Last week, Treasury Secretary Steven Mnuchin warned lawmakers that the suspension of the debt limit would expire on March 15th. That deadline has come and gone without congressional action, and the Treasury Department is now using "extraordinary measures" – like postponing contributions to retirement accounts for federal employees – to prevent a default. .This failure of the COLA to keep up with rising Medicare Part B premiums and other retiree costs is creating a dilemma that is growing in magnitude, not only for older Americans, but also for the nation's safety net programs like Medicaid. A majority of Social Security recipients depend on their benefits for more than half of their income, and almost half of all retirees have only limited or no retirement savings at all. The lack of adequate growth in benefits over the past eight years is pushing modest income seniors into poverty, forcing even those who started out as middle-income retiree households to rely on Medicaid for help paying Medicare costs, rental subsidies, fuel assistance, food pantries and senior meals programs. .The Medicare report estimated the Hospital Insurance Trust Fund will become depleted in just six more year. .The legislation now calls for a "one-time, one-year increase in the Medicare physician fee schedule of 3.75 percent" in 2021 "to provide relief during the COVID-19 public health emergency." .Finally, when older workers do land new jobs, they typically experience a steep drop in income and benefits. Median wages for people who take new jobs in their fifties fall by a median of 57 percent, and 25 percent lose their health insurance. .Four cosponsors signed on to the Social Security Fairness Act this week. Two Representatives – Ben Chandler (KY-6) and Mike Quigley (IL-5) – signed on to Rep. Buck McKeon's H.R. 1332, and two Senators – Sherrod Brown (OH) and Frank Lautenberg (NJ) – signed on to Sen. John Kerry's S. 20The cosponsor totals for these bills are up to 149 and 9, respectively. .Last Friday, MedPAC released its most recent report to Congress, and on Wednesday, Mike Miller – MedPAC's Executive Director – testified before the House Ways and Means Subcommittee on Health. At the hearing, he focused on the report's key recommendations, which include maintaining bonus payments for primary care physicians who treat Medicare patients, and increasing financial assistance for low-income beneficiaries. .But that's not the case for about 12 million employees with the highest salaries in the country. Unlike the Medicare payroll tax, which applies to all earnings, Social Security payroll taxes apply only to the first 8,400 in earnings. Neither the employees who earn more than 8,400, nor their employers, pay Social Security taxes on earnings in excess of that amount. "That's a problem for Social Security's financing," says Johnson. .How much would your Social Security cost-of-living adjustment (COLA) be worth if it was more accurately based on your spending patterns as a retiree? Social Security legislation under debate in the U.S. House would tie the annual boost for inflation to the Consumer Price Index for the Elderly (CPI-E). Had that index been used to calculate the COLA for 2020, your annual boost would be 1.9%, versus the 1.6% that Social Security recipients are actually getting.