According to the Congressional Research Service, patients would be unlikely to see a reduction in benefits or any other direct impacts of sequestration, but it would have a large impact on how much providers are paid by Medicare for their services, sending them back to pre-pandemic rates. ."To lower the expected cost of these new benefits, House Democrats have proposed introducing the new dental benefits starting in 2028, ramping up the coverage over five years." .The proposal to switch to the chained CPI has come up numerous times during past budget negotiations over lifting the federal debt limit. Most recently the proposal appeared last December in a 2016 House bill that would reform Social Security, and in an alternate fiscal year 2017 budget proposed by the Republican Study Committee. The proposal remains a key provision of debt reduction plans, because so many federal benefit programs and the tax code are adjusted using the CPI. The CPI-U has recently been proposed to index Medicaid payments in the Senate health bill. Economists have estimated that adopting the chained CPI would cut Social Security by 0 billion over ten years. .Source: James W. Kelley & Joseph R. Humphreys, "Congressional Intent Concerning The Notch Issue: Legislative Background of the 1977 Social Security Amendments," 1994.Source: Congressional Research Service May 24, 1999 .For details, or to see if your Members of Congress will be holding town hall meetings during this week's recess, call their local offices. You can find contact information HERE. .My mother has suffered a stroke and needs to move to an assisted living facilty. She is having problems qualifying for Medicaid. Her only asset is her small apartment that we are trying to sell, but it could take months in this market. Most of the nursing facilities require ,000 and more per month. Is there anything I can do to help her qualify sooner? .Budget Moves Through Committee .What does this new "pay for performance" mean for patients? Not much is known yet, but I got a first - hand experience of the new system recently. One of my doctors, a specialist, told me that due to a "quality initiative reorganization," he wouldn't be seeing me as a patient anymore. I'll have to find a new doctor. .How will you maintain interaction with others and enjoyable relationships? If you live alone do you have opportunities for regular activities with friends and family? If you were to move to new housing, how would that change things? Do you have good computer and internet skills? Are you active with volunteer activities?