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[Background Material and Data on Programs within the Jurisdiction of the Committee on Ways and Means (Green Book)]
[Front Matter]
[From the U.S. Government Printing Office, www.gpo.gov]

108th Congress                                        2nd Session
Committee Print                                        WMCP:108-6

 
                      COMMITTEE ON WAYS AND MEANS 
                     U.S. HOUSE OF REPRESENTATIVES

                              __________

                           2004 GREEN BOOK

                  BACKGROUND MATERIAL AND DATA ON THE 
               PROGRAMS WITHIN THE JURISDICTION OF THE 
                     COMMITTEE ON WAYS AND MEANS

                              March 2004

Prepared for the use of the Members of the Committee on 
Ways and Means by members of its staff.  This document has 
not been officially approved by the Committee and may not 
reflect the views of its Members.

                     COMMITTEE ON WAYS AND MEANS
                    U.S. HOUSE OF REPRESENTATIVES

                              __________

                   ONE HUNDRED AND EIGHTH CONGRESS

               WILLIAM M. THOMAS, CALIFORNIA, Chairman

                              __________

                   ALLISON H. GILES, Chief of Staff

This document was prepared by the majority staff of the Committee
on Ways and Means and is issued under the authority of Chairman
William M. Thomas. This document has not been reviewed or officially
approved by the Members of the Committee.

                         LETTER OF TRANSMITTAL
                               __________

                         House of Representatives,
                        Committee on Ways and Means,
                         Washington, DC, March 2004

The Honorable William M. Thomas
Chairman, Committee on Ways and Means
U.S. House of Representatives
Washington, D.C. 20515

Dear Chairman Thomas: 
Since 1981, the Committee on Ways and Means has published the  
Green Book, which presents background material and statistical data
on the major entitlement programs and other activities within the 
Committee's jurisdiction. Information on major social programs 
outside the Committee's jurisdiction is also included.

The Green Book has become a valuable resource for Members of 
Congress, various legislative agencies, the executive departments,
as well as scholars and citizens interested in government social 
programs.  The document was prepared by the Committee staff with 
assistance from the following organizations, to which the staff 
extends its sincere thanks: Congressional Research Service (CRS) 
of the Library of Congress; Congressional Budget Office; U.S. 
Department of Health and Human Services; U.S. Department of Labor; 
Pension Benefit Guaranty Corporation; Social Security Administration; 
Joint Committee on Taxation; and the Railroad Retirement Board Staff.  
Many members of the Committee's staff made major contributions to the 
preparation and publication of this document. In particular, I wish 
to call your attention to the work of the Subcommittee on Human 
Resources staff: Matt Weidinger, Staff Director, assisted by Margo 
Smith and Christine Devere, alongwith editorial assistance and
coordination provided by Risa Salsburg.

On behalf of all those who worked on this, the 18th edition, I am 
pleased to transmit the 2004 Green Book to you and other Members of 
the Committee on Ways and Means.

Sincerely,

                               Allison H. Giles,
				Chief of Staff

                               P R E F A C E

After 17 previous editions, the Green Book has become a standard 
reference source on American social policy. It is widely used by 
Members of Congress and their staffs, analysts in congressional and
administrative agencies, members of the media, scholars, and citizens
interested in the Nation's social policy.

This edition of the Green Book follows the basic pattern of previous 
editions. The volume is divided into two parts, Program Descriptions
and Appendices. In the Program Description part, separate sections are 
devoted to the major programs under the jurisdiction of the Committee
on Ways and Means: Social Security; Medicare; Supplemental Security
Income; Unemployment Compensation; Earned Entitlements for Railroad
Employees;Trade Adjustment Assistance; Temporary Assistance for Needy
Families; Child Support Enforcement; Child Care; Title XX Social
Services Block Grant; Child Protection, Foster Care, and Adoption
Assistance; Social Welfare Programs in the Territories; Tax Provisions
Related to Retirement, Health, Poverty, Employment, Disability, and
Other Social Issues; and the Pension Benefit Guaranty Corporation.

