Disability (DI and SSI)
Beneficiaries
All Beneficiaries
"Fast-Track" Strategies in Long-Term Public Disability Programs Around the World
This article examines fast-track procedures in long-term public disability programs in the United States and several other countries. Such procedures share a common goal of accelerating applicants—generally for those with severe disabilities, blindness, or facing terminal illness—through the disability determination process.
Employment among Social Security Disability Program Beneficiaries, 1996–2007
Using linked administrative data from program and earnings records, we summarize the 2007 employment rates of working-age (18–64) Social Security disability program beneficiaries at the national and state levels, as well as changes in employment since 1996. Substantial variation exists within the population. Disability Insurance beneficiaries and those younger than age 40 were much more likely to work relative to other Social Security beneficiaries. There are also strong regional differences in the employment rates among disability beneficiaries of working age, and these differences are persistent over time.
Longitudinal Patterns of Participation in the Social Security Disability Insurance and Supplemental Security Income Programs for People with Disabilities
We analyze longitudinal interactions in benefit eligibility between the Disability Insurance and Supplemental Security Income programs and the lags arising from processing time in receiving the first payment, based on Social Security administrative records. We find that longitudinal interactions enhancing the bundle of cash benefits available for awardees over a 60-month period is much more common than apparent from cross-sectional data and identify distinct patterns of longitudinal interactions between the two programs. SSI plays an especially important role in providing benefit eligibility during the 5-month DI waiting period. Transition to nonbeneficiary status is more prevalent among SSI awardees because of exits attributable to the SSI means test. We also find that there is substantial variation in the lag in receiving the first disability payment.
A Legislative History of the Social Security Protection Act of 2004
The Social Security Protection Act of 2004 (SSPA), with its administrative remedies and program protections, can be seen as another incremental step in the development of a social insurance program that best meets the evolving needs of American society. This article discusses the legislative history of the SSPA in detail. It also includes summaries of the provisions and a chronology of the modification of these proposals as they passed through the House and Senate, and ultimately to the president's desk.
Disability Benefit Coverage and Program Interactions in the Working-Age Population
It is widely known that about three-fourths of the working-age population is insured for Disability Insurance (DI), but the substantial role played by the Supplemental Security Income (SSI) program in providing disability benefit coverage is not well understood. Using data from the 1996 panel of the Survey of Income and Program Participation (SIPP) we find that over one-third (36 percent) of the working-age population is covered by SSI in the event of a severe disability. Three important implications follow: (1) SSI increases the overall coverage of the working-age population; (2) SSI enhances the bundle of cash benefits available to disabled individuals; and (3) interactions with other public programs—most notably the SSI path to Medicaid coverage—also enhance the safety net. Ignoring these implications could lead to inaccurate inferences in analytic studies.
Hispanics, Social Security, and Supplemental Security Income
This article uses a relatively new data source—the American Community Survey (ACS) to document the economic and demographic characteristics of the Hispanic population in the United States. Although the article focuses on Social Security beneficiaries and Supplemental Security Income (SSI) recipients, other segments of the population are also examined. The ACS data show that the Hispanic population is significantly different from the overall population, particularly with regard to age distribution, education, and economic well-being.
Characteristics of Noninstitutionalized DI and SSI Program Participants
Social Security Benefit Reporting in the Survey of Income and Program Participation and in Social Security Administrative Records
The quality of Social Security benefit reporting in household surveys is important for policy research on the Social Security program and, more generally, for research on the economic well-being of the aged and disabled populations. This is particularly true for the aged among whom receipt of Social Security benefits is nearly universal and reliance on such benefits is considerable. This paper examines the consistency between Social Security benefit amounts for May 1990 as reported in the Survey of Income and Program Participation and given in the Social Security Administration's administrative records for the respondent.
Disability Trends in the United States: A National and Regional Perspective
Geographic Patterns of Disability in the United States
Disabled-Worker Beneficiaries and Disabled SSI Recipients: A Profile of Demographic and Program Characteristics
Report of the Disability Advisory Council: Executive Summary
Asset Holdings of the Newly Disabled: Findings From the New Beneficiary Survey
An Overview of OASDI Revenue, Expenditures, and Beneficiaries, 1974–85
Social Security Disability Benefits Reform Act of 1984: Legislative History and Summary of Provisions
Relationship Between the Retirement, Disability, and Unemployment Insurance Programs: The U.S. Experience
Disability Benefit Applications and the Economy
Impact of Disability on the Family Structure
First Findings of the 1972 Survey of the Disabled: General Characteristics
Income of the Newly Disabled: Survey of Recently Disabled Adults
General Characteristics of the Disabled Population
Disabled Beneficiary Population, 1957–66
Old-Age, Survivors, Disability, and Health Insurance: Changes in the Beneficiary Population
Disability Insurance and Public Assistance: A Study of APTD Recipients
Disability and Old-Age Benefits, by State, December 31, 1964
Disability and Old-Age Benefits, by State, December 31, 1963
Disability and Old-Age Benefits, by State, December 31, 1962
Old-Age, Survivors, and Disability Insurance: Interagency Relationships in Disability Insurance and Vocational Rehabilitation
Disability Insurance Benefits in Current-Payment Status, by State, December 31, 1961
Disability Insurance Benefits In Current-Payment Status, By State, December 31, 1960
Disability Insurance Benefits in Current-Payment Status, by State, December 31, 1959
Persons Receiving Payments From Public Programs for Long-Term Disability, December 1934–59
Aid to the Permanently and Totally Disabled: Characteristics of Men and Women Recipients
Service Aspects of Public Assistance Administration Facilitating Rehabilitation of Persons in Need
Children
A Profile of Social Security Child Beneficiaries and their Families: Sociodemographic and Economic Characteristics
This article presents the sociodemographic and economic characteristics of Social Security child beneficiaries. Using data from the Survey of Income and Program Participation matched with administrative benefit records, we find important differences in the incidence of child benefit receipt and average benefit amount across a number of individual and family-level characteristics. We also examine the demographic and income characteristics of the three beneficiary types: child of deceased worker, child of disabled worker, and child of retired worker.
The Age-18 Redetermination and Postredetermination Participation in SSI
This article describes the outcomes of the redetermination of Supplemental Security Income (SSI) eligibility when a child recipient reaches age 18. Statistics on the characteristics of youth whose eligibility is redetermined are presented using 8 years of administrative data, and the relationship between these characteristics and both an initial cessation decision and a successful appeal or reapplication for SSI are discussed.
How Post Secondary Education Improves Adult Outcomes for Supplemental Security Income Children with Severe Hearing Impairments
This article uses a unique longitudinal dataset based on administrative data from the National Technical Institute for the Deaf (NTID) linked to Social Security Administration (SSA) microdata to conduct a case study of Supplemental Security Income (SSI) children who applied for postsecondary education at NTID. The authors estimate the likelihood that SSI children who apply to NTID will eventually graduate relative to other hearing impaired applicants, as well as the influence of graduation from NTID on participation in the SSI program as adults and later success in the labor market. Findings indicate that SSI children are substantially less likely to graduate from NTID than their fellow deaf students who did not participate in the SSI program as children, but that those who do graduate spend less time in the SSI adult program and have higher age-earnings profiles than those who do not graduate.
A Profile of Children with Disabilities Receiving SSI: Highlights from the National Survey of SSI Children and Families
This article, based on interviews from the National Survey of SSI Children and Families conducted between July 2001 and June 2002, presents a profile of children under the age of 18 who were receiving support from the Supplemental Security Income program. The topics highlighted provide information of SSI children with disabilities and their families not available from administrative records, including demographic characteristics, income and assets, perceived health and disabilities, and health care utilization. While virtually every child in the SSI program is covered by some form of health insurance, primarily Medicaid, the data indicate substantial heterogeneity on other variables. This is true on many different dimensions, such as the perceived severity of the child's disabling conditions, health care utilization and service needs, the presence of other family members with disabilities, family demographics, and access to non-SSI sources of incomes.
An Overview of the National Survey of SSI Children and Families and Related Products
During the first three decades of the Supplemental Security Income (SSI) program, the number of children receiving SSI because of a disability increased from 70,000 in 1974 to about 1 million at the end of 2005. With over 8,500 interviews completed between July 2001 and June 2002, the National Survey of SSI Children and Families (NSCF) is the first nationally representative survey since 1978 of noninstitutionalized children and young adults who were receiving SSI during the survey period or had formerly received SSI. The article discusses the objectives of the survey, its methodology and implementation, content of the questionnaire, a randomized response-incentive experiment, and related products including the release of a public-use data file.
Childhood Disability Beneficiaries, 1957–64: Characteristics and Geographic Distribution
Old-Age, Survivors, and Disability Insurance: Characteristics of Beneficiaries Disabled Since Childhood, 1957–61
Characteristics of Applicants for Childhood Disability Benefits, 1957
Aid to the Permanently and Totally Disabled: The Young Recipients
DI Only
Profile of Social Security Disabled Workers and Dependents Who Have a Connection to Workers' Compensation or Public Disability Benefits
This note provides a comprehensive profile of the characteristics of disability beneficiaries with a connection to workers' compensation or public disability benefits (PDBs). The 8.3 percent of disabled workers who have this connection tend to be economically better off, more frequently middle aged, male, afflicted with a musculoskeletal and connective tissue disorder, and tend to wait longer to apply for social security disability benefits after onset than the general disabled-worker population. In our analysis, we have included a special focus on California, as this state represents a large portion of the PDB workload, and its experience has a substantial effect on the national picture.
Longitudinal Patterns of Medicaid and Medicare Coverage Among Disability Cash Benefit Awardees
This article analyzes the effect of longitudinal interactions between the Disability Insurance (DI) and Supplemental Security Income (SSI) programs in providing access to Medicare and Medicaid, using a sample of administrative records spanning 84 months. Our study is the first effort to link and analyze record data on participation in all four of these major, and highly interrelated, public benefit programs in the United States. We find that SSI facilitates high levels of Medicaid coverage for SSI awardees overall and provides access to Medicaid for many DI awardees during the 24-month Medicare waiting period. Many people who exit SSI retain their Medicaid coverage, but the gap in coverage between continuing SSI participants and those who leave the program increases over time. After Medicare kicks in, public health insurance coverage is virtually complete among awardees with some DI involvement, including dual Medicaid and Medicare coverage for some.
Workplace Injuries and the Take-Up of Social Security Disability Benefits
Workplace injuries and illnesses are an important cause of disability. States have designed their workers' compensation programs to provide cash and medical-care benefits for those injuries and illnesses, but people who become disabled at work may also be eligible for Social Security Disability Insurance (DI) and related Medicare benefits. This article uses matched state workers' compensation and Social Security data to estimate whether workplace injuries and illnesses increase the probability of receiving DI benefits and whether people who become DI beneficiaries receive benefits at younger ages.
