Trustee reports: Social Security and Medicare still face financial woes

Published in RINewsToday on April 10, 2023

Over a week ago, the Trustees of the Social Security and Medicare trust funds released their annual reports on the financial health of these two programs. As in prior years, the trustees found that the Social Security and Medicare programs both continue to face significant financing issues.

The latest Social Security projections show the program is quickly heading toward insolvency and calls for Congress to find policy solutions sooner rather than later to prevent abrupt changes to tax or benefit levels.  The Washington, DC-based National Committee to Preserve Social Security and Medicare (NCPSSM) and other aging advocates are urging Congress to take prompt action to strengthen and expand Social Security, while Republicans have been calling for cuts to future retirees’ benefits and at least partly privatizing the program. 

This 270- page 2023 Social Security Trustees Report warns that if Congress does not act, Social Security’s Old-Age and Survivors Insurance and Disability Insurance (OASI and DI) Trust Funds, which help support payouts for the elderly, survivors and disabled, will become depleted in 2033 (that’s a year earlier than forecast last year), becoming totally insolvent in 2034 when beneficiaries would only receive about 80% of their scheduled benefits. 

According to the Social Security Administration (SSA), roughly 66 million people received monthly Social Security checks in 2022 (175,840 in Rhode Island). A vast majority, or about 57 million of those beneficiaries, received benefits through the OASI Trust Fund, compared to nearly 9 million people who received benefits through the DI Trust Fund. 

The trustees say that Social Security funds would be fully depleted in 2034 because of expectations of a slowed economy and reduce labor productivity, considering inflation and economic input.

Although the DI Trust Fund asset reserves are not projected to become depleted during the 75-year projection period, being able to pay full benefits through 2097, the combined Social Security funds would only be able to pay 80% of the scheduled benefits after 2034, says the trustees report.

Taking a look at Medicare’s fiscal health

Medicare, the hospital insurance trust fund referred to as Medicare Part A, will only be able to pay scheduled benefits in full until 2031, according to the 273-page trustees’ annual report. The program covered 65 million seniors and people with disabilities in 2022, and will only be able to cover89% of total scheduledbenefits at that time.

Although the Medicare Part A Hospital Insurance trust fund will become insolvent in just eight years, Medicare spending as a whole (including Parts A, B, D, and Medicare Advantage, will continue to grow over the coming years.

The Medicare Trustees project a shortfall of 0.62 percent of payroll, or 0.3 percent of Gross Domestic Product (GDP), noting that it would take about a 21 percent (0.6 percentage point) increase in the payroll tax rate or a 13 percent spending cut to restore the program’s solvency.

The improvement of Medicare’s hospital trust fund’s finances over last year’s projections can be tied to lower estimates for health care spending after the height of the Covid-19 pandemic along with more projected income that the trustees estimate coming from a larger number of covered.

Dueling political statements

With the Social Security and Medicare Trust Fund reports released on March 31, 2023, the Chair and Ranking Members of the House Ways and Means (HWM) were quick to issue dueling statements to give their political spins. HMW’s Subcommittee on Social Security has jurisdiction on bills and matters related to the Social Security Act.

House Ways and Means Chairman Jason Smith (R-Missouri) charged that reckless Democratic spending has impacted the financial viability of the Social Security and Medicare Programs.  “Thanks to President Biden’s economic failures, seniors’ hard-earned benefits are further under threat. Social Security’s combined trust funds are expected to become insolvent a full year sooner than forecast in the previous report as a result of a slowed economy and Democrats’ inflation continuing to outpace wage growth. And Medicare’s latest report comes amidst Biden’s plans to slash seniors’ access to innovative new cures and treatments,” says Smith, stressing that “the first step to protecting these programs is “growing the economy – not budget gimmicks or tax increases that hold back economic growth.

