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    Last year President Trump proposed lowering the prices of certain Medicare drug prices by tying those prices to lower prices paid in other developed countries. Under that proposal, prices would have been lower than they are now, but would still be a certain percentage higher than they are in other countries. The President was not satisfied with that idea, according to Health and Human Services Secretary Alex Azar. On Wednesday Azar said the President wants the proposal changed so that prices in the United States are even lower than they are in other countries. .TSCL is hopeful that lawmakers will successfully repeal and replace the SGR by the end of this year since doing so would bring increased stability to the Medicare program for both doctors and patients. However, we are opposed to offsets that would reduce Medicare benefits or require seniors to pay more for their health care, and we firmly believe that beneficiaries should not be penalized for the poor policy-making decisions that were made by Congress more than a decade ago. .TSCL is deeply concerned about the prospect of cuts to benefits and COLAs. Seniors can ill afford any reduction in benefits once they have already retired and are depending on them for their daily expenses. We urge you to learn how Congressional candidates stand on changes to Social Security and Medicare. To learn whether your U.S. Representative or Senators support legislation of interest to you, visit the TSCL website at or call toll free 1-800-333-8725. … Continued

  • Larry Madison Legislative Consultant

    It remains unclear, however, how broadly the order will be implemented — the executive order does not specify what drugs it covers. Instead, the order directs the Food and Drug Administration to decide which medicines will be subject to the new requirements. Certain drugs can also be exempted from the executive order if they are too expensive to make in the U.S. or the U.S. is not already making them. .Last week House Ways and Means Social Security Subcommittee Chairman John Larson (D-Conn.) reiterated the need for Congress to prevent an unintended and unanticipated Social Security benefit reduction – caused by the pandemic recession — that will affect certain beneficiaries, after the Congressional Budget Office (CBO) released an updated estimate of this effect. .Talk with people at your local Area Agency on Aging or local senior services organizations. Find out about the senior housing options in your area, what they cost , and whether there are any charitable senior living programs that can help people like your mother until her home sells. … Continued

Medicare Advantage plans combine both parts of Medicare, and the health plans are required to cover everything that is covered under original Medicare. However, your provider may be reporting your doctor's orders to your Medicare Advantage plan in order to get prior authorization for your CT scan. Most Medicare Advantage plans routinely require prior authorization to manage your care and to prevent excess use of care that has not been documented as medically necessary. This practice protects you from surprise bills, and confirms that the provider is authorized to bill your Medicare Advantage plans for your care. .Congress should strengthen Social Security benefits by boosting benefits about 2 percent (about on average) and tie the annual cost-of-living adjustment (COLA) to the Consumer Price Index for the Elderly (CPI-E) which, in most years, would yield a modestly higher COLA. — 83 percent support, 12 percent not sure, and 5 percent opposed. .The Senate amended and passed the bill 90-2 on March 25, with two Republican Senators voting against it. .TSCL acknowledges the fact that changes to programs like Social Security and Medicare will be necessary in the coming years, and we agree that changes should be made sooner rather than later to protect seniors from harsh benefit cuts. Our surveys show that seniors favor Social Security reform options that would require wealthier Americans to pay taxes on all of their earnings, and Medicare reform options that would better coordinate care and prioritize the prevention of fraud, waste, and abuse. .The new cards will have unique, randomly-assigned numbers called a Medicare Beneficiary. Benefit Bulletin: June 2016 Can You Identify Medicare Fraud In This Story? .This week the House of Representatives is expected to pass the final version of President Biden's .9 trillion coronavirus relief plan, after which the President will sign it and it will become law. .This week, TSCL announced its support for the Savings on Medical Expenses for Seniors Act of 2014 (H.R. 4104), which was introduced by Rep. Gloria Negrete McLeod (CA-35) on February 27th. The bill, if signed into law, would make permanent the 7.5 percent threshold for the medical expense tax deduction for those sixty-five and older. The threshold is currently scheduled to increase to 10 percent of adjusted gross income in 2017, which would mean that fewer seniors would qualify for much-needed relief. .More headaches are on the way this tax season. For the second year in a row, the Making Work Pay Tax Credit didn't work as planned for an estimated 13.4 million taxpayers, according to the Treasury Department's Inspector General. Seniors are high on the "Most Negatively Affected List," and may wind up owing taxes and even a penalty. .My mother has suffered a stroke and needs to move to an assisted living facilty. She is having problems qualifying for Medicaid. Her only asset is her small apartment that we are trying to sell, but it could take months in this market. Most of the nursing facilities require ,000 and more per month. Is there anything I can do to help her qualify sooner?