PRESIDENT'S PLAN TO BUILD ON THE SUCCESSES OF WELFARE REFORM FEATURING HHS SEC- RETARY THOMPSON HEARING BEFORE THE COMMITTEE ON WAYS AND MEANS HOUSE OF REPRESENTATIVES ONE HUNDRED SEVENTH CONGRESS SECOND SESSION MARCH 12, 2002 Serial No. 107-53 Printed for the use of the Committee on Ways and Means U.S. GOVERNMENT PRINTING OFFICE 78-687 WASHINGTON : 2002 ForsalebytheSuperintendentofDocuments,U.S.GovernmentPrintingOffice Internet:bookstore.gpo.gov Phone:tollfree(8661512-1800;DCarea(202)512-1800 Fax:(202)512-2250 Mail:StopSSOP,Washington,DC20402-0001 COMMITTEE ON WAYS AND MEANS BILL THOMAS, California, Chairman PHILIP M. CRANE, Illinois CHARLES B. RANGEL, New York E. CLAY SHAW, Jr., Florida FORTNEY PETE STARK, California NANCY L. JOHNSON, Connecticut ROBERT T. MATSUI, CaUfomia AMO HOUGHTON, New York WILLIAM J. COYNE, Pennsylvania WALLY HERGER, California SANDER M. LEVIN, Michigan JIM McCRERY, Louisiana BENJAMIN L. CARDIN, Maryland DAVE CAMP, Michigan JIM McDERMOTT, Washington JIM RAMSTAD, Minnesota GERALD D. KLECZKA, Wisconsin JIM NUSSLE, Iowa JOHN LEWIS, Georgia SAM JOHNSON, Texas RICHARD E. NEAL, Massachusetts JENNIFER DUNN, Washington MICHAEL R. McNULTY, New York MAC COLLINS, Georgia WILLIAM J. JEFFERSON, Louisiana ROB PORTMAN, Ohio JOHN S. TANNER, Tennessee PHIL ENGLISH, Pennsylvania XAVIER BECERRA, California WES WATKINS, Oklahoma KAREN L. THURMAN, Florida J.D. HAYWORTH, Arizona LLOYD DOGGETT, Texas JERRY WELLER, Illinois EARL POMEROY, North Dakota KENNY C. HULSHOF, Missouri SCOTT McINNIS, Colorado RON LEWIS, Kentucky MARK FOLEY, Florida KEVIN BRADY, Texas PAUL RYAN, Wisconsin Allison Giles, ChiefofStaff Janice Mays, Minority ChiefCounsel Pursuant to clause 2(e)(4) of Rule XI of the Rules of the House, public hearing records of the Committee on Ways and Means are also published in electronic form. The printed hearing record remains the official version. Because electronic submissions are used to prepare both printed and electronic versions ofthe hearing record, the process of converting betweenvariouselectronicformatsmayintroduceunintentionalerrorsoromissions. Suchoccur- rences are inherent in the current publication process and should diminish as the process isfurtherrefined. ii I'CMSLibrSry C2~07-13 \ 7!500 Security Blvd. I EJtkimore, Maryiend 21244 ! CONTENTS Page AdvisoryofMarch 5, 2002, announcingthe hearing 2 WITNESSES U.S. Department ofHealth and Human Services, Hon. Tommy G. Thompson, Secretary 11 , SUBMISSION FOR THE RECORD Portman, Hon. Rob, aRepresentative in Congress from the State ofOhio 49 iii PRESIDENT'S PLAN TO BUILD ON THE SUC- CESSES OF WELFARE REFORM FEATURING HHS SECRETARY THOMPSON Tuesday, March 12, 2002 House of Representatives, Committee on Ways and Means, Washington, DC. The Committee met, pursuant to notice, at 2:33 p.m., in room 1100 Longworth House Office Building, Hon. Bill Thomas (Chair- man ofthe Committee) presiding. [The advisory announcing the hearing follows:] (1) ADVISORY FROM THE COMMITTEE ON WAYS AND MEANS FORIMMEDIATE RELEASE CONTACT: (202) 225-1721 March 5, 2002 No. FC-17 Thomas Announces a Hearing with HHS Secretary Thompson on the President's Plan to Build on the Successes of Welfare Reform Congressman Bill Thomas (R-CA), Chairman of the Committee on Ways and Means, today announced that the Committee will hold a hearing on the President's plan to strengthen welfare reform. The hearing will take place on Tuesday, March 12, 2002, in the main Committee hearing room, 1100 Longworth House Office Building, beginningat2:30p.m. In view of the limited time available to hear witnesses, oral testimony at this hearing will be from the Honorable Tommy G. Thompson, Secretary, U.S. Depart- ment of Health and Human Services. However, any individual or organization not scheduled for an oral appearance may submit a written statement for consideration bythe Committee andforinclusion inthe printedrecordofthehearing. BACKGROUND : The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (P.L. 104-193), commonly referred to as the 1996 welfare reform law, made dra- matic changes in the Federal-State welfare system designed to aid low-income American families. The law repealed the former Aid to Families with Dependent Children program, and with it the individual entitlement to cash welfare benefits. In its place, the 1996 legislation created a new Temporary Assistance for Needy Families (TANF) block grant. It provides fixed funding to States to operate pro- grams designedto achieve several purposes: (1) provide assistance to needy families, (2) end the dependence ofneedy parents on government benefits by promotingjob preparation, work, and marriage, (3) prevent and reduce the incidence ofout-of-wed- lock pregnancies, and (4) encourage the formation and maintenance of two-parent families. In exchange for the broad flexibility and fixed funding granted States, the 1996 law imposed certain key program requirements, notably work requirements andtimelimits on Federalbenefits. The achievements ofwelfare reform have been dramatic. Caseloads have been re- duced by 9 million individuals in 3 million families. Nearly 3 million children have been lifted from poverty, and work amongcurrent and former welfare recipients has risen