How Common is "Parking" among Social Security Disability Insurance Beneficiaries? Evidence from the 1999 Change in the Earnings Level of Substantial Gainful Activity
The authors explore the extent to which Social Security Disability Insurance (DI) beneficiaries restrain their earnings below the substantial gainful activity (SGA) level in order to maintain their cash benefits. The extent of "parking" is measured by exploiting the 1999 change in the nonblind SGA earnings level from $500 to $700 and assessing its effect on cohorts of DI beneficiaries who completed their trial work period, one of which was affected by the SGA change, and one that was not.
What Can We Learn from Analyzing Historical Data on Social Security Entitlements?
Data from administrative records of the Social Security Administration allow us to examine patterns of initial entitlement to Old-Age Insurance benefits as well as Disability Insurance benefits. We follow cohorts born in different years over their lifetimes to identify changes in entitlements by age over time. Breaking out single birth cohorts shows close adherence in entitlement ages to rule changes as well as increasing shares of cohorts relying on the Disability Insurance program in middle age.
Longitudinal Outcomes of an Early Cohort of Ticket to Work Participants
Using data from the 2004–2006 National Beneficiary Surveys matched to Social Security administrative data, this study follows a cohort of disability beneficiaries participating in the Ticket to Work program for several years to assess changes in their service use, health status, employment, and income.
Social Security Disability Beneficiaries with Work-Related Goals and Expectations
This study uses survey and administrative data to analyze the characteristics of working-age Social Security Disability Insurance and Supplemental Security Income beneficiaries who report having work goals or expectations, and the extent to which these beneficiaries become employed and leave the disability rolls during a 4-year period.
Employment among Social Security Disability Program Beneficiaries, 1996–2007
Using linked administrative data from program and earnings records, we summarize the 2007 employment rates of working-age (18–64) Social Security disability program beneficiaries at the national and state levels, as well as changes in employment since 1996. Substantial variation exists within the population. Disability Insurance beneficiaries and those younger than age 40 were much more likely to work relative to other Social Security beneficiaries. There are also strong regional differences in the employment rates among disability beneficiaries of working age, and these differences are persistent over time.
Employment of Individuals in the Social Security Disability Programs
This article introduces and highlights the key findings of the other articles presented in this special issue, which focuses on the employment of beneficiaries in the Social Security Disability Insurance and Supplemental Security Income programs.
Longitudinal Patterns of Participation in the Social Security Disability Insurance and Supplemental Security Income Programs for People with Disabilities
We analyze longitudinal interactions in benefit eligibility between the Disability Insurance and Supplemental Security Income programs and the lags arising from processing time in receiving the first payment, based on Social Security administrative records. We find that longitudinal interactions enhancing the bundle of cash benefits available for awardees over a 60-month period is much more common than apparent from cross-sectional data and identify distinct patterns of longitudinal interactions between the two programs. SSI plays an especially important role in providing benefit eligibility during the 5-month DI waiting period. Transition to nonbeneficiary status is more prevalent among SSI awardees because of exits attributable to the SSI means test. We also find that there is substantial variation in the lag in receiving the first disability payment.
Expanding Access to Health Care for Social Security Disability Insurance Beneficiaries: Early Findings from the Accelerated Benefits Demonstration
The Accelerated Benefits (AB) demonstration project provides health benefits to Social Security Disability Insurance beneficiaries who have no health insurance during the 24-month period most beneficiaries are required to wait before Medicare benefits begin. This article describes the project and presents baseline survey results on health insurance coverage among newly entitled beneficiaries and the characteristics of those without coverage. A 6-month follow-up survey provides information on the effects of the AB health benefits package on health care utilization and on reducing unmet medical needs. The article also reports the costs of providing the health benefits package during the 24-month Medicare waiting period.
Cohort Changes in the Retirement Resources of Older Women
This article uses different sources of United States data to focus on the retirement resources of women aged 55–64 in 2004, 1994, and 1984. Notable changes have occurred with women's pathways into retirement resulting from increased education and lifetime work experience. There appear marked cohort differences in potential retirement outcomes.
Disabled Workers and the Indexing of Social Security Benefits
This article presents the distributional effects of changing the Social Security indexing scheme, with an emphasis on the effects upon disabled-worker beneficiaries. Although a class of reform proposals that would slow the rate of growth of initial benefit levels over time—including price indexing and longevity indexing—initially appear to affect all beneficiaries proportionally, there can be different impacts on different groups of beneficiaries. The impacts between and within groups are mitigated by (1) the offsetting effect of changes in Supplemental Security Income benefits at the lower tail of the income distribution, and (2) the dampening effect of other family income at the upper tail of the income distribution. The authors present estimates of the size of these effects.
Characteristics of Disabled-Worker Beneficiaries Receiving Workers' Compensation or Public Disability Benefits Compared With Disabled-Worker Beneficiaries Without These Additional Benefits
Characteristics of Noninstitutionalized DI and SSI Program Participants
A Comparison of the Recovery Termination Rates of Disabled-Worker Beneficiaries Entitled in 1972 and 1985
Comparison of Individual Characteristics and Death Rates of Disabled-Worker Beneficiaries Entitled in 1972 and 1985
Disability Beneficiaries Who Work and Their Experience Under Program Work Incentives
Medicare Costs Prior to Retirement for Disabled-Worker Beneficiaries
Health Insurance Coverage Among Recently Entitled Disability Insurance Beneficiaries: Findings From the New Beneficiary Survey
Postrecovery Experience of Disabled-Worker Beneficiaries
Projected Outcomes and Length of Time in the Disability Insurance Program
Eliminating the Medicare Waiting Period for Social Security Disabled-Worker Beneficiaries
Medicare Utilization by Disabled-Worker Beneficiaries: A Longitudinal Analysis
Recent Trends in the Social Security Disability Insurance Program
Receipt of Multiple Benefits by Disabled-Worker Beneficiaries
Disabled Workers
Profile of Social Security Disabled Workers and Dependents Who Have a Connection to Workers' Compensation or Public Disability Benefits
This note provides a comprehensive profile of the characteristics of disability beneficiaries with a connection to workers' compensation or public disability benefits (PDBs). The 8.3 percent of disabled workers who have this connection tend to be economically better off, more frequently middle aged, male, afflicted with a musculoskeletal and connective tissue disorder, and tend to wait longer to apply for social security disability benefits after onset than the general disabled-worker population. In our analysis, we have included a special focus on California, as this state represents a large portion of the PDB workload, and its experience has a substantial effect on the national picture.
Longitudinal Patterns of Medicaid and Medicare Coverage Among Disability Cash Benefit Awardees
This article analyzes the effect of longitudinal interactions between the Disability Insurance (DI) and Supplemental Security Income (SSI) programs in providing access to Medicare and Medicaid, using a sample of administrative records spanning 84 months. Our study is the first effort to link and analyze record data on participation in all four of these major, and highly interrelated, public benefit programs in the United States. We find that SSI facilitates high levels of Medicaid coverage for SSI awardees overall and provides access to Medicaid for many DI awardees during the 24-month Medicare waiting period. Many people who exit SSI retain their Medicaid coverage, but the gap in coverage between continuing SSI participants and those who leave the program increases over time. After Medicare kicks in, public health insurance coverage is virtually complete among awardees with some DI involvement, including dual Medicaid and Medicare coverage for some.
The Growth in Applications for Social Security Disability Insurance: A Spillover Effect from Workers' Compensation
Applications for Social Security Disability Insurance (DI) increased during the 1990s compared with the 1980s. Over that period, workers' compensation benefits for workers with permanent disabilities declined and compensability rules became more stringent. This article examines whether changes in the workers' compensation program caused part of the increase in the DI application rate during the 1990s.
"Fast-Track" Strategies in Long-Term Public Disability Programs Around the World
This article examines fast-track procedures in long-term public disability programs in the United States and several other countries. Such procedures share a common goal of accelerating applicants—generally for those with severe disabilities, blindness, or facing terminal illness—through the disability determination process.
How Common is "Parking" among Social Security Disability Insurance Beneficiaries? Evidence from the 1999 Change in the Earnings Level of Substantial Gainful Activity
The authors explore the extent to which Social Security Disability Insurance (DI) beneficiaries restrain their earnings below the substantial gainful activity (SGA) level in order to maintain their cash benefits. The extent of "parking" is measured by exploiting the 1999 change in the nonblind SGA earnings level from $500 to $700 and assessing its effect on cohorts of DI beneficiaries who completed their trial work period, one of which was affected by the SGA change, and one that was not.
What Can We Learn from Analyzing Historical Data on Social Security Entitlements?
Data from administrative records of the Social Security Administration allow us to examine patterns of initial entitlement to Old-Age Insurance benefits as well as Disability Insurance benefits. We follow cohorts born in different years over their lifetimes to identify changes in entitlements by age over time. Breaking out single birth cohorts shows close adherence in entitlement ages to rule changes as well as increasing shares of cohorts relying on the Disability Insurance program in middle age.
Employment of Individuals in the Social Security Disability Programs
This article introduces and highlights the key findings of the other articles presented in this special issue, which focuses on the employment of beneficiaries in the Social Security Disability Insurance and Supplemental Security Income programs.
Social Security Disability Beneficiaries with Work-Related Goals and Expectations
This study uses survey and administrative data to analyze the characteristics of working-age Social Security Disability Insurance and Supplemental Security Income beneficiaries who report having work goals or expectations, and the extent to which these beneficiaries become employed and leave the disability rolls during a 4-year period.
Disability Benefits Suspended or Terminated Because of Work
The authors use longitudinal Social Security administrative data to produce statistics on the number of Disability Insurance (DI) and Supplemental Security Income (SSI)-only beneficiaries whose cash benefits were first suspended or terminated because of work and on the number of months thereafter that those beneficiaries remained in nonpayment status before their return to the program rolls, attainment of the full retirement age, or death—for each year from 2002 through 2006. We also explore differences by program title (DI versus SSI-only) and by participation in the Ticket to Work program. Finally, we examine outcome payments made on behalf of Ticket to Work participants in months of nonpayment status following suspension or termination because of work.
Longitudinal Outcomes of an Early Cohort of Ticket to Work Participants
Using data from the 2004–2006 National Beneficiary Surveys matched to Social Security administrative data, this study follows a cohort of disability beneficiaries participating in the Ticket to Work program for several years to assess changes in their service use, health status, employment, and income.
Longitudinal Statistics on Work Activity and Use of Employment Supports for New Social Security Disability Insurance Beneficiaries
Longitudinal statistics on the employment activities of Social Security Disability Insurance beneficiaries offer a different perspective than the Social Security Administration's published statistics, which are based on annual data, and have important policy implications.
Expanding Access to Health Care for Social Security Disability Insurance Beneficiaries: Early Findings from the Accelerated Benefits Demonstration
The Accelerated Benefits (AB) demonstration project provides health benefits to Social Security Disability Insurance beneficiaries who have no health insurance during the 24-month period most beneficiaries are required to wait before Medicare benefits begin. This article describes the project and presents baseline survey results on health insurance coverage among newly entitled beneficiaries and the characteristics of those without coverage. A 6-month follow-up survey provides information on the effects of the AB health benefits package on health care utilization and on reducing unmet medical needs. The article also reports the costs of providing the health benefits package during the 24-month Medicare waiting period.
