cardiovascular. The majority (about 60 percent) have been for congenital heart disease. The next three largest categories, at 6 to 7 percent each, have been for arrhythmias, aortic valve disorders, and valvular heart disease or other stenotic defects.7

The annual number of cardiovascular allowances to SSI children has been about 3,400 (3,600 in 2009). The annual allowance rate has been about 47 percent for the past decade. In recent years, approximately three-quarters of the allowances have been based on meeting or medically equaling the congenital heart disease listings (4.06 and 104.06), 6 percent were for meeting or medically equaling other cardiovascular listings, and 19 to 20 percent were for functionally equaling the listings.


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Lewin-VHI, Inc. 1995. Labor market conditions, socioeconomic factors, and the growth of applications and awards for SSDI and SSI disability benefits: Final report. Washington, D.C.: Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation and Social Security Administration. May 23.

Lloyd-Jones, D., R. J. Adams, T. M. Brown, M. Carnethon, S. Dai, G. De Simone, T. B. Ferguson, E. Ford, K. Furie, C. Gillespie, A. Go, K. Greenlund, N. Haase, S. Hailpern, P. M. Ho, V. Howard, B. Kissela, S. Kittner, D. Lackland, L. Lisabeth, A. Marelli, M. M. McDermott, J. Meigs, D. Mozaffarian, M. Mussolino, G. Nichol, V. Roger, W. Rosamond, R. Sacco, P. Sorlie, R. Stafford, T. Thom, S. Wasserthiel-Smoller, N. D. Wong, and J. Wylie-Rosett, on behalf of the American Heart Association Statistics Committee Stroke Statistics Subcommittee. 2010. Heart disease and stroke statistics—2010 update: A report from the American Heart Association. Circulation 121(7):e46–2e15.

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NHLBI. 2009. Morbidity & mortality: 2009 chart book on cardiovascular, lung, and blood diseases. Bethesda, MD: NHLBI. (accessed June 2, 2010).

SSA (Social Security Administration). 2009a. Annual statistical report on the Social Security Disability Insurance Program, 2008. (accessed June 2, 2010).

SSA. 2009b. SSI annual statistical report, 2008. (accessed June 2, 2010).


The numbers and percentages in this section on initial claims by child for cardiovascular impairments are based on IOM staff analyses of unpublished data provided by SSA.

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