Wednesday, June 21, 2017

Senator Brady and the Senate Republican Caucus want to decrease funding to the Teachers Retirement Insurance Program





CALL TO ACTION:

Senator Brady and the Senate Republican Caucus, with the approval of the Governor, has introduced their agreed upon budget, Senate Bill  2214, which will decrease funding to the Teachers Retirement Insurance Program by 1/3 below the certified levels. This is an even greater underfunding level than was originally proposed in SB 42, which the IRTA managed to get defeated in the Senate.

The IRTA is taking this 1/3 reduction to TRIP as an indication that the proposed Republican budget plan would phase out the TRIP program over the next three years, which would be a diminishment to your benefits.

Please reach out yet again to your legislators and tell them to VOTE NO on SB 2214 (the budget) and SB 2217 (the BIMP) and any other measure that would diminish the benefits to retired educators.

Click the link below to log in and send your message:
https://www.votervoice.net/BroadcastLinks/oO1KFZcSpO7Lg6Zo5KV7Gg 


For full text of SB 2214, click here.

For full text of SB 2217, click here.

For signing up for IRTA membership, click here.

For video on Defeating SB 2017, click here.

For the IRTA Political Action Committee Fund, click here.


Tuesday, June 20, 2017

“Alzheimer’s disease and aging experts are conducting a national clinical study to determine if exercise may be an effective non-drug intervention for maintaining cognitive fitness”





“The Rush Alzheimer’s Disease Center at Rush University Medical Center is the only site in Illinois, and one of only 15 sites across the United States leading the Exercise in Adults With Mild Memory Problems (EXERT) study, which is trying to determine if exercise can slow the progress of memory loss and cognitive impairment in older adults. 

“Neuroscientists are collaborating with the YMCA to provide individualized, one-on-one exercise programs and personal training to study participants. Rush will be working with the McGaw YMCA in Evanston, Illinois, to provide 45-minute personal training sessions for one year.

“‘We want to see if a personalized program implemented in the community and prescribed by health care providers can be an effective therapy for people with memory issues,’ said Dr. Neelum Aggarwal, associate professor of neurology and principal investigator of the EXERT study at Rush. ‘There have been some studies suggesting that exercise may be able to delay or prevent dementia,’ Aggarwal continued. ‘The EXERT study is a longer trial looking at a larger number of participants who have short-term memory loss that may be impacting some aspect of their day-to-day functioning.’

“‘Some older adults shy away from social situations or being active because of their memory issues during a time when they need it the most,’ said Aggarwal.  ‘The personalized, one-on-one attention from a program like this may be more beneficial for them.’

“The Rush portion of the EXERT study will be enrolling 300 people ages 65 to 89 with mild memory loss – also known as mild cognitive impairment, a condition that often precedes Alzheimer’s disease dementia. The study is looking to enroll people who are not as active, because people who are physically fit may already be at peak brain function. To qualify for the trial, participants may have engaged in casual, low-intensity physical activity, but not rigorous exercise.

“Based on the trial results, neurological researchers are hoping to develop an evidence-based program that will tell people the type and frequency of exercise they need to support memory and thinking skills. All trial participants will receive a free membership at the participating YMCA where they will work closely with a personal trainer for one year. Participants then will exercise on their own for an additional six months.

“Participants will be randomly assigned to one of two groups. The ‘high-intensity’ group will walk on a treadmill and take exercise classes that raise their heart rate to 75 percent of capacity. The ‘low-intensity’ group will do stretching, balance and range-of-motion exercises. All participants will work out in four 45-minute sessions per week.

“In addition, they will undergo the following tests and procedures at the beginning of the trial and then every six months:
  • Memory and other tests to measure changes in thinking and memory
  • Magnetic resonance imaging (a type of brain scan) to measure changes in brain blood flow and brain size and structure
  • Collection of blood and cerebrospinal fluid to measure Alzheimer’s-related changes.
“Walking fitness tests and sleep studies are also part of the trial. The study is part of the NIA-supported Alzheimer’s Disease Cooperative Study, a consortium of universities and research centers in the United States and Canada.”


