This week, the CBO released its report on the long term budget outlook, which found that the federal debt is projected to increase from today's rate of 74 percent of GDP to 106 percent of GDP in twenty-five years if no major changes are made. The nonpartisan agency said the trend cannot be sustained indefinitely, and already, the total amount of debt held by the public is "higher than at any point in U.S. history except a brief period around World War II." .Doughnut hole or coverage gap stage: 5.76. .If adopted, H.R. 1553 would base annual Social Security cost-of-living adjustments (COLAs) on the Consumer Price Index for Elderly Consumers (CPI-E). .Since the November announcement from UnitedHealth, doctors have started to receive termination letters citing "significant changes and pressures in the health-care environment." Doctors who receive the notices had only thirty days to appeal the decision, and if they are dropped from the network, their patients may not find out until they go to schedule their next appointment. .At Thursday's hearing, Social Security Subcommittee Chairman Sam Johnson (TX-3) and Ranking Member John Larson (CT-3) both spoke about how their Social Security reform bills would improve the program's financing. Chairman Johnson's bill – the Social Security Reform Act – would do so primarily through benefit cuts, while Ranking Member Larson's bill – the Social Security 2100 Act – would do so primarily through revenue increases. Mr. Goss confirmed that both bills – using two very different approaches – would return the program to 75-year solvency if adopted. .Senate Committees Question OMB Nominee .An alternate measure of inflation, the Supplemental Poverty Measure, indicates that the number of older adults who are living in poverty is larger than what the "official" poverty measure reports, according to a recent analysis from the non-partisan Kaiser Family Foundation. The way in which the government measures poverty is important because eligibility for critical low–income programs such as Medicaid, food stamps, and rental subsidies is determined by income, and tied to the "official" U.S. poverty measure. A greater number of needy people would qualify for safety-net programs like Medicaid, if the government were to use the more accurate Supplemental Poverty Measure to determine eligibility. .This week, a federal court rejected the Obama administration's immigration appeal, and The Senior Citizens League (TSCL) saw two key bills gain new cosponsors. .Medicare Advantage plans are booming in popularity with retirees, as a low-cost health coverage alternative. In 2016, the plans cover more than 18 million people, but troubling audits indicate that many plans are overbilling the government for many, if not the majority, of the patients treated. Because overcharges drive up Medicare program spending, the higher costs are shifted to all people enrolled in Medicare through rising Part B premiums— even to people who never enrolled in a Medicare Advantage plan.