National Secure Medical & DNA Records Repository Act

 

National Unified Medical Records Repository Act (NUMRRA)

Section 1. Short Title

This Act may be cited as the “National Unified Medical Records Repository Act” or NUMRRA.

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Section 2. Findings and Purpose

1. Findings:
   1.1. Complete, lifelong medical records (including mental health documentation and genetic profiles) can assist healthcare professionals in accurately diagnosing and treating patients.
   1.2. Permanent, centralized records facilitate medical research into inherited conditions and diseases, potentially leading to cures and preventative measures.
   1.3. Enhanced security measures are crucial to protect citizens’ sensitive health and genetic data from unauthorized access or misuse.

2. Purpose:
   2.1. To establish a national repository where all individuals’ medical, mental health, and DNA-related records are collected, preserved, and protected indefinitely.
   2.2. To provide healthcare professionals with comprehensive, up-to-date data on patient allergies, past treatments, and hereditary risks.
   2.3. To create a highly secure, multi-layered, encrypted environment that safeguards privacy while enabling beneficial medical research.

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Section 3. Definitions

For purposes of this Act:

1. Repository: The centralized database for storing all medical, mental health, and DNA records, administered under the authority of the Department of Health and Human Services (HHS).
2. Health Service Provider: Any individual or entity licensed or certified to provide healthcare, including but not limited to hospitals, clinics, mental health professionals, and telehealth services.
3. DNA Company: Any commercial or research entity that collects, sequences, or analyzes human genetic material.
4. Record: Any documentation relevant to an individual’s physical or mental health, genetic information, treatments, prescriptions, or diagnoses.

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Section 4. Mandatory Submission of Health and Genetic Records

1. Medical & Mental Health Records:
   1.1. All Health Service Providers shall submit any new or existing patient records—including diagnoses, prescriptions, and mental health evaluations—to the Repository.
   1.2. Records must be submitted within thirty (30) days of creation, modification, or receipt.

2. DNA Profiles:
   2.1. All DNA Companies, research institutions, and genetic testing providers shall securely transmit a digital copy of the individual’s DNA profile to the Repository upon completion of analysis.
   2.2. Individuals must receive a clear disclosure, at the time of DNA collection, that their profile will be stored in the Repository.

3. Permanent Retention:
   3.1. All submitted records shall be maintained indefinitely, ensuring continuous availability for healthcare providers, research institutions (with proper permissions), and authorized government entities.

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Section 5. Access and Privacy Protections

1. Authorized Access:
   1.1. Only licensed healthcare providers, authorized researchers (with institutional review board approval), and designated governmental agencies for health oversight may access individual records.
   1.2. Patient consent or legal authorization shall be required for any disclosures beyond standard treatment or emergency care.

2. Patient Identification:
   1.1. Each record shall be assigned a unique identifier linked solely to the individual’s official identity information.
   1.2. The HHS shall define standards for secure record identification and retrieval.

3. Opt-Out Provisions:
   1.1. Individuals may request restricted access for sensitive data categories (e.g., certain mental health or genetic details), subject to safety exceptions or court orders.

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Section 6. Security Measures

1. Multi-Layered Encryption:
   1.1. All data transmissions and storage within the Repository must utilize advanced encryption protocols, updated regularly to meet evolving cybersecurity threats.

2. Network Segmentation and Zero-Trust Architecture:
   1.1. The Repository shall be protected by a segmented network design, isolating sensitive data from public or external-facing systems.
   1.2. All access points require multi-factor authentication, robust logging, and continuous monitoring.

3. Regular Audits and Testing:
   1.1. The Government Accountability Office (GAO) and third-party security firms shall conduct annual penetration tests and audits.
   1.2. Findings shall be reported to Congress and the HHS, with remediation deadlines for identified vulnerabilities.

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Section 7. Enforcement and Penalties

1. Non-Compliance:
   1.1. Healthcare entities or DNA Companies failing to transmit records in a timely manner or violating security protocols may face civil penalties up to $50,000 per incident.
   1.2. Repeated or willful violations may result in suspension of operating licenses or further administrative sanctions.

2. Data Misuse and Breaches:
   1.1. Any entity found responsible for unauthorized disclosure or misuse of Repository data may be subject to criminal penalties, including fines and imprisonment, as prescribed by existing federal data protection laws.

