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  • Legislative Update For Week Ending February 10 2012

    The article continued, "The NBER study zeros in on how increases in prescription drug costs among Medicare recipients affect patient choices and comes to a stark finding: ‘Patient cost-sharing introduces large and deadly distortions into the cost-benefit calculus,' the report said." .Most individual taxpayers will pay lower taxes, at least in the first few years, tax analysts say. But the tax cuts affecting middle-to-low-income people are temporary, and are set to expire in just eight years, by the end of 2025, while the tax cut for families in the very top income bracket is permanent. That's expected to leave the majority of taxpayers with higher tax bills down the road — something most people living on fixed income simply can't afford. TSCL is still assessing the expected impacts of the new legislation. .Sen. Conrad's budget proposal is expected to spur serious negotiations on a long-term solution, but it is not expected to win passage. In fact, the Senate will not even vote on or make amendments to the proposal. Sen. Conrad has said that "the timing is not yet right" for a vote, but most have blamed Majority Leader Reid (NV) for refusing to bring a budget proposal to the floor in the midst of an election year. Many Senators, it seems, are beginning to look at the post-election, lame-duck session as the prime opportunity to tackle the deficit. As Sen. Conrad said this week, "That may be the only time members on both sides of the aisle will be willing to move off their fixed positions." TSCL will continue to monitor these negotiations in the meantime. … Continued

  • Medigap Premiums

    The alternative to this approach is control by a board of unelected bureaucrats known as the Independent Payment Advisory Board (IPAB). This board will consist of 15 unelected, unaccountable bureaucrats empowered to make decisions about what kind of care people on Medicare can receive. I am greatly concerned that this board is being given way too much authority to determine what benefits are covered and how much physicians are paid. This commission's sole intention will be to determine whether Medicare is spending more than is budgeted and, if so, to offer "fixes" to cut back on Medicare spending that would then be fast-tracked with very little opportunity for Congressional input. President Obama's former Budget Director Peter Orszag called IPAB "the single biggest yielding of power to an independent entity since the creation of the federal reserve." I believe the best way to control costs in Medicare is to increase choice and competition, not cede control of health care decisions to a board of 15 unelected, unaccountable bureaucrats. .TSCL is hopeful that lawmakers will pass a stopgap measure before the October deadline, since a government shutdown could negatively impact Social Security and Medicare beneficiaries. We will keep a close eye on the evolving negotiations over the next two weeks, and we will post updates here in the Legislative News section of our website. .The amount you get from Social Security may surprise you. While the amount you receive depends on how many years you worked, your earnings, and the age at which you start benefits, the average monthly Social Security payment today is about ,100. People who retire with average benefits will receive about ,200 in 2011 prior to Medicare premium deductions. With people spending as much as 25 years in retirement, people who retire today with an initial benefit of ,100 can expect to receive more than 6,800 in Social Security over 25 years. But that assumes no changes to cost-of-living adjustments (COLAs). … Continued

First, one new cosponsor – Representative Ruben Gallego (AZ-7) – signed on to the Competitive DRUGS Act (H.R. 4117), bringing the total up to thirty-seven. If adopted, this bill would prohibit brand name pharmaceutical companies from paying generic drug companies to delay the introduction of their products to the market. Banning these anti-competitive "pay for delay" deals would lead to lower prescription drug prices for older Americans and other consumers. .The orders were issued on a Friday which left little time for analysts to review them and comment prior to the weekend. However, since then we have learned new information, we want to share with you. ."Americans face major retirement challenges," Johnson says. The Senior Citizens .Both Social Security and Medicare have come under intense scrutiny for benefit cuts in recent years of deficit reduction negotiations. Immigration proponents say that immigration reform would boost the payroll taxes flowing to both programs and prolong program solvency. Critics, including TSCL, say that giving hundreds of thousands of illegal immigrants new access to Social Security would boost long-term costs far more than the 2-year estimated gain in solvency that the Social Security program would receive. Under current law the government continues to calculate entitlement and the amount of the initial benefit based on all earnings, even for jobs worked under invalid or even fraudulent Social Security numbers prior to gaining legal work authorization. .TSCL Endorses New COLA Legislation .To strengthen Social Security and Medicare, 84% of respondents strongly agreed that Congress should focus on getting Americans back to work. Jobs and the payroll taxes paid by people during their working years finance the benefits received by today's Social Security and Medicare beneficiaries. While jobs were the top deficit fix, only 11% agree with cutting the Social Security payroll tax as a means to generate employment. Congressional leadership and the President are battling over spending cuts and higher taxes that will be needed to avoid hitting a "fiscal cliff" by the end of this year. .Drug companies deserve a reasonable profit for taking on this urgent task of creating a COVID-19 vaccine. But we deserve a return, too. .There is a wide difference in what the White House and Democrats want to give states and localities, plus school funding, virus testing, and other issues. The difference between Democrats' .5 trillion aid package and Republicans' trillion appeared unbridgeable. Treasury Secretary Steven Mnuchin rejected House Speaker Nancy Pelosi's offer of a compromise .4 trillion. As a result, President Trump on Saturday signed what have been largely referred to in the popular press as four executive orders dealing with the issues that had been under discussion. However, it turns out that is not exactly what happened. .Beyond funding the government and raising the debt ceiling, TSCL was pleased that the Bipartisan Budget Act included the following three improvements to the Medicare program: