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This appropriation covers all construction and facility improvement items of Saint Elizabeths Hospital. Proj ects underway or proposed for initiation in 1966 are set forth below:

1. Construction and equipment, continued treatment building (rehabilitation center).—Plans and specifications for this 450-bed treatment facility are complete. Solicitation of bids for the construction contract has been deferred pending resolution of the building's relationship to community mental health program plans for the District of Columbia.

2. Miscellaneous improvements of existing facilities.— Funds requested will provide for (a) rewiring and extension of electrical facilities, (b) installation of insect screens in patients' buildings, (c) modernization of dishwashing installations, (d) plumbing modernization and improve ment, (e) improvements in the hot water generation system, (f) renovation of a portion of the hospital's railroad roadbed, (g) air conditioning of a treatment building, (h) improvement of the ventilation systems in two treatment buildings, (i) a comprehensive facility survey of the hospital, (j) construction of an addition to the fire house, (k) improvement of employee locker facilities, (1) replacement, improvement, and extension of bedpan sterilizing

facilities.

183

225

251 46

1

706

64

770

-8,561 8,418

627

770

563

-591

742

1965 estimate

121

335 1,916

146

6

2,524 1,045

3,569

-8,418

6,881

2,032

3,569

591 -2,161

1,999

1966 estimate

400

497

1,651

22

25

2,595 -453

2,142

-6,881

6,716

1,977

2,142 2,161 -2,103

2,200

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1 Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1963, $468 thousand; 1964, $532 thousand; 1965, $1,578 thousand; 1966, $1,125 thousand.

Appropriation reAppropri- quired to ation complete required for 1966

675

1,277

25 7,975 1,977 7,975

building. This facility houses 250 patients and provides 3. Construction and equipment, treatment and cafeteria food service for these plus 400 others from two adjacent buildings. Construction and landscaping are complete, the building is fully occupied, and final installation of certain items of fixed equipment will be completed early in the current fiscal year. Demolition of old structures to be replaced by this facility will also be undertaken

during 1965.

4. Extension and modernization of administration buildremodeled to provide more adequate space and facilities. ing. The hospital's administration building has been

All remodeled areas are now in use. areas of basement are being waterproofed and when this phase of the work is completed early in the current fiscal year, the project will be complete.

5. Construction and equipment, maximum security building.-Construction and equipping of the hospital's 396-bed maximum security facility was completed during 1964.

6. Construction and equipment, security facility.-Funds requested will provide for the development of a comprehensive program statement for a security facility, housing 400 patients, which will contain maximum, medium, and minimum security features. The proposed construction will make possible the demolition of two antiquated patient buildings, constructed in 1879 and 1899.

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SOCIAL SECURITY ADMINISTRATION

LIMITATION ON SALARIES AND EXPENSES, SOCIAL SECURITY ADMINISTRATION

(Trust fund)

For necessary expenses, not more than [$326,410,000] $358,092,000 may be expended as authorized by law (42 U.S.C. 401 (g) (1)) from either or both the Federal old-age and survivors insurance trust fund and the Federal disability insurance trust fund: Provided, That such amounts as are required shall be available to pay the cost of necessary travel incident to medical examinations or hearings for verifying disabilities or for review of disability determinations, of individuals who file applications for disability determinations under title II of the the Social Security Act, as amended: Provided further, That $10,000,000 of the foregoing amount shall be apportioned for use pursuant to section 3679 of the Revised Statutes as amended (31 U.S.C. 665), only to the extent necessary to process workloads not anticipated in the budget estimates and after maximum absorption of the costs of such workload within the existing limitation has been achieved: Provided further, That the amount otherwise required to be poid from the Old-Age and Survivors Insurance Trust Fund into the Treasury as reimbursement for expenditures from the general fund (42 U.S.C. 401(g)(1)) for the fiscal year ending June 30, 1966, shall be reduced by $8,053,000 to cover the cost of issuance by the Social Security Administration of account numbers for income tax control purposes.

Advances to States, next succeeding fiscal year: For making, after May 31 of the current fiscal year, advances to States under section 221(e) of the Social Security Act, as amended, for the first quarter of the next succeeding fiscal year, such sums as may be necessary from the above authorization may be expended from the Federal old-age and survivors insurance trust fund. (42 U.S.C. 401-425; Department of Health, Education, and Welfare Act, 1965.)

