With only six weeks to go before the December 13th deadline, it remains to be seen which path the budget conference will take. Leaders of the conference announced on Wednesday that the next public meeting will be held on November 13th, but most of the work will likely occur behind closed doors in the coming weeks. Regardless, TSCL will continue to monitor the evolving budget negotiations, and we will post updates here in the Legislative News section of our website. .Earlier this year, a Congressional report referred to the AARP as a "massive for-profit enterprise" whose financial structure "conflicts with its legal requirements to ‘primarily operate to promote the common good and social welfare of a community of people.'" .Co-pays and coinsurance: This refers to the portion of the cost of services that you pay out-of-pocket. Co-pays are a fixed amount that you will pay for each service. For example, in a Medicare Advantage plan, you may be billed a co-pay of to see a primary care physician and to see a specialist. On the other hand, coinsurance is a variable amount. It is a percentage of the cost of the service. Theoretically if the total cost of the service is ,000 and you pay 20% coinsurance, your cost could be about 0. Under Medicare Advantage your health plan negotiates the cost of service, thus you would want to call your plan to get an idea what your total out-of-pocket costs would be, and whether your provider is a preferred provider. Under most Medigap policies, the Part B co-insurance cost is covered in large part, but there still could be some "excess charges" that you pay out of pocket. .As debate intensifies over the cost of medicines, a new analysis found that prescription drug prices were on average 2.5 times more expensive in the U.S. than in 32 other countries. And that gap widened to 3.4 times costlier when looking specifically at brand-name medications. ."Social Security was originally created to lift older Americans out of poverty," Johnson notes. "The annual COLA is intended to prevent erosion in the buying power of benefits," Johnson says. "Between the growth in healthcare costs and flat growth in benefits, the COLA is failing the very people it's intended to protect," she says. .This week, after months of discussions, leaders in the majority party revealed legislation to replace the Affordable Care Act. In addition, in a Wednesday meeting with President Donald Trump, two lawmakers proposed a plan to reduce prescription drug costs for Medicare beneficiaries. .TSCL agrees that the IPAB should be repealed before it is triggered to begin making cost-cutting recommendations to Congress. Even though the Affordable Care Act forbids the board from "rationing" care, cutting Medicare benefits, or increasing premiums, TSCL is concerned that cuts to providers could result in increased costs for beneficiaries or decreased access to quality medical care. .The Senior Citizens League is proud to endorse these three bipartisan bills and, in the months ahead, we will urge lawmakers to sign them into law. For frequent progress updates on these bills and the work of the Senate Finance and House Oversight Committees, follow TSCL on Twitter or visit the Legislative News section of our website. Additionally, you can share your story about rising prescription drug prices with our team right here. .If signed into law, the Keeping Our Social Security Promises Act would amend the Internal Revenue Code of 1986 to apply Social Security payroll taxes to earnings up to the contribution and benefit base and to all earnings in excess of 0,000.