News
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Benefit Bulletin March 2014
Millicent Graves of Williamsburg, Virginia recently was shocked to discover an astounding price range in the same generic drug after her doctor prescribed a different form of Clobetasol propionate, commonly used to treat psoriasis. When she filled her previous prescription in December of 2014 for the Clobetasol solution, she paid — the full retail cost. But when filling the first prescription for Clobetasol foam in 2015, Graves discovered the retail cost was 5.8And five weeks later when she refilled her prescription for the foam, the cost had jumped dramatically— to 7, making the total difference in price between the solution and foam 1,691%. "When I looked at the receipt I almost passed out," she says. "Everything is the same as the first bottle! It's price gouging," she says. .The Notch Fairness Act, legislation that would pay Notch Babies born from 1917 through 1926 a choice of ,000 in four annual installments of ,250 or an improved monthly benefit, was recently reintroduced in both the House and the Senate. Members of Congress have not forgotten about you and Notch reform may be closer than anybody thinks. .On Thursday, The Senior Citizens League estimated that Social Security beneficiaries will receive a 2.8 percent cost-of-living adjustment (COLA) in 2019, based on consumer price index (CPI) data through August. The official 2019 Social Security COLA will be announced next week – on Thursday, October 11th – following the release of the September CPI data. … Continued
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Congressional Corner Fighting Nations Seniors
The House recently passed legislation the FAIR Act (H.R. 1423, S.610) that would prohibit mandatory arbitration agreements in employment, consumer, and other contracts. Legal advocates who work on behalf of older adults estimate that as many as 90% of large nursing homes in the U.S. use arbitration agreements in their admission contracts. The federal government has been considering plans to expand the use of mandatory arbitration clauses to be included in contracts for every long - term care facility that accepts federal money as a condition of admission. Nursing homes receive funding from both Medicaid and Medicare for all residents. .There's an old saying: "Laws are like sausages; it is better not to see them being made." .Does TSCL receive government funding? … Continued
In addition, two new cosponsors – Reps. Pete Olson (TX-22) and Adam Kinzinger (IL-16) – signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (H.R. 2305), bringing the total up to sixty. If signed into law, the PRIME Act would take a number of steps to comprehensively prevent fraud, waste, and abuse within Medicare and Medicaid – a problem that TSCL believes must be addressed in order to ensure that scarce program dollars are being spent properly. .Rep. Ted Deutch (FL-21) introduced H.R. 1811 on April 15, 201It has since been referred to the Committee on Ways and Means and to the Committee on Education and the Workforce. .Social Security Notch Reform – Working towards benefit equality for older Americans. .Rick has served the last seven years as a member of the TREA National Board of Directors. First, as Director for 3 years, then elected and served two terms as National President and then two years as Immediate Past National President. Prior to serving on the National Board of Directors from 2009-2014 he served on several National Committees. During his tenure on TREA's Board of Directors, he chaired the Legislative Affairs, Information Technology, Convention, 5-Year Plan, Awards committees, and chaired the Past National Presidents Council. .A major reason that the COLA is so low is the consumer price index that the government uses to calculate the increase. Under current law, the COLA is tied to the increase in the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W). That index surveys the spending patterns of younger working adults and does not include the market basket of goods and services that is more typical of people age 62 and over. The CPI-W gives greater weight to goods and services that younger workers spend more on, like gasoline prices and electronics, which have dramatically dropped in price over the past two years. It gives less weight to housing and medical expenses even though those two categories have experienced bigger price jumps over the past two years, and are the two biggest spending categories for older consumers. .Sources: "Crackdown Proposed To Prevent Illegal Immigrants From Obtaining Medicare," Robert Pear, The New York Times, March 3, 201"Medicare Improperly Paid Providers Millions Of Dollars For Unlawfully Present Beneficiaries," Daniel R. Levinson, Department of Health and Human Services Office of Inspector General January 2013. .Medicare pays the plans a pre-determined monthly amount for each enrollee. Higher rates are paid for sicker patients, and lower amounts for people in good health. The "risk adjustment" policy is intended to avoid the problem of plans cutting corners on healthcare to boost profits. But the audits found pervasive problems with many plans overstating the severity of enrollees' medical conditions, with little documentation of the medical conditions being claimed. .Seniors and the Covid Vaccine .Pre-Election Recess Continues
