I Know that everyone has a slogan and everyone agrees that" we owe a lot to our veterans" is a great slogan.
We have a chance to consider an innovative program to help a segment of the population that remain neglected and improve the
"way of life" and the mission to provide services to some of our most vulnerable citizens HERE IN MALDEN
We have many non-profit organizations and grant programs that could be brought in to sponsor this program
We must have people in Malden who are in touch with those in our court system that could help with setting up a Malden and area towns
Any interest and suggestions?
Buffalo Veteran's Court, Only One In U.S.
Posted by: Josh Boose, Reporter
Created: 5/22/2008 8:34:14 PM, Updated: 5/23/2008 11:51:53 AM
http://www.wgrz.com/news/news_article.aspx?storyid=58115
There's a new program in Buffalo aimed at helping local veterans.
It's called Veteran's Court. It's a program designed by the Buffalo City Court to keep non-violent offenders, who are veterans, out of jail.
2 On Your Side's Josh Boose asked Judge Robert Russell, "Did you see veterans locally here, falling through the cracks in a sense?"
"We seemed to notice, here locally, we may have been working with veterans in a drug treatment court, we worked with a number of veterans in a mental health treatment track; however, when one veteran was working with one veteran, peer to peer, it appeared to increase our probability of success with that population," said Russell.
After a year of planning, Veteran's Court kicked-off in January.
Here's what happens: If a veteran is arrested for a non-violent offense, they can ask to enter Veteran's Court where they can get proper treatment, mentors who can help them and assistance with any military benefits from the Veteran's Hospital.
"It's a group that many may not have the same degree or understanding or appreciation for," said Russell.
There are some strict rules, if you're in the program you must remain sober, lead a law abiding life and find a stable job or schooling.
Judge Russell says there are no additional costs. The court expenses already exist and there are some volunteers.
"So there's no out of pocket expenses for the city or something like that," Boose asked Russell.
"No," the judge replied.
So far, Buffalo is the only city in the country to focus in on the needs of veterans like this.
Russell and Buffalo City Court Projects Director Hank Pirowski say it's something other cities are taking note of.
"Where do you see this a year from now," Boose asked Pirowski.
"One hundred vets without a problem in the next twelve to eighteen months and I hope to see 15, 20, 25 other veteran's courts open across the country," he replied.
Right now about 35 veterans are in the program. They are right in the middle of it now. Those who complete the program will graduate at the beginning of next year.
Veterans who need some help but are not violating the law in anyway can go through the program too. For more information about Veteran's Court, call 716-845-2697.
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Saturday, May 24, 2008
Monday, April 7, 2008
The Community Preservation Act
The Community Preservation Act is statewide enabling legislation to allow cities and towns to exercise control over local planning decisions. This legislation strengthens and empowers Massachusetts communities:
All decisions are local.
Local people must vote by ballot to adopt the Act.
Local legislatures must appoint a committee of local people to draw up plans for use of the funds.
These plans are subject to local comment and approval.
If residents don’t feel the CPA is working as they expected, they can repeal it.
The Community Preservation Act provides new funding sources which can be used to address three core community concerns:
Acquisition and preservation of open space
Creation and support of affordable housing
Acquisition and preservation of historic buildings and landscapes
A minimum of 10% of the annual revenues of the fund must be used for each of the three core community concerns. The remaining 70% can be allocated for any combination of the allowed uses, or for land for recreational use. This gives each community the opportunity to determine its priorities, plan for its future, and have the funds to make those plans happen.Property taxes traditionally fund the day-to-day operating needs of safety, health, schools, roads, maintenance. - and more. But until the CPA, there was no steady funding source for preserving and improving a community’s infrastructure. The Community Preservation Act can give a community the funds needed to control its future.
I heard a discussion at the Senior Building meeting that they would like to be sure that our Historical Society to be involved in developing a plan for the decorating and furnish memobelia and funding for the New Senior Communit Center "A WAY OUT SUGGESTION??" Any consiedation for opening dialog on this act. Failed Election
1/6/01 3129-5531 Howard McGowan
All decisions are local.
Local people must vote by ballot to adopt the Act.
Local legislatures must appoint a committee of local people to draw up plans for use of the funds.
These plans are subject to local comment and approval.
If residents don’t feel the CPA is working as they expected, they can repeal it.
