In the coming weeks, budget discussions will continue on Capitol Hill as committees in the House and Senate form proposals of their own. TSCL is hopeful that leaders in both chambers will consider measures that would improve the pharmaceutical industry and ensure access to more affordable prescription drugs for Part D enrollees. We will monitor the budget debate closely in the weeks ahead, and we will post updates here in the Legislative News section of our website..In addition to expenses such as out-of-pocket drug costs, and co-pays for visits to the doctor, here are a few of the most common overlooked medical deductions:.The difference in drug prices between the lowest and highest costing plans, can be in the hundreds, or even thousands, of dollars. For brand name and specialty drugs, the most frequent reason that the drug costs so much more in the highest costing plan is lack of coverage. The drug is not listed on the high cost plan's formulary. For example, the lowest cost plan for Sovaldi, a drug used to treat Hepatitis C, charges ,600 in co-insurance. The highest cost drug plan charges 0,800, the full cost of the drug, because Sovaldi is not on the plan's formulary..This week, five new cosponsors signed on to Rep. Mike McIntyre's Notch Fairness Act, bringing the total up to seventeen. The new cosponsors are: Reps. William Enyart, Betty McCollum, Collin Peterson, Don Young, and Jim Himes. If signed into law, Rep. McIntyre's bill would provide modest compensation to Notch babies, or those who receive lower Social Security benefits because they were born between the years 1917 and 192TSCL believes that some compensation for this injustice should be provided, and the Notch Fairness Act would do just that..A tax reform plan being floated by the House GOP would meet strong opposition from activists and older voters, warns The Senior Citizens League. The plan would end the 12.4 percent payroll tax that funds the monthly checks of about 60 million current Social Security beneficiaries. "This proposal would sabotage Social Security for both current and future Social Security recipients," warns Mary Johnson, Social Security policy analyst for TSCL..No: 70%.Key Bill Gains Critical Support.This week, TSCL announced its support for the Improving Care for Vulnerable Older Citizens through Workforce Advancement Act, which was introduced by Sen. Bob Casey in the Senate, and by Rep. Matt Cartwright in the House. If signed into law, the bill would create six different demonstration projects that would focus on the coordination of care for elderly patients with multiple chronic illnesses. It would put Direct Care Workers such as nursing assistants, home health aides, or personal care aides in advanced roles, and it would test and evaluate different models of care coordination..A balanced budget amendment to the constitution, like the one that was considered this year, would prohibit the federal government from spending more than it collects in revenues each year. It's a budget gimmick that would essentially make it unconstitutional for Social Security and Medicare to use the trust fund reserves they currently have to pay out benefits, because it would prohibit "borrowing" even when new revenues are insufficient to pay out benefits. Additionally, the federal government would be prohibited from repaying the .7 trillion it currently owes to the Social Security trust funds.

Blog Examining Education Policy Issues At Ncsls Legislative Institute On Higher Education

Medicare is trying to nudge people towards using less expensive older drugs, as this story describes. Most of us jump at the chance to lower our drug costs whenever we can, but sometimes the alternative may not work as well. If this happens to you, I strongly suggest that you take the letter from Medicare and show it to your doctor. I'm willing to bet your doctor won't be pleased to see Medicare "prescribing" other drugs for his or her patients..If signed into law, H.R. 4012 would provide Social Security beneficiaries and retired military members with a 3.9 percent COLA in 2016, which would amount to around 1 for the average beneficiary. It would offset the cost of the emergency COLA and extend the life of the Social Security Trust Funds by closing tax loopholes for corporate executives..The following Members of Congress, among many others, will be holding town hall meetings next week: Sen. Jerry Moran, Sen. Ron Wyden, Rep. Karen Bass, Rep. Diana DeGette, Rep. Scott Perry, Rep. Xavier Becerra, Rep. Thomas Massie, Rep. Tom McClintock, Rep. Chris Stewart, Rep. Jim Sensenbrenner, and Rep. Tom Emmer. … Continued

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There are several types of Medicare Advantage plans, and not all are available in all areas. Many are health maintenance organizations, but there are also preferred provider organizations and special needs plans, among others. Under traditional Medicare with a Medigap plan, you may go to any doctor who accepts Medicare. But in a Medicare Advantage HMO plan you need to use network healthcare providers in order to get coverage. If you are treated by non-network providers, you would be responsible for 100% of the out-of-pocket costs, and Medicare would not cover the cost of the claim. If the plan is a PPO, however, you would have greater flexibility to go out of network, but you would pay higher co-pays or co-insurance. Before selecting any Medicare Advantage plan, check the lists of network doctors, hospitals and other providers! It is not unheard of for Medicare Advantage plans to market to people who live a good distance from the nearest in network health care provider..In a statement, Mary Johnson a policy analyst for The Senior Citizens League said this week: "This could be particularly problematic for older, low-income Americans who represent a disproportionate share of Medicaid spending … Capping and adjusting payments to states would take benefits away from millions of low-income families, including disabled and older Americans in nursing homes, all to pay for massive tax breaks for the very wealthiest U.S. households.".This year, Social Security beneficiaries received no cost-of-living adjustment despite a national survey indicating a majority reported higher costs. Do you support legislation that would give seniors an emergency COLA before the end of this year? … Continued

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