Hawkins S C, Rigby D E
Soc Secur Bull. 1979 Feb;42(2):3-14.
The 1972 Social Security Amendments replaced the Federal-State public assistance programs for the needy aged, blind, and disabled with the Federal supplemental security income (SSI) program. They also changed the automatic Medicaid eligibility provision under title XIX of the Social Security Act for the cash assistance population. This article provides information about recent changes in State Medicaid caseloads and payments following implementation of SSI and the possible effects of SSI on such changes. It does not appear that SSI was a significant factor in the Medicaid changes. The growth in Medicaid payments resulted primarily from expansion of medical services to include care in intermediate care facilities, inflation, and higher utilization of medical services.
1972年的《社会保障修正案》用联邦补充保障收入（SSI）计划取代了针对贫困老年人、盲人及残疾人的联邦-州公共援助计划。这些修正案还改变了《社会保障法》第十九条规定的针对现金援助人群的医疗补助自动资格条款。本文提供了有关补充保障收入计划实施后各州医疗补助案例数量及支出的近期变化，以及补充保障收入计划对此类变化可能产生的影响的信息。补充保障收入计划似乎并非医疗补助变化的一个重要因素。医疗补助支出的增长主要源于医疗服务的扩展，将中级护理机构的护理纳入其中、通货膨胀以及医疗服务利用率的提高。