The Community Preservation Act provides new funding sources which can be used to address three core community concerns:
Acquisition and preservation of open space
Creation and support of affordable housing
Acquisition and preservation of historic buildings and landscapes
A minimum of 10% of the annual revenues of the fund must be used for each of the three core community concerns. The remaining 70% can be allocated for any combination of the allowed uses, or for land for recreational use. This gives each community the opportunity to determine its priorities, plan for its future, and have the funds to make those plans happen.Property taxes traditionally fund the day-to-day operating needs of safety, health, schools, roads, maintenance. - and more. But until the CPA, there was no steady funding source for preserving and improving a community’s infrastructure. The Community Preservation Act can give a community the funds needed to control its future.
I heard a discussion at the Senior Building meeting that they would like to be sure that our Historical Society to be involved in developing a plan for the decorating and furnish memobelia and funding for the New Senior Communit Center "A WAY OUT SUGGESTION??" Any consiedation for opening dialog on this act. Failed Election
1/6/01 3129-5531 Howard McGowan
Thursday, March 13, 2008
Medicare
March 13, 2008
Heart Scans Still Covered by Medicare
By REED ABELSON
Reversing a proposed decision issued in December, the federal government said Wednesday it would continue to cover the use of an increasingly popular procedure to detect heart disease.
The Centers for Medicare and Medicaid Services said it would continue to cover the scanning procedure, despite its earlier misgivings over whether there was enough evidence to justify paying for the tests under Medicare.
The agency said Wednesday that it would continue to leave payments for the scans up to the local insurance carriers it employs to oversee medical claims. Most local carriers have been covering the test, a form of CT scan that can cost $600 or more.
“We found that the evidence is not black and white either way,” said Dr. Barry Straube, chief medical officer for the Centers for Medicare and Medicaid Services. Given the overwhelming criticism of the preliminary decision, the agency decided it did not have enough reason to override local carriers’ decision to cover the tests as medically necessary.
“Before we make a significant change in policy, we need more evidence,” said Dr. Straube, who indicated the agency would still like studies testing whether the scans are medically effective.
But much of medicine, including treatments Medicare pays for, is similarly unproven. “There are a lot of technologies, services and treatments that have not been unequivocally shown to improve health outcomes in a definitive manner,” Dr. Straube said.
Medicare paid for roughly 70,000 of the heart scans in 2006, according to the agency, at a cost of $40 million to $50 million. For people not yet eligible for Medicare, thousands of other such scans were paid for by commercial insurers or from patients’ own pockets, at prices sometimes close to $1,000. As many as 1,500 centers around the country are estimated to be offering the scans, with some centers advertising their services.
The agency’s decision to continue paying for scans means their use is likely to continue to climb, according to doctors and insurers. Private insurers often follow Medicare’s lead on what medical procedures they will pay for.
The scans are now widely promoted as a noninvasive alternative to tests like angiography, which requires the insertion of a catheter into the blood vessels and can cost thousands of dollars. But conventional angiography is typically done only on patients with cardiac symptoms. There is growing concern that the CT scans are being done increasingly on those who show no signs of heart disease, subjecting them needlessly to radiation risks.
“Before it enters widespread use, it needs to be critically examined, and it has not been,” said Dr. Mark Grant, a senior scientist for the Blue Cross and Blue Shield Association, which told the agency it favored further study.
In December, the Centers for Medicare and Medicaid Services had said it would not pay for the scans unless patients were enrolled in a study to test the technology’s effectiveness. The Blue Cross group said Wednesday that without a Medicare mandate for such research, there might be little likelihood now that doctors or equipment makers would do it.
The proposal to curtail payments met with fierce resistance from doctors who perform these scans and companies that make the equipment. They strongly defended the scans as an important alternative to conventional angiography and said patients who could not enroll in a study of the scans would be unfairly denied access to the technology.
“I think this is great news for patients,” Dr. Constantino S. Peña, the director of vascular imaging at the Baptist Cardiac and Vascular Institute in Miami, said of Wednesday’s ruling.
Among the organizations advocating Medicare coverage were professional societies representing doctors who do scans, including the American College of Cardiology and the North American Society for Cardiac Imaging.
“The biggest role we played is educating” the Medicare agency, said Dr. Pamela K. Woodard, the society’s president.
