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FHS 327 Week 3 Lecture Notes

by: Kaitlyn Endo

FHS 327 Week 3 Lecture Notes FHS 327

Marketplace > University of Oregon > FHS 327 > FHS 327 Week 3 Lecture Notes
Kaitlyn Endo
GPA 3.43

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lecture notes from week 3, red is spoken
Organiz Iss Hum Serv
Alltucker K
Class Notes
FSH, organizational, Issues, In, Human, services
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This 5 page Class Notes was uploaded by Kaitlyn Endo on Monday October 17, 2016. The Class Notes belongs to FHS 327 at University of Oregon taught by Alltucker K in Fall 2016. Since its upload, it has received 4 views.

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Date Created: 10/17/16
Notes     Week  3     • What  do  you  know  about  Social  Security?     • Social  Security:  An  important  part  of  the  US  Economy,  social  fabric,  and  major   funding  source  for  human  services     o The  original  law  was  passed  in  1935,  signed  by  FDR  (after  the  great   depression)     o Original  law  had  2  “titles”—focused  on  old  age,  survivors,  and  disability   insurance  (OASDI)     o Since  1935,  Congress  has  added  19  “titles”  to  the  law  (now  there  are  21   titles)     § Titles  are  targets  towards  specific  groups  of  people  who  qualify     o Confusing:  when  people  say  “social  security”  they  usually  mean  the  OASDI  art   of  the  law  but  there  are  other  important  titles   § Title  III:  unemployment  payments   § Title  IV:  child  welfare/foster  care     § Title  V:  maternal  and  child  health     § Title  X:  aid  to  the  blind   § Title  XVI:  supplemental  security  income   § Title  XVIII:  Medicare     § Title  XIX:  Medicaid     § Title    XX:  block  grants  for  social  services  (block  grants  given  to  state;   states  can  apply  and  then  if  they  earn  the  grant  has  a  lot  of  freedom  to   use  that  money)     § Title  XXI:  state  children’s  health  INS  program     o 60  million  people  receive  social  security  benefits  (that’s  1  out  of  every  4   households)     o how  does  it  work?     § Workers  and  employers  each  pay  6.2%  of  the  worker’s  earnings  into   the  program     • A  key  concept  you  should  understand—eligibility     o There  are  four     § Health  status:  people  who  are  blind  are  eligible,  people  with   developmental  disabilities  eligible  for  Medicaid,  SSI,  and  Social   Security  Disability  income     § Age:  people  62  and  older  are  eligible  for  OASDI  benefits;  people  65   and  older  are  eligible  for  Medicare  (full  benefits  at  age  65)     § Income:  low  income  people  are  eligible  for  Medicaid  benefits;  children   with  low  income  parents  are  eligible  for  schip  benefits     § Death:  when  a  family  member  who  has  paid  social  security  taxes  dies,   certain  family  members  are  eligible  for  survivor  benefits.  Including   widow(ers).  Divorced  widow(ers),  children,  dependent  parents       o Sidenote:  pension  is  a  term  used  to  describe  older  people’s  portion  of  social   security;  entitlement  is  the  overarching  term  for  all  those  entitled  to  ss,  not   just  old  people.     • Social  Security  Funding     Notes     o You  have  to  have  enough  water  coming  inà  lets  say  you  have  a  water   delivery  business,  every  month,  you  promise  to  fill  your  customer’s  glasses   full  of  waterà  to  always  have  enough  water  for  your  customersà  Social   Security  (OASDI)  is  kind  of  like  that!     o FICA  (Federal  Insurance  Contribution  Act)   § 15.3%  Paycheck;  paychecks  up  to  $118,000  à  Most  of  FICA  goes   towards  funding  OASDI   • 12.4%  to  OASDI   • 2.9%  to  Medicare     o is  social  security  going  broke?   • Let’s  Revisit  Eligibility     o What  other  kinds  of  eligibility  do  you  feel  should  be  included?     § Age,  death,  health  status,  income,     § There  are  a  couple  more  you  should  know  about:  unemployment,   children  with  documented  abuse  and  neglect     • Most  people  don’t  think  that  unemployment  has  to  do  with  SS   but  it  does.     § What  other  kinds  of  eligibility  do  you  feel  should  be  included?   • Homeless     • Families  affected  by  addiction     • Domestic  violence     • Undocumented  children  and  students     • Severe  mental  health  disorders     • Children  with  incarcerated  parents     § Last  year’s  FHS  327  class  identified  Youth  Violence,  and  At-­‐Risk  Early   Childhood,  as  possible  additional  eligibility  requirements  to  consider     • Think  About  the  Golden  Triangles     o What  are  some  other  issues  that  you  feel  should  be  included  in  entitlement   funding?     § The  things  listed  above  would  be  at  the  top  of  the  triangle     o Whatever  the  issue,  it  needs  to  have  wide-­‐spread  support  across  the  nation     • Why  it  matters  to  know  about  social  security     o Most  older  Americans  rely  on  SS  (OASDI)  for  a  majority  of  their  income     o $1,237  is  the  average  monthly  benefit     o Alert!  