Selected Research & Analysis: Supplemental Security Income (SSI) Recipients
This article examines the geographic, demographic, socioeconomic, and program-participation characteristics of initial Supplemental Security Income (SSI) and Social Security Disability Insurance (DI) applicants who faced homelessness during 2007–2017. Using Social Security Administration data, the authors chart the distribution of homeless SSI/DI applicants and beneficiaries across county-equivalent areas in the contiguous United States. They also use a text-mining method to identify 162,536 potentially homeless disability-program applicants, in addition to the 647,790 applicants identified using the standard homeless-status indicators in the administrative data. They find that homelessness among disability-program applicants was largely an urban phenomenon, with almost half (42.1 percent) of applicants living in one of 25 urban areas. Relative to their domiciled counterparts, homeless disability-program applicants were far more likely to be male, aged 18–64, and without a high school or general equivalency diploma.
Changing Stays? Duration of Supplemental Security Income Participation by First-Time Child Awardees and the Role of Continuing Disability Reviews
This article provides new evidence of the changing role of the Supplemental Security Income (SSI) program for low-income children since 1997. The authors use administrative records from the Social Security Administration to identify new SSI awardees and track their histories in SSI and in the Social Security Disability Insurance program. SSI participation lasted much longer for 2007 and 2012 awardees than for their 1997 counterparts. However, the authors also find that the volume of continuing disability reviews, which determine continuation or cessation of SSI eligibility and were conducted more frequently for 1997 awardees than for subsequent cohorts, strongly affects length of program participation. The trend toward longer periods of program participation therefore might not continue, given that the number of continuing disability reviews has risen substantially since 2015.
Social Security Disability Insurance and Supplemental Security Income Beneficiaries with Multiple Impairments
This article uses data from the Social Security Administration's National Beneficiary Survey and agency administrative records to estimate the number and examine the characteristics of adult disability-program beneficiaries with multiple impairments. In the survey, most beneficiaries report conditions in more than one impairment category. Beneficiaries with multiple impairments tend to have more activity limitations and poorer health than those reporting one impairment. They also tend to be older and to have higher household incomes than those with one impairment, and are less likely to have work-related goals and expectations. Administrative data contain fewer impairments per beneficiary and do not necessarily reflect the condition(s) that the beneficiary considers most limiting. Administrative data are complete for their purpose, but they may underrepresent the totality of disability that beneficiaries experience, and thus may be less predictive of employment and other outcomes than survey data.
This article examines infant and neonatal mortality rates among children who applied for Supplemental Security Income (SSI) payments before reaching 1 year of age during the period 1985–2015. The authors use administrative records from the Social Security Administration to calculate mortality rates across distinct SSI policy regimes within that period. When focusing on children who applied in 2015, the authors examine variations in mortality rates among infant SSI applicants by selected sociodemographic, medical, and SSI program-related characteristics.
Social Security Administration Payments to State Vocational Rehabilitation Agencies for Disability Program Beneficiaries Who Work: Evidence from Linked Administrative Data
This article's authors use linked administrative data from the Social Security Administration (SSA) and the Department of Education's Rehabilitation Services Administration to evaluate SSA's investment in services provided by the federal-state Vocational Rehabilitation (VR) program. A unique data resource permits a comparison of the value of SSA payments to state VR agencies for services provided to disability program beneficiaries who find and maintain a substantial level of work with the value of the cash benefits those beneficiaries forgo because of work. The authors find that the value of cash benefits forgone by beneficiaries after applying for VR services is substantially greater than the value of SSA payments to state VR agencies for those services, although the portion of the difference that is attributable to VR services cannot be determined.
There is wide geographic variation in Social Security Disability Insurance and Supplementary Security Income participation across the United States. The authors describe the variation. Using data from Social Security Administration reports and results from the Census Bureau's American Community Survey, the authors decompose the geographic variation in program participation into component parts including variation in disability prevalence and variation in program participation among working-age persons with disabilities. The variation in participation among persons with disabilities is further decomposed into socioeconomic subcomponents.
