The U.S. Treasury has borrowed .8 trillion from Social Security, but in recent years Congress has battled over the borrowing required to repay the Trust Fund. Some are calling instead for COLA and other "entitlement" cuts..One witness, Scott Serota, President and CEO of the BlueCross BlueShield Association, suggested a gradual shift from the current fee-for-service system toward a series of new payment models that would allow for geographic variability. Another witness, David Bronson, President of the American College of Physicians, suggested a patient-centered medical home model, where each patient would choose a physician with a specific team of caregivers. He explained that his model would result in better coordinated care for seniors..TSCL enthusiastically supports H.R. 1030, H.R. 1795, and H.R. 1179, and we were pleased to see support grow for each one this week.."Medicare Beneficiary Savings and the Affordable Care Act," Department of Health and Human Services, February 201"Reliance on Capital Gains and Dividend Income Tends to Rise with Age," Tax Foundation, December 2005..Fifty-six percent of all Social Security households pay taxes on their benefits. Many of them have very modest middle incomes and didn't adequately understand or plan for these taxes, which take about 6% on average of Social Security income..Alexandria, VA Seniors will get one of the lowest cost-of-living adjustment paid in the past decade next January. But even so, COLAs remain a key target in post-election deficit reduction efforts, warns The Senior Citizens League, one of the nation's largest nonpartisan seniors groups. A plan that would slow the growth in annual COLAs is a key provision of major deficit reduction plans quietly under consideration in Congress..My legislation isn't meant to punish all drug manufacturers. These businesses play an important role in researching and developing new, effective medications, and we want them to succeed. Congress has passed legislation that makes sure drug manufacturers have enough time to recoup their research and development costs before generics are allowed to compete. My bill will simply prevent abuse of the system--extending that protected period out, way beyond what was intended..At Tuesday's hearing, lawmakers on the Aging Committee and those who testified advocated for the passage of the bipartisan Building Our Largest Dementia Infrastructure for Alzheimer's Act, which was recently introduced by Chairman Collins and currently has the support of forty Senate cosponsors. If adopted, the bill would create the public health infrastructure that is needed to promote early detection, coordinate care, support caregivers, and combat Alzheimer's disease..CMS Administrator Seema Verma also said that CMS is working to guarantee a free vaccine for Medicaid and private insurance members as well.

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But the new policy could backfire with senior voters. According to a recent TSCL poll seventy-seven percent said they do not agree with the new "deferred action" immigration policy..As you have experienced, one of the biggest appeals of Medicare Advantage plans are low, or sometimes no, premiums. However, you would still have deductibles to satisfy and co-payments for most, if not every service. In addition, plans are allowed to charge you an out-of-pocket maximum up to ,700 in 2019, an amount that varies and tends to grow each year. Under Medigap, your premiums are higher and, depending on the policy, can increase annually. On the other hand, covered out-of-pocket costs are minimal to nothing. Medicare Advantage is more affordable when you are healthy, but can cost significantly more per year if you require a lot of healthcare services..Let's say that you work for an employer with more than 20 employees. Then you and your wife may delay enrollment in Medicare, if you continue to work, and as long as you're still covered by the group health plan. If your employment or coverage ends, however, then you and your wife have 8 months to enroll in Medicare. COBRA and retiree health plans don't count as coverage based on current employment. … Continued

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There were reports recently that Republicans in the House of Representatives are insisting that stemming the growth of Social Security, Medicare and Medicaid costs is necessary. Bloomberg news reported on a House Budget Committee hearing about a new Congressional Budget Office report that projects trillion-dollar deficits for the next decade..doctor are far less expensive when you get there under your own steam rather.We should hope for our young adults, and workers from all walks of life, to aspire to serve their communities and become public servants. However, policies like the WEP and GPO only discourage our young people from becoming teachers, firefighters, and public health workers. … Continued

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