Congress this week was sort of the entire U.S. in miniature form. The Senate came back to town to conduct business, but not all Senators agreed with that. Most Senators followed the rules for wearing face masks, but not all. Not all committee hearings were attended by all the members. Most Senators were careful about following the protocols that have been recommended by health care professionals, but not all. .The Senate amended and passed the bill 90-2 on March 25, with two Republican Senators voting against it. .The increased amounts are phased out for incomes over 0,000 for married couples filing jointly and qualifying widows or widowers, 2,500 for heads of household, and ,000 for all other taxpayers. .The main bill in the Senate regarding prescription drug prices is one that is authored by Senators Chuck Grassley (R-Iowa) and Ron Wyden (D-Ore.). After Trump issued his executive orders, Sen. Grassley said he plans to use the time until the executive orders go into effect to build support for his own prescription drug package which, as we said above, has stalled in the Senate. .TSCL Supports New Legislation .Again, next year, a number of physicians and medical specialists were facing sharp Medicare pay cuts. This was to come, of course, in the face of the worst pandemic in our lifetimes and one which has worn so many physicians and nurses to the point of exhaustion. .In addition, two new cosponsors – Reps. Pete Olson (TX-22) and Adam Kinzinger (IL-16) – signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (H.R. 2305), bringing the total up to sixty. If signed into law, the PRIME Act would take a number of steps to comprehensively prevent fraud, waste, and abuse within Medicare and Medicaid – a problem that TSCL believes must be addressed in order to ensure that scarce program dollars are being spent properly. .What is it going to cost? Is there a less expensive alternative? .Federal records and senior advocates indicate that many observation patients who call Medicare about the billing problem are told there is nothing that Medicare can do to help. Hospitals are not required to tell patients they are under observation. Patients only learn they were receiving observation services when the bill arrives. By then it's too late because hospitals and doctors are prohibited from reclassifying observation patients as inpatients once they've been discharged.