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Executive Summary
Pages 1-4

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From page 1...
... Claimants whose medical conditions do not meet SSA's criteria at the Listings step are not necessarily denied; rather, they are further evaluated based on their functional capacity, work history, education, and age. There are different, non-work-based criteria for children under age 18 in the Supplemental Security Income program.
From page 2...
... The committee determined that the current state of medical evidence shows that exercise tests are generally safe for patients with cardiovascular conditions such as ischemic heart disease, heart failure, and congenital heart disease, and found that SSA's criteria for determining whether it is safe to order an exercise test are too strict. The committee urges SSA to update the safety criteria to allow broader use of exercise testing in the disability
From page 3...
... However, the report provides information on the impact of comorbidities on individuals with cardiovascular diseases and urges SSA to provide such information to its adjudicators and maintain its currency. During the course of its work, the committee encountered several critical knowledge gaps (for example, the relationship of anatomical severity measures and functional limitation and the effect of comorbidities)


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