The prices that insurers pay for in-network services are typically much lower than the provider list prices. .Federal records and senior advocates indicate that many observation patients who call Medicare about the billing problem are told there is nothing that Medicare can do to help. Hospitals are not required to tell patients they are under observation. Patients only learn they were receiving observation services when the bill arrives. By then it's too late because hospitals and doctors are prohibited from reclassifying observation patients as inpatients once they've been discharged. .High Cost of Illegal Work for Social Security Trust Fund .Jodey Arrington represents Texas' 19th Congressional District in the U.S. House of Representatives and is a member of the House Ways and Means Committee. .This week, two new cosponsors – Reps. Mike Burgess (TX-26) and Lamar Smith (TX-21) – signed on as cosponsors to the No Social Security for Illegal Immigrants Act (H.R. 1716). The cosponsor total is now up to thirty-one. .TSCL enthusiastically supports H.R. 2305 and H.R. 3118, and we were pleased to see support grow for both of them this week. .TSCL recently solicited membership support for three issues critical to seniors' needs: Social Security Fairness (COLA), Notch Reform, and the Anti-Totalization Agreement. Collectively, these issues represent key legislation that TSCL believes will help protect the earned benefits for our supporters and formed the focus of our grassroots Congressional petition campaign. This campaign centered on educating and calling on all U.S. Representatives to support the: Consumer Price Index for Elderly Consumers Act, Guaranteed 3% COLA for Seniors Act, Social Security Guarantee Act, Notch Fairness Act, No Social Security for Illegal Immigrants Act, and Social Security for Americans Only Act. .Alexandria, VToday's seniors are living longer and spending more years in retirement — which is why a Social Security cost-of-living adjustment (COLA) that keeps up with rising costs is essential protection, says The Senior Citizens League (TSCL). Yet Social Security benefits have been growing at record lows over the past five years — an average about 1.4% per year — less than half the average rate of growth in previous years. .If signed into law, the PRIME Act would increase fraud prevention efforts within Medicare and Medicaid. Among other things, it would enact stronger fraud penalties, curb mistaken payments, phase out the practice of "pay and chase," reduce the theft of physician identities, and improve the sharing of fraud data among agencies and programs.