[Congressional Record (Bound Edition), Volume 163 (2017), Part 1]
[House]
[Pages 783-784]
[From the U.S. Government Publishing Office, www.gpo.gov]




                      EXPANDING MEDICARE COVERAGE

  The SPEAKER pro tempore. The Chair recognizes the gentlewoman from 
California (Ms. Roybal-Allard) for 5 minutes.
  Ms. ROYBAL-ALLARD. Mr. Speaker, since its implementation in 1965, 
Medicare has excluded coverage for hearing aids and related audiology 
services, routine dental care, and routine eye exams and eyeglasses 
despite the fact that large numbers of older Americans need these 
essential items and services. Today, with well over 100 original 
cosponsors, I will be introducing the Seniors Have Eyes, Ears, and 
Teeth bill, which will lift these terribly unfair restrictions on the 
population most in need of these services.
  We know that hearing loss affects more than 40 percent of persons 
over 60 years old, more than 60 percent of those over 70, and almost 80 
percent of those over 80 years of age. Yet, sadly, only one in five 
seniors currently diagnosed with hearing issues uses a hearing aid, 
which can range in cost from $1,000 to $6,000. For the more than half 
of Medicare beneficiaries who live on incomes below $24,150 per year, 
these high, out-of-pocket expenses are out of their reach.
  We also know seniors account for approximately 80 percent of the 2.8 
million Americans with low vision. Routine eye exams for these seniors 
can cost from $50 to $300 or more, and the average cost for a pair of 
prescription glasses is $196.
  Mr. Speaker, it is increasingly well documented that untreated vision 
and hearing loss not only diminishes quality of life, but also 
increases the risk for costly health outcomes such as falls and 
resulting disability, depression, and dementia. Also tragic is that 
nearly 70 percent of older Americans currently have no form of dental 
insurance. This lack of insurance has been identified as the major 
barrier to accessing dental care for seniors. It is a well-known fact 
that neglect of oral health can result in the deterioration of overall 
physical health and that the lack of access to even routine dental 
exams and cleanings can exacerbate serious and complicated overall 
health problems that increase with age.
  Expanding Medicare to cover vision, dental, and hearing services is a 
cost-effective intervention because it will prevent healthcare costs 
due to accidents, falls, cognitive impairments and increases in chronic 
conditions and oral cancer. But most importantly, giving our seniors 
the gift of hearing, vision, and oral health will go a long way toward 
helping our seniors enjoy their golden years free from depression and 
social isolation.
  Mr. Speaker, few bills are ever introduced with this overwhelming 
support. Additionally, it has the strong support from the National 
Committee to Preserve Social Security and Medicare. I invite my 
colleagues to join me and the over 100 original cosponsors of this 
legislation in supporting dental, vision, and hearing care for our 
seniors.

                                    National Committee To Preserve


                                   Social Security & Medicare,

                                 Washington, DC, January 11, 2017.
     Hon. Lucille Roybal-Allard,
     House of Representatives,
     Washington, DC.
       Dear Representative Roybal-Allard: On behalf of the 
     millions of members and supporters of the National Committee 
     to Preserve Social Security and Medicare, I am writing to 
     endorse, the ``Seniors Have Eyes, Ears and Teeth Act.'' It is 
     our hope that action will be taken on your legislation during 
     the current 115th Congress.
       The ``Seniors Have Eyes, Ears and Teeth Act'' would help 
     millions of Medicare beneficiaries who need vision, hearing 
     and dental care, which is not covered by Medicare. Paying for 
     these services is a hardship for many Medicare beneficiaries, 
     half of whom live on incomes below $24,150 per year. Medicare 
     households spend on average 15 percent of their income, over 
     two times more than younger households, on Medicare cost 
     sharing and for services not covered by Medicare.
       Routine dental services are very important to the overall 
     health of Medicare beneficiaries, and today, many Medicare 
     beneficiaries suffer isolation and severe health problems 
     because they cannot afford to pay for vision and hearing 
     examinations or to buy eyeglasses or hearing aids. For these 
     reasons, the National Committee's current Legislative Agenda 
     includes support for expanding Medicare benefits to cover 
     vision,

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     hearing and dental health services and equipment, which are 
     important for healthy aging.
       Thank you for your leadership on this important issue. We 
     look forward to working with you to secure enactment of the 
     ``Seniors Have Eyes, Ears and Teeth Act,'' which would 
     improve the Medicare program for today's seniors as well as 
     future generations of beneficiaries.
           Sincerely,
                                                     Max Richtman,
     President and CEO.

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