Tag Archives for Medicare

Bipartisan Push to Restore House Permanent Select Committee on Aging

Published in RINewsToday on February 9, 2026

According to Meals on Wheels America, every day, 12,000 Americans turn 60. By the end of this decade, one in four Americans will be over 60—an irreversible and historic change in population.  Yet even as the nation ages, older Americans remain without a permanent seat at the House legislative table to shape aging policy.

In 1993, during the 103rd Congress, the House Permanent Select Committee on Aging (HSCoA) was dismantled as part of a budget-cutting push by House Democratic leadership, which stripped $1.5 million from its funding. From 1974 to 1993, the committee had served as Congress’s primary forum for aging issues, initially with 35 members and ultimately expanding to 65.

Looking back, the HSCoA had handled a heavy workload, carefully scheduling hearings and issuing a steady stream of reports.  In a March 31, 1993 St. Petersburg Times article, Staff Director Brian Lutz of the Subcommittee on Retirement Income and Employment reported that “during its 18 years of existence, the House Aging Committee had been responsible for about 1,000 hearings and reports.”

Sixth Time Could Be the Charm

Since its elimination, House lawmakers have made four attempts to reestablish the committee. Former Rep. David Cicilline first introduced a resolution during the 114th Congress, with efforts continuing through the 117th. In the 118th Congress, Rep. Seth Magaziner (D-RI) picked up the baton and revived the initiative. On January 21, 2026, he once again introduced House Resolution 1013 to restore the panel—this time with bipartisan support, including original cosponsor Rep. Maria Elvira Salazar (R-FL). At press time, the resolution had been referred to the House Committee on Rules for markup prior to consideration by the full House. No Senate action is required.

More than 30 years later, as the older population surges, Congress’s failure to reinstate a dedicated aging committee is no longer merely an oversight—it is an increasingly costly mistake.

“It is about time — or really past time – for the House to re-establish the HSCoA,” says Max Richtman, president of the National Committee to Preserve Social Security and Medicare (NCPSSM), who served as staff director of the Senate Special Committee on Aging in the late 1980s.

Richtman says that a re-established HCoA would be of tremendous value to older Americans, because it could conduct investigations and develop legislation for the committees of jurisdiction in the House to take up, as the Senate committee historically has done. “We need an HSCoA in the House because its full-time job would be to safeguard the interests of seniors. There is no other House committee that can do that.”

Richtman notes that, without an HSCoA, it can be challenging for other House committees to fully review senior-related issues “that cross jurisdictional lines or involve complex interactions of a wide range of disciplines.”

Opponents argue that eliminating the HSCoA reduced “wasteful” spending, noting that 12 standing committees already have jurisdiction over aging-related issues. Advocates counter that these committees lack the time, staffing, and singular focus needed to examine aging issues comprehensively, as the select committee once did.

“Older Americans are an important and growing part of our population, and they deserve a seat at the table when Congress considers issues that directly affect their lives,” said Rep. Magaziner. “Protecting Social Security and Medicare, strengthening housing stability, and lowering everyday costs—including prescription drugs—highlight the need for a dedicated committee focused on improving seniors’ quality of life.”

“I am proud to reintroduce bipartisan legislation to reestablish the House Permanent Select Committee on Aging so we can better deliver for older Americans nationwide,” he added. “This committee would bring members of Congress together for meaningful work on the challenges and opportunities that come with aging, and I remain committed to working across the aisle to advance this effort.”

Magaziner has acknowledged entrenched opposition from senior committee leaders of both parties who are reluctant to cede jurisdiction. Nevertheless, he remains committed. “I will continue working to ensure older Americans have the focused advocacy they deserve in Congress,” he pledged.

Magaziner’s resolution has been endorsed by the Legislative Council of Aging Organizations (LCAO), a national coalition of advocacy groups currently chaired by Richtman and NCPSSM. “The Select Committee would have an opportunity to more fully explore a range of issues and innovations that cross jurisdictional lines, while holding field hearings, engaging communities, and promoting understanding and dialogue,” said LCAO in a letter supporting the resolution.

