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By Representative John Garamendi.The federal government will work with the private sector and Congress to implement the recommendations and develop a strategy to create a robust and resilient pharmaceutical and active pharmaceutical ingredient supply chain, including facilitating adoption of novel methods for commercial production of pharmaceuticals and biologics..The 30 percent who are not protected by hold harmless include:.One new cosponsor Rep. Michael Michaud signed on to Rep. Peter DeFazio's Consumer Price Index for Elderly Consumers Act this week. The cosponsor total for this bill is now up to 29..To do this, Larson's bill would increase the payroll tax rate gradually over 24 years through annual 0.1% increases, and it would also apply payroll taxes to all earnings instead of just the first 7,700..Because of age-related changes in their immune systems, people 65 years and older may not respond as well to vaccination as younger people. Although immune responses may be lower in older people, studies have consistently found that flu vaccine has been effective in reducing the risk of medical visits and hospitalizations associated with flu..Progressives see expanding the popular entitlement as essential to fulfilling their campaign pledges and keeping Democratic control of the House and Senate. But the reforms threaten the bottom line of insurers who administer private Medicare plans and sell supplemental coverage for dental, vision and hearing services. Groups like the American Dental Association, worried their members will be paid less in traditional Medicare than in private Medicare plans, are also pushing to limit the new benefits to the poorest Americans..Medicare Part B premiums were found to be the fastest growing cost for seniors, increasing by 195 percent over the eighteen-year period. Average out-of-pocket spending on prescription drugs followed closely behind, increasing by 188 percent. Meanwhile, between 2000 and 2018 the COLA increased Social Security benefits by only 46 percent..Once again this week the impeachment of President Trump dominated the news involving Congress and Washington in general. Even so, work continued on a host of other issues, many of which are of great importance to seniors.

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The CBO estimated that, the American Health Care Act, introduced in March, would cut federal spending on Medicaid by nearly 0 billion over the 2017 2026 period. The CBO estimated that, by 2026, Medicaid spending would be about 25 percent less than projected under current law, yet Medicaid spending growth would exceed the rate of growth of the inflation adjustment. "With costs growing faster than reimbursements, states would have to come up with the money in some other way or be forced to cut services, restrict eligibility for enrollment or otherwise ration care," says Johnson.".Please note the January 2019 to January 2020 period covered by this study does not include the recent impacts of the coronavirus or the collapse in oil prices..A major factor in delaying Social Security is your life expectancy, and the age at which you would come out ahead. Chances are you would be ahead by your early 80s. Average life expectancy for men is 84 and nearly 87 for women, and more people these days are living well into their 90s. … Continued

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TSCL Announces Support for New Bill.The concern is well justified. The Office of the Inspector General for the Department of Health and Human Services has reported that Medicare Advantage plans deny care inappropriately at high rates. When the Office of the Inspector General collected data, it found that when beneficiaries and providers appealed pre-authorization and payment denials, Medicare Advantage Organizations over-turned 75% of their own denials over the 2014-2016 period. The OIG noted "This is especially concerning because beneficiaries and providers rarely use the appeals process, which is designed to ensure access to care and payment." Only 1 percent of beneficiaries and providers appealed denials..In addition, it would close Medicare Part D's "doughnut hole" two years earlier than under current law, and it would require drug manufacturers to provide new rebates to low-income beneficiaries. If adopted, the plan would also increase transparency in the prescription drug market by requiring manufacturers to publicly disclose the costs of research and development, discounts, and other data that determines drug pricing. In an attempt to increase competition within the drug market, it would also prohibit anti-competitive deals, reduce the period of market exclusivity for brand-name manufacturers from twelve years to seven, and eliminate rules that extend market exclusivity when manufacturers make minor changes to products. … Continued