News

  • Congressional Corner Strengthening Social Security

    The Guaranteed 3 Percent COLA Act (H.R. 991) from Congressman Eliot Engel (NY-16) also gained one new cosponsor this week: Congressman Andre Carson (IN-7). If adopted, it would base the Social Security cost-of-living adjustment (COLA) on the more accurate Consumer Price Index for Elderly Consumers (CPI-E), and it would guarantee an annual benefit increase of at least 3 percent. The bill now has six cosponsors in the House. .According to the group, the plan would reduce the deficit by trillion and it would save enrollees approximately ,500 per year, but it's controversial for two major reasons. First, it would completely eliminate traditional Medicare, whereas many other reform proposals would keep it as an option. Second, those already enrolled in Medicare would be affected by the transition, which would have a 2014 start date. Other reform proposals would delay implementation to protect seniors from any drastic or sudden changes. .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. … Continued

  • So Far No August Break For Senators

    High drug or health plan premiums don't necessarily purchase better coverage. For example, the generic blood pressure medication Lisinopril is one of the most commonly used prescriptions by Medicare beneficiaries. The least expensive Part D plan in my area charges Due to changes made to the Social Security benefit formula in the late 1970s, Notch Babies receive lower Social Security benefits than other Social Security recipients born before and after them with almost identical earnings. To learn more, or to add your name to TSCL's Notch Register, call 1-800-333-TSCL (8725). .The order would broaden existing federal requirements for government agencies to prioritize buying supplies for medicines deemed "essential" from U.S. manufacturers, rather than companies in China or elsewhere around the world. .TSCL Tells Congress —"Leave Social Security and Medicare out of Budget Negotiations" copay for Tier 1 generics, and the monthly premium is just .50 in the zip code used in this search. The most expensive plan charges a co-pay of .19, and the plan has a monthly premium of .30 — a difference of ,055.88 for the entire year counting premiums! .That does raise a fair question about conflict of interest: If something was not in the best interest of seniors but would raise millions of dollars for AARP through insurance sales, would AARP put principle ahead of profit? .The Congressional Budget Office estimates that H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, prescription drug price negotiation legislation which is under debate in the House could lower government spending on Part D by 6 billion over a ten year period, but cautioned the estimates are uncertain, especially if price negotiations are implemented differently that the CBO's interpretation. … Continued

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." .Surprisingly, there was no discussion of slowing the growth of cost-of-living adjustments (COLAs) by switching to the more slowly-growing "chained" CPI. The proposal is getting increasing attention (mostly favorable) in media editorials. Switching to the more slowly-growing chained CPI would reduce cost-of-living-adjustments, and many policy experts view the option as a front-runner for reducing the deficit. .A number of vaccines, including those for flu and pneumonia, might be capable of improving immunity overall, according to one researcher. Scientists are looking at several other potential candidates, including vaccines against herpes viruses and tuberculosis. .The GAO has noted that a totalization agreement may motivate additional unauthorized workers to come to the United States. Similarly, the prospect of an amnesty program passing the Congress in the coming months will likely encourage increased illegal immigration in anticipation of an easy road to U.S. citizenship. .On Tuesday, President Donald Trump addressed the nation in his first State of the Union. In his speech, the President reflected on the strong economic growth of the country and he shared his hopes for the year ahead. The President said he plans to push .5 trillion in infrastructure investments, to secure the southern border with Mexico, and to offer a pathway to citizenship for 1.8 million immigrants known as "Dreamers." .TSCL agrees that Congress must act immediately – before next week's October 15th deadline – to prevent the cost increases from occurring. We will be advocating in the days ahead for the passage of the new bills sponsored by Sen. Wyden and Rep. Titus, and we will post updates here in the Legislative News section of our website, or on our page on Facebook. .Expands disability investigation units effective Feb 1, 2016. .Eleven new cosponsors signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (S. 1123 and H.R. 2305) this week, bringing the total up to twenty in the Senate and thirty in the House. If signed into law, the comprehensive bill would take a number of steps to prevent fraud, waste, and abuse within the two programs – a problem that TSCL believes must be addressed in order to ensure that scarce program dollars are being spent properly. The new cosponsors are: Sen. John Boozman (AR), and Reps. Duncan Hunter (CA-50), Steve Stivers (OH-15), Dan Benishek (MI-1), Martha Roby (AL-2), Dennis Ross (FL-15), Thomas Rooney (FL-17), Shelley Moore Capito (WV-2), Ileana Ros-Lehtinen (FL-27), Allyson Schwartz (PA-13), Earl Blumenauer (OR-3), and Edward Royce (CA-39). .2017 Loss of Buying Power Report