Tag Archives for Medicaid

Congress Must Protect Seniors in ‘Phase Four’ Stimulus Package

Published in the Woonsocket Call on April 12, 2020

Just weeks after Congress passed the Coronavirus Aid, Relief, and Economic Security (CARES) Act, the $2.2 trillion emergency stimulus package signed into law by President Donald Trump on March 27, lawmakers continue to look for ways to jump start the nation’s economy by passing another stimulus package. Lawmakers had previously passed two bipartisan stimulus bills to lessen the economic impact of the virus pandemic. Now, Congress is looking to hammer out another emergency stimulus bill to follow up the historic CARES Act.

Days ago, Senate Democrats successfully blocked Senate Majority Leader Mitch McConnell (R-KY) efforts to pass a $250 billion in small business coronavirus relief funds to put more money into the CARE Act’s Paycheck Protection Program, expected to quickly run out of money.

McConnell sought to pass the GOP crafted bill without negotiating with Senate Democrats. The Democrats had no objection to passage but wanted some loans reserved for businesses owned by women, minorities and veterans. They also wanted their priorities like unemployment benefits, foods stamps and community health centers to be added to the bill. Even if the legislation passed in the Senate it would have difficulty passing in the House without including Democratic priorities.

Providing for Seniors in Next Emergency Stimulus Package

The Washington, DC-based National Committee to Preserve Social Security and Medicare (NCPSSM), calls for more to be done in the fourth stimulus package to help seniors survive the COVID-19 pandemic, both physically and financially.

On April 7, Max Richtman, NCPSSM’s president and CEO, sent a letter to Congress urging lawmakers not to forget seniors as they begin to craft new Coronavirus relief legislation. He called for provisions to be put in the legislative package to boost Social Security benefits and to expand Medicare and Medicaid services to help seniors survive the pandemic crisis.

“We have been aggressively working to improve seniors’ programs for many years, but the pandemic has ratcheted their needs to the top of the list. Older Americans are among the most vulnerable to the ravages of COVID-19. Their struggles are significantly aggravated by the crisis. It makes sense to expand and protect the health and income security for older citizens, who in turn contribute so much to the economy and our quality of life,” says Richtman.

Richtman called on Congress to increase by $250 the monthly benefit for all Social Security, Veterans, and Supplemental Security Income (SSI) beneficiaries through the end of 2021. He pushed for the enactment of the improvements in Rep. John Larson’s Emergency Social Security Benefits Act, including an increase in widows’ and widowers’ benefits for lower-and-middle-income beneficiaries, and raising the threshold for the minimum benefit to 125 percent of the federal poverty line.

Richtman also lobbied for creation of a new Medicaid grant for states to boost their home and community-based long-term care services and to extend the 90-day prescription refill rule applied to Medicare in the CARES Act to all patients. He asked Congress to ensure all prescription drugs for COVID-19 be provided at no cost for all individuals whether they are insured or not.

Protecting the Fiscal Viability of Social Security

“A Marshall Plan for the beleaguered Social Security Administration (SSA) is what is need, considering all of the workloads that currently are being deferred,” says Richtman.

This could be accomplished by appropriating additional $400 million for the SSA’s operating budget to help the agency cope with the increase in coronavirus-related claims, including expected survivors’ benefit applications, he says.

During the economic 2011 and 2012 economic downturns, Congress passed SSA payroll tax cuts to reduce the amount of money withheld from employees’ paycheck to increase take-home pay. Lasts month, President Trump successfully pushed Congress to include a payroll tax cut provision in the recently passed CARES Act to stimulate the economy during the economic slowdown caused by the COVID-19 epidemic.

Seeking to protect Social Security’s fiscal viability, Richtman called on lawmakers to oppose any attempts to allocated Social Security Trust Funds for the “purposes for which they not intended, such as a means to stimulate the economy. “A payroll tax cut, suspension or deferral chip away at the fundamental idea, making it easier each time it is enacted to turn to it again to meet some future crisis, until the payroll tax is permanently eliminated,” he added.

