hildren not deprived of parental support or care as defined under title IV (Part A) of the Social Security Act.

Excludes costs of determining initial and continuing eligibility and providing other social services to persons receiving medical assistance who also are eligible to receive maintenance payments.

Explanation of Changes

The appropriation request for 1970 is $3,057,025,000, an increase of $660,703,000 from the appropriation for 1969 including the proposed supplemental request. Because $52,339,000 of the 1969 amount was used to meet 1968 requirements, the increase in requirements for 1970 from 1969 is $713,042,000. Increases are anticipated for all budget activities.

Explanation of Increases

Increases in 1970 are primarily associated with increased numbers of recipients and increases in unit prices of medical goods and services. Medical vendor payments in behalf of money payment recipients are expected to increase by about 17 percent in 1970, while vendor payments in behalf of persons not authorized to receive a money payment will be about 38 percent higher. The average monthly number of recipients of money payments is expected to increase by about 10 percent to nearly 10,000,000 persons in 1970. The average monthly number of persons authorized to receive a money payment, and in whose behalf a medical vendor payment is made is expected to increase by about one-quarter. The average monthly number of recipients of medical vendor payments not authorized to receive a money payment will increase by approximately 28 percent in 1970 compared to 1969. About $168,000,000 more will be required in 1970 just to offset the increase in the price of the quantity of goods and services purchased in 1969. About $292,000,000 will be required to meet the costs of increased utilization and to meet a slightly higher average rate of Federal financial participation.

The remainder of the $660,703,000 increase (about $201,000,000) is due to the increased number of persons provided medical care and to an anticipated increase of $32,000,000 in the costs of administration.

Although the percentage increase in the average monthly number of recipients of medical vendor payments not authorized to receive a money payment was greater than the increase for money payment recipients, the distribution of medical vendor payments among recipient groups was not altered materially. Payments to recipients not receiving a money payment are expected to total $1,538,025,000 in 1970 or 52 percent of total vendor payment compared to 47 percent in 1969. Children and/or persons in families with dependent children are also expected to receive a slightly higher proportion of the total, but the difference is not significant.

Title XIX--Grants to States for Medical Assistance Programs

Appropriation

Section 1901. For the purpose of enabling each State, as far as practicable nder the conditions in such State, to furnish (1) medical assistance on hehalf of families with dependent children and of aged, blind, or permanently and totally disabled individuals, whose income and resources are insufficient to meet the costs of necessary medical services, and (2) rehabilitation and ther services to help such families and individuals attain or retain capaility for independence or self-care, there is hereby authorized to be ppropriated for each fiscal year a sum sufficient to carry out the purposes of this title.

Title I--Grants to States for Old-Age Assistance and
Medical Assistance for the Aged

Appropriation

Section 1. For the purpose (a) of enabling each State, as far as practicable der the conditions in such State, to furnish financial assistance to aged *** individuals, (b) of enabling each State, as far as practicable under the ctions in such State, to furnish medical assistance on behalf of aged

ividuals who are not recipients of old-age assistance but whose income and resources are insufficient to meet the costs of necessary medical services There is hereby authorized to be appropriated for each fiscal year a sum Stefent to carry out the purposes of this title.

Title IV--Grants to States for Aid and Services to Needy Families
with Children and for Child Welfare Services

Part A. Aid to Families with Dependent Children

Appropriation

Section 401. For the purpose of encouraging the care of dependent children in their own homes or in the homes of relatives by enabling each State to furnish financial assistance as far as practicable under the conditions

in such State, to needy dependent children and the parents or relatives with whom they are living ..., there is hereby authorized to be appropriated for each fiscal year a sum sufficient to carry out the purposes of this part.

Title X--Grants to States for Aid to the Blind

Appropriation

Section 1001. For the purpose of enabling each State to furnish financial assistance, as far as practicable under the conditions in such State, to needy individuals who are blind ..., there is hereby authorized to be appropriated for each fiscal year a sum sufficient to carry out the purposes of this title.

Title XIV--Grants to States for Aid to the Permanently
and Totally Disabled

Appropriation

Section 1401. For the purpose of enabling each State to furnish financial assistance, as far as practicable under the conditions in such State, to needy individuals eighteen years of age and older who are permanently and totally disabled there is hereby authorized to be appropriated for each fiscal year a sum sufficient to carry out the purposes of this title.

Title XVI--Grants to States for Aid to the Aged, Blind, or Disabled, or for Such Aid and Medical Assistance for the Aged

Appropriation

Section 1601. For the purpose (a) of enabling each State, as far as practicable under the conditions in such State, to furnish financial assistance to needy individuals who are 65 years of age or over, are blind, or are 18 years of age or over and permanently and totally disabled, (b) of enabling each State, as far as practicable under the conditions in such State, to furnish medical assistance on behalf of individuals who are 65 years of age or over and who are not recipients of aid to the aged, blind, or disabled but whose income and resources are insufficient to meet the costs of necessary medical services there is hereby authorized to be appropriated for each fiscal year a sum sufficient to carry out the purposes of this title.

Note:

States may elect to provide assistance to the needy aged, blind, and permanently and totally disabled under this title in lieu of titles I, X, and XIV.