Action from Congress is needed to address Social Security's looming shortfall. Without it, the Social Security Trust Fund is estimated to run short by 203Should that occur, benefits would be reduced by about 22% to match the level of payroll taxes coming in..If signed into law, the Improving Care for Vulnerable Older Citizens through Workforce Advancement Act would create six different demonstration projects that focus on the coordination of care and the delivery of medical services to elderly patients with chronic illnesses. The projects would design and test new models of care coordination, and direct-care workers would be granted opportunities to advance their careers through additional training, increased compensation, and expanded roles..2020 Senior Survey.In 2012, the GPO reduced, by nearly two-thirds, the Social Security benefits of nearly 600,000 surviving spouses who also collect a government pension. Nine out of 10 public employees affected by the GPO lose their entire spousal benefit, even though their spouse paid Social Security taxes for years..TSCL supports the Social Security 2100 Act enthusiastically since it would reform the program responsibly, without any cuts for beneficiaries. Our legislative team will continue to advocate for it in the months ahead, and we hope to see it signed into law before the end of the 114th Congress. For updates on the progress of the Social Security 2100 Act, visit our Legislative News updates regularly or follow us on Facebook or Twitter..As part of efforts to strengthen the Social Security system, Congress included the Windfall Elimination Provision and the Government Pension Offset in the Social Security Act of 198While its intentions were noble, these changes did little to secure the Social Security system, and have instead unfairly penalized millions of public sector employees..TSCL believes that Social Security and Medicare remain at high risk of major changes that would cut benefits and continues to meet with Members of Congress and their staffs. The COLA is particularly vulnerable due to the size of the reduction in the deficit it would have - both by cutting federal spending and boosting tax revenue. The next election will be one of the most critical in years for both retirees and older Americans within ten years of retirement. TSCL urges you to ensure that you and your family are registered and ready to vote this November!.In the first year of the new healthcare law, a large percentage of enrollees through the federal exchange tended to be older adults, many having pre-existing conditions. In addition, there were individuals who enrolled when they received notice that their former health plan was ending, and still other uninsured consumers did so attempting to comply with the new law to have health coverage or pay a fine..The study examined the increase in costs of 39 key items between 2000 and January 201The items were chosen because they are typical of the costs of most Social Security recipients, and include expenditures like the Medicare Part B premium, that are not measured by the index currently used to calculate the COLA. Of the 39 items analyzed, 25 exceeded the percentage of increase in the COLA over the same period. "This study illustrates why legislation is needed to provide a more fair and adequate COLA," Johnson says. "To put it in perspective, the same 0 worth of groceries that a retiree household could buy in 2000, can only buy worth today," Johnson adds.

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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..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.."We do have vaccines and therapeutics coming down the pike," Osterholm said. "But when you actually look at the time period for that, the next six to 12 weeks are going to be the darkest of the entire pandemic." … Continued

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He noted that a vaccine's rarer side effects are often not recognized until it is put into broad use. To discover an adverse outcome that only occurs in one person in 100,000, for instance, a company would need to test it in 384,250 people from broad backgrounds and with a variety of medical conditions..That estimate appears to be one prepared by the Social Security's Chief Actuary who projected in 2003 that a totalization agreement with Mexico would have a negligible long-range cost to Social Security. The Social Security Administration estimated that costs to the U.S. Social Security system would average about 0 million per year over the first five years. In 2003 the Government Accountability Office evaluated that cost estimate and sharply criticized it, saying that "the cost of such an agreement is highly uncertain." The GAO reported that SSA's estimate failed to account for the large number of Mexicans who are or have worked in this country without legal authorization..Eye exams, eye glasses, and contact lenses. … Continued

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