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TALLAHASSEE, Fla.A new poll of Florida AARP members released today finds strong support across party and ideological lines for elements of health care reform included in the Affordable Health Care for America Act, which recently passed the House of Representatives. The bill, which strictly limits how much more insurance companies can charge based on age and closes the Medicare prescription drug doughnut hole, was endorsed by AARP. 

 

Overall, AARP Florida members supported the House health-reform legislation by slightly more than two to one – almost exactly the reverse of the 8 yes and 17 no votes on H.R. 3962 by Florida members of Congress. AARP has nearly 3 million members in Florida and represents roughly half the state’s 50+ electorate.

 

Among AARP members, strong majorities reported that many of the bill’s key provisions were convincing reasons to support the legislation. These include requiring insurance companies to cover preventive care free of charge (78 percent), preventing insurers from denying coverage based on pre-existing conditions (76 percent), closing the gap in Medicare’s prescription drug coverage known as the “doughnut hole” (69 percent) and allowing Medicare to negotiate lower prescription-drug prices with drug manufacturers (76 percent).

 

“This survey confirms what we’ve been hearing from our members for a long time,” said AARP’s Florida state director, Lori Parham. “The more Florida AARP members understand the health-reform legislation, the more they like it. Despite an inflammatory debate on a very personal and important issue, our members support health reform that protects Medicare, lowers the price of prescription drugs, increases their access to coverage and protects their choice of doctors.”

 

While a partisan divide was evident when respondents were asked about the current plan in Congress, Florida AARP members supported the legislation 66 percent strongly or somewhat to 30 percent who opposed strongly or somewhat. 

 

Reform elements with high levels of support among AARP members included provisions ensuring Americans can see the doctor of their choice (76 percent), requiring insurers to provide preventive care at no cost to patients (78 percent), allowing Medicare to negotiate prices for prescription drugs (76 percent), and stopping insurers from charging much higher premiums based on age (68 percent). 

 

Democrats heavily supported the House health-reform bill, 91 percent strongly or somewhat in favor to 6 percent strongly or somewhat opposed. Some 65 percent of self-described independents said they supported the plan strongly or somewhat. While 60 percent of self-identified Republican AARP members in Florida opposed the plan strongly or somewhat, majorities of Republicans supported many reform elements including stopping discrimination because of pre-existing conditions (66 percent), covering routine preventive care (60 percent) and allowing Medicare to negotiate lower drug prices (62 percent).

 

“This survey shows that the House health-reform bill incorporates the elements of health reform that AARP members care most about. AARP will keep fighting for health reform that our members want as the Senate takes up the legislation in coming weeks,” Parham said. “AARP members, and all older Americans, are counting on lawmakers to reform the health care system this year.”

 

AARP Florida surveyed its members on key health care reform provisions supported by AARP, as well as other contentious issues being discussed in the debate. AARP surveyed its members from Oct. 30 to Nov. 8 about the current health care reform plan in the House of Representatives. This survey of 421 is representative of AARP members in the state of Florida and has a margin of error of +/- 4.8 percent. (http://www.aarp.org/research/surveys/care/health/hcreform/articles/hrhcr.html

Added: November 16, 2009
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Critical legislation would strengthen Medicare, improve coverage for all Americans

 
Tallahassee , Fla. Last night the United States House of Representatives passed critical health care reform legislation that would strengthen Medicare for seniors and end discrimination by insurance companies that prices millions of Americans out of affordable health coverage.   
 
The Affordable Health Care for America Act (H.R. 3962) makes prescription drugs more affordable for seniors by closing the dangerous gap in Medicare drug coverage and allowing the program to negotiate lower drug prices. It adds cost-free preventive services like cancer screenings and cracks down on waste and fraud to protect and strengthen traditional Medicare benefits. In addition, the legislation provides benefits to help seniors and people with disabilities live in their own homes and communities by establishing the Community Living Assistance Services and Supports (CLASS) program.
 