In this article, the authors examine the relationship between prevailing economic conditions and the likelihood of application for Supplemental Security Income (SSI) payments by jobless adults with disabilities. Using data for 1996–2010 from the Survey of Income and Program Participation linked to Social Security administrative records, the authors observe samples of jobless individuals and examine the state-level unemployment rates at both the time their unemployment spell began and at the time they applied for SSI.
This article explores the causes of growth in the number of disabled workers on the Social Security Disability Insurance (DI) rolls from 1980 through 2010 by estimating the probability of a DI beneficiary's program exit because of recovery, death, or conversion to retired-worker beneficiary. The author uses Social Security administrative data and a competing-risks model to estimate DI exit probabilities by cause and beneficiary sex, age, and disability type. Cumulative exit probabilities are calculated for beneficiaries over their first 9 years on the DI rolls. The author also examines possible changes over time by comparing outcomes for the 1980s with those for the 1990s.
Supplemental Security Income and Social Security Disability Insurance Beneficiaries with Intellectual Disability
This article uses nationally representative survey data on working-age Supplemental Security Income (SSI) and Social Security Disability Insurance (DI) beneficiaries to present a profile of the characteristics, employment, and income sources of beneficiaries with intellectual disability and to compare them with those of other working-age SSI and DI beneficiaries.
State Medicaid Eligibility and Enrollment Policies and Rates of Medicaid Participation among Disabled Supplemental Security Income Recipients
In addition to providing income-maintenance payments to eligible participants, the Supplemental Security Income (SSI) program provides automatic Medicaid enrollment for applicants upon SSI award in most states. Other states require applicants to file a separate Medicaid application. Some use the SSI eligibility criteria for both programs; others use Medicaid eligibility rules that are more restrictive. The authors use matched monthly longitudinal administrative records to test whether automatic enrollment has a positive effect on Medicaid coverage. Using logistic regression with a combination of repeated cross-section and regression discontinuity approaches, they find positive effects of automatic enrollment on Medicaid coverage relative to other policies. The differences are attributable to a discontinuous increase in Medicaid coverage shortly after the final disability determination decision. The time lag arising from the often-lengthy disability determination process reduces the effectiveness of automatic enrollment, which depends critically on timeliness of the final award decision.
This article evaluates the Homeless with Schizophrenia Presumptive Disability pilot, which provided Supplemental Security Income application assistance and presumptive disability payments to homeless applicants in selected California communities who alleged schizophrenia or schizoaffective disorder. The findings show that, relative to the comparison groups, the intervention led to improved application outcomes.
Childhood Continuing Disability Reviews and Age-18 Redeterminations for Supplemental Security Income Recipients: Outcomes and Subsequent Program Participation
This note presents statistics on child Supplemental Security Income (SSI) recipients whose eligibility had ceased because of a finding of medical improvement in a childhood continuing disability review (CDR) or an age-18 redetermination. We present the numbers and percentage distributions of children and youths who received a CDR or age-18 redetermination between 1998 and 2008, the resulting cessation rates, and the estimated percentages that returned to Social Security Administration (SSA) disability programs, all by selected personal and programmatic characteristics. These statistics provide context for policy proposals calling on SSA to conduct more childhood CDRs.
The authors use data from the 2008 panel of the Survey of Income and Program Participation (SIPP) matched to Social Security administrative records to produce tables providing detailed information on the economic and demographic characteristics of Disability Insurance beneficiaries and Supplemental Security Income recipients in January–July 2013. The tables update those published in a 2014 Research and Statistics Note that used 2010 data from earlier interview waves of the 2008 SIPP panel and a 2008 Research and Statistics Note that used 2002 SIPP data.
Employment, Earnings, and Primary Impairments Among Beneficiaries of Social Security Disability Programs
This article examines the employment and earnings of Disability Insurance beneficiaries and working-age Supplemental Security Income recipients across detailed primary-impairment categories. The authors use 2011 data from linked Social Security administrative files to identify which beneficiaries and recipients are most likely to have earnings and to have higher levels of earnings. They find substantial heterogeneity in these outcomes across primary impairments.
