NOTE 1: This legislation only affects Title II and Title XVIII and has no impact on Title
XVI entitlement. In addition, this legislation does not include non-ALS anterior horn
cell diseases (e.g., Werdnig-Hoffmann disease, spinal muscular atrophy, etc.).
2: Additional legislation (Public Law 116-250) eliminated the 5-month DIB entitlement
waiting period for claims approved on or after July 23, 2020 based on a diagnosis
of ALS. For more information on when the DIB waiting period is not required, see DI 10105.075.