LCAO Calls for Fourth Stimulus Bill to Protect the Health and Well-Being of Seniors

Published in the Wooonsocket Call on April 19, 2020

As part of the Economic Impact Payment provision in the recently enacted $ 2.2 trillion stimulus bill, at press time about 80 million Americans have already received their $ 1,200 stimulus check ($2,400 for joint filers) through direct deposit. But for those 70 million Americans waiting for this payment by paper check, this Congressional handout may not be delivered to their mail box by early May, predict a Democratic Senator.

While the U.S. Treasury Department denies that embossing President Donald Trump’s signature on the “memo” section of the check will delay the delivery of paper checks, Senate Finance Committee Ranking Member Ron Wyden, (D-Ore.) disagrees.

A Break in Protocol

In an April 15 statement, Wyden stated: “Donald Trump is further delaying cash payments to millions of Americans struggling to pay the rent and put food on the table to feed his ego. Only this president would try to make a pandemic and economic catastrophe all about him.”

According to an article published in the Washington Post on April 14, “It will be the first time a president’s name appears on an IRS disbursement, whether a routine refund or one of the handful of checks the government has issued to taxpayers in recent decades either to stimulate a down economy or share the dividends of a strong one.”

The Washington Post article, penned by Reporter Lisa Rein, reported that Trump had initially approached Treasury Secretary Steven Mnuchin, who oversees the Internal Revenue Service, to be allowed to sign the checks. “But the president is not an authorized signer for legal disbursements by the U.S. Treasury. It is standard practice for a civil servant to sign checks issued by the Treasury Department to ensure that government payments are nonpartisan,” says the article.

Political insiders say that we can expect to see a fourth stimulus package hammered out between the Democratic-controlled House, the GOP-led Senate and Trump, to pump billions to jumpstart the nation’s sputtering economy. A second round of cash payments may well be part of this economic stimulus package, they say.

“We could very well do a second round,” said President Donald Trump at a White House news conference held over a week ago. “It is absolutely under serious consideration,” he said.

Last week’s commentary publicized Max Richtman, president and CEO of the Washington, D.C.-based National Committee to Preserve Social Security and Medicare, call to Congress to protect seniors in a fourth stimulus package (go to https://herbweiss.blog/2020/04/12/congress-must-protect-seniors-in-phase-four-stimulus-package/).

The continuing political battle over crafting the fourth stimulus bill has been put on hold for now with Democratic and WRepublican congressional leaders extending recess. After conferring with public health experts, the House and Senate will not come back into session until, Monday, May 4th.

Calling on Congress to Protect Seniors During the COVID-19 Pandemic

In an April 8 letter, the Washington, DC-based Leadership Council on Aging Organizations (LCAO), representing 69 national nonprofit organizations, urged Congressional lawmakers to ensure that a fourth stimulus package will protect the health and wellbeing of seniors and their families. LCAO’s 19-page communication provides over 50 recommendations (in the areas of housing services, income security and health and community resources) that are key to helping and providing the needed support to assist seniors cope with the raging COVID-19 pandemic.

Specially, LCAO calls on Congress to put funding for affordable housing in a fourth stimulus bill, by funding $ 1.4 billion for federally assisted housing supports to make up for vacancies along with decreased rents from HUD-and USDA-assisted older adult residents, and for emergency housing assistance. Investing $1 billion for new Section 202 Homes would result in short-and long-term jobs as well as 3,800 affordable homes becoming available with service coordinators, says LCAO. Congress was also requested to allocate $450 million in emergency assistance for HUD-assisted senior housing communities, too.

LCAO opposes any attempts to weaken the nation’s Social Security and Medicare programs. The aging group strongly resists any efforts to include a provision in the stimulus bill that would eliminate the payroll contributions to these programs and pushes for the expansion of Social Security and Supplemental (SSI) benefits to enhance the income security of America’s retirees.

Over 10 million workers and retirees have earned benefits under multiemployer pension plans, says LCAO, urging Congress in their letter to allocate sufficient funds to protect the “hard-earned benefits” of these retirees.

