Congressman Wants To Prevent Field Office Hour Reductions

This seems to be a particularly hot issue in New York. From the Buffalo News:

A congressman is trying to prevent the Social Security Administration from closing its local offices to the public for three hours every Wednesday so workers can concentrate on processing disability claims.

Rep. Thomas M. Reynolds, R-Clarence, complained about the plan in a letter to Social Security Administration Commissioner Michael Astrue.

Social Security officials plan to begin a pilot project on March 1, closing field offices in Buffalo, Amherst, West Seneca and Niagara Falls for three hours each Wednesday. Officials have said the intent of the plan is to allow employees to catch up on a backlog of disability cases.

It turns out that Congressman Reynolds' efforts succeeded. From the same newspaper a few days later:

The Social Security Administration is rescinding a proposed pilot project that would have cut the hours of the agency’s Buffalo-area offices by three hours each week, Rep. Thomas M. Reynolds announced Wednesday.

Reynolds cheered the decision by Michael Astrue, the agency’s commissioner, to withdraw a pilot project that would have closed Social Security Administration offices to the public for three hours every Wednesday afternoon. The plan had been delayed once already and was to be implemented March 1.

Other Congressman please take note.

Real ID Headaches Coming For Social Security?

I expect some sanity will prevail, but if not this could make it almost impossible for the Social Security Administration to do business in several states. From CNET News:

Starting May 11, Americans living in states that don't comply with new federal regulations could be barred from entering Washington's visitor center and collecting the complimentary maps and brochures--unless they happen to bring a passport or military ID with them.

That not-very-welcoming rule is part of a 2005 law called the Real ID Act, which takes effect in just over three months. It says that driver's licenses from states that have not agreed to Real ID mandates from the Department of Homeland Security, or which have not requested a deadline extension, can no longer be used to access "federal facilities."

Because the visitor center is in a government building that checks ID, it might just become off-limits to Americans with licenses or state ID cards from the following noncompliant states: Maine, South Carolina, Montana, Oklahoma, and New Hampshire. Fifteen other states and the District of Columbia have not decided whether to comply or ask for an extension, according to a survey conducted by CNET News.com over the last two weeks, meaning the fate of driver's licenses and state ID cards used by their residents remains uncertain. ...

Other effects of Real ID include: Social Security: Some Social Security offices are inside federal buildings, which means that Americans trying to replace a Medicare card or apply in person for government benefits could be inconvenienced. "In terms of getting into federal buildings, that wouldn't be something I could answer," said Mark Hinkle, a Social Security Administration spokesman who referred questions to Homeland Security.

Diabetes And Social Security

Anyone who is involved to much extent with Social Security's disability programs knows that diabetes is the underlying cause for many disability claims. It has been an article of faith that diabetics would suffer less disability if they controlled their blood sugar better -- and that diabetics who did suffer disability might be at fault for being poorly compliant with medical treatment. Well, maybe not. See this article from the New York Times:

... a major federal study of more than 10,000 middle-aged and older people with Type 2 diabetes has found that lowering blood sugar actually increased their risk of death, researchers reported Wednesday. ...

Among the study participants who were randomly assigned to get their blood sugar levels to nearly normal, there were 54 more deaths than in the group whose levels were less rigidly controlled. The patients were in the study for an average of four years when investigators called a halt to the intensive blood sugar lowering and put all of them on the less intense regimen. ...

Medical experts were stunned.

Stephen Barr On Social Security Budget

Stephen Barr writes the Federal Diary column for the Washington Post. Here are some excerpts from his column for February 6:

The president's budget mostly looks to the next year in a positive light. But there's some frank talk, too.

Social Security Commissioner Michael Astrue declared his agency "is now at a crossroads." Baby boomers are retiring and "we are facing an avalanche of retirement and disability claims," he wrote in his fiscal 2009 budget message released Monday. ...

Compared to other agencies, Social Security and Homeland Security are doing fairly well in the budget derby -- President Bush would give both a funding increase of at least 6 percent.

But it may take more than that. It's clear that many federal programs can only run smoothly when properly staffed.

Take Social Security. In recent years, the agency's field offices have lost staff, and waiting times for the public have increased. More than 50 percent of people who call a field office get a busy signal. At some offices, people who show up without an appointment often wait an hour or longer to be checked in, and then wait some more to see a claims representative.

"Without sustained, adequate funding, this situation will only worsen," Astrue wrote in his budget message.

The president and Astrue are not far apart on their requests to Congress. Bush's budget would provide $10.3 billion to cover administrative expenses at the Social Security Administration. Astrue has requested $100 million more, or $10.4 billion, to administer Social Security programs and benefits.

