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CHAPTER 165. ROAD TO ECONOMIC SELF-SUFFICIENCY THROUGH EMPLOYMENT AND TRAINING (RESET) PROGRAM
GENERAL RESET PROVISIONS Sec.
165.1. General.
165.2. Definitions.
165.11. [Reserved].
EXEMPTIONS FROM RESET PARTICIPATION REQUIREMENTS
165.21. Exemptions from RESET participation requirements.
165.22. Verification of exemption.
165.23. [Reserved].
165.24. [Reserved].
165.25. RESET participation requirements following an exemption.
RESET PARTICIPATION REQUIREMENTS
165.31. RESET Participation requirements.
SPECIAL ALLOWANCES FOR SUPPORTIVE SERVICES
165.41. Eligibility for special allowances for supportive services.
165.42. Advance payment of special allowances for supportive services.
165.43. Requests for special allowances for supportive services and time frames for eligibility determinations.
165.44. Verification for special allowances for supportive services.
165.45. Time frames for authorization of payment for special allowances for supportive services.
165.46. Types of special allowances for supportive services.
COMPLIANCE REVIEW AND GOOD CAUSE
165.51. Compliance review.
165.52. Good cause.
SANCTIONS
165.61. Sanctions.
NOTIFICATION
165.71. Notification.
FAIR HEARING
165.81. Fair hearing.
RESTITUTION
165.91. Restitution.Cross References This chapter cited in 55 Pa. Code § 141.41 (relating to policy); 55 Pa. Code § 141.61 (relating to policy); 55 Pa. Code § 153.44 (relating to procedures); 55 Pa. Code § 171.21 (relating to policy); 55 Pa. Code § 183.91 (relating to LRR, parent or legal guardian of an AFDC minor parent and stepparent deductions); and 55 Pa. Code § 183.97 (relating to ineligibility for disregards from earned income for TANF and GA).
GENERAL RESET PROVISIONS
§ 165.1. General.
(a) A recipient who is not exempt shall participate in RESET. An exempt individual may volunteer to participate in RESET. The CAO will inform an applicant and recipient of the rights and responsibilities, and services and benefits available to RESET participants. A recipients ability to meet RESET participation requirements will be assessed after consultation with the recipient. Applicants and recipients shall comply with this chapter.
(b) The Department will provide RESET participants, to the extent necessary, case management and approved supportive services as may be necessary to support participants in becoming self-sufficient. In addition, participants will be provided with or referred to education, training and employment-related activities designed to break the cycle of welfare dependency. To the extent it deems possible, the Department will identify and promote resources in the public and private sectors that may assist participants to prepare for and obtain employment in jobs they may realistically be expected to obtain.
(c) The Department may, in its discretion, provide employment, education, training, work-related activities or work experience programs to applicants or recipients. Nothing in this chapter shall be interpreted as requiring the Department to develop or to offer or to continue to offer employment, education, training, work-related activities or work experience programs.
Authority The provisions of this § 165.1 amended under sections 201(2), 402, 403(b), 405, 405.1, 405.3, 408, 432 and 432.3 of the Public Welfare Code (62 P. S. § § 201(2), 402, 403(b), 405, 405.1, 405.3, 408, 432 and 432.3); Titles I and III of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Pub. L. No. 104-193) (PRWORA), creating the Temporary Assistance for Needy Families (TANF) Program, and amending 42 U.S.C.A. § § 601619, 651669(b) and 1396u-1; and the Federal TANF regulations in 45 CFR 260.10265.10.
Source The provisions of this § 165.2 amended under sections 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3 of the Public Welfare Code (62 P. S. § § 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3); Titles I and III of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Pub. L. No. 104-193) (PRWORA), creating the Temporary Assistance for Needy Families (TANF) Program, and amending 42 U.S.C.A. § § 601619, 651669(b) and 1396u-1; and the Federal TANF regulations in 45 CFR 260.10265.10.
Source The provisions of this § 165.2 adopted October 2, 1992, effective upon publication and apply retroactively to October 1, 1989, 22 Pa.B. 4875; amended January 8, 1999, effective February 1, 1999, 29 Pa.B. 271; amended September 13, 2002, effective September 14, 2002, 32 Pa.B. 4435. Immediately preceding text appears at serial page (252543).
Cross References This section cited in 55 Pa. Code § 125.1 (relating to policy); 55 Pa. Code § 133.23 (relating to requirements); 55 Pa. Code § 141.52 (relating to definitions); 55 Pa. Code § 165.52 (relating to good cause); and 55 Pa. Code § 281.2 (relating to definitions).
