The approach taken in the Scott bill is also the approach favored in the Senate bills. Ways and Means Chairman Neal said they will start negotiating a compromise between the two House bills that will also be agreeable to the Senate and he is optimistic they can reach a solution soon. This approach is opposed by conservative groups such as the National Taxpayers Union, which have opposed what they call "rate-setting." .Congressional leaders have already given up on the idea of fully funding the government for the entire 2022 fiscal year and instead the current plan is to pass a "continuing resolution" (CR) that will fund the government at current levels until December The idea is to give them more time to craft the legislation needed to fully fund the new fiscal year. .Second, two new cosponsors – Senator Amy Klobuchar (MN) and Senator Cindy Hyde-Smith (MS) – signed on to the bipartisan Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act (S. 2387), bringing the total up to eight. If adopted, it would direct the Centers for Medicare and Medicaid Services to create programs that would promote early identification of Alzheimer's disease, improve support for family caregivers, and provide continuous care for those battling many forms of dementia. .The Senior Citizens League is conducting an online survey of healthcare costs experienced by Medicare beneficiaries and invites seniors and the disabled with Medicare to participate at . The information will be used to educate both lawmakers in Congress and the public about the financial challenges of keeping Medicare affordable for beneficiaries while ensuring program financing remains sound for the future. To learn more about changes to Medicare, get tips on reducing your Medicare costs and to participate in TSCL's new online Medicare healthcare cost survey visit: . .Leading GOP plans impose broad spending reductions, would overhaul Medicare and cut Medicaid, while President Obama and Democrats are insisting tax increases are required, particularly on people with higher incomes over 0,000. Respondents to TSCL's Seniors Survey also tended to be more divided when asked whether they "strongly agreed" that the budget deficit should be reduced by cutting discretionary spending, or by closing tax loop holes and small revenue increases. However, when those in the middle, who "agree somewhat," are counted, a majority, 74%, agree that the budget deficit should be reduced by a fair balance of both discretionary spending cuts and modest revenue increases. .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. .Should seniors with Medigap supplements that provide "first dollar coverage" be required to pay more up-front? Should Medicare continue to pay for services based on medical necessity, or should the government change to a system "based on evidence of the value of services?" Congress may be debating these questions this month when the Medicare Payment Advisory Commission (MedPAC) issues its June report to Congress. The idea is to make Medicare beneficiaries "think twice" before scheduling doctor, outpatient services, or hospital stays in order to reduce government spending on Medicare. .Rather than working on bipartisan legislation to solve the rural healthcare crisis, many of my colleagues have instead chosen the fantasy of "free" healthcare for all. In reality, "Medicare-for-all," as they call it – would put more than 1,000 rural U.S. hospitals in 46 states "at high risk of closure" among other devastating consequences, according to experts. .Sources: "Do You Like Your Doctor? Obamacare Drives UnitedHealth to Downsize its Medicare Physician Networks," Avik Roy, Forbes, November 18, 2013.