It remains unclear, however, how broadly the order will be implemented — the executive order does not specify what drugs it covers. Instead, the order directs the Food and Drug Administration to decide which medicines will be subject to the new requirements. Certain drugs can also be exempted from the executive order if they are too expensive to make in the U.S. or the U.S. is not already making them. .More than 30% of all Medicare beneficiaries were enrolled in Medicare Advantage plans last year. The federal government pays plans a monthly fee to deliver all their healthcare needs — a fee that's based for the most part on risk scores. In 2015 plans like Humana received on average about ,900 per person for the year. According to government estimates, Medicare made nearly billion in improper payments to Medicare Advantage plans from 2008 through 2013, mostly due to inflated risk scores. .Medicare Advantage plans require very careful scrutiny of potential costs. Some plans have lured seniors with low premiums and deductibles, only for enrollees to discover high undisclosed costs later. .Recently we heard from Barbara B. of Indiana who was affected in a similar way last year, but who will finally catch up in 201Barbara's net Social Security benefit, after deduction for Part B premium, has remained exactly the same for the past three years. She hasn't seen an increase in her benefits since 2015, despite a 2% cost-of-living adjustment (COLA) in 2018. .Will Our New Congress Pass a Benefit Boost? .It eliminated the Independent Payment Advisory Board (IPAB). This fifteen-member board of unelected officials was created by the Affordable Care Act in 2010 to keep Medicare spending down when it exceeded a certain level. While that level was never surpassed and no members were ever appointed to the board, TSCL felt that it could have threatened access to quality medical care for Medicare beneficiaries since it had the power to cut payments to doctors and limit networks of providers. TSCL has advocated for bipartisan legislation for years that would have eliminated the IPAB, and we were pleased that the Bipartisan Budget Act did just that. .This claim, as you probably suspect, is hogwash. The CPI currently used to calculate the COLA underpays, not overpays retirees because it is based on the spending patterns of younger working adults. Yet younger workers spend less than half the amount on healthcare costs than people over the age of 65 do. Retirees also spend a bigger share of their income on housing. .Those born during the Notch period "saved Social Security" by receiving lower benefits for the rest of their lives. They are the generation that fought and sacrificed during World War II. Now, although they receive lower benefits, they are among the senior age group hit hardest by escalating health care insurance premiums and prescription drug costs. .The SNAP Simplification for the Elderly Act will build upon the success of the USDA's Elderly Simplified Application Project by extending the SNAP recertification periods for households from 12 to 36 months if all adult household members are elderly, disabled or enrolled in Medicaid or the Medicare Savings Program.