to record highs. Yet despite these outstanding results, far too many individ- uals receiving assistance are not making progress toward self-sufficiency. Troubling social trends such as out-of-wedlock birthrates, teen pregnancy, and divorce remain at or near record levels, exacerbating challenges faced by low-income families to achieve self-sufficiency. To ensure that the Committee and the Congress review the effects ofthe funda- mental changes made in the 1996 law, the authors of the 1996 law extended the authorization of the TANF program only through fiscal year 2002. In early Feb- ruary, the President laid out a framework ofhis proposal to reauthorize TANF and strengthen welfare reform in his fiscal year 2003 budget. On February 26, he pro- vided further details of his plan. This hearing will provide the Secretary with an opportunityto discuss the President's detailedproposals. . 3 "The welfare reform law has been a great success," said Chairman Thomas. "Ex- pecting and supporting work has made a huge difference in the lives ofmillions of families. Caseloads have plummeted, work and incomes are up, and poverty has fall- en dramatically. We welcome Secretary Thompson, the leader ofthe welfare reform revolution as Governor of Wisconsin in the 1980s and 1990s, to discuss with the Committee the President's proposals for strengthening welfare reform and helping even more low-income families enjoy the dignity and rewards ofwork and self-sup- port." FOCUS OF THE HEARING ; The hearing will review the President's welfare reform reauthorization proposal. DETAILS FOR SUBMISSIONOF WRITTENCOMMENTS ; Please Note; Due to the change in House mail policy, any person or organization wishing to submit a written statement for the printed record ofthe hearing should send it electronically to [email protected], along with a fax copyto (202) 225-2610 by the close ofbusiness, Tuesday, March 26, 2002. Those filingwritten statements who wish to have their statements distributed to the press and interested public at the hearing should deliver their 200 copies to the full Com- mittee in room 1102 Longworth House Office Building, in an open and searchable package 48 hours before the hearing. The U.S. Capitol Police will refuse unopened andunsearchable deliveries to all House Office Buildings. FORMATTINGREQUIREMENTS; Each statement presented forprintingto the Committee by awitness, any written statement or exhibit submitted for the printed record or any written comments in response to a request forwrittencomments mustconformtothe guidehnes hstedbelow. Any statementorexhibitnot incompHancewiththeseguidehneswillnotbeprinted,butwillbemaintainedintheCommittee filesforreviewandusebythe Committee. 1. Due to the change in House mail policy, all statements and any accompanying exhibits for printingmustbe submittedelectronicallytohearingclerks.waysandmeans@mail.house.gov, along with afax copy to (202) 225-2610, in Word PerfectorMS Word format and MUSTNOT exceed a total of10 pages including attachments. Witnesses are advised that the Committee will rely onelectronicsubmissionsforprintingtheofficialhearingrecord. 2. Copies ofwhole documents submitted as exhibit material will not be accepted for printing. Instead, exhibit material should be referenced and quoted or paraphrased. All exhibit material not meeting these specifications will be maintained in the Committee files for review and use bytheCommittee. 3. Any statements mustinclude alistofall clients, persons, ororganizations on whose behalf the witness appears. A supplemental sheet must accompany each statement listing the name, company,address,telephoneandfaxnumbersofeachwitness. Note: All Committee advisories and news releases are available on the World WideWeb athttp://waysandmeans.house.gov The Committee seeks to make its facilities accessible to persons with disabilities. Ifyou are in need ofspecial accommodations, please call 202-225-1721 or 202-226- 3411 TTD/TTY in advance of the event (four business days notice is requested). Questions with regard to special accommodation needs in general (including avail- ability ofCommittee materials in alternative formats) may be directed to the Com- mittee as noted above. Chairman Thomas. Today, we will examine President Bush's proposal to build on the success ofwelfare reform. Before 1996, our welfare system measured compassion by how many people were on the welfare rolls. Changes to our welfare system were fiercely re- sisted because there were some who rejected the notion that hand- outs were better than a hand up. Some in 1966 still could not con- ceive of a world where compassion's new measure would be how many people left welfare for work and independence. 