Please help me and others get this HR 1055 bill for MEDICARE drug coverage

Thornberry Introduces Bipartisan Bill To Let Patients Get the Medications They Need

I just got this announcement from NORD (National Organization for Rare Diseases). Some brain tumor patients need off label cancer drugs that have not been officially FDA approved in clinical trials as treatment for their condition. For example, this off label medical drug coverage is needed to get affordable mifepristone for meningioma treatment for myself and my dear meningimates. The cost of my mifepristone treatment has tripled in the past five years which seems very strange for an old generic drug that might help some specific type of cancer patients live longer and feel better.

I need brain tumor community advocates to help get this same bill introduced in the Senate as well by writing to their state senators.

Please read my blog post about the recent death from a meningioma brain tumor of the real "Norma Rae", not Sally Fields who played her in the famous movie by that name, since there is no standard drug treatment for this type of primary brain tumor.

Please write to your state senators, tell other brain tumor patients, doctors and other cancer organizations about this new bill HR 1055.

Washington, Mar 18, 2011
U.S. Representatives Mac Thornberry (R-TX) and Russ Carnahan (D-MO) today announced introduction of the bipartisan Part D Off-Label Prescription Parity Act. The bill, H.R. 1055, would allow Medicare Part D carriers to cover the "off-label" use of drugs prescribed to people living with chronic diseases when its use is supported by medical experts.
Currently, many Medicare consumers with serious and sometimes life-threatening conditions are unable to access safe and effective medications under Medicare Part D. Only Medicare Part B and Part D medications used to treat cancer, but not other medical conditions, are eligible for coverage.
“Doctors and patients should be able to choose the safest and most effective medications for their treatments,” said Rep. Thornberry. “Right now, the requirements for coverage of the off-label use of a drug are burdensome and often result in Medicare patients not being able to get the drug coverage they need. Our bill helps fix that problem,” continued Thornberry.
The bill would give Part D plans the same flexibility allowed under other parts of the Medicare program and in the commercial insurance market.
“When we talk about setting aside our differences to solve problems, this is exactly what we mean,” said Rep. Carnahan. “This common-sense bipartisan legislation will get life-saving medicines to those who need them.”
Off-label prescribing is widespread in the medical community as an essential means of providing patients with optimal medical care. Under Medicare Part B, CMS allows carriers to consider “the major drug compendia, authoritative medical literature and/or accepted standards of medical practice” in determining whether an off-label use is medically accepted. In 2008, through the Medicare Improvements for Patients and Providers Act (MIPPA), Congress required CMS to apply the Part B standard to Part D cancer drugs used off-label.
“The Part D Off-Label Prescription Parity Act takes a balanced approach to keeping patients safe from improper prescribing while allowing access to the most up-to-date treatments available, “ said Joe Baker, President of the Medicare Rights Center. “Doctors routinely prescribe medications for uses other than those on the FDA label, according to their professional judgment and evidence in the medical literature. We are grateful Congressmen Thornberry and Carnahan have re-introduced this important bill,” he continued.
The bill is also supported by the National Multiple Sclerosis Society, the Medicare Access for Patients-Rx (MAPRx), as well as:
The AIDS Institute
The ALS Association
The Alzheimer’s Association
American Academy of Neurology
American Autoimmune Related Diseases Association
American Society of Consultant Pharmacists
Arthritis Foundation
Center for Medicare Advocacy
Easter Seals
Hemophilia Federation of America
The Lupus Foundation of America
Men’s Health Network
Mental Health America
National Alliance on Mental Illness
National Council for Community Behavioral Healthcare
National Grange of the Order of Patrons of Husbandry
National Health Council
National Spinal Cord Injury Association
National Organization for Rare Disorders (NORD)
RetireSafe
United Spinal Association

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Additional reading about Medicare news
http://www.medpagetoday.com/PublicHealthPolicy/Medicare/



GBYAY Anne McGinnis Breen
See my ponytail bouncing and my smiley face winking at you? &;>)

