# SSR 79-5c: SSR 79-5c: Rescinded 1982

> Federal · Rulings · Rescinded

URL: https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_79_5c

## Section

- **Citation:** SSR 79-5c
- **Heading:** SSR 79-5c: Rescinded 1982
- **Jurisdiction:** Federal
- **Kind:** Rulings
- **Status:** Rescinded
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Social Security Rulings / SSI / Eligibility / SSR 79-5c

## Text

20 CFR 416.231(b)(3)

SSR 79-5c

MALONE v. SECY. HEW, USDC, W.D. Wash., Civ. No. 75-425s (10/26/77)

The 22 year old claimant for Supplemental Security Income at times was
confined to hospitals which were determined to be public institutions
within the meaning of section 1611(e)(1) of the Social Security Act and
Social Security Regulations No. 16, section 416.231(b), making her
ineligible for benefits. She contended that since she was being billed
for, and is paying, the cost of her care, the type of institution to which
she was confined was immaterial and, therefore, she should be eligible for
benefits. The above cited section of the regulations implementing section
1611(e)(1) of the Social Security Act which excludes inmates of a public
institution from Supplemental Security Income
benefits [*] , defines an "inmate
of a public institution" as ". . .a person who is living in a public
institution and receiving treatment and/or services which are appropriate
to the person's requirements . . ." It does not take into consideration
the fact that the claimant is bearing the cost of the treatment or
services. Held , since the claimant is confined to a public
institution receiving treatment and/or services appropriate to her
requirements, she is not eligible for Supplemental Security Income
benefits.

RP, District Judge:

In this petition for a review of the denial of social security benefits,
the facts are agreed, and the case turns on an issue of statutory
construction.

Petitioner, who will be twenty-two years of age on September 23, 1977,
suffered a broken neck and paralysis in an automobile accident on March 9,
1974. She is a quadriplegic, and at times relevant to this case was
hospitalized at the University of Washington Hospital and at Harborview
Medical Center. She is "disabled" as that term is employed in the Social
Security Act. Petitioner has been billed for and has paid the costs of her
hospitalization, by virtue of private insurance coverage.
alysis in an automobile accident on March 9,
1974. She is a quadriplegic, and at times relevant to this case was
hospitalized at the University of Washington Hospital and at Harborview
Medical Center. She is "disabled" as that term is employed in the Social
Security Act. Petitioner has been billed for and has paid the costs of her
hospitalization, by virtue of private insurance coverage.

Petitioner applied for and was granted regular disability benefits under
title II of the Social Security Act. This case involves her application
for supplemental security income ("SSI") benefits, under 42 U.S.C. §1381a.
Any such benefits would be entirely separate and additional to the title
II disability benefits she is receiving.

The statutes and regulations set up a complex scheme for determining
whether persons are entitled to receive SSI benefits. In this case,
however, there is agreement that there is only one possible impediment to
petitioner's claim. The Secretary has determined that petitioner is not
entitled to benefits because she ". . . is an inmate of a public
institution."

The statute in question is 42 U.S.C. §1382(e)(1)(A), which at the time of
petitioner's application provided as follows:

"(e)(1)(A) Except as provided in subparagraph (B) [not here relevant], no
person shall be an eligible individual or eligible spouse for purposes of
this subchapter with respect to any month if throughout such month he is
an inmate of a public institution."

It is further agreed that both University Hospital and Harborview Medical
Center are "public institutions" within the meaning of the statute. The
issue in this case therefore comes down to whether petitioner should be
considered "an inmate of a public institution" where she is being billed
for, and is paying the cost of her care at such an institution.
an inmate of a public institution."

It is further agreed that both University Hospital and Harborview Medical
Center are "public institutions" within the meaning of the statute. The
issue in this case therefore comes down to whether petitioner should be
considered "an inmate of a public institution" where she is being billed
for, and is paying the cost of her care at such an institution.

The Secretary has adopted regulations which bear some relevance to this
question. 20 C.F.R. §416.231(b) sets forth definitions of several terms
used in the governing statute, including "institution," "public
institution," and "inmate of a public institution". As there is no dispute
that the hospitals in question are "public institutions," attention must
focus on the definition of "inmate of a public institution," which is as
follows:

"(3) An 'inmate of a public institution' is a person who is living in a
public institution and receiving treatment and/or services which are
appropriate to the person's requirements. A person is not considered an
inmate when he is in a public educational or vocational training
institution, for purposes of securing education or vocational training."
(20 C.F.R. §416.231(b)(3).)

Under this definition, a person's status as an "inmate of a public
institution" does not in any way turn upon who is bearing the cost of the
treatment and services. As plaintiff meets both of these tests, she would
be precluded, under the regulation, from receiving SSI benefits.

The Secretary also advises the court that the Social Security Claims
Manual, §5710(B)(1), states that it is immaterial that the costs of the
stay in public medical treatment facilities are paid from outside funds.
(Defendant's Memo, page 9.) This is further evidence of the administrative
interpretation given the statute.
d
be precluded, under the regulation, from receiving SSI benefits.

The Secretary also advises the court that the Social Security Claims
Manual, §5710(B)(1), states that it is immaterial that the costs of the
stay in public medical treatment facilities are paid from outside funds.
(Defendant's Memo, page 9.) This is further evidence of the administrative
interpretation given the statute.

