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  • Ask The Advisor 2

    By Representative Al Lawson (FL-05) .President Trump recently released a proposal that could change the way drugs are sold in the U.S. Patients have been forced to pay out-of-pocket costs based on the rising list price of drugs. The proposal would require that often-secretive discounts or rebates, received by pharmacy benefit managers from drug companies, would have to be credited at the pharmacy when a patient fills a prescription. For patients who need expensive drugs, out-of-pocket costs are likely to go down. .Low-income seniors and disabled adults who qualify for benefits under both Medicare and Medicaid frequently have multiple chronic health problems, and more than half have cognitive or mental impairments. More than half of dual eligibles also have annual incomes of less than ,000, and are more likely to receive nursing … Continued

  • U S Ranks Lower Slovenia Generosity Social Security Benefits

    While felony fugitives are prohibited from receiving SSI payments, there is no such prohibition on benefits from Social Security`s main program, which pays retirement, survivors, and disability benefits. Auditors have asked Congress to bar fugitives from receiving payment from Social Security`s other programs as well. Congress is `studying` the recommendation. .If signed into law, the Medicare Advantage Participant Bill of Rights Act would prevent Medicare Advantage plans from dropping physicians from their networks during the middle of the year, and it would require them to finalize their networks sixty days prior to the start of the open enrollment period. .Since 1980, the BLS has manipulated the CPI several times so that it no longer measures price inflation. Rather, it measures an ever-changing "market basket" of goods that is adjusted as prices drop and increase. It assumes that shoppers will purchase chicken when steak becomes too expensive, or apples instead of oranges when their prices drop. This has resulted in a more slowly growing COLA for Social Security beneficiaries. Instead of allowing seniors to keep up with rising costs, today's COLA requires them to constantly adjust to lower standards of living. … Continued

However, the ACA, also known as "Obamacare", already requires health insurers to cover pre-existing conditions. We are not sure why The President said what he did, except that his administration is in court trying to have the ACA declared unconstitutional, and maybe he anticipates a need for his order. .Senate Committee Discusses Drug Costs .Legislation to help state is urgently needed because some of them are already cutting Medicaid. States are required by law to balance their budgets and Medicaid is one of the largest items in the budgets of many states. And of course, cuts to Medicaid hurt some of the most vulnerable seniors as well as others who could not otherwise afford the health care they need. .According to the Congressional Budget Office (CBO), wages are growing faster for people who earn more than the Social Security taxable maximum than for people earning less. The CBO projects that this unequal growth in earnings will cause a decline in revenues received by the Social Security Trust Fund over the next decade. .Please help us continue our important work on behalf of senior citizens and retirees. Make a secure, online donation today. .The gap between prices was even higher for brand-name drugs, with U.S. prices 3.44 times more than those in the other countries. Meanwhile, prices for generic drugs are slightly lower in the U.S. than in most other countries. Unbranded generic drugs account for 84% of drugs sold in the U.S. by volume, the researchers found, but only 12% of U.S. spending. .In addition, on Wednesday, the Social Security Administration announced that seniors will receive a 1.5 percent Social Security cost-of-living adjustment (COLA) in 2014, which is slightly lower than 2013's 1.7 percent COLA, and is far lower than the 3 percent average COLA over the past thirty years. Officials also announced on Wednesday that the maximum amount of earnings subject to the Social Security payroll tax will increase in January from 3,700 to 7,000. In a press release, SSA noted that about 10 million workers will pay higher taxes in 2014 as a result of the increase. .We have been reporting recently that unless Congress passes new legislation soon there will be significant cuts in Medicare payments to health care providers, such as doctors and hospitals. If that happens it is quite possible those patients covered by Medicare would likely face negative consequences with regard to their health care. .TSCL's Board Visits Capitol Hill