Under a 2004 law, non-citizens who apply for benefits with a SSN assigned in 2004 and thereafter must have legal work authorization at some point in order to file a claim for benefit. But the law does not apply to aliens who received a SSN prior to January 1, 200Those non-citizens may be able to claim Social Security benefits without ever having legally worked. In fact, our government already pays Social Security disability and retirement benefits to non-citizen aliens and their dependents based on illegal earnings. The cost to Social Security of those payments was recently estimated to be 6 billion through 2040, according to Advisor editor and Social Security policy analyst Mary Johnson. .In the weeks ahead, The Senior Citizens League (TSCL) will continue to keep a close eye on the negotiations, and we will advocate for legislation that would protect and defend the earned benefits of older Americans. For progress updates, visit the Legislative News section of our website, or follow TSCL on Facebook and Twitter. ."Concern is high among older Americans that undocumented immigrants who illegally worked under fake, invalid, or fraudulent Social Security numbers may at some point receive benefits based on such work," says TSCL Chairman, Ed Cates. A survey conducted by TSCL, a nonpartisan seniors organization, found that 82% opposed the current government policy that allows Social Security to determine entitlement to Social Security benefits based on earnings from jobs worked without legal authorization. .Medicare is structured to pay more to providers based on how sick people are — not on making them well. Yet about one-half of all adults have at least one chronic condition, which is not only the most costly type of health problem to treat over time, but also the most preventable. .Of the more than 1,200 people who participated, 766 sent in comments. Most described their personal challenges in meeting their healthcare expenses. In what may be a sign of the times, a surprising number indicated they are working far longer than they ever thought they would, even into their late 70's and 80's, because they don't have enough to live on after paying their healthcare costs. Even seniors who do have good Medicare supplemental and drug coverage described how they keep costs in check by asking their doctor to prescribe generics, filling prescriptions for 90 days, splitting pills, and sticking to preferred pharmacies. .At Wednesday's hearing, members of the committee heard from Jonathan Blum, the Deputy Administrator and Director of Medicare at the Centers for Medicare and Medicaid Services (CMS). Blum stressed the need for Congress to act before January 1st, since the cost of repealing the SGR is the lowest it has been in years. He also asked members of the committee to build upon the work that CMS has already done instead of starting from scratch. "We shouldn't step back, we should step forward," he said. In addition, he urged committee members to advance a plan that would create a five-year transition period and allow CMS to continue experimenting with different payment models, like accountable care organizations and medical homes. .Medicare Pays More for Drugs than Medicaid .Some deficit cutters contend that the out-of-pocket costs that Medicare beneficiaries pay will have to go up and seniors should pay more for their Medicare benefits. "This survey is powerful testimony to those who hold such beliefs," says TSCL Chairman Larry Hyland. "This survey indicates that they don't understand how much seniors already spend for their healthcare, and how many have already cut back," Hyland adds. "With the majority of seniors depending on Social Security for at least half of their income, and healthcare costs increasing several times faster than benefits, few beneficiaries can afford to pay any more than they already do for their healthcare," he notes. .As a nonpartisan grassroots organization, we make our policy decisions based on only one thing: what is best for senior citizens.