With a growing number of the nation’s seniors relying on the support of caregivers, LCAO calls for support of older adult caregivers and children through the expansion of the refundable tax credit for “other dependents.”

Within the next five years, 25 percent of the workforce will be age 55 and over, says LCAO, noting that it becomes crucial to provide adequate funding to the Senior Community Service Employee Program for workforce training.

It’s important to protect seniors from confusing and unfair billing hospitals and payment scams. This can be accomplished by establishing standards for billing that will help seniors manage the aftermath of health care costs due to the pandemic.

Each year, Medicare loses $60 billion to fraud and abuse. LCAO also requests $20 million for the Senior Medicare Patrol to educate Medicare beneficiaries on combating fraud and abuse scams.

LCAO’s letter also asked Congress for adequate funding of mass testing for COVID-19, data collection and accelerate Medicare enrollment to provide seniors and people with disabilities with access to needed medical treatment, two populations with the highest risk for being afflicted by the devastating virus. Congress must also ensure access and affordability to prescription drugs, says the Washington, DC-based aging advocacy group.

LCAO urged Congress to give states sufficient Medicaid funding to keep hundreds of thousands of Medicaid recipients from losing health coverage, which would increase the risk of these individuals spreading the COVID-19 virus.

The need to social distancing may force day care centers to close. LCAO says that a fourth stimulus bill package might add language within the Medicare and Medicaid Home and Community Based Service funding to authorize states to apply retainer payments to adult day care centers for the purpose of providing services to seniors outside the physical center.

LCAO also made a recommendation to prevent the unnecessary transfers of seniors to hospitals and nursing homes and support those recovering from COVID-19 by increasing beneficiary access to home health care by eliminating Medicare’s requirement that they be home bound to quality for this benefit.

LCAO’s letter supported the expanded access to hospice care by allowing physician assistants to certify need and to create a federal fund to identify and set up alternative care sites to nursing homes that meet the same minimum federal standards of care.

LCAO pushed for an additional $50 million to fund the Medicare State Health Insurance Program, a program providing unbiased, free and personalized information to assist seniors to chooses Medicare products, to help seniors understand their specific health care coverage needs under this COVID emergency.

The fourth stimulus bill, says LCAO, must also include funding to ensure providers in health care facilities and at community-based programs, be given personal protective equipment. These providers should be provided free child care and sick leaved during this crisis, too.

Considered “a frontline resource in the battling the pandemic,” LCAO calls for the adequate funding to Geriatric Workforce Enhancement Program, administered by the Health Resources Administration.

LCAO, noting the importance of federal programs that assist seniors to stay at home (including the Older Americans Act that directly serve seniors and caregivers, and the Supplemental Nutrition Assistance Program, the largest federal nutrition program), asks Congress to increase funding, benefits and streamline the application process to these programs to address healthcare and food needs during this pandemic.

With the COVID-19 virus spreading throughout the nation’s nursing homes and assisted living facilities, LCAO calls for more funding to the nation’s long-term care ombudsman program for remote online training and education of nursing facility staff and volunteers, and to the National Ombudsman Resource Center for training materials.

With elder abuse and neglect cases in the community reaching 63,000 in 2018 and an expected surge in incidences due to the pandemic, LCAO calls for funding of $ 120 million for the nation’s state and local Adult Protective Services programs in the next stimulus bill. Also, allocating $4.1 billion for the Social Service Block Grant Program can provide critical services to vulnerable seniors through adult protective services, adult day care and in-home support services, congregate and home delivered meals, case management programs.

Finally, in a fourth economic response package, LCAO calls on lawmakers to include $15 million for the Retired Senior Volunteer Program and $10 million for the Senior Companion program to provide volunteer opportunities for seniors in their communities during the pandemic crisis. Congress might also consider “easing or suspending the current age requirements for participation,” to allow younger seniors to participate.

