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COMMITTEE ON WAYS AND MEANS
· U.S. HOUSE OF REPRESENTATIVES

BACKGROUND MATERIAL AND DATA
ON MAJOR PROGRAMS WITHIN THE

JURISDICTION OF THE
COMMITTEE ON WAYS AND MEANS

FEBRUARY 18, 1982

Prepared for the use of the Committee on Ways and Means by its staff

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON : 1982

89-468 O

COMMITTEE ON WAYS AND MEANS
DAN ROSTENKOWSKI, Illinois, Chairman

SAM. M. GIBBONS, Florida BARBER B. CONABLE, Jr., New York
J. J. PICKLE, Texas JOHN J. DUNCAN, Tennessee
CHARLES B. RANGEL, New York BILL ARCHER, Texas
FORTNEY H. (PETE) STARK, California GUY VANDER JAGT, Michigan
JAMES R. JONES, Oklahoma PHILIP M. CRANE, Illinois
ANDY JACOBS, JR., Indiana BILL FRENZEL, Minnesota
HAROLD FORD, Tennessee JAMES G. MARTIN, North Carolina
KEN HOLLAND, South Carolina L. A. (SKIP) BAFALIS, Florida
WILLIAM M. BRODHEAD, Michigan RICHARD T. SCHULZE, Pennsylvania
ED JENKINS, Georgia BILL GRADISON, Ohio
RICHARD A. GEPHARDT, Missouri JOHN H. ROUSSELOT, California
THOMAS J. DOWNEY, New York W. HENSON MOORE, Louisiana

CECIL (CEC) HEFTEL, Hawaii
WYCHE FOWLER, JR., Georgia
FRANK J. GUARINI, New Jersey
JAMES M. SHANNON, Massachusetts
MARTY RUSSO, Illinois
DON J. PEASE, Ohio
KENT HANCE, Texas
ROBERT T. MATSUI, California
DON BAILEY, Pennsylvania
BERYLANTHONY, JR., Arkansas
John J. SALMon, Chief Counsel
Joseph K. Dowley, Assistant Chief Counsel
Robert J. LEoNARD, Chief Tax Counsel
A. L. SINGLEToN, Minority Chief of Staff

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PREFACE

This document has been prepared for the use of the Committee on Ways and Means by its staff in conjunction with its consideration of possible revisions in the various programs under the jurisdiction of the committee.

The book is divided into four parts:

Part 1-Description of programs providing benefits or services to individuals within the jurisdiction of the Committee on Ways and Means.

Part 2–Description of trust funds for which the Committee on Ways and Means has revenue jurisdiction.

Part 3-Revenues.

Part 4–Other matters within the jurisdiction of the Committee on Ways and Means including public debt, the Pension Benefit Guarantee Corporation, and capital construction funds.

Within part 1, there are summary tables indicating the relative size and recent growth of the individual programs. For each of the programs, there is extensive information on:

(a) Who is eligible for the program;
(b) How is the payment actually computed;
(c) How is the program financed;
(d) Characteristics of individuals served by the program, and

(e) Interactions with other major programs. For the programs described in part 2, a brief legislative history, the current financing mechanism, and the financial status of the trust fund is presented.

Finally, the document contains 11 appendices setting out in detail:

(a) Certain commonly cited statistical data concerning levels of income and poverty in the United States;

(b) National health expenditures and health care expenditures of the elderly;

(c) A brief summary of all legislative changes enacted during 1981 to spending programs within the jurisdiction of the Committee on Ways and means;

(d) A short description of the medicaid program;
(e) A short description of the food stamp program;
(f) How medicare reimburses hospitals and doctors;
(g) The administrative cost of selected programs;
(h) A description of quality control statistics;

(i) Tables describing the demographic and economic resources of the elderly;

(j) Examples illustrating the interactions between AFDC, Social Security, SSI, medicaid, food stamps and the tax system

as earnings increase for aged couples and female-headed households;

(k) Statistical history of the social security programs. In this document, wherever reference is made to data, the source of which is not specifically cited, the information was obtained from the agency under whose auspices the program is administered.

The committee wishes to express its appreciation to the many individuals at the Congressional Research Service of the Library of Congress for their contributions and long hours toward completing this project. Also, appreciation is given to the Congressional Budget Office for providing numbers and analysis in a timely manner. Finally, the committee acknowledges Dr. Gordon Lewis of CarnegieMellon University for preparing the charts in section 8 of part 1.

This material has been assembled in a limited amount of time in order that it be available to the Members for use in connection with their deliberations on various budget issues presently pending before the committee. Comments as to how the contents or format of this document could be improved are most appreciated and will help in future revisions so that it can better serve as a resource tool.

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for fiscal years 1970, 1975, 1977, 1979, and 1981......................................... 7

6. CBO baseline projections for programs within the jurisdiction of the

Committee on Ways and Means.................................................................... 8

7. Ways and Means program outlays compared with total Federal Gov-

ernment outlays for selected years............................................................... 9

8. Ways and Means program outlays compared with total Federal outlays

in percentage terms for selected years......................................................... 9

Section 2. The old-age and survivors insurance programs (OASI -- 10

General..... -- 10

Benefits -- 10

Benefit eligi - - -- 13

Benefit computation...................... 14

Benefit amounts 16

Benefit reduction and increase.............................................................................. 17

Automatic benefit adjustments............................................................................. 19

Characteristics of beneficiary population 20

Section 3. Disability insurance program..................................................................... 29

General...... --- 29

Benefits...... 29

Benefit computation....... 32

Determination of disability -- ---- - 33

Vocational rehabilitation................................. 37

Disability claims and appeals structure.... -- 38

Recent experiences in the disability progra - 41

Characteristics of DI beneficiaries........................................................................ 43

Section 4. Medicare.............. 45

Eligibility..................... - - 45

Number of beneficiaries.......................................................................................... 45

Benefits..... 46

Administration........................................ 48

Reimbursement policies and procedures......................... 48

Professional standards review organizations (PSRO's)..................... -- 49

Financing..... ----------------------------- 50

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