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Health insurers would directly pay providers the difference between the out-of-network rate and the patient's cost-sharing amount for those services. In states that don't have their own systems, the out-of-network rate would be the amount that the provider and insurer agree to through an open negotiation process, or the amount set through an arbitration process..After 13 years with TREA he retired from the organization at the end of 2018 and became TSCL's Legislative Consultant in September of 2019..Late this week, lawmakers in the House and Senate adjourned for a week-long holiday recess. They are expected to return to Capitol Hill on Tuesday, July 10th. In the meantime, many Members of Congress will be attending local events and hosting town hall meetings in their home states and districts..During this presidential election year it's important to let elected lawmakers, the President, and their challengers all know how seniors are affected by the economy and how seniors think those issues should be addressed. To participate in TSCL's 2012 Annual Senior Survey online, visit TSCL at or call to receive a copy of the survey by mail..Once an individual becomes entitled to Social Security, other dependents can make claims on their account if all other qualifications are met, even if they never paid into the system. Here's a list:.One of the key issues discussed was the growing concern surrounding the possibility of the Totalization Agreement between the United States and Mexico being signed by the President. If this happens, Congress would have a limited amount of time to actually review the Agreement. If Congress decides not to take any action, the Agreement would automatically go into effect..According to ModernHealthcare.com, "Congressional Democrats are hoping to pass a slew of healthcare priorities later this year aimed at expanding access to coverage and making it more affordable for patients..After passing The Middle Class Tax Relief and Job Creation Act late last month, Congressional leaders quickly began selecting conferees to be named on the payroll tax conference committee. The bi-partisan panel will negotiate details beyond the 60-day payroll tax holiday extension and "doc fix" that will expire March 1st..TSCL opposes such plans since evidence shows they would result in higher out-of-pocket costs for most older Americans, and we will advocate against them as the administration attempts to build support. To stay updated on the latest Medicare reform news from Washington, visit the Legislative News section of our website.