Remember Your Older Constituents

With the Trump Administration and GOP lawmakers pushing to put billions of dollars into the fourth stimulus bill to support the nation’s large corporations and small businesses, during the COVID-19 pandemic, it is important for Congress to not forget the needs of the nation’s seniors. If you run into your Congressman or Senator, make sure you urge them to seriously consider the needs of their older constituents.

To get a copy of LCAO’s letter to Congress, go to https://www.lcao.org/files/2020/04/LCAO-April-2020-Letter-for-COVID-19-Package-4-FINAL.docx.pdf .

In re-establishing House Aging Committee, hopefully the third time is indeed the charm

Published in the Woonsocket Call on February 2, 2020

Twenty-six years after the House Democratic Leadership’s belt-tightening efforts to save $1.5 million resulted in the termination of the House Permanent Select Committee on Aging, U.S. Congressman David N. Cicilline reintroduces legislation to reestablish the House Aging panel, active from 1974 until 1993. Initially the House panel had 35 members but would later grow to 65 members.

According to Cicilline, the House can readily authorize the establishment of a temporary ad hoc select committee by just approving a simple resolution that contains language establishing the committee – describing the purpose, defining members and detailing other issues that need to be addressed. Salaries and expenses of standing committees, special and select, are authorized through the Legislative Branch Appropriations bill.

At press time, for the third time, Cicilline’s resolution (House Resolution 821; introduced Jan. 30, 2020) to re-establish the House Aging Committee has been introduced and referred to the House Committee on Rules for mark up and if passed will be considered by the full House.

The Nuts and Bolts

The House Resolution (just over 245 words) reestablishes a Permanent House Select Committee on Aging, noting that the panel shall not have legislative jurisdiction, but it’s authorized to conduct a continuing comprehensive study and review of the aging issues, such as income maintenance, poverty, housing, health (including medical research), welfare, employment, education, recreation, and long-term care.

Cicilline’s House Resolution would have authorized the House Aging Committee to study the use of all practicable means and methods of encouraging the development of public and private programs and policies which will assist seniors in taking a full part in national life and which will encourage the utilization of the knowledge, skills, special aptitudes, and abilities of seniors to contribute to a better quality of life for all Americans.

Finally, the House Resolution would also allow the House Aging Committee to develop policies that would encourage the coordination of both governmental and private programs designed to deal with problems of aging and to review any recommendations made by the President or by the White House Conference on aging in relation to programs or policies affecting seniors.’

Initial Resolution Blocked by the House GOP

On March 1, 2016, Cicilline had introduced House Resolution 758 during the 114th Congress (2015-2016) to reestablish the House Aging Committee. It attracted Rhode Island Congressman James R. Langevin (D-RI) and 27 other cosigners (no Republicans) out of 435 lawmakers. Seniors Task Force Co-Chairs, U.S. Congress Women Doris Matsui (D-CA) and Jan Schakowsky (D-IL) also signed onto supporting this resolution.

However, it was extremely obvious to Cicilline and the Democratic cosigners that it was important to reestablish the House Aging Committee. Correspondence penned by the Rhode Island Congressman urged House Speaker Paul Ryan (R-WI) and the House Republican leadership to support House Resolution 758. But, ultimately no action was taken because Ryan had blocked the proposal from being considered.

At that time, Cicilline remembers that many of his Democratic House colleagues didn’t think House Resolution 758 would gain much legislative traction with a Republican-controlled House. However, things are different today with Democratic House Speaker Nancy Pelosi (D-California) controlling the legislative agenda in the chamber.

During the 115th Congress (2017-2018), Cicilline continued his efforts to bring the House Select Committee on Aging back to life. On March 01, 2017, he threw House Resolution 160 into the legislative hopper. Twenty-Four Democratic lawmakers became cosponsors and but no Republicans came on board. House Speaker Ryan again derailed the Rhode Island Congressman’s attempts to see his proposal passed.

Third Times the Charm

Since a Republican-controlled Congress successfully blocked Cicilline’s simple resolution from reaching the floor for a vote in 2017, the Democratic lawmaker has reintroduced his resolution in the current Congress with the Democrats controlling the chamber’s legislative agenda.

