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Letter from Peter R. Orszag, Director, CBO Re: SSI and Medicaid 1 (October 2007)

handle is hein.congrec/cbo10557 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE Peter R. Orszag, Director US. Congress Washington, DC 20515 October 16, 2007 Honorable Max Baucus Chairman Committee on Finance United States Senate Washington, DC 20510 Dear Mr. Chairman: This letter responds to your letter of October 15, 2007, in which you asked: How much additional savings in the SSI and Medicaid programs would result if SSA spends an additional $25 million for SSI redeterminations in fiscal year 2008. A redetermination is a review of a Supplemental Security Income (SSI) recipient's financial circumstances and living arrangements to determine whether the individual is still eligible for SSI and is receiving the correct SSI payment. A redetermination could reduce outlays if the Social Security Administration (SSA) determines an individual is no longer eligible for SSI or is entitled to lower monthly benefits. Medicaid outlays also could decline if individuals are terminated from SSI and lose their Medicaid eligibility as a result. For Congressional scorekeeping purposes, any budgetary savings that might result from providing additional appropriations for administrative spending cannot be counted as an offset to such funding. The scorekeeping guidelines, found in the conference report to accompany H.R. 2015, the Balanced Budget Act of 1997 (Public Law 105-33), are used in measuring compliance with the Congressional Budget Act of 1974. Scorekeeping guideline #3 states that [e]ntitlements and other mandatory programs (including offsetting receipts) will be scored at current law levels.. .unless Congressional action modifies the authorization legislation. Thus, absent a change in authorizing legislation, CBO would not count savings from a higher volume of redeterminations in assessing the budgetary impact of an appropriation bill. www.cbo.gov

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