President Joe Biden signed the Inflation Reduction Act this week, lowering energy costs, building a green economy, reducing pollution, reforming the tax code and cutting the deficit. But advocates for seniors say lowering Medicare costs will benefit the most Americans.

Democrats passed the bill, which contains several elements of the ill-fated Build Back Better program, with no support from Republicans.

Dana Kennedy, state director with AARP Arizona, said the health-care portions of the bill are the result of a 20-year battle with drug lobbyists on behalf of millions of Medicare patients.

"When costs go down, 50 million with Medicare Part D will have peace of mind knowing that their pharmacies are capped at $2,000 a year," said Kennedy, "3.3 million Medicare beneficiaries with diabetes will benefit from a guarantee that their insulin costs are capped at $35 a month."

Kennedy said the biggest savings for seniors may be a rule allowing Medicare to negotiate lower drug prices.

Since Congress created Part D drug plans in 2006, Medicare has been blocked from negotiating with pharmaceuticals, meaning seniors often pay full retail prices.

Sen. Mark Kelly - D-AZ - speaking at an AARP virtual roundtable, called the bill a major defeat for pharmaceutical companies - which pay 1,600 lobbyists almost $200 million dollars a year to protect their ability to set drug prices without regulations. Kelly said the bill will put the brakes on rising costs.

"The cost of these medications will not continue to go up faster than inflation," said Kelly. "What somebody said, if the price of gasoline went up the same rate as the price of prescription drugs since 2015, a gallon of gas would be $12."

In addition to fixing parts of Medicare, the measure will save 13 million Americans more than $800 a year on health plans, make 3 million more people eligible for health coverage, and will lower the number of uninsured Americans.

"I think it's fair to say that across the country, millions will save billions of dollars," said Kelly. "When you do the math, it's very impactful."

Washington performs well in a new report scoring states' long-term care systems.

The Evergreen State ranked second in AARP's Long-Term Services and Supports State Scorecard. Cathy MacCaul, advocacy director for AARP Washington, said this is an achievement for the state.

"Number two is a really positive indicator that all the challenges that the long-term care system experienced during COVID - Washington state did well," she said. "We have a lot of work ahead of us, though, to continue to improve the long-term care system."

AARP's last scorecard on long-term care services was released in 2020. In that report, Washington also ranked second. While the state performed well this year, the analysis noted there are major gaps in maintaining an adequate workforce in every state.

MacCaul said new indicators appeared in this report related to livable communities.

"There's a lot more work Washington state can do on housing and transportation to improve affordability and access for older adults and for their caregivers," she said.

MacCaul said the report also recognized that at-home care is key as the population ages rapidly.

"Home- and community-based services and supporting the 820,000 family caregivers that we have in the state are the two areas of probably the most importance when it comes to this scorecard," she said, "and recognizing the work that we need to do to improve our long-term care system in Washington state."

A new report finds Virginia's long-term care facilities need improvement to better serve their residents.

AARP's Long-Term Care Services and Supports Scorecard ranks Virginia at 28th among states. While the state has ranked high in terms of affordability and access to long-term care, it scores lowest in safety and quality, as well as support for family caregivers.

Jared Calfee, state advocacy director for AARP Virginia, said nursing home financial transparency is one of several priorities the group will take up at the General Assembly next year.

"Our nursing facilities, they largely operate with a lot of taxpayer money coming from Medicaid," Calfee pointed out. "The public has a right to know how that money is being spent and what's being dedicated to staffing and providing quality care, versus what is going to profits and paying administrators."

Other areas on which he noted AARP Virginia would focus include providing aid to family caregivers, licensure, and enforcement of both state and federal rules on staffing. However, with many seats in both chambers of the General Assembly up for election, Calfee acknowledged it is too early to tell what kind of progress might be made.

The scorecard also reflects trends stemming from the COVID-19 pandemic. Calfee emphasized nursing homes have been and continue to face issues, particularly with staffing, which surfaced due to the pandemic.

"When you don't have adequate staffing, and you have staff coming and going -- who aren't able to stay in facilities and get to know people -- then that's what you end up with, is facilities that are not as high-quality as you would want," Calfee asserted. "And it's the residents who then end up suffering because of that."

He added stronger policymaking will be necessary to make progress. Bills on nursing home staffing requirements failed in previous years, but the General Assembly was able to pass a law this year. However, it does not go into effect until July 1, 2025.

The Iowa Alzheimer's Association expects about 2,000 people to gather on the Capitol steps in Des Moines on Saturday, as volunteers seek to create the world's biggest walk to raise money for research.

About 66,000 Iowans suffer from Alzheimer's disease, and nearly 100,000 more are caregivers, often unpaid family members who help with routine personal needs and daily activities.

Iowa Alzheimer's Association volunteer Chantelle Cadek said the group hopes to raise a half-million dollars to bolster research, fund treatment options - and ultimately, find a cure. Contrary to popular belief, she said, Alzheimer's is not routine.

"Alzheimer's is not a normal part of aging," she said. "It is a disease. Not everyone gets it. Age is the biggest risk factor for people to get Alzheimer's, but definitely it is not a normal part of aging."

According to the Alzheimer's Association, 6 million Americans nationwide live with the disease, and 11 million family members serve as caregivers.

The U.S. Food and Drug Administration recently approved two new drugs said to slow the progression of Alzheimer's disease: Leqembi and Aduhelm. As of now, however, there is no cure. Despite being most prominent in older people, their caregivers - often spouses - are least likely to ask for help.

Cadek said education is the only way to change that.

"The reality is that, unfortunately, Alzheimer's is a fatal diagnosis," she said. "There's currently no cure for it. At some point, most people need help, so I would encourage those folks to just reach out. The Alzheimer's Association is a wonderful resource; there's a 24-7 helpline."

The Des Moines walk participants will carry purple, yellow, blue and orange flowers, which represent the different reasons they are walking. The event starts at 9 a.m. Saturday.


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