Support has been growing in Congress for the
ABLE Act of 2014 (H.R. 647). ABLE stands for Achieving a Better Life Experience. Under ABLE, individuals receiving Supplemental Security Income (SSI) and Medicaid could establish tax favored accounts to cover qualified expenses for medical care, housing and transportation. The accounts would not count against SSI and Medicaid resource limits. There is a chance that ABLE will become law this year.
The ABLE bill, apart from its "pay-fors", is certainly worthy of passage. However, I would prefer that ABLE be a part of a comprehensive effort to update the income and resource provisions of SSI and Medicaid. I'm not sure about Medicaid but the SSI income and resources provisions in SSI haven't been updated since SSI became law more than 40 years ago. They are ridiculously out of date. As it stands, ABLE is primarily a bill to help the disabled children of middle class and wealthy parents. Those parents could use ABLE accounts to transfer funds to their disabled children. Those who are on SSI and Medicaid seldom have the ability on their own to accumulate assets in an ABLE account.
The big problem with ABLE is that it would cost money and the House of Representatives is proposing "pay-fors" that would:
- Eliminate the percentage and dollar cap on the user fee that those representing Social Security claimants pay for processing direct payment of fees for representing Social Security claimants.
- End the Single Decisionmaker pilot currently used in twenty states.
- End the Reconsideration elimination pilot currently used in ten states.
Ending the single decisionmaker and reconsideration elimination pilots would make it more difficult to be approved for disability benefits in the affected states. I don't think there is any substantive opposition to those pilots. Instead of eliminating them, they should be extended to all states. Why should ABLE be used to help middle class and wealthy families at the expense of disability claimants generally?
Eliminating the percentage and dollar caps on the user fee is a big deal. Already, attorneys and others pay hefty fees to Social Security for the processing of their fees. This would increase those fees to preposterous levels that bear no relationship to Social Security's actual costs. Why would it cost Social Security almost $400 to compute 25% of a claimant's back benefits and authorize a direct deposit?
I will write more about this later but those who represent Social Security claimants are already under considerable economic stress. Although no statistics have been released, it seems clear to me that fewer claimants are represented now than was the case a few years ago. Representing Social Security claimants is a high overhead, low profit margin business. Reducing the gross income of those who represent Social Security claimants by, perhaps 5%, would reduce their net income by a much higher percentage. Should ABLE be adopted with the elimination of the user fee caps, I expect a downward spiral of Social Security representation. At some point, it's just not worth it any more and we're rapidly approaching that point even without this proposal.
The "pay-for" in the current House proposal will undoubtedly generate some opposition in the Senate which would endanger ABLE. As difficult as it is to pass any legislation in Washington, I would have thought that House Republicans would have tried harder to find less controversial "pay-fors" assuming they really want to pass ABLE. There aren't many legislative days left in this Congress. It may not take much of a dispute to kill ABLE in this Congress.