Permanent Disability Social Insurance Programs in Japan
This article examines the experience of Japan's social insurance permanent disability programs and compares its key features with the Social Security Disability Insurance program operating in the United States. It analyzes the determination and appeals processes in Japan for claiming permanent social insurance disability pensions. Trends in the number of Japanese disability program beneficiaries and benefit expenditures are also discussed.
Occupations of SSI Recipients Who Work
Although the Social Security Administration actively encourages Supplemental Security Income (SSI) recipients to work, relatively little is known about how the occupations of those who do work compare with occupations of the nonrecipient population. This article uses the 2007 American Community Survey to estimate dissimilarity indices, which are used to compare the predicted and actual occupational distributions of working SSI recipients with the occupational distributions of the nonrecipient populations with and without disabilities. Although the actual occupational distributions are quite different between these groups, much of the difference can be explained by demographic characteristics, human capital, and disability type.
The Effects of Wage Indexing on Social Security Disability Benefits
Researchers David Autor and Mark Duggan have hypothesized that the Social Security benefit formula using the average wage index, coupled with a widening distribution of income, has created an implicit rise in replacement rates for low-earner disability beneficiaries. This research attempts to confirm and quantify the replacement rate creep identified by Autor and Duggan using actual earnings histories of disability-insured workers over the period 1979–2004. The research finds that disability replacement rates are rising for many insured workers, although the effect may be somewhat smaller than that suggested by Autor and Duggan.
Social Security Beneficiaries Affected by the Windfall Elimination Provision in 2006
The Windfall Elimination Provision (WEP) is a method of computing benefits for some workers who receive a pension based on non-Social Security covered work. At the end of 2006, about 970,000 beneficiaries, mainly retired workers, were affected by the WEP. This article provides a brief legislative history, describes the WEP computation, and presents statistical data about beneficiaries affected by the WEP.
The Reservation Wages of Social Security Disability Insurance Beneficiaries
Using the New Beneficiary Data System, this article examines the reservation wages of a sample of Social Security Disability Insurance (DI) beneficiaries with work capabilities. It analyzes the magnitude of the reservation wages of DI beneficiaries compared to the last wage earned and to benefit amounts. In addition, the article discusses the determinants of reservation wages for DI beneficiaries.
Characteristics of Disabled-Worker Beneficiaries Receiving Workers' Compensation or Public Disability Benefits Compared With Disabled-Worker Beneficiaries Without These Additional Benefits
Characteristics of Noninstitutionalized DI and SSI Program Participants
Workers' Compensation: A Background for Social Security Professionals
This article provides a brief history and background of workers' compensation programs for occupationally injured and ill workers in the United States. It presents the basic principle involved in workers' compensation and briefly discusses the disability benefits to which workers are generally entitled. It also discusses why there are settlements in this disability program and the availability of information about the amounts paid in workers' compensation cases for obtaining an offset for Social Security Disability Insurance benefits paid to the worker. Finally, the article explains the rationale behind the public policy on coordination of Disability Insurance and workers' compensation in the new paradigm of disability and return to work.
Benefit Adequacy in State Workers' Compensation Programs
This article summarizes several different methods used to measure the adequacy of wage replacement in state workers' compensation systems in the United States. Empirical research casts serious doubt on benefit adequacy, especially in the case of more serious disabilities.
[Errata: The electronic versions of this article that were originally posted contained incorrect labels on the lines in Chart 3. The labels have been updated in the electronic versions and are correct in the print publication.]
Older Workers' Progression from Private Disability Benefits to Social Security Disability Benefits
Older workers who receive short-term disability benefits to compensate them for medical conditions that limit their ability to work are three times more likely than younger workers to progress to permanent public disability benefits. This article documents the base rates of progression from short-term private to long-term private to permanent public disability benefits among older workers with various medical conditions.
The Hazard of Mortality Among Aging Retired- and Disabled-Worker Men: A Comparative Sociodemographic and Health Status Analysis
Income of New Disabled-Worker Beneficiaries and Their Families: Findings From the New Beneficiary Survey
Characteristics of the Longest Job for New Disabled Workers: Findings From the New Beneficiary Survey
Receipt of Multiple Benefits by Disabled-Worker Beneficiaries
Prevalence of Work Disability by State, 1976
Recovery of Disabled Beneficiaries: A 1975 Followup Study of 1972 Allowances
Effect of Substantial Gainful Activity Level on Disabled Beneficiary Work Patterns
Dual Receipt of Disabled-Worker Benefits Under OASDHI and Workers' Compensation
Disabled-Worker Beneficiaries Under OASDI: Comparison With Severely Disabled PA Recipients
Employment and Work Adjustments of the Disabled: 1972 Survey of Disabled and Nondisabled Adults
Earnings of Disabled-Worker Beneficiaries
Disabled-Worker Beneficiaries Under OASDHI: Regional and State Patterns
Recovery and Benefit Termination: Program Experience of Disabled-Worker Beneficiaries
Characteristics of Disabled- Worker Beneficiaries with Workmen's Compensation Offset
Disability, Work, and Income Maintenance: Prevalence of Disability, 1966
The Disabled Worker Under OASDI
Disabled Workers and Rehabilitation Services
Social Insurance for Permanently Disabled Workers
Minorities (Racial and ethnic)
Measures of Health and Economic Well-Being Among American Indians and Alaska Natives Aged 62 or Older in 2030
This Research and Statistics Note uses Modeling Income in the Near Term (MINT) projections to provide an overview of the demographic, health, and economic characteristics of the American Indian and Alaska Native (AIAN) population aged 62 or older in 2030. MINT projects that the AIAN population will fare worse than the overall aged population in 2030 according to measures of health status, work limitation status, disability status, lifetime earnings, per capita Social Security benefits, per capita income, per capita wealth, and poverty.
Hispanics, Social Security, and Supplemental Security Income
This article uses a relatively new data source—the American Community Survey (ACS) to document the economic and demographic characteristics of the Hispanic population in the United States. Although the article focuses on Social Security beneficiaries and Supplemental Security Income (SSI) recipients, other segments of the population are also examined. The ACS data show that the Hispanic population is significantly different from the overall population, particularly with regard to age distribution, education, and economic well-being.
Spanish-Surnamed OASDI Beneficiaries in the Southwest
SSI Only
Longitudinal Patterns of Medicaid and Medicare Coverage Among Disability Cash Benefit Awardees
This article analyzes the effect of longitudinal interactions between the Disability Insurance (DI) and Supplemental Security Income (SSI) programs in providing access to Medicare and Medicaid, using a sample of administrative records spanning 84 months. Our study is the first effort to link and analyze record data on participation in all four of these major, and highly interrelated, public benefit programs in the United States. We find that SSI facilitates high levels of Medicaid coverage for SSI awardees overall and provides access to Medicaid for many DI awardees during the 24-month Medicare waiting period. Many people who exit SSI retain their Medicaid coverage, but the gap in coverage between continuing SSI participants and those who leave the program increases over time. After Medicare kicks in, public health insurance coverage is virtually complete among awardees with some DI involvement, including dual Medicaid and Medicare coverage for some.
Social Security Disability Beneficiaries with Work-Related Goals and Expectations
This study uses survey and administrative data to analyze the characteristics of working-age Social Security Disability Insurance and Supplemental Security Income beneficiaries who report having work goals or expectations, and the extent to which these beneficiaries become employed and leave the disability rolls during a 4-year period.
Employment among Social Security Disability Program Beneficiaries, 1996–2007
Using linked administrative data from program and earnings records, we summarize the 2007 employment rates of working-age (18–64) Social Security disability program beneficiaries at the national and state levels, as well as changes in employment since 1996. Substantial variation exists within the population. Disability Insurance beneficiaries and those younger than age 40 were much more likely to work relative to other Social Security beneficiaries. There are also strong regional differences in the employment rates among disability beneficiaries of working age, and these differences are persistent over time.
Employment of Individuals in the Social Security Disability Programs
This article introduces and highlights the key findings of the other articles presented in this special issue, which focuses on the employment of beneficiaries in the Social Security Disability Insurance and Supplemental Security Income programs.
Longitudinal Outcomes of an Early Cohort of Ticket to Work Participants
Using data from the 2004–2006 National Beneficiary Surveys matched to Social Security administrative data, this study follows a cohort of disability beneficiaries participating in the Ticket to Work program for several years to assess changes in their service use, health status, employment, and income.
Longitudinal Patterns of Participation in the Social Security Disability Insurance and Supplemental Security Income Programs for People with Disabilities
We analyze longitudinal interactions in benefit eligibility between the Disability Insurance and Supplemental Security Income programs and the lags arising from processing time in receiving the first payment, based on Social Security administrative records. We find that longitudinal interactions enhancing the bundle of cash benefits available for awardees over a 60-month period is much more common than apparent from cross-sectional data and identify distinct patterns of longitudinal interactions between the two programs. SSI plays an especially important role in providing benefit eligibility during the 5-month DI waiting period. Transition to nonbeneficiary status is more prevalent among SSI awardees because of exits attributable to the SSI means test. We also find that there is substantial variation in the lag in receiving the first disability payment.
Elderly Poverty and Supplemental Security Income, 2002–2005
This article is an extension of work reported in an earlier article entitled, "Elderly Poverty and Supplemental Security Income" (Social Security Bulletin 69(1): 45–73). Like the original work, the present study looks at the consequences of obtaining estimates of the prevalence of poverty among persons aged 65 or older by using administrative data to adjust incomes reported in the Current Population Survey. The original article looked at incomes in 2002; the present one covers measures of absolute and relative poverty status of the elderly during the 2003–2005 period. Again, we find that inclusion of administrative data presents challenges, but under the methodology we adopt, such adjustments lower estimated official poverty overall and increase estimated poverty rates for elderly SSI recipients by correcting for the misreporting of SSI, OASDI, and earnings receipt by CPS respondents.
The Age-18 Redetermination and Postredetermination Participation in SSI
This article describes the outcomes of the redetermination of Supplemental Security Income (SSI) eligibility when a child recipient reaches age 18. Statistics on the characteristics of youth whose eligibility is redetermined are presented using 8 years of administrative data, and the relationship between these characteristics and both an initial cessation decision and a successful appeal or reapplication for SSI are discussed.
Occupations of SSI Recipients Who Work
Although the Social Security Administration actively encourages Supplemental Security Income (SSI) recipients to work, relatively little is known about how the occupations of those who do work compare with occupations of the nonrecipient population. This article uses the 2007 American Community Survey to estimate dissimilarity indices, which are used to compare the predicted and actual occupational distributions of working SSI recipients with the occupational distributions of the nonrecipient populations with and without disabilities. Although the actual occupational distributions are quite different between these groups, much of the difference can be explained by demographic characteristics, human capital, and disability type.
Elderly Poverty and Supplemental Security Income
Provided here are the absolute and relative poverty status of 2002 elderly Supplemental Security Income (SSI) recipients. Official poverty estimates are generated from the Current Population Survey's Annual Social and Economic Supplement (CPS/ASEC). The poverty study presented here differs from previous studies in that it is based on CPS/ASEC income and weight records conditionally adjusted by matching Social Security administrative data. This effort improves the coverage of SSI receipt and the accuracy of SSI estimates. The adjusted CPS/administrative matched data reveal lower 2002 poverty rates among elderly persons (with and without SSI payments) than those generated from the unadjusted CPS/ASEC data.
