With the impeachment drama out of the way Congress really got down to business this week. Health care is the number one issue on the minds of voters as we head toward the November elections and Congress knows it. .The first new rule affects Medicare Part B drug costs, which are typically infused or injected drugs used mainly in the treatment of cancer. The intent is to cap the cost of those drugs at the lowest price that drug manufacturers receive in other countries and to pay doctors a flat fee for each dose of a drug, instead of a percentage of each drug's cost. .No. Your understanding is correct, although there are circumstances that might explain the income. The Social Security Disability Insurance (SSDI) program's rules generally restrict beneficiaries from working and earning substantial amounts while they are receiving benefits. When beneficiaries first return to work, however, they can earn an unlimited amount for 12 months without losing their benefits under "trial work period" rules. Thereafter they can earn a specified limit, ,480 in 2013, before their benefits are eliminated. .Congress first approved the WEP in 1983 as part of a large package of Social Security reforms that included increasing the full retirement age. The stated intent was to remove an unintended advantage for workers who collect non-covered pensions, but also did some work in jobs covered by Social Security. .Having income to supplement Social Security benefits that lasts your entire life, no matter how long you live, is a challenge for many seniors. If you don't get a sizable pension from an employer, but you have some savings built up in retirement accounts, "longevity insurance policies," better known as annuities, might be worth considering. .The Congressional Budget Office (CBO) and the Joint Committee on Taxation have boosted previous estimates and now say that switching to the chained consumer price index (C-CPI) will cut Social Security and other federal retirement benefits by 8 billion and increase taxes by 2 billion over the next 10 years. The loss to beneficiaries would compound over time and grows deeper each year as illustrated in the following chart. As seniors grow older and more likely to develop costly health conditions, their Social Security benefits would become less adequate to cover rising costs more quickly. .Finally, two new cosponsors – Representative Daniel Lipinski (IL-3) and Representative Glenn Grothman (WI-6) – signed on to the CREATES Act (H.R. 2212), bringing the total up to twenty-five. The CREATES Act, if adopted, would increase competition in the prescription drug industry by encouraging generic and biosimilar drug manufacturers to introduce their products to the market more quickly. .Changes in U.S. immigration polices impact the finances of Social Security and Medicare. Policies that expand legal immigration would result in new payroll tax revenues from immigrant workers flowing into Social Security and Medicare, strengthening program finances. On the other hand, policies that provide new work authorization to immigrants who are already working in this country illegally would provide new access to Social Security and Medicare benefits that could be based, at least in part, on earnings worked under invalid or fraudulent Social Security numbers. .The Social Security Fairness Act, if signed into law, would amend the Social Security Act by repealing the government pension offset (GPO) and the windfall elimination provision (WEP). These two provisions unfairly reduce the earned Social Security benefits of millions of teachers, firefighters, peace officers, and other state or local government employees each year. TSCL believes that Congress should repeal the GPO and the WEP so that dedicated public servants receive the retirement security they deserve.