Seniors would benefit in President Biden’s $6 trillion budget

Published in RINewsToday on June 14, 2021

On May 28, with the release of a $6 trillion budget for fiscal year (FY) 2022, President Joe Biden outlined his values and vision as to how he proposes to revive the nation’s sputtering economic engine as it emerges from the devastating impact of the COVID-19 pandemic. The 72-page budget document, “Budget of the United States,” (with more than a 1,400-page appendix) details his spending priorities that begin next Oct. 1. Biden’s generous budget depends on increasing taxes on America’s corporations (from 21 to 28 percent) and high earners, who received significant tax breaks from the President Trump/GOP tax cuts of 2017.

With the FY 2022 Budget pushing federal debt to the highest levels since World War 1I, Republican lawmakers quickly called the proposal “dead on arrival” in Congress.  However, Cecilia Rouse, chair of President Biden’s Council of Economic Advisors says the Biden Administration is willing to live with a budget deficit to invest in the economy now, especially with low interest rates to borrow; deficits can be reduced later. 

President Biden’s new spending under the just released proposed FY 2022 budget, recognizing his Administration’s priorities, reflects the major proposals already outlined under the administration’s $2.3 trillion American Jobs Plan and $1.8 trillion American Families Plan. Provisions in these two proposals would overhaul the nation’s aging infrastructure and invest in education, childcare, paid family and medical leave, fight climate change. 

President Biden’s spending plan also recognizes priorities outlined in the American Rescue Plan passed earlier this year as well as the Administration’s “skinny” discretionary budget request released in April. Most importantly, it reflects a commitment from the president to safeguard Medicare, Medicaid and Social Security.

Loving It or Hating It Depends on Where You Sit

In remarks delivered Thursday in Cleveland, President Biden made the case for his budget request and what he describes as an investment in the country’s future. “Now is the time to build [on] the foundation that we’ve laid to make bold investments in our families and our communities and our nation,” he said. “We know from history that these kinds of investments raise both the floor and the ceiling over the economy for everybody.”

In the FY 2020 Budget proposal’s “Message from the President”, Biden says, “The Budget invests directly in the American People and will strengthen the nation’s economy and improve our long run fiscal health. It reforms our broken tax code to reward work instead of wealth while fully paying for the American Jobs and American Family Plans over a 15- year period. It will help us build a recovery that is broad-based, inclusive, sustained, and strong,”

Of course, response to Biden’s Spending plan depends on which side of the aisle you are sitting.

House Speaker Nancy Pelosi (D-CA) released a statement strongly endorsing Biden’s fiscal blueprint. “Congressional Democrats look forward to working with the Biden-Harris Administration to enact this visionary budget, which will pave the path to opportunity and prosperity for our nation. The Biden Budget is a budget for the people,” she said.

On the other hand, Senate Minority Leader Mitch McConnell strongly opposing Biden’s Budget proposal. “Americans are already hurting from far-left economics that ignores reality,” said McConnell, in a statement. “The Administration’s counterproductive ‘COVID relief bill’ has slowed rehiring. Families are facing painful inflation, just as experts warned the Democrats’ plans might cause. And the Administration wants to triple down on the same mistakes?” said the six-term Republican Kentucky Senator.

With the Democrats holding the slim majorities in the House and Senate and controlling the White House, Biden’s FY 2022 Budget proposal will have more weight than if the Republicans were in the majority, says Dan Adcock, Government Relations and Policy Director at the Washington, DC-based National Committee to Preserve Social Security and Medicare (NCPSSM).

According to Adcock, Biden’s funding numbers will change as his FY 2022 budget proposal goes through the appropriation process in the upcoming months. With its release, Congress can now begin negotiating funding levels and spending bills. Competition for a finite amount of funding will ultimately result in funding level ultimately allotted to programs and agencies by each of the 12 appropriations under their jurisdiction. Funding for most programs important to older Americans is under the jurisdiction of the Subcommittee on Labor, Health and Human Services and Education.

