Trump Spending Priorities Would Fray Social Safety Net Programs

Published in the Woonsocket Call on March 16, 2019

Last Monday, President Donald Trump released his proposed FY 2020 budget request to Congress. Lawmakers, who rejected many of these budgetary spending requests in the president’s previous two submitted budgets proposals, consider his latest to be “dead-on-arrival.”

But, Trump’s $4.7 trillion fiscal blueprint, outlined in the 150-page “Budget for a Better America,” gives us a clear picture of his spending priorities and policies he seeks to implement through executive orders and regulator changes.

Trump’s FY 2020 spending plan proposes funding increases for combating the opioid epidemic, improving veteran’s health care, fixing the nation’s crumbling infrastructure ($200 billion increase), even giving the Pentagon a 5 percent increase in spending exceeding what the military asked for. White House senior advisor Ivanka Trump successfully pushed for the FY 2020 budget to include $750 million to establish a paid parental leave program and a $1 billion one-time fund to provide childcare to under served populations.

Trump’s budget proposal makes a commitment of $291 million to eliminate the spread of HIV within a decade, it slashes the National Institutes of Health’s funding by 12 percent, and the budget for the Centers of Disease Control and Prevention by about 10 percent.

Trump does not back away from his controversial stance of building a wall, putting in an additional $8.6 trillion for the construction of a U.S. Mexico border barrier. Congress had earlier opposed his demand for $5.7 billion for the construction project.

Trump Budget Proposal Puts Senior’s Earned Benefits at Risk

In 2016, Presidential candidate Trump had pledged not to cut Medicare, Medicaid or Social Security, but he does in his submitted FY 2020 budget proposal.

Trump calls for a 5 percent cut in non-defense federal agencies, including a whopping $ 1.5 trillion in Medicaid over 10 years. The budget plan instead allocates $1.2 trillion to create “market-based health care grants,” (a.k.a block grants) for states that would start in 2021. This gives states the power to set their own rules for this program.

Medicaid expansion under the Affordable Care Act (ACA) would be eliminated by Trump’s FY 2020 budget proposal by ending ACA’s protections for people with pre-existing conditions and causing millions of people to join the ranks of the uninsured. About 15 million more Americans have joined Medicaid since the ACA expansion was enacted.

Trump’s budget proposal also cuts Medicare by $845 billion over the next decade by cutting payments to hospitals and physicians, rooting out fraud and abuse, and by lowering prescription drug costs.

Meanwhile, the Social Security Disability Insurance program takes a huge budgetary cut of $25 billion and the Social Security Administration’s (SSA) operating budget is slashed by 1 percent, at a time when the agency is working hard to ratchet up its customer service provide to SSA beneficiaries.

Trump’s budget proposal would cut $220 billion from the Supplemental Nutrition Assistance Program (SNAP), popularly referred to as the food stamp program. The program currently serves 39 million people. Under this budget, beneficiaries would be required to be employed for 20 hours a week to be eligible for assistance and replacing the EBT-debit card used to purchase groceries with the delivery of a “Harvest Box” filled with non-perishable foods like cereal and pasta, canned goods and surplus dairy products.

Housing and Urban Development’s 202 housing program for seniors and people with disabilities takes a $36 million hit, says long-time aging advocate Bill Benson, principal of Washington, D.C.-based Health Benefits ABC, in the March 15th issue of Aging Policy and Public Health News.

According to Benson, several Older Americans Act programs including the Family Caregiver Support program would be cut in Trump’s budget proposal. The Long-Term Care Ombudsman Program would be cut by $1 million. Elder Justice Programs would also be cut under the President’s budget including a $2 million cut to the Elder Justice Initiative at Administration for Community Living.

” Cruelest of all [budgetary cuts] is the proposed out-right elimination of the Social Services Block Grant (SSBG) which is the only source of sustained federal funding to states for Adult Protective Services (APS),” says Benson. Some 37 states use SSBGs to support their APS programs. SSBG is also used by states for a number of other services benefiting older adults including home-delivered meals and case management.

