TABLE OF CONTENTS INTRODUCTION...............................................1 CHAPTER I. PROGRAM BACKGROUND AND THE EXPERTS' FINDINGS AND PRIORITIES Program Background......................................5 Project Activities.....................................14 The Experts' Findings and Priorities...................14 Other Considerations...................................21 CHAPTER II. BENEFIT PAYMENT ISSUES--INCLUDING PROPOSED INCREASES IN THE FEDERAL INCOME FLOOR Preamble to Chapter....................................23 Benefit Adequacy.......................................24 Couples................................................27 State Supplementation with an Increased Federal Benefit Standard............................31 Payment Limits for People in Institutions..............35 Accounting Periods.....................................38 Options Preferred by a Majority of Experts.............43 (Summary and Cost Estimates) Appendix: Other Federal Programs' Standards in Relation to the Poverty Guideline.......50 CHAPTER III. NEEDS-BASED ISSUES--INCLUDING THE ELIMINATION OF IN-KIND SUPPORT AND MAINTENANCE AND RAISING THE RESOURCES LIMITS WHILE STREAMLINING THE EXCLUSIONS Preamble to Chapter....................................53 Income.................................................54 In-kind Support and Maintenance........................62 Resources..............................................66 Options Preferred by a Majority of Experts.............75 (Summary and Cost Estimates) CHAPTER IV. DISABILITY & WORK INCENTIVES Preamble to Chapter....................................81 Disability.............................................83 Work Incentives........................................93 Summary of Options Preferred by a Majority of Experts................................100 Cost Estimates on Options Preferred by a Majority of Experts................................104 (xiii) CHAPTER IV. DISABILITY & WORK INCENTIVES, cont. Appendix i: SSI Disability Allowance Rates..........112 Appendix ii: Definition of Disability................113 CHAPTER V. DEFINITION OF "AGED" ISSUE Preamble to Chapter...................................121 Lowering the Age Limit for "Aged" Benefits............121 Option Preferred by a Majority of Experts.............124 (Summary and Cost Estimates) CHAPTER VI. AGENCY SERVICES ISSUES--INCLUDING ADDITIONAL STAFFING TO FULFILL THE PROMISE TO SERVE THE NEEDY Preamble to Chapter...................................125 Staffing..............................................125 Funding for Outreach Activities.......................130 Information and Referral..............................132 Helping the Homeless..................................135 Representative Payment................................140 Options Preferred by a Majority of Experts............145 (Summary and Cost Estimates) CHAPTER VII. LINKAGE OF THE SUPPLEMENTAL SECURITY INCOME PROGRAM TO MEDICAID AND THE FOOD STAMP PROGRAM Preamble to Chapter...................................151 Linkage of Supplemental Security Income Program and the Medicaid Program............151 Linkage of the Supplemental Security Income Program and the Food Stamp Program..........153 Options Preferred by a Majority of Experts............157 (Summary and Cost Estimates) CHAPTER VIII. PROGRAM REVIEW ISSUES Preamble to Chapter...................................159 An Advisory Council Level of Review...................160 Option Preferred by a Majority of Experts.............163 (Summary and Cost Estimates) ADDITIONAL VIEWS.........................................165 SUMMARY OF OPTIONS PREFERRED BY A MAJORITY OF EXPERTS WITH COST ESTIMATES...........................173 (xv)