Richtman reminded Congressional lawmakers that many low-income seniors will no longer be able to eat at the local senior and day care programs, or at charitable mean programs while they shelter in place. “That’s why Congress should increase the Supplemental Nutrition Assistance Program benefits by 15 percent of the duration of the downturn,” he said, noting that a small increase (around $100) per month would help to put food on the table while boosting the economy.

Millions of seniors will require assistance as public health officials attempt to but the brakes to the skyrocketing number of confirmed COVID-19 cases and deaths. Congress must not forget that seniors especially those with severe underlying medical conditions like heart or lung disease or diabetes are at a higher risk in developing the more serious complications from COVID-19 illness. Congress lawmakers must not forget seniors as they begin their efforts craft the next COVID-19 relief legislation.

Tune in on Next Tuesday’s Senor Telephone Townhall

Congressman David N. Cicilline will host a telephone town hall this Tuesday, April 14th at 2pm on how seniors can best access benefits included in the $2.2 trillion of relief passed by Congress. The Democratic Congressman will be joined by Rhode Island Office of Healthy Aging Director Rosamaria (“Rose”) Amoros Jones. The event is the third in Cicilline’s “Relief for Rhode Island” series on how folks can get the assistance they need during the COVID-19 pandemic.

Cicilline’s Seniors Telephone Town Hall is free and open to the public and members of the media. Those interested in joining the telephone town hall this Tuesday at 2pm can do so by dialing 855-962-1055.

Millions of seniors will require assistance as public health officials attempt to but the brakes to the skyrocketing number of confirmed COVID-19 cases and deaths. Congress must not forget that seniors especially those with severe underlying medical conditions like heart or lung disease or diabetes are at a higher risk in developing the more serious complications from COVID-19 illness. Congress lawmakers must not forget seniors as they begin their efforts craft the next COVID-19 relief legislation.

The Coronavirus and its Effect on Social Security

Published in the Woonsocket Call on March 22, 2020

As the coronavirus (COVID-19) spreads across the nation, the Social Security Administration (SSA) and other federal agencies strive to cope with meeting the huge challenges they face resulting from the unexpected pandemic outbreak, attempting to juggle worker safety while maintaining their daily operations.

On March 19, Key House Democratic and Republican Committee Chairs send a clear message to SSA as to the importance of minimizing any disruptions to its operations during the coronavirus crises. Throughout its 85-year history, Social Security recipients (seniors, families who have lost a breadwinner, and people with disabilities) have never missed getting their monthly check. Keeping this in mind, House Ways and Means Committee Chairman Richard E. Neal (D-MA) and Ranking Member Kevin Brady (R-TX), along with Social Security Subcommittee Chairman John B. Larson (D-CT), Ranking Member Tom Reed (R-NY), Worker and Family Support Subcommittee Chairman Danny K. Davis (D-IL) and Ranking Member Jackie Walorski (R-IN), sent a letter on March 19 to Social Security Administration (SSA) Commissioner Andrew Saul calling on the agency to continue their work to prioritize health and transparency in an effort to minimize disruptions as they administer vital services during the coronavirus crisis.

“We know the decision to close SSA field offices…was a difficult decision. … This move will save lives and will also protect the health of SSA frontline staff, whose public service is so critical,” the key House lawmakers wrote.

“We understand that as coronavirus spreads, you are prioritizing work that fulfills SSA’s core mission,” the letter continued. “We fully support this prioritization.”

“We are writing to urge the Social Security Administration (SSA) to vigorously safeguard the health of the public and agency employees during the coronavirus crisis, while also minimizing disruptions in services to the American people,” stated the House lawmakers. “Telework is a commonsense response to coronavirus and we urge you to maximize its use across SSA. In addition, we encourage SSA to communicate regularly and robustly with the public and with its employees about SSA’s coronavirus response. Social Security is a program that affects the lives of all Americans. As SSA’s response to coronavirus evolves, the public must be able to count on timely information about how to access benefits and services, including assistance when a problem arises.”

