Last year Congress considered a major Medicaid overhaul that would transition the program from one that covers qualified applicants whose incomes are low enough, to a system that provides a fixed per capita payment or block grant to states. The Congressional Budget Office estimated this change would cut federal spending on Medicaid by more than 25% over the next decade. Despite lawmakers' failure to enact the change to Medicaid last year, some lawmakers in Congress and president Trump may try again this year. .How much would your Social Security cost-of-living adjustment (COLA) be worth if it was more accurately based on your spending patterns as a retiree? Social Security legislation under debate in the U.S. House would tie the annual boost for inflation to the Consumer Price Index for the Elderly (CPI-E). Had that index been used to calculate the COLA for 2020, your annual boost would be 1.9%, versus the 1.6% that Social Security recipients are actually getting. .Sources: "Social Security Benefits for Noncitizens," Congressional Research Service, July 20, 2006, RL32004. .TSCL is contacting Members of Congress to make them aware of the likelihood that the COLA in 2021 could be one of the lowest ever paid, and to propose an emergency COLA of 2.5%. We drew the 2.5% from the current estimated Social Security baseline budget produced by the Congressional Budget Office (CBO). In January, the CBO estimated that the 2021 COLA would be 2.5%, thus providing an emergency COLA of that amount is already factored into Social Security Trust Fund calculations. .TSCL believes several of the proposals under consideration would make the program unaffordable over time for the majority of beneficiaries. According to a new TSCL survey, more than one quarter of Medicare beneficiaries spend as much as 50% of their Social Security payments just to cover healthcare costs. TSCL recently delivered a listing of hundreds of thousands of petition signers from supporters to almost every Member of Congress and is continuing to convey concerns about plans to cut Social Security and Medicare. .High drug or health plan premiums don't necessarily purchase better coverage. For example, the generic blood pressure medication Lisinopril is one of the most commonly used prescriptions by Medicare beneficiaries. The least expensive Part D plan in my area charges (Washington, DC) – Social Security cost-of-living adjustments (COLA) would need to double their rate of growth and Medicare Part B premium increases would need to slow by half their historic rate to provide greater Social Security benefit adequacy, says a new report from The Senior Citizens League. Using the federal government's economic projections for the Social Security COLA and Medicare Part B premium estimates over the next decade, the study examined how well Social Security benefits would cover Part B premiums increases in coming years. .At a seven-hour Senate Judiciary Committee hearing this week, Homeland Security Secretary Janet Napolitano praised the Gang of Eight for their comprehensive plan, while members of the committee picked it apart and discussed potential amendments. Secretary Napolitano called the plan "realistic" and "achievable" and she said the department would be ready to implement border security provisions within the outlined timeframe. However, committee members seemed wary, and Ranking Member Charles Grassley (IA) said: "This bill would put no pressure on this secretary or any future secretary to secure the borders." .Senate Appropriations Committee Chairman Richard Shelby (AL) told reporters this week that a government shutdown later this month is a real possibility. He said: "This could make us all come together or it could drive us further apart. We don't know yet … I've been here on Christmas Eve." .For details, or to see if your Members of Congress will be holding town hall meetings during the summer recess, call their local offices. You can find contact information HERE. For a list of ten sample town hall questions, click HERE. .Ohio Sen. Sherrod Brown announced a consumer price index bill for elderly consumers on Wednesday. Under the Consumer Price Index for Elderly Consumers Act, the cost-of-living adjustment (COLA) would be amended to use a formula that reflects the spending patterns of seniors. The current index is based on the spending patterns of urban workers. .Last Wednesday, the Senate's Special Committee on Aging held a hearing titled "Turning 65: Navigating Critical Decisions to Age Well." The committee focused on the social and financial challenges that keep many seniors from living fulfilling lives in retirement. As Chairwoman Collins (ME) stated, "For the next 12 years, 10,000 Americans will turn 65 each day." .What Are The Ten Fastest Growing Senior Costs? .You will still need to follow guidance at your workplace. .TSCL supports legislation that would strengthen the COLA three ways: copay for Tier 1 generics, and the monthly premium is just .50 in the zip code used in this search. The most expensive plan charges a co-pay of .19, and the plan has a monthly premium of .30 — a difference of ,055.88 for the entire year counting premiums! .Critics of mandatory arbitration say the agreements stack the deck against long term care residents and consumers. Unlike civil suits which go to court, arbitration is private, and there's no judge or jury. There are no rules of evidence that arbitrators have to follow under the law, and there's no oversight. Critics also contend that consumers are less likely to win their cases in private arbitration and, if they do win, they tend to get much less money than they would in court. .Although it's illegal for immigrants to work in this country without a valid Social Security number, millions of illegal workers readily obtain forged or invalid Social Security numbers and show them to employers to get jobs. Employers use the invalid Social Security numbers for reporting earnings to the Social Security Administration. ."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.