In 1996 Congress terminated Supplemental Society Income (SSI) benefits to i
ndividuals disabled by substance abuse. Although most were expected to cont
inue benefits under another disability category 64% were not reclassified.
This article examines data from a longitudinal study of individuals in Los
Angeles County affected by the legislation. While poor physical health pred
icted both continued SSI benefits and receipt of public income assistance,
many individuals reporting significant mental and physical health problems
were not reclassified and did not receive public income assistance, raising
concern for their welfare. Local safety nets may become increasingly impor
tant for this population.