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Notch Bulletin: Why were we singled out? I turn 84 this year and am having problems making ends meet. Still, I'm very interested in NOTCH reform. Why were we singled out for less Social Security ?."Anyone would have to acknowledge that a lot of what has gone on with the pharmaceutical industry as it relates to their contacts with doctors is lobbying, pure and simple," McCaskill said in the hearing. "If we are going to limit the lunches that can be bought for members of Congress in the context of lobbying, shouldn't we have the same kind of disclosures with doctors? And if it is in fact about the patients, the industry should have no problem disclosing how much money they are spending on doctors in terms of recreational time. I'm talking about golf, I'm talking about trips, I'm talking about dinners, I'm talking about expensive wine. Why in the world would we allow that to go on without the public and the patients knowing that's going on?".This week, lawmakers in the Senate voted on three health reform bills that would have repealed and replaced parts of the ACA if enacted. All three of the bills the Better Care Reconciliation Act, the Obamacare Repeal and Reconciliation Act, and the Health Care Freedom Act better known as the "skinny repeal" bill failed to win passage on the Senate floor..Over the years, TSCL surveys indicate that older Americans overwhelmingly oppose totally replacing Medicare with a system of private insurance plans. On the other hand, the design of traditional Medicare alone has a considerably high level of out-of-pocket spending, and no annual out-of-pocket limit. That leaves an important role for private insurers to fill in the gap with Medigap supplements or Medicare Advantage plans..If signed into law, the Medicare Physician Payment Innovation Act would repeal the Sustainable Growth Rate formula and set up a five-year trial period during which the Centers for Medicare and Medicaid Services would test and evaluate new payment and delivery models. It would prevent scheduled pay cuts to physicians who treat Medicare patients, and it would stabilize reimbursements throughout the trial period..In the coming weeks, budget discussions will continue on Capitol Hill as committees in the House and Senate form proposals of their own. TSCL is hopeful that leaders in both chambers will consider measures that would improve the pharmaceutical industry and ensure access to more affordable prescription drugs for Part D enrollees. We will monitor the budget debate closely in the weeks ahead, and we will post updates here in the Legislative News section of our website..This week, TSCL endorsed the Social Security Fairness Act, which was recently introduced in the House of Representatives by Congressman Rodney Davis with the bipartisan support of seventy-seven original cosponsors..He is a former member of the Board of Directors of the Manassas Museum in Manassas, Virginia, and a former board member of the Retiresafe association..We have been hearing from hundreds of you who are watching the inflation numbers and eagerly looking forward to getting a high inflation boost next year. But a number of you point out an urgent problem that occurs when COLAs raise the income of people with lower incomes. The higher inflation boost can sometimes disqualify people of modest means from receiving low-income benefits such as food stamps or rental assistance.

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Several lawmakers at Wednesday's hearing also asked Congressman Price whether he supports legislation like the Medicare Prescription Drug Price Negotiation Act, which would allow HHS to negotiate prescription drug prices on behalf of Medicare Part D beneficiaries. Doing so would save the Medicare program billions of dollars annually and would reduce drug costs for older Americans. TSCL was disappointed that Congressman Price refused to answer these inquiries directly, instead expressing his commitment to ensuring that "drug pricing is reasonable.".The object is to provide at least 300 million doses of a coronavirus vaccine by January 202In most of the agreements with the drug companies, the Department of Health and Human Services says the vaccines will be given to the American people for free if part of a vaccine campaign. Once the vaccines are approved, the program is intended to quickly deliver them to as many people as possible. The federal government has said it will cover the cost of delivery, but health-care providers can charge to administer the vaccine..In addition, one new cosponsor Rep. Marcy Kaptur signed on to Rep. Peter DeFazio's No Loopholes in Social Security Taxes Act, bringing the total to twenty-eight. Rep. DeFazio's bill would subject all income over 0,000 to the Social Security payroll tax, reportedly adding another fifty years to the solvency of the Trust Fund. Currently, the payroll tax is capped at 3,700, and no income over that amount is taxed. … Continued

Care What You Should Know About Your Aging Parents
The confirmation of Marilyn Tavenner marks a major milestone for CMS, and like those Senators who voted in her favor, TSCL is hopeful that her leadership will provide the Medicare program with increased stability..The threat among seniors of going without nourishing meals, especially those who are older and depend on Social Security for the majority of their income, like many Notch Babies, is very real. In addition to the cognitive and health problems that interfere with good nutrition as seniors age, the national median income of people over 65 is only ,75About one-in-seven seniors has little money left over for food after paying basic monthly expenses like housing, utility, and healthcare costs..Many enrollees in traditional Medicare have purchased a supplemental Medigap policy that covers the out - of - pocket expenses of Part B. Premiums for those policies could also rise as insurers anticipate higher outlays for costs associated with Aduhelm. On the other hand, out - of - pocket costs would be the big cost issue for enrollees in Medicare Advantage plans. According to experts at Kaiser Family Foundation, 500 thousand patients taking Aduhelm could add about per month to the Medicare Part B premium, which in 2021 is 8.50 for most beneficiaries, to as much as 5 a month for higher income beneficiaries who pay a surtax on their premium. … Continued