Legislation to help state is urgently needed because some of them are already cutting Medicaid. States are required by law to balance their budgets and Medicaid is one of the largest items in the budgets of many states. And of course, cuts to Medicaid hurt some of the most vulnerable seniors as well as others who could not otherwise afford the health care they need. .Finally, one new cosponsor – Rep. Alcee Hastings (FL-20) – signed on to the Medicare Physician Payment Innovation Act (H.R. 574) this week bringing the total up to thirty-seven. If signed into law, H.R. 574 would repeal and replace the sustainable growth rate (SGR), which is the flawed formula that is currently used to determine reimbursements for physicians who treat Medicare patients. Adopting H.R. 574 would bring increased stability to the Medicare program for both physicians and beneficiaries. .Medicare pays for a wide range of services including many preventive benefits, but routine eye care is not one of them. Medicare-eligible adults with diabetes can, however, get a dilated eye exam to check for diabetic eye disease. The patient's primary care doctor is responsible for determining how often this exam is needed. Medicare also covers an annual eye exam to check for glaucoma if the patient is diabetic or there is a family history of glaucoma. .Your Survey Responses are Helping to Change Attitudes About Social Security .This week, TSCL announced its support for the Savings on Medical Expenses for Seniors Act of 2014 (H.R. 4104), which was introduced by Rep. Gloria Negrete McLeod (CA-35) on February 27th. The bill, if signed into law, would make permanent the 7.5 percent threshold for the medical expense tax deduction for those sixty-five and older. The threshold is currently scheduled to increase to 10 percent of adjusted gross income in 2017, which would mean that fewer seniors would qualify for much-needed relief. .The U.S. Supreme Court is expected to decide a case in June that could have far -reaching implications for Social Security and Medicare. The Obama Administration has asked the Supreme Court to reinstate its executive action plan on immigration. The plan would give temporary relief from deportation and work permits to almost 5 million unauthorized immigrants. Should the Supreme Court find in favor of President Obama, his Administration would have 7 months to implement the program before his term ends. .Once the costs that both you and your drug plan have paid exceed the above limit, then you will pay 25% co-insurance for brand drugs in 2019, and your drug plan will pay 5%. There's a manufacturer discount of 70%. For generics, you will pay 37% and plans pay 63%. This phase of coverage — which is called the "doughnut hole" or coverage gap —lasts until you have a spent a total of ,100 out-of-pocket on prescription costs. Please note that what you pay in premiums does not count toward out-of-pocket costs. Once you have spent ,100, which counts the manufacturer discount portion of the drug cost in the doughnut hole, then you reach the Part D catastrophic threshold. Medicare pays 80%, plans pay 15% and enrollees pay the greater of either 5% of total drug costs or .40/.50 for each generic/brand-name drug respectively. .Initial Coverage Period: During this stage of coverage you pay a co-pay or co-insurance of 25% of the cost of covered drugs, and the plan pays 75%, up to a total of ,005 (beneficiary) and ,015 (plan). This includes any applicable deductible. Your plan's full retail drug cost, not your co-pay, is what counts toward entering the coverage gap. Your co-pays or True Out-of-Pocket costs (TrOOP) count toward exiting the coverage gap and qualifying for catastrophic coverage. .Last week President Biden's administration unveiled its plan to lower prescription drug prices that includes a number of aggressive proposals but that are basically the same proposals that Democrats have pushed for years, many of which Democrats in Congress are currently working on to include in upcoming legislation. The plan would allow Medicare to negotiate drug prices with manufacturers, a longstanding pledge from Biden, Democratic lawmakers, and every Democratic presidential candidate in 2020. It also would limit yearly price increases, allow the importation of drugs from Canada, and place a cap on out-of-pocket spending for Medicare beneficiaries