Starting  in  2034,  will  collect  only  enough  taxes  (remember  FICA)  to   pay  80%  of  benefits.  Unless  congress  fixes  that,  will  be  automatic  20%  cut  in   benefits.     • Falling  U.S.  Birthrates—that  means  fewer  workers  paying  into  the  system  (FICA)     o Possible  solutions  (besides  more  babies)     § Raise  payroll  taxes   § Decrease  monthly  benefits  (decrease  cost  of  living  increases)     § Raise  retirement  age     o Immigration  has  helped  (but  not  enough)     o 1960  5.1  workers  per  beneficiary     o 2016  2.8  workers  per  beneficiary     Notes     • Let’s  Hear  from  the  candidates—both  have  said  little,  even  though  it’s  a  main  driver   of  long  term  budget  problems     o Hilary:   § Expand  benefits  for  widows  and  family  caregivers     § Remove  wage  cap  ($118,500)—meaning  wealthier  folks  would  pay   more  into  the  fund     o Donald  Trump   § Has  broken  away  from  republican  position  and  promised  not  to  cut   social  security     § Has  said  he  will  revisit  the  program  after  his  tax  cut  plan  boosts   economic  growth       Oct  13     Medicaid  Basics—stuff  you  should  know   • 1965  signed  into  law  by  president  Johnson     • Title  19  provides  medical  care  and  long  term  care  for  low  income  people     • Medicaid  is  an  entitlement     • Anyone  meeting  eligibility  entitled  to  receive  Medicaid  benefits,  but  each  state   operates  its  own  Medicaid  program  à  that  means  a  lot  of  variability  between  states     • $475  Billion     o Oregon  $6.8  billion  for  800k  people     • 68  million  low  income  American  s   o 33M  children     o 18M  adults     o 6M  seniors   o 11M  people  with  disabilities     • Average  federal  match—57%     • Oregon  federal  match  –64%       • Matching  Funds—super  important  concept   o  Each  state  legislature  decides  how  much  they  can  budget  for  Medicaid   services  in  their  state     o the  federal  government  adds  “matching  funds”  according  to  each  state’s   Federal  Medical  Assistance  Percentage  (FMAP)     § FMAP  based  on  poverty  rates  in  state.  Minimum  match  is  50%     § Oregon,  the  match  rate  is:  64%     • In  Oregon:  $1.00  (state)  +  $1.81  (federal)  =  $2.81     o States  “put  up”  their  money  FIRST,  then  federal  govt  adds  matching  funds   per  FMAP  formula.  State  money  comes  out  of  the  state’s  budget  :general   fund”  (appropriations)  à  important  because  Medicaid  $  come  out  of  the   appropriated  part  of  the  state’s  budget—and  that  means  it  could  take  $  from   other  appropriations  (this  means  that  money  could  be  coming  out  of  other   programs)     § In  Oregon,  that  means  Human  Services,  K-­‐12  ed,  and  public  safety;   Oregon  spends  about  20%  on  Medicaid     Notes     • But  How  Much  Income?  Means  Tested     o Typical  Medicaid  coverage  is  low  in  the  “average”  state  coverage  is  limited  to   working  parents  with  incomes  at  61%  of  FPL  à  that  means  the  Federal   Poverty  Line  for  Family  of  3  is  $26,000/year  à  so  61%  of  that  is  $15,860   § Assume  $9/hr  min  wage:  $15,860  +  $9/hr  =  1,762  hrs/year  divided   by  52  weeks/yr    =  34  hours/week  à  if  you  work  more  than  34   hours/week  at  minimum  wage  you  don’t  qualify     Budget   Defense  and   Social  Security   nondefense   24%   discretionary   34%   Medicare   14%   Other   13%   Medicaid   9%   Net  Interest   6%   rd   o Medicaid  is  the  3  largest  domestic  program  in  the  federal  budget     • Where  Does  the  Money  Come  From?  Who  pays  for  this?     o Taxesà  states:  most  have  a  provider  tax     § Hospitals   § Nursing  homes   § Care  facilities  for  people  w/  developmental  disabilities   § Doctors   § Managed  care  organizations     o U.S.  Gov’t:     § Income  tax   § Corporate  tax     o BUT  NOT  FICA!  THAT’S  FOR  MEDICARE   • Obamacare   o The  Affordable  Care  Act  (Obamacare)  is  an  expansion  of  Medicaid  and  has   reduced  the  number  of  citizens  who  are  uninsured  (about  10%  remain   uninsured).  All  individuals  are  mandated  to  have  health  insurance  (either   from  employers,  private,  or  Obamacare).  States  are  not  required  to  expand   Medicaid.  30  states    +  DC  have  chosen  to  expand  Medicaid       • The  Oregon  Budget  and  Medicaid  –  two  funding  sources  are  drying  up     o There  is  a  forecasted  $1.2  billion  budget  shortfall     Notes     o Oregon  health  authority  is  requesting  the  money  to  come  from  Oregon’s   “general  fund”     o Shortfall  is  caused  because  of  TWO  reasons     § Federal  Govt  waiver  $2B  in  2011  is  ending  (made  to  shore  up  the   Oregon  health  plan—Medicaid)     § Federal  govt  is  ending  paying  for  increases  in  Obamacare  cost  (per   law)     o If  more  money  goes  to  Oregon  health  authority,  less  will  go  to  education,   public  safety,  and  other  human  service  programs     o          


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