Tag Archives: medicare

Title I – Temporary Payroll Tax Relief
Sec. 101 Extension of Payroll Tax Holiday (costs $20.1 billion)
The Tax Relief, Unemployment Insurance Reauthorization and Job Creation Act of 2010 provided a two percentage point employee payroll/self-employment tax holiday during 2011. This means employees pay only 4.2 percent on wages and self-employed individuals pay only 10.4 percent on self-employment income up to the threshold. The proposal would extend the payroll tax cut for 2 months with a pro rata limitation on the amount of earnings eligible for the tax cut of $18,350.

Note: The total cost for Title I is $20.1 billion over ten years.

Title II – Temporary Extension of Unemployment Compensation Provisions
Sec. 201 Continuation of Emergency Unemployment Compensation Program
This provision extends for two months the availability of benefits in all tiers of Federal Emergency Unemployment Compensation (EUC).
Temporary Extension of Extended Benefit Provisions
This provision continues, for 2 months the extended benefits (EB) program, with a 3-year look-back.
Federal UI Benefits Available
Program; Additional Weeks

State-Based Regular Benefits; Up to 26 Additional Weeks

EUC Under Current Policy; Up to 53 Additional Weeks

Tier 1: None; 20

Tier 2: None; 14

Tier 3: at least 6%; 13

Tier 4: at least 8.5%; 6

EB under current policy (3yr look-back); up to 20

Total: Up to 99

Sec. 202 Continuation of Unemployment Benefits Under the Railroad Unemployment Insurance Act

This provision permits for a two-month continuation of benefits for railroad workers.

Note: The total cost for Title II is $8.49 billion over ten years.

Title III – Temporary Extension of Health Provisions
Sec. 301 Physician Payment Update (costs $3.6 billion)
Under current law, the Medicare payment formula would cut payments to physicians by 27.4 percent on January 1, 2012. This provision would update physician payments by zero percent for two months, ending February 29.

Sec. 302 Two Month Extension of MMA Section 508 Reclassifications (changes are between $50 million and -$50 million)
Under current law, hospital geographic reclassifications authorized under section 508 of the Medicare Modernization Act expire on September 30, 2011. The bill would extend these reclassifications for two months.

Sec. 303 Work Geographic Adjustment (costs $0.1 billion)
This provision would extend the current law work geographic price cost index (GPCI) floor of 1.0 for two months, through February 29, 2012.

Sec. 304 Extension of Exceptions Process for Medicare Therapy Caps (changes are between $50 million and -$50 million)
This provision extends the exceptions process for nonhospital therapy services for two months, until February 29, 2012. Without the exceptions process, therapy services would be capped at an annual amount of $1,880 per beneficiary in 2012.

Sec. 305 Extension of Payment for Technical Component of Certain Physician Pathology Services (changes are between $50 million and -$50 million)
Permits independent labs under a grandfathered arrangement to continue direct billing for pathology services provided to hospitals for two months, until February 29, 2012.

Sec. 306 Ambulance Add-Ons (changes are between $50 million and -$50 million)
This provision would extend payment add-ons for ambulance services for two months, until February 29, 2012.

Sec. 307 Extension of Physician Fee Schedule Mental Health Add-on Payment (changes are between $50 million and -$50 million)
Extends increased payments by 5 percent for certain Medicare mental health services, until February 29, 2012.

Sec. 308 Extension of Outpatient Hold-Harmless Provision (changes are between $50 million and -$50 million)
Provides “hold harmless” payments for rural hospitals that ensure those hospitals will receive 85 percent of Outpatient Prospective Payment Services payments they would have received had the prior payment system remained in effect.
Sec. 309 Extending Minimum Payment for Bone Mass Measurement (no cost)
Extends an increase in the payment rate for certain X-Ray machines (DEXA), which are used to measure bone mass to identify individuals who may be at risk of having osteoporosis for two months, until February 29, 2012.

Sec. 310 Qualifying Individual Program (costs $0.1 billion)
This provision is a two month extension of the Qualifying Individual (QI) Program. Under the QI program, Medicaid pays the Medicare Part B premium for beneficiaries with incomes between 120 and 135 percent of poverty.

Sec. 311 Extension of Transitional Medical Assistance (costs $0.2 billion)
This provision is a two month extension of work-related Transitional Medical Assistance (TMA). TMA allows low-income families to maintain their Medicaid coverage as they transition into employment and increase their earnings. The provision extends TMA until February 29, 2012.

Sec. 312 Extension of the Temporary Assistance for Needy Families Program (no cost)
Extends the Temporary Assistance for Needy Families (TANF) program for two months, until February 29, 2012.

Note: The total cost for Title III is $4.1 billion over ten years.

Title IV – Mortgage Fees and Premiums

Sec. 401 Guarantee Fees
This section increases the guarantee fees that are charged to mortgage lenders by Fannie Mae and Freddie Mac by 10 basis points. (CBO score pending. The increase in the fees will be adjusted so that they only cover the cost of the bill.) Revenue generated by the increase is deposited directly into the United States Treasury. This increase in the annual premium expires in ten years.

