Baucus Warns Of Grave Service Delivery Problems Ahead For Social Security

     From a press release:

In response to an inquiry from Senate Finance Committee Chairman Max Baucus (D-Mont.), the Social Security Administration (SSA) today warned that drastic funding cuts proposed by the House of Representatives would dramatically impact service to beneficiaries and needlessly waste taxpayer dollars. 

In a letter to Senator Baucus, Social Security Commissioner Michael Astrue outlines how the House budget would force the agency to scale back operating hours at field offices across the country.  The result, according to Astrue, would be long delays and deteriorations in service to seniors and other Social Security beneficiaries.

“It is critically important that we work to preserve Social Security and protect its beneficiaries and save taxpayer dollars.  The House’s radical plan does nothing more than threaten America’s seniors by undermining this critical safety net and severely cuts programs that help the federal budget,” Senator Baucus said.

While a Senate proposal increases SSA funding levels next year, the House bill cuts $762 million from the agency’s current budget.  According to SSA, the cuts in the House bill would increase the average wait time for disability decisions and hearing decisions by as much as two weeks and forego up to $6 billion in budget savings.

“This severe cut would force us to curtail our service to the public and our program integrity efforts,” Astrue writes to Senator Baucus. “The backlog of initial disability claims would continue to increase and our hearings backlog reduction plan would be derailed. There would be long waits in our field offices and on our 800-number because of inadequate staff to address critical public service needs.”

The report from SSA is in response to a request from Senator Baucus to explain how Congress’ proposed budgets would impact Social Security beneficiaries.  The findings are troubling. According to SSA:

• The House budget would cut 5,000 jobs at the Social Security Administration.
• The House Budget would cut Social Security field office hours and delay more than 30,000 people with Social Security claims from getting the support they need.
• Compared to the Senate Budget, the House Budget would force thousands of folks with Social Security claims to wait two additional weeks to get the service they need and create a backlog of 100,000 claims and 100,000 hearings.
• The House Budget would cost taxpayers $5 to $6 billion by cutting a program that fights fraud and reduces waste.

      And here is the text of Astrue's letter:

October3, 2012

Dear Mr. Chairman:

Thank you for your concern regarding adequate fiscal year (FY) 2013 funding for the Social Security Administration (SSA). Below is an illustration of the effects that the House and Senate bill levels would have on our ability to deliver service and maintain critical stewardship of taxpayer dollars.

House Bill

The House Labor, Health and Human Services, Education, and Related Agencies Appropriations Subcommittee bill would provide $10.684 billion for our Limitation on Administrative Expenses (LAE) in FY 2013, a decrease of $762 million over the FY 2012 enacted level and a decrease of $1.076 billion from the President's FY 2013 Budget. This severe cut would force us to curtail our service to the public and our program integrity efforts. Specifically, with a cut of this magnitude, we would lose over 5,000 SSA and disability determination services (DDS) employees in FY 2013 through a combination of attrition and termination of temporary hires.

We would be forced to reduce field and hearings office operating hours equivalent to a month of furlough days. Each day of lost operations prevents us from completing roughly 20,000 retirement claims, over 10,000 disability claims, and 3,000 hearings. Our other workloads would also experience delays and deterioration. The backlog of initial disability claims would continue to increase and our hearings backlog reduction plan would be derailed. There would be long waits in our field offices and on our 800-number because of inadequate staff to address critical public service needs.

We have steadily increased program integrity work over the last five years. However, this bill significantly reduces funding for cost-effective program integrity work (continuing disability reviews (CDR) and SSI redeterminations) from $756 million in FY 2012 to $272 million in FY 2013. We estimate that every dollar spent on medical CDRs in FY 2013 will yield $9 in program savings over 10 years. We estimate that every dollar spent on SSI redeterminations will yield about $6 in program savings over 10 years. At the House level, the backlog of full medical CDRs would grow from 1.3 million currently to a record high of 1.75 million.

