AOA Reauthorization Bill Goes to President Obama for Signing

Published in Woonsocket Call on April 10, 2016

The Older American’s Act (OAA) current authorization expired in fiscal year 2011 because lawmakers were unable to reach an agreement on its reauthorization. On a bipartisan basis, Congress has finally passed the long-stalled legislation reauthorizing the OAA when the Senate passed the House-amended bill on April 7. Three weeks earlier the House had passed an amended version of S. 192, the Older Americans Act Reauthorization Act of 2016, by a unanimous voice vote. This legislative proposal amended the bill passed by the Senate on July 16, 2015. Now the passed legislation goes to President Obama, once signed it becomes law.

The very bi-partisan Senate reauthorization bill was sponsored by Chairman Lamar Alexander (TN) and Ranking Member Patty Murray (D-WA), of the Senate Committee on Health, Education, Labor and Pensions, and had 27 co-sponsors from each party.

OAA Authorization Has Lots of Positives

OAA’s latest reauthorization offers new support for modernizing multipurpose senior center, highlights the importance of addressing senior’s economic needs, permanently requires health promotion and disease prevention initiatives to be evidence-based, and promotes chronic disease self-management and fall prevention.

The law also includes: stronger elder justice and legal services provisions; needed clarity for caregiver support and Aging and Disability Resource Centers; new opportunities for intergenerational shared sites, and promotes efficient and effective use of transportation services.

Legislative inertia and a general undercurrent of opposition to any government programs by some members of Congress slowed consideration of the bill , says Dan Adcock, Director of Government Relations and Policy for the National Committee to Preserve Social Security and Medicare (NCPSSM). “You need champions to break through the ‘legislative inertia’ and OAA just did not have enough,” he says.

Senators Lamar Alexander (R-TN), Patty Murray (D-WA) and Bernie Sanders (I-VT) along with Reps. John Kline (R-MN) and Bobby Scott (D-VA) worked hard to finally get the Senate and House to pass this year’s OAA reauthorization, Adcock noted, stressing that there was no opposition to the bill when it passed the House and Senate on voice votes

While the passed OAA reauthorization bill has many positives, its chief weakness is that it does not raise the funding authorization level enough, says Adcock. “Unfortunately, the Older Americans Act has suffered under flat funding and sequestration cuts for several years and will need significant increases in appropriations to meet the critical demands of a senior population that will nearly double by 2030, warns Adcock, noting that that an increase of 12 percent a years is needed for the next several years to raising funding to an acceptable level.

“AARP urges President Obama to quickly sign this bill,” said AARP CEO Jo Ann Jenkins. “We are appreciative of the bipartisan work to get this bill passed. Reauthorizing the OAA will help the millions of vulnerable older Americans who depend on the programs and services that the OAA helps to fund.

“Reauthorizing the OAA is as important as ever to modernizing and improving the aging services network in our country. It’s passage reflects the heroic efforts of many advocates working together to educate Congress about how programs funded by the OAA support older Americans,” observed Steven R. Counsell, MD, AGSF, American Geriatrics Society President.

Adds Senator Sheldon Whitehouse (D-RI), who serves on the Senate Select Committee on Aging, “I am glad we were able to reauthorize and improve the Older Americans Act. This legislation authorizes more funding for meals and social services seniors depend on. It includes new protections against elder abuse, which I’ve been fighting to pass. And it gives residents of long-term care facilities-who often can’t communicate their wishes-a stronger advocate to speak on their behalf.”

Ratchet Up AOA Funding

For more than 50 years the Administration on Aging with its National Aging Network (State Units on Aging and Area Agencies on Aging) has provided federal funding, based on the percentage of the locality’s population 60 and older, for nutrition and supportive home and community-based services, disease prevention/health promotion services, elder rights programs, the National Family Caregiver Support Program and Native American Program.

Aging advocates will tell you that Congressional funding has not kept with the rising inflation or the increased demands of an aging society. Deep Congressional budget cuts, push by the GOP, have significantly reduced OAA’s ability to provide services to those on increased waiting lists. Being “penny-wise and pound foolish” should not be the way Congress looks at future OAA reauthorizations. NCPSSM’s Adcock will tell you that programming geared to helping seniors to age in place at home in their communities can save billions by reducing costly nursing facility and hospital stays.

