Andrews R M, Ruther M, Baugh D K, Pine P L, Rymer M P
Health Care Financ Rev. 1988 Spring;9(3):1-8.
Congress enacted Section 1619 of the Social Security Act to enable the disabled receiving Supplemental Security Income (SSI) to obtain jobs and still retain Medicaid health benefits. Congress intended this work incentive to remove the fear of the severely disabled that by obtaining employment they would lose Medicaid benefits. Based on data from 11 States, our analysis found that Medicaid expenditures for Section 1619 enrollees were relatively small and only one-half the average Medicaid expenditure for the disabled. Retaining Medicaid appears to provide a significant work incentive because Medicaid expenditures represent 13 percent of Section 1619 enrollees' earnings.
国会通过了《社会保障法》第1619条，以使领取补充保障收入（SSI）的残疾人能够获得工作，同时仍保留医疗补助健康福利。国会希望这项工作激励措施能消除重度残疾人对因就业而失去医疗补助福利的担忧。根据11个州的数据，我们的分析发现，第1619条参保人的医疗补助支出相对较少，仅为残疾人平均医疗补助支出的一半。保留医疗补助似乎提供了显著的工作激励，因为医疗补助支出占第1619条参保人收入的13%。
