News

  • Legislative Update Week Ending April 27 2018

    In the Senate, Finance Committee Chairman Chuck Grassley (IA) has also prioritized this critical issue. His first hearing as chairman was titled "Drug Pricing in AmericA Prescription for Change" and, in his opening statement, he vowed to get to the bottom of the growing problem. Following that hearing in January, Chairman Grassley called upon seven of the most profitable pharmaceutical companies to testify before the committee, saying: "Patients and taxpayers deserve to hear from leaders in the industry about what's behind this unsustainable trend." .It's hard to say until you crunch the numbers. You may qualify for Social Security benefits with as little as ten years of work through your self-employment. But even if you do, you will be subject to the Windfall Elimination Provision (WEP) which reduces Social Security benefits when you receive a pension based on non-covered government employment. .Second, in October, Congress passed legislation to strengthen Social Security's Disability Insurance (DI) program. Many of the recommendations that TSCL made to the House Ways and Means Committee back in August were signed into law, including provisions that will ramp up fraud prevention and test new work incentives for beneficiaries. Most importantly, the law prevents a 20 percent benefit cut that was scheduled to hit 11 million disabled beneficiaries in December 201A cut of that size would have been truly devastating for enrollees, and TSCL applauds Members of Congress for averting it. … Continued

  • April 2012 Pr Newswire

    According to the report, CMS has not expanded the recovery audit program to Medicare Advantage by the end of 2010 as was required by the Patient Protection Act. Recovery audits have been used for years in other Medicare programs to recover improper payments. TSCL believes Congress must provide stronger oversight to ensure that scarce Medicare dollars are spent appropriately and to prevent private insurers from boosting profits by gauging both taxpayers and older Americans. .TSCL's Endorsement Sought for Social Security Bill .To qualify for Medicare coverage, beneficiaries must be an inpatient for at least 3 days in a row, not counting the day of discharge. What you can do: If admitted to a hospital, it's highly important that you, or your designated caregiver, find out immediately whether you are being admitted to the hospital as an inpatient or an outpatient. Even if you are admitted as an inpatient, the hospital can sometimes switch you to observation (and outpatient) status, but the hospital is required to notify you while you are still a patient. Should this happen to you, ask your caregiver to take steps to have the decision reversed while you are still a patient. … Continued

Lawmakers at Wednesday's hearing seemed encouraged by Mr. Brune's testimony, but agreed with Mr. Bagdoyan that more work remains. Subcommittee Chairman Sam Johnson (TX-3) said, "We need to make sure fraudsters don't continue to benefit at the expense of hardworking taxpayers … I'm committed to working with Social Security and all of my colleagues to make sure the agency has all the tools to stop fraud." Ranking Member of the Subcommittee John Larson (CT-1) agreed with Chairman Johnson and emphasized the need for adequate staffing and funding for SSA in the years ahead. Administrative budget cuts and hiring freezes are currently impeding progress. .When Paula D. retired from her faculty position at a Virginia state community college and enrolled in Medicare at age 65, she qualified for supplemental Medicare coverage as a retiree benefit. Paula, like any other Medicare beneficiaries, still felt very confused about what to do. .Because of the strong push on the part of the President and members of Congress to find a way to lower drug prices, and getting drugs from other countries where the cost is lower has become popular as a solution, the Food and Drug Administration (FDA) recently released a proposal to let states submit drug importation plans for federal approval. .The Senior Citizens League agrees that the Social Security 2100 Act is a fair and responsible solution to the financing challenges facing the program, and we are proud to have endorsed the it. In the months ahead, we will advocate for its passage tirelessly, and we hope to see it signed into law before the end of this year. .Your doctor or provider accepts "assignment" or the Medicare approved payment, as payment in full. There may be some doctors in your area that accept assignment, but fewer do that anymore. You will need to call your doctor to find out if he or she accepts assignment. Many are charging more than the Medicare-approved amount and you or your Medigap plan will need to cover the "excess" charges. Even if you do locate a doctor who accepts assignment, a growing number of doctors are not accepting new Medicare patients. To find a doctor who accepts assignment call the customer service number of your Medigap supplement. Then call the physician to find out if he or she is accepting new Medicare patients. .This week, The Senior Citizens League's (TSCL) Board of Trustees and legislative team held meetings with several Members of Congress and their top staff. In addition, the Board of Trustees presented one Member of Congress – Rep. Mike McIntyre (NC-7) – with the 2012 Seniors Advocate Award. TSCL also saw support grow for a critical piece of legislation this week. ."We've seen sometimes 10 to 12 dependents, most times nieces and nephews, on these tax forms," the whistleblower told WTHR Eyewitness News. The Treasury Inspector General report corroborates this, saying that questionable claims are made that include children living outside the United States. The individuals who received the tax credits filed an income tax return. Even though it's illegal for unauthorized immigrants to work in this country, the federal government requires payment of taxes on earnings. Even income obtained illegally is subject to income taxes. Because illegals don't qualify for a Social Security Number, the IRS provides an Individual Taxpayer Identification Number (ITIN) to enable them to file a return. .What does this new "pay for performance" mean for patients? Not much is known yet, but I got a first - hand experience of the new system recently. One of my doctors, a specialist, told me that due to a "quality initiative reorganization," he wouldn't be seeing me as a patient anymore. I'll have to find a new doctor. .The Social Security Disability Trust Fund (SSDI) is rapidly closing in on becoming the first of the two Social Security Trust Funds to become fully insolvent. The disability trust fund, which is separate from the one that pays retirement and survivors benefits, is due to have funding problems by 2016.