Cicilline is working to get support from both Democratic and Republican lawmakers and has approached the House leadership for support. He plans to again reach out to aging advocacy groups for support, including the Leadership Council on Aging Organizations, consisting of some 70 national organizations, whose leadership includes the AARP, the National Council on Aging, the Alliance for Retired Americans, and the National Committee to Preserve Social Security and Medicare.

“Our nation’s seniors deserve dedicated attention by lawmakers to consider the legislative priorities that affect them, including Social Security and Medicare, the rising cost of prescription drugs, poverty, housing issues, long-term care, and other important issues,” said Cicilline in a statement announcing the reintroduction of his House resolution to bring back the House Aging Committee. “I’m proud to introduce this legislation today on behalf of seniors in Rhode Island and all across America,” says the Rhode Island Congressman who serves on the House Democratic leadership team as Chairman of the Democratic Policy and Communications Committee.

According to Cicilline, for nearly two decades, the U.S. House Permanent Select Committee on Aging was tasked with “advising Congress and the American people on how to meet the challenge of growing old in America.” The Select Committee did not have legislative authority, but conducted investigations, held hearings, and issued reports to inform Congress on issues related to aging.

“The re-establishment of the Permanent Select Committee will emphasize Congress’s commitment to current and future seniors. It will also help ensure older Americans can live their lives with dignity and economic security,” says Cicilline.

Looking Back in Time

In 1973, the House Permanent Select Committee on Aging was authorized by a vote of 323 to 84. While lacking legislative authority to introduce legislation (although its members often did in their standing committees), the House Aging panel would begin to put the spotlight on specific-aging issues, by broadly examining federal policies and trends. Its review of legislative issues was not limited by narrow jurisdictional boundaries set for the House standing committees.

In 1993, Congressional belt-tightening to match President Clinton’s White House staff cuts and efforts to streamline its operations would seal the fate of the House Aging Committee. House Democratic leadership cut $1.5 million in funding to the House Aging Committee forcing it to close its doors (during the 103rd Congress) because they considered it to be wasteful spending because the chamber already had 12 standing committee with jurisdiction over aging issues.

Even the intense lobbying efforts of a coalition of Washington, DC-based aging advocacy groups including AARP, National Council on Aging, National Council of Senior Citizens, and Older Woman’s League could not save the House Aging Committee. These groups warned that staff of the 12 standing committees did not have time to broadly examine aging issues as the select committee did.

Aging groups rallying in the support of maintaining funding for the House Aging Committee clearly knew its value and impact. In a March 31, 1993 article published in the St. Petersburg Times, reporter Rebecca H. Patterson reported that Staff Director Brian Lutz, of the Committee’s Subcommittee on Retirement Income and Employment, stated that “during its 18 years of existence the House Aging Committee had been responsible for about 1,000 hearings and reports.”

As an advocate for the nation’s seniors, the House panel prodded Congress to act in abolishing forced retirement, investigating nursing home abuses, monitoring breast screening for older woman, improving elderly housing and bringing attention to elder abuse by publishing a number reports, including Elder Abuse: An Examination of a Hidden Problem and Elder Abuse: A National Disgrace, and Elder Abuse: A Decade of Shame and Inaction. The Committee’s work would also lead to increased home care benefits for the aging, and establishing research and care centers for Alzheimer’s Disease.

Aging Advocates Give Thumbs Up

“The Senate has had the wisdom to keep its Special Committee on Aging in business which has meant a laser-like attention on major issues affecting seniors including elder abuse, especially scams and other forms of financial exploitation,” says Bill Benson, former staff director of the Committee’s Subcommittee on Housing and Consumer Interests. The House has been without a similar body now for decades, he notes.

Benson adds, “With ten thousand Americans turning 65 each day we are witnessing the greatest demographic change in human history. It is unconscionable to not have a legislative body in the House of Representatives focused on the implications of the aging of America.”

