you get your new prescription, ask your doctor or pharmacist for a complete list.Another concern about congressional inaction on the debt ceiling is the potential for cuts to programs like Social Security, Medicare, and Medicaid. In recent debates, Social Security benefits have been used as a bargaining chip and have been held hostage to the debt limit increase. Some retirees have felt the sting of unexpected benefit cuts. In 2015, following the passage of the Bipartisan Budget Act, millions of seniors, already eligible for Social Security benefits, learned that an important claiming method called "file and suspend" a particularly important protection for women who tend to have lower benefits than men would no longer be an option to them..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..The House of Representatives returned to work this week after the traditional August recess. The Senate, however, does not come back until next week..Under current law the Social Security COLA is calculated based on the spending patterns of younger working adults using the Consumer Price Index for Urban Wage Earners and Clerical Workers. But older consumers spend a bigger portion of their household budgets on healthcare and housing, two categories that have been increasing more rapidly in recent years. "Medicare Part B premiums are the fastest growing cost most retirees will ever have," notes Johnson. "But those costs are not even surveyed under the CPI-W or reflected in today's COLA," she says..TSCL believes Congress will need to make some difficult spending cut decisions, and soon, in order to find the savings needed to address Medicare shortfalls, while ensuring access to doctors and adequate Medicare coverage without reducing benefits. Notch Babies who turn 85 to 94 this year are hit particularly hard because they are at the age when they are more likely to have chronic health conditions that require costly treatment..Once the Social Security reform trigger has been pulled, the House budget resolution stipulates that the Trustees would have until September 30th of the same calendar year to submit recommendations for the changes necessary to achieve a positive 75-year balance to the President. The resolution would then require the President to submit legislation to Congress within 60 days of receiving the Trustees' recommendations. President Trump promised repeatedly on the campaign trail not to touch Social Security..How would this compare with the "senior" CPI, the Consumer Price Index for the Elderly ? Estimates for TSCL indicate that if the CPI-E were to be used to determine the COLA for 2017 the COLA would be 1.7% - 1.1% higher than COLAs under the CPI-W, but federal poverty levels will rise as well..Looming over all of this is the traditional August recess of Congress. That tradition started back before the discovery of electricity and therefore air conditioning. August is normally the hottest month of the year in Washington so they would all leave town to go somewhere to stay cool.