An Easy Fix

According to the Congressional Research Service, creating a temporary or permanent select committee requires only a simple resolution establishing its purpose, defining membership, and outlining responsibilities. Funding for staff salaries and operational expenses are authorized through the Legislative Branch Appropriations bill.

Magaziner’s  203-word resolution, amends House rules to establish a Permanent Select Committee on Aging. The committee, having no legislative authority, would be charged with conducting comprehensive studies of aging issues—including income, poverty, housing, health, employment, education, recreation, and long-term care—to inform legislation considered by standing committees. It would also encourage public and private programs that support older Americans’ participation in national life, coordinate governmental and private initiatives, and review recommendations from the President or the White House Conference on Aging.

Aging policy touches nearly every aspect of American life, yet it does not fall neatly within the jurisdiction of any single standing committee. Depending on the legislative, five to seven standing committees may draft a bill affecting older Americans. Without an HSCoA, pressing aging issues may be ignored.  A focused  committee would bring together Republican and Democratic lawmakers from multiple committees to closely comprehensively examine legislative proposals, both transparently, and responsibly.

While standing committees draft legislation, the HSCoA would serve a distinct but equally vital role—providing oversight, public education, and keeping the spotlight on aging issues. Key priorities include ensuring the solvency of Social Security and Medicare, lowering prescription drug costs, supporting family caregivers, combating elder fraud, and addressing affordable housing, healthcare access, and social isolation.

For more than 60 years, the Senate has recognized the value of its Special Committee on Aging. The House once did as well—producing lasting, bipartisan results. The People’s House should reclaim that leadership, particularly as older Americans face rising costs, employment barriers, and growing loneliness.

Capitol Veterans Speak Out to Bring Back HSCoA

According to Bob Weiner, former HSCoA chief of staff director during the tenure of the late Rep. Claude Pepper (D-FL) his tenure as select committee chair, the legislative panel elevated aging issues that otherwise struggled to gain sustained attention in Congress. “The bill stopping end to mandatory retirement would never have happened,” says Weiner who was a confidant of Chairman Pepper.

He recalls how it unfolded: “Chair Pepper and the committee got the President and Congress to abolish age-based discrimination in employment and mandatory retirement. President Carter invited the entire committee to the White House and later signed the bill with a powerful statement.”

“Pepper even went to the Bush and Reagan administrations and said, ‘Over my dead body’ would Social Security be cut or privatized,” Weiner added.

If reestablished today, Weiner believes the committee should draw lessons from its past. “We need full-scale investigations into fraud and scams, along with strong protections for Social Security and the Older Americans Act,” he said. He also argues the committee could play a critical oversight role in accelerating research into Alzheimer’s disease. “Seniors are justifiably terrified of dementia and Alzheimer’s. Advances in biological treatments may offer hope for prevention and reversal.”

Responding to standing committee concerns about jurisdiction, redundancy, and budgetary impact, Weiner dismisses claims of duplication. “The Aging Committee uniquely focused on aging priorities. That focus is sadly missing today,” he said.

Weiner also urged Rep. Magaziner to visibly demonstrate his commitment to recreating the House Aging Committee. “If he talks it up around the House floor like Pepper did, he’ll earn goodwill and support from members of both parties,” he said. “It is crucial that House Res. 1013 pass the Rules Committee. Nothing meaningful on aging will happen without dedicated congressional leadership.”

Momentum or Missed Opportunity

With the midterm elections just 266 days away, and now that Rep. Magaziner has secured support from a Republican lawmaker, he must continue building bipartisan momentum. None of the previous five attempts to restore the House Aging Committee attracted Republican cosponsors.

In the 119th Congress, Magaziner should seek endorsement from the bipartisan House Problem Solvers Caucus, led by Co-Chairs Rep. Brian Fitzpatrick (R-PA-01) and Rep. Tom Suozzi (D-NY-03).  Aging policy should not be considered a partisan issue but a bipartisan one.

It would also be extremely helpful for Rep. Maria Elvira Salazar to reach out to the Republican House Caucus, especially to the Florida Congressional Delegation (20 Republicans and 8 Democrat) to become cosponsors of H. Res. 1013, honoring the legacy of the late Rep. Claude Pepper, Florida’s most prominent chair of the House Select Committee on Aging.

