Is the 2010 Affordable Care Act minimum standard to identify disability in all national datasets good enough for policy purposes?

Academic Article

Abstract

  • We provide a face validity test of the Department of Health and Human Services' (HHS) approved minimum six-question sequence (6QS) to capture the population with disabilities. Using linked 2009 Current Population Survey/Social Security Administration records data we find that the 6QS captures 66.3% of those whom administrative records confirm are receiving disability-based Social Security benefits. Adding a work-activity question increases our capture rate to 89.3%. We find little difference in the distribution of conditions of those reporting only a 6QS-based disability and those only reporting a work activity-based disability. The four function-related questions do a relatively good job of capturing beneficiaries based on these conditions. But the work-activity question does a far better job of capturing beneficiaries than do the two activity-related questions. We conclude that the 6QS is fundamentally flawed and that any minimum standard for capturing the population with disabilities must include a work-activity question.
  • Authors

  • Burkhauser, Richard V
  • Fisher, T Lynn
  • Houtenville, Andrew
  • Tennant, Jennifer R
  • Status

    Publication Date

  • November 2014
  • Has Subject Area

    Keywords

  • Americans with Disabilities Act (ADA)
  • Current Population Survey
  • activity limitations
  • disability
  • health statistics
  • labor force participation
  • survey measurement
  • Digital Object Identifier (doi)

    Start Page

  • 217
  • End Page

  • 245
  • Volume

  • 39
  • Issue

  • 4