“With 10,000 Baby Boomers turning 65 every day – and the number of seniors projected to double by 2050 – it’s clear that President Biden understands the need to safeguard the older Americans he calls ‘pillars of every community – now and into the future.” Says Max Richtman, NCPSSM’s President and CEO.

Slashing Drug Costs to Pay for Expanding Medicare Coverage

Richtman says that Biden’s fiscal blueprint calls on Congress to allow Medicare to negotiate prices for certain high-cost, life-saving drugs that many seniors currently cannot afford and to require manufacturers to pay rebates when drug prices rise faster than inflation. These reforms could yield over half a trillion in federal savings over 10 years, which could help pay for coverage expansions and improvements, including access to dental, hearing, and vision coverage in Medicare,” he notes. Today, traditional Medicare does not cover routine care like dental checkups or hearing aids.

According to Richtman, President Biden’s budget also includes more than $400 billion in new spending over ten years to expand Home and Community-based Services (HCBS) for low-income seniors and people with disabilities who prefer to receive skilled care in the comfort of their homes and communities, even moreso after the devastation COVID wrought on nursing homes.  

In states that have not taken advantage of Affordable Care Act (ACA) opportunities to expand Medicaid, the budget proposes providing premium-free, Medicaid-like coverage through a federal public option, along with incentives for states to maintain their existing expansions. 

Biden’s FY 2022 budget also urges Congress to improve customer service for Social Security beneficiaries to prescription drug pricing reform to expanded HCBS, adds Richtman.  It also proposes a $1.3 billion (or 9.7%) funding increase for the Social Security Administration.  The increase seeks to improve customer service, including services at SSA’s field offices, state disability determination services, and teleservice centers.

 The Older Americans Act (OAA) provides funding for a wide range of home and community-based services, such as meals-on-wheels and other nutrition programs, in-home services, transportation, legal services, elder abuse prevention and caregivers’ support. These programs help seniors stay as independent as possible in their homes and communities. 

For details about Biden’s FY 2022 Budget proposal and OAA funding levels, made available from the Washington, DC-based National Association of Area Agencies on Aging, go to: https://www.n4a.org//Files/FY22%20PresBudget%20and%20historical%20Labor-HHS%20Appropriations%20Chart.pdf

 Stay Tuned 

The House continues its work on hammering out appropriation bills through subcommittees in June and in the full House in July.  The Senate’s work is expected to begin in mid-Summer and to continue well into September. If the appropriate bills are not passed and signed into law by Oct. 1, Congress will need to pass a continuing resolution to fund the federal government into the first months of FY 2022.

Like most Budget proposals, especially in a partisan Congress, Biden’s spending plan will need to be rewritten to win support from lawmakers on both sides of the aisle. However, it will serve as a roadmap for a Democratic controlled Congress in crafting 12 appropriation spending bills. Partisan bickering during the appropriations process may well force passage of a continuing resolution before Oct. 1 to block a government shutdown. 

Cicilline Moves to Re-Establish the House Permanent Select Committee on Aging

Published in RINewsToday on April 30, 2021

Congressman David Cicilline is poised to offer a resolution to re-establish the House Permanent Select Committee on Aging, whose work came to an end in early January 1993, at the conclusion of the 102nd Congress.

The Washington, DC-based Leadership Council of Aging Organizations (LCAO), a coalition of 69 aging organization, has recently called on the House to support Cicilline’s measure when introduced, “which focuses on the well-being of America’s older population and is committed to representing their interests in the policy-making arena”.

“Now is the opportune time to reestablish the House Aging Committee,” says LCAO Chair, Max Richtman, who serves as President and CEO of the National Committee to Protect Social Security and Medicare (NCPSSM), in an endorsement letter sent to the Rhode Island Congressman on March 30, 2021, detailing the graying of America. 

“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,” he said, stressing the importance of this select committee.

The resolution to approve the House Aging Committee was passed on October 8, 1974, by a 299–44 margin in the House. Its legislative duties expired during the 103rd Congress, as the House leadership was under pressure to reduce its internal costs and to streamline the legislative process. Initially, the House panel had 35 members, but would later grow to 65 members.