“What made the House Aging Committee truly influential was Claude Pepper’s leadership. Others chaired the committee before and after him and did good work, but none brought national attention to aging issues the way Pepper did. Even today, members of Congress still say, ‘We need another Claude Pepper,’  says Thomas Spulak, president of the Claude Pepper Foundation and former chief council when Pepper chaired the House Rules Committee.

“While that will never happen, it would take someone with a rare combination of commitment, visibility, empathy, and knowledge to restore that level of importance to an aging committee, this is exactly why resolutions like this one matter—to remind us of what effective leadership on aging once looked like, and what it could look like again,”  Spulak observed.

The Claude Pepper Foundation should engage these lawmakers to encourage their active involvement in restoring the committee. In addition, the Claude Pepper Foundation should educate lawmakers on the positive benefits of restoring the committee. According to the Foundation’s core mission is to promote policies and programs that improve health, expand economic opportunity, and advance social justice for all Americans—especially older adults. It also seeks to provide policymakers and the public with research and information on these issues, and to encourage actions that enhance the quality of life for all citizens.

Ageism by Omission

“Ageism is as much about what you don’t do and what you do the failure to establish the HSCOA is one obvious example  Why is a HSCOA vitally needed. To help avert Possible major cuts in Social Security in as soon as 7 years. Getting a family caregiver tax credit passed. Renewing the Older Americans Act This House has done so little for older adults. Passing the Magaziner resolution would go a long way to improve on this sad record,”  adds a Bob Blancato, a staff person serving the committee from 1978 to 1993 and now president of Matz, Blancato and Associates,

Veteran Lawmaker Steny Hoyer Bids Farewell After 45 Years in Congress

 Published in RINewsToday on January 12, 2026

 According to Ballotpedia’s tracker of incumbents not seeking re-election in 2026, 20 House lawmakers are retiring at the end of this Congress, 17 of whom are age 50 or older. Last week, Rep. Steny H. Hoyer (D-MD), a long-serving member of the U.S. House of Representatives, announced his retirement and now joins Reps. Nancy Pelosi (D-CA), Jerrold Nadler (D-NY), and Jan Schakowsky (D-IL)—all of whom served in House leadership and have announced their decisions not to seek another term—in departing Capitol Hill.

On Jan. 8th Hoyer addressed the House chamber announcing to his colleagues of his plans to retire. Choking up at times during his remarks, he reflected on his 45 years of serving his constituents and expressed concern about the direction of the House.

He began his remarks by looking back at a pivotal moment in 1959 when he attended University of Maryland at College Park, that would push him into public service —hearing John F. Kennedy speak at a spring convocation.  A week later after Kennedy’s speech the young college student would change his major from business to political science.  Looking back, Hoyer noted that this two hour encounter led to a 60-year career in public service.

Hoyer, who has held top Democratic leadership positions including House Majority Leader, reflected on his nearly 45 years in the House, contrasting the collegial, bipartisan atmosphere when he first arrived in 1981, under the leaders of Rep. Tip O’Neill (D-MA) and Rep. Bob Michael (R-IL)  with the current state of divisiveness and partisan bickering.

The Maryland Congressman, representing Maryland’s Fifth Congressional District, expressed concern that the House was failing to meet its constitutional responsibilities that the first article of the Constitution demands and warned that the nation was heading towards “smallness” and “pettiness.” He concluded by calling on his colleagues to work together to pass appropriation bills in a bipartisan, timely fashion to keep the government open, thanking his family and colleagues, and reaffirming his gratitude for his long, productive career.

Taking a Look at Aging and Health Care Issues   

While serving as House Majority Leader, Hoyer played a key role in the passage of the Affordable Care Act (ACA) by overseeing debates, managing Democratic floor strategy and building public support. The ACA expanded access to affordable health insurance, prohibited denial of coverage for pre-existing conditions, allowed young adults to stay on parents’ plans to age 26, and greatly expanded preventive services coverage.

