News
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H R 576 Seniors Eyes Ears Teeth Act
For more information about Social Security reform options, click here. To watch Wednesday's House Budget Committee Hearing in full, click here. .Seniors Speak Out: TSCL Delivers Petition Tsunami To Congress .Medicaid is the major source of coverage for an estimated 6 million seniors who need long-term care. Last year, long-term care services required one-third of the federal Medicaid budget, more than 0 billion. States, which share the program's cost, spent tens of billions to match that amount. … Continued
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Benefit Bulletin February 2021
Should Social Security benefits be adjusted annually using a locality – based payment rate? Some of you, particularly those of you who are retired federal employees know far more about locality - based pay adjustments than I do. I hope you folks can set us straight on a new legislative proposal that would use locality- based pay adjustment rates to adjust Social Security benefits. My question to you — is this a good idea? Why or why not? .Each year SSA receives hundreds of millions of employer reported W2s. When Social Security receives a name or SSN on a W-2 that does not match SSA's records, the wage report goes into the ESF while the SSA attempts to reconcile the discrepancy. In recent years the file has been growing at an unprecedented pace—the fastest since the inception of Social Security in 1937. .Assistance in paying for low cost home weatherization to make your home more energy efficient. … Continued
In yet a third judicial ruling, The U.S. District Court of Appeals for the District of Columbia upheld a rule by the Trump Administration that hospitals will have to publicly disclose the prices they negotiate with insurance companies. .In addition, one new cosponsor – Rep. William Keating (MA-9) – signed on to the Strengthening Social Security Act (H.R. 3118). The cosponsor total is now up to sixty-three. If signed into law, H.R. 3118 would reform the Social Security program in three ways: it would adjust the benefit formula, resulting in more generous monthly benefits; it would base COLAs upon the CPI-E, resulting in more accurate annual increases; and it would lift the cap on income subject to the payroll tax. The bill would extend the solvency of the Social Security Trust Fund responsibly, without cutting benefits for seniors. .But if your mom has lived with you some months already, you will need to determine if her former Medicare Advantage plan has already learned from CMS or the Postal Service of the move. If she moved over six months ago, then the plan should disenroll your mom 12 months after the move, but her Special Enrollment Period begins at the beginning of the sixth month and continues through the end of the eighth month after your move. .Fight to End Surprise Billing is Losing Key Ally .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. .The second bill is H.R. 1215, which would establish an office within the Federal Trade Commission and an outside advisory group to prevent fraud targeting seniors and to direct the Commission to include additional information in an annual report to Congress on fraud targeting seniors. .Medicare's therapy cap on rehabilitation services, such as physical, occupational and speech therapy, has a long and sordid history in Washington D.C. The therapy cap sought to keep the Medicare budget under control but often hurt patients who need care after traumatic medical events. In practice, this cap limits access to Medicare - covered rehabilitation services. Patients are faced with either footing the bill for additional expensive care out of their own pocket or purchasing additional supplementary coverage if they can afford it. .But here's the real kicker. A statute of limitation loophole is hamstringing Medicare from recovering overpayments. Federal law allows a Medicare claims contractor to reopen a payment determination for "good cause" at any time within 4 years of the date the original payment determination was made. But another provision of law bars the recovery of overpayments from providers that are "without fault." And the law states that a provider is deemed to be without fault 3 years after the year in which the original payment was made unless there is "evidence to the contrary." .Drug spending nationally increased by 76% between 2000 and 2017, and the costs are expected to increase faster than other areas of healthcare over the next decade as new, expensive specialty drugs are approved, according to the researchers.
