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Federal, State, and Local Governments
Government Finance and Employment Classification Manual
DESCRIPTIONS OF FUNCTIONAL CATEGORIES
 
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FUNCTION CODE:   Y25 NAME:    Social Security and Medicare Insurances
SECTOR:    General APPLIES TO:    Finance |X|    Employment | |
PUBLICATION CATEGORIES:    Insurance Trusts
DEFINITION:    Distribution of cash benefits to eligible persons under Federal-administered retirement, disability, hospital, and health social insurance programs.
EXAMPLES:   Comprises cash benefits: to retirees or their dependents and survivors from the Federal Old-Age and Survivors Insurance Trust Fund (OASI); to disabled workers or their dependents from the Federal Disability Insurance Trust Fund (DI); to elderly or disabled for hospital, nursing home, and other related care from the Federal Hospital Insurance Trust Fund (HI); and to such persons for physician services, outpatient care, renal dialysis, and other health care from the Federal Supplementary Medical Insurance Trust Fund (SMI). The OASI and DI funds are administered by the Department of Health and Human Services' (HHS) Social Security Administration (SSA) wile the HI and SMI funds are operated by HHS' Health Care Financing Administration (HCFA).
EXCLUSIONS:   Governmental contributions as employer for Social Security and Medicare on behalf of its employees (report as current operation expenditure of function involved); Federal transfers to these Social Security or Health Care trust funds; transfers from Social Security Trust Funds to the railroad retirement accounts; interest payments on inter-trust borrowings (the preceding three are nonexpenditures); administration of these insurance trust funds (report at Social Insurance Administration, code 22); payments of HCFA for Medicaid program (report at Federal Categorical Assistance Programs, code 67); payments of SSA other than for the Social Security Trusts, such as SSI and AFDC (use code 67) and black lung benefits, child support enforcement, low income energy assistance, etc. (report at Other Public Welfare, code 79).
REFERENCES: - To be added later -
 
OTHER NOTES:   (1) This function applies soles to Federal Government expenditure; report any related employment data at code 22. (2) The OASI and DI trusts comprise what is commonly referred to as Social Security. The HI and SMI trusts comprise what is commonly referred to as Medicare, Parts A and Part B, respectively. (3) In contrast to public welfare programs funded by appropriations and classed as general expenditure, these social insurance programs all have separate trust funds with dedicated revenues (either payroll taxes or voluntary premiums). See definition of social insurance trust system in Chapter 11.
 
DETAILED CODE LIST WITH COVERAGE OF DATA COLLECTION*
 
  General Purpose Governments
EXPENDITURES, DIRECT: Federal StateD.C. Large City-County Other LocalSpecial District
Y25 Benefits Y NN N NN
 
* Shows whether data are collected (Y) or not (N) for that type.

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