Hoyer would steer the Americans With Disabilities Act (ADA) to overwhelming final approval in the lower chamber by negotiating legislative language in the bill and building bipartisan consensus.  This landmark legislation, signed into law on July 26, 1990 by Republican President George H.W. Bush, prohibited discrimination based on disability and greatly expanded accessibility in employment, public service, transportation, and places of public accommodation for millions of disabled Americans.

Eighteen years later, he would lead the House efforts to pass the ADA Amendments Act, which strengthened and clarified the original law’s protections to ensure that it would be broadly as intended, benefiting millions of Americans with disabilities.

The long-time Congressman has been a strong defender of Social Security and Medicare, tirelessly opposing privatization and advocating long-term solvency to ensure benefits for current and future retirees. He supported funding and modernization efforts that improve Medicare efficiency and access to providers for seniors.

Hoyer also helped to bring major health care-related legislation to the House floor during the pandemic.  He successfully pushed for passage The American Rescue Plan, that would fund COVID-19 vaccines and pandemic health responses and that now has lowered prescription drug costs of some medications.

Hoyer also hosted events and roundtables highlighting mental health care investments (like the 988 Suicide & Crisis Lifeline), reflecting ongoing engagement with health challenges affecting adults and seniors.

Kudos from Legislative Colleagues and Friends

Former Rhode Island Congressman James Langevin, now Distinguished Chair of Rhode Island College’s Institute for Cybersecurity and Emerging Technologies, remembers working alongside Steny Hoyer in Congress. “He was a good friend and respected colleague, but my relationship with him actually began before I was even sworn in,” he says. “He was an original author of the Americans with Disabilities Act, which opened doors for people with disabilities and empowered me to run for office.”

“When I was elected, Steny worked tirelessly to ensure I had the resources and accommodations I needed to transition to Washington and succeed as the first quadriplegic member of Congress. For Steny, accessibility was personal. I always knew that whatever I needed, Steny would make it happen. His departure from the House is a great loss for the institution, but I wish him all the best in his well-deserved retirement,” adds Langevin.

Rhode Island’s junior Congressman Gabe Amo also praised Hoyer’s service. “Steny Hoyer has been a steadfast champion of Marylanders and the American people, serving our country and Congress with integrity and conviction,” says Amo. “He was one of the first calls I received after I won the 2023 special election, and he welcomed me with open arms when I arrived in Congress.”

Amo considered Hoyer a trusted mentor who helped guide him as a newly elected member. “He always celebrated the wins we secured for Rhode Island—especially the infrastructure funding from the Bipartisan Infrastructure Law,” he notes.

According to Amo, Hoyer frequently mentioned his Rhode Island ties, sharing fond memories of his law school classmate, former Warwick Mayor Joe Walsh, and his long-time friend Congressman Langevin. “Steny is a stalwart public servant, and his impact will be felt for generations to come. He will be deeply missed in the halls of Congress,” Amo says.

Rep. Seth Magaziner offered similar praise. “Steny Hoyer is not only a congressional legend with many legislative accomplishments, he is a living reminder that politics does not have to be partisan and uncivil. He is well respected on both sides of the aisle, and I feel very fortunate to have had the opportunity to serve with him,” says Magaziner.

Robert “Bob” Blancato, President of Matzo, Blancato and Associates who served as former Staff Director of the House Aging Committees’ Subcommittee on Human Services, calls Hoyer one of the strongest Democratic leaders of the past 45 years. “During his time as Majority Leader, he stewarded landmark legislation—such as the Affordable Care Act—through the House and later its final passage through Congress,” he notes.

“As a senior member of the House Appropriations Committee, he helped ensure aging programs received priority funding even in difficult times. He was a gentleman legislator, and his level of service in Congress will be hard to duplicate,” says Blancato.

Max Richtman, President and CEO of the National Committee to Preserve Social Security and Medicare and former staff director of the U.S. Senate Special Committee on Aging, views Hoyer as a committed advocate for older Americans. “Steny has always been very accessible to the seniors’ advocacy community. He kept an open mind on the issues we care about. I have known him a very long time and personally liked him. He will be missed.”