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Section 8. Research Access

1. Regulated Research Use:
   1.1. Accredited universities, government agencies, and healthcare institutions may request access to anonymized or de-identified data for medical research on inherited conditions, disease patterns, or other public health interests.
   1.2. Such requests must be reviewed and approved by an independent ethical review panel ensuring compliance with privacy standards and subject protections.

2. De-Identification Procedures:
   1.1. The HHS shall establish stringent protocols to remove direct and indirect identifiers from shared datasets, safeguarding individual privacy while enabling valuable research.

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Section 9. Implementation

1. Timeline:
   1.1. This Act shall take effect one hundred eighty (180) days after enactment.
   1.2. Within one (1) year of enactment, the Repository shall be operational and begin accepting electronic submissions.

2. Guidelines and Regulations:
   1.1. The HHS, in consultation with the Department of Homeland Security (for cybersecurity expertise), shall develop additional regulations to ensure consistent implementation and compliance.

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Section 10. Severability

1. Invalidation of Specific Provisions:
   1.1. If any provision of this Act, or its application to any person or circumstance, is held invalid by a court of competent jurisdiction, the remainder of this Act and its application to other persons or circumstances shall not be affected.

A start to fixing the budget problem in the United States

 

The Balanced Budget and National Debt Reduction Act (BBNDRA)

Section 1. Short Title

This Act may be cited as the “Balanced Budget and National Debt Reduction Act” or BBNDRA.

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Section 2. Findings and Purpose

1. Findings:
   1.1. The United States’ growing national debt and recurring budget deficits pose long-term risks to economic stability, national security, and future generations’ prosperity.
   1.2. Balancing the federal budget and reducing the national debt require a combination of responsible spending, efficient government operations, and prudent revenue measures.
   1.3. A clear framework for deficit reduction and debt management can foster market confidence, promote sustainable economic growth, and safeguard critical public investments.

2. Purpose:
   2.1. To establish enforceable spending and revenue targets that achieve a balanced budget over a defined timeframe.
   2.2. To create mechanisms that gradually reduce the national debt through consistent annual debt-reduction milestones.
   2.3. To enhance transparency, accountability, and government efficiency by enacting structural reforms and limiting unwarranted federal spending.

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Section 3. Definitions

For purposes of this Act:

1. Balanced Budget: A federal budget in which total outlays for a fiscal year do not exceed total receipts.
2. Debt-to-GDP Ratio: The ratio of the total national debt to the nation’s Gross Domestic Product (GDP).
3. Primary Deficit: The difference between current federal spending (excluding interest payments on the debt) and current federal revenue for a given fiscal year.
4. Sequestration: Automatic across-the-board spending cuts triggered if budgetary targets set by this Act are not met.

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Section 4. Timetable for Balancing the Budget

1. Fiscal Targets:
   1.1. Beginning in Fiscal Year (FY) 2026, the federal budget shall reduce the primary deficit by at least 10% per year until the budget is balanced, relative to the primary deficit for FY 2025.
   1.2. No later than FY 2032, total federal outlays shall not exceed total federal receipts, achieving a fully balanced budget.

2. Annual Reporting:
   1.1. The Office of Management and Budget (OMB) and the Congressional Budget Office (CBO) shall jointly certify the nation’s compliance with the annual deficit reduction target.
   1.2. If the annual target is not met, provisions in Section 8 (Sequestration) shall be triggered unless new legislative measures are enacted to correct the shortfall.

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Section 5. National Debt Reduction Strategy

1. Debt Reduction Milestones:
   1.1. Beginning in FY 2026, the Secretary of the Treasury shall publish an annual Debt Reduction Report establishing year-by-year targets to reduce the debt-to-GDP ratio.
   1.2. These targets shall aim to lower the debt-to-GDP ratio by a minimum of 2% every two (2) years from the FY 2026 level, continuing until it falls below 60%.

2. Mandatory Debt Payments:
   1.1. Any budget surplus achieved under this Act shall be applied toward the principal reduction of publicly held debt.
   1.2. Such payments shall be allocated automatically unless Congress directs otherwise via legislation signed into law by the President.