§ 165.11. [Reserved].
Source The provisions of this § 165.11 adopted October 2, 1992, effective upon publication and apply retroactively to October 1, 1992, 22 Pa.B. 4875; reserved September 13, 2002, effective retroactively to March 3, 1997, 32 Pa.B. 4435. Immediately preceding text appears at serial pages (252543) to (252544).
EXEMPTIONS FROM RESET PARTICIPATION REQUIREMENTS
§ 165.21. Exemptions from RESET participation requirements.
(a) An individuals exemption status is reviewed when a change is reported that would affect the individuals exemption status, when a condition is expected to change and at each reapplication interview. The individual is notified in writing of changes in exemption status.
(b) An individual who is exempt may volunteer to participate in RESET.
(c) An individual shall participate in RESET unless the individual establishes good cause under § 165.52 (relating to good cause) or the individual is exempt. An individual may be exempt if the individual is one of the following:
(1) Mentally or physically disabled, as verified by a physician or licensed psychologist, and the disability temporarily or permanently precludes any form of employment or work-related activity.
(i) An exemption period for recuperation after childbirth is determined by a physician or licensed psychologist.
(ii) Because mentally ill or mentally retarded persons cannot always acknowledge or explain their impairment and are frequently incapable of obtaining verification, persons who, in the judgment of the worker are mentally impaired, shall be referred to the Disability Advocacy Program for further evaluation. These persons will be exempt pending the results of an evaluation.
(iii) The Department may require an applicant or recipient with a verified temporary mental or physical disability, including drug or alcohol dependency, to pursue appropriate treatment as a condition of receiving assistance.
(iv) The Department may require an applicant or recipient to submit to an independent examination as a condition of receiving assistance.
(2) The parent or other caretaker who is personally providing care for a child under 6 years of age for whom an alternate child care arrangement is unavailable.
(3) A child who is under 18 years of age and pursuing a high school diploma or a certificate of high school equivalency.
(4) The custodial parent in a one-parent household who is caring for a child who is under 12 months of age. This exemption is limited to a maximum of 12 months in the parents lifetime.
Authority The provisions of this § 165.21 amended under sections 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3 of the Public Welfare Code (62 P. S. § § 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3); Titles I and III of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Pub. L. No. 104-193) (PRWORA), creating the Temporary Assistance for Needy Families (TANF) Program, and amending 42 U.S.C.A. § § 601619, 651669(b) and 1396u-1; and the Federal TANF regulations in 45 CFR 260.10265.10.
Source The provisions of this § 165.21 adopted October 2, 1992, effective upon publication and apply retroactively to October 1, 1989, except subsection (c)(10) and (11) applies retroactively to October 1, 1990, 22 Pa.B. 4875; amended September 13, 2002, effective retroactively to March 3, 1997, 32 Pa.B. 4435. Immediately preceding text appears at serial pages (252544) to (252545).
Cross References This section cited in 55 Pa. Code § 125.1 (relating to policy); 55 Pa. Code § 141.56 (relating to deferred referral); 55 Pa. Code § 165.2 (relating to definitions); 55 Pa. Code § 165.31 (relating to participation); 55 Pa. Code § 165.52 (relating to good cause); and 55 Pa. code § 281.3 (relating to eligibility requirements).
§ 165.22. Verification of exemption.
(a) Need for verification. The applicant or recipient shall cooperate in providing necessary information and verification regarding the basis for exemption.
(1) The CAO may assist an individual in obtaining verification when help is needed.
(2) The Department may require an applicant or recipient claiming an exemption based on a physical or mental disability which temporarily or permanently precludes any form of employment or work-related activity to submit to an independent examination as a condition of receiving assistance, if the individual is exempt from RESET.
(3) An applicant or recipient with a verified physical or mental disability which temporarily precludes any form of work or work-related activity shall pursue appropriate treatment to restore or improve the individuals ability to work, as a condition of receiving assistance, if the individual is exempt from RESET.
(4) An individual is not required to verify information that was previously verified and is not subject to change.
(b) Types of verification. Verification of an exemption consists of reasonably available documentation specified by the Department and includes birth certificates or baptismal records, written statements from physicians, licensed psychologists or school officials that support the Individuals claim for an exemption.
(1) The verification of a physical or mental disability shall be established on a form specified by the Department and shall be based on acceptable clinical and laboratory diagnostic techniques rather than on the applicants or recipients statement of symptoms.
(2) If the individual fails to verify the claim for an exemption, the individual shall participate in RESET unless the individual has cooperated in seeking verification and verification is unavailable.
