Hospitals & Asylums 








Fall Equinox Edition


By Anthony J. Sanders


Health and Welfare (HAW)


To supplement Chapter 3 National Home for Disabled Volunteer Soldiers ¤71-¤154, Subchapter V Battle Mountain Sanitarium Reserve, ¤151-154. To produce a federal budget surplus FY 18 by deleting the Allowances, Other Independent Agencies (on-budget and off-budget) and Other Defense - Civil Programs rows from the Government Outlays by Agency Ledger (GOAL) and consolidate Commerce and Small Business Administration, State and International Assistance and rename Social Security on-budget Human Services under Art. 2(2) of the US Constitution.  To amend the federal minimum wage from $7.25 an hour 2009-2017 to '$7.50 in 2018 and 3% more every year thereafter.' under 29USC¤206(a)(1)(D). To support the Treasury's decision to abolish the refundable premium and cost sharing reduction subsidy FY 18 all the action now takes place under the Federal Insurance Contributions Act (FICA) <15.0%. To begin to experimentally reduce Medicare Part A HI tax revenues received by the Hospital Insurance (HI) Trust Fund from the 2.9% payroll tax rate to 2.6% payroll tax received, and continue to reduce federal outlays for Parts B and D to 3% annual growth from FY 14 beginning FY 18 when a zero growth policy would take over for all three programs to try to keep federal health outlays under the $1 trillion limbo bar until national health expenditures are less than 10% of GDP. To raise the patient's share in nursing homes to the greater of $300 or 30% of benefits, by Treasury under 24USC¤14a or fee under 24USC¤414. To amend the 1.8% DI tax rate starting January 1, 2019 in Sec. 201(b)(1)(T) of the Social Security Act under 42USC¤401(b)(1)(T) to either 2.1% DI tax, or 2.0% DI tax if OASI pays $240.4 billion including 2.5% interest for CY09-CY15 to replicate to the extent possible revenue that would have been received if the OASDI tax had been properly adjusted by Public Law 112-96. To replace the Adjustment of the contribution and benefit base under Section 230 of the Social Security Act 42USC¤430 with 'There is created in the Treasury a Supplemental Security Income Trust Fund.' To tax the rich the full 12.4% Old Age Survivor and Disability Insurance (OASDI) tax on all their income to pay 16-24 million children growing up poor SSI benefits FY18. To publish a highly simplified online SSI application form without any In-kind-support maintenance (ISMs) and optional disability questionnaire, for speedy Income and Eligibility Verification System in Sec. 1137 of the Social Security Act under 42USC¤132b-7. To end benefit attrition with a 3% Cost of Living Adjustment (COLA) rule every year inflation continues to run about 2.7% and the Trust Fund Ratio is greater than 20% under Sec. 215(i) of the Social Security Act 42USC¤415(i). To make an exception to the rule to pay $777 mo. SSI a 5.7% COLA is needed from CY17, a 2.7% COLA CY18 followed by 3% COLA to $777 SSI CY19 and 3% COLA every year for the earnings of low income beneficiaries and workers to stay ahead of 2.7% average annual inflation. To change the due date for the Annual Reports from April 1, April foolÕs day, to the 'summer solstice June 20-21' in Sec. 1161 of the Social Security Act under 42USC¤1320c-10.  To provide 14 weeks of paid Maternity Protection under ILO Convention 183 (2000).