DEPARTMENTS OF LABOR AND HEALTH, EDUCATION, Printed for the use of the Committee on Appropriations COMMITTEE ON APPROPRIATIONS GEORGE H. MAHON, Texas, Chairman JAMIE L. WHITTEN, Mississippi EDWARD P. BOLAND, Massachusetts GEORGE E. SHIPLEY, Illinois ROBERT N. GIAIMO, Connecticut BOB CASEY, Texas DAVID PRYOR, Arkansas FRANK E. EVANS, Colorado DAVID R. OBEY, Wisconsin EDWARD R. ROYBAL, California WILLIAM D. HATHAWAY, Maine NICK GALIFIANAKIS, North Carolina LOUIS STOKES, Ohio J. EDWARD ROUSH, Indiana K. GUNN MCKAY, Utah WILLIAM GERALD BOLING GEORGE E. EVANS ROBERT B. FOSTER JOHN M. GARRITY THOMAS J. KINGFIELD FRANK T. BOW, Ohio KF27 .A652 1972 CHARLES R. JONAS, North Carolina J. KENNETH ROBINSON, Virginia PAUL M. WILSON, Clerk and Staff Director STAFF ASSISTANTS AMERICO S. MICONI DONALD E. RICHBOURG EARL C. SILSBY DEREK J. VANDER SCHAAF J. DAVID WILLSON SURVEYS AND INVESTIGATIONS C. R. ANDERSON, Director LEROY R. KIRKPATRICK, First Assistant WILLIE C. LAW, Second Assistant NOTE. This Surveys and Investigations supervisory staff is supplemented by selected personnel borrowed on a reimbursable basis for varying lengths of time from various agencies to staff up specific studies and investigations. The current average annual fulltime personnel equivalent is approximately 42. 'PARTMENTS OF LABOR AND HEALTH, EDUCATION, AND WELFARE APPROPRIATIONS FOR 1973 MONDAY, MARCH 27, 1972. SOCIAL SECURITY ADMINISTRATION TESTIMONY OF THE COMMISSIONER WITNESSES ROBERT M. BALL, COMMISSIONER JACK S. FUTTERMAN, ASSISTANT COMMISSIONER, OFFICE OF ADMINISTRATION BERNARD POPICK, DIRECTOR, BUREAU OF DISABILITY INSURANCE THOMAS M. TIERNEY, DIRECTOR, BUREAU OF HEALTH INSURANCE MRS. MILDRED L. TYSSOWSKI, DIRECTOR, DIVISION OF FINANCIAL MANAGEMENT, OFFICE OF ADMINISTRATION SHERWIN T. MONTELL, BUDGET OFFICER, DIVISION OF FINANCIAL MANAGEMENT, OFFICE OF ADMINISTRATION PHILIP A. O'BRIEN, ASSISTANT BUDGET OFFICER, DIVISION OF FINANCIAL MANAGEMENT, OFFICE OF ADMINISTRATION CHARLES MILLER, DEPUTY ASSISTANT SECRETARY, BUDGET Mr. FLOOD. We begin with the Social Security Administration. The presentation will be made by Mr. Robert M. Ball, the Commissioner. We have had Mr. Ball before us many times, and he always makes a very lucid and helpful presentation to the committee on what is perhaps one of the most difficult subjects in the entire government. It is unlikely that there is any other phase of the Federal budget which concern and affects directly or indirectly so many people. Mr. Ball, do you have anybody with you here in your case of characters whom you want us to meet? INTRODUCTION OF SUPPORTING WITNESSES Mr. BALL. Yes, Mr. Chairman. I believe you have met most of these people before, but just to be sure and remind the committee of the people I have with me-on my immediate left is Mrs. Tyssowski who is in charge of financial management for Social Security. On her left is Mr. Futterman, Assistant Commissioner for Administration, within whose organization- Mr. FLOOD. We have seen him before, I think. He has been around for about 100 years. Mr. BALL. And Mr. Tierney, Director of the Bureau of Health Insurance, under whose direction the medicare program comes. Mr. FLOOD. That is his own fault, poor fellow. (1) Mr. BALL. On my right here is Mr. Popick, who is the Director of the Bureau of Disability Insurance. Mr. FLOOD. Just as bad. Mr. BALL. In addition to the regular disability program, Mr. Popick is also in charge of the so-called black lung program. Mr. FLOOD. Poor fellow. I see you have a statement, Mr. Ball. How do you wish to proceed? Mr. BALL. Mr. Chairman, I appreciate very much your willingness to let me testify this afternoon rather than as scheduled. As you know, the Senate Finance Committee is intensively considering H.R. 1Mr. FLOOD. Yes, I have heard of that. Mr. Ball each day now, and I appreciate very much your making my time available for work with them. I have an overall statement relating to all of the appropriation items and it is rather complete. I would like, with your permission and the permission of the committee to ask if the whole statement could be inserted in the record, and then since there are some parts of it with which this committee is fully familiar, I could perhaps skip certain parts, for instance the recitation of the effect of the provisions in H.R. 1. Mr. FLOOD. We will insert the full statement in the record, along with biographical sketches of you and your assistants. STATEMENT OF COMMISSIONER BALL (The statement follows:) DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Social Security Administration Statement by the Commissioner of Social Security Mr. Chairman and members of the Committee: I am pleased to be here today to report to you on the social security programs and to explain our appropriations requests for fiscal year 1973. Before discussing these requests, I want to report to you on some of the major developments affecting the social security program that have occurred since we last met. Last year when I was here, H.R. 1, which embodies the President's welfare program and many important changes to the social security program sought by both the President and the Congress, had just been reported out by the Committee on Ways and Means. Since that time the House has passed H. R. 1 and the Senate Committee on Finance is now considering the House bill./ The changes in the cash benefit and Medicare programs contained in H.R. 1 taken as a whole comprise a large scale undertaking for the Social Security Administration to carry out. The enactment of the welfare provisions of H. R. 1, or at least those pertaining to adult assistance, will add greatly to the dimensions of the job the Social Security Administration will have to do. As you know, the present thinking is that the Social Security Administration will administer a new Federal program replacing the existing grant programs for the public assistance adult categories: aid to the aged, the blind, and the |