Published in RINewsToday on March 25, 2024
A few weeks ago, advocates for seniors gathered on Smith Hill, attending a Senate Committee on Health & Human Services hearing to push for passage of S. 2399. The legislation would expand income eligibility for the Medicare Savings Program (MSP), helping many lower income seniors and disabled residents pay their $175/month Medicare Part B premium and covering co-pays and deductibles for those with very low-income.
Thousands of low-income seniors and persons with disabilities on Medicare, but not eligible to participate in the state’s Medicaid program, struggle to pay their Medicare Part B premiums and co-pay costs for services and prescription drugs causing many to forgo needed health care as they cannot afford to pay the co-payments.
S. 2399, introduced by Pawtucket Sen. Sandra Cano (D-Dist. 8, Pawtucket), would expand eligibility for the Medicare Savings Program (MSP) by increasing the income limit to 186% of the federal poverty line and eliminating the strict asset limit. It also increases from 100% to 138% of the federal poverty line a part of the program that covers deductibles and co-payment.
S. 2399 was heard on March 12, 2024 and held for further study. At press time, H. 7333, introduced by Pawtucket Rep. Karen Alzate (D-Dist. 60, Pawtucket, Central Falls), has been referred to the House Finance Committee for consideration. No hearing date has been scheduled.
“With health care costs rising at an alarming rate, it is imperative that we make sure that no one goes without the care they need due to unaffordability. This bill adapts to the significant changes in our society and economy while also ensuring that our most vulnerable senior and disabled residents are able to access the care and medicine that is essential to their daily lives,” said Cano, who champions S. 2399 and in previous legislative sessions introduced legislation to expand the MSP.
“Too many of our low-income seniors and disabled residents are falling through the cracks and foregoing crucial health care services due to rising co-pays and out of pocket costs. This is unacceptable, but thankfully, we can do something about it. By passing this legislation, thousands or more Rhode Islanders will be able to receive the care that they desperately need while also keeping more money in their pockets that’s needed for daily living expenses,” said Alzate, who sponsored the House companion measure.
“We understand this is very important legislation. We had a very informative, thorough hearing on this bill, and I look forward to reviewing all the information we collected.” says Senate Health and Human Services Committee Chairman Joshua Miller (D-Dist. 28, Cranston, Providence).
The Policy Problem and its Solution
Currently, the income limit of $20,331 leaves thousands of older Rhode Islanders and disabled low-income persons on Medicare with significant gaps in coverage and hefty out of pocket costs.
If the MSP income limit is increased to $28,012, as required by the legislation, an estimated 17,000 persons would be newly eligible to have their Medicare Part B covered by being enrolled in MSP. Anyone enrolled in the MSP receives automatic enrollment in Part D “Extra Help,” a federal program which significantly lowers out-of-pocket Medicare prescription costs at no cost to the State. The federal government establishes the minimum income and asset thresholds for the MSP, and states are permitted to increase these limits and many have done so.
Advocates of Cano’s MSP legislative proposal say it also particularly helps Rhode Island’s older woman and minorities. “Since women and people of color and persons with disabilities are disproportionately represented in low-income populations, increasing access to the MSP promotes equity,” finds an advocacy partnership’s analysis of the legislative proposals. “Poverty rates among older adult Hispanic women are two and one-half times that of older Hispanic men and persons age 18 and over with disabilities are twice as likely to live below 150% of the poverty level, said the analysis.
The advocacy partnership’s analysis also noted that significant numbers of older adults and those with disabilities enrolled in Medicare face financial challenges meeting basic needs. The number of older adults living below or near poverty has increased, housing costs have climbed dramatically, food cost have increased and many more rely on food pantries.
Covering the $175/month Medicare Part B premium for 17,000+ Rhode Islanders (at no cost to the State) and additionally covering co-pays and deductibles for thousands of very low-income adults and persons with disabilities on Medicare will give them much needed financial relief. And enrollment in the Extra Help program to reduce drug-related costs provides significant additional financial assistance and improves access to critical medication.
Testimony At the Senate Committee Hearing
Nine organizations either testified at this hearing or submitted written testimony to urge passage of S. 2399. AARP Rhode Island did not testify at the hearing but signed up in support in the committee room. There was no opposition to Cano’s legislative proposal.
“I first became aware of the need to expand the income eligibility for MSP quite a few years ago when an older man in my neighborhood contacted me to tell me he lost out on the program because he was just a few dollars over the income limit. As a result, the Senior Agenda Coalition of RI (SACRI) has advocated for several years to increase the income cap,” says Maureen Maigret, SACRI’s policy Advisor.
