The U.S. currently has 21 Social Security Totalization Agreements in effect with other nations. The agreements allow workers who split their careers working in two countries to avoid double taxation on the same work. In addition, workers are allowed to combine earnings from both countries in order to qualify for Social Security benefits under one or both systems. The agreement with Mexico presumably would have a very different impact, however, for a number of reasons, including the fact that no other totalization agreement is with a country where so many of its citizens are living and working in our country illegally..The Senior Citizens League continues to monitor the CBO's tax proposal. TSCL supports bills that would reduce the taxation of Social Security benefits while making Social Security payroll taxes more equitable through ensuring that all workers pay their fair share of taxes on all earnings..If signed into law, H.R. 3513 would take a number of steps to reduce the cost of prescription drugs, including requiring the Secretary of Health and Human Services to negotiate Part D drug prices, allowing the re-importation of drugs from Canada, closing the "doughnut hole" three years earlier than current law, and prohibiting "pay-for-delay" deals between drug manufacturers..In 2015, the monthly Medicare Part B premium for people with incomes less than ,000 was 4.90. When the Social Security Administration announced that there would be no COLA in 2016, Barbara - like 70 percent of all other Social Security recipients - was protected from reductions in her Social Security benefits by a provision of law known as "hold harmless." Barbara's Medicare Part B premium stayed the same, at 4.90, even though Medicare Part B premiums that year rose to 1.80 for people like new enrollees who were not protected by hold harmless..In a letter to Congressman Davis, Art Cooper Chairman of TSCL's Board of Trustees wrote: "According to a recent study completed by TSCL, Social Security beneficiaries have lost over 20 percent of their purchasing power since 2000. Those who are subjected to the WEP and the GPO have undoubtedly fallen even further behind. It is now more important than ever for Congress to address the inequities that have been created by the WEP and the GPO, and TSCL believes the Social Security Fairness Act is a fair and responsible solution.".One of the first steps in bringing down prices is demanding transparency from the many players in the prescription drug supply chain. Many experts point to pharmacy benefit managers as potentially contributing to rising list prices and out-of-pocket costs. PBMs are the veritable middlemen of the drug industry - they serve as intermediaries between drug manufacturers, health insurers, and pharmacies. Some believe that, during this process, drug makers are forced to raise the list prices of their drugs just so they can offset the costs of rebates paid to these PBMs..On the heels of Greenspan's recent statement, President Obama's Fiscal Commission is due to release itsplan to solve the growing U.S. deficit by December 1st of this year. The Commission is eyeing major cuts to Social Security - including cost-of-living adjustments cuts that would affect 53 million current beneficiaries.."Phone Scammers and 'Tele-doctors' Charged With Preying On Seniors in Fraud Case," Victoria Knight, NPR Health News, October 7, 201"U.S. Thwarts Medicare Genetic Testing Scam," Associated Press, September 29, 2019..The issue of PBM transparency is not a hyper-partisan issue - and that was clear when the U.S. House passed our bill by an overwhelming margin of 403 to 0. That vote should signal just how common high drug prices are in districts across the country, and I'm encouraged by Democrats and Republicans both recognizing the pressing need for our legislation.

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New Tool For Financially Insecure Seniors: EconomicCheckUp®.Now Medicare has launched a formal process to determine whether Aduhelm will be covered, after a widespread uproar spurred a Congressional investigation. The final decision isn't expected until next spring, although an initial ruling could come around January. Medicare's coverage process came on the same day that two House committees asked drug maker Biogen to turn over documents on how the drug was developed and priced, and on its dealings with government officials at the US Food and Drug Administration..This includes, among other things, legislation to strengthen the long-term viability of both Social Security and Medicare; lowering the costs of prescription drugs; enacting a fair COLA that takes into account the actual cost of living increases seniors face; Social Security Notch Reform; stopping any cuts to Social Security, Medicare or Medicaid, or to the COLA that may be proposed; enacting legislation to provide for dental, vision and hearing coverage for seniors. … Continued

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Heap's story is part of a major investigative series on Medicare drug fraud, by the independent, non-profit investigative news organization ProPublica. Reporters, using Medicare's own data, were able to identify scores of doctors whose prescribing within Part D followed known patterns of fraud. ProPublica's investigation found that "Medicare's system for pursuing fraud is so cumbersome and poorly run that schemes quickly siphon away millions." The stories are drawing a remarkable reaction from the normally snail-paced Medicare. The agency recently announced plans to better control prescription drug fraud, including new authority to revoke doctors' Medicare enrollment if patterns of abusive prescribing are found..TSCL Announces Support for New Bill.This, of course, keeps the costs of those drugs much higher than if a generic version were available. … Continued

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