For all Americans—especially those age 50 to 64 who often struggle to find affordable insurance—this plan strictly limits how much more insurance companies can charge based on age, and stops insurers from denying coverage based on a person’s pre-existing health conditions or gender. For those who still cannot find affordable coverage on their own, this bill offers help so they can purchase insurance.
 

Florida
VOTED YES ON THE AFFORDABLE HEALTH CARE FOR AMERICA ACT
VOTED NO ON THE AFFORDABLE HEALTH CARE FOR AMERICA ACT
Miller, Jeff
 
Boyd, Allen
 
Brown, Corinne
 
Crenshaw, Ander
 
Brown-Waite, Ginny
 
Stearns, Cliff
 
Mica, John
 
Grayson, Alan
 
Bilirakis, Gus
 
Young, Bill
 
Castor, Katherine
 
Putnam, Adam
 
Buchanan, Vern
 
Mack, Connie IV
 
Posey, Bill
 
Rooney, Tom
 
Meek, Kendrick
 
Ros-Lehtinen, Ileana
 
Wexler, Robert
 
Wasserman-Schultz, Debbie
 
Diaz-Balart, Lincoln
 
Klein, Ron
 
Hastings, Alcee
 
Kosmas, Suzanne
 
Diaz-Balart, Mario
 

*Did not vote
** How a legislator votes on issues is only one factor in evaluating his or her legislative performance, which should also include such things as constituency services and committee work.
 
“Tonight our elected leaders took a major step toward a stronger, more secure health system for millions of older Floridians,” said Lori Parham, AARP’s Florida state director. “This legislation will keep Medicare strong for today’s seniors and future generations, provide affordable, quality health care for millions of Floridians age 50-64, and take important steps toward reducing the high cost of prescription drugs. We look forward to working with these lawmakers to pass the Affordable Health Care for America Act this year.”
 
Parham said older Floridians were let down by some lawmakers who voted against this bill and the opportunity to fix our health care system.   “This legislation must move forward. Millions of Floridians age 50-64 struggle to afford quality insurance and some 600,000 Floridians of this age group lack any coverage at all. Many older Floridians age 65+ are being forced to choose between buying food or affording the prescription drugs they need to stay healthy. We hope lawmakers who voted against this legislation tonight will reconsider their votes when a health care bill returns to the House for final approval.”
 
AARP notified the 111th Congress that it was tracking roll call votes on key legislation important to its nearly 40 million members and reporting the outcomes of these votes back to its members. “Unfortunately, the national health-reform debate has been scarred by numerous misstatements and misunderstanding. AARP will work with all older Floridians to provide accurate, unbiased information on how this legislation would benefit them and all generations.” 
 
AARP members can see how their representatives voted on health care reform by going to www.aarp.org/governmentwatch . AARP’s Government Watch is a one-stop online portal that will be tracking and publicizing every designated key vote on issues facing Americans age 50-plus.   A “Key Vote Summary” highlighting votes on these issues will be published at the end of each congressional session.
Added: November 9, 2009
Views: 30 | Comments: 0 | Bookmarks: 0

 

AARP Florida State Director Lori Parham issued this statement Thursday, Nov. 5.
 
Today AARP announces it is endorsing the Affordable Health Care for America Act (H.R. 3962) and the accompanying Medicare physician payment fix (H.R. 3961). We are fighting for these bills because they would keep Medicare strong, ensure Medicare beneficiaries have access to their doctors, end insurer discrimination against older Americans, and help make health coverage more affordable for Floridians age 50 to 64.
 
Americans of all generations have debated the health-reform issue heatedly this year, but for AARP, only one thing matters: How health-reform legislation would affect our nearly 3 million members across Florida.
 
And there, our bottom line boils down to this: Older Floridians win with the Affordable Health Care for America Act. They too often lose with today’s broken health system. This legislation would provide peace of mind for millions of older Floridians who are only one serious illness away from crushing health costs, and it would be a huge help to the hundreds of thousands of Floridians 50+ already struggling with health-care issues.
 
