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  • S 64 Preserve Access Affordable Generics Biosimilars Act

    This sounds similar to the current Medicare Advantage system except for one big difference — the Health and Human Services secretary would be given authority to set beneficiary cost-sharing "based on evidence of the value of services." Under this criterion, who do you think would be more likely to get the best coverage for expensive services like CT scans that can cost ,000 — an 84-year-old, or a 43-year-old mother with two children? Finally, the recommendation would require insurers to pay a surcharge on the Medigap policies that they offer to beneficiaries. This proposal is not new. .The Health and Human Services Department finalized the policy through an interim final rule in November, meaning the agency skipped the comment period. Lowering drug costs for patients is the end goal of the policy, which the government argues justified the speedy implementation. .I spent the better part of last year trying to determine the cause of, and best treatment for, a mysterious chronic cough. A non-smoker, I'm usually obnoxiously healthy. Last year, though, I went through a battery of four specialists, a long menu of tests, underwent surgery and spent a night in the hospital. Yet by January of this year the cough was worse than ever. … Continued

  • Congressional Corner By Representative Charles Gonzalez 20th Tx

    This week, lawmakers returned to Capitol Hill following a two-week spring recess and quickly began working on legislation to fund the federal government past Friday, April 28th. At the time of writing this week's update, a continuing resolution (CR) had not yet been adopted by either chamber, but votes are expected by Friday evening. .The Senior Citizens League encourages its supporters to attend these events and to ask important questions of their elected officials, like the following three… .In the months ahead, TSCL will continue to advocate for these and other legislative efforts that would improve the solvency of Social Security and Medicare without cutting benefits for seniors. … Continued

TSCL's annual survey of senior costs indicates that Social Security benefits have lost more than 34% of their buying power since 2000 because the current inflation measure, the Consumer Price Index for Workers (CPI-W) doesn't accurately account for the larger share of income that seniors spend on healthcare. .The government negotiates prescription drug prices for veterans and Medicaid beneficiaries, but it is barred from negotiating lower prices for Medicare beneficiaries. As a result, seniors enrolled in Part D often pay much higher prices than others for their prescription drugs. What are you doing to correct this unfair policy? .TSCL offers its supporters an unconditional refund of their most recent donation if they are dissatisfied with our position or performance. .What does the policy cover? In addition to basic services, make sure you learn about tooth removals, root canals, periodontal gum treatments, dentures, crowns, bridges and implants. Read details carefully. For example, your dental plan may only cover one implant a year, even though you may need to get two or more done at one time. .Your Initial Enrollment Period starts three months prior to turning age 65, includes the month you turn 65, and ends 3 months after you turn 6Advisor editor Mary Johnson, who has helped dozens of friends and neighbors with their Medicare, highly recommends starting the Medicare enrollment process 3 months before you turn 65, in order to have your new coverage become effective in the month you turn 6Enrolling in Medicare is done online through the Social Security website at www.SocialSecurity.gov. Look for the box that says, "Enroll in Medicare". Or you can get assistance to help you with this. .Progress Stalls on CR Work .Early data show that the vaccines may help keep people from spreading COVID-19, but we are learning more as more people get vaccinated. .Advocates for less government involvement in health care and instead letting the free market have a stronger role base their arguments on the idea that just like groceries or cars or clothes, consumers should be able to shop around and look for the best value in health care. .On Monday, Members of the House and Senate returned to Capitol Hill from the month-long August recess and quickly began working on a continuing resolution (CR) to fund the government past September 30th. Originally, leaders in both chambers agreed to keep the CR as "clean" as possible in order to avoid a government shutdown like last year's and to allow lawmakers to quickly resume campaign work for the looming November 4th elections.