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Section 6. Revenue and Tax Policy

1. Revenue Stabilization Measures:
   1.1. A bipartisan commission, formed by the Chairpersons of the House Committee on Ways and Means and the Senate Committee on Finance, shall review tax policies annually to recommend adjustments that ensure stable revenue streams.
   1.2. Recommendations may include reducing tax loopholes, simplifying the tax code, or adjusting rates for high-income earners to meet revenue shortfalls.

2. Pay-As-You-Go (PAYGO) Rule:
   1.1. All newly proposed mandatory spending increases or tax cuts must include corresponding revenue increases or spending offsets to maintain budget neutrality.
   1.2. Any legislation failing to meet PAYGO requirements shall be subject to an automatic sequestration in an amount sufficient to offset the fiscal impact.

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Section 7. Spending Reforms and Efficiency

1. Spending Caps:
   1.1. Discretionary spending caps shall be imposed for all major federal departments and agencies, subject to adjustment only by a three-fifths supermajority vote in both the House of Representatives and the Senate.
   1.2. The caps shall be set at levels consistent with the annual deficit reduction goals in Section 4 and the debt reduction targets in Section 5.

2. Program Performance Reviews:
   1.1. Every federal department and agency shall undergo a biannual performance audit by the Government Accountability Office (GAO).
   1.2. Programs identified as duplicative, inefficient, or redundant shall be consolidated, restructured, or eliminated. Savings realized shall be redirected to deficit and debt reduction, or to sustain critical programs with demonstrated high effectiveness.

3. Fraud and Waste Reduction:
   1.1. The Inspector General of each federal agency shall establish a comprehensive program to detect and prevent fraud, waste, and abuse of public funds.
   1.2. The OMB shall publish an annual report quantifying recovered funds and cost savings related to fraud-prevention measures.

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Section 8. Sequestration Enforcement

1. Triggering Sequestration:
   1.1. If the federal government fails to achieve the annual deficit reduction target under Section 4 or if spending caps under Section 7 are exceeded, sequestration shall be triggered automatically.
   1.2. Sequestration cuts shall be applied across non-exempt discretionary and mandatory programs to the degree necessary to realign expenditures with the targets.

2. Exempt Programs:
   1.1. Certain essential programs, including Social Security retirement benefits and Veterans’ benefits, may be exempt from sequestration to protect vulnerable populations.
   1.2. The Director of the OMB, in consultation with Congress, shall compile a list of any newly exempt programs and provide justification for exemption in the annual budget submission.

3. Release from Sequestration:
   1.1. Sequestration measures remain in effect until compliance with the targets is certified by the OMB and CBO.
   1.2. Congress may pass corrective legislation with a three-fifths supermajority in both chambers to override or modify sequestration.

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Section 9. Transparency and Public Accountability

1. Public Debt Dashboard:
   1.1. The Department of the Treasury shall maintain an online, real-time dashboard tracking the national debt, deficit levels, and progress toward meeting the goals set forth in this Act.
   1.2. This dashboard shall be freely accessible to the public and updated at least monthly with clear data visualizations.

2. Citizen Oversight Board:
   1.1. A non-partisan Citizen Oversight Board of up to fifteen (15) members appointed by the Comptroller General shall review budgetary data and hold public forums to solicit input on federal spending priorities.
   1.2. The Board’s findings shall be submitted to Congress and publicly posted.

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Section 10. Effective Date and Severability

1. Effective Date:
   1.1. This Act shall take effect one hundred eighty (180) days after its enactment.
   1.2. The Secretary of the Treasury, in consultation with the OMB and relevant congressional committees, shall promulgate any necessary regulations within that timeframe.

2. Severability:
   1.1. If any provision of this Act, or its application to any person or circumstance, is held invalid by a court of competent jurisdiction, the remainder of this Act and the application of that provision to other persons or circumstances shall not be affected.

A Bill I would Propose for helping to fix Social Security

 

Section 1. Short Title

This Act may be cited as the “American Basic Income Guarantee Act” or ABIGA.

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Section 2. Findings and Purpose

1. Findings:
   1.1. Rapid technological advancement and global economic shifts have changed the nature of work and income security.
   1.2. Many Americans face economic instability due to job displacement, wage stagnation, and the rising cost of living.
   1.3. Providing a guaranteed basic income to every adult American citizen could alleviate poverty, stimulate the economy, and foster innovation and entrepreneurship.

