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Changes in Participation in Means-Tested Programs 1 (April 2005)

handle is hein.congrec/cbo9276 and id is 1 raw text is: A series ofissue summaries from
the Congressional Budget Office
APRIL 20, 2005
Changes in Participation in Means-Tested Programs

In the early 1990s, the number of people receiving bene-
fits from Aid to Families with Dependent Children
(AFDC), a major cash assistance program for nonelderly
U.S. residents, increased rapidly. Concerned about the
nation's welfare system, lawmakers in 1996 replaced
AFDC with a block-grant program, called Temporary
Assistance for Needy Families (TANF), and made other
significant changes in federal welfare policies. Since then,
the number of AFDC/TANF recipients has dropped by
more than 60 percent-from about 13 million to 5 mil-
lion. Analysts disagree about the extent to which the new
program, the robust economy of the late 1990s, or other
factors played a role in that decline.
The substantial drop in the number of TANF recipients
raises questions about whether participation in other
means-tested programs has followed similar patterns.
This brief looks at trends in participation in some of the
major means-tested programs for low-income nonelderly
people-AFDC/TANF, the earned income tax credit
(EITC), Food Stamps, Medicaid, and Supplemental
Security Income (SSI)-from fiscal year 1977 to 2003
(the most recent year for which data about participation
are available).
Unlike the pattern with AFDC/TANF, those other four
programs have generally experienced increases in partici-
pation in recent decades. Moreover, as of 2003, each of
those programs served more low-income nonelderly peo-
ple than did TANF, the program commonly thought of as
welfare. The federal government also spends more on
those programs than on TANE In 2004, federal outlays
for TANF totaled $18 billion, compared with $24 billion
for Food Stamp benefits, $30 billion for SSI benefits for
nonelderly recipients, $33 billion for the EITC, and
$114 billion for the federal share of Medicaid spending
on benefits for nonelderly people.
Future participation in, and federal costs of, those five
programs will depend on many factors, such as the level
of benefits, demographic trends, labor market conditions,
and health care costs. Under current law, changes in the

total federal cost of those programs are likely to be domi-
nated by health care costs, since Medicaid is by far the
largest and fastest growing of the programs.
Major Federal Means-Tested Programs
The Personal Responsibility and Work Opportunity Rec-
onciliation Act of 1996 (PRWORA) created the Tempo-
rary Assistance for Needy Families block-grant program
and eliminated the Aid to Families with Dependent Chil-
dren program that had been in place. In general, under
AFDC, single parents (usually mothers) who met certain
income and resource restrictions-the means test-and
who had a child under age 18 were eligible for cash aid.
Under TANF, such parents may still be eligible for cash
aid and work-related activities, including job training and
child care. But typically, they must meet certain work or
training requirements to receive benefits, and they can
only receive aid for 60 months during their lifetime.1
Although AFDC had similar restrictions on income and
assets, it did not have strict work or training requirements
or a lifetime limit on benefits.
Various other federal or federal/state programs provide
financial support to low-income nonelderly people. The
earned income tax credit is a refundable tax credit avail-
able to workers with low income. If the amount of the
credit exceeds the amount of federal income tax that a
person owes, the excess is payable directly to the taxpayer.
The Food Stamp program provides a monthly allotment
of benefits to qualifying households. Recipients normally
receive an electronic benefit card that they can use to buy
approved food products at approved stores. Medicaid
provides federal matching funds so that states can offer
medical assistance to poor children and their families and
1. States are allowed to exempt up to 20 percent of their TANF
recipients from that time limit, although in 2002, only about
1 percent of families had been receiving assistance for more than
60 months. See Department of Health and Human Services,
Office of Family Assistance, TANF Sixth Annual Report to Congress
(November 2004).

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