(c) Expiration of exemption. The CAO will notify the exempt individual in writing when the period of exemption is due to end.
(1) The individual will be given an opportunity to provide new or additional verification to continue the exemption.
(2) The individual will be given the opportunity to prepare to comply with RESET participation requirements under § 165.31 (relating to RESET participation requirements).
Authority The provisions of this § 165.22 issued under sections 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3 of the Public Welfare Code (62 P. S. § § 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3); Titles I and III of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Pub. L. No. 104-193) (PRWORA), creating the Temporary Assistance for Needy Families (TANF) Program, and amending 42 U.S.C.A. § § 601619, 651669(b) and 1396u-1; and the Federal TANF regulations in 45 CFR 260.10265.10.
Source The provisions of this § 165.22 adopted September 13, 2002, September 14, 2002, 32 Pa.B. 4435.
§ 165.23. [Reserved].
Source The provisions of this § 165.23 amended through July 2, 1982, effective July 3, 1982, 12 Pa.B. 2061; reserved October 2, 1992, effective upon publication and apply retroactively to October 1, 1989, 22 Pa.B. 4875. Immediately preceding text appears at serial pages (168631) to (168632) and (165941) to (165951).
Cross References This section cited in 55 Pa. Code § 166.23 (relating to requirements).
§ 165.24. [Reserved].
Source The provisions of this § 165.24 amended through July 2, 1982, effective July 3, 1982, 12 Pa.B. 2061; reserved October 2, 1992, effective upon publication and apply retroactively to October 1, 1989, 22 Pa.B. 4875. Immediately preceding text appears at serial pages (165951) to (165953).
Cross References The provisions of this § 165.25 issued under sections 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3 of the Public Welfare Code (62 P. S. § § 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3); Titles I and III of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Pub. L. No. 104-193) (PRWORA), creating the Temporary Assistance for Needy Families (TANF) Program, and amending 42 U.S.C.A. § § 601619, 651669(b) and 1396u-1; and the Federal TANF regulations in 45 CFR 260.10265.10.
Source The provisions of this § 165.25 adopted September 13, 2002, effective retroactively to March 3, 1997, 32 Pa.B. 4435.
RESET PARTICIPATION REQUIREMENTS
§ 165.31. RESET participation requirements.
(a) The following RESET participation requirements always apply:
(1) An individual who is not exempt under § 165.21 (relating to exemptions from RESET participation requirements) shall seek and accept any bona fide offer of employment and maintain employment.
(2) A nonexempt individual shall accept referral to, work in and retain employment in which the individual is able to engage and participate in work activities specified on the AMR.
(3) A nonexempt individual may not, without good cause, voluntarily terminate employment, reduce earnings or fail to apply for work.
(4) Information indicating noncompliance with this section will result in a compliance review in accordance with § 165.51 (relating to compliance review).
(5) A nonexempt recipients willful failure, without good cause, to comply with this subsection will result in the imposition of sanctions as specified in § 165.61 (relating to sanctions).
(b) Requirements that apply during the first 24 months. The following RESET participation requirements apply during the first 24 months:
(1) A nonexempt individual who is not employed for an average of at least 20 hours per week shall participate in a work-related activity.
(2) A nonexempt individual who is not employed for an average of at least 20 hours per week shall accept referral to, participate in and continue to participate in an available work-related activity, including work-related activities specified on the AMR.
(3) For the initial work-related activity, the individual shall participate in an initial job search for up to 8 weeks, except as provided in paragraph (6) and subsection (f).
(i) For an applicant, the initial job search is required upon authorization of cash assistance.
(ii) The applicant or recipient shall document these efforts and present the documentation to the appropriate CAO upon request.
(4) After the initial job search, the individual may fulfill the work-related activity requirement, subject to the limitations in paragraphs (5)(8), by participating in one or more of the following activities, as approved by the Department:
(i) Subsidized employment.
(ii) Work experience.
(iii) On-the-job training.
(iv) Community service.
(v) Workfare.
(vi) Job search, whether independent or assisted, and job readiness and job preparation activities.
(vii) Vocational education training or job skills training.
(viii) Any employment and training program funded or approved by the Department that provides one-stop access to intensive case management, training, education, job readiness training, job search and individual job development that leads to job placement.
(ix) Any employment and training program funded or approved by the Department that provides activities for a cash assistance applicant or recipient to achieve rapid attachment to the workforce.
(x) In the case of a recipient 18 years of age or older and less than 22 years of age, general education that is necessary for the recipient to obtain employment, a high school diploma or a certificate of high school equivalency, subject to the recipient maintaining satisfactory progress as defined by the school or educational program.