Looking back, when President George W. Bush declared his intention to privatize Social Security after his re-election in 2004, Steny brought advocates together for regular strategy sessions to protect the program, says Richtman. “He united the advocacy community and helped orchestrate the defeat of Bush’s privatization plan. That’s a prime example of the leadership Steny provided,” he says.

Like Richtman, Robert Weiner, former Staff Director of the U.S. House Select Committee on Aging, recognized Hoyer’s effort to stop the privatization of Social Security — and helped in the regaining of the House majority as a result.  “During his time in Democratic House leadership, he never lost a bill he scheduled or brought to the floor for a vote,” says Weiner.

Weiner, who served with Hoyer as national officer in Young Democrats in the 70’s, remembers  Hoyer chairing weekly meetings with committee members and issue leaders to gauge party sentiments and anticipate votes, shaping House agendas. “At his recent birthday “Bull Roast” he invited me to, Hoyer discussed “bringing bills to the floor,” setting calendars, and securing votes. His foresight — and passionate House floor speeches — consistently assured favorable results.

The end of a 60-year career in public service with a dedication to senior friendly issues will keep his memory strong in Congress.

Medicare Drug Savings Eclipsed by Part B Premiums, COLA Challenges and ACA’s Rising Costs

Published in RINewsToday on January 5, 2026

The official arrival of the New Year was marked by millions of viewers channel surfing between ABC, CBS, NBC, and CNN, eager to watch the ball drop in Times Square and ring in 2026. The iconic New York City ball—12,000 pounds and adorned with 5,280 Waterford Crystal discs and LED lights—descended a 139-foot flagpole atop One Times Square. In just 60 seconds, it reached the bottom at midnight on New Year’s Eve, signaling the beginning of 2026.

Just two days before January 1—when Medicare-negotiated prices for 10 prescription drugs take effect—AARP Executive Vice President and Chief Advocacy & Engagement Officer, Nancy LeaMond, shared good news. As the clock struck midnight, she announced that older Americans would see lower prices for the first 10 Medicare-negotiated drugs, which would take effect on January 1, 2026. AARP quickly issued a statement, celebrating the first-ever Medicare-negotiated drug prices and estimating a whopping 50% reduction in out-of-pocket costs for beneficiaries.

“For millions of older Americans managing chronic conditions, prescription drugs are not optional—they are a lifeline. But medicine doesn’t work if people can’t afford it,” said LeaMond in a Dec. 29 statement. She emphasized that AARP has been at the forefront of advocating for drug pricing reforms since 2022. The nation’s largest aging advocacy group, representing nearly 38 million members, shared their stories, conducted national research on drug costs, and urged lawmakers on both sides of the aisle to support legislative efforts to lower drug costs.

According to LeaMond, this advocacy has delivered significant progress. On January 1, negotiated prices will take effect for the first time, marking a major milestone for both patients and taxpayers. “Older Americans will see real results and billions in savings as the first Medicare-negotiated prices take effect,” she stated, pledging that “AARP won’t stop fighting to lower drug prices until every American can get the medications they need at a price they can afford.”

“These drugs are used by nearly 9 million Medicare beneficiaries and treat conditions such as diabetes, heart disease, autoimmune disorders, and cancer,” she noted.

While Medicare beneficiaries are set to see substantial savings, the Centers for Medicare and Medicaid Services (CMS) anticipates that the Medicare drug price negotiation program will save billions. CMS, a federal agency providing health coverage to over 160 million people through Medicare, Medicaid, the Children’s Health Insurance Program, and the Marketplace, expects the program to save enrollees roughly $1.5 billion in out-of-pocket costs in 2026 while saving the Medicare program $6 billion per year.  The negotiated prices are a minimum of 38% off the 2023 list price.

On the Other Hand

Though Medicare beneficiaries will benefit from lower out-of-pocket costs on 10 Medicare-negotiated drugs in the new year, the 2026 Social Security COLAs will barely cover Medicare Part B premiums and rising inflation.  Meanwhile, older Americans who are not eligible for Medicare coverage will face soaring health insurance premiums due to the Senate’s failure to extend the Affordable Care Act (ACA) Tax Credits.

