News

  • Legislative Update Week Ending March 20 2015

    Much of the debate over federal deficit reduction plans has been focused on overhauling Medicare and making changes to Social Security. But a major funding change is also under consideration for Medicaid, the federal and state program that covers medical care for lower-income individuals including seniors who also receive Medicare. As federal and state governments struggle to address Medicaid funding shortfalls, TSCL is concerned that Notch Babies, and the families who provide care for them, would be among those who would be hit the hardest by funding cuts. .This week, the Senate Finance Committee met with a representative from the Obama administration to discuss alternatives to the Sustainable Growth Rate (SGR) formula. In addition, The Senior Citizens League (TSCL) saw five key bills gain new cosponsors. .As a representative of thousands of senior citizens in Western Pennsylvania, and as a senior myself, I strongly believe that all Americans should be able to enjoy their golden years without financial or medical hardship. Retirement should be a time of great reward and good health, not unnecessary anxiety. As a member of the House Ways and Means Subcommittee on Social Security, it has been a priority of mine to work on policies that protect Social Security and ensure its long-term viability for all Americans who have paid into the system. Over the past several years, I have proudly worked with fellow legislators on both sides of the aisle to craft specific policy solutions that will benefit seniors everywhere. … Continued

  • Medicare Part D Coverage Gap Closes 2019

    But changes to illegal immigration enforcement can have long-term financial implications for federal benefit programs, including Social Security and Medicare. With work-authorization and valid Social Security numbers, even noncitizens can potentially become entitled to Social Security benefits with enough years of earnings or a change of legal status. At issue is whether work prior to obtaining legal status and valid Social Security numbers would count toward entitlement to Social Security and Medicare benefits — under current law it does. .The poll, which was conducted in September and October of this year, during the debt limit budget standoff, found that respondents voted higher and more fair COLAs as an even greater priority than "Preventing 20% Social Security Disability Insurance benefit cut" or "increases in Medicare premiums and cost-sharing"— two provisions which were passed in the recent debt deal. .TSCL is gearing up to fight legislation that would cut the current rate of COLA growth any further. To the contrary seniors need a COLA that more adequately protects the buying power of Social Security, and TSCL supports H.R. 776, the Guaranteed 3% COLA Act, introduced by Representative Eliot Engel (NY-17). Why not take a few minutes now to send your Representative an email explaining how you need a Social Security COLA you can rely on? Be sure to ask your Representative to co-sponsor H.R. 776, the Guaranteed 3% COLA Act. … Continued

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. .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." .Since you are still working and still under your full retirement age, you might consider reporting your estimated income to Social Security for 2019, and possibly for the months prior to turning your full retirement age next year. However, that would mean that your Social Security benefits would be withheld for even more months, and you might not receive any Social Security benefits at all in 201At the end of the year, you would have to notify Social Security of what you actually earned for 2019, and the calculation would be revised. If too much was withheld, you would get a refund. If not enough was withheld, you would have to pay the difference. Once you turn your full retirement age then, you will be able to earn as much as you want, and not be subject to Social Security earnings restriction rules for new earnings after turning age 66. ."That combination elevates the risk of disruptions to care, and unexpected, uncovered costs — two problems that could plague seniors shifted to new managed-care plans," Hyland says. Most states are expected to "passively enroll" beneficiaries into the plans requiring beneficiaries to take the initiative to opt out. "It is too early to know what type of choices those wishing to opt out will have," Hyland notes. "Without a strong notification and education process, many of the affected dual eligibles may not be aware, or understand, that they have new health coverage, " he says. "A new health plan can mean a change of doctor if their former providers don't participate," Hyland explains. .On Wednesday, the Senate Finance Committee held a confirmation hearing for Sylvia Mathews Burwell, President Obama's nominee for the position of HHS Secretary. Burwell was nominated back in April, shortly after Secretary Kathleen Sebelius announced that she would be stepping down. If confirmed, she will oversee the Medicare, Medicaid, and Social Security programs, and she will also manage the continued implementation of the Affordable Care Act. .My daughter's father-in-law lives with them and he looks really sick. I urged my daughter to take him to the doctor. My daughter tells me that she learned that he doesn't have Medicare Part B. He's 81 years old! After spending hours on the phone, she learned that he will have to pay an extra 0 per month for his Medicare Part B coverage, in addition to the 8.50 for 202Can this be correct? What can she do? .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. .Gang of Eight Defends Immigration Reform Plan .Millions of other public servants find themselves in similar situations, often too late to do much about it. To reconcile this inequity, The Senior Citizens League (TSCL) enthusiastically supports the Social Security Fairness Act (S. 896 and H.R. 1795), a bill that would repeal both provisions and grant public servants the retirement security they deserve. The bill was introduced by Senator Mark Begich (AK) in the Senate, and by Rep. Rodney Davis (IL-13) in the House. So far, it has gained significant traction in both chambers. In the House, it recently reached one hundred co-sponsors, and in the Senate, nearly twenty lawmakers have signed on in support of it.