In a recent high profile Medicare fraud takedown, actor and entrepreneur Roberto F. Marrero, who played bits parts on Miami Vice, America's Most Wanted, and Unsolved Mysteries, was arrested for massive Medicare fraud. Marrero, who became a Medicare-licensed healthcare provider in 2007, is accused of submitting million in bogus bills for supplying purported home healthcare services for diabetic patients. .Unlike other types of health insurance, Part D plans do not have a fixed annual out-of-pocket maximum, and you could potentially continue to spend even more than ,100 this year. While that's a huge sum for just prescription drugs, the out-of-pocket threshold "re-sets" and it starts all over again next year. Unless Congress takes action, the out-of-pocket threshold is scheduled to make a steep increase in 2020 to ,250, due to an expiring provision of the 2010 Affordable Care Act. .In short, there are two main obstacles to the "Pelosi" bill to lower drug prices: overcoming objections from House Democratic progressives and getting through the Republican opposition in the Senate. .In the months ahead, TSCL's legislative team will closely monitor proposals that would impact older Americans, and we will continue to advocate for legislation that would strengthen and modernize the Social Security and Medicare programs responsibly, without enacting harsh benefit cuts. .In a January 2017 survey of The Senior Citizens League's members and supporters, 34 percent said they itemize deductions for out-of-pocket healthcare costs most years. One member of The Senior Citizens League – William P. from California – recently contacted us to share his concerns about the elimination of the medical expense deduction. William is home-bound due to several medical conditions, and he relies on home health aides to provide him with lifesaving care on a daily basis. At the age of 61, William is not yet eligible for Medicare and he expects the out-of-pocket cost of his care to total ,000 by the end of this year. The elimination of the medical expense deduction would be a major financial loss for him. .While President Trump has long called for reducing the prices of prescription drugs, his administration took action this week that will likely raise the costs for some seniors. .You are asking yourself the right questions. Many people buy life insurance to replace the income that would be lost when the policyholder dies and no longer is paid a salary. Once you stop working, most of your income is likely to come from retirement savings, pensions, annuities, and Social Security, which pays survivors benefits, if you or a spouse dies. There can be special needs, however, and for some retirees, life insurance may make sense. Here are a few major considerations: .One of the most important results of this change is that the Senate Majority Leader controls what legislation moves through the Senate. That is crucial in determining what happens in terms of President Biden's agenda in the next two years. .More than 42.4% of people 65 and older had incomes below 200% of poverty under the Supplemental Poverty Measure, compared to 30.4% under the official measure.