Wilbur Mills

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Congress enacted the Congressional Budget Act of 1974, establishing the modern federal budget process and creating the budget reconciliation procedure for the first time. The law created the House and Senate Budget Committees, the Congressional Budget Office, and a structured annual timeline requiring Congress to adopt a concurrent budget resolution each spring. The reconciliation provision allowed Congress to direct committees to change spending and revenue levels to comply with the budget resolution, bypassing the Senate filibuster for fiscal legislation.

President Lyndon B. Johnson signs the Social Security Amendments of 1965 (P.L. 89-97) into law at the Harry S. Truman Presidential Library in Independence, Missouri, honoring Truman's long-failed push for national health insurance. The law adds Title XVIII (Medicare) and Title XIX (Medicaid) to the Social Security Act. Medicaid creates a joint federal-state program to provide health care to low-income families, the elderly poor, disabled, and blind. Truman, age 81, is the first person enrolled in Medicare. In its first year, federal Medicaid and Medicare spending totals approximately $2.2 billion.