It’s a win-win for both older Rhode Islanders and for the Rhode Island General Assembly, says Maigret. “S. 2399 would help Medicare beneficiaries to access care along with putting money back in their pockets to pay for food, rent and their basic needs. By increasing the Medicaid income to $28,012, the federal government will pay the full cost of the newly eligible Medicare beneficiaries,” she told the lawmakers.
Strongly supporting S2399, Karen Malcolm, of Protect Our Healthcare Coalition, noted that the legislative proposal is modeled on the MSP changes enacted in New York last year and approved by the Centers for Medicare and Medicaid Services. “Rhode Island should take advantage of the opportunity to expand access to affordable coverage for seniors and people with disabilities and bring new [federal] revenue to our state.”
H. Phillip West, Jr. lobbyist for the Village Common of Rhode Island, states MSP already makes an enormous difference for many beneficiaries. But, “Rhode Island’s low threshold for eligibility and low allowable assets leaves thousands of our needy neighbors out. The good news is that Senator Cano’s legislation address these defects,” he said.
In submitted written testimony, Heather Smith, MD, president of the Rhode Island Medical Society stated “From our perspective as physicians, we witness firsthand the adverse effects of financial barriers on patient health outcomes. Too often, individuals are forced to forgo or ration medications, delay necessary treatments, or skip preventative care due to concerns of affordability. These delays can exacerbate health conditions, lead to complications, and ultimately result in higher healthcare costs down the road.”
Alex Moore, political director of SEIU 1199NE, stressed the many benefits of passing S. 2399, specifically enhancing access to care, providing needed financial relief, leveraging federal funds, and strengthening the health care workforce. By supporting the legislative proposal, “we demonstrate our commitment to health and well-being of our state’s most vulnerable populations,” he stated in written testimony.
Even with the strong support of the aging community, the state’s Office of Healthy Aging has not yet taken an official position on S. 2399. “As with any other bills at this stage of the session, we are reviewing the impact of H 7333 and S 2399 on Rhode Islanders. We will continue to follow these bills as they make their way through the legislative process,” says Director Maria Cimini.
Samuel Salganik, JD, executive director of RIPIN, which offered testimony in support for S.2399, said, “This is one of the best investments available right now for our state government. At a cost of just over $5 million, the State can draw down more than $40 million in federal support to assist low-income seniors in Rhode Island,” says Salganik. “It’s a great deal for the state. I think that’s a deal that most of us would happily take,” adds Salganik.
Gov. Dan McKee’s recently released FY 2024 Budget does not include funding for to expand the state’s MSP. Now the ball is in House Speaker Joseph Shekarchi’s (D-Dist. 23, Warwick) court as his chamber collaborates with the Senate to hammer out budget resolution to be approved by the Rhode Island General Assembly to be sent for the Governor’s signature. Hopefully, Shekarchi will see the expansion of the state’s MPM as a win-win for lower-income and disabled persons on Medicare and the state. As supporters of S 2399 and H 7333 say, “it’s a no brainer.”
The Advocacy Partners for MSP Expansion was established to push for the passage of S 2399 and H 7333 during this legislative session. They are: the Senior Agenda Coalition of Rhode Island, Rhode Island Organizing Project, RIPIN, the Economic Progress Institute, the Protect Our Healthcare Coalition and the Ocean State Center for Independent Living.
To access the bills under consideration: http://webserver.rilegislature.gov/BillText/BillText24/SenateText24/S2399.pdf – http://webserver.rilegislature.gov/BillText/BillText24/HouseText24/H7333.pdf
Expanding the income eligibility for the Medicare Savings Program (MSP) is one of the legislative priorities of the Senior Agenda Coalition of Rhode Island. These policy issues will be discussed at its upcoming Legislative Leaders Forum scheduled on Wednesday, March 27, 2024, from 10:00 a.m. to 11:00 a.m., at the Crowne Plaza Hotel, 601 Greenwich Ave,, Warwick, RI.
The Senior Agenda Coalition of RI’s Annual Legislative Leaders Forum is this week:
Tag Archives for Senator Joshua Miller
Time to be educated on senior issues with primary just weeks away
Published in RINewsToday on August 22, 2022
On Aug. 17, just twenty-eight days before Rhode Island’s Sept. 13th Primary Election, at the Warwick-based Pilgrim Senior Center, Gov. Dan McKee joined Lt. Governor Sabina Matos, House Speaker K. Joseph Shekarchi, other elected leaders and advocates to highlight recently passed legislative and budget initiatives that supported Rhode Island’s senior population. The Governor ceremonially signed legislation passed this legislative session.