Proponents argue that many studies are being done. “Within one year, there will be 10 times as much evidence of the effectiveness” of the heart scans, said Dr. Daniel S. Berman, president-elect of the Society of Cardiovascular Computed Tomography, who said his group and others presented the agency significant evidence of the scans’ usefulness.
But the Centers for Medicare and Medicaid Services, in the final decision, said there remained “uncertainty regarding any potential health benefits” from the scans and described the existing evidence as of “overall limited quality and limited applicability.”
Given the amount of resistance, the agency was not able to justify scaling back coverage, said Dr. Sean Tunis, a former Medicare official who is director of a nonprofit group, the Center for Medical Technology Policy, aimed at evaluating new technology. “Without new evidence that something is either ineffective or harmful,” he said, “it’s very hard for Medicare to narrow existing coverage.”
And yet, Dr. Tunis said, Wednesday’s decision indicates the agency “continues to feel there are important unanswered questions.” His group had been in discussions with health insurers and equipment makers to consider conducting the studies that the agency originally envisioned, as a way to show whether the technology was, in fact, better than existing tests and improved patients’ health.
Without the Medicare agency’s insisting upon them, such studies would probably now be more difficult to organize, he acknowledged, although he said he planned to reach out to members of the working group to determine what steps might be taken.
Home
Heart Scans Still Covered by Medicare
By REED ABELSON
Reversing a proposed decision issued in December, the federal government said Wednesday it would continue to cover the use of an increasingly popular procedure to detect heart disease.
The Centers for Medicare and Medicaid Services said it would continue to cover the scanning procedure, despite its earlier misgivings over whether there was enough evidence to justify paying for the tests under Medicare.
The agency said Wednesday that it would continue to leave payments for the scans up to the local insurance carriers it employs to oversee medical claims. Most local carriers have been covering the test, a form of CT scan that can cost $600 or more.
“We found that the evidence is not black and white either way,” said Dr. Barry Straube, chief medical officer for the Centers for Medicare and Medicaid Services. Given the overwhelming criticism of the preliminary decision, the agency decided it did not have enough reason to override local carriers’ decision to cover the tests as medically necessary.
“Before we make a significant change in policy, we need more evidence,” said Dr. Straube, who indicated the agency would still like studies testing whether the scans are medically effective.
But much of medicine, including treatments Medicare pays for, is similarly unproven. “There are a lot of technologies, services and treatments that have not been unequivocally shown to improve health outcomes in a definitive manner,” Dr. Straube said.
Medicare paid for roughly 70,000 of the heart scans in 2006, according to the agency, at a cost of $40 million to $50 million. For people not yet eligible for Medicare, thousands of other such scans were paid for by commercial insurers or from patients’ own pockets, at prices sometimes close to $1,000. As many as 1,500 centers around the country are estimated to be offering the scans, with some centers advertising their services.
The agency’s decision to continue paying for scans means their use is likely to continue to climb, according to doctors and insurers. Private insurers often follow Medicare’s lead on what medical procedures they will pay for.
The scans are now widely promoted as a noninvasive alternative to tests like angiography, which requires the insertion of a catheter into the blood vessels and can cost thousands of dollars. But conventional angiography is typically done only on patients with cardiac symptoms. There is growing concern that the CT scans are being done increasingly on those who show no signs of heart disease, subjecting them needlessly to radiation risks.
“Before it enters widespread use, it needs to be critically examined, and it has not been,” said Dr. Mark Grant, a senior scientist for the Blue Cross and Blue Shield Association, which told the agency it favored further study.
In December, the Centers for Medicare and Medicaid Services had said it would not pay for the scans unless patients were enrolled in a study to test the technology’s effectiveness. The Blue Cross group said Wednesday that without a Medicare mandate for such research, there might be little likelihood now that doctors or equipment makers would do it.
The proposal to curtail payments met with fierce resistance from doctors who perform these scans and companies that make the equipment. They strongly defended the scans as an important alternative to conventional angiography and said patients who could not enroll in a study of the scans would be unfairly denied access to the technology.
“I think this is great news for patients,” Dr. Constantino S. Peña, the director of vascular imaging at the Baptist Cardiac and Vascular Institute in Miami, said of Wednesday’s ruling.
Among the organizations advocating Medicare coverage were professional societies representing doctors who do scans, including the American College of Cardiology and the North American Society for Cardiac Imaging.
