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  • Category Legislative News Page 32

    The "house calls" can be money-makers for health plans when they document medical problems like complications from diabetes or heart trouble. Health plans profit because Medicare pays higher rates for sicker patients using a billing formula based on the patient's "risk score." Plans can receive thousands of dollars in higher payments from Medicare even though the insurer incurs no additional costs for covering Medicare services for your brother. .Virtually all of the changes tend to show inflation as growing more slowly. Independent economist John Williams believes that the combined effect understates the measured rate of inflation by an astonishing 7 percentage points. One of the clearest illustrations of the impact of a major change is seen in the following chart of COLAs between 1976 and 1987. .Back in February, U.S. District Judge Andrew Hanen of Texas temporarily halted President Obama's immigration orders that would have delayed the deportation of nearly 5 million illegal immigrants. The Obama administration promptly appealed that decision to the U.S. Court of Appeals for the 5th Circuit in New Orleans. … Continued

  • Where We Stand On The Social Security Notch

    First, four new cosponsors – Representative Darren Soto (FL-9), Representative Grace Napolitano (CA-32), Representative Lucille Roybal-Allard (CA-40), and Representative Grace Meng (NY-6) – signed on to the Nursing Home CARE Act (H.R. 4704), bringing the total up to nineteen. If adopted, the bill would protect Medicare and Medicaid beneficiaries by more quickly codifying emergency preparedness rules for nursing home facilities that receive funding from the federal government. .Second, the Social Security 2100 Act (H.R. 1902) gained one new cosponsor in Representative Jimmy Gomez (CA-34), bringing the cosponsor total to 16If signed into law, H.R. 1902 would strengthen Social Security benefits by improving the cost-of-living adjustment (COLA), increasing monthly benefits by 2 percent, creating a new Special Minimum Benefit equal to 125% of the poverty line, providing a tax cut to Social Security beneficiaries, applying the payroll tax to annual income over 0,000, and gradually increasing the payroll tax rate by 0.25%. .That represents a huge liability to the Social Security Trust Fund, should there be an amnesty. Every year the SSA processes millions of W2s. When a name or SSN on a W2 doesn't match the SSA's records, the wage report goes into an "Earnings Suspense File" (ESF) until the discrepancy can be reconciled. The ESF file today contains more than 312.7 million wage items representing 5 trillion in wages. Wages are what the Social Security Administration uses to determine entitlement to Social Security, rather than the amount of taxes paid. Immigration reform advocates say that although payroll taxes are withheld from the checks of illegal workers, they have little chance of collecting benefits. … Continued

However, an estimated 15 million Medicare beneficiaries – including new enrollees, those who are dually eligible for Medicare and Medicaid, high-income beneficiaries, and beneficiaries who do not receive Social Security benefits – will see large premium and deductible hikes in January if Congress does not act before October 15th, less than one week from now. .Indeed, the Social Security Administration does not "promise" a specific amount of benefits, but they do not promise to replace a specific percentage of pre-retirement earnings either. Both benefit amounts and "replacement rates" can change at any time if Congress and the Social Security Administration deem it necessary. Prior to the 1977 changes, the replacement rate was not a stable percentage. For people who retired under the 1972-73 flawed formula (those born 1913 through 1916), replacement rates grew from 39% to a high of 54%. The new benefit formula led to a lower, more stable replacement rate of about 43%, as well as lower benefits. .Employment and average earnings information from the Bureau of Labor Statistics (BLS) indicate that average wages were down about 4.4% in 2020. But BLS wage data can vary from the final wage data that employers report to the Social Security Administration. Adjusting for the difference, the AWI for 2020 may drop only slightly, by roughly 0.65 percentage point. We are closely watching for the new AWI for 2020 from the Social Security Administration, but that final number won't be known until the end of the year. .Finally, two new cosponsors – Reps. Carol Shea-Porter (NH-1) and Juan Vargas (CA-51) – signed on to the Empowering Encore Entrepreneurs (E3) Act (H.R. 4613), bringing the total up to four. If signed into law, the E3 Act would direct the Small Business Administration (SBA) to increase training and mentoring efforts for older entrepreneurs. More than 7 million older Americans are currently self employed, but many of them lack the training and technical expertise that is necessary in order to see success. By expanding outreach efforts, the SBA can help empower seniors and enhance their ability to revitalize the economy. .The basic science that has allowed the small company to move so rapidly was developed with a huge prior infusion of federal money to come up with a treatment for diseases like Zika. .Minimal Workplace Enforcement—A Contributing Factor .Second, one new cosponsor – Congressman Ro Khanna (CA-17) – signed on to the Consumer Price Index for Elderly Consumers (CPI-E) Act (H.R. 1251), bringing the total up to fifty-two. If adopted, the CPI-E Act would base Social Security cost-of-living adjustments (COLAs) on the more fair and adequate CPI-E. Currently, COLAs are based on the Consumer Price Index for Urban Wage Earners (CPI-W), and they fail to keep pace with the inflation experienced by older Americans. .Congress recently enacted legislation that ended two so-called Social Security benefit "loopholes" — known as "file and suspend" and "restricted application." Details about the changes, which affect some married couples and took effect on April 30th, 2016 — can be found in the Social Security Q & A. .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.