Senate Bill

The Senate Labor, Health and Human Services, Education, and Related Agencies Appropriations Subcommittee bill would provide essentially the same funding level as the President's budget request: $11.736 billion for our LAE in FY 2013, an increase of $290 million over FY 2012 and a decrease of $24 million from the President's budget. The Senate bill would allow us to replace our losses in the DDSs in FY 2013 and to replace some critical losses in SSA. At this level, we could also resume mailing paper Social Security Statements to all eligible Americans.

For program integrity, the bill would provide $1.024 billion ($273 million in the base and $751 million in cap adjustment funding), the same as proposed in the President's budget and authorized in the Budget Control Act. At this level of funding, we would complete 650,000 full medical CDRs and 2,622,000 redeterminations. At the Senate level, the backlog of full medical CDRs would decrease to 1.1 million, the lowest it has been since FY 2007.

Comparison of House to Senate Bill
At the Senate level, we would complete 100,000 more initial disability claims and 100,000 more hearings than at the House level. At the House level, the average wait for an initial disability decision would be about one to two weeks longer in FY 2013 than at the Senate level. In addition, the House level would create even longer average waits for decisions in FY 2014 as cases back up in the DDSs in FY 2013. The average wait for hearing decisions would also be about two weeks greater under the House level relative to the Senate level.

As mentioned above, the House bill would provide $272 million in program integrity funding for FY 2013, and the Senate bill would provide the amount authorized under the Budget Control Act, $1.024 billion. Stephen Goss, the agency's Chief Actuary, estimates that the House level of program integrity funding would cost the Social Security programs about $5 to $6 billion. Please see the enclosed letter for additional information. [not available]

History has shown that our service and stewardship efforts suffer with significant budget cuts, and it often takes multiple years to recover, creating uneven service across the Nation. These cracks will only continue to grow without sustained, adequate funding. None of our work is optional; the longer it takes us to complete it, the more difficult and expensive it is to handle.

Moreover, each case represents an action that affects a person's life. Whether it is paying benefits or preventing an overpayment, millions of people depend on us handling their cases timely and accurately.

If you have any questions or if I can be of further assistance, please contact me or have your staff contact Mr. Scott Frey, our Deputy Commissioner for Legislation and Congressional Affairs, at (202)xxx-xxxx. 

Sincerely
Michael J. Astrue

Poll Shows Americans Support Social Security Disability Benefits

     From a press release:

A new poll, conducted by Lincoln Park Strategies, finds the vast majority of likely voters support Social Security Disability Insurance (SSDI) benefits and believe that Congress should target other areas of the government when proposing cuts to balance the federal budget.

After months of combating unfounded media and political attacks against the SSDI benefits program, the National Organization of Social Security Claimants' Representatives (NOSSCR) commissioned a survey to ask Americans if they believe SSDI should receive budget cuts, or remain intact for hard-working citizens who never expected to experience a disability. ...

Among the key findings of the poll:
83% of voters  - including 75% of Republicans – agree it would be unfair to cut SSDI benefits to working Americans who have paid into SSDI 80% of survey respondents support the SSDI benefits program Only 8% of voters polled believe SSDI should be cut 77% of those polled agree that Congress should focus on programs other than SSDI to make budget cuts 73% support SSDI program after hearing allegations that the program is another government handout program

Who's Responsible?

     Cutsbacks in Social Security field office hours, some Social Security field offices closing, poorer telephone service, longer waits for determinations on Social Security disability claims, no more mailings of annual Social Security statements. What's going on? Michael Hiltzik at the Chicago Tribune has an explanation:

Who's responsible for this steady erosion of service? Conservatives in Congress, who have been merrily hacking away at the program's administrative budget. Make no mistake -- this is their stealth attack on the program itself. They haven't been able to cut benefits, so they're doing the next best thing: making it hard for you to know what you're due, and harder to get it when it comes due. The bottom line is that Social Security starts to look less relevant to Americans' lives, even as it really becomes more important.