“The biggest role we played is educating” the Medicare agency, said Dr. Pamela K. Woodard, the society’s president.
Proponents argue that many studies are being done. “Within one year, there will be 10 times as much evidence of the effectiveness” of the heart scans, said Dr. Daniel S. Berman, president-elect of the Society of Cardiovascular Computed Tomography, who said his group and others presented the agency significant evidence of the scans’ usefulness.
But the Centers for Medicare and Medicaid Services, in the final decision, said there remained “uncertainty regarding any potential health benefits” from the scans and described the existing evidence as of “overall limited quality and limited applicability.”
Given the amount of resistance, the agency was not able to justify scaling back coverage, said Dr. Sean Tunis, a former Medicare official who is director of a nonprofit group, the Center for Medical Technology Policy, aimed at evaluating new technology. “Without new evidence that something is either ineffective or harmful,” he said, “it’s very hard for Medicare to narrow existing coverage.”
And yet, Dr. Tunis said, Wednesday’s decision indicates the agency “continues to feel there are important unanswered questions.” His group had been in discussions with health insurers and equipment makers to consider conducting the studies that the agency originally envisioned, as a way to show whether the technology was, in fact, better than existing tests and improved patients’ health.
Without the Medicare agency’s insisting upon them, such studies would probably now be more difficult to organize, he acknowledged, although he said he planned to reach out to members of the working group to determine what steps might be taken.
Home
Tuesday, March 11, 2008
Keep McFadden Manor Open
AS A MEMBER OF MASS SENIOR ACTION I HAVE BEEN INVOLVED IN MANY SENIOR ISSUES.
RIGHT NOW MASS SENIOR ACTION IS INVOLVED IN FINDING THE BEST ALTERNATIVE FOR CARING FOR OUR AGING POPULATION
ONE OF THE MAIN ISSUES IS DEALING WITH THE "HOUSE OF HORRORS" KNOWN AS NURSING HOMES AND GETTING MORE HUMANE WAYS OF DELIVERING HEALTH CARE THAT THE MAJORITY OF ELDERLY THE FAMILIES AND CARE GIVERS VOTE FOR HOME CARE IN FAMILIAR NEIGHBORHOODS
IN MALDEN WE HAVE FOUND AN "OASIS" TO THE NURSING HOME PROBLEM FOR SATISFACTORY HUMANE AND ADEQUATE
CARE IN A CITY OWNED FACILITY FOR CRITICALLY ILL CLIENTS WHERE A HOME CARE ENVIRONMENT IS PRACTICED
KEEP MCFADDEN MANOR OPEN
RIGHT NOW MASS SENIOR ACTION IS INVOLVED IN FINDING THE BEST ALTERNATIVE FOR CARING FOR OUR AGING POPULATION
ONE OF THE MAIN ISSUES IS DEALING WITH THE "HOUSE OF HORRORS" KNOWN AS NURSING HOMES AND GETTING MORE HUMANE WAYS OF DELIVERING HEALTH CARE THAT THE MAJORITY OF ELDERLY THE FAMILIES AND CARE GIVERS VOTE FOR HOME CARE IN FAMILIAR NEIGHBORHOODS
IN MALDEN WE HAVE FOUND AN "OASIS" TO THE NURSING HOME PROBLEM FOR SATISFACTORY HUMANE AND ADEQUATE
CARE IN A CITY OWNED FACILITY FOR CRITICALLY ILL CLIENTS WHERE A HOME CARE ENVIRONMENT IS PRACTICED
KEEP MCFADDEN MANOR OPEN
Tuesday, February 26, 2008
Social Security
Notch
The Senior Citizens League members and supporters tend to be older, less affluent seniors. They are also, to a large extent, Notch babies - those individuals who receive lower Social Security benefits because they were born in the years 1917 and immediately thereafter. TSCL feels that this is an inequity that was brought about because of the Social Security Act Amendments enacted and signed into law in 1977. Just years before they were set to retire, these individuals discovered they would have significantly lower benefits than originally anticipated. And the problem only grew and compounded with the inflation that occurred in the early 1980s. Thus, in order to make the Social Security program more equitable in general, and to correct a wrong done to Notch babies, we believe that some recompense for that injustice should be provided.