On the other hand, House Ways and Means Committee Ranking Member Richard E. Neal (D-MA) counters Smith’s political perspective. “While Democrats are committed to the long-term health of these programs, Republicans are launching another shameful assault on the economic well-being of millions of workers and retirees with their plan to make drastic cuts to Social Security and Medicare, warns Neal. “Their playbook is clear: slashing a critical resource that Americans have rightfully earned to give another tax cut to the top 1%. Democrats won’t let their reckless attacks stand, and we will continue to defend and protect Social Security and Medicare for generations to come.”

Rhode Island Congressmen were quick to give their comments about the release of the two trustee reports, too. “Unlike the nearly three-quarters of House Republicans who endorsed slashing Social Security in 2022 – reducing benefits by $729 billion over 10 years – House Democrats are working to protect Social Security for generations to come,” says Congressman David N. Cicilline, representing Congressional District 1.  Cicilline, who is retiring his seat on May 31, 2023, has pushed to expand and strengthen Social Security over his six-terms in office.

Cicilline asks: “Sixty-six million Americans rely on this essential program to make ends meet and we cannot allow Republicans to make any cuts to this hard-earned benefit. The drug spending savings implemented by our Inflation Reduction Act will not only keep money in seniors’ pockets but will also drive down costs to Medicare itself. We’ve been taking real action to strengthen these programs and help our seniors – what have Republicans done?”  

As Rhode Island’s newly elected Congressman, Seth Magaziner says he will “fight tooth and nail to protect Rhode Islander’s hard-won Social Security benefits.”   In responding to the trustee’s report about Social Security’s financial woes, Magaziner called for raising the cap on Social Security taxes, forcing “millionaires and billionaires to pay the same rate as teachers and fire fighters.”

“I stand ready to work with anyone who is serious about strengthening Social Security, not cutting hard-earned benefits,” says Magaziner. 

While there are few fixes being proposed by either party or leader, some fixes identified by the Program for Public Consultation at the University of Maryland that “Americans might be willing to support” include:

–        raising the Social Security payroll tax cap

–        reducing benefits for high earners

–        gradually raising the retirement age

–        increasing the payroll tax

–        raising the minimum benefit

–        changing cost-of-living adjustment calculations

–        increasing benefits for beneficiaries over age 80

Social Security advocacy group gives its two cents

“Contrary to conservative claims, Social Security is not ‘going bankrupt’; the program will always be able to pay benefits because of ongoing contributions from workers and employers. In fact, this is yet another Trustees report showing that Social Security remains strong in the face of turmoil in the rest of the economy,” says Max Richtman, NCPSSM’s President and CEO in a release on the Social Security Trustee Report. He notes that the program’s insolvency date has stayed roughly the same even after a global pandemic and recent economic upheavals. 

Congress can strengthen Social Security by bringing in additional revenues into the program, says Richtman.  NCPSSM endorses legislation introduced by Senator Bernie Sanders (D-Vermont) and Congressman John Larson (D-Connecticut) to keep the trust fund solvent for the rest of this century while expanding program benefits.  Both bills would adjust the Social Security payroll wage cap so that higher-income earners begin contributing their fair share, he notes.

As to Medicare, in a release Richtman called on Congress to take “pre-emptive action now” to protect the Medicare Part A trust fund from becoming depleted in 2031, three years later than estimated in their previous report, at which time Medicare could still pay 89% of benefits.  

“Beyond trust fund solvency, the Trustees reported that the standard Medicare Part B premium will rise next year to $174.80 per month – a $10 or six percent monthly increase,” says Richtman. “Any increase is a burden to seniors living on fixed incomes, who too often must choose between paying monthly bills or filling prescriptions and getting proper health care.  Seniors need relief from rising premiums and skyrocketing out-of-pocket health care costs,” he said. 

“We support President Biden’s plan to strengthen Medicare’s finances, as laid out in his FY 2024 budget.  His plan would bring more revenue into the program, rather than cutting benefits as some Republicans have proposed.  Building on the prescription drug pricing reforms in the Inflation Reduction Act, the President’s budget proposal would lower Medicare’s prescription drug costs — and some of those savings would be used to extend the solvency of the Part A trust fund,” said Richtman.