More would be better, according to nearly 50 organizations, including employee groups, that wrote the White House budget office requesting $11 billion for Social Security in fiscal 2009. The Federal Managers Association, for one, contends Bush's budget request does not provide enough funding to tackle a huge backlog, especially disability cases, at the agency.

In a message to employees yesterday, Astrue tried to be reassuring, saying that the 2009 budget "will put us in a better position to handle the onslaught of work we are confronting."

That's partly because Congress last year provided Social Security with $148 million more than Bush sought. Astrue said that funding will permit the agency to lift a hiring freeze, hire 175 administrative law judges and increase the number of call center employees.

Still, the staffing growth seems small. For fiscal 2009, staffing would go up by 351 full-time employees, to 76,821, according to the budget. That remains lower than in 2007, when 77,855 employees were on board.

Poll

Free Web poll for your Web site - freepolls.com

"Endemic To The System"

I have been involved in Social Security disability work for thirty years now and I have never seen anything like the amount of publicity given now to the problems in Social Security disability determination. This is way beyond what happened in the early part of the Reagan Administration, when hundreds of thousands of claimants were being cut off benefits. Before the 2006 election, I could go many days, even weeks between posting links to newspaper articles. Now, it seems that I am posting one or more every day.

From the Times-Herald Record of the Hudson Valley in New York:

Robert Veneziali knows he's sick. Anyone who looks at him knows it too. Anyone, that is, unless he or she works in the Social Security Administration's medical disability review section.

They don't see Robert Veneziali when his legs give way beneath him and his body hits the floor and freezes up and his voice is barely strong enough to cry for help.

The medical reviewers at SSA know Robert Veneziali suffers from rapidly progressing debilitating multiple sclerosis, a disease that sometimes comes in terrifying, months-long waves. When these waves strike him, Veneziali has to deal with vision and memory loss, vertigo and physical numbness. He'll be unable to walk and have trouble swallowing his food. He doesn't dare drive; sometimes walking is a risky proposition. ...

Reluctantly, he filed for disability benefits for him and his kids and his wife, Tracey, who has to work three jobs to keep the family afloat. Social Security doctors turned him down and told him he could be re-examined in another 18 months.

That was too much for his mother, Elaine Veneziali. She got hold of Rep. John Hall. Hall caught wind of a recent CBS news report that contended a "culture of denial" in New York and 13 other states designed to deter people from applying for disability benefits. As a result, Hall has called for a federal investigation into the charge.

Veneziali's treatment was "unconscionable," he said. It could only be worse if it proves to be endemic to the system.

Astrue E-Mail To Staff On Budget

An e-mail from Commissioner Astrue, with my comments bolded and in brackets:

^Commissioner Broadcast

Tuesday, February 05, 2008 2:00 PM

COMMISSIONER'S BROADCAST--02/05/08

A Message To All SSA And DDS Employees

Subject: FY 2008 and FY 2009 Budget News

I am pleased to share several items of good news about the agency’s budget.

First, the President’s Budget for FY 2009, submitted to Congress yesterday, provides $10.46 billion for Social Security’s administrative expenses. That’s a 6 percent increase over FY 2008. [But what about the larger budget that you asked for, but which the President was unwilling to give you. And why is an independent Commissioner of Social Security so eager to praise the President?] If enacted by Congress, this would be the largest increase SSA has received in some time. [Really, you could have had more this year, if the President had not vetoed it.] As you know, Social Security is facing an avalanche of disability and retirement claims at the same time that we must address large backlogs due to years of limited resources. The FY 2009 budget will put us in a better position to handle the onslaught of work we are confronting. [Better position? How? The proposed budget provides for almost no additional personnel.]

I am urging Congress to enact this budget quickly. [Come on, Astrue, you know as well as anyone that Democrats are going to enact whatever budget they feel like -- after Bush leaves office and the budget they enact will probably be larger than what is in the Bush budget.] Over the next couple of weeks, I will be joining Chief of Staff David Foster and staff from the Office of Budget, Finance and Management and the Office of Legislative and Congressional Affairs as we make our case for timely and adequate funding for SSA. [It is a shame you are unwilling to do what you say and actually ask for adequate funding.]

Now here is the good news regarding the current fiscal year. As you may know, for the first time in 15 years, Congress appropriated funding for SSA above the President’s budget. [Which Astrue opposed.] Specifically, Congress provided us with an additional $148 million in FY 2008. As a result of this appropriation, I am able to lift our current hiring freeze and provide some needed hiring flexibility across all SSA components. Each Deputy Commissioner will determine where to direct these critical hires to best address the agency's mission. [But don't expect any hiring binge. We're still going to be losing employees.]

