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Legislative Update For Week Ending April 5 2019
Some Seniors to Pay More for Drugs Under New Rule .The state of Virginia, however, offers retirees a chance to retain certain parts of coverage but "opt out" of others. If Paula "opted out" of Part D drug coverage, for example, and took medical, dental, and vision coverage alone, she would pay 6 per month. The portion of the premium for the drug coverage through the state of Virginia was a whopping 4 per month. .Now there are ads in various parts of the country being run by the Democratic Congressional Campaign Committee, accusing House Republicans of doing the bidding of drug industry donors by opposing the bill. Unremarked upon are the House Democrats who've also received money from the industry — and whose opposition is seen as potentially fatal to the legislation. … Continued
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It remains to be seen whether or not lawmakers in the Senate will reach an agreement before the midnight deadline. If not, the federal government will shut down like it did back in 201While not likely, an extended government shutdown could result in negative impacts for Social Security beneficiaries and doctors who treat Medicare patients. .Recently we learned of a woman, now in her 80's, who has moved twice in the past decade to be close to her daughter. Her first move was from the family home in Connecticut to an up-scale retirement community in Virginia, and more recently following her daughter to Arizona after her son-in-law's job changed. Her former Virginia home has been sitting on the market for months. That's posing a drain on her resources, adding unanticipated costs for new housing at a time when her need for caregiving services is growing. Her daughter worried that the former facility wasn't handling things well. .I read your story about a potential Social Security benefit cut affecting people who were born in 1960. Has Congress taken any action yet to correct this? … Continued
In a press release, Mary Johnson – a policy analyst for TSCL – recently said: "Anyone who cares about his or her health coverage, Medicaid, or Medicare should contact their Members of Congress now." Since many in Congress are undecided on the AHCA, it is not too late for grassroots advocates to make an impact. TSCL encourages its members and supporters to call their representatives in Congress immediately to request their opposition to the AHCA. Contact information can be found HERE. .Determining when to move to a senior living facility is a complicated decision — making process that involves being able to think dispassionately and realistically about long-term needs. That's a tall order for anybody. It often means talking to others, getting outside opinions, and help from professionals. .By Jessie Gibbons, Legislative Director .If adopted, S. 61 would allow for the personal importation of safe and affordable drugs from approved pharmacies in Canada. .The Grassley-Wyden package would create a rebate system in Medicare Part B and Part D beginning in 2022 for brand-name drugs and biological products with prices that increase faster than inflation. Conservative groups and some Senate Republicans have opposed the rebate system for Part D, the prescription drug benefit program, but not for Part B, the outpatient services program. .Both bills are now awaiting the signature of President Donald Trump. He is expected to sign them into law in the very near future. The Senior Citizens League is pleased that lawmakers successfully advanced legislation that will protect the American public from "gag clauses" that result in higher out-of-pocket costs at pharmacies. .House Adjourns for Five-Week Summer Recess .As debate intensifies over the cost of medicines, a new analysis found that prescription drug prices were on average 2.5 times more expensive in the U.S. than in 32 other countries. And that gap widened to 3.4 times costlier when looking specifically at brand-name medications. .TSCL believes a better approach to Medicare Advantage "risk adjustments" is needed, and should be written into law, rather than left to the discretion of politically appointed Medicare administrators. Congress could do this by writing a method for calculating the adjustment into the law. This approach would make payment for MA plans more like payment for other Medicare providers.