When you get your new card, you may begin using it at once. But if you forget to bring it with you to your next doctor's visit your doctor's office should be able to use your old card until December 31, 2019. .The Consumer Price Index for Elderly Consumers (CPI-E) Act — Congressman John Garamendi (CA-3) introduced the bipartisan CPI-E Act in the 115th Congress, and in TSCL's December meeting with his office, he committed to re-introducing the bill once again in 201If adopted, his bill would enhance Social Security benefits by basing cost-of-living adjustments (COLAs) on an inflation index specifically for seniors. Under current law, COLAs are based on the way young, urban workers spend their money. .In March, the Trump administration paused routine nursing home inspections, which typically occur about once a year. Instead, the Centers for Medicare and Medicaid Services (CMS) asked that state agencies focus on inspecting facilities for their infection control practices, such as whether staff wash their hands or properly wear protective clothing before tending to multiple patients. .The average CEO in the sample would pay enough Social Security revenues to cover the entire benefit of 45 retirees with an average benefit of ,800 for a year, or, boost the COLA of 22,428 retirees with average benefits in the first year. .In 2013 the Social Security Office of the Actuary released an actuarial note regarding providing information of the effects of unauthorized immigration on the status of the Social Security Trust Funds. The Office of the Actuary stated that it has difficulty "in determining what portion of taxes paid to and benefits received from the Social Security Trust Fund are derived from the earnings of immigrants working without authorization." The obtuse note was frustrating to dissect as there was no discussion on the reasoning behind assumptions and there was no attempt to estimate the long-term cost in Social Security benefits of unauthorized work. Here are some eye-opening points that the Office of the Actuary did provide: .President Gives First State of the Union .This week, TSCL delivered letters to several leaders in Congress – including Senate Majority Leader Mitch McConnell (KY), House Speaker Paul Ryan (WI-1), and House Freedom Caucus Chairman Mark Meadows (NC-11) – urging immediate action on the looming debt ceiling crisis. .With the impeachment drama out of the way Congress really got down to business this week. Health care is the number one issue on the minds of voters as we head toward the November elections and Congress knows it. .When you buy an immediate annuity, you give up control of a hefty lump-sum of your retirement savings and you can't change your mind and get your money back once you buy it. When you and your beneficiary die, no money goes to your heirs.