ODAR will be able to replace all of their staff losses this year and hire 175 Administrative Law Judges. [How can I restrain my excitement? In the face of large increases in workload, ODAR will be allowed to keep its staffing level stable.] Our FY 2008 funding also allows me to provide Operations with additional hiring authority to increase the number of Teleservice Representatives in the Teleservice Centers. [But it looks like payment center staff will be cut.]

The agency will continue implementing our Hearings Backlog Reduction Plan. We will use the additional resources to build a firm foundation for the future with automation improvements, fast-track reviews, Administrative Law Judge hiring and other initiatives so that we can significantly reduce waiting times at all steps of the disability process while improving accuracy. The waiting time for a hearing has just dropped below 500 days, even though the oldest cases take the longest. [Dropped below 500 days. What do you mean?] ODAR is doing the right thing for the claimants in tackling this workload, and with these additional resources, I fully expect to see further improvement in processing times by early in the next fiscal year. [But will Astrue be around to see the improvements he predicts?]

Funds for Information Technology Systems will be sufficient to move forward with critical information technology projects, which will help SSA improve the disability programs and prepare for the millions of baby boomers who are beginning to apply for retirement benefits.

For most components, overtime will be provided at FY 2007 actual levels. Operations will be given additional overtime to begin addressing our critical backlogs, so that we can provide better service to the millions of beneficiaries who count on us each and every day. Other expenses, such as training, travel and supplies, will be funded at least at the FY 2007 level. [Funding them at the same level is the same as cutting funding when you factor in inflation.]

As the year progresses, we will be reassessing our staffing and hope to provide some additional hiring authority or overtime. I know that adequate funding is essential to providing the level of service that the American public deserves, and I have great hope that in future years we will be able to build upon the progress we make this year.

I want to thank all of you for your hard work, patience and ingenuity during the tough budget times we have faced in recent years.

Michael J. Astrue
Commissioner

Further SSA Press Statement On Budget

The press statement linked below is only the tip of the iceberg. Social Security has issued a a 198 page Justification of Estimates for Appropriations Committees. Here are a few excerpts:

The Social Security Administration (SSA) is now at a crossroads. Due to the aging of the baby boomers, we are facing an avalanche of retirement and disability claims at the same time that we must address large backlogs due to years of increasing workloads and limited resources. In the past, as SSA offices lost staff, waiting times increased and lines grew longer. Over 50 percent of people who called into field offices received a busy signal. Without sustained, adequate funding, this situation will only worsen. Furthermore, we must attack the disability backlogs, which have dramatically and unacceptably damaged many applicants’ lives. Since fiscal year (FY) 2000, processing times for disability hearings have grown by 200 days, which is an incredible hardship for disabled workers and their families as they cope with the loss of income, and often medical insurance as well, due to a severe disability. The problems and shortfalls we have described above are the result of limited resources, increased demand for our core services and new responsibilities. Adequate funding is critical for FY 2009 and must be sustained in the years ahead. Without it, SSA’s service crisis will deepen at a time when our aging population is increasingly counting on Social Security programs. ...

With the 2009 President’s Budget, we will be able to halt the decline in customer service by restoring staffing losses and investing in needed technology. In FY 2009, SSA plans to reduce the hearing backlog by nearly 70,000 cases, process over 200,000 more retirement and survivors claims, and handle 4 million more 800-number calls compared to FY 2008. Waiting times and processing times should decrease, especially since the increased funding will be in concert with continued productivity improvements. Lastly, the President’s Budget will allow us to process more program integrity work. ...

It is important to note that while the FY 2009 budget will make important strides in core areas, SSA will still have significant growth of backlogs in its less visible work, the work that is done after an individual is approved for benefits.

The document indicates that Social Security will have 60,293 workyears in FY 2009, up from 60,064 in FY 2008, an increase of 229 workyears or .38%. Not 38% or 3.8%, but .38%. How does one cope with an "avalanche" of claims and still make "important strides in core areas" with virtually no staffing increase? The number of workyears predicted for FY 2009, though higher than in FY 2008, would not bring Social Security's workforce back to what it was in FY 2007.

The document predicts a 16% increase in hearings held and a 6% decline in the average processing time for hearings, but gives no meaningful explanation of how this can be achieved with little or no increase in staffing.

A table predicts that Social Security's hearing backlog will decline to under 400,000 cases by 2013. That is still a huge backlog and 2013 is a long time from now and I do not see any realistic plan to achieve such a reduction.

Previously, Astrue and other Social Security officials were talking of getting up to 1,250 Administrative Law Judges (ALJs) in the current fiscal year, but this document talks of achieving this goal in "early 2009."

This document contains fulsome praise for the President's budget proposal, but curiously missing from this lengthy document is a prominent mention of the fact that the President's proposal is lower than what the Social Security Administration is asking for.