Those opposing reauthorizing the House Aging Committee would say that its elimination would slash wasteful spending, after all, the chamber already had 12 standing committees with jurisdiction over aging issues. On the other hand, advocates warned that the staff of these committees did not have time to broadly examine aging issues as the select committee did.

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

The Fourth Time “Hopefully” is the Charm…

Over 28 years after the House Democratic Leadership’s belt-tightening efforts to save $1.5 million resulted in the termination of the House Aging Committee, Rhode Island Congressman David Cicilline is poised to reintroduce legislation to reestablish the House Aging panel, active from 1974 until 1993.

More than five years ago, Cicilline had introduced H. Res. 758 during the 114th Congress to reestablish the House Aging Committee. Rhode Island Congressman Langevin and 27 Democratic lawmakers out of 435 House members became cosponsors. But it caught the eye of the co-chairs of the Seniors Task Force (later renamed the House Democratic Caucus Task Force on Aging & Families), Congresswomen Doris Matsui (D-CA) and Jan Schakowsky (D-IL). The lawmakers also signed onto supporting this resolution.

Correspondence penned by Cicilline urged House Speaker Paul Ryan (R-WI) and House GOP leadership to support House Res. 758. Ultimately, Ryan blocked the resolution from being considered and no legislative action was taken in the GOP-controlled House chamber. 

With House Speaker Ryan still retaining the control of the House during the 115th Congress, Cicilline’s H. Res.160 would not gain traction. At that time only 27 Democratic lawmakers stepped forward to become cosponsors, the resolution attracting no support from House GOP lawmakers.  

For the third time, during the 116th Congress, Cicilline would again introduce H. Res. 821 to reestablish the House Aging Committee. Even with the Democrats retaking the House and House Speaker Nancy Pelosi taking control of the chamber’s legislative agenda, the resolution would not get a committee vote, again blocking it from reaching the floor for a vote.

During the 117th Congress, Cicilline is not taking “no” for an answer, and continues his push to bring back the House Aging Committee.  Once his resolution is thrown into the legislative hopper, it will be referred to the House Committee on Rules for mark-up and if passed will be considered by the full House. It’s expected to be just 245 words like the previous ones introduced during the last three Congresses.  

The Resolution: Short and Sweet

Cicilline’s resolution would reestablish a House Aging Committee 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 impacted legislation taken up by standing committees.

According to the Congressional Research Service, it is relatively simple to 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 issues that need to be address.  Salaries and expenses of standing committees, special and select, are authorized through the Legislative Branch Appropriations bill.

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

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

“After a lifetime of working hard and playing by the rules, Rhode Island seniors should be able to enjoy their retirement years with dignity and peace of mind. Re-establishing the House Aging Committee will help make this goal a reality. From protecting Social Security and Medicare to lower the costs of housing and prescription drugs, this Committee will help ensure we can deliver better results for seniors here in Rhode Island and across America,” says Cicilline.

Looking Back

According to NCPSSM’s Richtman, who served as staff director for the Senate Special Committee on Aging from 1987 to 1989, the House Aging Committee historically served as a select committee that fostered bipartisan debate from various political and philosophical viewpoints to promote political consensus that, in turn, impacted the legislation that was taken up in authorizing committees. This select committee would have an opportunity to more fully explore a range of aging issues and innovations that cross Committee jurisdiction, while holding field hearings, convening remote hearings, engaging communities and promoting understanding and dialogue.

While seeing the value of the House Aging Committee, Richtman speculates that regardless of which party is in the majority, the challenge of re-establishing the select committee is that the Legislative Branch appropriation would require that existing House standing committees forgo some funding and staff to create a budget and staff for the Aging Committee. Given that the Aging Committee could have no legislative jurisdiction; the authorizing committees would not lose legislative power.

Robert Blancato, president of Matz, Blancato, and Associates, who was the longest-serving staff person on the original House Aging Committee, from 1977 to 1993, sees the need to bring back the House Aging Committee. “It provided a deeper examination of issues affecting older adults through hearings, investigations, and reports. Every member of the committee was also a member of a standing committee and could take their expertise to into that work,” he noted.

