home care. Concerns have been raised that health plans may not have adequate capacity to handle enrollment of large numbers of dual eligibles en masse in 201In addition, the Medicare Payment Advisory Commission (MedPac) has said that only a limited number of health plans have any experience managing benefits for this complex population. .If Congress considers cuts to the COLA, changes in the benefit formula and increases in the retirement age, special attention will be needed regarding when changes would become effective and how they would be phased-in. The recession is already having a significant impact on the growth of Social Security benefits. If Congress cuts benefits, or reduces the growth in benefits during this slow recovery, it will likely produce a long lasting double-whammy effect for retirees. .Despite tightening the law, Congress did not fix a policy loophole that would be inadvertently triggered with the passage of comprehensive immigration reform legislation. When determining entitlement for insured status (10 years), and in calculating the initial retirement benefit amount, the Social Security Administration uses all reported earnings from covered employment in the United States, even if the earnings were from illegal or "unauthorized" work. .Please take time to participate in TSCL's much anticipated Senior Survey. TSCL's surveys have helped burst the all too common perception that Social Security benefit cuts are inevitable in order to achieve program solvency. TSCL surveys indicate that there is little support among older adults for proposals that would cut Social Security or Medicare benefits, or to replace these programs with private versions. TSCL will fight attempts to cut benefits, and that includes cutting COLAs reducing Social Security benefits or increasing Medicare costs. .On November 21, 2017 The Senior Citizens League delivered advocacy letters to caution members of Congress to NOT repeal the medical expense tax deduction. The letters were delivered to Majority and Minority members of the House of Representatives Ways and Means Subcommittee on Taxes, in addition to a few other key Congressional members. Learn which members are on the Ways and Means Sub-committee on taxes here. .SSI is a federal program that provides monthly benefit payments to people age 65 or older, who are blind or have a disability and who have little or no income and resources. People who receive SSI are also eligible to receive food stamps and Medicaid. .Social Security's Disability Insurance program is littered with waste. Last year, for example, .8 billion in overpayments were made to those collecting disability benefits. In addition, the administration has allowed an enormous backlog to accumulate for Continuing Disability Reviews, which are conducted to determine whether a beneficiary has recovered enough to return to work. Currently, every dollar spent reviewing cases yields more than ten dollars in savings; if the backlog were eliminated, more than billion in savings would be returned to the Trust Fund. The potential savings from eliminating waste within Social Security are enormous and could cover the cost of the Notch Fairness Act. Second, Congress could increase the amount of income subject to the Social Security payroll tax – an option that sixty-seven percent of TSCL members strongly supported in this year's Senior Survey. Currently, yearly income earned above 0,100 is not subject to the payroll tax. .Elder abuse affects an estimated 14.1 percent of all non-institutionalized older adults each year, and for every case reported, another twenty-three cases go unnoticed. It is a serious and ongoing problem that Congress must tackle as soon as possible in order to ensure the retirement security of seniors. .Cut back spending. Given that housing represents more than one-third of their expenses, older Americans might look for ways to free up the equity in their homes by downsizing or taking out a reverse mortgage, or find ways to cut their costs by exploring options such as home-sharing.