Parham cited specific benefits that older Floridians would see. The legislation would:
 
  • Protect and strengthen Medicare for today’s seniors and future generations.
  • Ensure seniors can see the doctor of their choice and receive needed treatment by improving Medicare’s payments to doctors. If Congress does not take action, physicians nationwide will see a 21-percent reduction in Medicare reimbursements in January 2010.
  • Lower sky-high drug costs for seniors by allowing the government to negotiate with drug companies for lower drug prices in Medicare; provide strong, immediate discounts on name-brand prescription drugs for those in the Medicare Part D “doughnut hole,” and close the Medicare Part D “doughnut hole” completely over time.
  • Reduce waste, inefficiency, fraud and abuse in the Medicare program. H.R. 3962 increases federal resources to prosecute Medicare fraudsters and provides new penalties.
  • Provide affordable health insurance options for Floridians age 50-64 who don’t have health coverage. An estimated 600,000 Floridians in this age group lack health coverage, and one in four Floridians age 60 or older is rejected for health coverage if he or she has no health coverage on the job.
  • Require Medicare and insurance companies to provide for important preventive services like screenings for diabetes, cancer and osteoporosis free of charge.
  • Prevent insurers from denying affordable coverage to anyone because of their age or because of “pre-existing conditions.” The legislation allows insurers to charge older Floridians no more than twice as much as younger people for the same coverage. Current law allows insurers to charge seniors seven times as much.
  • Limit how much your health insurance company can make you pay out-of-pocket. Currently, more than half of all bankruptcies in Florida are caused by high health costs.
  • Provide benefits to help seniors and people with disabilities live in their own homes and communities.
 
AARP Florida members, volunteers and staff will be reaching out to members of Congress, asking them to support this important legislation. For more information, please go to www.healthactionnow.org or www.aarp.org/fl .
 
Added: November 5, 2009
Views: 73 | Comments: 5 | Bookmarks: 0

 

AARP Florida State Director Lori Parham issued this statement Thursday, Nov. 5.
 
Today AARP announces it is endorsing the Affordable Health Care for America Act (H.R. 3962) and the accompanying Medicare physician payment fix (H.R. 3961). We are fighting for these bills because they would keep Medicare strong, ensure Medicare beneficiaries have access to their doctors, end insurer discrimination against older Americans, and help make health coverage more affordable for Floridians age 50 to 64.
 
Americans of all generations have debated the health-reform issue heatedly this year, but for AARP, only one thing matters: How health-reform legislation would affect our nearly 3 million members across Florida.
 
And there, our bottom line boils down to this: Older Floridians win with the Affordable Health Care for America Act. They too often lose with today’s broken health system. This legislation would provide peace of mind for millions of older Floridians who are only one serious illness away from crushing health costs, and it would be a huge help to the hundreds of thousands of Floridians 50+ already struggling with health-care issues.
 
Parham cited specific benefits that older Floridians would see. The legislation would:
 
  • Protect and strengthen Medicare for today’s seniors and future generations.
  • Ensure seniors can see the doctor of their choice and receive needed treatment by improving Medicare’s payments to doctors. If Congress does not take action, physicians nationwide will see a 21-percent reduction in Medicare reimbursements in January 2010.
  • Lower sky-high drug costs for seniors by allowing the government to negotiate with drug companies for lower drug prices in Medicare; provide strong, immediate discounts on name-brand prescription drugs for those in the Medicare Part D “doughnut hole,” and close the Medicare Part D “doughnut hole” completely over time.
  • Reduce waste, inefficiency, fraud and abuse in the Medicare program. H.R. 3962 increases federal resources to prosecute Medicare fraudsters and provides new penalties.
  • Provide affordable health insurance options for Floridians age 50-64 who don’t have health coverage. An estimated 600,000 Floridians in this age group lack health coverage, and one in four Floridians age 60 or older is rejected for health coverage if he or she has no health coverage on the job.
  • Require Medicare and insurance companies to provide for important preventive services like screenings for diabetes, cancer and osteoporosis free of charge.
  • Prevent insurers from denying affordable coverage to anyone because of their age or because of “pre-existing conditions.” The legislation allows insurers to charge older Floridians no more than twice as much as younger people for the same coverage. Current law allows insurers to charge seniors seven times as much.
  • Limit how much your health insurance company can make you pay out-of-pocket. Currently, more than half of all bankruptcies in Florida are caused by high health costs.
  • Provide benefits to help seniors and people with disabilities live in their own homes and communities.
 
