News
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Benefit Bulletin June 2014
If signed into law, the PRIME Act would increase fraud prevention efforts within Medicare and Medicaid. Among other things, it would enact stronger fraud penalties, curb mistaken payments, phase out the practice of "pay and chase," reduce the theft of physician identities, and improve the sharing of fraud data among agencies and programs. .Each month, due to the Social Security Act Amendments that were signed into law in 1977, more than 3.7 million Notch babies receive Social Security checks that are lower than the benefits they originally anticipated. Last year, Representative Mike McIntyre (NC-7) introduced the Notch Fairness Act, a bill that would provide modest compensation to those who were born in the Social Security Notch, or those years between 1917 and 192Even though TSCL lobbies aggressively in favor of the Notch Fairness Act, many Members of Congress believe that the bill's passage is unlikely this year because it would add approximately .9 billion to a growing deficit. To offset the cost of the Notch Fairness Act, we've come up with three fair and responsible options that we hope Congress will consider. First, Congress could increase efforts to reduce waste, fraud, and abuse. .Those receiving work authorization become vested for benefits with as little as ten years of earnings. The oldest of those who are eligible for the deferred action could potentially have worked illegally long enough to be "vested," or nearly so, for Social Security already — including disability benefits. Once illegal workers gain a work-authorized Social Security number, individuals who have evidence of earnings, even for jobs worked under invalid Social Security numbers, may claim and reinstate those earnings under their own number. The earnings are then later used to determine Social Security benefits. … Continued
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Legislative Update Week Ending January 18 2019
Forty-eight percent (48%) have gone without essentials including food, disinfecting products, face masks, due to shortages, rationing or high prices. .In September, federal agents announced the arrests of 35 people linked to a huge genetic testing scam. Individuals charged are accused of billing Medicare for more than .1 billion worth of phony genetic tests. The crackdown included telemedicine companies, doctors, and labs which worked in an elaborate scheme that preyed on people's fears of having genetic markers for cancer. .Low-income beneficiaries who receive Medicaid in addition to Medicare. State Medicaid programs pay the Part B premiums for people who qualify due to low income and resources. According to the Kaiser Family Foundation, there are approximately 10 million dually-eligible beneficiaries representing about two-thirds of those who are not protected by hold harmless. … Continued
TSCL's Board of Trustees on Capitol Hill ."The response we received from our supporters voicing their concerns through our petitions was extraordinary," said TSCL Executive Director Shannon Benton. "That message was loud and clear: Congress couldn't help but feel the fighting spirit and resolve of our supporters across the country." .The amount you pay for your CT scan will vary by your Medicare Advantage plan and whether you get your CT scan from a preferred provider. You will need to call your plan to learn the out-of-pocket cost details, and to make sure the facility, doctors, and medical technicians performing the CT scan are preferred providers with your Medicare Advantage plan. You could pay considerably more if you use providers who are not under contract with your Medicare Advantage plan. Call the customer service number on the back of your health plan's card, have your questions written down and be ready to take notes. .Efforts to lower the cost of prescription drugs have been taking place at the state level as well as at the national level. This week the New Mexico legislature sent a bill to their Governor that aims to make the state among the first to work with the federal government on wholesale drug importation from Canada. States including Vermont, Maine, Colorado, and Florida have passed similar bills. Backers said importing lower-cost drugs from Canada would help people who can't afford their prescriptions amid rising costs in the U.S. .Democrats currently have an eight-seat majority in the House, meaning 10 defections could doom the legislation. Of those 10 members, seven got contributions last cycle from PhRMA, according to Federal Election Commission records. Six received donations from AbbVie's political action committee. .Now, it turns out, AbbVie is helping to fund ads attacking legislation that would lower prescription drug costs. .This week, lawmakers returned to Capitol Hill following a two-week spring recess, and one member of The Senior Citizens League's (TSCL's) Board of Trustees visited Capitol Hill to advocate for legislation that would improve the Social Security and Medicare programs. In addition, two key bills gained support in the House and Senate. .But bigger deficit reduction would be possible if Social Security taxes were made more equitable. Under current law, high-income earners — people with earnings higher than Social Security's taxable maximum of 7,000— pay nothing on earnings over that amount. In other words, someone earning ,117,000 pays no Social Security taxes on the one million above 7,000. Yet workers earning less than 7,000 pay Social Security taxes on every dime of their wages. The CBO estimates that simply raising the taxable maximum to 7,500 would bring in 0 billion in new Social Security revenues through 202Taxing all earnings would eliminate up to 90 percent of Social Security's funding problems. .The flurry of activity in Congress has shared the top of the news this week with the continuing Covid-19 crisis and the beginning of the vaccine distribution program. We try not to repeat news here that is available to everyone who gets their news from TV, radio, newspapers or online, but there are two things that occurred in all the activity that are especially important to seniors.
