Social Insurance and Public Assistance

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794 Series Bf568–581 Bf SOCIAL INSURANCE AND PUBLIC ASSISTANCE TABLE Bf568–581 Medicaid recipients and vendor payments, by eligibility category: 1972–1997 Contributed by Price V. Fishback and Melissa A. Thomasson Recipients Vendor payments Adults in Dependent Adults in Dependent families Permanently children families Other Permanently children with Age 65 and totally younger with dependent Medicaid Age 65 and totally younger dependent Other Total or older Blind disabled than 21 children recipients Total or older Blind disabled than 21 children recipients Bf568 Bf569 Bf570 Bf571 Bf572 Bf573 Bf574 Bf575 Bf576 Bf577 Bf578 Bf579 Bf580 Bf581 Fiscal year Thousand Thousand Thousand Thousand Thousand Thousand Thousand Million dollars Million dollars Million dollars Million dollars Million dollars Million dollars Million dollars 1972 17,606 3,318 108 1,625 7,841 3,137 1,576 6,300 1,925 45 1,354 1,139 962 875 1973 19,622 3,496 101 1,804 8,659 4,066 1,495 8,639 3,235 65 2,015 1,426 1,446 452 1974 21,462 3,732 135 2,222 9,478 4,392 1,502 9,983 3,691 80 2,388 1,694 1,704 425 1975 22,007 3,615 109 2,355 9,598 4,529 1,800 12,242 4,358 93 3,052 2,186 2,062 492 1976 22,815 3,612 97 2,572 9,924 4,774 1,836 14,091 4,910 96 3,824 2,431 2,288 542 1977 22,831 3,636 92 2,710 9,651 4,785 1,959 16,239 5,499 116 4,767 2,610 2,606 641 1978 21,965 3,376 82 2,636 9,376 4,643 1,852 17,992 6,308 116 5,505 2,748 2,673 643 1979 21,520 3,364 79 2,674 9,106 4,570 1,727 20,472 7,046 108 6,774 2,884 3,021 638 1980 21,605 3,440 92 2,819 9,333 4,877 1,499 23,311 8,739 124 7,497 3,123 3,231 596 1981 21,890 3,367 86 2,993 9,581 5,187 1,364 27,204 9,926 154 9,301 3,508 3,763 552 1982 21,603 3,240 84 2,806 9,563 5,356 1,434 29,399 10,739 172 10,233 3,473 4,093 689 1983 21,554 3,371 77 2,844 9,535 5,592 1,129 32,391 11,954 183 11,184 3,836 4,487 747 1984 21,607 3,238 79 2,834 9,634 5,600 1,187 33,891 12,815 219 11,758 3,979 4,420 700 1985 21,814 3,061 80 2,937 9,757 5,518 1,214 37,508 14,096 249 13,203 4,414 4,746 798 1986 22,515 3,140 82 3,100 10,029 5,647 1,362 41,005 15,097 277 14,635 5,135 4,880 980 1987 23,109 3,224 85 3,296 10,168 5,599 1,418 45,050 16,037 309 16,507 5,508 5,592 1,078 1988 22,907 3,159 86 3,401 10,037 5,503 1,343 48,710 17,135 344 18,250 5,848 5,883 1,198 1989 23,511 3,132 95 3,496 10,318 5,717 1,175 54,500 18,558 409 20,476 6,892 6,897 1,268 1990 25,255 3,202 83 3,635 11,220 6,010 1,105 64,859 21,508 434 23,969 9,100 8,590 1,257 1991 28,280 3,359 85 3,983 13,415 6,778 658 77,048 25,453 475 27,798 11,690 10,439 1,193 1992 30,926 3,742 84 4,378 15,104 6,954 664 90,814 29,078 530 33,326 14,491 12,185 1,204 1993 33,432 3,863 84 4,932 16,285 7,505 763 101,709 31,554 589 38,065 16,504 13,605 1,391 1994 35,053 4,035 87 5,372 17,194 7,586 779 108,270 33,618 644 41,654 17,302 13,585 1,467 1995 36,282 4,119 92 5,767 17,164 7,604 1,537 120,141 36,527 848 48,570 17,976 13,511 2,708 1996 36,118 4,285 95 6,126 16,739 7,127 1,746 121,685 36,947 869 51,196 17,544 12,275 2,746 1997 34,872 3,955 — 6,129 15,266 6,803 2,719 124,430 37,721 — 54,130 15,658 12,307 4,612 Sources For 1972, 1975, 1980, 1985–1996, Social Security Bulletin, Annual Statistical Supplement (1999), Table 8.E2, p. 329. For 1973–1974, 1976–1979, Social Security Bulletin, Annual Statistical Supplement (1988), Tables 7.E2 and 7.F2, pp. 300–2. Documentation Medicaid was established under Title XIX of the Social Security Act in 1965. It established a federal–state matching entitlement program that provides medical assistance for certain individuals and families with low incomes and resources. The program is a jointly funded, cooperative venture between the federal and state governments. Each state establishes its own eligibility standards, range of services, ratesofpayment, and administration. Consequently, the Medicaid programs vary considerably across states and within states over time. The preceding categories give a general indication of the types of people eligible for Medicare – individuals who qualify for Supplemental Security Income, Aid to Families with Dependent Children (now Temporary Assistance for Needy Families), children younger than 6 and pregnant women whose family incomes are near the poverty line, some Medicare participants, and a series of other needy individuals. More detail on the program can be found in Social Security Bulletin, Annual Statistical Supplement (1997), pp. 108–13, or at the Internet site for the Health-Care Financing Administration. Figures are the unduplicated number of recipients and total vendor payments. Beginning in fiscal year 1980, recipients’ categories do not add to unduplicated total because of the small number of recipients that are in more than one category during the year.
