Issue brief how are states supporting medicaid home and community based services during the covid 19 crisis

"The side effects of the drug, to be sold as Aduhelm by maker Biogen, are troubling and the cost is staggering, at ,000 per year 'forever,' doctors told STAT. More than one-third of trial participants developed brain swelling and 17% to 19% had small bleeds in their brains.".Some home healthcare can be deductible. In order for home healthcare expenses to be deductible, those who require the care must be unable to perform two or more of six activities of daily living and have a plan of care from a physician that specifies help with these tasks..High Dose Flu Vaccine.With no effective treatment in sight, and no indication that the coronavirus will "magically disappear," as the President has frequently predicted, a vaccine will be "the ultimate game changer" in the pandemic, according Dr. Anthony Fauci, the nation's leading expert on the outbreak. "There's never a guarantee of success," Fauci said. But he added that he was "cautiously optimistic" that by winter, at least one of nearly a dozen promising vaccine candidates would have shown itself to be safe and effective in inducing immunity in humans..Congressional Research Service May 24, 1999.Second, the federal government cannot afford the tax cut, which costs more than 5 billion annually. It is no secret that our nation is deep in debt, and the two-year, two percent tax holiday has not spurred the economy as many hoped it would. TSCL fears that, because of its economic constraints, the federal government's general revenues may not be a reliable source of funding for Social Security. The program is currently facing a billion cash-flow deficit, and an extension of the tax holiday could exacerbate its funding shortfall..TSCL is concerned that the monthly base Part B premium could jump by more than .40 rising from 4.60 to more than 2.00 in 202This doesn't have to happen! Congress can prevent this by providing an emergency COLA..In July of last year, the Internal Revenue Service issued a notice expanding its interpretation of what constitutes preventive care. As a result it now includes certain items and services that can be considered preventive when they are prescribed to an individual with certain chronic conditions and if they are low-cost and prevent the worsening of a chronic condition or the development of a secondary condition. The notice also contained a list of specific items and services that meet the new criteria for preventive care for chronic conditions. Co-sponsors of the bill include Sens. Tina Smith, Kevin Cramer, Martha McSally and Kyrsten Sinema..By Rick Delaney, Chairman of the Board, TSCL

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Many of TSCL's supporters are older and less affluent. And some of them are "Notch Victims," individuals who receive lower Social Security benefits because they were born between the years of 1917 and 1926..Alzheimer's Drug Could Increase Part B Premiums for Everyone A newly approved drug to slow the progression of Alzheimer's disease is drawing criticism for it's ,000 price tag, especially given its lack of proven effectiveness. Aduhelm stirred controversy when the Food and Drug Administration's own expert advisory panel was nearly unanimous in opposing the drug's approval due to mixed results in studies of effectiveness..I decide I better put them back on my computer desk, but first I'm going to water the flowers. … Continued

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Opinions expressed in "Congressional Corner" reflect the views of the writer and are not necessarily those of TSCL..The high cost of healthcare and the significant cost of serious illness or dementia is climbing at one of the most rapid rates in years. Last year TSCL's annual Senior Survey found that 29% of survey respondents spent up to one-half of their Social Security benefits on healthcare costs, up from 25% the previous year. Another 18% spent more than one-half of their benefits on healthcare, up from 13% the previous year..Find out if your drug plan offers mail order: If your drug plan offers mail order you can often significantly cut your costs by using it. Generally, mail order requires a 90- day prescription, but often your cost is the same as what you would pay for a 60-day supply from a retail pharmacy. … Continued

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