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==Titles== The Social Security Act has been amended significantly over time. The initial act had ten major titles, with Title XI outlining definitions and regulations. More titles were added as the Social Security Act was amended. ===Title I—Old age=== Title I is designed to give money to states to provide assistance to aged individuals. ===Title II—Treasury account=== Title II establishes the Treasury account used to pay for Social Security benefits and gives the Secretary of the Treasury the authority to invest excess reserves from the account. ===Title III—Unemployment=== Title III concerns unemployment insurance. ===Title IV—Child aid=== Title IV concerns [[Aid to Families with Dependent Children]]. ===Title V—Child welfare=== Title V concerns maternal and child welfare. ===Title VI—Public health=== Title VI concerns public health services (investigation of disease and problems of sanitation). It grants the Surgeon General the power to distribute money to the States for that purpose with the approval of the Secretary of the Treasury. ===Title VII—Social Security Board=== Title VII establishes the Social Security Board and outlines that it is to be composed of three appointees chosen by the President and approved by the Senate and serving for six years. ===Title VIII—Taxes with respect to employment=== Title VIII establishes a [[payroll tax]] used to fund Social Security. In the amendments of 1939, the tax was removed from the Social Security Act, placed in the Internal Revenue Code, and renamed the [[Federal Insurance Contributions Act]]. When [[Medicare (United States)|Medicare]] was established in 1966, the FICA tax was increased to fund that program as well. ===Title IX—Tax on employers of eight or more=== Title IX establishes an [[excise tax]] to be paid on the first day of every year by employers proportional to the total wages of their employees. It also establishes the first federal [[unemployment insurance]] program in the United States. ===Title X—Blindness=== Title X concerns support for blind people.<ref name=Achene>Achene, Andrew (1986). Social Security Visions and Revisions. New York: [[Cambridge University Press]]. p. 25-6.</ref> ===Title XI—General Provisions, Peer Review, Progressive Sampling, and Administrative Simplification=== ===Title XII—Advances to State Unemployment Funds=== ===Title XIII—Reconversion Unemployment Benefits for Seamen=== ===Title XIV—Grants to States for Aid to the Permanently and Totally Disabled=== ===Title XV—Unemployment Compensation for Federal Employees=== ===Title XVI—Grants to States for Aid to the Aged, Blind, or Disabled=== ===Title XVI—Supplemental Security Income for the Aged, Blind, and Disabled=== Title XVI establishes and concerns [[Supplemental Security Income|Supplemental Security Income (SSI)]]. ===Title XVII—Grants for Planning Comprehensive Action to Combat Mental Retardation=== ===Title XVIII—Health Insurance for the Aged and Disabled=== Title XVIII establishes and concerns [[Medicare (United States)|Medicare]]. ===Title XIX—Grants to States for Medical Assistance Programs=== Title XIX establishes and concerns [[Medicaid]]. ===Title XX—Block Grants to States for Social Services=== Title XX establishes the rules for state-specific shares of the federal cap according to a formula.<ref>{{Cite web |last=Illinois Department of Human Services |title=Title XX Social Services Reports |url=https://www.dhs.state.il.us/page.aspx?item=31680#:~:text=What%20is%20Title%20XX%3F,which%20is%20specified%20in%20statute. |access-date=July 6, 2023}}</ref> ===Title XXI—State Children's Health Insurance Program=== Title XXI establishes and concerns [[Children's Health Insurance Program|CHIP]].{{expand section|date=September 2016}}
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