Max Richtman, president and CEO of the National Committee to Preserve Social Security and Medicare, served as staff director for the Senate Special Committee on Aging from 1987 to 1989. He agrees that it’s time once again for the House to have its own committee dedicated to older Americans’ issues.

With the graying of America it is more important now than ever that seniors’ interests are represented as prominently as possible on Capitol Hill, says Richtman. “There is so much at stake for older Americans today, including the future of Social Security and Medicare, potential cuts to Medicaid, and the myriad federal programs that lower income seniors rely upon for everything from food to home heating assistance. We fully support Rep. Cicilline’s efforts to re-establish the House Permanent Select Committee on Aging,” he states.

“We enter 2020 in the midst of the predicted aging of America including the fact that all boomers are now over age 55, says Robert Blancato, president of Matz, Blancato and Associates, who was the longest serving staff person on the original House Aging Committee, from 1978 to 1993.

“We need the specific focus that only a select committee can offer to the myriad of issues related to aging in America,” adds Blancato, noting that it would be a coveted Committee to be named to from both a policy and political perspective.

Four years after the death of Congressman Claude Pepper, (D-Florida) in 1989, the former Chairman of the House Select Committee on Aging, serving as its chair for six years, would have turned in his grave with the House eliminating his beloved select committee. House Speaker Nancy Pelosi might honor the late Congressman who was the nation’s most visible spokesperson for seniors, by bringing the House Select Committee on Aging back this Congressional session.

Cicilline to Reintroduce Resolution to Reestablish House Aging Committee

Published in the Woonsocket Call on November 18, 2018

In October 1992, the House eliminated the House Permanent Select Committee on Aging charged with investigating and putting a spotlight on aging policy. The Committee was instrumental in conducting research and publishing a number of reports on elder abuse, leading to the passage of reform legislation intended to improve nursing home operations and reduce abuse against patients. The Committee’s work also led to increased home care benefits for the aging, establishing research and care centers for Alzheimer’s Disease, and many other accomplishments on a broad array of aging issues.

Over 26 years later, on March 1, 2016, Congressman David Cicilline (D-RI) introduced his House resolution 160 to reestablish the Committee. He would attract Rhode Island Congressman James R. Langevin (D-RI) and 23 other cosigners (no Republicans) out of 435 lawmakers, but would ultimately see no legislative action taken. “I discussed this proposal with Speaker Paul Ryan (R- WI) and followed up with a letter asking him to move forward with this idea, but he declined to do so.”

“I think many of my Democratic colleagues didn’t think this resolution would get much traction with a Republican controlled House, but we did get Seniors Task Force Co-Chairs, Reps. Doris Matsui (D-CA) and Jan Schakowsky (D-IL), which was important,” says the Rhode Island Congressman.

A New Opportunity with a House Democratic Majority

With a Republican-controlled Congress successfully blocking Cicilline’s simple resolution from reaching the floor for a vote, the Democratic lawmaker says he will reintroduce House resolution 160 in the new Congress with the Democrats controlling the chamber’s legislative agenda. “With Democrats in the majority, I think there will be more interest from other members in this resolution,” he says, noting, “We will try to make this a bipartisan effort and hope to find Republicans who would be supportive.

“I will first reintroduce the resolution [in the new Congress] and build support from members and then present the proposal to my House leadership. We will try to make this a bipartisan effort and hope to find Republicans who would be supportive,” says Cicilline, noting that he will reach out to aging groups for support, including the Leadership Council on Aging Organizations, whose leadership includes Alliance for Retired Americans, the National Committee to Preserve Social Security and Medicare, and AARP.

“Of course, I would be honored to lead the reestablished House Permanent Select Committee on Aging, but that decision will be made by the incoming Speaker,” says Cicilline.

According to Cicilline, the House can readily create an ad hoc (temporary) select committee by approving a simple resolution that contains language establishing the committee—giving a purpose, defining membership, and detailing other aspects. Funding would be up to the Appropriations Committee. Salaries and expenses of standing committees, special and select, are authorized through the Legislative Branch Appropriations bill.