2. Purpose:
   2.1. To establish a universal, unconditional basic income for all eligible American citizens as a foundational safety net.
   2.2. To support individuals and families in meeting basic needs such as housing, food, healthcare, and education.
   2.3. To reduce government administrative burdens and complexity by consolidating or simplifying certain means-tested programs.
   2.4. To promote economic stability, encourage consumer spending, and enable Americans to invest in their futures.

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Section 3. Definitions

For purposes of this Act:

1. Basic Income Payment (BIP): A fixed monthly cash benefit distributed to eligible American citizens under this Act.
2. Eligible American Citizen: Any U.S. citizen, aged eighteen (18) or older, who maintains primary residence in the United States.
3. Means-Tested Program: Any existing federal or state social welfare program that restricts eligibility based on household income, assets, or other financial measures.

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Section 4. Eligibility and Disbursement

1. Universal Eligibility:
   1.1. Every American citizen aged eighteen (18) or older shall be entitled to receive the Basic Income Payment, unless otherwise disqualified under Section 4.2.
   1.2. Eligibility shall not be conditioned on employment status, income level, family size, or marital status.

2. Disqualifications:
   2.1. Individuals who are incarcerated for felony offenses shall not receive payments during the period of incarceration.
   2.2. Citizenship status must be verified using existing DHS and State Department protocols.

3. Payment Structure:
   3.1. The Basic Income Payment amount shall initially be set at a monthly rate determined by the Secretary of the Treasury, in consultation with the Secretary of Health and Human Services, and adjusted annually for inflation.
   3.2. Payments shall be disbursed on a monthly basis, via direct deposit to a verified bank account or through other secure methods approved by the Department of the Treasury.

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Section 5. Funding

1. Allocation of Funds:
   1.1. The Basic Income Payment shall be funded through a combination of revenue streams, including but not limited to:
   - A modest increase in certain progressive tax rates above a high-income threshold;
   - Reallocation of funds from consolidated or reduced means-tested programs, as deemed appropriate by Congress;
   - Implementation of a modest financial transaction tax or similar measure.

2. Reserve Fund:
   2.1. A Reserve Fund shall be established to stabilize the Basic Income Payment during economic downturns. This fund shall receive a portion of revenue surpluses during periods of strong economic growth.

3. Annual Budgetary Review:
   3.1. Congress shall review the funding and sustainability of the Basic Income Payment during the annual budget cycle.
   3.2. Adjustments to payment amounts or funding mechanisms shall be subject to the standard legislative process.

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Section 6. Interactions with Existing Programs

1. Integration and Simplification:
   1.1. Congress shall evaluate existing means-tested programs to determine whether they can be consolidated, reduced, or phased out without causing harm to the most vulnerable.
   1.2. The Basic Income Payment is intended to partially replace some forms of government assistance, though individuals or households with special needs (e.g., disability, major medical expenses) may remain eligible for targeted benefits.

2. No Double Counting:
   2.1. If a means-tested benefit is reduced or eliminated, any savings realized may be directed toward sustaining or increasing the Basic Income Payment.

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Section 7. Implementation

1. Administrative Agency:
   1.1. The Secretary of the Treasury, in coordination with the Social Security Administration (SSA) and other relevant agencies, shall be responsible for administering the Basic Income Payment.
   1.2. The Treasury shall maintain a database of all eligible citizens and facilitate the distribution of payments.

2. Phase-In Period:
   2.1. The program shall be phased in over a period of two (2) years to allow for the necessary logistical and infrastructural arrangements.
   2.2. During the phase-in, pilot programs may be conducted to test payment mechanisms and resolve implementation challenges.

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Section 8. Enforcement

1. Penalties for Fraud:
   1.1. Any individual found to have willfully misrepresented information to collect a Basic Income Payment shall be subject to civil and criminal penalties, including repayment of improperly collected funds and possible fines.
   1.2. Enforcement shall be overseen by the Inspector General of the Department of the Treasury.

2. Program Integrity:
   1.1. Regular audits of the Basic Income Payment system shall be performed by the Government Accountability Office (GAO) to ensure accurate disbursements and detect fraud or abuse.

