Every year since the late 1990's, Congress has ‘balanced' the budget by declaring a pay cut to doctors' Medicare services. Every year, after the budget for the next year is revealed, this cut is rescinded. .At Wednesday's hearing, several lawmakers asked Congressman Price about his plans to implement a new executive order from President Trump – signed following his inauguration on January 20th – that will dismantle parts of the Affordable Care Act (ACA). To these and other questions about the ACA's repeal, Congressman Price responded ambiguously by assuring lawmakers that he would "make certain that we have the highest-quality health care and that every single American has access to affordable coverage." ."But the time is coming when the states and federal government will be under urgent pressure to cut Medicaid and Medicare costs," says TSCL Chairman, Larry Hyland. "TSCL is concerned that if states and the federal government don't design and implement the changes the right way, beneficiaries' may lose access to medically necessary care and quality." .Democratic leaders believe the measure could save almost half a trillion dollars if it were to pass. And while it would be much more likely to be brought up for a vote, the uncertainty about whether it could pass in the Senate remains. .If your husband's company had 20 or more employees, and your husband's former employer still has the same health coverage, you and your husband may have the option to temporarily continue to get healthcare coverage under your husband's former employer plan as provided by the Consolidated Omnibus Budget Reconciliation Act (COBRA). That coverage now, however, is likely to be more expensive than it was while your husband was an active employee, and it's only a short-term option. These are two reasons why both you and your spouse should explore other options promptly. .On Wednesday, the Senate Finance Committee held a confirmation hearing for Sylvia Mathews Burwell, President Obama's nominee for the position of HHS Secretary. Burwell was nominated back in April, shortly after Secretary Kathleen Sebelius announced that she would be stepping down. If confirmed, she will oversee the Medicare, Medicaid, and Social Security programs, and she will also manage the continued implementation of the Affordable Care Act. .In its June 2018 Long Term Budget Outlook, the Congressional Budget Office (CBO) projected that earnings will grow faster for higher-income people than for others over the next 30 years. The CBO expects that trend to lead to a decrease in the amount of payroll tax receipts that otherwise would flow into Social Security, as a greater share of earnings will be above the maximum amount subject to Social Security payroll taxes. .Another Social Security reform bill – the Social Security for Future Generations Act (H.R. 2855) from Congressman Al Lawson, Jr. (FL-5) – gained one new cosponsor this week. The new cosponsor, Congressman Gregorio Kilili Camacho Sablan (MP-1), is the nineteenth lawmaker to officially sign on to the bill. If adopted, it would strengthen and improve the program by adopting the CPI-E, applying the payroll tax to income over 0,000, creating a new benefit for widows and widowers, and increasing the Special Minimum Benefit so it equals 125 percent of the poverty line. .The Senior Citizens League strongly believes allowing the HHS Secretary to negotiate with the drug companies is one important way to reduce the costs of drugs for seniors. We will be continuing our efforts to get Congress to pass legislation that would make this possible.