Simplifying the Supplemental Security Income Program: Options for Eliminating the Counting of In-kind Support and Maintenance
The Supplemental Security Income (SSI) program's policies for both living arrangements and in-kind support and maintenance (ISM) are intended to direct program benefits toward persons with the least income and support, but they are considered cumbersome to administer and, in some cases, poorly targeted. Benefit restructuring would simplify the SSI program by replacing ISM-related benefit reductions with benefit reductions for recipients living with another adult. This article presents a microsimulation analysis of two benefit restructuring options, showing that the distributional outcomes under both options are inconsistent with a basic rationale of the SSI program.
The Canadian Safety Net for the Elderly
Canada's Public Pensions System is widely applauded for reducing poverty among the elderly. This article reviews benefits provided to Canada's older people and compares the Canadian system to the U.S. Supplemental Security Income program. Although Canada's system would probably be judged prohibitively expensive for the United States, the authors argue that there are nevertheless lessons to be learned from the Canadian experience.
The Food Stamp Program and Supplemental Security Income
The Food Stamp Program (FSP) and Supplemental Security Income (SSI) are important parts of national public assistance policy, and there is considerable overlap in the populations that the programs serve. This article investigates FSP participation by households that include SSI recipients and assesses the importance of various provisions of the Food Stamp Program that favor SSI recipients.
How Post Secondary Education Improves Adult Outcomes for Supplemental Security Income Children with Severe Hearing Impairments
This article uses a unique longitudinal dataset based on administrative data from the National Technical Institute for the Deaf (NTID) linked to Social Security Administration (SSA) microdata to conduct a case study of Supplemental Security Income (SSI) children who applied for postsecondary education at NTID. The authors estimate the likelihood that SSI children who apply to NTID will eventually graduate relative to other hearing impaired applicants, as well as the influence of graduation from NTID on participation in the SSI program as adults and later success in the labor market. Findings indicate that SSI children are substantially less likely to graduate from NTID than their fellow deaf students who did not participate in the SSI program as children, but that those who do graduate spend less time in the SSI adult program and have higher age-earnings profiles than those who do not graduate.
Characteristics of Noninstitutionalized DI and SSI Program Participants
An Overview of the National Survey of SSI Children and Families and Related Products
During the first three decades of the Supplemental Security Income (SSI) program, the number of children receiving SSI because of a disability increased from 70,000 in 1974 to about 1 million at the end of 2005. With over 8,500 interviews completed between July 2001 and June 2002, the National Survey of SSI Children and Families (NSCF) is the first nationally representative survey since 1978 of noninstitutionalized children and young adults who were receiving SSI during the survey period or had formerly received SSI. The article discusses the objectives of the survey, its methodology and implementation, content of the questionnaire, a randomized response-incentive experiment, and related products including the release of a public-use data file.
A Study of Supplemental Security Income Awardees
Survey of Disabled Children Under SSI Program
Veterans
Military Veterans and Social Security: 2010 Update
More than one 1 of 5 adult Social Security beneficiaries has served in the military, and veterans and their families comprise 35 percent of the beneficiary population. Using data from the March 2010 Current Population Survey (CPS), this article presents the sociodemographic characteristics of the veteran beneficiary and the total veteran populations. The article draws comparisons with findings from the March 2000 CPS and the March 2004 CPS, and describes trends in the size and demographic makeup of the veteran population using data from the Department of Veterans Affairs' VetPop2007 projection model.
Military Veterans and Social Security
About one out of every four adult Social Security beneficiaries has served in the United States military, making military veterans and their families an important group to study. This article provides information on the demographic characteristics of military veterans, including their age, sex, marital status, education, and race and ethnicity. It also examines their economic status by looking at poverty levels and Social Security benefit payments. Information is based on data from the March 2004 Current Population Survey, a large, nationally representative survey of U.S. households.
Military Veterans and Social Security
Military veterans constitute an important subgroup of Social Security beneficiaries. Because veterans are a large subgroup of Social Security beneficiaries and because policymakers have shown a clear interest in their well-being, it is important to understand how veterans and their dependents are currently faring. This note looks at the characteristics and trends in growth of the veteran and Social Security populations.
Veterans' Legislation in 1968
Legislation Affecting Veterans and Servicemen, 1965
Other Beneficiaries
Longitudinal Statistics on Work Activity and Use of Employment Supports for New Social Security Disability Insurance Beneficiaries
Longitudinal statistics on the employment activities of Social Security Disability Insurance beneficiaries offer a different perspective than the Social Security Administration's published statistics, which are based on annual data, and have important policy implications.
Foreign-Born Workers Awarded Retirement and Disability Benefits, 1978
Comparison of Aged OASDI and SSI Recipients, 1974
The Disabled Widow
Veterans Disability Compensation and Survivor Benefits Act of 1974
Disability Beneficiaries Eligible for Medicare
Impact of Black Lung Benefits on Public Assistance
Black Lung Benefits: An Administrative Review
Black Lung Benefits, July 1970
Federal Coal Mine Health and Safety Act of 1969
New Hawaii Temporary Disability Insurance Law: A Further Explanation
New Temporary Disability Insurance Law in Hawaii
Student Beneficiaries Under OASDHI, 1965–68
Social Security Service to American Indians
Income-Loss Protection Against Illness, 1948–67
New Puerto Rico Law Provides Income-Loss Protection Against Illness
Persons Receiving Payments From Public Programs for Long-Term Disability, December 1939–63
Coverage of State and Local Government Employees Under OASDI
Disability Benefit Awards Affected by the Offset Provision, July–October 1957
Aid to the Permanently and Totally Disabled: Recipients with Heart Disease
Disabled Old-Age Insurance Beneficiaries
Aid to the Permanently and Totally Disabled
Diagnosis
Profile of Social Security Disabled Workers and Dependents Who Have a Connection to Workers' Compensation or Public Disability Benefits
This note provides a comprehensive profile of the characteristics of disability beneficiaries with a connection to workers' compensation or public disability benefits (PDBs). The 8.3 percent of disabled workers who have this connection tend to be economically better off, more frequently middle aged, male, afflicted with a musculoskeletal and connective tissue disorder, and tend to wait longer to apply for social security disability benefits after onset than the general disabled-worker population. In our analysis, we have included a special focus on California, as this state represents a large portion of the PDB workload, and its experience has a substantial effect on the national picture.
Longitudinal Patterns of Medicaid and Medicare Coverage Among Disability Cash Benefit Awardees
This article analyzes the effect of longitudinal interactions between the Disability Insurance (DI) and Supplemental Security Income (SSI) programs in providing access to Medicare and Medicaid, using a sample of administrative records spanning 84 months. Our study is the first effort to link and analyze record data on participation in all four of these major, and highly interrelated, public benefit programs in the United States. We find that SSI facilitates high levels of Medicaid coverage for SSI awardees overall and provides access to Medicaid for many DI awardees during the 24-month Medicare waiting period. Many people who exit SSI retain their Medicaid coverage, but the gap in coverage between continuing SSI participants and those who leave the program increases over time. After Medicare kicks in, public health insurance coverage is virtually complete among awardees with some DI involvement, including dual Medicaid and Medicare coverage for some.
Employment among Social Security Disability Program Beneficiaries, 1996–2007
Using linked administrative data from program and earnings records, we summarize the 2007 employment rates of working-age (18–64) Social Security disability program beneficiaries at the national and state levels, as well as changes in employment since 1996. Substantial variation exists within the population. Disability Insurance beneficiaries and those younger than age 40 were much more likely to work relative to other Social Security beneficiaries. There are also strong regional differences in the employment rates among disability beneficiaries of working age, and these differences are persistent over time.
Permanent Disability Social Insurance Programs in Japan
This article examines the experience of Japan's social insurance permanent disability programs and compares its key features with the Social Security Disability Insurance program operating in the United States. It analyzes the determination and appeals processes in Japan for claiming permanent social insurance disability pensions. Trends in the number of Japanese disability program beneficiaries and benefit expenditures are also discussed.
The Age-18 Redetermination and Postredetermination Participation in SSI
This article describes the outcomes of the redetermination of Supplemental Security Income (SSI) eligibility when a child recipient reaches age 18. Statistics on the characteristics of youth whose eligibility is redetermined are presented using 8 years of administrative data, and the relationship between these characteristics and both an initial cessation decision and a successful appeal or reapplication for SSI are discussed.
How Post Secondary Education Improves Adult Outcomes for Supplemental Security Income Children with Severe Hearing Impairments
This article uses a unique longitudinal dataset based on administrative data from the National Technical Institute for the Deaf (NTID) linked to Social Security Administration (SSA) microdata to conduct a case study of Supplemental Security Income (SSI) children who applied for postsecondary education at NTID. The authors estimate the likelihood that SSI children who apply to NTID will eventually graduate relative to other hearing impaired applicants, as well as the influence of graduation from NTID on participation in the SSI program as adults and later success in the labor market. Findings indicate that SSI children are substantially less likely to graduate from NTID than their fellow deaf students who did not participate in the SSI program as children, but that those who do graduate spend less time in the SSI adult program and have higher age-earnings profiles than those who do not graduate.
A Profile of Children with Disabilities Receiving SSI: Highlights from the National Survey of SSI Children and Families
This article, based on interviews from the National Survey of SSI Children and Families conducted between July 2001 and June 2002, presents a profile of children under the age of 18 who were receiving support from the Supplemental Security Income program. The topics highlighted provide information of SSI children with disabilities and their families not available from administrative records, including demographic characteristics, income and assets, perceived health and disabilities, and health care utilization. While virtually every child in the SSI program is covered by some form of health insurance, primarily Medicaid, the data indicate substantial heterogeneity on other variables. This is true on many different dimensions, such as the perceived severity of the child's disabling conditions, health care utilization and service needs, the presence of other family members with disabilities, family demographics, and access to non-SSI sources of incomes.
Report of the Commission on the Evaluation of Pain
Identifying The Disabled: Concepts and Methods in the Measurement of Disability
Definition of Disability in Private Pension Plans
Diagnoses in Disability Freeze Allowances, July 1955–December 1956
Certification of Disability in Social Insurance
Eligibility
Longitudinal Patterns of Medicaid and Medicare Coverage Among Disability Cash Benefit Awardees
This article analyzes the effect of longitudinal interactions between the Disability Insurance (DI) and Supplemental Security Income (SSI) programs in providing access to Medicare and Medicaid, using a sample of administrative records spanning 84 months. Our study is the first effort to link and analyze record data on participation in all four of these major, and highly interrelated, public benefit programs in the United States. We find that SSI facilitates high levels of Medicaid coverage for SSI awardees overall and provides access to Medicaid for many DI awardees during the 24-month Medicare waiting period. Many people who exit SSI retain their Medicaid coverage, but the gap in coverage between continuing SSI participants and those who leave the program increases over time. After Medicare kicks in, public health insurance coverage is virtually complete among awardees with some DI involvement, including dual Medicaid and Medicare coverage for some.
