This section presents historical data and projections of the numbers of (1) persons applying for SSI payments; (2) new recipients of SSI payments as a result of an application; (3) terminations from SSI payment status; and, (4) recipients of federally administered SSI payments. These historical data and projections are presented by category and age group.1 All of the corresponding tables are located at the end of this section.SSI recipients are classified into one of two categories based on the criteria for which they are eligible, in addition to meeting other SSI eligibility requirements. The two general categories are (1) aged; or (2) blind or disabled. The following paragraphs discuss the recipient categories in more detail.
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• Blind or disabled recipients establish their eligibility for SSI payments by meeting the definition of blindness or disability and the applicable income and resource limits as well as any other SSI eligibility requirements. In December 2018, there were 7.0 million blind or disabled recipients of federally administered SSI payments. These recipients can fall into two subcategories based on age: blind or disabled adults (age 18 or older) and blind or disabled children (under age 18).
— Blind or disabled adults meet the definition of blindness or disability for individuals age 18 or older and SSI income and resource limits. Students age 18 to 21 must meet the adult definition of disability; they differ from other adults only in that they may qualify for a special student earned income exclusion. When blind or disabled adult recipients reach age 65, these individuals generally continue to be classified as blind or disabled adults (rather than aged). In December 2018, 5.8 million blind or disabled individuals age 18 or older received federally administered SSI payments, including 1.1 million blind or disabled recipients age 65 or older.
— Blind or disabled children meet the definition of blindness or disability for individuals under age 18 in addition to other SSI eligibility requirements. These children are subject to parent-to-child deeming until they reach the age of 18. At age 18 these individuals continue to be eligible for SSI if they meet the definition of blindness or disability for individuals age 18 or older as well as other eligibility criteria. Those individuals who continue to be eligible after attainment of age 18 are reclassified as blind or disabled adults. In December 2018, 1.1 million blind or disabled individuals under age 18 received federally administered SSI payments.Figure IV.B1 presents historical and projected numbers of persons applying for SSI payments at SSA field offices, including applications by telephone and online, by calendar year3. Following a 4-year period in the mid-2000s when the number of applications remained fairly level at 2.1 million per year, applications started increasing in 2008, largely due to the severe economic recession that began at the end of 2007 and continued into 2009. The level of applications continued to increase through 2010, decreased only slightly in 2011 as the economy recovered slowly, and generally decreased at a faster rate from 2012 through 2018. Applications in 2019 are projected to stay at about the same level as experienced in 2018. Starting in 2020, the number of applications is projected to rise, reaching about 2.1 million applications per year for 2024, and then remain at roughly this level thereafter.4In the shorter term, the rate of application underlying the projected number of applications gradually increases from the low level experienced in 2018 to the longer-term historical average level. Beyond the short term (after 2024) the application rate is assumed to gradually decline, with this declining rate being offset by the projected increase in the population yielding relatively stable numbers of applications, as shown in section IV.A. This gradual decline in the application rate after 2024 reflects the following assumptions: (1) the portion of the population that meets SSI income and resource requirements will decline over time as average wages and income generally grow faster than the CPI, and therefore the SSI Federal benefit rate; (2) the fixed value of the countable resource limits and most of the income exclusions become more limiting over time as individuals’ income and asset levels grow generally; and (3) the portion of the Social Security area population composed of U.S. citizens or legal immigrants potentially eligible to become SSI recipients declines. These assumptions are consistent with the assumptions underlying the 2019 OASDI Trustees Report.
As part of SSA’s adjudication of these applications, the levels of income and resources available to the applicants are evaluated along with other eligibility factors including marital and citizenship status and living arrangements. In addition, over 90 percent of the SSI applications are for disability payments that require the State Disability Determination Services (DDS) to evaluate the alleged impairment. Applicants may appeal an unfavorable disability determination through several administrative levels of appeal. If an applicant exhausts all administrative levels of appeal, he or she may appeal to the Federal courts.5 An applicant may decide at any point in this process to file a new application for benefits in lieu of continuing through the prescribed appeals process, generally provided that the individual does not currently have an appeal of an SSI application pending in this process.6Figure IV.B2 presents historical and projected numbers of persons who start receiving SSI payments as a result of this decision process7. From 2004 to 2007, the numbers of new recipients remained fairly level, roughly consistent with the applications received during this period. From 2007 to 2010, however, the numbers of new recipients increased substantially. This increase is primarily attributable to the sharp increase in applications due to the economic recession.