Sec. 402 FHA Guarantee Fees
The Federal Housing Administration is required to increase the annual premium charged to homeowners by an amount equal to the increase at the GSEs. (CBO score pending. The increase in the GSE fees will be adjusted so that they only cover the cost of the bill.) This change does not affect the upfront premium charged by FHA for insuring loans. This increase in the annual premium expires in ten years.

Note: The total savings achieved in Title IV is $35.7 billion over ten years.

Title V – Other Provisions

Sec. 501 Keystone XL Pipeline Permitting Process (no cost)
Within 60 days, the President, acting through the Secretary of State, is required to grant a permit for the Keystone XL pipeline project application unless he determines the pipeline would not serve the national interest. Any permit issued shall require the reconsideration of routing the pipeline within the State of Nebraska. Any permit granted is deemed to satisfy all the requirements of the National Environmental Policy Act and any modification required by the Secretary to the construction mitigation and reclamation plan shall not require supplementation of the final environmental impact statement.

Sec. 511 Senate Point of Order against Emergency Designation (no cost)
This provision fixes a technical problem that occurred when the Budget Control Act passed. Because of an oversight, that legislation changed a long-standing 60-vote point of order against emergency designations in appropriations bills that had been a longstanding procedure in the Senate. This provision simply reinstates that procedure and it has bipartisan support.

Sec. 512 PAYGO Scorecard Estimates (no cost)
This provision directs OMB not to include the budgetary effects of this bill on the scorecard for Statutory Pay-As-You purposes. The provision is needed to avoid a possible sequester associated with the five-year PAYGO requirements.

Total CBO Savings Over Ten Years: $2.968 Billion

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What Medicare means … Maria Cantwell

12/22/2011 Nativegrl77

When I see Republicans using every trick in the book in an attempt to end Medicare as we know it, I wonder if they really understand what Medicare means to seniors.

It’s more than just a way to pay for routine care like checkups and screenings. It’s a guarantee of economic security — a promise that, if you put in a lifetime of hard work, the floor won’t fall out from underneath your retirement because of a health problem.

Every day, I hear from Washington seniors who rely on this promise — and from people still in the workforce who wonder if it will be there for them when they retire. That’s why I’m committed to strengthening Medicare. I fought to pass reform that will send $250 rebates to 62,000 Washington seniors — a down payment on closing the prescription drug “donut hole.”

That’s the path forward on Medicare: bringing down costs, improving quality, and maintaining that promise of retirement security.

But some see a different path, one in which Medicare would be turned into a voucher program. This would be great for insurance companies — but it would require seniors to pay more. And with so many living on a fixed income, this could leave them with nowhere to turn. A program like that wouldn’t be fair to seniors who rely on Medicare for their economic security. It wouldn’t be Medicare at all.

Medicare is critical to the retirement security of millions. It is a promise we made nearly half a century ago, one of the best things we’ve done as a country. And protecting it is one of the jobs I’m most proud to do.

I’ll be in touch soon with an update on our fight to protect Medicare. But, for now, thank you for being part of this team.

Maria

~ Culture & History

The Untold Story … Horne of Africa

12/13/2011 Nativegrl77

The recent images of men, women and children starving in the Horn of Africa tell a painful story of famine and suffering. How does a nation recover from a devastating food crisis? To find out, Chip Duncan and Salim Amin returned to a Ethiopia, to a place where famine caused a massive death toll over 25 years ago. What they discovered was surprising and hopeful. In partnership with One, they created a documentary showing the contrast between 1984 and present-day Tigray. Read their words below, view a preview and watch their powerful short film. << click on link for VIDEO

In Somalia, innocent people are dying needless deaths due to a famine driven by politics and war. Those who are dying need our help and our voice.

Drought is a challenge faced by people around the world. Climate change is now making droughts more common and less predictable. But drought shouldn’t equal famine. Famine is the outcome of poor infrastructure, corrupt governments and warring factions who choose to use food as a weapon.

During our recent work in Ethiopia, we had a chance to revisit the site of the 1984 famine. Our film uses footage and stills from that famine to remind us of the suffering and of its causes. Our story also chronicles the policies and infrastructure put in place during the last two decades to build sustainable agriculture. Water retention systems, irrigation, improved transportation systems, terraced farming, training programs, improved seeds and fertilizers – this is the new legacy in Tigray Province. It’s a story worth sharing so people everywhere can promote small scale agriculture while motivating governments to make similar investments in the future.

Chip Duncan
Director, “The Untold Story”

I made a journey following the footsteps of my father from 25 years ago. When Mohamed Amin made that journey a quarter of a century ago, he never imagined it was one that would change his life forever. He had covered every major story in Africa over four decades, but nothing prepared him for what he saw in Korem in October 1984.