Program and Financing (in thousands of dollars)

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The old-age, survivors and disability insurance program protects over 90 percent of the workers in the United States and their families against the loss of earnings due to old-age, disability or death. People covered under this program contribute a small portion of their earnings during their work years to pay for this protection. Employers match the contributions made by their employees. These contributions are deposited in the Federal old-age

SOCIAL SECURITY ADMINISTRATION-Continued LIMITATION ON SALARIES AND EXPENSES, SOCIAL SECURITY ADMINISTRATION-Continued

(Trust fund)-Continued

and survivors insurance trust fund and the Federal disability insurance trust fund, from which benefit payments and administrative costs are paid.

Major amendments to the Social Security Act have been enacted during the last 15 years. These amendments have increased the protection provided by the retirement and survivors insurance phase of the program, and have added a disability program which provides for monthly insurance benefits for disabled workers of any age and their dependents.

1. Maintenance of earnings accounts.-Eligibility for insurance benefits and the amount of benefit payments are based on records of an individual's earnings maintained by the Social Security Administration and the volume of work is related to certain factors such as level of employment and rate of turnover. Continuing increases in covered employment in 1965 and 1966, as the total labor force grows and unemployment declines, will result in a greater number of postings to workers' accounts.

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4. Processing disability claims and maintaining beneficiary rolls. Claims for disability insurance benefits are filed in the Administration's district offices. Most of these cases are sent to State agencies where determinations of the existence of a disability are made. These determinations are reviewed in the central office of the Social Security Administration to assure uniformity among States. Enactment of legislation (Public Law 88-650) during the second session of the 88th Congress removed the 18-month limitation on retroactively establishing a period of disability which will increase the proportion of claims applications requiring a disability determination. Also, a total of 51,000 applications from disabled workers who previously filed for benefits but who could not qualify because of the existence of this limitation, will be processed in 1965. The applications from

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Requests for hearings: Received..

Processed....

5. Hearings and appeals.-Individuals whose claims are disallowed have a right to appeal to the Bureau of Hearings and Appeals. The increased number of hearings requests anticipated in 1965 and 1966 are related principally to the projected increase in disability claims, to an expected higher proportion of initial claims moving to the appeals stage, and to the effect of legislation removing the limitation on establishing a period of disability.

Identification code 09-30-8704-0-7-654

11.1 11.3 11.5

1,516,000 $1,251

Personnel compensation:
Permanent positions..

Positions other than permanent.
Other personnel compensation..

1964 actual 1965 estimate 1966 estimate 27,545 26,800

6. Administration. This activity includes direction and management of the Social Security Administration, program planning and evaluation, actuarial and statistical services, and general service functions.

7. Internal Revenue Service enumeration project. This project covers work done by the Social Security Administration for the Internal Revenue Service in issuing account numbers for taxpayer identification purposes. The work performed in 1963 and 1964 was financed initially from the Federal old-age and survivors insurance trust fund with reimbursement to be made after the completion of the project in 1964.

8. Contingency reserve. This reserve ($10 million) represents funds to be made available only to the extent budget estimates. An estimated $8.7 million will be used necessary to process workloads not anticipated in the from the contingency in 1965 principally because of the unbudgeted work loads related to disability legislation enacted in the second session of the 88th Congress.

Object Classification (in thousands of dollars)

Advances to State agencies. 25.2 Services of other agencies. 26.0 Supplies and materials.. 31.0 Equipment.............

32.0 Lands and structures-

21,355 23,362

1,641,000 1,729,000 $1,416 $1,485

Total personnel compensation.. 12.0 Personnel benefits............. 21.0 Travel and transportation of persons. 22.0 Transportation of things.... 23.0 Rent, communications, and utilities. 24.0 Printing and reproduction...... 25.1 Other services..

42.0 Insurance claims and indemnities.

92.0 Undistributed (contingency reserve). 93.0 Administrative expenses included in schedule for fund as a whole..

Total obligations.

1964 actual

29,260 30,000

1965 1966 estimate estimate

213,387 230,755 239,069 1,727 1,586 1,405 4,905 5,684 9,925 219,877 237,844 250,721

16.346 17,481 17,919
4,310 4,547

680 26,527

729 26,421

4.677 745 26,597

2,131
1,113

2,209

2,394

1,282 24,628 30.719

3,798 2.951 4,767

1,498

30,475 4,375 5,046 3,307 3,003 1,623 4,614 78 36

62 36

1,280 10,000 -307,204-331,626-358,092

57

19

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Funds are requested from the Federal old-age and survivors insurance trust fund and the Federal disability insurance trust fund to provide for construction of an additional office building and warehouse at headquarters in Woodlawn, Md., and for acquisition of sites, design and construction of 13 district offices.

