TSCL has long supported adding vision, dental and hearing benefits to Medicare, as well as supporting legislation to lower prescription drug prices. We are waiting to see what the final bills look like that come out of the House and Senate before we determine what kind of endorsement to give..If signed into law, the CPI-E Act would amend the Social Security Act with regard to annual cost-of-living adjustments for Social Security and Medicare benefits. Currently, the COLA is based upon the spending patterns of young, urban workers, but Rep. DeFazio's bill would require that COLAs be based upon the way seniors spend their money. The COLA that seniors currently receive does not accurately reflect how they must spend their money, and TSCL estimates that a senior who retired with average benefits in 1984 would have received ,723.16 more through 2011 had the CPI-E been used. We are very supportive of Rep. DeFazio's bill, and we were pleased to see one new cosponsor sign on this week..Senator David Vitter.The agreement would make patients responsible only for their in-network cost-sharing amounts for both emergency services, including air ambulances, and some non-emergency care, according to the outline..TSCL was pleased to see support grow for H.R. 1251 and S. 427 this week, and we will continue to advocate for them tirelessly in the months ahead. For more information, visit the Bill Tracking section of our website..TSCL is fighting the plan to chain down COLAs. Indeed, seniors need a COLA that more adequately protects the buying power of Social Security, and TSCL supports H.R. 776, the Guaranteed 3% COLA Act, introduced by Representative Eliot Engel..In a letter of support, Art Cooper Chairman of The Senior Citizens League's Board of Trustees wrote: "As you know, millions of older Americans are afflicted with age-related hearing loss, low vision, and poor oral health … When left untreated, their conditions often cause much more serious injuries and health complications. But when successfully treated, the result is improved overall health and potentially lower costs for Medicare and patients.".Under growing pressure to reduce the federal debt, Congress is considering a new Medicare proposal that would shift the risk of rising costs that outpace spending targets set by the government to seniors and the disabled. The proposal comes from a key recommendation of President Obama's Fiscal Commission..The deduction is especially important to people age 65 and over, since spending on medical expenses increases with age, and healthcare costs can be considerable. About 23 percent of participants in The Senior Citizens League's 2018 Senior Survey said they routinely itemize medical expenses. A recent report from the non-partisan Kaiser Family Foundation says that Medicare households spent on average ,355 in 2016 on healthcare costs that Medicare doesn't cover. That's equivalent to ,700 in 2018 adjusting for inflation.

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Because her stay was as an outpatient, not an inpatient, she also would not qualify for Medicare coverage of follow-up nursing home care, even though her doctor told her she needed it. To be eligible for nursing home care, beneficiaries must have spent at least three nights in the hospital admitted as an inpatient..The inequities don't stop at the different eligibility rules. The new Medicaid benefits aren't available in every state. In 25 states and Washington D.C., Medicaid will for the first time be open to anyone younger than age 65 whose income is no more than 133% of the federal poverty level, ,856 a year. But people living in one of the twenty-five states that have decided not to expand their Medicaid programs will be left out. Younger seniors in those states aren't receiving the same benefit opportunities because the Supreme Court ruled that Obamacare could not compel states to expand their Medicaid programs..According to Aging Committee Chairman Susan Collins, 5.7 million Americans are currently living with Alzheimer's disease, and it is the sixth leading cause of death. In her opening statement, Chairman Collins said: "If we continue along this trajectory, Alzheimer's is projected to claim the minds of nearly 14 million seniors and surpass trillion in costs by 2050." … Continued

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So, I decide to put the bills back on the table and take out the trash first..Since its inception, Medicare has undergone a number of changes. Since 1972 the program has covered disabled persons under 6In the last 25 years, beneficiaries were given the option to obtain services through private managed care arrangements. And most recently, the passage of the Affordable Care Act strengthened Medicare by closing the prescription "donut hole" and expanding preventative services with no deductible or co-pay..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. … Continued

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