Shortchanging Seniors

Max Richtman, President and CEO of the National Committee to Preserve Social Security and Medicare (NCPSSM) warns that Trump’s budget proposal shortchanges seniors. “In combination with 2017’s tax cuts for the wealthy and the administration’s failure to allow Medicare to negotiate with Big Pharma, the Trump budget shows that his administration is not plugged into the realities of being elderly in America,” he says.

Richtman says that Trump’s budget plan also proposes to eliminate federal grants that help pay for programs under the Older Americans Act, such as Meals on Wheels and home heating assistance for the elderly poor.”

According to Richtman, the 116th Congress gives seniors hope with introduced legislation that would boost Social Security benefits and expand Medicare coverage to include dental, hearing and vision services, changes that an overwhelming majority of Americans support. He calls on Congress to “quickly reject this callous budget proposal — and take decisive action to enhance the well-being of older Americans.

Robert Greenstein, president of the Center on Budget and Policy Priorities, sees Trump’s newly released budget proposal as very troubling, too. “It sharply cuts funding in the part of the budget that invests in future economic growth through education and training, scientific research, infrastructure, and the like,” he says.

“It reverses progress in making affordable health care available to people who don’t have employer coverage or can’t afford private coverage. It cuts basic assistance substantially for families, children, and elderly and disabled people who are in need and struggle to get by. And, it doubles down on policies that take away health care, food, and housing when adults aren’t able to meet a work requirement,” says Greenstein.
“Despite bemoaning deficits, it calls for making the costly 2017 tax cuts — which largely benefit those who already have high incomes and wealth — permanent,” he adds.

Richtman believes that Trump’s 2020 spending proposal serves as a warning of what the administration would do if it were not for the firewall known as the Democratic-led House of Representatives. “These draconian ideas – though rejected by voters in the 2018 mid-terms – remain in the conservative political bloodstream, requiring continued advocacy on the part of seniors and their champions in Congress,” he says.

The release of Trump’s FY 2020 budget program begins the Democratic party’s efforts to retake the White House and Senate in the 2020 presidential election, just over 598 days away. By making major cuts in Social Security and Medicare and turning Medicaid into a state block grant program, Trump is giving Democratic challengers in the 2020 presidential election fodder to create politically-charged themes for ads to turn senior voters against him for seeking cuts in these popular domestic programs.

Herb Weiss, LRI’12, is a Pawtucket writer covering aging, healthcare, and medical issues. To purchase Taking Charge: Collected Stories on Aging Boldly, a collection of 79 of his weekly commentaries, go to herbweiss.com.

House Bill to Expand, Strengthen Social Security

Published in Woosocket Call on February 3, 2019

With the 116th Congress kicking off on January 3, 2019 and the Democrats seizing control of the House, it did not take long for a bill to emerge that would strengthen and expand the nation’s Social Security program. Seven years ago, when U.S. Congressman John Larson (D-CT) first introduced the Social Security 2100 Act during the 113th Congress, the GOP controlled Congress blocked a fair hearing and vote. Now, with a Democratic majority in the House Larson’s Social Security proposal will finally get a thorough review as Democrats take control of the House Ways and Means, Energy and Commerce, and Education and Labor. These committees have oversight of Social Security.

Larson chose to throw the bill into legislative hopper on the 137th anniversary of President Franklin D. Roosevelt’s birth, who signed Social Security into law in 1935.

On January 30, 2019, Larson, recently appointed to chair of the House Ways and Means subcommittee on Social Security, introduced H.R.860, the Social Security Act 2100 Act, with over 202 House Democrats cosponsors (including Rhode Island Representatives David N. Cicilline and James R. Langevin), to ensure the retirement security of working Americans for another century.

Passage of the Social Security 2100 Act only requires a simple majority vote of 218 lawmakers. With 235 Democratic lawmakers sitting in this chamber, it is expected to pass. But, with the Senate-controlled by Republican Majority Leader Mitch McConnell of Kentucky and his GOP caucus, it will be difficult for Senators Chris Van Hollen (D-MD) and Richard Blumenthal (D-CT) to see their companion measure make it to the Senate floor for a vote.