The Supplemental Poverty Measure (SPM) and Nonaged Adults: How and Why the SPM and Official Poverty Estimates Differ
In 2011, the Census Bureau released its first report on the Supplemental Poverty Measure (SPM). The SPM addresses many criticisms of the official poverty measure, and its intent is to provide an improved statistical picture of poverty. This article examines the extent of poverty identified by the two measures. The authors present a detailed examination of poverty among nonaged adults (those aged 18–64). For a more comprehensive view of poverty and comparison purposes, some findings are presented for younger and older segments of the population.
Long-Term Work Activity and Use of Employment Supports Among New Supplemental Security Income Recipients
Long-term cumulative statistics on the employment activities of Supplemental Security Income recipients offer a different perspective than the Social Security Administration's published statistics, which are based on monthly or annual data, and have important policy implications.
Longitudinal Patterns of Disability Program Participation and Mortality Across Childhood SSI Award Cohorts
This article follows six annual cohorts of childhood Supplemental Security Income (SSI) disability awardees between 1980 and 2000, for a time horizon up to 30 years after initial SSI award, in many cases well into adulthood. The authors compare trajectories of successive awardee cohorts as the SSI program evolves from 1980 to recent years. The results show that the proportion of awardees in SSI-only status declines over the life cycle, with over half transitioning to other statuses roughly after 10 to 15 years. Many awardees transition from the SSI program to concurrent or Disability Insurance–only benefit status, and increasing proportions of awardees are deceased or off the rolls and alive. These patterns are common for all awardee cohorts, but there are major changes in trajectories across cohorts. Compared with the early cohorts, the more recent cohorts display sharper declines in mortality and steeper increases in the proportion off the disability rolls for other reasons. These two trends have opposite effects on the duration of disability program participation over the life cycle, with important policy implications.
Source, Form, and Amount of In-kind Support and Maintenance Received by Supplemental Security Income Applicants and Recipients
This article examines the in-kind support and maintenance (ISM) received by Supplemental Security Income (SSI) program applicants and recipients. Social Security defines ISM as unearned income received by SSI applicants and recipients in the form of food and/or shelter from anyone living within or outside their households. About 9 percent of SSI recipients have their benefit rates reduced because of ISM during any given year. Using data from the Modernized SSI Claims System, the author quantifies the source, form, and amount of ISM received by SSI recipients. The article reveals that SSI recipients are more likely to receive ISM from outside than inside their homes, receive assistance in the form of shelter rather than food, and allege assistance that is equal to or less than the current ISM caps.
Earnings and Disability Program Participation of Youth Transition Demonstration Participants after 24 Months
This article presents earnings and Social Security Administration (SSA) disability program payment outcomes for youths participating in SSA's Youth Transition Demonstration project. Participants were randomly assigned to treatment or control groups at each of six project sites. The author provides overviews of the project sites and compares treatment- and control-group youths' earnings 1 year and 2 years after random assignment, and disability program payment receipt 24 months after random assignment.
This article looks at Supplemental Security Income (SSI) multirecipients. Using matched administrative and survey data, the author quantifies the prevalence of SSI recipients who live with other recipients (not including an SSI-eligible spouse). The author also conducts family- and household-level analyses to shed light on the social and economic characteristics of SSI multirecipients. The article reveals that SSI multirecipients represent about one-fifth of the SSI population and that their poverty rates vary according to family and household composition characteristics.
Subsequent Program Participation of Former Social Security Disability Insurance Beneficiaries and Supplemental Security Income Recipients Whose Eligibility Ceased Because of Medical Improvement
This article examines subsequent participation in the Social Security Disability Insurance and Supplemental Security Income programs by individuals whose eligibility for those programs ceased because of medical improvement. The authors follow individuals whose eligibility ceased between 2003 and 2008 and calculate rates of program return for up to 8 years after the cessation decision. They also explore how return rates vary by certain personal and programmatic characteristics.
This article presents an overview of two projects in the Social Security Administration's Youth Transition Demonstration: California's Bridges to Youth Self-Sufficiency and Mississippi's Model Youth Transition Innovation. We describe the projects' organization and the services they delivered. We also provide statistics on earnings and Supplemental Security Income and Social Security Disability Insurance receipt 5 years after project enrollment and provide case studies of two project participants.
