An extremely low COLA (including the 1.3% that we are forecasting for 2021) could trigger a special provision of law that can cause Part B premiums to spike. That's especially true when combined with the higher than forecast Medicare outlays due to COVID-19, and the need to replenish program reserves. .The federal government negotiates prescription drug prices for Medicaid and for veterans, but it is not allowed to negotiate lower prices for Medicare beneficiaries. Do you support this policy? .We want to emphasize that these are all projections based on the economic situation at the time they were developed. As we have seen in the past year, things can change dramatically and clearly, we still don't know how things will be in the coming months and year with regard to the pandemic. .Fight to End Surprise Billing is Losing Key Ally .Congressional Republicans have also indicated opposition to the administration's proposal, saying it breaks from GOP philosophy by linking U.S. prices to those in other countries where there are price controls. While they like it in part, some Democrats have said it does not go far enough in lowering prices. The change would only lower prices for physician-administered drugs for people on Medicare, meaning people with private insurance and people getting drugs at the pharmacy counter would not benefit from lower prices. .Second, four new cosponsors – Senator Richard Blumenthal (CT), Senator Roy Blunt (MO), Representative Bill Posey (FL-8), and Representative Maxine Waters (CA-43) – signed on to the CHANGE Act (S. 2387, H.R. 4957), bringing the total up to ten in the Senate and twenty-four in the House. If adopted, the CHANGE Act would promote early identification of Alzheimer's disease, improve support for family caregivers, and provide continuous care for those battling many forms of dementia. .Congress This Week .In addition, two new cosponsors – Reps. Pete Olson (TX-22) and Adam Kinzinger (IL-16) – signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (H.R. 2305), bringing the total up to sixty. If signed into law, the PRIME Act would take a number of steps to comprehensively prevent fraud, waste, and abuse within Medicare and Medicaid – a problem that TSCL believes must be addressed in order to ensure that scarce program dollars are being spent properly. .The Senior Citizens League agrees with Chairman Johnson's remarks at Thursday's hearing, and we hope that Congress will address the shortfall as soon as possible so that any negative impacts on current or future retirees can be averted. In the months ahead, we will continue to advocate for solutions that strengthen the Social Security program responsibly – without cutting benefits – and we will post updates on Twitter, and here in the Legislative News section of our website.