Plaintiff argues, however, that such an interpretation of the statute and
regulation is contrary to the intent of Congress. Neither party has cited,
nor have I located, any case addressing this issue. Furthermore, the
parties have directed the court's attention to no relevant language in the
Committee reports or elsewhere reflecting Congressional intent in this
respect. Plaintiff has quoted some language from the Committee reports
relating to the provision of "pocket money" to inmates of certain public
institutions, but concedes that his language does not deal with the same
issue. ("Memorandum in Reply," page 4.)

Given the absence of any helpful case authority or legislative history,
this court is required to give strong weight to the interpretation given
the statute by the agency responsible for administering it.

"When faced with the problem of statutory construction, this court shows
great deference to the interpretation given the statute by the officers or
agency charged with its administration. 'To sustain the Commission's
application of this statutory term, we need not find that its construction
is the only reasonable one, or even that it is the result that we would
have reached had the question arisen in the first instance in judicial
proceedings.' Unemployment Comm'n v. Aragon , 329 U.S. 143,
153. See also e.g. Gray v. Powell , 314 U.S. 402; Universal Battery Co. v. United States , 281 U.S. 580, 583
n's
application of this statutory term, we need not find that its construction
is the only reasonable one, or even that it is the result that we would
have reached had the question arisen in the first instance in judicial
proceedings.' Unemployment Comm'n v. Aragon , 329 U.S. 143,
153. See also e.g. Gray v. Powell , 314 U.S. 402; Universal Battery Co. v. United States , 281 U.S. 580, 583.
'Particularly is this respect due when the administrative practice at
stake "involves a contemporaneous construction of a statute by the men
charged with the responsibility of setting its machinery in motion, of
making the parts work efficiently and smoothly while they are yet untried
and new." ' Power Reactor Co. v. Electricians , 367 U.S. 396,
409." Udall v. Tallman , 380 U.S.1, 16 (1965).

In the regulation quoted above, and in its Claims Manual, the Social
Security Administration has interpreted 42 U.S.C. §1382(d)(1)(A) to
exclude from benefits any person living in a public institution and
receiving treatment and services appropriate to his requirements,
regardless of who is paying the cost for those treatment and services.
Although such an interpretation works a harsh result in this case, I
suggest this court is bound to accept it, and to affirm the decision of
the Secretary denying SSI benefits. If Congress determines it is desirable
for a person in plaintiff's situation to receive SSI benefits, it must
enact the necessary amendments. Although plaintiff's case presents tragic
circumstances, nevertheless this court cannot as a matter of law determine
she is entitled to SSI benefits under current statutory and regulatory
provisions.

[*] Section 1611(e)(1) provides
for the eligibility of individuals in certain public institutions which
are receiving payments for the individual's care from Medicaid.

## Nearby sections

- [SSR 75-32 SSR 75-32: Rescinded 1981](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_75_32.md)
- [SSR 76-7 SSR 76-7: SECTION 1611(e)(1)(A) and (B) (42 U.S.C. 1382(e)(1)(A) and (B)) -- SUPPLEMENTAL SECURITY INCOME -- ELIGIBILITY DUE TO INSTITUTIONAL STATUS](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_76_7.md)
- [SSR 76-27 SSR 76-27: SECTION 1614(d)(2) and 1614(f)(1) (42 U.S.C. 1382c(d)(2) and 1382c(f)(1)) -- SUPPLEMENTAL SECURITY INCOME -- MARITAL RELATIONSHIP](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_76_27.md)
- [SSR 76-28 SSR 76-28: SECTIONS 1611(b)(2), 1612(a), and 1614(b) (42 U.S.C. 1382(b)(2), 1382a(a), and 1382c(b)) -- SUPPLEMENTAL SECURITY INCOME -- AMOUNT OF BENEFITS -- RELATIONSHIP](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_76_28.md)
- [SSR 76-41 SSR 76-41: SECTION 1614(b) (42 U.S.C. 1382c(b)) -- SUPPLEMENTAL SECURITY INCOME -- DEFINITION OF ELIGIBLE SPOUSE](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_76_41.md)
- [SSR 76-42 SSR 76-42: Rescinded 1985](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_76_42.md)
- [SSR 77-10 SSR 77-10: SECTION 1611(e)(1)(A) (42 U.S.C. 1382(c)(1)(A)) -- SUPPLEMENTAL SECURITY INCOME -- ELIGIBILITY -- STATUS OF INSTITUTION](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_77_10.md)
- [SSR 77-20 SSR 77-20: SECTION 1611(e)(1) (42 U.S.C. 1382(e)(1)) -- SUPPLEMENTAL SECURITY INCOME -- ELIGIBILITY -- INSTITUTIONALIZATION THROUGHOUT A MONTH](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_77_20.md)
- [SSR 78-9 SSR 78-9: Rescinded 1982](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_78_9.md)
- [SSR 79-5c SSR 79-5c: Rescinded 1982](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_79_5c.md)
- [SSR 79-6 SSR 79-6: SECTION 1611(e)(1)(A) (42 U.S.C. 1382(e)(1)(A)) SUPPLEMENTAL SECURITY INCOME -- ELIGIBILITY -- EFFECT OF BRIEF ABSENCES FROM PUBLIC INSTITUTION](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_79_6.md)
- [SSR 79-8 SSR 79-8: Rescinded 1986](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_79_8.md)
- [SSR 79-16 SSR 79-16: Rescinded 1986](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_79_16.md)
- [SSR 79-25 SSR 79-25: Rescinded 1982](https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_79_25.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/SSA_SSR_SSI_SSR_79_5c. Check the current official text before relying on it. Not legal advice.