TSCL strongly supported legislation introduced in the 109th Congress that would have provided either a lump-sum payment or an increased monthly benefit calculation to Notch babies. We were pleased to see that Congressman Ralph HallТs legislation, H.R. 615, got 118 co-sponsors in the last session - more than in any other session of Congress since the lump-sum proposal has been before Congress. We will continue to educate new Members of the House and Senate about the Notch and to work with past supporters of the Notch. With an increasing number of Notch co-sponsors during each of the last three sessions of Congress, we are hopeful that some type of Notch reform will take place in the 110th Congress.
The Senior Citizens League members and supporters tend to be older, less affluent seniors. They are also, to a large extent, Notch babies - those individuals who receive lower Social Security benefits because they were born in the years 1917 and immediately thereafter. TSCL feels that this is an inequity that was brought about because of the Social Security Act Amendments enacted and signed into law in 1977. Just years before they were set to retire, these individuals discovered they would have significantly lower benefits than originally anticipated. And the problem only grew and compounded with the inflation that occurred in the early 1980s. Thus, in order to make the Social Security program more equitable in general, and to correct a wrong done to Notch babies, we believe that some recompense for that injustice should be provided.
TSCL strongly supported legislation introduced in the 109th Congress that would have provided either a lump-sum payment or an increased monthly benefit calculation to Notch babies. We were pleased to see that Congressman Ralph HallТs legislation, H.R. 615, got 118 co-sponsors in the last session - more than in any other session of Congress since the lump-sum proposal has been before Congress. We will continue to educate new Members of the House and Senate about the Notch and to work with past supporters of the Notch. With an increasing number of Notch co-sponsors during each of the last three sessions of Congress, we are hopeful that some type of Notch reform will take place in the 110th Congress.
Wednesday, February 20, 2008
Stimulus Package
Q: I normally don't need to file a tax return. How do I know if I'm one of those people who may be eligible to receive an economic stimulus payment?A: This group includes some recipients of Social Security, Railroad Retirement or veterans' benefits as well as taxpayers who do not make enough money to normally have to file a 2007 tax return. For example, this can include low-income workers, those who receive Social Security benefits or veterans’ disability compensation, pension or survivors’ benefits from the Department of Veterans Affairs in 2007. These people will be eligible to receive a payment of $300 ($600 on a joint return) if they had at least $3,000 of qualifying income.Qualifying income includes Social Security benefits, certain Railroad Retirement benefits, certain veterans’ benefits and earned income, such as income from wages, salaries, tips and self-employment. For people filing joint tax returns, only a total of $3,000 of qualifying income from both spouses is required to be eligible for a payment.
Special Guidelines for Recipients of Certain Social Security, Veterans and Railroad BenefitsCertain people who normally are not required to file but who are eligible for the stimulus payment will have to file a 2007 tax return. This includes low-income workers or those who receive Social Security benefits or veterans’ disability compensation, pension or survivors’ benefits from the Department of Veterans Affairs in 2007. These taxpayers will be eligible to receive a payment of $300 ($600 on a joint return) if they had at least $3,000 of qualifying income.Qualifying income includes Social Security benefits, certain Railroad Retirement benefits, certain veterans’ benefits and earned income, such as income from wages, salaries, tips and self-employment. For taxpayers filing joint tax returns, only a total of $3,000 of qualifying income from both spouses is required to be eligible for a payment.The special version of the Form 1040A unveiled today on IRS.gov shows taxpayers in these groups the specific sections of the form they need to fill out to qualify for the stimulus payment. The mock-up is designed to be used as a guide for filling out an actual Form 1040A."People who don’t normally need to file have a roadmap on how to fill out the Form 1040A quickly and easily," Stiff said. "We encourage recipients of Social Security and veterans’ benefits who don’t normally need to file a tax return to use this mock-up of the form as a guide to help them get their stimulus payment."The Form 1040A illustration on IRS.gov shows the limited number of lines that will need to be filled out for recipients of Social Security, certain Railroad Retirement and certain veterans’ benefits. A key line is reporting their 2007 benefits on Line 14a of Form 1040A. The IRS reminds taxpayers they can also use Line 20a on Form 1040 to report these same benefits.In addition, taxpayers in these groups should write the words "Stimulus Payment" at the top of the 1040A or 1040.For now, taxpayers in this group filing a tax return can only file a paper copy of the Form 1040 or Form 1040A. The IRS is working to update its systems to accept electronic versions of these limited-information returns for taxpayers who otherwise have no need to file a tax return. The IRS is also working with the software community to handle these returns electronically at a future date.The IRS also reminded taxpayers with Social Security, Railroad Retirement or veterans’ benefits who have already filed but did not report their qualifying benefits on either Line 14a of Form 1040A or Line 20a of Form 1040 that they may need to file an amended return in some situations to receive a larger stimulus payment.Taxpayers who already have filed but did not report these benefits can file an amended return by using Form 1040X, which can only be filed with a paper form.The IRS reminded taxpayers who don’t have any other requirement to file a tax return that submitting a tax return to qualify for the economic stimulus payments does not create any additional tax or trigger a tax bill. In addition, the stimulus payments will not have any effect on eligibility for federal benefits.The IRS is working with the Social Security Administration and Department of Veterans Affairs and other organizations to ensure that recipients are aware of the need to file a tax return to receive their stimulus payment in 2008.