(5) During the first 24 months that an individual receives cash assistance, whether consecutive or interrupted, participation in an approved vocational education, general education, English-as-a-second language and job skills training counts toward fulfilling the work-related activity requirement of this subsection for a maximum of 12 months. After 12 months of education or training, the individual may continue to pursue education or training, but shall also fulfill RESET participation requirements, unless the individual establishes good cause under § 165.52 (relating to good cause).
(6) A recipient 18 years of age or older but under 22 years of age who does not have a high school diploma or its equivalent may fulfill RESET participation requirements by pursuing a high school diploma or its equivalent, provided that the individual maintains satisfactory progress, as defined by the institution.
(7) Work experience is limited to 6 cumulative months in an individuals lifetime.
(8) Notwithstanding paragraph (7), work experience may be extended beyond the 6-month lifetime limit if necessary to comply with Title II of the Americans With Disabilities Act (42 U.S.C.A. § § 1213112165).
(c) Requirements that apply after the first 24 months. The following RESET participation requirements apply after the first 24 months:
(1) After receiving cash assistance for 24 months, whether the months are consecutive or interrupted, a nonexempt individual shall, as a condition of eligibility or continuing eligibility for cash assistance, participate for an average of at least 20 hours per week in any one or a combination of the following activities, as approved by the Department:
(i) Unsubsidized employment.
(ii) Subsidized employment.
(iii) Work experience.
(iv) Community service.
(v) On-the-job training.
(vi) Workfare.
(2) After 24 months of receipt of cash assistance, an individual may continue to pursue education or training, but shall also fulfill RESET participation requirements, including the minimum 20-hour-per-week work activity requirement in paragraph (1), unless the individual establishes good cause, as specified in § 165.52.
(3) Work experience is subject to the provisions of subsection (b)(7) and (8).
(d) AMR and EDP. Final approval of the work and work-related activities listed in the AMR or EDP rests with the Department. The AMR and EDP are not considered contracts. Factors to be considered in developing the AMR and EDP include:
(1) Available program services.
(2) The clients previous education and training.
(3) The clients supportive services needs.
(4) The clients skills level and aptitudes.
(5) Local employment opportunities.
(6) The clients goals and interests, to the extent possible.
(e) Self-initiated education or training. Subject to subsections (b) and (c), self-initiated education or training may be approved as part of an individuals AMR, if the person is making satisfactory progress as defined by the institution.
(f) Exempt voluntary participation. An exempt individual may volunteer to participate in RESET. An exempt volunteer is not required to conduct an initial job search before participating in RESET.
Authority The provisions of this § 165.31 amended under sections 201(2), 402, 403(b), 405, 405.1, 405.3, 408, 432 and 432.3 of the Public Welfare Code (62 P. S. § § 201(2), 402, 403(b), 405, 405.1, 405.3, 408, 432 and 432.3); the Support Law (62 P. S. § § 19711977); Titles I and III of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Pub. L. No. 104-193) (PRWORA), creating the Temporary Assistance for Needy Families (TANF) Program, and amending 42 U.S.C.A. § § 601619, 651669(b) and 1396u-1; and the Federal TANF regulations in 45 CFR 260.10265.10.
Source The provisions of this § 165.31 adopted October 2, 1992, effective upon publication and apply retroactively to October 1, 1989, 22 Pa.B. 4875; amended September 13, 2002, effective retroactively to March 3, 1997, with the exception of subsections (b), (c) and (e) which are effective September 14, 2002, 32 Pa.B. 4435. Immediately preceding text appears at serial pages (252546) to (252547).
Cross References This section cited in 55 Pa. Code § 165.22 (relating to verification of exemption); 55 Pa. Code § 165.25 (relating to RESET participation requirements following an exemption); 55 Pa. Code § 165.51 (relating to compliance review); and 55 Pa. Code § 281.3 (relating to eligibility requirements).
SPECIAL ALLOWANCES FOR SUPPORTIVE SERVICES
§ 165.41. Eligibility for special allowances for supportive services.
(a) A cash assistance or Food Stamp recipient may receive certain special allowances to pay for in advance or to reimburse costs of supportive services, as specified in this chapter, to enable the individual to prepare for, seek, accept or maintain education, training or employment. Payment for supportive services will be made in advance whenever the payment is needed by the individual to begin or maintain a RESET activity.
(b) For an individual seeking cash assistance to qualify to receive a special allowance for supportive services, the individual shall be determined eligible for cash assistance, participate in RESET unless exempt and have an approved AMR. For an individual seeking only Food Stamps, to qualify for a special allowance for supportive services, the individual shall comply with an approved EDP. The approved AMR or EDP, whichever is applicable, must specify the activities for which the supportive services will be provided.
