In our meetings on Capitol Hill, we're frequently told that Notch reform would more likely be addressed when Congress takes action on comprehensive Social Security reform, as it appears to be interested in doing now. TSCL is meeting with Members of Congress to ensure that Notch Reform is considered. .Last fall, as part of his deficit reduction plan, President Obama recommended charging a 30 percent surcharge on Part B premiums to new beneficiaries who purchase Medigap polices with "near first-dollar" coverage. But do Medigap supplements encourage the over use of services? According to the Kaiser Family Foundation, about 20% of Medicare beneficiaries have a Medigap policy and they paid an average of 8 per month for premiums in 2010 (premiums vary significantly). People purchase the policies specifically to protect against the considerable costs that Medicare does not cover, and to help keep budgets in retirement years more predictable. They have modest incomes, but don't qualify for Medicaid. About 66% have incomes below ,000 and nearly 31% have incomes below ,000. .Here's how it works: If Medicare spending exceeds certain growth rates, the 15-member board must make recommendations to Congress to rein in spending. If Congress fails to respond by passing cost-cutting measures of their own, the board's recommendations would be automatically implemented. .Eight Questions You Should Always Ask Your Doctor .To learn more about President Obama's Executive Action On Immigration, see TSCL's F.A.Q.: "What Does "Executive Action" On Immigration Have To Do With Social Security and Medicare?" .Sources: "Measuring Up: The Case for the Chained CPI," Rosenberg, Goldwein, Moment of Truth Project, May 11, 201"Changes in Calculating the Consumer Price Indexes," Congressional Budget Office, September 1997. ."This year is particularly difficult to forecast with certainty," Johnson says. "The inflation patterns, caused in large part due to the COVID-19 pandemic, were unprecedented in my experience," she says. .It's unknown whether or not Congress will tackle the SGR before the end of the year, but most Subcommittee Members at Wednesday's hearing did seem set on providing extensions for the other payment provisions that are nearing expiration. .Protecting Medicare for current beneficiaries and saving it for future generations is one of my most important responsibilities as a Member of Congress. It is no secret that demographic and economic factors will not allow us to continue the program unaltered. There are 10,000 baby boomers retiring every day, and when these programs were first enacted there were more than 40 workers for every 1 retiree. Today, that number is below 3 workers per retiree and headed towards 2 to Health care costs continue to rise much faster than inflation. In order to ensure the solvency of a program that senior citizens have come to rely on, changes must be made. The days of doing nothing, burying our heads in the sand, and pretending the status quo is sustainable are over.