For a copy of the 2023 Social Security Trustee Report, go to https://www.ssa.gov/OACT/TR/2023/.

For a copy of 2023 Medicare Trustee Report, go to https://www.cms.gov/oact/tr/2023.

Problem Solvers Caucus may be key to re-establishing Committee on Aging

Published in RINewsToday on Jan. 16, 2023

H.R. Res. 583, Reestablishing the Permanent House Select Committee on Aging (HSCoA), chances were growing slim in getting Congressional attention for passage in the final days of the 117th Congress. Extensive media coverage of the ongoing Ukraine War, the wrap up and issuance of the Jan. 6th hearing’s report and midterm election coverage kept Congressman David Cicilline’s (D-RI) resolution from getting political traction from being considered by the House Rules Committee for ultimate passage and floor action.

The HSCoA was a permanent select committee of the U.S. House of Representatives between 1974 and 1992. The committee was initially created with the intent not of crafting legislative proposals, but of conducting investigations and holding hearings to put the Congressional spotlight on aging issues. Its purpose was to push for legislation and other action, working with standing committees, through regular committee channels. If  H. Res. 583 was passed by the House Rules Committee, it would have brought back the HSCoA. No Senate action was required.

According to the Congressional Research Services, it is a very simple process to create an ad hoc (temporary) select committee by just approving a simple resolution that contains language establishing the committee—giving a purpose, defining membership, and detailing other issues that need to be address.  Salaries and expenses of standing committees, special and select, are authorized through the Legislative Branch Appropriations bill.

Taking a Looking Back

Last Congress, Cicilline’s H. Res 583 would reestablish a HSCoA without having legislative jurisdiction, this being no different than when the select committee previously existed. It would be authorized to conduct a continuing comprehensive study and review of aging issues, such as income maintenance, poverty, housing, health (including medical research), welfare, employment, education, recreation, and long-term care. These efforts influenced legislation taken up by standing committees.

H. Res. 583 would authorize the reestablished HSCoA 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.

It would also allow the HSCoA 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 White House Conference on Aging in relation to programs or policies affecting seniors.

Cicilline’s H. Res. 583 drew the support and attention of the Max Richtman, President and CEO of the Washington, DC-based Leadership Council on Aging and a former Staff Director of the Senate Permanent Special Committee on Aging, along with President Nancy Altman of Social Security Works, and Chair of Strengthen Social Security Coalition.   

Robert Weiner, former chief of staff of the HSCoA, Tom Spulak, former staff director and General Counsel of the House Rules Committee and Vin Marzullo, a well-known aging advocate in Rhode Island, including this writer were strong advocates for passage of this resolution.

Although H. Res. 583 had strong backing from the aging network, the bill never was endorsed by House Speaker Nancy Pelosi nor considered by the Democratic controlled House Rules Committee As a result, the resolution never reached the House floor for a vote. As a result, the resolution died at the end of the 117th Congressional session.

The House must reestablish the HSCoA

It is now crucial for Cicilline to reach across the aisle for Republican cosponsors when he reintroduces H. Res. 583 during the new Congress. The need for reestablishing this investigative committee still exists today as when it was first introduced eight years ago.

“America’s seniors have spent a lifetime working hard and moving our country forward and they deserve the financially secure retirement that they worked and paid for. The pandemic disproportionately impacted seniors, and now those with fixed incomes are bearing the burden of inflation and the higher costs food, housing, and other essentials,” says Cicilline.

“I’m extremely proud that we were able to institute a $35 cap on insulin costs and bring down prescription and medical costs for seniors through the Inflation Reduction Act, but there is more work to be done. Reauthorizing the House Permanent Select Committee on Aging will give us the dedicated staff and resources necessary to study and address the issues that affect seniors to make sure they can live the rest of their lives with dignity and security,” adds Cicilline.