Longitudinal Patterns of Participation in the Social Security Disability Insurance and Supplemental Security Income Programs for People with Disabilities
We analyze longitudinal interactions in benefit eligibility between the Disability Insurance and Supplemental Security Income programs and the lags arising from processing time in receiving the first payment, based on Social Security administrative records. We find that longitudinal interactions enhancing the bundle of cash benefits available for awardees over a 60-month period is much more common than apparent from cross-sectional data and identify distinct patterns of longitudinal interactions between the two programs. SSI plays an especially important role in providing benefit eligibility during the 5-month DI waiting period. Transition to nonbeneficiary status is more prevalent among SSI awardees because of exits attributable to the SSI means test. We also find that there is substantial variation in the lag in receiving the first disability payment.
Who Never Receives Social Security Benefits?
Approximately 4 percent of the aged population will never receive Social Security benefits. This article examines the prevalence, demographic characteristics, and economic well-being of these never-beneficiaries. Most never-beneficiaries do not have sufficient earnings to be eligible for benefits, and most of these insufficient earners are either late-arriving immigrants or infrequent workers. About 44 percent of never-beneficiaries are in poverty, compared with about 4 percent of current and future beneficiaries.
Permanent Disability Social Insurance Programs in Japan
This article examines the experience of Japan's social insurance permanent disability programs and compares its key features with the Social Security Disability Insurance program operating in the United States. It analyzes the determination and appeals processes in Japan for claiming permanent social insurance disability pensions. Trends in the number of Japanese disability program beneficiaries and benefit expenditures are also discussed.
The Age-18 Redetermination and Postredetermination Participation in SSI
This article describes the outcomes of the redetermination of Supplemental Security Income (SSI) eligibility when a child recipient reaches age 18. Statistics on the characteristics of youth whose eligibility is redetermined are presented using 8 years of administrative data, and the relationship between these characteristics and both an initial cessation decision and a successful appeal or reapplication for SSI are discussed.
Disability Benefit Coverage and Program Interactions in the Working-Age Population
It is widely known that about three-fourths of the working-age population is insured for Disability Insurance (DI), but the substantial role played by the Supplemental Security Income (SSI) program in providing disability benefit coverage is not well understood. Using data from the 1996 panel of the Survey of Income and Program Participation (SIPP) we find that over one-third (36 percent) of the working-age population is covered by SSI in the event of a severe disability. Three important implications follow: (1) SSI increases the overall coverage of the working-age population; (2) SSI enhances the bundle of cash benefits available to disabled individuals; and (3) interactions with other public programs—most notably the SSI path to Medicaid coverage—also enhance the safety net. Ignoring these implications could lead to inaccurate inferences in analytic studies.
An Overview of the National Survey of SSI Children and Families and Related Products
During the first three decades of the Supplemental Security Income (SSI) program, the number of children receiving SSI because of a disability increased from 70,000 in 1974 to about 1 million at the end of 2005. With over 8,500 interviews completed between July 2001 and June 2002, the National Survey of SSI Children and Families (NSCF) is the first nationally representative survey since 1978 of noninstitutionalized children and young adults who were receiving SSI during the survey period or had formerly received SSI. The article discusses the objectives of the survey, its methodology and implementation, content of the questionnaire, a randomized response-incentive experiment, and related products including the release of a public-use data file.
Counting the Disabled: Using Survey Self-Reports to Estimate Medical Eligibility for Social Security's Disability Programs
This paper develops an approach for tracking medical eligibility for the Social Security Administration's (SSA's) disability programs on the basis of self-reports from an ongoing survey. Using a structural model of the disability determination process estimated on a sample of applicants, we make out-of-sample predictions of eligibility for nonbeneficiaries in the general population. This work is based on the 1990 panel of the Survey of Income and Program Participation. We use alternative methods of estimating the number of people who would be found eligible if they applied, considering the effects of sample selection adjustments, sample restrictions, and several methods of estimating eligibility/ineligibility from a set of continuous probabilities. The estimates cover a wide range, suggesting the importance of addressing methodological issues. In terms of classification rates for applicants, our preferred measure outperforms the conventional single variable model based on the "prevented" measure.
Under our preferred estimate, 4.4 million people—2.9 percent of the nonbeneficiary population aged 18–64—would meet SSA's medical criteria for disability. Of that group, about one-third have average earnings above the substantial gainful activity limit. Those we classify as medically eligible are similar to allowed applicants in terms of standard measures of activity limitations.
The Effect of Welfare Reform on SSA's Disability Programs: Design of Policy Evaluation and Early Evidence
Recent legislation has affected the populations served by the Social Security Administration's (SSA's) disability programs. The Contract with America Advancement Act of 1996 mandated that persons whose disability determination was based on drug addiction or alcoholism be removed from the Supplemental Security Income and Social Security Disability Insurance rolls. The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (later amended by the Balanced Budget Act of 1997) tightened the SSI eligibility criteria for children and converted the Aid to Families with Dependent Children program into a block grant, Temporary Assistance for Needy Families. This article describes the design of three related studies evaluating the direct and indirect effects of these policy changes on SSA's disability populations. It describes the methodological challenges of the studies and the strategies used to overcome them. It also presents early evidence from the three studies and discusses future directions.
A Comparison of the Recovery Termination Rates of Disabled-Worker Beneficiaries Entitled in 1972 and 1985
Eliminating the Medicare Waiting Period for Social Security Disabled-Worker Beneficiaries
Disability Insurance and Aid to the Blind
Disability Filing Rates and Denial Rates
Medical Advisory Committee on the Disability Freeze
Process
"Fast-Track" Strategies in Long-Term Public Disability Programs Around the World
This article examines fast-track procedures in long-term public disability programs in the United States and several other countries. Such procedures share a common goal of accelerating applicants—generally for those with severe disabilities, blindness, or facing terminal illness—through the disability determination process.
How Common is "Parking" among Social Security Disability Insurance Beneficiaries? Evidence from the 1999 Change in the Earnings Level of Substantial Gainful Activity
The authors explore the extent to which Social Security Disability Insurance (DI) beneficiaries restrain their earnings below the substantial gainful activity (SGA) level in order to maintain their cash benefits. The extent of "parking" is measured by exploiting the 1999 change in the nonblind SGA earnings level from $500 to $700 and assessing its effect on cohorts of DI beneficiaries who completed their trial work period, one of which was affected by the SGA change, and one that was not.
Longitudinal Patterns of Participation in the Social Security Disability Insurance and Supplemental Security Income Programs for People with Disabilities
We analyze longitudinal interactions in benefit eligibility between the Disability Insurance and Supplemental Security Income programs and the lags arising from processing time in receiving the first payment, based on Social Security administrative records. We find that longitudinal interactions enhancing the bundle of cash benefits available for awardees over a 60-month period is much more common than apparent from cross-sectional data and identify distinct patterns of longitudinal interactions between the two programs. SSI plays an especially important role in providing benefit eligibility during the 5-month DI waiting period. Transition to nonbeneficiary status is more prevalent among SSI awardees because of exits attributable to the SSI means test. We also find that there is substantial variation in the lag in receiving the first disability payment.
Administering Social Security: Challenges Yesterday and Today
During its 75-year history, the Social Security Administration (SSA) has faced many administrative challenges. This article depicts some of those challenges—involving legislative demands, staffing and workloads, infrastructure and technology, logistics and procedures, emergency response operations, and other matters—and the steps that SSA has taken to deal with them.
Permanent Disability Social Insurance Programs in Japan
This article examines the experience of Japan's social insurance permanent disability programs and compares its key features with the Social Security Disability Insurance program operating in the United States. It analyzes the determination and appeals processes in Japan for claiming permanent social insurance disability pensions. Trends in the number of Japanese disability program beneficiaries and benefit expenditures are also discussed.
The Age-18 Redetermination and Postredetermination Participation in SSI
This article describes the outcomes of the redetermination of Supplemental Security Income (SSI) eligibility when a child recipient reaches age 18. Statistics on the characteristics of youth whose eligibility is redetermined are presented using 8 years of administrative data, and the relationship between these characteristics and both an initial cessation decision and a successful appeal or reapplication for SSI are discussed.
How Policy Variables Influence the Timing of Applications for Social Security Disability Insurance
The onset of a work-limiting health condition may lead workers to reevaluate their lifetime work path. This article analyzes the impact of policy variables—employer accommodations, state Social Security Disability Insurance (DI) acceptance rates, and DI benefits—on the timing of DI applications for such workers.
A Structural Model of Social Security's Disability Determination Process
We estimate a multistage sequential logit model reflecting the structure of the disability determination process of the Social Security Administration (SSA), as implemented by state Disability Determination Services (DDS) agencies. The model is estimated using household survey information exactly matched to SSA records on disability adjudications from 1989 to 1993. Information on health, activity limitations, demographic traits, and work is taken from the 1990 Survey of Income and Program Participation. We also use information on occupational characteristics from the Directory of Occupational Titles, DDS workload pressure, and local area economic conditions from unpublished SSA sources. Under the program provisions, different criteria dictate the outcomes at different steps of the determination process. We find that without the multistage structural approach, the effects of many of the important health, disability, and vocational factors are not readily discernible. As a result, the split-sample predictions of overall allowance rates from the sequential model performed considerably better than the conventional approach based on a simple allowed/denied logit regression.
Plan for a New Disability Claim Process
Disability Process Redesign: The Proposal from the SSA Disability Process Reengineering Team
The Bellmon Report
Estimation of Disability Status as a Single Latent Variable in a Model with Multiple Indicators and Multiple Causes
In this paper, we are concerned with the underlying structure of self-definitions of disability. Our purpose is to identify the contribution of exertional and nonexertional impairment and the contributions of such nonmedical factors as age, sex, and education to the individuals' assessment of their own situations. On a statistical level, we seek to accomplish a substantial reduction of a large number of data items into a form that can be used conveniently in subsequent behavioral analyses.
The Impact of Local Labor Market Characteristics on the Disability Process
This report examines the impact of local labor market characteristics on three steps in the disability process: The perception of oneself as disabled; the decision to apply for benefits under the social security disability insurance program (SSDI); and the determination of disability status under SSDI. The research attempts to determine whether the elements of an individual's local economic environment play a role in the various steps of the disability process specifically above and beyond his or her own demographic characteristics and economic motivations. Among the key variables used to measure the local economic environment are the unemployment rate, the percent of families below the low income (poverty) level, rural location, occupational diversity and the percent of the unemployed exhausting their unemployment benefits. With the exception of the last variable, which is measured on a statewide basis, all variables pertain to the county of residence.
The results contradict earlier findings which were based on aggregated data. No significant effect on any of the three elements in the disability process was found for either variable measuring the dimensions of the unemployment problem. With few exceptions, results from the other labor market variables were sketchy at best. One surprising result is noted with respect to the benefit replacement ratio, the variable intended to measure the relative attractiveness of SSDI benefits.