This note provides data on the changes in the primary diagnosis codes of Supplemental Security Income (SSI) youth resulting from age-18 redeterminations from 2005 through 2009. It also provides information on the percent of youth continuing on or leaving the SSI program at age 18 by primary diagnosis. Although there is some movement between primary diagnosis codes, most youth remain in the same overall diagnostic group even if program eligibility ceases.
The authors use longitudinal Social Security administrative data to produce statistics on the number of Disability Insurance (DI) and Supplemental Security Income (SSI)-only beneficiaries whose cash benefits were first suspended or terminated because of work and on the number of months thereafter that those beneficiaries remained in nonpayment status before their return to the program rolls, attainment of the full retirement age, or death—for each year from 2002 through 2006. We also explore differences by program title (DI versus SSI-only) and by participation in the Ticket to Work program. Finally, we examine outcome payments made on behalf of Ticket to Work participants in months of nonpayment status following suspension or termination because of work.
This article introduces and highlights the key findings of the other articles presented in this special issue, which focuses on the employment of beneficiaries in the Social Security Disability Insurance and Supplemental Security Income programs.
Using linked administrative data from program and earnings records, we summarize the 2007 employment rates of working-age (18–64) Social Security disability program beneficiaries at the national and state levels, as well as changes in employment since 1996. Substantial variation exists within the population. Disability Insurance beneficiaries and those younger than age 40 were much more likely to work relative to other Social Security beneficiaries. There are also strong regional differences in the employment rates among disability beneficiaries of working age, and these differences are persistent over time.
Using data from the 2004–2006 National Beneficiary Surveys matched to Social Security administrative data, this study follows a cohort of disability beneficiaries participating in the Ticket to Work program for several years to assess changes in their service use, health status, employment, and income.
This study uses survey and administrative data to analyze the characteristics of working-age Social Security Disability Insurance and Supplemental Security Income beneficiaries who report having work goals or expectations, and the extent to which these beneficiaries become employed and leave the disability rolls during a 4-year period.
Longitudinal Patterns of Participation in the Social Security Disability Insurance and Supplemental Security Income Programs for People with Disabilities
We analyze longitudinal interactions in benefit eligibility between the Disability Insurance and Supplemental Security Income programs and the lags arising from processing time in receiving the first payment, based on Social Security administrative records. We find that longitudinal interactions enhancing the bundle of cash benefits available for awardees over a 60-month period is much more common than apparent from cross-sectional data and identify distinct patterns of longitudinal interactions between the two programs. SSI plays an especially important role in providing benefit eligibility during the 5-month DI waiting period. Transition to nonbeneficiary status is more prevalent among SSI awardees because of exits attributable to the SSI means test. We also find that there is substantial variation in the lag in receiving the first disability payment.
This article is an extension of work reported in an earlier article entitled, "Elderly Poverty and Supplemental Security Income" (Social Security Bulletin 69(1): 45–73). Like the original work, the present study looks at the consequences of obtaining estimates of the prevalence of poverty among persons aged 65 or older by using administrative data to adjust incomes reported in the Current Population Survey. The original article looked at incomes in 2002; the present one covers measures of absolute and relative poverty status of the elderly during the 2003–2005 period. Again, we find that inclusion of administrative data presents challenges, but under the methodology we adopt, such adjustments lower estimated official poverty overall and increase estimated poverty rates for elderly SSI recipients by correcting for the misreporting of SSI, OASDI, and earnings receipt by CPS respondents.
This article describes the outcomes of the redetermination of Supplemental Security Income (SSI) eligibility when a child recipient reaches age 18. Statistics on the characteristics of youth whose eligibility is redetermined are presented using 8 years of administrative data, and the relationship between these characteristics and both an initial cessation decision and a successful appeal or reapplication for SSI are discussed.
Although the Social Security Administration actively encourages Supplemental Security Income (SSI) recipients to work, relatively little is known about how the occupations of those who do work compare with occupations of the nonrecipient population. This article uses the 2007 American Community Survey to estimate dissimilarity indices, which are used to compare the predicted and actual occupational distributions of working SSI recipients with the occupational distributions of the nonrecipient populations with and without disabilities. Although the actual occupational distributions are quite different between these groups, much of the difference can be explained by demographic characteristics, human capital, and disability type.