AARP Florida members, volunteers and staff will be reaching out to members of Congress, asking them to support this important legislation. For more information, please go to www.healthactionnow.org or www.aarp.org/fl .
 
Added: November 5, 2009
Views: 24 | Comments: 1 | Bookmarks: 0

 

AARP Disappointed by Senate’s Vote to Block Protection of Access to Medicare Doctors
S. 1776 would have preserved access by replacing flawed payment system
 
SUMMARY: Today the U.S. Senate blocked critical legislation to protect access to doctors for the 44 million Americans who rely on Medicare. The Medicare Physician Fairness Act (S. 1776) would have replaced today’s broken doctor payment system, which calls for a 21.5 percent cut in physician pay in January. The bill failed to pass a key procedural vote in the Senate today.
 

Florida
VOTED YES TO MOVE DOCTOR ACCESS BILL TO DEBATE AND VOTE
VOTED TO BLOCK DEBATE ON DOCTOR ACCESS BILL
Nelson, Bill
 
LeMieux, George
 

** How a legislator votes on issues is only one factor in evaluating his or her legislative performance, which should also include such things as constituency services and committee work.
 
“We are disappointed that Senators Nelson and LeMieux voted to block this important Medicare bill from open debate and an up-or-down vote on the Senate floor,” said Lori Parham, AARP’s Florida state director. “This bill would permanently replace the broken Medicare physician payment system so people in the program could continue to see their doctor.”
 
AARP strongly supports the Medicare Physician Fairness Act, introduced by Sen. Debbie Stabenow (D-MI). This legislation permanently repeals Medicare’s flawed Sustainable Growth Rate (SGR) physician payment formula, which has required repeated Congressional action to prevent unwarranted cuts that could harm access to doctors for people in Medicare. Repealing the SGR will stop an unprecedented 21.5 percent pay cut that otherwise will occur in January 2010, and additional cuts in future years.
 
AARP notified the 111th Congress that it was tracking roll call votes on key legislation important to its 40 million members and reporting the outcomes of these votes back to its members. “We believe people make the right choices when they understand the issues and position taken by their elected officials. AARP intends to ensure that its members get that information,” Parham concluded.
 

 

Added: October 22, 2009
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Millions on Social Security to Receive No Increase for First Time Since 1975

TALLAHASSEE, FL – AARP Florida State Director Lori Parham offered the following statement in reaction to the Social Security Administration’s announcement this morning that 41 million older Americans, including 3.5 million older Floridians, will not receive a Social Security cost of living adjustment (COLA) in 2010. Since automatic Social Security adjustments went into effect in 1975, there has never been a year without a COLA.

“Health-care costs and drug costs are rising and many older Floridians are still reeling from losses due to recent market turmoil.  While expected, today’s news is a blow for millions of older Floridians.  For decades, older Floridians have counted on these annual increases to help make ends meet.”

“AARP applauds the President’s call Oct. 14 for a $250 payment to Social Security beneficiaries, as well as efforts by elected leaders of both parties to provide similar relief.  As AARP Chief Operating Officer Tom Nelson noted today, older Americans are paying heavily out of pocket for medical care, have experienced a real decline in their retirement accounts and in housing values, face longer periods of unemployment for those who need to work, and are seeing low returns on interest-bearing accounts.

“Already, some older Americans are having to choose between daily expenses for food and housing or being able to afford the costly prescription drugs they need to remain healthy.  One in five Floridians age 65+ relies on Social Security alone for their income.”

“On behalf of AARP members across
Florida , we join AARP leaders across the nation in calling on Congress to act quickly and pass legislation to provide needed a $250 payment to older Americans whose benefits will be frozen next year.”


