We are still learning how long COVID-19 vaccines can protect people. .She had a very tempting decision. If she "opted out" and decided not to take supplemental coverage through her former employer, she could join a new Medicare Advantage plan and pay Reducing prescription drug prices is a top issue for older voters. Seventy – two percent of survey participants support a proposal to tie Medicare Part D drugs prices to those paid in other industrialized nations, through the use of an "international drug pricing index" — an approach similar to prescription drug legislation passed by the House (H.R. 3). .TSCL enthusiastically supports H.R. 1030, H.R. 3118, and H.R. 1795, and we were pleased to see support grow for them this week. .The Senior Citizens League (TSCL) will be monitoring CR discussions in the Senate in the coming hours and days, and we will post updates on Facebook and Twitter. In addition, we will continue to monitor ongoing budget discussions since they are expected to include plans to repeal the Affordable Care Act. As was noted in a recent legislation update, repealing the law would impact the Medicare program in several ways. For instance, progress that has been made to close the prescription drug "doughnut hole" would be reversed, and the Hospital Insurance Trust Fund that finances Medicare Part A would lose an important stream of funding that the law created. The Trust Fund could face immediate depletion if eliminated. .This week, four new cosponsors signed on to Rep. Schwartz's (PA-13) Medicare Physician Payment Innovation Act (H.R. 5707), bringing the total up to eighteen. The new cosponsors are: Reps. Ed Perlmutter (CO-7), Gerald Connolly (VA-11), Mazie Hirono (HI-2), and Paul Tonko (NY-21). .Much of the debate over federal deficit reduction plans has been focused on overhauling Medicare and making changes to Social Security. But a major funding change is also under consideration for Medicaid, the federal and state program that covers medical care for lower-income individuals including seniors who also receive Medicare. As federal and state governments struggle to address Medicaid funding shortfalls, TSCL is concerned that Notch Babies, and the families who provide care for them, would be among those who would be hit the hardest by funding cuts. .The Potential Cost to Social Security Trust Fund Is Growing At An Unprecedented Pace .Last month, the Health and Human Services' watchdog agency announced plans to review the pace of inspections in nursing homes and barriers to completing them — referring to such checks as a "fundamental safeguard to ensure that nursing home residents are safe and receive high-quality care." .Before Obamacare "Glitch," There Was The Notch Glitch .How Safe Are Electronic Social Security Benefits From Fraud? premiums for her hospitalization, doctors' and outpatient coverage. In addition, the plan also offered hearing, vision, dental and Part D drug coverage. .TSCL believes that beneficiaries need to maintain the freedom to choose their plan, their providers, and how they get their care. "We urge CMS and states to ensure a thorough beneficiary education process and have provisions that allow care with existing providers, especially during the transition," Hyland says. .The following Members of Congress, among many others, will be holding town hall meetings this week: Sen. Michael Crapo (ID), Sen. Jerry Moran (KS), Rep. John Ratcliffe (TX-4), Rep. Gus Bilirakis (FL-12), Rep. Bradley Byrne (AL-1), Rep. Tom Cole (OK-4), Rep. Tom Emmer (MN-6), Rep. Tom Graves (GA-14), Rep. Doug LaMalfa (CA-1), Rep. Thomas Massie (KY-4), Rep. Susan Brooks (IN-5), and Rep. Robert Pittenger (NC-9). .Last year the House did pass a Medicare negotiations bill, which would cap out-of-pocket drug costs for older people and expand program benefits as well. But it has had no Republican support in the House, and it has no path forward in the Republican Senate because Senate Majority Leader Mitch McConnell (R-Ky.) has refused to bring it up for a vote. In addition, the White House calls it unworkable. .Senate Majority Leader Mitch McConnell (R-Ky.) has indicated he will not bring the bill up for a vote until he knows there are enough Republicans who support it so that it can pass. .Nevertheless, Congress is considering ways to "redesign" Medicare. The Congressional Budget Office (CBO) estimates that changing the cost-sharing rules for Medicare and restricting Medigap coverage would save the federal government 4 billion over the next ten years.[1] Medicare supplements, better known as Medigap, cover Medicare's deductibles and other out-of-pocket costs. The plans are popular with seniors because they provide financial certainty by reducing unexpected out-of-pocket expenses. .In 1988, a report by the former U. S. General Accounting Office, now the Government Accountability Office (GAO), cited an example of two sisters who started working at the same book bindery, on the same day, in October 195Audrey was born in March 1916, and Edith in June of 191The two had almost identical lifetime earnings. The younger sister Edith (born 1917) received a monthly benefit of 2.60, 1.80 less than her older sister Audrey (born 1916), who received 4.40 per month. .The number of employees at your company determines whether you must enroll at age 65, or whether you can delay, and keep your employer insurance. Because you work for a company with fewer than 20 employees, Medicare pays first once you turn 6That means, if you miss your initial enrollment deadline, you would not be able to use your former employer coverage, even if you and your employer continued to pay the premiums. People who work for companies with more than 20 employees may delay enrollment and keep their current coverage as long as they meet certain rules.