Cicilline says that a newly established House Permanent Select Committee on Aging would be charged to conduct comprehensive studies on aging policy issues, funding priorities and trends. As its predecessor, its efforts would not be limited by narrow jurisdictional boundaries of the standing committee but broadly at targeted aging policy issues.

“Our nation’s seniors deserve dedicated attention by lawmakers to consider the legislative priorities that affect them, including strengthening Social Security and Medicare, reducing the costs of prescription drugs, and the particular challenges of poverty, housing, long-term care, and other important issues,” adds Cicilline.

Aging Advocates Call for Reestablishing the House Select Committee on Aging

When Max Richtman, CEO and President of the Washington, D.C-based National Committee to Preserve Social Security and Medicare (NCPSSM), and former Staff Director of the Senate Special Committee on Aging, heard of Cicilline’s efforts to bring back the House Select Committee on Aging almost three years ago, he remarked, “It’s long overdue.” The Select Committee will once again provide serious oversight and lay the ground work for House legislative proposals impacting Social Security, Medicare and Medicaid, he said.

Richtman says that NCPSSM has just joined a working group to push for the reestablishment of the House Permanent Select Committee on Aging spearheaded by Howard Bedlin of the National Council on Aging. This group will devise strategies to resurrect the Committee, adds Richtman.

Richard Fiesta, Executive Director at the Alliance for Retired Americans, whose organization chairs the LCAO, representing over 70 aging groups, says that its membership voted this month to support and push for the reestablishment of the House Select Committee on Aging. “Members during the discussion expressed views that the Committee can be a focal point on aging issues such as such as Medicare, Social Security, Medicaid, long term care, and prescription drug prices,” says Fiesta, noting that it could provide important oversight on the U.S. Administration of Aging programs and be a forum for emerging issues such as home care needs.

“With 10,000 American turning age 65 each day, a Select Committee on Aging would be an important step in addressing the needs of older Americans,” says Fiesta.

Bill Benson, a former staff director of the Subcommittee on Housing and Consumer Interests, one of the four subcommittees of the House Select Committee on Aging, concurs with Richtman that the establishing the Committee is “long overdue.”

“During the 26 years we’ve been without the House counterpart to the Senate Special Committee on Aging,” which Benson also served on, “the House has not had an equivalent powerful voice for advancing critical issues for an aging society as we’ve had in the Senate. To successfully improve national policy requires both chambers of the Congress to be fully engaged. Restoring the House Select Committee on Aging would be important to do that.”

Howard Bedlin, National Council on Aging Vice President of Public Policy and Advocacy, adds: “A House Select Committee on Aging will raise visibility of the challenges older Americans are facing every day and support the work of authorizing committees to craft bipartisan policy solutions. Aging is an issue for all Americans. Discussion about the systemic strains that come with longevity and a growing aging population, or highlighting the many intergenerational needs of families across the country can only lead to better understanding and ultimately better support for all Americans as we age.”

Taking an Important Step to Protecting Seniors

As Cicilline gears up to put together the bipartisan support to pass his reintroduced to reestablish the House Permanent Select Committee on Aging, he says, “Overall, this resolution represents an important step towards protecting our seniors and the benefits they have earned, like Social Security and Medicare.”

“The reestablishment of this Select Committee on Aging would emphasize Congress’ commitment to our current and future seniors and would allow us to focus our energy to ensure that they are able to live with dignity and enjoy a high quality of life,” he adds.

A Washington insider tells me that some Democratic House lawmakers and aging groups are now pushing to reestablish the House Select Committee on Aging through new rules enacted by the incoming House Democratic leadership. The Washington, DC-based LCAO can now play a pivotal role in reestablishing the House Select Committee by advocating for and supporting Cicilline’s resolution that will be introduced in the next Congress or backing the attempt to change House rules. As the House takes up in the new Congress its debates on Social Security, Medicare and Medicaid, the Older Americans Act, and other issues of importance to older adults, it will be important to have a House Select Committee that once again puts the spotlight and attention on America’s aging issues.