Among those investments is $4 million in the FY 23 state budget to increase the Circuit Breaker Tax Credit available to qualifying seniors and adults with disabilities, raising the maximum credit received to $600 and increasing the income threshold for eligibility to $ 35,000. This property tax credit program provides relief to eligible seniors and adults with disabilities who own or rent their homes. The budget also increases the amount of pension income that is exempt from state taxation for all retirees from the first $15,000 to the first $20,000.
Whether it’s tax relief, housing, food security, or utilities, our Administration is looking at these issues through the lens of ensuring our seniors are able to not just live in the Ocean State, but that they are also able to thrive here,” stated the McKee at the event, a continuation of his #RIMomentum Tour. “I am proud to deliver a budget and sign several pieces of legislation that support and protect our seniors, and I thank the sponsors and advocates who helped see them across the finish line,” he said.
“Both as chair of the Long Term Care Coordinating Council, and as a granddaughter whose family cares for a senior, I am dedicated to ensuring that every Rhode Islander has the support they need to live full, rich, and long lives. The budget we have passed this year, along with the bills signed today, will significantly improve on our seniors’ quality of life,” said Lt. Gov. Sabina Matos. “We are going to continue working to provide high-quality services to our neighbors of every age.”
With his ceremonially pen, the Governor also signed these pieces of legislation:
H7133B (Reps, Joseph M. McNamara) and S2207A (Sen. Joshua Miller): This legislation authorizes the creation and implementation of a pharmaceutical redistribution program by the Department of Health and the Board of Pharmacy to begin on Jan. 1, 2023.
H7246 (Representative Jason Knight) and S2228 (Senator Cynthia A. Coyne): This legislation lowers the age at which a victim can be considered an elder under the state’s elder financial exploitation laws.
H 7068 (Representative Kathleen A. Fogarty) and S2317 (Senator V. Susan Sosnowski): This legislation makes it easier for senior citizens to apply for Supplemental Nutrition Assistance Program benefits.
Aging Advocates Gear Up for Next Legislative Session
McKee’s ceremonial signing of legislation was a visible sign to aging advocates that state officials are recognizing that these are wise investments that foster healthy lives and economic security for our growing older population, says Maureen Maigret, Chair of the Aging in Community Subcommittee of the Long Term Care Coordinating Council and serves on the Board of Directors for the Senior Agenda Coalition and the Village Common of RI. “The budget builds on Subcommittee promoted legislation sponsored by Rep. Deb Ruggiero and Sen. Cynthis Coyne to expand the Property Tax Relief law and last year’s addition of close to $1Million in Governor McKee’s budget to increase income eligibility for the Office of Healthy Aging ‘At Home Cost Share’ program and to include persons under age 65 with Alzheimer’s and other dementias,” she said.
According to Maigret, several items from the Sub-committee’s Strategic Plan that did not make it this year are the expansion of the Medicare Savings Program to help lower-income adults pay for Medicare Part B’s hefty premiums and extending the state Paid Family Leave law beyond six weeks which will help families needing to take time out of work to care for both older relatives and children needing medical/nursing care. “These are just some of the items we will be advocating for in 2023,” she said.
Maigret notes that September’s Primary Election is less than a month away. “New laws make it easier to vote. You can apply online for a mail ballot for the Primary which must be sent in by August 23rd, she says.
Becoming an Educated Voter on Senior Issues
According to Ballotpedia, the website encyclopedia of American politics, all 435 voting seats in the House of Representatives and 34 Senate Seats will be up for grabs on the midterm elections scheduled for Nov. 8, 2022 . The seats of five of the six non-voting members of the House are also up for election as well.
Ballotpedia notes, state elective offices up for election in 2022 include 36 gubernatorial seats, 30 lieutenant gubernatorial seats, 30 attorney general seats, and 27 secretary of state seats. Including down-ballot races, there are 309 state executive offices up for election across 44 states in 2022, says Ballotpedia.
Also, 88 of the country’s 99 state legislative chambers will also hold regularly scheduled elections, representing 6,278 of the nation’s 7,283 legislative seats, adds Ballotpedia.
The Washington, DC-based AARP gears up its efforts, through its “Our Voices Decide” campaign, to ensure that America’s seniors can continue to maximize their influence on this year’s midterm elections (at both the state and national levels) like they have for previous elections.