1964 actual

2,535

2,535

2,535 -2,324

211

-1,061
850

1965 estimate

694

274

420

1966 estimate

2,303

2,303 1,911 5,428

1,911 3,389

2,039

2,605 7.731
2,632 4,803

5,237

12,534

-850

764

600

5,750 11,860

-764
89

Identification code
09-30-8705-0-7-654

1. Headquarters construction.-Continued growth of the social security program has rendered existing headquarters facilities inadequate. The 1965 limitation provided $450 thousand for planning an additional office building and warehouse and the 1966 request of $8,729 thousand provides for construction of these buildings. Construction of additional buildings at the headquarters site will permit 22.0 Transportation of things

Printing and reproduction..

the release of all commercial space currently leased in the
Baltimore area with the exception of district offices and
provide housing for additional staff requirements related to
the growth of the present program over the next 10 years.
2. District office construction.-Construction is planned 32.0 Lands and structures.

24.0
25.1 Other services...
25.2 Services of other agencies..
26.0 Supplies and materials..

31.0 Equipment............

in areas where improvement in district office space is needed and construction is both advantageous and feasible. The 1965 limitation provided $5.3 million for the acquisition of sites, and for design and construction of 25 district

Analysis of 1966 financing

Deduct selected resources and unobligated balance, start of

year

30 3,389

3,389

30

3,419

1 Selected resources as of June 30 are as follows: Unpaid undelivered orders, 1963, $2,348 thousand; 1964.
$24 thousand; 1965, $2,656 thousand; 1966, $7,459 thousand.

21.0 Travel and transportation of persons.

Add selected resources and unobligated balance, end of year

6,456

93.0 Nonadministrative expenses included in
schedule for fund as a whole..

Total obligations................

6,456

1,092

1,092

7,548

Object Classification (in thousands of dollars)

offices for the Social Security Administration. Funds requested for 1966 will permit the construction of 13 additional offices. This proposal contemplates that funds for additional district office construction will be requested

in 1967 and 1968.

1964

actual

3

23

49

50

21

65

Limitation re

Limitation quired to required complete for 1966

-211

8,729

8,729

3,131

3,131

11,860

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SOCIAL SECURITY ADMINISTRATION-Continued Proposed for separate transmittal:

General and special funds:

INTERNATIONAL SOCIAL SECURITY ASSOCIATION MEETING

Program and Financing (in thousands of dollars)

Identification code 09-30-0402-0-1-659

Program by activities:

Plan and hold meeting (program costs, funded)...

Change in selected resources 1.

10 Total obligations______ Financing:

21 Unobligated balance available, start of year. 24 Unobligated balance available, end of year..

40

New obligational authority (appropriation)...

Relation of obligations to expenditures: 71 Total obligations (affecting expenditures) __

72 Obligated balance, start of year..

74 Obligated balance, end of year..

90

Expenditures..

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1964 1965 1966 actual estimate estimate

8

20

28

Total personnel compensation. --21.0 Travel and transportation of persons22.0 Transportation of things......... - 23.0 Rent, communications, and utilities.

24.0 Printing and reproduction_

25.1 Other services...

26.0 Supplies and materials..

99.0

Total obligations...

64

92

28

-22

6

1 Selected resources as of June 30 are as follows: Unpaid undelivered orders. 1963, $0; 1964, $20 thousand; 1965, $0; 1966, $0.

The International Social Security Association is an international organization composed of agencies administering social security programs whose objectives are "to coordinate internationally and to strengthen efforts toward the extension, the protection and the technical and administrative improvement of social security throughout the world." Association membership consists of over 250 institutions covering over 500 million persons in 88 countries.

Every 3 years a general assembly is conducted by the Association. The XVth general assembly was held in Washington from September 26 to October 3, 1964, with the United States acting as host. An appropriation in the amount of $91,500 for expenses necessary for organizing and holding the meeting was made for 1964 and is to remain available until June 30, 1965.

Object Classification (in thousands of dollars)

1964 actual

1

2

3

84

-20

22

།ཅ

28

-64

64

22

86

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