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Category Legislative News Page 24
TSCL's all-volunteer Board of Trustees and legislative team – including former Congressman David Funderburk and Mrs. Betty Funderburk – look forward to working with both new and veteran lawmakers on the issues that are important to senior citizens, like those mentioned above. We will work tirelessly in the 113th Congress to ensure that seniors receive the retirement security they have earned and deserve. .The number of observation patients has exploded 88 percent over the past six years, according to the Medicare Payment Advisory Commission. Medicare has tightened rules for hospital admissions, and usually won't pay for admitted patients who should have been designated as observation status. Consequently, hospitals have increased their share of observation patients. But the rule is not the same for people's private insurance like Medicare Advantage. Most Medicare Advantage plans don't require their enrollees to have a three-day hospital admission in order to receive nursing home coverage, according to an analysis by Avalere Health research firm. .Voters are worried about the impact that midterm elections could have on Social Security benefits. The U.S. Congressional Budget Office estimates that recent tax reform will add .8 trillion to the federal deficit over the next 10 years. To make matters worse, the Social Security trustees recently reported program financing has eroded, and estimated that the trust funds will run short by 2034, due to lower-than-expected revenue from tax law changes. … Continued
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Legislative Update Week Ending June 24 2016
The Drug Plan Finder can help you get very specific information because you can input the prescriptions you currently use and then find the lowest cost plan that covers your drugs. However, the lowest cost plan may not always be your wisest choice, especially since your doctor may change your prescriptions in the future or you may be close to the doughnut hole coverage gap. You may benefit by spending a little more and getting a plan that covers 95% of all drugs and covers at least generics in the gap. .However, if a waiver would have been included in the Covid relief bill Senate rules would have required there that 60 votes in favor of passage would be needed instead of a simple majority of 51. .According to a report in Bloomberg Government News, "Centrist Democrats in the House are pushing to shrink their party's health-care wish list to focus more on low-income Americans, a move backed by industry groups including dentists who say a narrower focus is better policy. … Continued
Medicare investigations returned for every dollar invested in recent years. Let's tell Congress to stop being so "penny wise and pound foolish." Sequester cuts are like writing a blank check for crooks, and have no place in Medicare fraud control programs. Ask your Member of Congress to cosponsor The PRIME Act (H.R. 2305) and (S.1123.) .If you do not want to receive e-mails from us in the future, please unsubscribe here. .Foster testified before our committee that changes included in the health care law will cut funding for hospitals, skilled nursing homes, diagnostic labs and many other services by more than half the levels under prior law. In addition, future Medicare payments will be considerably below the current relative level. These rates would cause a significant number of providers to leave the market. .Once non-citizen workers obtain a valid SSN, they can provide SSA with evidence of earnings reports from unauthorized employment prior to receiving their SSN. Their earnings will be reinstated under their valid SSN. In addition when a person files for benefits, a SSA employee reviews the earnings record with the worker and assists to establish any earnings that are not shown or are not correctly posted. .Separately, the House Ways and Means Committee Means Committee approved the largest expansion of Medicare since the addition of drug benefits two decades ago. .Congressional Republicans have also indicated opposition to the administration's proposal, saying it breaks from GOP philosophy by linking U.S. prices to those in other countries where there are price controls. While they like it in part, some Democrats have said it does not go far enough in lowering prices. The change would only lower prices for physician-administered drugs for people on Medicare, meaning people with private insurance and people getting drugs at the pharmacy counter would not benefit from lower prices. . Double check the price quote that you received by checking the difference in price between several retail walk-in pharmacies and Humana's mail-in. Sometimes the price can be very different between the two. I learned that my drug plan's mail-in pharmacy would charge me 3 for three albuterol inhalers. The small local walk-in pharmacy was still charging just 1.99 for three. Often, mail order can be less expensive than walk-in retail. Check for each separate drug. You can use the Medicare drug plan finder to help you look up your plan and learn the cost of your co-pay or co-insurance. .Action on Capitol Hill slowed down this week as Members of Congress returned to their home states and districts for the week-long holiday recess. Meanwhile, The Senior Citizens League (TSCL) announced its support for Medicare fraud prevention legislation, and one key bill gained a new cosponsor. .Sources: "Preliminary Estimate of the Budgetary Effects of Using the Chained CPI Starting in 2014," Congressional Budget Office, March 1, 2013.