4 Immediately prior to the passage of welfare reform, for example, the Urban Institute forecasted that a million new children would enter poverty if welfare reform prevailed. Others were a bit more apocalyptic. The Children's Defense Fund predicted the welfare re- form law, "will hurt and impoverish millions of children." Of course, these dire predictions never materialized. What we have seen instead is a record of tremendous success in lifting children from poverty, promoting work, and ending dependence. Prior to 1996, the average lifetime stay on welfare for families receiving benefits was 13 years. Since their peak in 1994 as re- forms got underway in many States, caseloads have fallen by 9 mil- lion from a record high of 14 million recipients in 1994 to just 5 million people today. That is a 60 percent drop. Welfare reform has lifted nearly 3 million people out of poverty. The African American child poverty rate and the poverty rate for children living with single mothers are both at the lowest points in U.S. history. Between 1995 and 1999, the poorest 40 percent of single-mother families increased their earnings by about $2,300, on average. Welfare reform increased work, boosted income, it has improved child poverty, and reduced dependency. It has been a success, but we need to build on that success. Our priority is to help more peo- ple successfully transition to work because work is the only real and permanent path out ofpoverty. Observers should note that the grounds have shifted. Virtually no one today is suggesting that we go back to the old ways of pro- viding checks and expecting little of recipients. We largely agree that the new structure of welfare with its emphasis on work and self-sufficiency has provided opportunity and dignity to people who were once trapped in a failed system. Our debate to reauthorize welfare, as heated as it may become at times, is truly on the margin. Some of these margins are impor- tant, such as increasing meaningful education to enhance work, such as opportunities for better child care assistance. Joining us today to review the President's proposal for the next round ofwelfare reform is Secretary Tommy Thompson of the U.S. Department of Health and Human Services (HHS). Secretary Thompson was a national leader in the welfare reform movement as Governor in Wisconsin. Many of our Members worked closely with him, in fact, to craft the 1996 law. We look forward to working closely with him in his current role to ensure that welfare reforms continue to help poor families go to work and to achieve self-suffi- ciency. Prior to my recognizing the Chairman of the Human Resources Subcommittee, Mr. Herger, the Chair would like to acknowledge the loss ofa friend of all ofus, Dr. John Eisenberg, who had helped establish the Physician Payment Review Commission and then went on to make sure that, as Director for the Agency for Health Care Research and Quality, in fact, turning that institution around to make it a success. He passed away this last week with very, very short notice. He was a very young, bright, energetic, talented individual, and I know that we have all worked with him and he will be missed. Mr. Herger? 5 [The opening statement ofChairman Thomas follows:] Opening Statement ofthe Hon, Bill Thomas, a Representative in Congress from the State ofCalifornia, and Chairman, Committee on Ways and Means Today, we vrdl examine the President's proposal to build on the success ofwelfare reform. Before 1996. our welfare system measured compassion by how many people were on the welfare rolls. Changes to our welfare system were fiercely resisted because there were some who rejected the notion that handouts were better than hand ups. Some in 1996 still couldn't conceive of a world where compassion's new measure would be how many people left welfare for work and independence. Immediately prior to the passage ofwelfare reform, for example, the Urban Institute forecasted that a million more children would enter povertyifwelfare reform prevailed. Others were more apocal>-ptic. The Children's Defense Fund predicted the welfare reform law "will hurt and impoverish millions ofchildren." Fortunately, these dire predictions never materialized. What have seen instead is a record of tremendous success in lifting children from poveny. promoting work, and ending dependence. Prior U) 1996, the average hfetime stay on welfare for famihes receiving benefits was 13 years. Since the peak in 1994 as reforms got underway in many states, case- loads have fallen by nine million—, from a record high of14 millionrecipients in 1994 tojust five millionpeople today that's a 60 percent drop. Welfare reform has lifted nearly three million people out ofpoverty. The African- American child poverty rate and' the poverty rate for children hving with single mothers are both at the lowest points in U.S. history. Between 1995 and 1999. the poorest 40 percent of single mother famihes in- creasedtheir earnings by about S2.300 on average. Welfare reform increased work, boosted incomes, unproved child poverty- and re- duced dependency. It has been a success. But we need tobuildthat success. Our priority- is to help more people successfully transition to work, because work is the onlyreal and permanent path out ofpoverty. Observers should note that the ground has shifted. Virtually no one today is sug- gesting that we go back to the old ways ofproviding checks and expecting httle of recipients. We largely agree that the new structure of welfare, with its emphasis on work and self-sufficiency, has provided opportunity and dignity to people who were once trapped in a failed system. Our debate to reauthorize welfare, as heated as it may become at times, is truly on the