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  • Congressional Corner Two Bills That Would Bring Down High Prescription Drug Costs

    Prescription Drug Costs .The Medicare Part D "doughnut hole" – the gap in coverage that occurs when beneficiaries reach their initial annual payment limit – is costing many older Americans thousands of dollars per year. Not all beneficiaries hit the limit each year, but in a recent survey of TSCL's members and supporters, we learned that 28%, more than one-in-four respondents, fell into the doughnut hole in 2015. .However, price negotiations could be included later this year in a reconciliation bill, a fast-track budgetary move that only needs 51 votes to pass the Senate and cannot be blocked using a filibuster. … Continued

  • Big Issue High Prescription Drug Costs

    Watch your mail for information from your current Medicare supplemental or Medicare Advantage, and drug plan insurers. Your insurers will send you notification of changes in coverage, such as premiums, deductible, and co-insurance or co-payment costs for 200Carefully review these documents and compare them with your costs in 200File these documents where you can easily refer to them because you will need to use them for comparison when comparing other insurance options. .TSCL believes the increased use of observation stays is denying Medicare beneficiaries access to medically necessary skilled nursing care. All days spent in a hospital should count toward Medicare's three-day hospital stay requirement. TSCL supports the Improving Access to Medicare Coverage Act (H.R. 1179) introduced by Representatives Joseph Courtney (CT-2) and Tom Latham (IA-3), and (S. 569) introduced by Senators Sherrod Brown, (OH) and Susan Collins (ME). The legislation would deem time an individual spends under observation status eligible towards satisfying Medicare's three-day requirement. .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. … Continued

This week, one new cosponsor – Rep. Betty McCollum (MN-4) – signed on to the Social Security 2100 Act (H.R. 1391). The total is now up to sixty-two. If signed into law, H.R. 1391 would increase Social Security benefits by 2 percent, cut taxes for over 11 million seniors, increase the minimum benefit to 125 percent of the poverty line, and make cost-of-living adjustments more fair and accurate. It would also take measures to increase the solvency of the trust fund beyond the next seventy-five years, through the year 2100. .Foster testified before our committee that changes included in the health care law will cut funding for hospitals, skilled nursing homes, diagnostic labs and many other services by more than half the levels under prior law. In addition, future Medicare payments will be considerably below the current relative level. These rates would cause a significant number of providers to leave the market. .In 2016, when there was no COLA increase, those people protected by "hold harmless" paid the same premium that they did in 2015, 4.90. Part B premiums rose to 1.80 per month. In 2017 with just a 0.3 percent COLA, Medicare Part B premiums were once again adjusted downward so that the increase in an individuals' Part B premium did not reduce their Social Security benefit. Because the amount of their COLA was so it left most people who were held harmless paying a monthly premium of roughly 0 or less. .Spring Congressional Recess Continues .This week, Members of Congress returned to their home states and districts for a week-long recess to celebrate the Thanksgiving holiday. They are expected to return to Capitol Hill on Monday, November 28th, to resume the lame-duck session. .This year's study found a 3 percentage point gain in the buying power of Social Security benefits from January 2019 to January 2020. That should indicate that most retirees may have seen at least some prices go down on certain items during that period. But this is deflation — which is a strong signal that there may be no COLA next year. This year's 1.6 percent COLA was already low to begin with. A recent deep plunge in oil prices have all but wiped out the prospect of a COLA. .Getting the maximum you've earned on your personal work record requires some homework and planning. You can't count on getting all of your retirement advice from the Social Security Administration. According to TSCL's Senior Survey, 77% of participants said they received no counseling from Social Security staff about the best age to start benefits, undoubtedly because people are directed to sign up for benefits online. .Year after year, seniors are struggling with higher-priced groceries, copays, deductibles and prescription medications. To make matters worse, Republicans in Congress are passing bills that raise healthcare and housing costs for seniors. .Workers are never too old to learn new skills, especially if it means access to a better job.