3. TerminationsSome persons receiving SSI payments in a year will stop receiving payments during the year because of death or the loss of SSI eligibility. SSA uses three primary tools to assess continuing eligibility: (1) a nonmedical redetermination; (2) a medical continuing disability review (CDR); and (3) medical redeterminations of SSI child recipients at age 18 using the adult initial disability criteria.8 In a non-medical redetermination, the recipient's non-medical factors of eligibility are reexamined, including income, resources, and living arrangements. In a medical CDR, the recipient’s medical condition is reevaluated to determine whether the recipient continues to meet the Social Security Act's definition of disability. Medical redeterminations of disabled children attaining age 18 evaluate whether such recipients qualify for payments using the adult medical eligibility criteria. The net reduction in the number of SSI recipients in current-payment status during a period is referred to as the number of SSI terminations for that period.Figure IV.B3 presents historical and projected numbers of total terminations by calendar year9. The total number of terminations of federally administered recipients in 2018 increased from 2017, by about 3 percent. This change in total terminations differs by reason for termination. Terminations due to death decreased by less than 1 percent in 2018, while the number of terminations for all other reasons increased by about 5 percent in 2018 from 2017 levels.
Combining the number of new recipients of SSI payments during a year with the number of those already receiving payments at the end of the previous year, and subtracting the number of terminations during the year, yields the number of persons receiving federally administered SSI payments at the end of the year. Figure IV.B4 presents the number of individuals receiving Federal SSI payments, who comprise the great majority of federally administered recipients.10The number of SSI recipients receiving Federal payments increased rapidly in the early 1990s mainly due to the growth in the numbers of disabled adults and children. The growth in the numbers of children receiving SSI resulted in large part from the Supreme court decision in the case of Sullivan v. Zebley, 110 S. Ct. 885 (1990), which greatly expanded the criteria used for determining disability for children. The growth in the numbers of disabled adults is a more complicated phenomenon. Extensive research conducted under contract to SSA and the Department of Health and Human Services suggested that this growth was the result of a combination of factors including: (1) demographic trends; (2) a downturn in the economy in the late 1980s and early 1990s; (3) long-term structural changes in the economy; and (4) changes in other support programs (in particular, the reduction or elimination of general assistance programs in certain States).11,12 The 1996 welfare reform legislation, the economic downturn in the early 2000s, the economic recession that began in 2007,and the recent strong economy and dramatic decline in applications, have contributed to the more recent changes in program participation.
As figure IV.B4 illustrates, the implementation of Public Law 104-121 and Public Law 104-193 resulted in a decline in the Federal recipient population from 1996 to 1997. From the end of 1997 through the end of 2000, the Federal SSI recipient population grew at an annual rate of less than 1 percent. From the end of 2000 to the end of 2008, the Federal SSI recipient population grew an average of 1.7 percent per year. From the end of 2008 to the end of 2012, the Federal recipient population grew an average of 2.7 percent per year due largely to the economic recession and the slow recovery from that economic downturn. In 2013 and 2014, the Federal SSI recipient growth slowed, and beginning in 2015, the Federal SSI recipient population began to decrease. In 2018, recipients in current-payment status continued to decrease from 2017 levels by about 1.2 percent. These decreases in the last several years reflect the lower numbers of applications and new recipients and the increased number of medical CDRs conducted in recent years. For 2019 through 2021, these decreases are projected to continue, for the reasons previously mentioned. Thereafter, as the proportion of the population applying for SSI payments is assumed to return to more nearly the historical long-term average, adjusted for the declining proportion of the population eligible for SSI payments as discussed in section 2, the numbers of Federal SSI recipients are projected to grow more slowly at an average rate of less than 1 percent per year for the remainder of the 25-year projection period.In order to place this projected growth in the context of overall population growth, figure IV.B5 presents Federal SSI prevalence rates by age group, defined as SSI recipients with Federal payments in current-payment status as percentages of the total Social Security area population for each age group.13
Figure IV.B6 presents prevalence rates for the two eligibility categories - blind and disabled and aged14 - as well as for the SSI program as a whole. It also shows these rates on an age-sex-adjusted basis, adjusted to the age-sex distribution of the Social Security area population for the year 2000. Adjusting these rates in this manner is useful when comparing rates over a long period of time because the age-sex-adjusted rates control for the effects that a changing age-sex distribution in the population can have on prevalence rates over time. That adjustment, however, does not account for the change over time of other factors that may affect the percentage of the Social Security area population that is SSI eligible.Figure IV.B6 shows that the age-sex adjustment does not fundamentally change the overall pattern of the prevalence rates. The total SSI prevalence rate on an age-sex adjusted basis is higher before 2000 and lower after 2000 than the gross prevalence rate due to the changing age distribution of the total population. The adjustment generally results in a more noticeable effect for the aged, especially in the early years of the SSI program, because the prevalence rate for ages 75 and older was much higher than for ages 65 to 74.