“It is vitally important that we ensure Rhode Island seniors have the financial security, access to high quality health care and quality of life they have earned. For this reason, I am proud to support the reestablishment of the HSCoA, and encourage my colleagues on both sides of the aisle make senior citizens’ issues a priority in the 118th Congress,” adds newly elected Congressman Seth Magaziner.

In the article, “Senior’s Need House of Reps to Bring Back Aging Committee,” I previously coauthored with Tom Spulak and Robert Weiner on this statewide news blog last July, provides the rational and reasoning for reestablishing the HSCoA.

Specifically…

“Every day, 12,000 Americans turn 60. By 2030, nearly 75 million people in the U.S.—or 20 percent of the country—will be age 65 or older. As America grows older, the need for support and services provided under programs like Social Security, SSI, Medicare, Medicaid and the Older Americans Act also increases,” and the need for re-establishing the HSCoA becomes even more important.”

“Historically, the HSCoA served as a unique venue that allowed open, bipartisan House debate from various ideological and philosophical perspectives to promote consensus that, in turn, helped facilitate the critical work of the standing committees. Addressing the needs of older Americans in a post-pandemic world will require this type of investigative, legislative oversight, work which can only be advanced and promoted by reestablishing the HSCoA.”

“As Americans are aging, we also face a variety of intergenerational concerns that merit the investigation by the HSCoA, such as growing demands on family caregivers and a burgeoning retirement security crisis.”

“Restoring the HSCoA would provide the House with an opportunity to more fully explore a range of aging issues and innovations that cross Standing Committee jurisdiction of importance to both Republicans and Democrats, while holding field hearings, convening remote hearings, engaging communities and promoting understanding and dialogue.”

“Today, the Senate Permanent Special Committee on Aging is working on everything from scams against seniors to increasing HCBS services, to calling out questionable billing practices by Medicare Advantage insurers. Seniors have been better off over the last 30 years with a Senate Aging Committee in existence — and the Senate investigative committee would benefit from a reestablished HSCoA, whose sole mission would be to look out for older American.”

“Over 30 years ago, working closely with authorizing committees with jurisdiction over aging programs and services, the HSCoA put an end to mandatory retirement.  Alzheimer’s became a household word because of its investigative hearings. Legislation was passed to improve the quality of care in the nation’s nursing homes, even creating the nation’s National Institute’s for Health.“

Centralist to play key role in passage 

“This is a unique moment in time where centrists from both sides in the House could influence legislative action thru genuine bipartisan collaboration”, said Vin Marzullo, who served 31 years as a career federal civil rights & social justice administrator at the National Service agency.   “I am urging our newly elected Congressman, Seth Magaziner, to join with the lead sponsor, Congressman David Cicilline, in the re-introduction of the House Resolution to re-establish HSCoA. 

Additionally, I would advise that bipartisan efforts begin by reaching out to Congressmen Brian Fitzpatrick (R-PA and Josh Gottheimer (D-NJ), co-chairs of the “Problems Solvers Caucus,” for their co-sponsorship/support”, added Marzullo.  “That could be a pathway for better legislating and governing and Congressman Magaziner stated during the campaign that he’d look for common ground with members on the other side of the aisle.  This is it — we need an adult conversation about the Aging of America and how we intend to aid and support our elders, caregivers, and long term care options.”

We’ll see if Cicilline and Magaziner tag-team for a fifth attempt to reestablish the HSCoA.  For the sake of improving the quality of life of America’s seniors, House Speaker Kevin McCarthy (R-Calif) must put politics aside and work with a Bi-Partisan Coalition and the Democratic Caucus, to achieve real results for our nation’s older adults. 

For details about the House Problem Solvers Caucus, go to  https://problemsolverscaucus.house.gov/.

Speaker Pelosi: Bring Larson’s Social Security proposal to a floor vote 

Published in RINewsToday on September 12, 2022

On the 87th Anniversary of Social Security, the Washington, DC based Social Security Works (SSW) hosted a “Social Security Town Hall Meeting” to get the word out about the importance of passing the Social Security 2100: A Sacred Trust. 

