By Rick Delaney, Chairman of the Board.In addition, one new cosponsor Rep. William Lacy Clay signed on to the Social Security Fairness Act this week, bringing the total up to 167.."Medicare And The Federal Budget, Comparison of Medicare Provisions," Kaiser Family Foundation, March 2013..The big concern is that per capita caps and block grants won't keep pace with the real growth in costs in state Medicaid programs - especially since the reimbursements formulas would be tied to the rise in inflation. Actual medical costs are expected to grow several times faster than reimbursements. States could be forced to reduce spending on older people and younger disabled adults, who account for a disproportionately large share of Medicaid spending. States could tighten eligibility, reduce non-mandatory benefits like your home caregiving program, and nursing home reimbursements, or otherwise ration care..A new Medicare Advantage plan is available in my area and the premiums are extremely low. It would save me a lot of money this year, so I'm thinking about dropping my Medigap and Part D plan to enroll in the new Medicare Advantage Plan during the fall Open Enrollment period. Can you explain the pros and cons of doing this?.TSCL believes that Social Security and Medicare remain at high risk of major changes that would cut benefits and continues to meet with Members of Congress and their staffs. The COLA is particularly vulnerable due to the size of the reduction in the deficit it would have - both by cutting federal spending and boosting tax revenue. The next election will be one of the most critical in years for both retirees and older Americans within ten years of retirement. TSCL urges you to ensure that you and your family are registered and ready to vote this November!.New Co-Sponsors Added to Key Bills.Incredibly, according to a legal opinion obtained by TSCL in 2009, Totalization with Mexico may give Mexican immigrants greater rights to U.S. Social Security benefits than U.S. senior citizens currently enjoy. The proposed U.S./Mexico Totalization Agreement would be based on a contractual promise made by the United States government for the benefit of individual Mexican workers who qualify for U.S. Social Security benefits under the terms of that agreement..Thank You Anyway, I'll Just Keep Working A Little Longer

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This week, House and Senate lawmakers remained in their home states and districts to continue the two-week spring recess. They are expected to return to Capitol Hill on Monday, April 29th. In the days ahead, Members of Congress may be hosting town hall meetings and attending events in their home states and districts..Senate Republican Whip John Thune, who TSCL met with last week, noted the Senate plans to hold multiple hearings on what should be included in the next relief bill, but he said moving a bill "probably doesn't happen" until July..The public frequently confuses the two programs. Like Social Security, people become eligible for Medicare based on payroll tax withholdings from their earnings. Eligibility for Medicaid is based on low income. Medicaid is a combined state and federal program, in which the federal government pays roughly 60% of program costs for all whose income is low enough to qualify under current law. The new House law would end the open ended nature of funding and cap per person costs, adjusting reimbursements for inflation using the consumer price index. … Continued

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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..It's important for the public to understand how the bill would increase costs and affect access to health care. The May 4th House vote took place less than 24 hours after the revised bill was posted, and without the nonpartisan Congressional Budget Office's analysis of the new bill. "Meaning that House GOP Members voted without having adequate time to review the bill, knowing the full cost of the legislation or how the new changes in the bill would impact coverage for their own constituents," Johnson points out. "The public has a right to know that information prior to our elected lawmakers enacting legislation.".The House has been working on the other funding bills but whether or not they are able to pass any of them before the August break is uncertain. So far, the Senate has not managed to pass any of the needed funding bills. … Continued

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