Last week we learned that the top attorney in the Department of Health and Human Services (HHS), warned department officials that the program is potentially illegal because it could be in violation of federal election laws. .Some 13% of the people who receive both Medicare and Medicaid are 85 and older. The youngest Notch Babies turn 85 this year, while the oldest turn 9That's approximately 1.17 million. TSCL believes that roughly one quarter of Notch Babies receive Medicaid as well as Medicare. .We have warned you before to be careful about scams when it comes to getting your coronavirus vaccination. Getting cheated out of money during a time of crisis like this is the last thing we want to happen to anyone. And even though the reports of scams have not been widespread, there have been some in various parts of the country. .Unlike the way Medicare negotiates costs for all other medical services and medical equipment, the program doesn't have the authority to negotiate drug prices. That leaves older U.S. consumers paying higher prices than people who get their medications through the VA Administration or state Medicaid programs. And because Medicare isn't negotiating on our behalf, there's no consistency in drug pricing between Part D drug plans either. Prices vary enormously, and new research for TSCL indicates millions of drug plan enrollees are getting gouged when they don't compare and switch to better plans. .The issue of physician choice and access to care for Medicare recipients arises time and again as Congress has taken last minute action to prevent drastic cuts to physician reimbursements. Only repeated, last-minute actions have saved doctors from substantial pay cuts. Cutting reimbursements for doctors has surface appeal because it does not require seniors to pay additional dollars out-of-pocket. However, there is a hidden cost. Physicians who live under constant fear of substantial cuts may opt to stop serving Medicare patients, resulting in loss of access to care for many seniors. .Support Grows for Notch Fairness Act .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. .What Is Tracked In Determining The COLA? .Senate Majority Leader Mitch McConnell (R- Ky.) came under attack for criticizing state aid and suggesting some declare bankruptcy. He subsequently said he would consider such relief but not to address problems pre-dating the coronavirus crisis. McConnell insists that the next bill must contain language limiting liability for businesses as the economy reopens.