The members emphasized that that they stand ready to work with the agency to ensure it has the resources and authority it needs to operate effectively during the crisis while ensuring SSA remains able to send benefits on time each month.

COVID-19 Changes Way SSA Does Business

The COVID-19 pandemic has changed the way SSA does business across the nation. Effective Tuesday, March 17, SSA closed all local Social Security offices for in-person service. SSA says that this decision protects the population it services — older Americans and people with underlying medical conditions—and its employees during the crisis.

But SSA employees remain at their cubicles, the processing of benefits and claims continues. However, critical services can be accessed online. The agency directed the pubic to visit its website (https://www.ssa.gov/) or its toll-free number, 800-772-1213 for customer service. You can apply for retirement, disability, and Medicare benefits online, check the status of an application or appeal, request a replacement Social Security card (in most areas), print a benefit verification letter, and much more – from anywhere and from any of your devices.

According to SSA, there is also a wealth of information to answer most of your Social Security questions online, without having to speak with an SSA employee in person or by phone. Visit our online Frequently Asked Questions at http://www.socialsecurity.gov/ask.

However, those persons who are blind or terminally ill, or need SSI or Medicaid eligibility issues resolved related to work status can obtain in person services in local offices.

SSA also provides COVID-19 related information and customer service updates on a special website (https://www.ssa.gov/coronavirus/)
According to a March 19 blog posting by the Washington, DC-based National Committee to Preserve Social Security and Medicare (NCPSSM), “The Ways and Means committee leaders suggest SSA allow employees to telework where possible, in accordance with federal guidelines. National Committee senior legislative representative (and former 35-year SSA employee) Webster Phillips says the agency’s teleworking capabilities have been diminished since Andrew Saul came on board as administrator – and will take time and resources to build back up.”

The NCPSSM’s blog posting noted, “SSA will discontinue several of its normal activities in order to prioritize beneficiaries’ needs. “There are workloads that they’re not going to process while this is going on, focusing exclusively on paying benefits,” says Phillips. Those include stopping all Continuing Disability Reviews (CDRs) and curtailing eligibility re-determinations for SSI recipients.”

Finally, “SSA also has discontinued in-person disability hearings to protect the health of claimants and employees. Instead, those hearings will take place via telephone or video conference, where possible,” adds the blog posting.

The Bottom Line…

On March 19, SSA Commissioner Andrew Saul, issued a statement to assure the 65 million Social Security recipients that SSA payments will continued to be processed. He stated, “The first thing you should know is that we continue to pay benefits.”  But Saul warned, “Be aware that scammers may try to trick you into thinking the pandemic is stopping your Social Security payments but that is not true. Don’t be fooled.”

The United States Postal Service has so far experienced only minor operational impacts in the United States as a result of the COVID-19 pandemic. So, with Saul’s assurances and the postal service still delivering mail, you can expect to get your benefits.
Stay healthy.

2020 Census Data Impacts Federal Funding Allocated to Aging Programs and Services

Published in the Woonsocket Call on January 19, 2020

By April 1, every home across the nation will receive an invitation from the U.S. Census Bureau, a nonpartisan government agency, to participate in the 2020 Census. Once this invitation arrives, it’s important for you to immediately answer the short questionnaire by either going on-line, phone, or by mail. When you respond to the census, you’ll tell the Census Bureau where you live as of April 1, 2020.

The U.S. Constitution: Article 1, Section 2, mandates that the country conduct a count of its population once every 10 years. The 2020 Census will mark the 24th time that the country has counted its population since 1790

The population statistics generated by the upcoming 2020 Census will be used to distribute over $700 billion annually in federal funds back to tribal, state and local governments. The collected census data also determines the number of seats each state has in the U.S. House of Representatives, provides insight to governments, business and community planning groups for planning purposes, and finally defines congressional and state legislative districts, school districts and voting precincts

2020 Census Statistics and the Graying of America

According to a blog story published on Dec. 10, 2019, by American Counts (AC) Staff, the upcoming 2020 Census will provide the federal government with the latest count of the baby boom generation, now estimated at about 73 million. The boomer generation born after World War II, from 1946 to 1964, will turn 74 next year. When the 2010 census was taken, the oldest had not even turned 65.