(c) A special allowance for supportive services is made only to the extent that the item or service is not available from another public source at no cost to the individual, does not interfere with parental choice as specified in § § 165.46(a)(5) and 168.11(b) (relating to types of special allowances for supportive services; and general requirements), and cannot be met by educational assistance. The activity may not be secondary education or an equivalent level of vocational or technical training, unless the individual is a pregnant female or custodial parent.
(d) The CAO will inform the individual, in writing and orally, of the availability of special allowances for supportive services at application, reapplication and whenever the AMR or EDP is developed or revised.
(e) The CAO shall assist the participant to obtain supportive services to participate in employment, education, training and job search activities, including precomponent activities such as orientation.
(f) Except as otherwise restricted in this chapter, special allowances for supportive services may be granted as often as required to enable the individual to participate in an approved education or training activity and once for each job.
Authority The provisions of this § 165.41 amended under sections 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3 of the Public Welfare Code (62 P. S. § § 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3); the Support Law (62 P. S. § § 19711977); Titles I and III of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Pub. L. No. 104-193) (PRWORA), creating the Temporary Assistance for Needy Families (TANF) Program, and amending 42 U.S.C.A. § § 601619, 651669(b) and 1396u-1; and the Federal TANF regulations in 45 CFR 260.10265.10.
Source The provisions of this § 165.41 adopted October 2, 1992, effective upon publication and apply retroactively to October 1, 1989, except subsections (c) and (d) are effective October 3, 1992, 22 Pa.B. 4875; amended September 13, 2002, effective September 14, 2002, 32 Pa.B. 4435. Immediately preceding text appears at serial pages (252547) to (252548).
Cross References The provisions of this § 165.42 adopted October 2, 1992, effective October 3, 1992, 22 Pa.B. 4875; amended January 8, 1999, effective February 1, 1999, 29 Pa.B. 271. Immediately preceding text appears at serial pages (175236) to (175237).
Cross References The provisions of this § 165.43 adopted October 2, 1992, effective October 3, 1992, 22 Pa.B. 4875.
Cross References The provisions of this § 165.44 adopted October 2, 1992, effective October 3, 1992, 22 Pa.B. 4875; amended January 8, 1999, effective February 1, 1999, 29 Pa.B. 271. Immediately preceding text appears at serial pages (175237) to (175239).
§ 165.45. Time frames for authorization of payment of special allowances for supportive services.
(a) When verification is obtained or received by the CAO within 5-calendar days following a request for a special allowance for supportive services, the CAO shall authorize payment no later than 10-calendar days following the date of request.
(b) When verification is obtained or received by the CAO more than 5 days following a request for special allowance for supportive services, the CAO shall authorize payment no later than 5-calendar days after receipt of the verification.
(c) When the last day for authorization of payment falls on a weekend or holiday, the CAO shall authorize payment on or before the working day immediately preceding the weekend or holiday.
(d) Authorization of payment shall include actually processing the data needed to issue a check, including completing required forms and performing data entry.
(e) The CAO shall issue the written decision approving the special allowance for a supportive service within the time frame for authorization of payment in this section.
(f) The CAO shall use the method of payment, such as a county or central issuance, that is best calculated to provide payment to the client in advance of the date that payment for the supportive service is required by the provider.
Source The provisions of this § 165.45 adopted October 2, 1992, effective October 3, 1992, 22 Pa.B. 4875.
Cross References The provisions of this § 165.46 adopted October 2, 1992, effective retroactive to October 1, 1990, except subsection (a) effective October 3, 1992, 22 Pa.B. 4875; amended January 8, 1999, effective February 1, 1999, 29 Pa.B. 271. Immediately preceding text appears at serial pages (175239) to (175246).
Cross References This section cited in 55 Pa. Code § 165.41 (relating to eligibility for special allowances for supportive services); and 55 Pa. Code § 165.42 (relating to advance payment of special allowances for supportive services).
COMPLIANCE REVIEW AND GOOD CAUSE
§ 165.51. Compliance review.
(a) Need for compliance review. A compliance review will be conducted when information indicates that a recipient may be out of compliance with RESET participation requirements, as specified in § 165.31 (relating to RESET participation requirements).
(b) Scheduling the compliance review. The caseworker will inform the recipient of the need for a compliance review and the consequences of failing, without good cause, to participate in the compliance review. In scheduling the compliance review, the caseworker will reasonably take into account the individuals work schedule, family and school obligations. The compliance review may be conducted in person or by telephone, according to the individuals preference.