Special Guidelines for Recipients of Certain Social Security, Veterans and Railroad BenefitsCertain people who normally are not required to file but who are eligible for the stimulus payment will have to file a 2007 tax return. This includes low-income workers or those who receive Social Security benefits or veterans’ disability compensation, pension or survivors’ benefits from the Department of Veterans Affairs in 2007. These taxpayers will be eligible to receive a payment of $300 ($600 on a joint return) if they had at least $3,000 of qualifying income.Qualifying income includes Social Security benefits, certain Railroad Retirement benefits, certain veterans’ benefits and earned income, such as income from wages, salaries, tips and self-employment. For taxpayers filing joint tax returns, only a total of $3,000 of qualifying income from both spouses is required to be eligible for a payment.The special version of the Form 1040A unveiled today on IRS.gov shows taxpayers in these groups the specific sections of the form they need to fill out to qualify for the stimulus payment. The mock-up is designed to be used as a guide for filling out an actual Form 1040A."People who don’t normally need to file have a roadmap on how to fill out the Form 1040A quickly and easily," Stiff said. "We encourage recipients of Social Security and veterans’ benefits who don’t normally need to file a tax return to use this mock-up of the form as a guide to help them get their stimulus payment."The Form 1040A illustration on IRS.gov shows the limited number of lines that will need to be filled out for recipients of Social Security, certain Railroad Retirement and certain veterans’ benefits. A key line is reporting their 2007 benefits on Line 14a of Form 1040A. The IRS reminds taxpayers they can also use Line 20a on Form 1040 to report these same benefits.In addition, taxpayers in these groups should write the words "Stimulus Payment" at the top of the 1040A or 1040.For now, taxpayers in this group filing a tax return can only file a paper copy of the Form 1040 or Form 1040A. The IRS is working to update its systems to accept electronic versions of these limited-information returns for taxpayers who otherwise have no need to file a tax return. The IRS is also working with the software community to handle these returns electronically at a future date.The IRS also reminded taxpayers with Social Security, Railroad Retirement or veterans’ benefits who have already filed but did not report their qualifying benefits on either Line 14a of Form 1040A or Line 20a of Form 1040 that they may need to file an amended return in some situations to receive a larger stimulus payment.Taxpayers who already have filed but did not report these benefits can file an amended return by using Form 1040X, which can only be filed with a paper form.The IRS reminded taxpayers who don’t have any other requirement to file a tax return that submitting a tax return to qualify for the economic stimulus payments does not create any additional tax or trigger a tax bill. In addition, the stimulus payments will not have any effect on eligibility for federal benefits.The IRS is working with the Social Security Administration and Department of Veterans Affairs and other organizations to ensure that recipients are aware of the need to file a tax return to receive their stimulus payment in 2008.
Tuesday, February 19, 2008
File 1040 A stimulas package
On Wednesday President Bush signed into law H.R. 5140, the economic stimulus package. Treasury Secretary Henry Paulson said that rebate checks could be in the mail as early as May. Individuals will receive $600, couples will receive $1200, and an additional $300 will be given for each child under 17. Individuals and couples earning over $75,000 and $150,000, respectively, will have their eligibility phased out. Individuals who earn $3,000, receive Social Security or are disabled veterans will receive $300.
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