It's no longer a matter of 'if' Congress will cut Social Security and Medicare, but "when" most policy observers now believe. Much will depend on Congressional budget negotiations in coming weeks as lawmakers address the extent to which borrowing can continue for payment of Social Security and Medicare benefits. .It's unknown whether or not Congress will tackle the SGR before the end of the year, but most Subcommittee Members at Wednesday's hearing did seem set on providing extensions for the other payment provisions that are nearing expiration. .Last year was a busy and successful one for The Senior Citizens League (TSCL). Three major legislative efforts that had our support were effectively tackled by lawmakers in Congress and signed into law by President Obama. .If the bill is going to reach the President's desk for his signature the House will have to agree to the changes the Senate made and pass it one more time. It may take a couple of weeks if that is to happen, however, because the House will not be back in session until the week of April 12. .The number of older taxpayers who find that a portion of their Social Security benefits are taxable tends to grow over time. Unlike income brackets that are adjusted for inflation, the income thresholds that subject Social Security benefits to taxation have never been adjusted since Social Security benefits became taxable in 198When the law was first passed, less than 10 percent of all Social Security recipients were estimated to have incomes high enough to be affected by the tax on benefits. But today, even retirees with modest incomes can be affected by the tax. .The Centers for Medicare and Medicaid Services (CMS) has estimated that it improperly paid .1 billion to Medicare Advantage plans in 2013 alone. Yet the plans are rarely forced to repay the money they have overcharged, or face closer government scrutiny after the audits, according to the Government Accountability Office (GAO). The GAO report said that CMS has failed to target health plans with "known improper payment risk", allowing the worst abusers to avoid scrutiny. .Elmendorf began his testimony by sharing some grim projections that have recently been developed by the CBO. He stated that the economy will likely grow by only 1.5 percent this year, and that next year, it's expected to increase by only 2.5 percent. He also announced that the unemployment rate will continue to hover around the 9 percent mark until the end of 2012. .But critics say the failure to make in-person checks prevented states from identifying lapses at a crucial time. The fact that family members were blocked from visiting their relatives — a policy intended to prevent the virus from entering the facility — removed another source of accountability in homes, some of which ended up having more than half of their residents stricken with the coronavirus. .Last October's debt deal contained surprise Social Security changes that will cost some Baby Boomer couples tens of thousands in anticipated Social Security income. While proponents say the changes were necessary to "close filing loopholes," TSCL feels the cuts included people who are too close to retirement. Worse, these changes were struck in a secret, closed-door "must pass" debt deal with no public debate.