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How would the healthcare replacement legislation in Congress affect homecare and long-term care services covered by Medicaid? My 44-year old son was born with cerebral palsy and is homebound. He receives both Medicare and Medicaid. My mom, age 93, also lives with me. My husband and I still work. We are in our 60s..Low-income "dual-eligibles" - Medicare beneficiaries whose incomes are so low that they are also eligible for Medicaid. Part B premiums are paid on their behalf by state Medicaid programs..to make it sustainable. But let's do it in a thoughtful way, so seniors who worked hard and paid their dues aren't suddenly thrown to the wolves. We already have members telling us about elderly friends who are foregoing cancer treatments because they can't afford them and don't want to saddle their surviving spouse with the bills; for such folks, some of the reform proposals would simply be too much to bear.".Medicare Advantage plan cuts. So far, seniors have not been widely affected by cuts to Medicare Advantage plans, but many of the changes in reimbursements to plans have not yet taken effect. TSCL remains concerned that the reimbursement cuts would cause plans to drop extra benefits like eyeglasses and hearing aids that they now provide. Of greater concern is whether plan payments will be adequate for insurers to maintain their contracts with Medicare to provide services. When Congress cut plan payments too deeply in the past, insurers pulled out of markets all over the United States, leaving millions of seniors scrambling to find another health plan - most often at higher out-of-pocket cost..Under current law, noncitizens who gain temporary work authorization can qualify for long-term Social Security benefits based on work under invalid Social Security numbers that was done prior to gaining that authorization. If elected, would you support legislation to modify this policy?.Medicare Part B premiums jumped .10 per month in 2020 - one of the biggest increases in recent years. While the Social Security cost-of-living adjustment increased benefits by 1.6 percent in 2020, Medicare Part B premiums climbed 6.7 percent, more..However, the Biden administration has not received the idea enthusiastically. Jen Psaki, who is the White House Press Secretary, was asked about the proposal to fire the postal service board and she said it was an "interesting question," and that "we all love the mailman and mailwoman," but did not have any further comment.."New survey data from the Centers for Medicare & Medicaid Services found 21% of beneficiaries reported forgoing health care due to the pandemic, while 46% reported feeling more stressed and anxious.."'It's modest in terms of efficacy. It's [statistically] significant, but it may not be observable by the family or caregiver or even the physician,'" he said. "'I would tell them this is not a cure - something to set the expectation that this is likely not going to be a dramatic improvement, but this could be something more subtle.'"