Demographic Factors in the Disability Determination Process: A Logistic Approach
Delayed Filing for Disability Benefits Under the Social Security Act
Old-Age, Survivors, and Disability Insurance: Early Problems and Operations of the Disability Provisions
Medical Advisory Committee on the Disability Freeze
Program
General
How Common is "Parking" among Social Security Disability Insurance Beneficiaries? Evidence from the 1999 Change in the Earnings Level of Substantial Gainful Activity
The authors explore the extent to which Social Security Disability Insurance (DI) beneficiaries restrain their earnings below the substantial gainful activity (SGA) level in order to maintain their cash benefits. The extent of "parking" is measured by exploiting the 1999 change in the nonblind SGA earnings level from $500 to $700 and assessing its effect on cohorts of DI beneficiaries who completed their trial work period, one of which was affected by the SGA change, and one that was not.
What Can We Learn from Analyzing Historical Data on Social Security Entitlements?
Data from administrative records of the Social Security Administration allow us to examine patterns of initial entitlement to Old-Age Insurance benefits as well as Disability Insurance benefits. We follow cohorts born in different years over their lifetimes to identify changes in entitlements by age over time. Breaking out single birth cohorts shows close adherence in entitlement ages to rule changes as well as increasing shares of cohorts relying on the Disability Insurance program in middle age.
Employment among Social Security Disability Program Beneficiaries, 1996–2007
Using linked administrative data from program and earnings records, we summarize the 2007 employment rates of working-age (18–64) Social Security disability program beneficiaries at the national and state levels, as well as changes in employment since 1996. Substantial variation exists within the population. Disability Insurance beneficiaries and those younger than age 40 were much more likely to work relative to other Social Security beneficiaries. There are also strong regional differences in the employment rates among disability beneficiaries of working age, and these differences are persistent over time.
Administering Social Security: Challenges Yesterday and Today
During its 75-year history, the Social Security Administration (SSA) has faced many administrative challenges. This article depicts some of those challenges—involving legislative demands, staffing and workloads, infrastructure and technology, logistics and procedures, emergency response operations, and other matters—and the steps that SSA has taken to deal with them.
Permanent Disability Social Insurance Programs in Japan
This article examines the experience of Japan's social insurance permanent disability programs and compares its key features with the Social Security Disability Insurance program operating in the United States. It analyzes the determination and appeals processes in Japan for claiming permanent social insurance disability pensions. Trends in the number of Japanese disability program beneficiaries and benefit expenditures are also discussed.
A Legislative History of the Social Security Protection Act of 2004
The Social Security Protection Act of 2004 (SSPA), with its administrative remedies and program protections, can be seen as another incremental step in the development of a social insurance program that best meets the evolving needs of American society. This article discusses the legislative history of the SSPA in detail. It also includes summaries of the provisions and a chronology of the modification of these proposals as they passed through the House and Senate, and ultimately to the president's desk.
Disability Benefit Coverage and Program Interactions in the Working-Age Population
It is widely known that about three-fourths of the working-age population is insured for Disability Insurance (DI), but the substantial role played by the Supplemental Security Income (SSI) program in providing disability benefit coverage is not well understood. Using data from the 1996 panel of the Survey of Income and Program Participation (SIPP) we find that over one-third (36 percent) of the working-age population is covered by SSI in the event of a severe disability. Three important implications follow: (1) SSI increases the overall coverage of the working-age population; (2) SSI enhances the bundle of cash benefits available to disabled individuals; and (3) interactions with other public programs—most notably the SSI path to Medicaid coverage—also enhance the safety net. Ignoring these implications could lead to inaccurate inferences in analytic studies.
Disability Trends in the United States: A National and Regional Perspective
Rethinking Disability Policy: The Role of Income, Health Care, Rehabilitation, and Related Services in Fostering Independence
Disabled-Worker Beneficiaries and Disabled SSI Recipients: A Profile of Demographic and Program Characteristics
Report of the Commission on the Evaluation of Pain
Consolidated Omnibus Budget Reconciliation Act of 1985
An Overview of OASDI Revenue, Expenditures, and Beneficiaries, 1974–85
Adult Assistance Programs Under the Social Security Act
Social Security Disability Benefits Reform Act of 1984: Legislative History and Summary of Provisions
Deficit Reduction Act of 1984: Provisions Related to the OASDI and SSI Programs
OASDI and SSI Beneficiaries With a Representative Payee, 1981
Recent Trends in the Social Security Disability Insurance Program
The Bellmon Report
Social Security Disability Amendments of 1980: Legislative History and Summary of Provisions
Disability Insurance: Program Issues and Research
First Findings of the 1972 Survey of the Disabled: General Characteristics
Demographic Characteristics of Disability Applicants: Relationship to Allowances
The Economic Cost of Illness Revisited
Effect of Financing Disabled Beneficiary Rehabilitation
Constant-Attendance Allowances for Non-Work-Related Disability
Benefits for Grandchildren and Certain Blind Persons Under 1972 Amendments
Disability Insurance and Aid to the Blind
Five Years of Disability Insurance Benefits: A Progress Report
Disability Insurance Benefits in Current-Payments Status, by State, February 28, 1959
Diagnoses in Disability Freeze Allowances, July 1955–December 1956
Disability Benefit Awards Affected by the Offset Provision, July–October 1957
Estimated Prevalence of Blindness in the United States, July 1952
Initial Effect of the 1952 Amendments on Assistance Payments
Advisory Council on Social Security: Reports on Permanent and Total Disability Insurance and on Public Assistance
Disability Protection Under Public Programs
The Prevalence of Disability in the United States With Special Reference to Disability Insurance
A Review of State Legislation Relating to Medical Services and to Cash Payments for Disability, Proposed During 1939
Research
Profile of Social Security Disabled Workers and Dependents Who Have a Connection to Workers' Compensation or Public Disability Benefits
This note provides a comprehensive profile of the characteristics of disability beneficiaries with a connection to workers' compensation or public disability benefits (PDBs). The 8.3 percent of disabled workers who have this connection tend to be economically better off, more frequently middle aged, male, afflicted with a musculoskeletal and connective tissue disorder, and tend to wait longer to apply for social security disability benefits after onset than the general disabled-worker population. In our analysis, we have included a special focus on California, as this state represents a large portion of the PDB workload, and its experience has a substantial effect on the national picture.
Longitudinal Patterns of Medicaid and Medicare Coverage Among Disability Cash Benefit Awardees
This article analyzes the effect of longitudinal interactions between the Disability Insurance (DI) and Supplemental Security Income (SSI) programs in providing access to Medicare and Medicaid, using a sample of administrative records spanning 84 months. Our study is the first effort to link and analyze record data on participation in all four of these major, and highly interrelated, public benefit programs in the United States. We find that SSI facilitates high levels of Medicaid coverage for SSI awardees overall and provides access to Medicaid for many DI awardees during the 24-month Medicare waiting period. Many people who exit SSI retain their Medicaid coverage, but the gap in coverage between continuing SSI participants and those who leave the program increases over time. After Medicare kicks in, public health insurance coverage is virtually complete among awardees with some DI involvement, including dual Medicaid and Medicare coverage for some.
Workplace Injuries and the Take-Up of Social Security Disability Benefits
Workplace injuries and illnesses are an important cause of disability. States have designed their workers' compensation programs to provide cash and medical-care benefits for those injuries and illnesses, but people who become disabled at work may also be eligible for Social Security Disability Insurance (DI) and related Medicare benefits. This article uses matched state workers' compensation and Social Security data to estimate whether workplace injuries and illnesses increase the probability of receiving DI benefits and whether people who become DI beneficiaries receive benefits at younger ages.
How Common is "Parking" among Social Security Disability Insurance Beneficiaries? Evidence from the 1999 Change in the Earnings Level of Substantial Gainful Activity
The authors explore the extent to which Social Security Disability Insurance (DI) beneficiaries restrain their earnings below the substantial gainful activity (SGA) level in order to maintain their cash benefits. The extent of "parking" is measured by exploiting the 1999 change in the nonblind SGA earnings level from $500 to $700 and assessing its effect on cohorts of DI beneficiaries who completed their trial work period, one of which was affected by the SGA change, and one that was not.
Longitudinal Statistics on Work Activity and Use of Employment Supports for New Social Security Disability Insurance Beneficiaries
Longitudinal statistics on the employment activities of Social Security Disability Insurance beneficiaries offer a different perspective than the Social Security Administration's published statistics, which are based on annual data, and have important policy implications.
Expanding Access to Health Care for Social Security Disability Insurance Beneficiaries: Early Findings from the Accelerated Benefits Demonstration
The Accelerated Benefits (AB) demonstration project provides health benefits to Social Security Disability Insurance beneficiaries who have no health insurance during the 24-month period most beneficiaries are required to wait before Medicare benefits begin. This article describes the project and presents baseline survey results on health insurance coverage among newly entitled beneficiaries and the characteristics of those without coverage. A 6-month follow-up survey provides information on the effects of the AB health benefits package on health care utilization and on reducing unmet medical needs. The article also reports the costs of providing the health benefits package during the 24-month Medicare waiting period.
The Age-18 Redetermination and Postredetermination Participation in SSI
This article describes the outcomes of the redetermination of Supplemental Security Income (SSI) eligibility when a child recipient reaches age 18. Statistics on the characteristics of youth whose eligibility is redetermined are presented using 8 years of administrative data, and the relationship between these characteristics and both an initial cessation decision and a successful appeal or reapplication for SSI are discussed.
Uses of Administrative Data at the Social Security Administration
This article discusses the advantages and limitations of using administrative data for research, examines how linking administrative data to survey results can be used to evaluate and improve survey design, and discusses research studies and SSA statistical products and services that are based on administrative data.
Elderly Poverty and Supplemental Security Income
Provided here are the absolute and relative poverty status of 2002 elderly Supplemental Security Income (SSI) recipients. Official poverty estimates are generated from the Current Population Survey's Annual Social and Economic Supplement (CPS/ASEC). The poverty study presented here differs from previous studies in that it is based on CPS/ASEC income and weight records conditionally adjusted by matching Social Security administrative data. This effort improves the coverage of SSI receipt and the accuracy of SSI estimates. The adjusted CPS/administrative matched data reveal lower 2002 poverty rates among elderly persons (with and without SSI payments) than those generated from the unadjusted CPS/ASEC data.
Disability Benefit Coverage and Program Interactions in the Working-Age Population
It is widely known that about three-fourths of the working-age population is insured for Disability Insurance (DI), but the substantial role played by the Supplemental Security Income (SSI) program in providing disability benefit coverage is not well understood. Using data from the 1996 panel of the Survey of Income and Program Participation (SIPP) we find that over one-third (36 percent) of the working-age population is covered by SSI in the event of a severe disability. Three important implications follow: (1) SSI increases the overall coverage of the working-age population; (2) SSI enhances the bundle of cash benefits available to disabled individuals; and (3) interactions with other public programs—most notably the SSI path to Medicaid coverage—also enhance the safety net. Ignoring these implications could lead to inaccurate inferences in analytic studies.