Provided here are the absolute and relative poverty status of 2002 elderly Supplemental Security Income (SSI) recipients. Official poverty estimates are generated from the Current Population Survey's Annual Social and Economic Supplement (CPS/ASEC). The poverty study presented here differs from previous studies in that it is based on CPS/ASEC income and weight records conditionally adjusted by matching Social Security administrative data. This effort improves the coverage of SSI receipt and the accuracy of SSI estimates. The adjusted CPS/administrative matched data reveal lower 2002 poverty rates among elderly persons (with and without SSI payments) than those generated from the unadjusted CPS/ASEC data.
The Social Security Protection Act of 2004 (SSPA), with its administrative remedies and program protections, can be seen as another incremental step in the development of a social insurance program that best meets the evolving needs of American society. This article discusses the legislative history of the SSPA in detail. It also includes summaries of the provisions and a chronology of the modification of these proposals as they passed through the House and Senate, and ultimately to the president's desk.
Canada's Public Pensions System is widely applauded for reducing poverty among the elderly. This article reviews benefits provided to Canada's older people and compares the Canadian system to the U.S. Supplemental Security Income program. Although Canada's system would probably be judged prohibitively expensive for the United States, the authors argue that there are nevertheless lessons to be learned from the Canadian experience.
The Food Stamp Program (FSP) and Supplemental Security Income (SSI) are important parts of national public assistance policy, and there is considerable overlap in the populations that the programs serve. This article investigates FSP participation by households that include SSI recipients and assesses the importance of various provisions of the Food Stamp Program that favor SSI recipients.
How Post Secondary Education Improves Adult Outcomes for Supplemental Security Income Children with Severe Hearing Impairments
This article uses a unique longitudinal dataset based on administrative data from the National Technical Institute for the Deaf (NTID) linked to Social Security Administration (SSA) microdata to conduct a case study of Supplemental Security Income (SSI) children who applied for postsecondary education at NTID. The authors estimate the likelihood that SSI children who apply to NTID will eventually graduate relative to other hearing impaired applicants, as well as the influence of graduation from NTID on participation in the SSI program as adults and later success in the labor market. Findings indicate that SSI children are substantially less likely to graduate from NTID than their fellow deaf students who did not participate in the SSI program as children, but that those who do graduate spend less time in the SSI adult program and have higher age-earnings profiles than those who do not graduate.
During the first three decades of the Supplemental Security Income (SSI) program, the number of children receiving SSI because of a disability increased from 70,000 in 1974 to about 1 million at the end of 2005. With over 8,500 interviews completed between July 2001 and June 2002, the National Survey of SSI Children and Families (NSCF) is the first nationally representative survey since 1978 of noninstitutionalized children and young adults who were receiving SSI during the survey period or had formerly received SSI. The article discusses the objectives of the survey, its methodology and implementation, content of the questionnaire, a randomized response-incentive experiment, and related products including the release of a public-use data file.
A Profile of Children with Disabilities Receiving SSI: Highlights from the National Survey of SSI Children and Families
This article, based on interviews from the National Survey of SSI Children and Families conducted between July 2001 and June 2002, presents a profile of children under the age of 18 who were receiving support from the Supplemental Security Income program. The topics highlighted provide information of SSI children with disabilities and their families not available from administrative records, including demographic characteristics, income and assets, perceived health and disabilities, and health care utilization. While virtually every child in the SSI program is covered by some form of health insurance, primarily Medicaid, the data indicate substantial heterogeneity on other variables. This is true on many different dimensions, such as the perceived severity of the child's disabling conditions, health care utilization and service needs, the presence of other family members with disabilities, family demographics, and access to non-SSI sources of incomes.
The Office of Policy recently completed an analysis of the prevalence of multirecipient households in the Supplemental Security Income (SSI) program. The study was based on Survey of Income and Program Participation (SIPP) data for December 1998 matched to administrative records from the Social Security Administration (SSA).
Despite many decades of data collection, SSA has problems presenting data on the race and ethnicity of program beneficiaries. By using several statistical techniques, however, it is possible to make better use of the data at hand.