News

  • Legislative Update Week Ending November 11 2016

    This week, lawmakers in the House and Senate remained in their home states and districts to continue the fall congressional recess. .While very little of the President's budget blueprint for fiscal 2015 will be considered by those in the House and Senate, it does serve as an important benchmark for lawmakers. Members of the House Budget Committee are expected to unveil a proposal of their own in the coming weeks. In a statement made early this week, Speaker John Boehner (OH-8) said that it will "promote opportunity, reform our tax code, and save our critical safety net programs." TSCL will continue to monitor the budget negotiations as they evolve, and we will provide updates here in the Legislative News section of our website. .According to the report, the triggering of hold harmless will continue on an individual basis, particularly when inflation is lower than forecast (about 2.4 percent) or if Medicare Part B premium increases are higher than forecast (5%), or both. The risk for both is high, because over the past 8 years COLAs have averaged just 1.2 percent and since 2000 Medicare Part B premiums have increased on average more than 10 percent per year. According to the report, individuals with the lowest benefits, 0 or less, are the most likely to be affected by hold harmless on an individual basis over the next decade, even in years when a COLA is payable, particularly if Medicare Part B premium increases are higher than expected. … Continued

  • Congressional Corner Time Invest Direct Care Workforce

    The move is a long time coming. Legislation passed in 1996 made illegal immigrants ineligible to receive federal benefits. But according to an audit performed by the Inspector General of the Department of Health and Human Services, more than 29,185 illegal immigrants had improperly received Medicare benefits from 2009 through 201A review of 133,541 claims revealed that Medicare had paid more than .6 million in claims on behalf of 2,575 unlawfully present individuals. .According to testimony from a hearing on the problem held by the Senate Special Committee on Aging, fraudsters are "hijacking" federal benefits by using personal information such as name, date of birth and Social Security number. One victim who testified, Alexandra Lane, 73, of Florida went through a 50-day ordeal to recover close to ,500 worth of payments, which was not resolved until she turned to Senator Bill Nelson (FL) for assistance. Getting the money back has taken even longer, almost six months, for others. .New regulatory threats, some at the urging of the pharmaceutical industry, could make it impossible for seniors to purchase certain products like vitamins and minerals without a prescription. It may sound outrageous, but seniors could soon be limited in their access to things as simple as protein shakes, vegetable juice and even herbal hand lotion without a prescription. The U.S. Food and Drug Administration (FDA) recently began imposing new regulations on products used in "Complementary and Alternative Medicine" (CAM). TSCL is concerned the expensive federal regulations will restrict seniors' access to commonly available items and drive up costs for those that remain on the market. … Continued

Many Members of Congress who have been long-time friends to seniors and those who have introduced key bills for The Senior Citizens League (TSCL) fared well in Tuesday's elections. Rep. Peter DeFazio (OR-4) (sponsor of the CPI-E Act) won re-election, as did Rep. Linda Sanchez (CA-38) (sponsor of the Strengthening Social Security Act), Rep. Rodney Davis (IL-13) (sponsor of the Social Security Fairness Act), and Rep. Walter Jones (NC-3) (sponsor of the Social Security Guarantee Act). .Services must be those that have earned an "A" or "B" recommendations by the U.S. Preventive Services Task Force. They include: annual wellness visit, blood tests for heart disease, bone mass measurements, diabetes screening, colon cancer screening, diabetes screening, flu shot, hepatitis B vaccine, medical nutrition therapy, pap smears, pelvic exams and clinical breast exams, pneumonia vaccine, prostate cancer screening (PSA test), and screening mammograms. .Finally, locality pay is subject to the approval of the President, and thus subject to politics. In 2019, the average locality pay adjustment was 0.5%. The annual COLA was 2.8%. The calculation has also been challenged by economists and the nonpartisan CBO as not being accurate. What do you think about using locality pay adjustment rates to adjust Social Security? To send a comment or take a poll on this topic visit . .In the past, supplemental benefits offered by MA plans were only required to be primarily health related and typically included dental, hearing or vision benefits. Starting in 2019, new supplemental benefits must be medically appropriate and recommended by a licensed provider as part of a care plan, and not offered simply to induce enrollment. Examples of the new supplemental benefits include adult day care services, in-home support services, home and bathroom safety devices, transportation, and home-based palliative care. However, to qualify for these benefits, you must be diagnosed with a condition for which these benefits are necessary, and the benefits must be listed by your physician as part of your plan of care. .Congress has adjourned for a month-long recess and, with the November elections looming, many lawmakers will be holding town hall meetings in their home states and districts. TSCL encourages you to attend these events, since they present excellent opportunities to make your voice heard and to learn more about the candidates. To best be prepared, jot down a few questions that you would like to ask your elected officials. Below are ten examples – feel free to take them with you and share them with others. .Social Security recipients will receive the highest cost-of-living adjustment (COLA) in 5 years, effective January 1st. The Social Security Administration recently announced a COLA of 2%. While the boost is critically needed for almost 61.5 million beneficiaries to maintain their purchasing power, the 2% COLA extends a disturbing 8-year pattern of low COLAs that have been far below the 4% average established in the decade prior to 2010 and the Great Recession. .While the provision is valuable protection, it doesn't apply to all Medicare Part B enrollees. Roughly 30% of all Part B beneficiaries will not be protected in 201Those people are facing a Part B premium increase of about 22.3%, from 1.80 per month to 9.00, the highest increase in 27 years. People who are not protected by the hold harmless provision include: .The Medicare report estimated the Hospital Insurance Trust Fund will become depleted in just six more year. .Britain, France, and Italy generally have the lowest prescription drug prices, while Canada, Germany and Japan tend to have higher prices, the data showed.