New research, however, suggests that Medigap substantially increases Medicare spending, because seniors with the policies are insulated from costs. Those with polices tend to receive more medical care than people who are required to pay some or all of the costs of their care out-of-pocket. According to the CBO, a 2010 study found that Medicare beneficiaries responded to increases in their cost sharing by reducing visits to physicians and use of prescription drugs.[2] "Making seniors pay higher initial Medigap cost-sharing affects both senior budgets, and senior health — especially if seniors forego necessary care," Cates notes. .(Washington, DC) – Low inflation is striking another blow to the long - term Social Security income of millions of older and disabled Americans, according to a new analysis by The Senior Citizens League (TSCL). "For the third time in only 7 years, older Americans will not see any Cost of Living Adjustment (COLA) increase in their Social Security benefits," says TSCL Chairman, Ed Cates. "For tens of millions of people this has a devastating impact on the long-term adequacy of their benefits," he says. The Social Security Administration recently announced that more than 59 million beneficiaries would not receive an annual COLA next year, because inflation was lower this year than it was a year ago. .Within two years of enactment, the Government Accountability Office would report to Congress and the task force on the financial exploitation of older Americans, including the associated economic costs, contributing factors, unreported cases, and policy responses. .However, support in the House has gone to two bills of the bills, both of which moved forward this week: HR 5826, sponsored by Rep. Richard Neal (D-MA), Chairman of the House Ways and Means Committee; and HR 5800, sponsored by Rep. Bobby Scott (D-VA), Chairman of the House Education and Labor Committee. While they each deal with the same issue the way they try to solve it is different. .Even though Medicare recipients getting these services may stay in the hospital overnight or longer, getting the same nursing care, lab tests and drugs as they would if inpatients, their bill will be calculated very differently. Patients admitted for in-patient stays usually are responsible for the Medicare hospital deductible of ,484 for a stay of up to 60 days. They may also pay 20% of doctor charges. Many people have Medigap or Medicare Advantage plans that cover much or even all of this expense. Outpatient services, on the other hand, are charged differently, with the patient paying 20% of the Medicare approved amount for each service. In addition, the new billing changes would hit patients with "facility fees" that can run up to several thousand dollars to cover hospital overhead charges. And since, prescription drug plans don't cover medication for hospital patients, beneficiaries would be charged 100% of the full retail cost of drugs they need, even those they normally routinely take at home. .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 response to the proposed changes, House Minority Leader Nancy Pelosi (CA-12) said, "With their latest budget proposal, House Republicans have made their values very clear: strengthen the special interests, abandon seniors and hard-working families." TSCL agrees that adopting a premium-support model for the Medicare program would be a step in the wrong direction, and we oppose the Budget Committee's efforts to include it in next year's resolution. In the weeks and months ahead, we will continue to advocate against plans to privatize the Medicare program. .This week, lawmakers returned to Capitol Hill following a two-week spring recess and quickly began working on legislation to fund the federal government past Friday, April 28th. At the time of writing this week's update, a continuing resolution (CR) had not yet been adopted by either chamber, but votes are expected by Friday evening. .Both Social Security and Medicare have come under intense scrutiny for benefit cuts in recent years of deficit reduction negotiations. Immigration proponents say that immigration reform would boost the payroll taxes flowing to both programs and prolong program solvency. Critics, including TSCL, say that giving hundreds of thousands of illegal immigrants new access to Social Security would boost long-term costs far more than the 2-year estimated gain in solvency that the Social Security program would receive. Under current law the government continues to calculate entitlement and the amount of the initial benefit based on all earnings, even for jobs worked under invalid or even fraudulent Social Security numbers prior to gaining legal work authorization.