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Employment Opportunities for Disabled Americans Act

Public Law 99-643 · H.R. 5595 · 99th Congress · began in the House

Signed by Ronald Reagan (R) on Nov 10, 1986 · Social Welfare

Sponsor: Rep. Harold Ford (D-TN-9)

Cosponsors (14): Rep. Pete Stark,

Passage votes

  • HouseUnanimous consent
  • SenateVoice vote
Data notes

The final version of the law, as each chamber passed it. A chamber that passed it by voice vote or unanimous consent has no count. “Method not stated” means the record does not say how the chamber voted. Where the record has a member-by-member vote, the “Who voted for it” section shows who voted yea.

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Summary

The Congressional Research Service’s plain-language summary of what the law does.

(House agreed to Senate amendments with amendments)

Employment Opportunities for Disabled Americans Act - Makes permanent the provisions of title XVI (Supplemental Security Income) (SSI) of the Social Security Act which provide special benefits or Medicaid (title XIX of the Act) coverage to individuals who perform substantial gainful activity despite a severe medical impairment.

Removes SSI limitations for the first two months of an individual's stay in a health facility if such individual: (1) was eligible for the benefits made permanent by this Act during the month preceding admission to the facility; and (2) is permitted by the facility to retain such benefits. Requires State Medicaid plans to disregard such benefits in determining the recipient's required contribution to the cost of care.

Sets forth provisions regarding the timing of medical determinations as to an individual's eligibility for SSI benefits or the benefits made permanent by this Act, including the provision that individuals whose income renders them ineligible for such benefits for less than one year may be reinstated without undergoing a disability determination. Specifies the factors which must be taken into account in determining whether a disabled individual's earnings provide a "reasonable equivalent" of SSI and Medicaid benefits and thereby disqualify the individual from Medicaid coverage under the SSI program.

Directs the Secretary of Health and Human Services, when any individual receives SSI benefits on the basis of a disability, to notify such individual of his or her potential eligibility for the benefits available to those performing substantial gainful activity despite a severe medical impairment.

Provides that when an individual becomes ineligible for SSI benefits upon entitlement to or an increase in child's insurance benefits under title II (Old Age, Survivors and Disability Insurance) of the Act, such individual shall be treated for Medicaid purposes as continuing to receive SSI benefits so long as he or she would otherwise be eligible for such benefits.

Prohibits States which use more restrictive Medicaid eligibility criteria than those used by the SSI program from terminating the coverage of individuals who would be eligible under the State plan but for their eligibility for the special benefits made permanent by this Act.

Provides for the payment of SSI benefits due deceased recipients to the surviving spouse or, if the deceased was a child, to the parents.

Committees

The committees the bill was sent to, and what each did with it.

Data notes

A committee links to its page only where it exists in the current Congress; older and renamed committees are named without a link.

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Timeline

From introduction to signing, newest first: the committees, the floor and the president. 14 actions.

  1. Nov 10, 1986Became lawBecame law · Became Public Law No: 99-643.
  2. Became lawBecame law · Signed by President.
  3. Oct 30, 1986PresidentPresident · Presented to President.
  4. Oct 18, 1986Resolving differencesResolving differences · Senate agreed to House amendments to Senate amendments by Voice Vote.
  5. Oct 16, 1986Resolving differencesResolving differences · House Concurred, in Senate Amendments , with Amendments by Unanimous Consent.
  6. Resolving differencesResolving differences · Proceedings of October 15, 1986 Vacated in House.
  7. Oct 15, 1986Resolving differencesResolving differences · House Concurred, in Senate Amendments , with Amendments by Voice Vote.
  8. Oct 8, 1986FloorFloor · Passed Senate in lieu of S. 2209 with an amendment and an amendment to the Title by Voice Vote.
  9. FloorFloor · Measure laid before Senate by unanimous consent.
  10. Sep 30, 1986FloorFloor · Passed House by Voice Vote.
  11. Sep 25, 1986CommitteeCommittee · Reported by House Ways and Means Committee
  12. CommitteeCommittee · Markup by House Ways and Means Committee
  13. CommitteeCommittee · Referred to House Ways and Means Committee
  14. IntroducedIntroduced · Introduced in the House
Data notes

Shows the introduction, each committee and subcommittee step the source dates (referral, hearings, markup, report, discharge), and the floor, conference, presidential and became-law steps. Calendar placements, messages between the chambers, amendments and committee report numbers are not shown for laws before the 108th Congress. Two entries the source lists twice are shown once.

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Official record

The bill’s full text and every action, including introduction and committee steps, are on Congress.gov. Data through Oct 7, 2026.