The prevalence rates for the eligibility categories of Federal SSI recipients follow significantly different growth patterns. The overall aged prevalence rate has declined steadily throughout the historical period. Gradual declines continue throughout the projection period. In contrast, except for decreases in the late 1990s due to the medical eligibility redeterminations and CDRs mandated by Public Law 104-193, the prevalence rate for blind or disabled children increased steadily through 2013, with the increase being relatively steep in the early 1990s. Since then, the prevalence rate for child recipients has decreased slightly each year from 2014 through 2018 which is primarily attributable to the (1) increased number of medical CDRs for these children over the past few years, and (2) the continuing drop in applications for SSI payments. The total blind or disabled prevalence rate (as a percentage of the total population at all ages) remained fairly level until the early 1980s, when it started increasing and then continued to increase through 1996. The blind or disabled prevalence rate declined slightly in the late 1990s due to the effects of welfare reform legislation but resumed an upward trend in 2000. That upward trend continued through 2013, but experienced slight decreases in 2014 through 2018. The projected overall prevalence rate for blind or disabled recipients gradually declines throughout the projection period due to: (1) the SSI potentially eligible population (i.e., the legal resident population) growing more slowly than the overall population, (2) a smaller proportion of the population becoming new recipients than during the recent economic slowdown; (3) the changing age distribution in the population; and (4) the assumption that SSA will receive the resources authorized in the Bipartisan Budget Act of 2015 to process medical CDR and non-medical redetermination workloads.15The total number of federally administered SSI recipients includes recipients only receiving a federally administered State supplement, as well as those receiving a Federal payment. Table IV.B8 presents historical and projected numbers of individuals who receive only a federally administered State supplement. Such recipients have countable income that exceeds the Federal benefit rate but which is lower than the combined amount of the Federal benefit rate and the State supplementary benefit level. These individuals must meet all other criteria required in order to be eligible for a Federal SSI payment. The vast majority of these individuals are concurrently beneficiaries of OASDI benefits.Table IV.B9 displays the combined numbers of persons receiving either a Federal SSI payment or a federally administered State supplement. This is the total number of SSI recipients, which follows largely the same patterns of growth as the number of recipients receiving a Federal payment.
Table IV.B1.—SSI Federally Administered Applications,a Calendar Years 1975-2043
Calendar year a
Table IV.B3.—SSI Federally Administered Terminations Due to Deatha, Calendar Years 1975‑2043 Totalsb 2017c
Table IV.B4.—SSI Federally Administered Terminations Due to Reasons Other Than Death,a Calendar Years 1975-2043 Totalsb 2012c 2014d 2017e
Table IV.B5.—SSI Federally Administered Terminations for All Reasons,a Calendar Years 1975-2043 Totalsb 2012c 2014d 2017e
2012 a
Aged b All c 2012d
Note: A complete table of historical and projected values is available at www.ssa.gov/OACT/ssir/SSI19.
2012a 2014b
2012a 2014b
SSA’s Program Operations Manual System (POMS) describes this policy in detail, including exceptions to this policy. See POMS DI 51501.001 available at https://secure.ssa.gov/poms.nsf/lnx/0451501001.
See table IV.B2 for the same information in tabular form. Individuals are counted as of the first month that they move into SSI payment status on a given application. For this reason, these individuals are referred to as “new recipients” rather than “awards”. In addition, these counts differ slightly from other similar totals identified as “awards” and published by the Office of Research, Evaluation, and Statistics (ORES) in the Annual Statistical Supplement to the Social Security Bulletin. The ORES totals are similar in concept to those used in this report, but differ slightly due to the timing of the action being tabulated. For example, ORES does not count a disability benefit as being awarded until the disability decision is made. In contrast, under the procedures used in this report, individuals first coming on the SSI rolls through a finding of presumptive disability would be counted as a “new recipient” in the first month of presumptive disability payment.
Some historical details on non-medical redeterminations and the results of medical continuing disability reviews and medical age 18 redeterminations are presented in section V.D. Section V.E presents information on certain incentive programs intended to encourage disabled SSI recipients to return to work.
In the tables, the numbers of total terminations are separated into the two separate categories: (1) terminations due to death (table IV.B3); and (2) net suspensions of payments for all other reasons (table IV.B4). The total number of terminations is also shown in table IV.B5, which is the same information presented in figure IV.B3 in tabular form.
Stapleton, David, Burt Barnow, Kevin Coleman, Kimberly Dietrich, Jeff Furman, and Gilbert Lo. Labor Market Conditions, Socioeconomic Factors, and the Growth of Applications and Awards for SSDI and SSI Disability Benefits, final report and appendix prepared under contract to the Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services and the Social Security Administration, May 23, 1995.
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