"Failing to raise the U.S. debt ceiling could be disastrous," warns The Committee for a Responsible Federal Budget, a group made up of leading U.S. economists, retired economic policy experts, and former Members of Congress concerned about reducing federal debt. If Congress fails to lift or suspend the debt limit in time, the inflow of Social Security and Medicare payroll taxes won't be sufficient to cover daily obligations. That could mean the U.S. Treasury could default on Social Security payments as well as payments to Medicare health plans. .Second, one new cosponsor – Representative Sean Patrick Maloney (NY-18) – signed on to the Improving Access to Affordable Prescription Drugs Act (H.R. 1776). The cosponsor total is now up to twenty-three. If adopted, this comprehensive bill would require the federal government to negotiate lower Medicare Part D prices, allow the importation of prescription drugs from Canada, and cap monthly prescription drug expenses at 0, among other things. .Social Security Notch Reform – Work towards benefit equality for Notch victims. .Reduce the annual cost-of-living adjustment (COLA) that beneficiaries receive once they become eligible for benefits. .This week, TSCL announced its support for three new bills: the Social Security Safety Dividend Act (H.R. 67), the Medicare Prescription Drug Price Negotiation Act (S. 41, H.R. 242), and the Safe and Affordable Drugs from Canada Act (S. 64). .But achieving bipartisan consensus on the next packages appears more difficult. House Speaker Nancy Pelosi (D- Calif.) says her starting point is up to trillion in aid that cash-strapped states and local governments need to prevent layoffs of first responders and other workers, and to help make up for lost revenues amid business closures. She also wants an infusion of funds for the postal system, which President Trump previously blocked. Also, on her list are provisions to expand voting by mail. .MA enrollees could be impacted by the ACA's cuts in other ways, as well. They could begin to see higher premiums, deductibles, or co-pays in the coming years. They could also see reduced supplemental benefits like vision or dental coverage. According to another expert witness at the House Ways and Means Health Subcommittee hearing – Robert Book of the Health Systems Innovation Network – by 2015, MA beneficiaries will see an average reduction of ,530 in benefits due to the reduced funding from the federal government, and in 2017 that number will grow to an astounding ,700. .Before recommending the zero premiums, I helped Paula estimate potential costs. New managed care Medicare Advantage plans differ from traditional Medicare supplements by charging co-payments that can be substantial for each hospitalization, visit to the doctor, or other service received. Supplements tend to charge high premiums, but cover most, or all, of the co-insurance costs, leaving beneficiaries to pay little or nothing when they receive a service. If Paula had to be hospitalized or developed a serious illness, the co-payments charged by the Medicare Advantage plan could quickly add up to be just as much, possibly more, than what she would pay in premiums for her state retiree Medicare supplement. .Have you calculated how much you might need? How much income would be lost if you or your spouse were to pass away? There's a loss of retirement income, particularly when the higher benefit spouse dies. The couple's Social Security benefit is cut by one-third to one-half, and a couple's private pension benefit (if any) is either cut in half, or disappears completely if you have not opted for a joint-and survivor annuity. If you have a large estate, thriving business, valuable real estate and savings, would there be estate taxes to pay? Some families choose to keep life insurance because the death benefits are tax free to heirs, and can give the surviving spouse a financial cushion.