Hopefully, the President is expected to sign it in a week or two. Hopefully he signs this it quickly on Monday .

Defend Yourself Against IRS Scammers

Published in Woonsocket Call on March 27, 2016

With federal regulators reporting a surge in tax-related fraud schemes, the U.S. Internal Revenue Service and Rhode Island’s Division of Taxation are requiring new income tax filing requirements. The AARP Fraud Watch Network also gears up its efforts to protect consumers from Internal Revenue Service (IRS) Imposter Scams.

According to the U.S. Internal Revenue Service (IRS), an aggressive and sophisticated phone scam targeting taxpayers, including recent immigrants, is making its rounds throughout the nation. Here’s the scam. A caller claims to be employed by the IRS, but they are not. To be seen as legitimate the con artist uses a fake names and even rattle off a bogus IRS identification badge numbers. The caller ID may even be altered to make it look like the call is coming straight from the IRS. .

Usually victims are told they owe taxes to the IRS and it must be quickly paid through a pre-loaded debit card or wire transfer or they will suffer the consequences. If the victim refuses to cooperate with the federal agency, then they are threatened by the con artist with arrest, deportation or suspension of a business or driver’s license. In many cases, the caller becomes hostile and insulting. Victims may also be told they have a refund due to try to trick them into sharing private financial information. If the phone isn’t answered, the scammers often leave an “urgent” callback request.

Knowledge is Power over Scammers

To combat this growing problem, the AARP Fraud Watch Network gears up its educational campaign, with digital advertising featuring a new tip sheet and online video to combat the “IRS Imposter Scam.”

Our goal is to warn consumers and empower them with the knowledge they need to keep their family members from falling victim to the IRS imposters,” said Nancy LeaMond, Chief Advocacy & Engagement Officer, AARP. “Once they recognize certain red flags, they will be confident in resisting the aggressive bullying and scare tactics used by the scammers.”

The Fraud Watch Network campaign is advising consumers that legitimate IRS agents do not call and demand immediate payment. The IRS will not call about owed taxes without making contact by mail. The IRS will not require a taxpayer to use a specific payment method to make a tax payment, such as a prepaid debit card; or ask for credit or debit card numbers over the phone. Finally, the IRS will not threaten to bring in local police or other law-enforcement groups to have you arrested for not paying.

For more information about the IRS scam and other tax-related frauds, visit http://www.aarp.org/FraudWatchNetwork. Consumers who think that they are being targeted by a scammer may call the FWN helpline at 877-908-3360 and speak with a trained counselor.

Federal and State Efforts to Protect Tax Payers

The IRS, announces that many newly implemented safeguards are now in place that consumers may not even be aware of, but are invaluable in fighting against the stolen identify refund fraud. Many of these changes are designed to better authenticate the tax payer’s identity and validate the tax-return at the time of filing.

The most visible change is new password protections for private-sector ax software accounts. Newly implemented standards require a minimum 8-digit password using a combination of letters, numbers and special characters. There also will be new security questions, new lock-out features and new ways to verify emails.

IRS’s password standards are intended to help protect taxpayers from identity thieves who take over their software accounts and file fraudulent tax returns using their names and Social Security numbers.

In a January 19, 2016 Advisory for Tax Professionals, Rhode Island’s Division of Taxation is putting in processing safeguards to protect an estimated 600,000 Ocean State taxpayers. Acting Tax Administrator Neena S. Savage announced that this tax season all taxpayers and preparers who file electronically will be asked to enter a driver’s license number as part of the tax preparation process.

“This is another way to verify your identity and the validity of your return before the processing of the return is completed,” says Savage, noting that the new filing requirement for is part of a coordinated and collaborative effort among the states, the U.S. Internal Revenue Service, tax software providers, and others to help protect taxpayers from identity theft that may lead to tax refund fraud.

The requiring a taxpayers driver’s license is just “another layer of protection because identity thieves may already have your name and Social Security number, but perhaps not your driver’s license number,” says Savage, adding that this will assist states in matching driver’s license information with other identifying records to help confirm the filers identity.

“Tax software will prompt you for your driver’s license number. The information will be transmitted only in electronically filed returns; it will not appear on paper returns. It will also be safeguarded along with the rest of your tax return information,” adds Savage. The return will not be rejected if a taxpayer does not have a driver’s license number, or does have one
but does not provide it, she said.