A final section summarizes major social programs not under the 
jurisdiction of the Committee (including food stamps, Medicaid, the  
State Children's Health Insurance Program, Federal housing assistance,
School Lunch and Breakfast Programs, the Special Supplemental 
Nutrition Program for Women, Infants, and Children, the Child and 
Adult Care Food Program, the Workforce Investment Act, Head Start, 
the Low-Income Home Energy Assistance Program, veterans benefits and 
services, and workers'compensation).

The Appendices include information directly related to the programs  
under the Committee's jurisdiction, including: health care of the 
elderly; long-term care expenditures; Medicare reimbursements for
hospitals and physicians; the Medicare+Choice Program; data on 
employment, earnings, and unemployment; data on families and poverty; 
Federalbudget tables; benefits available to noncitizens; spending on 
income-tested benefits in recent decades; a review of studies of the 
effects of welfare reform; and information about nonmarital births 
and Federal strategies to reduce nonmarital pregnancies.

For the first time individual chapters of the Green Book have been 
posted on the Committee's website as they are completed, prior to 
the publication of the book as a whole.  This is designed to speed 
the availability of data to those who access the Green Book, 
enhancing its utility to policymakers and others.

CONTENTS

                                                             Page

Letter of Transmittal                                         iii
Preface                                                        iv

                            PROGRAM DESCRIPTIONS

                                                         Start     End
Section 1           Social Security: The Old Age,         1-1     1-82
                    Survivors, and Disability Insurance 
                    Programs
Section 2           Medicare                              2-1    2-155
Section 3           Supplemental Security Income (SSI)    3-1     3-70
Section 4           Unemployment Compensation             4-1     4-36
Section 5           Earned Entitlements for Railroad      5-1     5-28
                    Employees
Section 6           Trade Adjustment Assistance           6-1     6-16
Section 7           Temporary Assistance for Needy        7-1     7-98
                    Families (TANF)
Section 8           Child Support Enforcement Program     8-1    8-107
Section 9           Child Care                            9-1     9-62
Section 10          Title XX - Social Services Block Grant 
                    Program                              10-1    10-12
Section 11          Child Protection, Foster Care, and   11-1   11-140
                    Adoption Assistance
Section 12          Social Welfare Programs in the       12-1    12-15
                    Territories
Section 13          Tax Provisions Related to Retirement, 13-1   13-75
                    Health, Poverty, Employment, 
                    Disability, and Other Social Issues
Section 14          The Pension Benefit Guaranty          14-1   14-16
                    Corporation
Section 15          Other Programs                        15-1  15-150

                                 APPENDICES

Appendix A          Data on the Elderly                   A-1     A-14
Appendix B          Health Status and Expenditures of the B-1     B-47
                    Elderly, and Background Data on 
                    Long-Term Care
Appendix C          National and International Health Care C-1    C-48
                    Expenditures and Health Insurance 
                    Coverage
Appendix D          Medicare Payment Policies              D-1    D-56
Appendix E          Medicare + Choice                      E-1    E-56
Appendix F          Data on Employment, Earnings, and      F-1    F-11
                    Unemployment
Appendix G          Data on Families                       G-1    G-41
Appendix H          Data on Poverty                        H-1    H-45
Appendix I          Budget Tables                          I-1    I-28
Appendix J          Welfare Benefits for Noncitizens       J-1    J-33
Appendix K          Spending for Income-Tested Benefits,   K-1    K-13
                    Fiscal Years 1968-2000
Appendix L          Assessing the Effects of Welfare       L-1    L-76
                    Reform Initiatives
Appendix M          Data on Nonmarital Births to Adults    M-1    M-14
                    and Teenagers and Federal Strategies to 
                    Reduce Nonmarital Pregnancies
Index                                                 INDEX-1  INDEX-66

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