Added: October 15, 2009
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Port Richey, Fla. – Health reform remains a hot topic in conversation these days, and Pasco County residents want to know what is being proposed. To help inform area residents, AARP held a “community conversation” Wednesday in Port Richey featuring Jeff Johnson, AARP Florida's manager of state operations. Johnson provided residents with the latest developments on health-reform legislation in Washington and also outlined what AARP believes should be important elements in any final health-reform bill.

 
“Fixing our broken health-care system is an important issue to our members and all Americans.  There is a lot of misinformation about what is and isn't being discussed, and people have questions and concerns.  Our goal with these forums is to share what we know about the bills currently being considered, answer all the questions we can, and take feedback from participants back to our national office so we can ensure that their voices are heard.”
At the forum, Johnson outlined the six specific elements that AARP believes must be part of health reform, including closing the Medicare Part D prescription-drug benefit “doughnut hole” or coverage gap, and ensuring that older Americans have access to affordable, quality health coverage. AARP supports improving the nation’s broken health system but has not yet endorsed specific legislation.
 
The health-reform community conversation was held from 10 a.m. to noon Wednesday at the Jewish Community Center, 9841 Scenic Drive, Port Richey, Fla. A similar AARP event originally scheduled for early August was rescheduled to Wednesday after a location selected for a previously planned event proved to be inadequate to handle anticipated crowds. 
 
Johnson said that AARP is working to ensure that Medicare beneficiaries will receive the health coverage they have earned, and that ensure future generations have the health coverage they need when they retire. “We’re also fighting to ensure that no one -- not insurance companies or the government – tells older Floridians which doctors or what treatments they can receive,” Johnson said. “Insurance companies shouldn’t be allowed to discriminate against you because of your age or health status.”
 
AARP also is reaching out to its members in Florida and across the nation to help them learn more about health reform proposals. Here are some examples of how AARP is educating its members:
 
 
AARP offers a wealth of Florida-specific information to benefit Floridians 50+ at www.aarp.org/fl

 

Added: October 2, 2009
Views: 123 | Comments: 0 | Bookmarks: 0

 

Tallahassee, Fla – AARP Florida State Director Lori Parham issued the following statement Thursday on the appointment of David Klement and Benjamin “Steve” Stevens to the Florida Public Service Commission by Gov. Charlie Crist:   
 
“On behalf of almost 3 million Florida AARP members, we welcome the appointments of Mr. Klement and Mr. Stevens to this important regulatory body. With the power to decide utilities cases that can – and have – cost Florida consumers billions of dollars in times of economic distress, it is very important that consumers’ interests be given fair consideration by the Commission.”
 

“AARP Florida looks forward to working with these new commissioners to serve Floridians of all generations.” 

Added: October 1, 2009
Views: 57 | Comments: 0 | Bookmarks: 0

Check here for the lastest AARP Florida press releases and other information.

AARP Florida:  Rep. Grayson's comments "anything but productive"

http://assets.aarp.org/www.aarp.org_/cs/misc/statement_on_grayson.doc

Applauds New Bill to Help Seniors Struggling in Tough Economy
http://www.aarp.org/aarp/presscenter/pressrelease/articles/Medicare_Premium_Fairness_Act_Statement.htmlAARP

AARP Bulletin - Health Care Reform: The Assault on Truth
http://infonet/SocialImpact/SocialMediaBlitz.htm

Multimillion-Dollar AARP Campaign Busts the Myths of the Health-Care Debate
http://www.aarp.org/community/AARPFL/journals/AARP_Campaign_Busts_the_M/1896242?cn=STREAM_AARPFL_journals_large_PAGE1

AARP: Debunking Health-Care Reform Myths
http://aarp.convio.net/site/PageNavigator/Myths_vs_Facts

AARP to Congress: Don’t Make Medicare More Expensive
http://www.aarp.org/aarp/presscenter/pressrelease/articles/rand_medicare_statement.html release July 30

AARP Responds to Health Reform Scare Tactics
http://www.aarp.org/aarp/presscenter/pressrelease/articles/mccaughey_statement.html released July 24 