New Phone app Fights IRS Phone Scam

With the April 18th Tax Day deadline fast approaching, Whitepages, a Seattle, Washington–based company releases an update for its ID app for Android that blocks suspected IRS scammers. The new Auto-Blocker automatically stops “IRS Imposter Calls” from reaching the user.

“Fraudulent phone scams are on the rise and, while some carriers and handset makers are starting to solve this problem, consumers need ways to educate and protect themselves,” said Jan Volzke, Vice President, Reputation Services at Whitepages. “While the IRS scam is far from the only unwanted call identified by our leading technology, it’s certainly top of mind this busy tax season. We want to help ease concern by making sure a large majority of those calls never reach their intended targets.”

Whitepages says, of the 300 million incoming calls that the company scans monthly in the U.S., more than 15 million are classified as “unwanted.” Last year, Whitepages identified the IRS scam as the number one type of scam call, with more than 1.2 million of these types of calls being made per month, accounting for at least 8 percent of all calls blocked by users. In addition, comparing February data from 2014 to 2016, IRS scam calls have grown exponentially, at nearly 2,500 percent over the past two years.

The new updated Whitepages ID app automatically blocks any incoming calls that have been identified by the company’s proprietary algorithms as being a known IRS scam number. The Alto-Blocker also includes the blocking of numbers that the IRS has officially flagged as suspicious.

While the Auto-Blocker stops IRS scam calls from ringing phones, users have the option to keep this auto feature on, or adjust the protection level based on type of call including: Scam or Fraud, Suspected Spam, Hidden Numbers, or International Numbers.

As scammers switch phone numbers in an effort to avoid detection, phone users will be alerted to popular or new area codes where scam calls are originating, so they can remain on the defense against numbers that may not yet have been blocked.

Finally, users can easily report IRS specific scam numbers back to Whitepages to be put on its block list.

Whitepage’s new app is free and available on GooglePlay.

Congressional Panel Looks Over Medicare

Published in Woonsocket Call on March 20, 2016

Last Wednesday’s hearing of House Ways and Means Health Subcommittee signals the panel’s interest to bring Medicare, a federal health insurance program for people age 65 and over, into the 21st century to meet the needs of its current 55.3 million beneficiaries.

At the March 16 hearing, Chairman Pat Tiberi (R-OH), stated that “Today’s seniors [are] inundated with an array of confusing deductibles, coinsurance and copayments with no protection from high health care costs unless they enroll in a private plan. Despite major improvements and innovations in the health care sector that have transformed how care is delivered, traditional Medicare has barreled through the last 50 years on the same trajectory of increased costs and little innovation.”

In addition to the structural challenges facing the program, critical parts of Medicare are expected to run out of money by 2026. In other words, the benefits Americans were promised stand to disappear if policymakers don’t act soon, says Tiberi.

Putting the Spotlight on Medicare

Tiberi’s March 16 Health Panel hearing, entitled “Preserving and Strengthening Medicare,” held in room 1100 of the Longworth House Office Building, brought together three witnesses to discuss ways to sustain the nation’s Medicare program and to keep it from going bankrupt. From both sides of the aisle and expert witnesses all agreed that the federal government’s current approach to delivering high-quality health care is not working. As a result of an outdated Medicare program and harmful Obamacare policies, today’s seniors “must navigate a disjointed program, face rising health care costs, and have fewer healthcare choices,” says the GOP panel chairman.

“Of federal entitlements, Medicare presents the most difficult challenges,” says Heritage Foundation Senior Fellow Robert Moffit, warning that the Trust Fund “faces insolvency in 2026.”

At the hearing, Moffit gave his fix for revamping Medicare that have bipartisan support and promise to shore up the ailing entitlement program. He called for the Medicare program to be simplified by combining Parts A and B – including catastrophic coverage, an out-of-pocket cap, a single deductible, and uniform coinsurance in a single plan along with bringing reforms to Medigap coverage. Also, retargeting Medicare benefits to low-income enrollees can provide assistance to lower-income enrollees. Increasing Medicare’s eligibility age to 67 (the same eligibility age for Social Security) along with encouraging innovation and cultivating competition through Premium Support can put the brakes to rising program costs.

