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April 17, 2006

Improving SSDI Work Incentives

Policy Proposals for Improving SSDI, SSI and Medicaid Work Incentives Prepared By Jensen and Silverstein

Allen Jensen and Robert "Bobby" Silverstein recently proposed policies for improving SSDI work incentives (e.g., addressing the cash cliff). Policies for updating and improving SSI and Medicaid work incentives are also proposed. These proposals are the product of a research project funded by the Social Security Administration (SSA) through a sub-award from the Disability Research Institute (DRI) at the University of Illinois at Urbana-Champaign. Additional funding was provided by the Robert Wood Johnson Foundation.

The policy proposals developed by the project team (referred to as the Gradual Reduction Choice Option and Related Policy Proposals) recognize the heterogeneous nature of the SSDI disability population and the many variables impacting the ability of persons with severe disabilities to sustain a substantial level of earnings over a significant period of time. The policy proposals are designed to enhance the quality of life and financial independence of SSDI and SSI beneficiaries and at the same time facilitate net long-range cost savings (or at least not result in additional costs) to the Social Security Trust Fund, the U.S. Treasury, and the states.

In a nutshell, the proposals provide SSDI beneficiaries with an informed choice (which entails tradeoffs) between current SSDI policy (which includes the cash cliff) and an alternative, which includes a $1 for $2 gradual reduction in benefits after an initial earned income disregard of one-half of the dollar value of the monthly Substantial Gainful Activity (SGA) level and continued attachment to the SSDI program when benefits are reduced to zero as long as the individual's severe impairments continue. The proposals also encourage work for both the SSDI and SSI populations by making the programs' work incentives similar and thus easier to understand and utilize. In addition, the project team suggests related policies for enhancing SSI, Section 1619, and Medicaid work incentives. Finally, the project team developed a framework for conducting cost estimates of an SSDI policy which entails a $1 for $2 gradual reduction of benefits as earnings increase.

Links to the papers prepared by the project staff are as follows:

* SSDI Gradual Reduction Choice Proposal and Related Policy Proposals

* A Framework for Preparing Cost Estimates for SSDI $1 for $2 Gradual Reduction Demonstration Proposals

Posted by Marten at April 17, 2006 11:05 AM

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