In determining the COLA what items does the government track for price changes? Why does the COLA grow so much more slowly than my costs? .The lack of growth in Social Security benefits, together with the inexorable rise in healthcare costs, is causing financial dilemmas for Medicare beneficiaries that may be jeopardizing their health. The situation is leaving both seniors and disabled adults who are living longer lives without adequate financial resources for their retirement, survey participants say. .Congress should prohibit "surprise medical bills. Congress should require healthcare providers and insurers to accept fees no greater than 20 percent more than the Medicare approved fees as settlement. — 82 percent support, 15 percent not sure, and only 4 percent opposed. (Legislation passed in December would provide relief from surprise medical bills but stopped short of tying payments to prices paid by Medicare and Medicaid which are often lower than other rates negotiated by other insurers.) .TSCL is advocating for legislation that would provide a more fair and adequate COLA, by tying the annual adjustment to the Consumer Price Index for the Elderly (CPI- E). Projections show that by using the CPI-E, Social Security benefits would be about 9 percent higher over 25 years. An average benefit of ,300 in 2017 would be about 2 per month more at the end of the 2year period using the CPI-E. .TSCL will be watching closely for the expected executive orders and we will report on them in our legislative update that follows the release of the orders. .Recently a group of Medicare patients and their families sued the Obama Administration, saying they were deprived of coverage because the policy allows hospitals to avoid admitting seniors with chronic ailments as inpatients. The plaintiffs charged that the observation services policy, which is intended to apply to short stays of no more than 24 to 48 hours, is instead being used to keep Medicare patients on outpatient status for longer stays, including some lasting up to a week. As a result, the seniors incurred medical charges as high as ,000 for skilled nursing care, drugs and other costs that Medicare Part B does not cover. Inpatient stays are covered under Medicare Part A, and all of ,156 deductible and most, if not all, of the co-insurance is covered by Medigap supplements. .Elder abuse affects an estimated 14.1 percent of all non-institutionalized older adults each year, and for every case reported, another twenty-three cases go unnoticed. It is a serious and ongoing problem that Congress must tackle as soon as possible in order to ensure the retirement security of seniors. .Even though I have good insurance, I wound up with ,260 in unexpected out-of-pocket costs after being referred to a specialist who ordered "a few tests." I later learned that most, if not all of the tests I was given were probably unnecessary, and not recommended by the physician groups, based on my medical history. The visit with my specialist lasted only 15 minutes. At check out I learned the doctor had ordered four high-tech tests including a CT scan. No explanation was given about what the doctor was looking for, why the tests were necessary, or how they would help, nor was I given the opportunity to go back and ask the doctor before leaving. Nothing abnormal was found in any one of them. While I'm grateful for that, the stack of bills I received later forced me to tap savings that I was hoping to count on for retirement. .The Senior Citizens League believes that Social Security benefits and annual COLAs could be strengthened three ways: