News

  • Notch Bulletin February 2011

    This week, Rep. Paul Ryan (WI-1), Chairman of the House Ways and Means Committee, revealed that Congress will not consider legislation that would permanently repeal and replace the SGR – the flawed formula that sets payment rates for doctors who treat Medicare patients – before the March 31st deadline. Instead, they will likely pass another short-term "doc fix" in order to avert a 21 percent pay cut for physicians that is set to hit on April 1st. .Since passage of Medicare in 1965 all seniors received the same benefits for the same standard premium. But in 2003, Congress took the unprecedented step of passing legislation that required "upper-income" seniors to pay increased premiums for Medicare Part B. Forcing these seniors to pay more for the same Medicare benefits is known as the "means test." .Two weeks after President Trump signed an executive order "Lowering Drug Prices by Putting America First," the White House still has not released the text of the order. The unorthodox move is apparently a leverage play, an attempt to squeeze drug companies into offering concessions. … Continued

  • Legislative Update Week Ending January 19 2018

    TSCL enthusiastically supports H.R. 1391 since it would strengthen the program without cutting benefits for seniors. We were pleased to see support grow for it this week. .Two new pieces of legislation in addition to H.R.1565 (see above) have been introduced to stop these kinds of scams. .The AWI, however, is susceptible to causing permanent benefit reductions when it turns negative, which can happen in years of deep economic recession and extraordinarily high unemployment, as was the case in 2020. Last year, concerns were high that the reductions could be as high as 9.1%, according to an estimate by Social Security's Chief Actuary Stephen Goss. But since then the economy and wages have steadily recovered and the dip in the AWI, if any, is not expected to be so deep. … Continued

Gathering support for the legislation, which would cap drug costs for Medicare beneficiaries and force drug manufacturers to provide Medicare inflation rebates, has been an uphill battle for Grassley over the past year. .According to an article last week in StatNews, a newsletter that covers health and medical issues, the answer seems to be "whichever one is available to you first." .Republican leaders have also begun discussing plans to reform Medicare and Medicaid next year in an effort to reduce the deficit that the .5 trillion tax bill will create. Speaker of the House Paul Ryan (WI-1) said in a radio interview on Wednesday: "We're going to have to get back next year at entitlement reform, which is how you tackle the debt and the deficit … This has been my big thing for many, many years. I think [Medicare is] the biggest entitlement we've got to reform." TSCL opposes reforms to Medicare, Medicaid, and other earned benefit programs that would result in higher out-of-pocket costs for older Americans. We will continue to advocate against benefit cuts in the months ahead. .According to a report in The Hill, a Washington, D.C., newspaper, "There are further administrative steps that need to happen before the proposal will actually take effect and result in lower drug prices. The secretary of Health and Human Services will have to issue the details of the proposal, and there will be an array of questions as to how the policy will work in practice. .Sources: "Feds Announce Biggest-Ever Medicare Fraud, Totaling 0 Million," Scott Cohn, CNBC, May 4, 201"Report: Suspect Billings At 2,600 Drugstores," Ricardo Alonso-Zaldivar, The Associated Press, May 13, 201"Obstacles To Collection Of Millions In Medicare Overpayments, Office of Inspector General, Department of Health and Human Services, May 2012. .On Monday, Representatives Peter Roskam (IL-6) and John Carney (DE) re-introduced the bipartisan Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (H.R. 818) with the support of twenty-three original cosponsors. If signed into law, the bill would combat fraud, waste, and abuse within the two programs. . Zero premiums are also likely to end very soon. If Congress should cut reimbursements to plans as has happened in the past, some plans may respond by no longer offering coverage at all. Should Paula enroll in a Medicare Advantage plan and her plan ceases to offer coverage in the future, Paula could have problems finding something comparable that she could afford. .The report adds that, "The pharmaceutical industry has already shattered records this year, spending an unprecedented million to lobby the federal government in the first three months of this year, according to the CSP, including .7 million from PhRMA. Stephen Ubl, the CEO of PhRMA, criticized H.R. 3 last month, claiming it would ‘destroy an estimated one million American jobs.' The U.S. Chamber of Commerce, the biggest lobbying spender this year, has also come out against the bill, comparing it to ‘government price controls' and claiming it would cost hundreds of thousands of jobs. .Senate Committee Discusses SGR Alternatives