(c) Purpose of compliance review. With the understanding that the goal of RESET is to assist the individual in becoming employable and self-sufficient, the compliance review will seek to identify the reasons for the individuals apparent noncompliance with RESET participation requirements. The caseworker will review the facts including those presented by the individual and those facts already known by the Department. If the individuals failure to comply with RESET participation requirements is not willful or the individual has good cause under § 165.52 (relating to good cause), the individual is not subject to sanction. In that instance, the caseworker will explore ways to address the obstacles that prevented the individual from complying with RESET participation requirements.
(d) Results of compliance review. The caseworker will document the results of the compliance review. If the caseworker determines that a recipient has willfully failed, without good cause, to comply with RESET participation requirements, the recipient is subject to sanction under § 165.61 (relating to sanctions). For a noncompliant recipient not subject to sanction, the caseworker will review program requirements, help identify obstacles to compliance, and with the recipients involvement, develop a new AMR to help achieve and maintain compliance. A recipient may appeal the Departments decision that the recipient is subject to sanction as specified under § 275.1 (relating to policy).
(e) Special provision for individuals with disabilities. If the caseworker knows that an individual has a disability, the caseworker considers this fact, and those presented by the individual. If the facts reveal that the individual did not comply with RESET participation requirements due to disability, no sanction is imposed. In that case, the caseworker and the individual will develop a new AMR to address the disability and, if applicable, other obstacles to self-sufficiency.
Authority The provisions of this § 165.51 amended under sections 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3 of the Public Welfare Code (62 P. S. § § 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3); the Support Law (62 P. S. § § 19711977); Titles I and III of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Pub. L. No. 104-193) (PRWORA), creating the Temporary Assistance for Needy Families (TANF) Program, and amending 42 U.S.C.A. § § 601619, 651669(b) and 1396u-1; and the Federal TANF regulations in 45 CFR 260.10265.10.
Source The provisions of this § 165.51 adopted October 2, 1992, effective upon publication and apply retroactively to October 1, 1989, 22 Pa.B. 4875; amended September 13, 2002, effective September 14, 2002, 32 Pa.B. 4435. Immediately preceding text appears at serial pages (252556) and (268317).
Cross References The provisions of this § 165.52 amended under sections 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3 of the Public Welfare Code (62 P. S. § § 201(2), 403(b), 405, 405.1, 405.3, 408, 432 and 432.3); Titles I and III of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Pub. L. No. 104-193) (PRWORA), creating the Temporary Assistance for Needy Families (TANF) Program, and amending 42 U.S.C.A. § § 601619, 651669(b) and 1396u-1; and the Federal TANF regulations in 45 CFR 260.10265.10.
Source The provisions of this § 165.52 adopted October 2, 1992, subsection (a)(15)(17) effective retroactively to October 1, 1990, subsections (a)(1)(14) and (b) effective upon publication and apply retroactively to October 1, 1989, 22 Pa.B. 4875; amended September 13, 2002, effective retroactively to March 3, 1997, with the exception of subsections (a)(3), (c) and (d) are effective September 14, 2002, 32 Pa.B. 4435. Immediately preceding text appears at serial pages (268317) to (268318).
Cross References This section cited in 55 Pa. Code § 140.513 (relating to eligibility end date); 55 Pa. Code § 141.55 (relating to mandatory RESET participants); 55 Pa. Code § 141.56 (relating to deferred referral); 55 Pa. Code § 141.61 (relating to policy); 55 Pa. Code § 165.21 (relating to exemptions from RESET participation requirements); 55 Pa. Code § 165.31 (relating to RESET participation requirements); and 55 Pa. Code § 165.51 (relating to compliance review).
SANCTIONS
§ 165.61. Sanctions.
(a) A sanction will be imposed on an individual who is required to participate in RESET if the individual willfully, and without good cause, does one or more of the following:
(1) Fails to accept a bona fide offer of employment in which the individual is able to engage.
(2) Voluntarily terminates employment.
(3) Fails or refuses to accept referral to, participate in, or continue to participate in an available work-related activity, including work-related activities specified on the AMR.
(4) Fails to accept referral to, work in, or retain employment in which the individual is able to engage and participate in work activities specified on the AMR.
(5) Fails to seek employment.
(6) Fails to maintain employment.
(7) Reduces earnings.
(8) During the first 24 months of cash assistance, fails to participate in one of the following work-related activities, if not employed at least 20 hours per week:
(i) Subsidized employment.
(ii) Work experience.
(iii) On-the-job training.
(iv) Community service.
(v) Workfare.
(vi) Job search, whether independent or assisted, and job readiness and job preparation activities.
(vii) Vocational education training or job skills training.
(viii) Any employment and training program funded or approved by the Department that provides one-stop access to intensive case management, training, education, job readiness training, job search and individual job development that leads to job placement.
(ix) Any employment and training program funded or approved by the Department that provides activities for a cash assistance applicant or recipient to achieve rapid attachment to the workforce.
(x) In the case of a recipient 18 years of age or older and less than 22 years of age, general education that is necessary for the recipient to obtain employment, a high school diploma or a certificate of high school equivalency, subject to the recipient maintaining satisfactory progress as defined by the school or educational program.
(9) After receiving 24 months of cash assistance, fails to participate for an average of at least 20 hours per week in one of the following work activities:
(i) Unsubsidized employment.
(ii) Subsidized employment.
(iii) Work experience.
(iv) Community service.
(v) On-the-job training.
(vi) Workfare.
(10) Fails to agree to fulfill RESET participation requirements.
(11) Fails to apply for work at the time and in the manner the Department may prescribe.
(b) The sanction period shall be:
(1) For the first occurrence, ineligibility for cash assistance for 30 days, or until the recipient is willing to comply, whichever is longer.
(2) For the second occurrence, ineligibility for cash assistance for 60 days, or until the recipient is willing to comply, whichever is longer.
(3) For the third occurrence, permanent ineligibility for cash assistance.
(c) Applicability of the sanction is as follows:
(1) During the first 24 months, the sanction is imposed only on the individual who failed to comply.
(2) After 24 months, the sanction is imposed on the entire budget group.
(d) In lieu of the sanctions in subsections (b)(1)(3) and (c)(1), if an employed individual voluntarily, without good cause, reduces his earnings during the first 24 months that assistance is received by not working an average of at least 20 hours per week, the grant will be reduced by the dollar value of the income that would have been earned if the recipient had not voluntarily reduced the hours of employment to less than an average of 20 hours per week. Unless the individual verifies an exemption from RESET participation requirements or establishes good cause for noncompliance, the reduction will continue until the minimum 20-hour weekly work requirement is met.
(e) If the individual under sanction in the first 24 months is the only dependent child in the TANF budget group, the caretaker will continue to receive TANF during the sanction period, if otherwise eligible.
(f) If the individual under sanction in the first 24 months is a parent or other caretaker, protective payments for the remaining members of the budget group will be made to the caretaker under sanction.
Authority The provisions of this § 165.61 amended under sections 201(2), 402, 403(b), 405, 405.1, 405.3, 408, 432 and 432.3 of the Public Welfare Code (62 P. S. § § 201(2), 402, 403(b), 405, 405.1, 405.3, 408, 432 and 432.3); the Support Law (62 P. S. § § 19711977); Titles I and III of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Pub. L. No. 104-193) (PRWORA), creating the Temporary Assistance for Needy Families (TANF) Program, and amending 42 U.S.C.A. § § 601619, 651669(b) and 1396u-1; and the Federal TANF regulations in 45 CFR 260.10265.10.
Source The provisions of this § 165.61 adopted October 2, 1992, effective upon publication and apply retroactively to October 1, 1989, except subsection (a) regarding imposing a sanction for terminating employment or reducing earnings without good cause, applies retroactively to October 1, 1990, 22 Pa.B. 4875; amended September 13, 2002, effective retroactively to March 3, 1997, 32 Pa.B. 4435. Immediately preceding text appears at serial page (252559).
Cross References This section cited in 55 Pa. Code § 125.1 (relating to policy); 55 Pa. Code § 141.55 (relating to mandatory RESET participants); 55 Pa. Code § 165.31 (relating to RESET participation requirements); 55 Pa. Code § 165.51 (relating to compliance review); and 55 Pa. Code § 165.71 (relating to notification).
NOTIFICATION
§ 165.71. Notification.
(a) If the compliance review results in a finding that the recipient was willfully, and without good cause, failed to comply with RESET participation requirements, the CAO will notify the recipient in accordance with Chapter 133 (relating to redetermining eligibility). This notice will indicate the sanction to be imposed and the reason for the sanction.
(b) An individual whose failure to comply results in a sanction, as specified in § 165.61 (relating to sanctions), will be reminded in writing before the end of the minimum durational sanction period of the individuals option to end the sanction by correcting the failure to comply. The CAO will send the reminder to the individual 10 days prior to the end of the sanction period.
(c) The CAO shall inform applicants and recipients of the availability of transitional child care and extended medical care at application and reapplication.
