability benefits. /3/ As a result, a person who has a medically determinable intellectual impairment, including intellectual disability, is not "under a disability" within the meaning of the Act until we have determined that the impairment satisfies all of the statutory and regulatory requirements for establishing disability; that is, until we find that the impairment results in an inability to do any substantial gainful activity, or, in a child under title XVI, results in marked and severe functional limitations. Consequently, the use of the term "intellectual disability" would not mean that we will necessarily find an individual disabled within the meaning of the Act.
FOOTNOTE 3 Sections 216(i)(1) and 1614(a)(3)(B)-(C) of the Act. END FOOTNOTE
Under this proposed change, an individual would be able to file a claim based on having "intellectual disability" under our rules. We may find the individual to have a medically determinable intellectual impairment that is severe at the second step of our sequential evaluation process, but that does not meet or equal the requirements of our current listings. At the fourth and fifth steps of our sequential evaluation process, we may find that an individual with a medically determinable intellectual impairment has the residual functional capacity to perform his or her past relevant work, or has the capacity to perform a significant number of jobs in the national economy, and is therefore not "under a disability" as defined in the Act.
What changes are we proposing?
We propose to replace the term "mental retardation" with "intellectual disability" wherever it appears in the listings and in our other rules. The proposed changes would affect listings 12.05 and 112.05; the introductions to 10.00, the Part A adult listings, and 110.00, the Part B child listings for impairments that affect multiple body systems; the introductions to 12.00, the Part A adult listings, and 112.00, the Part B child listings for mental disorders; and sections 404.1513(a)(2) and 416.913(a)(2). We also propose to replace the words "mentally retarded children" with "children with intellectual disability" in the examples in sections 404.2045(a) and 416.645(a).
As part of our ongoing commitment to update and improve our listings, we published a Notice of Proposed Rulemaking (NPRM) on
FOOTNOTE 4 75 FR 51336. We also published a notice with a limited reopening of the NPRM comment period on
Executive Order 12866, as Supplemented by Executive Order 13563
We have consulted with the
Regulatory Flexibility Act
We certify that this proposed rule will not have a significant economic impact on a substantial number of small entities because it affects individuals only. Therefore, the Regulatory Flexibility Act, as amended, does not require us to prepare a regulatory flexibility analysis.
Paperwork Reduction Act
While this proposed rule will not impose new public reporting burdens, it will require changes to existing OMB-approved information collections that contain the language referenced in this rule. We will make changes to the affected information collections via separate non-substantive change requests.
(Catalog of Federal Domestic Program Nos. 96.001, Social Security--
List of Subjects
20 CFR Part 404
Administrative practice and procedure, Blind, Disability benefits, Old-Age, Survivors, and
20 CFR Part 416
Administrative practice and procedure,
For the reasons set out in the preamble, we propose to amend 20 CFR chapter III as follows:
PART 404--FEDERAL OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE
Subpart P--Determining Disability and Blindness
1. The authority citation for subpart P of part 404 continues to read as follows:
Authority: Secs. 202, 205(a)-(b) and (d)-(h), 216(i), 221(a), (i), and (j), 222(c), 223, 225, and 702(a)(5) of the Social Security Act (42 U.S.C. 402, 405(a)-(b) and (d)-(h), 416(i), 421(a), (i), and (j), 422(c), 423, 425, and 902(a)(5)); sec. 211(b), Pub. L. 104-193, 110
Appendix 1 to Subpart P of Part 404 [Amended]
3. Amend Appendix 1 to subpart P of part 404 by:
a. Removing the words "mental retardation" and adding in their place "intellectual disability" wherever they occur;
b. Removing the words "Mental retardation" and adding in their place "Intellectual disability" wherever they occur; and
c. Removing the words "Mental Retardation" and adding in their place "Intellectual Disability" wherever they occur.
Subpart U--Representative Payment
4. The authority citation for subpart U of part 404 continues to read as follows:
Authority: Secs. 205(a), (j), and (k), and 702(a)(5) of the Social Security Act (42 U.S.C. 405(a), (j), and (k), and 902(a)(5)).
5. Amend the example in
PART 416--SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED
Subpart F--Representative Payment
6. The authority citation for subpart F of part 416 continues to read as follows:
Authority: Secs. 702(a)(5), 1613(a)(2) and (d)(1) of the Social Security Act (42 U.S.C. 902(a)(5) and 1383(a)(2) and (d)(1)).
7. Amend the example in
Subpart I--Determining Disability and Blindness
8. The authority citation for subpart I of part 416 continues to read as follows:
Authority: Secs. 221(m), 702(a)(5), 1611, 1614, 1619, 1631(a), (c), (d)(1), and (p), and 1633 of the Social Security Act (42 U.S.C. 421(m), 902(a)(5), 1382, 1382c, 1382h, 1383(a), (c), (d)(1), and (p), and 1383b); secs. 4(c) and 5, 6(c)-(e), 14(a), and 15, Pub. L. 98-460, 98
[FR Doc. 2013-01522 Filed 1-25-13;
BILLING CODE 4191-02-P
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