An Overview of the National Survey of SSI Children and Families and Related Products
During the first three decades of the Supplemental Security Income (SSI) program, the number of children receiving SSI because of a disability increased from 70,000 in 1974 to about 1 million at the end of 2005. With over 8,500 interviews completed between July 2001 and June 2002, the National Survey of SSI Children and Families (NSCF) is the first nationally representative survey since 1978 of noninstitutionalized children and young adults who were receiving SSI during the survey period or had formerly received SSI. The article discusses the objectives of the survey, its methodology and implementation, content of the questionnaire, a randomized response-incentive experiment, and related products including the release of a public-use data file.
A Profile of Children with Disabilities Receiving SSI: Highlights from the National Survey of SSI Children and Families
This article, based on interviews from the National Survey of SSI Children and Families conducted between July 2001 and June 2002, presents a profile of children under the age of 18 who were receiving support from the Supplemental Security Income program. The topics highlighted provide information of SSI children with disabilities and their families not available from administrative records, including demographic characteristics, income and assets, perceived health and disabilities, and health care utilization. While virtually every child in the SSI program is covered by some form of health insurance, primarily Medicaid, the data indicate substantial heterogeneity on other variables. This is true on many different dimensions, such as the perceived severity of the child's disabling conditions, health care utilization and service needs, the presence of other family members with disabilities, family demographics, and access to non-SSI sources of incomes.
Collecting Information on Disability in the 2000 Census: An Example of Interagency Cooperation
This article reports research and analysis undertaken by a very successful collaborative, federal interagency work group on disability, convened by the Office of Management and Budget and charged with the development of a short set of disability questions for Census 2000. The process that culminated in the final disability questions on Census 2000 is described, along with a discussion of the complexities of defining and measuring disability.
The Development of the Project NetWork Administrative Records Database for Policy Evaluation
This article describes the development of SSA's administrative records database for the Project NetWork return-to-work experiment targeting persons with disabilities. The article is part of a series of papers on the evaluation of the Project NetWork demonstration. In addition to 8,248 Project NetWork participants randomly assigned to receive case management services and a control group, the simulation identified 138,613 eligible nonparticipants in the demonstration areas. The output data files contain detailed monthly information on Supplemental Security Income (SSI) and Disability Insurance (DI) benefits, annual earnings, and a set of demographic and diagnostic variables. The data allow for the measurement of net outcomes and the analysis of factors affecting participation. The results suggest that it is feasible to simulate complex eligibility rules using administrative records, and create a clean and edited data file for a comprehensive and credible evaluation. The study shows that it is feasible to use administrative records data for selecting control or comparison groups in future demonstration evaluations.
Statistical Methods for the Estimation of Costs in the Medicare Waiting Period for Social Security Disabled Worker Beneficiaries
This paper presents the statistical methods used to estimate Medicare costs in the waiting period that were presented in text tables 2–3 of Bye and Riley (1989). The first part describes the development of Medicare utilization equations for each Social Security Disability Insurance (DI) program status group. The second part describes how these equations were used to predict expected costs per month and how the monthly estimates were aggregated to yield estimates of costs in the full 2-year waiting period and in the second year only. Finally, there is a brief discussion of the accuracy of the predictions.
Commentary: Interagency Data Matching Projects for Research Purposes
The 1973 CPS-IRS-SSA Exact Match Study
Commentary: Disability Research
Identifying the Disabled: Concepts and Methods in the Measurement of Disability
Overview of the Office of Research, Statistics, and International Policy Functions
Age, Work and Capacity Devaluation
To be awarded Disability Insurance benefits, an individual must have an objectively determinable, severe medical condition or impairment that, according to Social Security regulations, is serious enough that it can be presumed to keep the individual from working. We know, however, that some people who have medical conditions serious enough to qualify them for disability benefits are nevertheless able to continue working, while others who consider themselves unable to work do not have a serious enough impairment to qualify them for benefits. Whether or not a seriously impaired individual files for Social Security Disability Insurance benefits (SSDI) will depend, in part, on his or her own self-assessment of his ability to work, i.e., whether he considers himself to be severely disabled. This self-assessment depends upon many factors in addition to the actual severity of the individual's medical condition. These factors, therefore, become important elements in the decision to apply for SSDI benefits. This report examines how the relationship between measures of actual individual functional capacity and individual self-assessments of work capacity vary by age and other important job-related attributes.
A Note on Maximum Likelihood Estimation of Discrete Choice Models from the 1978 Survey of Disability and Work
This paper demonstrates an alternative maximum likelihood procedure for estimating discrete choice models in retrospective samples, such as a model of SSA disability beneficiaries or application status in the 1978 Survey of Disability and Work.
The Impact of Local Labor Market Characteristics on the Disability Process
This report examines the impact of local labor market characteristics on three steps in the disability process: The perception of oneself as disabled; the decision to apply for benefits under the social security disability insurance program (SSDI); and the determination of disability status under SSDI. The research attempts to determine whether the elements of an individual's local economic environment play a role in the various steps of the disability process specifically above and beyond his or her own demographic characteristics and economic motivations. Among the key variables used to measure the local economic environment are the unemployment rate, the percent of families below the low income (poverty) level, rural location, occupational diversity and the percent of the unemployed exhausting their unemployment benefits. With the exception of the last variable, which is measured on a statewide basis, all variables pertain to the county of residence.
The results contradict earlier findings which were based on aggregated data. No significant effect on any of the three elements in the disability process was found for either variable measuring the dimensions of the unemployment problem. With few exceptions, results from the other labor market variables were sketchy at best. One surprising result is noted with respect to the benefit replacement ratio, the variable intended to measure the relative attractiveness of SSDI benefits.
Receipt of Multiple Benefits by Disabled Worker Beneficiaries
In 1971, 44 percent of workers who had been currently entitled to social security disability insurance benefits (SSDI) for 1 year or more received benefits from at least one income source in addition to SSDI. These recipients of multiple benefits (RMB's) were found to have average benefits from SSDI which were greater than the average SSDI benefit for those who did not receive income from these additional sources. On the average, total benefits to RMB's were double the benefits paid to those who received only SSDI. The combined benefits for overlappers produced median replacement rates for nonoverlappers. The rate of receipt of replacement rates in excess of 80 percent of predisability earnings was 70 percent larger for persons who were RMB's than for those who were not.
Based on the present research, consideration of replacement rates based solely on SSDI benefits substantially understates the extent to which benefits from public and private programs actually replace predisability earnings. Since replacement rates based solely on SSDI benefits are generally higher for persons receiving only SSDI than for persons who receive multiple benefits, employing policies which cap replacement rates based only on SSDI benefits may only serve to increase the differential in the total replacement of predisability earning which exists between those who receive multiple benefits and those who do not. Increasing this differential could be considered undesirable from both the adequacy and equity viewpoints.
Demographic Factors in the Disability Determination Process: A Logistic Approach
The Family Labor Supply Response to Disabling Conditions
The role of time as an input into the utility maximization process has long been recognized in the labor/leisure decision. Expanded research has dealt with this input in a family context. Assuming a joint utility maximization model, the resulting labor supply functions can be determined for both spouses.
The model presented here is an extension of previous models by its incorporation of the effects of disabling conditions of the husband on the labor supply decisions of both spouses.
Because hours worked takes on a lower limit of zero, the standard simultaneous equation techniques would yield estimates lacking the ideal properties. Instead, the model is estimated using a simplification of a simultaneous TOBIT technique, which yields consistent estimates.
Selection of Simple and Stratified Random Samples of Fixed Size Without Replacement
For the past few years, the Division of Disability Studies has been using simple random and stratified random sampling procedures for many of its studies. The beneficiary sample for the 1978 Survey of Disability and Work was a stratified random sample drawn from the Master Benefit Record. The samples used in the Study of Consistency and Validity of Initial Disability Decisions and the Trial Work Period Folder Study also used simple random sampling procedures. Simple random subsampling has been used to enable multivariate analysis to be performed on files that would otherwise have been too large for existing software.
Because of the Division of Disability Studies' wide use of simple and stratified random sampling designs, software was developed to efficiently accomplish these sampling schemes. This paper describes the algorithm and presents the computer programs that are currently being used in the division.
Disability Beneficiary Recovery
In recent years, the number of workers awarded disability insurance benefits has rapidly increased, while there has been no corresponding increase in the numbers leaving the rolls for recovery. Concern has been expressed that cash benefit payments may be leading to disincentives to beneficiaries to return to work after medical improvement
To examine this question, a comparative analysis was made of the demographic, disability, and benefit characteristics of a sample of disabled workers who left the benefit rolls for recovery in contrast to the characteristics of those who remained on the rolls after award of disability benefits in 1972. Characteristics related to greater recovery included younger age, higher education, disability due to traumatic injury, residence in western states.
Disability Claimants Who Contest Denials and Win Reversals Through Hearings
This paper presents the social and demographic characteristics of those disability claimants whose cases go to hearing. Particular attention is given to how these characteristics may be related to (1) the individual decision to contest a denial or accept it; (2) the general increase in disability claims and contested applications in recent years; and (3) the high proportion of reversals in hearings.
The 1973 CPS-IRS-SSA Exact Match Study
1972 Survey of Disabled and Nondisabled Adults: Chronic Disease, Injury, and Work Disability
Impact of Disability on the Family Structure
Disability Insurance: Program Issues and Research
Three Decades of Social Security Research Publishing: The Bulletin Turns Thirty
Review of Cooperative Research and Demonstration Grant Program
Estimated Prevalence of Long-Term Disability, 1954
The Prevalence of Disability Recorded Through Four Monthly Sample Surveys
Work and Return to Work
Workplace Injuries and the Take-Up of Social Security Disability Benefits
Workplace injuries and illnesses are an important cause of disability. States have designed their workers' compensation programs to provide cash and medical-care benefits for those injuries and illnesses, but people who become disabled at work may also be eligible for Social Security Disability Insurance (DI) and related Medicare benefits. This article uses matched state workers' compensation and Social Security data to estimate whether workplace injuries and illnesses increase the probability of receiving DI benefits and whether people who become DI beneficiaries receive benefits at younger ages.
How Common is "Parking" among Social Security Disability Insurance Beneficiaries? Evidence from the 1999 Change in the Earnings Level of Substantial Gainful Activity
The authors explore the extent to which Social Security Disability Insurance (DI) beneficiaries restrain their earnings below the substantial gainful activity (SGA) level in order to maintain their cash benefits. The extent of "parking" is measured by exploiting the 1999 change in the nonblind SGA earnings level from $500 to $700 and assessing its effect on cohorts of DI beneficiaries who completed their trial work period, one of which was affected by the SGA change, and one that was not.
Longitudinal Statistics on Work Activity and Use of Employment Supports for New Social Security Disability Insurance Beneficiaries
Longitudinal statistics on the employment activities of Social Security Disability Insurance beneficiaries offer a different perspective than the Social Security Administration's published statistics, which are based on annual data, and have important policy implications.
Employment among Social Security Disability Program Beneficiaries, 1996–2007
Using linked administrative data from program and earnings records, we summarize the 2007 employment rates of working-age (18–64) Social Security disability program beneficiaries at the national and state levels, as well as changes in employment since 1996. Substantial variation exists within the population. Disability Insurance beneficiaries and those younger than age 40 were much more likely to work relative to other Social Security beneficiaries. There are also strong regional differences in the employment rates among disability beneficiaries of working age, and these differences are persistent over time.
