The audit is part of long-delayed plans to recover money that the Centers for Medicare and Medicaid Services (CMS) says it overpaid to plans that exaggerated the severity of illnesses of patients treated. The problem is one that the federal government has struggled with, unsuccessfully, for more than a decade. According to one estimate that appeared in Health Affairs, CMS will overpay Medicare Advantage plans by 0 billion over the next decade if the current "coding intensity adjustment" system remains in place. .In addition, the bill would help finance Part D benefits. The nonpartisan Congressional Budget Office estimates the bill will save Medicare billion over a decade and save beneficiaries billion in out-of-pocket costs over the same period. .The absence of a Social Security cost-of living adjustment (COLA), or even an extremely low one, triggers a provision of law that, while a valuable protection of Social Security benefits, has led to several steep increases in the Medicare Part B premium over the past decade. The deep recession caused by the COVID-19 coronavirus and shortages have caused consumer prices to plunge, then rise like a roller coaster in 2020. If consumer prices remain low through September 2020, it is likely there will be an extremely low annual Social Security COLA for 2021, and this provision of law will be triggered to some extent again.[1] .Social Security provides the income and access to health care that seniors rely on each and every day. They are benefits my generation has earned – and future generations have been promised. We must work together and make sure our country keeps this promise. .When no, or a very low, COLA occurs, a provision of law known as "hold harmless" is triggered. Under the provision, when an individual's Social Security COLA is insufficient to cover the increase in the Medicare Part B premium, the Part B premium is adjusted so that one's Social Security benefit isn't reduced from one year to the next. About 70% of Medicare beneficiaries are protected by hold harmless from rising premiums. .A government shutdown occurs when Congress fails to pass the appropriations bills that allow agencies to operate. As a result, federal workers and government contractors temporarily don't get paid until after the shutdown has ended. But hitting the debt limit would have far more reaching effects. The debt limit is the legal limit on the total amount of debt the federal government may take on. That limit is especially important to older Americans because the federal government has used trillions in excess payroll tax revenues from the Social Security and Medicare Trust Funds in the past, and now must borrow in order to pay Social Security and Medicare benefits in full and on time. .TSCL is hopeful that lawmakers will successfully repeal and replace the SGR by the end of this year since doing so would bring increased stability to the Medicare program for both doctors and patients. However, we are opposed to offsets that would reduce Medicare benefits or require seniors to pay more for their health care, and we firmly believe that beneficiaries should not be penalized for the poor policy-making decisions that were made by Congress more than a decade ago. .There is no simple, direct mechanism for regulators or legislators to control pricing. Our laws, in fact, favor business: Medicare is not allowed to engage in price negotiations for medicines covered by its Part D drug plan. The Food and Drug Administration, which will have to approve the manufacturer's vaccine for use as "safe and effective," is not allowed to consider proposed cost. The panels that recommend approval of new drugs generally have no idea how they will be priced. .This week, TSCL announced its support for legislation that Rep. Dana Rohrabacher (CA-46) recently re-introduced: the No Social Security for Illegal Immigrants Act (H.R. 2745). Each year, millions of unauthorized workers use invalid, stolen, or fraudulent Social Security numbers to get jobs in the United States. Later, if they receive "green cards" or work authorization, they may file a claim for Social Security benefits based on those illegal earnings. TSCL feels that Congress should put an end to this practice in order to protect the integrity of the Social Security program and to prevent further strains on the Trust Fund. Rep. Rohrabacher's bill – which was introduced with twenty cosponsors last week – would do just that, and we look forward to working with him throughout the 113th Congress to help build support for it.