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  • Category Legislative News Page 38

    The Congressional Budget Office estimates that H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, prescription drug price negotiation legislation which is under debate in the House could lower government spending on Part D by 6 billion over a ten year period, but cautioned the estimates are uncertain, especially if price negotiations are implemented differently that the CBO's interpretation. .Totalization Agreement .Part B premiums are only part of what Medicare recipients pay. People also have premiums for a Medigap supplement and Part D plan, or a Medicare Advantage plan and those premiums are rising as well. Hold harmless protection does not apply to premium increases in these private plans, and any increase would leave retirees … Continued

  • Issues Prescription Drug Policies Track Bills Feed

    The subcommittee's bill would repeal the formula and replace it with an enhanced fee-for-service system, while also allowing doctors to opt-out and participate in alternative payment models that emphasize quality. The bill was overwhelmingly approved by a voice vote on Tuesday, but much work remains to be done. Lawmakers have not yet determined how they will offset the full cost of the bill, although it does currently include funding for some provisions by authorizing transfers from the Medicare Part B Trust Fund. .We have heard such offers before. Pharmaceutical companies routinely provide coupons to cover patient copayments for expensive drugs so that we do not squawk when they charge our insurance company tens of thousands for the medicine, driving up premiums year after year. A naloxone injector to reverse heroin overdoses is given free to some clinics but priced at thousands for the rest. .On Thursday, the House Ways and Means Social Security Subcommittee held a hearing on the state of the Social Security program's information technology (IT). Lawmakers on the subcommittee heard from three expert witnesses, including Rajive Mathur, Chief Information Officer at the Social Security Administration (SSA). … Continued

In his testimony, Mr. Goss explained that the Social Security DI Trust Fund will be fully solvent until 2032 – four years later than was projected in last year's report. In addition, the OASI Trust Fund will be fully solvent until late 2034 – just a few months earlier than was projected in last year's report. For the combined Trust Funds, the outlook is very similar to last year's and only minor changes will be needed to ensure the program's solvency. .President Gives First State of the Union .It remains to be seen how the CR debate will unfold in the coming weeks, but TSCL will monitor it closely since another government shutdown could have serious effects on Social Security and Medicare beneficiaries. For updates as the situation develops, visit the Legislative News section of our website. .Unlike other types of health insurance, Part D plans do not have a fixed annual out-of-pocket maximum, and you could potentially continue to spend even more than ,100 this year. While that's a huge sum for just prescription drugs, the out-of-pocket threshold "re-sets" and it starts all over again next year. Unless Congress takes action, the out-of-pocket threshold is scheduled to make a steep increase in 2020 to ,250, due to an expiring provision of the 2010 Affordable Care Act. .Mary: Who tends to use anchors to influence our decisions, and when should we be wary? .Not thoroughly reviewing the contracts. Make sure you understand what your fees cover and understand built - in price "escalators." For example, cost-of-living adjustments have only increased Social Security benefits by an average of 1.1% over the past 8 years, but rental units may come with automatic price escalators of 5% per year. Facilities often have charges for room and board and separate fees for care. In addition to care fees, there may be medical supplies, medication delivery, laundry and other fees. It's a good idea to have an attorney review the contracts with you. .Funding concerns are one of the key reasons TSCL is relieved SSA has decided to remove the text requirement from the login process. Without online access, more seniors than ever would have been relying on their local Social Security offices, and under-staffed offices would surely have been overwhelmed with requests. .As our nation goes through the process of getting vaccinated for COVID-19 and getting our lives back on track, TSCL is working on a number of long-term issues that await Congressional attention. We expect policy makers in Congress will be turning their attention to the question of boosting benefits and restoring the long-term solvency of the Medicare and Social Security Trust Funds. .Sources: "Preliminary Estimate of the Budgetary Effects of Using the Chained CPI Starting in 2014," Congressional Budget Office, March 1, 2013.