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Section 9. Oversight and Reporting

1. Annual Report:
   1.1. The Secretary of the Treasury shall submit an annual report to Congress detailing:
   - The total number of recipients and total amount disbursed;
   - The program’s impact on poverty rates and median household income;
   - Any recommendations for legislative or administrative improvements.

2. Congressional Review:
   2.1. Within five (5) years of full implementation, Congress shall conduct a comprehensive review of the Basic Income Payment’s impact on the economy, employment, public health, and other relevant indicators to determine if modifications are needed.

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Section 10. Effective Date and Severability

1. Effective Date:
   1.1. This Act shall take effect one hundred eighty (180) days after enactment, with the two-year phase-in beginning upon the effective date.
   1.2. The Secretary of the Treasury shall issue any necessary regulations to implement this Act during the phase-in period.

2. Severability:
   2.1. If any provision of this Act, or its application to any person or circumstance, is held invalid by a court of competent jurisdiction, the remainder of this Act and the application of such provision to other persons or circumstances shall not be affected.

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Note: This proposed law—ABIGA—is designed to provide a foundational income for all adult American citizens, reduce administrative overhead, and promote economic stability. In reality, detailed studies of its economic feasibility, inflationary impact, funding sources, and interactions with state and local governments would be necessary before any such legislation could be considered.

You said:

write a bill that would fix social security and make it stronger like the railroad retirement

Below is a hypothetical bill drafted in the style of U.S. federal legislation. It proposes reforms to bolster Social Security by incorporating certain features observed in the Railroad Retirement system, along with other measures to ensure long-term solvency. Please note this is an illustrative example, not actual legislation or legal advice.

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The Social Security Stabilization and Enhancement Act (SSSEA)

Section 1. Short Title

This Act may be cited as the “Social Security Stabilization and Enhancement Act” or SSSEA.

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Section 2. Findings and Purpose

1. Findings:
   1.1. Social Security is a cornerstone of financial security for millions of retired and disabled Americans.
   1.2. The Social Security Trust Fund faces long-term funding challenges due to demographic shifts, increased longevity, and historical underfunding.
   1.3. The Railroad Retirement system, which is partially modeled on Social Security but supplemented with additional funding mechanisms and features, has maintained a more stable reserve.
   1.4. Strengthening Social Security’s revenue streams and adjusting benefit structures can ensure solvency for future generations.

2. Purpose:
   2.1. To stabilize and enhance the Social Security program’s Trust Funds by creating new funding sources and modifying existing revenue streams.
   2.2. To provide more secure benefits, encourage workforce participation, and adjust eligibility rules in a fair, transparent manner.
   2.3. To adopt best practices from the Railroad Retirement system, ensuring stability and adequacy of benefits.

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Section 3. Definitions

For the purposes of this Act:

1. Social Security Program: The Old-Age, Survivors, and Disability Insurance (OASDI) programs as administered by the Social Security Administration (SSA).
2. Trust Fund: The Old-Age and Survivors Insurance (OASI) Trust Fund and the Disability Insurance (DI) Trust Fund.
3. Taxable Wage Base: The maximum amount of earned income subject to Social Security payroll taxes under 42 U.S.C. § 430.
4. Railroad Retirement: The retirement program administered by the Railroad Retirement Board (RRB), which provides retirement and survivor benefits to eligible railroad workers.

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Section 4. Adjustments to Taxable Wage Base and Contribution Rates

1. Incremental Increase of Taxable Wage Base:
   1.1. The Secretary of the Treasury shall incrementally raise the Social Security taxable wage base over a five-year period to ensure higher-income earners contribute a fair share.
   1.2. Beginning in the first year after enactment, the taxable wage base shall increase by an additional $25,000 over the current limit each year, until fully phased in, or until it reaches a threshold determined by an annual cost-of-living-based formula.

2. Progressive Payroll Tax Adjustments:
   1.1. For individuals earning above the newly adjusted wage base, an additional payroll surtax of 1% shall be applied to income exceeding the taxable wage base, up to a maximum of 3% phased in over three years.
   1.2. The Secretary of the Treasury shall review these rates every five years and make recommendations to Congress for further adjustments to maintain long-term solvency.