Autism Spectrum Disorders To Be Affected By DSM-V

     The fifth edition of the bible of psychiatry, the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), is due out in May 2013. It may have a significant impact upon Social Security's disability determination. It is anticipated that there will be particularly significant changes in diagnosis for children. 

     Autism spectrum disorders such as Asperger's syndrome have been a particular concern. There is now a new study showing that 91% of those currently diagnosed with an autism spectrum disorder will still qualify for this diagnosis under DSM-V. 

     Of greater concern are those diagnosed with childhood bipolar disorder. I have not seen any studies on how DSM-V will affect diagnosis for these children.

Stupid

     From the St. Louis Post-Dispatch:

A lawyer who worked for the Social Security Administration here pleaded guilty Tuesday to two felony counts of theft of government property and admitted defrauding the agency.

Robert Brauker, 37, of St. Louis, had been receiving disability benefits since 1993 due to “significant visual impairments,” prosecutors said.

He was supposed to report any income that he earned, but failed to do so in 2003, they said. After his graduation from Michigan State University's law school in 2008, he also worked but failed to report the income. When he applied for work as a attorney-adviser with the Social Security Administration, his resume said that he worked as a sole practitioner for roughly 20 hours a week after graduation, prosecutors said.

Brauker was indicted in U.S. District Court in St. Louis May 2.

Union Objects To Cutbacks In Field Office Hours

     The union that represents most Social Security employees is objecting to the cutback in the number of hours that Social Security field offices are open. Those hours are being cut back because of budget cuts. The union objects that Social Security has not bargained with the union over this issue and that there will be no overtime to get the work done.

4.1% Error Rate In Numident

     From a recent report by Social Security's Office of Inspector General (OIG)(footnotes omitted):

Since 1936, SSA has assigned over 471 million Social Security numbers (SSN) for the primary purpose of accurately reporting and recording the earnings of people who work in jobs covered by Social Security. When SSA assigns an SSN to an individual, it creates a master record of relevant information about the numberholder in its Numident. The Numident includes such information as the numberholder’s name, date of birth, place of birth, parents’ names, citizenship status, and date of death (if applicable). It also contains the office where the SSN application was processed.

It is essential that the Numident be as accurate and complete as possible because SSA provides a number of verification services that allow matching of names and SSNs with SSA’s records. E-Verify (formerly Basic Pilot) is a Department of Homeland Security (DHS) employment eligibility verification program supported by SSA. The purpose of E-Verify is to assist employers in verifying the employment eligibility of newly hired employees....

In 2006, we reviewed SSA’s Numident and determined that the information it contained was generally accurate. However, we estimated that discrepancies in approximately 4.1 percent of the Numident records could have resulted in incorrect feedback when submitted through E-Verify. For example, our review showed that the Numident records contained discrepancies in numberholders’ names, dates of birth, citizenship status, and/or death indications. Because our tests included SSNs that SSA had assigned since 1936, we recognized that some numberholders would no longer be working and would not attempt to correct their SSA and/or immigration records. We also recognized that some inaccuracies were due to numberholders who did not update their records with SSA.

      Those who are ineligible to hold down employment in the U.S. due to their immigration status should be prevented from working. Non-citizens should be prevented from voting in the U.S. However, using numident to achieve these goals is unreasonable because numident contains such a high error rate. We can't exclude 4.1% of eligible workers and voters because of simple record-keeping errors. That's an unacceptably high level of errors for such crucial matters. Don't blame Social Security too much. Numident was created for the agency's internal use. It was never anticipated that it would be used for crucial non-agency purposes.

Way Off Topic

From the Associated Press:

A contestant in a roach-eating contest who downed dozens of live bugs and worms collapsed and died shortly after winning the contest in South Florida, authorities say.

About 30 contestants ingested the insects during Friday night's contest at Ben Siegel Reptile Store in Deerfield Beach about 40 miles north of Miami. The grand prize was a python. ...

Authorities were awaiting results of an autopsy to determine a cause of death.