When it comes to simplifying Medicare and incorporating catastrophic coverage, Tiberi had called the need for reform a “no-brainer.” Moffitt overwhelmingly agreed, stating, “It is a no-brainer. It is absolutely a no-brainer … [seniors] do not have protection from the most important thing that health insurance should deliver, which is that ultimate protection.”

As Moffit explained, the lack of catastrophic coverage in Medicare not only puts financial strain on the beneficiary, but it also causes a significant increase in unnecessary health care spending.

Coming Up with a Commonsense Approach

In her testimony, Katherine Baicker, Harvard University Professor of Health Economic and serves on the Medicare Payment Advisory Commission, also called for commonsense solutions, specifically focused on the need for increased competition. She heighten the role that Medicare Advantage program plays in promoting innovation, as well as providing more seniors flexibility, choice, and quality at an affordable cost.

Baicker emphasized, “A thriving and competitive Medicare Advantage program can be a vital contributor to high quality beneficiary care in a sustainable health care system.”

When Baicker was asked which Obamacare provisions Congress should work to immediately repeal in an effort to protect Medicare Advantage, she replied, “I would like to see the cap on quality bonuses removed … and removing the double bonus for quality so that you’re appropriately rewarding plans for delivering the high-quality care that beneficiaries are seeking out.”

Finally, Stuart Guterman, senior scholar in residence at
AcademyHealth, told the panel that he believes the nation’s largest purchaser of health care can do more to ratchet up quality, enhance quality and coordinate care and control costs. “Because of Medicare’s unique position, it can be an important testing ground for cost and quality innovations. Policies have been put in place that encourage such development, including the expanding the power of the Secretary of Health and Human Services to put pilot programs on a ‘fast track’ and to work with private payers and providers to establish multi-payer initiatives.”

At the conclusion of the two hour hearing, like Baicker, Tiberi stressed the importance of bolstering support for Medicare Advantage, which serves approximately one-third of seniors today. Obamacare cut billions of dollars from Medicare Advantage and redirected those resources toward a one-size-fits-all, Washington-run entitlement, he says.

Tiberi also noted, “If we continue to berate a system that has been widely successful…I don’t think that’s a really good way to try to figure out how we bester serve patients, seniors, in a more cost-effective value-added, comprehensive way.”

Watching from the Sidelines

But, one aging group expressed strong concerns about the Health Panel’s look at Medicare. In his released statement, Max Richtman, President/CEO of the Washington, D.C.-based National Committee to Preserve Social Security Medicare (NCPSSM), viewed the Health Panel hearing as “an Orwellian political exercise in which politicians say preserve when they actually mean privatize, and strengthen when they mean slash.”

“Republicans in the House envision a future in which millions of seniors will lose their guaranteed Medicare benefits in favor of a privatized CouponCare system in which they receive a government coupon to try and buy private insurance. Millions of seniors in Medicaid will lose their benefits due to block-granting to states without providing the resources to pay for it. The repeal of the Affordable Care Act will leave tens of millions without insurance and strip benefits from seniors in Medicare,” says Richtman in NCPSSM’s statement.

Furthermore, “The Republican leadership has offered no plans to improve benefits in Medicare or make reforms to reign in the skyrocketing price of drugs and healthcare costs system wide. Instead, the GOP vision for seniors in Medicare is they must just do more with less. Stagnant wages are grinding away at the middle class’s ability to save for retirement. Many employers have significantly scaled back or eliminated the traditional retirement benefits offered to their employees. As a result, current and future retirees simply cannot afford proposals to cut benefits, raise the eligibility age or privatize the program,” says in the NCPSSM statement.

Finally, the aging advocate warns that the GOP majority on the House Ways and Means Health Subcommittee majority is moving to replace the nation’s traditional Medicare program in favor of a fully privatized system, and the GOP controlled House is in the process of producing a budget that would do just that.

A Democratic or Republican President? Which political party controls the House and Senate? When the dust settles these answered questions may result in a restructuring of the Medicare program, that may either be strengthened and expanded or put on the budgetary chopping block by the new incoming President or Congress. It’s a no brainer…Sitting on the political sideline will ultimately be detrimental to your pocketbook and coverage you receive for your health care.