Social Security Act 1935


First social insurance program

 

When Franklin D. Roosevelt became President of our country in 1933, the U.S. was emerging from the Great Depression.  Many people realized the need to implement federal programs which would provide both economic stimulation and social welfare.  Nine states already had passed legislation addressing old-age pension programs.  When Franklin Roosevelt was governor of New York, he supported passage of unemployment insurance there.  Members of the U.S. Congress were already discussing the possibility of federal programs addressing the needs of the elderly and unemployed.  President Roosevelt established a group of experts to study the issue and develop a national plan of action.
 
Committee on Economic Security

President Roosevelt chose Frances Perkins, Secretary of Labor, to lead the efforts of the Committee on Economic Security.  He gave the committee six months to develop the master plan and associated legislative proposal.  The group focused on:
  • Old-age programs
  • Unemployment programs
  • Health insurance

Public opinion was opposed to including medical care and health insurance as a part of the legislative proposal.  When the bill was presented to Congress, it addressed primarily old-age programs and unemployment programs.  It did give state governments money (as matching funds) for maternal and infant care, rehabilitation of disabled children, aid for children under 16 years of age and minor public health services support.  The bill was adopted and became law in 1935.

   
Efforts by Presidents Truman, Johnson and Clinton for social insurance programs

President Harry Truman was the next President who worked to introduce a national health insurance program.  This occurred after the end of World War II and was soundly defeated because many felt it represented "socialized medicine."  Major opponents labeled it "communism."

In the 1960s, President Lyndon Johnson introduced the Great Society legislation.  Medicare and Medicaid programs appeared as a part of this plan and granted dollars to provide healthcare services to the elderly and poor.

President Bill Clinton most recently introduced legislation to cover the 44 million Americans who have no health insurance.  Many of these people are labeled as "the working poor."  His wife, Hilary Clinton, lead efforts for this reform but it was defeated.

 
- Federal agencies
- State agencies
- Key legislation

*

Federal Civil False Claims Act - 1865
* Social Security Act - 1935
* Hill Burton Act - 1946
* Community Health Services and Facilities Act - 1961
* Public Law 89-97 (Medicare/Medicaid) - 1965
* OSHA - 1970
* TEFRA (PPS) - 1982
* COBRA (Antidumping) - 1985
* COBRA (Substandard Care) - 1986
* Health Care Quality Improvement Act (NPDB) - 1986
* Nursing Home Reform Act - 1987
* COBRA (quality/ cost/ effectiveness) - 1989
* Patient Self Determination Act - 1990
* Health Insurance Portability and Accountability Act - 1996
Regulatory mechanisms
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Last revised: April 2003
© 2003 Barbara C. Hays