AARP Reacts to Senate Decision to Put Off Health Care Reform Vote 
 www.aarp.org/aarp/presscenter/pressrelease/articles/senate_delay_statement.html 
released July 23 

Why Health Care Reform is Important in Florida
assets.aarp.org/www.aarp.org_/cs/misc/florida_health_care_brief_2009.pdf

AARP: Affordable RX Solutions "Not Mutually Exclusive"
www.aarp.org/aarp/presscenter/pressrelease/articles/affordable_rx_solutions.html released July 16

 

 

September 26
Investor Protection Workshop
http://www.aarp.org/states/state_events_calendar.detail.8962.FL/

September 27
Investor Protection Workshop
http://www.aarp.org/states/state_events_calendar.detail.8963.FL/

September 29
Health Care Reform Legislative Forum
http://www.aarp.org/states/state_events_calendar.detail.8966.FL/

September 30
AARP Florida Health Action Now Town Hall Meeting
http://www.aarp.org/states/state_events_calendar.detail.9003.FL/

October 5
Free Investor Education Forum
http://www.aarp.org/states/state_events_calendar.detail.8991.FL/

October 7
Free Investor Education Forum
http://www.aarp.org/states/state_events_calendar.detail.8992.FL/

October 14
Voters Hot Topic Luncheon
http://www.aarp.org/states/state_events_calendar.detail.9066.FL/
 

 

 

Also included are links to our research reports on health issues as well as a link to AARP’s Health Action Now website.

Part D:
www.aarp.org/research/legis-polit/medicarereform/fs_medicare_gap.html

Transitional Care:
www.aarp.org/research/legis-polit/medicarereform/fs_trans_care.html

HCBS:
www.aarp.org/research/housing-mobility/homecare/fs_hcbs_hcr.html

50-64:
www.aarp.org/research/health/carefinancing/i24_hcr.html

Biologics:
www.aarp.org/research/health/drugs/fs155_biologics.html

Health Action Now:
www.healthactionnow.org/

Health Action Now Florida:
www.aarp.org/community/groups/HealthActionNowFlorida

 

 

Added: September 25, 2009
Views: 185 | Comments: 0 | Bookmarks: 0

AARP Florida State Director Lori Parham sent the letter below to U.S. Rep. Ginny Brown-Waite, R-Brooksville, on Thursday:

September 17, 2009
 
 
 
The Honorable Ginny Brown-Waite
Member, United States House of Representatives
16224 Spring Hill Drive
Brooksville, FL 34604
 
Dear Congresswoman Brown-Waite:
 
We have received a mailed copy of your letter of September 9th dealing with health-care reform, and let me thank you for your detailed response. I hope to be able to provide you with a few points of information that you may find useful.
 
First, a minor correction: Our national president’s name is Jennie Chin Hansen. Your letter refers to her as “Ms. Chin,” a simple error that some may misinterpret as demeaning. Also, you mentioned AARP’s name. AARP changed its name from the American Association of Retired Persons to AARP because more than half of our members are still in the workforce. Retaining the word “retired” in our name did not accurately convey the experience of those members who go to work every day.
 
Despite the fax confirmation receipt that we have on file, you apparently received neither a faxed copy of our September 1, 2009 letter nor the mailed copy that was sent to your office in Brooksville. A copy of that letter is enclosed, as is a copy of our July 28 letter to you, which we mailed to you. We still await your response to that letter. Perhaps it would be advisable to review your office procedures on receipt of faxes and mail.
 
Our goal in sharing our feedback with you has been the same throughout our correspondence: To encourage careful attention to the facts when debating the health-care reform issue. Let us agree to disagree when we encounter differences in approach or priorities. But let us all strive for accuracy, responsibility and fairness in all of our communication. As observers from all points on the political spectrum agree, our current health system is unsustainable. If the current reform initiative fails, it may fall to you and
your Republican colleagues to lead another charge for a sustainable health system in just a few years. 
 