Max Richtman, President and CEO of the National Committee to Preserve Social Security & Medicare, stressed the importance of ACA marketplace coverage for older adults, who often struggle to find affordable health insurance. “It’s not only cruel to let their premiums skyrocket; it costs everyone in the long run,” observes Richtman. “Older patients without insurance will be forced to use emergency rooms for care, which drives up costs for all healthcare consumers,” he says in a statement released on Dec. 11, 2026.

“They’ll also arrive at Medicare sicker or more disabled, which not only costs taxpayers more but raises premiums for all older Americans on Medicare,” warns Richtman.

Richtman pointed out that 40% of ACA enrollees are between the ages of 45 and 64. Without the extended tax credits, many of these individuals—including farmers, ranchers, entrepreneurs, and small business owners—will face unaffordable premium increases and may be forced to drop or downgrade their health care coverage. “Extending these tax credits to prevent premium hikes would have made simple common sense,” Richtman argued. “Why would Senators vote to push people off health insurance instead of widening the safety net when the ACA is so clearly beneficial, especially for older, vulnerable enrollees?,” he asked.

Additionally, this year’s premium increase for the standard Medicare Part B program, while not as high as originally projected, will still affect beneficiaries, too. They will face an increase of nearly $18 per month, marking roughly a 10% hike in 2026. In a statement on Nov. 17, 2025, Richtman said that this rise basically cancels out one-third of the average beneficiary’s cost-of-living adjustment (COLA) for 2026.

The standard Part B premium for 2026 will be $ 202.90 a month, which is $17.90 more than last year’s $ 186.  The average COLA will be $ 56 a month in 2026. After accounting for the $18 Part B premium increase, the average Social Security beneficiary will be left with an effective monthly increase of only $36 next year, notes Richtman.

Richtman pointed out that the 2.8% COLA for 2026, announced in October, was already modest before the Medicare premium hike. “In this economy, an extra $36 per month will provide only marginal relief for Social Security beneficiaries,” he said, stressing that seniors with below-average benefits will see even less of a benefit increase once Medicare Part B premiums are deducted.

“Some in lower-income brackets may experience an effective COLA of zero,” predicts Richtman.

A Final Note…

Yes, Medicare beneficiaries will see a decrease in Medicare-negotiated prices for 10 prescription drugs that took effect last week.  But, with inflation rising and older adults struggling to afford basic needs such as food, rent, utilities, and healthcare costs, aging advocates urge Congress to  take action to mitigate the negative impacts of HR 1, the 2025 budget reconciliation bill, on the Medicare drug price negotiation program.  It’s also crucial that Social Security COLAs accurately reflect the out-of-pocket expenses faced by beneficiaries, they say.

“Unfortunately, the 2025 budget reconciliation bill—HR 1—further limits the drugs that can be negotiated under the IRA’s negotiation program, reducing its effectiveness,” warns Julie Carter of the Medicare Rights Center in an October 9, 2025, blog post for Medicare Watch. “KFF, an independent health policy and research organization, estimates that this change will increase Medicare spending by at least $5 billion. As always, increases in Medicare spending lead to higher out-of-pocket costs for beneficiaries,” she says.

“At Medicare Rights, we strongly oppose efforts to scale back the IRA’s negotiation framework. We believe more drugs should be subject to negotiation, not fewer. We also advocate for expanding other cost-saving aspects of the law to reduce expenses for those covered by other forms of insurance,” Carter adds.

“Social Security COLAs are meant to offset the impact of inflation on beneficiaries. However, they are clearly insufficient for many seniors living on fixed incomes,” argues NCPSSM’s Richtman. He explains that this is why his organization has been pushing for an improved COLA formula—the CPI-E (Consumer Price Index for the Elderly). The CPI-E would more accurately reflect the inflationary effects on the goods and services seniors rely on, he says.

“We support legislation that would adopt the CPI-E for determining COLAs, but Congress has yet to take action. Adopting this formula would be a reasonable step toward expanding benefits and truly meeting the needs of 21st-century seniors,” Richtman concludes.