A famine of biblical proportions, with more than 5 million people on the verge of starvation. A famine that was, to a large extent, man-made. The ruler of Ethiopia at the time, Colonel Haile Mariam Mengistu, was using the famine as a tool to suppress the rebel movement that was rising against his brutal regime from the north of the country. He didn’t want the world to know this famine existed.

The pictures that my father shot on the plains of Korem changed his life and changed the world. They prompted the greatest single act of charity of the 20th century and saved the lives of millions of Ethiopians. After this story, he changed the way he looked at news coverage. He cared for the first time in his life and did everything he could to keep the story in the headlines. Those images were amongst the most powerful and iconic images in television history.

I was expecting to see Korem still reeling from the effects of that massive famine. It takes generations to repair that kind of damage, but I was in for a shock. I went in with the best TV production team I had ever worked with, and what we saw stunned us all! A massive drought is taking hold of the Horn of Africa once again, but Korem and Tigray Province is an oasis of crops. Irrigation schemes that have been put in place over the last decade. There’s also a new awareness of the types of crops to grow and how to market and sell them for the best prices; and new resilient seeds have all transformed a community from being “takers” to being “providers”.

The farmers of Tigray Province have proved that drought doesn’t have to equal famine, and smart aid can work.

Salim Amin
Chairman Camerapix/A24 Media

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Finish This Sentence: Thanks to the health care law… Judy Waxman, National Women’s Law Center

12/12/2011 Nativegrl77

Two years ago, Christine Turner shared her story of surviving a rape that insurance companies considered a “pre-existing condition,” denying her coverage.

Her story cut through the political noise, helped change the dynamic of the fight over health care reform, and helped us win passage of the landmark Affordable Care Act. Now we are fighting to keep the law. Your stories can help illustrate what statistics and fact sheets can’t always do: show us how the health care law is changing the lives of every day Americans.

Share your story of how the health care law is helping you on our story blog. http://action.nwlc.org/site/R?i=NWaDKd_EpRV04F6GIYsfuw The story blog is an open forum where people can upload their photos and write about how the law is helping them. After you’ve shared, read some of the amazing stories from women across the country about how the health care law is helping them.

Were you one of the 3.8 million women on Medicare this year who received mammograms without co-pays or other out-of-pockets costs? Is your child one of the nearly one million young adults who gained health coverage due in part to the new law’s provision that allows young adults up to the age of 26 to stay on their parent’s health plan? Are you no longer paying that $20 co-pay for preventive care ?

Stories help cut through the political noise and show others why the law is important and how it is helping Americans from coast to coast. Join the story blog today. http://action.nwlc.org/site/R?i=5c8vCHxiW3uEW3lllBqZHg

Thanks to people like Christine and supporters like you, the health care law is improving the lives of women and their families. Thank you for all you do.

Sincerely,

Judy Waxman
Vice President for Health and Reproductive Rights
National Women’s Law Center

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What You Did This Year …Nancy Duff Campbell & Marcia Greenberger, National Women’s Law Center

12/08/2011 Nativegrl77

…Was nothing short of amazing.

Your Gift Matched



	Through December 31, every gift to the National Women’s Law Center (up to a total of $90,000) will be matched dollar for dollar.

Because of you:

Women will have access to contraception in new health insurance plans — without co-pays — and attempts to defund family planning were stopped.

Because of you:

Medicare, Medicaid, Social Security and other key social safety net programs were spared automatic cuts under the federal debt ceiling deal.

Because of you:

We helped secure nationwide protections against retaliation in the workplace, rights for pregnant and parenting students in Michigan, and educational equity for female student athletes in Oldham County, Kentucky.

Throughout the year, we’ve been honored to work with you to expand the possibilities for women and their families so that, as President Obama said at the Center’s Annual Awards Dinner just weeks ago, our children can “go out into a world where there is no limit to how big they can dream and how high they can reach.”

But we have little time to rest on our laurels — 2012 won’t be easy. Will you help?

Through December 31, every gift to the National Women’s Law Center (up to a total of $90,000) will be matched dollar for dollar.

The coming year will see the Affordable Care Act go before the Supreme Court, where we’ll be fighting to protect the law and ensure that being a woman cannot be a preexisting condition again. With millions of Americans living in poverty and facing long-term unemployment, powerful forces in Congress will STILL lobby for tax cuts to the wealthy at the expense of jobs and programs vital to women and their families. And of course, women STILL earn on average only 77 cents for every dollar earned by their male counterparts, showing the clear need for the Paycheck Fairness Act.

Will you help us? Please consider a very generous contribution to the Center — your gift will be doubled by a match from the Center’s Board of Directors and Leadership 35 Committee.

Over the next few weeks, we’ll be bringing you more about what we’ve done together this year and what 2012 is likely to bring. In the meantime, please help us start our 40th year stronger than ever before. Thank you again for all the help you give and all the work you do on behalf of women and families.

Sincerely,