The other rule concerns drug rebates involving Medicare Part D. The Department of Health and Human Services (HHS) said that last year Part D rebates totaled .8 billion, representing an average discount of nearly 30% for brand drugs. .Doing this can be worth hundreds, if not thousands, of dollars in savings in a single year, and it's surprisingly simple. Free one-on-one counseling is available from local Medicare benefits counselors like me in every area of the country, through State Health Insurance Programs (SHIP). Many of these programs operate through local area agencies on aging, senior centers, and community health centers. ."AbbVie is one of 33 member companies of the industry's top lobbying group, PhRMA, which raised nearly 0 million from membership dues in 2018, the most recent year for which data is available. But AbbVie's political action committee is one of just two pharmaceutical company PACs to donate the maximum ,000 to PhRMA's federal PAC since 2013, a potential indicator that AbbVie was highly motivated to influence legislation," according to a report on Salon.com. .The wage reports held in the Social Security Earnings Suspense file also represent a huge hidden time bomb for Social Security and Medicare. Under current Social Security policy, all earnings, even if based on illegal work, are used to determine entitlement to benefits. If at some point an illegal worker gains valid work authorization, as he or she would under an "amnesty" or a Totalization agreement, and can produce proof of earnings like old W2s, those earnings would be reinstated to their new Social Security account. Eventually the individual could file a claim for benefits that might be based, at least in part, on illegal work. .Worst of all, patients don't qualify for Medicare coverage of follow-up nursing home care, because Medicare requires three consecutive days in the hospital as an "inpatient." That leaves the patient and their families on their own to figure out how to pay nursing home bills, or to go without. .On Thursday, lawmakers in the House and Senate advanced a two-week stopgap measure to keep the federal government operating past Friday, December 7th. President Trump had not yet signed it into law at the time of writing this week's legislative update, but he is expected to do so before the midnight deadline. As a result, lawmakers have an extra fourteen days to reach a deal to avoid another government shutdown on December 21st. .However, current benefits, as we will learn today, are inadequate, unfair, and in many cases discriminatory, because of systemic economic inequities. .It's clear that Congress has failed mature workers and their families. We need to do more to create jobs and ensure mature workers have the skills needed for today's job market. .Congressman Elijah Cummings (MD-7) – Chairman of the House Oversight and Reform Committee – announced his committee's investigation into twelve of the largest pharmaceutical companies in January. He said, "The goals of this investigation are to determine why drug companies are increasing prices so dramatically, how drug companies are using the proceeds, and what steps can be taken to reduce prescription drug prices." The first hearing that his committee held in the 116th Congress examined the causes of rising drug prices.