Second, six new cosponsors signed on to the Social Security Fairness Act (S. 521, H.R. 141), bringing the cosponsor total up to thirty in the Senate and 163 in the House of Representatives. The new cosponsors are: Senator Dianne Feinstein (CA), Senator Kyrsten Sinema (AZ), Representative Colin Allred (TX-32), Representative Elaine Luria (VA-2), Representative Susan Davis (CA-53), and Representative Sean Casten (IL-6). .This week, one House Subcommittee heard from the Medicare Payment Advisory Commission (MedPAC) about its most recent report to Congress, which was titled Medicare and the Health Care Delivery System. In addition, the 2013 recovery estimate was released for the Senior Medicare Patrol, and The Senior Citizens League (TSCL) saw support grow for two key bills. .To find contact information for your Members of Congress, to learn about important issues affecting seniors, or to sign a petition to Congress, visit the ACTION CENTER of our website. .However, taking this action would cause at least two difficulties for the President. Signing legislation to reduce Medicare spending on the drugs would generate official budget savings that Congress could have applied to other health-care legislation -- bills to expand insurance coverage or reduce other drug spending, for example. Executive action taken before a bill's passage would remove a key bargaining chip, and likely reduce the scope of a health-care bill expected in the coming months. .Once the costs that both you and your drug plan have paid exceed the above limit, then you will pay 25% co-insurance for brand drugs in 2019, and your drug plan will pay 5%. There's a manufacturer discount of 70%. For generics, you will pay 37% and plans pay 63%. This phase of coverage — which is called the "doughnut hole" or coverage gap —lasts until you have a spent a total of ,100 out-of-pocket on prescription costs. Please note that what you pay in premiums does not count toward out-of-pocket costs. Once you have spent ,100, which counts the manufacturer discount portion of the drug cost in the doughnut hole, then you reach the Part D catastrophic threshold. Medicare pays 80%, plans pay 15% and enrollees pay the greater of either 5% of total drug costs or .40/.50 for each generic/brand-name drug respectively. .According to information from the Medicare Rights Center, a nonprofit organization that provides Medicare counseling and educational programs, when you notify a Medicare Advantage plan after the move, then your mom's Special Enrollment Period begins the month you tell her plan, plus two more full months thereafter. .UnitedHealth, the largest provider of Medicare Advantage plans, announced in mid-November that they would be dropping thousands of doctors from their networks in at least ten states. By the end of 2014, the company expects its network of doctors to be 85 percent to 90 percent of its pre-Obamacare size. .The Senior Citizens League's surveys in 2020 asked about support for currently debated proposals to change Social Security and Medicare benefits. The five top areas of consensus include the following: .The bill now moves on to the full Energy and Commerce Committee for a markup, and later it will likely move to the House Ways and Means Committee, where more offsets will be added. Lawmakers in both the House and the Senate hope to repeal and replace the SGR before January 1st – if they fail to act, doctors who treat Medicare patients will see a 25 percent pay cut. TSCL was pleased to see the subcommittee's bill progress this week, and we are hopeful that Members of Congress will pass a permanent solution before the end of this year in order to preserve seniors' access to quality medical care. As the negotiations evolve, we will continue to post updates here in the Legislative News section of our website.