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Section 5. Enhanced Reserve and Investment Mechanisms

1. Creation of a Social Security Reserve Investment Board (SSRIB):
   1.1. A new board, analogous to the Railroad Retirement Investment Board, shall oversee the portion of Trust Fund assets designated for investment in a diversified portfolio (e.g., low-risk bonds, conservative index funds).
   1.2. The SSRIB shall be composed of representatives from the Treasury, the Social Security Administration, and experts in retirement fund management, appointed by the President and confirmed by the Senate.
   1.3. The SSRIB shall report annually to Congress and the public on the performance, allocation, and management of these investments.

2. Investment Policy Safeguards:
   2.1. All investments must meet strict fiduciary standards to minimize risk and avoid conflicts of interest.
   2.2. No more than a fixed percentage—initially set at 15%—of the Trust Fund reserves may be invested in equities (stock-index funds), ensuring diversification with government bonds and other stable instruments.
   2.3. The Government Accountability Office (GAO) shall conduct periodic audits of the SSRIB’s activities and report findings to Congress.

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Section 6. Benefit Computation and Adjustments

1. Cost-of-Living Adjustments (COLA) Alignment:
   1.1. The formula for annual COLA shall be reviewed every three years to ensure it accurately reflects costs faced by senior citizens, including medical expenses.
   1.2. An “Elder Index” factor, similar to the concept used in Railroad Retirement, may be incorporated to better track healthcare and living costs specific to retirees.

2. Minimum Benefit Guarantee:
   1.1. A new floor for Social Security benefits, set at a percentage of the federal poverty level, shall be created for workers with at least 30 years of covered earnings.
   1.2. This measure is intended to reduce old-age poverty, similar to Railroad Retirement Tier 1 provisions.

3. Delayed Retirement Credits:
   1.1. To encourage extended workforce participation and reward those who work longer, the delayed retirement credit rate shall be increased by a fraction of one percent annually over five years, capping at an additional 10%.
   1.2. The SSA shall conduct outreach to inform near-retirees about the financial advantages of deferring benefits.

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Section 7. Disability Insurance Provisions

1. Separate Solvency for DI Trust Fund:
   1.1. The Disability Insurance (DI) portion of the Trust Fund shall receive an incremental increase in payroll tax allocations (0.2%) phased in over three years, ensuring a dedicated revenue stream.
   1.2. This increase shall reduce the need for interfund borrowing and provide sustainable benefits for disabled workers.

2. Return-to-Work Incentives:
   1.1. A pilot program mirroring the Railroad Retirement system’s partial disability approach shall be introduced, offering partial benefits to those able to work part-time without losing all disability coverage.
   1.2. The SSA, in collaboration with the Department of Labor, shall establish workforce re-entry programs to assist disabled individuals who wish to transition back to gainful employment.

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Section 8. Government Accountability and Oversight

1. Annual Actuarial Report:
   1.1. The Chief Actuary of the SSA shall prepare an annual report assessing the solvency of the Trust Funds under the revised revenue, benefit, and investment structures.
   1.2. This report shall be submitted to the President and to Congress for review and potential legislative action if the long-range actuarial balance falls below defined thresholds.

2. Comptroller General Review:
   1.1. The GAO shall conduct periodic reviews to evaluate the implementation of this Act, including any changes to the taxable wage base, new investments, and benefit computations.
   1.2. The Comptroller General shall provide recommendations for any necessary statutory or regulatory revisions.

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Section 9. Sunset and Reauthorization

1. Reevaluation Period:
   1.1. Ten (10) years after the effective date of this Act, Congress shall conduct a comprehensive review of the Social Security program to determine whether further adjustments are required.
   1.2. If the program remains solvent at actuarially sound levels (75-year projections), provisions of this Act shall continue without modification. Otherwise, Congress shall propose reauthorizing or amending the Act.

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Section 10. Effective Date and Severability

1. Effective Date:
   1.1. This Act shall take effect one hundred eighty (180) days after its enactment.
   1.2. The Secretary of the Treasury and the Commissioner of Social Security shall issue any necessary regulations to implement the provisions of this Act before the effective date.

2. Severability:
   2.1. If any provision of this Act, or its application to any person or circumstance, is held invalid, the remainder of this Act and the application of its provisions to other persons or circumstances shall not be affected.