Reduce the size of the initial retirement benefit that new Social Security beneficiaries are scheduled to receive; .I'm enrolled in a Part D drug plan. I thought I would get my brand name drug Eliquis, for a copay, but I was charged 5.4Why was that? .In the days and weeks ahead, The Senior Citizens League (TSCL) will closely monitor the movement of S. Con. Res. 3 since a repeal of the Affordable Care Act will impact older Americans in several ways. For instance, progress that has been made to close the Medicare Part D prescription drug "doughnut hole" will be reversed, and the Hospital Insurance Trust Fund that finances Medicare Part A will lose a critical stream of funding created by the law. Throughout the 115th Congress, TSCL's legislative team will continue to advocate on Capitol Hill for legislation that would reduce any negative impacts on the Medicare program. .The Social Security Administration recently announced that the annual cost-of-living adjustment (COLA) will raise benefits by 2.8% for 201The average retirement benefit of ,400 will increase by .20 per month, to ,439.20. The Medicare Part B premium increase for 2019 will be 5.50 per month — just .50 per month more than the 4 in 201The COLA, the highest in 7 years, and a low Medicare Part B premium increase, should mean most retirees can finally expect a modest boost in net Social Security benefits. .TSCL is carefully monitoring these recommendations and believes they would be financially punitive to seniors who are depending on Medigap supplements to provide a more secure retirement. .The Senior Citizens League believes that expanding "means testing" to Part D and freezing the income levels through 2019 is a backdoor benefit cut that will eventually affect even middle-income seniors. The chief reason is that as the economy grows over the next decade, the frozen income thresholds will not increase in-kind, subjecting many more seniors to the "means test." The Senior Citizens League estimates that given different inflation scenarios, individual seniors who made between ,000 and ,000 in 2010 could be subjected to the "means test" in 2019, because of the frozen income thresholds. In addition, if the income thresholds for the "means test" had been allowed to increase, (the case before the PPACA was signed into law), we estimate that they would have increased to an amount between 0,500 to 1,800 in 2019. .Improving the Social Security cost-of-living adjustment (COLA). According to TSCL's research, Social Security benefits have lost over 30 percent of their buying power since 2000 due in large part to inadequate COLAs and rising health care costs. The bipartisan Fair COLA for Seniors Act (H.R. 1553) would improve the annual COLA by adopting the Consumer Price Index for the Elderly (CPI-E), which more adequately measures the inflation seniors experience. .This week, the Centers for Medicare and Medicaid Services (CMS) announced its preliminary 2015 payment rate changes for the Medicare Advantage (MA) program. In addition, The Senior Citizens League (TSCL) saw two key bills gain support. .Patients would spend less to achieve better health. Value-based care systems focus on helping patients to recover from illness and on managing or avoiding chronic disease. The aim is to decrease the need for doctor visits, medical tests and procedures, and to reduce the amount of money spent on prescriptions while improving health. Value-based care encourages health providers to spend time on prevention-based services in order to focus more efforts on managing chronic disease with the goal of reducing costs like emergency room visits and hospitalizations.