margins. Some ofthese margins as important. Such as: increasing meaning- ful education to enhance work. Such as: opportunities for better child care assist- ance. Joining us today to review the President's proposal for the next round ofwelfare reform is Secretary Tommy Thompson of the Department of Health and Human Services. Secretary Thompson was a national leader in the welfare reform move- ment as Governor ofWisconsin. Many of our Members worked closely with him to craft the 1996 law. We look forward to working closely with him in his current role to ensure that welfare reforms continue to help poor families go to work and achieve self-sufficiency. Prior to myrecognizingthe Chairman ofthe Human Resources Subcommittee. Mr Herger. the Chair would hke to acknowledge the loss of a friend of all of us, Dr. John Isenberg, who had helped estabhsh the physician pa\-ment re\-iew commission and then went on to—make sure that as director for the agency for Healthcare Re- search and Equahty in fact turning that institution around to make it a success, passed away this last week with very, very short notice. He was a very young, bright, energetic, and talented individual and I know we have all worked with him and he willbe missed. Mr. Herger. Thank you. Chairman Thomas. I will make my re- marks short this afternoon and submit my entire statement for the record. We welcome Secretary Thompson, a longtime expert on welfare reform. As Governor of Wisconsin, he acted based on what he knew, what we always knew about welfare, that dependence on benefits, on receiving a check without working for it. was a destruc- — 6 tive path. We knew this because we were warned. In a 1935 mes- sage to Congress, President Franklin Roosevelt, the author of the former welfare program told us, "The lessons of history show con- clusively that continued dependence upon relief induces a spiritual and moral disintegration, fundamentally destructive to the national fiber. To dole out relief in this way is to administer a narcotic, a subtle destroyer of the human spirit. It is in violation of the tradi- tions ofAmerica." Yet, by the early 1990s, that is what welfare had become, a de- stroyer of the human spirit. So Wisconsin first, and then other States, set about making common sense changes that benefited those once trapped on welfare by showing them the path off wel- fare, the path of work. This became the standard for the Nation's welfare reform program in 1996. By any measure, that program has been a tremendous success. The reason is clear. Work replaced welfare as the 1996 law in- tended. Some said it could not be done. Fortunately, they were wrong. But this story is still far from over and we cannot stop here. Today, Secretary Thompson will present the President's proposal to strengthen welfare reform in the future. As we will hear, he is of- fering a strong foundation for us to build on. Once again, we welcome Secretary Thompson and look forward to working with him to get this critical job done. Thank you, Mr. Chairman. [The opening statement ofMr. Herger follows:] OpeningStatementoftheHon. WallyHerger, a Representative in Congress fromthe State ofCalifornia We welcome Secretary Thompson, a long-time expert on welfare reform dating to his manyyears as GovernorofWisconsin. — Then-GovernorThompson acted based on what he knew whatwe always knew about welfare. That dependence on benefits, on receiving a check without working forit, was a destructive path. We knew this because we were warned. President Franklin Roosevelt, the author ofthe formerwelfare program, toldus: "The lessons ofhistory show conclusively thatcontinueddependence upon reliefinduces a spiritu.a.l. and moral disintegration fundamentally destruc- tive to the national fiber. To dole out reliefin this way is to administer a narcotic, a subtle destroyer ofthe human spirit. ... It is in violation ofthe traditions ofAmerica."^ — Yet by the early 1990s that is what welfare had become a destroyer of the human spirit. So Wisconsin first and then other states set about making common- sense changes t—hat benefited those once trapped on welfare by showing them the path offwelfare the path ofwork. This became the standard for the nation's wel- fare reform programin 1996. By anymeasure, thatprogramhas been a tremendous success. As Chairman Thomas mentioned, the number of children in poverty is down by nearly 3 million, and the poverty rate is at record lows for families most likely to fall into long-termdependence. The reason is clear. Work replaced welfare, as the 1996 law intended. Work by mothers most likely to go on welfare has risen by 40 percent. And caseloads plum- metedby 60 percent. These are unprecedented changes we all canbe pr—oudof But we sh—ould be even prouder ofthe millions ofTow-income parents mostly sin- gle mothers whose hard workmade a betterlife fortheirfamilies. Some said it couldn't be done. One group called the bill "reckless and wrong" and predicted it "will create a social catastrophe by cutting off critically needed assist- ance to millions ofour poorest children."^ The New York Times said "the effect on 1AnnualmessagetoCongress,January4, 1935. 2CatholicCharitiesUSA,pressrelease,August 1, 1996.