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    The witnesses at this hearing defended a number of payment provisions that may expire if Congress doesn't act soon, including add-on payments for mental health and ambulance services, and hold harmless payments for rural hospitals. When looked at separately the costs of these provisions seem minor, but if each of them were to expire at the end of this year, the federal government would save billion. The potential savings attracted most at the hearing, but Ranking Member Pete Stark (CA) reminded the Subcommittee that many of the provisions "ensure critical access to needy Medicare beneficiaries." .If your prescription drug costs are outgrowing your ability to pay for your medicine, look into Medicare's "Extra Help" program. The program helps pay for some, or most, of the costs of Medicare prescription drug coverage, depending on income. In addition, there's no doughnut hole coverage gap that leaves you footing the bill for a larger share of the co-insurance, there's no late enrollment penalty, and you have the chance to switch plans at any time. According to the 2018 Medicare & You Handbook, drug costs in 2018 for people who qualify will be no more than .35 for generics and .35 for brand-name drugs. .The second issue is the COLA – specifically next year's COLA. … Continued

  • Legislative Update December 2016

    It's hard to say until you crunch the numbers. You may qualify for Social Security benefits with as little as ten years of work through your self-employment. But even if you do, you will be subject to the Windfall Elimination Provision (WEP) which reduces Social Security benefits when you receive a pension based on non-covered government employment. .This week, action on Capitol Hill remained slow as the fall recess continued. .Even though I'm not on Medicare yet, these new quality initiatives will, one way or another will affect most patients, even those like me who are still under the age of 65 as doctors reorganize. I felt dumped. … Continued

TSCL Endorses Two New House Bills .An alternate measure of inflation, the Supplemental Poverty Measure, indicates that the number of older adults who are living in poverty is larger than what the "official" poverty measure reports, according to a recent analysis from the non-partisan Kaiser Family Foundation. The way in which the government measures poverty is important because eligibility for critical low–income programs such as Medicaid, food stamps, and rental subsidies is determined by income, and tied to the "official" U.S. poverty measure. A greater number of needy people would qualify for safety-net programs like Medicaid, if the government were to use the more accurate Supplemental Poverty Measure to determine eligibility. .Members on both sides of the aisle seemed eager to tackle corporate tax reform, but there was a clear divide on the panel when it came to the Social Security payroll tax holiday. Co-chair Patty Murray (WA) and Senate Minority Whip Jon Kyl (AZ) both seemed skeptical about President Obama's recent proposal to cut the payroll tax in half for both employees and employers next year. When asked whether short-term tax cuts typically succeed in stimulating the economy, Barthold responded "yes" without hesitation. However, he said that such short-term cuts for employers generally do not lead to job creation. .Earlier this year, I introduced the Today's American Dream Act (H.R. 1084) to ensure that mature workers can get those new skills and get back to work. This bill contains two key provisions. The first creates and expands computer skill and resume writing job-training programs, exclusively for workers over the age of 5The second adds greater flexibility to existing programs so they can better target and serve mature workers who have unique skill gaps and needs, often because of family commitments. .What happens when Congress waits too long to address a Social Security funding crisis? Deeper benefit cuts, sudden tax increases, and glitches in the implementation of reforms that can lead to significant benefit inequities between people close to each other in age. Consider the case of the Social. Benefit Bulletin: June 2013 What Caused The Social Security Notch? .Are you at risk of a notch in your Social Security benefits? A & 8220;notch& 8221; refers to inequality in benefits between people who are close in age and have similar earnings records. One birth group receives significantly more in benefits, sometimes thousands of dollars per year, than. Benefit Bulletin: March/April 2013 ,000 Notch Fairness Act Reintroduced .As you have learned, there's a long lag time between the year you earned the money and when you get the notice from Social Security. Social Security makes the adjustments based on your W2s and tax returns. Making matters worse, the earnings limit is adjusted annually and was even lower in prior years. In 2018 the limit was ,040 and in 2017, ,920. In addition, the notice you received would likely only pertain to one year of earnings, and you possibly could receive a similar notice next year and go through the process of withheld benefits all over again. .Last week White House Chief of Staff Mark Meadows announced that President Trump would soon be signing three executive orders regarding prescription drug prices. While he did not provide any further information the Washington Post published an article about what one of the orders is likely to be. .My husband survived cancer but his healthcare costs depleted our savings. Do you have suggestions for coping with debt in retirement?