Social Security Disability Beneficiaries with Work-Related Goals and Expectations
This study uses survey and administrative data to analyze the characteristics of working-age Social Security Disability Insurance and Supplemental Security Income beneficiaries who report having work goals or expectations, and the extent to which these beneficiaries become employed and leave the disability rolls during a 4-year period.
Disability Benefits Suspended or Terminated Because of Work
The authors use longitudinal Social Security administrative data to produce statistics on the number of Disability Insurance (DI) and Supplemental Security Income (SSI)-only beneficiaries whose cash benefits were first suspended or terminated because of work and on the number of months thereafter that those beneficiaries remained in nonpayment status before their return to the program rolls, attainment of the full retirement age, or death—for each year from 2002 through 2006. We also explore differences by program title (DI versus SSI-only) and by participation in the Ticket to Work program. Finally, we examine outcome payments made on behalf of Ticket to Work participants in months of nonpayment status following suspension or termination because of work.
Longitudinal Outcomes of an Early Cohort of Ticket to Work Participants
Using data from the 2004–2006 National Beneficiary Surveys matched to Social Security administrative data, this study follows a cohort of disability beneficiaries participating in the Ticket to Work program for several years to assess changes in their service use, health status, employment, and income.
Employment of Individuals in the Social Security Disability Programs
This article introduces and highlights the key findings of the other articles presented in this special issue, which focuses on the employment of beneficiaries in the Social Security Disability Insurance and Supplemental Security Income programs.
Occupations of SSI Recipients Who Work
Although the Social Security Administration actively encourages Supplemental Security Income (SSI) recipients to work, relatively little is known about how the occupations of those who do work compare with occupations of the nonrecipient population. This article uses the 2007 American Community Survey to estimate dissimilarity indices, which are used to compare the predicted and actual occupational distributions of working SSI recipients with the occupational distributions of the nonrecipient populations with and without disabilities. Although the actual occupational distributions are quite different between these groups, much of the difference can be explained by demographic characteristics, human capital, and disability type.
Estimating the First Instance of Substantive-Covered Earnings in the Labor Market
The Reservation Wages of Social Security Disability Insurance Beneficiaries
Using the New Beneficiary Data System, this article examines the reservation wages of a sample of Social Security Disability Insurance (DI) beneficiaries with work capabilities. It analyzes the magnitude of the reservation wages of DI beneficiaries compared to the last wage earned and to benefit amounts. In addition, the article discusses the determinants of reservation wages for DI beneficiaries.
How Post Secondary Education Improves Adult Outcomes for Supplemental Security Income Children with Severe Hearing Impairments
This article uses a unique longitudinal dataset based on administrative data from the National Technical Institute for the Deaf (NTID) linked to Social Security Administration (SSA) microdata to conduct a case study of Supplemental Security Income (SSI) children who applied for postsecondary education at NTID. The authors estimate the likelihood that SSI children who apply to NTID will eventually graduate relative to other hearing impaired applicants, as well as the influence of graduation from NTID on participation in the SSI program as adults and later success in the labor market. Findings indicate that SSI children are substantially less likely to graduate from NTID than their fellow deaf students who did not participate in the SSI program as children, but that those who do graduate spend less time in the SSI adult program and have higher age-earnings profiles than those who do not graduate.
The U.S. Study of Work Incapacity and Reintegration
The International Social Security Association recently completed a six-nation comparative study of work incapacity and reintegration that focused on workers with back disorders. This article discusses the findings of the U.S. national study and discusses their policy implications.
The Net Effects of the Project NetWork Return-to-Work Case Management Experiment on Participant Earnings, Benefit Receipt, and Other Outcomes
This article summarizes the results of a major social experiment initiated by the Social Security Administration to test case management as a tool of promoting employment among persons with moderate to severe disabilities. This comprehensive analysis shows the benefits of using an experimental design to derive realistic net outcome estimates. While the results cannot be generalized to other case management interventions, they are nevertheless instructive for planning new initiatives.
Improving Return-to-Work Strategies in the United States Disability Programs, with Analysis of Program Practices in Germany and Sweden
This article examines suggestions by the General Accounting Office (GAO) to improve the rate of rehabilitation of workers on the disability rolls. It examines GAO's suggestions within the context of research by experts on return-to-work practices in Germany, Sweden, and the United States. It also discusses lessons learned from the European experiences and current and past return-to-work initiatives used in the Social Security Disability Insurance and Supplemental Security Income programs.
The Development of the Project NetWork Administrative Records Database for Policy Evaluation
This article describes the development of SSA's administrative records database for the Project NetWork return-to-work experiment targeting persons with disabilities. The article is part of a series of papers on the evaluation of the Project NetWork demonstration. In addition to 8,248 Project NetWork participants randomly assigned to receive case management services and a control group, the simulation identified 138,613 eligible nonparticipants in the demonstration areas. The output data files contain detailed monthly information on Supplemental Security Income (SSI) and Disability Insurance (DI) benefits, annual earnings, and a set of demographic and diagnostic variables. The data allow for the measurement of net outcomes and the analysis of factors affecting participation. The results suggest that it is feasible to simulate complex eligibility rules using administrative records, and create a clean and edited data file for a comprehensive and credible evaluation. The study shows that it is feasible to use administrative records data for selecting control or comparison groups in future demonstration evaluations.
Industry, Occupation, and Disability Insurance Beneficiary Work Return
This article uses the New Beneficiary Data System to describe the first job held after award of Disability Insurance benefits, in terms of occupation and industry. It examines work activity within sectors of employment, and looks at the issues of whether work return in certain industries and occupations varies according to the demographic characteristics of the beneficiaries. The article also presents data on sector-specific employer accommodations that can aid in sustained work return.
Postentitlement work was fairly evenly distributed across occupational and industrial sectors. Persons with higher levels of educational attainment were found to be in white-collar employment sectors. There were noticeable differences in the availability of employer accommodations across postentitlement occupations and industries.
Work Efforts of Disabled-Worker Beneficiaries: Preliminary Findings From the New Beneficiary Followup Survey
Design of the Project NetWork Return-to-Work Experiment for Persons with Disabilities
Disability Beneficiaries Who Work and Their Experience Under Program Work Incentives
Report of the Disability Advisory Council: Executive Summary
Work Values of Disabled Beneficiaries
Characteristics of the Longest Job for New Disabled Workers: Findings From the New Beneficiary Survey
Testing the Predictive Power of a Proportional Hazards Semi-Markov Model of Postentitlement Histories of Disabled Male Beneficiaries
In the Disability Amendments of 1980 (P.L. 96-265), Congress mandated that certain experiments be carried out which are designed to encourage disabled beneficiaries to return to work and save trust fund monies. A research plan has been developed which would offer alternative program provisions, experimentally, to different samples of beneficiaries. An observation period of three to four years will be possible before a report to Congress must be written. However, a period of this length is not sufficient to observe, fully, the postentitlement experience of disabled beneficiaries. In order to estimate the long run effects of the experiments, a method is needed which can project postentitlement behavior beyond the observation period.
This paper tests the ability of proportional hazards semi-Markov model to make accurate predictions in this type of setting. The data are divided into two segments: the first 14 calendar quarters and the last 16 quarters. Various types of rate functions including proportional hazards rate functions are estimated on the first segment, then projected over the entire 30 quarters and compared to the actual data. The proportional hazards rate functions are then used in a simulation to estimate monthly benefit cost to the social security disability trust fund over the last 16 quarters, using an age-dependent, absorbing, semi-Markov model. The model does a very good job of capturing the dynamics of the process and should prove quite useful as one of the major components in an analysis of the Work Incentive Experiments.
Commitment to Work and the Self-Perception of Disability
Evaluation of Disability Insurance Savings Due to Beneficiary Rehabilitation
Effect of Rehabilitation on Employment and Earnings of the Disabled: Sociodemographic Factors
Mandatory Employment of the Handicapped
Effect of Vocational Rehabilitation on Employment and Earnings of the Disabled: State Variations
Employment and Work Adjustments of the Disabled: 1972 Survey of Disabled and Nondisabled Adults
Impact of Substantial Gainful Activity Level on Disabled Beneficiary Work Patterns
Evaluating Vocational Rehabilitation Programs for the Disabled: National Long-Term Followup Study
Recovery of Disabled After Trust Fund Financing of Rehabilitation
Rehabilitation of the Disabled
Financing of Disability Beneficiary Rehabilitation
Disabled Workers and Rehabilitation Services
Old-Age, Survivors, and Disability Insurance: Interagency Relationships in Disability Insurance and Vocational Rehabilitation
Vocational Rehabilitation Act Amendments
Rehabilitation of Disabled Veterans in Germany
Service Aspects of Public Assistance Administration Facilitating Rehabilitation of Persons in Need
Other
How Common is "Parking" among Social Security Disability Insurance Beneficiaries? Evidence from the 1999 Change in the Earnings Level of Substantial Gainful Activity
The authors explore the extent to which Social Security Disability Insurance (DI) beneficiaries restrain their earnings below the substantial gainful activity (SGA) level in order to maintain their cash benefits. The extent of "parking" is measured by exploiting the 1999 change in the nonblind SGA earnings level from $500 to $700 and assessing its effect on cohorts of DI beneficiaries who completed their trial work period, one of which was affected by the SGA change, and one that was not.
The Impact of Response Error on Participation Rates and Contributions to Defined Contribution Pension Plans
The accuracy of information about coverage and contributions to defined contribution (DC) pension plans is important in understanding the economic well-being of future retirees because these plans are an increasingly important part of retirement income security. Using data from the 1996 and 2004 panels of the Survey of Income and Program Participation (SIPP) merged with information from W-2 tax records, we examine the extent to which estimated participation rates and contribution amounts to DC plans derived from SIPP reports differ from estimates obtained from tax-deferred contributions in the W-2 tax records.
The Effects of Wage Indexing on Social Security Disability Benefits
Researchers David Autor and Mark Duggan have hypothesized that the Social Security benefit formula using the average wage index, coupled with a widening distribution of income, has created an implicit rise in replacement rates for low-earner disability beneficiaries. This research attempts to confirm and quantify the replacement rate creep identified by Autor and Duggan using actual earnings histories of disability-insured workers over the period 1979–2004. The research finds that disability replacement rates are rising for many insured workers, although the effect may be somewhat smaller than that suggested by Autor and Duggan.
Workers' Compensation: A Background for Social Security Professionals
This article provides a brief history and background of workers' compensation programs for occupationally injured and ill workers in the United States. It presents the basic principle involved in workers' compensation and briefly discusses the disability benefits to which workers are generally entitled. It also discusses why there are settlements in this disability program and the availability of information about the amounts paid in workers' compensation cases for obtaining an offset for Social Security Disability Insurance benefits paid to the worker. Finally, the article explains the rationale behind the public policy on coordination of Disability Insurance and workers' compensation in the new paradigm of disability and return to work.