The virtual town hall meeting brought together House lawmakers, aging advocates and beneficiaries to send a strong message to House Democratic leadership to support the markup of Congressman John Larson’s (D-CT) social security proposal to expand and strengthen Social Security and send it to the House floor for a vote.

The town hall participants, including host Nancy Altman, President of Social Security Works, Larson, chair of the Social Security Subcommittee of the House Ways and Means, Congresswoman Pramila Jayapal, Chair of the Congressional Progressive Caucus, Peter Morley, Patient Advocate and co-founder of Health Care Awareness month, and John Blair, who chairs the Community Advisory Board, SPACE in Action, strongly supported quick action and passage of the legislative proposal. Additionally, several members of Congress also pre-recorded videos which were played at the end of the town hall meeting.

Town hall participants used the Aug. 15th virtual town meeting to highlight polls that show Democratic and Republican voters strongly support Democratic proposals to expand Social Security, and to call on House leader Nancy Pelosi to schedule a vote on Larson’s legislative proposal prior to the upcoming mid-term elections.  

Throughout the hour-long internet discussion, they also condemned the recent attacks on Social Security from Senate Republicans. Specifically, Sen Ron Johnson has called for Social Security spending to be considered “discretionary spending” and subject to routine budget negotiations, even though the program is self-funded by workers. Sen. Rick Scott (R-FL), chairing the GOP’s committee to re-take the Senate, also has proposed a plan where Social Security would have to be renewed by Congress every five years. And finally, Sen. Mitt Romney (R-Utah) is pushing for passage of the TRUST Act, which could fast-track legislation to cut Social Security benefits. 

“Social Security has provided our nation with the most comprehensive retirement, disability, and survivors benefits for 87 years,” said Larson. “Democrats are fighting to expand and protect it, yet my Republican colleagues have plans to cut benefits and even end the program as a whole,” he noted.

Larson noted that Congress had not acted in 50 years to enhance benefits. “The American people have made clear they want to protect the program they pay into with each and every paycheck so they can retire with dignity,” he said. “With the COVID-19 pandemic still impacting our country and Republicans revealing their plans to end benefits, there is a fierce urgency to protect and enhance Social Security now. Alongside commemorating 87 years of this program, Congress must pass Social Security 2100: A Sacred Trust to make much needed benefit improvements and ensure this program can serve our nation for years to come. Congress must vote!” he said. 

Congresswomen Rep. Pramila Jayapal (D-WA), chair of the Congressional Caucus Progressive, representing 100 lawmakers made an urgent call for the protection and expansion of Social Security. “It’s not an entitlement program,” she said, stressing that it is an earned benefit.

“The work we have to do to make sure that this earned benefit pays out the dividends that keep up with the requirement and needs of our Social Security benefit is what H. R. 2100 is all about,” she said, pushing Larson’s Social Security legislative proposal.  

Like Larson, Jayapal calls Social Security the most successful antipoverty program in this country.  “It has lifted more than 20 million Americans out of poverty, including one million children and more 16 million older Americans.  It provides a lifeline to over 16 disabled persons.,” she says.

Julian Blair, Chair of the Advisory Board, SPACEs in Action, called for Congress to get behind expanding and protecting Social Security. “Expanding Social Security …will allow us seniors, and many other people who depend on Social Security, to live with a little dignity—a right all of us have earned and should expect to receive from our country,” she said.

 Peter Morley, Patient Advocate & co-founder of Health Care Awareness Month, who is permanently disabled,” urged that Congress overhaul the and expedite the process for patients applying to SSDI and SSI. “They should not have to wait for years. It’s a tragedy and a shame on our country,” he said.

