News

  • Q A Medicare

    The Notch Fairness Act, which was introduced by Rep. Mike McIntyre (NC-7) in March, would provide compensation to Notch babies, or those born between the years 1917 and 192Just years before they were set to retire, these individuals learned that they would have significantly lower benefits than they originally anticipated. TSCL feels that this is an inequity that was brought about because of the Social Security Act Amendments enacted and signed into law in 1977. .Medicare Reform – Protecting seniors from sudden and harsh changes to the program. .The implication that older Americans don't need their Social Security and Medicare benefits, and that seniors are demanding theirs at the expense of the young, is a nasty tactic that's not supported by the facts. According to the Social Security Administration, 50 percent of people age 65 and older have a total income of ,857 —hardly rolling in dough. Yet, those same seniors spend an average of 15 percent of their incomes on healthcare costs — a portion that is rapidly growing. … Continued

  • Legislative Update For Week Ending November 8 2019

    All Americans will one day become seniors, and so it should be the priority of all members of Congress to make retirement planning easier and to defend and strengthen programs like Medicare and Social Security for future generations. .Because there was no waiver in the Covid relief bill, new legislation to waive the mandatory cuts is needed. Congress passed a similar waiver for Republicans' 2017 tax overhaul, which was passed in the same manner as the Covid-19 relief bill. .First, in the spring, Members of Congress passed legislation to repeal and replace the sustainable growth rate (SGR) – a flawed formula that set payment rates for doctors who treated Medicare patients. Because of the quirks in the law, doctors were faced with double-digit cuts year after year. Some stopped seeing new Medicare patients, and some even stopped participating in Medicare altogether. TSCL advocated for the SGR's repeal for more than a decade, and we were ecstatic to see it replaced once and for all last April. The law took effect immediately and, in the coming years, it will bring increased stability to the Medicare program for both patients and their doctors. … Continued

"For those who don't like these executive actions, there's time to get to the table and back a legislative solution," Grassley said in a statement. "I will continue the fight in Congress until significant prescription drug pricing legislation becomes law. The next coronavirus relief bill presents the perfect opportunity for Congress to meet the moment." .Because of that, it now appears both the House and Senate will pass the NDAA and attempt to override the President's veto if he keeps his threat. .Social Security provides the income and access to health care that seniors rely on each and every day. They are benefits my generation has earned – and future generations have been promised. We must work together and make sure our country keeps this promise. .The four stated that their proposal – The Congressional Health Care for Seniors Act – would "provide Medicare patients with the best healthcare in America," and that it would "forever protect seniors' interests by aligning them with self-interested politicians." But the plan is risky for two key reasons. First, it would eliminate Medicare completely, and second, it would do so beginning in 2014, affecting even current beneficiaries. Other proposals, including the plan released by House Budget Chair Paul Ryan (WI-1) in his fiscal 2013 budget, would offer traditional fee-for-service Medicare as an option to seniors, and would delay implementation to protect current enrollees from any drastic or sudden changes. In addition to phasing out traditional Medicare, The Congressional Health Care for Seniors Act would gradually increase the eligibility age to seventy, and it would increase means-testing measures so that wealthier seniors would pay a greater percentage of their healthcare costs. .TSCL's members and supporters are sending in thousands of petition signatures to fight the cuts that threaten senior benefits. Senior voter outcry, especially in an election year, is a highly effective means to make lawmakers wary of making major changes. .At the hearing, Burwell made two key points of interest to TSCL. First, she commented that she fully supports President Obama's proposal to increase means testing within Medicare. TSCL opposes the President's plan since we fear that it could have unintended consequences that would ultimately drive up costs for many of the oldest and poorest seniors. Second, Burwell committed to work with Congress to repeal and replace the flawed sustainable growth rate (SGR) formula, which has brought instability to the Medicare program for more than a decade. TSCL supports efforts to find a permanent solution, since repealing the SGR will result in higher quality medical care for seniors. .We know that COVID-19 vaccines are effective at preventing COVID-19 disease, especially severe illness, and death. .TSCL believes all three of these bills go a long way in ensuring the retirement security seniors have earned and deserve. In addition to strengthening benefits, each one would include measures to increase the solvency of the Social Security program responsibly, for 40 years or more into the future. We look forward to working with Rep. DeFazio, Rep. Larson, and Sen. Sanders in the months ahead to help build support for their important legislation. .Once the costs that both you and your drug plan have paid exceed the above limit, then you will pay 25% co-insurance for brand drugs in 2019, and your drug plan will pay 5%. There's a manufacturer discount of 70%. For generics, you will pay 37% and plans pay 63%. This phase of coverage — which is called the "doughnut hole" or coverage gap —lasts until you have a spent a total of ,100 out-of-pocket on prescription costs. Please note that what you pay in premiums does not count toward out-of-pocket costs. Once you have spent ,100, which counts the manufacturer discount portion of the drug cost in the doughnut hole, then you reach the Part D catastrophic threshold. Medicare pays 80%, plans pay 15% and enrollees pay the greater of either 5% of total drug costs or .40/.50 for each generic/brand-name drug respectively.