Those elected officials who are the targets of misleading and bitter attacks today may choose to respond in kind tomorrow. None of us wants a deeply divided America that fails to resolve what must be resolved. With the greatest respect, regardless of who wins and who loses politically, America must heal its broken health system. AARP is committed to preserve what is right and fix what is wrong with our health-care and health-insurance systems. 
 
It is with this commitment in mind that I am compelled to respond to numerous statements made in your September 9 letter. First, let me respond to your inquiries about why AARP favors health-care reform.
 
AARP was founded in response to the fact that seniors had no voice on matters of health and financial security, at a time when an overwhelming number were forced in to poverty in their retirement years. The truth is that we are fighting for reform because our members tell us that they want us to. Our unpaid, all-volunteer Board of Directors also has directed that we advocate strongly for reforming the health system. We fought for
Medicare in the 1960s, and have fought to protect it ever since. We fought alongside Republicans in 2003 to create the Medicare Part D prescription-drug benefit. We plan to keep fighting for better health care for all generations. It’s in our DNA.
 
In your September 9 letter, you repeatedly ask for details of AARP’s finances and “profits.” We are a non-profit entity. Our Annual Report, with the relevant financial details, is available at http://www.aarp.org/aarp/About_AARP/annual_reports/ . We would note that some of our AARP-licensed products – products we have never “resold”, by the way – are offered by companies that are vigorously pursuing their own interests in the health-reform debate. We are fighting for reform because our members’ interests always come before business interests at AARP.  In fact, there is nothing we would like more than to be put out of business thanks to a system that ensures the health and financial security of older Americans.
 
Now let me turn to some of the other statements you make in your letter. At the bottom of Page 1, you refer to $30 billion in Medicare savings achieved by requiring drug manufacturers to accept the same discounts for drugs provided to dually eligible Medicare/Medicaid beneficiaries that are now provided to Medicaid recipients. 
 
You suggest that this is not a savings but a “cut” to beneficiaries, noting a passage from an August 28 Congressional Budget Office analysis citing increases in beneficiaries’ premiums. If you would continue reading in the CBO analysis to the next sentence, you would see this statement: “However, beneficiaries’ spending on prescription drugs apart from those premiums would fall, as would their overall prescription drug spending (including both premiums and cost sharing).”   
 
In regard to your concern that H.R. 3200 would empower the Secretary of the Department of Health and Human Services to negotiate drug prices provided under a public-option health plan, AARP has long supported secretarial negotiating authority for prescription drug prices. This is not specific to the public option, but for Medicare Part D as well.
 
We would note that your Florida Republican colleagues Representatives Jeff Miller of Ft. Walton Beach and Vern Buchanan of Sarasota have also supported this common-sense measure, as do the vast majority of older Americans. This authority is already granted to the Secretary of the Veterans Administration. 
 
In regard to health-care rationing, you suggest that language in Section 121 of H.R. 3200 prohibits health plans in the proposed Health Exchange from establishing plan restrictions unrelated to clinical appropriateness. 
 
On this point, your logic is unclear to us. Directing health plans to abandon coverage decisions based primarily on cost – all too common today – and requiring coverage decisions to be based on clinical appropriateness seems to be the opposite of cost-based rationing.   
 
You also refer to Page 33, Section 123, suggesting that a Health Benefits Advisory Committee would “clearly” be rationing care if it approved minimum standards for health-benefit plans. We don’t understand the logic. Why would establishing minimum standards for coverage under qualified plans prohibit those plans from providing coverage in excess of the minimum?  The language would protect consumers from insufficient policy coverage and would ensure access to preventative and primary care services among many others. Again, this seems to be the opposite of limiting care. 
 
This same point applies to your reference to Section 203. Again, establishing a minimum standard for coverage doesn’t prohibit a plan from covering more than the minimum. Failure to provide a minimum standard for coverage definitely would permit insurers to deny coverage – surely that is rationing.
 
