"The idea that we would allow ourselves to be held hostage in an emergency is mind-boggling," said David Mitchell, head of Patients for Affordable Drugs, an advocacy group. .The witnesses at this hearing defended a number of payment provisions that may expire if Congress doesn't act soon, including add-on payments for mental health and ambulance services, and hold harmless payments for rural hospitals. When looked at separately the costs of these provisions seem minor, but if each of them were to expire at the end of this year, the federal government would save billion. The potential savings attracted most at the hearing, but Ranking Member Pete Stark (CA) reminded the Subcommittee that many of the provisions "ensure critical access to needy Medicare beneficiaries." .Nonetheless, several Senators at Tuesday's hearing urged CMS to consider withdrawing the proposed payment changes. Committee Chairman Orrin Hatch (UT) expressed concerns about the rule's potential unintended consequences. He said: "I believe this experiment is ill-conceived and likely to harm beneficiaries. It is an overreach on the part of CMS that, in my opinion, goes beyond the agency's statutory authority, extends nationwide, and requires all Medicare Part B providers to participate." .At the time of writing this week's update, neither chamber had voted on the omnibus spending bill, but its passage is expected before funding runs out on Tuesday, December 22nd. A vote in the House is scheduled for Friday morning, and lawmakers in the Senate will likely take it up shortly thereafter, potentially as early as Friday afternoon. President Obama signaled his support for the spending package on Wednesday, which means he plans to sign it into law if it is sent to his desk. .The Senior Citizens League believes that Social Security benefits and annual COLAs could be strengthened three ways: .Mary Johnson .The judge's order stops the implementation of the rule until the completion of the notice and comment process. .CBO Director Douglas Elmendorf made the report to President Obama's Fiscal Commission which is developing a plan to shrink the national deficit by 2015 — a target that TSCL believes will be extremely difficult to achieve without deep cuts to Social Security and widespread tax increases on middle-income taxpayers. .This week, lawmakers in the House debated legislation to repeal the controversial Medicare cost-cutting panel, the Independent Payment Advisory Board (IPAB). In addition, The Senior Citizens League (TSCL) saw one key bill gain four cosponsors.