For more information about the EXERT study, contact the Rush Alzheimer’s Disease Center at (312) 942-0500.

Media contact: Deb Song, (312) 942-0588, deb_song@rush.edu




Friday, June 16, 2017

What if Steve Scalise had the proposed Republican’ healthcare plan instead...? Members of Congress healthcare plans v. Everyone Else





“...The members of Congress and their staffs choose from among 57 gold plans from four insurers sold on the DC Health Link's small business marketplace this year...” (NPR, April 2017).

“...If it’s sometimes hard to understand what makes Republican legislators so angry, here is a theory: their fury may not stem from some ungraspable principle, or hatred of President Obama’s historic victory (or of Obama himself), but, rather, from something personal, and selfish. Under the A.C.A., members of Congress, and congressional staff, among other Capitol Hill employees, were no longer eligible for the F.E.H.B.P. In the chilly language of government directives, the Office of Personnel Management Web site said that 'Section 1312 of the Affordable Care Act requires that Members of Congress and their official staff obtain coverage by health plans created under the Affordable Care Act or coverage offered via an Affordable Insurance Exchange.'

“Ouch! In other words, the comfortable choices that were available for more than fifty years were suddenly transferred to the slightly murky passageways of Obamacare. And it follows that, if the Affordable Care Act is repealed, members of Congress would be able to return to the federal plan that they, like millions of federal employees, were so fond of. Twenty million other Americans won’t..." (The New Yorker, Jan. 2017).

“...The ACA requires members of Congress and many congressional staffers to leave the Federal Employees Health Benefit Program and join the health-care exchanges in the District. Through the federal plan, lawmakers and their staff members had about 70 percent of their insurance premiums covered by the federal government.

“But members and their staff members generally make too much money to qualify for subsidies in the exchanges, which were intended for people who previously did not get insurance from employers. So the Obama administration made an exception that allowed them to use the D.C. small-business exchange to receive health-care stipends from their employer (the federal government).

“Yes, you read that correctly. The law allows individual congressional offices to be counted as small businesses of 50 or fewer employees. On the exchanges, members and staff members get an employer (i.e., taxpayer) contribution of 72 percent for their premiums.

“So this allowed them to receive a similar subsidy as they did under the federal health plan. Some members say they donate to charity an amount equivalent to the taxpayer-funded subsidy[Really?]... (Washington Post, April, 2017).

                                             *****

Q: So what does the House Republican bill include and exclude?

“In broad strokes, the legislation has a lot of financial aspects. For instance, it would substantially reduce the funding for subsidies that the ACA provides to most people seeking health coverage through insurance marketplaces the law created. It also would make other changes to those subsidies in ways that, overall, would help younger adults and increase premiums for older people. The bill also would eliminate several taxes the ACA created to help pay for its provisions, including on health insurers and affluent Americans.

“The House GOP plan would not eliminate the requirement that most Americans carry health insurance. Instead, it would get rid of the penalty imposed for not having insurance and would create a new deterrent for having a gap in coverage: a one-year 30 percent surcharge that insurers could tack onto their rates.

Q: Would this affect the number of people with insurance in the United States?

“Yes. According to an estimate of the bill's original version by the Congressional Budget Office, 24 million more people would be uninsured by 2026. The CBO did not update that forecast since House Republicans tinkered with aspects of the legislation to secure enough GOP votes for it to narrowly pass.

Q: What would happen to the ACA's marketplaces?

“The bill would not end the federal and state marketplaces that, since 2014, have been a route to insurance for people who cannot get affordable health benefits through a job. However, while the ACA's premium subsidies can be used only within these marketplaces, the bill's new tax credits could also be used outside them. A looming question is what effect the House's vote on Thursday will have on insurers' willingness to stay in the marketplaces for 2018 — a particularly pressing question since spring is generally when insurers need to tell states whether they are in or out for the following year.

Q: How would the bill change protections for people with preexisting conditions?