According to AARP Rhode Island, AARP in every state has a voter engagement page that provides information on when, how and where to vote and, in many states, recent changes in voting laws. Ours is at www.aarp.org/RIVotes. This webpage is updated frequently.
Many states also post video voter guides, in which candidates are asked questions. In Rhode Island – and in every state — candidates were strictly limited to 60 seconds or less to respond. Texts of the questions and answers on video are posted online. The candidate responses appear in alphabetical order, just as they would appear on the ballot, says AARP Rhode Island.
AARP has provided voting information for many years. AARP Rhode Island featured videos of candidates for Governor in 2020. We chose to feature candidates in three contested 2022 Primary races – Governor, 2nd Congressional District and Providence Mayor, says AARP Rhode Island.
“Voting gives you the power to decide what our future looks like,” AARP Rhode Island State Director Catherine said. “But you have to be in the know to vote. AARP Rhode Island sees the importance of collecting the most up-to-date election information, including key dates and deadlines, to make sure that the voices of voters 50+ are heard. We are doing everything we can to make sure older Rhode Islanders are prepared to vote and know the safe and secure voting options included in the new, AARP Rhode Island-backed Let RI Vote Act. Our Video Voter Guide takes this a step further and with an important focus, giving older voters clear, concise answers on issues that impact their lives. Debates and candidate forums seldom focus on these questions and that is why AARP steps in to give voters a non-partisan, trusted resource to better understand where candidates stand before they cast their votes,” she says.
“In Rhode Island and across the country, the data clearly shows that 50+ voters will be the deciders in the 2022 elections,” said Taylor. “We are working with dozens of advocacy volunteers who are fighting for voters 50+ to make their voices heard on the issues that matter – especially in Rhode Island where we are in the midst of a housing crisis, nursing homes are in jeopardy, the cost of long-term care is skyrocketing and where people want leaders who are committed to making local communities more livable,” she adds.
“At the federal level, older voters want to know candidates’ positions on protecting and strengthening the Social Security benefits Americans have paid into and earned through years of hard work, protecting and improving Medicare benefits, lowering prescription drug prices, and supporting family caregivers who risk their careers and financial futures to care for parents, spouses, and other loved ones,” Taylor said.
Other Resources…
On August 3 the Senior Agenda Coalition of RI co-hosted a Governor’s Candidates Forum hosted by 17 organizations (www.senioragendari.org/coalition). To learn how the candidates from both parties responded to seven questions about aging policy and issues. Go to www.youtube.com/watch?v=okQ5FguKMao
Rhode Island Senate must take a stand against hatred
Published in RINewsToday on May 31, 2021
“In recent days, we have seen that no community is immune. We must all stand together to silence these terrible and terrifying echoes of the worst chapters in world history, and pledge to give hate no safe harbor.” — Statement of President Joe Biden on the rise of antisemitic attacks, May 28, 2021
Over two decades ago, “Never Again” was on the mind of the Rhode Island General Assembly. Lawmakers in both chambers geared up to fight antisemitism by passing the companion legislative proposals, “Genocide and Human Rights Education Act,” sending the bill Rhode Island Governor Lincoln Almond for his signature. The enacted legislation required the Rhode Island Department of Education to “develop curricular material on genocide and human rights issues and guidelines for the teaching of that material.
In 2011, Rhode Island lawmakers passed the “Genocide Education in Secondary Schools Act which called for genocide curriculum materials being available, that put a spotlight on the Holocaust, Armenian, Cambodia, and Darfur. Six years later, enacted legislation would require that the Holocaust and genocide be taught in the state’s public middle and high schools.
House bill raises awareness of the Holocaust and Genocide
Just weeks ago, 73 Rhode Island House lawmakers (2 choosing not to vote) passed H-5650, a legislative proposal sponsored by Rep. Rebecca Kislak (D-District 4, Providence) to create a Genocide and Holocaust Education Commission to raise awareness of the Holocaust and Genocide. The legislation formalizes a commission to implement a 2016 law introduced by now House Majority Whip Katherine S. Kazarian (D-District 63, East Providence) and Sen. Gayle L. Goldin (D-District 3, Providence) to require public middle and high schools to teach students about Genocide and the Holocaust.
“So many Rhode Islanders’ families are from communities that have been impacted by Genocides. Listening to each other’s stories and learning about those diverse histories will help us see the humanity in one another and build stronger communities. This bill will establish a commission to provide support to our educators and raise awareness of genocides that have affected Rhode Islanders and have shaped our communities’ histories,” said Kislak.