Baby Boomers are also projected to outnumber children under age 18 for the first time in U.S. history by 2034, according to Census Bureau projections. With an increasing need for caregiver and health services and less family caregiver support, the boomers will be forced to depend on federally-funded support services, their allocation depending on policy decisions based on census data.

“Data from the 2020 Census will show the impact of the baby boomers on America’s population age structure,” said Wan He, who has for over 21 years overseen the Aging Research Programs for the Population Division of the U.S. Census Bureau.

AC’s blog article, part of a Census Bureau series detailing the important community benefits that come from responding to the 2020 Census questionnaire, stresses that exact count of American’s age 65 and over is important for tribal, local, state and federal lawmakers to determine how they will spend billions of dollars annually in federal funds on critical aging programs and services for the next 10 years.

While everyone uses roads, hospitals and emergency services some state and federal programs specifically target older Americans – the 2020 Census statistics will be used to distribute funding to senior centers, adult day care facilities, nutrition programs including meals on wheels, and the Supplemental Nutrition Assistance Program, job-training programs, elder abuse programs, Medicare Part B health insurance and Medicaid, the health insurance program for low-income people including those age 65 and older.

“The census is really important to us in the aging community,” said John Haaga, of the National Institute on Aging in Washington, D.C. in the AC’s blog article. “It’s our only way to figure out how things are different across the country, what areas are aging faster, where elderly disabled people live, or where older people are concentrated, like Appalachia or West Virginia, because young people are leaving for the cities,” says Haag, noting that “Older people are remaining behind there.”

Haaga noted, “Other states, such as Florida, have large older populations because people are moving there to retire.”

“You can start to look at specifics like how many older people are living alone who are more than 10 miles from an adult day care centers,” says Haaga. “You can answer questions of access and how to improve it,” he adds, noting that census statistics helps lawmakers or business people decide where to open health clinics or senior citizen centers, among other services.

Calls for Action: Fill Out that Census Questionnaire

AARP has three main goals, according to State Director Kathleen Connell. “First,” she said, “to ensure a fair and accurate census count by educating our​ members and older adults about the census outreach efforts. Second, to provide tips and resources to encourage safe participation while protecting themselves from bad actors and census related fraud during this time. And third, to help people age 50 and over gain employment as census enumerators.”

“AARP has long been involved in informing people about the census, including the fact that the headcount is labor intensive – to the tune of 400,000 temporary staff. In the past, retired adults have made up a good portion of those who work in the decennial count of Americans, often as enumerators who go door-to-door in neighborhoods. In many communities, the Bureau will be looking for bilingual applicants.”

To be sure, Connell adds, the loss of a Congressional seat would have an impact on Medicare funding and other services that support Rhode Island’s age 50 and over population. “If a subset of people doesn’t participate in the census, the area in which they live will be represented as having fewer residents than it actually does; the costs to states and communities could be large, consequential and long-lasting. A census that is as complete and accurate as it can be – and doesn’t undercount the number of residents in a given area – is a vital resource for everyone,” she said.

Connell sits on the RI Complete Count committee and the AARP State Office is using its email list and social media in a series of reminders and encouragement to participate in the census. AARP also is reaching out to members who might consider becoming census workers.

Adds Jennifer Baier, AARP Senior Advisor, Census lead: “Many federally funded programs rely on census data to distribute billions of dollars to states and localities across the country. According to the George Washington Institute of Public Policy, Rhode Island receives about $3.8 billion per year based on Census data. That includes funds for schools, roads and hospitals and also programs that aid older Americans, such as Medical Assistance Program (Medicaid) Medicare Part B, Special Programs for the Aging, Meals on Wheels, Heart Disease Prevention Programs and more.”

“The 2020 Census is just nine questions long, and takes about 10 minutes to fill out – those ten minutes impact millions of dollars of federal funding in every state and communities across the country,” says Baier.