A bill to amend the Social Security Act to establish in the Social Security Administration the Office of Chief Administrative Law Judge, and for other purposes.

Amends title VII (Administration) of the Social Security Act to establish within the Social Security Administration (Administration) of the Department of Health and Human Services an Office of the Chief Administrative Law Judge which shall be headed by a Chief Administrative Law Judge who has completed at least three years of employment as an administrative law judge (ALJ). Directs the Secretary of Health and Human Services to establish in the Administration a Social Security Judicial Nomination Commission which shall: (1) be comprised of an Administrative Conference of the United States representative, an American Bar Association representative, and a Federal Bar Association representative; and (2) submit a list of three candidates to the Secretary from which the Secretary shall appoint a Chief Administrative Law Judge.

Directs the Secretary to make all appointments of ALJs that conduct hearings or other administrative activities in the Administration. Requires ALJs who conduct a hearing in the Administration to make a decision on the record after such hearing.

Requires that Medicare (title XVIII of the Act) hearings be conducted by ALJs serving in the Administration under procedures applied by the Secretary under title II (Old Age, Survivors and Disability Insurance) of the Act. Directs the Secretary and the Comptroller General to each report to the Congress by July 1, 1992, with recommendations concerning the participation of Administration ALJs in Medicare hearings.