H.R. 860’s eight provisions expand benefits for 62 million Social Security beneficiaries. It would provide an across-the-board benefit increase for current and new beneficiaries that is the equivalent of 2 percent of the average benefit. It also calls for an improved cost-of-living adjustment (COLA), through adopting a CPI-E formula, that takes into account the true costs (include health care expenses) incurred by seniors and a stronger minimum benefit set at 25 percent above the poverty line, tied to their wage levels to ensure that the minimum benefit does not fall behind. Finally, the bill would ensure that any increase in benefits from the bill do not result in a reduction in SSI benefits or loss of eligibility for Medicaid or Children’s Health Insurance Program. Finally, 12 million Social Security recipients will receive a tax cut through the eliminating the tax on their benefits.

Increasing the Financial Solvency of Social Security

According to an independent analysis of the Social Security’s Office of the Chief Actuary, H.R. 860 proposal would also strengthen and protect the Trust Funds by 75 years.

H.R. 860 would have wealthy individuals pay the same rate as everyone else. Presently, payroll taxes are not collected on wages over $132,900.
Larson’s legislation would apply the payroll tax to wages of $400,000, affecting the top 0.4% of wage earners. The bill gradually phases in an increase in the pay roll contribution rate beginning in 2020, of 50 cents per week, so that by 2043 workers and employers would pay 7.4 percent instead of 6.2 percent. Finally, the bill’s provisions would combine the Old-Age and Survivors, called Social Security, and the Disability Insurance trust funds into one Social Security Trust Fund, to ensure that all benefits will be paid.

“Social Security is a promise that after a lifetime of hard work, you should be able to retire with dignity and economic security. It’s critical that Congress preserve and strengthen this promise for years to come,” said Cicilline, who serves as Chair of the Democratic Policy and Communications Committee, representing Rhode Island’s 1st congressional district.

Larson, recently appointed chair of the House Ways and Means Subcommittee on Social Security, noted, “With 10,000 baby boomers becoming eligible for Social Security every day, the time to act is now. The Social Security 2100 Act will provide economic security not just for today’s seniors but for future generations too,” said Larson, as the bill was thrown into the legislative hopper.”

There have not been any significant adjustments to Social Security since 1983, when Tip O’Neill was Speaker and Ronald Reagan was President, said Larson. “It’s time for Congress and the President to come together again, just like Speaker O’Neill and President Reagan did to make this a reality, he said.

“For years, fiscal hawks have told us that the only way to ‘save’ Social Security is to cut benefits for future retirees. Congressman Larson’s bill is a resounding rebuke to those claims. The Social Security Act 2100 keeps the program financially sound for most of this century while boosting benefits for millions of beneficiaries,” said Max Richtman, president and CEO of the National Committee to Preserve Social Security and Medicare.

Richtman says, “Congressman Larson has promised that, for the first time, this legislation will receive thorough consideration in the U.S. House, including hearings with testimony from experts and the public. We applaud him for his vision, persistence, and advocacy on behalf of America’s current and future retirees in moving this bill forward.”

Today, more than 222,000 Rhode Islanders receive Social Security benefits today. It is the most important retirement income for 4 out of 5 seniors and provides financial protections to disabled workers and families who have lost a breadwinner.

For decades, GOP lawmakers pushed its Social Security reforms by privatization, raising the retirement eligibility age and imposing stingier COLA formulas. But, national poll after poll, across party lines and age groups, revealed the public’s strong support for the nation’s retirement program.

Washington Insiders expect Larson’s Social Security bill to pass the House. While GOP Senate leadership keeps the companion measure at arms-length, the upcoming 2020 elections may well grease the legislative wheels for passage. Over 20 Republican Senate, whose seats are at serious risk, may well vote for passage with Democratic Senators.
Stay tuned…

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.