Urgency to Act Now

Four days before SSW’s virtual town meeting, Max Richtman, President and CEO of the National Committee to Preserve Social Security and Medicare (NCPSSM) gave his thoughts as to the need to expand and strengthen Social Security in an opinion piece, “Let’s Honor Social Security’s 87th Anniversary by Strengthening and Expanding it,” published on the digital site, The Hill.

When President Franklin D. Roosevelt signed the Social Security Act of 1935 into law 87 years ago, he didn’t “intend for it to remain frozen in place” but would need to be expanded with the nation’s changing demographics,” says NCPSSM’s Richtman.

“In fact, during the first 40 years of Social Security, Congress expanded the program no less than 15 times – mostly to broaden coverage and increase benefits.  In 1950, Social Security was expanded to cover domestic and agricultural workers.

In 1956, Congress added monthly disability benefits, which is why millions of workers with disabilities collect Social Security today. The 1972 amendments provided annual cost-of-living adjustments  (COLAs) to help beneficiaries keep up with inflation,” states Richtman. 

“Sadly, benefits have not been significantly improved since then. Instead, lawmakers have prioritized keeping the program’s trust fund solvent amidst waves of retiring baby boomers. In 1983, Congress increased the payroll tax and raised the retirement age gradually from 65 to 67, which was, in effect, a benefit cut. It was ‘hard medicine’ that affects retirees four decades later. At the time, Congress had little choice because it waited so long to act that Social Security was just months away from being unable to pay full benefits,” added Richtman in his opinion piece.

Like Larson and Jayapal, Richtman also called for strengthening Social Security and in his opinion, piece, urging passage of the Social Security 2100 Act, that expands Social Security benefits and extends the life of the trust fund. At press time, this legislative proposal has 208 cosponsors in the House. The legislative proposal has not one Republican supporting it and some moderate Democrats still haven’t endorsed it.

Richtman also expressed strong concern about the Republican proposals to cut and privatize Social Security if they take over leadership of the House and Senate Chambers. “When Congress returns from summer recess, Democrats have a limited window to enact the Social Security 2100 Act before the midterm elections and subsequent lame duck session, observes Richtman.

According to Richtman, under Larson’s legislative proposal, all beneficiaries would receive a 2 percent increase in boost in benefits — with special increases for widows and widowers, lower-income workers, and retirees over 85 years of age. Future COLAs would be based on a new inflation formula – the Consumer Price Index for the Elderly –  that more accurately reflects seniors’ spending patterns. 

Richtman says that Larson’s Social Security proposal would increase the flow of tax revenues into Social Security. Currently, he noted that high earners do not contribute to Social Security on wages exceeding $147,000. Under this proposal, wages above $400,000 also would be subject to payroll taxes. 

Overwhelming support for the Social Security’s proposal for passage

With the midterm elections just 57 days away, Congress must move quickly to bring Larson’s Social Security 2200 Act to the House floor for a vote.  Even with President Biden and 208 Democratic House lawmakers calling for a House vote on Social Security 2100 Act, it has been reported that Wendell Primus, House Leader Nancy Pelosi’s senior staffer on domestic policy issues, has advised his boss to pull the Social Security proposal from markup, reportedly over cost concerns, effectively derailing Larson’s efforts to get a House vote on his legislative proposal.

Almost 40 aging groups have joined 208 House lawmakers in advocating for expanding and protecting Social Security benefits received by over 70 million Americans.  Primus must rethink his position opposing House consideration.  If the GOP retains control of the House and Senate chambers, Democrats will not be able for years to improve the financial health and expand Social Security benefits. The GOP will control the House and Senate’s legislative agenda. Congressional Democrats and aging advocacy groups would be put in the defensive position to keep the program that we know so well in existence.

For details about the Social Security 2100 Act, go to https://larson.house.gov/sites/evo-subsites/larson.house.gov/files/Social%20Security%202100%20-%20Fact%20Sheet%20117th.pdf

To watch the livestream event, “Social Security Town Hall Meeting,” go to https://www.youtube.com/watch?v=xycabwQSurI

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