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2 Background
Pages 2-4

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From page 2...
... Many factors have contributed to fluctuations in the growth in the number of people receiving disability benefits under SSDT and SSI: economic changes in the United States, structural shifts in the labor market; changes in the size, composition, and characteristics of the working-age population (i.e., the baby boom generation, and increasing proportions of younger workers; women and persons with limited English proficiency in the workforce) ; changes in public policies and the types of disabling impairments that are recognized and diagnosed for disability benefits; a decrease in the average age of persons with disabilities with a resulting increase in duration of benefits; program outreach; and cost shifting by states associated with cuts in state and locally funded general assistance and other welfare programs as well as with deinstitutionalization of people with
From page 3...
... 211. Although the presence of a medically determinable impairment w~11 remain the central requirement for eligibility as required by law, the redesigned process will focus directly on the applicant's functional ability to work and will rely on standardized instruments for measuring functioning to reach decisions.
From page 4...
... SSA has requested the National Academy of Sciences to conduct an independent, objective review of, and make recommendations about, the reliability, validity, adequacy, and appropriateness of its current and proposed research activities as they relate to the proposed redesigned disability decision process. Included in the review is the approach, survey design, and content of the complex multiyear DES.


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