News

  • H R 141 Social Security Fairness Act

    Now Congressional Democrats, while only having a razor-thin majority in the Senate, are planning a major push to include in measures to lower drug prices in upcoming legislation meant to rebuild the U.S. infrastructure. .It closed the Medicare outpatient therapy cap. Before the passage of the Bipartisan Budget Act, Medicare coverage for various forms of outpatient therapy – including physical therapy and speech therapy – was arbitrarily capped at ,500 per year. For years, lawmakers sought to repeal this cap since it limited the care older Americans could receive under Medicare. TSCL advocated tirelessly for Congressman Erik Paulsen's (MN-3) bipartisan Medicare Access to Rehabilitation Services Act (H.R. 807), and we were thrilled that a similar provision was included in this year's bipartisan budget agreement, repealing the therapy cap once and for all. .Finally, two new cosponsors – Senator John Hoeven (ND) and Senator Angus King (ME) – signed on to the Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act (S. 2387). The cosponsor total is now up to twelve. If adopted, the bill would direct the Centers for Medicare and Medicaid Services (CMS) to create programs that would promote early identification, improve support for family caregivers, and provide continuous care for those battling many forms of dementia. … Continued

  • Drug Price Legislation Facing A Surprise Problem

    However, if you live in a group setting (like a correctional or detention facility or group home) and are around someone who has COVID-19, you should still stay away from others for 14 days and get tested, even if you do not have symptoms. .More than 30% of all Medicare beneficiaries were enrolled in Medicare Advantage plans last year. The federal government pays plans a monthly fee to deliver all their healthcare needs — a fee that's based for the most part on risk scores. In 2015 plans like Humana received on average about ,900 per person for the year. According to government estimates, Medicare made nearly billion in improper payments to Medicare Advantage plans from 2008 through 2013, mostly due to inflated risk scores. .The witnesses at this hearing defended a number of payment provisions that may expire if Congress doesn't act soon, including add-on payments for mental health and ambulance services, and hold harmless payments for rural hospitals. When looked at separately the costs of these provisions seem minor, but if each of them were to expire at the end of this year, the federal government would save billion. The potential savings attracted most at the hearing, but Ranking Member Pete Stark (CA) reminded the Subcommittee that many of the provisions "ensure critical access to needy Medicare beneficiaries." … Continued

Source: Fiscal Year 2010 Inspector General Statement, Social Security Administration Office of the Inspector General, November 2010. .Action on Capitol Hill this past week was limited as Congress re-convenes this week. Meanwhile, a Congressional Management Foundation (CMF) report indicates the effects of House member office budget cuts, and the Congressional Budget Office released a report that would save Medicare 500 billion dollars. .Earnings may cause your Social Security benefits to be subject to taxation. A portion of your Social Security benefits may be taxable if your income is over certain thresholds —,000 and up (individuals) or ,000 and up (couples filing jointly). .This week, the Senate's Gang of Eight was busy defending its comprehensive immigration reform plan, and The Senior Citizens League (TSCL) saw two key bills gain support. .Of course, members of the subcommittee also spoke, including the opening remarks of the subcommittee chairman John Larson (D- Conn.). Here are a few of his comments: .The agreement appears ambiguous on this issue, and TSCL has filed four Freedom of Information Act requests in order to obtain copies of estimates of the cost to Social Security. After receiving the first known copy of the agreement in December of 2006, which apparently had never been made public, even to Members of Congress, the battle to obtain key documents in federal court has continued for TSCL. According to the State Department, public disclosure of the withheld information would risk undermining U.S. efforts in important areas of U.S. foreign policy. TSCL rejects this and will ask the judge to look at documents to see if they have been properly withheld. Although current U.S. law forbids the payment of Social Security benefits to illegal immigrants, there are loopholes and exceptions. .Summer Congressional Recess Continues .I am writing for assistance in applying for the Notch Settlement on behalf of my widowed mother who has been a supporter of this cause for several years. .If signed into law, the Improving Access to Medicare Coverage Act would amend the Social Security Act to allow individuals receiving "outpatient observation services" in hospitals to be considered "inpatients" so they may satisfy the three-day requirement for Medicare coverage of post-hospitalization care in skilled nursing facilities. Currently, Medicare does not cover skilled nursing care for those who spent time in the hospital under outpatient observation, and they are billed unfairly for necessary medical care.