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    Should seniors with Medigap supplements that provide "first dollar coverage" be required to pay more up-front? Should Medicare continue to pay for services based on medical necessity, or should the government change to a system "based on evidence of the value of services?" Congress may be debating these questions this month when the Medicare Payment Advisory Commission (MedPAC) issues its June report to Congress. The idea is to make Medicare beneficiaries "think twice" before scheduling doctor, outpatient services, or hospital stays in order to reduce government spending on Medicare. .TSCL enthusiastically supports the bills mentioned above, and we were pleased to see support grow for each of them this week. .Pre-Election Recess Continues … Continued

  • Legislative Update For Week Ending September 7 2012

    The Senior Citizens League (TSCL) has concerns about a number of elements outlined in the revised Simpson-Bowles plan – namely the adoption of the "chained" CPI, since seniors are already being short changed by the COLAs they receive. The plan released this week is not likely to be adopted in its entirety, but it will serve as an important comparative tool in the coming weeks as leaders in Washington continue to search for sequester alternatives. The automatic cuts are scheduled to hit on Friday, March 1st, but leaders have said they believe the deadline is flexible and their best chance at redesigning it might come at the end of the month, when the continuing resolution to fund the government expires. Until then, TSCL will continue to monitor the negotiations, and we will post updates here in the Legislative News section of our website. .This week, CMS announced that its cuts to the Medicare Advantage program will total 1.9 percent next year, which is significantly lower than most analysts expected. However, the amount has not been finalized yet, and some say that the figure fails to consider all factors that will affect reimbursements. They expect to see a final rate in the range of 4 to 7 percent. .This failure of the COLA to keep up with rising Medicare Part B premiums and other retiree costs is creating a dilemma that is growing in magnitude, not only for older Americans, but also for the nation's safety net programs like Medicaid. A majority of Social Security recipients depend on their benefits for more than half of their income, and almost half of all retirees have only limited or no retirement savings at all. The lack of adequate growth in benefits over the past eight years is pushing modest income seniors into poverty, forcing even those who started out as middle-income retiree households to rely on Medicaid for help paying Medicare costs, rental subsidies, fuel assistance, food pantries and senior meals programs. … Continued

That said, the SSDI program paid .2 billion in benefits to ineligible people in FY2012 according to the Social Security Administration's Office of the Inspector General. And skyrocketing enrollment is putting added financial strains on the program. Both the Social Security Trustees and the Congressional Budget Office have recently forecast that the SSDI trust fund will become fully depleted in three years. When that occurs, program revenues will only be sufficient to pay about 80% of benefits. Unless Congress takes action, severely disabled beneficiaries would face benefit cuts of 20%. .But that's not the case for about 12 million employees with the highest salaries in the country. Unlike the Medicare payroll tax, which applies to all earnings, Social Security payroll taxes apply only to the first 8,400 in earnings. Neither the employees who earn more than 8,400, nor their employers, pay Social Security taxes on earnings in excess of that amount. "That's a problem for Social Security's financing," says Johnson. .On November 21, 2017 The Senior Citizens League delivered advocacy letters to caution members of Congress to NOT repeal the medical expense tax deduction. The letters were delivered to Majority and Minority members of the House of Representatives Ways and Means Subcommittee on Taxes, in addition to a few other key Congressional members. Learn which members are on the Ways and Means Sub-committee on taxes here. .In his opening statement, Dr. Conway said, "This proposal is part of the Administration's broader strategy to encourage better care, smarter spending, and healthier people by paying for what works, unlocking health care data, and finding new ways to coordinate and integrate care to improve quality." .What are the Notch Reform bills that are in the current Congress? .Sources: Statement: Social Security Payments Go Paperless, Honorable Patrick P. O'Carroll, Jr., Inspector General, Social Security Administration, June 19, 2013. .To learn more about your Medicare benefits download a copy of the "2011 Medicare & You" handbook by visiting www.medicare.gov or call 1-800-MEDICARE ( 7). .Lowering drug prices is one of the highest priorities of TSCL and we will be working very hard to get legislation passed this year. .Two cosponsors – Rep. Doris Matsui (CA-5) and Sen. Dean Heller (NV) – signed on to the Social Security Fairness Act (H.R. 1332, S. 2010) this week, bringing the totals up to 166 in the House and 13 in the Senate.