Norma Rae's real story ends with meningioma

Dear Good People
The real Norma Rae, Crystal Lee Sutton's life ends with more insurance and treatment questions than answers, The fine print in the health care legal documents are too complex for most of us to figure out and it depends on how smart you are, who you are, or how much money you have, or your family has connections to good doctors or, what medical attorneys know to help people navigate the health care system to figure out how to get an exception to almost any exemption. The two party system of government is not protecting ordinary working people, it is protecting the wealthy investors who hide behind corporate shields so they are not personally responsible for the damage and death they cause and/or allow to happen. Senators are not working for all Americans or unemployed people who do not have a union job or employee benefits. I have heard even union workers might not get enough hours and coverage paid if they do not follow the party line.

I hope responsible investigative reporters and "truthseekers like me" will continue look for more details on her treatment plan and her insurance company.

What kind of health insurance policy did she have? I read online somewhere that it had an annual cap of $100.000 per year and she was 67 years old when she was first diagnosed. I wonder why not, or if she was actually on MEDICARE? We need more facts instead of the typical media hype for dummies that we get even from senators on both sides, because they are not our our side.
There is no approved FDA chemotherapy for malignant meningioma because the mega big corporations of the pharma industry and the NCI Adult Brain Tumor Consortium have decided not spent our tax money on research studying this usually slow growing brain tumor that strikes women teice as often as men, because it is generally considered rare and benign. But our meningiomas are twice as common as the deadly type that killed Ted Kennedy and they hasppen twice as often to women. And surviving two brain surgeries exactly a year apart is a remarkable feat for anyone, especially someone her age. I would have expected that once her doctor found out it was malignant after her first surgery she would have been treated with brain radiation therapy and chemo right away, why wait a year and why another surgery at her age? Why didn't she get radiation therapy and some chemo a year earlier, like other malignant brain tunor patients? Did she chose not to have brain radiation? Was it recommended for her case? I would like to know waht actually happened here before Democrats try to use her as a poster child for Obamacare. According to her age, she was medicare eligible for the past three years. Secondly, We do not have enough information. What was the chemo drug she was offered? Was it experimental? or not normally used or considered effective for this type of tumor? Or was it a simple coding error?

Do we know what drug she would have been given if she was on MEDICARE? Could she even get an investigational drug like I am on, if she was on MEDICARE or if she had a private policy, I doubt the drug I take was even mentioned to her by her doctors. I can't get it from my private insurance UNITED HEALTH CARE and will our government pay for it once I do get on MEDICARE? I got it for free from the NCI in the 1990's. Or will I have to stop taking it, if we can no longer afford an extra $6,000 a year for my care? And I had to wait a whole year for the paperwork while my vision got worse before I could get for myself, not just two months. IS it big mega corporation profit? bribes and/or bonuses? I wish I knew all the answers, but I want the federal government plan that retired employees like Dick Cheney has, he got such good care he has survived 5 heart attacks intact, although I thought he had some brain cells missing even when he shot that guy while out hunting, many people do not even survive one.

Yes, this is very personal for me, that's why I am such a fanatic about health care issues and education and information. Reading is fundamental to survive in the world today. I guess they will probably try to deny me approval again, but if I only have to wait two months to get it that will be better than the situation while I was on private insurance. I certainly do not have all the answers, but I can keep on asking probing questions because this is so vital to my own health and my future, because inquiring minds want to know more. I believe there is no such thing as a dumb question as long as we are polite, and some times we might need to be persistent. It is incorrect answers or silence without any answer that hurts us the most. GBYAY Anne McGinnis Breen

Meningioma fatality or insurance company death panel?

Please read all about the real Norma Rae, you can google her name for a ton of articles about her life, her work, her marriages and her children and her fight for the working poor, especially women in this country, remember cute Sally Fields as the female union organizer in the movie?
The real Norma Rae, Crystal Lee Sutton died two years after being told she had a meningioma, turned out to be a malignant brain tumor. For more information you can start right here

http://www.crystalleesutton.com/tn_article.html