News
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Legislative Update For The Week Ending October 14 2011
The Senate-passed bill includes a repeal of the Affordable Care Act's individual mandate, which experts predict will result in a loss of health insurance coverage for 4 million individuals, many of whom are older Americans who are not yet eligible for Medicare. Those who remain insured through the individual market are expected to see premium increases of 10 percent or more – a hike that would make health insurance unaffordable for many. Most House Republicans have said they support a repeal of the mandate, and it is expected to be included in the final version of the bill. .Representative John Garamendi (CA-3) introduced H.R. 1553 on March 6, 201It has since been referred to the Committee on Ways and Means. .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. … Continued
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Table 1 Cpi Versus Actual Cola
Discussion on the bill will likely continue into the summer, and TSCL will continue to monitor the ongoing debate. We remain hopeful that lawmakers will address any loopholes that would allow immigrants to claim Social Security credits based on work done illegally. In addition, TSCL is concerned that those with provisional status could have access to Social Security and Medicare benefits before they are granted citizenship. Both of these issues would put an unnecessary and unspecified strain on the Trust Funds, and we will continue to inform Members of Congress about potential issues in the coming weeks. .Social Security runs two disability programs – each with separate sources of funding. SSDI provides income to under age 65 adults that is calculated from their own work covered by FICA taxes. Their benefits are paid from the SSDI Fund. The Supplemental Security Income program (SSI) also pays disability benefits, but it's for low-income people without enough of work history to qualify for SSDI. Benefits are funded through both federal (and some state) revenues, and it's means tested like welfare. .I've heard a lot of confusing advice on when to start Social Security. I'm divorced, single, and I turn 63 this year. I know that by waiting, my benefit will grow, but I'm not sure how much longer I will have my job. I need to augment my income now, especially to afford my health insurance costs. I don't have much in retirement savings. What are my best options? … Continued
While no one should try to be one's own physician, it is vital to establish good communication with your doctor. If you feel awkward asking these questions, consider bringing someone with you to appointments who can ask on your behalf. Sources: "The Patient As A Consumer," Marvin Moser, M.D., Yale University School of Medicine Heart Book. "Physicians Wade Into Efforts To Curb Unnecessary Treatments," Julie Appleby, Kaiser Health News, April 4, 2012. .Catastrophic coverage stage (if you spend a total of more than ,100 counting all your prescriptions): .15 .In the weeks ahead, The Senior Citizens League will continue to advocate for the passage of H.R. 508, and we hope to see it signed into law by the end of the 115th Congress. For more information about the Seniors Have Eyes, Ears, and Teeth Act, visit the Bill Tracking section of our website. .The Board of Trustees for Social Security and Medicare recently released a bombshell of a report that shows this essential health safety net is coming apart at the seams. The report estimates the Medicare trust fund will run dry in 2024, five years earlier than last year's estimate, and went on to explain, "The fund is not adequately financed over the next ten years." In an alternate estimate also released, the Centers for Medicare and Medicaid Services' Chief Actuary Rick Foster painted an even more dire picture, reporting that Medicare's unfunded obligations could be significantly higher, and long-term costs could dramatically increase from the numbers provided in the Board of Trustee's report. .There are 1,313,935 active members/supporters. .Last October's debt deal contained surprise Social Security changes that will cost some Baby Boomer couples tens of thousands in anticipated Social Security income. While proponents say the changes were necessary to "close filing loopholes," TSCL feels the cuts included people who are too close to retirement. Worse, these changes were struck in a secret, closed-door "must pass" debt deal with no public debate. .Sen. Conrad's budget proposal is expected to spur serious negotiations on a long-term solution, but it is not expected to win passage. In fact, the Senate will not even vote on or make amendments to the proposal. Sen. Conrad has said that "the timing is not yet right" for a vote, but most have blamed Majority Leader Reid (NV) for refusing to bring a budget proposal to the floor in the midst of an election year. Many Senators, it seems, are beginning to look at the post-election, lame-duck session as the prime opportunity to tackle the deficit. As Sen. Conrad said this week, "That may be the only time members on both sides of the aisle will be willing to move off their fixed positions." TSCL will continue to monitor these negotiations in the meantime. .Allowing individuals to import prescription drugs from abroad. Many Medicare beneficiaries spend thousands of dollars every month on lifesaving medications under the Part D program. The bipartisan Safe and Affordable Drugs from Canada Act (S. 61) would allow these individuals import their prescription drugs from approved pharmacies in Canada, where medicines are often half the cost. This critical bill would improve access to affordable medication for older Americans, and it would bring down costs nationwide by increasing competition in the American marketplace. .Because your former son in-law was employed prior to applying for benefits, he was likely approved for SSDI. The program provides benefits to more than 10.9 million disabled beneficiaries, including some spouses and dependent children. To qualify for SSDI, the Social Security Administration determines whether applicants are unable to do any work because of a medical condition that is expected to last more than one year, or to result in death. Beneficiaries receive monthly payments for as long as they remain in the program. If disabled people live to their full retirement age, they transfer to the Social Security retirement program but their benefits do not change. They also qualify for Medicare benefits after a 2-year waiting period.