Blancato, who served with three chairs — Will Randall (D-MO), Claude Pepper (D-FL) and Edward Roybal (D-CA), warns that a “floodgate problem” may well derail Cicilline’s efforts to get his resolution passed. “You create one and there will be pressure to create more,” says Blancato. But, bringing back the House Aging Committee is extremely important because there is no “stated expertise in any current standing committee [to investigate] on aging issues,” he adds.

America’s aging population warrants reestablishing the House Aging Committee, says Professor Fernando Torres-Gil, M.S.W., Ph.D., Social Welfare and Public Policy Director, Center for Policy Research on Aging at the UCLA Luskin School of Public Affairs. “By 2029, all 80-plus individuals born between l946 and l964 will be 65 years of age and over. These so-called “aging baby boomers” will create challenges and opportunities that the Congress must examine, understand and respond to with legislation, oversight and partnerships with government, stakeholders and advocates,” says Torres Gill, who served as the select committee’s staff director from 1985 to 1987.

Under the Chairmanship of Congressmen Roybal and the partnership with the ranking minority member, Congressman Rinaldi (R-TX), Torres-Gil saw first-hand the tremendous influence that this select committee had on influencing and motivating House members to promote thoughtful responses to the needs of older Americans, “It served as one of the few venues for bi-partisanship and long-term planning on complex issues facing older persons,” he stated.

According to Torres-Gil, the complexities of an aging society will increase given the pandemic, the growing voices of immigrants, ethnic and minority groups and the challenges for ensuring the financial viability of legacy entitlement programs: Social Security, Medicare, Medicaid, the Older Americans Act.  “Now is the time to bring back this vital congressional “thought leader” on legislative action for the aging and diversity of the United States,” he says.

To illustrate the importance of the House Aging Committee, Bill Benson, Staff Director of the Committee’s Subcommittee on Housing and Consumer Interests from 1987 to 1990, (chaired by Congressmen Don Bonker (D-WA) and later James Florio (D-NJ), points to his subcommittee’s work on housing issues. “Both before, during, and after my tenure with the subcommittee, we were able to dig deeply into a multitude of significant housing-related programs and problems facing older Americans. During my tenure alone we conducted at least a dozen hearings just on housing, addressing affordability, quality and appropriateness, contributing significantly to legislative action,” he said.

“I am certain that in just that over two-year period we held far more hearings on housing and aging than have been conducted, in total, in the nearly three decades since. During this interum, there has been almost no congressional attention to housing for the elderly. It is no surprise that today we see homelessness among older adults increasing rapidly, among many other housing problems facing older Americans,” adds Benson, stressing that resurrecting the House Aging Committee is crucial to housing policy for the elderly, along with so many other crucial issues.

The Amazing Legacy of Fiery Senior Advocate Claude Pepper

Kathleen Gardner served as Claude Pepper’s staff director of the Subcommittee on Health and Long-Term Care, from 1984 until his death in 1989, and continued to serve Pepper’s successor, Edward Roybal, until the House Aging Committee was abolished.  She was the last surviving member of the Subcommittee, boxing up and archiving its papers for delivery to the Tallahassee, Florida-based Claude Pepper Foundation.   

According to Gardner, few know that it was Pepper who was largely responsible for sponsoring or cosponsoring legislation to establish the majority of the Institutes of Health (including the National Heart and Cancer Institutes, the Deafness and Arthritis Institutes, the National Institute of Mental Health and six other Institutes). “One of his last legislative improvements to the National Institutes of Health was the establishment of the National Center for Biotechnology Information at the National Library of Medicine – without which the mapping of the human genome – which will unlock so many of the mysteries of disease — would not have been possible, she adds. 

Between 1982 to 1990, Melanie Modlin served as a Professional Staff Member for the full Committee and ultimately became Gardner’s Deputy Director for the Subcommittee on Health and Long-Term Care.  She remembered how the House Aging Committee investigated “Diploma mills,” by setting up its own diploma mill, then a phony accreditation to give the investigators credence.  The select committee also held one of the first hearings on Alzheimer’s disease, which was just beginning to become a household word. 

