But for more than two months, state inspectors failed to enter half the country's homes — a revelation that prompted CMS to crack down. .Even though I'm not on Medicare yet, these new quality initiatives will, one way or another will affect most patients, even those like me who are still under the age of 65 as doctors reorganize. I felt dumped. .At the hearings, many Committee Members were still getting up to speed on the structural and procedural aspects of the IPAB. The IPAB, which will be made up of 15 "experts" appointed by the President and confirmed by the Senate, will begin issuing recommendations to Congress in 2015 if Medicare spending exceeds the targets established by the Affordable Care Act. Those recommendations will be reviewed on a "fast-track" basis, and, if Congress fails to act quickly, HHS will be forced to implement them. .When asked whether you prefer to get your Social Security benefits directly deposited electronically to bank accounts or received by mail, 9 percent of seniors still prefer receiving checks. .Since people often move when they retire, under locality pay adjustment rates, the area they choose to live in during retirement could significantly impact the amount of Social Security they receive. Would retirees crowd into areas of the country with high locality pay adjustments? .In the midst of all this, a new study by The Senior Citizens League (TSCL) found that the drop in average wages in recent years coupled with no cost-of-living-adjustments (COLAs), and projections of extremely low COLAs, is reducing the amount retirees can count on in Social Security benefits over their retirement. .Medicare open enrollment: It pays to get it right .In the 109th Congress, I co-sponsored legislation expressing CongressТ disapproval of the Totalization Agreement between the U.S. and Mexico because I believe it is imperative that we protect Social Security by preventing others from "gaming" the system. For this reason, I also co-sponsored the Illegal Immigration Enforcement and Social Security Protection Act of 2005, legislation aimed at cracking down on Social Security fraud. .This will give them an additional week to try and get something done. If they can't by then, they'll either pass another short-term CR giving them additional time to work until probably Christmas, or they'll give up and go home for Christmas and push everything off to the new Congress and new President in January.