“Under the ACA, insurers are prohibited from denying coverage to individuals based on preexisting medical conditions, such as cancer, high blood pressure or asthma. And the ACA requires insurers to offer ‘community rating,’ meaning they cannot charge those with costly medical conditions more than they charge other consumers in the general insurance pool.

“But an amendment written last week by Rep. Tom MacArthur (R-N.J.) would allow states to obtain a waiver from the Health and Human Services Department so they could charge customers with preexisting conditions more than other people. If HHS did not respond to a state’s waiver request within 60 days, the requested change would automatically go into effect.

“Health experts predict that the result would be a sharp rise in premium increases for those with medical problems. Before the ACA became law, individuals with chronic diseases paid several times as much as others — if they could afford or be approved for a policy in the first place.

“Concerned about the effect the MacArthur amendment would have on those with long-standing medical conditions, GOP Reps. Fred Upton (Mich.) and Billy Long (Mo.) crafted a provision Wednesday to provide $8 billion to help these patients pay for increased premiums and out-of-pocket costs. That money would be spread among whichever states decided to let insurers return to the practice of charging higher rates to certain customers. As part of a waiver application to HHS, a state would be required to include a ‘risk-sharing plan’ — either recreating a so-called high-risk pool, which many states tried before the ACA — or designing a subsidy program for residents with preexisting conditions.

Q: Does the bill treat domestic violence, sexual assault, Caesarean section and postpartum depression as preexisting conditions?

“The bill does not spell out either what sort of preexisting conditions insurers may take into account if states seek a waiver from the existing federal law. But in the past, some insurers had identified domestic violence, sexual assault, Caesarean section and postpartum depression as grounds for either denying coverage or charging higher premiums.

“‘When you can’t predict the future,’ Alina Salganicoff, vice president and director of women’s health policy at the Kaiser Family Foundation, said Thursday, ‘one looks back to see what the prior experience has been.’

Q. What would happen to “essential health benefits”?

“The ACA compels insurers to include a specific set of benefits in all health plans sold to individuals and small businesses. The House bill would change that, leaving it up to each state whether to preserve this rule or create its own set of coverage requirements — or no requirements at all. A recent Washington Post-ABC News poll found wide public support for leaving in place both this federal rule and the one regarding preexisting conditions...

Q: Would Medicaid be affected?

“Absolutely. Republicans' bill would cut $880 billion from the Medicaid program over the next decade, according to the most recent CBO estimate. This program provides health coverage for low-income Americans and helps pay for long-term care for people with disabilities and seniors.

“Under the ACA, 11 million people have gained coverage through the ACA's Medicaid expansion. For the next few years, the 31 states that chose to broaden their programs could keep going with that, but new people eligible under the expansion could not enroll.

“Then, starting in 2020, Medicaid would switch nationwide to a very different method of federal payments, breaking with its history of paying a certain proportion for everyone enrolled and moving to a system in which each state would be given a certain amount per person — a change that critics predict would starve the program as time goes by as well as affect beneficiaries' access to care…

Q: How would the bill affect public health programs? 

“The GOP bill would eliminate funds for fundamental public health programs, including for the prevention of bioterrorism and disease outbreaks, as well as money to provide immunizations and heart-disease screenings. It would gut something called the Prevention and Public Health Fund, which provides almost $1 billion annually to the Centers for Disease Control and Prevention. That fund accounts for about 12 percent of CDC’s total budget. If the GOP bill eventually becomes law, those public health monies would be eliminated starting in October 2018.

“A significant portion of those funds, about $625 million a year, goes directly to state and local health departments. If prevention funding is lost, public health advocates warn that Americans will be at greater risk for vaccine-preventable disease, food-borne infections and deadly infections contracted in hospitals. One of the biggest recipients of the prevention fund is the CDC’s immunization program, which last year received $324 million. The money is sent directly to states and local communities to improve immunization infrastructure, such as registries that allow providers to know which patients have received what vaccines…” (Washington Post, May 2017).