Under Kislak’s bill, the Holocaust and Genocide Education Commission will gather and disseminate Holocaust and genocide information, work with the Department of Education to update and promote statewide Holocaust and genocide education programs and promote public awareness of issues relating to Holocaust and genocide education.
As hate crimes have been rising in our own country over the last few years, it’s particularly important that students are taught about the catastrophic atrocities that have been committed when the seeds of hate are planted,” said Kazarian, who is cosponsoring this bill. All eight of the East Providence lawmaker’s great-grandparents are survivors of the Armenian genocide. “My family’s own history involving the Armenian genocide has shown me that these events in history should never be forgotten. It is important that our children recognize and understand how such terrible events can occur in society, and more importantly, how to stop them from happening,” she says.
Rep. Nathan W. Biah Sr. (D-Dist. 3, Providence), who fled Liberia in 1991 at age 20 to escape a war in which genocide occurred, is also a cosponsor.
“I have experienced the horrors of genocide firsthand. It’s a very tragic fact that genocide continues around the world today. Our students are citizens of the world and need to understand the impacts of genocide on their brothers and sisters wherever it occurs,” said Biah.
According to Marty Cooper, Chair of the Rhode Island Holocaust and Genocide Education Coalition, Rhode Island was one of the first states in the nation to require Holocaust and genocide education in its schools. “It is now in a position to be one of the first states to establish a formal commission to oversee Holocaust and genocide education as well as establish a Holocaust and genocide awareness month,” he says.
“The establishment of a formal Rhode Island Commission on Holocaust and Genocide Education will ensure accountability and credibility. It will also establish a mechanism to disseminate information and material to schools and educators in regard to Holocaust and genocide issues. Equally important is the ability to monitor and assist in enforcing school compliance on the issue of Holocaust and genocide studies with students,” says Cooper.
“More importantly, a commission will stimulate much needed dialogue and discussion to address the issue of genocide. What atrocities, for instance, should be studied as a genocide?” adds Cooper.
“After World War II, a strong mantra of “Never Again” came about in hopes of ending atrocities that left millions dead and misplaced because of the Holocaust. Unfortunately, atrocities still take place. We need more than the words “Never Again” to help end this madness. Education is significant element to hopefully bring an end to such hate, bullying and racism,” states Cooper. “Then “Never Again” can become a reality.”
S-840 Sub A held for further study
As the 2021 General Assembly’s legislation session conclusion comes closer, lawmakers are considering a flurry of bills. While the House chamber has passed its measure, the Senate Education Committee recently recommended that S-840 Sub A, Godin’s companion measure, co-sponsored by Senators Joshua Miller (D-District 28, Providence/Cranston), Hanna Gallo (D-District 27, Cranston), Thomas Paolino (R- District 17, Lincoln, North Providence, and North Smithfield) and Meghan Kallman (D-District 15, Pawtucket) be held for further study. Often times, this may be the polite way to kill this measure. Closed door “horse-trading” between House and Senate leadership may resurrect the legislative proposal.
“I look forward to the bill coming out of the senate education committee and coming up for a favorable vote,” said Cooper
According to a recently released Pew Center survey, nine out of ten American Jews say there is at least “some antisemitism in the U.S.,” and that 75 percent believe there is more antisemitism in the U.S. than there was five years ago. The survey also found that more than half of Jews surveyed say they personally feel less safe as a Jewish person in the U.S. than they did just five years ago.
The Pew survey findings are in line with a recent survey of Jewish American experiences with antisemitism fielded by the Anti-Defamation League (ADL) earlier this year, says Jonathan A. Greenblatt, ADL CEO and National Director. “The ADL survey found that well over half of Jewish Americans have either experienced or directly witnessed some form of antisemitic incident in the last five years, with 63 percent of respondents having either experienced or heard antisemitic comments, slurs or threats targeting others, an increase from 54 percent a year earlier,” he says.
“ADL is working closely with members of Congress to ensure that there is more funding for bolstering community security, training law enforcement in identifying and responding to hate crimes, and has partnered with community organizations, such as SCN, working to protect Jewish institutions.”
“We hope that this [Pew] report serves as a wake-up call to leaders across the country and on both sides of the aisle that antisemitism is still a harsh reality today and so we must continue to fight this ancient hatred through education, advocacy, enhanced security and greater awareness of the problem. ADL remains firmly and fully committed to rooting out antisemitism and hatred in all forms.”
Senate leaders must follow ADL to “root out antisemitism and hatred in all forms” in the Ocean State. One way is to pass S-840 Sub A.
Herb Weiss 