News
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Legislative Update For Week Ending November 8 2013
When asked how Congress should address the lack of coverage, 79 percent of poll respondents said Medicare coverage should be expanded, while 14 percent said private Medicare Advantage plans that sometimes cover more of these services should be better promoted. Only 7 percent of respondents said Medicare's coverage of dental, vision, and hearing services should remain unchanged. .You make an excellent point! The Senior Citizens League (TSCL) uses the most recent data for the consumer price index for urban wage earners and clerical workers (CPI-W), the index that is used to calculate the annual Social Security cost of living adjustment (COLA). New data is released monthly from the Bureau of Labor Statistics. .Unfortunately, a long-time TSCL goal of reducing prescription drug prices did not make it into the newly introduced House bill. It appears that, as we have written before, legislation to reduce drug prices will not be dealt with until sometime in the fall. … Continued
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For Capitol Hill Staff
Members of Congress receive their benefits through the District of Columbia's small business health options program (SHOP) exchange that was established under the 2010 health law. Effective January 1, 2014, Members of Congress had to give up their previous health benefits received through the Federal Employees Health Benefits Program (FEHB) and get their insurance through the exchange. However, they remain eligible for employer contributions from the federal government (i.e., U.S. taxpayers) toward coverage, just as they previously received for their FEHB coverage. .The TSCL survey found that, to improve Medicare's finances, seniors strongly support ramping up anti-fraud efforts, and better integration of care to reduce duplications of tests, services, and expensive imaging. What do you think? Take a poll. Visit TSCL's website at . .TSCL believes that Congress should strengthen Social Security's protections by enacting legislation to prohibit the use of unauthorized earnings from being counted toward eligibility for Social Security benefits, "a change that should be made regardless of the outcome of the Supreme Court decision or whether Congress moves on immigration or Social Security reform," Cates says. … Continued
According to Bloomberg News, "Budget officials analyzed prices of 176 popular brand name drugs and found the price for a 30-day supply of medication was 8 on average through Medicaid and 3 through Medicare Part D, which pays for prescription drugs in retail pharmacies. The government also paid twice as much on the same drugs through Medicare versus the Veterans Affairs program." .In addition, one new cosponsor signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (H.R. 2305). The new cosponsor is Rep. Tim Walberg (MI-7), and the total now sits at sixty-six. If signed into law, the PRIME Act would take a number of steps to comprehensively 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 report found at least 6.5 million active Social Security numbers belonging to people who are now at least 112 years old. While people are living longer these days, they're not living that much longer. According to a story by Stephen Ohlemacher of the Associated Press, as of last fall there were only 42 people known to be that old in the entire world. .However, if you live in a group setting (like a correctional or detention facility or group home) and are around someone who has COVID-19, you should still stay away from others for 14 days and get tested, even if you do not have symptoms. .More than 50% of older households surveyed by the National Institute on Aging say that they have at least one adult child living within 10 miles. But retirement housing and care plans can go awry when an adult child needs to relocate — most often because of a job. .Should Congress approve the ,000 Lump-Sum Settlement, you would continue to receive your monthly Social Security benefit without any adjustment. However, as the legislation is written, you will have a choice of annual additional lump-sum payments OR an increased monthly check. .Despite all the tragedy and difficulty coming out of the pandemic emergency there is a little good news, in our opinion. The spread of the coronavirus has reignited the push in Congress to expand domestic manufacturing of drugs, and renewed concerns the U.S. relies too much on foreign medicine makers. As we have been seeing, the need for medications can be urgent during a pandemic and lawmakers on both sides of the aisle have raised alarms about possible shortages. .At this time, the FDA has authorized one COVID-19 self-test to be completely used and processed at home. You will risk unknowingly spreading COVID-19 or not getting treated appropriately if you use an unauthorized test. .Seventy-eight percent of the prescriptions ordered by one Florida physician were for Schedule II drugs. For one beneficiary, this physician prescribed a 605-day supply of morphine, a 52day supply of oxycodone, a 460 - day supply of fentanyl, and a 34day supply of hydromophone.