You are critical of multiple sections dealing with insurance reform that provide multiple consumer protections for those who are currently underinsured or uninsurable in the private market. These include Section 112, providing for guarantee issue of health policies to consumers; Section 113, prohibiting insurer discrimination on the basis of age; Section 116, requiring insurers to pay consumers a rebate if they fail to spend at least 85 percent of premium dollars on patient care; Section 121, setting standards for insurers inside and outside of a health exchange; and Section 122, limiting cost-sharing (co-payments), prohibiting annual or lifetime caps on benefits, and prohibiting cost-sharing for preventive care. You also mention Sections 123 and 124, establishing an advisory committee controlled by physicians and patients, not government bureaucrats or insurance-company officials.
 
If you are alleging that AARP supports broad-ranging private health insurance reform that will provide affordable access to middle class families, again, you are quite correct. So do the vast majority of Americans. 
 
In your reference to Section 1122, AARP policy analysts read this section as allowing doctors to be paid more on the basis of their skill and qualifications. We see this section as positive not only for our members but for physicians.
 
In your reference to Section 1401, regarding a “Comparative Effectiveness Research Committee,” you suggest that this section empowers government employees to decide what treatments are most effective. This commission would have 17 members. Two are required to be government employees, and a controlling majority, nine members, must be doctors, other health providers or patients. The Comparative Effective Research Commission is prohibited from mandating coverage, reimbursement, or other policies to any public health program or private insurer. AARP sees knowledge as power. If doctors and patients have better information on which treatments work best, they will surely make appropriate choices.
 
In regard to Medicare Advantage plans, perhaps the best course is to agree to disagree. Your Town Hall handouts suggest that Medicare Advantage plans would be destroyed if they could no longer be paid 14 percent more than government pays to care for patients in traditional Medicare. AARP believes Medicare Advantage plans are receiving subsidies that would be better spent on caring for beneficiaries, not increasing insurance-company profits or executive salaries. We also favor provisions that reward Medicare Advantage plans for providing higher-quality care than patients in traditional Medicare receive, as well as provisions that establish new consumer protections for Medicare Advantage patients, such as allowing patients to switch plans outside of the open enrollment period if their Medicare Advantage plan changes drug formularies or increases out of pocket costs in mid-year.   
 
On Page Three of your letter, you suggest that AARP favors providing insurance coverage to illegal aliens. AARP’s position has been, and remains, that health reform should provide better access to care for those lawfully in the United States.
 
Far from turning its back on our members, as you suggest, AARP is fighting for our members. Over the past two years, I have traveled throughout Florida meeting with
 
members who have pleaded with me to support health reform. One is Oscar Atwell, 60, of Pensacola, who lost his computer programming job in the bad real-estate market soon after learning he had bladder cancer. His COBRA coverage is costing him $1,800 per month – and it’s running out. Without health reform, Mr. Atwell would be uninsurable in the private market. Under health-reform proposals now before Congress, Mr. Atwell would be able to get affordable, quality coverage despite his pre-existing condition.
 
We are fighting for health reform for Mr. Atwell, and the other 600,000 Floridians age 50-64 who are currently uninsured. We also are fighting for the 300,000 Floridians who fall
into the Medicare Part D “doughnut hole” every year, but who would get help under health reform proposals; the tens of thousands of Medicare beneficiaries who must be re-hospitalized within 30 days of release because of inadequately coordinated follow-up care, but who would get better care under health reform; and the millions of Floridians of all generations who believe, wrongly, that their flawed health coverage will shield them when they become seriously ill. We see no mention of these people in your letter, your Town Hall handouts, or any other documents we’ve seen from you.
 
Finally, in the postscript to your letter, you suggest that Social Security Administration has announced that the program will become insolvent in 2010. The last 5 Trustees Reports have suggested that Social Security's trust funds would become exhausted between 2037 and 2041. Repeating this untruth could terrify the numerous Floridians who rely on Social Security for all or part of their fixed retiree incomes. 
 
We are writing you this letter, as we did the previous two, because we seek to encourage an accurate, mutually respectful, and above all productive debate on health reform. For the sake of those we both serve, Representative Brown-Waite, there couldn’t be a more critical time to stick to the facts. 
 
Sincerely,
 
 
Lori K. Parham
State Director
AARP Florida
 
Added: September 18, 2009
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