News

  • Notch Legislation Introduced In The 110th Congress Feed

    House Majority Leader Steny Hoyer (D-Md.) said he still expects the House to consider regular fiscal year 2021 spending bills beginning in June. But Senate Leader McConnell has not discussed any timetable for the bills coming out of the Senate Appropriations Committee, which must happen before the full Senate can consider the legislation. The Appropriations Committee got off to a late start, and it is not clear the committee will keep its summer working schedule. As a result, there is growing expectation that – once again - a continuing resolution will be needed to prevent a government shutdown on the eve of the election and that lawmakers will complete their work on the spending measures in a lame-duck session. .Increasing the payroll tax rate. Social Security is currently financed by a 12.4 percent payroll tax, split evenly between employers and employees. Gradually increasing the tax rate to 14.4 percent – just one percent more for both workers and employers – would extend the solvency of the Social Security program for decades to come and would amount to just an extra 50 cents per week for the average worker. .Based on consumer price index (CPI) data through April of this year, Johnson estimates that the COLA for 2021 will be zero. That estimate could change, however, since there are still five months of consumer price index data to be collected before the Social Security Administration announces the COLA in October. … Continued

  • Congressional Corner We Cannot Cut Medicare And Medicaid

    Compare your drug and health plan options NOW during the Medicare Open Enrollment period before it ends on December 7th. Does your current drug plan even cover your expensive new prescription? If not, you need to check your other options. Chances are another plan will. Use the Drug and Health Plan Finder at www.Medicare.gov. Make sure you carefully enter every prescription drug you take in order to get a custom comparison of your best drug plan choices. Costs can vary by hundreds, even thousands, of dollars, and you may be very surprised by the savings from switching to a better plan. .This week, the Senate Finance Committee met to discuss the proposed Medicare Part B drug demonstration program with Dr. Patrick Conway, the Acting Principle Deputy Administrator and Chief Medical Officer of the Centers for Medicare and Medicaid Services (CMS). .TSCL enthusiastically supports H.R. 1795, H.R. 2305, and H.R. 4613, and we look forward to helping build support for them through the remainder of the 113th Congress. … Continued

To complicate it even more, because of the particular rules of the Senate regarding a filibuster, a bill that is controversial in any way must have 60 votes in order to pass. And with Republicans so divided about drug pricing legislation, the path to final passage is wrought with obstacles. The one possible way to pass something is by attaching drug pricing legislation to a bill dealing with surprise medical billing. That would not happen until late in the spring if it happens at all. . Check to see if Eliquis is covered by your drug plan and the cost sharing for the tier in which it is listed. Many drug plans have five tiers covering preferred generics, generics, preferred brands, non-preferred brands and specialty drugs. Check to see where Eliquis fits in on these tiers (probably preferred or non-preferred brand). It's not uncommon for insurers to move a drug from preferred brand to non-preferred brand status, causing you to pay more out-of-pocket. For example, your plan in 2019 may have charged a co-pay of for preferred brands, but if Eliquis was moved into a non-preferred tier in 2020 you might have to pay 50% co-insurance or about 5.00. .Thus, if you need to replace lost income right away, and you don't have a lot of savings or other resources to finance a waiting period for benefits, your husband may be better off simply filing a claim now for Social Security retirement benefits. While those benefits would be reduced due to starting benefits prior to his full retirement age, the application process is straightforward and can be accomplished easily online. Benefits could be started on the effective date you choose. .Last fall, the Government Accountability Office uncovered .3 billion in improper payments from December 2010 to January 2013 made to people who had jobs when they were supposed to be unable to work. To be eligible for Social Security disability, beneficiaries must be unable to work due to a medical condition that's expected to last at least one year, or result in death. The list, however, includes murky afflictions like back pain, depression and other un-measurable afflictions, opening the system to fraud and abuse. .Sources: "Issues and Challenges In Measuring And Improving The Quality Of Health Care," The Congressional Budget Office, December 201"What Is Value-Based Healthcare?" NEJM Catalyst, January 1, 201"After Single Payer Failed, Vermont Embarks On A Big Health Care Experiment," Carolyn Johnson, The Washington Post, September 17, 2017. .It turns out that PhRMA "spreads that money around to political campaigns across the country as well as other trade groups like the American Action Network (AAN), a conservative dark money group that launched a million ad campaign to defeat the Democrats' H.R. 3 proposal, which would allow Medicare to negotiate lower prices for prescription drugs and cap out-of-pocket drug costs at ,000," again, according to the Salon.com report. .This week, The Senior Citizens League's (TSCL) Board of Trustees and legislative team held meetings with several Members of Congress and their top staff. In addition, the Board of Trustees presented one Member of Congress – Rep. Mike McIntyre (NC-7) – with the 2012 Seniors Advocate Award. TSCL also saw support grow for a critical piece of legislation this week. .Some Republicans said such proxy voting is unconstitutional and would subject any legislation passed with such procedures to court challenges. However, Democrats countered by citing letters from two legal scholars who argued the Constitution gives the House and Senate the power to determine their rules and procedures and the courts have declared them off limits to legal challenges. .At the time of writing this week's update, the House had not yet voted on the measure, but its passage is expected in that chamber by Friday. The committees of jurisdiction will then begin working on legislation to repeal the health care law. Through the budget reconciliation process, the Affordable Care Act is expected to be repealed by as early as February, and lawmakers hope to have a replacement plan signed into law soon after.