In the House, Representative Kevin McCarthy will take over the top post House Minority Leader for Republicans next year. Representative Steve Scalise will become the Minority Whip, and Representative Liz Cheney will hold the position of House Republican Conference Chairwoman. House Democrats, who will take over the majority in the House next year, will hold their leadership elections on November 28th, following the Thanksgiving recess..Several provisions within the H-CARE act include; increasing payments to Rural Health Clinics, authorizing to million annually for grants to rural providers to help with the cost of implementing health information technology, requiring prompt payment to rural pharmacies by Medicare prescription drug plans and ensuring that rural Americans are appropriately represented on the Medicare Payment Advisory Commission..Consumer price index data show that the rate of inflation has changed significantly over the past decade, and has yet to return to the average rate during the decade prior to the 2010 Great Recession. From 1999 to 2008, COLAs averaged 3%. Since 2010, however, the COLA, which is tied to the increase in the Consumer Price Index for Urban Wage Earners and Clerical Workers, has averaged just 1.4%. Since that year, inflation has been so low that there was no COLA payable three times - in 2010, 2011, and 201In 2017, inflation was almost zero at just 0.3 percentage point. This is not normal, and research on the costs experienced by older Americans indicates the COLA often doesn't reflect inflation that retirees actually experience..The 2013 COLA will be announced October 16, 201Based on CPI-W data through June 2012, TSCL's Advisor editor Mary Johnson forecasts that the COLA payable next year will be about 1.4% - 1.5%. That would make it one of the lowest COLAs paid in the 38 years since the COLA became automatic..Congress Still Working to Avoid Government Shutdown.This week, action on Capitol Hill slowed down as the House of Representatives adjourned for a holiday recess, and the Senate focused on legislation to reauthorize programs within the FDA. Meanwhile, TSCL expressed support for a new House resolution, introduced by Rep. Scott Rigell..To help make the right saving and distribution decisions, get professional advice from professional financial advisors..Drug Legislation Running Out of Time as Part D Costs Set to Soar.Then on Monday there was a report that Congressional negotiators were closing in on a government spending bill agreement after keeping the funding for Veterans Affairs Mission Act under the .4 trillion budget cap, a significant victory for the House Republicans who insisted on this provision, according to two congressional aides.

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Totalization with Mexico is highly controversial because of the millions of Mexicans who have illegally worked in the United States without authorization. The agreement raises concerns that millions of such workers and their dependents would become newly eligible for Social Security benefits worsening the long-term solvency of the program. In addition, substantial new costs could trigger benefit cuts and higher taxes for both retirees and workers..He said it is still possible that legislation regarding those issues could be passed, but not very likely. He said he was afraid they would be caught up in the elections and be used as campaign issues rather than being seriously considered for passage. That means that if any action is taken it will probably not be until later in November or even December, depending on how late in the year Congress works..Spanberger announced that she will be introducing a bipartisan bill this week to correct the error and make sure that senior Medicare beneficiaries will also be eligible for a free vaccine. … Continued

Yuri Gelfand

The flowerpots aren't watered..Unfortunately, many Subcommittee Members seemed to agree with Rep. Burgess, who plans to introduce legislation that would provide a one-year pay patch for Medicare physicians. TSCL hopes that Congress will continue to work toward a permanent solution, and we will continue to monitor the SGR discussion in the coming months..The period covered by the Notch is a major area of dispute. When benefits are represented on a chart, the disparity forms a deep "V" notch. Benefits plunged from a peak for retirees born in 1916 and hit the lowest part of the "V" for those who were born in the years 1920-2Benefits began to rise for those born in 1922 until they became level with other retirees, starting with those born in 192See illustration below. … Continued

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