Authority The provisions of this § 165.71 amended under sections 201(2), 403(b), 405 and 432.3 of the Public Welfare Code (62 P. S. § § 201(2), 403(b), 405 and 432.3); Titles I and III of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Pub. L. No. 104-193) (PRWORA), creating the Temporary Assistance for Needy Families (TANF) Program, and amending 42 U.S.C.A. § § 601619, 651669(b) and 1396u-1; and the Federal TANF regulations in 45 CFR 260.10265.10.
Source The provisions of this § 165.71 adopted October 2, 1992, effective upon publication and apply retroactively to October 1, 1989, 22 Pa.B. 4875; amended September 13, 2002, effective retroactively to March 3, 1997, with exception of subsection (b) which is effective September 14, 2002, 32 Pa.B. 4435. Immediately preceding text appears at serial pages (252559) to (252560).
FAIR HEARING
§ 165.81. Fair hearing.
Every person has a right to appeal a Departmental action or failure to act regarding these employment requirements and to have a hearing in accordance with Chapter 275 (relating to appeal and fair hearing and administrative disqualification hearings), if the individual is dissatisfied with a decision refusing or discontinuing assistance in whole or in part with the following exceptions:
(1) The requirement for notice does not apply to a change in the method of payment of a special allowance for supportive services unless the change results in a discontinuance, suspension, reduction or termination of the allowance or would force a change in child care or adult care arrangements.
(2) Section 275.4(a)(3)(v)(C)(I) (relating to procedures) regarding continued benefits pending a hearing decision does apply to a reduction or discontinuance of a special allowance for supportive services.
Source The provisions of this § 165.81 adopted October 2, 1992, effective retroactively to October 1, 1990, 22 Pa.B. 4875; amended January 8, 1999, effective February 1, 1999, 29 Pa.B. 271. Immediately preceding text appears at serial pages (194845) to (194846).
RESTITUTION
§ 165.91. Restitution.
The Cash Assistance provisions of Chapter 255 (relating to restitution) apply except that the provision for recoupment of an overpayment does not apply to special allowances for supportive services.
Source The provisions of this § 165.91 adopted October 2, 1992, effective upon publication and apply retroactively to October 1, 1989, 22 Pa.B. 4875.
APPENDIX A
EMPLOYMENT AND TRAINING
SPECIAL ALLOWANCES
Allowance Frequency Maximum Allowance Child Care as required for education, training, job application or job interview actual cost subject to the maximum established by the Department, for allowances granted after implementation of the maximum allowances actual reasonable cost for recipients receiving child care allowances before implementation of the maximum allowances Care of Incapacitated Adults as required for education, training, job application or job interview actual cost of nonmedical care up to the maximum rates established for infant care Transportation up to $250 total per month as determined below: Public
bus
subway
commuter rail
taxi
paratransit
air
long distance railno limit on the number of trips for job interviews, education or training activities
for employment, may be authorized for the period up to the date of the first pay
actual cost except for air and long distance rail travel, which is provided at actual cost at the lowest available rate Private
privately owned
vehicle
volunteer car and
driverno limit on the number of trips for job interviews, education or training activities
for employment, may be authorized for the period up to the date of the first pay$.12 per mile plus the actual cost of parking and highway and bridge tolls car or van pool same as above proportionate share of cost as determined above or flat fee Motor Vehicle Purchase and Repair once per job
as required for education or training activitiesactual cost up to $200 for purchase and repair Motor Vehicle Related Expenses
drivers license
state inspection fee
emission control inspection fee
license plates
vehicle registration feeonce per job
as required for education or training activitiesactual cost up to $200. Moving/Relocation Costs to Accept Employment no more than once in
a 12-month periodactual cost up to $200. Lodging once for each application or interview for a job
as required for education or trainingactual cost subject to the maximum rate established for Commonwealth employes by the Office of Administration Food once for each application or interview for a job
as required for education or trainingactual cost subject to the maximum rate established for Commonwealth employes by the Office of Administration and the Office of the Budget. Clothing once per job
as required for education or training activitiesactual cost up to $75. Tools and Equipment once per job
as required for education or training activitiesactual cost up to $2,000. Books and Supplies as required for education or training activities actual cost up to $500. Fees once per job
as required for education or training activitiesactual cost up to $250. Union Dues/Professional Fees once per job
may be authorized for the period up to date of the first payactual cost up to $250.
Source The provisions of this Appendix A adopted October 2, 1992, effective retroactively to October 1, 1990, 22 Pa.B. 4875.
Cross References This appendix cited in 55 Pa. Code § 165.46 (relating to types of special allowances for supportive services).
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