Together with Medicare and Medicaid, the Affordable Care Act (ACA) builds health security for people of all ages. Repealing or undercutting the ACA without a meaningful replacement would jeopardize the health and well-being of millions. Accordingly, we are concerned that several recent proposals from the Trump administration could undermine the health law and destabilize the public and private insurance markets.

Late last week, Congress passed and the President signed a sweeping spending bill that will fund the government through March 23 and raise the spending caps imposed by the Budget Control Act of 2011 for two years, paving the way for a longer-term spending agreement. The legislation – the Bipartisan Budget Act of 2018 (BBA of 2018) – also contains a number of health care provisions important to people with Medicare and their families, including changes to Medicare Part D prescription drug coverage that will close the donut hole in 2019.

This week, President Trump submitted his annual budget request to Congress. The administration’s plan includes legislative proposals and detailed funding recommendations for Fiscal Year 2019 (FY19) which runs from October 1, 2018 through September 30, 2019.

Congress is trying to pass a new budget this week that includes many important Medicare provisions. One of these provisions is a worrisome extension of past practices: increasing the amount some people must pay for their Medicare benefits.

Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories. These essential documents, which beneficiaries depend on to make informed plan selection and provider choices, have long been a source of frustration and confusion for Medicare beneficiaries and advocates.

The Trump Administration recently announced that it will allow states to require Medicaid recipients to work, take job training, or do community service to stay eligible for the program. To date, ten states have asked to make this change, and the administration has given the greenlight to the first—Kentucky.

Some in Congress may be considering cuts to programs that help older adults and people with disabilities meet basic needs—including Medicare and Medicaid—in an effort to fill the expected $1.5 trillion budget shortfall created by recent tax legislation. According to a new Kaiser Health Tracking Poll, this goes against the will of most Americans. In fact, the poll finds that just 7% want cuts to Medicare and 12% want cuts to Medicaid.

Funding for the federal government lapsed last Saturday after the Senate rejected a four-week funding measure. Most Senate Democrats and some Republicans voted against the bill. At issue for most was how to proceed on a permanent fix for the Deferred Action for Childhood Arrivals (DACA) program.

This week, the Senate Special Committee on Aging held a hearing titled Turning 65: Navigating Critical Decisions to Age Well to examine issues that older adults face as they near retirement age. In Medicare, two decisions are especially important for those who are newly eligible: when to enroll and what coverage option to choose. As the hearing highlighted, these issues have attainable solutions, namely the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act and the State Health Insurance Assistance Program (SHIPs).

The Office of the Assistant Secretary for Planning and Evaluation (ASPE) within the U.S. Department of Health and Human Services (HHS) issued an informal request for information (RFI) on December 26, with significant implications for Medicare and Medicaid. Comments are due January 25. The Medicare Rights Center will be providing input, and we encourage all stakeholders to use our template comments to weigh in as well. Read below to learn what’s in the RFI, and what you can do to respond today!