Two Bills Advance

     Yesterday, the House Ways and Means Committee marked up two minor bills that would affect the Social Security Administration in small ways. One would allow minors whose Social Security numbers have been compromised to obtain new Social Security numbers. The other would provide for a single point of contact at Social Security for those whose Social Security numbers have been compromised. I'm sure the first is debatable and the second is pointless without additional funding. 

    I wouldn't bet on either bill advancing in the Senate. If they do, you never know what might get added.

New Digestive And Skin Disorders Listings

     The Social Security Administration will publish final rules to revise its digestive and skin disorders Listings in the Federal Register tomorrow. It runs to 159 pages in the PDF version! (It will be fewer pages in the actual Federal Register since that's three columns of small print.)

    One noticeable part is that they've changed the formula for determining SSA CLD, which has been used to determine whether claimants meet the Listing for chronic liver disease (CLD). It used to be exactly the same as the MELD formula used to determine whether individuals with chronic liver disease can get a liver transplant. Now it's just mathematically the same. I've speculated that the agency used the name "SSA CLD" to obscure the fact that it's literally easier to get a liver transplant than it is to meet the Listing for chronic liver disease. I'll speculate that they're going a step further to further obscure just how impossible it is to meet the Listing. They do note in the materials that a MELD or SSA CLD score that meets the Listing means that the patient has a 19.6% chance of dying in the next three months. They think that's a justification for their standard. I was not under the impression that the definition of disability required a person's condition to be quickly fatal.

    I also note that the new Listings make it impossible for claimants to meet the Listings for hidradenitis suppurtiva. Never heard of hidradenitis suppurtiva? Trust me, you don't want it. It's one of the most commonly disabling skin conditions.  For that matter, it appears that it will now be impossible to meet the Listings for psoriasis. For most people with psoriasis, the disease is annoying and unpleasant but manageable but that's not the case for a small percentage of people with psoriasis.

NPRM On FOIA

     The Social Security Administration posted a Notice of Proposed Rule-Making (NPRM) in the Federal Register today to amend its Freedom of Information Act (FOIA) regulations to make them more consistent with 2016 changes in the FOIA and with recent guidance from the Attorney General.

Disability Allowance Rates Plummeted After 2000

    From What Factors Explain the Drop in Disability Insurance Rolls from 2015 to 2019? by Siyan Liu and Laura D. Quinby for the Center for Retirement Research at Boston College:

 

Disability Incidence Rate Goes Up -- Until Age 62

    From What Factors Explain the Drop in Disability Insurance Rolls from 2015 to 2019? by Siyan Liu and Laura D. Quinby for the Center for Retirement Research at Boston College:

 

New Awards And Terminations

    From What Factors Explain the Drop in Disability Insurance Rolls from 2015 to 2019? by Siyan Liu and Laura D. Quinby for the Center for Retirement Research at Boston College:

 

Why Are Fewer People Drawing Disability Benefits Now?

     From What Factors Explain the Drop in Disability Insurance Rolls from 2015 to 2019? by Siyan Liu and Laura D. Quinby for the Center for Retirement Research at Boston College:

In 2015, the number of individuals receiving Social Security Disability Insurance (DI) benefits began to drop for the first time in two decades. This drop was caused by a wave of terminations, as beneficiaries aged into the Old-Age and Survivors Insurance (OASI) program, combined with a steep decline in the incidence rate (the number of new DI awards relative to the insured population). ...

The paper found that:

• A strong economy accounted for about half of the drop in the incidence rate.
• Policy changes – specifically the retraining of Administrative Law Judges – also accounted for about half the drop.
• Population aging put slight upward pressure on the incidence rate.
• In terms of the total number on the disability rolls, the impact of aging on terminations far exceeds its impact on new awards.

The policy implications are:

• The time may have come to somewhat rebalance the goals of DI from encouraging labor force participation to protecting vulnerable people.
• Congress may want to consider merging the DI and OASI trust funds. ...

    I'll pull out some interesting charts from this paper over the next few days.

Debt Limit Bill Passes House Of Representatives

     The bill to increase the debt limit passed the House of Representatives yesterday. It would force a slight decrease in "non-defense discretionary" spending. That's only a relatively small portion of federal spending but it includes Social Security's administrative budget. If you consider inflation, which may be around 5% now, agencies affected can expect a significant decrease in operating funds. Exactly how much each agency in the "non-defense discretionary" category receives will be determined in the appropriations process that lies ahead. While we can hope that the Social Security Administration fares better than other agencies, the reality is that it has been disfavored in recent years, receiving less than most other agencies in the "non-defense discretionary" category.

     The projected cut in operating funds for Social Security probably won't be across the board. I am attaching a page from the debt limit bill. My guess is that the language about continuing disability reviews is intended to make sure that the Social Security Administration has more and more to spend on CDRs even though its appropriation otherwise will go down. Does anyone know whether there's more going on?

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