Modlin recalled that her Subcommittee was tasked with creating a universal health care bill. “Once more, Pepper and the House Aging Committee was a step ahead of the curve,” she says, noting that this debate has come back to Congress.

As newspapers in communities across the nation curtail or jettison their investigative teams, the House Aging Committee has a proven track record and reputation of investigating aging issues is a sound reason as to why the Select committee should be reactivated, says Modlin, especially with the rapid growth of America’s aging population.  

Robert S. Weiner, President, Robert Weiner Associates News, who was a close friend and confidant of Pepper, clearly knew the importance and impact of Pepper’s House Aging Committee on the daily quality of life of seniors. Weiner, who served as Staff Director for the Subcommittee on Health and Long-term care from 1975 to 1977 and Chief of Staff of the full Aging Committee, from 1976 to 1980, remembered, “I was thunderbolt struck when [GOP House Speaker] Newt Gingrich abolished the Aging Committee – the Senate wisely kept theirs.”

“Congressman Claude Pepper used the House Aging Committee as a force for the elderly. Bringing it back would be of immeasurable help regardless of which party has the White House in assuring the best health care programs possible, stopping any raiding of the Social Security Trust Fund, and protecting seniors,” says Weiner.

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

“One of the best known aging accomplishments of Claude Pepper was to end mandatory retirement by amending the Age Discrimination provision in the Employment Act, remembered Weiner, noting that this would get him the cover of Time Magazine with the tag line the “Spokesman for the Elderly.” 

Kentucky Fried Chicken King makes his mark

It was Pepper’s idea to bring in Col. Harland Sanders as a witness. Many still remember the 81-year-old Kentucky Fried Chicken King, wearing his trademark spotless white suit and black string tie, and testifying against mandatory retirement in federal jobs,” said Weiner, noting that a few years later it would end up also in the private sector, and the bill would pass 359 to 2 in the House and 89 to 10 in the Senate, with President Carter signing the bill despite strong opposition of the Business Roundtable and big labor, he said.

Weiner also noted that among the House Aging Committee’s other accomplishments under Pepper’s Chairmanship was legislation creating standards for supplemental insurance and holding hearings to expose cancer insurance duplication. “Witnesses were literally forced to wear paper bags over their heads to avoid harassment by the insurance companies. That legislation became law,” he said.

As a long-time Washington insider, Weiner sees the best avenue of bringing the House Aging Committee back from the dead is to get House Speaker Nancy Pelosi (D-CA) and her leadership team, Congressmen Steny Hoyer (D-MD and James E. Clyburn (D-SC), to support Cicilline’s resolution.  “It’s not just a matter of ‘getting them to say ok – it’s using the right way to do it that works. While you can get groups to support your efforts to bring back the House Aging Committee, you must verbally make the case to House leadership,” says Weiner.  Looking back, “that’s how Pepper always did it – he’d pull people to a place on the floor and talk with them.”

“If he gets those three, or even one or two, and they tell the other two – done deal – it goes to the floor of the caucus for a vote,” notes Weiner.

In Summary…

Over thirty years after the death of Claude Pepper (D-FL) in 1989, no national advocate has emerged to take the place of the former Chairman of the House Aging Committee, who served as its chair for six years. As a result, House Democratic lawmakers and aging advocates are forced every new session of Congress to fend off proposals to cut aging programs, Social Security, and Medicare. 

Gardner believes that Cicilline’s efforts to reestablish this needed Select Committee would be a salute to Pepper, the nation’s most visible spokesperson for seniors, and more importantly to his desire to establish a “legislative voice” for our nation’s most vulnerable population – our senior citizens.”   

Hopefully House Speaker Nancy Pelosi will agree with Gardner’s assessment.  If only for the sake of the nation’s seniors.

For details about the Claude Pepper Foundation, go to https://claudepepperfoundation.org/about/claude-pepper-center/

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

Published in the Wooonsocket Call on April 19, 2020

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

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

A Break in Protocol

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Remember Your Older Constituents

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

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