We understand that our proposal may not be the most perfect solution to the injustice; however, it stands a much better chance of getting passed in Congress and is the best possible solution we know of. .Regrettably, this uncertainty persists during the on-going deficit reduction discussions. Those who received services paid for by Medicare will not be affected by the automatic budget cuts due to the failure of the Joint Select Committee on Deficit Reduction to reach a compromise. Nevertheless, I am concerned that providers are not also shielded from those cuts. That is why I am co-sponsoring H.R. 3519, legislation to protect Medicare providers from the 2 percent cuts that were part of the Budget Control Act of 2011. .According to the report, the triggering of hold harmless will continue on an individual basis, particularly when inflation is lower than forecast (about 2.4 percent) or if Medicare Part B premium increases are higher than forecast (5%), or both. The risk for both is high, because over the past 8 years COLAs have averaged just 1.2 percent and since 2000 Medicare Part B premiums have increased on average more than 10 percent per year. According to the report, individuals with the lowest benefits, 0 or less, are the most likely to be affected by hold harmless on an individual basis over the next decade, even in years when a COLA is payable, particularly if Medicare Part B premium increases are higher than expected. .MedPAC also recommended increased financial assistance for low-income Medicare beneficiaries in its report. Currently, those with incomes up to 135 percent of the federal poverty level qualify for Medicare Savings Programs (MSPs), which help beneficiaries cover the cost of Part B premiums. The Commissioners recommended extending the subsidy to those with incomes up to 150 percent of the poverty level. This would save those who qualify approximately ,300 a year in Part B premium costs, and the Commissioners believe it would "free up resources" for beneficiaries who are currently struggling to pay out-of-pocket costs. .This week, one member of TSCL's Board of Trustees – Legislative Liaison Joe Kluck – visited Capitol Hill to advocate for legislation that would strengthen and improve the Social Security and Medicare programs. The following key issues were discussed in several meetings with Members of Congress and congressional staff this week: .Paying heating or cooling bills, .In September, federal agents announced the arrests of 35 people linked to a huge genetic testing scam. Individuals charged are accused of billing Medicare for more than .1 billion worth of phony genetic tests. The crackdown included telemedicine companies, doctors, and labs which worked in an elaborate scheme that preyed on people's fears of having genetic markers for cancer. .TSCL believes that the combined effect of COLA cuts and higher Medicare costs would leave the majority seniors far less able to afford necessities in coming years. Today the average monthly Social Security benefit is just ,150 before deductions for Medicare premiums. The average family income of married couples 65 and over including Social Security is just ,718. .In addition to testing, passengers who are not fully vaccinated should self-quarantine for 7 days after cruise travel, even if they test negative. If they do not get tested, they should self-quarantine for 10 days after cruise travel.