SOCIAL WELFARE PROGRAMS Series Bf568–581 795 TABLE Bf582–590 Public assistance – vendor payments for medical care, by program: 1951–1975 Contributed by Price V. Fishback and Melissa A. Thomasson Total As percentage of Aid to the Aid to total public For the Permanently Families with assistance Title XIX aged under Old-Age Aid to the and Totally Dependent General Amount payments (Medicaid) Title I Assistance Blind Disabled Children assistance Bf582 Bf583 Bf584 Bf585 Bf586 Bf587 Bf588 Bf589 Bf590 Thousand Thousand Thousand Thousand Thousand Thousand Thousand Thousand Year dollars Percent dollars dollars dollars dollars dollars dollars dollars 1951 103,179 4.3 — — 41,728 1,196 3,445 10,413 46,397 1952 139,539 5.7 — — 64,520 1,888 9,187 12,839 51,105 1953 165,721 6.5 — — 83,395 2,351 13,591 15,069 51,315 1954 190,851 7.2 — — 92,676 2,545 17,124 16,772 61,733 1955 231,544 8.4 — — 117,748 3,170 21,302 21,197 68,127 1956 268,866 9.4 — — 141,918 3,892 26,062 24,833 72,161 1957 302,143 9.8 — — 158,799 4,642 27,722 33,332 77,648 1958 357,758 10.4 — — 176,827 5,688 31,342 51,114 92,786 1959 456,944 12.5 — — 254,389 6,846 41,268 58,143 96,298 1960 522,228 13.8 — 5,348 295,743 7,950 50,110 61,093 101,983 1961 688,320 16.8 — 113,387 316,479 8,513 60,294 79,384 110,262 1962 924,978 20.8 — 250,830 388,434 9,854 77,409 96,336 102,115 1963 1,064,664 22.6 — 329,391 412,906 10,895 97,698 110,569 103,206 1964 1,255,131 24.7 — 444,970 432,237 11,577 117,692 137,832 110,823 1965 1,480,119 27.0 — 585,501 452,289 12,255 144,165 164,845 121,063 1966 2,007,626 31.8 1,193,768 293,442 277,766 5,623 78,485 74,059 84,484 1967 2,872,696 36.8 2,510,531 63,916 160,627 2,996 38,309 30,210 66,106 1968 4,096,133 41.9 3,783,095 65,267 105,294 2,698 36,598 27,193 75,989 1969 4,681,110 40.5 4,360,445 58,873 103,566 2,702 40,311 31,317 83,311 1970 5,605,610 38.7 5,506,940 — — — — — 98,670 1971 6,953,129 39.0 6,842,098 — — — — — 111,031 1972 8,804,716 44.0 8,707,524 — — — — — 97,192 1973 9,919,266 46.4 9,806,853 — — — — — 112,413 1974 11,782,345 57.0 11,476,418 — — — — — 305,927 1975 14,555,229 57.9 14,177,418 — — — — — 377,811 Source Social Security Administration, Social Security Bulletin: Annual Statistical Supplement (1975), p. 187. Documentation The series here show the precursors of Medicaid in federal government provision of medical assistance. Beginning October 1, 1950, under the 1950 amendments, federal participation in vendor payments for medical care became possible in the assistance to old-age, blind, disabled, and families with dependent children programs. The federal government was not involved in medical assistance under the General Assistance programs, which were financed entirely from state and local funds. Medical assistance for the aged under Title I of the Social Security Act, series Bf585, was initiated in October 1960 under the 1960 amendments. Medicaid medical assistance under Title XIX of the Social Security Act, series Bf584, was initiated January 1966 under the 1965 amendments. Beginning in January 1970, medical assistance replaced the original medical assistance for the aged program under Title I and the medical vendor payments under Old-Age Assistance, Aid to the Blind, Aid to the Permanently and Totally Disabled, and Aid to Families with Dependent Children. Series Bf584. Beginning in 1972, Medicaid spending under Title XIX includes payments for institutional services in intermediate care facilities. Series Bf590. Complete data are not available.
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CHAPTER Bf Social Insurance and Pub
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PUBLIC ASSISTANCE: COLONIAL TIMES T
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SOCIAL WELFARE: 1929 TO THE PRESENT
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SOCIAL WELFARE EXPENDITURES Series
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